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Diploma Course

Haprac professionals are instructors at Advanced Physical Therapy Education Institute (APTEI) and the Orthopaedic Division of the Canadian Physiotherapy Association.

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Diploma Course Syllabus

Diploma Syllabus

Overview

Evidence-informed clinical assessment skills for the diagnosis and classification of individuals presenting with various common acute, sub-acute or persistent musculoskeletal problems & appropriate manual therapy management in an evidence informed approach to treatment.

Objectives

Exposure to Advanced physiotherapy practice in accordance with international standards

Access to the latest evidence journal articles on every aspect of the course objectives

Acquiring skills that can be immediately applied to a clinical setting which can impact practice immensely

Evidence informed selection of appropriate treatment technique from varied schools of thought in physical medicine and rehab

Receive a cache of clinical skills that will enhance participants practice

Hands on training of manual therapy skills

Canadian Diploma in Advanced Musculoskeletal physical Therapy

Contents

Pre-Course prep course (commences 2 weeks prior to the course)

Section 1: Review of ICF classification (Resources will be provided)

Section 2: Documentation (resource will be provided)

Section 3: Review of Functional Anatomy (guided self study)

Section 4: Review of Joint specific biomechanics (guided self study)

First Onsite Program

(40 hrs a week, 80 hrs in total)

Week I (40 hrs)

Review of the pre course: Documentation & ICF classification

Discussion on Learning objectives and deliverables

Introduction to Therapeutic Alliance: The Art and Science
CERVICO-THORACIC

COMPLEX

Section 1: Background information on Neck Pain

Section 2: Potential Serious Cervical Pathologies & “Red Flags” Section 3: Potential Visceral Referral Thoracic Pain & “Red Flags” Section 4: Cervical Spine Outcome Measures
Introduction to Pain Mechanism

Based Classification

Mechanism-Based Classification of Pain in Cervical Region

NOCICEPTIVE PAIN

Section 6: Mechanical Neck pain Classification

Section 7: Potential Contributing Factors to Neck Pain Section 8: Cervical Mobility Evaluation Section 9: Cervical Headache Section 10: Cervical Control and Kinaesthesia evaluation Training Section 11: Cervical Headache Mobilization Section 12: Mis-Cervical Spine Articular evaluation and Mobilization
Introduction to Pain Mechanism

Based Classification

Mechanism-Based Classification of Pain in Cervical Region

NOCICEPTIVE PAIN

Section 6: Mechanical Neck pain Classification

Section 7: Potential Contributing Factors to Neck Pain Section 8: Cervical Mobility Evaluation Section 9: Cervical Headache Section 10: Cervical Control and Kinaesthesia evaluation Training Section 11: Cervical Headache Mobilization Section 12: Mis-Cervical Spine Articular evaluation and Mobilization PERIPHERAL NEUROGENIC PAIN Section 13: Cervical Neural Tissue Mechanosensitive Section 14: Cervical Neural Tissue Evaluation Section 15: Cervical Neural Tissue Management Section 16: Thoracic Spine Evaluation Section 17: Thoracic Spine Management Option Section 18: Thoracic Spine Manipulation Section 19: Thoracic Outlet Syndrome and Ribs Section 20: Myofascial Dysfunction CENTRAL SENSITIZATION Section 21: Cervical Whiplash Associated Disorders
Week 2 (40 Hrs)

Case Study Module introduction, Demonstration and presentations

Communication Module: Introduction to communication in health care field Introduction to Motivational Interviewing
UPPER EXTREMITY

Section 1: Upper Extremity Outcome Measures Section 2: Shoulder: Background Information Section 3: Shoulder: Evaluation Section 4: Shoulder Management: Anteriorly Translated Humeral Head Syndrome Section 5: Shoulder Management: Superiorly Translated Humeral Head Syndrome Section 6: Shoulder Management: Downwardly Rotated Scapula Syndrome Section 7: Shoulder Management: Anteriorly Tipped Scapula Syndrome Section 8: Acromio-clavicular Joint & Sterno-clavicular Joints Section 9: Adhesive Capsulitis Section 10: Shoulder: Functional Strengthen Retraining Section 11: Shoulder: Cervical Referral Section 12: Elbow: Background Information Section 13: Elbow: Evaluation & Management Section 14: Elbow: Cervical Referral Section 15: Wrist: Background Information Section 16: Wrist and hand: Evaluation & Management Section 17: Carpal Tunnel, Intersection & De Quervain’s Syndromes Course review of the first onsite training. Introduction to offsite course curriculum Description of deliverables and appropriate timeline for the offsite/online course component Allocation of individual and group assignments Introduction to Hypothesis Oriented Algorithm of Care (HOAC) Interim Exam First Exit interview
Offsite/Online Program

(Starts 1 week after the onsite course completion) Case study (4 weeks in total) Individual work Week 1: Case study subjective component- submission by Friday Week 2: Case study Objective component- submission by Friday Week 3: Case study Treatment component - submission by Friday Week 4: Rehabilitation Problem Solving Form (RPS form)- submission by Friday
Individual assignment

(To be submitted on the first day of return to onsite Course)

HOAC
Group assignment

Dizziness Differential Diagnosis Cervical Pathologies Lumbar Pathologies
Schedule for Meet the expert First Thursday of every month:

Sports Physio Pelvic floor and women’s health Manual therapy Clinical Reasoning Tendinopathy The programme would run for a minimum of one hour and can extend up to 2 hours at the max
Final Onsite Program (40 hrs a week, 80 hrs in total) Week I (40 hrs)

Review of Group Assignments, Collection Of HOAC, Review of Documentation Review of Clinical Practice Guidelines and Clinical prediction rules Introduction to Reflective practice and Emotional Intelligence
LUMBO-PELVIC COMPLEX

Section 1a: Introduction i) Why Classify Lumbo-pelvic Pain? ii) About this workbook Section 1b: Statistics i) What is Diagnostic Accuracy? ii) What is reliability? iii) What is Specificity? iv) What is Sensitivity? v) What are likelihood Ratios? Section 2: Potential “Serious Pathology” / “Red Flags” i) Spinal Cancer ii) Spinal Infection iii) Spinal Fracture iv) Cauda Equina Syndrome v) Spinal Cord Syndrome Section 3: Non-mechanical lumbo-pelvic pain i) Ankylosing Spondylosis / Systemic Inflammatory Conditions ii) Visceral Referral iii) Unclassifiable Section 4: Lumbar Spine Outcome Measures Section 5: Post Traumatic Acute Inflammatory Lumbo-pelvic Pain Section 6: Mechanism-based Classification of Pain Section 7: Irreducible Lumbar Derangement Syndrome Section 8: Reducible Lumbar Derangement Syndrome i) Extension Principle ii) Flexion Principle iii) Relevant lateral component Section 9: Lumbar Dysfunction Syndrome i) Extension Dysfunction ii) Flexion Dysfunction iii) Adherent Nerve Root Section 10: Lumbar Postural Syndrome i) Sitting ii) Standing iii) Lying Section 11: Lumbo-pelvic Motor Control Impairment i) Extension Motor Control Impairment ii) Flexion Motor Control Impairment iii) Multi-directional Motor Control Impairment Section 12: Spondylolisthesis / Instability Section 13: Lumbar Spinal Stenosis / Neurogenic Claudication Section 14: Lumbo-sacral Nerve Root Compression Section 15: Central Sensitization Section 16: Potential Contributing Physical Factors i) Neural tissue / Dural Mechanosensitivity ii) Hip Joint Dysfunction iii) Sacro-iliac Joint / Pelvis Dysfunction iv) Thoracic Spine Dysfunction v) v) Myofascial Syndrome / Trigger Points vi) Leg Length Inequality / Abnormal Foot Biomechanics Section 17: Potential Contributing Psycho-social Factors i) Fear avoidance beliefs / Kinesiophobia / Catastrophization ii) Depression / Anxiety iii) Stress / Anger iv) Job Dissatisfaction v) Reduced Hopefulness Section 18: Potential Contributing Global Health Factors i) Excessive Exercise / Physical Loading ii) Aerobic Exercise Insufficiency iii) Daily Water / Fluid Insufficiency iv) Diet / Nutritional Insufficiency v) Sleep Dysfunction HEALISTICS ADVANCED PRACTICE vi) Breathing / Respiratory Dysfunction
Week II (40 hrs)

Theories of Behavioural Change Exercise Compliance/adherence

LOWER EXTREMITY

Section 1a: Lower Extremity Pain & Functional Outcome Measures Section 1b: Lower Extremity Physical Outcome Measures Section 2: Hip: Background Information Section 3: Hip: Evaluation Section 4: Hip Management: Manual Therapy Section 5: Hip Management: Muscular Retraining Section 5: Hip: Labral Tears, Femoral Acetabular Impingement, Capsular Laxity Section 6: Hip: Clinically Relevant Research Summaries Section 7: Knee: Background Information Section 8: Knee: Evaluation Section 9: Knee: Management Section 10: Knee: Meniscal Injuries, ACL Tears, ITB Syndrome, Hamstring Injury Section 11: Knee: Clinically Relevant Research Summaries Section 12: Foot & Ankle: Background Information Section 13: Foot & Ankle: Evaluation & Management Section 14: Foot & Ankle: Lateral Sprains, Metatarsalgia, Plantar Heel Pain Review of Final Onsite training course HOAC presentation Theory exam (Two parts, Part 1- Multiple Choice Part 2- Case study exam) 4 hrs Total
Practical Exams and course completion

Practical exam

Final exit interview, Feed back forms. Networking. Valedictory ceremony in the evening
Course Fee

Course Fee in CAD is $4000/- Minimum of 25 candidates per course.
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