31.07.2013 Views

Download - ADVANCE for Physical Therapy & Rehab Medicine

Download - ADVANCE for Physical Therapy & Rehab Medicine

Download - ADVANCE for Physical Therapy & Rehab Medicine

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

Our digital editions give you two unique ways to view content. The “Full Screen”<br />

option makes it easy to flip through and read each spread while the “Fit to Screen”<br />

option gives you the ability to scan thumbnails of multiple pages at once, run content<br />

searches and more.<br />

View Full Screen<br />

Click on the “View Full Screen” button to enlarge the digital edition to full size.<br />

All of your controls will be shown at the bottom of the page.<br />

Bottom Left<br />

• Print Page: Allows you to select specific pages or print the entire digital edition.<br />

• Fit to Window: Returns you to your original view with the navigation bar on the left.<br />

• Table of Contents: Automatically takes you to the issue’s table of contents.<br />

Bottom Right<br />

• Magnifying Glasses: Enable you to zoom in or out.<br />

• Arrows: Take you to the previous page or the next page.<br />

• Go to Page: Prompts you to enter the number of the page you want to view.<br />

• Subscribe: Takes you to a secure site where you can sign up <strong>for</strong> your FREE subscription.<br />

Fit to window<br />

In this view, the “Fit to Window” button will be replaced with the “View Full<br />

Screen” button. You’ll also have a navigation bar on the left side of the screen.<br />

Left Navigation Bar<br />

• Pages: Features a thumbnail of every page. Click on one of the thumbnails<br />

to go directly to that page.<br />

• Bookmarks: Includes important pages that have been bookmarked.<br />

Click on one of the bookmarks to go directly to that page.<br />

• Search: Allows you to enter a word or phrase and search the digital edition <strong>for</strong> it.<br />

• How To: Offers supplementary documents with helpful tips and in<strong>for</strong>mation.<br />

interactiVe FeatureS<br />

• Enlargement Features: Look <strong>for</strong> this magnifying glass logo attached to photos<br />

and figures. Click and hold the mouse down to enlarge <strong>for</strong> easier reading.<br />

• End-of-article Extras: Look <strong>for</strong> the "black box" after articles that will refer you to<br />

related content on the Executive Insight web site .<br />

• Ads and Advertiser Index: Click on any advertisement or any company listed<br />

in our comprehensive advertiser index to visit their website.<br />

• Table of Contents: Click on any listing in the table of contents to be take<br />

directly to the article.


<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

1


Don’t win an iPad...<br />

Cross ss Country TravCorps works with a multitude of facilities throughout the United States – bringing you adventure and endless opport opportunity.<br />

Certified by The Joint Commission<br />

2 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

And now, when you take your first assignment with us, you’ll receive the new iPad and a $1000 bonus.<br />

Call your recruiter <strong>for</strong> details. Apply today!<br />

<strong>Download</strong> the<br />

Go CCTC app<br />

Get an iPad.<br />

CROSSCOUNTRYALLIED.COM 800.760.5087<br />

Cross Country TravCorps is an Equal Opportunity Employer.


Don’t miss these<br />

upcoming issue<br />

features:<br />

• Aquatics<br />

• Annual CE Directory<br />

• Resource<br />

Directory: Cardio/<br />

Strength Equipment<br />

• Employment<br />

Supplement: South<br />

• APTA-PPS<br />

Conference Issue<br />

• PTA Supplement<br />

FREE<br />

yearly subscription.<br />

FREE<br />

online resources.<br />

FREE<br />

access to so much more.<br />

Don’t miss these<br />

upcoming online<br />

features:<br />

• APTA and NATA 2012<br />

Conference Coverage<br />

• Managing Chronic Pain<br />

• Education/Clinical<br />

Instruction<br />

• Cancer <strong>Rehab</strong>/Breast<br />

Cancer Awareness Month<br />

• Business and Practice<br />

Management<br />

• Industrial <strong>Rehab</strong><br />

Don’t miss all that <strong>ADVANCE</strong> offers!<br />

Subscribe or renew today – it’s quick and easy.<br />

• Call 800-355-1088 (M-F, 8am-6pm ET)<br />

• Visit www.advanceweb.com/pt<br />

• Snap the tag to the right<br />

NOT SURE WHEN YOUR SUBSCRIPTION WILL EXPIRE?<br />

Check the mailing label on the front of this journal to fi nd your expiration date<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

3


contents <strong>ADVANCE</strong> FoR PHySICAl THERAPy & REHAB MEDICINE<br />

Vol.<br />

[CoVER SToRy]<br />

12 Committed to Serve<br />

Servicemembers who pursue physical<br />

therapy careers after retiring from the<br />

military often see parallels between the<br />

two disciplines, and their skill sets often<br />

overlap: personal motivation, an interest<br />

in human function, and most of all, an<br />

inherent desire to serve. <strong>ADVANCE</strong> profiles<br />

our nation’s military who go on to<br />

a career in rehabilitation, bringing with<br />

them a unique insight into the effects of<br />

injury and debilitation. (Kyle Kielinski)<br />

[FEATuRED ARTIClES]<br />

16 Stroke and Robotics:<br />

Miracle Movers<br />

Spinal cord injury, stroke and degenerative<br />

neurologic disease used to mean a<br />

sedentary and dependent lifestyle. But<br />

thanks to improved knowledge of taskspecific<br />

training and a broader reach of<br />

modern-age technological interventions,<br />

clinicians and patients are redefining<br />

what’s possible.<br />

4 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

19 Pilates <strong>for</strong> Improving Posture<br />

Assessing patients’ posture or alignment<br />

can sometimes be overwhelming <strong>for</strong><br />

both novice and experienced physical<br />

therapists. Even with all our knowledge<br />

of anatomy, kinesiology, movement and<br />

injuries, it can be hard to know where to<br />

start. <strong>Physical</strong> therapists assess the faults<br />

in alignment that may lead to the stress<br />

buildup in the body. Pilates is one of<br />

many tools available.<br />

23 | No. 7 | July 9, 2012<br />

22 Industrial <strong>Rehab</strong>: Cut the Costs<br />

Workers’ comp claims secondary to<br />

spine and extremity injuries, medically<br />

termed musculoskeletal disorders (MSDs),<br />

together with lost production and related<br />

costs, cost our economy approximately $80<br />

billion a year. The burden of MSD claims<br />

and costs on employers has actually closed<br />

many workplaces. <strong>Physical</strong> therapists can<br />

explore the challenges involved in workers’<br />

comp claims and, more importantly,<br />

the possible solutions <strong>for</strong> employers.


[MoRE ARTIClES]<br />

8 Management Focus:<br />

Effective Referrals<br />

10 Sports <strong>Rehab</strong>:<br />

Shoulder Rotations<br />

24 Seating and Pressure<br />

Mapping Options<br />

38 Resource Directory:<br />

Aquatic <strong>Therapy</strong><br />

[DEPARTMENTS]<br />

6 Letters to the Editor<br />

7 Ad Index<br />

27 Products at Work<br />

28 Classified Marketplace<br />

29 Calendar/CE<br />

39 Classified Employment<br />

Opportunities<br />

47 <strong>ADVANCE</strong> Healthcare Shop<br />

[COMING SOON]<br />

<strong>Rehab</strong> engineering is entering the hightech<br />

age with modern robotics, functional<br />

electrical stimulation and virtual reality systems.<br />

<strong>ADVANCE</strong> selects the top 5 advances<br />

in rehab engineering--chosen in consultation<br />

with our editorial board--that will<br />

usher in the new age of caring <strong>for</strong> patients<br />

with debilitating conditions.<br />

[MulTIMEDIA]<br />

WhAT’s The heATh CAre<br />

reForM BUzz?<br />

Attendees at PT 2012 explain the importance<br />

of health care re<strong>for</strong>m to the profession.<br />

JoIN ouR PT CoMMuNITy!<br />

Blogs: Meet our bloggers and read<br />

new posts daily!<br />

ToNI TAlKs ABoUT PT ToDAY<br />

Combing PT and sT<br />

Toni pairs with another discipline to help<br />

patients with swallowing difficulties.<br />

PTA Blog TAlK<br />

Who’s My supervisor?<br />

Jason notes that state laws can be<br />

unclear about this distinction.<br />

More PT Blogs<br />

• A New York PT in Queen Elizabeth’s Court<br />

• PT in the City<br />

• <strong>Physical</strong> Therapist in Transition<br />

• A Busy PT’s Guide to Finding Balance<br />

• Journey with a DPT Student<br />

• AdvAnce Perspectives<br />

• Life of an SPTA<br />

[NEw! PATIENT HANDouT]<br />

Nervous System App<br />

[STuDENT CENTER]<br />

Article: Generational Divide<br />

News & Notes: PT Schools and Student Programs<br />

student links: Special interest groups and associations<br />

relevant to physical therapy.<br />

Community: Blogs, <strong>for</strong>ums, Facebook and more!<br />

[ColuMNS]<br />

MeDICAre ADvIsor<br />

gerIATrIC FUNCTIoN<br />

INDUsTrIAl INsIghTs<br />

Advance <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> ®<br />

is published bi-weekly on alternate Mondays by Merion Matters, 2900<br />

Horizon Drive, Box 61556, King of Prussia, PA 19406-0956. <strong>ADVANCE</strong> was established March 1990 as a national<br />

newsmagazine. Its purpose is to provide in-depth coverage of news and employment opportunities to therapists in<br />

the nation. Subscriptions are free to all PTs, PTAs and senior students as well as to national PT schools & health care<br />

facilities employing PTs.<br />

Postmaster: send address changes to <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> ® , Merion Matters, Circulation,<br />

2900 Horizon Drive, Box 61556, King of Prussia, PA 19406-0956. Contents are not to be reproduced or reprinted without<br />

permission of publisher. ©2012 Merion Matters.<br />

Our company publishes magazines and websites <strong>for</strong> audiologists, laboratory administrators, healthy aging profession-<br />

oN The WeB www.advanceweb.com/pt UPDATeD DAIlY!<br />

oxForD DeBATe<br />

This highly entertaining event<br />

debated if PT education needs residencies.<br />

CoMMUNITY ChAT<br />

Interact with colleagues!<br />

ThIs WeeK’s hoT ToPICs:<br />

Blogs: WheN Bloggers MeeT<br />

Dean posts: our new student started today.<br />

our new student is fellow <strong>ADVANCE</strong><br />

blogger, lauren Rosso.<br />

looKINg For A NeW JoB?<br />

Get job postings on Facebook and Twitter!<br />

Follow us at www.twitter.com/AdvancePT-<br />

Jobs and www.facebook.com/<strong>ADVANCE</strong><strong>for</strong>PT<br />

to search <strong>for</strong> physical therapy jobs.<br />

Answer these questions, ask more… Join in<br />

the conversation now!<br />

[SPECIALTY SPOTLIGHT]<br />

Find targeted in<strong>for</strong>mation tailored just <strong>for</strong> you!<br />

Go to our homepage to choose your<br />

specialty now:<br />

• Pediatrics<br />

• Business & Practice<br />

Management<br />

• Aquatic <strong>Therapy</strong><br />

• Hand <strong>Therapy</strong><br />

• Geriatrics<br />

• Sports <strong>Rehab</strong> &<br />

orthopedics<br />

• Industrial <strong>Rehab</strong><br />

• Pain Management<br />

• Gait Analysis &<br />

Balance<br />

• Disabilities &<br />

Conditions<br />

• Products and Services<br />

• Pilates<br />

als, health executives, health in<strong>for</strong>mation professionals, imaging and radiation oncology professionals, long-term care<br />

managers and professionals, medical laboratory professionals, respiratory care and sleep medicine professionals, nurses,<br />

occupational therapy practitioners, nurse practitioners and physician assistants, physical therapy and rehabilitation professionals,<br />

and speech-language pathologists.<br />

Advertising Policy: All advertisements sent to Merion Matters <strong>for</strong> publication must comply with all<br />

applicable laws and regulations. Recruitment ads that discriminate against applicants based on sex,<br />

age, race, religion, marital status or any other protected class will not be accepted <strong>for</strong> publication. The<br />

appearance of advertisements in <strong>ADVANCE</strong> Newsmagazines is not an endorsement of the advertiser<br />

or its products or services. Merion Matters does not investigate the claims made by advertisers and<br />

is not responsible <strong>for</strong> their claims.<br />

®<br />

<strong>ADVANCE</strong> is a member of the National Association <strong>for</strong> Health Care Recruitment<br />

Please Recycle This Magazine<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

5


[lETTERS To THE EDIToR]<br />

Referral-<strong>for</strong>-Profit<br />

Means Hospitals, Too<br />

To the Editor:<br />

Not all therapists want to be in private practice,<br />

especially given the political climate and<br />

the extreme difficulty in moderate and smaller<br />

cities to run a private practice. In addition to<br />

this, if you are not competing with a physician-owned<br />

group, you have to compete with<br />

larger hospitals that, despite what the current<br />

administration would like you to believe, refer<br />

to themselves constantly—and what’s more,<br />

they have their own hospital-owned surgeons<br />

in many cases.<br />

If you don’t think they are pressured to refer<br />

to the hospital services, then you are more than<br />

naive. The so-called “not-<strong>for</strong>-profit” hospitals<br />

are very adept at making everything look like<br />

they are not self-referring, including but not<br />

limited to ATCs and aides, with help from a<br />

few well-placed laws and regulations. But<br />

they are still similar practices to POPTS.<br />

I do agree there have been and still are some<br />

less-than-acceptable practices happening, and<br />

those loopholes should be closed. I feel it is<br />

important <strong>for</strong> the profession to grow and<br />

increase the range of treatment we provide,<br />

and push evidence in practice with a focus<br />

on individual patient outcomes. But this is<br />

a slippery slope the APTA is treading, and<br />

to be truly autonomous there should be no<br />

LOWER BACK PAIN RELIEF<br />

Quantity Prices<br />

1................$285.00ea<br />

2................$275.00ea<br />

3 and up....$259.00ea<br />

Prices in US Dollars and subject to change without notice<br />

30 day conditional money back guarantee<br />

Suggested Patient Price<br />

$385.00<br />

C.O.D. or prepay by check<br />

LASHAW DISTRIBUTORS LTD<br />

9631 Bakerview Dr • Richmond, B.C.<br />

Canada V7A2A2<br />

Tel: (604) 270-4263 • Fax: (604) 277-2154<br />

Toll Free: 1-800-667-7795<br />

Website: www.invertrac.com<br />

Email: invertrac@invertrac.com<br />

6 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

®<br />

practices owned by anyone except a physical<br />

therapist. When breaking that down to other<br />

areas of health care, the end result is actually<br />

enormous costs and limited continuity<br />

of services.<br />

Now having said all this, referral-<strong>for</strong>-profit<br />

is ethically and professionally wrong, and I,<br />

too, have concerns regarding hospital and<br />

physician ownership of PT clinics. When left<br />

unchecked, I feel these relationships have<br />

the potential to slow the gains we have made<br />

as a profession, and give rise to the kind of<br />

professional apathy that can come with referrals,<br />

without regard <strong>for</strong> quality of care, as we<br />

should all strive <strong>for</strong> high standards of care.<br />

I feel that the design of POPTS and hospitalowned<br />

PT clinics needs to be adjusted to not<br />

allow full majority ownership of PT clinics,<br />

and to help foster relationships with other<br />

providers that benefit the profession and,<br />

most importantly, the patient.<br />

—David Anon, PT, DPT, ATC<br />

Springfield, OH<br />

POPTS: A Patient’s View<br />

To the Editor:<br />

I just read your article on POPTS (“Differences<br />

of Opinion,” July 23, 2011). I am highly<br />

in favor of prohibiting this type of physicianowned<br />

operation and would like to contact<br />

my senator concerning my experiences with a<br />

POPTS, which had totally negative results.<br />

After this experience, and still needing help<br />

<strong>for</strong> an ongoing condition, my primary physician<br />

recommended me to an independent<br />

physical therapy service where I am now<br />

receiving treatment and experiencing a positive<br />

outcome from the sessions.<br />

I am also concerned with the minimal<br />

amount of time spent during each of my<br />

visits to the POPTS and the charges incurred<br />

by Medicare and by my secondary provider.<br />

There is something very wrong here and it<br />

should be looked into.<br />

—Ellie Estes<br />

Walling<strong>for</strong>d, CT<br />

gIve Us YoUr<br />

TWo CeNTs<br />

If you have a topic you would like to discuss<br />

in a letter to the editor, email lisa lombardo<br />

at llombardo@advanceweb.com<br />

<strong>ADVANCE</strong><br />

<strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & rehab <strong>Medicine</strong><br />

is published by Merion Matters<br />

Publishers of leading healthcare magazines since 1985<br />

PUBlIsher<br />

Ann Wiest Kielinski<br />

geNerAl MANAger<br />

W.M. “Woody” Kielinski<br />

ChIeF INForMATIoN oFFICer<br />

Khader Mohammed<br />

eDITorIAl<br />

Editor-Lisa Lombardo<br />

Managing Editors-Brian W. Ferrie, Jonathan Bassett<br />

Senior Regional Editor-Rebecca Mayer<br />

Editorial Consultants-Margaret E. Rinehart Ayres, PhD, PT,<br />

Jane M. Kepics, MS, PT, Susan Morrill Ramsey, MA, PT,<br />

Brad Thuringer, PTA, Linda Jones<br />

Web Manager-Jennifer Montone<br />

DesIgN<br />

Vice President, Director of Creative Services-Susan Basile<br />

Design Director-Walt Saylor<br />

Multimedia Director-Todd Gerber<br />

Associate Art Director-Todd Goldfeld<br />

Senior Graphic Artist-Jason Steigleman<br />

ADverTIsINg<br />

Director of Marketing Services-Christina Allmer<br />

Art Director-Chris Wof<strong>for</strong>d<br />

eveNTs<br />

Public Relations Director-Maria Senior<br />

Job Fair Manager-Laura Smith<br />

Events Product Manager-Mike Connor<br />

ADMINIsTrATIoN<br />

Vice President, Director of Human Resources-Jaci Nicely<br />

Vice President of Business Technology Operations: Joe Romello<br />

In<strong>for</strong>mation & Business Systems Director-Ken Nicely<br />

Digital Media Sales Director: Kim Noble<br />

Circulation Manager-Maryann Kurkowski<br />

Billing Manager-Christine Marvel<br />

Subscriber Services Manager-Vikram Khambatta<br />

MeDIA & MArKeTINg oPPorTUNITIes<br />

heAlThCAre FACIlITY ADverTIsINg<br />

Sales Director: Kim Noble<br />

Group Manager-Jane Wharton<br />

Senior Account Executives-Mary Lee Bischoff,<br />

Mary Lisa DellaPorta, Tasha DeMedio, Jody Fimiano,<br />

Mary Chris Schueren, Suzanne Willis<br />

Account Executives-Molly Roberts<br />

Sales Associates-Charlene Campbell, Dmitry Tkach<br />

DIsPlAY ADverTIsINg<br />

Sales Director-Amy Turnquist<br />

Manager of Custom Communications and<br />

Marketing Services-Shannon Reiss<br />

Corporate Sales Manager-Kevin Miller<br />

Senior Account Executive-Jeremy Murley<br />

Sales Associates-Nicole Anastasi, Jackie George, Ashley Hackett<br />

eDUCATIoN ADverTIsINg<br />

Sales Manager-Ed Zeto<br />

Senior Account Executives-Brock Bamber, Christine Hudak<br />

CUsToM ProMoTIoNs<br />

Sales Manager-Mike Kerr<br />

Senior Account Executives-Noel Lopez,<br />

Sue Borjeson-Romano<br />

Sales Associates-Kristen Erskine, Desirae Slaugh, Gina Willett<br />

How To CoNTACT uS<br />

Merion Matters<br />

Advance <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> and <strong>Rehab</strong> <strong>Medicine</strong><br />

2900 Horizon Drive Box 61556<br />

King of Prussia, PA 19406-0956<br />

(610) 278-1400<br />

www.advanceweb.com<br />

For a FREE subscription: (800) 355-1088<br />

To order Article Reprints: (800) 355-5627, ext. 1446<br />

To place a calendar, display or recruitment ad,<br />

or to contact the editorial department: (800) 355-5627


Advertiser Index<br />

log on to www.advanceweb.com/pt our searchable online Resource<br />

Directory allows you to receive detailed in<strong>for</strong>mation about the<br />

companies and products listed below, as well as submit requests<br />

<strong>for</strong> free info.<br />

Support the companieS that Support your profeSSion. The companies<br />

listed below support the physical therapy profession by placing advertisements<br />

in AdvAnce <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong>. Their support keeps our<br />

publication coming to you free of charge. Please contact these advertisers or visit<br />

their web sites to learn more about their products or services.<br />

ADVERTISER WEB PG. #<br />

Academy of Lymphatic Studies www.acols.com 36<br />

Active Ankle Systems Incorporated www.activeinnovations.net 18<br />

Advance Editorial Webinar www.advanceweb.com 28<br />

Advance Healthcare Shop www.advancehealthcareshop.com 47<br />

Advance What does your mailing label say www.advanceweb.com/PT 3<br />

AriMed Pharmaceuticals www.air-med.com 21<br />

Balanced Body www.balancedbody.com 20<br />

Biowave Corporation www.biowave.com 21<br />

Craig Hospital www.craighospital.org 17<br />

Cross Country TravCorps www.crosscountrytravcorps.com IFC<br />

Halo Rejuvenator www.halorejuvenator.com 9<br />

Hands On Seminars Inc www.HandsOnSeminars.com 30<br />

Hocoma Inc www.hocoma.com BC<br />

Lashaw Distributors Ltd www.invertrac.com 6<br />

LSVT Global www.LSVTGlobal.com 32<br />

MEG Business Management www.megbusiness.com 9<br />

MFR Treatment Centers 33<br />

Multi Radiance Medical, Inc www.multiradiance.com 11<br />

Norton School of Lymphatic <strong>Therapy</strong> www.NortonSchool.com 34<br />

Nueterra <strong>Physical</strong> <strong>Therapy</strong> www.nueterra.com 14<br />

OPTP www.optp.com 15<br />

Physiotec www.physiotec.org 26<br />

Star Cushion Products www.starcushion.com 25<br />

Stretchwell www.stretchwell.com 7<br />

SwimEx www.swimex.com 38<br />

<strong>Therapy</strong> Team Exam Review Incorporated www.therapyteam.com 32<br />

Tomatex www.tomatex.com 27<br />

University of St Augustine www.usa.edu 31<br />

Visiting Nurse Service of New York 35<br />

Work Well Systems, Inc www.workwell.com 23<br />

FIND JOB OPENINGS<br />

THROUGHOUT<br />

THE NATION<br />

CALL <strong>ADVANCE</strong> AT 800-355-6504<br />

PT 7/9/12<br />

CLIPWELL<br />

The Stepping Wolf<br />

As low as $17.95*/each<br />

THERAPY<br />

BAND CLIP<br />

Get the most from your band.<br />

Try it now! No need to tie bands!<br />

Durable This versatile Clipwell <strong>Therapy</strong> air stepper Band Clip<br />

eliminates the need to tie bands into<br />

provides many uses!<br />

loops. Works great with all brands of<br />

• Improves balance<br />

non-latex • Great <strong>for</strong> and core stability latex therapy exercises bands<br />

and • Helps even build better ankle with and calf Stretchwell’s<br />

line muscle of Fit-Lastic strengththerapy<br />

bands.<br />

• Can be used <strong>for</strong> foot massage<br />

To order or receive our full catalog,<br />

Call Toll Free: To Order: 1-888-396-2430<br />

CALL TOLL-FREE 1-888-396-2430<br />

or fax: 215-675-8042 FAX: 215-675-8042<br />

or mail: Stretchwell, Inc.<br />

Write: Stretchwell, Inc., PO<br />

PO<br />

Box<br />

Box<br />

3081<br />

3081<br />

Warminster, PA 18974<br />

Warminster, PA 18974<br />

www.stretchwell.com<br />

* When you buy 6 or more (individual pricing is $19.95 each),<br />

Shipping and handling additional, offer subject to<br />

withdrawal without notice.<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

7


[MANAGEMENT FOCuS]<br />

Strengthening Referral Networks<br />

Targeted niche services help guarantee a steady<br />

flow of new patients to your practice.<br />

By Katherine Tan, PT, MPT, oCs, CCTT, and Monica vitenson, PT, MsPT, oCs, CCTT<br />

offering a range of specialty programs<br />

is a powerful strategy to keep new<br />

patients coming in to a physical<br />

therapy practice, regardless of<br />

what’s happening in the business and regulatory<br />

environments. At our practice, BodyFit<br />

<strong>Physical</strong> <strong>Therapy</strong> and Wellness in Manhattan,<br />

we’ve cultivated a strong network of referral<br />

sources by establishing niche services that meet<br />

the needs of our community.<br />

Spotlighting One Service<br />

In our practice, we treat a large number of<br />

patients who have been diagnosed with temporomandibular<br />

dysfunction (TMD). Often,<br />

these patients present with a long history of<br />

neck pain or headaches. They commonly report<br />

that they have previously had physical therapy<br />

and possibly other therapies such as chiropractic,<br />

massage and acupuncture <strong>for</strong> their cervical<br />

pain, and although these treatments were helpful,<br />

their symptoms never fully resolved.<br />

Clinically, we start by per<strong>for</strong>ming a cervical<br />

screen to rule out overlooked cervical involvement.<br />

For example, a restricted occipito-atlantal<br />

(OA) joint can be a common cause of lower<br />

cervical pain due to compensatory changes<br />

and stress to this neighboring region. Another<br />

frequently missed finding that can contribute<br />

to posterior neck strain is stiffness or tension<br />

in the anterior neck muscles especially sternocleidomastoid<br />

(SCM).<br />

If your patient’s chronic cervical symptoms<br />

persist despite having fully cleared the cervical<br />

spine, an assessment of the TMJ and surrounding<br />

musculature might offer some insight. Many<br />

physical therapists realize that a dysfunctional<br />

hip or ankle can cause knee pain but might<br />

<strong>for</strong>get that the TMJ has a similar relationship<br />

to the neck. Here are the questions to ask your<br />

patient.<br />

Do you have a history of TMJ problems?<br />

You may be surprised how many patients will<br />

answer yes but didn’t think it was relevant to<br />

mention to you earlier.<br />

Do you associate your neck pain with headaches?<br />

Does your neck pain or headache feel<br />

worse in the morning? These are common<br />

8 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

complaints of people who clench or grind their<br />

teeth at night. Some patients may reveal that<br />

they know that they clench and that their dentist<br />

has even made them an occlusal appliance<br />

or “nightguard.”<br />

However, don’t assume that a nightguard<br />

will help; not all occlusal appliances are created<br />

equal. For example, soft, pliable appliances, the<br />

kind most commonly made by general dentists,<br />

can actually exacerbate jaw and neck symptoms<br />

by prompting the patient to chew and clench on<br />

the appliance while they sleep as if they were<br />

chewing gum all night. Imagine the muscular<br />

fatigue and strain this would cause. Conversely,<br />

hard acrylic appliances, most often prescribed<br />

by TMD dental specialists, protect the teeth from<br />

wear without increasing muscular tension.<br />

Does biting down hard increase your neck<br />

pain? If your patient does not know the answer<br />

to this question, ask them to bite down and<br />

whether it increases their symptoms. A positive<br />

finding warrants further examination of<br />

their masticatory muscles.<br />

Do you have any parafunctional habits?<br />

These include nail biting, gum chewing, pen<br />

or pencil chewing, coffee cup or stirrer chewing,<br />

etc. and can cause excessive TMJ compression,<br />

ligamentous strain and muscular overload.<br />

Does your neck pain increase after yawning,<br />

talking or eating (especially chewy, crunchy or<br />

hard foods)? This finding suggests a direct link<br />

between jaw function and their neck pain.<br />

Areas to Examine<br />

At this point, you can move into more targeted<br />

diagnostic tests, such as the following.<br />

Mandibular ROM. Standard opening is<br />

40-50 mm, or approximately 3 fingerwidths. A<br />

patient who can only com<strong>for</strong>tably fit two fingers<br />

or less in their mouth likely has decreased<br />

overall TMJ mobility. Also check <strong>for</strong> the ability<br />

to protrude the mandible 3-5 mm and glide<br />

laterally 10-14 mm in each direction.<br />

Look <strong>for</strong> the ability to open and protrude the<br />

jaw in midline. A deflection or deviation to one<br />

side with either motion is dysfunctional and<br />

suggests a TMJ disc pathology or a muscular<br />

imbalance. Is clicking in the joint associated<br />

with either opening or closing? Clicking is often<br />

a sign of disc pathology.<br />

Evidence of parafunctional habits. Check the<br />

teeth <strong>for</strong> signs of excessive wear due to grinding.<br />

Some patients might deny that they grind their<br />

teeth, but their teeth may tell a different story.<br />

Look at the sides of the tongue <strong>for</strong> “scalloping,”<br />

or a lasting impression of their teeth caused by<br />

sucking hard on their tongue.<br />

While sucking doesn’t cause tooth wear like<br />

grinding does, it can create just as much tension<br />

in the jaw muscles. Look at the inside of the<br />

cheeks <strong>for</strong> a “linea alba” or white line caused<br />

by the teeth when sucking and chewing on the<br />

inside of the cheek.<br />

Palpation. Some important masticatory<br />

muscles to assess <strong>for</strong> tenderness or hypertonicity<br />

include the temporalis, masseters, medial<br />

pterygoid (under the mandibular angle) and<br />

suprahyoids (under the chin). Full assessment of<br />

the masseters and temporalis requires intraoral<br />

palpation.<br />

One way to test the extensibility of the<br />

masseter muscle is to place your thumb inside<br />

the patient’s cheek and your fingers outside;<br />

gently squeeze the cheek and press your thumb<br />

out into the cheek simultaneously. This should<br />

be painless and pliable.<br />

To palpate the temporalis tendon <strong>for</strong> tenderness<br />

and extensibility near its attachment to<br />

the coracoid process, slide your finger along<br />

the upper gums between the maxilla and the<br />

coronoid process.<br />

Accessory joint motion. Like any other synovial<br />

joint, a healthy TMJ should have a springy<br />

and pain-free end feel. Since both TMJs move<br />

simultaneously, it’s important <strong>for</strong> both sides to<br />

have equal mobility. Otherwise, excessive torque<br />

or ligament strain can develop on one side.<br />

Each TMJ should be able to gap with distraction<br />

and glide anteriorly as well as have a<br />

JEFFREy lEESER


[MANAGEMENT FOCuS]<br />

small amount of posterior, medial and lateral accessory motions. TM joint<br />

gapping can be assessed by lightly palpating over one TMJ with your<br />

fingertips while the other hand applies downward pressure through the<br />

mandible through contact of the thumb on the lower molars.<br />

After assessing distraction, you can use the same hand placement,<br />

to evaluate anterior glide by gently pulling <strong>for</strong>ward on the mandible.<br />

Posterior, medial and lateral glide can all be assessed with similar hand<br />

placement.<br />

If any of the above findings are positive, it’s important to look more<br />

closely at the masticatory system’s role as the probable symptom driver.<br />

If you feel overwhelmed at the prospect of fully assessing and treating<br />

the TM joint you could collaborate with a TMD specialist in your area<br />

or consider further training in this field.<br />

Niche Services and Referrals<br />

We have found TMJ rehabilitation to be a welcome need in our community<br />

and one of our strongest avenues <strong>for</strong> new patients coming to our practice.<br />

Our TMJ clients arrive by way of their primary care provider, referral from<br />

an oral surgeon, dentist or neurologist, or direct from the community.<br />

If you can establish a niche service that meets an unmet community<br />

need, patients will seek you out, whether through their primary physician<br />

or specialist, support group, the internet or simple word of mouth. n<br />

Monica Vitenson and Katherine Tan are co-owners of BodyFit <strong>Physical</strong> <strong>Therapy</strong><br />

and Wellness in Manhattan.<br />

ARE YOUR PATIENT VISITS DROPPING?<br />

ARE YOU NO longer ENJOYING THE HIGH<br />

NUMBERS YOUR PRACTICE USED TO have?<br />

We will give you the solutions to INCREASE PATIENT VISITS & MORE! MEG is a PT OWNED & OPERATED practice<br />

management consulting company with the nation’s only ON-SITE MANAGEMENT TRAINING facility. We work 1-on-1 with<br />

PT owners & eectively organize & train sta. You can trust that we’re not like any other consulting rm. *Ask us why today?<br />

(727) 599-5787<br />

Dear Practice Owner,<br />

I invite you to visit MEGBUSINESS.COM and watch<br />

our videos to learn about us and our work with<br />

over 200 practice owners nationwide!<br />

Brian Gallagher, PT<br />

Practice Owner of Cypress Creek <strong>Therapy</strong><br />

PATIENTS WITH FORWARD HEAD POSTURE?<br />

ANTERIORLY WEIGHTED 1-5 POUNDS<br />

<br />

<br />

<br />

<br />

PATIENTS WITH CERVICAL IMMOBILITY?<br />

ONE POUND PROPORTIONALLY BALANCED<br />

CERVICAL EXERCISE TOOL<br />

<br />

<br />

<br />

<br />

• Improves neurological<br />

function<br />

Halo Products are Patented and Manufactured by White Sky, LLC<br />

Contact@HaloRejuvenator.com<br />

888-884-4256(HALO)<br />

E-MAIL info@megbusiness.com<br />

VISIT www.megbusiness.com<br />

www.megbusiness.com<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

9


[uPPER-ExTREMITy REHAB]<br />

Diagnosis: ‘SICK’ Scapula<br />

This condition can be alleviated through appropriate<br />

education and active involvement with home exercise<br />

By Daniel lorenz, DPT, PT, lAT, CsCs<br />

The scapula is a critical component of<br />

upper-extremity function. It provides<br />

a base from which the glenohumeral<br />

joint and elbow can execute the function<br />

of throwing overhead. The scapula has<br />

somewhat of a paradoxical role in shoulder<br />

function because it must be mobile enough to<br />

allow full functioning of the upper extremity,<br />

but stable enough to not contribute to shoulder<br />

and elbow pathologies. Because so many<br />

muscles attach to the scapula, alterations in<br />

posture, muscle length or strength, or neuromuscular<br />

coordination can lead to suboptimal<br />

length-tension relationships and ultimately,<br />

upper-extremity dysfunction.<br />

Burkhart et al previously described the<br />

“SICK” scapula as a method to categorize<br />

various <strong>for</strong>ms of scapular dysfunction. SICK<br />

is an acronym <strong>for</strong> Scapula Inferior Coracoid<br />

Dyskinesis. 1 Essentially, this moniker is used<br />

to describe faulty positioning of the scapula<br />

due to a combination of muscle tightness of<br />

the pectorals, specifically pectoralis minor, and<br />

weakness of the interscapular muscles. Dyskinesis<br />

has been defined as either the presence of<br />

scapular winging (prominence of any border<br />

away from the thorax) or dysrhythmia (presence<br />

of aberrant movements. 2<br />

Types<br />

Type I scapula is characterized by inferior border<br />

prominence. Inferior border prominence<br />

indicates anterior tilting of the scapula from<br />

a combination of lower trapezius weakness<br />

and pectoralis minor tightness. More than<br />

likely, patients with a Type I scapula also have<br />

an increase in thoracic kyphosis. The increase<br />

in thoracic kyphosis typically limits thoracic<br />

extension, which enables a normal resting position<br />

of the scapula.<br />

Type II scapula is characterized by medial<br />

border prominence. Medial border prominence<br />

indicates there is not only rhomboid and middle<br />

trapezius weakness, but also an internally<br />

rotated and protracted scapula. Furthermore,<br />

there is potentially weakness of serratus anterior,<br />

leading to the appearance of winging.<br />

The position of the scapula in this situation<br />

will lead to abnormal firing of the rotator cuff<br />

10 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

and scapular stabilizers as well as place the<br />

humerus in an internally rotated position. The<br />

internally rotated position effectively puts the<br />

rotator cuff in an impingement position with<br />

arm elevation.<br />

Finally, Type III scapula is characterized<br />

by superior border prominence. In this case,<br />

there is overactivity of the upper trapezius and<br />

levator scapulae, leading to a superior malposition<br />

of the scapula. The physical therapist may<br />

notice that the patient has superior humeral<br />

head migration during elevation, causing<br />

overactivity of the upper trapezius. Or to avoid<br />

use of a painful rotator cuff, the athlete may<br />

“shrug” the shoulder as he executes the overhead<br />

movement.<br />

Rotation Deficit<br />

One other critical component of the SICK<br />

scapula is glenohumeral internal rotation deficit<br />

(GIRD). Although the actual source of GIRD is<br />

a topic of debate, it is generally accepted that<br />

repetitive throwing leads to posterior rotator<br />

cuff and joint capsule shortening. Because of<br />

this, the overhead athlete may lack sufficient<br />

internal rotation of the throwing shoulder. Lack<br />

of internal rotation of the throwing shoulder<br />

can lead to superior migration of the humeral<br />

head during follow through, which can lead<br />

to rotator cuff pathology. The therapist should<br />

measure both internal and external rotation at<br />

90 degrees of abduction in supine. When those<br />

numbers are added up in both shoulders, they<br />

should be symmetrical. Currently, it is recommended<br />

that 15 percent or more discrepancy<br />

of internal rotation in the throwing shoulder<br />

signifies the athlete has GIRD, which should<br />

be addressed as part of a comprehensive treatment<br />

plan.<br />

A thorough history, posture examination,<br />

muscle length and strength testing, and observation<br />

of movement will help guide a treatment<br />

plan. In general, mobility and muscle length<br />

must first be restored be<strong>for</strong>e muscle strength.<br />

Furthermore, the physical therapist should<br />

assess mobility of both the acromioclavicular<br />

and sternoclavicular joints. Both of these<br />

joints are critical to shoulder function because<br />

the clavicle elevates and rotates with proper<br />

shoulder function. The patient should also be<br />

screened <strong>for</strong> tight hip flexors because this could<br />

lead to a compensatory increase in thoracic<br />

kyphosis, since tight hip flexors are one cause<br />

of increased lumbar lordosis.<br />

Stretching and Taping<br />

Secondly, the physical therapist should teach<br />

stretching techniques <strong>for</strong> the pectoralis minor<br />

and anterior shoulder. To assess <strong>for</strong> pectoralis<br />

minor tightness, the therapist can have the<br />

patient lie supine. The distance between the<br />

treatment table and the posterior edge of the<br />

acromion should be no more than an inch. Any<br />

increase beyond one inch indicates that the<br />

patient has pectoralis minor tightness.<br />

As a complement to stretching and posture<br />

retraining, taping of the scapula can be considered.<br />

This serves as a proprioceptive cue<br />

to keep the shoulders retracted and will help<br />

maintain pectoralis minor length after stretching.<br />

To address posterior shoulder tightness<br />

and GIRD, the “sleeper stretch” is a very useful<br />

technique to increase length of the posterior<br />

rotator cuff and joint capsule.<br />

Once mobility and length are restored, a<br />

comprehensive strengthening program <strong>for</strong> the<br />

rotator cuff and scapular stabilizers should take<br />

place. Prone rowing, prone shoulder extension,<br />

prone horizontal abduction, external rotation<br />

exercises, prone scaption raises and supine<br />

punches are just a few examples of exercises<br />

advocated <strong>for</strong> strengthening the shoulder.<br />

Elevation in the scapular plane (“full can”) is<br />

also strongly encouraged in lieu of “empty<br />

can” raises. All elevation exercises should be<br />

per<strong>for</strong>med in the scapular plane.<br />

Resistance<br />

Regarding resistance, the rotator cuff has 50 percent<br />

each of Type I and Type II fibers. There<strong>for</strong>e,<br />

strengthening and endurance exercises should<br />

scapula continued on page 21<br />

JoHN CIuPPA


<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

11


[CoVER SToRy]<br />

kylE kIElINSkI<br />

retired servicemembers<br />

who become physical<br />

therapists share common<br />

traits and a desire to<br />

assist those in need<br />

By Jonathan Bassett<br />

ccording to the U.S. Equal<br />

Opportunity Employment<br />

Commission, 3 million veterans<br />

have returned to the<br />

work <strong>for</strong>ce from military<br />

service in the past 10 years,<br />

and another 1 million veterans are expected to<br />

re-enter the workplace in the next five years.<br />

“Our veterans are some of the most highly<br />

trained, highly educated, highly skilled workers<br />

that we’ve got,” President Obama said last<br />

February. “These are Americans that every<br />

business should be competing to attract. We’re<br />

going to do everything we can to make sure<br />

that when our troops come home, they come<br />

home to new jobs and new opportunities and<br />

new ways to serve their country.”<br />

However, not all returning military servicemembers<br />

are physically prepared to reenter<br />

the civilian work <strong>for</strong>ce. Some estimates<br />

of wounded veterans from the wars in Iraq<br />

and Afghanistan number in the hundreds<br />

of thousands, if you include less-visible<br />

injuries such as mild traumatic brain injury<br />

and PTSD.<br />

Fortunately, a wave of <strong>for</strong>mer servicemembers<br />

are entering physical therapy school with<br />

For veteran physical therapists such as ed zimmerman,<br />

DPT, oCs (treating Air Force veteran<br />

Michael Jones at left), physical therapy lets<br />

them continue serving their country by assisting<br />

injured servicemembers.<br />

CoMMITTeD<br />

To serve<br />

12 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong>


a desire to care <strong>for</strong> their wounded brothers<br />

and sisters in arms, and to bring awareness<br />

to the dire need <strong>for</strong> skilled rehabilitative care<br />

<strong>for</strong> our nation’s armed <strong>for</strong>ces.<br />

Here are four of them.<br />

Antoinette’s Story<br />

Growing up in suburban Voorhees, NJ,<br />

Antoinette Shields had no exposure to either<br />

physical therapy or military life as a standout<br />

athlete at Eastern Regional High School. But<br />

when she received a nomination to the United<br />

States Military Academy at West Point, she<br />

felt a call to service that she couldn’t ignore.<br />

“It was a very different challenge from my<br />

peers,” recalled Shields, who began at West<br />

Point in the summer of 1998. “But my parents<br />

were very supportive of my decision to attend<br />

and be a part of something so special.”<br />

Within ten months of graduation from West<br />

Point, Shields was deployed to Iraq, serving<br />

as an ordnance officer, leading a maintenance<br />

platoon running convoys through some of the<br />

most dangerous routes in Iraq’s Sunni Triangle.<br />

She commanded female search teams<br />

in more than 50 battalion raids and set up<br />

Iraqi defense firing ranges, ultimately earning<br />

the Bronze Star Medal <strong>for</strong> her service and<br />

leadership.<br />

Returning to civilian life in 2007, Shields<br />

visited her fellow soldiers at an Army hospital<br />

and witnessed first-hand the necessity of<br />

physical therapy in mitigating the effects of<br />

combat. Sensing a calling to the next chapter<br />

in her career, she completed her physical<br />

therapy prerequisite coursework while<br />

working in an outpatient facility <strong>for</strong> a year<br />

and volunteering at a nursing home.<br />

Shields applied <strong>for</strong> and was awarded a<br />

scholarship from the Pat Tillman Foundation—which<br />

supplies scholarships to military<br />

veterans and their spouses.<br />

“I’m extremely proud to be a member of<br />

this organization, and I’m grateful <strong>for</strong> all the<br />

contributions they make to veterans and their<br />

families,” she said.<br />

Shields is now a final-year DPT student at<br />

Neumann University in Aston, PA. She has<br />

post-graduation plans to work with wounded<br />

soldiers, possibly amputee rehabilitation, and<br />

can see herself working with acute care cases<br />

in the inpatient environment.<br />

For Shields, physical therapy has combined<br />

her desire to work in health care with a way<br />

to serve her military brethren.<br />

“You feel very <strong>for</strong>tunate coming back after<br />

Antoinette shields, an Army captain who led<br />

convoys and commanded search teams in Iraq,<br />

will earn her DPT in May 2013.<br />

seeing your [fellow soldiers] returning with<br />

severe injuries, or not making it back at all,”<br />

said Shields, who has two daughters aged 6<br />

and 4. “It makes you appreciate being safe<br />

at home, and you start looking <strong>for</strong> ways of<br />

giving back.”<br />

Tean’s Story<br />

At Masefield & Cavallaro <strong>Physical</strong> <strong>Therapy</strong>, a<br />

two-location practice in Brooklyn and Staten<br />

Island, Tean Chai, PTA, treats a largely orthopedic<br />

population, those recovering from surgery<br />

or sports injuries, and people living with<br />

degenerative conditions.<br />

Chai is a <strong>for</strong>mer staff sergeant in the U.S<br />

Army, having served two tours in Iraq with<br />

Fort Drum's 10th Mountain Division, a light<br />

infantry unit based in upstate New York that<br />

saw multiple deployments to Somalia, Saudi<br />

Arabia and Haiti in the 1990s be<strong>for</strong>e seeing<br />

extensive action in Iraq and Afghanistan in<br />

post-9/11 operations.<br />

During his second deployment to Iraq in<br />

2007, Chai was wounded by enemy fire and<br />

was awarded the Purple Heart, bestowed to<br />

military servicemembers who are wounded<br />

or killed in action.<br />

“I received richochet fire in my knee,” said<br />

[CoVER SToRy]<br />

Chai, who was first exposed to physical<br />

therapy while serving on the front lines in<br />

Iraq and was instantly drawn to its capacity<br />

to repair bodies and lives. Upon returning to<br />

the United States in 2009, he enrolled in the<br />

PTA program at Kingsborough Community<br />

College and received his degree in 2011.<br />

Chai became an active member of the<br />

Wounded Warrior Project, which aides injured<br />

servicemembers as they transition into civilian<br />

life. He has also participated in a number<br />

of therapy programs <strong>for</strong> veterans.<br />

Now in the army reserves, Chai enjoys<br />

working as a PTA and is committed to the<br />

field of physical therapy, yet he has aspirations<br />

of returning to DPT school and is currently<br />

investigating prerequisite coursework<br />

and scouting out programs. This can be a challenge<br />

as some schools are hesitant to apply<br />

his already-completed coursework to their<br />

program, <strong>for</strong>cing him to start from scratch.<br />

After receiving his DPT degree, Chai hopes<br />

to rejoin the military on active status and<br />

rejoin his brothers and sisters in arms. Having<br />

seen the effects of combat and military service<br />

first-hand, Chai understands their ongoing<br />

needs and the value of physical rehabilitation<br />

in making their post-military lives as functional<br />

as can be.<br />

“Infantry soldiers are in the front line,” said<br />

Chai, who enjoys the self-motivation of military<br />

servicemembers, who will do whatever<br />

it takes to return to service. “Often they’ll just<br />

‘walk off’ their injuries or downplay them in<br />

order to stay with their unit. I want to get<br />

back out there [and help treat them]. I want<br />

to be back with the guys.”<br />

Ed’s Story<br />

Ed Zimmerman, DPT, OCS, is a veteran in the<br />

field of physical therapy now, but he didn’t<br />

embark on that career path until later in life.<br />

The Huntingdon Valley, PA native enlisted in<br />

the Navy out of high school in 1978 and went<br />

to work as a deep sea diver in the technical<br />

field of ships husbandry—responsible <strong>for</strong> the<br />

maintenance, upkeep and repairs of sea-bound<br />

military vessels.<br />

Dr. Zimmerman’s <strong>for</strong>te was the Sturgeon/<br />

Los Angeles class of nuclear-powered fastattack<br />

submarines, the stealthy fleet of attack<br />

subs in use by the Navy from the 1960s<br />

through the mid-2000s that made up the bulk<br />

of the nation’s submarine <strong>for</strong>ce during the<br />

Cold War.<br />

But nine years of rigging work and electronic<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

13


[CoVER SToRy]<br />

componentry repair while submerged and<br />

wearing specialized breathing apparatus began<br />

to take its toll.<br />

“It’s arduous work,” said Dr. Zimmerman.<br />

“Each year I got older, the water got<br />

colder. I thought to myself, ‘I better go back<br />

to school.’”<br />

After meeting with a civilian counselor who<br />

introduced him to the “up and coming” field<br />

of physical therapy, Dr. Zimmerman started<br />

taking evening classes while still enlisted<br />

in the service, and began volunteering as a<br />

physical therapy aide.<br />

“I was drawn to it right away,” said Dr.<br />

Zimmerman of physical therapy work. “The<br />

idea of helping ‘someone’ rather than ‘something’<br />

was very attractive. I can help people<br />

and grow old while doing it. I thought, this<br />

is what I want to do with my life.”<br />

After earning a physical therapy degree<br />

from Temple University in 1989, Dr. Zimmerman<br />

went to work in outpatient orthopedics<br />

and is now regional director of<br />

the Warminster office of Bucks <strong>Physical</strong><br />

<strong>Therapy</strong>/Warminster, a five-location practice<br />

just north of Philadelphia. The married<br />

father of three earned his transitional DPT<br />

from Arcadia University in 2006 and credits<br />

his military background with instilling<br />

the determination to get through both dive<br />

school and PT school, and the rapport he<br />

enjoys with the ex-servicemembers he treats<br />

at his practice.<br />

“I love treating veterans,” said Dr. Zimmerman,<br />

adding that a recently closed naval air<br />

station in nearby Willow Grove was responsible<br />

<strong>for</strong> sending a steady flow of rehabbing<br />

sailors and soldiers to him <strong>for</strong> treatment.<br />

“There’s a part of me that still misses [being<br />

in the military], and the conversations I have<br />

with veterans keep me around it. It makes me<br />

feel like I’m still part of the team.”<br />

“It helps to have someone who’s been there,”<br />

said Michael Jones, a 35-year veteran of the<br />

Air Force who’s currently being treated at<br />

Bucks <strong>Physical</strong> <strong>Therapy</strong> <strong>for</strong> an arthritic condition<br />

after chemical exposure in Afghanistan<br />

led to whole-body sepsis, endocarditis<br />

When<br />

you spend<br />

all your time<br />

worried about<br />

running<br />

a business,<br />

it can be hard<br />

to focus on<br />

why you started it.<br />

FOR MORE INFORMATION: (913) 387-0695 pt@nueterra.com nueterrapt.com<br />

requiring valve replacement, and aneurysms<br />

that required speech therapy to learn to talk<br />

again. “You can relate to someone who’s<br />

lived the life.”<br />

Dr. Zimmerman’s oldest son is currently<br />

enrolled in the PT program at Drexel University<br />

in Philadelphia.<br />

Greg’s Story<br />

For Greg Jeblonski, DPT, enlisting in the<br />

Pennsylvania Army National Guard prior<br />

to 9/11 helped bridge two divergent career<br />

aspirations.<br />

“I was torn between a desire to serve in the<br />

military and to do something in the medical<br />

field, so the Guard helped me to do both,”<br />

said Dr. Jeblonski, who signed up as a combat<br />

engineer and solidified his aspirations of<br />

becoming a PT within a year of enlisting.<br />

Yet after just one year of physical therapy<br />

school at Arcadia University, Dr. Jeblonski<br />

was deployed to Iraq as a squad leader,<br />

where he spent the majority of his 13-month<br />

deployment conducting route clearance,<br />

You started your business because you understood how to improve your patients’ lives. At Nueterra, our goal isn’t much<br />

different. We spend our days focused on the behind-the-scenes task that can build your practice into a success. Whether<br />

you need assistance in navigating constant changes in the health care industry, advice on how to improve the financial vitality of your<br />

current facility or building a new one, or developing a succession plan, we can provide you with the resources you need to help you enjoy<br />

the rewards of ownership with the security of a partnership.<br />

14 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong>


locating roadside bombs and either relocating<br />

or blasting them in place. His secondary<br />

role was to conduct raids in which his team<br />

searched Iraqi houses <strong>for</strong> insurgents and<br />

weapons caches.<br />

“Seeing the horrors of war first hand can<br />

really change you,” Dr. Jeblonski told his<br />

Arcadia alumni magazine. “It’s nothing like<br />

what they show in the movies.”<br />

While his life as a DPT student was half a<br />

world away, Dr. Jeblonski always had his eye<br />

on an eventual career in the physical therapy<br />

field and didn’t want his newfound PT skills<br />

to fade. On his rare morning or afternoon<br />

off, he would volunteer at a small Battalion<br />

Aid Station, helping two physicians and one<br />

physician assistant with diagnosing minor<br />

musculoskeletal injuries and administering<br />

modalities.<br />

After returning from Iraq, Dr. Jeblonski<br />

completed his degree and gave the student<br />

commencement address to his original graduating<br />

physical therapy class in 2006 (though<br />

his official graduation was delayed until 2007<br />

to accommodate his year in active duty). He<br />

took a job in occupational medicine be<strong>for</strong>e joining<br />

the Center City Philadelphia location of<br />

Excel <strong>Physical</strong> <strong>Therapy</strong>, a 10-location practice<br />

in southeastern Pennsylvania, in June 2011.<br />

“One of the best skills honed in the military<br />

is time management, so juggling several cases<br />

at once and always thinking two steps ahead<br />

is something that always came easy to me,”<br />

said the married father of two (whose wife<br />

is also a physical therapist). “Further, one of<br />

the challenges the medical staff faces overseas<br />

is keeping troops with injuries battle-ready.<br />

People with minor injuries usually can’t take<br />

a day off, so you have to strategize or accelerate<br />

their rehab accordingly. There is quite a bit<br />

of overlap between treating in the military<br />

and seeing patients here, who have jobs and<br />

lives to get back to.”<br />

Heeding the Call<br />

The veterans who spoke with <strong>ADVANCE</strong><br />

<strong>for</strong> this story share more than an interest in<br />

human health and function—they willingly<br />

[CoVER SToRy]<br />

trade years of their lives, and in some cases<br />

their personal relationships and their own<br />

health, to serve a greater good. Their pride in<br />

defending their nation doesn’t end when they<br />

retire from service, as they bring that same<br />

sense of duty to representing the physical<br />

therapy profession back home.<br />

“There’s a saying in the Army, ‘I’ll see you<br />

downrange,’ meaning that the Army world<br />

is small enough that ‘our paths will eventually<br />

cross,’” said Dr. Jeblonski. “I’ve noticed<br />

the same thing with PT, that we all seem to<br />

encounter some of our past colleagues at one<br />

time or another.”<br />

And rather than seeking accolades, they<br />

prefer to deflect admiration and get on with<br />

the job at hand.<br />

“Once I saw what physical therapists can do<br />

[<strong>for</strong> military members], I was hooked,” Shields<br />

said. “<strong>Physical</strong> therapy is the perfect job <strong>for</strong><br />

me. It lets you serve from the other side.” n<br />

Jonathan Bassett is on staff at <strong>ADVANCE</strong> and can<br />

be reached at jbassett@advanceweb.com<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

15


[NEuROLOGIC REHAB]<br />

Miracle Movers<br />

Bodyweight-support<br />

training and functional<br />

electrical stimulation are<br />

making new things possible<br />

after SCI and stroke<br />

By Candy Tefertiller, PT<br />

spinal cord injury, stroke and degenerative<br />

neurologic disease used to mean a<br />

sedentary and dependent lifestyle. But<br />

thanks to improved knowledge of taskspecific<br />

training and a broader reach of modernage<br />

technological interventions, clinicians and<br />

patients are redefining what’s possible.<br />

At the PEAK (Per<strong>for</strong>mance, Exercise, Attitude<br />

and Knowledge) Center at Craig Hospital,<br />

in Englewood, CO, we’re committed to<br />

helping individuals rise above the challenges<br />

brought upon by neurologic injury and disease.<br />

Our mission is to provide the most upto-date<br />

care by facilitating neuromuscular<br />

recovery, creating lifelong fitness and wellness<br />

plans to maintain optimal health, and<br />

empowering people to maximize their quality<br />

of life through knowledge and activity.<br />

Comprehensive Care Continuum<br />

At Craig Hospital, we understand that patients<br />

with spinal cord injury (SCI) and brain injury<br />

16 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

(BI) have lifelong injuries that<br />

require the support of an<br />

evolving and growing health<br />

care system. Our care continuum<br />

begins with an inpatient<br />

rehabilitation stay that gives<br />

patients and their families a<br />

strong foundation, followed<br />

by outpatient care in which<br />

patients continue working on<br />

goals to restore their independence<br />

and function.<br />

After our patients complete<br />

outpatient therapy, a<br />

search often begins to locate<br />

programs that allow them to<br />

continue working on restoration,<br />

fitness and wellness.<br />

The PEAK Center provides<br />

three levels of service to its<br />

members, catering to a wide<br />

variety of individual physical<br />

needs, economic situations<br />

and commitment levels.<br />

Wellness memberships. A<br />

fully adapted fitness center<br />

has knowledgeable staff on site to design and<br />

provide guidance <strong>for</strong> fitness programs that are<br />

specific to an individual’s abilities and goals.<br />

Fitness classes. Functional electrical stimulation<br />

(FES) cycling classes, upper-extremity<br />

ergometry cycling classes and modified yoga<br />

and Pilates classes keep patients active.<br />

Activity based training. One-on-one training<br />

uses cutting-edge technology by clinicians who<br />

specialize in neurologic injury and disease.<br />

Restoration of function rather than compensation<br />

<strong>for</strong> function has been in the spotlight of<br />

neurological rehabilitation literature over the<br />

last five to seven years. Evidence suggests that<br />

participation in intense practice and repetition<br />

of task-specific related activities at a higher<br />

dosage than traditional outpatient rehabilitation<br />

provides may facilitate continued<br />

recovery in some individuals with neurologic<br />

injuries, even years after their original insult.<br />

It remains unclear in the literature whether<br />

this documented recovery of function in<br />

individuals with chronic injuries is due to<br />

true neuroplasticity (the damaged nervous<br />

system rearranging its anatomical and functional<br />

connections, which result in improved<br />

motor output) or to simply strengthening the<br />

remaining system undamaged by the original<br />

injury, which allows it to more efficiently compensate<br />

<strong>for</strong> the impaired portion of the body.<br />

No matter the answer, it’s clear that some<br />

individuals with neurologic impairment are<br />

making gains in function much longer than<br />

historically reported norms.<br />

Technology in <strong>Rehab</strong><br />

Recent advancements in neurological rehabilitation<br />

technology have expanded the ability<br />

of therapists and other health care professionals<br />

to provide intensive skill training <strong>for</strong><br />

individuals with significant impairment and<br />

very limited mobility in a safe environment.<br />

The overall goal of deploying these types of<br />

technologies is to aid individuals in recovering<br />

the ability to use their trunk and limbs<br />

to stand and walk as they did prior to their<br />

injury, along with promoting lifelong health<br />

and wellness.<br />

Our center uses advanced interventions to<br />

assist clients with achieving their individual<br />

goals, including the following components.<br />

Robotic locomotor training. Robotic locomotor<br />

training consists of a driven gait orthosis<br />

combined with a body weight support<br />

system to facilitate a walking pattern, even in<br />

individuals who are unable to independently<br />

move their lower extremities. This provides<br />

intensive repetition of a walking pattern in<br />

which the patient is encouraged to engage<br />

in the task to promote retraining the nervous<br />

system to improve locomotor function.<br />

Robotic technologies are becoming more<br />

prevalent <strong>for</strong> treating individuals with<br />

neurologic disabilities in clinical settings. A<br />

recent study reviewed more than 30 articles<br />

and determined that locomotor training with<br />

robotic assistance is beneficial <strong>for</strong> improving<br />

walking function in individuals following a<br />

stroke and SCI. 1 Some technologies are also<br />

equipped with augmented feedback to provide<br />

an encouraging environment coupled<br />

with task-intrinsic feedback related to the task.<br />

Augmented feedback has been the focus of a<br />

large body of research and is thought to have<br />

a significant influence on motor learning and<br />

per<strong>for</strong>mance improvement, making it a valuable<br />

addition to locomotor training.<br />

Functional electrical stimulation. Many<br />

authors have reported significant health and<br />

wellness benefits when usimg FES technology<br />

that are both physiological and psychological.<br />

2 Upper- and lower-extremity cycling<br />

is augmented with electrical stimulation to the<br />

appropriate muscle groups required to produce<br />

the torque that turns the ergometers.<br />

The FES-driven workload can be<br />

CRAIG HOSPITAL


The strength of family.<br />

106 years and counting.<br />

Craig Hospital in Denver is dedicated exclusively to specialty<br />

rehabilitation and research <strong>for</strong> people who have sustained<br />

spinal cord (SCI) and traumatic brain injuries (TBI). Craig helps<br />

rebuild lives, leading to unsurpassed outcomes, independence,<br />

and productivity. These outcomes also result in high levels of<br />

satisfaction, value, and cost savings <strong>for</strong> patients, families,<br />

employers, insurance companies, and society.<br />

Craig’s focused expertise and in-depth programs, extraordinary<br />

longevity of physicians and staff, family inclusion, and real<br />

world skills training all contribute to the success of our<br />

patients. Craig is more than a hospital — it is a powerful<br />

culture of healing and a remarkable integration of medicine,<br />

education, recreation, and life.<br />

As a premier leader in the field of rehabilitation <strong>for</strong> more than five decades, Craig Hospital serves patients from all 50 states and<br />

several other countries. Craig is federally designated as a NIDRR Model Systems Center <strong>for</strong> SCI and TBI, and is the TBI National<br />

Statistical Database. Craig has been ranked in the Top 10 <strong>Rehab</strong>ilitation Hospitals <strong>for</strong> 22 consecutive years by U.S. News & World<br />

Report, and has twice consecutively achieved the highly coveted Magnet® Recognition. In 2011 the American Nurses Association<br />

ranked Craig No. 1 in the <strong>Rehab</strong>ilitation Hospital category in the U.S. <strong>for</strong> nursing quality, based on key per<strong>for</strong>mance measures.<br />

Last year Craig also received the El Pomar Foundation Spencer and Julie Penrose award as the Outstanding Non-Profit Health Care<br />

Organization in Colorado. In 2012 Craig was ranked the No. 3 Best Work Place in Denver by The Denver Post. Craig is also pioneering<br />

cutting-edge research and advances in adaptive technology. The Peak Center at Craig Hospital, a model wellness and fitness program,<br />

opened in 2011.<br />

As a non-profit, independent hospital, the Craig “family” delivers the highest quality of rehabilitation treatment available anywhere.<br />

Ask anyone who has ever been associated with Craig Hospital and you’ll receive a consistent answer: Craig Hospital is a very<br />

special place.<br />

3425 South Clarkson Street | Englewood, Colorado 80113 | 303-789-8000 | www.craighospital.org<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

17<br />

AdvPTRM_CraigHosp_8.125x10.5.indd 1 6/22/12 9:21:59 AM


[NEuROLOGIC REHAB]<br />

supplemented by an internal motor <strong>for</strong> weak<br />

or deconditioned individuals. We also employ<br />

elliptical training in combination with 10<br />

channels of electrical stimulation and a BWS<br />

harness <strong>for</strong> upright standing and stepping<br />

training. This combines the benefits of upright<br />

stepping with those of stimulating muscles<br />

that are weak or not able to contract independently.<br />

Over-ground walking training with<br />

the addition of FES can improve locomotion<br />

in patients with motor incomplete neurologic<br />

injuries and disease. These systems activate<br />

the nerves of the lower leg that control the<br />

muscles that lift the foot when walking.<br />

Positive results have been demonstrated<br />

in a variety of outcomes measures of walking,<br />

including speed, functional mobility and independence,<br />

spatio-temporal parameters, and the<br />

physiological cost of walking when utilizing<br />

FES <strong>for</strong> over-ground walking. 3,4 Studies have<br />

also shown that combining FES and locomotor<br />

training with and without BWS may be more<br />

beneficial than locomotor training alone. 5 There<br />

are commercially available technologies that<br />

Introducing the only<br />

wrist brace that allows<br />

<strong>for</strong> safe lateral movement.<br />

Lightweight padding/<br />

non-metal construction<br />

Contoured dorsal design<br />

Hi-impact plastic splint<br />

18 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

allow the addition of thigh control and activation<br />

along with the foot drop system.<br />

Whole-body vibration. Vibration training<br />

is a mechanical stimulus to increase motor<br />

unit recruitment in the extremity that’s contacting<br />

the vibrating plat<strong>for</strong>m. Early evidence<br />

has demonstrated the benefits of using this<br />

modality to improve cadence and to decrease<br />

quadriceps spasticity in patients with SCI. 6,7<br />

Machines as Augmentative <strong>Therapy</strong><br />

Modern technology is opening new avenues<br />

to help patients achieve their restoration goals<br />

and create a lifelong plan <strong>for</strong> health and wellness.<br />

However, these technologies alone, without<br />

appropriate clinical decision making and<br />

input, will not provide the best outcomes <strong>for</strong><br />

people with neurologic impairments.<br />

These modalities simply provide health<br />

care providers tools that allow early mobilization<br />

of people with very limited abilities.<br />

They allow clinicians to focus on strengthening<br />

and neuromuscular re-education in a safe<br />

environment in both early and last stages of<br />

Functional<br />

strapping system<br />

Dynamic per<strong>for</strong>mance hinge<br />

PDAC Approved L3999<br />

the recovery process in the hopes of providing<br />

a greater degree of improvement and recovery<br />

of function.<br />

These tools are integrated into a client’s<br />

individualized plan of care by highly trained<br />

staff based on the most recent evidence-based<br />

practice and clinical experience, and are<br />

dependent on a client’s goals.<br />

<strong>Rehab</strong>ilitation medicine must continue<br />

researching activity-based algorithms to<br />

discern which interventions, at what dosage,<br />

combination and intensity, should be applied<br />

during what phases of recovery to facilitate<br />

the best long-term outcomes.<br />

We are committed and excited to be a part<br />

of the community that’s providing these<br />

opportunities <strong>for</strong> individuals with neurologic<br />

disabilities. n<br />

references are available online at www.advance<br />

web.com/pt.<br />

Candy Tefertiller is director of physical therapy at<br />

Craig Hospital in Englewood, CO.<br />

DYNAMIC<br />

WRIST<br />

ORTHOSIS<br />

(DWO)<br />

800.800.2896<br />

<strong>for</strong> a distributor<br />

in your area<br />

A division of Active Ankle Systems, Inc.


Addressing Anomalies<br />

By “grounding” on the re<strong>for</strong>mer, you can help patients<br />

make substantial improvements to their alignment and<br />

movement patterns By Natalie Imrisek, MsPT, CsCs<br />

ment can sometimes be overwhelming<br />

<strong>for</strong> both novice and experienced<br />

physical therapists. Even with our<br />

knowledge of anatomy, kinesiology, movement<br />

and injuries, it can be hard to know where to<br />

start. The best place to begin is from a global<br />

rather than a local perspective; alignment<br />

anomalies translate into a bigger picture of how<br />

people move and feel in their bodies.<br />

We know that correct alignment helps the<br />

<strong>for</strong>ces generated with sitting, standing or<br />

walking to be spread efficiently through the<br />

joints. <strong>Physical</strong> therapists assess the fault in<br />

alignment that may lead to the stress build<br />

up in the body.<br />

Pilates is one of the many tools available<br />

<strong>for</strong> this. Its popularity grew as a result of its<br />

effectiveness in strengthening and balancing<br />

muscles, unloading injured joints and improving<br />

patient awareness. However, it is also useful<br />

in the assessment of posture, alignment and<br />

movement patterns. It may even be easier to<br />

assess, especially if a patient is in pain.<br />

Designed to provide spring-loaded tension,<br />

the Re<strong>for</strong>mer is similar to gravity in the way<br />

it affects our bodies. And since it’s a closed<br />

kylE kIElINSkI Assessing patients’ posture or align-<br />

environment, it can work to guide your assessment<br />

and in development of a program.<br />

From the Foot Up<br />

A useful approach when assessing movement<br />

patterns is to focus on footwork on<br />

the Re<strong>for</strong>mer. It’s beneficial to see how a<br />

patient organizes movement as they per<strong>for</strong>m<br />

each repetition.<br />

Peggy Wallin-Hart, owner and director of<br />

Finetune Pilates Studio in Brooklyn, NY, found<br />

Pilates after suffering injuries that put her<br />

dance career on hold. Passionate about getting<br />

her clients to feel a movement experience, she is<br />

often heard telling them, “Stand on your feet.”<br />

It sounds basic, but the shifts this cue produces<br />

can be dramatic.<br />

Begin by observing your patients per<strong>for</strong>m<br />

footwork, and then cue them to put weight<br />

evenly through their feet. Draw attention to<br />

where the weight is being placed, such as lateral<br />

or medial part of the foot; more weight<br />

on the right or left side. See if the patient can<br />

reorganize the movement based on these subtle<br />

cues, and how it allows muscles to turn on<br />

along the kinematic chain. Changing alignment<br />

through the feet affects muscle function in the<br />

[PIlATES]<br />

hips, core and/or spine and can even correct<br />

alignment and posture anomalies in one step,<br />

saving you from verbally directing each local<br />

alignment problem.<br />

10 Tips <strong>for</strong> 10 Toes<br />

Here are some steps to keep in mind when<br />

assessing a patient’s movement during footwork<br />

on the Re<strong>for</strong>mer:<br />

Keep it simple. You have learned a lot of<br />

valuable in<strong>for</strong>mation that is beneficial to you as<br />

a practitioner; use your skills to share essential<br />

in<strong>for</strong>mation without overwhelming patients.<br />

Notice the patient’s posture on the Re<strong>for</strong>mer,<br />

and combine verbal and kinesthetic cues to<br />

help correct imbalances. For example, rather<br />

than saying, “Drop your right hip, keep the<br />

pelvis neutral, draw in your abdominals and<br />

put weight evenly through your feet,” it makes<br />

more sense to put your hands on the patient’s<br />

body to guide it into proper alignment. Don’t<br />

<strong>for</strong>ce, as it is likely that injuries, muscle imbalances<br />

or tight muscles are preventing proper<br />

alignment. By guiding gently, with patience,<br />

you will see changes from session to session.<br />

Get the patients moving. Have a patient<br />

per<strong>for</strong>m 10 repetitions of footwork: in parallel,<br />

on heels, arches, balls of the feet, Pilates V<br />

and turnout. Observe the various positions<br />

and how it affects the patient’s alignment or<br />

movement strategy. For example, a patient with<br />

muscular or joint restrictions may demonstrate<br />

more difficulty working in parallel vs. a turned<br />

out position. Or strategies may change when<br />

on the heel vs. ball of the foot. These movement<br />

patterns translate into how a person sits, stands,<br />

walks or per<strong>for</strong>m any other movements.<br />

During footwork, look <strong>for</strong> movement patterns<br />

and the ripple effects throughout the body.<br />

Associate movement patterns. Pay attention to<br />

what’s occurring with the feet, knees, pelvis<br />

and back as the patient pushes the carriage in<br />

and out. Think in terms of movement strategy.<br />

For example, one common strategy is to tuck<br />

the pelvis (rather than keeping it neutral and<br />

using the core) to push off the Re<strong>for</strong>mer bar.<br />

Cue the patient to think of the Re<strong>for</strong>mer<br />

springs as gravity, advised Wallin-Hart. By<br />

“standing on the feet,” the patient must work<br />

to return the carriage, as opposed to letting the<br />

springs pull him back.<br />

Pay attention to movement pattern changes<br />

as the patient becomes grounded in the feet.<br />

Do you see changes to the pelvis position or<br />

to foot-knee-hip alignment?<br />

Observe how breathing affects movement<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

19


[PIlATES]<br />

patterns. Breathing is often overlooked in treatments<br />

and Pilates, but it’s an important tool <strong>for</strong><br />

improving the efficiency of movement.<br />

Go into a session with a theme, such as pelvic<br />

alignment or feeling the lower abs (or hamstrings,<br />

pelvic floor or adductors), then choose<br />

exercises that are specific to finding neutral<br />

spine. Avoid the urge to overcue. Engaging<br />

I can move<br />

without pain<br />

again.<br />

Thank you.<br />

20 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

the right muscles will come more easily when<br />

the patients can feel the difference in their own<br />

bodies rather than being dependent on cues.<br />

Ask the patient what he feels. Having awareness<br />

of a feeling (i.e., hip movement or how<br />

muscles are turned on and off) can be more<br />

powerful than being provided with in<strong>for</strong>mation.<br />

Share your observations with your patient<br />

Balanced Body® and<br />

Pilates will change your<br />

clients and your business.<br />

Find out more at<br />

pilates.com/rehab.<br />

YOUR CAREER.<br />

OUR FULL SUPPORT.<br />

Let’s talk!<br />

pilates.com<br />

1-800-PILATES (745-2837)<br />

and translate this into functional activities, such<br />

as posture or gait. A great way is to finish a session<br />

using footwork with your movement strategy<br />

in mind and follow up with the patient’s<br />

posture, or gait and balance work.<br />

Common Misalignments<br />

Each patient is an individual and, depending<br />

on many factors, will find interesting ways to<br />

move. Here are a few common patterns:<br />

Forward head posture and rounded shoulders.<br />

Common weaknesses will be in shoulder<br />

stabilizers and anterior neck muscles. Patients<br />

may hike their shoulders, tense the neck and<br />

flatten the back into the carriage to move.<br />

Anterior pelvic tilt with increased lumbar<br />

lordosis. Common weaknesses will be<br />

in abdominals, core musculature and gluteus<br />

muscles. Patients may arch the back and overuse<br />

the hip flexors or quadrates lumborum.<br />

Lower-extremity malalignment. The femurs<br />

are internally rotated with externally rotated<br />

tibias and pronated feet. This pattern causes<br />

stress in the foot, ankle, knee, hip or back.<br />

Ankle pronation. This shows where the<br />

medial part of the ankle collapses causing the<br />

person to put excessive pressure on the medial<br />

knee and lateral foot.<br />

Ankle supination. The medial foot is tight<br />

so weight is carried on the lateral part. This is<br />

usually accompanied by high arches.<br />

Keep in mind these are general alignment<br />

problems. Take notice of small things<br />

your patients do, such as how they lie on the<br />

Re<strong>for</strong>mer. Are they centered? Is one hip higher?<br />

Do they tilt their head to one side? These alignment<br />

issues may have led to injuries.<br />

One of the many powerful things you can<br />

offer as a physical therapist is your ability to<br />

help a person move efficiently through a movement<br />

experience. Footwork on the Re<strong>for</strong>mer<br />

is a valuable tool in assessing alignment and<br />

posture, as well as a powerful way to educate<br />

patients about body awareness. n<br />

Natalie Imrisek graduated from Columbia University<br />

with a master’s degree in science of physical therapy.<br />

She specializes in working with dancers and per<strong>for</strong>mers.<br />

In 2009, she obtained a Pilates certification<br />

through Balanced Body University. She is a freelance<br />

outpatient physical therapist in Hollywood, CA.<br />

www.advanceweb.com/pt<br />

For more in<strong>for</strong>mation on Pilates,<br />

visit www.advanceweb.com/<br />

PTPilates


scapula continued from page 10<br />

[uPPER-ExTREMITy REHAB]<br />

be lower repetition and higher weight as well as higher repetition and<br />

lower weight.<br />

For the scapular stabilizers, endurance exercises are emphasized due<br />

to the demands placed on the scapular muscles from repetitive throwing.<br />

The athlete can progress from more isolation exercises in prone, supine<br />

and side lying to standing positions where the shoulder is in the 90/90<br />

position to more accurately replicate throwing.<br />

Finally, the physical therapist should include neuromuscular stabilization<br />

training to help promote stability and kinesthetic awareness<br />

of the shoulder during functional activities. Rhythmic stabilization<br />

exercises in multiple positions as well as proprioceptive neuromuscular<br />

facilitation (PNF) techniques are excellent options to add to<br />

the treatment plan.<br />

The overhead throwing athlete has a complex interaction of factors<br />

that can lead to injuries in the upper extremity. A thorough examination<br />

that could include categorizing a patient with “SICK” scapula can help<br />

direct treatment more accurately and facilitate a speedier recovery <strong>for</strong><br />

the athlete. n<br />

references are available online at www.advanceweb.com/pt<br />

Daniel Lorenz is director of physical therapy at Specialists in Sports and Orthopedic<br />

<strong>Rehab</strong>ilitation, Overland Park, KS, and an adjunct faculty member at<br />

Rockhurst University in Kansas City, MO.<br />

VALIDATED RESULTS<br />

WITH ULTRASOUND.<br />

PROVEN VERSATILITY<br />

WITH EVERYTHING<br />

ELSE.<br />

Increase patient compliance<br />

Complement ultrasound therapy<br />

Enhance cryotherapy<br />

Calm the pain between<br />

T.E.N.S.<br />

Intensify soft tissue<br />

massage<br />

Provide fast pain relief<br />

<strong>for</strong> muscles & joints<br />

PAIN RELIEVING GELS<br />

FREE!<br />

ULTRASOUND STUDY<br />

& SAMPLE<br />

(800) 527.4923<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

21


Cut the Claims<br />

<strong>Physical</strong> therapists can help companies maximize business<br />

profits by reducing workers’ compensation claims, cost<br />

and lost work days By gerry Catapang, PT, DPT, Mgs<br />

Workers’ compensation claims<br />

secondary to spine and extremity<br />

injuries, coupled with lost<br />

production and related costs,<br />

burden our economy to the tune of about $80<br />

billion a year. Workers’ comp insurance companies<br />

state that musculoskeletal disorders (MSD)<br />

represent 55 percent of claims and 65 percent<br />

of costs. Employers can pay out $1 million per<br />

year per 500 workers <strong>for</strong> the costs associated<br />

with MSDs.<br />

Let’s explore the challenges and the possible<br />

solutions to assist employers in maximizing<br />

business profits while lowering workers’ comp<br />

claims and costs.<br />

Detecting the Cause<br />

It is always challenging <strong>for</strong> health care providers,<br />

case managers and company safety officers<br />

to know exactly when and how a workrelated<br />

injury happened. The number one factor<br />

that determines the cost of a workers’ comp<br />

claim is often not the severity of the injury or the<br />

cost of medical management. The top issue that<br />

determines the cost of a claim is the “attitude”<br />

of the injured worker’s supervisor to whom<br />

the employee reports the problem.<br />

There<strong>for</strong>e, the most important cost-determining<br />

factor is the supervisor’s response to the<br />

initial complaint of pain. How the supervisor<br />

reacts when the injured worker claims the accident<br />

occurred at work determines whether the<br />

employee will commit to getting better or will<br />

have to deal with conflict over the claim.<br />

The Politics of Work Injury<br />

Production supervisors often assume that MSD<br />

claims are faked. Because of these assumptions,<br />

employees delay reporting pain and injury <strong>for</strong><br />

fear of intimidation and/or harassment. This<br />

results in an increase in treatment cost.<br />

Top management often takes an aggressive<br />

stance against claims, denying most, and refusing<br />

a worker’s return to work until the worker<br />

is 100-percent recovered. Workers themselves<br />

often do not believe the claims of their coworkers.<br />

This creates tension throughout the<br />

entire workplace, resulting in claims and slow<br />

injury recovery.<br />

22 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

Companies and their supervisors may<br />

restrict workers’ access to treatment services<br />

in order to prevent a problem from becoming<br />

a <strong>for</strong>mal workers’ comp claim. This claim<br />

may be then pushed onto the health insurance<br />

policy. This is not legal. A company may allow<br />

treatment but pay the medical provider off the<br />

books without documenting the injury. This is<br />

also false record-keeping under OSHA.<br />

Treatment and Management Keys<br />

To acquire the best treatment results, it is<br />

important to quantify the cause of the pain. Is<br />

the cause purely mechanical in origin? Is it a<br />

medical condition manifesting as physical pain?<br />

Is the cause of pain related to a mental condition?<br />

Is it a combination of all three?<br />

1. Use the ideal medical providers to examine<br />

and treat your injured workers. Not all medical<br />

providers catering to the needs of injured<br />

workers are the same. Not all physical therapists<br />

specialize in orthopedic physical therapy and/<br />

or industrial rehabilitation. This is important:<br />

If your business is located in an HMO health<br />

care environment, physicians don’t have to send<br />

your injured worker to their hospital <strong>for</strong> treatment.<br />

It’s your company’s choice. You decide.<br />

2. Organize the workers’ comp team--and<br />

be involved. The team includes physicians,<br />

physical therapists, nurse case managers, company<br />

safety officers, supervisors/department<br />

heads and the injured worker. Physicians are<br />

responsible <strong>for</strong> evaluating and treating diseases.<br />

Orthopedic manual physical therapists<br />

are responsible <strong>for</strong> evaluating sand treating<br />

the physical dysfunctions related to the<br />

[INDuSTRIAl REHAB]<br />

spine and extremities causing pain. Case managers,<br />

supervisors and department heads assist<br />

injured workers to return to work by helping<br />

them find the medical and physical treatments<br />

they require. Psychiatrists and psychologists<br />

also play a role in pain management.<br />

3. Separate the workers who need medical<br />

services and those who are just taking advantage<br />

of the system. Orthopedic manual PTs play<br />

an important role in the evaluation of possible<br />

movement restrictions in the spine and extremities<br />

that can result in neck, back and extremity<br />

pain. <strong>Physical</strong> injuries would cause mobility<br />

restrictions in the soft tissues, muscles and<br />

joints. These movement limitations will cause<br />

the surrounding structures to compensate and<br />

cause pain.<br />

Once these movement restrictions are examined,<br />

identified and addressed, there is nothing<br />

to pull or compensate. There<strong>for</strong>e, pain should<br />

be decreased or eliminated. Should the cause of<br />

injury be purely physical, patients should start<br />

feeling better after a few orthopedic physical<br />

therapy treatments. If the pain is the same or<br />

worse after three to four treatments, then it’s<br />

time to reassess.<br />

Physicians may need to further examine the<br />

patient <strong>for</strong> possible medical abnormalities and/<br />

or <strong>for</strong> more diagnostic procedures that might<br />

need to be per<strong>for</strong>med. Should medical findings<br />

be normal and/or movement restrictions in the<br />

spine or extremity are back to normal, then the<br />

possibility of the patient’s emotional reaction<br />

to pain can be considered.<br />

Use of the McGill Pain Questionnaire during<br />

the initial assessment is always beneficial. Test<br />

results can reveal a patient’s emotional reaction<br />

to pain (possible faking) in relation to recovery.<br />

This can also be useful to physicians in deciding<br />

whether to refer the injured worker to a psychiatrist<br />

and/or to a pain management program.<br />

The Biggest Management Mistake<br />

Supervisors’ good knowledge and background<br />

of MSD can totally change the atmosphere of<br />

the workplace. This can be achieved through<br />

neck-arm and back MSD school programs as<br />

well as supervisor training in managing the<br />

injured worker.<br />

Once the education and training have been<br />

accomplished, the supervisors and management<br />

team (with perhaps few exceptions)<br />

not only have a better understanding of the<br />

problem and how to deal with it, but they<br />

will also have a more constructive attitude<br />

toward the claims and issues. There<strong>for</strong>e, when<br />

kylE kIElINSkI


the production supervisor understands that<br />

today’s jobs can create abnormal fatigue and<br />

wear damage to working tissues, a change in<br />

perspective can be expected.<br />

Overcoming the Politics of Work Injury<br />

Supervisors’ assumptions that MSD injuries<br />

are usually faked can be solved by supervisory<br />

training, usually during neck-arm or<br />

back school by a workers’ comp claims prevention<br />

specialist; they will then realize the<br />

ill effects of these suspicions. It is a fact that<br />

90 percent of claims are legitimate, but this<br />

becomes complicated because of the conflicts<br />

caused by wrong assumptions.<br />

Furthermore, when employees receive<br />

proper education on MSD, and when they<br />

understand that avoiding injuries is a personal<br />

responsibility, then reduction of claims<br />

can be expected. Top management realization<br />

that injured workers don’t have to return to<br />

work until they are 100-percent recovered<br />

has a big effect on both company profits and<br />

morale. Educating non-injured workers during<br />

ergonomics team training will show them that<br />

most claims are legitimate.<br />

Employers’ understanding of the importance<br />

of a restricted duty program is important in<br />

reducing workers’ comp costs. Wrong assumptions<br />

and mentalities in the work place have to<br />

be corrected be<strong>for</strong>e restricted duty can proceed.<br />

Furthermore, specific policies and procedures<br />

must be written and the program must be precisely<br />

supervised. Companies need to realize<br />

the consequences of not providing appropriate<br />

medical care and how the employees’ morale<br />

can be affected by this. They may need to know<br />

that 90 percent of OSHA inspections are generated<br />

by a call from an angry worker. Companies<br />

should not set a goal of “no reported<br />

injuries;” rather, they should use “no lost time”<br />

as a goal.<br />

Useful Tools<br />

<strong>Physical</strong> therapists can help companies maximize<br />

business profit by reducing workers’ compensation<br />

claims, cost and lost work days by<br />

using rehab programs that can help workers<br />

[INDuSTRIAl REHAB]<br />

prevent injuries. These programs include: (1)<br />

MSD risk analysis; (2) back and neck-arm MSD<br />

school; (3) supervisor/management/employee<br />

training; (4) on-site problem-solving consulting;<br />

(5) on-site pain intervention services (PT<br />

and first aid services); (6) new hire training<br />

and spine/extremity screening; (7) stretching<br />

programs; (8) restrictive duty program development;<br />

(9) work conditioning and functional<br />

capacity evaluations (10) on-site physical therapy<br />

clinics; (11) preferred PT provider agreements,<br />

and (12) an OSHA 300 Log Analysis.<br />

MSD is a complex and expensive problem.<br />

The job of the workers’ comp claims prevention<br />

specialist is to improve the effectiveness<br />

of the management team in dealing with MSD<br />

claims and costs—and to make employees<br />

experts on the working body. n<br />

Gerry Catapang is president and owner of US Workers’<br />

Compensation Claims Prevention Specialists, a<br />

subsidiary of <strong>Physical</strong> <strong>Therapy</strong> Care, Manual PT, and<br />

Industrial <strong>Rehab</strong> Center, PC, in Springfield, MO. He<br />

can be reached at gerrycatapang@sbcglobal.net.<br />

get a competitive advantage with<br />

WorkWell Systems<br />

Customized solutions <strong>for</strong><br />

work injury<br />

• prevention<br />

• early intervention<br />

• stay at work<br />

• return to work<br />

Train in<br />

• functional capacity evaluation<br />

• functional job analysis<br />

• prework screening<br />

• workFIT return to work testing<br />

• work rehabilitation<br />

WorkWell Systems is an industry-leading provider of work<strong>for</strong>ce<br />

productivity solutions.<br />

Fully integrated support, service and products make WorkWell<br />

the Smart Choice<br />

Best practice solutions–Evidence/research based<br />

Web based software tools and technical support<br />

Hands-on training with experts in the fi eld<br />

Meet your customer’s needs with solutions from WorkWell Systems<br />

Please contact WorkWell <strong>for</strong> details<br />

visit workwell.com<br />

or call 866 WWS-WORKS<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

23


[wHEELCHAIR/SEATING]<br />

wheel Master<br />

<strong>Physical</strong> therapist runs an<br />

individualized wheelchair/<br />

seating program<br />

By rebecca Mayer<br />

A<br />

growing number of people are<br />

spending their days in wheelchairs<br />

that either do not fit properly or do<br />

not allow <strong>for</strong> an appropriate level<br />

of independence. This may be the result of<br />

being fitted in a chair with limited controls<br />

or an ill-fitted frame or one that is too heavy<br />

to maneuver.<br />

Being dependent on a wheelchair, either<br />

power or manual, can hinder an individual’s<br />

level of mobility and independence.<br />

“Selecting the proper wheelchair is important<br />

as it determines the patient’s ease of movement<br />

and level of freedom in all aspects of daily life,”<br />

explained Brian A. Mulligan, MPT, wheelchair<br />

clinic coordinator at St. Lawrence <strong>Rehab</strong>ilitation<br />

Center (SLRC) in Lawrenceville, NJ.<br />

As part of the Wheelchair and Seating Clinic’s<br />

individualized program, Mulligan assesses<br />

each patient’s strength, range of motion, functional<br />

mobility, coordination, sensation and<br />

posture as they relate to wheeled mobility.<br />

Then he is able to identify a seating system<br />

that best positions and supports the person<br />

<strong>for</strong> com<strong>for</strong>t and function.<br />

“My work is rewarding because I’m in a<br />

position to give patients mobility back,” Mulligan<br />

explained.<br />

Take a Seat<br />

St. Lawrence <strong>Rehab</strong>ilitation Center’s wheelchair<br />

clinic team includes a physician, physical<br />

24 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

therapist and wheelchair vendor representative<br />

to help patients choose a wheelchair by<br />

thoroughly evaluating their individual medical<br />

conditions and lifestyles.<br />

Mulligan has been running the clinic <strong>for</strong><br />

nearly 10 years. He completes wheelchair<br />

evaluations and assessments <strong>for</strong> individuals<br />

from SLRC’s inpatient and outpatient units.<br />

Mulligan completes all patient evaluations<br />

with a vendor present. “I’ve witnessed a rotation<br />

of vendors over the years <strong>for</strong> a variety of<br />

reasons,” Mulligan relayed. “Currently, I primarily<br />

work with vendors that have proven<br />

to be reliable.”<br />

SLRC is a 166-bed, not-<strong>for</strong>-profit physical<br />

rehabilitation hospital that employs four fulltime<br />

physiatrists and houses a 23,000 squarefoot,<br />

state-of-the-art Outpatient Health Center.<br />

When Mulligan evaluates an individual on<br />

the inpatient unit, he works directly with the<br />

patient’s physician and physical therapist.<br />

Mulligan per<strong>for</strong>ms outpatient evaluations<br />

<strong>for</strong> patients who are referred from various<br />

physicians. He submits all paperwork to the<br />

corresponding physician once the evaluation<br />

has been completed.<br />

On the outpatient side, he consults with<br />

the PT of current SLRC patients or per<strong>for</strong>ms<br />

a comprehensive evaluation if the patient is<br />

currently under care elsewhere. “Most patients<br />

come into the clinic <strong>for</strong> a fitting, some need<br />

revisions to a chair they acquired years ago<br />

and others need something new because their<br />

needs have changed or have never had a chair,”<br />

Mulligan explained.<br />

Mulligan fields all phone calls to the clinic<br />

and personally schedules each appointment<br />

with his patients. “While I have them on the<br />

when customizing a wheelchair to best<br />

fit a patient’s needs, a trained clinician<br />

will consider the following:<br />

• Power or manual mobility needs<br />

• Frame design and weight<br />

• Construction, durability, adjustability<br />

• Seat cushion and back support <strong>for</strong> skin<br />

integrity and postural needs<br />

• Environments and terrains encountered<br />

during use<br />

Source: St. Lawrence <strong>Rehab</strong>ilitation center’s<br />

Wheelchair and Seating clinic<br />

phone, I gather background in<strong>for</strong>mation so I<br />

am prepared when they arrive <strong>for</strong> their appointments,”<br />

he shared.<br />

The clinic has sample chairs, cushions and<br />

backs to use during the evaluation and Mulligan<br />

ensures that patients try various products.<br />

“I try to give them as many options as possible<br />

so they can pick what they want/need,” he<br />

explained. “I often take patients outside in their<br />

chairs to make sure they meet their needs when<br />

navigating curbs and parking lots.”<br />

Additionally, Mulligan gathers the patient’s<br />

history of ability to propel or maneuver a power<br />

chair. The patient’s home and work environments<br />

and recreational and social activities will<br />

be considered in selecting a wheelchair.<br />

When the clinic does not have the right type<br />

of chair on hand, Mulligan will find a sample<br />

and ask the patient to come back at a later date.<br />

“There are plenty of occasions when the patient<br />

comes back <strong>for</strong> a second visit be<strong>for</strong>e making a<br />

final decision,” he said.<br />

According to Mulligan, patients often visit the<br />

clinic with definite ideas of what they want and/<br />

or need in a chair but they often don’t identify<br />

their own needs properly. A patient may simply<br />

need power tilt, <strong>for</strong> example, but Mulligan will<br />

show him extra features that would make him<br />

more independent at home.<br />

Power chairs have many useful features<br />

including power elevating seats, power legs<br />

and power recline. Manual chairs can be<br />

outfitted with power assist features such as<br />

power wheels.<br />

Mulligan first decides which frame is best <strong>for</strong><br />

the patient. Once the frame has been selected,<br />

he determines whether the patient requires a<br />

simple back with cushion or a cushion intended<br />

to treat pressure relief. The clinic offers custom<br />

molded seating systems that can be added and<br />

adapted <strong>for</strong> individual needs.<br />

CouRTESy ST. lAwRENCE REHABIlITATIoN CENTER


STAR<br />

CUSHION<br />

Innovation • Quality • Per<strong>for</strong>mance<br />

5 Commerce Drive<br />

Freeburg, IL 62243<br />

Phone: 618-539-7070<br />

www.starcushion.com<br />

Feel the Difference<br />

NEW<br />

Patent No. 7,434,282 B2<br />

AND OTHER PATENTS PENDING<br />

"Deeper Immersion...<br />

Superior Pressure Management!"<br />

TM<br />

The Galaxy is a cushion that combines<br />

multi-cellular air technology with a<br />

patented, contouring design, fitting the<br />

anatomical <strong>for</strong>m. These detailed,<br />

contouring features, offer several benefits<br />

to aid in the patients’ stability and posture,<br />

while greatly enhancing a true<br />

therapeutic advantage.<br />

5”STARLOCK<br />

First in the development of complete<br />

CELL LOCK technology, Star offers you the<br />

5” StarLock Cushion. This is our premier<br />

wheelchair cushion offering you the<br />

ultimate in aggressive positioning,<br />

unparalleled stability and the highest<br />

level of therapeutic prevention and<br />

treatment of pressure ulcers.<br />

Patent No. 7,350,251<br />

Patent No. 7,681265 B2<br />

AND OTHER PATENTS PENDING<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

25


[wHEELCHAIR/SEATING]<br />

From start to finish, the wait <strong>for</strong> a chair is<br />

often two to three months, stated Mulligan.<br />

The professional team obtains a prescription<br />

and all necessary paperwork. Mulligan writes<br />

a letter of medical necessity <strong>for</strong> the wheelchair<br />

to justify reimbursement through the patient’s<br />

insurance company, provided all qualifications<br />

are met. The vendor sends the letter with their<br />

own <strong>for</strong>ms to the physicians <strong>for</strong> approval.<br />

“Once we get approval <strong>for</strong> the chair, we fit the<br />

patient in the chair and do final adjustments<br />

be<strong>for</strong>e releasing them,” Mulligan said. “After a<br />

month, they may come back with adjustments<br />

that suit their needs better.”<br />

The Funding Piece<br />

A physician’s order <strong>for</strong> the purchase of equipment<br />

is necessary when funding is being<br />

sought from a third party payor such as an<br />

insurance company, Medicare or Medicaid.<br />

Although a medical supplier or vendor can<br />

be directly contacted <strong>for</strong> a home visit, Mulligan<br />

does not advise this route. He stresses the<br />

importance of being evaluated by a physical<br />

26 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

or occupational therapist. Medical suppliers<br />

and vendors are not able to accurately assess<br />

the person’s body contours and angles to<br />

determine the best type of seating system.<br />

Mulligan recently assisted a woman with<br />

an older diagnosis of multiple sclerosis. Her<br />

condition was getting progressively worse and<br />

she was relying on a basic power wheelchair<br />

prescribed many years be<strong>for</strong>e visiting SLRC.<br />

“When I first met with the patient, she was<br />

in desperate need not only <strong>for</strong> a new wheelchair<br />

but one that would now provide appropriate<br />

power seating features,” Mulligan<br />

shared. “I recommended a brand new power<br />

wheelchair with power tilt in space, power<br />

recline and power elevating leg rests.”<br />

These features were imperative and medically<br />

necessary <strong>for</strong> her as her condition had<br />

worsened. “After several months of awaiting<br />

approval, her insurance company denied the<br />

new wheelchair and all of the features we had<br />

recommended,” Mulligan relayed.<br />

After a first appeal, she was denied again.<br />

“We took her case to a second appeal which<br />

included a phone hearing with a judge who<br />

listened to my arguments <strong>for</strong> the chair and the<br />

insurance company’s argument against the<br />

chair,” Mulligan said. In the end, the denial was<br />

overturned and the patient recently received<br />

her much-needed new power wheelchair.<br />

“In this scenario, the hard work and ef<strong>for</strong>t<br />

that went into prescribing and following<br />

up with a wheelchair prescription paid<br />

off immensely,” stated Mulligan. “I got to<br />

see the patient receive what she needs and<br />

deserves.”<br />

SLRC’s 40-plus years of experience helps to<br />

make the experience as trouble-free as possible<br />

<strong>for</strong> everyone involved.<br />

“The long waiting period to obtain a chair <strong>for</strong><br />

a patient is often due to an approval delay from<br />

the insurance company,” Mulligan shared. “It’s<br />

frustrating as a provider because my patients<br />

often needed and wanted the chair yesterday.”<br />

The process can be delayed by many other<br />

factors, too. The physician may not sign the<br />

paperwork promptly or a specific part may<br />

wheelchair continued on page 28


Response Time<br />

Using a SCENAR device<br />

in a contemporary PT<br />

practice By shmuel Tatz, PT, PhD<br />

Aphysician, an orthopedic surgeon<br />

and a physical therapist all fell into<br />

a Rip Van Winkle sleep that lasted<br />

20 years. The physician woke to<br />

find everything changed when he began seeing<br />

patients again. The medications he wished<br />

to prescribe no longer existed or were pulled<br />

from the market by the FDA. For the surgeon,<br />

the operating room had been trans<strong>for</strong>med;<br />

the instruments he had once used were now<br />

in a museum.<br />

But <strong>for</strong> the physical therapist, nothing<br />

much had changed. He found he could use<br />

the same techniques <strong>for</strong> mobilization and the<br />

same modalities such as ultrasound or electrical<br />

stimulation. In addition, the physical<br />

therapist found that he had lost his massage<br />

patients to massage therapists, stretching<br />

techniques to athletic trainers, manipulation<br />

techniques to chiropractors and hand therapy<br />

to hand therapists.<br />

Indeed, the contemporary practice of<br />

physical therapy has had little in the way of<br />

modalities added to the techniques of handson<br />

manipulation. <strong>Physical</strong> therapists are<br />

not always aware of new products that can<br />

enhance our ability to help patients.<br />

Gaining Approval<br />

I discovered the laser in the 1980s. One of my<br />

patients told me of a good experience she had<br />

had with another physical therapist who used<br />

the laser in his practice. It took another 20 years<br />

<strong>for</strong> the FDA to approve its use. In the 1990s<br />

another patient told me about a scanner that<br />

another therapist had used in his work with<br />

her which was of great benefit. It took another<br />

20 years <strong>for</strong> the FDA to approve the scanner.<br />

PRODUCTS AT WORK<br />

sCeNAr (self Controlled electro Neuro Adaptive<br />

regulator) is simple to use and causes<br />

little to no discom<strong>for</strong>t <strong>for</strong> patients.<br />

There are many articles written about the scanner<br />

known as SCENAR, or Self Controlled<br />

Electro Neuro Adaptive Regulator, and how it<br />

works. In one of them, Overview of Scenar therapy<br />

and its Application to Physiotherapy Practice,<br />

the author, J.C. Lyons, B.Sc (Aust) UNSW, Dip<br />

sCeNAr continued on page 37<br />

SCENAR MEDICAL TECHNOLOGY<br />

“The Pain solution <strong>for</strong><br />

your patients and<br />

your practice”<br />

www.TOMATEX.com<br />

Scenar@tomatex.com<br />

989-272-3627<br />

USA FDA K092117, CE 0120,<br />

Health Canada DL:86149<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

27


[ClASSIFIED MARkETPlACE]<br />

Tell Advertisers You<br />

Saw Them in <strong>ADVANCE</strong><br />

[wHEELCHAIR/SEATING]<br />

wheelchair continued from page 26<br />

not be available.<br />

“Patients who have been in a lot of chairs tend<br />

to know the process takes a long while,” Mulligan<br />

explained. “But some of my new patients<br />

think they will go home with a chair the day of<br />

the evaluation.”<br />

Individual Needs<br />

“My goal is to provide my patients with independence<br />

first and mobility second,” Mulligan<br />

explained.<br />

With patients in manual chairs, Mulligan<br />

aims to get the frame light enough so they may<br />

propel the chair easily and support their body<br />

appropriately.<br />

The mobility piece is typically gone if the<br />

patient cannot cognitively or physically power<br />

a chair or cannot hold his positioning, according<br />

to Mulligan.<br />

Mulligan has observed changes in the industry<br />

in the last decade including vendors going<br />

out of business and ever-changing stipulations<br />

with Medicare.<br />

“Wheelchair and seating is a niche service in<br />

P2.2_1_4C011807_1.indd 1 1/18/07 10:11:57 AM<br />

FREE WEBINARS<br />

FROM <strong>ADVANCE</strong><br />

July 2012<br />

■ <strong>Rehab</strong> Risks <strong>for</strong> Outpatient Providers<br />

Tuesday, July 17 • 2:00 PM ET (11:00 AM PT)<br />

Speakers: Nancy J. Beckley, MS, MBA, CHC, President,<br />

Nancy Beckley & Associates LLC, and Lynn McGivern, JD,<br />

Chief Compliance Officer, Nancy Beckley & Associates LLC<br />

Understand how risk to your practice is increased every time the KX<br />

modifier is used. Learn how the CERT findings may offer the best<br />

clues to future audit therapy audit topics. Learn the added risks <strong>for</strong><br />

hospital providers as they go under the therapy caps by October<br />

2012. Understand the correct way to use the Advanced Beneficiary<br />

Notice, including therapy beyond the cap.<br />

Space is limited.<br />

IMMIGRATION <strong>for</strong> PTs:<br />

H-1B<br />

Permanent Residency<br />

TN-1<br />

Requests <strong>for</strong> Evidence<br />

Appeals<br />

Emily Lopez Neumann<br />

Attorney at Law<br />

REDDY & NEUMANN, P.C.<br />

Houston, Texas www.rnlawgroup.com<br />

713-953-7787 emily@rnlawgroup.com<br />

* Not Certifi ed by Texas Board of Legal Specialization.<br />

SIgN up ONlINE FOR<br />

thESE FREE EvENtS!<br />

www.advanceweb.com/PT<br />

28 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

therapy,” Mulligan explained. “It can be frustrating<br />

so fewer and fewer clinics are providing<br />

the service. Our clinic is the only option within<br />

an hour radius.”<br />

Some patients obtain a prescription from a<br />

physician and <strong>for</strong> convenience and cost reasons,<br />

may simply go to a local scooter store. “Then<br />

they come to me because they were not fitted<br />

correctly in the first place,” Mulligan shared.<br />

“But many times they are out of luck because<br />

insurance has already paid <strong>for</strong> a chair, and<br />

there<strong>for</strong>e, will not pay again.”<br />

Mulligan tries to make sure that patients<br />

know to go to a seating clinic to be evaluated<br />

properly by a physical therapist. “Patients<br />

need to be told to see a PT at the beginning of<br />

the process,” he explained.<br />

“There is a lot of give and take on these cases,”<br />

Mulligan shared. “But I’m always hoping <strong>for</strong><br />

the same end result <strong>for</strong> my patients: more independence<br />

and mobility.” n<br />

Rebecca Mayer is senior regional editor of<br />

<strong>ADVANCE</strong> and can be reached at rmayer@<br />

advanceweb.com


EDUCATION OPPORTUNITIES<br />

VIDEO SEMINARS<br />

VIDEO SEMINARS UNLIMITED CEUS<br />

All the Continuing Education<br />

Hours You Want. Two Great Options<br />

$177 <strong>for</strong> 7 months or $199 <strong>for</strong> 1-Full Year. Unlimited access<br />

to over 640 hours of clinical continuing education; over 90<br />

CEU seminars and programs. Take as many courses as you<br />

want. Approved by BOC <strong>for</strong> Athletic Trainers and specific State<br />

PT Boards. Check our web site <strong>for</strong> state PT board approvals.<br />

Take advantage of either of these Great Offers. Contact: 575-<br />

526-0012; or www.clinicians-view.com<br />

DISTANCE EDUCATION<br />

DISTANCE EDUCATION<br />

Become Your Own Boss:<br />

Starting an In-Home <strong>Therapy</strong> Practice<br />

Reap the personal and financial benefits of working <strong>for</strong><br />

yourself! This online seminar will teach you the ins and outs<br />

of how to successfully start and operate an in-home therapy<br />

practice under Medicare Part B. Therapists will learn about<br />

the start-up process, business structures, Medicare Part B<br />

requirements and regulations, proper documentation and billing,<br />

and marketing and practice expansion. Participants can<br />

access the seminar through our website. Contact: In-Home<br />

<strong>Therapy</strong> Services, LLC, 800-931-5769; www.inhometherapy<br />

services.com <strong>for</strong> more in<strong>for</strong>mation and to register online.<br />

DISTANCE EDUCATION<br />

GREAT Seminars Online<br />

Convenient, Clinical, Not Boring<br />

Learn and earn 5 hours of continuing education credit from<br />

each of our many exciting, interactive and extremely clinical<br />

online courses: Gait and Balance, Knee Osteoarthritis, Seating<br />

and Mobility, Lumbar Spinal Stenosis, Wiihabilitation, Aging<br />

Foot, Vestibular, Home Health, and Research to Practice. Well-<br />

Known instructors such as Dr. Carole Lewis and Dr. Richard<br />

Bohannon bring these courses to life with real patients, case<br />

studies and a focus on practical application. Fast and easy<br />

to complete. Hyperlinks to PubMed <strong>for</strong> references. Contact:<br />

Visit our web site: www.Greatseminarsonline.com to watch 2<br />

minute relevant research videos on the most current studies<br />

impacting your practice - <strong>for</strong> free.<br />

DISTANCE EDUCATION ONLINE<br />

TheraPeeds/Julia Harper<br />

Sensory Integration Courses<br />

THOUSANDS OF THERAPISTS AGREE. Julia Harper, MS,<br />

OTR/L, one of the industry’s most sought-after speakers, is<br />

now offering ONLINE video courses <strong>for</strong> her most demanded<br />

conferences: Practical Sense in SI parts 1, 2 and 3! Earn<br />

CEUs and experience the same high energy, fun, and wealth<br />

of practical in<strong>for</strong>mation that Julia brings to her live courses<br />

from the com<strong>for</strong>t of your home, practice, school, or anywhere<br />

you have internet access. These all video courses are the<br />

next best thing to actually being there. Learn practical stepby-step<br />

protocols to evaluate and treat all of your clients<br />

with processing disorders from the low functioning child<br />

with behaviors blocking your ability to teach skills to the<br />

higher functioning subtle disorders that need the right push<br />

to increase their functional outputs. Contact: 800-899-8832;<br />

or www.therapeeds.com to take a sneak peek and to hear<br />

what others have to say about these dynamic, confidence<br />

building courses.<br />

ON-SITE SEMINARS<br />

JULY 13-14, 2012 MIAMI, FL<br />

AUG. 3-4, 2012 STATEN ISLAND, NY<br />

SEPT. 28-29, 2012 SHREVEPORT, LA<br />

Vestibular <strong>Rehab</strong>ilitation<br />

This course will focus on the assessment of patient w/<br />

vertigo & disequilibrium from vestibular causes. Material<br />

covered includes the neuroanatomy & neurophysiology of<br />

normal vestibular system, the various pathological conditions<br />

that result in vertigo or disturbances balance & the<br />

compensatory mechanisms available <strong>for</strong> recovery. Specific<br />

emphasis on assessment & Tx of unilateral & bilateral<br />

vertigo, central vestibular disorders & multisensory dizziness.<br />

This info applicable to geriatric patients as well as<br />

individuals w/CNS lesions such as multiple sclerosis, CVA<br />

& head injury. There is a 3rd day of this course which is<br />

optional. Instructor: Richard Clendaniel. Contact: Education<br />

Resources, Inc., 508-359-6533; 800-487-6530; www.<br />

educationresourcesinc.com<br />

JULY 13-14, 2012 CHARLOTTE, NC<br />

AUG. 10-11, 2012 NEWPORT BEACH, CA<br />

SEPT. 14-15, 2012 CHICAGO, IL<br />

Secrets & Steps to<br />

Private Practice Success<br />

Step-by-Step instruction course on how to increase referrals,<br />

revenue, & reimbursement quickly and af<strong>for</strong>dably! Perfect<br />

<strong>for</strong> Experienced Owners & Beginners. SECRETS INCLUDE: 1)<br />

Why an MD will stop referring, 2) Your front desk will make or<br />

break you, 3) Coding & Modifier Secrets to double your reimbursements,<br />

4) Employee Leadership is Key, 5) Advertising<br />

Secrets & Templates, 6) Secret Promotions <strong>for</strong> Instant<br />

Business, 7) Best Equipment & Software. TESTIMONIALS:<br />

“You will kick yourself if you don’t go.” “It’s so worth the<br />

money and time to come here”. “It would be a MISTAKE not<br />

to take this course!” 100% Money-Back Guarantee. Contact:<br />

800-801-4511; or www.IndeFree.com <strong>for</strong> more locations.<br />

JULY 14-15, 2012 WASHINGTON, DC<br />

AUG. 18-19, 2012 SEATTLE, WA<br />

SEPT. 15-16, 2012 MINNEAPOLIS, MN<br />

Starting and Running a<br />

Pediatric <strong>Therapy</strong> Practice<br />

This seminar presented by entrepreneur Vincent Mullins,<br />

MOT, OTR, will provide clear steps to open and run a pediatric<br />

OT/PT/ST private practice. All aspects of start-up and growth<br />

of the practice will be presented through personal experience<br />

and years of research and development. Both therapy and<br />

business portions will be discussed. 11 CE hours. Live video<br />

available <strong>for</strong> those unable to attend. Contact: 940-300-2299;<br />

or www.THERAPYSEMINARSLLC.COM to register online.<br />

JULY 14-20, 2012 NEW YORK, NY<br />

AUG. 18-24, 2012 SANTA CLARITA, CA<br />

SEPT. 22-28, 2012 BUCKINGHAM, VA<br />

Yoga <strong>for</strong> the Special Child®, LLC<br />

Certification Programs<br />

This comprehensive program of Yoga techniques is designed<br />

to stimulate the development of children w/special needs. Our<br />

teaching methods are gentle & restorative; safe <strong>for</strong> babies &<br />

children w/Down Syndrome, Cerebral Palsy, Microcephaly,<br />

Autism, & other developmental disabilities. These methods<br />

also provide an effective Tx <strong>for</strong> children diagnosed w/<br />

ADD/ADHD & learning disabilities. Taught by internationally<br />

renowned Yoga therapist & author Sonia Sumar, our certification<br />

program curriculum includes instruction in Yoga poses,<br />

breathing exercises, infant massage & deep relaxation tech-<br />

niques. Contact: 888-900-YOGA; or www.specialyoga.com<br />

<strong>for</strong> a complete list of program dates & locations.<br />

JULY 15, 2012 CHARLOTTE, NC<br />

AUG. 12, 2012 NEWPORT BEACH, CA<br />

SEPT. 16, 2012 CHICAGO, IL<br />

Advanced Billing, Coding,<br />

Collections and Audit-Proofing<br />

There are more requests <strong>for</strong> refund, denials, audits, and<br />

reimbursement issues than ever be<strong>for</strong>e in the history of our<br />

profession. Also, are your therapists billing only 3 units while<br />

spending over an hour with patients? Is your documentation<br />

making you vulnerable? This course will help solve many<br />

of the problems confronted by most PT/OT practices today.<br />

Get the secrets to quicker payment, better reimbursement,<br />

appealing denials, audit-proofing, and more. TESTIMONIALS:<br />

“This is the best course I’ve ever attended on billing, and<br />

I’ve attended over 100. Take it!” 100% No-Risk Guarantee.<br />

Contact: 800-801-4511; or www.IndeFree.com<br />

JULY 20-21, 2012 CHICAGO, IL<br />

Intensive Orthopedics<br />

Speaker: Sandy Shelton, PT, GTC. Take home innovative<br />

evaluation and treatment ideas <strong>for</strong> total joint arthroplasties<br />

and traumatic fractures from this 20 contact hour course.<br />

Learn clinically useful and cutting edge protocols, critical<br />

paths and ways of working with difficult patients. Diagnoses<br />

specific evaluations will be demonstrated. Utilize these tools<br />

to work smarter, not harder. Contact: 877-794-7328 (tollfree);<br />

or www.greatseminarsandbooks.com<br />

JULY 20-21, 2012 BILLINGS, MT<br />

AUG. 17-18, 2012 BOISE, ID<br />

SEPT. 22-23, 2012 DES MOINES, IA<br />

Put Some Muscle<br />

Into Ther Ex<br />

Speaker: Wendy K. Anemaet, PT, PhD, GCS, CWS, GTC, COS-<br />

C; Strength loss begins in the 30's - but what's next? MMT's<br />

unreliable - what other options exist. Which muscles matter<br />

most to ADL? Join us <strong>for</strong> an intensive, fun, 2-day tune up to<br />

strengthen your outcomes and change the way you prescribe<br />

Ther Ex on Monday morning! This 20 contact hour course<br />

explores the current scoop on geriatric resistance training,<br />

practice evaluative techniques and exercises, and learn about<br />

parameters of strengthening <strong>for</strong> a range of medical and rehab<br />

diagnoses. Put Some Muscle into Ther Ex offers the essential<br />

tools and knowledge to design, implement, evaluate and<br />

modify effective resistance training programs <strong>for</strong> the older<br />

populations. - See you there. Contact: 877-794-7328 (tollfree);<br />

or www.greatseminarsandbooks.com<br />

JULY 20-21, 2012 SADDLE BROOK, NJ<br />

OCT. 19-20, 2012 RALEIGH, NC<br />

Dr. Carole B. Lewis Presents:<br />

Clinical Geriatric Neurology<br />

Carole B. Lewis, PT, DPT, GCS, MSG, MPA, Ph. D. FAPTA<br />

presents Geriatric Neurology. This entertaining 20 contact<br />

hour lecture provides take home in<strong>for</strong>mation on cutting edge<br />

assessment and treatment of older clients with Parkinson’s<br />

disease, stroke, gait, balance disorders, and pain problems<br />

with a 300+ page handout with over 5,000 current medical<br />

references. Use these treatment techniques and evaluation<br />

tools to work smarter not harder. Contact: 877-794-7328<br />

(toll-free); or www.greatseminarsandbooks.com<br />

SUBSCRIBE TODAY — CALL 800.355.1088<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

29


EDUCATION OPPORTUNITIES<br />

JULY 21-22, 2012 OMAHA, NE<br />

AUG. 4-5, 2012 RICHMOND, VA<br />

OCT. 5-6, 2012 CROMWELL, CT<br />

<strong>Rehab</strong> of Persons with<br />

Common Medical Pathologies<br />

Speaker: Steven Tepper PhD, PT. This entertaining 20 contact<br />

hour lecture provides take home in<strong>for</strong>mation on rehabilitation<br />

of MI/CHF, COPD, Diabetes, Renal Failure, Obesity,<br />

Peripheral Arterial Disease and Deep Vein Thrombosis seen<br />

in a wide variety of settings: acute, subacute, long-term<br />

care, home health, cardiac and pulmonary rehabilitation<br />

and fitness/wellness clinics. Specific evaluations, functional<br />

tools, interventions and limitations to functional<br />

activities, will be covered in a case study <strong>for</strong>mat and lab<br />

sessions utilizing the Guide to <strong>Physical</strong> <strong>Therapy</strong> Practice.<br />

Stay up to date with the latest research findings with this<br />

dedicated and talented educator. Contact: 877-794-7328<br />

(toll-free); or www.greatseminarsandbooks.com<br />

JULY 21-22, 2012 SAN FRANCISCO, CA<br />

AUG. 18-19, 2012 INDIANAPOLIS, IN<br />

SEPT. 22-23, 2012 ALBUQUERQUE, NM<br />

Taking Balance<br />

To the Limits<br />

Speaker Janene Barber PT, GTC has taught and treated<br />

extensively in this area with astounding results. This 20<br />

contact hour course goes beyond all you have learned about<br />

the effects of speed, strength and range of motion limitations<br />

as causes <strong>for</strong> balance dysfunction. You will leave with an in<br />

depth knowledge and skill in postural dyscontrol, somatosensation<br />

and vestibular arenas. Take home innovative useable<br />

evaluation and treatment techniques that will dramatically<br />

change your practice. Contact: 877-794-7328 (toll-free); or<br />

www.greatseminarsandbooks.com<br />

FREE E-NEWSLETTER — WWW.<strong>ADVANCE</strong>WEB.COM<br />

FREE Summer Webinar Series<br />

Dr Ines Nakashima<br />

Cervical Spine - July 17th<br />

Lumbar Spine - September 5th<br />

Dr. Micahel Shacklock<br />

August 8th - Neuromobilization<br />

All Webinars are at 7pm EST<br />

Register Today, Space is Limited<br />

NYC Fall Seminars with<br />

International Guest Faculty<br />

Dr. Ines Nakashima<br />

CAMT: Certification in Advanced<br />

Manipulative <strong>Therapy</strong> (Lower)<br />

October 12-14, 2012<br />

Dr. Michael Shacklock, FACP,<br />

MAppSc, DipPhysio<br />

Clinical NeuroDynamics of the<br />

Upper & Lower Extremiities<br />

September 7-8, 2012 (Upper)<br />

September 9-10, 2012-(Lower)<br />

PT-01: Myofascial Trigger Point and<br />

Pro-pricep ve <strong>Therapy</strong><br />

July 14-15, 2012 – Astoria, NY<br />

July 28-29, 2012 – Chicago, IL<br />

August 11-12, 12 – San Pedro, CA<br />

August 25-26, 2012 – Fort Worth, TX<br />

September 8-9, 2012 – Miami, FL<br />

September 15-16, 2012-San Antonio, TX<br />

PT-02: Comphrehensive Manual <strong>Therapy</strong><br />

Approach <strong>for</strong> Cervical Spine<br />

July 14-15, 2012 – Lakeland, FL<br />

July 21-22, 2012 – San Antonio, TX<br />

August 11-12, 2012 – Astoria, NY<br />

October 27-28, 2012 – Astoria, NY<br />

PT-03: Comprehensive Manual <strong>Therapy</strong><br />

Approach <strong>for</strong> Lumbar Spine<br />

July 21-22, 2012 – San Pedro, CA<br />

July 28-29, 2012 – Fort Worth, TX<br />

August 18-19, 2012 – Lakeland, FL<br />

September 8-9, 2012 – Astoria, NY<br />

November 17-18, 2012 – Astoria, NY<br />

December 1-2, 2012 – Astoria, NY<br />

JULY 21-22, 2012 JEFFERSON CITY, MO<br />

SEPT. 22-23, 2012 SYRACUSE, NY<br />

OCT. 13-14, 2012 LINCOLN, NE<br />

Acute Care<br />

<strong>Rehab</strong>ilitation<br />

Speaker: Mark Nelson, MPT. This dynamic 20 contact hour<br />

seminar provides the latest in<strong>for</strong>mation on cardiac, pulmonary<br />

and geriatric rehabilitation in the acute care setting. As<br />

in all practice settings, acute care rehabilitation is continuously<br />

evolving. From the various entry points into the acute<br />

care setting to discharge, rehabilitation plays an integral<br />

role. Therapists are being increasingly relied upon to make<br />

significant contributions to the medical team and frequently<br />

are the determining factor in hospital length of stay. This high<br />

tech seminar will provide therapists with clinical in<strong>for</strong>mation,<br />

practical tips and high level problem solving skills by utilizing<br />

lecture and case studies to discuss the role of therapists in<br />

this challenging environment. Contact: 877-794-7328 (tollfree);<br />

or www.greatseminarsandbooks.com<br />

JULY 21-22, 2012 KISSIMMEE, FL<br />

OCT. 13-14, 2012 TOLEDO, OH<br />

NOV. 3-4, 2012 LOS ANGELES, CA<br />

Comprehensive<br />

<strong>Rehab</strong>ilitation Strategies<br />

Speaker: Doug Dillon, PT, GTC, CSST <strong>Rehab</strong>ilitation <strong>for</strong> our<br />

geriatric population is changing rapidly. Payment changes<br />

make it more challenging to deliver quality care <strong>for</strong> the<br />

rehabilitatively and medically complex older patient. This 20<br />

contact hour seminar, with its 350 page handout and 5000<br />

references, provides a thorough approach to therapeutic<br />

strategies and goals, thereby preparing therapists with<br />

cutting-edge in<strong>for</strong>mation, evaluation tools and treatment<br />

protocols <strong>for</strong> the complex geriatric patient. Contact: 877-<br />

794-7328 (toll-free); or www.greatseminarsandbooks.com<br />

PT-04: Comprehensive Manual <strong>Therapy</strong><br />

Approach <strong>for</strong> Shoulder, Elbow, Hand<br />

August 4-5, 2012 – Chicago, IL<br />

September 22-23, 2012 – San Pedro, CA<br />

October 13-14, 2012 – Astoria, NY<br />

November 3-4, 2012 – Lakeland, FL<br />

December 15-16, 2012-Astoria, NY<br />

PT-05: Comprehensive Manual <strong>Therapy</strong><br />

Approach <strong>for</strong> Hip, Knee, Foot<br />

August 25-26, 2012 – Astoria, NY<br />

September 29-30, 2012 – Lakeland, FL<br />

October 13-14, 2012 – San Antonio, TX<br />

October 20-21, 2012 – Chicago, IL<br />

October 27-28, 2012 – Miami, FL<br />

November 3-4, 2012-Astoria, NY<br />

PT-MCMT: Mastery Certification in<br />

Manual <strong>Therapy</strong><br />

September 22-23, 2012 – Warwick , RI<br />

December 1-2, 2012 – Miami, FL<br />

December 8-9, 2012 – Chicago,IL<br />

January 12-13, 2013 – Lakeland, FL<br />

January 12-13, 2013 – Derby, CT<br />

January 19-20, 2013 – Astoria, NY<br />

Your Clinical Success is your Choice...and our Passion!<br />

FOR MORE DATES AND LOCATIONS, VISIT US AT<br />

Your Clinical Success www.HandsOnSeminars.com<br />

is your Choice... and our Passion!<br />

FOR MORE DATES or Call AND 1-888-767-5003<br />

LOCATIONS, VISIT US AT<br />

PTPN Preferred Vendor AOTA Approved Provider<br />

30 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

MCMT: Mastery Certification in Manual <strong>Therapy</strong> with<br />

Dr. Dimitrios Kostopoulos & Dr. Konstantine Rizopoulos<br />

JULY 21-22, 2012 FORT WORTH, TX<br />

DEC. 1-2, 2012 FREEHOLD, NJ<br />

<strong>Rehab</strong>ilitation <strong>for</strong><br />

The Frail Elderly<br />

Speaker: Robert Thomas, MS, PT. Learn the latest in<strong>for</strong>mation<br />

on 30 assessment tools and treatment protocols <strong>for</strong> working<br />

with the frail older population. In<strong>for</strong>mation on the effects of<br />

institutionalization, medical and cognitive pathologies that<br />

affect the frail population, pharmacological management,<br />

and the impact of reimbursement models will be presented at<br />

this 20 contact hour course. Specific evaluations and creative<br />

treatment protocols <strong>for</strong> gait, balance, strength, flexibility, and<br />

endurance will be provided. Contact: 877-794-7328 (tollfree);<br />

or www.greatseminarsandbooks.com<br />

JULY 28-29, 2012 DALLAS, TX<br />

AUG. 11-12, 2012 SAN ANTONIO, TX<br />

SEPT. 22-23, 2012 CHARLOTTE, NC<br />

Assessment & Treatment<br />

Age-Related Balance Impairment<br />

This intensive two-day course is designed to provide evidence-based<br />

fall prevention strategies <strong>for</strong> reducing the<br />

number of falls in the elderly population and discuss balance<br />

treatments <strong>for</strong> inpatients as well as community-based falls<br />

prevention programs. Through interesting lecture and handson<br />

labs, this course will provide skills that can be used in the<br />

clinical setting the very next day. Over 80% of attendants<br />

rated this course Excellent, all others rated it Good. Cost: Only<br />

$350 <strong>for</strong> 16 hours. Contact: JVB Enterprises, Inc., 888-328-<br />

6755; or www.teachtx.com <strong>for</strong> other courses offered in your<br />

area or <strong>for</strong> more in<strong>for</strong>mation.<br />

JULY 28-29, 2012 LOUISVILLE, KY<br />

SEPT. 29-30, 2012 GREEN BAY, WI<br />

OCT. 13-14, 2012 NASHVILLE, TN<br />

Cancer <strong>Rehab</strong>ilitation<br />

Speaker: Nicole Stout, MPT, CLT-LANA. Current evidencebased<br />

rehabilitation interventions <strong>for</strong> individuals undergoing<br />

treatment <strong>for</strong> cancer, survivorship from cancer, or facing<br />

metastatic disease will be highlighted in this 20 contact hour<br />

course. Exercise prescription, contradictions and precautions<br />

with exercise & modalities. A unique, problem based <strong>for</strong>mat,<br />

with group interaction, utilizing case studies <strong>for</strong> client evaluation<br />

and development of plan of care. Contact: 877-794-<br />

7328 (toll-free); or www.greatseminarsandbooks.com<br />

JULY 28-31, 2012 PALM BEACH GARDENS, FL<br />

AUG. 25-28, 2012 CHATTANOOGA, TN<br />

SEPT. 29-OCT. 2, 2012 BATON ROUGE, LA<br />

Lymphedema<br />

Management Seminar<br />

The Academy of Lymphatic Studies has pioneered lymphedema<br />

management in the U.S. since 1994. This course<br />

serves as an introduction to the management of upper and<br />

lower extremity lymphedema (primary and secondary) and<br />

is focused on increasing the understanding of proper lymphedema<br />

management and the application of the techniques<br />

known as Manual Lymph Drainage (Vodder/Foeldi technique)<br />

and Complete Decongestive <strong>Therapy</strong> <strong>for</strong> lymphedema and<br />

other conditions. The 31 hour program is taught in only 1 1/2<br />

working days; the course length is 3 1/2 days in total. The<br />

program covers the anatomy, physiology and pathophysiology<br />

of the lymphatic system and the introduction in the<br />

current treatment techniques <strong>for</strong> upper and lower extremity<br />

lymphedema. The textbook “Lymphedema Management”<br />

authored by the Academy’s director was published in 2004<br />

by Thieme Medical and Scientific Publishers, NY, and is<br />

included in the tuition. Discounts are available <strong>for</strong> APTA &<br />

AOTA members. Contact: 800-863-5935; academy@acols.<br />

com or www.acols.com<br />

WWW.<strong>ADVANCE</strong>WEB.COM/JOBFAIRS


Register Online at<br />

www.usa.edu or<br />

Call today at<br />

1-800-241-1027!<br />

S1 - Spinal Evaluation & Manipulation<br />

Impairment Based, Evidence In<strong>for</strong>med Approach<br />

35 Hours, 3.5 CEUs (No Prerequisite)<br />

$895<br />

Ft. Lauderdale, FL ....... Viti ......................... Jul 18 - 22<br />

Denver, CO ................. Yack ...................... Jul 25 - 29<br />

San Diego, CA ............. Smith ....................Aug 15 - 19<br />

Birmingham, AL ........... Irwin......................Aug 22 - 26<br />

Las Vegas, NV ............ Yack .....................Sep 12 - 16<br />

Columbus, OH ............. Furto .....................Sep 12 - 16<br />

Boston, MA .................. Yack .....................Sep 26 - 30<br />

St. Augustine, FL ......... Viti ........................ Oct 24 - 28<br />

Baltimore, MD .............. Smith .......................Nov 8- 12<br />

S2 - Advanced Evaluation &<br />

Manipulation of Pelvis, Lumbar &<br />

Thoracic Spine Including Thrust<br />

21 Hours, 2.1 CEUs (Prerequisite S1)<br />

$595<br />

New York City, NY ....... Yack .................. Aug 10 - 12<br />

St. Louis, MO ................ Irwin .................. Aug 10 - 12<br />

St. Augustine, FL .......... Viti ..................... Sep 14 - 16<br />

Washington, DC ........... Irwin .................. Sep 21 - 23<br />

Cincinnati, OH .............. Irwin ....................... Oct 5 - 7<br />

Atlanta, GA ................... Irwin ...................... Nov 2 - 4<br />

Chicago, IL ................... Yack .................. Nov 16 - 18<br />

S3 - Advanced Evaluation &<br />

Manipulation of the Cranio Facial,<br />

Cervical & Upper Thoracic Spine<br />

27 Hours, 2.7 CEUs (Prerequisite S1)<br />

$795<br />

Little Rock, AR ............. Smith ....................Jul 13 - 16<br />

Chicago, IL .................. Smith .................... Sep 14-17<br />

New York City, NY ...... Smith ...................Oct 19 - 22<br />

Las Vegas, NV ............................................Nov 1 - 4<br />

Boston, MA ................................................Nov 8 - 11<br />

St. Augustine, FL ......... Smith ....................Dec 7 - 10<br />

San Diego, CA .........................................Dec 13 - 16<br />

S4 - Functional Analysis &<br />

Management of Lumbo-Pelvic-Hip<br />

Complex<br />

15 Hours, 1.5 CEUs (Prerequisite S1) $545<br />

Orlando, FL.................Lonnemann.............Jul 28 - 29<br />

Boston, MA .................. Nyberg..................Aug 18 - 19<br />

Harrisburg, PA ............. Nyberg..................Sep 15 - 16<br />

St. Augustine, FL ........Grant Roys ................Oct 6 - 7<br />

Atlanta, GA .................. Nyberg.................. Oct 20 - 21<br />

Cincinnati, OH ..............Lonnemann..............Nov 3 - 4<br />

Ft. Lauderdale, FL ....... Grant Roys Nov 10 - 11<br />

Chicago, IL .................. Nyberg......................Dec 8 - 9<br />

The University of St. Augustine <strong>for</strong> Health Sciences has been<br />

accredited as an Authorized Provider by the International<br />

Association <strong>for</strong> Continuing Education and Training (IACET),<br />

1760 Old Meadow Road, Suite 500, McLean, VA 22102.<br />

UNIVERSITY OF ST. AUGUSTINE<br />

F O R H E A L T H S C I E N C E S<br />

Manual <strong>Therapy</strong> and Orthopaedic Seminars<br />

2012 Seminar Calendar<br />

CONTINUING EDUCATION SEMINARS<br />

E1 - Extremity Evaluation and<br />

Manipulation<br />

30 Hours, 3.0 CEUs (No Prerequisite)<br />

Also Available to OTs $745<br />

Columbus, OH .............. Naas .................... Jul 26 - 29<br />

Little Rock, AR .............. Naas ...................... Aug 2 - 5<br />

Chicago, IL ................... Busby ..................... Aug 2 - 5<br />

Denver, CO .................. Turner ................ Aug 23 - 26<br />

Louisville, KY ................ Naas .................. Sep 20 - 23<br />

Orlando, FL .................. Busby .................. Oct 18 - 21<br />

Houston, TX ................. Turner ................. Oct 18 - 21<br />

Virginia Beach, VA ....... Naas .................... Nov 8 - 11<br />

Scranton, PA ................ Naas ...................... Dec 6 - 9<br />

Las Vegas, NV ............. Turner .................... Dec 6 - 9<br />

E2 - Extremity Integration<br />

21 Hours, 2.1 CEUs (Prerequisite E1)<br />

$595<br />

Atlanta, GA ................... Conrad ................. Jul 27 - 29<br />

Austin, TX ..................... Patla ....................Sep 21 - 23<br />

New York City, NY ....... Patla .................... Oct 12 - 14<br />

Little Rock, AR .............. Conrad ................ Oct 26 - 28<br />

Chicago, IL ................... Conrad ....................Nov 2 - 4<br />

St. Augustine, FL ........... Patla/Conrad Nov 30 - Dec 2<br />

Denver, CO .................. Patla ........................Dec 7 - 9<br />

Advanced Manipulation Including<br />

Thrust of the Spine & Extremities<br />

20 Hours, 2.0 CEUs (Prerequisite: Completion of MTC<br />

Certification) $775<br />

Denver, CO .................. Yack .................... Nov 9 - 11<br />

Applied Musculoskeletal Imaging <strong>for</strong><br />

<strong>Physical</strong> Therapists<br />

21 Hours, 2.1 CEUs (No Prerequisite) $545<br />

St. Augustine, FL .......... Agustsson ............ Jul 27 - 29<br />

Grand Rapids, MI ......... Agustsson .......... Sep 14 - 16<br />

New York City, NY ....... Agustsson .............. Nov 2 - 4<br />

The Pediatric Client with a Neurological<br />

Impairment<br />

29 Hours, 2.9 CEUs (No Prerequisite)<br />

Also available to OTs $625<br />

St. Augustine, FL .......... Decker ..................Jul 19 - 22<br />

Seminar dates, locations, and tuition are subject to change, please call be<strong>for</strong>e making any non-refundable reservations.<br />

MF1 - Myofascial Manipulation<br />

20 Hours, 2.0 CEUs (No Prerequisite)<br />

Additional Seminar Offerings<br />

$595<br />

Boston, MA ................... Cantu .................. Jul 20 - 22<br />

Atlanta, GA ................... Grodin ............... Aug 10 - 12<br />

Ft. Lauderdale, FL .........Stanborough......Aug 24 - 26<br />

Cape Coral, FL ..............Stanborough......Sep 14 - 16<br />

New York City, NY ....... Grodin ............... Sep 28 - 30<br />

Gulf Port, MS ................ Cantu ................. Oct 12 - 14<br />

Washington, DC ........... Grodin ................ Oct 12 - 14<br />

Charleston, SC ............. Cantu .................... Nov 2 - 4<br />

San Francisco, CA ....... Grodin ....................Nov 9-11<br />

Houston, TX ................. Grodin ................... Dec 1 - 3<br />

St. Augustine, FL ...........Stanborough......Dec 14 - 16<br />

MANUAL THERAPY CERTIFICATION<br />

Preparation and Examination<br />

32 Hours, 3.2 CEUs<br />

(Prerequisites: S1, S2, S3, S4, E1, E2, MF1) $995<br />

St. Augustine, FL ............................... Oct 29 - Nov 3<br />

CRANIO-MANDIBULAR, HEAD, NECK<br />

& FACIAL PAIN CERTIFICATION<br />

Preparation and Examination<br />

32 Hours, 3.2 CEUs<br />

(Prerequisites: S1, S3, CF1, CF2, CF3, CF4) $995<br />

St. Augustine, FL ....................................... Oct 27 - 31<br />

Upper Quarter Soft Tissue Mobilization<br />

<strong>for</strong> Occupational <strong>Therapy</strong><br />

15 Hours, 1.5 CEUs (No Prerequisite) $545<br />

St. Augustine, FL .......... McGee ..................Jul 28 - 29<br />

Caregiver Training 1: Assessment and<br />

Treatment of Dementia<br />

12 Hours, 1.2 CEUs (No Prerequisite ) $445<br />

Open to OTs, PTs, COTAs, PTAs and other health professionals<br />

St. Augustine, FL .......... Hubbard ..............Sep 29 - 30<br />

Residency and Fellowship Opportunities Available!<br />

The University of St. Augustine is proud to offer the Clinical Orthopaedic Residency<br />

Program and the Orthopaedic Manual <strong>Physical</strong> <strong>Therapy</strong> Fellowship Program.<br />

Both programs offer you the opportunity to be mentored in a one-on-one clinical<br />

environment while allowing you to work toward earning one of USA’s<br />

advanced degrees without the need to relocate! Let us share with you the<br />

many advantages of continuing your education with USA!<br />

Please contact<br />

Dr. Erin Conrad<br />

800-241-1027, ext 249<br />

or residencyfellowship@usa.edu<br />

Animal-Assisted <strong>Therapy</strong>: Improving<br />

Treatment Outcomes<br />

15 Hours, 1.5 CEUs (No Prerequisite) $545<br />

St. Augustine, FL....Redner/Schefke/ ........Nov 17 - 18<br />

Schuitema<br />

Stanley V. Paris, PT, PhD, FAPTA<br />

University of St. Augustine<br />

For Health Sciences<br />

1 University Boulevard<br />

St. Augustine, FL 32086-5799<br />

Registration: 800-241-1027<br />

FAX: 904-826-0085<br />

Name:<br />

_____________________________<br />

___PT<br />

Address:<br />

_____________________________<br />

City:<br />

_____________________________<br />

State: _________ Zip: __________<br />

Email: _____________________<br />

Home: (_____) _____-_________<br />

Work: (_____) _____-_________<br />

FAX: (_____) _____-_________<br />

Please register me <strong>for</strong>:<br />

Seminars:<br />

_____________________________<br />

Locations:<br />

_____________________________<br />

Dates:<br />

_____________________________<br />

Prerequisite in<strong>for</strong>mation:<br />

Seminar:______________________<br />

Location/Date:<br />

_____________________________<br />

Is this your first seminar with the<br />

University? Yes____ No ____<br />

A $100 non-refundable deposit must accompany registration<br />

<strong>for</strong>m. A 50% non-refundable, non-transferable deposit is<br />

required <strong>for</strong> Certification. Balance is due 30 days prior to start<br />

date of the seminar. Balance can be transferred or refunded<br />

with 2 week written notice. Notice received after that time<br />

subject to only 50% refund. No refunds or transfers will be<br />

issued after the seminar begins.<br />

METHOD OF PAYMENT<br />

____Check or Money Order enclosed<br />

Please make payable to: University of St. Augustine<br />

Charge my:<br />

___ ___<br />

Card #<br />

______________________________<br />

Exp. date: ___/___<br />

Amount: $_________<br />

Signature:<br />

______________________________<br />

Team Discount - Two or more persons from<br />

the same facility registering <strong>for</strong> the same seminar<br />

at the same time, receive a 10% discount<br />

at the time of registration.<br />

(Advanced notice and full payment required, does not apply<br />

after the first day of a seminar.)<br />

Multiple Seminar Discount - Register and<br />

pay in full <strong>for</strong> two or more seminars at the<br />

same time and receive a 10% discount.<br />

(May not be combined with any other discounts or previous<br />

registrations.) ADV 7-12<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

EDUCATION OPPORTUNITIES<br />

31


EDUCATION OPPORTUNITIES<br />

2012 Training and<br />

Certifi cation Workshops<br />

Intensive whole body amplitude-based<br />

protocol <strong>for</strong> individuals with<br />

Parkinson's Disease.<br />

Sunnyvale, CA<br />

September 22-23, 2012<br />

St. Louis, MO<br />

September 29-30, 2012<br />

Sydney, Australia<br />

October 5-6, 2012<br />

Oslo, Norway<br />

October 26-27, 2012<br />

Jacksonville, FL<br />

November 3-4, 2012<br />

Honolulu, HI<br />

November 17-18, 2012<br />

Scottsdale, AZ<br />

December 1-2, 2012<br />

More Dates Coming Soon<br />

For more in<strong>for</strong>mation visit our<br />

website at:<br />

www.LSVTGlobal.com<br />

Voice: 1-888-438-5788<br />

Email: info@lsvtglobal.com<br />

NPTE/NPTE REVIEW<br />

COURSE<br />

<strong>Therapy</strong> Team Exam Review<br />

is the only comprehensive evidenced<br />

based review course <strong>for</strong><br />

the Boards. For 2008-2009 US<br />

grads (DPT/MPT) had a 100% first<br />

time US Educated DPT/MPT pass<br />

rate. Past per<strong>for</strong>mance does not<br />

guarantee you will pass, but it is<br />

better to be safe than sorry when<br />

it comes to your license and job<br />

offer. Join us in the following cities<br />

<strong>for</strong> the best review available.<br />

Recruiters call now to schedule<br />

your private NPTE-i Review Course<br />

Traditional<br />

Elk Grove, IL Aug. 18-26, 2012<br />

Philadelphia, PA Sept 8-16, 2012<br />

Orlando, FL Sept 22-30, 2012<br />

Toll Free: {877} 476-6684<br />

http://www.therapyteam.com<br />

timothyteach@aol.com<br />

32 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

AUG. 3-4, 2012 URBANA, IL<br />

SEPT. 28-29, 2012 LAUREL, MD<br />

DEC. 1-2, 2012 LIBERTY, MO<br />

Treating the Acute<br />

Care and ICU Patient<br />

Assessment and treatment of acutely ill patients safely<br />

requires integrating the patient history with current lab<br />

values, diagnostic test results, and an understanding of how<br />

their current medications affect status. Therapists need to<br />

identify signs of patient instability and know how to modify or<br />

to terminate treatment when necessary. This course provides<br />

therapists with that knowledge with a goal of preventing or<br />

reversing the deconditioning often seen in the acute care and<br />

ICU setting. Case studies will be used <strong>for</strong> clinical problem<br />

solving in order to improve functional outcomes with multiple<br />

diagnoses commonly seen. Instructor: Steven Sadowsky.<br />

Contact: Education Resources, Inc., 508-359-6533; 800-<br />

487-6530; www.educationresourcesinc.com<br />

AUG. 3-5, 2012 CHATTANOOGA, TN<br />

SEPT. 21-23, 2012 CHERRY HILL, NJ<br />

NOV. 2-4, 2012 LEXINGTON, KY<br />

Dr. Carole B. Lewis Presents:<br />

Clinical Geriatrics Orthopedics 2012<br />

This entertaining and in<strong>for</strong>mative 20 contact hour seminar<br />

describes age related changes and pathology, normative<br />

values, functional tools <strong>for</strong> every joint in the body and shows<br />

you how to track patient progress <strong>for</strong> reimbursement. In<br />

laboratory sessions, Dr. Lewis, a clinician, international<br />

lecturer and author teaches innovative mobilizations techniques,<br />

creative exercises and diagnosis specific protocols<br />

and efficient evaluations. 400+page handout and over 5,000<br />

evidence based references and endless evidence based<br />

treatment strategies. Contact: 877-794-7328 (toll-free); or<br />

www.greatseminarsandbooks.com<br />

AUG. 3-11, 2012 RED BANK, NJ<br />

SEPT. 22-30, 2012 CHICAGO, IL<br />

OCT. 12-20, 2012 SAN ANTONIO, TX<br />

Lymphedema <strong>Therapy</strong> Certification<br />

Condensed Schedule<br />

“The best course I’ve ever taken!” is a frequent comment<br />

from graduates of this invaluable class. Klose Training’s<br />

reputation <strong>for</strong> top-quality education attracts students globally.<br />

Our extraordinary instructors are the most experienced<br />

in the field; all are practicing therapists. Students receive lots<br />

of personal attention during class plus free post-graduation<br />

consultations <strong>for</strong> challenging cases. The first 45 of 135 total<br />

hrs are completed in a self-paced home-study <strong>for</strong>mat; less<br />

lost work time & fewer travel costs. The remaining 9 days of<br />

classroom education emphasize hands-on experience. CEUapproved.<br />

Contact: Klose Training, 303-245-0333; info@<br />

klosetraining.com or www.klosetraining.com<br />

AUG. 10-11, 2012 PHILADELPHIA, PA<br />

SEPT. 21-22, 2012 KANSAS CITY, MO<br />

Treatment of Patients<br />

With Neurologic Disorders<br />

This course will help focus on making evidence-based strategies<br />

easy to integrate into your adult neuro rehab practice.<br />

Outcome measures that are reliable and valid in persons with<br />

neurological diagnoses will be presented and demonstrated.<br />

Treatment approaches that improve ambulation and upper<br />

extremity functioning will be presented. Foundational strategies<br />

including strengthening, cardiovascular conditioning and<br />

neuroplasticity <strong>for</strong> persons with neurological diagnoses will<br />

be emphasized, with case studies. Instructor: Kari Dunning.<br />

Contact: Education Resources, Inc., 508-359-6533; 800-<br />

487-6530 (outside MA); www.educationresourcesinc.com<br />

AUG. 10-11, 2012 NEW BRUNSWICK, NJ<br />

OCT. 19-20, 2012 CONWAY, AR<br />

NOV. 9-10, 2012 PORTLAND, OR<br />

Torticollis: Effective<br />

Assessment and Treatment<br />

Has the clinical presentation of torticollis changed? Novice<br />

and experienced clinicians will explore the effects of torticollis,<br />

sleep posture and increased use of positional devices on<br />

infant postural development. Functional, clinically oriented<br />

evaluation and evidenced-based treatment strategies <strong>for</strong><br />

infants through 2 years of age will be provided. Clinical pathways<br />

of management of infant head shape, diagnostic procedures<br />

and surgical intervention will be appraised. Learning<br />

opportunities will transpire through lectures, group problem<br />

solving and video review. Instructor: Cindy Miles. Contact:<br />

Education Resources, Inc., 508-359-6533; 800-487-6530<br />

(outside MA); www.educationresourcesinc.com<br />

AUG. 10-11, 2012 HOLLYWOOD, FL<br />

OCT. 19-20, 2012 PROVIDENCE, RI<br />

NOV. 10-11, 2012 LOS ANGELES, CA<br />

Children’s Brains and<br />

Evidence <strong>for</strong> Intervention<br />

Contemporary theories of neuroplasticity especially as related<br />

to motor control, motor learning, and motor development<br />

will be presented. Emphasis will be on applying empirical<br />

evidence to pediatric evaluation and intervention strategies.<br />

Videotapes of treatment sessions will be used to illustrate<br />

major points. Controversial issues related to spasticity, handling<br />

techniques, and early gait training will be addressed,<br />

as well as cognitive and perceptual issues related to praxis.<br />

Instructor: Patricia Montgomery, PT, PhD, FAPTA. Contact:<br />

Education Resources, Inc., 508-359-6533; 800-487-6530<br />

(outside MA); www.educationresourcesinc.com<br />

AUG. 11-12, 2012 ST. PETERSBURG, FL<br />

SEPT. 8-9, 2012 PITTSBURGH, PA<br />

SEPT. 15-16, 2012 ATLANTA, GA<br />

Sara Meeks Seminars<br />

On Osteoporosis - Level I<br />

Statistics show that over 55% of people over age 50 have low<br />

bone mass (osteopenia/osteoporosis). Learn how to recognize<br />

people with these conditions; get the latest in<strong>for</strong>mation<br />

on management; take home a comprehensive, safe, effective<br />

intervention <strong>for</strong> this and other back pathologies including<br />

spinal stenosis. Start Certification in The Meeks Method,<br />

based on sound therapeutic exercise principles as reflected<br />

in the research literature. An award-winning, international<br />

presenter, Sara Meeks, PT, MS, GCS, teaches all locations.<br />

CEUs provided. Contact: SARA MEEKS SEMINARS, 888-330-<br />

7272; or www.sarameekspt.com<br />

AUG. 14-15, 2012 BROOKLYN, NY<br />

NDT Approach to<br />

Pre-Term Infants in EI<br />

Learn how medical conditions related to prematurity impact<br />

development. Learn to assess the relationship between the<br />

development/maturation of the autonomic nervous system<br />

(ANS) and baby’s self-regulation, state, social interactions<br />

and bonding. Learn principles of adaptive positioning to<br />

support body alignment and self regulation, w/application to<br />

feeding, sleeping, social interactions and bonding. Includes<br />

practice labs. Development of treatment plans supporting<br />

ANS functioning, which can be embedded into family’s daily<br />

routines, enhancing caregiver competency, reducing stress<br />

and facilitating carryover of treatment goals. Presenter:<br />

Karen Goldberg, MS, PT, PCS, C/NDT. Light supper provided.<br />

(Kosher) ASHA, NYPTA CEUs. NBCOT PDUs. Two 3-hr evening<br />

sessions. Contact: 718-851-3300, ext 108; or shoshana.<br />

challenge@thejnet.com<br />

JOB SEARCHING MADE SIMPLE — WWW.<strong>ADVANCE</strong>WEB.COM


AUG. 17-18, 2012 FAIRFIELD, CT<br />

OCT. 5-6, 2012 WASHINGTON, DC<br />

NOV. 9-10, 2012 HOLLYWOOD, FL<br />

Nothing Else Matters<br />

If You Can’t Breathe!<br />

This course focuses on the primary and secondary cardiopulmonary<br />

impairments that limit therapeutic and patient<br />

outcomes in various settings from the Intensive Care Unit to<br />

Long Term Care to Outpatients, school setting and to Home<br />

Care. It includes examination and patient care management<br />

of cardiopulmonary disease and dysfunction. The physiological<br />

and evidence basis of interventions will primarily focus on<br />

practical aspects relating to all patients and clients. The title<br />

of the seminar tells it all, nothing else matters if you can’t<br />

breathe! Instructor: Donna Frownfelter. Contact: Education<br />

Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />

www.educationresourcesinc.com<br />

AUG. 17-18, 2012 HOLLYWOOD, FL<br />

OCT. 12-13, 2012 ATLANTA, GA<br />

Building the Brain:<br />

Neurobiological Treatment Approach<br />

This two day integrative holistic workshop will provide you<br />

with a scientific and theoretical framework <strong>for</strong> assessment<br />

and treatment of ANY brain of ANY age. This course draws<br />

on the expansive brain-behavioral sciences to energize and<br />

empower any practice, demystifying the process of neurorehabilitation.<br />

These concepts and tools will be easily incorporated<br />

into any treatment setting. Instructor: Robin Harwell.<br />

Contact: Education Resources, Inc., 800-487-6530; 508-<br />

359-6533 (within MA); www.educationresourcesinc.com<br />

John F. Barnes, PT<br />

International lecturer, author, and<br />

authority on Myofascial Release.<br />

AUG. 17-18, 2012 TALLAHASSEE, FL<br />

OCT. 12-13, 2012 FRAMINGHAM, MA<br />

DEC. 7-8, 2012 SAN ANTONIO, TX<br />

Driving Neuroplastic<br />

Change in Stroke Survivors<br />

Designed to take the complexity and guesswork out of planning<br />

treatment, this seminar focuses on a new perspective<br />

on stroke recovery. Based on principles proven to drive<br />

neuroplastic change in stroke survivors, this seminar will<br />

provide the tools to incorporate leading-edge, researchbased<br />

recovery options. Included will be an in-depth look at a<br />

variety of cutting edge strategies, technologies and treatment<br />

options to aid stroke survivors in reaching the highest level of<br />

potential recovery, such as modified constraint induced therapy,<br />

gaming technologies, and motor imagery techniques,<br />

among others. Instructors: Peter Levine. Contact: Education<br />

Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />

www.educationresourcesinc.com<br />

AUG. 17-18, 2012 DULUTH, MN<br />

OCT. 26-27, 2012 OREGON, OH<br />

Brachial Plexus Injuries<br />

Treatment: Infant thru Teen<br />

Do you assess and treat pediatric patients with Obstetrical<br />

Brachial Plexus Injuries? This workshop will provide you<br />

with the comprehensive knowledge you need to be able to<br />

confidently per<strong>for</strong>m comprehensive examinations, develop<br />

attainable goals and choose the most effective therapeutic<br />

strategies and make surgical referrals <strong>for</strong> each stage of<br />

recovery throughout infancy, childhood, and teen years.<br />

Instructors: Cindy Servello & Pia Stampe. Contact: Education<br />

Resources, Inc., 800-487-6530; 508-359-6533; www.edu<br />

cationresourcesinc.com<br />

NEED <strong>ADVANCE</strong> REPRINTS? CALL 800-355-5627<br />

AUG. 18-19, 2012 NASHVILLE, TN<br />

AUG. 25-26, 2012 CHICAGO, IL<br />

Edema-Differential<br />

Diagnosis & Treatment<br />

This intensive two-day course is designed to teach clinicians<br />

to differentiate between various edema etiologies and<br />

design effective treatment programs based on those findings.<br />

Topics include the evaluation of the arterial, venous,<br />

and lymphatic systems. Numerous treatment techniques<br />

will be covered, such as compression bandaging as well<br />

as a hands-on introduction to manual lymphatic drainage.<br />

Over 80% of attendants rated this course Excellent, all others<br />

rated it Good. Cost: Only $350 <strong>for</strong> 16 hours. Please call<br />

<strong>for</strong> group discounts. Contact: JVB Enterprises, Inc., 888-<br />

328-6755 (toll-free); www.teachtx.com <strong>for</strong> other courses<br />

offered in your area or <strong>for</strong> more in<strong>for</strong>mation.<br />

AUG. 18-29, 2012 HOUSTON, TX<br />

Treatment and Assessment of<br />

The Pediatric Shoulder<br />

Instructors: Gabriel Brooks. Location: Texas Children’s<br />

Hospital, Houston, Texas 77030. Contact: Mitzi Wiggin,<br />

832-826-6107 <strong>for</strong> more in<strong>for</strong>mation; e-mail: mmwiggin@<br />

texaschildrens.org or register online: www.texaschildrens.<br />

org/pmr and click on continuing education.<br />

AUG. 19-20, 2012 ENGLEWOOD, NJ<br />

OCT. 5-6, 2012 MONROE, NC<br />

NOV. 9-10, 2012 ORLAND PARK, IL<br />

Movement, Rhythm and<br />

Sequencing - Getting the Beat<br />

This intensive conference will provide clinicians with dynamic<br />

state of the art intervention strategies that support integration<br />

of sensation in children with sensory, emotional and<br />

(Continued on next page)<br />

Learn . . .<br />

Myofascial Release<br />

Pain Headaches Motion<br />

LAKE OF THE OZARKS, MO<br />

Myofascial Release I <br />

July 26 -29 ( 1 ⁄2 days), 2012<br />

Myofascial Unwinding<br />

July 30 - August 1, 2012<br />

Myofascial Release II <br />

August 2-5 ( 1 ⁄2 days), 2012<br />

NEW YORK, NY<br />

Cervical-Thoracic<br />

August 17 -19, 2012<br />

Myofascial Rebounding<br />

August 20 -22, 2012<br />

Women’s Health<br />

August 23 -26, 2012<br />

Register <strong>for</strong> 3 Seminars & Receive<br />

$ 300 off !<br />

Develop Your “Hands-On” Expertise . . .<br />

To Register Call 1-800-FASCIAL<br />

www.MyofascialRelease.com<br />

CAPE COD, MA<br />

Myofascial Release I <br />

September 6 -9 ( 1 ⁄2 days), 2012<br />

Myofascial Unwinding<br />

September 10 -12, 2012<br />

Myofascial Release II <br />

September 13 -16 ( 1 ⁄2 days), 2012<br />

Recent Research<br />

verifies the<br />

principles that have<br />

been taught the past<br />

40 years by<br />

John F. Barnes, PT.<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

EDUCATION OPPORTUNITIES<br />

33


EDUCATION OPPORTUNITIES<br />

(Continued from previous page)<br />

motor challenges. Presentation of current neurobiology<br />

of the vestibular system’s central role in sub-cortical and<br />

cortical intercommunication and related research are<br />

reviewed. Assessment strategies and intervention methods<br />

to: Improve sensory modulation, Enhance vestibular<br />

function and postural skills, Optimize social readiness,<br />

Synchronize the organization and sequencing of motor<br />

skills and behavior as needed <strong>for</strong> optimal function in<br />

time and space. Instructor: Lise Gerard-Faulise. Contact:<br />

Education Resources, Inc., 508-359-6533; 800-487-6530<br />

(outside MA); www.educationresourcesinc.com<br />

AUG. 24-25, 2012 DECATUR, GA<br />

Home Modifications:<br />

Promoting Safety and Independence<br />

Learn to maximize safety, independence, and access<br />

through functional and environmental home modifications.<br />

With the national movement toward aging in place along with<br />

the trend of integrating people of all ages with disabilities into<br />

society, there has been an explosion of products, technology<br />

and environmental options to support living at home. This<br />

course will give you the tools and resources needed to make<br />

difficult clinical decisions incorporating equipment, technology<br />

or remodeling to address the current and future needs<br />

of your clients. Instructor: Marnie Renda. Contact: Education<br />

Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />

www.educationresourcesinc.com<br />

AUG. 24-25, 2012 TEMPLE, TX<br />

SEPT. 21-22, 2012 LOVELAND, CO<br />

OCT. 26-27, 2012 DOYLESTOWN, PA<br />

Management of the<br />

Medically Complex Acute Patient<br />

This course is designed to enhance the clinical decisionmaking<br />

skills of participants <strong>for</strong> early mobilization and safe,<br />

effective treatment of acutely ill patients. As more patients<br />

survive critical illnesses, intervention must complement the<br />

highly technologic, life-saving medical therapies, regardless<br />

of practice setting. Discussion of lines, physiologic monitors,<br />

lab values, and diagnostic test results will focus on implications<br />

<strong>for</strong> treatment. This course will highlight a multisystem<br />

approach to the acutely ill patient. Participants will integrate<br />

examination findings into individualized care plans that can<br />

be implemented from ICU and across acute care and postacute<br />

practice settings. Instructor: Daniel Malone. Contact:<br />

Education Resources, Inc., 508-359-6533; 800-487-6530<br />

(outside MA); www.educationresourcesinc.com<br />

34 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

AUG. 24-25, 2012 PORTLAND, OR<br />

SEPT. 22-23, 2012 SEWICKLEY, PA<br />

OCT. 19-20, 2012 WATERTOWN, MA<br />

Yoga and Pilates <strong>Therapy</strong> <strong>for</strong><br />

The Child with Special Needs<br />

Learn how to integrate pilates and yoga exercise techniques<br />

into your therapeutic intervention. These techniques will be<br />

applied to the child with special needs from birth to school<br />

age with the diagnosis of sensory impairments, tone issues,<br />

autism, ADHD and spina bifida. Instruction will be completed<br />

on how to include these techniques into your everyday practice<br />

in pediatric rehabilitation. You will be able to design<br />

family friendly home programs <strong>for</strong> your clients and participate<br />

in labs so that you can better appreciate the use of these<br />

techniques. Instructor: Angelique Micallef-Courts. Contact:<br />

Education Resources, Inc., 508-359-6533; 800-487-6530<br />

(outside MA); www.educationresourcesinc.com<br />

AUG. 24-25, 2012 JACKSONVILLE, FL<br />

OCT. 12-13, 2012 BRIDGEPORT, CT<br />

NOV. 2-3, 2012 ARLINGTON, TX<br />

Mobilizing the Medically<br />

Complex Acute Care Patient<br />

Therapists are often challenged when presented with complex<br />

acute care patients who may have cardiovascular and/<br />

or pulmonary dysfunction or complications in addition to<br />

other medical conditions. Mobilizing these complex patients<br />

safely requires integration of the implications of lab values,<br />

diagnostic test results, patient history, medications and<br />

equipment. Signs of patient instability and when and how to<br />

modify or terminate treatment will be discussed. Instructor:<br />

Ellen Hillegass, EdD, PT, CCS, FAACVPR. Contact: Education<br />

Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />

www.educationresourcesinc.com<br />

AUG. 24-25, 2012 BURLINGTON, NC<br />

OCT. 20-21, 2012 BAYSIDE (QUEENS), NY<br />

NOV. 2-3, 2012 ROCHESTER, NY<br />

Practical Intervention Strategies<br />

For Children with ASD<br />

With the increasing number of children with ASD it is essential<br />

that therapists keep current on the latest research and<br />

interventions to incorporate new knowledge and techniques<br />

into their clinical practice. This course will assist practitioners<br />

in identifying, selecting and prioritizing intervention strategies<br />

to best support functional participation and successful<br />

engagement in developmentally appropriate tasks. Case<br />

analysis and group problem-solving will highlight strategies<br />

that can be used immediately in treatment of children<br />

with ASD. Instructor: Stacey Szklut. Contact: Education<br />

Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />

www.educationresourcesinc.com<br />

AUG. 24-25, 2012 MOKENA, IL<br />

DEC. 7-8, 2012 PORTSMOUTH, NH<br />

Pediatric Brain: Functional<br />

Neuroanatomy, Sensory Systems, Rx<br />

This course will provide physical and occupational therapists<br />

with a deeper understanding of the complex multi-system<br />

involvement of the brain in movement, learning and daily<br />

functioning. The course will focus on neuroanatomy incorporating<br />

cerebral development, nervous system function and<br />

interconnectivity between all areas of the brain as well as<br />

discuss the sensory systems. The instructor will demonstrate<br />

the importance of considering the visual system when assessing<br />

and treating vestibular and sensory dysfunction and will<br />

review real life cases through video. Instructor: Janine Wiskind.<br />

Contact: Education Resources, Inc., 508-359-6533; 800-487-<br />

6530 (outside MA); www.educationresourcesinc.com<br />

SEPT. 7-8, 2012 NAPERVILLE, IL<br />

SEPT. 28, 2012 NAPERVILLE, IL<br />

Kinesio Taping Method<br />

KT1 & KT2 and KT3 Certification<br />

KT1 & KT2: 2-days - Fundamental-Advanced Concepts,<br />

Muscle Taping, Corrective Techniques. Instructor: Clementine<br />

Carder, COTA/L, CMT, CKTI - Kinesio Tex Tape is the original<br />

and industry standard in elastic therapeutic taping. Learn<br />

to use this powerful modality to decrease pain, normalize<br />

muscle tension, increase circulation, influence fascia, support<br />

tendons and ligaments, and prevent pathological movement<br />

patterns. KT3 -1-day (KT1 & KT2 required). Instructor: Gerard<br />

Dysico, MD, CKTI (Physiatrist) - CEUs <strong>for</strong> PTs, PTAs, OTs,<br />

COTAs, MTs - Approved by KTA - Package deals available.<br />

Contact: Felicity Pine, Live and Learn Consulting, 914-263-<br />

1943; Info@SpineSolvers.com or www.SpineSolvers.com<br />

SEPT. 7-8, 2012 SACRAMENTO, CA<br />

OCT. 26-27, 2012 STATEN ISLAND, NY<br />

DEC. 1-2, 2012 DALLAS, TX<br />

Intervention <strong>for</strong> the Medically<br />

Complex Infant & Young Child<br />

This comprehensive course will help clinicians make the<br />

tough therapy decisions required when managing the care<br />

of children with complex medical issues. It will focus on<br />

applying evidence to decisions regarding therapy priorities,<br />

predicting outcomes, treatment modifications, and making<br />

appropriate discharge recommendations. Case studies will<br />

be used to advance clinical problem solving skills needed to<br />

address the complications and complexities of care that is<br />

constantly interrupted by medical issues, hospital stays and<br />

surgeries. The material will apply to children in all practice<br />

settings. Instructor: Jonathan Greenwood, PT, MS, NDT, PCS.<br />

Contact: Education Resources, Inc., 508-359-6533; 800-<br />

487-6530 (outside MA); www.educationresourcesinc.com<br />

SEPT. 8-9, 2012 MIAMI, FL<br />

SEPT. 14-15, 2012 POUGHKEEPSIE, NY<br />

Geriatric Neurology:<br />

Falls Prevention and Balance<br />

Are the interventions you are using to improve balance in<br />

geriatric and neurologic patients the most effective, up-todate<br />

and relevant <strong>for</strong> your individual patient? This course<br />

will teach you to select and use the most appropriate tools<br />

to assess the risk <strong>for</strong> fall, evaluate function and assess balance.<br />

Therapists will learn to differentiate normal aging from<br />

pathology and develop effective evidence-based treatment<br />

strategies to improve functional balance outcomes to optimize<br />

the environment. (Medically complex patient - Stroke -<br />

Dementia - Balance & Frail Elderly) Instructor: Carole Burnett.<br />

Contact: Education Resources, Inc., 508-359-6533; 800-<br />

487-6530 (outside MA); www.educationresourcesinc.com


SEPT. 8-9, 2012 CHICAGO, IL<br />

NOV. 3-4, 2012 HARTFORD, CT<br />

Best Practices in<br />

Home Health Care<br />

Home health care assessment and treatment has become<br />

more complex and requires specialized, advanced skills.<br />

Do you have the skills to provide your patients with the<br />

safest, best possible care? This course is designed to<br />

provide physical & occupational therapists with up-to-date,<br />

evidenced-based techniques <strong>for</strong> assessment & treatment of<br />

the medically complex geriatric home care patient. Instructor:<br />

Suzanne Clark. Contact: Education Resources, Inc., 800-<br />

487-6530; 508-359-6533 (within MA); www.educationre<br />

sourcesinc.com<br />

SEPT. 8-11, 2012 HOUSTON, TX<br />

SEPT. 13-16, 2012 PITTSBURGH, PA<br />

SEPT. 21-24, 2012 DETROIT, MI<br />

Intro to NDT Part I<br />

Improving Gait Faster Part II<br />

Achieve functional outcomes <strong>for</strong> adults with hemiplegia.<br />

Content includes the principles of NDT, facilitation of sitto-stand,<br />

use of the LE in functional activities, transfers,<br />

UE weight bearing, remediation of pain and subluxation of<br />

the hemiplegic shoulder. Bed mobility will be demonstrated.<br />

Treatment ideas and a framework to document goals based<br />

on functional outcomes using NDT will be provided. Get to<br />

results faster when improving gait. Increased clinical reasoning<br />

will enable you to know what to expect and what to<br />

predict. You will be able to assess the cause of the problem<br />

and have more immediate influence. You will have a better<br />

understanding of the normal components of gait and then<br />

understand why your patient with hemiplegia has tendencies<br />

in gait. You will practice with “hands-on” how to increase<br />

ROM of the hip and foot. Concepts <strong>for</strong> use of a self-exercise<br />

program and use of orthotics will be discussed. Additional<br />

EOE M/F/D/V<br />

Only<br />

$79!<br />

JULY<br />

treatment ideas related to gait and more examples of documentation<br />

will be provided. Both parts include videotapes,<br />

“hands-on” experience and live patient demonstrations.<br />

Cathy Runyan, OTR, & Peggy Miller, PT, NDTA Inc. Certified<br />

Instructors. Audience: PTs, PTAs, OTs, COTAs. Contact hours:<br />

30. Contact: Recovering Function, 408-268-3691; or www.<br />

RecoveringFunction.com <strong>for</strong> a complete brochure of introductory,<br />

advanced, and certification courses as well as in<strong>for</strong>mation<br />

about additional course dates/locations, group rates,<br />

& free registrations when hosting courses at your facility.<br />

SEPT. 14, 2012 SPRINGFIELD, MO<br />

NOV. 9, 2012 GLEN MILLS, PA<br />

Geriatric Strength<br />

Building <strong>for</strong> Function<br />

Many clinicians are fearful of injuring geriatric patients<br />

with strength exercises and there<strong>for</strong>e these patients are<br />

often under-exercised. With a thorough understanding of<br />

the research, optimal strength exercises can be applied to<br />

virtually all senior patients. Whatever setting you work in, this<br />

practical, clinically applicable seminar will help you get great<br />

strength exercise results. Instructor: Mark Richards. Contact:<br />

Education Resources, Inc., 508-359-6533; 800-487-6530<br />

(outside MA); www.educationresourcesinc.com<br />

SEPT. 15-16, 2012 ATLANTA, GA<br />

OCT. 20-21, 2012 RESTON, VA<br />

NOV. 10-11, 2012 SCOTTSDALE, AZ<br />

#150 OCS Exam<br />

Prep Course<br />

Instructor: Dr. Eric Wilson. This two-day course boasts an<br />

88% success rate and covers disease processes, modalities<br />

and research. It includes more than 150 OCS exam style<br />

questions and test-taking strategies. As a <strong>for</strong>mer item writer,<br />

the instructor shares the mechanics <strong>for</strong> testing, logic <strong>for</strong><br />

Visit our website <strong>for</strong> more in<strong>for</strong>mation on upcoming classes!<br />

Walk-Ins: Un<strong>for</strong>tunately, due to the nature of our events, walk-in registrations are not accepted.<br />

Questions: For questions, please email us at: rehabspecialevents@vnsny.org.<br />

CEs: For specific CE in<strong>for</strong>mation visit us online at http://www.vnsny.org/ce<br />

study and questions that reflect the content and style of<br />

the exam questions. Included are: Questions and answers<br />

that reveal student needs <strong>for</strong> improvement exam and<br />

rationale <strong>for</strong> why the correct answer is right and why the<br />

incorrect answers are wrong; and a detailed study guide<br />

by body region. Contact: Motivations, Inc., 800-791-0262;<br />

admin@motivationsceu.com or www.motivationsceu.com<br />

SEPT. 15-25, 2012 CHARLOTTE, NC<br />

SEPT. 15-25, 2012 DENVER, CO<br />

OCT. 13-23, 2012 PALM BEACH GARDENS, FL<br />

Lymphedema<br />

Certification Course<br />

The Academy of Lymphatic Studies has pioneered certification<br />

classes in Manual Lymph Drainage (Vodder/Foeldi<br />

technique) and Complete Decongestive <strong>Therapy</strong> in the U.S.<br />

since 1994. This program is a comprehensive certification<br />

course (135 hours) and is taught in only 7 working days;<br />

the course length is 11 days in total, including 2 weekends<br />

(meets the requirements of the Lymphology Association of<br />

North America). The program covers: anatomy, physiology &<br />

pathology of the lymphatic system, basic and advanced techniques<br />

of MLD, bandaging <strong>for</strong> primary and secondary upper<br />

and lower extremity lymphedema (incl pediatric care and<br />

genital lymphedema) and other conditions (post-traumatic,<br />

postoperative swellings, CVI, Migraine). Special workshops<br />

are included in the course (insurance billing, certification <strong>for</strong><br />

compression garments, etc.) The textbook “Lymphedema<br />

Management” (included in tuition) authored by the Academy’s<br />

director was published in 2004 by Thieme Medical and<br />

Scientific Publishers, NY; tuition also includes educational<br />

CD, course manual, complete set of bandages, CD <strong>for</strong><br />

limb volume calculation, set of posters of the “Lymphatic<br />

System”. After course completion each student is provided<br />

with instructor mentoring. All graduates qualify <strong>for</strong> free life-<br />

(Continued on next page)<br />

VNSNY Continuing Education Courses – Summer 2012<br />

VNSNY is an approved provider of continuing education credit by the Alabama State Nurses Association, the New York<br />

State Education Department State Board <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong>, and the American Occupational <strong>Therapy</strong> Association,<br />

and the American Speech-Language-Hearing Association.<br />

Increasing Lymphedema Awareness in<br />

Home Health Care <strong>Rehab</strong>ilitation Therapists<br />

Presenter: Kathleen Lieu, DPT, CLT<br />

Date: Thursday, July 12th, 2012,<br />

9:00AM to 12:15PM<br />

Location: VNSNY Queens Regional Office,<br />

Conference Room A<br />

Bulova Corporate Center<br />

75-20 Astoria Boulevard, 2nd Floor<br />

Jackson Heights, New York 11370<br />

Who Should Attend: PTs, OTs, PTAs, COTAs<br />

Summer 2012 Dates<br />

Creating a Pediatric Assessment:<br />

Evaluation of the Baby<br />

Presenter: Shari Mayer, PT<br />

Date: Monday, July 23rd, 2012,<br />

9:00AM to 12:30PM<br />

Location: VNSNY Bronx Regional Office,<br />

Rooms 2B and C<br />

1200 Waters Place, Bronx, New York 10461<br />

Who Should Attend: PTs, PTAs, OTs, COTAs<br />

To register, please visit us online at: http://www.vnsny.org/ce<br />

AUGUST<br />

An Evidenced Based Approach to Strength<br />

Training in the Older Adult<br />

Presenter: Joseph Gallagher, PT, DPT<br />

Date: Tuesday, August 21st, 2012,<br />

1:30PM to 4:45PM<br />

Location: VNSNY Brooklyn Regional Office,<br />

Rooms C and D<br />

1630 East 15th Street,<br />

Brooklyn, New York 11229<br />

Who Should Attend: PTs, PTAs, OTs, and COTAs<br />

Best Companies to Work <strong>for</strong> in New York, SHRM (2012) • 50 Best Places to Work in New York City, Crain’s New York Business (2010) • 50 Best NonProfit Organizations to Work For, The NonProfit Times (2011)<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

EDUCATION OPPORTUNITIES<br />

35


EDUCATION OPPORTUNITIES<br />

(Continued from previous page)<br />

time listing as certified lymphedema therapists <strong>for</strong> patient<br />

referral on our website. All courses are approved by FPTA,<br />

IPTA and AOTA <strong>for</strong> CEUs. Discounts are available <strong>for</strong> APTA<br />

& AOTA members. Financial aid available. Contact: 800-<br />

863-5935; academy@acols.com or www.acols.com <strong>for</strong><br />

a free brochure.<br />

SEPT. 19-28, 2012 MILWAUKEE, WI<br />

NOV. 5-14, 2012 STEVENS POINT, WI<br />

<strong>Physical</strong> <strong>Therapy</strong> 3-D Scoliosis<br />

Exercise According to Schroth<br />

The comprehensive 10 day C-1 certification course is<br />

now offered in the US through BSPTS (Barcelona Scoliosis<br />

<strong>Physical</strong> <strong>Therapy</strong> School). Course includes anatomy, etiology,<br />

examination, and treatment of scoliosis according<br />

to the principles of the Schroth - a method used and<br />

researched in Europe <strong>for</strong> decades. Participants will learn<br />

to classify scoliosis curves and teach curve-specific exercise.<br />

Course includes lectures, extensive patient lab time, intro to<br />

bracing, and certification exam. Participants will leave with<br />

immediate skills to evaluate and treat scoliosis. Course size is<br />

limited so register early. CEUs: 66 Contact: Spinal Dynamics<br />

of WI, 414-302-0770; www.sdwpt.com or Scoliosis <strong>Rehab</strong>,<br />

715-295-9820; www.scoliosisrehab.com<br />

SEPT. 21-23, 2012 WHITMORE LAKE, MI<br />

OCT. 19-21, 2012 MANCHESTER, NH<br />

NOV. 16-18, 2012 LONG BEACH, CA<br />

NDT Treatment of<br />

The Baby and Child<br />

Learn how to assess and treat babies from birth to 3 years<br />

old with known or suspected neuromotor impairments. An<br />

emphasis will be placed on the practical application of treatment<br />

strategies to gain functional outcomes appropriate <strong>for</strong><br />

this age group and how to incorporate therapeutic strategies<br />

into family life. Instructor: Suzanne Davis. Contact: Education<br />

Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />

www.educationresourcesinc.com<br />

SEPT. 22-23, 2012 SOMERVILLE, NJ<br />

Mechanical Disorders of<br />

The Lumbar Spine & SI Joint<br />

The lumbar portion of this course, which is a symptom reproduction<br />

model is based upon the teachings of James Cyriax, Robin<br />

McKenzie and Geoffrey Maitland. The sacroiliac portion of the<br />

course, which is a Norwegian symptom provocation and alleviation<br />

model is based upon the teachings of Olaf Evjenth and<br />

Freddie Kaltenborn. The participants will learn how to system-<br />

atically assess the patient <strong>for</strong> lumbar and sacroiliac mechanical<br />

dysfunction and apply the appropriate therapeutic exercise and<br />

manual therapy, via lab sessions. Instructor: Russell Woodman.<br />

Contact: Education Resources, Inc., 508-359-6533; 800-487-<br />

6530 (outside MA); www.educationresourcesinc.com<br />

SEPT. 22-23, 2012 SACRAMENTO, CA<br />

OCT. 13-14, 2012 NEW ROCHELLE, NY<br />

DEC. 1-2, 2012 CHARLOTTE, NC<br />

Safe Steps: Making Gait,<br />

Balance Assessment & Treatment<br />

Speaker James C. Wall, BSC, MSc, MEd, PhD, presents Safe<br />

Steps: Making Gait and Balance Assessment and Treatment<br />

Worth It. This 20 contact hour seminar reviews the major<br />

changes commonly seen in the elderly, which can contribute<br />

to problems with gait, balance, and subsequent loss of independence.<br />

Evaluation tools, objective techniques to measure<br />

functional mobility tasks and evidence-based treatment<br />

strategies will be covered. Contact: 877-794-7328 (tollfree);<br />

or www.greatseminarsandbooks.com<br />

SEPT. 23, 2012 QUEENS, NY<br />

OCT. 21, 2012 QUEENS, NY<br />

NOV. 3-4, 2012 FT. LAUDERDALE, FL<br />

TheraPeeds/Julia Harper<br />

Sensory Integration Courses<br />

Join Julia Harper, MS, OTR/L, one of the industry’s most<br />

sought after instructors, in the limited offerings of her live<br />

courses where she teaches PRACTICAL proven strategies <strong>for</strong><br />

treating your pediatric clients diagnosed with a wide variety<br />

of deficits. Don’t miss the opportunity to meet with her, ask<br />

your questions and leave each course with a “How-to” Guide!<br />

Contact: www.therapeeds.com <strong>for</strong> a list of courses, both<br />

LIVE and ONLINE VIDEO COURSES!<br />

SEPT. 28-29, 2012 HAMDEN, CT<br />

Yoga <strong>Therapy</strong> in the Classroom:<br />

Get Ready to Learn<br />

This NEW 2 day course offers the school based therapist<br />

4 research routines utilizing a comprehensive group yoga<br />

program in an accessible <strong>for</strong>mat <strong>for</strong> children of all abilities.<br />

The Get Ready to Learn program was developed by yoga<br />

teacher and occupational therapist, Anne Buckley Reen. Get<br />

Ready to Learn provides a daily therapeutic classroom routine<br />

designed to address problems with self regulation, attention,<br />

motor planning, auditory processing and motor per<strong>for</strong>mance.<br />

Instructor: Anne Buckley-Reen. Contact: Education<br />

Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />

www.educationresourcesinc.com<br />

Attention Therapists: Interested in Lymphedema Management Certification?<br />

Now you can get<br />

Certified even<br />

Faster!<br />

Announcing our new program:<br />

Accelerated Hybrid Online Program allows<br />

students to obtain their certification in 7 working days!<br />

Advantages Include:<br />

Cost Savings Less time in the classroom means less time away.<br />

Quality Both online and classroom hours to obtain maximum benefit. fit.<br />

Flexibility Students utilize our Home Study or Online Portal. .<br />

More Locations more classes in more locations, allows<br />

students to choose which location best serves their needs.<br />

All courses and seminars are approved <strong>for</strong> CEU’s<br />

Website www.acols.com Phone 1.800.863.5935 35<br />

36 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

The Source <strong>for</strong> Research Based<br />

Lymphedema Management<br />

Introducing the NEW<br />

Accelerated Hybrid<br />

Online Program!<br />

We offer both Certifications<br />

Courses and Seminars.<br />

SEPT. 28-29, 2012 STATEN ISLAND, NY<br />

OCT. 26-27, 2012 NEW BERN, NC<br />

Geriatric Neurology in<br />

The Medically Complex Client<br />

Learn evaluation tools and treatment protocols <strong>for</strong> medically<br />

complex older persons with neurological dysfunction.<br />

Evidence-based in<strong>for</strong>mation on assessment and treatment<br />

of clients with Parkinson’s Disease, Stroke, Alzheimer’s, balance<br />

and gait disorders, neurosensory pathologies and pain<br />

will be provided. The changes associated with aging as well<br />

as pathological manifestations that affect the neurosensory<br />

system and result in problems with coordination, mobility,<br />

proprioception and kinesthesia, balance and falls, weakness<br />

and pain will be presented. Instructor: Jennifer Bottomley.<br />

Contact: Education Resources, Inc., 508-359-6533; 800-<br />

487-6530 (outside MA); www.educationresourcesinc.com<br />

SEPT. 29-30, 2012 GRAND RAPIDS, MI<br />

OCT. 6-7, 2012 PITTSBURGH, PA<br />

NOV. 3-4, 2012 DAVENPORT, IA<br />

Home Health<br />

<strong>Rehab</strong>ilitation<br />

Speaker: Carol Schunk PT, PsyD. Home Health is a unique<br />

physical therapy practice setting. Not only are there clinical<br />

issues but being in the patient’s home environment makes<br />

the delivery of service very different than in an outpatient<br />

or inpatient facility. This 20 contact hour course will provide<br />

both clinical in<strong>for</strong>mation relevant to those being treated in<br />

their home as well as the psychological aspects of dealing<br />

with families and caregivers including evaluation tools <strong>for</strong><br />

balance, function, cognitive ability and environmental hazards<br />

presented to allow the therapist to develop an appropriate<br />

plan of care. Contact: 877-794-7328 (toll-free); or www.<br />

greatseminarsandbooks.com<br />

OCT. 4-7, 2012 RICHMOND, VA<br />

OCT. 11-14, 2012 CHICAGO, IL<br />

OCT. 20-23, 2012 ATLANTA, GA<br />

Recovering Function NDT Courses<br />

Intro, Advanced, Cert<br />

Recovering Function’s series of “hands-on” NDT courses<br />

provides you with a step-by-step framework or problemsolving<br />

strategies and manual cues <strong>for</strong> assessing potential<br />

and individualizing functional outcomes when implementing<br />

interventions <strong>for</strong> your adult clients with hemiplegia. Audience:<br />

OTs, COTAs, PTs, PTAs. Cathy Runyan, OTR/L, & Peggy Miller,<br />

PT, NDTA, Inc. Certified Instructors. Offered nationwide.<br />

Contact: Recovering Function, 408-268-3691; or www.<br />

RecoveringFunction.com <strong>for</strong> a complete brochure of intro,<br />

advanced, and cert courses as well as in<strong>for</strong>mation about<br />

additional course dates/locations, group rates & free registrations<br />

when hosting courses at your facility.<br />

OCT. 5-7, 2012 HOUSTON, TX<br />

NOV. 9-11, 2012 WEYMOUTH, MA<br />

Three-Day Intensive on<br />

Treating the Child with Hypotonia<br />

This three-day intensive workshop on treating the child with<br />

hypotonia will focus on specific strategies to improve motor<br />

control in this population. Techniques to improve proximal<br />

control, sustained postural movements against gravity, and<br />

symmetrical alignment will be demonstrated through use of<br />

videotapes, as well as 3 patient demonstrations and practice<br />

labs. Lecture and video material will cover key deficits in<br />

the motor and sensory development of the hypotonic child.<br />

Instructor: Barbara Hypes. Contact: Education Resources,<br />

Inc., 508-359-6533; 800-487-6530 (outside MA); www.<br />

educationresourcesinc.com<br />

RENEW YOUR FREE SUBSCRIPTION TODAY<br />

CALL 800.355.1088


OCT. 10-12, 2012 TAMPA BAY, FL<br />

Vestibular<br />

<strong>Rehab</strong>ilitation <strong>Therapy</strong><br />

This 3-day workshop provides “hands-on” training and<br />

includes an overview of vestibular anatomy and physiology,<br />

extensive training materials <strong>for</strong> therapy programs, as<br />

well as direct patient observation. The American Institute<br />

of Balance has successfully trained thousands of therapists<br />

from around the world and is one of the few institutions<br />

that provide certification. Course Director: Richard E.<br />

Gans, PhD, nationally known expert in Vestibular Testing<br />

and <strong>Rehab</strong>ilitation and author of Vestibular <strong>Rehab</strong>ilitation:<br />

Protocols & Programs. Workshops in Vestibular Assessment<br />

or Vestibular Assessment & Management are also available.<br />

Contact: Karen Stephenson, 800-245-6442 <strong>for</strong> program<br />

questions; or www.dizzy.com to register.<br />

OCT. 12-13, 2012 DENVER, CO<br />

NOV. 3-4, 2012 AKRON, OH<br />

<strong>Rehab</strong> <strong>for</strong> Persons w/ Dementia:<br />

Making <strong>Therapy</strong> Worth It<br />

Speaker: Susan Staples, PT, GCS. This 20 contact hour<br />

seminar provides participants with specific evaluation and<br />

treatment strategies that are critical to improve outcomes<br />

<strong>for</strong> this challenging and rapidly growing patient population.<br />

Included are strategies <strong>for</strong> gait, balance and falls, mobility, hip<br />

fractures, strength/ROM, cardiopulmonary and pain issues,<br />

seating and positioning, restraints, and behavioral problems.<br />

Participants will also gain a thorough understanding of the<br />

different types of dementia with specific communication and<br />

approach strategies <strong>for</strong> success. The speaker provides an<br />

evidence-based seminar with an extensive handout. Contact:<br />

877-794-7328 (toll-free); or www.greatseminarsandbooks.<br />

com<br />

NOV. 2-3, 2012 ALBANY, NY<br />

DEC. 1-2, 2012 PALM SPRINGS, CA<br />

Geriatric<br />

Therapeutic Exercise<br />

Speaker: Mark Traffas PT, GTC. Exercising geriatric patients<br />

presents a unique challenge to therapists. This 20 contact<br />

hour course will demonstrate different, evidence-based<br />

exercise techniques and innovative interventions <strong>for</strong> all of<br />

the body’s major joints as well as <strong>for</strong> the most common<br />

diagnoses seen in older patients (i.e., stroke, Parkinson’s<br />

disease, gait and balance deficits). You will learn how to use<br />

functional tools to establish and guide exercise programs.<br />

Don’t miss this opportunity to enlarge your arsenal of treatment<br />

ideas. Contact: 877-794-7328 (toll-free); or www.<br />

greatseminarsandbooks.com<br />

DEC. 1-9, 2012 NEW ORLEANS, LA<br />

JAN. 12-20, 2013 ORLANDO, FL<br />

JAN. 12-27, 2013 SAN JOSE, CA<br />

Lymphedema<br />

<strong>Therapy</strong> Certification<br />

The Norton School of Lymphatic <strong>Therapy</strong>’s Advantage Optimal<br />

Access Format is a blended live & web-based certification<br />

program producing LANA-eligible lymphedema therapists<br />

in only 9 continuous days. Only 5 workdays and 2 weekends<br />

make this course the most sensible, cost-effective,<br />

unmatched choice. Save large expenses on staff coverage,<br />

travel, hotel and meals. Take our online Virtual Tour and<br />

compare to other schools! This course teaches: Manual<br />

Lymph Drainage (MLD) & Complete Decongestive <strong>Therapy</strong><br />

(Vodder/Foeldi Tech) covering 135 hours, basic and advanced<br />

MLD, bandaging & Tx protocols, Tx of primary & secondary<br />

lymphedema, extremity & non-extremity lymphedema. All<br />

Norton School instructors are recognized national experts<br />

and are available via e-mail & phone consultation <strong>for</strong> Tx of<br />

complex patients. We offer Advanced Training Programs,<br />

Reviews, Bi-Annual Conferences, Specialized Training Videos<br />

& free lifetime listing in our Therapist Referral Database.<br />

Multiple courses offered per month nationally. Inquire about<br />

hosting a course! MD, RN, PT, OT, PT & OT Assistants,<br />

Nurses & MTs qualified. The Norton School is recognized<br />

by FPTA, NJ, SBPTE, TPTA, AOTA & NCBTMB <strong>for</strong> CEUs.<br />

Senior Faculty: Steve Norton, MLD/CD, CLT-LANA; Andrea<br />

Cheville, MD, Medical Director. Contact: 866-445-9674 (tollfree);<br />

866-854-7800 (fax); info@NortonSchool.com or www.<br />

NortonSchool.com<br />

UPGRADE<br />

YOUR WORK<br />

GEAR THIS<br />

SEASON!<br />

FIND THE LATEST<br />

TRENDS AT THE<br />

advancehealthcareshop.com<br />

NEED A QUICK<br />

TRADESHOW<br />

GIVEAWAY?<br />

EMAIL REPRINTS@<strong>ADVANCE</strong>WEB.COM<br />

productS At work<br />

SCENAR continued from page 27<br />

Phty, describes it as “an advanced <strong>for</strong>m of electrotherapy<br />

which can be effective in the treatment<br />

of both acute and chronic pain conditions<br />

and physical dysfunction—even those that have<br />

not responded to other <strong>for</strong>ms of treatment.” He<br />

goes on to say that there are benefits to both<br />

patient and practitioner. For patients: “it may<br />

include faster recovery times, versatility (can use<br />

with children, adults and the elderly), com<strong>for</strong>t,<br />

safety and few contraindications, so treatment<br />

over sites with metal implants is permitted.”<br />

However, he writes that SCENAR therapy is not<br />

indicated <strong>for</strong> cardiac patients who have pacemakers.<br />

Some benefits to the physical therapist,<br />

according to Lyons, are that “the device is small,<br />

portable, user-friendly, safe and requires only a<br />

relatively low level of capital investment.”<br />

I have a certain protocol I use to introduce<br />

my patients to what the scanner is and what<br />

it can do <strong>for</strong> them. In order that the patient not<br />

be apprehensive, first I show it to the patient.<br />

Once patients are com<strong>for</strong>table with me using<br />

the instrument, I tell them that as I work they<br />

should only experience a light and com<strong>for</strong>table<br />

feeling from the scanner, and if they do not feel<br />

com<strong>for</strong>table they need to tell me. I explain that<br />

the scanner is battery operated and can be<br />

adjusted immediately <strong>for</strong> com<strong>for</strong>t.<br />

Slow Approach<br />

The next thing I do, which I feel is of major<br />

importance in assuring a beneficial treatment,<br />

is to keep one hand on the patient’s body and<br />

to use the scanner with the other. My hand that<br />

is on the body can do mobilization at the same<br />

time that I am using the scanner. It is possible to<br />

do trigger-point therapy and manual techniques<br />

of all kinds in the same way. The scanner can<br />

also be used while the patient is doing active<br />

physical movement. wIf the patient has sciatica<br />

on the right side of the body, I will use the scanner<br />

on that side and then the left.<br />

<strong>Physical</strong> therapists need to know traditional<br />

techniques, but we need to use 21st century<br />

technology as well. Adding SCENAR to treatment<br />

can enhance patients’ well being and<br />

they will become the best referral sources <strong>for</strong><br />

our practices. n<br />

For more in<strong>for</strong>mation about this device, contact<br />

Tomatex LLC at www.tomatex.com.<br />

Shmuel Tatz is a New York State licensed physical<br />

therapist. His studies and experience encompass 30<br />

years and three continents.<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

EDUCATION OPPORTUNITIES<br />

37


Aquatic <strong>Therapy</strong> Resource Directory<br />

A Word From <strong>ADVANCE</strong><br />

We invite comments so that our future product supplements,<br />

buyers’ guides and reference guides may better<br />

serve <strong>ADVANCE</strong> readers. Please <strong>for</strong>ward comments to<br />

editor Lisa Lombardo, <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong><br />

& <strong>Rehab</strong> <strong>Medicine</strong>, 3100 Horizon Drive, King of Prussia, PA, 19406; fax:<br />

610-275-8562; e-mail: llombardo@advanceweb.com.<br />

<strong>ADVANCE</strong> strives <strong>for</strong> accuracy in its reports. Inclusion or exclusion<br />

doesn’t mean <strong>ADVANCE</strong> endorses one company over another.<br />

<strong>ADVANCE</strong> reserves the right to edit entries <strong>for</strong> style, clarity, brevity<br />

and fairness. In<strong>for</strong>mation in the listings was submitted by companies.<br />

Trademark and registered symbols are listed as they were noted on<br />

submitted entries. Only companies that responded to <strong>ADVANCE</strong> are<br />

included in this guide.<br />

Endless Pools<br />

1601 Dutton Mill Road<br />

Aston, PA 19014<br />

610-497-8676<br />

800-233-0741<br />

Fax: 610-497-9328<br />

E-Mail: swim@endlesspools.com<br />

Website: www.endlesspools.com<br />

Products Offered: Endless Pools ®.<br />

38 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

Hydro-Tone Fitness Systems Inc.<br />

2468-A N. Glassell Street<br />

Orange, CA 92865<br />

714-998-9595<br />

800-622-8663<br />

Fax: 714-998-8799<br />

E-Mail: hydrotone@aol.com<br />

Website:www.hydrotone.com<br />

Products Offered: Specially designed aquatic<br />

therapy and exercise equipment that significantly<br />

increases drag resistance in water.<br />

HydroWorx<br />

1420 Stoneridge Drive<br />

Middletown, PA 17057<br />

717-902-1923<br />

800-753-9633<br />

Fax: 717-902-1933<br />

E-Mail: corporate@hydroworx.com<br />

Website: www.hydroworx.com<br />

Products Offered: Aquatic therapy pools, underwater<br />

treadmills.<br />

SlipOn Swimsuits<br />

P.O. 448<br />

Orewa, 0946<br />

Auckland NZ<br />

649-427-5574<br />

E-Mail: info@sliponswimsuits<br />

Website: www.sliponswimsuits.com<br />

Products Offered: Aquatic swimwear that’s easy<br />

to put on and take off. Most com<strong>for</strong>table 3 lengths in<br />

each size swimsuit 8-5 plus.<br />

Sprint Aquatics<br />

P.O. Box 3840<br />

San Luis Obispo, CA 93403<br />

805-541-5330<br />

[ResouRce DiRecToRy]<br />

800-235-2156<br />

Fax: 805-541-5339<br />

E-Mail: info@sprintaquatics.com<br />

Website: www.sprintaquatics.com<br />

Products Offered: Aquatic therapy, goggles, swim<br />

caps, and other products to meet your aquatics needs.<br />

SwimEx Inc.<br />

846 Airport Road<br />

Fall River, MA 02720<br />

508-646-1600<br />

800-877-7946<br />

Fax: 508-675-0525<br />

E-Mail: sales@swimex.com<br />

Website: www.swimex.com<br />

Products Offered: Aquatic therapy pools and<br />

plunge tanks.<br />

Water Gear Inc.<br />

P.O. Box 759<br />

Pismo Beach, CA 93448-0759<br />

805-929-2834<br />

800-794-6432<br />

805-929-2851<br />

E-Mail: home@watergear.com<br />

Website: http://watergear.com/<br />

Products Offered: Aqua aerobics and rehab gear.


CLASSIFIED EMPLOYMENT OPPORTUNITIES<br />

<strong>ADVANCE</strong><br />

<strong>for</strong> <strong>Physical</strong> Therapists & <strong>Rehab</strong> <strong>Medicine</strong><br />

reaches over 85,100 active, qualified physical therapy<br />

professionals nationwide every issue.<br />

1 New England . . . . . . . . . . . . . . . . . . . . . . p. 39<br />

2 Middle Atlantic . . . . . . . . . . . . . . . . . . . . . p. 39<br />

3 Upper South Atlantic . . . . . . . . . . . . . . . . p. 42<br />

4 Lower South Atlantic . . . . . . . . . . . . . . . . p. 43<br />

5 East South Central . . . . . . . . . . . . . . . . . . p. 45<br />

8 West South Central. . . . . . . . . . . . . . . . . . p. 45<br />

11 Pacific. . . . . . . . . . . . . . . . . . . . . . . . . . . . p. 44<br />

National . . . . . . . . . . . . . . . . . . . . . . . . . . p. 45<br />

International . . . . . . . . . . . . . . . . . . . . . . . p. 46<br />

NEW ENGLAND<br />

<strong>Physical</strong> <strong>Therapy</strong> Director/<br />

<strong>Physical</strong> Therapist<br />

Joint Ef<strong>for</strong>t <strong>Physical</strong> <strong>Therapy</strong> in Taunton, MA is seeking<br />

a dynamic, skilled and passionate PT Director <strong>for</strong> its busy,<br />

state of the art outpatient orthopedic PT clinic. Director will<br />

be responsible <strong>for</strong> patient care as well as overseeing and<br />

growing the therapy program. Ideal candidate will be an experienced<br />

PT with exceptional clinical and interpersonal skills.<br />

Must be a highly motivated therapist who thrives in busy<br />

environment. This exciting career opportunity offers professional<br />

challenge and growth potential. FT. Competitive salary plus bonus<br />

and full benefi ts including continuing education allowance. E-mail<br />

resumes to vlampert@acare.us or fax 877-885-6777.<br />

MIDDLE ATLANTIC<br />

<strong>Physical</strong> <strong>Therapy</strong><br />

Director<br />

Multi specialty ambulatory care health system seeks<br />

individual with strong management skills to provide<br />

leadership and be responsible <strong>for</strong> the daily operation of<br />

the <strong>Physical</strong> <strong>Therapy</strong> units at all facilities. Will be<br />

responsible <strong>for</strong> staff development along with ensuring top<br />

quality patient care.<br />

Requires:<br />

An advanced degree in <strong>Physical</strong> <strong>Therapy</strong> (Master’s or DPT).<br />

Excellent interpersonal skills to enable positive interactions<br />

with patients/families and other health care professionals.<br />

<br />

5 years experience in a supervisory or managerial position,<br />

Excellent administrative, verbal and written communication<br />

skills,<br />

Current New York <strong>Physical</strong> <strong>Therapy</strong> license.<br />

We offer competitive compensation and a comprehensive<br />

benefi ts package including medical, dental, vision, disability,<br />

<br />

resume to nyhealthcareers@yahoo.com EOE<br />

PTA - Part - time <strong>for</strong> 2 to 3<br />

mornings/week <strong>for</strong> PT owned private<br />

practice in Marine Park area Brooklyn.<br />

Excellent salary<br />

Fax resume to 347-492-4335 or<br />

e-mail: CBPT0608@msn.com<br />

Massachusetts, New York, Middle Atlantic, New Jersey<br />

Sign-On Bonus Opportunities!<br />

$5,000 – $15,000* • Home Care Experience Earns Additional $5,000<br />

Ongoing training and development. Clinical support. Cutting-edge technology. Competitive compensation<br />

and benefits. As a <strong>Physical</strong> Therapist with the Visiting Nurse Service of New York, you have the<br />

resources to provide the best care possible <strong>for</strong> your patients, while you enjoy the support you need<br />

to live your life and build your career your way.<br />

Open Interview Days<br />

TENDER TOUCH REHAB<br />

SEEKS<br />

PHYSICAL THERAPISTS & PTAs<br />

Great Benefits and Huge SignOn Bonus!<br />

Up to $15,000 in Tuition Forgiveness <strong>for</strong> new grads<br />

Director positions available<br />

Free Health Insurance Options<br />

H1B and Green Card (EB2) visas<br />

Sub acute settings<br />

. .... .<br />

1200 Waters Place • Bronx, NY 10461<br />

Thursday, July 12th & 26th<br />

10 a.m. – 2 p.m.<br />

1630 East 15th St • Brooklyn, NY 11229<br />

Tuesday, July 17th<br />

10 a.m. – 3 p.m.<br />

1250 Broadway, 7th Floor • (Entrance on<br />

West 32nd St) • New York, NY 10001<br />

Monday, July 16th<br />

10 a.m. – 2 p.m.<br />

To RSVP, please email your resume to:<br />

recruitment2@vnsny.org<br />

Please bring a copy of your resume to the event.<br />

For more in<strong>for</strong>mation, please contact:<br />

Elizabeth Scholz • 212-609-7914<br />

Email Elizabeth.Scholz@vnsny.org<br />

Visit us at: apt.vnsnyjobs.com<br />

Best Companies to Work <strong>for</strong> in New York, SHRM (2012)<br />

50 Best Places to Work in New York City, Crain’s New York Business (2010)<br />

50 Best NonProfit Organizations to Work For, The NonProfit Times (2011)<br />

BE APPRECIATED<br />

.Servicing over 100 facilities throughout NY, NJ, PA, and DE<br />

F/t, P/t and Per Diem positions<br />

Flexible schedule/ Weekend & evening hours available<br />

Early Intervention opportunities in Philadelphia<br />

Mentoring program<br />

Quality one on one treatment<br />

.....<br />

Contact Beth: phone:732.987.3887 fax:732.534.8660<br />

email: jobs@tendertouch.com www.tendertouch.com<br />

PHYSICAL THERAPIST<br />

<strong>Physical</strong>-Therapist: Part time, 3 days per week<br />

<strong>for</strong> Position the 2012-2013 available school in private year special <strong>for</strong> private education special<br />

school serving students with multiple<br />

education<br />

disabilities<br />

school<br />

ages<br />

serving<br />

3-21.<br />

students<br />

Two days<br />

with<br />

a<br />

multiple<br />

week.<br />

disabilities Send/fax ages resume: 3-21. Susan Send letter Weiner, of application, Executive<br />

resume, Director, credentials Larc School, to Susan 1089 Weiner, Creek Executive Road,<br />

Director, Bellmawr, Larc NJ 08031. School, 1089 Creek Road,<br />

E-mail: info@larcschool.org<br />

Bellmawr, 856-933-3725 NJ 08031. ★ Fax: EOE/AA 856-933-3158<br />

• Recent and new graduates welcome<br />

• Use our sign-on bonus to pay off tuition<br />

and loans<br />

• Relocation assistance<br />

• Visa sponsorship<br />

• Competitive salaries<br />

• On-site CE programs<br />

Next CE Event:<br />

Thursday, July 12th<br />

9 a.m. to 12:15 p.m.<br />

VNSNY Queens Regional Office,<br />

Conference Room A<br />

Bulova Corporate Center<br />

75-20 Astoria Boulevard, 2nd Floor,<br />

Jackson Heights, New York 11370<br />

Topic - Increasing Lymphedema Awareness<br />

in Home Health Care <strong>Rehab</strong>ilitation Therapists<br />

To register <strong>for</strong> this event,<br />

please visit us at vnsny.org/ce<br />

*Ranges from $5,000 – $15,000<br />

<strong>for</strong> certain locations.<br />

EOE M/F/D/V<br />

F/T or P/T PT or PTA<br />

<strong>for</strong> orthopedic clinic.<br />

Flexibility preferred with<br />

ortho/manual experience.<br />

F/T benefi ts incl vac, insurance,<br />

retirement and CEU allowance.<br />

New Grads considered.<br />

Fax 973-237-1977.<br />

E-mail: Damon@PTNorthJersey.com<br />

www.PTNorthJersey.com<br />

www.advanceweb.com/pt | July 9, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 39<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

39


EMPLOYMENT OPPORTUNITIES<br />

New York<br />

YOU TAKE CARE<br />

OF OUR PATIENTS.<br />

AND WE’LL TAKE<br />

CARE OF THE REST.<br />

We are an equal opportunity employer, dedicated to promoting a drug-free workplace.<br />

PHYSICAL THERAPISTS<br />

PHYSICAL THERAPIST ASSISTANTS<br />

OCCUPATIONAL THERAPISTS<br />

OCCUPATIONAL THERAPIST ASSISTANTS<br />

The Hamptons Center <strong>for</strong> <strong>Rehab</strong>ilitation and Nursing in Southampton, NY, a 280-bed SNF servicing a diverse<br />

population of long-term and subacute residents is seeking F/T<br />

PTs, PTAs, OTs, & COTAs<br />

who are dedicated to providing quality care, to join our team. We offer a great learning environment with experienced therapists.<br />

Excellent salaries and benefi ts based on experience.<br />

Please fax resume to 631-702-1100 or e-mail to: kgraffeo@hotmail.com<br />

New graduates welcome.<br />

Hawthorne<br />

Country<br />

Day School<br />

www.hawthornecountryday.org<br />

Seeking NYS Licensed<br />

<strong>Physical</strong> Therapists<br />

<strong>for</strong> Westchester and Manhattan Campuses<br />

Full-time/Part-time, Immediate Need 12-month<br />

School Calendar Special Education, autism &<br />

multiple disabilities. Competitive Salary & Benefi ts<br />

Phone: 914-592-8526 x 3125 or<br />

E-mail: darlenem@hfadm.org EEO Employer<br />

HOME CARE PTs<br />

NEEDED FOR QUEENS & NASSAU COUNTIES<br />

• Minimum of one year experience<br />

• Flexible Schedule<br />

• Specifi c region <strong>for</strong> reduced travel time<br />

• Pediatric experience a plus<br />

Please <strong>for</strong>ward resume to:<br />

Laura Watrous, Administrative Assistant<br />

Visiting Nurse Association of Long Island, Inc.<br />

100 Garden City Plaza, Suite 100<br />

Garden City, NY 11530<br />

Fax: 516-739-3864 • E-Mail: LauraW@vnali.org<br />

40 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | July 9, 2012 | www.advanceweb.com/pt<br />

40 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

My work helps to improve the lives of others.<br />

You might call it unlikely.<br />

I call it MJHS.<br />

— Mohamed S., PT<br />

““<br />

Full Time - Brooklyn, Manhattan<br />

(Bilingual English/Spanish helpful)<br />

Fee-For-Service opportunities available <strong>for</strong> OTs and SLPs<br />

Open House<br />

Monday, July 16 • 12pm - 6pm<br />

Bilingual (English/Spanish) PTs, OTs, RNs<br />

Bronx<br />

1250 Waters Place (Suite 601)<br />

For more in<strong>for</strong>mation or to register, please visit<br />

www.mjhs.jobs/eventregistration<br />

PEDIATRICS!<br />

[ mjhs.jobs ]<br />

PTs & PTAs<br />

Full-Time/Part-Time/PRN<br />

$$ SIGN-ON BONUS $$<br />

Current Openings:<br />

• Hempstead • Utica<br />

• Full-time travel in Queens<br />

For more in<strong>for</strong>mation call:<br />

877-247-5522 • Fax: 914-373-6521<br />

E-mail: careers@betterhealthcare.com<br />

www.betterhealthcare.com<br />

WE ARE LOOKING TO HIRE<br />

PHYSICAL THERAPISTS AS EMPLOYEES<br />

IN OUR EXPANDING SENSORY GYM!<br />

We are also assigning Summer/Sept<br />

school district and EI/CPSE home-based<br />

positions all in Westchester County!<br />

Great Rates! Web Billing! Continuing Ed!<br />

E-mail: cwilber@donnakleinassociates.com<br />

Call: (914) 686-3116 x 3 or fax: (914) 686-3082<br />

www.donnakleintherapy.com<br />

DONNA KLEIN & ASSOCIATES, INC.


<strong>Physical</strong> Therapists<br />

Full Time & Per Diem<br />

Palisades Medical Center, a 202-bed community hospital<br />

located in North Bergen, NJ, is currently seeking <strong>Physical</strong><br />

Therapists to work in our expanded <strong>Rehab</strong>ilitation<br />

Department. We currently have exciting Full-Time and<br />

Per Diem opportunities with Ortho and Pediatric patients<br />

<strong>for</strong> experienced Outpatient Services <strong>Physical</strong> Therapists.<br />

To qualify, you must possess a current NJ license.<br />

Bilingual skills (English/Spanish) are helpful. Salary<br />

commensurate with experience.<br />

Please send your resume to Joseph DeGennaro,<br />

Human Resources Manager. Email:<br />

jdegennaro@palisadesmedical.org.<br />

Visit us at www.palisadesmedical.org. EOE M/F/D/V.<br />

Celebrating over 25 years of service to our community.<br />

<strong>Physical</strong> Therapist<br />

Join our experienced team of pediatric therapists, many with DPT<br />

Degree and NDT certifi cations. Full-time positions available at innovative<br />

and highly respected non-profi t Approved Private School<br />

<strong>for</strong> young multiply disabled students Adjunct programs include early<br />

intervention, aquatics, school-based contracts and child care. Candidates<br />

must be eager to learn and willing to make a signifi cant professional<br />

contribution to the organization and children served. Competitive<br />

salary, excellent benefi ts and strong commitment to continuing<br />

education. Experience with assistive technology and equipment a<br />

plus. NJ License and School Certifi cation required.<br />

Send resume to: Director of <strong>Physical</strong> <strong>Therapy</strong><br />

P.G. Chambers School, 15 Halko Dr.,<br />

Cedar Knolls, NJ 07927<br />

Fax (973) 829-8485<br />

PHYSICAL THERAPIST NEEDED<br />

YCS-Sawtelle Learning Centers offer outstanding educational and related services <strong>for</strong> students with<br />

autistic spectrum disorder, ages 3-21. The schools offer a high degree of structure, excellent staff<br />

to student ratio and the systematic use of behavioral teaching techniques. Every aspect of the<br />

student’s day incorporates the theories of applied behavior analysis (ABA) with an average of<br />

3-3.5 hours of individualized instruction (discrete trial teaching) per day. A collaborative approach<br />

between teaching and related service professionals is utilized to maximize student progress.<br />

Educational, behavioral and related service goals are customized using our comprehensive<br />

language based curriculum to meet each student’s individual needs. Experience with autism, ABA<br />

preferred. Pediatric experience is required. Requires: BS/MS in <strong>Physical</strong> <strong>Therapy</strong>, NJ State license,<br />

NJ school certifi cation.<br />

Youth Consultation Service (YCS) in NJ’s leading private provider of social services offering<br />

individualized care with educational and behavioral health program in the community locations.<br />

Qualifi ed candidates are invited to apply online:<br />

WWW.YCS.ORG<br />

YCS is an Equal Opportunity/Affi rmative Action Employer<br />

PT’s • OT’s • ST’s<br />

Home Care • Per Diem<br />

GREAT PAY<br />

Afternoon visits in Brooklyn, Queens<br />

Manhattan, & Long Island<br />

You Choose Your Location!<br />

IMMEDIATE HIRE!<br />

able<br />

health care<br />

PHYSIATRISTS<br />

No Weekends or late shifts<br />

NYC ambulatory care centers seeks<br />

Physiatrists. Hospital affi liation preferred.<br />

Spanish speaking a plus. Full time positions<br />

available offering outstanding benefi ts.<br />

EOE M/F. Please send CV to:<br />

nyhealthcareers@yahoo.com<br />

EOE<br />

FAX Resume<br />

Attention CEO<br />

516-634-5329<br />

Bergen County<br />

Join our Team!<br />

New Grads Welcome!<br />

Experience Quality Care<br />

NOT High Patient Quotas<br />

EXCEL is Looking <strong>for</strong> Full-Time PTs<br />

Specializing in Orthopedics<br />

and Sports <strong>Medicine</strong> at<br />

Each of Our 6 Facilities Located<br />

in Bergen County, New Jersey.<br />

Hackensack / Waldwick / Oakland<br />

Fort Lee / Cresskill / Ruther<strong>for</strong>d<br />

$2000 Sign-on Bonus<br />

Competitive Benefi ts Package<br />

Please fax resume to<br />

201-488-5787<br />

or e-mail Laura Ash:<br />

lash@exceltherapy.com<br />

Pediatric <strong>Physical</strong> Therapist<br />

Full-Time<br />

Seeking dynamic individual <strong>for</strong> newly<br />

expanded state-of-the-art private school<br />

(11-month program) <strong>for</strong> children ages 6-13<br />

with multiple disabilities. Licensing and<br />

school certi cation required. Please send<br />

or fax resume to: Patricia Procino, P.T.<br />

The Children’s <strong>Therapy</strong> Center-<br />

Upper School<br />

321 Prospect Street<br />

Midland Park, NJ 07432<br />

Ph: 201-612-5677<br />

Fax: 201-612-6706<br />

pprocino@thechildrenstherapycenter.org<br />

www.thechildrenstherapycenter.org<br />

ATRIUM ATRIUM AT WAYNE WAYNE<br />

Excellent benefits & salary,<br />

401k retirement, and a<br />

great team atmosphere.<br />

Currently seeking Full-time & Part-time<br />

PTs & PTAs<br />

Please contact Dave Repoli<br />

(973) 694-2100<br />

E-mail: DRepoli@atriumhealthusa.com<br />

Fax: (973) 305-5834<br />

New Jersey, New York<br />

Exceed Your Expectations<br />

PHYSICAL THERAPIST - Full Time<br />

$20,000 SIGN-ON BONUS AVAILABLE!<br />

New Grads Welcomed!<br />

St. Francis Medical Center in Trenton, NJ is<br />

an acute care teaching hospital that provides<br />

comprehensive family health care services<br />

hires only the best people in all professions.<br />

The <strong>Physical</strong> Therapist will be responsible <strong>for</strong><br />

assessing, planning and implementing the delivery<br />

of care. Requirements: Must have a NJ State<br />

PT License, Basic Life Support (BLS). Education:<br />

Bachelors, Masters, or Doctorate in PT.<br />

Our <strong>Physical</strong> <strong>Therapy</strong> Department consists of a<br />

dynamic staff of <strong>Physical</strong> Therapists and <strong>Physical</strong><br />

Therapist Assistants who are active participants<br />

in a large multidisciplinary team. The physical<br />

therapist plays a vital role in the care of the postsurgical<br />

cardiothoracic patients, neurosurgical<br />

and post-wound-care patients, pulmonary patients,<br />

ICU and CCU patients and general medical patients.<br />

We offer a competitive salary and excellent<br />

benefits including: Health Insurance, Tuition<br />

Remittance, 403(b) Savings Plan, Paid Time Off,<br />

Other Incentives, Employee Referral Bonus, Free<br />

Secure Parking.<br />

Per Diem Positions Available!<br />

All qualified interested candidates please <strong>for</strong>ward<br />

or fax resumes to Attn: Leora Washington,<br />

Employment Manager, 601 Hamilton Avenue,<br />

Trenton, NJ 08629. Email: Lwashington@<br />

stfrancismedical.org, Fax: 609-599-6257. EOE<br />

Visit us at<br />

www.stfrancismedical.com.<br />

Crest <strong>Physical</strong> <strong>Therapy</strong><br />

Growing Corporately Owned <strong>Physical</strong> <strong>Therapy</strong> Practice<br />

(Orthopedic/Vestibular/Balance/Hand/Aquatic Specialties)<br />

Looking <strong>for</strong> <strong>Physical</strong> Therapists <strong>for</strong> our Whiting NJ location. Also,<br />

looking <strong>for</strong> a Per Diem physical and occupational therapist in our<br />

other locations.<br />

Full-time/Part-time. New Grads encouraged to apply.<br />

PTs, CHT (OT, PT, and PTA)<br />

To join our experienced and highly motivated team of PTs and OTs.<br />

Crest has multiple locations in the Red Bank, West Long Branch,<br />

Whiting, Toms River, Wall and Manasquan, New Jersey area, with<br />

new offi ces opening in Ocean County and North Jersey. The present<br />

position is <strong>for</strong> a <strong>Physical</strong> Therapist who can work independently and<br />

is self-motivated <strong>for</strong> our Whiting offi ce. Strong clinical manual skills<br />

are a plus. Vestibular experience is also an asset in this environment.<br />

We offer a competitive salary, a retirement plan, medical/dental<br />

benefi ts, generous paid time off, continuing education reimbursement,<br />

and a quarterly incentive program.<br />

For consideration, please e-mail your CV/Resume to:<br />

ccurtis@crestphysicaltherapy.com<br />

Dr. Charles Curtis MS, PT, DPT, Cert MDT<br />

(732) 759-8358<br />

Fax (732) 759-8478<br />

CarePlus <strong>Rehab</strong> LLC<br />

Partnership Opportunities available <strong>for</strong> NJ Licensed <strong>Physical</strong><br />

Therapists in our outpatient geriatric rehab clinics in northern<br />

and central New Jersey. Enjoy all the benefi ts of owning a business<br />

without any hassles of running a business. Set your own<br />

schedule, be your own boss, and work independently. Attractive<br />

terms. Long term commitment preferred. DIRECT HIRES ONLY.<br />

Please send your resume to: resume@pmk-usa.com or fax<br />

to 732-692-8447 <strong>for</strong> consideration.<br />

www.advanceweb.com/pt | July 9, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 41<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

at<br />

BE WELL<br />

EMPLOYMENT OPPORTUNITIES<br />

41


EMPLOYMENT OPPORTUNITIES<br />

Pennsylvania, New Jersey, New York, Washington, D.C.<br />

years ago<br />

you<br />

made a<br />

promise<br />

(so did we)<br />

...your future’s calling<br />

On the lookout <strong>for</strong><br />

a great new position?<br />

Join our team of school-based therapists<br />

and have a job that fi ts your life.<br />

Opportunities:<br />

• Northampton County: Part-Time PT position in<br />

two neighboring school districts; elementary and<br />

secondary caseloads.<br />

• Montgomery County: Part-Time position available<br />

in a small suburban school district.<br />

$1,000 referral bonus (pro-rated <strong>for</strong> part-time)<br />

For more in<strong>for</strong>mation,<br />

e-mail candice@pts-inc.net<br />

call us at 610-941-7020 or visit us at<br />

www.pts-inc.net today to learn more!<br />

CALL 800.355.1088 TO<br />

SUBSCRIBE FREE TODAY!<br />

You set out to help people. To find a setting that<br />

encouraged you to learn, grow, and connect. You<br />

wanted to do all you were capable of – and more.<br />

That place really does exist. We promise.<br />

<strong>Physical</strong> Therapists<br />

HOLY REDEEMER HOME CARE<br />

AND HOSPICE:<br />

Union County, NJ<br />

<br />

Philadelphia, PA Region:<br />

<br />

Southern New Jersey:<br />

<br />

Gloucester Counties<br />

New Jersey Shore Region:<br />

<br />

and Cape May Counties<br />

<br />

Meadowbrook, PA<br />

<br />

<strong>Physical</strong> <strong>Therapy</strong> Assistants<br />

* Check out our NEW PRN PROGRAM <strong>for</strong> <strong>Physical</strong> Therapists<br />

Apply online:<br />

www.holyredeemer.com<br />

Or call <strong>for</strong> more in<strong>for</strong>mation:<br />

<br />

<br />

<br />

<br />

EOE<br />

PHILADELPHIA PT<br />

NEEDED CENTER CITY<br />

We are seeking a<br />

FULL-TIME <strong>Physical</strong> Therapist<br />

<strong>for</strong> outpatient setting in<br />

CENTER CITY/PHILADELPHIA.<br />

Please fax resume to<br />

(215) 227-2739 or<br />

E-mail your resume to<br />

careers@outreachptr.com<br />

Theraplay, Inc. is a leading provider of childrens therapy<br />

services in Southeastern, PA. Current openings at our<br />

pediatric outpatient centers, school services and EI departments,<br />

with locations in Bucks, Chester, Delaware and<br />

Montgomery Counties. Named a “Top 25 Small Company<br />

<strong>for</strong> Working Moms”.<br />

Contact Amanda Ryan, Recruiting Mgr. (610) 436-3604 x27<br />

or aryan@theraplayinc.com <strong>for</strong> details.<br />

Seeking PT PHYSICAL THERAPIST<br />

20-24 hrs.<br />

Flexible hours, competitive hourly rates!<br />

Must be professional and be able to work<br />

independently. New Grads Welcome!<br />

PEAK PERFORMANCE PHYSICAL THERAPY<br />

Fax resume to: (201) 997-2087<br />

or email jmac082969@verizon.net<br />

42 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | July 9, 2012 | www.advanceweb.com/pt<br />

42 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

EOE<br />

Stronger<br />

... Every Day<br />

Kessler <strong>Rehab</strong>ilitation Center<br />

seeks talented, motivated and energetic<br />

PHYSICAL<br />

THERAPISTS<br />

Join the team at one<br />

of our more than<br />

80 outpatient centers<br />

in New Jersey.<br />

There’s one that’s<br />

right <strong>for</strong> you!<br />

• Sign-on<br />

Bonus Available<br />

• Continuing Ed<br />

• Tuition<br />

Reimbursement<br />

• Loan Forgiveness<br />

Please contact our Recruiter<br />

Jennifer Taft at 610-992-7209<br />

jtaft@selectmedicalcorp.com<br />

www.kessler-pt.com<br />

PHYSICAL THERAPIST<br />

A Dynamic Program <strong>for</strong> Dynamic Therapists<br />

Private School in Yonkers, NY serving Children with<br />

Special Needs ages 3-21 years old seeks FT/PT Licensed<br />

PT/PTA. Great Vacation/Benefi t Package, Competitive<br />

Salary. NO RECRUITERS or AGENCIES, PLS.<br />

Please contact Sylvia Arrington<br />

(914) 376-4300 ext. 106<br />

E-mail:<br />

EOE<br />

jobs@westchesterschool.org<br />

Glengariff Health Care Center<br />

PT • PTA • OTR • COTA<br />

Glengariff is a 262-Bed SNF on the North Shore<br />

of Nassau County. Candidates will be working<br />

with LTC residents as well as subacute patients<br />

in our newly renovated, 4,000 sq ft., state-of-<br />

the-art gym. New grads welcome. Competitive<br />

salary and benefi ts package. Fax resume to<br />

attn. to: Director of <strong>Rehab</strong> (516) 759-0267.<br />

UPPER SOUTH ATLANTIC<br />

Lab School of Washington<br />

Part-time PT wanted <strong>for</strong> 2012 School Year<br />

• Supportive Staff<br />

• Great Interdisciplinary team<br />

• Flexible Scheduling<br />

• Hourly Rate<br />

• Must be DC Licensed<br />

Fax resume to 202-454-2291<br />

or e-mail christine.chang@labschool.org


Dedicated to professionals<br />

who are dedicated to children.<br />

Outpatient <strong>Therapy</strong><br />

Services Manager<br />

Newark, DE<br />

As one of the nation’s premier<br />

pediatric health care systems,<br />

Nemours provides world-class<br />

clinical care in four states:<br />

Delaware, Florida, New Jersey<br />

and Pennsylvania. Opportunity to manage<br />

multiple disciplines in a newly constructed<br />

pediatric therapy clinic. Large open gym space<br />

and individual rooms <strong>for</strong> a variety of treatment<br />

interventions. State-of-the-art equipment and a<br />

fully electronic medical record system. Access<br />

to hospital resources and management team<br />

mentoring. Position is 50% management and<br />

50% clinical.<br />

Requirements:<br />

<br />

preferred<br />

<br />

required<br />

Submit your resume:<br />

nemourscareers.com/jobs/41483/<br />

Learn more about our Therapeutic &<br />

<strong>Rehab</strong>ilitative Services Department:<br />

nemourscareers.com/therapy<br />

Nemours is an Equal Opportunity Employer.<br />

© 2012. The Nemours Foundation. Nemours is a registered trademark of the Nemours Foundation. DAV 6.12 867959<br />

PEDIATRIC OPPORTUNITIES<br />

Maryland and District of Columbia<br />

<strong>Physical</strong> Therapists<br />

Part-time and Full-time<br />

Early Intervention, School-based,<br />

Outpatient and Aquatic <strong>Therapy</strong><br />

For in<strong>for</strong>mation on current openings<br />

call Toll-Free 1-877-ASK-CARE or<br />

E-mail:<br />

careresources-hr@careresources.net<br />

www.careresourcesinc.com<br />

EOE M/F/D/V<br />

Losing a Limb<br />

In the United States alone, there are<br />

approximately 1.8 million people living<br />

with limb loss according to National<br />

Limb Loss Amputation Center statistics.<br />

<strong>Physical</strong> <strong>Therapy</strong><br />

Clinical Leader<br />

Outpatient Adult<br />

Washington, DC<br />

MedStar Georgetown University Hospital is<br />

seeking a supervisor who will participate in<br />

and facilitate the management of the operational,<br />

personnel and financial activities of the<br />

department.<br />

Our PTs enjoy:<br />

<br />

<br />

opportunities<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Requirements:<br />

<br />

<br />

<br />

a skilled practitioner<br />

<br />

outpatient setting preferred<br />

<br />

http://www.attnhr.com/jobs/40739/<br />

Other PT opportunities include:<br />

PRN <strong>Physical</strong> Therapists<br />

(experience required)<br />

Wound Care – Outpatient<br />

Outpatient Adult – Ortho and Neuro<br />

Inpatient Adult – All areas<br />

Inpatient Pediatric<br />

<br />

georgetown-university-hospital.<br />

attnhr.com/jobs/t/5/<br />

Delaware, Washington, D.C., Maryland, Georgia<br />

EOE<br />

Serving Prince George’s, Charles County, Anne Arundel<br />

County, Calvert County, & St. Mary’s County<br />

<strong>Physical</strong> Therapist (FT and Per Diem)<br />

<strong>Physical</strong> <strong>Therapy</strong> Assistant (FT and Per Diem)<br />

Flexible Scheduling<br />

$10,000<br />

Tuition Reimbursement<br />

Sign-on Bonus<br />

Paid Time Off<br />

<strong>for</strong> Full-time<br />

Discounted Gym Membership PTs<br />

Comprehensive Healthcare Package<br />

E-mail resumes to<br />

Dianawalker@southernmarylandhospital.com<br />

or fax to 301-856-0218<br />

Come join our team <strong>for</strong> a REWARDING and EXCITING<br />

career in Home Healthcare with the opportunity to<br />

travel and meet new people!<br />

DON’T LET YOUR FREE SUBSCRIPTION<br />

EXPIRE! CALL 800.355.1088<br />

Full-Time, Part-Time, Per Diem<br />

Pediatric <strong>Physical</strong>, Speech and<br />

Occupational Therapists Needed<br />

Bayada Pediatrics NEW Delaware Pediatric Visit<br />

offi ce is growing and has immediate openings<br />

<strong>for</strong> <strong>Physical</strong>, Speech and Occupational Therapists.<br />

Pediatric experience is a must and Early Intervention<br />

experience is a plus. At Bayada Pediatrics we<br />

offer competitive pay rates, benefi ts, fl exible scheduling,<br />

and much more!<br />

If you are interested in joining a dedicated<br />

team of professionals who believe their clients<br />

come fi rst, please call SherVonne Wilson at<br />

302-322-2300 or fax resume to 302-322-6300<br />

or e-mail to swilson@bayada.com.<br />

LOWER SOUTH ATLANTIC<br />

Shepherd Center<br />

The Art of restoring Hope,<br />

rebuilding Lives<br />

Shepherd Center, located in Atlanta,<br />

GA, specializes in the treatment<br />

and rehabilitation of people with<br />

acquired brain and spinal cord<br />

injuries. We are seeking experienced:<br />

<strong>Physical</strong><br />

Therapist<br />

ACQUIRED<br />

BRAIN INJURY<br />

REHAB INPATIENT<br />

Staff Therapist, Full-Time<br />

For in<strong>for</strong>mation please call<br />

404.350.7340 or apply online at<br />

shepherd.org<br />

WWW.<strong>ADVANCE</strong>WEB.COM<br />

www.advanceweb.com/pt | July 9, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 43<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

EOE<br />

EMPLOYMENT OPPORTUNITIES<br />

43


EMPLOYMENT OPPORTUNITIES<br />

North Carolina, South Carolina, Florida, Alaska<br />

Today is the<br />

fi rst day of the<br />

rest of your career.<br />

Celebrate by making a bold move – to<br />

FirstHealth of the Carolinas. A leading<br />

healthcare system that puts patients fi rst,<br />

we offer you a medically sophisticated and<br />

supportive environment where you can learn and<br />

grow. Our not-<strong>for</strong>-profi t three-hospital system<br />

is an organization driven by our values: Focus<br />

on Quality and Excellence, Integrity, Respect <strong>for</strong><br />

the Individual, Service to Others and Teamwork.<br />

Here, you’ll enjoy excellent resources, a<br />

supportive management team and exceptional<br />

opportunities <strong>for</strong> career growth. We invite you to<br />

explore the following opportunities:<br />

PHYSICAL THERAPISTS<br />

• Outpatient <strong>Rehab</strong> –<br />

Rae<strong>for</strong>d & Rockingham<br />

• Home Health – Moore County<br />

• Acute Care – Pinehurst<br />

Requires a BS, MA or Doctorate degree<br />

in <strong>Physical</strong> <strong>Therapy</strong>, NC PT license and<br />

CPR certifi cation.<br />

PHYSICAL THERAPIST<br />

ASSISTANT<br />

• Home Health<br />

We offer an attractive compensation/benefi ts<br />

package and a wonderful lifestyle in the Sandhills<br />

region of North Carolina. The mountains, ocean,<br />

several universities and the metro area of Raleigh,<br />

Charlotte and Fayetteville are all within easy<br />

driving distance. To learn more, visit<br />

www.fi rsthealth.jobs<br />

EOE<br />

Working Together, First in Quality, First in Health.<br />

OUTPATIENT ORTHO.<br />

AT THE BEACH!!<br />

Full-time PT opening at MYRTLE BEACH PHYSICAL THERAPY in Carolina Forest and<br />

Little River areas. Strong outpatient ortho, spine rehab and lots of manual therapy opportunities.<br />

Spend your time with patients, gain valuable mentoring and further your career growth! Learn<br />

more at www.csmr.org. Send resume with references to: Catherine Sullivan, MPT<br />

Clemson Sports <strong>Medicine</strong> & <strong>Rehab</strong>ilitation (home company)<br />

(864) 482-0064 x20113 • Fax: (864) 482-0081<br />

catherine.sullivan@csmr.org<br />

Greenville Hospital System<br />

Home Health<br />

PTs & PTAs<br />

• PTs & PTAs needed <strong>for</strong> GHS<br />

Home Health Team<br />

• Sign-on Bonus <strong>for</strong> FT & PT status<br />

• Paid interview expenses<br />

• Excellent benefi ts package<br />

• Relocation expenses Needed Ne ed eded d ed<br />

GHS is South Carolina’s premier healthcare<br />

provider. 10,000 plus employees delivering<br />

high quality patient care in the Upstate.<br />

Apply online at www.ghscareers.org<br />

<strong>for</strong> immediate consideration.<br />

GHS proudly values diversity,<br />

all qualifi ed candidates are<br />

encouraged to apply.<br />

GHS is located in Greenville, SC<br />

ARE YOU DIRECTOR MATERIAL? Clemson Sports<br />

<strong>Medicine</strong> & <strong>Rehab</strong>ilitation has a strong outpatient ortho.<br />

caseload, with active patient population and endless marketing<br />

opportunities! Beautiful area on Lake Keowee in<br />

Salem, SC, just outside of Clemson. Successful clinic with<br />

competitive benefi ts & salary- learn more at www.csmr.org!<br />

Send resume with references to: Catherine Sullivan, MPT<br />

Clemson Sports <strong>Medicine</strong> & <strong>Rehab</strong>ilitation (home company)<br />

(846) 482-0064, x20113 • fax (864) 482-0081<br />

catherine.sullivan@csmr.org<br />

LAKE COUNTY SCHOOLS, FLORIDA<br />

is seeking to direct hire 1 full-time <strong>Physical</strong> Therapist <strong>for</strong> the 2012-<br />

2013 School Year. Must have BS or MS degree from an accredited <strong>Physical</strong><br />

Therapist Program/Institute. Florida licensure required. Pediatric and/or<br />

school experience preferred. Competitive Salary and Benefi ts.<br />

Contact the Exceptional Student Education Department<br />

<strong>for</strong> details at 352-253-6610. Lake County Schools<br />

Tavares, FL 32778<br />

SPORTS PLUS PHYSICAL THERAPY<br />

Purely Outpatient Orthopaedics!<br />

Full-Time PTs and PTAs needed in strong outpatient ortho and sports medicine<br />

settings, including: • Aiken, SC (PT) • Myrtle Beach, SC (PT) • Columbia, SC (PT)<br />

• Irmo, SC (PRN PTA) • Clemson, SC (Neuro. PTA) • Gastonia, NC (PTA)<br />

Contact Catherine Sullivan,<br />

MPT CLEMSON SPORTS MEDICINE & REHABILITATION<br />

(864) 482-0064, x20113 • catherine.sullivan@csmr.org<br />

www.csmr.org<br />

Carolina <strong>Therapy</strong> Services<br />

PT/OT/SLP: Opportunities in Laurinburg<br />

and Morehead City, NC.<br />

Management Opportunities Available!<br />

SIGN-ON BONUS OR RELOCATION PACKAGE $3,000-$5,000<br />

Competitive salaries and excellent benefits. Continuing education assistance<br />

with opportunities <strong>for</strong> professional growth.<br />

Call 866-388-9776 or Fax: 866-388-9779<br />

markw@carolinatherapy.net<br />

Visit us at the Web at www.carolinatherapy.net<br />

CAREER ADVICE AVAILABLE — SEARCH WWW.<strong>ADVANCE</strong>WEB.COM TODAY!<br />

44 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | July 9, 2012 | www.advanceweb.com/pt<br />

44 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

New Grads Welcome!<br />

PHYSICAL THERAPISTS<br />

needed in the Upstate SC area which was<br />

recently named #4 on the “Top 100 places to live.”<br />

• Since 2007 and annually, Member of HomeCare Elite<br />

<strong>for</strong> quality and fi nancial per<strong>for</strong>mance.<br />

• 2011 Home Care Compare - Superior in public<br />

outcome measures<br />

• TOP 500 Medicare Certifi ed Home Health Provider<br />

in the country<br />

We offer laptop computers, Total Joint Program,<br />

Orthopedics/<strong>Rehab</strong> Specialty, Flexible Schedule<br />

1-800-439-4590<br />

www.interimhealthcare.com<br />

PACIFIC<br />

Over 30 Years of Extraordinary<br />

Home Health Care<br />

<strong>Physical</strong> Therapist Opportunities<br />

FT Outpatient<br />

FT HH<br />

Join our dedicated, knowledgeable and<br />

strong core therapy staff who are great<br />

mentors and teammates.<br />

888-890-8301, ext. 1<br />

907-228-8554 (fax)<br />

kmcrecruiters@peacehealth.org<br />

www.peacehealth.org<br />

EOE


EAST SOUTH CENTRAL<br />

<strong>Physical</strong> Therapists<br />

Northport <strong>Rehab</strong> <strong>Therapy</strong> Services<br />

Northport Medical Center, Northport, Alabama<br />

Therapists<br />

Experienced and new graduate employment opportunities<br />

available. Clinical scope of services includes patient<br />

populations from pediatric to geriatric.<br />

Minimum Qualifications:<br />

<strong>Physical</strong><br />

Northport <strong>Rehab</strong> <strong>Therapy</strong> Services<br />

Northport Medical Center, Northport, Alabama<br />

Experienced and new graduate employment<br />

opportunities available. Clinical scope of<br />

services includes patient populations from<br />

pediatric to geriatric.<br />

Minimum Qualifi cations:<br />

•Bachelors degree in <strong>Physical</strong> <strong>Therapy</strong><br />

and/or Occupational <strong>Therapy</strong>.<br />

•Maintains active status with license in<br />

good standing with the state board of<br />

education or licensing agency.<br />

•CPR certifi ed.<br />

For more in<strong>for</strong>mation regarding these<br />

<strong>Physical</strong> Therapist positions currently<br />

available with DCH Health System and to<br />

apply online, visit the DCH website:<br />

www.dchsystem.com<br />

DCH offers you<br />

•Competitive Pay and Benefi ts<br />

•Opportunities <strong>for</strong> New Graduates<br />

DCH REGIONAL MEDICAL CENTER<br />

NORTHPORT MEDICAL CENTER<br />

FAYETTE MEDICAL CENTER • dchsystem.com<br />

WEST SOUTH CENTRAL<br />

<strong>Rehab</strong> Synergies needs<br />

a Therapist Like You!<br />

• Are you looking <strong>for</strong> your next challenge at work?<br />

• Are you looking <strong>for</strong> an employer that encourages<br />

your professional growth and off ers a<br />

$750/annual CEU allowance?<br />

• Are you looking <strong>for</strong> a great job and great employer?<br />

Th is opportunity has both,<br />

Candidates Inquires/Privacy is guaranteed!<br />

We are currently seeking Full-time, Part-time and<br />

PRN professionals <strong>for</strong> the following locations:<br />

Dallas/Fort Worth • Houston • East Texas • El Paso<br />

San Antonio • McAllen • Lubbock • Wichita Falls<br />

<strong>Rehab</strong> Synergies is an In-House Th erapy Provider<br />

of Th erapy Services to 39 Centers in Texas. We are<br />

ramping up <strong>for</strong> major growth in the years ahead,<br />

central to our strategy is a signifi cant expansion of<br />

the <strong>Rehab</strong>ilitation Department.<br />

resumes@<strong>Rehab</strong>Synergies.com<br />

www.rehabsynergies.com<br />

1-877-503-4552<br />

Fax: 817-633-6285<br />

<strong>Physical</strong> Therapist<br />

Region 10 Education Service Center<br />

seeks TX licensed PT to serve public school<br />

students in counties around Dallas. Competitive<br />

Full-time Salary, Benefits, School Holidays<br />

196 Work Days with Summers Off!<br />

972-348-1580 • kitra.gray@region10.org<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

We Invest in You<br />

Contact Interface <strong>Rehab</strong>, LLC.<br />

PHYSICAL THERAPISTS<br />

and PTAs<br />

Visit www.interfacerehab.com<br />

View both our full-time and per diem positions in<br />

Southern Cali<strong>for</strong>nia. While you're there check<br />

out our "Platinum Benefi ts" that includes Unlimited<br />

"Hands On" Continuing Education. * Conditions Apply<br />

Contact:<br />

PTA: Linda Barnett 714-646-8302<br />

Linda@interfacerehab.com<br />

PT: Julie Lopez 714-646-8301<br />

Julie@interfacerehab.com<br />

NATIONAL<br />

YOU CAN HAVE IT ALL<br />

and a BONUS UP TO $10K!<br />

Alabama, Texas, Cali<strong>for</strong>nia, National<br />

<br />

<br />

<br />

<br />

<br />

<br />

<strong>Physical</strong> Therapist-Outpatient Orthopedics<br />

Liberty <strong>Physical</strong> <strong>Therapy</strong> and Sports Per<strong>for</strong>mance in<br />

Redding, CA is currently looking <strong>for</strong> an energetic and motivated<br />

PT <strong>for</strong> their outpatient orthopedic clinic. Incredible opportunity<br />

<strong>for</strong> someone to join a busy, state of the art outpatient<br />

practice with an exciting caseload and unlimited opportunity<br />

<strong>for</strong> growth and advancement. Full-time. Great work environment.<br />

Excellent salary plus full benefi ts and bonus. Please E-mail<br />

vlampert@acare.us or fax 877-885-6777<br />

<strong>Physical</strong> <strong>Therapy</strong> Director<br />

Beaver Medical Group in Redlands, CA seeks a<br />

dynamic, motivated and experienced PT Director <strong>for</strong> their<br />

busy outpatient physical therapy practice. This is an exciting<br />

opportunity to work with and lead a dedicated team of professionals<br />

who pride themselves on excellence in patient<br />

care. Great work environment. Unlimited career growth<br />

potential. Excellent salary plus bonus and full benefi ts.<br />

E-mail vlampert@acare.us or fax 877-885-6777.<br />

LIFE & CAREER BALANCE • COMPETITIVE SALARY • FLEXIBLE SCHEDULE<br />

BRAND NEW OPPORTUNITY<br />

Are you ready to reach your full potential?<br />

We are ready to help you get there.<br />

We are seeking special clinicians just like you to set the standard in clinical excellence.<br />

AccentCare understands what our employees want out of a career in home health care:<br />

• To make a difference in the lives of your patients and your families<br />

• To earn a salary commensurate with your hard work and dedication and<br />

• To continue to stay ahead of the curve in education<br />

For a limited time we are offering dedicated part-time and full-time schedules.<br />

This includes weekends only and after hours.<br />

To speak with your recruiter, contact Donna Sanchez at dsanchez@accentcare.com<br />

or fax your resume to 972-692-0530.<br />

Seeking <strong>Physical</strong> Therapists, Occupational Therapists and Assistant Therapists in<br />

TX, GA, TN, CA, CO, AZ and OR.<br />

Relocation and sign on bonus up to $10K!<br />

advancecustompromotions.com<br />

1-877-776-6680<br />

• From the publishers of <strong>ADVANCE</strong> Newsmagazines<br />

• Custom gifts, giveaways & promotional products<br />

• Exclusive healthcare designs you won't fi nd anywhere else<br />

• Free design, copy & creative services<br />

• Staff gifts & event giveaways <strong>for</strong> every budget<br />

www.advanceweb.com/pt | July 9, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 45<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

EMPLOYMENT OPPORTUNITIES<br />

45


EMPLOYMENT OPPORTUNITIES<br />

National, International<br />

<strong>Physical</strong> Therapists<br />

& PTAs<br />

SunDance <strong>Rehab</strong>ilitation offers<br />

a wealth of Team Member benefits.<br />

Please contact us to learn more about our<br />

exceptional benefits plans and opportunities.<br />

Welcome to the exceptional<br />

How does SunDance define ‘exceptional’? Unparalleled commitment<br />

to resident advocacy and innovative resident-centered care programs<br />

at 525 facilities in 37 states. Everything about SunDance makes us the<br />

exceptional choice <strong>for</strong> your rehab career.<br />

We are an equal opportunity employer that believes<br />

difference is what makes us exceptional. Drug-free workplace.<br />

Join the<br />

exceptional.<br />

www.SunDance<strong>Rehab</strong>.com<br />

SunDanceCareers@sunh.com<br />

Toll Free: 888-267-2220<br />

advocacy :: competency :: innovation :: versatility :: partnership<br />

Immediate Openings<br />

Wellington Healthcare<br />

PHYSICAL THERAPIST<br />

GEORGIA: Buckhead area - FT/PT; & PRN PTA<br />

TENNESSEE: Memphis area - FT<br />

LOUISIANA: Shreveport - PT/PTA PRN<br />

ALABAMA: Mobile - PRN<br />

Competitive salary & benefi ts<br />

based on experience.<br />

Interested candidates should send their<br />

resume to <strong>Rehab</strong>hr@wellhs.com<br />

fax to 770-740-2910 or call 251-680-1262<br />

www.advanceweb.com<br />

Bone Growth,<br />

Bone Loss<br />

According to the International<br />

Osteoporosis Foundation, bone tissue<br />

accumulated in girls between the ages<br />

of 11 to 13 is approximately equal to<br />

the amount of bone lost during the 30<br />

years that follow menopause.<br />

46 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | July 9, 2012 | www.advanceweb.com/pt<br />

46 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

The Global Leader In<br />

<strong>Physical</strong> <strong>Therapy</strong> Programs!<br />

Montana - Make a Life...<br />

Not Just a Living!<br />

Several opportunities available :<br />

Settings Include:<br />

Acute Care Home Health<br />

Outpatient & Inpatient<br />

Where you can enjoy:<br />

Flexible Shifts Competitive Salaries &<br />

Benefits Family Friendly<br />

Communities A Rewarding Lifestyle<br />

Contact: Beth Ann Martin, Recruiter<br />

(406) 683-2790 bethann@mtha.org<br />

INTERNATIONAL<br />

Turn your career<br />

into a successful<br />

and rewarding<br />

journey while<br />

making a<br />

difference in<br />

lives you touch!<br />

Contact EBS Today! 800-578-7906<br />

hr@ebshealthcare.com |www.ebshealthcare.com<br />

PHYSICAL THERAPIST needed in Japan. Excellent<br />

compensation & benefi ts! Relocation Assistance. Work under the Educational<br />

& Developmental Intervention Services program <strong>for</strong> US Military Families<br />

stationed abroad. Minimum Requirements: Bachelor’s deg & 5 yrs exp,<br />

or Master’s & 2 yrs exp with relevant concentration. 2 yrs exp providing<br />

pediatric physical therapy <strong>for</strong> children ages 0-5 with special needs.<br />

Contact Lynn Romer at 1-800-852-5678 x156<br />

or e-mail lynnr@magnummedicaloverseas.com<br />

{ <strong>ADVANCE</strong> }<br />

NOBODY DOES IT BETTER THAN THE BEST<br />

WWW.<strong>ADVANCE</strong>WEB.COM


Polos <strong>for</strong><br />

the Modern<br />

Professional<br />

See our selection of<br />

premium polos inside<br />

and view even more<br />

online! Outstanding<br />

benefi ts include:<br />

• A full array of popular colors<br />

• Women’s, Men’s & Unisex styles<br />

• Sizes ranging from XS to 6XL<br />

• Optional embroidery to add a<br />

personal touch or to create<br />

customized staffwear<br />

Women’s & Men’s Polo Shirts*<br />

#11604 Men’s<br />

#07200 Women’s<br />

Women’s & Men’s Polo Shirts*<br />

#16245 Men’s<br />

#16246 Women’s<br />

Women’s & Men’s ClimaLite®<br />

Textured Polo Shirts*<br />

#25290 Men’s<br />

#25299 Women’s<br />

Women’s & Men’s ClimaLite®<br />

Pique Polo Shirts*<br />

#25281 Men’s<br />

#25289 Women’s<br />

Women’s & Men’s Ultimate<br />

Fashion Polo Shirts*<br />

#25268 Men’s<br />

#25267 Women’s<br />

Women’s Dri-Fast<br />

Mesh Polo Shirt*<br />

#25266<br />

Women’s Dri-Fast<br />

Pique Polo*<br />

#25265<br />

Men’s Dri-Fast<br />

Shoulder Stripe Polo*<br />

#17429<br />

Women’s Dri-Fast<br />

Pebble Texture Polo*<br />

#19351<br />

Women’s Side Blocked<br />

Sport-Wick® Polo*<br />

#17428<br />

1.877.405.9978 • advancehealthcareshop.com<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

47


Brand name, custom embroidered polos,<br />

new! new!<br />

new!<br />

<br />

4 colors<br />

5 colors<br />

<br />

48 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

new!<br />

Women’s Dri-Fast Advantage<br />

Pique Polo*<br />

100% polyester pique moisture management material<br />

with contrast stripe on collar, cuffs and side panels.<br />

Personalizable.<br />

Spring Grass/White, Melon/White, Black/White or<br />

Lake Blue/New Navy. #25265<br />

$29.99 S-XL; $32.99 2XL<br />

Women’s Dri-Fast Advantage<br />

Mesh Polo*<br />

100% polyester micro-mesh moisture management<br />

material with contrast stripe on shoulder.<br />

Personalizable.<br />

Melon/White, Black/White, New Navy/Lake Blue, Lake<br />

Blue/New Navy or Spring Grass/White. #25266<br />

$29.99 S-XL; $32.99 2XL<br />

Women’s & Men’s<br />

Ultimate Fashion Polos*<br />

100% cotton pique with no-curl collar, contrast stripe<br />

on collar, cuffs and placket with pearlized buttons.<br />

Personalizable.<br />

Navy/Bimini Blue, Light Blue/White, White/Navy or<br />

Black/Sport Gray.<br />

#25267 Women’s<br />

#25268 Men’s<br />

$26.99 S-XL; $29.99 2XL-3XL<br />

Add us to<br />

your circle on<br />

Google+<br />

Share what<br />

you love on<br />

Pinterest<br />

4 colors<br />

<br />

Women’s Dri-FIT Embroidered Polo Shirt*<br />

100% polyester with moisture wicking, fabric collar and fourbutton<br />

placket. Personalizable. This item is not available<br />

blank. Includes one line of embroidery. White, Varsity Red,<br />

Black or Midnight Navy. #19351<br />

$29.99 S-XL;<br />

$32.99 2XL<br />

4 colors<br />

Connect<br />

with us at<br />

facebook.com/<br />

ShopAdvance<br />

Personalize<br />

your name,<br />

title &<br />

more!<br />

<br />

FREE<br />

First line<br />

of custom<br />

embroidery<br />

<strong>for</strong> this item!<br />

Follow us on<br />

Twitter.com/<br />

ShopAdvance


jackets and more in fresh styles & colors!<br />

Women’s “<strong>Physical</strong> <strong>Therapy</strong>”<br />

Sport-Wick ® Polo Shirt*<br />

Royal/White, Navy/White, Black/White,<br />

Pink/White, Maroon/White or Navy/Gold.<br />

Personalizable.<br />

#17870<br />

$27.99 XS-XL; $30.99 2XL-4XL<br />

6 colors<br />

<br />

Women’s & Men’s Per<strong>for</strong>mance Plus Polos*<br />

Dusty Blue, Charcoal Heather, Espresso Heather, Ink or Merlot.<br />

Personalizable.<br />

#16246 Women’s (S-3XL only)<br />

#16245 Men’s<br />

$21.99 S-XL; $24.99 2XL-6XL<br />

5 colors<br />

1-877-405-9978 BLACK/GRAY • advancehealthcareshop.com<br />

<br />

new!<br />

Women’s & Men’s ClimaLite ® Textured Polos*<br />

Tide, Red, Black, Navy or Gulf. Personalizable.<br />

#25299 Women’s.<br />

$34.99 S-XL; $37.99 2XL<br />

#25290 Men’s<br />

$39.99 S-XL; $42.99 2XL-3XL<br />

Personalization<br />

available<br />

Quick 2-day turnaround<br />

*Add a personal touch with custom embroidery placed on<br />

right and/or left chest. Up to 3 lines; 29 characters per line.<br />

$4.99 fi rst line; $1.99 each additional line.<br />

Turn the page <strong>for</strong> more great<br />

products from <strong>ADVANCE</strong>!<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

5 colors<br />

<br />

49


Men’s Tee<br />

Black. #14668<br />

$18.99 S-XL;<br />

$21.99 2XL<br />

Women’s<br />

V-Neck Tee<br />

Hot Pink. #20168<br />

$14.99 S-XL<br />

<br />

Notepads & Pens Pack<br />

Three pens and six notepads per pack.<br />

#25317<br />

$14.99<br />

Retractable<br />

Badge Holder<br />

1" x 1". #06197<br />

$3.99<br />

Wall Clock<br />

12 3 ⁄4" #25178<br />

$19.99<br />

<br />

new!<br />

<br />

Women's<br />

Distressed Tee<br />

Yellow Haze,<br />

Light Blue, Black,<br />

Mandarin Orange or<br />

Azalea. #25213<br />

$16.99 S-XL;<br />

$19.99 2XL<br />

5-pack<br />

50 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

<br />

<br />

Add us to<br />

your circle on<br />

Google+<br />

Join our email<br />

list online <strong>for</strong><br />

special offers<br />

<br />

5 5 Color Col olor<br />

Choices Choices<br />

new!<br />

<br />

Carabiner<br />

Pen Pack<br />

5-pack. Black<br />

ink. #25320<br />

$8.99<br />

Car Window<br />

Decal<br />

8¼" x 2".<br />

#18760<br />

$3.99<br />

Connect<br />

with us at<br />

facebook.com/<br />

ShopAdvance<br />

personalize<br />

<br />

new!<br />

<br />

Ceramic Mug*<br />

15 oz.<br />

Personalizable.<br />

#14363<br />

$9.99<br />

Follow us on<br />

Twitter.com/<br />

ShopAdvance


Enjoy your OFF-DUTY TIME this summer<br />

with these great colorful accessories!<br />

Jumbo<br />

Acrylic<br />

Tumbler<br />

with Straw<br />

24 oz. Green,<br />

Orange, Teal or<br />

Fuchsia. #20166<br />

$7.99<br />

Double<br />

Wall<br />

insulated<br />

& BPA<br />

Free<br />

new!<br />

new!<br />

Oval Car Magnets<br />

3½" x 5½".<br />

#14727 I (heart) PT<br />

#14729 PT is <strong>Rehab</strong>ulous<br />

NOW $2.97 ea.<br />

License Plate Holder<br />

6" x 12¼". Metal. #04037<br />

NOW $9.97<br />

Quantities limited.<br />

“Allie”<br />

Tote Bag*<br />

15¾" x<br />

13¼" x 3½".<br />

Personalizable.<br />

#19289<br />

$19.99<br />

<br />

<br />

All <strong>for</strong> Color<br />

Women’s Flip-Flops<br />

Metallic color straps.<br />

One pair.<br />

Whole sizes: 6-10.<br />

#20511<br />

$6.99<br />

Towel Monogramming Detail<br />

TROPICAL<br />

PINK<br />

*Additional charge <strong>for</strong> personalization.<br />

1-877-405-9978 • advancehealthcareshop.com<br />

<br />

Water<br />

Bottle<br />

Glass.<br />

3 5 ⁄8" x 10" x 2 1 ⁄2".<br />

#25211<br />

$14.99<br />

Beach Towel*<br />

Cotton. 35" x 60".<br />

Coral, Turquoise,<br />

Tangerine or Lime<br />

Green. Personalizable.<br />

#25120<br />

$19.99<br />

SHOCK<br />

LIME<br />

PURPLE<br />

BRIGHT<br />

ORANGE<br />

<br />

TURQUOISE<br />

BLACK<br />

<br />

nnew new!<br />

<br />

NAVY<br />

SANGRIA<br />

<br />

Turn the page <strong>for</strong> more great<br />

products from <strong>ADVANCE</strong>!<br />

new!<br />

Cotton<br />

Blossom/<br />

Pink strap<br />

Garden<br />

Party/<br />

Blue strap<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

Chevron/<br />

Pink strap<br />

Sorbet<br />

Spots/<br />

Orange strap<br />

Classic<br />

Daisy/<br />

Green strap<br />

51


Introducing the newest innovation <strong>for</strong> PTs - Spidertech Tape<br />

new!<br />

#16469 Right<br />

#16468 Left<br />

ThermoActive Hot and Cold<br />

Compression <strong>Therapy</strong> Wraps<br />

Plastic/cotton blend with adjustable Velcro<br />

straps, ambidextrous and universally<br />

sized with removable gel pack, exact<br />

compression supplied by removable pump<br />

and latex free. Black.<br />

#16463 Shoulder<br />

$103.99<br />

#16464 Knee<br />

$89.99<br />

#16465 Wrist<br />

$77.99<br />

52 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

Add us to<br />

your circle on<br />

Google+<br />

new!<br />

#16470<br />

new!<br />

#16467<br />

Digital Fingertip<br />

Pulse Oximeter<br />

Portable, reads SPO and pulse rate with<br />

six changeable display modes. Includes<br />

visual and audible alarms and ten<br />

display brightness settings. Lanyard and<br />

rubberized bumper included. 2¼" x 1¼" x<br />

1½". Black. #13221<br />

$124.99<br />

new!<br />

Push Pin Changer<br />

Plastic. For use with either hand.<br />

1" x 1¼". Blue, Pink or Red. #16594<br />

$4.25<br />

Share what<br />

you love on<br />

Pinterest<br />

#16466<br />

new!<br />

SpiderTech<br />

Kinesiology Tape<br />

100% high-grade cotton fabric with 100%<br />

poly-acrylic adhesive. Engineered and precut<br />

<strong>for</strong> use, latex-free and hypoallergenic,<br />

one-piece construction, water-resistant,<br />

highly breathable and mimics the elasticity<br />

of human skin and muscle. Can be worn<br />

<strong>for</strong> approximately 5 days. Beige, Black,<br />

Blue or Red.<br />

#16470 Low Back<br />

#16467 Upper Knee Spider<br />

$9.99 ea.<br />

#16466 Full Knee<br />

#16468 Left Shoulder<br />

#16469 Right Shoulder<br />

$10.99 ea.<br />

new!<br />

Digital Fingertip<br />

Pulse Oximeter<br />

Portable, reads SPO2 and pulse rate,<br />

multi-color LED display and includes AAA<br />

batteries. 2½" x 1½" x 1". #17095<br />

$89.99<br />

Connect<br />

with us at<br />

facebook.com/<br />

ShopAdvance<br />

Follow us on<br />

Twitter.com/<br />

ShopAdvance


Exercise Bands<br />

Latex. Endorsed by APTA. Measures 6<br />

yards. #09049<br />

Yellow/Thin $11.49<br />

Red/Medium $12.99<br />

Green/Heavy $13.99<br />

Exercise Tubing<br />

Latex. Available in 5' lengths. Endorsed<br />

by APTA. Light Set (Yellow/Thin, Red/<br />

Medium, Green/Heavy resistance levels)<br />

or Heavy Set (Blue/Extra Heavy, Black/<br />

Special Heavy resistance levels). #09051<br />

$11.99<br />

<br />

14" Goniometer<br />

Plastic. Measures degree of movement<br />

and spinal displacement. Fits easily in<br />

pocket. #04265<br />

$7.99<br />

<br />

Heart Tape Measure<br />

Carabiner<br />

60" and 150 cm. Fiberglass.<br />

Red. #03677<br />

$5.99<br />

Medical Retractable<br />

Tape Measure<br />

Plastic. Extends up to<br />

60”/150cm. Royal or White.<br />

#06321<br />

$1.99<br />

Gait Transfer Belt<br />

Nylon with quick-release plastic<br />

buckle. 53" x 2".<br />

Black or Royal Blue. #04264<br />

$12.99<br />

Large Gait Transfer Belt<br />

Cotton belt with metal buckle.<br />

72" x 2". #11180<br />

$14.99<br />

<br />

<br />

Door Anchor<br />

Nylon strap with synthetic rubber<br />

7"D disc. Designed to be used with<br />

Thera-Band exercise bands and tubing.<br />

#09050<br />

$5.49<br />

Handles<br />

Foam rubber grips and nylon strap<br />

measures 4¾" x 8½" x 1". Set of two.<br />

Designed to be used with Thera-<br />

Band exercise bands and tubing.<br />

#09052<br />

$9.99<br />

<br />

<br />

Soft<br />

Case<br />

Hard Case<br />

<br />

<br />

<br />

Perfect <strong>for</strong><br />

Bariatric<br />

Patients<br />

<br />

Standard Neck Contour Oversized<br />

1-877-405-9978 • advancehealthcareshop.com<br />

<br />

<br />

Flexible and seemed<br />

<br />

CPR Barrier Shield<br />

Keychain<br />

One-way valve with elastic ear<br />

bands, instruction guide with CPR<br />

techniques and key ring hook. Latex<br />

free. Red, Blue, Green, Yellow, Black<br />

or Orange. #02333<br />

$10.99<br />

Striped Cotton<br />

Gait Belt<br />

Cotton belt with metal buckle. 58"<br />

length. Pink Stripe or White Stripe.<br />

#14551<br />

$13.99<br />

Ambu+ Res-Cue Mask <br />

with CPR Barrier and Case<br />

Reusable mask with optional oxygen<br />

inlet valve and head strap. For adults,<br />

children and infants. Includes vinyl<br />

gloves, alcohol wipes and case. Red.<br />

#02623 Hard Case<br />

#02622 Soft Case<br />

$19.99 ea.<br />

to hold the cold longer Over-the-Door<br />

than other cold packs<br />

we use.<br />

Maureen Palumbo - TX<br />

Post your ratings &<br />

comments today!<br />

<br />

Shoulder Pulley<br />

Rubber handles with braided rope,<br />

over-the-door web strap and nylon<br />

pulley. Includes exercise book with<br />

photos and instructions <strong>for</strong> basic<br />

rehabilitation exercises. #09048<br />

NOW $22.99<br />

Chattanooga Group<br />

ColPacs<br />

Vinyl with non-toxic silica gel. Latexfree.<br />

#09045<br />

Standard / 11" x 14" $19.49<br />

Neck Contour / 23" $21.49<br />

Oversized / 11" x 21" $33.99<br />

Turn the page <strong>for</strong> more great<br />

products from <strong>ADVANCE</strong>!<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

53


Have you visited advancehealthcareshop.com lately?<br />

Visit us online to see our entire selection of CLEARANCE items.<br />

<br />

“Nuts About<br />

Work” Figurine<br />

3¼".<br />

#09772<br />

NOW $5.97<br />

Car Magnets<br />

3½" x 5½".<br />

#14727 I (heart) PT<br />

#14729 PT is <strong>Rehab</strong>ulous<br />

NOW $2.97 ea.<br />

License<br />

Plate Holder<br />

6" x 12¼".<br />

#04037<br />

NOW $9.97<br />

Unisex Tee<br />

Heather Gray.<br />

#07023<br />

NOW $6.97 XL;<br />

$9.97 2XL<br />

Be in the know<br />

& get exclusive<br />

offers:<br />

Add us to<br />

your circle on<br />

Google+<br />

54 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

<br />

Join our<br />

email list<br />

online <strong>for</strong><br />

special offers<br />

<br />

<br />

Connect<br />

with us at<br />

facebook.com/<br />

ShopAdvance<br />

<br />

Women’s<br />

Half Elastic, Half<br />

Drawstring Pants<br />

Plumberry, Navy or Ceil.<br />

#19094<br />

NOW $18.97 XS-M, XL<br />

Follow us on<br />

Twitter.com/<br />

ShopAdvance<br />

Women’s<br />

Junior Fit<br />

Tie-Front Pants<br />

Espresso, Black or Indigo.<br />

#18854<br />

NOW $23.97 XS-XL<br />

Women’s 6-Pocket Utility Pants<br />

Navy, Black, Burgundy, Ceil, Chocolate or Royal.<br />

#17348<br />

NOW $14.97 XS-XL; $17.97 2XL<br />

FREE<br />

Shipping<br />

on all orders over $49!<br />

Use promo code PTFREE514<br />

Enjoy FREE GROUND SHIPPING on single-package orders in<br />

the 48 contiguous United States now through 09/02/12.<br />

<br />

Catalog Code: PT-1228<br />

Prices and offers valid through 08/05/12


Get exclusive content DelivereD<br />

riGht to Your inbox each Week<br />

<strong>ADVANCE</strong> has a helpful solution to fit your hectic schedule.<br />

Sign up <strong>for</strong> our FREE weekly e-newsletter and we’ll bring the news to you.<br />

once a week, we’ll send you an email highlighting the latest<br />

developments in physical therapy, including:<br />

• Timely industry news updates<br />

• Featured articles you won’t find in print<br />

• Stimulating blog entries<br />

• Exclusive multimedia<br />

• Contests and surveys<br />

SIGN UP TODAY<br />

Visit www.advanceweb.com/pt. Just enter your<br />

name, email address and zip code halfway<br />

down the right side of the page. it’s that simple!<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

55


Lokomat ®<br />

Functional Locomotion <strong>Therapy</strong><br />

Over 12 years of<br />

clinical experience<br />

www.hocoma.com<br />

info@hocoma.com, phone 781-792-0102<br />

Visit www.hocoma.com/legalnotes <strong>for</strong> conditions of product use.<br />

56 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />

• Improved efficiency of gait<br />

training in neurological patients.<br />

• Robotic therapy allows high<br />

intensive training even in early<br />

stages of rehabilitation.<br />

• Individually adjustable<br />

exoskeleton ensures a most<br />

physiologic gait pattern with<br />

essential sensory feedback.<br />

• Assist-as-needed support<br />

enables training beyond present<br />

capabilities.<br />

• Motivating Augmented<br />

Per<strong>for</strong>mance Feedback<br />

exercises increase patient’s<br />

participation.<br />

• Assessment Tools <strong>for</strong> objective<br />

analysis and documentation of<br />

the patient’s progress.<br />

We move you

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!