EIM’s Management of Lower Extremity Disorders course is designed to enhance the participant’s knowledge and skill level in the evidence-based management of individuals with lower extremity disorders and dysfunction.  This lab intensive course focuses on the clinical reasoning and hands-on skill development necessary to effectively integrate manual physical therapy examination and intervention techniques into the clinical management of these individuals. Classification systems, outcomes assessment tools, and the application of diagnostic imaging rules for acute lower extremity injuries are discussed as components of the diagnostic process within the framework of evidence-based practice. Participants will receive hands-on demonstration and practice of both examination and selected interventions of lower extremity.


This course is delivered in a blended learning fashion, combining online and on-site learning experiences to facilitate participant learning. An interactive and media-rich online precourse is provided to participants 30 days in advance of an intensive 2-day on-site laboratory weekend.  The online precourse provides an evidence-based overview of the management of lower extremity disorders using a series of web-based video presentations, key evidence summaries and primary research articles. The on-site lab intensive weekend provides participants with hands-on demonstration and practice of selected examination and manipulative techniques for the hip, knee, and ankle regions. A heavy focus is placed on the skill development and proficient use of hold-relax, mobilization, and manipulation interventions for these regions. The course will have a student to faculty ratio of no greater than 16:1. An online post-test and on-site skill assessment are used to reinforce course objectives and assess learning. Successful completion of this course requires 80% or higher on post-test, skills assessment and attendance at each onsite day.

Target Audience: Intermediate level course open to licensed physical therapists.

Credits: 24 contact hours (8 online and 16 on-site) from EIM Institutes of Health Professions

EIM Program Applicability:  None. This course must be taken in conjunction with an 8-week online management course to earn constructive credit towards EIM’s OMPT FellowshipOrthopaedic and Sports Physical Therapy ResidenciesTransition DPT, and Manual Therapy Certificate programs.

Prerequisites: None

Appropriate dress: Participants are asked to bring appropriate attire for lab sessions (i.e. shorts and t-shirts and sports bras for women) and air-conditioned environments throughout the day (i.e. warm-up or work-out clothes).


Upon completing this course, you’ll be able to:

    1. Identify and perform key elements of an lower extremity subjective and objective clinical examination, with particular emphasis on a lumbopelvic screening exam and lower extremity active and passive motion testing with overpressure and special tests.
    2. Synthesize and analyze data from the lower quarter clinical examination based on signs and symptoms, diagnostic clusters, and treatment-based classifications.
    3. Determine a diagnosis and/or impairments and use sound clinical reasoning and current best evidence to guide patient/client management.
    4. Engage in the diagnostic process to establish differential diagnoses across systems & across the life span.
    5. Utilize a consistent clinical process to effectively screen for systemic disease and non-musculoskeletal pathology in patients with lower quarter pain.
    6. Justify the selection of manual therapy techniques or integrated exercise using clinical reasoning and application of current best evidence.
    7. Perform selected manipulation and mobilization techniques in patients with lower quarter pain or dysfunction.
    8. Most importantly – be able to apply this stuff to your clinical practice next week!

References Required and supplementary articles are listed in each weekly module and can be downloaded from the Moodle Learning Management System.


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