The Use of Physical Agents in Improving Range of Motion: An Evidenced Based Approach, 2/17/2024

About the Course
Range of motion (ROM) limitations are associated with many of the conditions commonly seen in rehab, including stroke, multiple sclerosis, and osteoarthritis. A critical part of effective restoration of ROM is being able to identify what factors/issues are responsible for limiting ROM. These may include pain, edema, joint capsule tightness, articular surface damage, muscle shortness, and spasticity. This course focuses on the specific use of physical agent modalities to facilitate the restoration of range of motion, especially when used in conjunction with other typical rehab interventions. Several demonstration videos are presented in this course to help participants integrate new information into clinical practice.

Learning Outcomes
  • List the stages of the inflammatory process initiated by acute injury
  •  Identify the main physiological/cellular events that occur in each stage of healing
  • Identify the use of PAMs to manage edema
  • Recognize common spasticity patterns in the upper and lower extremities
  • Identify use of TENS for treating spasticity
  • Identify the use of PAMs to address joint contractures
  • Define and describe nociceptors and sensitization
  • List the main elements of the Gate Control and Neuromatrix theories of Pain
  • Identify evidence in support of PAMs for pain management
  • Identify use of PAMs for joint mobilizations and muscle stretching
About the Author
Lorie Schleck, PT,
graduated from the University of Minnesota in 1985 and has over 29 years of Physical Therapy experience. Lorie has worked in a variety of physical therapy settings including sports medicine/orthopedics and transitional care/skilled nursing facilities in long term and acute care. Recently, she has focused on providing physical therapy to home care patients. Within that context, she worked for a time in Home Care Quality
and Compliance where she audited charts for OASIS and clinical accuracy and provided staff training in best practices for OASIS accuracy. She is a certified OASIS specialist.

Lorie has taught numerous continuing education courses in physical and occupational therapy, most of them focused on orthopedics and geriatrics. She enjoys synthesizing new evidence and is passionate about evidence-based practice. She currently resides in St Paul with her husband Jim and has 3 children.

How to Receive Credit
  • Read the entire course online or in print.
  •  Answer the final examination questions at the end of the course. A passing grade of 70% is required. Test questions link content to learning objectives as a method to enhance individualized learning and material retention.
  • Provide required personal information and payment information.
  • Complete the mandatory course evaluation.
  • Print your Certificate of Completion.
Resolution of Conflict of Interest
Colibri Healthcare, LLC implemented mechanisms prior to the planning and implementation of the continuing education activity, to identify and resolve conflicts of interest for all individuals in a position to control content of the course activity.

Sponsorship/Commercial Support and Non-Endorsement
It is the policy of Colibri not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners.

The information provided in this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

©2022: All Rights Reserved. Materials may not be reproduced without the expressed written permission or consent of Colibri Healthcare, LLC. The materials presented in this course are meant to provide the