Oregon LogOregon Physical

Therapy Association

What’s Inside

A Component of the American Physical Therapy Association • www.opta.org 3rd QuArTer 2011

September 24, 2011Fall Business Meeting

September 30, 2011Regional Workshop - PendletonSocial Media and Boundaries in the Multigeneration Clinic - Ethics & The LawBy Sherri Paru, PT and Carol Schunk, PT, PsyD

October 20, 2011Regional Workshop - BendSocial Media and Boundaries in the Multigeneration Clinic - Ethics & The LawBy Sherri Paru, PT and Carol Schunk, PT, PsyD

October 22, 2011WorkshopCurrent Perspectives for Conservative & Post-Surgical Rehab for Impingement Syndromes and Rotator-Cuff PathologyBy Karl Kolbeck, PT

December 3, 2011WorkshopHip and Lumbar ConnectionBy Shirley Sahrmann, PT

March 30 - April 1, 2012Annual Conference

All course listings are on our website www.opta.org

* All listings are subject to change

OPTA Continuingeducation Calendar

President’s MessageBy Chris Murphy, PT

Summer UpdateIt’s been another busy summer

for the OPTA. The main focus this summer has been to give a much needed facelift to the OPTA website. Our current site was award winning in it’s time, but that time has passed and our new site will enable us to update the content more frequently with the news and information that you need for your practice. Our goal is to produce an easily navigable website that becomes the source for information about physical therapy in Oregon.

To accomplish this task, the OPTA Board has partnered with Gravitate Design, a local website design firm, to modernize the OPTA website. Public relations chair, Mary Hlady has been hard at work this summer leading a task force including Derek Fenwick, Susan Bamberger, Sandi Gallagher, Sandra Fisher, Stacey Barrett and me. The task force is busy working with our committee chairs to update the content from our current site and create the framework for the new site. We hope to have the new site live before the end of the year.

This year continues to be a busy year on the legislative front. There’s a more thorough update later in this newsletter, but one update deserves

a front page mention. In June, the Oregon Legislature passed a landmark bill that establishes the groundwork for transformation of the health care delivery system in Oregon. The OPTA Government Affairs Committee followed these developments carefully through the legislative process, but now the real work has begun. Members of the government affairs committee will be attending public meetings and monitoring the policy developments to be sure that people have access to the physical therapy services they need.

Also in June, the APTA House of Delegates had a lengthy debate regarding the appropriate use of support personnel in physical therapy practice. As a result of this discussion, the APTA is convening a task force to analyze association policy regarding the use of support personnel with a plan to bring motions to the House in 2012 to update those policies in a manner which reflects needed changes that promote quality care for patients in consideration of new payment policy proposals. A more detailed summary of the House of Delegates actions can

Continued on page 2

Lower Extremety Edema ...............4

Gifts from Patients: Influential to Decision Making and Care? .............6

2012 Conference Request for Presentations .................................7

Effective Concussion Management ..................................9

Page 2 - 3rd Quarter 2011 OPTA OREGON LOG www.opta.org

OPTA BoardPresidentChris Murphy, PTPortland, OR 503.215.1675john.murphy@providence.org

Past PresidentSusan Bamberger, PT 503.582.1073Portland, ORsusanbamberger@gmail.com

Vice PresidentDerek Fenwick, PTPortland, OR 503.331.4840dfenwickpt@gmail.com

SecretaryJohnny Galver, PTSalem, OR 503.566.7782bpmptc@gmail.com

TreasurerDieu Dinh, PT, DPTPortland, OR 253.733.3221dieu_dinh@lcca.com

Board Members at LargeTim Esau, PT - Member At Large #1

Wilsonville, OR 503.341.7527 tesau@infinityrehab.com

Debbie Van Dover, PT - Member At Large #2Gresham, OR 503.491.7465 debbie.vandover@mhcc.edu

Sandra Gallagher, PT - Member at Large #3Portland, OR 503.494.3151 gallaghs@ohsu.edu

Jane Montgomery, PT Chief Delegate Portland, OR 503.215.1677 jane.montgomery@providence.org

Jennifer Wood, PTA - PTA RepresentativeOR 503.860.7509 wood.jen@comcast.net

Committee Chairs Chris Murphy, PT - Government Affairs

Portland, OR 503.215.1675 john.murphy@providence.org

Jerry Cain, MPT- Continuing EducationPortland, OR 503.215.3078 jerry.cain@providence.org

Carol Schunk, PT - EthicsBend, OR 541.480.8221 carolschunk@earthlink.net

Adam Stadtlander, PT - Research Portland, OR 503.331.3049 astadtlander@gmail.comMary Hlady, PT - Public Relations Portland, OR 503.216.5416 maryhlady@gmail.comDiane Shiffer, PT - Nominating Committee Lake Oswego, OR 503.860.7189 diane.shiffer@comcast.netTom Moline, PT - Reimbursement Committee Hood River, OR 541.386.9511 tom@gorgemedpt.com

OPTA Office: 503.262.9247Toll Free: 877.452.4919E-mail: info@opta.org

be found inside these pages.The membership committee

has been hard at work on efforts to increase engagement by PT and PTA students. We have been working with the three existing programs and the developing PT program at George Fox University to establish student liaisons to the OPTA. Our PTA caucus representative, Jennifer Wood, is working with the membership committee and the nominating committee to develop the PTA caucus locally.

The nominating committee

has been making calls to fill the slate for the 3 active delegate positions, PTA caucus representative, and the chief delegate elections this fall. It’s also not too early to start thinking about the spring elections when we will elect the president and vice-president.

It’s a very exciting time to be involved and we need your help and input with all of these projects. If you have questions about how you can become more involved with the OPTA, please contact any board member. In the meantime, go enjoy that waning summer sun!

President’s Message, continued from page 1

Jamie Anderson, PT, DPT

Marissa Araujo, SPT

Theresa Baker, PTA, BS

Jessica Beck, PTA

Allison Blackwell, PT

John Bonica, PT

Jenna Boundy, SPT

Elizabeth Brandriet, PT

Erin Brutlag, PT

Sarah Campbell, PTA

Leopoldo Castaneda, PT

Donnelle Clipfell, SPTA

Russell Cree, PT

Sarah DeMott, SPT

Bailey Denno, SPT

Andrea Doepker, SPT

Jeffery Frace, PTA

Micah Frey, PT

Andrea Gilbertson, PT

Christina Goodwill, MSPT

Kyla Goodwin, SPT

Stacy Gresser, PTA

Sarah Harvey, PT

JoNel Hood, PTA

Jason James, SPT

Mark Johnson, PT, DPT

Kara Knox, SPT

Christy Lang, PT

Jennifer Layng, PTA

Daniel Love, PT, DPT

John Lowry, PT

Amron Lym, PT

Rachelle Marical, SPTA

Debra Maxtad, PTA

Shelley McCabe, PT

Leigh Moffett, PT

Margaret Murdock, PT

Brandon Ness, PT

Jennifer Patrick, SPT

Haley Petrisor, PT

Thomas Pettey, PT

Jay Phillipe, PT

Amanda Schultz, PT, MPT

Eric Smith, PT

Ian Standish, PTA

Kathryn Toner, PT

Catherine Webb, PT

Welcome New and returning OPTA Members

OPTA OREGON LOG Page 3 - 3rd Quarter 2011www.opta.org

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Another Busy Legislative Session Comes to a CloseBy Chris Murphy, PT, Government Affairs Committee Chair

As I write this update, Congress is embroiled in debate over the federal budget and raising the debt ceiling. Watching the feisty and partisan political maneuvering is discouraging even for a dedicated political junkie, but this only reiterates the importance of keeping our legislators aware of the needs of our patients and the benefits that physical therapy can provide.

In June, nearly 1,000 physical therapists, physical therapist assistants and students of physical therapy rallied on Capitol Hill to improve awareness about the benefits of physical therapy and to advocate for removal of the Therapy Cap for Medicare patients. A dozen Oregon therapists met with staff in each of our seven Congressional offices to discuss the impact of the Therapy Cap, advocate for inclusion of physical therapists in the National Health Service Corps and educate lawmakers about physical therapists role in managing concussions for student athletes. The messages were well received and several members have signed on to co-sponsor this legislation.

Our work in DC is not finished yet. Once again the Sustainable Growth Rate is poised to go into effect for Medicare which would chop the fee schedule by nearly 30% in 2012. APTA is working with other interest groups to avert these devastating cuts and to extend the exceptions process for the Therapy Cap if we are unable to achieve our goal of repeal. Stay tuned for

updates about how to contact your legislators to ask for their support on these issues.

As I mentioned in the president’s message, much of the debate in Salem this year centered around efforts to change the delivery of health care and decrease the cost to the state. In June the legislature passed a bill that requires the Oregon Health Policy Board to establish criteria for Coordinated

Care Organizations which will allow for more efficient delivery of health care to patients served by the Oregon Health Plan. These criteria will be debated by the legislature in the 2012 session and will then provide the framework for health care delivery. It is important to note that the discussions at this point are taking place on a very broad scale and that the details of what

Continued on page 5

Page 4 - 3rd Quarter 2011 OPTA OREGON LOG www.opta.org

$50 Invested Each Year in the OPT-PAC (Political Action Committee) becomes a $50

Oregon State Tax Credit to you.

OPT-PAC serves all Oregon therapists by educating legislators and supporting bills important

to all Oregon physical therapists.

Support our goal to support you.

To make an investment, send your contribution to:

OPT-PAC 89358 Cranberry LaneBandon, OR 97411

We all see swelling, whether or not it is the focus of treatment. Below are some highlights that can make a big difference for patients with chronic lower extremity edema.

1. Diaphragmatic Breathing: Fluid collected in the legs by either the lymphatic system or the venous system, must pass through the abdomen to return to the heart. Diaphragmatic breathing creates alternating high and low pressures in the abdominal cavity that acts like a pump. This pumping action helps to transport lymph fluid in the thoracic duct and blood in the inferior vena cava (both large vessels have 1-way valves) from the legs and abdomen back to the heart. I instruct patients to place a hand on their navel, relax chest and shoulders, and try to push their

hand away by filling the belly with air.

2. Elevation: Propping feet on the coffee table just doesn’t do the trick. Reviewing how people elevate is often worth the time. I tell patients to imagine there is a drop of water on the big toe. When you elevate, that drop of water should roll downhill to the heart. Foam wedges are great, and sofa armrests with additional pillows to support the back of the knees also work well. Recliners can even work by putting a few pillows between the calf and the chair, then recline. For those with breathing concerns, have the head up on a pillow or two and make sure breathing is comfortable.

3. Compression Garments: Compression stockings fit best and feel most comfortable when there is little to no swelling present. Many people have a bad first experience with compression stockings because they start to wear them on a swollen limb. This causes bunching and cutting in of the garments at the joints which is uncomfortable and can cause a tourniquet effect. Another big complaint about garments is that they are too difficult to don and doff. There are a variety of garments available to meet individuals’ needs. Some garments, such as Circaid, apply compression by tightening Velcro straps which can allow people who struggle with stockings to be independent with their garments. Lymphedema therapists can reduce edema and get people into compression garments that are much more effective and tolerable.

Edematous limbs are not something to be ignored. They cause increased risk of infection and wounds. They limit mobility. Also, they tend to get larger and more fibrotic over time. The good news is, it is never too late to start reducing chronic edema. Lymphedema therapists practice decongestive therapy utilizing compression, manual lymph drainage, specific exercises and a lot of education. Many people (including physicians) are unaware of treatment for edema besides elevation, stockings, and diuretics. Treating edema can get people looking and feeling better and allow them to lead the more active lifestyle that we all know will be beneficial. If you have any questions about edema treatment, please contact me at 503.318.0654 or mary@newleafpdx.com.

Lower extremity edemaBy Mary Gramling PT, CLT-LANA, New Leaf Physical and Massage Therapy

OPTA OREGON LOG Page 5 - 3rd Quarter 2011www.opta.org

If you are interested in joining the PT Northwest family, please contact Jodeen Barba, PTA at 503.910.3402 or email jbarba@ptnorthwest.com. You can also check us out at:

ptnorthwest.com

COME JOIN THE PT NORTHWEST FAMILY

PT NORTHWEST is looking for outstanding therapists to join the PT Northwest Family. Many members of our rehab team have been a part of the PT Northwest family for 10, 15, and even 20+ years. We would like you to join our family. We offer the following:

• Strong Compensation• Sign On/Relocation Bonus• One of The Best Con Ed Packages

in The Nation• Tuition Assistance• Health & Dental Insurance• Life & Disability Insurance• Paid Vacations & Paid Sick Time• Paid Holidays & Birthday• 401 k Plan• Section 125 Cafeteria Plan• Multiple Paths For Specialization

& Leadership• Clinical Mentoring Program• Flexibility in Schedule & Costco

Membership

PT NORTHWEST is a growing, independent, and progressive physical rehabilitation group with over 30 years of experience in Oregon. Therapist owned and operated, PT Northwest strives to provide the leading physical rehab services in the Pacific Northwest, while nurturing a family-friendly atmosphere. Our highly motivated rehab team provides physical, occupational, and speech therapy in the following settings:

• Our Outpatient Clinics• Inpatient Hospital• High Schools & Universities• Minor League Sports Teams

a CCO will look like will become more clear over the next several months. The government affairs committee will be working with the Oregon Health Policy Board to ensure that access to physical therapy services is part of the change in this delivery system.

This wasn’t the only legislation to pass through Salem this year with an impact on physical therapy. HB 2395 was enacted and took effect on passage. The law requires those who use the title “doctor” to designate the health care profession in which the doctoral degree was earned on all written materials used in connection with their health profession regardless of whether the individual’s name or the title “doctor” appears on the written or printed matter, advertising, billboard, sign or professional notice. The designation must be

in letters or print at least one-fourth the size of the largest letters used on the written or printed matter.

SB 634 passed as well and will protect providers from “silent PPOs” and “rental network PPOs” by establishing requirements for contracts between specified contracting entities and third parties for access to health care services of providers.

Several other bills passed creating work groups to evaluate issues ranging from mandatory reporting of patients with functional impairments which prevent them from driving safely to minimum standards for student placement in health care settings. The government affairs committee will monitor these work groups for any action relevant to our members and patients.

Legislative Session, continued from page 3

Change of Address or Phone?

If you have a change of address, phone, fax or e-mail, you can send it to the OPTA office online at www.opta.org. When you log on to the site, choose the “members only” section on the left side of the screen. Once there, you will need to enter the correct passcodes to get into that portion of the site. Select the link to “Update Your Contact Information with OPTA.” Once there, fill in all the boxes and send it! It is as easy as that. Or, you can always call the OPTA office at 503.262.9247 or tollfree at 877.452.4919, or email us at info@opta.org.

Page 6 - 3rd Quarter 2011 OPTA OREGON LOG www.opta.org

Ethical ConsiderationsGifts from Patients: Influential to decision Making and Care?By Marc Duyck PTA, MSEd, Ethics Committee Co-Chair

The relationship between Physical Therapists (PT) or PT Assistants and patients is quite special; often functioning as a symbol of hope to patients and their families. A client who has a significant orthopedic, integumentary, cardiovascular or neurological problem often views rehab as the path to recovery, therefore it is quite common for a client and or their family to want to give a therapist something to show their gratitude. This may be food or a gift card of small monetary value.

The question is should the PT or PTA accept the gift. One primary concern is if the gift will influence the delivery of therapy. For example, if gifts are given to therapists in the middle or in the late stage of a patient’s rehabilitation could the gift extend an anticipated discharge, therefore influence the course of therapy. Gifts can also become problematic if the gift affects the normative model for care. Many clinics have a “wait list” for individuals wanting to get on a therapists schedule. If a patient who regularly brings wonderful chocolates or French pastries is put at the “front of the line” on the wait list, this is a case of obvious favoritism which is not professional. The decision on when to accept and when to refuse is difficult as sometimes the gift giving is part of a cultural tradition. In such cases to refuse gifts might be considered disrespectful and negatively affect the professional relationship.

The APTA Code of Ethics and the Standards of Ethical Conduct are very clear on gift giving: “PT’s (PTA’s) shall not accept gifts or other considerations that influence or give an appearance of influencing their professional judgment” (APTA, 2010). Most ethical experts in the PT field do, however, clarify that gifts of small monetary value such as crafts, food, and small presents, can be received as long as they are shared with others (Gabard & Martin, 2011). Another way to deal with patients who insist upon giving the therapist a gift is to suggest that they contribute to a charity in the name of the clinic.

Therapy practices and healthcare systems usually have a policy on acceptance of gifts. If you are unsure, ask your supervisor to clarify your facilities policy. As important though as the gift itself is to ask yourself this question: how will the gift affect your professional judgment? Will the patient get preferential treatment? If you are a PTA, will you, after getting a gift, strongly encourage the PT to extend the number of therapy visits for the patient

who, coincidentally brings in delicious treats? Gifts are usually offered to therapists and assistants in a symbol of gratitude but is important to always remember to maintain ethical standards without compromising professional judgement.

references:APTA 2010, PT Code of Ethics and the Standards of

Ethical Conduct for the Physical Therapist Assistant.

Retrieved July 29, 2011. Available at:

http://www.apta.org/uploadedFiles/APTAorg/About_Us/Policies/HOD/Ethics/CodeofEthics.pdf

http://www.apta.org/uploadedFiles/APTAorg/About_Us/Policies/HOD/Ethics/Standards.pdf

Gabard, D. & Martin, M., (2011). Physical Therapy Ethics. Second Edition. FA Davis Company. Philadelphia.

A Lutheran-Affiliated Healthcare Facility

Rehabilitation Department Manager

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To learn more or apply for this position, please visit www.columbiamemorial.org or Call 503.338.4073

for additional information.

CColumbia Memorial Hospital is an Equal Opportunity Employer committed to the development of an inclusive, multicultural community.

OPTA OREGON LOG Page 7 - 3rd Quarter 2011www.opta.org

Oregon Physical Therapy Association 2012 Annual Conference 

March 30 – April 1, 2012 Sheraton Portland Airport Hotel – Portland, Oregon 

 

Request for Session Proposals/Presentations  

This is the official call for breakout session proposals/presentations for OPTA’s 2012 Annual Conference!  OPTA is changing the format for the 2012 Conference which will feature a variety of breakout sessions, two general sessions, exhibits, and networking time.  The new format will allow for a broader range of topics and speakers related to the profession of Physical Therapy.  If you would like to be considered to present a session at one of the programs, please send in the requested information below.  All presentations will be 1.5 hours in length.  The Conference will be held March 30 – April 1, 2012 at the Sheraton Portland Airport Hotel in Portland, Oregon.    

The committee is looking for presentations that are leading edge practices including, but not limited to:   orthopaedics, neurology, pediatrics, geriatrics, sports, women’s health, research, and reimbursement.  The OPTA Continuing Education Committee will make the selection from the proposals for inclusion in the programming.  Selections of proposals will be based on the foundation in evidence, clarity of the proposal, probable interest to participants, feasibility, and space and time constraints.  Please note that if your presentation is selected, OPTA will not be able to give an honorarium, a complimentary conference registration, or pay for lodging or travel to the conference.  A conference registration discount will be offered to selected presentations who wish to attend the conference.  

Please fill out the following information and email it to the OPTA office at info@opta.org.  All entries must be received by 5:00 pm on Friday, September 2, 2011.  Any proposals received after that time may not be considered by the committee.  Questions?  Call the OPTA office at 503.262.9247/877.452.4919 or email us at info@opta.org.  

 COMPLETE ONE FORM FOR EACH PRESENTATION TOPIC YOU WISH TO SUBMIT   

OPTA 2012 Conference Call for Presentations Application  

Presenter’s name(s)                          

Company                            

Phone            Email                    

Address                            

City                State        Zip          Title of Presentation                          

Date Preference  Saturday      Sunday      Doesn’t matter    

How many presentations have you made within the last five years?             

What organizations have you presented to most recently?  

Name of Organization:               Attendance        

Name of Organization:               Attendance        

Please also email in the following information with the above requested information:  a summary of the presentation (250 word limit, so be clear and concise!), an introductory speaker bio (5‐7 sentences), and any outlines or handouts you have already prepared on this topic (if applicable).  

Applications are due to the OPTA office by 5:00 pm, September 2, 2011 

Page 8 - 3rd Quarter 2011 OPTA OREGON LOG www.opta.org

The Foundation for Physical Therapy Board of Trustees recently awarded a total of $190,500 in Promotion of Doctoral Studies (PODS) I & II Scholarships and a New Investigator Fellowship Training Initiative (NIFTI) to 11 physical therapists.

“The Foundation has seen a growing trend in the level of excellence of our scholarship and fellowship applications,” said Foundation Board of Trustees Chair William G. Boissonnault, PT, DPT, DHSc, FAPTA, FAAOMPT. “The Foundation is proud to support such outstanding physical therapists as they begin their research careers.”

The $78,000 NIFTI was awarded to Beth Smith, PT,

PhD, NCS, of Oregon Health & Science University for her research project, “Effect of Cueing Strategies on Preparatory Cortical Potentials in Adults with Parkinson’s Disease.” Smith will focus on the use of electroencephalograpy (EEG) to measure cortical pre-movement potential in adults with Parkinson’s Disease during her fellowship training. The NIFTI supports postprofessional, doctorally prepared physical therapists in a mentored research experience as they begin their research careers. It is designed to accommodate both traditional postdoctoral and new faculty applicants for a closely mentored research experience.

The Foundation for Physical

Therapy was established in 1979 as a national, independent nonprofit organization dedicated to improving the quality and delivery of physical therapy care by providing support for scientifically-based and clinically relevant physical therapy research and doctoral scholarships and fellowships. Contributions to the Foundation for Physical Therapy are tax-deductible and can be made online at Foundation4PT.org or sent to its headquarters in Alexandria, Virginia. The mailing address is 1111 N Fairfax St, Alexandria, VA 22314. For more information, e-mail info@foundation4pt.org or call 800.875.1378.

Oregon Physical Therapist recipient of 2011 Postprofessional doctoral Fellowship

Physical TheraPisT Owned and direcTed

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Therapeutic Associates, Inc. (TAI) was founded in 1952 and has always been privately owned and directed by physical therapists. TAI clinics are independently operated, orthopaedic and manual therapy-based, with a variety of specialty programs. Our history, resources, and professional administrative staff afford endless support to our facilities. TAI’s Key Person Career Track, Leadership Development Training Program, One-On-One Manual Therapy Mentorship Program, and Orthopaedic Residency Training Program are among our unique company advantages.

www.therapeuticassociates.com/careers

For more information on current Physical Therapist and PTA openings in WA, OR, ID, and CA Contact Lori Dillon, Recruitment Director at ldillon@taiweb.com or 800-249-9020 ext. 2221

OPTA OREGON LOG Page 9 - 3rd Quarter 2011www.opta.org

Concussion is now a buzz word frequently used in journals and heard on the news. Although this “buzz” has led to a significant increase in awareness and education, many healthcare practitioners still struggle with diagnosing and treating this newly recognized epidemic. The increase in concussion awareness has resulted in a surge of clients presenting in the clinic with the constellation of symptoms resulting from a concussion. Physical therapists can be instrumental in identifying and helping treat these clients.

Although “concussion” has been succinctly defined by the American Academy of Neurology as “trauma-induced alteration of mental status that may or may not involve loss of consciousness,” diagnosising concussion remains difficult. Often clients will undergo CT scans or MRIs, with normal results. Although there are promising studies in neuroimaging1 and on various biomarkers to help with diagnosising concussion, these have yet to be clinically accepted.

Concussion symptoms vary widely and commonly include headache, nausea, balance problems or dizziness, double or fuzzy vision, sensitivity to light or noise, feeling sluggish, feeling “foggy”, change in sleep pattern or concentration or memory problems. The literature supports that there are various neurochemical changes occurring within the initial hours and up to 10 days post injury, resulting in functional disturbances2. Overall it is estimated that 5-20% of clients will have prolonged symptoms, resulting in post-concussion syndrome.

One approach for concussion care is to intervene with a multi-disciplinary team that can provide sub-acute care within 2-3 weeks to evaluate and treat clients in an attempt to prevent these clients from entering the disability model. A team may include a medical provider (often specializing in sports medicine, neurology or physiatry), physical therapist (treating headaches, neck pain, balance and dizziness deficits and exercise intolerance), occupational therapist (addressing fatigue management and functional visual deficits) and speech-language pathologist (evaluating cognitive deficits including remediation and training of compensatory strategies). Some clients may require further in-depth evaluation by either a neuropsychologist for a cognitive evaluation or a neuro-optometrist for an evaluation of the client’s functional visual exam including visual perception. Many clients may have computer based cognitive testing done with their medical provider or through their high school. These tests (ImPact or CogState Sport) are helpful in determining when an athlete is able to return to sport, although they only serve as one component of the athlete’s status in making the final decision. Clients often suffer from headaches, neck pain, dizziness or exercise intolerance. All of these symptoms are within the scope of PTs. We can play a pivotal role in returning an athlete to play as well as treating clients with “whiplash” injury that also have concussive symptoms. As we treat these clients, it is important to recognize that a concussion results in widespread

deficits, and many clients may benefit from an interdisciplinary approach. Specific PT treatments and guidelines will be discussed in the next OPTA Log.

references:1. Prabhu SP. The role of

neuroimaging in sport-related concussion. Clin Sports Med. 2011 Jan;30(1):103-14, ix.

2. Giza CC, Hovda DA. The Neurometabolic Cascade of Concussion. J Athl Train. 2001 Sep;36(3):228-235.

effective Concussion ManagementJennifer L Wilhelm, PT, DPT, Oregon Health and Science University

OPTA Members Only Section Log-In

It’s just like your log-in for the APTA website. Your APTA membership number is your User Name. Your last name is your Password. In the members only sections of the site you have access to: the membership directory, media contact lists, past Log Newsletters, government affairs information, PR branding campaign, and be able to update your contact information.

Take a look for yourself atwww.opta.org.

VISIT Our WeBSITe AT

www.opta.org

Page 10 - 3rd Quarter 2011 OPTA OREGON LOG www.opta.org

My experience in Washington D.C. was incredible, to say the least. I spent my five days there sitting in on motion discussions, networking with PTs, PTAs, and Student PTs and PTAs from all over the country, running around the House of Delegates as a student usher, rallying at Capitol Hill, and learning as much as I could about the wonderful profession of which I will be a part in the future.

One of the highlights of my trip was joining the elections committee for an evening. Approximately ten other student ushers and I were chosen to officially count ballots for the APTA’s

annual election. That was an unforgettable experience. The rally on Capitol Hill was also fantastic. The Oregon delegates, the PT student from Pacific University, and I had the opportunity to represent Oregon at Capitol Hill. Being a part of the advocating process meant so much to me. The bills for which we were advocating will most definitely affect me and my colleagues, so it was really important for me to be a part of that. Overall, my experience was above and beyond what I pictured it to be. I am incredibly thankful for the opportunity.

APTAHouse of delegates: Student PerspectiveBy Meredith Brunette, SPT

Mid-Atlantic heat wave, late night ballot tallying, and running urgent messages to the dais are only a few highlights of my first experience at the APTA House of Delegates. Not only was it inspiring to be in the same room with the movers and shakers within the association, but it was equally inspiring to listen to the new and seasoned delegates eloquently debate the pressing issues that face the profession. Being a student usher I had the chance to meet with students from across the country. It was amazing to bond with fellow students that I will see at future APTA events. This experience has reaffirmed the reasons why I want to be a physical therapist and why I will continue to be an active member within the association.

I would like to thank the Oregon Delegation, the OPTA, and Pacific University for providing me this remarkable and moving opportunity. In addition, I would like to acknowledge the Oregon delegation for the exceptional representation at the House. Their hard work and dedication has made me proud to be a member of the Oregon chapter.

House of delegates 2011 reportBy Kirsten Carmichael, SPTA

Oregon’s 2011 APTA House of Delegate Representatives.

OPTA OREGON LOG Page 11 - 3rd Quarter 2011www.opta.org

Salem Hospital Regional Rehabilitation Center has cared for the people in the beautiful, green mid-Willamette Valley for over 30 years. We o� er acute rehabilitation at our rapidly expanding main campus, and inpatient and outpatient care at our 63,000 square-foot free-standing rehabilitation center.

Join more than 75 therapists consistently meeting the challenges of achieving clinical quality second to none, service that exceeds expectations and performance that sustains our mission. That’s why Salem Hospital, a Magnet®-recognized facility, received 10 fi ve-star ratings from HealthGrades® for better-than-expected outcomes in 2010, and the Beacon Award, twice!

With our expansive services comes a number of career opportunities for physical therapists like you. It’s here you will fi nd TOP continuing education benefi ts and professional development in Oregon; market-leading salaries and benefi ts, up to a $10,000 sign-on bonus and much more!

Salem, Oregonsalemhospital.org/careersSalem Hospital is proud to be an equal opportunity employer.

Join an incredible team!

The Oregon Physical Therapy Association is pleased to announce that our own Jeremy Hilliard has been selected by the APTA as an Emerging Leader.

Jeremy has been a member of the APTA since October 2005 and works as a staff physical therapist at Therapeutic Associates Northeast Portland. His involvement with the OPTA dates back to his days as a student at Pacific University when he organized a fundraiser for the Oregon Physical Therapy PAC to assist in our battle to protect the right to use manipulation as an intervention for our patients. Jeremy was a Director’s Award winner in his final year at Pacific and has continued to stay involved with the program, serving as a lab assistant and leading OPTA membership recruitment efforts on the campus.

Noting Jeremy’s knack for politics and fundraising, the OPTA Government Affairs Committee invited him aboard and he has been an active member since. Within a year Jeremy took over as the Director of the Oregon PT PAC and has orchestrated several successful events and fundraising campaigns. This year Jeremy became our secret

weapon and put the OPTA on the radar of many politicians during the campaign season when he unveiled his karaoke skills at an event for State Representative Tina Kotek. He later played a critical role in meeting with several key legislators to support OPTA’s efforts in Salem this year.

Jeremy attended his first of what we hope are many Federal Affairs Forums in 2010 and has taken on the role of key contact with Representative Earl Bluemenauer. He also planned a very well attended PAC fundraiser and networking opportunity at last year’s State Government Affairs Forum in Portland. We are happy to have Jeremy as an active member of the Oregon Physical Therapy Association and look forward to working with him as he grows as a leader in the profession.

OPTA Member Selected as emerging Leader by APTA

Jeremy Hilliard

Page 12 - 3rd Quarter 2011 OPTA OREGON LOG www.opta.org

KAISER PERMANENTE IS AN AA/EEO EMPLOYER.

I dance to

COME JOIN OUR PT TEAM PORTLAND, VANCOUVER, CLACKAMAS COUNTY, AND SALEM

At Kaiser Permanente, you’ll play an important role on our integrated health care team.Our physical therapists enjoy autonomy not found within other health care organizations.They spend less time worrying about insurance and justifying treatment, but more timetreating the whole patient, designing and delivering the right treatment.

We are actively recruiting physical therapists who share our values and believe in qualityof care. Kaiser Permanente seeks graduates of accredited schools of physical therapywho are licensed in Oregon or Washington. We are looking for therapists who canprovide excellent service in outpatient orthopedics, acute care, worker’s compensation,neuro-rehabilitation, and home health.

For more information about career opportunities, please contact us at {(503) 813-3601or (800) 845-4875. Visit jobs.kp.org for complete qualifications and job submission details.Individuals who are bilingual or have multicultural or diverse patient populationexperience are encouraged to apply. Drug-Free Workplace.

jobs.kp.org

I value my freedom. Believe in the work I do. And aim to bring out thebest in everyone—myself included. Being a physical therapist enablesme to enhance the lives of those in my care. Kaiser Permanente sharesthat mission and wants the same for me. If you believe that qualitycare and quality of life go hand in hand, this is the place to put yourbeliefs into practice.

KHOWARD

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OREGON PHYSICAL THERAPY ASSOCIATION

MY OWN MUSIC

Questions Regarding YourPhysical Therapy license or practice?

Contact the Oregon Physical Therapist Licensing Board

www.ptboard.state.or.us • 971.673.0200?

Thanks to OurOPTA Gold Sponsors

Kaiser Permanente

PT Northwest, LLC

PT on Call, PS

Salem Health

Therapeutic Associates, Inc.

Therapist’s Unlimited

employment Opportunities?

Check out OPTA's website for employment postings at www.opta.org. From the home page click on Job Postings and then review the opportunities that are posted.

If you have a job listing that you would like posted, please visit the OPTA website at www.opta.org. Job posting rates are $100 for a 30 day posting. All job postings must be done online. Take advantage of this great opportunity to market your position!

OPTA OREGON LOG Page 13 - 3rd Quarter 2011www.opta.org

Lane Community College proudly graduated its first class of PTA’s June 11, 2011 in Eugene. The 18 graduates completed the intense physical therapist assistant program under the direction of Christina Howard, MSPT. Graduating students plan to be taking their licensure exam later this fall after CAPTE completes its accreditation process of Lane’s new PTA program.

A high percentage of the graduates received high academic honors of a 3.5 GPA or higher and several are Phi-Theta-Kappa members but what is even more important is that they are OPTA members. OPTA/APTA student members include

Shannon Gaul, Michelle Grant, Stacy Gresser, JoNel Hood, Ben Marean, Marie Williamson and Ian Standish.

OPTA members Christina Howard and Beth Thorpe are to

be given great praise for their support of the Lane program and more importantly, the support they have provided this first graduating class!

Register Today! . . . Call 1-800-FASCIALVisit our website www.MyofascialRelease.com

Fascial-PelvisMyofascial Release

This seminar will teach you a logical, step-by-step progression of techniques for treating back pain, pelvic pain, fibromyalgia,

and menstrual problems in a comprehensive and effective manner.

Fascial-Pelvis Techniques for the:• Erector Spinae • Lumbar Area

• Pelvic Floor • Psoas

• Sacro-Iliac Joints • Lower Extremities

• Quadratus Lumborum • Sacrum

John F. Barnes, PTInternational lecturer, author, and authority

on Myofascial Release.

Portland, OregonSept. 30 - Oct. 2, 2011

Lane Community College Graduates its First Class of PTA’S!By Marc Duyck PTA, MSEd.

Photo includes OPTA members Marc Duyck PTA, MSEd., Ben Maeren PTA, Beth Thorpe PTA, MS and Christina Howard MPT who are celebrating Mr. Maeren’s achievements. Marc, Beth and Christina are faculty members at Lane Community College’s PTA program.

Page 14 - 3rd Quarter 2011 OPTA OREGON LOG www.opta.org

Speakers Wanted!Your OPTA public relations

committee is looking for therapists willing to give presentations to the public. The choice of topic and general location is the therapist’s choice. The current Speakers Bureau List can be accessed from the OPTA’s website under the “Community” tab. Our hope is that people in the communities we live can access this list as a resource for education.

If you are interested in being on the Speakers Bureau List, please contact Megan Cox at 503.723.0347 or mandersonpt@msn.com.

Therapists Unlimited is dedicated to providing you local and

national opportunities that best fit your experience and interests. We offer flexibility and a variety of assignments in all types of settings! Whether you travel with us or work locally at any one of the thousands of facilities we service, our focused office team is dedicated to you!

CareerStaff currently has Physical Therapist and assistant opportunities for full-time, part-time and per diem work in every practice arena. As a Therapist Unlimited employee you will reap the benefits of working amongst our network of over 500 clients in inpatient, outpatient, skilled nursing, home health, school districts, International Academies and rehab settings.

Great Pay Flexible Schedules Variety of Settings Referral Bonuses Hire-On Bonuses

Medical, Dental, Vision Benefits 401K

Local & Travel Opportunities Continuing Education

Email: OregonTherapy@sunh.com Northwest Offices: Seattle, Tacoma, Portland

Phone: (866) 317-1232 Website: www.CareerStaff.com

2011 SChEdUlESeptember 24, 2011Fall Business Meeting

September 30, 2011Regional Workshop - PendletonSocial Media and Boundaries in the Multigeneration Clinic - Ethics & The LawBy Sherri Paru, PT and Carol Schunk, PT, PsyD

October 20, 2011Regional Workshop - BendSocial Media and Boundaries in the Multigeneration Clinic - Ethics & The LawBy Sherri Paru, PT and Carol Schunk, PT, PsyD

October 22, 2011OPTA WorkshopCurrent Perspectives for Conservative & Post-Surgical Rehab for Impingement Syndromes and Rotator-Cuff PathologyBy Karl Kolbeck, PT

December 3, 2011OPTA WorkshopHip and Lumbar Connection

By Shirley Sahrmann, PT

2012 SChEdUlEMarch 30-April 1Annual ConferencePortland, OR Sheraton Portland Airport Hotel

www.opta.org

*All dates, speakers and topics subject to

OPTA Continuing education Calendar*

OPTA OREGON LOG Page 15 - 3rd Quarter 2011www.opta.org

OPTA Membership Drive “Recruit-Just-One”

recruiter Information: Name: _______________________________________ APTA Member #: _____________________

Mailing Address: _______________________________________________________________

_______________________________________________________________

E-mail Address: ________________________ Phone (optional): _____________________________

Would you like more information about committee involvement? Yes No

New Member Information: Name: _______________________________________ APTA Member #: _____________________

Mailing Address: _______________________________________________________________

_______________________________________________________________

E-mail Address: ________________________ Phone (optional): _____________________________

Would you like more information about committee involvement? Yes No

Please send to: OPTA • 147 SE 102nd • Portland, OR 97216 • Fax: 503.253.9172

Help OPTA and APTA become stronger associations by recruiting a new member to join. Then help yourself by filling out the membership drive certificate and submitting to the OPTA office. When your recruit’s information comes across the OPTA office as joining, your certificate will be added to a drawing. The drawing will be held during the OPTA 2012 Annual Conference with a grand prize of your next year’s membership paid.

Oregon Physical Therapy Association

OPTA’sRecruit-Just-OneDrive

OPTA503.262.9247Or tollfree at 877.452.4919E-mail: info@opta.orgWeb site: www.opta.org

Oregon Log Advertising Policy The Oregon Log is published quarterly (four issues per year) in March, June,

September and December: the deadlines for 2011 are: November 4. Deadlines for the 2012 issue are: February 3 for the 1st quarter issue, May 4 for the 2nd quarter issue; August 3 for the 3rd quarter issue; and November 2 for the 4th quarter issue. All display ads must be pre-sized in camera ready form. OPTA reserves the right to not publish advertisements or articles of OPTA’s choosing.

Ad Size Per IssueFull Page - 10" high by 7.5" wide $350.00Half Page - 4.5" high by 7.5" wide $200.00Quarter Page - 4.5" high by 3.5" wide $125.00

OPTA Announces Advertising Package Opportunities! The OPTA publications committee has a advertising package plan that offers a variety of advertising opportunities. If you are interested in purchasing a package, please contact Sandra Fisher at the OPTA office at 503.262.9247 or 877.452.4919 or via e-mail at info@opta.org.

Advertising PackagesPackage Includes Gold SilverWeb site logo & link 1 year N/AWeb site employment advertisement of 100 words 1 year 1 yearNewsletter display ads 1/2 pg ad for 1 year 1/4 pg ad for 1 yearVendor listing in newsletter 4 issues 2 issuesConference exhibit space 1 booth 25% off feeConference brochure vendor listing 1 listing 1 listingConference name displayed on vendor list 1 listing 1 listingPackage prices: $2,000 $1,000

Classified: Classified advertising for employment opportunities or sales items are charged at the rate of $35.00 per ad plus $2.00 per line of type (approx. 45-50 characters including spaces and punctuation). One line complimentary heading is included.

Oregon Log Editorial Policy: The Oregon Log is the newsletter of the Oregon Physical Therapy Association and is published quarterly. Opinions expressed in this publication are those of the attributed author and do not necessarily represent those of the Association or the Board of Directors. Reprint of any article or information published herein is available only by permission of the editorial office. Circulation is to OPTA members. Copies are available to non-members at $4.00 each, post paid. OPTA reserves the right to not publish advertisements or articles of OPTA’s choosing.

OREGON LOG147 SE 102nd Ave.Portland, OR 97216