Dry Needling For FAI, Sports Hernia and Hip Labral Tears
Course Forms, Evaluation & Certificate
Name As You Want On Your Certificate (Please fill all the boxes)
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LICENSE NUMBER (S) & STATE(S) - (please fill in with your credentials)
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POST COURSE KNOWLEDGE TEST
Please click the correct answer - True/False
1. It is easy for a clinician to distinguish between FAI, Hip Labral Repair and/or Sports Hernia with a patient who presents with hip pain.
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True
False
2. Dry needling above the inguinal fold is typically considered safe and easy to perform.
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True
False
3. When dry needling the piriformis, stay out of the no go zone that is identified by bisecting the line between the greater trochanter and the sacrum.
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True
False
4. When dry needling the adductors, it is advisable to use a flat grip on the tissue.
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True
False
5. When dry needling for anterior hip pain, it is advisable to needle the iliacus, rectus femoris andTFL.
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True
False
6. When needling the gluteminimus, identify the greater trochanter and insert a needle above it.
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True
False
7. Dry needling the deep six muscles can help improve hip internal and external rotation.
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True
False
8. If needling the involved leg does not improve symptoms, it is advisable to look to the oppositelimb or even the shoulder.
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True
False
9. When needling for recovery, the goal is to bring attention to the area neurologically to promotehomeostasis and regeneration of local tissues.
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True
False
10. Needling the plantar fascia is not comfortable, so it is advisable to only perform if other treatment options have been ineffective.
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True
False
EVALUATION FORM
Name Of The Instructor :
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Mitch Hauschildt
YOUR OVERALL SATISFACTION WITH THE COURSE (1 POOR, 5 EXCELLENT)?
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5
4
3
2
1
CONFIDENCE IN RECOMMENDING THIS COURSE TO OTHERS (1 POOR, 5 EXCELLENT)?
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5
4
3
2
1
THE INFORMATION RECEIVED WAS USEFUL AND BENEFICIAL
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STRONGLY AGREE
AGREE
DISAGREE
STRONGLY DISAGREE
THE PROGRAM MET THE STATED LEARNING OBJECTIVES
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STRONGLY AGREE
AGREE
DISAGREE
STRONGLY DISAGREE
THE PRESENTATION STYLE ENHANCED MY LEARNING EXPERIENCE
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STRONGLY AGREE
AGREE
DISAGREE
STRONGLY DISAGREE
THE PROGRAM FACULTY WAS RESPONSIVE TO QUESTIONS/COMMENTS
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STRONGLY AGREE
AGREE
DISAGREE
STRONGLY DISAGREE
THE EDUCATIONAL MATERIALS WERE USEFUL?
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STRONGLY AGREE
AGREE
DISAGREE
STRONGLY DISAGREE
THE LEARNING ASSESSMENT (TEST) WAS APPROPRIATE
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STRONGLY AGREE
AGREE
DISAGREE
STRONGLY DISAGREE
WHAT DID YO LIKE MOST ABOUT THIS PROGRAM?
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WHAT DID YO LIKE LEAST ABOUT THIS PROGRAM?
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DO YOU FEEL THERE WAS COMMERCIAL BIASE OR INFLUENCE IN THIS ACTIVITY?
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YES
NO
IF YES, PLEASE EXPLAIN
PLEASE RATE THE FOLLOWING COMPONENTS OF THIS PROGRAM
REGISTRATION PROCESS
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EXCELLENT
GOOD
FAIR
POOR
PROGRAM FACULTY
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EXCELLENT
GOOD
FAIR
POOR
WAS THE PROGRAM FACULTY KNOWLEDGEABLE REGARDING THE CONTENT OF THEIR PRESENTATION
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YES
NO
WAS THE PROGRAM FACULTY RELEVANT REGARDING THE CONTENT OF THEIR PRESENTATION
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YES
NO
WAS THE PROGRAM FACULTY EFFECTIVE WITH THE CONTENT OF THEIR PRESENTATION
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YES
NO
IF YOU ANSWERED NO TO ANY OF THE 3 QUESTIONS ABOVE PLEASE EXPLAIN
THE PRESENTATION MET MY EXPECTATIONS
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STRONGLY AGREE
AGREE
DISAGREE
STRONGLY DISAGREE
THE PROGRAM FACULTY STYLE WAS APPROPRIATE FOR THE MATERIAL PRESENTED
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STRONGLY AGREE
AGREE
DISAGREE
STRONGLY DISAGREE
THE PROGRAM FACULTY WAS RESPONSIVE TO QUESTIONS/COMMENTS
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STRONGLY AGREE
AGREE
DISAGREE
STRONGLY DISAGREE
THE PROGRAM MET MY OBJECTIVES
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STRONGLY AGREE
AGREE
DISAGREE
STRONGLY DISAGREE
THE INFORMATION RECEIVED WAS USEFUL AND BENEFICIAL
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STRONGLY AGREE
AGREE
DISAGREE
STRONGLY DISAGREE
GENERAL COMMENTS
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