Creating Movement System Experts – What Does it Take?
Purpose
The purpose of this presentation is to describe the key features of a curriculum that is designed to create movement system experts.
Methods and/or Description of Project
Recently the APTA adopted the movement system as the identity for our profession. Because our Program has had a longstanding commitment to developing physical therapists who are experts in diagnosis and treatment of movement system conditions, we would like to share some information about what may help students excel. We believe that clinicians who are movement system experts must be able to a) perform a systematic movement system examination efficiently, b) recognize patterns of movement impairments along with other signs and symptoms in order to assign a movement diagnosis, c) select an appropriate treatment plan to optimize the movement, and d) implement the treatment effectively. Movement system experts are created by incorporating student learning experiences that focus on the movement system early and often throughout the curriculum.
During this session, we will review recent developments within the APTA that focus on the Human Movement System. We will briefly describe the continuing evolution of ideas that we believe are important for developing movement system experts. We will discuss the importance of having champions among faculty members to get started, as well as, continued commitment from the leadership and sustained collaboration among all to keep moving forward. We also will describe the key features of the curriculum including a) integrating movement system concepts into essentially all courses both foundational and clinical, b) early and continued focus throughout the curriculum on analyzing precision of movement during the performance of a systematic examination, c) providing students with a set of diagnostic categories based on the movement system, d) early and repeated emphasis on the process of diagnosing a variety of movement related problems within the scope of PT practice, and e) assessing student achievement of expertise in the movement system early and often throughout both the didactic and clinical portions of the curriculum.
Results/Outcomes
Participants will have an increased understanding of how the movement system may be incorporated within a curriculum.
Conclusions/Relevance to the conference theme: The Pursuit of Excellence in Physical Therapy Education
We believe this presentation supports excellence in the use of instructional strategies for the classroom and clinic. Given our profession's identity with the movement system, educators should strive to develop clinical experts who can diagnose and treat movement related conditions.
References
Movement System White Paper by the Movement System Work Group members (2015): http://www.apta.org/MovementSystem
Gwyer J, Hack LM. The next big idea! J Phys Ther Educ.2015;29(3):4
Field-Fote E. The human movement system in neurologic physical therapy. J Neruo Phys Ther. 2015;39:195-196.
Khoo-Summers L, Bloom NJ. Examination and treatment of a professional ballet dancer with a suspected acetabular labral tear: a case report. Manual Therapy.2015;20(4):623-629.
Sahrmann SA. The human movement system: our professional identity. Phys Ther. 2014;94(7):1034-1042.
Jull G, Moore A. Physiotherapy’s identity. Man Ther. 2013;18:447-448.
The Definition of the Movement Sytem: http://www.apta.org/MovementSystem
APTA's Vision and Guiding Principles:<a href="http://www.apta.org/Vision/">http://www.apta.org/Vision/</> 2013
Caldwell CA, Sahrmann SA, Van Dillen LR. Use of a movement-system impairment diagnosis for physical therapy in the examination, treatment and outcomes of a patient with shoulder pain. Journal of Orthopedic and Sports Physical Therapy 2007: 37:551-563.
Rolfe IE, Sanson-Fisher RW. Translating learning principles into practice: A new strategy for learning clinical skills. Med Ed, 2002: 4:345-52.
Sahrmann SA. Diagnosis and Intervention of Movement Impairment Syndromes. St. Louis, Mosby. 2002.
Sahrmann SA and Associates. Movement System Impairments of the Extremities, Cervical and Thoracic Spine. Mosby. St. Louis. 2011.
Course Objectives
Upon completion of this course, the participant will be able to do the following:
1. Describe what one needs to do to get started developing a curriculum focused on the movement system.
2. Describe the key components of a curriculum designed to create movement system experts.
3. Recognize the importance of using a systematic examination to arrive at a movement system diagnosis.
4. Recognize the importance of making a movement system diagnosis before making decisions about treatment.
5. Describe how movement analysis can be incorporated into teaching basic clinical tests such as manual muscle testing and range of motion.
6. Describe teaching and evaluation methods used to insure competence of entry-level students as movement system experts.
Instructional Methods
Lecture and discussion.
Tentative Outline/Schedule
We also will describe the key features of the curriculum including a) integrating movement system concepts into essentially all courses both foundational and clinical, b) early and continued focus throughout the curriculum on analyzing precision of movement during the performance of a systematic examination, c) providing students with a set of diagnostic categories based on the movement system, d) early and repeated emphasis on the process of diagnosing a variety of movement related problems within the scope of PT practice, and e) assessing student achievement of expertise in the movement system early and often throughout both the didactic and clinical portions of the curriculum.
5 minutes - Brief review of APTA Vision
10 minutes - Discussion of the importance of having champions, commitment, and collaboration.
65 minutes - Description of the key features of the curriculum using specific examples to illustrate each of the features.
10 minutes - Questions and answers