The MDT Clinical Integration Webinar Series

Webinar Support Materials

2018 Webinars

Utilizing MDT to Evaluate and Classify Cervicogenic Headache:

• Assessment Form
• References

Derangements with Directional Preference of Flexion in the Lumbar Spine:

• Lumbar Assessment Form: Gabriel
• Lumbar Assessment Form: Selena

2017 Webinars

Differential Diagnosis Between the Spine and Shoulder Utilizing MDT:

• Assessment Form
• References

2016 Webinars

Follow-up to Taking a Timely History:
A great conversation arose on LinkedIn during the discussion after the webinar that we thought everyone would find beneficial regarding bowel and bladder changes. (Webinar time 15:17)  We discussed in the webinar how bladder retention is an important red flag. It can be a sign of Cauda Equina Syndrome and can indicate the need for an immediate referral back to the physician.  This is an urgent red flag because of the risk of long term bladder and bowel dysfunction. According to the research, bladder incontinence has also been shown to be a sign of cauda equina. So pay attention to any bladder changes.  Stress incontinence is such a common symptom, especially in women, so use your clinical judgement with the whole picture and ask clarifying questions about the onset of the incontinence, the ability to empty the bladder completely, onset of any saddle anesthesia, etc. When in doubt, always contact the patient's primary care provider. Cauda Equina Syndrome is a medical emergency, but extremely rare to show up in a physical therapist's office. Please use your professional judgment in cases such as these.  

References:

1. Andrew Tarulli, M. (2015, February). Disorders of the Cauda Equina. Continuum Journal, 146-158.
2. Preetha Muthusamy, M., Gordon H. Baustian, M., Karl Misulis, M. P., & Saty Satya-Murti, M. F. (2011, September 28). Clinical Key. Retrieved from First Consult: Cauda Equina Syndrome: https://www-clinicalkey-com.ezproxy.galter.northwestern.edu/