Regardless of what setting you work in, you are likely to have to address impairments unrelated to your specialty. If you're in a neuro setting, you'll likely see patients with Parkinson's that have back pain. If you are treating a patient for foot pain with multiple sclerosis, you may have to adjust your exercise prescription. As with any patients, you will have to do a systems review, especially the cardiopulmonary system, for potential contributing factors. Because of this, it is essential that we maintain (and improve upon) our knowledge in different areas. I was recently made aware of a course that John Zapanta, PT, DPT, OCS is teaching, known as Manual Therapy Interventions for the Neurological Patient. If you are looking to increase your competency in treating patients with co-morbidities, this course may be the one for you.
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