In clinical practice, physical therapists use tests and measures for clinical decision making. This decision making approach assumes that tests and measures provide tangible value and can alter the post-test probability of diagnosis or prognosis. However, there is substantial evidence that some tests provide very little value in decision making and that selected tests should be used either early in the examination process to rule out contenders or late in the examination process to confirm hypotheses (but rarely in both situations). Use of diagnostic accuracy values such as sensitivity, specificity, and positive likelihood ratios has improved our ability to discriminate tests’ strengths. Additional decision making value goes beyond these measures as well. The focus of this course is to provide those tests and measures and the appropriate order within an examination that improves probability of a correct diagnosis or outcome.1
Chad Cook, PT, PhD, MBA, FAAOMPT is a Professor and Researcher at Duke University. Dr. Cook received his Bachelors of Science in Physical Therapy at Maryville University in 1990, a Masters of Business Administration in 1999, and a Doctorate of Philosophy (PhD) at Texas Tech University in 2003. He was certified as an orthopedic manual therapist in 2001, achieved APTA board certified orthopedic specialization in 2002, and received fellowship status at the American Academy of Orthopedic Manual Therapy in 2006. Dr. Cook has published well over 170 peer reviewed papers and has two textbooks in their 2nd edition: Orthopedic Manual Therapy: An evidence based approach and Orthopedic Physical Examination Tests: An evidence based approach.
Dr. Cook has published several book chapters in other textbooks and has presented internationally at over 165 presentations/conferences. He is the former Editor in Chief of the Journal of Manual and Manipulative Therapy and is a present Associate Editor of Manual Therapy and an editorial advisor for a number of other international journals. He is currently the treasurer of AAOMPT. Dr. Cook has won numerous awards locally at Duke for teaching, is a recent winner of the OPTP/JMMT literature review award in 2003 and 2005, was the 2009 winner of the top educator award for the American Physical Therapy Association, is the 2008 recipient of the Helen Bradley career achievement award and is the 2005 winner of the J Warren Perry Distinguished Authorship Award. He is also the 2011 Winner of the AAOMPT Excellence in Research Award and the co-winner of the 2012 award.6
Future and Current Physical Therapists, Physical Therapy Assistants, Medical Professionals and Medical Professional Students
Intermediate Instructional Level8
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