Foot and Ankle Continuing Education Course

Learn from the Expert Joshua Bailey PT, DPT, OCS, CSCS, CPed

Joshua Bailey PT, DPT, OCS, CSCS, CPed, completed his MPT and DPT degrees at Shenandoah University. He is a certified strength and conditioning specialist from the NSCA as well as an orthopedic clinical specialist from the APTA. He is the President and Chief Executive Officer of Rehabilitation Associates of Central Virginia, an 11 site orthopedic physical therapy center, in Lynchburg, Virginia, where he practices managing foot and ankle cases. Dr. Bailey is also the Director of the Rehabilitation Associates of Central Virginia Foot and Ankle Specialty Team. Dr. Bailey works with a wide variety of patients including athletes, officials and referees in the NFL, NBA, WNBA, Major League Baseball, ACC, Big South Conference, and the Big East Conference. He is an adjunct faculty member with Liberty University, Lynchburg College Doctoral Physical Therapy program, and The Jackson Clinics Orthopedic Residency. He acts as a consultant for foot and ankle injuries for several Division I athletic programs as well. He has lectured in many forums on foot and ankle since 1997 on topics including pre and post-surgical management, manual therapy of the foot and ankle, differential diagnosis of foot and ankle disorders, as well as foot orthoses fabrication and modification.

Course Objectives

Upon successful completion of this course the participant will be able to:

• Identify the important components to performing and interpreting the findings of the biomechanical screen and determine if a foot evaluation is necessary.
• Utilize goniometric skills to measure tibial angle, axis of inclination of the subtalar articulation, inversion, eversion, dorsiflexion in STJN and gross dorsiflexion.
• Perform open chain muscle testing and accessory motion of the foot and ankle.
• Identify the weak musculature of the foot and ankle while performing manual muscle testing.
• Properly assess accessory motion of the longitudinal midtarsal joint, oblique metatarsal joint axis and the midtarsal joint.
• Identify techniques to utilize to perform a differential diagnosis exam to identify plantar fasciitis, fasciosis, fat pad atrophy, entrapment of the first branch of the lateral nerve and other causes of heel pain by utilizing hands on skills and testing.
• Develop a comprehensive treatment program utilizing open and closed chain stretching , exercises, manual therapy and orthotic fabrication
• Discuss how to perform an orthotic assessment and utilize a foam crush box to fabricate an appropriate orthotic.
• Perform an evidence based research review of current articles and utilize the information in developing your assessment and treatment plan.

Introduction and overview of why a biomechanical examination is so crucial

• Why you should perform a biomechanical screen
• What to expect from this training program
• Maximizing your understanding of the techniques and the value of hands on training

Biomechanical Screening of the Lower Extremity - Highlights

• Posterior View of the Biomechanical screen
• Anterior View of the Biomechanical screen
• Interpreting the Biomechanical screen

Examination of the Foot - Chapter 1 - Highlights

• Leg to rearfoot relationship in standing
• Assessing the axis of inclination of the subtalar articulation
• Prone biomechanical evaluation
• Leg to rearfoot bisection and passive inversion and everison assessment
• Measurement of STJN
• Finding Subtalar joint neutral: lateral hand placement
• Finding Subtalar joint neutral: medial hand placement
• Goniometric measurement of Dorsiflexion in Subtalar joint neutral
• Goniometric measurement of gross Dorsiflexion
• Open chain manual muscle testing of the foot and ankle musculature
• Assessing accessory motion testing of the longitudinal midtarsal joint

Examination of the Foot - Chapter 2 - Highlights

• Assessing Longitudinal Midtarsal joint accessory motion: A normal example
• Assessing Oblique Midtarsal joint accessory motion
• Differential Diagnosis: What the book doesn't say
• Key palpatory findings in foot and ankle differential diagnosis-summary
• Differential diagnosis and palpatory findings for heel pain syndrome
• Differential diagnosis and palpatory findings for plantar fasciitis/plantar fasciosis
• Differential diagnosis of fat pad atropy
• Differential diagnosis and palpatory findings for entrapment of the first branch of the lateral plantar nerve
• Static Gastroc stretching with Internal rotation
• Static Soleus stretching with Internal rotation
• Open chain stretching of the posterior leg

Treatment of the Foot - Chapter 1 - Highlights

• Static Gastroc stretching with Internal rotation
• Static Soleus stretching with Internal rotation
• Open chain stretching of the posterior leg
• Open chain stretching of the intrinsic muscles of the foot
• Tri-planar stretch of the posterior hip and Iliotibial band
• Tri-planar stretch of the gastroc-soleus complex
• Overview of options for open chain strengthening with an ankle isolator
• Resisted open chain strengthening of the posterior calf musculature
• Resisted open chain strengthening of the lateral ankle
• Resisted open chain strengthening of the medial ankle
• Resisted open chain strengthening of the solues

Treatment of the Foot - Chapter 2 - Highlight

• Resisted open chain strengthening of the pretibial musculature
• Resisted open chain intrinsic or long flexor muscle strengthening
• The nose reach exercise
• Eccentric heel rises: 2 up/1 down
• Functional training of the foot intrinsic musculature
• Rotational lunges
• Posterior Medial reach
• Lateral lunges
• Monster walk
• Single limb squat
• Pistol Squat

Treatment of the Foot - Chapter 3 - Highlights

• Grade I to Grade IV posterior to anterior mobilization of the Talocrural joint
• Birdseye view of mobilization in the appropriate plane of the talocrural joint
• Mobilization of the talocrural joint to improve plantarflexion
• Mobilization of the distal tibiofibular articulation (distal syndesmosis)
• Graded mobilization of the Subtalar joint on the medial aspect
• Graded mobilization of the Subtalar joint on the lateral aspect
• Instrumented soft tissue mobilization (IASTM) to the plantar foot
• Lower extremity alignment pre and post correction (Before)
• Lower extremity alignment pre and post correction (After)
• Assessment of orthotic function via Dynamic balance testing

Treatment of the Foot - Chapter 4 - Highlights

• Orthotic casting via a partial weight bearing foam crush box
• Orthotic casting via negative suspension slipper casting technique-the application
• Orthotic casting via negative suspension slipper casting technique-the product

Course Test - Evaluate your knowledge

• Use the Healthclick proprietary online education system which provides the online student with:
• Worldwide access to high definition video, anatomical animations and images, and written information
• The highest quality film in the industry, you can see the difference!
• Stop and resume within a course, the Healthclick system will optimize your course based on your device, connection and remembers where you left off.
• Real-time course updates. We are always adding to each courses, updating content, adding animations, these are not static courses!
• Evaluate your knowledge with the course test on any device.
• Print your state course certificate for CE credit.
• Take the online test as many times as need in order to achieve a 70 % or greater score.