The University of Tennessee and the Veterinary Academy of Higher Learning are pleased to present the University of Tennessee Certificate Program in Equine Physical Rehabilitation (CERP). In cooperation with the Colorado State University Orthopaedic Research Center, in 2004 the University of Tennessee College of Veterinary Medicine developed the only university-based, RACE approved credential program in equine rehabilitation. Since its foundation, the curriculum of the program has been continuously updated to secure state of the art contents, in the theoretical content as well as in the practical approach. As particularly modalities improve continuously, we focus on working with the best providers in the market. The Equine Rehabilitation Certificate Program (CERP) is a sequence of postgraduate courses which include case studies and a cumulative examination.

Who can attend?
Veterinarians, Veterinary Nurses/Technicians, Physical Therapists, Physical Therapist Assistants, Occupational Therapists, students in one of the accepted professions*. Proof of degree(s) and or license(s) must be provided for every profession.

• *Proof of acceptance and documentation showing current enrolment in a qualified program must be provided with your initial registration. You will be asked to provide continued proof of active enrolment. You must complete one academic year of your professional program prior to enrolling in this program. Successful completion of your degree is required prior to taking the certificate exam.

All core courses and the externship must be completed, and case studies accepted prior to sitting for the exam. The document below also contents a case study. Please prepare your cases following that example.

The exam consist of the following parts:

• Oral Presentation
  One case must be presented orally. The presentation must be done by PowerPoint (or comparable software) and should include the key points of the case. The maximum presentation time should not exceed 15 min plus 5 min for discussion.
• Written Exam
  The multiple choice consist of 150 questions.

Five steps toward success:

During the Covid Pandemic we adapted the program to make sure, we still can run the lab days for your students. The classroom like parts are offered in our interactive Zoom classrooms: introduction and Gait Analysis prior to the presence days (hands on labs) , Canine IV: interactive case discussions after the lab days. Lab days are offered as outlined in the program and additional locations with local CCRP specialists and – if necessary – other teachers via Zoom - are set up if covid restrictions are not allowing travelling to either or both: teachers and students. This way we can secure your education independ of the pandemic restrictions.

3. Externship (40 hours), Canine VI, part 1: can be started as soon as E-learning and presence days have been completed

4. Documentation of 5 own cases (around 200 hours), Canine VI, part 2: can be started as soon as e-learning and presence days have been attended.

5. Final exam (1 day, 3 parts), Canine VII: all previous steps need to be completed and the 5 cases need to arrive minimum 8 weeks prior to the date you select. Evaluation of the cases will result in either “passed” = allowance to take the exams, or failed: new cases need to be submitted.

In order to allow the student most flexibility (particular to accommodate normal working hours), you can start the e-learning part at any time in the year, latest 6 weeks prior to the presence days. This part contains all lectures and thus scientific background necessary to become a CCRP. To secure the knowledge level necessary for the presence days, quizzes are included after each section, which need to be passed with a minimum of 80%.

The presence days are focusing on hands on lab experience in small groups .

After completing these 2 steps of your education, you are allowed to start your externship and your case documentations; we recommend to complete the externship .prior to starting with the case documentations. You need to document 5 cases: 2 orthopedic, 2 neurologic and one of your choice, which can also be a different species. Details about the case documentation are already provided during the presence days.

As you have fulfilled all these pre-requisites, you can register for the final exam. The exams are 3-fold: written, oral and practical. A minimum of 70% needs to be reached in each section. For this academic education, most people need a minimum of 1-2 years. We highly recommend to come for exams no later than after 2-3 years.

The title CCRP is recognized all over the world. We frequently help to relocate experts and also many clinics nowadays request this title for such a position.

In order to best guide you towards your professional excellence, booking of single modules is not possible. We want you to be well educated and to complete such an education rather than stopping half way through as this would not allow you to work successfully and correctly in this field.

If your financial situation have forced you to seek a modular payment – we have installment plans available for you.

Introduction to Canine Rehabilitation (12 contact hours)

Course description:
Canine I reviews the regulatory issues involved in this field of practice from the perspective of physical therapists and veterinarians. The response of tissues to disuse and re-mobilization will be covered and clinically applied to the science of veterinary rehabilitation. An overview of basic comparative anatomy will be reviewed, as well as commonly seen orthopedic and neurological conditions and commonly used therapeutic interventions. Collaboration between the veterinary and physical therapy professions will be emphasized to enhance the learning experience. How to get started in the field and protocol development will be reviewed.

Classes and units (plus complete workbook):
1. Why Physical Rehabilitation?

• Unit 1: Introduction to Physical Rehabilitation
• Unit 2: Conditions That Can Benefit from Rehab
• Unit 3: Additional Conditions That Can Benefit from Rehab
• Unit 4: Question & Answer Session
• Class 1: Quiz

2. Introduction to Canine Rehabilitation

• Unit 1: Introduction
• Unit 2: Overview of Canine I - VII
• Unit 3: Canine Rehab Background
• Unit 4: Differences Between Human and Canine Rehab
• Unit 5: Questions & Answer Session
• Class 2: Quiz

3. Responses of Musculoskeletal Tissues to Disuse & Remobilization

• Unit 1: Introduction
• Unit 2: Immobilization and Remobilization
• Unit 3: Effects of Training and Drugs on Cartilage
• Unit 4: Joint Capsule Changes with Immobilization and Remobilization
• Unit 5: Response of Muscle to Reduced Use and Remobilization
• Unit 6: Muscle Measurement & Changes Following Cruciate Ligament Surgery
• Unit 7: Remobilization of Muscle
• Unit 8: Response of Ligaments and Tendons to Reduced Use & Remobilization
• Unit 9: Response of Ligaments & Tendons to Stress, Mobilization, & Drugs
• Unit 10: Response of Bone to Reduced Use and Stress
• Unit 11: Response of Bone to Reduced Use and Stress
• Class 3: Quiz

4. Canine Osteology & Arthrology

• Unit 1: Terminology and Shoulder Region
• Unit 2: Elbow, Antebrachium, and Carpals
• Unit 3: Ilium, Femur & Hip
• Unit 4: Tibia, Fibula, Stifle, and Tarsus
• Class 4: Quiz

5. Canine Myology

• Unit 1: The Forelimb
• Unit 2: The Rear Limb Class
• 5: Quiz

6. Neuroanatomy

• Unit 1: Vertebrae Anatomy & Spinal Nerve Relationships
• Unit 2: Cervical Intumescence & Nerves of the Forelimbs
• Unit 3: Lumbosacral Intumescence & Nerves of the Rea Limb
• Class 6: Quiz

7. Common Neurologic Conditions

• Unit 1: Signs Based on Lesion Localization
• Unit 2: Intervertebral Disc Disease
• Unit 3: Cervical, Thoracolumbar, & Lumbar Disc
• Unit 4: Postoperative Considerations in Spinal
• Unit 5: Wobbler Syndrome
• Unit 6: Degenerative Myelopathy
• Unit 7: Fibrocartilagenous Embolic Myelopathy
• Unit 8: Trauma & Inflammatory Conditions
• Unit 9: Miscellaneous Spinal Conditions
• Class 7: Quiz

8. Common Ailments in the Hindlimb

• Unit 1: Canine Hip Dysplasia - Part I
• Unit 2: Canine Hip Dysplasia - Part 2
• Unit 3: Patella Luxations
• Unit 4: Cranial Cruciate Injuries
• Unit 5: Cranial Cruciate Injuries - Post-surgical Treatments
• Unit 6: Fracture Mangement
• Class 8: Quiz

9. Common Conditions of the Forelimb

• Unit 1: Assessment of the Forelimb
• Unit 2: OCD Shoulder
• Unit 3: Biceps Tenosynovitis & Infraspinatus Contracture
• Unit 4: Elbow Dysplasia & Fractures
• Class 9: Quiz

10. Canine Behavior & Handling

• Unit 1: Communication & Behavior
• Unit 2: Aggression and Handling Tips
• Class 10: Quiz

11. Canine Examination

• Unit 1: Introduction to Canine Examination
• Unit 2: Diagnosis & Interventions
• Class 11: Quiz

12. Orthopedic Evaluation

• Unit 1: Initial evaluation & Lower Hindlimbs
• Unit 2: Stifle and Hip
• Unit 3: The Forelimb
• Class 12: Quiz

13. Neurologic Examination

• Unit 1: Neurologic Examination of the Forelimb & Rear Limb
• Class 13: Quiz

14. The Team Approach / Getting Started

• Unit 1: The Team Members
• Unit 2: Getting Started
• Unit 3: Resources, Marketing, and Fee Schedule
• Unit 4: Summary
• Class 14: Quiz

15. Additional Resources

• a) Cranial Drawer Motion
• b) Olecranon Process
• c) Coranoid Process
• d) Ortolani Sign
• e) Lumbosacral Palpation
• f) Femoral Antiversion and Angle of Inclination
• g) Hip Dysplasia

Physical Agents & Electrotherapeutic Modalities

Course description:
This course will provide the participant with the didactic and clinical applications of selected physical agent modalities used in canine physical rehabilitation. Superficial heating and cooling agents, therapeutic ultrasound, extracorporeal shock wave treatment, cold lasers and neuromuscular electrical stimulation will be covered in the lecture, with laboratories to practice using the modalities.

Objectives:

1. Participants understand acute and chronic inflammation and its management
2. Participants understand the regulatory issues involved in canine rehabilitation
3. Participants understand the principles of thermotherapy (heat) as a therapeutic modality and can apply it safely
4. Participants understand the principles of cryotherapy (cold) as a therapeutic modality and can apply it safely
5. Participants understand the principles of therapeutic ultrasound as a therapeutic modality and can apply it safely
6. Participants understand the principles of electrical stimulation as a therapeutic modality and can apply it safely
7. Participants understand the principles of therapeutic laser as a therapeutic modality and can apply it safely
8. Participants understand the principles of ECSWT as a therapeutic modality and can apply it safely
9. Participants understand the principles of massage as a therapeutic modality and can apply it safely

Classes and units (plus complete workbook):

1. Acute and chronic inflammation

• Unit 1 Signs & Causes
• Unit 2 Acute Inflammation
• Unit 3 Chronic Inflammation
• Unit 4 Acute vs. Chronic Inflammation
• Class 1 Quiz

2. Regulatory issues

• Unit 1 Regulatory issues
• Class 2 Quiz

3. Physical Agent Modalities

• Unit 1 General Guidelines - Part 1
• Unit 2 General Guidelines - Part 2
• Unit 3 General Principles
• Class 3 Quiz

4. Principles of Heat as a Therapeutic Agent

• Unit 1: Biological Effects of Heat
• Unit 2: Thermotherapy Examples
• Class 4 Quiz

5. Principles of Cold as a Therapeutic Agent

• Unit 1: Biological Effects of Cold
• Unit 2: Cryotherapy Examples
• Unit 3: Question & Answer Session
• Class 5 Quiz

6. Therapeutic Ultrasound in Small Animal Practice

• Unit 1: Introduction
• Unit 2: Typical Parameters
• Unit 3: Administration Guidelines
• Unit 4: Thermal Effects
• Unit 5: Preparation & Application
• Unit 6: Non Thermal Effects
• Class 6 Quiz

7. Electrotherapy

• Lecture Series I: Basic Principles of Electrical Stimulation
  • Unit 1: Basic Principles of Electrical Stimulation
  • Unit 2: Electrodes
  • Unit 3: Parameters
  • Unit 4: Types of Stimulators
• Lecture Series II: Neuromuscular Electrical Stimulation (NMES)
  • Unit 5: Neuromuscular Electrical Stimulation
  • Unit 6: NMES Applications
• Lecture Series III: Electrical Stimulation for Pain Control
  • Unit 7: Electrical Stimulation for Pain Control
  • Unit 8: Motor Level Stimulation
  • Lecture Series IV: Electrical Stimulation for Edema Reduction
  • Unit 9: Electrical Stimulation for Edema Reduction
• Class 7 Quiz

8. Laser Therapy

Laser Therapy in Veterinary Practice Ray Arza, DVM

• Unit 1: History and Classification
• Unit 2: Laser Penetration
• Unit 3: Parameters
• Unit 4: Laser-Tissue Interaction
• Unit 5: Therapeutic Protocols

Introduction to Low Level Laser 
Darryl L. Millis, MS, DVM, Diplomate ACVS, CCRP, Diplomate ACVSMR

• Unit 1: Principles
• Unit 2: Research
• Unit 3: Types of Lasers
• Class 8 Quiz

9. Extracorporeal Shockwave Treatment

• Unit 1: Introduction
• Unit 2: Clinical Effects
• Unit 3: Osteoarthritis Studies
• Unit 4: Elbow Osteoarthritis
• Unit 5: Demonstration
• Class 9 Quiz

10. Stem Cell and Regenerative Medicine

• Adipose Stem Cell Therapy
• Adipose Stem Cell Therapy
• Biologic Intervention: Platelet Rich Plasma & Stem Cell Therapy
• Unit 1: Platelet Rich Plasma
• Unit 2: Stem Cells
• Unit 3: Stem Cells: Clinical Research & Rehabilitation
• Unit 4: Joint Injections
• Class 10 Quiz

11. Massage in Small Animal Practice

• Unit 1: Benefits & Effects
• Unit 2: Massage Techniques
• Unit 3: General Considerations
• Class 11 Quiz

12. Targeted Pulsed Electromagnetic Field

• Targeted PEMF (tPEMF)™ Technology
• Case Study: Madison
• Case Study: Bob
• Case Study: Otis
• Class 12 Quiz

TEST: Canine II

Course description:
This course will provide the participant with the basic skills necessary to prescribe and provide therapeutic exercise programs for dogs. Benefits and risks associated with therapeutic exercise programs will be covered along with outcome assessment of exercise programs. Some of the topics covered will be; range of motion, strengthening exercises, aquatic exercises and exercises for wellness/prevention. Techniques will be practiced during extensive laboratories on live animals.

Course Objectives:

1. Participants understand the principles of range of motion and stretching and can perform it safely
2. Participants understand the principles of proprioceptive exercises and can perform them safely
3. Participants understand the principles of aquatic exercises and can perform them safely
4. Participants understand the principles of therapeutic exercises and can perform them safely
5. Participants understand the principles of outcome assessment and can perform goniometry and limb circumference

Classes and units (plus complete workbook):

1. Range of Motion & Stretching

• Unit 1: Range of Motion - Goals & Benefits
• Unit 2: Range of Motion - Examples
• Unit 3: Stretching - Goals & Benefits
• Unit 4: Stretching - Examples
• Class 1 Quiz

2-Exercises to Enhance Proprioception

• Unit 1: The Science of Proprioception
• Unit 2: Proprioceptive Training
• Class 2 Quiz

3-Assessing Treatment Outcomes

• Unit 1: Measuring Outcomes
• Unit 2: Static Weight & Gait
• Unit 3: Muscle Girth
• Unit 4: Joint Function & Goniometry
• Class 3 Quiz

4-Aquatic Exercises

• Unit 1: Benefits & Guidelines
• Unit 2: Physical Properties of Water
• Unit 3: Equipment
• Unit 4: Getting the Dog in the Water
• Unit 5: Aquatic Kinematics
• Class 4 Quiz

5-Therapeutic Exercises

• Unit 1: Goals & Benefits of Therapeutic Exercises
• Unit 2: Standing & Walking Exercises
• Unit 3: Treadmill Exercises
• Unit 4: Other Active Exercises
• Unit 5: Weights and Carts
• Class 5 Quiz

6-Joint Mobilizations & End-feels

• Unit 1: Indications for Joint Mobilization
• Unit 2: Evaluation & End-feels
• Class 6 Quiz

7-Basic Science of Physical Therapy Anatomy & Biomechanics

• Unit 1: Basics of Biomechanics
• Unit 2: Joint Motion
• Unit 3: Muscle Biomechanics
• Unit 4: Biomechanics of Exercise Modification
• Unit 4: Biomechanics of Exercise Modification
• Unit 5: Gait Biomechanics
• Unit 6: Kinematic Gait Evaluation
• Class 7 Quiz

8-Kinematics of Selected Therapeutic Exercises in Dogs

• Unit 1: Ground vs. Treadmill Walking
• Unit 2: Stairs & Inclines
• Unit 3: Dancing & Wheelbarrowing
• Unit 4: Cavaletti Rails
• Unit 5: Sit to Stand and Jumping
• Class 8 Quiz

9-Exercise Physiology & Conditioning

• Unit 1: Muscle Physiology
• Unit 2: Training & Conditioning
• Unit 3: Respiration
• Unit 4: Cardiovascular Changes
• Unit 5: Hematologic & Biochemical Changes
• Unit 6: Exercise & Nutrition/Diet/Aging/Temperature
• Class 9 Quiz

10-Prostheses & Bracing
Clinical Use of Socket Prostheses in Companion Animals

• Unit 1: Introduction & Prerequisites
• Unit 2: Device Options & Features
• Unit 3: Types of Orthoses & Prostheses
• Unit 4: Fabrication
• Unit 5: Fitting
• Unit 6: Troubleshooting, Training, and Management
• Bracing Insights
• Class 10 Quiz

Reference Articles
Test Canine III

Seminar Contact Hours: 11.0

Course meets the requirements for hours of continuing education in jurisdictions which recognize AAVSB RACE approval; however, participants should be aware that some boards have limitations on the numbers of hours accepted in certain categories and/or restrictions on certain methods of delivery of continuing education

Day 1

• Introduction
• Orthopedic examination
• Neurologic examination
• Gait analysis

Day 2

• Heat and cold therapy
• Laser therapy
• TENS/E-Stim
• Shockwave therapy
• Goniometric assessment
• Muscle girth assessment
• PROM
• Endfeels
• Outcome assessment

Day 3

• Active therapeutic exercises,
• Strengthening
• Stretching
• Massage
• Aquatic exercises
• Proprioceptive exercises
• Introduction and examination of patient incl. treatment plan
• Presentation of case and solution

Day 4

• Bring it all together - Interactive case work up in small groups

Day 5

• Presenting homework
• Discussion
• Next steps to become a CCRP

Contact hours: 40.0

Module Description:
This module addresses the basics of osteoarthritis. In order to appreciate the pathophysiology of osteoarthritis we need to understand the importance of normal cartilage structure and function as well as looking at the joint as an organ. We are not going to treat just the articular cartilage; we are going to treat the entire joint. Having a thorough comprehension of the pathophysiology of osteoarthritis will help us understand the efficacy of the different treatments options.

Module IA: Normal Cartilage Structure & Function

• 1A - Unit 1: Introduction
• 1A - Unit 2: Chondrocytes
• 1A - Unit 3: Extracellular Matrix
• 1A - Unit 4: Cartilage Loading and Recovery
• 1A: Quiz

Module IB: Pathophysiology of Osteoarthritis

• 1B - Unit 1: What is Osteoarthritis?
• 1B - Unit 2: Breakdown of Articular Cartilage
• 1B - Unit 3: Progression of Osteoarthritis
• 1B - Unit 4: Proteoglycan & Cytokines
• 1B - Unit 5: Additional Pathogenesis Considerations
• 1B: Quiz

Module IC: Common Conditions Leading to OA

• 1C - Unit 1: Acquired Conditions: Fractures
• 1C - Unit 2: Acquired Conditions: Joint Luxations
• 1C - Unit 3: Additional Acquired Conditions
• 1C - Unit 4: Developmental Conditions: OCD & Hip Dysplasia
• 1C - Unit 5: Developmental Conditions: Elbow Dysplasia
• 1C: Quiz

OA Module II: Assessment & Diagnosis of the Arthritic Patient

Module Description: 
Early identification of osteoarthritis is key to providing the best long-term care for patients in order to modify the progression of the disease. Unfortunately, the vast majority of patients are not properly identified until they have end-stage osteoarthritis. In this module, you will expand your knowledge on how to assess and diagnose arthritis. You will receive tips on how to take patient histories. You will also identify clues that indicate a patient is suffering from this disease, including how to perform a thorough gait evaluation. We will also discuss how to determine if a treatment is having a beneficial effect by identifying and measuring outcomes.

Module IIA: History and Gait Evaluation of the Arthritic Patient

• 2A - Unit 1: Early Identification - History
• 2A - Unit 2: Clinical Signs
• 2A - Unit 3: Gait Evaluation
• 2A - Unit 4: Kinematic Gait Analysis
• 2A - Unit 5: Which is the Lame Limb?
• 2A: Quiz

Module IIB: Physical Examination & Diagnostics of the Arthritic Patient

• 2B - Unit 1: Orthopedic Evaluation
• 2B - Unit 2: Hip and Elbow Evaluation
• 2B - Unit 2: Hip and Elbow Evaluation
• 2B: Quiz

Module IIC: Assessing OA

• 2C - Unit 1: Measuring Outcomes
• 2C - Unit 2: Lameness Evaluation & Muscle Girth Measurements
• 2C - Unit 3: Joint Function & Pain Assessment
• 2C: Quiz

OA Module III: Medical Management of Osteoarthritis

Module 3A: Nonsteroidal Anti-inflammatory Medications to Treat OA

• 3A - Unit 1: Inflammatory Pathway
• 3A - Unit 2: Cyclooxygenase (COX1 & COX2)
• 3A - Unit 3: General Considerations in the Use of NSAIDs in OA
• 3A - Unit 4: Adverse Events of NSAIDs
• 3A - Unit 5: Changing NSAIDs and Other Considerations
• 3A - Unit 6: Deramaxx® (Deracoxib)
• 3A - Unit 7: Previcox® (Firocoxib), Rimadyl® / N...
• 3A - Unit 8: Metacam® (Meloxicam), Zubrin® (Tepoxalin)
• 3A - Unit 9: Aspirin
• 3A - Unit 10: Non-FDA Approved Drugs for Managing Osteoarthritis
• 3A - Unit 11: Comparison of Various NSAIDs for the Management of Stifle OA
• 3A - Unit 12: NSAIDs and GI Ulceration / Improving Safety
• 3A - Quiz

Module 3B: Disease Modifying OA Drugs

• 3B - Unit 1: Polysulfated Glycosaminoglycans
• 3B - Unit 2: Hyaluronic Acid, Polyglycan, & Doxycycline
• 3B - Quiz

Module 3C: Other Medications Useful for Managing OA Pain

• 3C - Unit 1: Opioids
• 3C - Unit 2: Opioid-Like Drugs and NMDA Receptor Antagonists
• 3C - Unit 3: Tricyclic Antidepressants and Steroids
• 3C - Quiz

OA Module IV: Nutritional Management of Osteoarthritis
Module Description:
This module covers the nutritional management of osteoarthritis, not only weight control in the obese patient, but the role of omega-3 fatty acids and the evidence surrounding them. We will also discuss other nutritional supplements and their efficacy.

Module IVA: Nutritional Management of OA

• 4A - Unit 1: Obesity
• 4A - Unit 2: What is Obesity?
• 4A - Unit 3: Weight Control
• 4A - Unit 4: Diet Strategies for Dogs
• 4A: Quiz

Module IVB: Nutraceuticals in the Management of OA

• 4B - Unit 1: Introduction to Polyunsaturated Fatty...
• 4B - Unit 2: Omega-3 Ftty Acids
• 4B - Unit 3: Glucosamine & Chondroitin Sulfate - Part 1
• 4B - Unit 4: Glucosamine & Chondroitin Sulfate - Part 2
• 4B - Unit 5: Avocado Soybean Unsaponifiables & MSM
• 4B - Unit 6: SAMe & Hyperimmune Milk
• 4B: Quiz

OA Module V: Exercise and Manual Therapy of Patients with OA
Module Description:
This module will focus on how to use exercises and manual therapy to treat osteorarthritis. Manual therapy techniques are used to improve tissue extensability and range of motion, promote relaxation, modulate pain, and reduce inflammation.

Module VA: Range of Motion, Stretching, Massage, Joint Mobilization

• 5A - Unit 1: Introduction to Range of Motion and S...
• 5A - Unit 2: Range of Motion
• 5A - Unit 3: Stretching
• 5A - Unit 4: Massage
• 5A - Unit 5: Joint Mobilization
• 5A: Quiz

Module VB: Proprioceptive Exercises

• 5B - Unit 1: Introduction to Proprioception
• 5B - Unit 2: Proprioception Exercises
• 5B: Quiz

Module VC: Aquatic Exercises

• 5C - Unit 1: Introduction
• 5C - Unit 2: Equipment
• 5C - Unit 3: Aquatic Kinematics
• 5C: Quiz

OA Module VI: Physical Modalities to Treat Osteoarthritis
Module Description: 
As far as physical agents go, there are many tools at our disposal to treat the osteoarthritis, including: cryotherapy, low level lasers, extracorporeal shockwave treatment, transcutaneous electrical nerve stimulation, therapeutic ultrasound, pulsed electromagnetic fields, and static medical magnets. In this module we will discuss the use and efficacy of each one so you can determine how best to treat your patients.

Module VI A: Cryotherapy

• 6A - Unit 1: Chryotherapy Part 1
• 6A - Unit 2: Chryotherapy Part 2
• 6A - Unit 3: Superficial Heat in Osteoarthritis
• 6A - Demonstration: Cryotherapy
• 6A: Quiz

Module VI B: Low Level Laser Therapy for OA

• 6B - Unit 1: Principles
• 6B - Unit 2: Research
• 6B - Unit 3: Types of Lasers
• 6B - Unit 4: Effects of Low Level Laser Therapy on Arthritic Tissue
• 6B - Unit 5: Dosage & Application
• 6B - Demonstration: Low Level Laser Therapy
• 6B: Quiz

Module VI C: Extracorporeal Shockwave Therapy

• 6C - Unit 1: Introduction
• 6C - Unit 2: Research
• 6C - Unit 3: Effect of ESWT on Elbow OA
• 6C - Demonstration: Extracorporeal Shockwave Therapy
• 6C: Quiz

Module VI D: Transcutaneous Electrical Nerve Stimulation (TENS)

• 6D - Unit 1: Introduction
• 6D - Unit 2: Evidence for TENS
• 6D - Demonstration: TENS
• 6D: Quiz

Module VIE: Therapeutic Ultrasound

• 6E - Unit 1: Therapeutic Ultrasound
• 6E - Demonstration: Therapeutic Ultrasound
• 6E: Quiz

Module VIF: Pulsed Electromagnetic Fields & Static Magnets

• 6F - Unit 1: Pulsed Electromagnetic Fields
• 6F - Unit 2: Static Magnets
• 6F: Quiz

Demonstrations

• Demonstration: Treadmill
• Demonstration: Cryotherapy
• Demonstration: Low Level Laser
• Demonstration: Shockwave Therapy
• Demonstration: TENS
• Demonstration: Therapeutic Ultrasound

OA Module VII: Other Treatments for Osteoarthritis
Module Description:
In the final module of the course, we will be discussing additional treatments for osteoarthritis that may not fit in the categories already discussed. We will cover surgical treatments, other medical treatments, stem-cell therapy, and acupuncture. We will also look ahead at potential treatments that may prove to be effective in the future.

Module VIIA: Surgical Treatments for OA

• Unit 1: Elbow Surgery - Part 1
• Unit 2: Elbow Surgery - Part 2
• Unit 3: Shoulder & Carpal Surgery
• Unit 4: Hip Surgery
• Unit 5: Stifle Surgery
• Unit 6: Tarsus & Digit Surgery
• 7A: Quiz

Module VII B: Additional Treatments for OA

• Unit 1: IRAP / Prolotherapy / Bisphosphonates
• Unit 2: Botulinum Toxin
• Unit 3: Herbal Treatments for OA - Part 1
• Unit 4: Herbal Treatments for OA - Part 2
• Unit 5: Stem Cell Therapy
• Unit 6: Role of the Environment
• 7B - Quiz

Module VII C: Acupuncture

• Unit 1: Acupuncture - What is the Point?
• Unit 2: Neurophysiology of Acupuncture
• Unit 3: Pain Relief
• Unit 4: Shu Points
• Unit 5: Mu Points
• Unit 6: Bladder Meridian
• Unit 7: Additional Meridians
• Unit 8: Acupuncture Application
• Unit 9: Summary
• Case Study: Jake
• 7C - Quiz

Module VII D: Future Treatments

• Future Treatments for Osteoarthritis
• 7D - Quiz

Contact Hours: 20h

• 40 hours of observation (externship)
• and five required case studies.

The guidelines for this course are given to each individual. Canine I through IV must be completed prior to beginning this course. Observation hours completed prior to registration or without site approval may not be used to fulfill course requirements. Case studies begun before the pre-requisite is met may not be used to fulfill course requirements.

Case Studies must be submitted for the following areas:

• Orthopedic - two cases
• Neurological - two cases
• Additional case of the participant's choosing - one case

Case study format will be provided and has to be used.

Exam

• Part 1: 150 MC questions
• Part 2: practical part
• Part 3: presentation of 1 own case

Prerequisites: 
All previous steps (Canine I-VI) need to be completed prior to applying for the exam.
You need to apply for your individual time slots whenever you are ready for it. This is not affected by the fact, that you have bought the exams with this bundle.

The 5 cases need to arrive ideally 8 weeks prior to your selected date/location to allow feedback on it before your exams. They are part of the exams . Evaluation of the cases will result in either “passed” = allowance to take the exams, or "failed": new cases need to be submitted.

The case study format is provided during the CCRP course, is made available on your VAHL LMS platform  to be downloaded.

Duration: 1 day

Language: English

We recommend to book transfer and accommodation after having received the positive response "passed". Please also make sure to have a travel (cancellation) insurance.

The certificate program in canine rehabilitation offers a series of postgraduate courses for veterinarians, physical therapists and veterinary technicians. After successful completion of all the online, e-learning and practical courses and after successfully passing the examination, participations will receive the title “Certified Canine Rehabilitation Practitioner”.

It's time to become a Certified Canine Rehabilitation Practitioner!