Friday, April 11
Gait Training for Patients With Stroke
According to the American Heart Association’s 2007 report on Heart Disease and Stroke Statistics, each year about 700,000 people experience a new or recurrent stroke. If rehabilitation is a viable option for stroke survivors, then therapists must be able to provide patient focused care in acute care, subacute & inpatient rehab, day rehab, outpatient, and home health. Research indicates that during inpatient rehabilitation “The largest percentage of time in physical therapy sessions was spent on gait activities” (Jette, 2005). However, not every patient will be able to receive inpatient rehabilitation. This one-day program is designed to provide participants from a wide variety of practice settings with current best-practice information and skills to improve gait in the patient with neurological impairment as a result of stroke. Abnormal gait patterns will be reviewed. Therapeutic interventions will address primarily the trunk and lower extremity transitioning from sitting to completing one gait cycle. Specific treatment interventions that can be used across the continuum of care to alleviate antalgic gait patterns will be discussed and demonstrated via media and therapist interaction for practical application to persons recovering from stroke.
At the conclusion of this program the participants will earn 7 CE credits and be able to:
· Explain the causes of abnormal movement displayed during hemiplegic gait.
·
Demonstrate
hand placement for inhibiting or facilitating muscle activity during
sit <-> stand; and the swing & stance
phases of gait.
· Develop treatment interventions to alleviate gait abnormalities.
· Utilize electrical stimulation to facilitate neuromotor control during gait.
About the Speaker
Jennifaye V. Greene, PT, MS, NCS is a graduate of the University of Miami (Florida) with a Master of Science degree in Physical Therapy. She has completed seven NDT courses beyond the Neuro-Developmental Training Three Week Adult Hemiplegia Course, in addition to Beverly Cusick’s “Casts & Splints”. Ms. Green has 18 years of clinical experience focused in neuro-rehabilitation, which includes gait analysis and training; ankle foot orthosis design to improve gait; splinting/casting of the lower extremity for the neurologic patient; and neuro-developmental treatment (NDT). She has presented numerous continuing education courses on adult neurologic assessment and treatment intervention for brain injury and stroke. Ms. Greene is board certified as a clinical specialist in neurology by the American Board of Physical Therapy Specialties (ABPTS), and was appointed to the Specialization Academy of Content Experts to serve a two-year term which included writing and editing items for the neurology specialist certification examination. She is a member of the APTA and is currently serving as Membership Chair of the South Carolina Chapter. She is also a member of the APTA Neurology Section, the Physical Therapy Association of Georgia, and the Neuro-Developmental Treatment Association.
Instructional Level: Intermediate
Target Audience: PT &
PTA
Friday, April 11 & Saturday, April 12
Two-day registration required to attend this program
Examination and Intervention of the Brachial Plexopathy Patient:
Practical and Evidence-Based Approach
Therapists commonly encounter patients with confusing diffuse upper extremity symptoms that do not fit in typical radicular or peripheral nerve injury presentation models. These patients are challenging to manage, as they are often made worse with treatment. This 2-day program covers how to diagnose and treat impairments associated with mild to moderate brachial plexopathies using the best available evidence in scientific literature, along with sound anatomical and physiological concepts. Participants will learn hands-on examination and intervention skills that can be immediately implemented in the clinic.
At the conclusion of this two-day program the participants will earn 11 CE credits and be able to:
· Perform a comprehensive evaluation of the brachial plexus, and establish treatment strategies and goals
· Perform a comprehensive evaluation of the brachial plexus, and establish treatment strategies and goals for the first treatment.
· Identify the signs and symptoms that a brachial plexopathy is present.
· Differentiate between neural and non-neural structures as a possible symptom generator.
· Differentiate a plexus lesion vs. a cervical radiculopathy or a distal peripheral nerve entrapment i.e. cubital tunnel, carpal tunnel etc.
· Localize the site of lesion within the brachial plexus based on the patient’s signs and symptoms.
· Recognize the basic signs and symptoms of Reflex Sympathetic Dystrophy of the upper extremity.
· Describe how movement affects nerve healing and explain the etiology of nerve injury.
· Understand the basic concepts of the EMG and how its findings relate to brachial plexopathies.
· Understand how to selectively apply tension to the brachial plexus and major peripheral nerves of the upper extremity.
· Document findings of plexus mobility and track progress objectively.
· Apply basic treatment including exercises, manual techniques, and home exercise/ADL modification.
This 2-day program will consist of lecture and hands-on laboratory experiences during both days.
LAB ATTIRE REQUIRED: please wear clothing appropriate of upper quadrant examination on both days and bring an exercise mat.
About the Speaker
Mark W. Butler, PT, MPT, OCS, Cert. MDT graduated from the Philadelphia College of Pharmacy and Science (now the University of Science in Philadelphia). He started his own practice eighteen months after graduation, which he sold to NovaCare in 1997. He continues to manage the NovaCare Medford outpatient clinic, where the majority of his patient caseload pertains to brachial plexopathy, shoulder, and spine. He is also an Adjunct Faculty member at Rutgers UMDNJ and guest lecturer at The Richard Stockton College of New Jersey where he lectures on Advanced Orthopedics, Neural Mobilization, Radiology, Evaluation and Treatment of the SI Joint, and Evaluation and Manual Treatment of the Cervical Spine. Mr Butler is also a continuing education speaker on evaluation and treatment of brachial plexopathies, neural mobilization, evidence based evaluation and treatment of the shoulder, and evidence based examination and intervention strategies for patients with low back pain. In 2006 he received the APTAnj James Tucker Excellence in Clinical Practice and Teaching Award. Mr Butler presented at the national conference of the American Society of Hand Therapists on Evaluation and Treatment of the Brachial Plexopathy Patient where his lecture series was selected as the featured topic on CD ROM to be available to the ASHT membership. Mr Butler authored the chapter on the shoulder in the textbook Fundamentals of Hand Therapy: Clinical Reasoning and Treatment Guidelines for Common Diagnoses of the Upper Extremity, which was published in 2006.
Instructional Level: Intermediate
Target Audience: PT & PTA
Friday, April 11
Yoga as an Adjunct to the Treatment and Education of Children with Autism
Many children today are finding relief from life’s stressors in yoga class. Under the guidance of a trained instructor, children with autism can benefit from yoga as much as their typically developing peers. Children with autism can derive musculoskeletal, neuromotor & sensory benefits, improve their postural control & balance, gain improved ability to self-calm and learn social skills in a small, safe environment, while having fun.
In this program participants will learn about the musculoskeletal, postural control, respiratory and sensory impairments commonly seen in children with autism, and the benefits of incorporating yoga into of this population of children. This speaker will demonstrate how to teach children with autism to coordinate breathing with movement, and how to combine the postures with specific music to change arousal levels, increase attention, improve sensory integration and allow children to explore movements within the range of their specific abilities.
Through the use of lecture, live and videotaped demonstration, and lab work, the workshop will address the following: rationale for PT treatment of Autistic children, the benefits of yoga for children with Autism, and using yoga to improve muscle strength and endurance, sensory regulation, modulation and attention, and respiratory control and coordination.
At the conclusion of this program the participants will earn 7 CE credits and be able to:
· Discuss the literature regarding postural control in children with autism.
· Identify common impairments in the musculoskeletal, neuromotor, respiratory and sensory systems in children with autism.
· Describe the interdependence of the postural and respiratory systems.
· Apply appropriate ventilatory strategies with movements to optimize breath support for children with autism.
· Teach basic ventilatory strategies to children with autism, using multi-modal teaching methods(verbal/auditory cues, visual cues, tactile cues, demonstration).
· Identify the basic classes of yoga postures and the discuss the benefits of these classes on the different systems of the body.
· Demonstrate the ability to perform 2 basic yoga postures from each class of postures.
REQUIRED LAB ATTIRE: Wear loose comfortable clothing and bring an exercise mat.
About the Speaker
Patricia West-Low, PT, MA, DPT graduated Magna cum Laude from the University of Scranton with a Bachelor of Science in Physical Therapy and most recently earned a Post Professional Doctorate in Physical Therapy from Seton Hall University in 2005. Dr. West-Low has been New Jersey School Certified since 1994. She is currently a Senior Physical Therapist with Children’s Specialized Hospital in Toms River and is Director of their “Kid’s Yoga Program”. She has been a guest lecturer for Hunter College’s DPT program presenting “PT Treatment of Children with Autism” and an Adjunct faculty member of The Richard Stockton College of New Jersey’s Physical therapy Program. She is also a Teaching Assistant to Mary Massery, PT, DPT, author for the “If You Can’t Breathe, You Can’t Function” program. This past August she presented “It Takes a Village: Multidisciplinary Treatment of Children with Autism” at the American Psychological Association Annual Conference in San Francisco, CA.
Instructional Level: Intermediate
Target Audience: PT & PTA
Friday, April 11 morning session
Function-based Physical Therapy Clinical Documentation:
Alternatives to the S.O.A.P. Format of Charting
“S.O.A.P.” – Subjective findings, objective findings, assessment and plan – is the basis of a problem-oriented clinical documentation system that is undergoing enhanced scrutiny by payers. The common assessment phrase “tolerates treatment well” does not accurately communicate to the payer about the patient’s functional progress! This program will challenge participants to modify their current clinical documentation methodologies to assure that “the patient’s story” is being told in a cohesive and objective manner.
This half-day continuing education program will introduce alternative documentation models that are consistent with the World Health Organization’s International Classification of Functioning, Disability & Health (ICF) framework, and can be used for staff and case manager education/training. Participants will review examples of both poor and exemplary documentation during this highly interactive program, and are also encouraged to submit in advance samples* of their clinical documentation for constructive review provided that records are sterilized, i.e., HIPAA compliant. *Maximum 5 pages to be submitted no later than April 4th.
At the conclusion of this program, the participant will earn 3 CE credits and be able to:
· Understand the components associated with the WHO ICF framework;
· Recognize poor documentation that may lead to unnecessary risk management, legal, licensure and reimbursement challenges;
· Produce “payer-friendly” clinical documentation;
· Gain a greater understanding of how “medical necessity” is determined by the payer community.
About the Speaker
David W. Clifton, Jr., PT established one of the nation’s first Utilization/Peer Review Organizations in 1982 specializing in physical therapy and rehabilitation claims. During the past twenty-six years he has personally reviewed and/or supervised the review of well over 225,000 cases spanning virtually every insurance line and treatment setting. He continues to conduct peer reviews for a number of insurance companies, self-funded employers and law firms. His textbook, Physical Rehabilitation’s Role in Disability Management (2004;Phila: W.B. Saunders/Elsevier) includes chapters covering disablement models, peer review, risk management and reimbursement issues. Mr. Clifton has testified in over 200 legal venues ranging from deposition to federal court. Most clinical documentation seminars, workshops and programs emanate from the “clinician’s” point of view. Mr. Clifton will share his vision from a provider, payer and legal expert perspective.
Instructional Level: All
Target Audience: PT & PTA
Friday, April 11 afternoon session & repeated Saturday, April 12
Ethics & New Jersey Jurisprudence
From the New Jersey State Board of Physical Therapy Examiners, Public Session Minutes, September 25, 2007 –– “Beginning February 1, 2008, New Jersey licensed physical therapists and physical therapist assistants must complete a 2 hour course in jurisprudence concerning the New Jersey Physical Therapy Practice Act and a 2 hour course in ethics as part of the required thirty credit hours of continuing education. The Board clarified that the course may be taken separately or in a combined 4 hour course.”
This half-day program includes the required physical therapy ethics and New Jersey Jurisprudence to satisfy this obligation. The portion on ethics will emphasize scenario discussion and case resolution utilizing an ethical decision making framework. Participants will discuss cases and incorporate ethical decision making models with clinical decision making. Case scenarios will be presented covering real issues that confront physical therapy professionals. The second portion of the course will discuss New Jersey Jurisprudence. In addition to presenting the new and most often questioned rules & regulations there will be time for questions to clarify how the Board of Physical Therapy Examiners interprets the rules & regulations in New Jersey.
At the conclusion of this program the participants will earn 4 CE credits and be able to:
· Apply the principles of ethical decision making to an ethical situation presented.
· Determine the realm, individual process, and ethical situation in a problem presented.
· Distinguish between the approaches to ethical decision making.
· Develop a response to an ethical situation utilizing an ethical decision making model.
· Identify the new rules & regulations governing PT practice in New Jersey.
· Apply the rules & regulations to situations presented.
· Differentiate between the statute and the rules & regulations governing practice in New Jersey.
About the Speaker
Nancy R. Kirsch, PT, DPT, PhD is an Associate Professor of Physical Therapy, an advisor in the Transitional DPT program, and Chairperson of the entry level Admissions Committee at UMDNJ/SHRP in Newark. She has her own private practice in Flanders, NJ. She also serves as the Chairperson for the NJ State Board of Physical Therapy Examiners, Division of Consumer Affairs. Dr. Kirsch has won numerous awards for her professional excellence, the most recent being: Master Educator Guild, UMDNJ (2006), and The APTA Lucy Blair Service Award (2006). Nationally, Dr. Kirsch serves on the APTA Ethics and Judicial Committee and is the chairperson elect. She is on the task force to revise the core ethics documents of the APTA. She recently presented at the APTA Combined Section Meeting in Nashville on risk management strategies and has been accepted to present Generational Ethics, Bridging the Gap and Managing Risk through Ethical Decision Making at the APTA 2008 Annual Conference in San Antonio. She writes a monthly column in PT – Magazine of Physical Therapy called Ethics in Action.
Instructional Level: Intermediate
Target Audience: PT & PTA
Saturday,
April 12
Integrating Evidence Based Practice into Pediatric Services
This course is an introduction to the 5 steps of Evidence Based Practice (EBP). Participants will have opportunities to practice selected skills including development of an answerable question, evaluation of literature searching strategies, and analysis of literature according to purpose and levels of evidence. An overview of the types of evidence and sources for finding evidence is provided, as well as suggestions for integration of EBP into clinical teaching and professional development. While the presentation will focus on Pediatric examples and literature, this introduction is applicable to all clinical specialties.
At the conclusion of this program the participants will earn 4 CE credits and be able to:
· Identify the 5 steps of evidence-based practice.
· Create and analyze examples of questions and search strategies on pediatric topics.
· Apply knowledge of research purpose and levels of evidence to interpret graded recommendations on pediatric topics.
· Differentiate among types of evidence, including systematic reviews, meta analyses, journal articles, CATs, guidelines and original data.
· Describe methods of integrating EBP processes into clinical service, student supervision, and professional development.
About the Speaker
Sandra L. Kaplan, PT, PhD is an Associate Professor in the Physical Therapy Program, UMDNJ Newark, Director of the Post-Professional DPT and Co-administrator of the Newark Therapy Services Faculty Practice, which provides school-based PT/OT services in Northern NJ and is an active member in the UMDNJ Stuart D. Cook M.D. Master Educators’ Guild. Dr. Kaplan’s academic and research interests are in pediatric rehabilitation and clinical outcome measures. She teaches in the UMDNJ professional DPT, post-professional DPT, and PhD programs, provides training and consultation to the Newark Therapy Services on providing school-based services, and is currently co-leading a work group on Pediatric Outcome measurement for the APTA Pediatric Section.
Dr. Kaplan has lectured frequently on the development of clinical outcome measures, evidence-based practice, and is the author of a book, “Outcome Measurement and Management in Physical Therapy; First Steps for the Practicing Clinician” (2007, F.A. Davis). She was on the task force to review outcome measures for the APTA Guide to Physical Therapist Practice, participated on the Neurology Section task force on Integrating Theory into Practice, and co-edited the Oct. 2000 Neurology Report’s special edition on Quality of Life.
Dr. Kaplan serves as an educational consultant to university programs, is a CAPTE on-site evaluator), and is a repeat invited speaker on EBP for the Pediatric Section’s Advanced Clinical Practice course.
Instructional Level: Basic/Intermediate
Target Audience: PT &
PTA
Saturday, April 12
Is
It the Pelvic Floor?
A Workshop for Orthopedic Physical Therapists
This half-day workshop will address common subjective and musculoskeletal findings in women with lumbar and hip pain that suggest involvement of the pelvic floor. The structure and function of the pelvis and pelvic floor will be reviewed. Screening tools, special tests, treatment, and outcome measures based on the latest evidence and clinical expertise will be presented. Plan of care will emphasize treatments within the scope of practice of orthopedic physical therapists as well as recognizing when a referral to a specialist in women’s health for internal pelvic assessment and treatment is necessary. There will be hands-on practice, clinical cases, and an opportunity for Q&A and discussion. Participants are encouraged to bring one or two clinical cases of their own that have been sanitized to be HIPAA compliant. These cases should involve women who have lumbar and / or hip pain that has not responded to traditional physical therapy approaches.
At the conclusion of this program the participants will earn 4 CE credits and be able to:
· Describe the structure and function of the pelvis and the pelvic floor in women.
· Explain the impact of pelvic dysfunction on the lumbar spine and hip.
· Demonstrate examination techniques and special tests to identify involvement of the pelvis and pelvic floor in women with lumbar and / or hip pain.
· Design a treatment plan that addresses musculoskeletal findings associated with pelvic pain.
· Evaluate the effectiveness of physical therapy interventions using outcome measures.
· Determine when patients require referral to a specialist in women’s health physical therapy.
About the Speakers
J. Adrienne McAuley, PT, MEd, OCS, FAAOMPT received her Bachelor of Science degree in Physical Therapy from the University of Vermont, and her Masters degree in Education & Human Development from George Washington University (DC). She is an Assistant Professor in the Physical Therapy program at Touro College (NY) and practices with Pamela Morrison as a specialist in manual orthopedic physical therapy. In 2002 Ms. McAuley received certification from the McKenzie Institute for Mechanical Diagnosis and Treatment of the Spine, and Certificate in Manual Therapy from The Manual Therapy Institute in 2005. Ms. McAuley is an APTA member and belongs to the Education Section, Orthopedic Section and Women’s Health Section, as well as the International Pelvic Pain Society, National Vulvodynia Association – where she is an Executive Board Member – and the American Academy of Orthopedic Manual Physical Therapists. She is a reviewer for the Journal of the APTA Women’s Health Section and an Item Writer for the Women’s Health Specialty Examination.
Pamela Morrison, PT, MS, DPT, BCIA-PMDB, IMTC received her Advanced Masters in Orthopedic Physical Therapy and Doctorate in Physical Therapy from Touro College (New York). In 2004 the Biofeedback Certification Institute of American (BCIA-PMDB) certified her in Pelvic Muscle Dysfunction Biofeedback. She is now owner of an outpatient practice in New York City that specializes in orthopedic manual physical therapy with a subspecialty in women’s and men’s health and pelvic pain. Dr. Morrison is an APTA member and belongs to both the Women’s Health Section and Education Section. She is also a member of several other healthcare organizations including, but not limited to the International Organization of Physical Therapists in Women’s Health, the Integrative Manual Therapy Association, the Association of Urogynecology Society, the International Pelvic Pain Society, and the National Vulvodynia Association.
Instructional Level: Basic/Intermediate
Target Audience: PT
Saturday, April 12
What To Do With The Hemiplegic Arm During Gait
Though the hemiplegic arm is not needed to walk, its residual impairment in chronic hemiplegia accounts for continued rehabilitation intervention. The arm is an extension of the trunk through the shoulder girdle components, i.e., the scapula and clavicle. Little attention and effort is expended on the hemiplegic arm because of the push to teach compensatory strategies that utilize the less affected arm due to shorter lengths of stay in order to optimize functional independence prior to discharge. This program will address arm movement during gait and strategies to enhance performance during functional activities while ambulating. Treatment ideas incorporating pre-gait & gait activities will be demonstrated. Evidence based practice models for bi-manual upper extremity tasks, taping, and electrical stimulation will be discussed as rehabilitation interventions.
At the conclusion of this program the participants will earn 4 CE credits and be able to:
· Explain upper extremity kinesiology during the phases of gait.
· Demonstrate activities that promote normal movement of the hemiplegic arm movement via weight bearing & non-weight bearing techniques.
· Describe adjunctive therapies utilized in the treatment of the hemiplegic arm.
· Develop treatment interventions for the hemiplegic arm.
About the Speaker
Jennifaye V. Greene, PT, MS, NCS is a graduate of the University of Miami (Florida) with a Master of Science degree in Physical Therapy. She has completed seven NDT courses beyond the Neuro-Developmental Training Three Week Adult Hemiplegia Course, in addition to Beverly Cusick’s “Casts & Splints”. Ms. Green has 18 years of clinical experience focused in neuro-rehabilitation, which includes gait analysis and training; ankle foot orthosis design to improve gait; splinting/casting of the lower extremity for the neurologic patient; and neuro-developmental treatment (NDT). She has presented numerous continuing education courses on adult neurologic assessment and treatment intervention for brain injury and stroke. Ms. Greene is board certified as a clinical specialist in neurology by the American Board of Physical Therapy Specialties (ABPTS), and was appointed to the Specialization Academy of Content Experts to serve a two-year term which included writing and editing items for the neurology specialist certification examination. She is a member of the APTA and is currently serving as Membership Chair of the South Carolina Chapter. She is also a member of the APTA Neurology Section, the Physical Therapy Association of Georgia, and the Neuro-Developmental Treatment Association.
Instructional Level: Intermediate
Target Audience: PT & PTA