Continuing Education

Professional Education

Cayuga Medical Center, the region’s leader in physical therapy and sports medicine, offers a unique opportunity for physical therapists who seek continuing education in New York State. We are pleased to offer a series of coursework designed to improve your skills in treating patients with orthopedic conditions. Choose to attend an individual Continuing Education live course, or consider our full time or part time Orthopedic Physical Therapy Residency and Spine Fellowship programs. Our faculty includes highly trained clinicians who have experience teaching post-graduate coursework, as well as in entry-level physical therapy programs.

Orthopedic Physical Therapy Continuing Education

Cayuga Medical Center’s continuing education series has grown out of our well-respected Residency Program to meet the needs of clinicians looking for high-quality training offered here in the Northeastern US. Our teaching faculty includes physical therapists and athletic trainers with advanced training and subspecialty certification. Several of our instructors also teach in the physical therapy program at Ithaca College.

Courses are focused on hands-on learning of techniques combined with lecture and discussion designed to develop advanced clinical reasoning skills. We utilize an eclectic approach to physical therapy management incorporating the current best evidence, practical clinical experience, and a bio-psycho-social viewpoint. Manual therapy, exercise, and patient education interventions are emphasized during each management course. Concepts are applied to real clinical scenarios so that you will gain the confidence to incorporate new skills into your practice.

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Orthopedic Physical Therapy Residency Program

Cayuga Medical Center’s Orthopedic Physical Therapy Residency Program is accredited by the American Physical Therapy Association as a post-professional residency program for physical therapists in Orthopaedics.

The region’s leader in physical therapy and sports medicine offers a unique orthopedic residency for licensed physical therapists who have graduated from an accredited physical therapy program. We offer a planned program of post-professional clinical and didactic education, designed to significantly advance patient care services in the area of orthopedics. The program provides ongoing mentoring and clinical supervision by experienced, highly qualified clinicians. The curriculum prepares you for the Orthopedic Certified Specialist (OCS) examination. The current passing rate for our residency graduates is 100%.

Our teaching faculty includes physical therapists and athletic trainers with advanced training and subspecialty certification. Several residency faculty also teach in the entry-level physical therapy program at Ithaca College – a collaborative partner of the residency program. Board certified physician specialists in orthopedic surgery, sports medicine, hand injuries, neurosurgery, radiology, and pain management provide clinical instruction in their areas of specialty, further enhancing the clinical and didactic education provided.

The residency program is located in the Cayuga Wellness Center in Ithaca, NY, a state-of-the-art facility on the water’s edge at the southern end of Cayuga Lake. This is the heart of the Finger Lakes and home to Ithaca College and Cornell University.

Please visit the PTCAS Directory for detailed information about the program’s admission requirements. The application deadline for the next cycle is August 28.

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For questions or more information, please contact Dr. Vanessa Mirabito at vmirabito@cayugamed.org

We offer two options:

Full-time Internal Resident Position
We offer 1-2 positions each year for a resident to be employed full time at Cayuga Medical Center for a 12 month program that runs from January to December. These are paid positions at 75% of a normal full time salary, with full benefits including health insurance and paid time off. Residents are in supervised practice 30 hours each week, allowing sufficient time to complete mentoring, didactic course work, independent study and research, and clinical observation. Our internal residents also serve as lab assistants in the entry-level Physical Therapy Program at Ithaca College.

External Resident Position
A hybrid distance learning model was initiated in 2014 for those who wanted to pursue a Residency, but did not have the ability to enter the internal residency. The external residency has the ability to accept up to 10 residents a year. Residents will be employed by another facility, and will take the required didactic course work at Cayuga Medical Center’s weekend courses. Course work will be augmented by online discussions with CMC faculty and other residents in the program. Clinical mentoring will take place both with our faculty, as well as with a “local” mentor at or near your clinic who is an Orthopedic Certified Specialist (OCS). External Residents will provide a series of in-services to teach the clinicians at their facility, thereby giving back to their employer who supports them through the program. The external residency program may be completed in 12 to 24 months. The 24 month option allows greater flexibility for the clinician who continues to carry a full case load or has other obligations throughout the program. This program will allow a much greater number of individuals to benefit from all that Cayuga Medical Center’s Physical Therapy Orthopedic Residency has to offer.

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Typical Weekly Schedule

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Spine Fellowship Program

The region’s leader in physical therapy has developed a unique Spine Fellowship for licensed physical therapists. Fellows-in-Training are required to be post-residency prepared and/or board-certified specialists in orthopedic or sports physical therapy. This program is offered in collaboration with the Ithaca College Department of Physical Therapy, one of the nation’s top DPT programs.

The Spine Fellowship Program, one of only 3 in the country, is a 12-24 month program that consists of clinical and didactic education designed to significantly enhance physical therapy management of people with spine related disorders through advanced training in movement science, manual therapy and pain science. While maintaining clinical practice 30 hours per week, Fellows-In-Training receive classroom instruction through weekend courses, as well as 1:1 mentoring and clinical supervision, provided weekly in 6-8 week blocks by experienced and highly-qualified clinicians with varied training and clinical sub-specialties. Fellows-in-Training also have the opportunity to teach and conduct research in the Ithaca College Entry-Level DPT Program. In addition, there are opportunities for clinical instruction from and observation of Board-certified physician specialists in orthopedic surgery, sports medicine, neurosurgery, radiology, and pain management.

Fellows-In-Training are employed full time at Cayuga Medical Center for the duration of the program, which runs from January to December. The position is paid at 75% of a normal full time salary, with full benefits including health insurance and paid time off.

Please visit the PTCAS Directory for detailed information about the program’s admission requirements. The application deadline for the next cycle is August 28.

For questions or more information, please contact Dr. Vanessa Mirabito at vmirabito@cayugamed.org

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Course Descriptions

Advanced Applications of Pain Science

Course Description

Research investigating pain mechanisms has demanded a transformation of patient management paradigms over the last several years. In this course, we explore the clinical application of this research in the management of patients with complex pain conditions. Participants will learn to develop effective treatment plans for individuals with chronic spine pain, headaches, radiculopathy, whiplash-associated disorder, and fibromyalgia.

Course Objectives

At the conclusion of this course, the participant will:

  • Identify dominant pain mechanisms contributing to a patient presentation.
  • Prioritize examination and treatment strategies to improve outcomes for complex pain cases.
  • Develop education strategies to reduce pain and improve patient outcomes.
  • Justify manual therapy and exercise interventions based on relevant pain mechanisms.
  • Refine and modify manual and active neuromobilization procedures for complex cases.
  • Demonstrate techniques to positively influence neural plasticity including graded motor imagery and sensorimotor retraining.
  • Incorporate cognitive behavioral strategies into a comprehensive management plan, including graded exposure, activity pacing, meditation, and cognitive restructuring.
  • Discuss other treatment strategies including medication, psychotherapy, acupuncture, and interventional procedures.

Advanced Management of Spine Conditions: Upper Quarter

Course Description

In this course participants explore the examination, assessment and interventions for patients with painful conditions from the upper spine (cranium, cervical and thoracic spine). Discussion of cases will guide discussion and lab practice of manual therapy, exercise and education interventions for patients with headaches, radiating upper extremity pain, cervicogenic dizziness, and cranio-mandibular dysfunction.

Course Objectives

At the conclusion of this course, the participant will:

  • Identify common impairment patterns for individuals with painful conditions of the cranium, cervical and thoracic spine.
  • Differentiate between conditions of the neuromusculoskeletal system from conditions due to pathologies that require medical intervention.
  • Discuss relevance of radiologic findings for a given case.
  • Demonstrate manual therapy interventions including joint, soft tissue and neural mobilization/manipulation.
  • Design an exercise program to address sensorimotor impairments for patients with acute, sub-acute, and chronic pain conditions.
  • Design patient education to address prevention and self-management strategies including self-care, pacing, relaxation techniques.

Advanced Management of Spine Conditions: Lower Quarter

Course Description

In this course participants explore the examination, assessment and interventions for patients with painful conditions of the lower spine (pelvis, lumbar and thoracic spine). Discussion of cases will guide discussion and lab practice of manual therapy, exercise and education interventions for patients with referred and radiating lower extremity pain, pelvic girdle syndromes, chronic back pain, and post-surgical cases.

Course Objectives

At the conclusion of this course, the participant will:

  • Identify common impairment patterns for individuals with painful conditions of the pelvis, lumbar and thoracic spine.
  • Differentiate between conditions of the neuromusculoskeletal system from conditions due to pathologies that require medical intervention.
  • Discuss the relevance of radiologic findings for a given case.
  • Demonstrate manual therapy interventions including joint, soft tissue and neural mobilization/manipulation.
  • Design an exercise program to address relevant impairments for patients with acute, sub-acute, and chronic pain conditions.
  • Design patient education to address prevention and self-management strategies including self-care, pacing, relaxation techniques.

Clinical Application of Pain Sciences

Course Description

This course examines the neurobiology of pain and its management. A continuum of normal/physiologic pain to abnormal/pathologic pain will be presented including peripheral and central mechanisms. Treatment approaches based on pathophysiologic mechanisms will be discussed. Incorporating this information into the clinical decision making process for conditions such as chronic low back pain, osteoarthritis, whiplash associated disorder, fibromyalgia and myofascial pain syndromes, and neurogenic pain will be explored through lecture and case study format.

Course Objectives

  • Explain the continuum of pain neurobiology from physiological to pathological responses.
  • Identify the mechanisms that dominate a patient’s pain condition.
  • Incorporate pain neurobiology concepts into clinical decision making regarding
  • Examination Procedures
  • Manual Therapy
  • Exercise
  • Patient Education
  • Modalities
  • Safely and effectively examine and evaluate physical impairments of neurodynamics.
  • Safely and effectively provide interventions to address physical impairments of neurodynamics.
  • Recognize and address psychosocial factors that impact the management of individuals with pain.
  • Compare and contrast management of peripherally mediated versus centrally mediated pain conditions.
  • Stimulate a re-appraisal of Physical Therapy Practice

Foundations of Orthopedic Physical Therapy Practice: Module 1: Therapeutic Alliance, Clinical Reasoning, Introduction to Patient Management

Course Description

This course addresses concepts integral to clinical decision making in Physical Therapy Practice to develop expert practitioners in the management of musculoskeletal conditions.  This course is intended to help prepare the orthopedic physical therapist to function as a direct access provider by providing a foundation of reasoning strategies related to diagnosis, prognosis and selection of interventions.  This course will present principles of a biospychosocial clinical reasoning approach for physical therapy.  Concepts regarding motivational communication, tissue healing, pain neurobiology, and their implications for rehabilitation will be discussed.  The effect of various physical therapy interventions such as manual therapy techniques, therapeutic exercise, and education will be reviewed, with the opportunity to practice modifications and progressions of important manual therapy and exercise interventions.  Lecture, lab and case presentation format will be used.

Course Objectives

  1. Describe the principles of Motivational Interviewing
  2. Identify strategies to foster adherence to the techniques/strategies/behaviors being taught
  3. Implement strategies to enhance patient adherence to home exercise programs and lifestyle modification
  4. Compare different models of clinical reasoning in physical therapy.
  5. Recognize the value of metacognition in clinical reasoning and the development of expertise.
  6. Utilize information from the history and self-report measures to accurately screen for medical diagnoses.
  7. Recognize relevant psychosocial risk factors.
  8. Classify pain patterns, recognizing both musculoskeletal and visceral referral patterns.
  9. Synthesize information gathered from the subjective and physical examination to diagnose/classify the patient and determine prognosis.
  10. Describe the effects of physical stress on neuromusculoskeletal tissue.
  11. Describe the effects of various physical therapy interventions on tissue healing.
  12. Summarize factors that may adversely influence the rehabilitation process.
  13. Organize a treatment plan based on the phases of tissue healing and relevant pain mechanisms.
  14. Justify treatment choices for a given patient scenario at varying phases of rehabilitation.
  15. Demonstrate important manual therapy and exercise interventions for common neuromusculoskeletal conditions including arthritis, tendinopathy and spinal pain.

Foundations of Orthopedic Physical Therapy Practice: Module 2: Diagnostic imaging, Medical Screening and Differential Diagnosis

Course Description

Therapists will gain knowledge regarding various diagnostic imaging modalities and lab tests. The history of diagnostic imaging beginning with Wilhem Roentgen’s discovery of X-rays to the most recent advances in 3D computer technology will be explored.  Basic radiographic densities, views, and structural analysis will be taught using digital imaging.  Students will become competent in understanding radiologic interpretations of X-rays, Fluoroscopy, Computed Tomography, MRI, Nuclear, and ultrasound imaging.  Patient cases will be used to compare pathostructural diagnosis with actual symptoms and clinical presentation. This course is intended to help prepare the orthopedic physical therapist to function as a direct access provider capable of accurately screening for medical diagnoses. Pathology of the major body systems/regions will be covered with an emphasis on conditions that mimic neuromusculoskeletal conditions.

Course Objectives

  1. Understand what the different diagnostic imaging modalities are and how they work.
  2. Learn what regions of the body and/or diagnosis are best imaged with each diagnostic imaging modality.
  3. Compare the benefits of each diagnostic imaging modality with others
  4. State the benefits, limitations and safety considerations of each diagnostic imaging modality
  5. Select appropriate radiological views that provide the most pertinent information.
  6. Describe normal radiographic anatomy and be able to differentiate from pathological radiographic anatomy.
  7. Discuss the benefits of each diagnostic modality compared to the others.
  8. Interpret radiologic reports and be able to discuss patient cases with radiologists.
  9. Provide sound reasoning for recommending that a patient have a diagnostic test.
  10. Compare radiological findings with actual patient symptoms and clinical presentation.
  11. Determine how the diagnostic imaging results impact the physical
    therapy plan of care.
  12. Identify patients who may present with serious pathology or require referral to another practitioner.
  13. Perform abdominal palpation to screen the organs.
  14. Analyze lab values and correlate with medical diagnosis.
  15. Evaluate subjective and objective data to effectively screen for systemic disease.
  16. Accept responsibility to screen out systemic disease.
  17. Exhibit skills and knowledge necessary to provide direct access care.
  18. Summarize specificity, sensitivity, likelihood ratios and predictive values.
  19. Judge the usefulness of a test in clinical decision making based on specificity, sensitivity, likelihood ratios, and/or predictive values.

Management of Foot and Ankle Conditions

Course Description

This course covers the clinical anatomy, biomechanics, pathology, examination, diagnosis, prognosis and management of conditions of the ankle and foot. It will focus on integrating basic sciences and current best evidence into the clinical decision-making process. A variety of intervention strategies including manual therapy, therapeutic exercise, patient education, functional training, taping/bracing and orthotics will be presented. Surgical procedures and their impact on management will be discussed. Instruction will include lectures, lab time, clinical mentoring, independent reading, and clinical rounds. Residents will present a case describing the clinical decision-making process, treatment and outcomes.

Course Objectives

  • Identify patients who may present with serious pathology or require referral to another practitioner.
  • Describe anatomic, physiologic, and biomechanical principles as they relate to a case description.
  • Utilize information from the history and self-report measures to select appro- priate physical examination procedures.
  • Demonstrate clinical examination procedures for ankle and foot.
  • Synthesize information gathered from the subjective and physical examination to diagnose/classify the patient and determine prognosis.
  • Select interventions based on the diagnosis/classification incorporating current best evidence.
  • Demonstrate the application of interventions including:
    • Therapeutic Exercise
    • Manual Therapy
    • Patient Education
    • Functional Training
    • Other (orthotics, taping, biofeedback, etc.)
  • Evaluate the efficacy of the treatment plan
  • Discuss post-operative rehabilitation principles and how they impact the clinical decision making process.
  • Incorporate diagnostic imaging in the clinical decision making process.

Course Outline

  • Review clinically relevant anatomy
  • Review normal biomechanics (osteokinematics, arthrokinematics, muscle balance) and pathomechanics (i.e. ankle/foot pain in patients with weak core musculature)
  • Subjective examination
  • Physical examination
  • Common disorders (plantar fasciitis, ankle sprains, posterior tibialis and peroneal tendonosis, etc.)
  • Manual therapy interventions
  • Exercise interventions
  • Other interventions (i.e. ergonomics, orthotics/taping/bracing, modalities, education, biofeedback, etc.)
  • Outcome measures related to region (FADI, FADI Sport, FAFSM, FFI, etc.)•Differential diagnosis: red flags and yellow flags
  • Post-operative rehab considerations

Instruction Methods

  • Lecture instruction
  • Lab instruction and practice
  • Independent reading
  • Clinical Mentoring

Management of Hip and Knee Conditions

Course Description

This course covers the clinical anatomy, biomechanics, pathology, examination, diagnosis, prognosis and management of conditions of the hip and knee. It will focus on integrating basic sciences and current best evidence into the clinical decision-making process. A variety of intervention strategies including manual therapy, therapeutic exercise, patient education, functional training, taping/bracing and orthotics will be presented. Surgical procedures and their impact on management will be discussed. Instruction will include lectures, lab time, and independent reading.

Course Objectives

  • Identify patients who may present with serious pathology or require referral to another practitioner
  • Describe anatomic, physiologic, and biomechanical principles as they relate to a case description
  • Utilize information from the history and self-report measures to select appropriate physical examination procedures
  • Demonstrate clinical examination procedures for body region
  • Synthesize information gathered from the subjective and physical examination to diagnose/classify the patient and determine prognosis
  • Select interventions based on the diagnosis/classification incorporating current best evidence
  • Demonstrate the application of interventions including:
    • Advanced Therapeutic Exercise Techniques
    • Manual Therapy Techniques
    • Patient Education
    • Functional Training
    • Therapeutic Modalities
    • Other (orthotics, taping, biofeedback, etc)•Evaluate the efficacy of the treatment plan
  • Discuss post-operative rehabilitation principles and how they impact the clinical decision making process
  • Incorporate diagnostic imaging in the clinical decision making process

Management of Lumbo-Pelvic Conditions

Course Description

This course covers the clinical anatomy, biomechanics, pathology, examination, diagnosis, prognosis and management of conditions of the lumbo-pelvic region. It will focus on integrating basic sciences and current best evidence into the clinical decision- making process with an emphasis on treatment by classification. A variety of intervention strategies including manual therapy, therapeutic exercise, patient education, and ergonomics will be presented. Surgical procedures and their impact on management will be discussed. Instruction will include lectures, lab time, and independent reading. Residents will present a case describing the clinical decision-making process, treatment and outcomes.

Course Objectives

  • Learn basic lumbar anatomy and arthrokinematics as they relate to pain and function
  • Understand classification systems for the management of individuals with low back pain
  • Demonstrate clinical examination procedures for the lumbar spine and pelvis
  • Review diagnostic imaging and incorporate in the clinical decision making process
  • Identify patients with serious pathology who require medical referral
  • Classify patients with low back pain into treatment subgroups
  • Select treatment interventions based on the diagnosis/classification incorporating current best evidence
  • Demonstrate the application of interventions including: therapeutic exercise, manual therapy, posture education, body-mechanics training, and modalities
  • Discuss post-operative rehabilitation principles and how they impact the clinical decision making process
  • Determine appropriate guidelines for return to activity, work, and leisure

Management of the Elbow, Wrist, and Hand Conditions

Course Description

This course covers the clinical anatomy, biomechanics, pathology, examination, diagnosis, prognosis and management of conditions of the elbow, wrist, and hand. It will focus on integrating basic sciences and current best evidence into the clinical decision-making process with an emphasis on treatment by classification. A variety of intervention strategies focusing on manual therapy, therapeutic exercise, splinting, and patient education will be presented. Surgical procedures and their impact on management will be discussed. Instruction will include lectures, lab time, and independent reading.

Course Objectives

  • Identify patients who may present with serious pathology or require referral to another practitioner.
  • Describe anatomic, physiologic, and biomechanical principles as they relate to a case description.
  • Utilize information from the history and self-report measures to select appropriate physical examination procedures.
  • Demonstrate clinical examination procedures for body region.
  • Synthesize information gathered from the subjective and physical examination to diagnose/classify the patient and determine prognosis.
  • Select interventions based on the diagnosis/classification incorporating current best evidence.
  • Demonstrate the application of interventions including:
    • Therapeutic Exercise
    • Manual Therapy
    • Patient Education
    • Functional Training
    • Therapeutic Modalities
    • Other (orthotics, taping, biofeedback, etc.)
  • Evaluate the efficacy of the treatment plan
  • Discuss post-operative rehabilitation principles and how they impact the clinical decision making process.
  • Incorporate diagnostic imaging in the clinical decision making process.

Course Outline

Each day is scheduled 8:00 a.m.-5:00 p.m. with a morning, lunch (Noon-1:00 p.m.), and an afternoon break. The following will be covered for each in the elbow, wrist, and hand sections:

  • Review clinically relevant anatomy
  • Review normal biomechanics (osteokinematics, arthrokinematics, muscle balance) and pathomechanics (i.e. ankle/foot pain in patients with weak core musculature)
  • Subjective examination
  • Physical examination
  • Common disorders
  • Manual therapy interventions
  • Exercise interventions
  • Other interventions (i.e. ergonomics, orthotics/taping/bracing, modalities, education, biofeedback, etc.)
  • Outcome measures related to region (FADI, FADI Sport, FAFSM, FFI, etc.)•Differential diagnosis: red flags and yellow flags
  • Post-operative rehab considerations

Management of the Head, Neck, and Thoracic Conditions

Course Description

This course covers the clinical anatomy, biomechanics, pathology, examination, diagnosis, prognosis and management of conditions of the cervico-thoracic region, as well as cervicogenic headache and temporomandibular joint disorders. It will focus on integrating basic sciences and current best evidence into the clinical decision-making process with an emphasis on treatment by classification. A variety of intervention strategies focusing on manual therapy, therapeutic exercise, and patient education will be presented. Surgical procedures and their impact on management will be discussed. Instruction will include lectures, lab time, and independent reading.

Course Objectives

  • Identify patients who may present with serious pathology or require referral to another practitioner.
  • Describe anatomic, physiologic, and biomechanical principles as they relate to a case description.
  • Utilize information from the history and self-report measures to select appropriate physical examination procedures.
  • Demonstrate clinical examination procedures for the cervical and upper thoracic regions and Temporomandibular Joint Syndrome (TMJ).
  • Synthesize information gathered from the subjective and physical examination to diagnose/classify the patient and determine prognosis.
  • Select interventions based on the diagnosis/classification incorporating current best evidence.
  • Demonstrate the application of interventions including:
    • Therapeutic Exercise
    • Manual Therapy
    • Patient Education
    • Functional Training
    • Education
  • Evaluate the efficacy of the treatment plan
  • Discuss post-operative rehabilitation principles and how they impact the clinical decision making process.
  • Incorporate diagnostic imaging in the clinical decision making process.

Management of the Shoulder Girdle

Course Description

The shoulder is the certainly one of the most amazing joint complexes in the body. Its structure allows for more degrees of freedom than any other joint, while also being able to withstand high angular velocities and enormous compressive/distractive forces. The rich variety of pathologies around the shoulder complex can often present a diagnostic and treatment challenge.

For this course we will use case-examples to allow for detailed exploration of the evaluation and treatment of individuals – in all of their diversity – and begin the process of developing the pattern recognition skills employed by experienced clinicians.

The course will be structured around the 4 gross patterns of shoulder dysfunction (the stiff shoulder, the loose or unstable shoulder, the painful shoulder without marked global stiffness or instability, and the arthritic shoulder) and sports specific patterns of dysfunction. General principles that inform the evaluation/treatment cycle (knowledge of anatomy and pathoanatomy, the physical stress theory, principles of tissue healing, regional interdependence, motor learning and dynamic systems theory) will be included in case presentations. The goal of this exploration will be to develop a systematic approach to evaluation of the painful shoulder that leads to diagnostic labels that effectively guide treatment.

Lab time will be incorporated into each case and will include practice with examination techniques, manual treatment techniques, and specific exercise instruction.

Course Objectives

At the conclusion of this course, the participant will:

  • Demonstrate a solid understanding of the anatomy and biomechanics of the upper quarter as they relate to specific impairments of the shoulder by being able to explain the results of the evaluation process to patients/clients.
  • Demonstrate an understanding of the difference between a pathoanatomic diagnosis and a physical therapy diagnosis of shoulder dysfunction by effectively communicating the PT diagnosis to referral sources.
  • Be able to effectively identify humeral and scapular positional and movement pattern faults, and be able to evaluate the relevance of these findings to patient complaints and dysfunction.
  • Demonstrate appropriate selection and correct performance of special tests
  • Demonstrate appropriate selection and performance of manual treatment techniques for the shoulder, cervical spine and thoracic spine where appropriate for treatment of shoulder disorders
  • Understand how to progress post-operative patients based on knowledge of surgical procedures and techniques, time frame of healing, and patient progression to predetermined goals.
  • Explain the etiology of a variety of sports specific injuries and be able to present the best evidence for prevention strategies.
  • Understand the unique stresses place on the shoulder girdle by participation in overhead sports, and be able to screen participants for susceptibility to injury
  • Be able to implement effective treatment programs include manual therapies, motor learning strategies, and functional (sports specific) training – for a variety of patients with complaints of shoulder pain and dysfunction

Movement Sciences in the Management of Spine Conditions: Lower Quarter

Course Description

This course explores the human movement system and its relationship to spinal pain conditions. Participants investigate how neuromusculoskeletal adaptations are related to pathokinesology in acute, subacute and chronic spine pain in thoracic, lumbar and sacral regions. Evidence supporting the use of various exercise and education methodology to best positively influence the human movement system will be discussed, using a case-based approach.

Course Objectives

  1. Understand what the different diagnostic imaging modalities are and how they work.
  2. Learn what regions of the body and/or diagnosis are best imaged with each diagnostic imaging modality.
  3. Compare the benefits of each diagnostic imaging modality with others
  4. State the benefits, limitations and safety considerations of each diagnostic imaging modality
  5. Select appropriate radiological views that provide the most pertinent information.
  6. Describe normal radiographic anatomy and be able to differentiate from pathological radiographic anatomy.
  7. Discuss the benefits of each diagnostic modality compared to the others.
  8. Interpret radiologic reports and be able to discuss patient cases with radiologists.
  9. Provide sound reasoning for recommending that a patient have a diagnostic test.
  10. Compare radiological findings with actual patient symptoms and clinical presentation.
  11. Determine how the diagnostic imaging results impact the physical
    therapy plan of care.
  12. Identify patients who may present with serious pathology or require referral to another practitioner.
  13. Perform abdominal palpation to screen the organs.
  14. Analyze lab values and correlate with medical diagnosis.
  15. Evaluate subjective and objective data to effectively screen for systemic disease.
  16. Accept responsibility to screen out systemic disease.
  17. Exhibit skills and knowledge necessary to provide direct access care.
  18. Summarize specificity, sensitivity, likelihood ratios and predictive values.
  19. Judge the usefulness of a test in clinical decision making based on specificity, sensitivity, likelihood ratios, and/or predictive values.

Movement Sciences in the Management of Spine Conditions: Upper Quarter

Course Description

This course explores the human movement system and its relationship to spinal pain conditions. Participants investigate how neuromusculoskeltal adaptations are related to pathokinesology in acute, subacute and chronic spine pain in the head, cervical and thoracic regions. Evidence supporting the use of various exercise and education methodology to best positively influence the human movement system will be discussed, using a case-based approach.

Course Objectives

  1. Understand what the different diagnostic imaging modalities are and how they work.
  2. Learn what regions of the body and/or diagnosis are best imaged with each diagnostic imaging modality.
  3. Compare the benefits of each diagnostic imaging modality with others
  4. State the benefits, limitations and safety considerations of each diagnostic imaging modality
  5. Select appropriate radiological views that provide the most pertinent information.
  6. Describe normal radiographic anatomy and be able to differentiate from pathological radiographic anatomy.
  7. Discuss the benefits of each diagnostic modality compared to the others.
  8. Interpret radiologic reports and be able to discuss patient cases with radiologists.
  9. Provide sound reasoning for recommending that a patient have a diagnostic test.
  10. Compare radiological findings with actual patient symptoms and clinical presentation.
  11. Determine how the diagnostic imaging results impact the physical
    therapy plan of care.
  12. Identify patients who may present with serious pathology or require referral to another practitioner.
  13. Perform abdominal palpation to screen the organs.
  14. Analyze lab values and correlate with medical diagnosis.
  15. Evaluate subjective and objective data to effectively screen for systemic disease.
  16. Accept responsibility to screen out systemic disease.
  17. Exhibit skills and knowledge necessary to provide direct access care.
  18. Summarize specificity, sensitivity, likelihood ratios and predictive values.
  19. Judge the usefulness of a test in clinical decision making based on specificity, sensitivity, likelihood ratios, and/or predictive values.

Principles of Strength and Conditioning for the Healthcare Provider

Course Description

This course covers skeletal muscle physiology and the adaptations that occur following goal specific training. This course will focus on understanding the energy systems utilized during physical activity, creating goal/sport oriented programs, the principals of periodization, and application of these principals to an outpatient setting. Students will also learn how to perform, instruct, and modify basic Olympic lifts, plyometric movements, and commonly employed exercise techniques. There will be a focus on scaling exercises to meet the needs of injured and low functioning individuals up to high level athletes, as well as rehabilitation of post-surgical/common orthopedic injuries. Finally, there will be a review of manual therapy techniques to help facilitate and improve functional and athletic performance. This course will be instructed through online lectures, live lectures, discussions, and lab.

Course Objectives

At the conclusion of this course, the participant will:

  • Understand the muscle cell physiology and energy pathways as they relate to physical exercise.
  • Describe adaptations that occur at the cellular, tissue, and systemic levels following specific training protocols.
  • Differentiate training techniques to apply to specific goals.
  • Create a strength and conditioning program designed to reach specific anaerobic and aerobic goals.
  • Demonstrate correct exercise technique for commonly employed lifts.
  • Apply the concept of periodization to new and existing training routines.
  • Scale exercises to meet the needs of a given individual.
  • Understand uses and limitations of the Functional Movement Screen.
  • Perform and accurately score the Functional Movement Screen.
  • Describe factors to consider when returning an athlete to sport, and perform return to sports testing.
  • Introduce concepts regarding nutritional and supplementation for exercise performance.

Thrust Manipulation of the Spine & Extremities

Course Description

This course covers the history of manipulation, evidence for manipulative therapy, clinical reasoning and treatment models, safety of manipulation, patient rights and informed consent, state practice acts and APTA guidelines, joint anatomy and arthrokinematics, motion palpation , HVLA thrust manipulation techniques, and a review of case reports. Instruction will include lectures, lab time, and independent reading.

Course Objectives

  • Understand the history of manipulation
  • Evaluate the scientific evidence for manipulation
  • Review clinical reasoning and treatment models for manipulation
  • Identify safety issues related to manipulation
  • Discuss patient’s rights and informed consent
  • Research state practice acts for a physical therapist to perform manipulation
  • Review anatomy and arthrokinematics of the spine and extremity joints
  • Demonstrate motion palpation techniques and be able to determine if a joint is hypomobile
  • Select appropriate HVLA thrust techniques based on the physical examination
  • Demonstrate HVLA thrust techniques in a safe and effective manner

Instruction Methods

  • Lecture instruction
  • Lab instruction and practice
  • Independent reading

Lab Requirements

  • Appropriate lab clothing
    • males (shorts)
    • females (shorts & bathing suit top or halter)
  • Complete cervical spine questionnaire
  • Informed consent all those who have pre-existing conditions, are not in good health, or are pregnant should be cautious about participating in the lab. Please be responsible for yourself. You do not have to do anything asked of you by the instructor or other students. If you have a pre-existing spine or extremity problem it could become aggravated by the activities of the class unless you exclude yourself from such activities.

More about the programs

Facilities

Our program is located in the Cayuga Wellness Center. Physical Therapy and Sports Medicine and Athletic Performance are directly adjacent to Island Health & Fitness, a comprehensive, state-of-the-art, membership fitness center.

This collaboration supports our rehabilitation model of taking patients from physical therapy to physical fitness. Other tenants in the complex include the Cayuga Center for Healthy Living (healthy lifestyle specialists), sports medicine specialists, cardiologists, orthotics and prosthetics practitioners, Rasa Spa, and a café.

The physical therapy clinic in which our orthopedic residents work has more than 6,000 square feet of private treatment rooms and a fully equipped exercise gym. Aquatherapy takes place in a warm water therapy pool, adjacent to a 25-yard lap pool and a spa pool located in the adjoining fitness club.

Additional clinical time is spent at our Brentwood location, a nearly 6000 square foot facility with private treatment rooms, Hand Therapy Clinic, and a large gym space.

Location

Cayuga Medical Center is located in Ithaca, New York, situated in the heart of the Finger Lakes wine country. Home to Cornell University and Ithaca College, Ithaca is a small, cosmopolitan city on the south end of Cayuga Lake known for its diverse cultural life and its natural beauty. Lakes, waterfalls, gorges, and trails for hiking and cross-country skiing abound, providing year-round recreational opportunities. Ithaca is also home to an active community of artists in theatre, music, dance, film, and the visual arts.

Ithaca Tompkins Regional Airport serves Tompkins County with daily flights to and from Philadelphia, New York City and Detroit with direct connections from these hubs to national and international travel.

Additional Resources
Visit Ithaca
Tompkins County Chamber of Commerce
Island Health and Fitness
Cayuga Wellness Center

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