Advance PT Jan 2014

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contentsVOL. 25 | NO. 1 | JANUARY 13, 2014

ADVANCE FOR PHYSICAL THERAPY & REHAB MEDICINE

COMING NEXT ISSUE!

Are you ready for the onset of the Affordable Care Act? A physical therapist and practice management expert takes you behind the headlines and instructs practice owners on how best to position themselves for the challenges of 2014.

FEATURED ARTICLES

COVER STORY

14 Better Lifting A primer on the biomechanics of a proper lift

— and why it’s important to keeping active

workers pain-free.

16 Supporting Young Muscles You’ve seen elastic therapeutic tape on profes-

sional athletes — but did you know it has a

role in the rehab of children with neurological

conditions?

19 Pilates and Respiratory Function Neuromuscular dysfunction can set off a cas-

cade of respiratory insufficiencies. Pilates and

foundation training can offset the effects.

5 Ad Index

6 Editorial

7 Management Focus: The Downside of ‘Big Data’

23 Education Opportunities

32 Classified Marketplace

33 Classified Employment Opportunities

COLUMNS & DEPARTMENTS

ON THE WEB www.advanceweb.com/pt

8��ONLINE EXTRAS

Our Best Content of 2013We’ve compiled our

top blogs, features and app reviews of 2013 all in one convenient place!

8��BLOGS & COLUMNS

A Different Kind of OrthoShe’s back! After a hiatus, our PTA blogger Allison Young

returns with a new focus, and a new life direction.

8��CONTESTS

ThanksPinning Winners AnnouncedIn November, ADVANCE asked you why you’re thankful for your career. You answered.

8��STUDENT & NEW GRAD CENTER

Using Social Media in the Job SearchMaximize your job search by meeting the decision-makers

where they are — online.

8��NEW! APP REVIEW

Pilates Interactive59 Pilates mat exercises, corresponding text, and the ability to customize your own workout.

10 The Power of Play At pediatric facilities such as Theraplay in suburban Philadelphia, PTs and OTs help children with mobility limitations have fun while exploring their world.(Photos by Kyle Kielinski)

Advance for Physical Therapy & Rehab Medicine®

is published bi-weekly on alternate Mondays by Merion Matters, 2900 Horizon Drive, Box 61556, King of Prussia, PA 19406-0956. ADVANCE was established March 1990 as a national newsmagazine. Its purpose is to provide in-depth coverage of news and employment opportunities to therapists in the nation. Subscriptions are free to all PTs, PTAs and senior students as well as to national PT schools & health care facilities employing PTs.

Postmaster: send address changes to ADVANCE for Physical Therapy & Rehab Medicine®, Merion Matters, Circulation, 2900 Horizon Drive, Box 61556, King of Prussia, PA 19406-0956. Contents are not to be reproduced or reprinted without permission of publisher. ©2014 Merion Matters. Our company publishes magazines and websites for audiologists, laboratory administrators, healthy aging professionals,

health executives, health information professionals, imaging and radiation oncology professionals, long-term care managers and professionals, medical laboratory professionals, respiratory care and sleep medicine professionals, nurses, occupational therapy practitioners, nurse practitioners and physician assistants, physical therapy and rehabilitation professionals, and speech-language pathologists.Advertising Policy: All advertisements sent to Merion Matters for publication must comply with all applicable laws and regulations. Recruitment ads that discriminate against applicants based on sex, age, race, religion, marital status or any other protected class will not be accepted for publication. The appearance of advertisements in ADVANCE Newsmagazines is not an endorsement of the advertiser or its products or services. Merion Matters does not investigate the claims made by advertisers and is not responsible for their claims.ADVANCE is a member of the National Association for Health Care Recruitment

®

Plea

se Recycle This Magazine

4 ADVANCE for Physical Therapy & Rehab Medicine

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SUPPORT THE COMPANIES THAT SUPPORT YOUR PROFESSION. The companies listed below support the physical therapy profession by placing advertisements in ADVANCE for Physical Therapy & Rehab Medicine. Their support keeps our publica-tion coming to you free of charge. Please contact these advertisers or visit their Web sites to learn more about their products or services.

Log on to www.advanceweb.com/pt Our searchable online Resource Directory allows you to receive detailed information about the companies and products listed below, as well as submit requests for free info.

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8If there’s one remark we at ADVANCE hear more often than any other — as we travel to confer-ences, talk with interview sources, and field hun-dreds of comments on

social media and via our website — it’s some variation of this: “I love ADVANCE, but some-where along the way I stopped getting it.”

Fortunately, it’s also one of the easiest com-ments to address. Just call 800-355-1088 and our friendly customer service reps will take care of the rest. The next issue of ADVANCE will arrive at your home or office free of charge.

It’s just as easy at www.advanceweb.com/pt — the “Subscribe” link is at the top right of the page, next to the thumbnail image of our most recent cover.

But however you subscribe or renew, do it now — while ADVANCE remains a free resource, postal regulations require that we hear from you at least once a year for us to continue delivering it to you.

And you don’t want to miss a single issue this year — we have cover stories planned on

the transition to the Affordable Care Act, new advances in pediatric spinal cord injury, and rehabbing elite basketball players. Webinars are forthcoming on stress management for PTs, licensure test preparation and improving patient compliance. Our all-inclusive CSM cov-erage (look for it next month on our website) is second to none.

In March we’ll be bringing you perhaps our most popular and anticipated offering — our comprehensive Salary Survey, the most detailed breakdown of PT and PTA salaries across job settings, geographic locales, experi-ence, degree and other variables. Don’t miss it.

All of this in addition to our regular lineup of app reviews, thought-provoking bloggers, top-name columnists, user-friendly interactive guides, profiles of PT dignitaries, our Practice of the Year Contest and more.

We’re hard at work here preparing all this cutting-edge content to present to you in the coming year. 2014 dawns as a new year of chal-lenge and possibility. Why not kick it off with a post-holiday gift to yourself? Give us a call.

—Jonathan BassettManaging Editor, ADVANCE

One More Resolution

EDITORIAL

HOW TO CONTACT USMerion Matters Advance for Physical Therapy and Rehab Medicine2900 Horizon Drive Box 61556 King of Prussia, PA 19406-0956(610) 278-1400www.advanceweb.comFor a FREE subscription: (800) 355-1088To order Article Reprints: (800) 355-5627, ext. 1484 To place a calendar, display or recruitment ad, or to contact the editorial department: (800) 355-5627

is published by Merion MattersPublishers of leading healthcare magazines since 1985

PUBLISHER/PRESIDENTAnn Wiest Kielinski

GENERAL MANAGER W.M. “Woody” Kielinski

EDITORIALEditor-Jonathan Bassett Managing Editor-Brian W. FerrieSenior Associate Editor-Danielle Bullen Editorial Consultants-Margaret E. Rinehart Ayres, PhD, PT, Jane M. Kepics, MS, PT, Susan Morrill Ramsey, MA, PT, Brad Thuringer, PTA, Linda JonesWeb Director-Jennifer Montone

DESIGNVice President, Director of Creative Services-Susan Basile Design Director-Walt Saylor Associate Art Director-Todd GoldfeldSenior Graphic Artist-Jason Steigleman

ADVERTISINGDirector of Marketing Services-Christina AllmerArt Director-Chris Wofford

EVENTSPublic Relations Director-Maria Senior Job Fair Manager-Laura Smith

ADMINISTRATION Vice President, Director of Human Resources-Jaci Nicely Circulation Manager-Maryann Kurkowski Billing Manager-Christine Marvel Subscriber Services Manager-Ruthanne GeorgeBrand Manager: Colin GrafMarketing Research Manager-Mike Connor

HEALTHCARE FACILITY ADVERTISINGFacilities Sales Director-Linda Quinlan Group Sales Managers-Amy Sherlock, Ryan Magee DISPLAY ADVERTISINGSales Manager-Todd BulaSenior Account Executives-Jeremy Murley, Nicole Anastasi Account Executive-Jackie George

EDUCATION ADVERTISINGEducation Sales and New Business Development Manager-Lisa HensiekSenior Account Executive-Christine Hudak

CUSTOM PROMOTIONS Sales Manager-Mike KerrMarketing Manager-John (J.R.) Ryan

Call: 800-355-1088 M-F 8am-6pm ET or visit advanceweb.com/PT


Iam a physical therapist, owner of private physical therapy practice, and owner of an EMR company. Lately, I’ve become a little concerned about big data being used negatively against healthcare professionals.

EMRs were designed to make our lives easier. They were the magic answer for the scary file cabinets full of manila folders with colorful stickers. The thought was that EMRs would give us back our desktop, removing all of those pesky discharge files in piles.

I have been a physical therapist for 16 years, and I clearly remem-ber the moment when I first thought electronic medical records could change my world. Over 14 years ago, I was an expert witness during a trial when I was asked to read faxed copies of my handwritten patient notes during my testimony…ouch! Although the trial went well, I was forever changed by the realization that computers can easily solve leg-ibility issues, and maybe a little more. Unfortunately, it’s the “more” that can be a double-edged sword.

How We Got HereLet’s take a quick step back, and look at the history of EMRs. First, we had word processing and transcription. The cost and resource investment of these systems was high. Therapists had to proof their notes before final copies could be sent out. Daily notes were typically handwritten, with flow sheets and forms. Even though at least 90% of billable services in typical physical therapy were daily encounters, therapists still were constantly denied services for legibility when notes were reviewed or audited.

Next came the auto-fill forms and Word templates. The shift began from staff transcribing to therapists creating their own notes. Auto-fill and tem-plates were fairly efficient and improved legibility; however, it was difficult to store and com-pare data.

Progress and discharge notes required lots of copying and pasting, but required less overall resources to complete. A mix of flow sheets, sometimes using Excel or pre-printed forms, could easily get the job done. Copying and faxing would be dependent on staff, and file folders with stickers were needed to track authorizations and plans of care.

Around 2005, the industry saw a significant change to EMRs and more integration with billing systems, and some actually became true integrated practice management and electronic medical records systems. We also saw new companies entering the market with different offerings that ultimately lowered the price, which was one of the largest barriers to change.

The final push to get the party started was the executive order by

Serious SolutionsLeveraging the power of ‘big data’ to drive change and validate PT services By Daniel Morrill, MPT

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President George W. Bush, seconded by the creation of the HITECH Act that put the world on notice. Healthcare in the United States was going electronic, without a true standard or a national medical record to coordinate care. We were building cars for roads that did not exist yet. EMR companies exploded in the healthcare industry, and the race for market

share was on. Today, there are endless EMR choices —

cloud or onsite, on a tablet, iPad, laptop, or smartphone. Features and benefits vary by system, which allows facilities to choose a soft-ware solution that will work well with their practice. It has never been a better time to look at all the options.

The Downside of ‘Big Data’Clearly, EMRs were designed to document the patient-provider interaction; however, because they are gathering large amounts of data, there could be much more potential. Healthcare pro-viders are not the only ones who have realized this. Enter “big data.”

Big data is a relatively new term in health-care. Physicist Lord Kelvin once wrote, “If you can’t measure it, you can’t improve it.” Though Kelvin probably wasn’t thinking of modern healthcare, the words certainly do have meaning today. Big data is about gather-ing information — as much as we can — and from as many sources as possible. EMRs and billing systems generate big data that can eas-ily tell compelling stories about healthcare.

This information is being used by providers, insurance companies, The Centers for Medi-care and Medicaid Services, and auditing companies for their own goals — whether it be improving healthcare, containing costs, or simply identifying areas of abuse. The jury may be out on whether this data will actu-ally improve healthcare; however, the trend is toward collection and analysis of big data to help shape healthcare reform.

Therapists and healthcare providers need to be vigilant and present, because we are cre-ating the data being used to determine the ultimate direction and efficacy of healthcare. We need to make sure the data truly rep-resents what we do, and how we promote wellness.

This initiative to gather data has also made it difficult for providers to keep up. Today, healthcare providers are being asked to do more to prove medical necessity, while at the same time seeing reimbursement decreasing and the cost of doing business increasing. Ther-apists are feeling the pressure from reform to find ways to adjust their business models.

This is also compounded by consumers struggling to understand the complexity and costs of healthcare changes. New reporting requirements, capped services, and data gath-ering are only beginning.

In September 2014, the shift to ICD-10 will be complete, and the data gathering will become more detailed, which will also add even more complexity. Utilizing a reputable EMR and practice management system can minimize the impact of changes by automat-ing many of the reporting, coding, and com-munication obligations.

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COVER STORY


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W hen Lisa Mackell, MPT, saw a strong need for a pediatric business that could service children from neonatal hospi-

tal discharge through school age, she decided to do something about it. In 1991, the pedi-atric physical therapist founded Theraplay Inc. in suburban Philadelphia, which incor-porates pediatric therapy services in a play environment.

Physical, occupational and speech thera-pists are employed at Theraplay in various settings, including homes, outpatient centers, and schools. Special education teachers are also employed for early intervention services.

“Regardless of where the child is receiving therapy or why the child needs therapy, a therapist works diligently to ensure that the therapy is provided in a fun and motivating environment,” explained Mackell.

All types of pediatric therapeutic needs are treated at Theraplay, from very subtle developmental delays to severely physically involved children. Therapists are experi-enced in treating newborn infants with bra-chial plexus injuries, premature infants with delays, children with autism, children with language issues, and children with mild-to-severe sports injuries.

To deliver the best and most comprehensive

care, therapists understand the importance of working closely with many professionals, said Erin Fitzsimmons, PT, DPT, physical therapy coordinator at Theraplay’s office in Horsham, Pa.

“At Theraplay, we treat our patients with a team approach and this carries over to include the disciplines of occupational therapy and speech therapy,” Fitzsimmons remarked.

“Many people feel that it’s as simple as ‘the PTs treat the lower extremities and the OTs treat the upper extremities,’ but it goes so much further than this.”

The PT/OT PartnershipFitzsimmons’ background in physical therapy began when she was a young patient receiv-ing treatment for sports injuries. She started with Theraplay as a PT student in June 2011, embarking on her final six-month clinical affiliation.

“After graduating from Arcadia Univer-sity in January 2012, I began working as a

full-time therapist in the Horsham office and have been there since,” she said.

At Theraplay, Fitzsimmons said physical therapists carry out hourly treatment sessions that are therapeutic yet fun for the patient. Beyond this, their role involves educating the patient and caregivers, participating in edu-cational opportunities and training, and mar-keting to educate nearby physicians, nurses, teachers and parents about various diagnoses and the benefit of physical therapy. PTs also communicate daily with other profession-als regarding the care of patients, including orthotists, physicians, and school personnel.

The majority of patients at Theraplay pres-ent with global limitations, so collaboration is key. PTs and OTs work together to pro-vide comprehensive care and bring differ-ent backgrounds to work on various goals. Fitzsimmons said this partnership benefits both the children who are treated as well as the therapists.

“There’s a lot of overlap between the two disciplines, and coming from different back-grounds it is beneficial to work together to learn from each other to provide the best care,” she shared.

In addition, it’s recommended that many children receive all three disciplines twice a week. However, when it’s appropriate for the patient, co-treatments are recommended. These co-treatments maximize therapeutic interventions within a session and allow for

COVER STORY

THE POWER OF PLAYFun meets function when treating children with mobility challengesBy Beth Puliti

Erin Fitzsimmons, PT, DPT, [left] works with young patient Tori Eccleston at Theraplay Inc. in Horsham, Pa. Therapy is weaved into fun activi-ties the child can relate to, and co-treatments with therapists such as Marianne Cramer, MS, OTR/L, [at right] bring different perspectives and backgrounds to the plan of care. “We make sure to take into consideration all aspects of the child’s life,” Fitzsimmons said.



the two therapists to work together to prob-lem solve or provide hands-on therapy.

“During a co-treat, the PT might address the child’s posture and sitting balance that are essential to complete fine-motor tasks that OTs are focusing on. Another example includes an OT addressing visual-perceptual limitations while the PT focuses on strength-ening muscles to work together to help

the child walk up and down stairs safely,” Fitzsimmons said.

At Theraplay, therapists are responsible for writing letters of medical necessity to obtain equipment being recommended.

“We will spend time discussing each dis-cipline’s goals and desired effects of the intended equipment and use this to draft our letter. In addition, we make sure to take into consideration all aspects of the child’s life, including home set-up, caregiver training and support, financial means, and daily routine,” Fitzsimmons said.

Pediatric Mobility LimitationsAt Theraplay, therapists treat mobility limi-tations in children from birth to 21 years old. However, the term “mobility issue” is broad and can range from a child who has difficulty keeping up with peers in school, to one who is learning to negotiate his environment with a wheelchair.

“Mobility is not limited to simply walking, and as PTs, our goal is to help children achieve

mobility in the most energy-efficient way,” said Fitzsimmons.

There are many causes of mobility limita-tions in children — congenital disorders such as cerebral palsy and spina bifida, hypotonia, generalized muscle weakness, decreased range of motion, chronic illnesses, infections, concus-sions, visual limitations, skeletal injury, pain due to conditions such as juvenile rheumatoid arthritis, as well as conditions involving the cardiac, pulmonary, gastrointestinal or nervous systems.

In Theraplay’s infant population, mobil-ity issues are most often due to prematurity, brachial plexus injury, hypotonia, torticollis or GI conditions such as reflux. These mobil-ity limitations include difficulty with transi-tional skills, rolling, crawling, or even moving symmetrically.

“For instance, a child with reflux may spend little time on his belly and become delayed in skills such as transitioning to quadruped and crawling,” said Fitzsimmons. “Another example is a baby with torticollis who develops

COVER STORY

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a preference for one side of his body due to asymmetry in strength, which carries over into atypical movement patterns. Later in life, we treat children with mobility issues due to cerebral palsy, toe-walking and muscle weakness.”

These limitations affect how children complete daily skills, as well as how they walk, run, jump and keep up with peers. Fitzsimmons gave an example of a 2-year-old girl with a rare birth disorder that has led to low muscle tone and muscle weakness, and has limited her ability to ambulate independently. Another example, she noted, is an 8-year-old boy who is struggling to navigate his environment in his new power wheelchair.

Toe-walking, a commonly treated diagnosis, may develop for vari-ous reasons, and affects a child’s visual, sensory and vestibular systems, which leads to difficulty keeping up with peers.

Most of the older children seen (aged 13-21) are referred following an injury or surgery that has affected their mobility. They receive therapy to get back to ambulating without assistive devices and returning to sports.

Prescribing ExercisesThe list of exercises recommended for children with mobility limitations is endless, Fitzsimmons said. However, prescribed exercises depend on the issue being addressed, and most involve stretching and strengthening. PTs also work on neuromuscular re-education and apply NDT principles to help facilitate movement.

“For babies born prematurely, I may give exercises to make sure they achieve the alignment and strength needed to move the same way a full-term, typically developing infant would,” Fitzsimmons added. “Some examples include a lot of prone play to allow for hip flexors to lengthen and appropriate lordosis to form, hands-to-feet to lengthen hamstrings and strengthen abdominals, encouraging transitions through side-sit to strengthen hip abductors, and a lot of cruising and squatting to develop eccentric strength of various muscles. All of these are essential to develop an energy-efficient, quality gait pattern.”

Children who demonstrate toe-walking are prescribed exercises including stretches for the gastroc and soleus muscles, active dorsiflex-ion with resistance to increase anterior tibialis strength, and posterior weight line training to re-train where their center of mass should lie.

Many children at Theraplay demonstrate generalized muscle weak-ness and/or low muscle tone, leading to delays in skills and difficulty with various movements.

“Exercises for these kids are provided to strengthen and improve endurance. Examples include weight shifts on a ball for core strength-ening, animal walks and creating obstacle courses,” said Fitzsimmons.

Children who are more involved, and are using or are in need of a mobility device, are given exercises such as practicing transfers with PTs or caregivers, strengthening lower extremities through bridging or sit-to-stands, and stretching to prevent contractures.

Fitzsimmons knew early on that she wanted her career to focus on children. Since starting at Theraplay in 2012, she has attended a variety of continuing education courses to further her knowledge, specifically in pediatrics.

“Physical therapy is an exciting field to be part of, especially in pedi-atrics, as I’m able to influence the lives of children and watch them grow and develop,” she said. n

Beth Puliti is a frequent contributor to ADVANCE.

COVER STORY

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T hose who are physically active at work are expected to lift objects, move items around, and rely on physical strength to accomplish their

tasks. The body is being stressed through move-ment. Constant forward bending and improper posture throughout the day amplify the chances of injury.

When repetitively bending forward, a com-pression force is applied to the front of the disk, which pushes the disk content towards the back of the spine onto a nerve. This is the same con-cept as sitting in a poor forward-flexed posture.

Shoulder blade squeezes, chin tucks, back-ward shoulder shrugs, and repeated back bends are just as important to perform in an active work setting as they are in the sedentary workplace. Learning key concepts in proper lifting technique as well as performing exercises that offset the constant bending and forward movements are essential for workers to protect themselves from injury.

If you were to pick a spot on your lower spine

and bend down using only your back, the force produced on the spine would be three times the force produced compared to bending with your knees. Proper lifting properly disperses that weight throughout the lower extremities, which allows for a clean, pain-free lift.

An added benefit to lifting properly is that it is a great way to strengthen the lower extremi-ties. By bending properly, you retain, reinforce, and re-educate muscle.

Let’s break down the lifting motion into simple steps.

The DescentEstablish a solid base of support. In order to use the least effort possible and reduce the risk of injury, you must first have a solid base of sup-port. You accomplish this by keeping your feet flat, slightly pointed out, and shoulder-width apart, thus making your body more stable and well balanced.

Stick out your rear end. Stick out your rear, as if you were sitting down on a chair. This will help your anatomical framework to withstand any forces placed upon the spine during the actual lift, thus preventing injury.

Bend your knees. While sticking out your rear end, lower yourself by bending your knees. This will ensure lower back safety. Do

not let your knees buckle inward; keep them facing straight ahead.

Remember, the body is made for your knees to withstand tremendous pressure. That’s why we have 135 degrees of knee flexion available to us, and only 60 degrees in the lower back.

Keep your trunk parallel to your shins. Keeping your trunk parallel to your shins will ensure the spine is constantly in a stabilized position, which will help prevent unwanted back pain and injury.

Keep the load close to your body. While lifting, you want to keep the load as close to you as possible. This will immensely decrease the amount of work you need to perform to lift the object.

Try the following exercise for yourself and feel the difference. Hold a gallon of milk in one hand with an outstretched arm for about ten seconds. Now bring the same gal-lon of milk close to your body and hold it for another ten seconds. Which task is easier?

Keep weight in your heel arches. When descending, make sure all of your weight is positioned through the heel arch of your feet. That is the part of your foot between your heel and foot arch. Your heels and your toes should not rise during a squat.

Keep your collarbones up and out. Mak-ing your upper extremity solid during a squat will prevent unwanted movements and thus prevent injury.

Better LiftingActive workers must pay strict attention to biomechanics on the jobBy Jeff LaBianco, DPT, CSCS

INDUSTRIAL REHAB


The RiseFollow the same rules while rising with an object. Make sure you push up with your leg muscles and keep all of your weight centralized in the heel arch.

When lifting, remember these points.Keep your eyes pointed straight ahead. If your eyes are pointed

down, you are more likely to put additional strain on your upper neck. Do not twist or turn as you lift. Rotatory forces are infamous for

causing muscle strains in the lower back and rib areas. Do not bend at the back. If you are unable to keep the proper squat

position while bending down or lifting an object, do not lift it. First, prac-tice the technique as well as stretching and strengthening your muscles. Lift the object only after you are able to squat properly.

Active employees are susceptible to workplace injuries without atten-tion to proper biomechanics during their workday. But with attention to proper workstation setup, frequent breaks and simple postural exercises, physical therapists can assist these workers in remaining healthy and on the job. n

Jeff LaBianco is a physical therapist at OrthoCare Specialists, Bridgeport, Conn., and author of Defying the Pains of Gravity Using Proper Posture Technique. Visit www.jlftherapy.wix.com/wellness

INDUSTRIAL REHAB

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E lastic therapeutic tape will be promi-nent during the 2014 Winter Olym-pic Games in Sochi, Russia, and it’s being embraced — albeit slowly —

by a new population beyond athletes: children with developmental disabilities.

Although it’s been around since the mid-1990s, the tape came into prominence during the 2010 London Olympics and was designed to separate layers of skin to avoid pain. Its application has other purposes for the pedi-atric population, and a growing number of therapists are attesting to benefits for their youngest patients.

The thickness and weight of the tape is designed to be similar to that of skin so it is comfortable and non-invasive. “Kinesiotape helps with situations of muscle imbalance,”

confirmed Janice Laux, PT, Kennedy Krieger Institute in Baltimore. “The muscle and soft tissue are tight or over-lengthened. The tape helps establish a balanced support of muscles and soft tissue.”

Laux can attribute anecdotally to the benefits of the tape for the developmen-tally delayed population, but concedes little research or evidence supports this observa-tion. Still, she said, many major medical and rehabilitation centers are applying tape for this patient population.

Developing Core SupportThe tape is most effective for babies and chil-dren with mild-to-moderate impairments.

“The tape works at the level of facilitating sup-porting muscles that are working but could function more optimally,” Laux summarized.

As part of therapy, the elastic, cotton, water-resistant tape is applied directly to the skin over the muscle being strengthened. The tape is applied differently depending on the out-come desired, and is typically worn for three to five days, and then left off for one to two days to allow the skin to rest.

Although she stressed that it’s not actually

a developmental disability, Laux attested to fantastic results in using elastic therapeutic tape when infants have torticollis — trouble tilting and turning their heads due to muscle tightness.

Other infants benefit from having the tape provide 24/7 support.“When babies are learn-ing something, they’re practicing all the time,” Laux explained. “How do we help the baby practice a new skill as much as possible with-out physically touching them all the time?”

For instance, Laux has seen success is using the tape for developing come-to-sit transition skills for babies. However, therapists must assess whether base muscle strength is there, or the taping can be a waste of time.

“Our abdominal muscles connect the rib cage to the pelvis,” she said. “The muscles have to be there, working and engaged. I wouldn’t tape if the muscle tone isn’t there. I’d have to see an indication of inherent stability. If I need to have my hands supporting the baby’s trunk, it’s too soon.”

In the case of an 8-month old, Laux said, lift-ing the pelvis in supine independently is a sign of being a candidate for taping. Bringing hands to knees and engaging in anti-gravity play are signs of abdominal use, and taping could pro-vide further encouragement. If the same child is sitting independently but using the “tripod” position, and thus would lose balance by lifting a hand to play, the tape might further engage the abdominal muscles.

In older toddlers and children, those with signs of a developmental coordination disor-der or neurogenic diagnosis, such as low tone, hypertonia, delayed development, or low core strength, can utilize elastic therapeutic tape to provide a stronger base for strengthening the trunk muscle.

Pain ReliefOne proven area of effectiveness for this modality is in pain relief. The tape is a popular modality for chronic regional pain syndromes, myofascial pain syndrome, musculoskeletal overuse injuries, whiplash, and sports injuries.

“Patients who have altered neuromuscular

THERAPEUTIC TAPING

Supporting Young Muscles

After decades of widespread sports use, elastic therapeutic tape is trickling into pediatric physical therapyBy Robin Hocevar

For more PT information and news please visit advanceweb.com/PT

Get more online at advanceweb.com


http://www.advanceweb.com/PT

SEE_THE_DIFFERENCEKinesioTaping.com



THERAPEUTIC TAPING

coordination, with growth and ovruse will typically develop muscle imbalance across joints,” Laux explained. “This causes secondary changes to joint mechanics, thus development of pain. For example, if your patella doesn’t track correctly, you’ll have knee pain. The Kine-siotape can be very effective in positioning the patella into the right groove. If you need to move, the tape flexes with you.”

Shoulders, she said, have very complex movement patterns and must glide a certain way. “Children with spina bifida don’t have good use of their legs, but have a good use of their arms,” Laux said. “The tape can be effective to support the whole dynamic of how the shoul-der complex needs to move.”

For others whose pain response has gone into overdrive following a traumatic incident, or adolescents with neuropathic pain or inflamma-tion, the tape can provide welcome relief.

“Connected tissue wraps around every tissue in the body, including the nerves,” Laux said. “If the fascia is restricted about the nerve, it can be pain generating. The tape serves to lift and mobilize the tissue about the nerve.”

Issues of EffectivenessChildren with cerebral palsy have been documented as having improved posture after using the tape, although their functional skills didn’t change, said Laux. “There is not a tool out there that has been validated to reliably document sitting posture,” she noted. “Still, it’s a

nice outcome because posture affects breath support for communication and success in a classroom.”

The cerebral palsy outcome illustrates the debate within academic physical therapy circles surrounding elastic therapeutic tape.

“Although the principles behind it make sense, we don’t really know how the tape works,” conceded Laux. “Children are heterogeneous in how they present and it’s hard to find tools to measure change finely enough. I have assessment tools to look at the acquisition of motor milestones, but nothing fine-tuned enough to delineate components of a functional skill to be able to say babies rolled sooner or better after taping their abs than they would have otherwise.”

The other equally pressing issue is that the tape works best while in place. One of the tape’s greatest success stories is with children who have trouble picking up their feet while walking, yet aren’t weak enough for a brace. The tape helps with efficiency so the child doesn’t get as fatigued while walking, but foot drop usually returns after the tape is removed.

With repeated use, Laux said motor re-learning is possible but always cautions parents that old habits may return once the tape is removed. While the long-term results can be frustrating, parents and therapists are encouraged at seeing almost instant results in some children’s first walk-ing paths with the tape applied, so they see the benefit in continued use.

For results of the taping to last, it must be applied for weeks to months, in patients with mild-to-moderate motor issues, Laux said.

Parent-Therapist ApplicationLaux took her first certification course on the Kinesiotaping method 15 years ago and routinely teaches parents some of the more basic tech-niques (out of hundreds of taping configurations). As a first step, she establishes a trusting relationship with the parents before introducing taping as an adjunct to therapy.

“We have a whole handout on how to remove the tape. It’s a careful process,” Laux explained. “You don’t want to rip it off like a Band-Aid, and must respect the skin. We don’t bring it up as an option when we first meet parents because we need to know they’ll follow our instruc-tions carefully. If we say not to rip, we need to know they won’t.”

Laux has never encountered a parent who has voiced objection to the tape, as it’s a non-medicated, latex-free, conservative treatment option. After a strip is tested on the child’s skin for a reaction, which is extremely rare, the process begins. Parents watch the therapist apply the tape, practice handling the tape, and apply it on the therapist under supervision before being charged with applying it on a child.

The two main aspects of taping are position on the body part and how much stretch should be applied. As Laux explained, the tape is elastic, so users must always consider how much stretch is needed for a particular application.

Simple as it sounds, many children oppose even the gentlest applica-tion by parents. If the parent sees benefit and wants to continue the tap-ing practice, therapists usually aren’t opposed to applying it in-office.

“The child-therapist relationship is different than the parent-child one,” Laux said. “We sometimes make arrangements with parents if the child is coming weekly or more. We have the tape pre-cut in our office and can put it on in a matter of minutes. Often, parents are fine with it if we’re the ones applying.” n

Robin Hocevar is on staff at ADVANCE. Contact [email protected].

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N euromuscular disorders can be a damaging bunch indeed. The cat-egory includes multiple sclerosis, Parkinson’s disease, Duchenne

muscular dystrophy, Huntington disease and other neurodegenerative disorders of the central nervous system. While the etiology of each disease may be different, all share the common symptom of respiratory dysfunc-tion. Their symptoms often start quietly and insidiously, making it difficult to recognize whether a NMD has taken hold until extreme respiratory duress becomes apparent.1,2

Although later-stage symptoms of the dis-orders may seem to erupt suddenly, they have actually been long-developing in a chain of respiratory insufficiencies that result from the conditions. That chain, however, can be broken. Symptoms may be alleviated, halted or even prevented with a regular practice of Pilates and foundation training.

Respiratory EffectsNeurodegenerative disorders cause respira-tory insufficiency due to a debilitating col-lection of interrelated symptoms that lead

to deterioration of respiratory function.1 The disorders can weaken the abdominal muscles, which decreases the effectiveness of the cough to clear congestion from the respiratory tract. Bronchial congestion and pulmonary infec-tions then set in, resulting in obstruction of the upper airway and reducing oxygen intake. Muscles have to work harder to breathe and become fatigued, while low oxygen levels in the blood cause even more problems.1

Weight loss, problems sleeping, poor concentration, and recurrent chest infec-tions often become the norm. Breathing can be further impaired by weakened chest muscles and a weakened diaphragm, along with abnormal spinal curvature, all of which impede the lungs.1 The risk of pneumonia increases while the ability to exercise or per-form activities of daily living decrease.2 Lack of exercise and sustained movement adds to overall muscle weakness, continuing the cycle of deterioration.

Eliminating, or even preventing, the dete-rioration has been shown to be possible through exercise, specifically respiratory muscle training.1-4 Such training is designed

to increase the strength and endurance of the muscles used for breathing, which, in turn, may delay breathing impairments, increase the effectiveness of the cough and increase the overall lung capacity.2-4 The increased oxygen levels serve to stave off fatigue and allow people to perform more activities for longer periods throughout their day.5

Pilates and Foundation TrainingPilates and foundation training (FT) are two exercise modalities that can work together to improve respiratory functioning. They both focus on the same physical aspects, just in a slightly different manner. Those suffering from neuromuscular disorders can especially benefit from the disciplines, although all those who engage in a regular practice can reap the rewards.

Pilates, developed by Joseph Pilates in the early 1920s, is a program that aims to improve strength, flexibility and posture, while coordinating the body and mind. It incorporates proper breathing techniques, muscle chains, muscle control, and an intense focus on the core muscles, and may imple-ment special equipment to intensify results.6 The practice involves 500 different exercises, all of which contribute to the strengthening and stabilization of the core.

Foundation training, developed by Eric Goodman, is a much more recent addition to the fitness arena that aims to help people develop proper movements, or those per-formed in the way the body was designed to move. Like Pilates, FT focuses on posture, proper breathing techniques, muscle control, core development, and muscle chains, with a particularly heavy emphasis on the posterior chain that includes the back, neck, gluteal muscles, hamstrings, calves and heels.7

The two modalities work very similar parts of the body with a slightly different emphasis, which is what makes each discipline unique. It’s also what creates different types of results for the same focus areas, namely the breath, posture, core and muscle groups. Using either discipline on its own produces myriad bene-fits, which are further enhanced when the two programs are combined into a comprehensive treatment plan.

Applications for Respiratory CareBoth Pilates and foundation training focus on breathing, and both aim to create as much space as possible between the pelvis and ribcage to

Better BreathingUsing Pilates and foundation training to alleviate the respiratory effects of neurogenerative disordersBy Michael Salvatore

PILATES AND RESPIRATORY FUNCTION

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allow for the fullest, deepest breaths. One of the ways they do this is by paying acute attention to the core muscles and posterior muscle chain. While the definition of core differs slightly between Pilates and FT, both involve the muscles in and around the pelvic area.

The strengthening and stability of muscles in the trunk and posterior chain help to create the desired space between the ribcage and pelvis through anchoring and decompression. The pelvis is anchored to the leg muscles, keeping the body foundation stable while giving the lungs and diaphragm plenty of room in which to function.8

Decompression is taking place, with a subtle lengthening of spinal muscles due to counteractions of downward and upward spinal traction. The downward traction is created by the pelvic anchoring, while the upward spiral comes from muscular deep breathing. The slight elongation of the spine again provides ample breathing room by helping to maintain the body in its proper postural positioning, in which all organs are properly aligned and positioned.

Respiratory functioning is also enhanced by engaging in deep breathing techniques in Pilates and structural breathing in FT.8,9 Pilates encourages complete inhalations and exhalations, stress-ing the importance of “squeezing” every single atom of air out of the lungs with the deepest of exhalations.

The structural breathing of FT is of the type that encourages the greatest amount of space between the pelvic floor and ribcage, keep-ing the chin pulled back while inhaling and exhaling as deeply and

fully as possible. Each inhale should produce the needed space below your ribcage. Each exhale should involve the tightening of your abdo-men to prevent your core from collapsing.9 Such deep breathing sup-plies the body with copious amounts of oxygen, stimulates muscle activity, maintains respiratory muscle strength, and can decrease the onset of symptoms caused by an oxygen-poor environment.

Ongoing Health ImprovementUnlike other exercise methods that may focus on a specific area that needs improvement, Pilates and foundation training focus on the core to produce an improvement in the body as a whole. The proper posture and body alignment that result from Pilates and FT set the stage for all other muscles and organs to function at their optimum capacity.

The lungs and diaphragm are given adequate room to breathe, respiratory muscles are strengthened, coughs once again become effective, and oxygen flow is improved. When implemented during the early stages of neuromuscular disorders, Pilates and FT may effectively deter or prevent the various debilitating symptoms that start with abnormal blood gases due to insufficient oxygen levels.1

Pilates and FT are also much more than a one-time exercise solu-tion, but rather the foundation for optimal physical health for an entire lifespan. With proper initial instruction and sufficient repeti-tion, the movements become instilled in the cognitive and muscle

memories, allowing the body to retain and recall the movements automatically as it moves throughout daily life.

Because the body is performing in the manner in which it was designed, efficiency and endurance levels automatically increase, leading to improvement in exercise capacity and capabilities to perform activities of daily life. The strong structural foundation additionally serves as a baseline for any other exercise program or activities, effectively integrating other muscle groups as needed.

Treatment PlanWhile Pilates and foundation training may not have the power to cure neuromuscular disorders, the two in tandem can serve as an integral component in a treatment plan to decrease, alleviate and possibly even prevent symptoms. The two may be used on their own or as part of a larger treatment program that includes other physical and medical components.

One of the keys to neuromuscular disorder treatment is starting a program as early as possible, which reinforces the importance of ongoing pulmonary testing and monitoring. Instead of falling prey to the debilitating chain of symptoms that stem from neuromuscular disorders, those who embrace Pilates and FT can instead establish a positive chain of reactions that contribute to overall health and well-being for years to come. n

References are available at www.advanceweb.com/pt under the Toolbox tab.

Michael Salvatore is a certified Romana’s Pilates® Instructor and owner of Salvatore Pilates in Boston, with a specialty in performing artists. He holds an MBA from Suffolk University and a bachelor’s in neuropsychology from Boston University. He can be reached via www.salvatorepilates.com.

PILATES AND RESPIRATORY FUNCTION

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JAN. 17-18, 2014 ST. LOUIS, MOFEB. 22-23, 2014 URBANA, MDMARCH 22-23, 2014 PRESCOTT VALLEY, AZ

Pelvis RestorationAdvanced lecture and lab course designed to assist clini-cians with complex patients struggling to improve. Gain an appreciation for the influences of an asymmetrical pelvis and how this imbalance contributes to pelvic dysfunction. We will explore in detail the function of the pelvic inlet and outlet as it relates to anatomy, respiration, and asymmetry in a multiple polyarticular chain system. Learn to restore pelvic and respiratory neutrality through a PRI treatment approach. Treatment integration to assist with the following pelvic floor dysfunctions will be discussed: incontinence, hypertonicity, prolapse and sacro-iliac instability. Mention this ad to receive a 5% tuition discount. Contact: Postural Restoration Institute, 888-691-4583 (toll-free); www.posturalrestoration.com

JAN. 18-19, 2014 MINNEAPOLIS, MNFEB. 8-9, 2014 COPPELL, TXFEB. 15-16, 2014 LAS VEGAS, NV

Myokinematic RestorationAdvanced lecture and lab course explores biomechanics of contralateral and ipsilateral myokinematic lumbo-pelvic-femoral dysfunction. Treatment emphasizes restoration of pelvic-femoral alignment and recruitment of rotational mus-cles to reduce synergistic patterns of pathomechanic asym-metry. Emphasis on restoration, recruitment and retraining activities using rotators of the femur, pelvis and trunk. Techniques to inhibit overactive musculature will enable the course participant to restore normal resting muscle position. Learn assessment and management skills when treating “piriformis syndrome”, right SI joint dysfunction, and low back strain. Mention this ad to receive a 5% tuition discount. Contact: Postural Restoration Institute, 888-691-4583 (toll-free); www.posturalrestoration.com

JAN. 18-19, 2014 DALLAS, TXFEB. 15-16, 2014 BALTIMORE, MDMARCH 15-16, 2014 LOS ANGELES, CA

Starting and Running aPediatric Therapy Practice

This seminar presented by entrepreneur Vincent Mullins, MOT, OTR, will provide clear steps to open and run a pediatric OT/PT/ST private practice. All aspects of start-up and growth of the practice will be presented through personal experience

and years of research and development. Both therapy and business portions will be discussed. 11 CE hours. Live video available for those unable to attend. Contact: 940-300-2299; or www.THERAPYSEMINARSLLC.com to register online.

JAN. 24-25, 2014 GREENSVILLE, SCFEB. 15-16, 2014 GREENSBORO, NCMARCH 1-2, 2014 BOSTON, MA AREA

IASTM - Instrument AssistedSoft Tissue Mobilization

Soft tissue pathology plays a primary role in limiting mobil-ity, often resulting in profound loss of function for those with injuries. This course covers the theory and intervention strategies for identifying and treating soft tissue restrictions utilizing Instrument Assisted Soft Tissue Mobilization (IASTM) techniques. In this case-study-based course, participants will receive hands-on instruction in the proper use of IASTM through a lab-focused teaching format. Hosting opportunities available for 2014-2015. Contact: Rehab Education, LLC, 845-368-2458 for questions; [email protected] or www.RehabEd.com for details and registration.

JAN. 24-25, 2014 MOUNTAINSIDE, NJMARCH 6-7, 2014 PORTLAND, ORMAY 1-2, 2014 ROCKFORD, IL

Intervention for the High RiskInfant: NICU, Home and EI

This seminar offers practical strategies toward a contex-tual approach to behavioral, developmental and feeding assessment and intervention. Video, demonstration and case examples will be used to introduce the NICU Network Neurobehavioral Scale (NNNS), to illustrate feeding assess-ment and intervention and to train participants in administra-tion and scoring of the Posture and Fine Motor Assessment of Infants. Participants will enhance their clinical skills through creative problem-solving. Instructor: Rosemarie Bigsby. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

JAN. 25-26, 2014 PHOENIX, AZFEB. 8-9, 2014 PORTLAND, ORMARCH 1-2, 2014 INDIANAPOLIS, IN

Postural RespirationClinicians will gain an appreciation for the postural influences of: rib torsion, asymmetrical oblique strength, inconsistent breathing patterns, habitual use of accessory respiratory musculature and a restricted diaphragm. The focus of this course will be to “balance” polyarticular muscular chains through focused functional assessment of the upper-half. Integrated treatments using manual therapy and non-manual techniques to restore respiratory and rotational functions of the thorax will be covered. Learn clinical assessment and management skills when treating diagnosis such as “fibromyalgia”, thoracic outlet syndrome and shoulder dys-function. Mention this ad to receive a 5% tuition discount. Contact: Postural Restoration Institute, 888-691-4583 (toll-free); www.posturalrestoration.com

FEB. 8-9, 2014 SAN DIEGO, CAFEB. 14-15, 2014 DENVER, COMARCH 29-30, 2014 DURHAM, NC

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Method, and the unique properties and use of KinesioTape. Lab sessions provide ample time to practice KinesioTaping skills for upper and lower body applications. Hosting oppor-tunities available for 2014-2015. Contact: Rehab Education, LLC, 845-368-2458 for questions; [email protected] or www.RehabEd.com for details and registration.

FEB. 8-9, 2014 SAN FRANCISCO, CAMAY 17-18, 2014 PHOENIX, AZJUNE 7-8, 2014 SAN DIEGO, CA

#110 Hoke’sFoot and Ankle Course

Instructor: Brian Hoke, PT, SCS. An overview of the influence of foot and ankle structural alignment on lower extremity function and rehabilitation. Learn an understanding of joint biomechanics of the foot and ankle, biomechanical assess-ment, and intervention through the use of exercise, footwear, and foot orthoses. A lecture format will be coupled with hands on lab sessions to reinforce and demonstrate practi-cal applications of the course content. "What they’re saying, I’d rate this as the best course on this topic in the market.” Contact: Motivations, Inc., 800-791-0262; [email protected] or www.motivationsceu.com

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Sensory Smart Strategies forReal Life Challenges

One day course for clinicians of all levels, with primary focus on beginning & intermediate therapists. This presenta-tion demystifies sensory processing difficulties in children, emphasizing practical strategies and solutions for maximiz-ing participation in self-care, learning and playing at home, at school, and in the community. Presenter/Author: Lindsey Biel, OTR, sensorysmarts.com. Learn about sensory processing & sensory processing challenges in children, how sensory chal-lenges impact behavior & learning, and “sensory diet” activi-ties & environmental modifications to help children reach and maintain an optimal state of arousal. .6 ASHA CEUs, 7.2 NYPTA CEUs, 6 NJBPTE CEUs, 6 NBCOT PDUs. Contact: 718-851-3300, ext 157; E-mail: [email protected] or web site: challenge-ei.com

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FEB. 19-21, 2014 LARGO, FLAPRIL 30-MAY 2, 2014 LARGO, FLJUNE 9-13, 2014 LARGO, FL

Get AIB Certified inVestibular Therapy

The American Institute of Balance has trained thousands of therapists from around the world and is one of the few institutions that provide certification. Our 3 day program includes an overview of anatomy and physiology, disor-ders, special populations: migraine, head-impact, psy-chiatric, fall risk and VRT protocols for therapy programs. Our 5 day course is a perfect solution for practitioners wanting to learn the entire spectrum of care. Corporate clients include Mayo, VA, Select, Kort, Accolade, and more. Contact: Rochelle, 800-245-6442 for program questions; or www.dizzy.com to register.

FEB. 21-22, 2014 DALLAS, TXAPRIL 5-6, 2014 FREEHOLD, NJ

Management of Upper ExtremityTendon Injuries & Fractures

Enhance your understanding of the impact of tendon injuries and fractures on the wrist and hand. This intermediate level course provides an analytical approach to the rehabilitation of tendon injuries and fractures of the upper extremity, com-bined with hands-on mobilization lab sessions. 14 contact hours. Faculty: Shrikant J. Chinchalkar, OTR, CHT. Hosting opportunities available for 2014-2015. Contact: Rehab Education, LLC, 845-368-2458 for questions; [email protected] or www.RehabEd.com for details and registration.

FEB. 22, 2014 ATLANTA, GAMARCH 22, 2014 MIAMI, FLAPRIL 26, 2014 SAN DIEGO, CA

#412 Untangling the Lines toSucceed in ICU Rehab

Instructor: Christiane Perme, PT, CCS. ICU patients have limited mobility due to life support, monitoring equip-ment, multiple medical problems and muscle weakness. For selected patients in ICU, early mobility and walking enhances functional outcomes by optimizing cardiopulmo-nary and neuromuscular status. The content of this course will guide clinicians through the process of managing adult ICU patients. Case reports will be presented to demonstrate how the early mobility and walking program in ICU can positively impact the recovery of selected patients. Audience participation enhances course. Contact: Motivations, Inc., 800-791-0262, ext 2; [email protected] or www.motivationsceu.com

FEB. 22-23, 2014 PHOENIX, AZMARCH 7-8, 2014 NEW ORLEANS, LAAPRIL 4-5, 2014 INDIANAPOLIS, IN

Dr. Carol B. Lewis Presents:Clinical Geriatric Neurology

Carole B. Lewis, PT, DPT, GCS, MSG, MPA, Ph. D. FAPTA pres-ents Geriatric Neurology. This entertaining lecture provides take home information on cutting edge assessment and treatment of older clients with Parkinson’s disease, stroke, gait, balance disorders, and pain problems with a 300+ page handout with over 5,000 current medical references. Use these treatment techniques and evaluation tools to work smarter not harder. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

FEB. 22-23, 2014 GREENVILLE, SCMARCH 8-9, 2014 ST. LOUIS, MOAPRIL 5-6, 2014 LITTLE ROCK, AR

Acute Care RehabilitationSpeaker: Mark Nelson, MPT. This dynamic seminar provides the latest information on cardiac, pulmonary and geriatric rehabilitation in the acute care setting. As in all practice settings, acute care rehabilitation is continuously evolving. From the various entry points into the acute care setting to discharge, rehabilitation plays an integral role. Therapists are being increasingly relied upon to make significant contribu-tions to the medical team and frequently are the determining factor in hospital length of stay. This high tech seminar will provide therapists with clinical information, practical tips and high level problem solving skills by utilizing lecture and case studies to discuss the role of therapists in this challenging environment. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

FEB. 22-23, 2014 JACKSONVILLE, FLMARCH 15-16, 2014 NASHVILLE, TNMAY 3-4, 2014 ATLANTIC CITY, NJ

ComprehensiveRehabilitation Strategies

Speaker: Doug Dillon, PT, GTC, CSST Rehabilitation for our geriatric population is changing rapidly. Payment changes make it more challenging to deliver quality care for the reha-bilitatively and medically complex older patient. This seminar, with its 350 page handout and 5000 references, provides a thorough approach to therapeutic strategies and goals, thereby preparing therapists with cutting-edge information, evaluation tools and treatment protocols for the complex geriatric patient. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

STEP UP TO THE CHALLENGE!

WHAT IS THE CHALLENGE?• The Challenge is a grassroots, student-led fundraising effort

to support the Foundation for Physical Therapy.

• Each year, hundreds of PT and PTA students across the country hold fundraising events and donate proceeds to the Foundation.

• Since its inception, students at 170 schools have participated in the Challenge, raising over $2.5 million for physical therapy research.

• The Foundation annually awards a research grant and scholarship in honor of the Challenge.

WHY PARTICIPATE IN THE CHALLENGE?You could win!

• The 1st place school will co-host the Challenge next year.

• Students from the top 3 schools will receive prizes. For more information on prizes, go to foundation4pt.org

• There are also awards for: o Schools raising $3,000 or moreo Most Successful Newcomer o Biggest Stretch Schoolo Most Successful PTA School o Most Creative Fundraiser

You will be recognized. • All participating schools will be recognized in national publications—

promoting your program among scholars, researchers, and future employers.

It’s the right thing to do. • The Foundation funds much needed research to advance the art and

science of physical therapy and to improve care for the patients we serve.

For more information, go to www.foundation4pt.org/get-involved/challenge/ or contact a student coordinator at [email protected].

Be sure your school is on THE LIST of PT/PTA schools participating!R E S E A R C H • R E S U LT S • R E C O G N I T I O N

TO ORDER ARTICLE REPRINTS FROM ADVANCE CALL 800-355-5627

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Use Promo Code: AdvancePT14Save 10% Today! Expires: 2-24-14

Grab a giveaway, and enter to win aFREE CEU Total Access membership!Entry via badge scan. One winner per day. $99 value.

1-866-782-6258

Experience aff ordable, quality continuing education on your time with a CEU Total Access membership. Access more than 300 online courses in live webinar, recorded webinar, audioand text-based formats. Courses are approved by state licensing boards.

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Visit us at CSM booth #848!

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CEU Total Access

• No additional fees.• CEU transcripts included.

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FEB. 19-21, 2014 LARGO, FLAPRIL 30-MAY 2, 2014 LARGO, FLJUNE 9-13, 2014 LARGO, FL

Get AIB Certified inVestibular Therapy

The American Institute of Balance has trained thousands of therapists from around the world and is one of the few institutions that provide certification. Our 3 day program includes an overview of anatomy and physiology, disor-ders, special populations: migraine, head-impact, psy-chiatric, fall risk and VRT protocols for therapy programs. Our 5 day course is a perfect solution for practitioners wanting to learn the entire spectrum of care. Corporate clients include Mayo, VA, Select, Kort, Accolade, and more. Contact: Rochelle, 800-245-6442 for program questions; or www.dizzy.com to register.

FEB. 21-22, 2014 DALLAS, TXAPRIL 5-6, 2014 FREEHOLD, NJ

Management of Upper ExtremityTendon Injuries & Fractures

Enhance your understanding of the impact of tendon injuries and fractures on the wrist and hand. This intermediate level course provides an analytical approach to the rehabilitation of tendon injuries and fractures of the upper extremity, com-bined with hands-on mobilization lab sessions. 14 contact hours. Faculty: Shrikant J. Chinchalkar, OTR, CHT. Hosting opportunities available for 2014-2015. Contact: Rehab Education, LLC, 845-368-2458 for questions; [email protected] or www.RehabEd.com for details and registration.

FEB. 22, 2014 ATLANTA, GAMARCH 22, 2014 MIAMI, FLAPRIL 26, 2014 SAN DIEGO, CA

#412 Untangling the Lines toSucceed in ICU Rehab

Instructor: Christiane Perme, PT, CCS. ICU patients have limited mobility due to life support, monitoring equip-ment, multiple medical problems and muscle weakness. For selected patients in ICU, early mobility and walking enhances functional outcomes by optimizing cardiopulmo-nary and neuromuscular status. The content of this course will guide clinicians through the process of managing adult ICU patients. Case reports will be presented to demonstrate how the early mobility and walking program in ICU can positively impact the recovery of selected patients. Audience participation enhances course. Contact: Motivations, Inc., 800-791-0262, ext 2; [email protected] or www.motivationsceu.com

FEB. 22-23, 2014 PHOENIX, AZMARCH 7-8, 2014 NEW ORLEANS, LAAPRIL 4-5, 2014 INDIANAPOLIS, IN

Dr. Carol B. Lewis Presents:Clinical Geriatric Neurology

Carole B. Lewis, PT, DPT, GCS, MSG, MPA, Ph. D. FAPTA pres-ents Geriatric Neurology. This entertaining lecture provides take home information on cutting edge assessment and treatment of older clients with Parkinson’s disease, stroke, gait, balance disorders, and pain problems with a 300+ page handout with over 5,000 current medical references. Use these treatment techniques and evaluation tools to work smarter not harder. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

FEB. 22-23, 2014 GREENVILLE, SCMARCH 8-9, 2014 ST. LOUIS, MOAPRIL 5-6, 2014 LITTLE ROCK, AR

Acute Care RehabilitationSpeaker: Mark Nelson, MPT. This dynamic seminar provides the latest information on cardiac, pulmonary and geriatric rehabilitation in the acute care setting. As in all practice settings, acute care rehabilitation is continuously evolving. From the various entry points into the acute care setting to discharge, rehabilitation plays an integral role. Therapists are being increasingly relied upon to make significant contribu-tions to the medical team and frequently are the determining factor in hospital length of stay. This high tech seminar will provide therapists with clinical information, practical tips and high level problem solving skills by utilizing lecture and case studies to discuss the role of therapists in this challenging environment. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

FEB. 22-23, 2014 JACKSONVILLE, FLMARCH 15-16, 2014 NASHVILLE, TNMAY 3-4, 2014 ATLANTIC CITY, NJ

ComprehensiveRehabilitation Strategies

Speaker: Doug Dillon, PT, GTC, CSST Rehabilitation for our geriatric population is changing rapidly. Payment changes make it more challenging to deliver quality care for the reha-bilitatively and medically complex older patient. This seminar, with its 350 page handout and 5000 references, provides a thorough approach to therapeutic strategies and goals, thereby preparing therapists with cutting-edge information, evaluation tools and treatment protocols for the complex geriatric patient. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

STEP UP TO THE CHALLENGE!

WHAT IS THE CHALLENGE?• The Challenge is a grassroots, student-led fundraising effort

to support the Foundation for Physical Therapy.

• Each year, hundreds of PT and PTA students across the country hold fundraising events and donate proceeds to the Foundation.

• Since its inception, students at 170 schools have participated in the Challenge, raising over $2.5 million for physical therapy research.

• The Foundation annually awards a research grant and scholarship in honor of the Challenge.

WHY PARTICIPATE IN THE CHALLENGE?You could win!

• The 1st place school will co-host the Challenge next year.

• Students from the top 3 schools will receive prizes. For more information on prizes, go to foundation4pt.org

• There are also awards for: o Schools raising $3,000 or moreo Most Successful Newcomer o Biggest Stretch Schoolo Most Successful PTA School o Most Creative Fundraiser

You will be recognized. • All participating schools will be recognized in national publications—

promoting your program among scholars, researchers, and future employers.

It’s the right thing to do. • The Foundation funds much needed research to advance the art and

science of physical therapy and to improve care for the patients we serve.

For more information, go to www.foundation4pt.org/get-involved/challenge/ or contact a student coordinator at [email protected].

Be sure your school is on THE LIST of PT/PTA schools participating!R E S E A R C H • R E S U LT S • R E C O G N I T I O N

TO ORDER ARTICLE REPRINTS FROM ADVANCE CALL 800-355-5627

PTCal_01_13.indd 2 1/10/14 2:45:20 PM



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FEB. 22-23, 2014 DALLAS, TXMAY 3-4, 2014 BOSTON, MAJUNE 21-22, 2014 TACOMA, WA

Rehab for Persons w/ Dementia:Making Therapy Worth It

Speaker: Susan Staples, PT, GCS. This seminar provides participants with specific evaluation and treatment strategies that are critical to improve outcomes for this challenging and rapidly growing patient population. Included are strategies for gait, balance and falls, mobility, hip fractures, strength/ROM, cardiopulmonary and pain issues, seating and positioning, restraints, and behavioral problems. Participants will also gain a thorough understanding of the different types of dementia with specific communication and approach strategies for success. The speaker provides an evidenced based seminar with an extensive handout. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

FEB. 22-23, 2014 BALTIMORE, MDMAY 17-18, 2014 IDAHO FALLS, IDJULY 19-20, 2014 OKLAHOMA CITY, OK

Taking BalanceTo the Limits

Speaker: Janene Barber, PT, GTC, has taught and treated extensively in this area with astounding results. This course goes beyond all you have learned about the effects of speed, strength and range of motion limitations as causes for balance dysfunction. You will leave with an in depth knowl-edge and skill in postural dyscontrol, somatosensation and vestibular arenas. Take home innovative useable evaluation and treatment techniques that will dramatically change your practice. Contact: Great Seminars and Books, 877-794-7328 (toll-free); www.greatseminarsandbooks.com

FEB. 22-23, 2014 BRISTOL, TNJUNE 21-22, 2014 PALM SPRINGS, CAJULY 19-20, 2014 MEMPHIS, TN

Manual Therapy forThe Geriatric Patient

Speaker- James Gose PT, DPT, OCS, Cert MDT, COMT, CMP: Using concepts of Robin McKenzie, Geoffrey Maitland and Brian Mulligan this course presents the evidence-based rational for using manual therapy with geriatric patients & demonstrates how manual therapy can safely & effectively be applied to this population. With over 120 manual techniques demonstrated and practiced the philosophical, evaluative and treatment concepts of each approach will be compared and contrasted. The perfect course if you see geriatric patients. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

FEB. 22-23, 2014 TUSCALOOSA, ALAUG. 16-17, 2014 SPRINGFIELD, ILSEP. 20-21, 2014 PHILADELPHIA, PA

Cancer RehabilitationSpeaker: Nicole Stout MPT, CLT-LANA. Current evidence-based rehabilitation interventions for individuals undergoing treatment for cancer, survivorship from cancer, or facing metastatic disease will be highlighted. Exercise prescription, contradictions and precautions with exercise & modalities. A unique, problem based format, with group interaction, utiliz-ing case studies for client evaluation and development of plan of care. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

FEB. 27-MARCH 3, 2014 HOUSTON, TX

Advanced NDT forMeasurable Functional Outcomes

Instructor: Suzanne Davis-Bombria; Kate Bain. Location: Texas Children’s Hospital, Houston, Texas 77030. Contact: Mitzi Wiggin, 832-826-6107 for more information; e-mail: [email protected]; or register online: www.texaschildrens.org/pmr and click on continuing education.

FEB. 28-MARCH 1, 2014 FAIRFAX, VAMARCH 7-8, 2014 KALAMAZOO, MIJUNE 7-8, 2014 LINCOLN, NE

Treatment of Patients withNeurologic Disorders

This course will help focus on making evidence-based strate-gies easy to integrate into your adult neuro-rehab practice. Outcome measures that are reliable and valid in persons with neurological diagnoses will be presented and demonstrated. Treatment approaches that improve functional participation, ambulation and upper extremity skill will be presented. Foundational strategies include strengthening, cardiovascular conditioning and neuroplasticity, with case studies, focusing on stroke, TBI, MS, Parkinson’s and fall risk assessment and treatment. Instructor: Kari Dunning. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

FEB. 28-MARCH 1, 2014 CEDAR KNOLLS, NJMARCH 28-29, 2014 ST. PETERSBURG, FLSEPT. 19-20, 2014 CANTON, MA

Practical Intervention StrategiesFor Children with ASD

With the increasing number of children with ASD it is essen-tial that therapists keep current on the latest research and interventions to incorporate new knowledge and techniques

into their clinical practice. This course will assist practitioners in identifying, selecting and prioritizing intervention strate-gies to best support functional participation and successful engagement in developmentally appropriate tasks. Case analysis and group problem-solving will highlight strate-gies that can be used immediately in treatment of children with ASD. Instructor: Stacey Szklut. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

FEB. 28-MARCH 1, 2014 MOUNTAINSIDE, NJMARCH 28-29, 2014 PUYALLUP, WAOCT. 10-11, 2014 CEDAR KNOLLS, NJ

Taping to Improve Alignment,Strength & Function in Children

Enhance therapy outcomes in your pediatric clients, birth through adolescence, with neuromotor impairments and issues with alignment utilizing taping techniques presented in this course. You will practice with several different materi-als on the other course participants to achieve specific objec-tives. Examples of intervention with children utilizing taping procedures will reinforce learning for clinical applications. Course includes videotapes, analysis and intensive labs. Leave armed with a new technique to add to your therapy tool kit. Instructor: Jacqueline Grimenstein. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

FEB. 28-MARCH 1, 2014 CANTON, MAAPRIL 5-6, 2014 STATEN ISLAND, NYMAY 9-10, 2014 TBA

Children’s Brains andEvidence for Intervention

This course is designed to present the most recent empiri-cal evidence regarding efficacy of specific therapy related interventions. Emphasis will be on strategies for children with cerebral palsy and other neurologic-based diagnoses. Videotapes of treatment sessions will be used to illustrate major points and to present longitudinal case studies. Treatment strategies based on current knowledge of neuro-plasticity, such as constraint-induced therapy, mirror therapy and treadmill training, are emphasized. Instructor: Patricia Montgomery, PT, PhD, FAPTA. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

MARCH 7-9, 2014 WEST HAVERSTRAW, NY

If You Can’t Breathe,You Can’t Function, Mary Massery

This course challenges practitioners to acknowledge impor-tance of the cardiopulmonary system as an integral compo-nent of postural control, presenting a model demonstrating how breathing mechanics are linked to motor/physiologic behaviors. This is the cornerstone for Massery’s multi-system clinical approach to the evaluation & treatment of trunk/respiratory impairments. Demonstrations on how to integrate cardiovascular, pulmonary, musculoskeletal, neuromuscular, integumentary & internal organ systems into every evalu-ation/intervention & how to recognize common physiologic causes. Emphasis on developing/applying practical quick clinical solutions for pediatric & adult patients in all practice settings. Approved CEUs. Instructor: Mary Massery, PT, DPT, DSc. Contact: Elaine DeFrancesco, 845-786-4799; [email protected]

(866) 808-2249

advancehealthcareshop.com

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Residency and Fellowship Opportunities Available!

The University of St. Augustine is proud to offer the Clinical Orthopaedic Residency Program, Geriatric Residency Program and the Orthopaedic Manual

Physical Therapy Fellowship Program. These programs offer you theopportunity to be mentored in a one-on-one clinical environment while

allowing you to work toward earning one of USA’s advanced degrees without the need to relocate! Let us share with you the many advantages of

continuing your education with USA!

Please contactDr. Erin Conrad

800-241-1027, ext 1249or [email protected]

Manual Therapy and Orthopaedic Seminars2014 Seminar Calendar

C O N T I N U I N G E D U C A T I O N S E M I N A R S Stanley V. Paris, PT, PhD, FAPTA

S1 - Spinal Evaluation & ManipulationImpairment Based, Evidence Informed Approach35 Hours, 3.5 CEUs (No Prerequisite)

$895

S2 - Advanced Evaluation & Manipulation of Pelvis, Lumbar & Thoracic Spine Including Thrust21 Hours, 2.1 CEUs (Prerequisite S1)

$595

S3 - Advanced Evaluation & Manipulation of the Cranio Facial,Cervical & Upper Thoracic Spine27 Hours, 2.7 CEUs (Prerequisite S1)

$795Washington, DC ..........Smith ....................Jan 15 - 19Chicago, IL ..................Yack .....................Jan 22 - 26Ft. Lauderdale, FL .......Furto ....................Feb 12 - 16New York City, NY ......Yack .................... Feb 19 - 23 Baton Rouge, LA .........Furto .................... Mar 12 - 16St. Augustine, FL .........Yack .........................Apr 2 - 6San Marcos, CA ..........Furto .....................Apr 23 - 27Cincinnati, OH .............Smith .......................May 1 - 5Phoenix, AZ .................Furto ....................May 14 - 18

Baltimore, MD ..............Smith ....................Mar 13 - 16Houston, TX ................ Irwin......................Mar 20 - 23Ft. Lauderdale, FL .......Smith ....................Jun 12 - 15New York City, NY ......Smiith .................. Aug 14 - 17San Marcos, CA .......... Irwin..................... Aug 28 - 31Cincinnati, OH .............Smith ................... Sep 12 - 15Chicago, IL .................. Irwin.................Oct 30 - Nov 2Indianapolis, IN ............Viti ........................... Nov 6 - 9Austin, TX .................... Irwin..................... Dec 11 - 14St. Augustine, FL .........Smith ................... Dec 11 - 14

E1 - Extremity Evaluation and Manipulation30 Hours, 3.0 CEUs (No Prerequisite)Also Available to OTs $745

MF1 - Myofascial Manipulation20 Hours, 2.0 CEUs (No Prerequisite)

$595Boston, MA ................... Grodin .................Feb 14 - 16Phoenix, AZ .................. Cantu ..................Mar 14 - 16Indianapolis, IN ............. Stanborough........Mar 28 - 30Springfield, MO ............. Cantu .......................Apr 4 - 6Austin, TX ..................... Grodin ..................Apr 25 - 27New York City, NY ........ Grodin ...................May 9 - 11St. Augustine, FL...........Stanborough..........May 9 - 11Chicago, IL ................... Cantu ................. May 16 - 18

S4 - Functional Analysis & Management of Lumbo-Pelvic-Hip Complex15 Hours, 1.5 CEUs (Prerequisite S1) $545

Indianapolis, IN ............Nyberg..................Mar 15 - 16Washington, DC ..........Nyberg...................Apr 12 - 13St. Augustine, FL ......... Lonnemann...........Jun 14 - 15Ft. Lauderdale, FL ........Lonnemann..........Aug 30 - 31New York City, NY .......Nyberg.......................Oct 4 - 5Kalispell, MT ................Grant ......................Nov 1 - 12Bedford, PA..................Nyberg......................Nov 8 - 9

Kalispell, MT ................. Busby ..............Jan 30 - Feb 2Chicago, IL ................... Busby .......................Mar 6 - 9Cincinnati, OH .............. Naas ....................Mar 20 - 23Birmingham, AL ............ Turner ...................... Apr 5 - 8Las Vegas, NV ............. Turner .................. Apr 10 - 13Raleigh, NC .................. Busby ......................May 1 - 4New York City, NY ....... Busby ................... Jun 19 - 22Sacramento, CA ........... Turner ..............Jul 31 - Aug 3St. Augustine, FL .......... Busby .................... Aug 7 - 10Boston, MA ................... Naas ................... Sep 25 - 28Oklahoma City, OK ....... Naas ...................... Oct 9 - 12Seatle, WA ................... Turner .................... Oct 9 - 12

MANUAL THERAPY CERTIFICATION Preparation and Examination32 Hours, 3.2 CEUs(Prerequisites: S1, S2, S3, S4, E1, E2, MF1) $995St. Augustine, FL ..................................Jan 27 - Feb 1San Marcos, CA ....................................... Aug 18 - 23St. Augustine, FL ......................................... Oct 6 - 11

E2 - Extremity Integration21 Hours, 2.1 CEUs (Prerequisite E1) $595

Ft. Lauderdale, FL ........ Conrad .......................Mar 7 - 9Boston, MA ................... TBD ........................ Apr 25 - 27St. Augustine, FL....Patla/Conrad/Bergman...Jul 11 - 13Chicago, IL ................... Conrad ...................... Aug 1 - 3Las Vegas, NV ............. Conrad .................. Sep 12 - 14Cincinnati, OH .............. TBD ............................ Oct 3 - 5New York City, NY ....... TBD ....................... Nov 14 - 18

Seminar dates, locations, and tuition are subject to change, please call before making any non-refundable reservations.

Boston, MA ................... Irwin ............. Feb 28 - Mar 2Kalispell, MT ................. Irwin ................... Apr 11 - 13Bedford, PA .................. Irwin .................. May 16 - 18New York City, NY ....... Yack .................... Jul 11 - 13St. Augustine, FL ........ Irwin ...................Jul 18 - 20Indianpolis, IN ............. Viti ......................Jul 25 - 27Orlando, FL ................. Yack .................Aug 15 - 17Chicago, IL .................. Yack ................. Sep 12 - 14Phoenix, AZ ................. Viti .................... Sep 26 - 28

St. Augustine, FL .......... Chaconas ............Feb 22 - 23Austin, TX ..................... Chaconas ...............May 3 - 4Atlanta, GA ................... Chaconas ...........May 10 - 11St. Augustine, FL .......... Chaconas ............. Jul 26 - 27Denver, CO .................. Chaconas ............... Nov 8 - 9

CF 2: Intermediate Cranio-Facial20 Hours, 2.0 CEUs (Prerequisite CF 1 available as a Seminar or

Online) $595

The University of St. Augustine for Health Sciences has been accredited as an Authorized Provider by the International Association for Continuing

Education and Training (IACET),1760 Old Meadow Road, Suite 500, McLean, VA 22102.

Applied Musculoskeletal Imaging for Physical Therapists21 Hours, 2.1 CEUs (No Prerequisite) $545

St. Augustine, FL....Agustsson/Zigler.. Feb 28 - Mar 2Columbus, OH ............................................ Jul 18 - 20CF 3: Advanced Cranio-Facial

20 Hours, 2.0 CEUs (Prerequisite CF 2)

$595Austin, TX ..................... Rocabado.......Feb 27 - Mar 1

Advanced Manipulation Including Thrust of the Spine & Extremities20 Hours, 2.0 CEUs (Prerequisite: Completion of MTC Certification) $775

Additional Seminar Offerings

St. Augustine, FL .......... Yack ................... Mar 21 - 23San Marcos, CA ........... Irwin .....................Jul 25 - 27Grand Rapids, MI ......... Irwin ....................... Dec 5 - 7

Chicago, IL ................... Rocabado..............Jul 12 - 14

Caregiver Training 1: Assessment and Treatment of Dementia12 Hours, 1.2 CEUs (No Prerequisite ) $445Open to OTs, PTs, COTAs, PTAs and other health professionals

St. Augustine, FL .......... Vighetti ................Mar 15 - 16

Cape Coral, FL ............. Hubbard ................. May 3 - 4CF4: State of the Art Cranio Facial20 Hours, 2.0 CEUs (Prerequisite CF3) $595

Austin, TX ..................... Rocabado ........... Feb 25 - 27

Team Discount - Two or more persons from the same facility registering for the same seminar at the same time, receive a 10% discount at the time of registration. (Advanced notice and full payment required, does not apply after the first day of a seminar.)Multiple Seminar Discount - Register and pay in full for two or more seminars at the same time and receive a 10% discount.(May not be combined with any other discounts or previous registrations.)

Animal-Assisted Therapy: Improving Treatment Outcomes15 Hours, 1.5 CEUs (No Prerequisite) $545Open to OTs, PTs, COTAs, PTAs and other health professionals

San Marcos, CA ............................................May 3 - 4

Exercise Strategies and Progression for Musculoskeletal Dysfunction15 Hours, 1.5 CEUs (No Prerequisite) Open to OTs, PTs, COTAs, PTAs $545

Haven Horse Ranch’s Equine-Assisted Therapy Instructor Seminar21 Hours, 2.1 CEUs (No Prerequisite) $595Open to OTs, PTs, COTAs, PTAs and other health professionals

St. Augustine, FL . ... Lehman/Gorman . . . . Feb 7 - 9St. Augustine, FL.......Lehman/Gorman......Mar 14 - 16St. Augustine, FL.....Lehman/Gorman...... Aug 15 - 17

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Haven Horse Ranch’s Equine-Assisted Therapy Instructor Seminar - Review and Testing (Prerequisite: Instructor Seminar)15 Hours, 1.5 CEUs $495Open to OTs, PTs, COTAs, PTAs and other health professionals

St. Augustine, FL....Lehman/Gorman .........Apr 12 - 13St. Augustine, FL....Lehman/Gorman........Sep 20 - 21

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Please visit www.usa.edu fora complete listing of

2014 seminars and webinars!

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A $100 non-refundable deposit must accompany registra-tion form. A 50% non-refundable, non-transferable deposit is required for Certification. Balance is due 30 days prior to start date of the seminar. Balance can be transferred or refunded with 2 week written notice. Notice received after that time subject to only 50% refund. No refunds or transfers will be issued after the seminar begins.

Running Rehabilitation: An Integrative Approach to the Examination and Treatment of the At Risk Runner14 Hours, 1.4 CEUs (No Prerequisite) $485485

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FEB. 22-23, 2014 DALLAS, TXMAY 3-4, 2014 BOSTON, MAJUNE 21-22, 2014 TACOMA, WA

Rehab for Persons w/ Dementia:Making Therapy Worth It

Speaker: Susan Staples, PT, GCS. This seminar provides participants with specific evaluation and treatment strategies that are critical to improve outcomes for this challenging and rapidly growing patient population. Included are strategies for gait, balance and falls, mobility, hip fractures, strength/ROM, cardiopulmonary and pain issues, seating and positioning, restraints, and behavioral problems. Participants will also gain a thorough understanding of the different types of dementia with specific communication and approach strategies for success. The speaker provides an evidenced based seminar with an extensive handout. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

FEB. 22-23, 2014 BALTIMORE, MDMAY 17-18, 2014 IDAHO FALLS, IDJULY 19-20, 2014 OKLAHOMA CITY, OK

Taking BalanceTo the Limits

Speaker: Janene Barber, PT, GTC, has taught and treated extensively in this area with astounding results. This course goes beyond all you have learned about the effects of speed, strength and range of motion limitations as causes for balance dysfunction. You will leave with an in depth knowl-edge and skill in postural dyscontrol, somatosensation and vestibular arenas. Take home innovative useable evaluation and treatment techniques that will dramatically change your practice. Contact: Great Seminars and Books, 877-794-7328 (toll-free); www.greatseminarsandbooks.com

FEB. 22-23, 2014 BRISTOL, TNJUNE 21-22, 2014 PALM SPRINGS, CAJULY 19-20, 2014 MEMPHIS, TN

Manual Therapy forThe Geriatric Patient

Speaker- James Gose PT, DPT, OCS, Cert MDT, COMT, CMP: Using concepts of Robin McKenzie, Geoffrey Maitland and Brian Mulligan this course presents the evidence-based rational for using manual therapy with geriatric patients & demonstrates how manual therapy can safely & effectively be applied to this population. With over 120 manual techniques demonstrated and practiced the philosophical, evaluative and treatment concepts of each approach will be compared and contrasted. The perfect course if you see geriatric patients. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

FEB. 22-23, 2014 TUSCALOOSA, ALAUG. 16-17, 2014 SPRINGFIELD, ILSEP. 20-21, 2014 PHILADELPHIA, PA

Cancer RehabilitationSpeaker: Nicole Stout MPT, CLT-LANA. Current evidence-based rehabilitation interventions for individuals undergoing treatment for cancer, survivorship from cancer, or facing metastatic disease will be highlighted. Exercise prescription, contradictions and precautions with exercise & modalities. A unique, problem based format, with group interaction, utiliz-ing case studies for client evaluation and development of plan of care. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

FEB. 27-MARCH 3, 2014 HOUSTON, TX

Advanced NDT forMeasurable Functional Outcomes

Instructor: Suzanne Davis-Bombria; Kate Bain. Location: Texas Children’s Hospital, Houston, Texas 77030. Contact: Mitzi Wiggin, 832-826-6107 for more information; e-mail: [email protected]; or register online: www.texaschildrens.org/pmr and click on continuing education.

FEB. 28-MARCH 1, 2014 FAIRFAX, VAMARCH 7-8, 2014 KALAMAZOO, MIJUNE 7-8, 2014 LINCOLN, NE

Treatment of Patients withNeurologic Disorders

This course will help focus on making evidence-based strate-gies easy to integrate into your adult neuro-rehab practice. Outcome measures that are reliable and valid in persons with neurological diagnoses will be presented and demonstrated. Treatment approaches that improve functional participation, ambulation and upper extremity skill will be presented. Foundational strategies include strengthening, cardiovascular conditioning and neuroplasticity, with case studies, focusing on stroke, TBI, MS, Parkinson’s and fall risk assessment and treatment. Instructor: Kari Dunning. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

FEB. 28-MARCH 1, 2014 CEDAR KNOLLS, NJMARCH 28-29, 2014 ST. PETERSBURG, FLSEPT. 19-20, 2014 CANTON, MA

Practical Intervention StrategiesFor Children with ASD

With the increasing number of children with ASD it is essen-tial that therapists keep current on the latest research and interventions to incorporate new knowledge and techniques

into their clinical practice. This course will assist practitioners in identifying, selecting and prioritizing intervention strate-gies to best support functional participation and successful engagement in developmentally appropriate tasks. Case analysis and group problem-solving will highlight strate-gies that can be used immediately in treatment of children with ASD. Instructor: Stacey Szklut. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

FEB. 28-MARCH 1, 2014 MOUNTAINSIDE, NJMARCH 28-29, 2014 PUYALLUP, WAOCT. 10-11, 2014 CEDAR KNOLLS, NJ

Taping to Improve Alignment,Strength & Function in Children

Enhance therapy outcomes in your pediatric clients, birth through adolescence, with neuromotor impairments and issues with alignment utilizing taping techniques presented in this course. You will practice with several different materi-als on the other course participants to achieve specific objec-tives. Examples of intervention with children utilizing taping procedures will reinforce learning for clinical applications. Course includes videotapes, analysis and intensive labs. Leave armed with a new technique to add to your therapy tool kit. Instructor: Jacqueline Grimenstein. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

FEB. 28-MARCH 1, 2014 CANTON, MAAPRIL 5-6, 2014 STATEN ISLAND, NYMAY 9-10, 2014 TBA

Children’s Brains andEvidence for Intervention

This course is designed to present the most recent empiri-cal evidence regarding efficacy of specific therapy related interventions. Emphasis will be on strategies for children with cerebral palsy and other neurologic-based diagnoses. Videotapes of treatment sessions will be used to illustrate major points and to present longitudinal case studies. Treatment strategies based on current knowledge of neuro-plasticity, such as constraint-induced therapy, mirror therapy and treadmill training, are emphasized. Instructor: Patricia Montgomery, PT, PhD, FAPTA. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

MARCH 7-9, 2014 WEST HAVERSTRAW, NY

If You Can’t Breathe,You Can’t Function, Mary Massery

This course challenges practitioners to acknowledge impor-tance of the cardiopulmonary system as an integral compo-nent of postural control, presenting a model demonstrating how breathing mechanics are linked to motor/physiologic behaviors. This is the cornerstone for Massery’s multi-system clinical approach to the evaluation & treatment of trunk/respiratory impairments. Demonstrations on how to integrate cardiovascular, pulmonary, musculoskeletal, neuromuscular, integumentary & internal organ systems into every evalu-ation/intervention & how to recognize common physiologic causes. Emphasis on developing/applying practical quick clinical solutions for pediatric & adult patients in all practice settings. Approved CEUs. Instructor: Mary Massery, PT, DPT, DSc. Contact: Elaine DeFrancesco, 845-786-4799; [email protected]

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MARCH 8-11, 2014 BRONX, NYMARCH 13-16, 2014 ATLANTA, GAMARCH 29-APRIL 1, 2014 SAN ANTONIO, TX

Recovering Function NDT CoursesIntro, Advanced, Cert

Recovering Function’s series of “hands-on NDT courses provides you with a step-by-step framework of problem-solving strategies and manual cues for assessing potential and individualizing functional outcomes when implement-ing interventions for your adult clients with hemiplegia. Audience: OTs, COTAs, PTs, PTAs. Cathy Runyan, OTR/L, & Peggy Miller, PT, Recovering Function NDT Instructors. Offered nationwide. Contact: Recovering Function, 408-268-3691; or www.RecoveringFunction.com for a com-plete brochure of intro, advanced, and cert courses as well as information about additional course dates/locations, group rates & free registrations when hosting courses at your facility.

MARCH 14, 2014 MANCHESTER, NHAPRIL 11, 2014 NEWPORT NEWS, VAMAY 9, 2014 PORTLAND, OR

Strength Exercise forAging Adults to Improve Function

Muscular weakness in aging adults is effectively treated when using the proper, evidence-based exercise protocols. The course is designed to enable you to immediately and effi-ciently incorporate the learned material into your treatments to help you get great treatment results, in compliance with reimbursement and regulatory challenges. Whether you work in home health, outpatient, skilled nursing, a rehab center, or acute care, this course is designed to help you enhance your strength exercise treatments in a clinically realistic and practical way. Instructor: Mark Richards. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

MARCH 14-16, 2014 PORTLAND, ORJUNE 21-22, 2014 VENICE, FLSEPT. 19-20, 2014 KANSAS CITY, MO

Geriatric Therapeutic ExerciseSpeaker: Mark Traffas PT, GTC. Exercising geriatric patients presents a unique challenge to therapists. This course will demonstrate different, evidence-based exercise techniques and innovative interventions for all of the body’s major joints as well as for the most common diagnoses seen in older patients (i.e., stroke, Parkinson’s disease, gait and balance deficits). You will learn how to use functional tools to establish and guide exercise programs. Don’t miss this opportunity to enlarge your arsenal of treatment ideas. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

MARCH 15, 2014 HARTFORD, CTAPRIL 5, 2014 ST. LOUIS, MOMAY 17, 2014 BUFFALO, NY

#206 Functional Strategies forTreating Patients w/ Neurological

DeficitsInstructor: J.J. Mowder-Tinney, PT, PhD, NCS. This course teaches treatments to improve function for patients with CVA, TBI and other neurological deficits. Starting at the trunk, treatments will be delineated, providing original intervention strategies to improve upper and lower extremity movement. Many treatment positions that apply in all clinical settings will be demonstrated. Includes a framework for therapy intervention, emphasizing the importance of neuroplasticity and supporting research presented. Course approved by the Federation of State Boards of Physical Therapy. Contact: Motivations, Inc., 800-791-0262, ext 206; [email protected] or www.motivationsceu.com

MARCH 15-16, 2014 SAN DIEGO, CAAPRIL 5-6, 2014 LINCOLN, NEJULY 19-20, 2014 SACRAMENTO, CA

Put Some MuscleInto Ther Ex

Speaker: Wendy K. Anemaet, PT, PhD, GCS, CWS, GTC, COS-C; Strength loss begins in the 30's - but what's next? MMT's unreliable - what other options exist. Which muscles matter most to ADL? Join us for an intensive, fun, 2-day tune up to strengthen your outcomes and change the way you prescribe Ther Ex on Monday morning! Explore the current scoop on geriatric resistance training, practice evaluative techniques and exercises, and learn about parameters of strengthen-ing for a range of medical and rehab diagnoses. Put Some Muscle into Ther Ex offers the essential tools and knowledge to design, implement, evaluate and modify effective resis-tance training programs for the older populations. - See you there. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

MARCH 15-16, 2014 MIAMI, FLAPRIL 5-6, 2014 HARRISBURG, PASEPT. 19-20, 2014 ALBANY, NY

Rehab of Persons withCommon Medical Pathologies

Speaker: Steven Tepper PhD, PT. This entertaining lecture provides take home information on rehabilitation of MI/CHF, COPD, Diabetes, Renal Failure, Obesity, Peripheral Arterial Disease and Deep Vein Thrombosis seen in a wide variety of settings: acute, subacute, long-term care, home health, cardiac and pulmonary rehabilitation and fitness/wellness clinics. Specific evaluations, functional tools, interventions and limitations to functional activities, will be covered in a case study format and lab sessions utilizing the Guide to Physical Therapy Practice. Stay up to date with the latest research findings with this dedicated and talented educator. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

MARCH 15-16, 2014 MADISON, WIAPRIL 5-6, 2014 SAN JOSE, CANOV. 7-8, 2014 SALT LAKE CITY, UT

Safe Steps: Making Gait,Balance Assessment & Treatment

Speaker James C. Wall, BSC, MSc, MEd, PhD presents Safe Steps: Making Gait and Balance Assessment and Treatment Worth It. This seminar reviews the major changes com-monly seen in the elderly, which can contribute to problems with gait, balance, and subsequent loss of independence. Evaluations tools, objective techniques to measure functional mobility tasks and evidence-based treatment strategies will be covered. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

MARCH 15-16, 2014 CROMWELL, CTMAY 3-4, 2014 CHEYENNE, WYJULY 19-20, 2014 CHARLESTON, SC

Total Joint ArthroplastySpeaker: Alisa Curry, PT, DPT. Take best practice and combine it with the topic of total joint arthroplasty and you will get the essential message of this course. Critical pathways (i.e. care plans), therapeutic treatment techniques and rehabilitation pro-tocols will be presented for total hip, knee and shoulder arthro-plasties. Pre-operative, acute care and post-discharge concerns will be addressed. Suggested protocols, sample home exercise instruction sheets, home exercise programs with evaluation and treatment guidelines given. Contact: Great Seminars and Books, 877-794-7328 (toll-free); www.greatseminarsandbooks.com

MARCH 15-16, 2014 ALEXANDRIA, VAMAY 30-31, 2014 TBAJULY 18-19, 2014 MIAMI, FL

Management of theMedically Complex Acute Patient

This course is designed to enhance the clinical decision-making skills of participants for early mobilization and safe, effective treatment of acutely ill patients. As more patients survive critical illnesses, intervention must complement the highly technologic, life-saving medical therapies, regardless of practice setting. Discussion of lines, physiologic monitors, lab values, and diagnostic test results will focus on implica-tions for treatment. This course will highlight a multisystem approach to the acutely ill patient. Participants will integrate examination findings into individualized care plans that can be implemented from ICU and across acute care and post-acute practice settings. Instructor: Daniel Malone. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

MARCH 15-16, 2014 LONG BEACH, CASEPT. 20-21, 2014 DALLAS, TX

Electrical Stimulation:Enhancing Pediatric Outcomes

This two-day course with intensive hands-on lab format allows pediatric therapists the opportunity to learn about the use of electric stimulation modalities for functional rehabilitation in the pediatric population. Learn and prac-tice how to select parameters for using TENS and FES to enhance treatment protocols specifically for the pediatric population with neurological and orthopedic diagnoses. Review TENS and FES parameter selection for chronic pain, muscle strengthening, neuromuscular rehabilita-tion, and the use of sensory level stimulation to enhance feedback and motor learning. Gait lab will review options for electrode placement, available devices, and use of sensory input rather than or before attempting motor response. Learn and practice specific treatment proto-cols for shoulder subluxation, rhomboid stabilization, and brachial plexus injuries. Facial paralysis from surgical or virus-based issues will be discussed. Recent research will be reviewed for electrical modalities, with contraindica-tions specifically referring to Pediatrics. Prior knowledge of modalities & anatomy is helpful to maximize learning experience. Hosting opportunities available for 2014-2015. Contact: Rehab Education, LLC, 845-368-2458 for questions; [email protected] or www.RehabEd.com for details and registration.

MARCH 21-22, 2014 ENGLEWOOD, NJMAY 16-17, 2014 HOUSTON, TXJULY 18-19, 2014 LEXINGTON, KY

Torticollis & Plagiocephaly:Effective Assessment & Treatment

This dynamic course will concentrate on progressive, effec-tive treatment schemes for infants and young children with a diagnosis of torticollis with or without plagiocephaly, including challenging cases. Participants will analyze the implications of torticollis, sleep posture and increased use of positional devices on infant postural and motor development. Red flags for related early infancy and preschool diagnoses will be dis-cussed. Diagnostic procedures and surgical intervention will be appraised. Functional, clinically oriented evaluation and evidence based treatment strategies for infants and young children that can be integrated into play and home routines will be provided. Instructor: Cindy Miles. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

DON’T LET YOUR FREE ADVANCE SUBSCRIPTION EXPIRE!CALL 800.355.1088

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www.acols.com1.800.863.5935

Our Lymphedema management courses are widely known as the best in the industry! Learn to effectively treat and manage primary and secondary lymphedema, and much more.

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Complete Lymphedema Certification Course (135 hours)

March 22–30April 5–13April 5–13April 5–13May 17–25May 17–25May 31–June 8May 31–June 8May 31–June 8

Austin, TXHuntsville, ALRichmond, VATampa, FLBoston, MAChicago, ILAnn Arbor, MIPalm Beach Gardens, FLSan Francisco, CA

Lymphedema Management Seminar (31 hours)

January 25–28February 22–25March 22–25April 26–29May 17–20June 21–24

Palm Beach Gardens, FLSan Diego, CAChicago, ILCleveland, OHBaton Rouge, LACharlotte, NC

Management of Lymphedema for the Head and Neck

April 25–26

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Lymphatic Correction Using Elastic Taping Method

April 27–28

June 22–23

Cincinnati, OH

Denver, CO

Advanced Lymphedema Management I (Refresher)

May 15–18

October 16–19

Sacramento, CA

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Wound Management Strategies / Advanced Wound

March 22–23

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Palm Beach Gardens, FL (WOUND)

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March 29–30

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Houston, TX

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Don’t Miss These Upcoming LymphedemaManagement Courses

Choose a FREE NookHD with your certification course registrationUpon registration, choose to receive your manual and textbook in hard-cover OR the FREE NookHD and download your materials. Call for details.

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MARCH 8-11, 2014 BRONX, NYMARCH 13-16, 2014 ATLANTA, GAMARCH 29-APRIL 1, 2014 SAN ANTONIO, TX

Recovering Function NDT CoursesIntro, Advanced, Cert

Recovering Function’s series of “hands-on NDT courses provides you with a step-by-step framework of problem-solving strategies and manual cues for assessing potential and individualizing functional outcomes when implement-ing interventions for your adult clients with hemiplegia. Audience: OTs, COTAs, PTs, PTAs. Cathy Runyan, OTR/L, & Peggy Miller, PT, Recovering Function NDT Instructors. Offered nationwide. Contact: Recovering Function, 408-268-3691; or www.RecoveringFunction.com for a com-plete brochure of intro, advanced, and cert courses as well as information about additional course dates/locations, group rates & free registrations when hosting courses at your facility.

MARCH 14, 2014 MANCHESTER, NHAPRIL 11, 2014 NEWPORT NEWS, VAMAY 9, 2014 PORTLAND, OR

Strength Exercise forAging Adults to Improve Function

Muscular weakness in aging adults is effectively treated when using the proper, evidence-based exercise protocols. The course is designed to enable you to immediately and effi-ciently incorporate the learned material into your treatments to help you get great treatment results, in compliance with reimbursement and regulatory challenges. Whether you work in home health, outpatient, skilled nursing, a rehab center, or acute care, this course is designed to help you enhance your strength exercise treatments in a clinically realistic and practical way. Instructor: Mark Richards. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

MARCH 14-16, 2014 PORTLAND, ORJUNE 21-22, 2014 VENICE, FLSEPT. 19-20, 2014 KANSAS CITY, MO

Geriatric Therapeutic ExerciseSpeaker: Mark Traffas PT, GTC. Exercising geriatric patients presents a unique challenge to therapists. This course will demonstrate different, evidence-based exercise techniques and innovative interventions for all of the body’s major joints as well as for the most common diagnoses seen in older patients (i.e., stroke, Parkinson’s disease, gait and balance deficits). You will learn how to use functional tools to establish and guide exercise programs. Don’t miss this opportunity to enlarge your arsenal of treatment ideas. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

MARCH 15, 2014 HARTFORD, CTAPRIL 5, 2014 ST. LOUIS, MOMAY 17, 2014 BUFFALO, NY

#206 Functional Strategies forTreating Patients w/ Neurological

DeficitsInstructor: J.J. Mowder-Tinney, PT, PhD, NCS. This course teaches treatments to improve function for patients with CVA, TBI and other neurological deficits. Starting at the trunk, treatments will be delineated, providing original intervention strategies to improve upper and lower extremity movement. Many treatment positions that apply in all clinical settings will be demonstrated. Includes a framework for therapy intervention, emphasizing the importance of neuroplasticity and supporting research presented. Course approved by the Federation of State Boards of Physical Therapy. Contact: Motivations, Inc., 800-791-0262, ext 206; [email protected] or www.motivationsceu.com

MARCH 15-16, 2014 SAN DIEGO, CAAPRIL 5-6, 2014 LINCOLN, NEJULY 19-20, 2014 SACRAMENTO, CA

Put Some MuscleInto Ther Ex

Speaker: Wendy K. Anemaet, PT, PhD, GCS, CWS, GTC, COS-C; Strength loss begins in the 30's - but what's next? MMT's unreliable - what other options exist. Which muscles matter most to ADL? Join us for an intensive, fun, 2-day tune up to strengthen your outcomes and change the way you prescribe Ther Ex on Monday morning! Explore the current scoop on geriatric resistance training, practice evaluative techniques and exercises, and learn about parameters of strengthen-ing for a range of medical and rehab diagnoses. Put Some Muscle into Ther Ex offers the essential tools and knowledge to design, implement, evaluate and modify effective resis-tance training programs for the older populations. - See you there. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

MARCH 15-16, 2014 MIAMI, FLAPRIL 5-6, 2014 HARRISBURG, PASEPT. 19-20, 2014 ALBANY, NY

Rehab of Persons withCommon Medical Pathologies

Speaker: Steven Tepper PhD, PT. This entertaining lecture provides take home information on rehabilitation of MI/CHF, COPD, Diabetes, Renal Failure, Obesity, Peripheral Arterial Disease and Deep Vein Thrombosis seen in a wide variety of settings: acute, subacute, long-term care, home health, cardiac and pulmonary rehabilitation and fitness/wellness clinics. Specific evaluations, functional tools, interventions and limitations to functional activities, will be covered in a case study format and lab sessions utilizing the Guide to Physical Therapy Practice. Stay up to date with the latest research findings with this dedicated and talented educator. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

MARCH 15-16, 2014 MADISON, WIAPRIL 5-6, 2014 SAN JOSE, CANOV. 7-8, 2014 SALT LAKE CITY, UT

Safe Steps: Making Gait,Balance Assessment & Treatment

Speaker James C. Wall, BSC, MSc, MEd, PhD presents Safe Steps: Making Gait and Balance Assessment and Treatment Worth It. This seminar reviews the major changes com-monly seen in the elderly, which can contribute to problems with gait, balance, and subsequent loss of independence. Evaluations tools, objective techniques to measure functional mobility tasks and evidence-based treatment strategies will be covered. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

MARCH 15-16, 2014 CROMWELL, CTMAY 3-4, 2014 CHEYENNE, WYJULY 19-20, 2014 CHARLESTON, SC

Total Joint ArthroplastySpeaker: Alisa Curry, PT, DPT. Take best practice and combine it with the topic of total joint arthroplasty and you will get the essential message of this course. Critical pathways (i.e. care plans), therapeutic treatment techniques and rehabilitation pro-tocols will be presented for total hip, knee and shoulder arthro-plasties. Pre-operative, acute care and post-discharge concerns will be addressed. Suggested protocols, sample home exercise instruction sheets, home exercise programs with evaluation and treatment guidelines given. Contact: Great Seminars and Books, 877-794-7328 (toll-free); www.greatseminarsandbooks.com

MARCH 15-16, 2014 ALEXANDRIA, VAMAY 30-31, 2014 TBAJULY 18-19, 2014 MIAMI, FL

Management of theMedically Complex Acute Patient

This course is designed to enhance the clinical decision-making skills of participants for early mobilization and safe, effective treatment of acutely ill patients. As more patients survive critical illnesses, intervention must complement the highly technologic, life-saving medical therapies, regardless of practice setting. Discussion of lines, physiologic monitors, lab values, and diagnostic test results will focus on implica-tions for treatment. This course will highlight a multisystem approach to the acutely ill patient. Participants will integrate examination findings into individualized care plans that can be implemented from ICU and across acute care and post-acute practice settings. Instructor: Daniel Malone. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

MARCH 15-16, 2014 LONG BEACH, CASEPT. 20-21, 2014 DALLAS, TX

Electrical Stimulation:Enhancing Pediatric Outcomes

This two-day course with intensive hands-on lab format allows pediatric therapists the opportunity to learn about the use of electric stimulation modalities for functional rehabilitation in the pediatric population. Learn and prac-tice how to select parameters for using TENS and FES to enhance treatment protocols specifically for the pediatric population with neurological and orthopedic diagnoses. Review TENS and FES parameter selection for chronic pain, muscle strengthening, neuromuscular rehabilita-tion, and the use of sensory level stimulation to enhance feedback and motor learning. Gait lab will review options for electrode placement, available devices, and use of sensory input rather than or before attempting motor response. Learn and practice specific treatment proto-cols for shoulder subluxation, rhomboid stabilization, and brachial plexus injuries. Facial paralysis from surgical or virus-based issues will be discussed. Recent research will be reviewed for electrical modalities, with contraindica-tions specifically referring to Pediatrics. Prior knowledge of modalities & anatomy is helpful to maximize learning experience. Hosting opportunities available for 2014-2015. Contact: Rehab Education, LLC, 845-368-2458 for questions; [email protected] or www.RehabEd.com for details and registration.

MARCH 21-22, 2014 ENGLEWOOD, NJMAY 16-17, 2014 HOUSTON, TXJULY 18-19, 2014 LEXINGTON, KY

Torticollis & Plagiocephaly:Effective Assessment & Treatment

This dynamic course will concentrate on progressive, effec-tive treatment schemes for infants and young children with a diagnosis of torticollis with or without plagiocephaly, including challenging cases. Participants will analyze the implications of torticollis, sleep posture and increased use of positional devices on infant postural and motor development. Red flags for related early infancy and preschool diagnoses will be dis-cussed. Diagnostic procedures and surgical intervention will be appraised. Functional, clinically oriented evaluation and evidence based treatment strategies for infants and young children that can be integrated into play and home routines will be provided. Instructor: Cindy Miles. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

DON’T LET YOUR FREE ADVANCE SUBSCRIPTION EXPIRE!CALL 800.355.1088

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MARCH 22-23, 2014 WASHINGTON, DCOCT. 11-12, 2014 TWIN FALLS, IDNOV. 15-16, 2014 RALEIGH, NC

Home Health:A Specialty of Its Own

Speaker: Jenny Coulter MPT, GCS, CEAA. Home Health is a unique physical therapy practice setting. Regardless of if you are new to home health or a seasoned veteran this course will bring a new perspective on your role. It will delve into how you assess, set up care plans and treat your patients with focus on special populations (i.e. CVA, Parkinson’s, total joint replacement, cardiovascular disor-ders, pulmonary disorders, frailty, dementia and obesity) Home safety, fall prevention tips, tricks and tools will be presented. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

MARCH 28-29, 2014 JOHNSON CITY, NYSEP. 19-20, 2014 ROCKFORD, ILOCT. 18-19, 2014 LOS ANGELES, CA

Yoga Therapy for the ChildWith Developmental Challenges

This program highlights the use of YOGA therapy for INDIVIDUAL treatment sessions and strategies for even your most challenging clients. Through experiential labs par-ticipants till focus on the physical, regulatory, physiological, sensory-motor and emotional benefits of specific therapeu-tic yoga postures, breath-work and relaxation techniques. Breath and sound and relaxation exercises to enhance regulation, endurance and organization will be highlighted for children challenged by: Degenerative or developmental con-ditions, Autism, PDD, Anxiety disorders, LD, Motor planning issues, ADD/ADHD. Instructor: Anne Buckley-Reen. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

MARCH 28-30, 2014 CHARLESTON, SC

SCAPTA Annual ConferenceThe South Carolina Chapter of the American Physical Therapy Assoc. (SCAPTA) will host its next Annual Conf., March 28-30, 2014 at the Medical University of South Carolina (MUSC), Charleston, SC. The conference will feature more than 10 courses on a variety of topics, including: clinical education, dry needling, upper extremity nerve entrapments, acute stroke treatment, cognitive management of TBI, pediatric interventions, documentation, prosthetic gait training, pelvic floor treatment, physical therapy outcomes, and more! The conference will also include a course for students, job fair, exhibitors, poster and platform presentations, and social events. Contact: www.scapta.org to register by March 17 for early bird rates.

MARCH 29-30, 2014 NEWINGTON, CTJULY 18-19, 2014 KANSAS CITY, MOSEPT. 19-20, 2014 TBA

Evidence Based Cancer Rehabilitation & Its Role in Survivorship

Advances in the medical management of cancer have steadi-ly increased survival rates. Research shows that most cancer survivors will have at least one physical side effect of cancer treatment, including fatigue, neuropathy, muscle weakness, and balance deficits. This interactive course will provide evidence-based tools and strategies for the care of patients with diverse cancer types across the cancer continuum. The course will also address functional outcome measures and reimbursement concerns. Instructor: Lisa VanHoose. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

APRIL 5-6, 2014 WEST ORANGE, NJNOV. 1-2, 2014 SEATTLE, WA

Intro to the Neuro-IFRAH®Approach to Treatment of Adults

This two day course is designed to provide participants with an introduction to the Neuro-IFRAH® principles of man-agement and a practical application of these principles to increase function in adults with hemiplegia from a stroke or brain injury. Participants will be able to apply the information and handling techniques learned in a variety of treatment settings including acute care, inpatient and outpatient reha-bilitation, home care, and skilled nursing facilities. Hosting opportunities available for 2014-2015. Contact: Rehab Education, LLC, 845-368-2458 for questions; [email protected] or www.RehabEd.com

APRIL 5-13, 2014 CLEVELAND, OHAPRIL 5-13, 2014 FT. LAUDERDALE, FLAPRIL 26-MAY 4, 2014 ST. LOUIS, MO

Lymphedema Therapy CertificationThe Norton School of Lymphatic Therapy’s Advantage Optimal Access Format is a blended live & web-based certification program producing LANA-eligible lymphedema therapists in only 9 continuous days. Only 5 workdays and 2 week-ends make this course the most sensible, cost-effective, unmatched choice. Save large expenses on staff coverage, travel, hotel and meals. Take our online Virtual Tour and compare to other schools! This course teaches: Manual Lymph Drainage (MLD) & Complete Decongestive Therapy (Vodder/Foeldi Tech) covering 135 hours, basic and advanced MLD, bandaging & Tx protocols, Tx of primary & secondary lymphedema, extremity & non-extremity lymphedema. All Norton School instructors are recognized national experts and are available via e-mail & phone consultation for Tx of complex patients. We offer Advanced Training Programs, Reviews, Bi-Annual Conferences, Specialized Training Videos

HANDS, SHOULDERS KNEES & ELBOWS™


24.25 hrs of High Quality CE Cutting edge training in the Elbow, Hand, Hip, Shoulder, Wrist & More! Joint Injections, ACL Risk Prevention, Common Orthopedic & Sports InjuriesFeaturing the best speakers in the US! George J. Davies, DPT, MED, PT, SCS, ATC, LAT, CSCS Physical Therapy Program, Armstrong Atlantic State University Internationally known speaker/author; 50 years of clinical practice Krisi Probert, OTD, OTR/L, CHT

National Lecturer; Occupational Therapy Program, Brenau University Mary Vacala, PA-C, ATC, MSPAC, DFAAPA Specialized in Orthopedic Sports Medicine for over 2 decades National speaker; Olympic/Paralympic medical team for 20 years

industry exhibitors!

Visit www.dmgcme.com/ptjanFollow Us On:

Visit www.dmgcme.com/ptjan

for information on all 2014 events - Register

Early & Save!

FREE E-NEWSLETTER — WWW.ADVANCEWEB.COM

PTCal_01_13.indd 8 1/10/14 2:45:24 PM


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& free lifetime listing in our Therapist Referral Database. Multiple courses offered per month nationally. Inquire about hosting a course! MD, RN, PT, OT, PT & OT Assistants, Nurses & MTs qualified. The Norton School is recognized by FPTA, NJ, SBPTE, TPTA, AOTA & NCBTMB for CEUs. Senior Faculty: Steve Norton, MLD/CD, CLT-LANA; Andrea Cheville, MD, Medical Director. Contact: 866-445-9674 (toll-free); 866-854-7800 (fax); [email protected] or www.NortonSchool.com

APRIL 10-11, 2014 WISCONSIN DELLS, WI

Wisconsin Physical TherapyAssociation Conference

The Wisconsin Physical Therapy Association (WPTA) will host its Spring Conference 4/10-11, 2014 at the Kalahari Resort & Convention Center, Wisconsin Dells. The conference will feature hands-on labs, lectures, discussions, expert panels and a professional issues forum. Attendees will receive con-tact hours qualified as continuing education by the Wisconsin DSPS for courses attended in their entirety. Registration includes continental breakfasts, morning & afternoon breaks, luncheons, Welcome Reception, Business Meeting, Awards Dinner and conference materials. All classes are held on a first-come, first-served basis. Sign up early! Contact: WPTA office at 608-221-9191; [email protected] for more information; www.wpta.org to download a registration form or register online.

APRIL 11-12, 2014 WHITE PLAINS, NYJUNE 13-14, 2014 TBAAUG. 23-24, 2014 KISSIMMEE, FL

NeurorehabilitationAcross the Continuum of Care

Does what’s going on in the nervous system really matter to therapy practice? This course will provide therapists

with a new perspective for improving outcomes in their patients with neurologic deficits. Participants will learn an evidence-based approach to selecting the most appropriate interventions based on functional prognosis and learn when and how to facilitate recovery versus facilitate compensa-tion. Participants will be able to perform a comprehensive neurological examination, correlating findings to symptoms, neuropathology and prognosis as well as skillful documen-tation. Speaker: Roseanne Thomas. Contact: Education Resources, Inc., 800-487-6530; 508-359-6533; www.educationresourcesinc.com

APRIL 11-12, 2014 PENNINGTON, NJJULY 25-26, 2014 WATERTOWN, MASEPT. 26-27, 2014 MINNEAPOLIS, MN

FunctionalStrengthening in Children

This course will assist clinicians in designing treatment pro-grams to improve strength, fitness, and function in children with disabilities and chronic conditions. An evidence-based approach to examination, treatment strategies, and outcome measurement will be presented. Case examples will be used to illustrate treatment activities using weights, therapy balls, treadmills and other exercise equipment. Instructors: Maria Fragala Pinkham, Maggie O’Neil. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

APRIL 26-27, 2014 TALLAHASSEE, FL

Treatment of Infants,Children and Teens with (OBPI)

Learn about conservative and surgical management of Obstetrical Brachial Plexus Injury over the course of infancy, childhood, and teen years through a detailed overview of the anatomy of the initial nerve injury and the muscular and bony

sequelae that often results in lifelong neuromuscular and orthopedic challenges. Learn comprehensive examination and intervention strategies for each stage of recovery throughout infancy, childhood, and teen years, and how to develop an on-going treatment plan to assist the child to achieve their fullest potential. Hosting opportunities available for 2014-2015. Contact: Rehab Education, LLC, 845-368-2458 for questions; [email protected] or www.RehabEd.com

MAY 3, 2014 HARTFORD, CTSEPT, 6, 2014 FREEHOLD, NJ

Mirror Therapy:Alter Pain and Improve Function

Are your patients not responding to therapy? Maximize treatment outcomes despite limited visits with Mirror Therapy. In the clinic and with a home program, Mirror Therapy improves movement and range of motion in preparation for a functional training program. As part of a Graded Motor Imagery program, Mirror Therapy helps identify patients who are not responding to conventional therapies and helps improve clinical efficiency and compliance with a home program. Mirror Therapy has been successful in treating peripheral nerve injuries and central nervous system injuries through the use of a sequential 3-stage process consisting of right and left identification, visual imagery and mirror therapy. Hosting opportunities available for 2014-2015. Instructor: Susan Stralka, PT, DPT, MS. Contact: Rehab Education, LLC, 845-368-2458 for questions; [email protected] or www.RehabEd.com for details and registration.

Entry-level DPT in a Weekend On-Campus Format

The Neumann DPT…

www.neumann.edu

Aston, Pennsylvania

CALL 800.355.5627 TO RENEW YOUR FREE SUBSCRIPTION TODAY!

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MARCH 22-23, 2014 WASHINGTON, DCOCT. 11-12, 2014 TWIN FALLS, IDNOV. 15-16, 2014 RALEIGH, NC

Home Health:A Specialty of Its Own

Speaker: Jenny Coulter MPT, GCS, CEAA. Home Health is a unique physical therapy practice setting. Regardless of if you are new to home health or a seasoned veteran this course will bring a new perspective on your role. It will delve into how you assess, set up care plans and treat your patients with focus on special populations (i.e. CVA, Parkinson’s, total joint replacement, cardiovascular disor-ders, pulmonary disorders, frailty, dementia and obesity) Home safety, fall prevention tips, tricks and tools will be presented. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

MARCH 28-29, 2014 JOHNSON CITY, NYSEP. 19-20, 2014 ROCKFORD, ILOCT. 18-19, 2014 LOS ANGELES, CA

Yoga Therapy for the ChildWith Developmental Challenges

This program highlights the use of YOGA therapy for INDIVIDUAL treatment sessions and strategies for even your most challenging clients. Through experiential labs par-ticipants till focus on the physical, regulatory, physiological, sensory-motor and emotional benefits of specific therapeu-tic yoga postures, breath-work and relaxation techniques. Breath and sound and relaxation exercises to enhance regulation, endurance and organization will be highlighted for children challenged by: Degenerative or developmental con-ditions, Autism, PDD, Anxiety disorders, LD, Motor planning issues, ADD/ADHD. Instructor: Anne Buckley-Reen. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

MARCH 28-30, 2014 CHARLESTON, SC

SCAPTA Annual ConferenceThe South Carolina Chapter of the American Physical Therapy Assoc. (SCAPTA) will host its next Annual Conf., March 28-30, 2014 at the Medical University of South Carolina (MUSC), Charleston, SC. The conference will feature more than 10 courses on a variety of topics, including: clinical education, dry needling, upper extremity nerve entrapments, acute stroke treatment, cognitive management of TBI, pediatric interventions, documentation, prosthetic gait training, pelvic floor treatment, physical therapy outcomes, and more! The conference will also include a course for students, job fair, exhibitors, poster and platform presentations, and social events. Contact: www.scapta.org to register by March 17 for early bird rates.

MARCH 29-30, 2014 NEWINGTON, CTJULY 18-19, 2014 KANSAS CITY, MOSEPT. 19-20, 2014 TBA

Evidence Based Cancer Rehabilitation & Its Role in Survivorship

Advances in the medical management of cancer have steadi-ly increased survival rates. Research shows that most cancer survivors will have at least one physical side effect of cancer treatment, including fatigue, neuropathy, muscle weakness, and balance deficits. This interactive course will provide evidence-based tools and strategies for the care of patients with diverse cancer types across the cancer continuum. The course will also address functional outcome measures and reimbursement concerns. Instructor: Lisa VanHoose. Contact: Education Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); www.educationresourcesinc.com

APRIL 5-6, 2014 WEST ORANGE, NJNOV. 1-2, 2014 SEATTLE, WA

Intro to the Neuro-IFRAH®Approach to Treatment of Adults

This two day course is designed to provide participants with an introduction to the Neuro-IFRAH® principles of man-agement and a practical application of these principles to increase function in adults with hemiplegia from a stroke or brain injury. Participants will be able to apply the information and handling techniques learned in a variety of treatment settings including acute care, inpatient and outpatient reha-bilitation, home care, and skilled nursing facilities. Hosting opportunities available for 2014-2015. Contact: Rehab Education, LLC, 845-368-2458 for questions; [email protected] or www.RehabEd.com

APRIL 5-13, 2014 CLEVELAND, OHAPRIL 5-13, 2014 FT. LAUDERDALE, FLAPRIL 26-MAY 4, 2014 ST. LOUIS, MO

Lymphedema Therapy CertificationThe Norton School of Lymphatic Therapy’s Advantage Optimal Access Format is a blended live & web-based certification program producing LANA-eligible lymphedema therapists in only 9 continuous days. Only 5 workdays and 2 week-ends make this course the most sensible, cost-effective, unmatched choice. Save large expenses on staff coverage, travel, hotel and meals. Take our online Virtual Tour and compare to other schools! This course teaches: Manual Lymph Drainage (MLD) & Complete Decongestive Therapy (Vodder/Foeldi Tech) covering 135 hours, basic and advanced MLD, bandaging & Tx protocols, Tx of primary & secondary lymphedema, extremity & non-extremity lymphedema. All Norton School instructors are recognized national experts and are available via e-mail & phone consultation for Tx of complex patients. We offer Advanced Training Programs, Reviews, Bi-Annual Conferences, Specialized Training Videos



24.25 hrs of High Quality CE Cutting edge training in the Elbow, Hand, Hip, Shoulder, Wrist & More! Joint Injections, ACL Risk Prevention, Common Orthopedic & Sports InjuriesFeaturing the best speakers in the US! George J. Davies, DPT, MED, PT, SCS, ATC, LAT, CSCS Physical Therapy Program, Armstrong Atlantic State University Internationally known speaker/author; 50 years of clinical practice Krisi Probert, OTD, OTR/L, CHT

National Lecturer; Occupational Therapy Program, Brenau University Mary Vacala, PA-C, ATC, MSPAC, DFAAPA Specialized in Orthopedic Sports Medicine for over 2 decades National speaker; Olympic/Paralympic medical team for 20 years

industry exhibitors!

Visit www.dmgcme.com/ptjanFollow Us On:

Visit www.dmgcme.com/ptjan

for information on all 2014 events - Register

Early & Save!

FREE E-NEWSLETTER — WWW.ADVANCEWEB.COM

PTCal_01_13.indd 8 1/10/14 2:45:24 PM



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MAY 3-4, 2014 SPRINGFIELD, ILSEP. 19-20, 2014 BILLINGS, MTNOV. 8-9, 2014 ALBUQUERQUE, NM

Rehabilitation forThe Frail Elderly

Speaker: Robert Thomas, MS, PT. Learn the latest informa-tion on 30 assessment tools and treatment protocols for working with the frail older population. Information on the effects of institutionalization, medical and cognitive pathologies that affect the frail population, pharmacologi-cal management, and the impact of reimbursement mod-els will be presented. Specific evaluations and creative treatment protocols for gait, balance, strength, flexibility, and endurance will be provided. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

MAY 17-18, 2014 DALLAS, TXJUNE 6-7, 2014 ENGLEWOOD, NJ

Orthopedic Therapy ofThe Shoulder

Unravel the myths and reveal the truths about treating the orthopedic shoulder. Learn to treat a variety of shoulder prob-lems in this comprehensive, evidence-based course. Features in-depth evaluation and eclectic approach to the manual treatment of orthopedic shoulder pathologies including rota-tor cuff tendonopathy; shoulder instability/SLAP lesions; frozen shoulder; arthritis; fractures and more. Hosting oppor-tunities available for 2014-2015. Contact: Rehab Education, LLC, 845-368-2458 for questions; [email protected] or www.RehabEd.com for details and registration.

JULY 18-20, 2014 OMAHA, NEAUG. 1-3, 2014 SAN LUIS OBISPO, CAAUG. 15-17, 2014 MINNEAPOLIS, MN

Dr. Carol B. Lewis Presents:Clinical Geriatric Orthopedics 2014

This entertaining and informative 20 hour seminar describes age related changes and pathology, normative values, func-tional tools for every joint in the body and shows you how to track patient progress for reimbursement. In laboratory sessions, Dr. Lewis, a clinician, international lecturer and author, teaches innovative mobilizations techniques, creative exercises and diagnosis specific protocols and efficient eval-uations. 400+page handout and over 5,000 evidence based references and endless evidence based treatment strategies. Contact: Great Seminars and Books, 877-794-7328 (toll-free); or www.greatseminarsandbooks.com

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Also shop in person at any ADVANCE Job Fair & Career Event.

Break away from the computer and the newspaper!

Meet employers face-to-face at a FREE ADVANCE JOB FAIR

You’ll also fi nd . . . • FREE CE • Exciting Games• Fun Shopping • FREE Refreshments• Great Prizes

Visit www.advancewebweb.com/jobfairs to fi nd the next job fair nearest you!

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FIND A NEW POSITION ...... THE ADVANCE HEALTHCARE CAREER WEB SITE HAS WHAT YOU’RE LOOKING FOR!

PTCal_01_13.indd 10 1/10/14 2:45:25 PM

Looking to the FutureStep one is for therapists to engage their patients, family, and friends about healthcare reform through education and providing resources. Therapists must also leverage the data in their EMR systems to show the value of physical therapy. Simply understanding the outcomes of your facility and comparing them to national norms can have a large impact on your practice.

Key data items, such as visits, charges, and percentage of goals met, can be a great start-ing point to evaluate how you measure up. If you are above national norms, understand why, because it could be a specific and valid reason (i.e., a complex spine patient population). If you are producing great outcomes in fewer visits and for lower cost, then you need to use the information to market to your patients, refer-ral sources, and insurance carriers. EMRs have the data — it’s up to the provider to use it to differentiate their practice.

Currently, many healthcare professionals feel healthcare reform and the drive to change is too focused on eliminating fraud and abuse, while containing costs through arbitrary reductions in payments and caps. This is where provid-ers, patients, and professional organizations must help drive reform about better healthcare, contain costs through wellness, and simplify

the process of proving medical necessity and clarification of covered services.

Pay-for-performance and alternative models of reimbursement are showing some promise to create the balance to deliver better healthcare services; however, these payment methods are still being developed and haven’t been “pres-sure-tested” in a true large scale model. The bot-tom line is that healthcare professionals must be proactive rather than reactive to these changes.

Electronic medical record solutions have the potential to effect positive change in healthcare. The data collected can be vital to proving the worth physical therapy has, the impact we have on wellness, and our overall contribution to human science. I encourage you to have con-versations your EMR vendor, talk about ideas, and share your thoughts on outcomes. Your communications will help shape the products of the future, which will have positive repercus-sions on our success as a profession. n

Daniel Morrill is president of Hinsdale Sport and Spine Therapy, Hinsdale, Ill. He is also cofounder and CEO of Hands on Technology Inc., developers of TheraOffice®, a fully integrated practice manage-ment suite that includes scheduling, documenta-tion, accounting and enterprise manager reporting engines.

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MANAGEMENT FOCUS

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MP2.2_1.75_4C011807_1.indd 1 1/18/07 10:12:10 AMTell Advertisers You Saw Them in ADVANCE

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New InfluenzaOn April 1, 2013, the World Health Organization (WHO) reported three human infections with a new influenza A (H7N9) virus in China. Additional cases have been reported since. The CDC and WHO continue to follow this situation closely. On April 19, 2013, HHS Secretary Sebelius determined there is significant potential for a public health emergency related to avian influenza A (H7N9) virus.

IT’S WHERE THE CAREERS GO — WWW.ADVANCEWEB.COM

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MIDDLE ATLANTICfor Physical Therapists & Rehab MedicineADVANCE

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reaches over 85,100 active, qualified physical therapy professionals nationwide every issue.

Physical Therapist Sunshine Developmental School

• Brooklyn-based preschool setting looking to hire a part-time Physical Therapist (up to 20 sessions) to service 3-5 year old students in an integrated setting between two sites. • Queens-based preschool looking for a Physical Therapist part-time (min. 3 days) for maternity leave coverage starting April through mid-June. Public transportation easily accessible.NYS PT license required. EOE

Please fax/e-mail letter of interest, resume and proof of eligibility to:Jennifer Wilde, MSPT; Physical Therapy/Occupational Therapy Department Supervisor

Fax: 718-815-8081 or E-mail: [email protected]

Licensed Physical TherapistFull Time - Excellent Opportunity

Ortho/Rehab Group Suffolk County NYWilling to Sponsor Right Candidate

Call: 516-374-6838 ext 117Fax Resume: 516-374-2362

E-mail: [email protected]

In nite Services, Inc. Now Hiring Clinical Supervisor. Team player with the ability to train/lead therapy staff to ensure delivery of Homecare Services with high degree of clinical quality, timeliness and professionalism. Experience in Adult Homecare a must.

• NYS Certi cation as Physical Therapist • Solid supervisory experience in Homecare

• Relevant knowledge/experience of govt./private insurance regsCompetitive compensation, bene ts package. Potential for career growth - development. E-mail your resume to [email protected]

Home Care Employment Opportunities

Discover A whole New World Of Opportunity at:

Immediate Employment for PT, OT, Nutritionists

All Shifts Available: Full-TIme/Part-Time & Per Diem

Bilingual • English

WE OFFER TOP SALARY

Job opportunities:QUEENS, BROOKLYN, MANHATTAN,

and THE BRONX

6323 14th Ave Brooklyn, NY 11219 • 718-851-3800

146-14 35 Ave Flushing, NY 11354 • 718-534-6300558 Morris Ave Bronx, NY 10451 • 718-840-3000

Full-time PTfor PT owned private practice in Marine Park area

Brooklyn. Min. 3 yrs orthopedic exp. Female preferred. No weekends.

Excellent salaryFax resume to 347-492-4335 or e-mail: [email protected]

• Willing to train motivated individuals.• NYS License required. • Excellent compensation package • Additional Sign-on Bonus for Bilingual

(Yiddish, Spanish, Russian or Chinese)

To apply please send resume to:[email protected]

www.revivalhhc.org

The right choice!

Revival Home HealthCare is dedicated toa brighter future...both for its patientsand valued staff!

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BONUS PROGRAM!

LICENSED PTsFull Time and

Fee for Service WESTCHESTER, ROCKLAND, ORANGE & STATEN ISLAND

You chose the right career...now join the right team!

KIDZ THERAPY SERVICES, PLLC

PHYSICAL/OCCUPATIONAL/SPEECH THERAPISTS

Nassau/Suffolk Clinics

• Full-time/Part-time Clinic Positions• EI, Preschool, School-based Independent Contractor Positions• State-of-the-Art Sensory Gym and Equipment• Excellent benefi ts for full-time employees• Supervision and Professional Development Available• New Grads Welcome

Contact: [email protected] orPhone: 516-747-9030 (Nassau) or 631-382-7311 (Suffolk)

Fax: 516-877-0998 (Nassau) or 631-382-7399 (Suffolk)Equal Opportunity Employer

Physical TherapistsAll-City Health Care Services

is a licensed home care agency, with current opportunities in Queens, Brooklyn, the Bronx, Manhattan and

Nassau County.Per Diem • Excellent pay

Interested applicants please call 718-897-3656 or 813-781-4343

E-mail: [email protected]

Criterion Child Enrichment is currently seeking Physical Therapists to join our team of dedicated professionals to provide home and center-based Early Intervention services to infants, toddlers and their families. Bachelor’s degree with a current MA license and two years of relevant experience required. We offer fl exible full-time, part-time and fee-for-service positions at our locations throughout Massachusetts. • Excellent compensation and benefi ts • Generous incentive program • Education reimbursement • Retirement savings

Interested individuals with applicable knowledge and experience are encouraged to apply online at:

www.criterionchild.comCriterion Child Enrichment is an Equal Opportunity Employer.

Early Intervention Physical Therapists

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CALL 800.355.1088 TO SUBSCRIBE FREE TODAY!

Enhance your career, whileenhancing the lives of oth-ers. Hudson Valley Hospitalis a 128-bed, acute-careMagnet hospital, locatedin suburban WestchesterCounty, NY.

A Better Place To Work.

Hudson Valley Hospital Center is currently seeking a Full Time PT to be responsible for evalua-tion, planning, directing and administering physical therapy modalities, treatments

and physical agents in order to assist patients to reach their maxi-mum performance and level of functioning, while learning to livewithin their capabilities.

Qualifications include: • Possess ability to interact and communicate constantly with

patients, family members, physicians, staff of the Physical Medicine Department and other hospital departments

• Exhibit a preference for working with people and a desire to help people regain physical functions.

• Licensed for Physical Therapy in New York State • Current CPR card required

In return for your ability and dedication, we offer excellent compensation and a pleas-ant working environment, which fosters personal and professional growth.

For immediate consideration, please submit your resume with salary requirements to:WWW.HVHC.ORG under Career Opportunitiesor send to the Human Resources Department at:Hudson Valley Hospital Center 1980 Crompond Rd., Cortlandt Manor, NY 10567Fax: (914) 734-3784E-mail: [email protected] EOE M/F

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PHYSICAL THERAPIST (FULL-TIME)Monday-Thursday 12pm-8pm; Fri. 10am-6pm

A B C D E F G H I J K L M N O P Q R S T U V W X Y ZJACKSON DEVELOPMENTAL CENTER

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ABCDEFG Z Y X W V U T S R Q P O N M L K J I H G F E D C B A

Special Ed Center -Based Preschool in Queens

EI Services and Evaluations

We offer excellent salaries and ongoing training and support.Come join our team!

E-mail Abbe Grosser at: [email protected] or Fax: (718) 205-0178

Immediate Positions Available • New Grads WelcomePediatric PTs

EOE/ADA

Physical TherapistPer Diem

Kendal-Crosslands Communities, a continuing care retirement community, has per diem opportunities for Physical Therapist with experience in geriatrics. Excellent opportunity to work in a beautiful, homelike setting near Longwood Gardens. Resident participation, team approach emphasized. Competitive rate. Visit our website at www.kcc.kendal.org for an online application.

awthorne CountryDay SchoolH

www.hawthornecountryday.org

Seeking NYS Licensed, Salary exempt stafffor Westchester and Manhattan Campuses

Full-time/Part-time employees, Immediate Need 12-month School Calendar Special Education, autism

& multiple disabilities. School Age & Preschool. Competitive Salary & Benefi ts

Phone: 914-592-8526 x 3125 orE-mail: [email protected] EEO Employer

Physical TherapistsNOW HIRING Fee For Service and Full Time Therapists to change the lives of people with developmental disabilities in the Bronx and Manhattan.

WALK-IN INTERVIEWS Wednesdays 12:00pm – 6:00pm460 West 34th Street 11th FloorNew York, NY 10001

Apply at yai.org/careers

Remember why you became a Physical Therapist? We do.

Physical Th erapistSeeking a part-time/full-time NJ licensed PT. Outpa-tient Ortho Pain Management facility in Jersey City, NJ. $55-$60 per hour - 3pm to 8pm part-time.

Fax resume: (201) 656-4019 or e-mail: [email protected]

Full Time PT and/or PTA• Growing outpatient orthopedic clinic in Phillipsburg, NJ • Competitive salary and

benefi ts • Generous CE budget • Fully equipped facilities with emphasis

on exercise & manual therapy.

Fax resume 908-859-3990 or e-mail [email protected]

Att n Tim Kenny, PT

A private school for students with multiple disabilities and autism 3-21 years of age is currently seeking interested candidates for an opening within the physical therapy department.

Fax resume to (732) 922-8133 or send to Gina Fyfe:

Children’s Center of Monmouth County1115 Green Grove Road, Neptune, NJ 07753

(732) 922-0228EOE/AA

Physical TherapistFull/Part-Time

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AutismAs of 2012, one in 50 kids between the ages of 6 and 17 has some form of autism, compared with one in 88 only five years earlier, according to the CDC.

RENEW YOUR FREE SUBSCRIPTION TO REVIVE YOUR CAREER

UPPER SOUTH ATLANTIC

LOWER SOUTH ATLANTICwww.holyredeemer.com

Careers that

re lect your

dedication.

HEALTHCARE. HOMECARE. LIFECARE.

EOE

Holy Redeemer HomeCare and Hospice is unique among the area’s home care agencies. Backed by the resources of a major health system, you’ll be provided with the tools you need to care for your patients. You’ll experience a renewed commitment to your calling, with the ability to make a genuine difference. If you’re passionate and motivated about truly caring for your patients, you’ve come to the right place. Holy Redeemer HomeCare and Hospice is a reflection of all you value in a career.

To learn more about our caring community & our careers,please join us at our

1801 Route 9 NorthSwainton, NJ 08210

For more information and to apply visitwww.holyredeemer.com

or call Susan Burns at 609-761-0296

Meet and Greet for Physical TherapistsTuesday, January 28th, 3:00 – 6:00 PM

HOLY REDEEMER HOMECARE & HOSPICE - Cape May County NJ

PHYSICAL THERAPISTConcordia Learning Center at St. Joseph’s School for the Blind is a private, non-profit organization. We provide comprehensive services to students with visual impairments and/or multiple disabilities from 3-21 years of age. We are seeking a full-time Physical Therapist to develop, plan, and implement individual program goals for specifi ed students, maintain records of assessments, consultations, and student progress, as well as recommend evaluations by medical personal and other specialists as required. Requires a NJ State License and NJ School Certifi cation in PT (or ability to obtain), and experience working with students with disabilities. Our 11-month program offers an excellent salary and benefi ts package and we are near public transportation. Please send resume with cover letter, to: Ms. Fielding, HR Director, Concordia Learning Center at St. Joseph’s School for the Blind, 761 Summit Ave, Jersey City, NJ 07307. Email: cfi [email protected] Fax: (201) 876-5431

EOE

at St. Joseph’s School for the BlindConcordia Learning Center

w w w . c l c n j . o r g

LEARNING TO BE ALL WE CAN BE

Kessler Rehabilitation Center seeks talented, motivated and energetic

Please contact Jennifer Taft at • 610-992-7209• [email protected] www.kessler-pt.com

Stronger...Every Day

PHYSICAL THERAPISTS

Kessler now offers an Orthopaedic Residency Program!

• Sign-on Bonus Available • Continuing Ed• Tuition Reimbursement • Loan Forgiveness

Join our team at one of our more than 85outpatient centers in New Jersey. There’sone that’s right for you!

Busy White Plains pain management practice specializing in conservative spine care seeks experienced manual PT for full-time, exible position.

E-mail resume to [email protected] or fax to Bradley Cash, MD 914-948-5171

PHYSICAL THERAPISTS

Excellent rates

We provide center, school and home-based interdisciplinary therapy in NJ. We are seeking Therapists who are interested in developing their potential and that of the children with whom they work.

Please call or send resume: P: (973) 365-1444 • F: (973) 365-1446E-mail: [email protected]

Rehab Director - PT or OTPremier Residences of Chevy Chase, MD

Independent Living/Assisted LivingOutpatient, Wellness Home Health (community

based), Excellent compensation & benefitsFive Star Rehab & Wellness

Internal therapy company of Five Star Senior LivingTel: 617-219-1427 Fax: 617-454-3648

[email protected] www.5sqc.com eoe

Easter Seals South Carolina, LLCNow Offers Occupational

Therapy Billing Services for Private Providers

Easter Seals SC, LLC handles all aspects of your Pediatric Re-habilitation billing needs including: charge data entry, payment posting, electronic and paper claim fi ling, insurance follow up, secondary and tertiary claim fi ling (BabyNet included), patient statements, appeals, billing questions and collections.

• We charge 9% of revenue income (We do not get paid unless you get paid)• Medicaid/BabyNet/Private Insurance credentialing • It is as easy as scanning in your daily SOAP Note in PDF Format or sending via postal mail• Technical Assistance offered for Medicaid/BabyNet/First Steps Audits• Designed SOAP Notes with customized logo for your business• Assistance with designing Evaluation and Quarterly Progress Note Template

Easter Seals SC, LLC services removes the hassle of billing so you can concentrate on patient care.

With over 75 years of pediatric therapy experience, our services are YOUR solution to increasing your profi tability and improving your bottom line.

For More Information Please Contact: Tami Adger, Medical Rehabilitation Director803.429.8474 • [email protected]

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Pennsylvania, South Carolina, Massachusetts, Texas, Florida E

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877-776-6680Customized Gifts, Giveaways

& Promotional Products

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WEST SOUTH CENTRAL

Greenville Health System (GHS)Physical Therapist Opportunities

Full-Time, Oncology RehabFull-Time, Outpatient Kidnetics (children)Full-Time, Lymphedema

• $10,000 Sign-on Bonus • Paid interview expenses • Excellent benefi ts package • Relocation assistance

GHS is South Carolina’s premiere healthcare provider. 11,000+ employees delivering high quality patient care

in the Upstate. Apply online at www.ghscareers.org

for immediate consideration.

GHS proudly values diversity, all qualifi ed candidates are

encouraged to apply. GHS is located in Greenville, SC

Twitter - @ghs_careers/ #modelofchange

Physical Therapists

YOU can be an angel of change working at Easter Seals South Carolina. Work for one of the largest Early Intervention providers in the state of South Carolina. We change the lives of children with disabilities and special needs by providing quality therapy services in the home and school setting. Basic responsibilities include: provide discipline specifi c treatment, including evaluation, planning, documentation and professional communication. Applicants must be registered and licensed to practice in South Carolina. Graduate of an accredited program in Physical Therapy with a minimum of a Master’s Degree. Minimum of one year clinical experience working with infants/young children with developmental delays preferred.

Fax or e-mail resume to:Tami Adger803-429-8474803-708-0506 (Fax)[email protected]

Relocating to sunny South Carolina?Love working with Children?

Need extra income?

C A R E E R S A T S E T O N

Serve your community.You thrive when you’re making a difference. A career in health care is just one of the ways you serve.

As a growing center for medical research and education, the Seton Healthcare Family is bringing world-class medicine to the region. Our health care teams share clinical innovations across a network of more than 38 locations throughout Central Texas.

Full-time, part-time & PRN opportunities are available throughout our network. Whether you like an exciting urban lifestyle or a relaxed country pace, Seton offers a range of settings to fit your lifestyle.

Find inspiration by being part of a mission that truly matters. Join one of the Top 100 health care systems in the nation.

Physical TherapistsAcute Care, Home Health, Outpatient

Physical Therapist AssistantsAcute Care

Apply online today at seton.net/careers. EOE/AA/M/F/D/V

Not just a living. A way of life. Austin, Texas.

Buffy A.Part of the Seton Family since 2008

facebook.com/SetonCareers

@SetonCareers

ORTHOPAEDICS IN THE HEART OF COLUMBIA, SC!

Hiring a full-time PT preferably with at least 2 years of expe-rience, for a strong orthopaedic caseload and manual therapy

opportunity at PINNACLE PHYSICAL THERAPY! Send resume with references to:

Catherine Sullivan • (864) [email protected]•www.csmr.org

www.5sqc.com

REHAB DIRECTOR &OUTPATIENT COORDINATOR

Physical or Occupational TherapistGardens for Port St Lucie

Assisted Living/Skilled Care- Inpatient/outpatientPalms for Port St Lucie

Independent Living/Assisted Living- OutpatientExcellent compensation & benefits(SIGN ON BONUS AVAILABLE)

Five Star Rehab & WellnessInternal therapy company of

Five Star Senior [email protected]

Tel: 617-219-1427Fax: 617-454-3648

eoe

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Texas, Indiana, Kansas, Massachusetts, CaliforniaE

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Rotavirous Vaccine in AfricaMayo Clinic and other researchers have shown that a vaccine given to newborns is at least 60% effective against rotavirus in Ghana. Currently, there is no neonatal rotavirus vaccine available and infants do not receive their first dose until they are approximately 2 months old.

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CALL 800.355.1088

TIME TO RENEW YOUR FREE SUBSCRIPTION

EAST NORTH CENTRAL

PACIFICSeeking Full-TimePhysical Therapists

in Victoria, Texas!*

*NEW GRADS WELCOME*Come join our dynamic multi-disciplinary team of therapists at Health Force Home Health Care where growth is ongoing. Our therapists are dedicated to providing excellent patient care with great teamwork and a fun atmosphere.

VERY Competitive Salary**PLUS**

Sign-on Bonus, Great Benefi ts, PTO, Paid Holidays and CEU Allowance

For more information contact Christie Craft at: 1-800-582-6215. Or visit our website:

www.healthforcevictoria.com.To apply e-mail resume to: [email protected]

Physical Therapist Assistant Program DirectorOur work environment is dynamic. Our people are valued.

A rewarding career awaits you at Concorde! Location: San Diego, CA • Job Code: 5480 • # of openings: 1

Description: Concorde Career Colleges, Inc. is a nationally recognized for-profi t, post-secondary education company providing career training in the fi eld of allied health, and we have an opening for a Physical Therapist Assistant Program Director at our campus.

Responsibilities include: • Managing the instructors, educational activities of the department, and all classes both day and evening. • Adherence to applicable accreditation commission standards or agency regulations and the school policies and procedures. • Monitor student progress, conduct student orientations, and advise students throughout the program. • Coordinator with the Graduate Services Director all information pertaining to the externship placement of students, job earnings, potential candidates and any placement updates. • Assist with on-going review and development of curricula in the department

and make suggestions per policy. Minimum Qualifi cations: • Master’s degree required.• One of the following: Physical Therapy Licensure (if a Physical Therapist) or Physical Therapy Licensure, Certifi cation or Registration (if a Physical Therapy Assistant). • 5 years clinical experience required.• Management experience required.• Teaching experience required.• Involvement in the academic community beyond physical therapy education required.• Experience in educational theory and methodology required.• Experience in instructional design and methodology required.• Experience in student evaluation and outcomes assessment required.

We offer:Medical/dental/vision, 401K retirement plan, paid holidays, vacation, and education reimbursement for full-time and part-time employees.

For more than 30 years, Concorde Career Colleges, Inc. has prepared thousands of people for rewarding careers in allied health. Our goal is to concentrate instruction on developing high-demand job capabilities. With 12 campuses across the United States, Concorde is among the very best post-secondary career training institutions in the country. Within every de-partment of the organization, Concorde associates work toward a mutual mission: delivering quality allied health education and training that enhances the lives of our students and the communities they serve.

To apply please email resumes to [email protected] or go to our website

http://jobs.concorde.edu EOE/M/F/D/V

Rehab Director - PT, OT or SLPSan Diego, CA - Remington Club I & II

Independent Living, Assisted Living/Skilled Care-Inpatient/outpatient. Must have current exp with

PPS/RUGS, management exp a plus!Five Star Rehab & Wellness

Internal therapy company of Five Star Senior LivingTel: 866-670-8721 Fax: 617-658-1706

[email protected] www.5sqc.com eoe

EOE

Physical Therapist$5,373.80 - $6,699.55 mo

DEADLINE: Open Until FilledTWO POSITIONS AVAILABLE

Work in paradise, where the mountains meet the sea. Ventura County Offi ce of Ed. in CA has an opening for an F/T educational PT. Working with

students with special needs, 11 mo. work yr.

Work in a supportive environment with other positive skilled professionals. This position

provides services for children 0-22. PT License in CA, exp. preferred, excellent benefi ts,

Appl/job description available from HR

5189 Verdugo Way, Camarillo, CA 93012(805) 383-1911

or apply online at www.edjoin.org

Elkhart General Hospital is currently seeking a

Th is position oversees all disciplines (OT, PT, SLP) as well as the full scope of inpatient, outpatient

and acute care services. If you are looking for a place to grow your skills and grow the department you manage, this is a

great opportunity for you. Join a facility that is 1st in the region to have a stroke specialty program

certifi ed by CARF. You will manage a staff of nearly 40 professionals that already have a great team atmosphere in place and strategy for growth.

Ideal candidate will possess a Master’s degree in OT, PT or SLP with a minimum of 2 years clinical

practice. Management exp is highly preferred.To apply, view our website at www.egh.org or contact Dawn Kujawski at 574-523-3204

Rehabilitation Therapies Manager

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NATIONAL

SOUTHWESTMOUNTAIN

Also accep ng applica ons for a rehab manager.

Star ng Salary: $90,000 $115,000 $1000 Bonus for every yr. of FT peds. exp. up to $10,000! • Group Medical & Dental

401(k) Plan • FSA • AFLAC • Holidays • PTO Reimbursed CEUs• No State Income Tax

“The best pediatric outpa ent clinic in the country!”

We provide the highest quality OT, PT, ST,

Aquatic Therapy, & Feeding Therapy, in a fun and kid friendly environment!

All private treatment rooms with therapy swings! Indoor swimming pool and full size trampoline! Indoor rock climbing wall and Wii system! The most fun and knowledgeable sta in the country!

For more info: www.MLFchildrenstherapy.com If you would like to join our amazing team, email your

resume to [email protected]

Small rural hospital located in SE Colorado is looking for a FULL-TIME PT in Springfi eld, CO.Apply on-line at www.sechosp.org • Or for more information call 719-523-2160

We take pride in off ering primary and specialized care to our patients and residents –our friends and neighbors in an area rich in agricultural history and heritage.

RELOCATION ASSISTANCE • STUDENT LOAN REPAYMENT ASSISTANCE

PHYSICAL THERAPIST Inpatient/Outpatient/Home Health/Geriatrics New Graduates Welcome

PT – JapanExcellent Compensation & Bene ts. Relocation Assistance. Work under the Educational & Developmental Intervention Services program for US Military Families stationed abroad. Minimum Requirements: Bachelor s or Master's degree in PhysicalTherapy, active PT license. Must have 2 yrs pediatric experience in least restrictive setting.

Contact Lynn Romer at 1-800-852-5678 ext. 156or e-mail [email protected]

PT_01132014_REC.indd 38 1/10/14 5:28 PM


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