Units of the PSP Certification Program™


Unit 1 – Principles of Primary Spine Care


Unit 2 – The Lumbar Spine


Unit 3 – The Cervical Spine


Unit 4 – Clinical Management and Final Proficiency Exam


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Unit 3 – The Cervical Spine


Unit 3 – Online Educational Modules:

Topic 1: Cervical Intervention Procedures

  • Epidural Steroid Injections (ESI)
  • Facet Procedures

 

Topic 2: Cervical Surgical Procedures

  • Discectomy
  • Decompression
  • Fusion
  • Artificial Disc

 

Topic 3: Cervical Conditions/Pain Generators

  • Radiculopathy
  • Spondylotic Myelopathy
  • Facet Joint Dysfunction
  • Myofascial Pain
  • Headache
    • Migraine
    • Non-Migraine
  • Thoracic Pain
  • Oculomotor Dysfunction
  • Orofacial Pain
  • Cervical Artery Dissection
  • Whiplash
  • Concussion
  • Thoracic Outlet Syndrome

 

Topic 4: Overview of Physical Examination

  • Overview of Exam – Diagnostic question #1
    • Historical factors
    • Overview of the neurologic exam
    • Localizing the lesion in suspected cervical myelopathy
  • Overview of Exam – Diagnostic question #2
    • End range loading
    • Joint provocation
    • Neurodynamic exam
      • Median (C5-7)
      • Ulnar (C8-T1)
      • Radial (C7)
    • Myofascial exam
  • Overview of exam – Diagnostic question #3
    • Stability exam
    • Oculomotor exam
    • Nociceptive system sensitization exam including nonorganic signs
  • Outcome measures for patients with cervical disorders

 

Topic 5: Therapeutic Exercise

  • Neural mobilization
  • Cervical stabilization
  • Oculomotor exercise
  • Scapular stabilization

 

Topic 6: Diagnostic Imaging

Conventional radiography

  • Normal cervical anatomy
  • Pathologies
    • Trauma
    • Fracture/Dislocation
    • Osteomyelitis
    • Benign tumor
    • Malignancy

MRI

  • Normal cervical anatomy
  • Common pathologies
    • Disc herniation
    • Stenosis
  • Less common pathologies
    • Benign tumors
    • Malignancy
    • Infection
    • Spinal cord processes

CT

  • Normal cervical anatomy
  • Pathologies
    • Fracture/ dislocation
    • Osteomyelitis
    • Benign tumor
    • Malignancy
  • Common pathologies
    • Disc herniation
    • Stenosis
  • Less common pathologies
    • Benign tumors
    • Malignancy
    • Infection


Topic 7: Special Tests

Electrodiagnostic testing

  • EMG
  • NCV
  • SSEP

 

Topic 8: Data Collection

  • Outcome Measures for Neck

 


Unit 3 – Live Workshop:

The following topics will be covered:

 

Application of the Treatment-Based Classification System and the CRISP® protocols in the Diagnosis of Patients with Cervical Disorders

  • Diagnostic question #1: Red flags, visceral pathologies
  • Diagnostic question #2: Disc derangement, joint dysfunction, radiculopathy, myofascial pain
  • Diagnostic question #3: Dynamic and passive instability, oculomotor dysfunction, nociceptive system sensitization, psychological factors

 

General Principles of Management

  • Diagnostic question #1 – referral decisions
  • Diagnostic question #2 – treatment options, referral decisions and follow up
  • Diagnostic question #3 – treatment options, referral decisions and follow up

 

Establishing a Diagnosis in Patients with Cervical Disorders:

 

Diagnostic question #2

  • History and end range loading exam
  • History and joint provocation maneuvers
  • History and neurodynamic exam
  • History and myofascial exam

 

Diagnostic question #3

  • History and dynamic instability exam
  • History and passive instability exam
  • History and oculomotor exam
  • History and nociceptive system sensitization exam
  • Identification of psychological factors

 

Management of Patients with Cervical Disorders:

 

Review of the Relationship-Centered Care and the Therapeutic Alliance

 

General approaches

  • Posture and ergonomics
  • General mobility exercises

 

Diagnostic question #2

  • Disc derangement
  • Joint dysfunction
  • Radiculopathy
  • Myofascial trigger points

 

Diagnostic question #3

  • Dynamic and passive instability
  • Oculomotor dysfunction
  • Nociceptive system sensitization
  • Psychological factors

(please note that the content will be updated as needed)

 

Updated | 04.23.2019

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Questions regarding the program:

Michael Timko, PT, MS, FAAOMPT
  PSP - Program Manager

University of Pittsburgh
School of Health and Rehabilitation Sciences
Department of Physical Therapy
  Bridgeside Point 1
  100 Technology Drive, Suite 210
  Pittsburgh, PA 15219
  (412) 383-6578

  mtimko@pitt.edu

Questions regarding program registration:

Debra Utterback
  PSP - Registration Manager

University of Pittsburgh
School of Health and Rehabilitation Sciences
Department of Phsycial Therapy
  Bridgeside Point 1
  100 Technology Drive, Suite 210
  Pittsburgh, PA 15219
  (412) 383-6942

  dsu1@pitt.edu



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