Examination of the Patient with Knee Osteoarthritis

Presented by Gail Deyle

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Patients with knee OA have a wide variety of presentations, making it a disorder that is best addressed with strong clinical reasoning and high differential diagnosis skills. Despite a compelling body of literature for physical therapy directed exercise programs and growing evidence that manual therapy combined with exercise increases the level of symptom relief and functional benefit, most patients do not receive physical therapy treatment prior to total joint replacement.

This course series will help the learner make accurate judgments on the patient with knee OA, like tolerance for examination and treatment, while identifying key impairments to strength, range of motion, flexibility, gait, and balance that can be addressed with manual therapy and exercise.

This installment will help the learner take information derived from the patient interview to plan and execute an appropriate and well-tolerated examination. This carefully planned examination is key to identifying key impairments to strength, range of motion, flexibility, gait, and balance that can be addressed with manual physical therapy strategies. This clinical reasoning-based process facilitates highly focused examination and treatment strategies that are typically well tolerated by the patient.

Meet your instructor

Gail Deyle

Gail Deyle is a Professor with Baylor University Graduate School and the founder and senior faculty member of the Army-Baylor University Doctoral Fellowship in Orthopaedic Manual Physical Therapy, located at Brooke Army Medical Center in San Antonio, Texas. He is an internationally recognized expert, frequent national…

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Chapters & learning objectives

Exam of the Knee OA Patient Part 1

1. Exam of the Knee OA Patient Part 1

The first chapter of this course introduces the participant to manual examination principles and clinical reasoning concepts, and then introduces specific manual techniques including examining knee extension, knee flexion, and tibiofemoral rotation.

Exam of the Knee OA Patient Part 2

2. Exam of the Knee OA Patient Part 2

This chapter continues instruction in specific manual examination techniques. Techniques described in this chapter include manual examination of patellofemoral glides, proximal tibiofibular motion, and quadriceps and hamstring length.

Case Example

3. Case Example

In the final chapter of this course, Gail Deyle applies concepts from the course in a patient case example, and demonstrates key examination principles and techniques relevant to the example patient.