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Pain in the Knee: Integrating Evidence Into Patient Cases

presented by Mary Derrick-Manis, PT, DPT, PhD(c), OCS, FAAOMPT

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Disclosure Statement:

Financial: Mary Derrick-Manis is an employee at the University of Utah. She also receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Nonfinancial: Mary Derrick-Manis has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 45 Minutes; Learning Assessment Time: 50 Minutes

Knee pain is the second most common cause of chronic pain, and one-third of all Americans report having experienced knee pain at some point. Three of the most common causes of knee pain are osteoarthritis (OA), patellofemoral pain (PFP), and ligament sprains. Knee osteoarthritis is one of the most commmon chronic and debilitating conditions worldwide, is associated with high economic costs and increased mortality, and is a common condition for any physical therapist treating in the outpatient setting. Therefore, a deep understanding of knee OA is a critical part of the skill set of any physical therapist who is an orthopedic specialist. PFP and ACL injuries are also extremely common conditions seen by orthopedic specialists. Both of these conditions have high incidence and variable prognoses, with more than 50 percent of people with PFP reporting issues five to eight years after treatment, and incidence of second ACL tears being 28 percent. In 2019, the APTA's Academy of Orthopedics developed a clinical practice guideline for the management of PFP. Likewise, a clinical practice guideline for knee ligament sprains was developed in 2017. This course reviews three cases of patients who present to physical therapy with complaints of knee pain.

Meet Your Instructor

Mary Derrick-Manis, PT, DPT, PhD(c), OCS, FAAOMPT

Dr. Mary Derrick-Manis is an assistant professor (clinical) in the Department of Physical Therapy and Athletic Training at the University of Utah in Salt Lake City, Utah, where she teaches Tests and Measures as well as Musculoskeletal Management. She is also a PhD candidate studying the acquisition of pain beliefs in health providers, is a…

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Chapters & Learning Objectives

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1. Knee Osteoarthritis

This chapter will introduce a patient who presents with the diagnosis of knee osteoarthritis. Learners will systematically explore comprehensive examination and treatment strategies by targeting key factors that guide clinical decision-making.

2. Anterior Knee Pain

This chapter will discuss a patient who presents with anterior knee pain. Learners will systematically explore examination and treatment principles by targeting key factors identified in the 2019 Clinical Practice Guidelines published by the APTA’s Academy of Orthopaedic Physical Therapy.

3. Anterior Cruciate Ligament Pain

This chapter will review a case highlighting the clinical practice guidelines for postoperative management and injury prevention for patients with ACL ruptures while also reviewing some content for other knee ligament sprains. In this case, the patient is seen by a resident who wants to present the case to their faculty mentors to ensure their care followed Clinical Practice Guidelines published by the APTA’s Academy of Orthopaedic Physical Therapy.

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