ECS Examination Prep Course

Integrity Diagnostics and Hands-On Seminars are pleased to present the Electrophysiologic Clinical Specialization Examination Prep Course, which is scheduled for January 14-16, 2022, in Richmond, Kentucky.

Integrity DX + HOS - new

Course Features

  • cropped-new-hoc-favicon-1.png Type – Live/Online
  • cropped-new-hoc-favicon-1.png Duration – 30 CEU Hours (Available in Kentucky, New York. More states to come soon.)
  • cropped-new-hoc-favicon-1.png Appropriate for – Students in preparation for the ABPTS Electrophysiologic Clinical Specialist (ECS) Board Certification Exam
  • cropped-new-hoc-favicon-1.png Language – English

Course Description

Are you considering taking the American Board of Physical Therapy Specialties examination in Clinical Electrophysiology in 2022?

Are you interested in sharpening your critical skills in clinical electrodiagnostic testing?

This course is designed to assist students in preparation for the ABPTS Electrophysiologic Clinical Specialist (ECS) Board Certification Exam. Students who do not desire to take the board certification examination will also find this course beneficial in problem solving for their electrophysiologic practice.

There will be extensive discussion and problem solving regarding pathological conditions and abnormal electrophysiologic findings.

NOTE

Pre Course Self-Study Requirements

Prior to the 2 ½ day onsite interaction with the faculty, students are required to review pre-course materials and complete pretests. At least four (4) hours will be needed for this exercise.

Overview

Presentations will be in a case study format with resource materials, and study guides on topics that will include but not be limited to:

Focal Entrapment Syndromes / Mononeuropathies

  • Carpal Tunnel Syndrome
  • Ulnar Neuropathy Elbow
  • Ulnar Neuropathy Wrist
  • Axillary Neuropathy
  • Suprascapular Neuropathy
  • Femoral Neuropathy
  • Tarsal Tunnel Syndrome
  • Pronator Teres Syndrome
  • Meralgia Paresthetica
  • Bell’s Palsy
  • Radial Neuropathy
  • Peroneal Neuropathy
  • Anterior Interosseous Syndrome

Polyneuropathy & Myopathy

  • Multifocal Motor Neuropathy
  • Alcoholic/Toxic Neuropathy
  • Amyloid Neuropathy
  • Diabetic Neuropathy vs. Diabetic Amyotrophy
  • Guillain-Barre Syndrome
  • CIDP/CSDN
  • Charcot Marie Tooth Disease / HSMN
  • Polymyositis
  • Inclusion Body Myositis
  • Dermatomyositis
  • Muscular Dystrophy
  • Myotonic Disorders

Radiculopathy

  • Cervical Radiculopathy
  • Lumbar Radiculopathy
  • Lumbosacral Radiculopathy

Plexopathy

  • Neurogenic Thoracic Outlet Syndrome
  • Brachial Plexopathy
  • Lumbar Plexopathy
  • Lumbosacral Plexopathy

Central Disorders

  • Cervical Spondylitic Myelopathy
  • Amyotrophic Lateral Sclerosis
  • Spinal Muscular Atrophy
  • Syringomyelia
  • Post-polio Syndrome

Neuromuscular Junction Disorders

  • Myasthenia Gravis
  • Lambert Eaton Syndrome
  • Botulism

Additional online presentations, resource materials, and evaluation tools will be included on topics including:

  • Instrumentation
  • Waveform recognition
  • Anatomy and physiology
  • Nerve injury and repair
  • Interpretation of Somatosensory Evoked Potentials
  • Research methods and statistics
  • Coding and billing
  • Ethical issues pertinent to electrodiagnostic practice
  • Practice management with sample quizzes, tests, and study guides

Approved CEUs: 30 (Available in Kentucky, New York. More states to come soon.)

Course Outline Live Component – Daily Timeline

January 14-16, 2022

Friday, January 14, 2022

08:00 – 10:00Lecture, discussion and problem solving
10:00 – 10:15Break
10:15 – 12:00Lecture, discussion and problem solving
12:00 – 13:00Lunch Break
13:00 – 15:00Lecture, discussion and problem solving
15:00 – 15:15Break
15:15 – 17:30Lecture, discussion and problem solving

Saturday, January 15, 2022

08:00 – 10:00Lecture, discussion and problem solving
10:00 – 10:15Break
10:15 – 12:00Lecture, discussion and problem solving
12:00 – 13:00Lunch Break
13:00 – 15:00Lecture, discussion and problem solving
15:00 – 15:15Break
15:15 – 17:30Lecture, discussion and problem solving

Sunday, January 16, 2022

08:00 – 10:00Lecture, discussion and problem solving
10:00 – 10:15Break
10:15 – 12:30Lecture, discussion and problem solving

The program will be delivered at the Integrity Diagnostics Training Center, which is in Richmond, KY. Richmond is approximately 25 minutes south of Lexington, KY conveniently off I-75, exit 90. Hotel information will be provided to all registrants. Several new hotels are located within minutes of the course site.

COVID 19: For safety reasons and to maintain appropriate social distance, attendance will be limited. All attendees will be encouraged to utilize an appropriate facial covering. Hand sanitizer and hand wash stations will be available.

Learning Objectives

Differential diagnosis, interpretation of electrophysiologic findings and proper interpretation of the findings is the overlying theme of this course. The participants and the faculty will explore and discuss the etiology, pathology, clinical course, patient presentation, clinical examination, and expected findings from the electrophysiological examination of numerous pathological conditions.

  1. Describe and discuss how the nerve conduction study and electromyographic exam can be used delineate between a pre-ganglionic and post-ganglionic lesion and further localize the site of injury in cervical radiculopathy.
  2. Describe and discuss what history, patient presentation, clinical exam, clinical course, nerve conduction study, and electromyographic exam data in combination suggest the presence of central nervous system disease and differentiate between cervical spondylitic myelopathy, ALS, spinal muscular atrophy, syringomyelia and post-polio syndrome.
  3. Compare Seddon’s & Sunderland’s nerve injury classifications; be able to describe in detail each level of injury, the causes, expected nerve study and electromyogram findings and pathologies that exhibit these changes.
  4. Describe and discuss the etiologies, pathophysiology, patient presentation, clinical examination, laboratory and other diagnostic findings, and EMG/NCS findings for presynaptic and postsynaptic neuromuscular junction disorders, such as, myasthenia gravis, Lambert Eaton syndrome and botulism.
  5. Describe and discuss the etiologies, clinical course, patient presentation, clinical examination, and expected findings from the electrophysiological examination in polyneuropathy. Recognizing that polyneuropathy is not pathognomic for specific disease, students will further be able to recognize, characterize and classify polyneuropathies by electrodiagnostic findings. The polyneuropathies to be addressed include multifocal motor neuropathy, alcoholic/toxic neuropathy, amyloid neuropathy, diabetic neuropathy, diabetic amyotrophy, Guillain-Barre syndrome, CIDP/CSDN and Charcot Marie Tooth Disease/HSMN.
  6. Describe and discuss the clinical presentation of patients with common upper/lower extremity/cranial neuropathies as well as the clinical electrodiagnostic characteristics expected conditions including, but not limited to carpal tunnel syndrome, ulnar neuropathy at the elbow, peroneal neuropathy at the knee, axillary neuropathy, suprascapular neuropathy, anterior interosseous syndrome/pronator teres syndrome, Bell’s Palsy and brachial plexopathy.
  7. Describe and discuss what history, patient presentation, clinical exam, clinical course, nerve conduction study, and electromyographic exam data in combination suggest the presence of a myopathy and differentiate between polymyositis, inclusion body myositis, dermatomyositis and muscular dystrophy.
  8. Describe and discuss the components and functions of the EMG/NCS testing system including how to manipulate common settings and the function of filters.
  9. Describe and discuss normal and abnormal EMG and NCS waveform morphology and how to troubleshoot technical anomalies to differentiate these from pathologic waveforms.
  10. Describe and discuss the findings in both neural and muscle fiber injury and findings seen during neural healing.
  11. Review and demonstrate an extensive knowledge of neuromuscular anatomy and physiology to include:
    • Describe microanatomy of the axon-membrane and supporting structures.
    • Compare the structure of myelinated and unmyelinated nerves.
    • Identify the microanatomy of muscle.
    • Describe nerve and muscle membrane physiology such as potential and permeability.
    • Compare impulse propagation in myelinated and unmyelinated nerves.
    • Describe muscle contraction at the cellular level to include actin-myosin binding, ratcheting effect, sarcomere shortening.
  12. Describe Practice Parameters for common conditions encountered in electrodiagnostic practice.
  13. Describe and discuss normal and abnormal SSEP waveforms and Interpretation of SSEP results.
  14. Review and demonstrate knowledge of basic statistics and research design as it pertains to physical therapy and electrodiagnostic practice.
  15. Understand and demonstrate knowledge of proper billing for electrodiagnostic testing.
  16. Describe ethical considerations pertinent to the electrodiagnostic practice.

Instructors

50 years combined experience in electrodiagnostic testing!

Mark-Brooks

Mark E. Brooks

PT, DSc, ECS, OCS

Dr. Brooks has over 25 years of experience as a clinician, administrator, and educator in the field of physical therapy. He received his bachelor’s and master’s degrees from the University of Kentucky and completed his doctorate in clinical electrophysiology at Rocky Mountain University in 2005. He is board certified by the American Board of Physical Therapy Specialties in both clinical electrophysiology and orthopedics.

Dr. Brooks has worked as a physical therapist in many settings, including outpatient, acute care, home health, and long-term care.

His teaching experience includes the University of Kentucky, University of Indianapolis, Midway College, and Somerset Community College. He was one of the first instructors in Rocky Mountain University’s transitional DPT program, and has also taught numerous continuing medical education courses.

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Richard J. McKibben

PT, DSc, ECS

Dr. McKibben is a physical therapist and clinical electrophysiologist. He received his DSc in clinical electrophysiology from Rocky Mountain University, and his MS in physical therapy from North Georgia College. He is board certified in clinical electrophysiology by ABPTS.

He has completed thousands of electrophysiologic studies and has logged thousands of hours in peer review and administration for electrophysiologic testing laboratories.

Ongoing research interests include severity in focal/mononeuropathies, retrograde axonal atrophy, the mixed media forearm nerve conduction study, short-segment median motor studies in CTS, and F-wave nomograms.

Dr. McKibben serves as the chair for the APTA clinical electrophysiology practice group and helped to establish the accreditation program for PTs.

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Dimitrios Kostopoulos

DPT, MD, PHD, DSc, ECS

Dr. Dimitrios Kostopoulos, DPT, MD, PHD, DSc, ECS, is board certified in clinical electrophysiology with over 30 years of clinical experience. He is the co-founder of Hands-On Companies and a Clinical Affiliate Assistant Professor for Charles E. Schmidt College of Medicine at Florida Atlantic University. He is a past member of SACE (Specialization Academy of Content Experts) for the ABPTS examination board on electrophysiology, and a past elected member of the Executive Committee of the Academy of Clinical Electrophysiology of APTA.

He is the editor of the Diagnostic Section of the Journal of Bodywork and Movement Therapies, and the author or co-author of numerous books, articles, and research papers related to his fields of expertise.

Available Offerings

ECS Examination Prep Course

$2,295.00

This page is to begin enrollment in the Electrophysiologic Clinical Specialization Examination Prep Course.

  • January 14-16, 2022
  • Appropriate for Students in preparation for the ABPTS Electrophysiologic Clinical Specialist (ECS) Board Certification Exam
  • Suggested CEUs: 30 (Available in Kentucky, New York. More states to come soon.)
  • Live/Online course

To begin your enrollment, you first need to pay for the course. To do this, you need to add the course to your cart by clicking on the “ADD TO CART” button. Once you have added the course to your shopping cart, click on the shopping cart icon at the top to continue with your payment.

Cancellation Policy

We reserve the right to cancel or postpone a program 15 days prior to the published start date. All tuition is refunded if a course is cancelled.

If a student cancels 15 days prior to the start date the tuition minus a $200 administration fee will be refunded. No refunds will be provided for cancellations in less than 15 days.

If you are unable to attend the course, you may transfer your tuition to next year’s course minus a $200 administration fee.