Clinical Reasoning Foundations of OMT II
This class is Part 2 of a 2 part course intended to develop a thinking process that can be applied to virtually every patient. The goal is to lay a foundation for the participant to be a skillful user of the clinical reasoning model conceived by Geoffrey Maitland in the assessment and treatment of patients in orthopedic manual therapy. The intent is to apply hypothetical-deductive-inductive reasoning to patient assessment that liberates the therapist to create change in the behavior of physical dysfunction as a priority over diagnostic categorization.
There are foundational concepts that when applied appropriately & consistently can literally guide the thinking process for making decisions about what we can do with patients who arrive with common clinical presentations and novel circumstances. These foundational concepts will be the primary focus of the class.
The Foundational Concepts
Subjective examination: as the cornerstone in determining the structure of the objective exam.
Patient presentation: severity, irritability, nature, stage and stability of the problem(s) will be stratified in a methodology to design the objective exam specifically for the patient at hand.
Hypotheses generation: The recognition of all possible and the most probable problems that are impairing the current patient.
The working hypothesis: Establishment of the most likely problem for the patient and the pathway to honestly determine its’ veracity.
Comparable findings: functional, subjective, and objective parameters that will assess the value of our chosen intervention(s).
Trial treatment: The testing of our working hypothesis with the intervention that gives the greatest likelihood of immediate change in the patient presentation.
Reassessment: The immediate comparison of the pre treatment & post treatment status of the comparable findings to establish the value of the treatment.
Planning Progression: Establishment of a plan based upon established results for progression of treatment including transition to patient independence.
These concepts will be developed in a real patient environment with real cases filmed for demonstration of the concepts and critiqued for clarity in the class.
This class is willfully designed to be efficient with your time as well as effective with developing your skill set. All enrollees will receive the didactic portion of the class before the actual class day allowing time for absorption before the physical interface. This will ideally allow the class to begin from a homogenous baseline for all advancements and discussions.
Course Goals & Objectives
1. Develop a conceptual framework for clinical reasoning in OMT.
2. Demonstrate the foundational concepts of clinical reasoning in OMT.
3. Discuss the genuinely common clinical syndromes, the rapid recognition of them and the variations that drive examination & treatment choices.
4. Integration of the foundational principles with real patients.
5. Develop proficiency with the recognition of common clinical syndromes.
6. Develop knowledge of how to proceed with the unrecognized presentation pattern.
7. Understand the decision process for determining how the exam can determine the type of treatment, the volume of treatment & the magnitude.
8. Nurture continued development of skills with accurate and informative feedback from the ‘patient’ therapists with each session.