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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 1
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2 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong>
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 3
contents aDVaNCE FoR PHySICal THERaPy & REHaB mEDICINE<br />
Vol.<br />
[CoVER SToRy]<br />
16 Community Ef<strong>for</strong>t<br />
Healthcare policymakers advocate<br />
teamwork as a means of assuring<br />
quality and safety in the delivery of<br />
services. In the case of skilled nursing<br />
facilities, the best benefits are realized<br />
when individual team members work<br />
in cooperation with each other to set<br />
and reach goals. Accordingly, the theme<br />
of this year’s National Nursing Home<br />
Week (NNHW) is “Team Care” with an<br />
ancillary theme of “Everyone Pitches<br />
In.” NNHW will be observed in skilled<br />
nursing facilities throughout the United<br />
States, beginning Mother’s Day, May 12<br />
and continuing through May 18, 2013.<br />
(Courtesy of Signature HealthCARE)<br />
[FEaTURED aRTIClES]<br />
13 Sports Focus: Addressing<br />
Loading Asymmetries<br />
Anterior cruciate ligament (ACL) injuries<br />
are a focus in sport medical journals.<br />
Identifying risk factors to prevent ACL injury,<br />
choosing graft types, following protocols<br />
and administering return-to-sport criteria<br />
are aspects that are evaluated by a host of<br />
professionals. The latest research may cause<br />
a shift in thinking <strong>for</strong> active patients.<br />
4 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
15 Pilates and Patients With COPD<br />
For those who know of the practice, Pilates<br />
is a term that conjures images of a floor<br />
mat, core work, stretching and focus. But<br />
Pilates’ benefits extend beyond the gym to<br />
benefit patients with a variety of ailments.<br />
However, it is the benefits to individuals<br />
with respiratory diseases, such as asthma<br />
and COPD (chronic obstructive pulmonary<br />
disease) that is of particular interest,<br />
as an exercise designed to enhance breathing<br />
helps these patients regain theirs.<br />
24 | No. 10 | may 13, 2013<br />
20 Treadmill Training and<br />
Stroke: Careful Steps<br />
Body weight supported treadmill training<br />
(BWSTT) combines use of a treadmill<br />
and offloading of body weight from one<br />
or both legs. The patient ambulates while<br />
wearing a harness attached to a mounting<br />
frame that mechanically unloads weight. It<br />
provides support to allow weight bearing<br />
through weak or hemiparetic limbs. The<br />
goal is to create a more symmetrical gait<br />
with improved kinematics and timing.
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 5
[moRE aRTIClES]<br />
10 Management Focus:<br />
Knowing the Rules <strong>for</strong> EMRs<br />
25 Clinician’s Guide: Using Leg Lifts<br />
[DEPaRTmENTS]<br />
8 Ad Index<br />
9 In the News<br />
27 Educational Opportunities<br />
35 Classified Marketplace<br />
37 Classified Employment<br />
Opportunities<br />
43 <strong>ADVANCE</strong> Healthcare Shop<br />
[COMING SOON]<br />
Six years ago, physical therapists who<br />
attended the annual conference’s Rothstein<br />
Debate watched their peers wrestle with<br />
the question “Should <strong>Physical</strong> Therapists<br />
Practice in the ICU?” Two hospitals are<br />
among those across the country that have<br />
implemented such programs. Treating in<br />
the intensive care unit presents a unique set<br />
of challenges that require clever solutions.<br />
[mUlTImEDIa]<br />
aPTa PresidenTial PersPeCTive<br />
New APTA President Paul Rockar Jr., PT,<br />
DPT, mS, discusses the greatest challenges facing<br />
the PT profession.<br />
JoIN oUR PT CommUNITy!<br />
Blogs: meet our bloggers and read new<br />
posts daily!<br />
PT and The CiTy<br />
supply and demand<br />
lisa wants to better understand how PT<br />
staffing is predicted <strong>for</strong> a new clinic.<br />
PTa Blog Talk<br />
Patient Understanding<br />
Jason details his ef<strong>for</strong>ts to communicate<br />
with patients who aren’t fluent in English.<br />
More PT Blogs<br />
• Life of a PTA<br />
• <strong>ADVANCE</strong> Perspectives<br />
• <strong>Physical</strong> Therapist in Transition<br />
• Journey With a DPT Student<br />
• PT and the Greater Good<br />
• Toni Talks About PT Today<br />
[NeW! APP ReVIeWS]<br />
SpineDecide and i<strong>Rehab</strong> Back Pain<br />
[STUDENT CENTER]<br />
article: Casting a Wide Net<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 />
new! waTer wisdoM<br />
new! MediCare advisor<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. ©2013 Merion Matters.<br />
Our company publishes magazines and websites <strong>for</strong> audiologists, laboratory administrators, healthy aging profession-<br />
6 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
on The weB www.advanceweb.com/pt UPdaTed daily!<br />
PTs in PUBliC healTh<br />
See how <strong>ADVANCE</strong> contributor Dean<br />
metz, PT, mPH, brings a therapist’s perspective<br />
to the world of public health.<br />
CoMMUniTy ChaT<br />
Interact with colleagues!<br />
This week’s hoT ToPiCs:<br />
Blogs: JoUrney of<br />
a dPT sTUdenT<br />
lauren blogs: How to get your clinical<br />
instructor to trust you.<br />
looking <strong>for</strong> a new JoB?<br />
Check out the new Career Resource Center<br />
at <strong>ADVANCE</strong> Healthcare Jobs <strong>for</strong> weekly<br />
updates and read the latest tips, articles,<br />
resources and salary survey results <strong>for</strong><br />
healthcare professionals who want successful<br />
careers. Get started today!<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 />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 7
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WEDNESDAY, MAY 22<br />
Home Safe Home<br />
3:00 PM ET (12:00 PM PT)<br />
Join us <strong>for</strong> this free presentation. By attending this webinar, the<br />
participant will:<br />
• Understand safety risks living at home with cognitive loss;<br />
• Identify the complexity in family decision making; and<br />
• Highlight the unique role of the OT in guiding home safety<br />
decisions with families experiencing cognitive loss in a<br />
family member.<br />
SPEAKER:<br />
Patricia Schaber, PhD, OTR/L<br />
Patricia Schaber is the occupational therapy research coordinator<br />
in the Memory Clinic at the University of Minnesota Medical<br />
Center-Fairview, the clinical arm of the N. Bud Grossman Center <strong>for</strong><br />
Memory Research and Care. She is an associate professor in the<br />
Program in Occupational <strong>Therapy</strong> at the University of Minnesota.<br />
REGISTER FOR THIS<br />
FREE WEBINAR TODAY!<br />
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8 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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 />
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SUPPoRT THE ComPaNIES THaT SUPPoRT yoUR PRoFESSIoN. The companies<br />
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Aretech LLC www.aretechllc.com 23<br />
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MFR Treatment Centers www.MyofascialRelease.com 33<br />
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PT 5/13/13
<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 in<strong>for</strong>MaTion offiCer<br />
Bob Mozenter<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 />
In<strong>for</strong>mation & Business Systems Director-Ken Nicely<br />
Circulation Manager-Maryann Kurkowski<br />
Billing Manager-Christine Marvel<br />
Subscriber Services Manager-Vikram Khambatta<br />
Media & MarkeTing oPPorTUniTies<br />
Vice President, Media Sales-Amy Turnquist<br />
healThCare faCiliTy adverTising<br />
Group Sales Managers-Becky McCafferty, Robert Murray,<br />
Dan Stuart<br />
disPlay adverTising<br />
Corporate Sales Manager-Kevin Miller<br />
Senior Account Executive-Jeremy Murley<br />
Account Executive-Jackie George<br />
Sales Associate-Nicole Anastasi<br />
edUCaTion adverTising<br />
Sales Manager-Becky McCafferty<br />
Senior Account Executives-Brock Bamber, Bill Egan,<br />
Christine Hudak<br />
CUsToM ProMoTions<br />
Sales Managers-Mike Kerr, Jeremy Morgan<br />
Senior Account Executives-Noel Lopez,<br />
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Sales Associates-Kristen Erskine, Danielle Lasorda, 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<br />
New Indiana Law Gives<br />
Patients Direct Access<br />
to <strong>Physical</strong> Therapists<br />
Major milestone in patient access<br />
campaign achieved; aPTa president<br />
says there’s more to do<br />
ALEXANDRIA, VA, April 30, 2013 — Today,<br />
Indiana Gov. Mike Pence signed HB 1034,<br />
granting Hoosiers direct access to evaluation<br />
and treatment by a physical therapist<br />
(PT) without a physician referral. Ensuring<br />
a patient’s choice in which healthcare professional<br />
to see and when has been a longtime<br />
goal of the American <strong>Physical</strong> <strong>Therapy</strong> Association<br />
(APTA) and its state chapters. Passage<br />
of HB 1034 signifies a landmark moment <strong>for</strong><br />
the physical therapy profession in that all 50<br />
states and the District of Columbia now allow<br />
patients to be evaluated by a physical therapist<br />
without a referral. With enactment of HB<br />
1034, 48 states and DC also allow some level<br />
of treatment by a PT without a referral. The<br />
new law takes effect July 1, 2013.<br />
“We are thrilled that Indiana has become<br />
the latest state to offer patients the choice of<br />
direct access to physical therapist services.<br />
Ensuring patient access is a cornerstone<br />
of APTA’s vision and mission,” said APTA<br />
President Paul A. Rockar Jr., PT, DPT, MS.<br />
“I congratulate our colleagues in the Indiana<br />
Chapter <strong>for</strong> their resilience and dedication<br />
in enacting this vital legislation after many<br />
years of tough battle. I also want to thank<br />
Rep. David Frizzell <strong>for</strong> authoring the bill and<br />
Sen. Patricia Miller <strong>for</strong> sponsoring the bill in<br />
the Senate.”<br />
The bill, which was promoted by the<br />
Indiana Chapter of APTA (INAPTA), permits<br />
patients to be evaluated and treated<br />
by a physical therapist <strong>for</strong> 24 calendar days<br />
without a referral from a physician or other<br />
provider; however, referrals will continue to<br />
be required <strong>for</strong> spinal manipulation and sharp<br />
debridement. After 24 days, the PT must<br />
obtain a referral from another, authorized provider<br />
to continue treatment. Prior to passage<br />
of the new law, a referral was required <strong>for</strong> all<br />
physical therapist services, both evaluation<br />
and treatment.<br />
Pauline Flesch, PT, MPS, INAPTA legislative<br />
chair, remarked, “The long, hard<br />
legislative journey to obtain direct access to<br />
physical therapist services makes this victory<br />
[IN THE NeWS]<br />
extremely gratifying. Our patients now have<br />
a choice of providers, and Indiana physical<br />
therapists can be proud to live and work in<br />
a more contemporary practice environment.”<br />
INAPTA President Shane Sommers, PT, MS,<br />
OCS, CSCS, added, “This is a great victory<br />
<strong>for</strong> patients and physical therapy in Indiana.<br />
After the combined ef<strong>for</strong>ts of our legislative<br />
committee, and the grassroots ef<strong>for</strong>t by local<br />
physical therapists, patients finally have<br />
direct access to physical therapist services.<br />
This gives us great momentum and helps us<br />
to advance patient care.”<br />
As APTA celebrates this legislative success<br />
in Indiana, it will also continue to work<br />
toward improved patient access across the<br />
country. While all states now allow patients to<br />
be evaluated by a physical therapist without<br />
a referral, there are still significant restrictions<br />
in many states that continue to impede patient<br />
access to physical therapist services.<br />
“We’d like to see unrestricted patient<br />
access to physical therapists in all 50 states.<br />
Unrestricted patient access is considered the<br />
‘gold standard’ <strong>for</strong> patient care as it does not<br />
include arbitrary restrictions, such as time<br />
or visit limits,” said Rockar. Patients in 17<br />
states currently enjoy unrestricted patient<br />
direct access.<br />
The Indiana Chapter of the American<br />
<strong>Physical</strong> <strong>Therapy</strong> Association is a professional<br />
membership association serving approximately<br />
1,400 active and retired physical therapists<br />
and physical therapist assistants, as well<br />
as physical therapy students. n<br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 9
[MANAGeMeNT FOCuS]<br />
Privacy Issues and your EmR<br />
Adopting an electronic<br />
medical records system<br />
can help your practice stay<br />
within the legal boundaries<br />
of protecting in<strong>for</strong>mation<br />
By nitin Chhoda, PT, dPT<br />
hIPAA laws are designed to protect<br />
unauthorized access to a patient’s<br />
personal and medical in<strong>for</strong>mation.<br />
For any physical therapy practice, it<br />
is important to be aware of HIPAA regulations<br />
and comply with them to avoid fines and penalties<br />
in your practice. An electronic medical<br />
records (EMR) system plays an important part<br />
in this endeavor. HIPAA, also known as the<br />
Health Insurance Portability and Accountability<br />
Act of 1996, is something with which every<br />
physical therapist must be closely acquainted.<br />
The act sets <strong>for</strong>th the rules regulating patient<br />
privacy and security, and the way personal<br />
health records are collected, maintained, used<br />
and shared.<br />
<strong>Physical</strong> therapists are in possession of sensitive<br />
client data each day and clinic owners<br />
must take steps to safeguard the security of<br />
those documents. Practice owners who aren’t<br />
in compliance with HIPAA regulations will find<br />
themselves facing harsh and costly fines, along<br />
with civil and criminal penalties.<br />
10 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
The HIPAA privacy rule protects patients by<br />
prohibiting the release or sharing of individually<br />
identifiable health in<strong>for</strong>mation. It applies<br />
to all <strong>for</strong>ms of communication, including oral,<br />
paper or electronic.<br />
Speaking of paper, some practices manually<br />
enter patient data from paper <strong>for</strong>ms or photocopies<br />
into the EMR system. In these situations,<br />
it is the responsibility of the practice to shred or<br />
protect the sensitive patient in<strong>for</strong>mation that is<br />
in its possession.<br />
What Protected Data Means<br />
Protected data includes a patient’s past, present<br />
and future medical conditions. It includes demographic<br />
in<strong>for</strong>mation such as name, address, date<br />
of birth and insurer in<strong>for</strong>mation. There are<br />
exclusions under HIPAA, but therapists must<br />
be absolutely sure they’re not violating the law.<br />
The parameters are quite narrow concerning<br />
the release of client data.<br />
There are unique circumstances in which a<br />
patient’s data can be divulged. For example,<br />
if the president declares a state of emergency<br />
or the secretary of health and human services<br />
declares a public health emergency. The client’s<br />
own health in<strong>for</strong>mation can be released to him<br />
if he makes the request in writing. HIPAA also<br />
makes provision <strong>for</strong> the release of in<strong>for</strong>mation<br />
to parents and legal guardians of minors.<br />
The usage of unidentifiable in<strong>for</strong>mation is<br />
more liberal. It can be disseminated when used<br />
<strong>for</strong> public health reasons and research. Data can<br />
also be included in a wide range of marketing<br />
ef<strong>for</strong>ts, as long as no data leads back to a specific<br />
client, including names, addresses, social<br />
security and insurer data.<br />
<strong>Physical</strong> therapists must also be cognizant<br />
of state laws of disclosure, always keeping in<br />
mind that HIPAA rules supersede state requirements.<br />
Typically, states can divulge in<strong>for</strong>mation<br />
to prevent payment fraud or abuse, <strong>for</strong> state<br />
reporting on healthcare costs and regulation of<br />
controlled substances.<br />
As more clinicians implement electronic<br />
medical records, the question of documentation<br />
security will continue to grow and evolve to<br />
meet the changing needs of electronic medical<br />
record systems.<br />
<strong>Physical</strong> therapy documentation software<br />
ensures practice owners are HIPAA-compliant,<br />
while providing superior security and safeguards.<br />
For starters, user login in<strong>for</strong>mation<br />
and verification are required <strong>for</strong> authorized<br />
personnel.<br />
Protection From Risk<br />
In an ef<strong>for</strong>t to comply with HIPAA requirements,<br />
consider the use of an EMR system. With a webbased<br />
system, records are maintained in the<br />
cloud instead of on local computers, laptops<br />
and tablets, where they’re safe from fires, floods<br />
and other natural disasters.<br />
Server-based systems are kept and maintained<br />
on-site. Therapists run the risk of having<br />
equipment stolen that contains personally<br />
identifiable patient in<strong>for</strong>mation. Identity theft<br />
and disgruntled employees also place records<br />
in danger.<br />
Complying with HIPAA guidelines isn’t<br />
optional, it’s the law. It’s one that can cost practices<br />
dearly if patient in<strong>for</strong>mation isn’t adequately<br />
protected and is inadvertently made<br />
available to unauthorized third parties.<br />
Penalties <strong>for</strong> infractions can range up to<br />
$1 million. This highlights the need <strong>for</strong> clinicians<br />
to ensure staff members are trained in<br />
privacy regulations and procedures. Even<br />
innocent mistakes could lead to penalties that<br />
can cripple clinics.<br />
In addition to adherence to HIPAA regulations,<br />
therapists face risks associated with the<br />
HITECH Act. The act provides funding <strong>for</strong><br />
more vigorous oversight, allowing infractions<br />
and violations to be located quicker.<br />
The HITECH Act also imposes strict fines<br />
and penalties <strong>for</strong> those in healthcare practice<br />
management who are caught violating any<br />
part of HIPAA regulations. Contracts are part<br />
and parcel of healthcare practice management.<br />
Therapists will enter into contracts with staff<br />
members, hospitals, physicians, labs and product<br />
vendors.<br />
The best way to avoid privacy problems is<br />
to ensure all communications are open, honest<br />
and every nuance is clearly spelled out in detail.<br />
That’s where legal representation becomes an<br />
invaluable resource <strong>for</strong> eliminating misunderstandings<br />
and conflicts.<br />
Legal Issues<br />
Lawsuits initiated by patients are always a possibility<br />
and they can be particularly devastating<br />
<strong>for</strong> small practices. Even if the therapist wins<br />
the case, it can cost a practice dearly in terms of<br />
clients, reputation, lost revenue, and the funds<br />
SCoTT DERBy
[MANAGeMeNT FOCuS]<br />
to defend against the charges.<br />
Everyone within the healthcare practice management clinic should be<br />
knowledgeable about the potential <strong>for</strong> lawsuits and how they can work<br />
to avoid them. Disgruntled employees are a concern, but in a world of<br />
online videos and social networking sites, clinicians should be aware of<br />
the damage that can be wrought by an employee lawsuit.<br />
This can cost a practice as dearly as a client’s litigation. When facing<br />
legal action by a healthcare practice management staff member, never<br />
say anything to incriminate the practice, stand by the clinic’s policies<br />
and never underestimate the potential <strong>for</strong> disaster. Some situations will<br />
benefit from the services of a mediator and may even help therapists<br />
avoid a lawsuit entirely.<br />
Legal repercussions associated with privacy violations can be avoided if<br />
practice owners are vigilant and take definitive steps to keep staff in<strong>for</strong>med<br />
about how lawsuits can arise and the part they play in the process. The<br />
same is true of HIPAA regulations.<br />
Enlisting the services of professionals (e.g., auditors, attorneys) who are<br />
well-versed in HIPAA requirements will save clinics money and help them<br />
maintain a good reputation.<br />
A physical therapy practice should be aware of all the regulations and<br />
laws that are connected within the practice. Not everyone can be an expert,<br />
but assigning a dedicated staff member to focus on regulations, laws and<br />
the changes that are made will be helpful to your practice.<br />
For a large hospital or clinic to keep a lawyer on staff is not uncommon,<br />
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and in many ways it makes sense to always have a legal specialist available<br />
to answer questions about the rights of the hospital and their patients.<br />
However, <strong>for</strong> a small practice it is much harder to justify having legal<br />
representation on staff. There are many horror stories of legal problems<br />
causing bankruptcy <strong>for</strong> a medical practice.<br />
Understanding HIPAA regulations is one of the most important jobs<br />
of healthcare practice management. While mistakes in following HIPAA<br />
regulations can be damaging, they are also some of the easiest mistakes<br />
to avoid, if management is aware of common mistakes that are made.<br />
The most common problems in a physical therapy private practice<br />
occur when there are issues with liability <strong>for</strong> fraud, mishandling overpayments,<br />
violations of privacy and not responding to Medicare inquiries.<br />
Third-party payer audits and certificate-of-need process should also<br />
be com<strong>for</strong>table topics <strong>for</strong> healthcare practice management consulting<br />
professionals.<br />
HIPAA violations can be avoided if at least one member of the healthcare<br />
practice management within your practice understands HIPAA<br />
thoroughly. It may seem like a very big and ominous law, so expecting<br />
everyone to know everything will be challenging.<br />
It is essential that one member of your clinic should be or become a<br />
HIPAA specialist so the practice has someone to ask be<strong>for</strong>e procedures<br />
and standards are set that will violate HIPAA regulations. n<br />
Nitin Chhoda is the CEO of www.InTouchEMR.com and can be reached at<br />
support@InTouchEMR.com.<br />
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12 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong>
JEFFREy lEESER<br />
anterior cruciate ligament (ACL)<br />
injuries continue to be the focus<br />
of topics in medical journals, and<br />
there have even been “ACL Summits”<br />
where the best and brightest on ACLs get<br />
together to collaborate on where we’ve been,<br />
where we are, where we’re going and what<br />
we still don’t know.<br />
Identifying risk factors, preventing ACL<br />
injury, choosing graft types, following protocols,<br />
and administering return-to-sport criteria<br />
are all aspects that are evaluated by a host of<br />
professionals including physical therapists,<br />
athletic trainers, physicians, and strength and<br />
conditioning professionals. That said, there are<br />
many considerations the latest research has<br />
provided that may cause a shift in thinking <strong>for</strong><br />
the active, athletic patient. Of note, data continues<br />
to show that subjects after ACL reconstructions<br />
asymmetrically load their involved limb<br />
up to two years after surgery. The purpose of<br />
this article is to highlight these considerations<br />
and provide ways to implement them into the<br />
terminal phases of ACL rehabilitation.<br />
Using the Involved Limb<br />
Asymmetrical loading has been found during<br />
squatting, lateral step downs, stair climbing<br />
and single-leg hopping/jumping. 1 A study in<br />
Clinical Biomechanics by Nietzel et al showed<br />
that following an ACL reconstruction, subjects<br />
unconsciously unloaded their involved limb<br />
up to a year after surgery during the squat<br />
activity. 2 This study has several implications<br />
<strong>for</strong> ACL rehabilitation. First and <strong>for</strong>emost, it<br />
highlights that doing bilateral limb exercises<br />
like ball squats may be a mistake in rehabilitation.<br />
In that case, there’s a need <strong>for</strong> single-leg<br />
exercises to be heavily emphasized in physical<br />
therapy. Multiple options <strong>for</strong> the therapist exist.<br />
A functional training or shuttle system may be<br />
used to effectively unload the limb enough so<br />
the patient can per<strong>for</strong>m single-leg squats.<br />
If a patient struggles with single-leg squats,<br />
he could per<strong>for</strong>m the eccentric/lowering phase<br />
with the involved limb and the concentric/<br />
pushing phase with both limbs. Alternatively,<br />
the patient could place the uninvolved limb<br />
on a step, thereby <strong>for</strong>cing the patient to load<br />
the involved<br />
limb during<br />
a standing<br />
squat activity.<br />
In later phases<br />
of rehabilitation,<br />
split squats, step<br />
ups/downs or<br />
single-leg press<br />
should be the<br />
focus of treatment.<br />
When patients<br />
transition to impact<br />
activities, the emphasis<br />
should be on single-limb<br />
movements<br />
again. There<strong>for</strong>e, split<br />
jumps, single-leg hops, bounding<br />
and skipping are all activities<br />
that can facilitate more loading<br />
on the involved limb.<br />
Other studies have shown<br />
that it’s not just during resistance<br />
exercise, but unloading<br />
also exists during jumping<br />
and landing tasks, even after<br />
patients have been cleared to<br />
return to sport. Paterno et al found<br />
that even two years after ACL reconstruction,<br />
there were asymmetries in landing and jumping<br />
in females. 3 In another study, Paterno et al<br />
evaluated landing strategies among male and<br />
female athletes after return to sport following<br />
ACL reconstruction. There were 98 participants<br />
in this study, 56 of whom had a unilateral ACL<br />
reconstruction, while 42 uninjured were used<br />
as matched controls. Subjects were asked to do<br />
a bilateral drop jump maneuver from a 31-cm<br />
box onto the ground. Regardless of sex, subjects<br />
in the ACL reconstructed group displayed<br />
significantly lower ground reaction <strong>for</strong>ces than<br />
the involved limb.<br />
Implications <strong>for</strong> <strong>Rehab</strong><br />
These studies have numerous implications <strong>for</strong><br />
the physical therapist. First, they bring into<br />
question whether or not “six months” should<br />
be used as the “standard” <strong>for</strong> return to sport<br />
following an ACL reconstruction. Because<br />
[SPoRTS REHaB]<br />
addressing loading asymmetries<br />
End-stage rehabilitation following ACL reconstruction<br />
By dan lorenz, dPT, PT, laT, CsCs<br />
subjects unload their limb during resistance<br />
activities up to a year after surgery and possibly<br />
two years when landing from a jump,<br />
one must question if we need to extend our<br />
timeline <strong>for</strong> ACL rehabilitation and not put a<br />
specific length on it. Second, they <strong>for</strong>ce<br />
us to question our return-to-play<br />
criteria. It’s very difficult to<br />
observe loading asymmetry<br />
and even more to<br />
quantify it if there’s no<br />
accurate way to measure<br />
loading, like a <strong>for</strong>ce plate.<br />
There<strong>for</strong>e, how can the physical<br />
therapist be sure that the<br />
patient is loading the limb<br />
properly?<br />
Patients may struggle<br />
to regain strength<br />
on the involved side if<br />
they’re unloading it. 1<br />
If they don’t have<br />
the strength due<br />
to unloading,<br />
it’s likely they<br />
won’t have the<br />
strength and<br />
power required<br />
<strong>for</strong> jumping/<br />
landing tasks. Furthermore,<br />
if deficits exist in strength of the<br />
involved limb, compensatory strategies at<br />
the hip and knee are likely to take place. Not<br />
only might those compensations mask the<br />
deficits in the involved limb, but they could<br />
also either lead to injury in these areas from<br />
overuse or further injury to the involved knee<br />
because of improper movement patterns.<br />
In addition, frontal plane loading asymmetries<br />
can contribute to these adverse landing<br />
strategies. Thus, exercises that focus on gluteus<br />
medius and hip lateral rotator strengthening<br />
should be a hallmark of physical therapy.<br />
Clamshells, side-lying leg raises, “hip hikes,”<br />
standing hip abduction and lateral band walks<br />
are all options <strong>for</strong> the therapist to use.<br />
Lastly, asymmetrical loading of the involved<br />
limb may actually accelerate the progression of<br />
post-traumatic knee osteoarthritis. 1 Reduced<br />
loading alters cartilage synthesis and catabolic<br />
activity, changing the biomechanical composition<br />
and making it structurally inferior. 1 For<br />
the recovering athletes, damage to cartilage is<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 13
[SPoRTS REHaB]<br />
detrimental to their ability to per<strong>for</strong>m impact<br />
activities as reduced volume of cartilage causes<br />
joint destruction, and ultimately leads to pain<br />
and limitations in per<strong>for</strong>mance.<br />
Finally, rate of <strong>for</strong>ce development (RFD) has<br />
been found to be altered following ACL reconstruction<br />
at six months following surgery. 5<br />
RFD is basically the ability to generate <strong>for</strong>ce<br />
quickly. It’s very important in sports requiring<br />
explosiveness and acceleration. Furthermore,<br />
the ability to generate <strong>for</strong>ce/strength quickly is<br />
very important <strong>for</strong> per<strong>for</strong>mance and protection<br />
against injury. 5 Angelozzi et al found that even<br />
though the maximum voluntary isometric contraction<br />
(MVIC) returned to pre-injury level at<br />
six months, there were still significant deficits<br />
in RFD. 5 An RFD similar to pre-injury levels<br />
was achieved at 12 months after ACL reconstruction,<br />
following a rehabilitation program<br />
focused on power. The results of this study tell<br />
us that even though a patient may pass a series<br />
of hop tests on quality and quantity, there still<br />
may be deficits in the ability of an athlete to<br />
be powerful.<br />
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Path <strong>for</strong> <strong>Therapy</strong><br />
Collectively, these studies have several considerations<br />
<strong>for</strong> the physical therapist. Clearly, the<br />
focus of rehabilitation should be on single-leg<br />
activities once closed-chain exercises are initiated.<br />
Focusing on single-leg strength will<br />
enable the patient to have a baseline level of<br />
strength prior to initiation of power activities.<br />
Therapists can test strength with hand-held<br />
devices, manual muscle testing, step down<br />
tests, or a 10-repetition maximum leg press.<br />
Eccentric strength should also be a focus of<br />
single-leg training as eccentric activities help<br />
create more stiffness in the muscle and tendon.<br />
More stiffness will enable greater use of<br />
elastic components in the muscle and tendon,<br />
which will eventually lead to more power.<br />
Caution should be used when progressing<br />
athletes to impact activities if both the movement<br />
quality and quantity is altered between<br />
the involved and uninvolved.<br />
Once a baseline level of strength is<br />
attained, the focus should shift to power<br />
development. There<strong>for</strong>e, doing activities<br />
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AVAILABLE NOW<br />
like lunges, step ups and leg press quickly<br />
will help facilitate power needed <strong>for</strong> impact<br />
activities. Activities that facilitate what is<br />
known as “triple extension” (ankle plantarflexion,<br />
knee extension, and hip extension)<br />
should be highly encouraged. The<br />
“triple extension” movement is required <strong>for</strong><br />
virtually any athletic activity involving running,<br />
sprinting and jumping. Progression to<br />
impact activities may include jumps to a box,<br />
single-leg jumps in place, split jumps and<br />
step jumps, and running uphill. As patients<br />
are able to effectively per<strong>for</strong>m these activities,<br />
they can transition to jumps from a box.<br />
Again, the emphasis should be on single-leg<br />
landings. As patients demonstrate the ability<br />
to attenuate the impact <strong>for</strong>ces from drop<br />
jumps, they can transition to more reactive<br />
training. Here, the patients will jump from<br />
a box and then immediately jump back up in<br />
the air, or transition to a sprint once they land.<br />
Reactive abilities will help improve explosiveness<br />
and develop RFD.<br />
aCl continued on page 26<br />
To learn more, download a free Game Ready Guide to<br />
Amputee Recovery at www.gameready.com/amputee-guide.<br />
www.gameready.com | 1.888.426.3732<br />
©2013 CoolSystems, Inc. All rights reserved. ADVAW 03/13
Breathing Well<br />
How Pilates can benefit<br />
individuals with respiratory<br />
diseases By sue Coyle<br />
is a term that conjures images of a floor<br />
mat, core work, stretching and focus.<br />
For those who are less familiar, the term<br />
may be met with a confused, “That’s similar to<br />
yoga, right?” But most — no matter their level of<br />
exposure — know that Pilates is a <strong>for</strong>m of exercise<br />
that has risen in popularity in the United<br />
States (along with yoga). Fitness aficionados<br />
and novices alike are discovering that health,<br />
both physical and mental, may require slightly<br />
more finesse than straight cardio and strength<br />
training.<br />
The exercise has proven to help not only the<br />
physical health of the body but the aesthetics<br />
as well, increasing an individual’s strength and<br />
fitness level without adding bulky muscle. This<br />
has given the practice an edge with women in<br />
particular, who are looking <strong>for</strong> an exercise that<br />
keeps them in shape without adding pounds.<br />
But Pilates’ benefits extend beyond the gym,<br />
as well — a truth that more and more medical<br />
practitioners, particularly physical therapists,<br />
are learning. In fact, Pilates has become an integral<br />
part of many physical therapists’ practices<br />
and is quite often, depending on the patient,<br />
incorporated into treatment. The exercise can<br />
benefit patients with a variety of different diseases,<br />
ailments or concerns.<br />
However, the benefits to individuals with<br />
respiratory diseases, such as asthma and COPD<br />
(chronic obstructive pulmonary disease), are of<br />
particular interest. An exercise designed, <strong>for</strong> one,<br />
to enhance breathing helps these patients gain<br />
their breath and more.<br />
kylE kIElINSkI <strong>for</strong> those who know of the practice, Pilates<br />
Pilates Background<br />
Pilates was developed in the first half of the 20th<br />
century by Joseph Pilates. Pilates called his exercise<br />
technique “contrology,” emphasizing its<br />
benefits to both mind and body. He, along with<br />
his wife, taught contrology — now known as<br />
Pilates — to military personnel, police officers<br />
and other fitness-minded professionals. The<br />
practice eventually became extremely popular<br />
with dancers and, as such, came to be thought<br />
of as an exercise suited to the extremely fit and<br />
able members of society.<br />
However, over the past several decades,<br />
Pilates has expanded from the gym’s elite to<br />
the common man (or, more commonly, woman).<br />
It has and continues to receive widespread<br />
appreciation <strong>for</strong> the art and intelligence behind<br />
the exercises. When someone practices Pilates,<br />
one of the first steps is drawing attention to<br />
the breath and positioning of the body. Pilates<br />
instructors will ask their students to focus on<br />
how their spine is aligned; how they are sitting,<br />
laying or standing; how the body moves with<br />
each breath and where the breath is originating.<br />
This is because Pilates’ main focus is the core or<br />
center of the body.<br />
Often, individuals identify the core as the<br />
body’s abdominal muscles, believing that<br />
individuals with a strong core have what is<br />
commonly called a “six-pack.” While this line<br />
of thinking is not entirely wrong, there is more<br />
to a strong core than abdominal muscles.<br />
Pilates helps build balance, enhance breath<br />
and correct posture. It is an exercise practice<br />
that employs mat exercises, as well as some<br />
equipment, to help the individual strengthen<br />
the center and, as a result, strengthen the whole.<br />
Thus, it requires more complex work than simply<br />
doing crunches or sit ups and offers considerably<br />
more benefit than one would receive by<br />
doing only those a<strong>for</strong>ementioned ab workouts.<br />
Therapeutic Benefits<br />
Moving out of the personal gym and into a<br />
therapeutic setting, Pilates’ reach is equally as<br />
appealing and encompassing.<br />
“Pilates can improve posture and decrease<br />
back, shoulder, knee and ankle pain,” explained<br />
Chantal Donnelly, MPT, owner of Body Insight<br />
Inc. in Pasadena, Calif. Donnelly is also a certified<br />
Pilates instructor.<br />
“Pilates can improve balance and trunk<br />
[PIlaTES]<br />
stability, decrease urinary incontinence symptoms,<br />
improve body awareness, balance muscle<br />
tone, improve spine and rib mobility, and<br />
improve breathing efficiency,” she added.<br />
Clearly from the long list of therapeutic benefits,<br />
Pilates would be a welcome addition to<br />
many PT treatment plans. However, it is also<br />
evident that much of the practice’s benefits are<br />
more orthopedic-based than respiratory.<br />
As Susan Ramsey, PT, MA, owner of Holistic<br />
<strong>Physical</strong> <strong>Therapy</strong> Services in Portland, Maine<br />
stated, “We treat orthopedics and complex<br />
orthopedics; we provide pelvic floor rehab and<br />
we have a wellness studio. [But] we do not treat<br />
patients specifically <strong>for</strong> respiratory issues.”<br />
Nor do several of the other Pilates-integrated<br />
physical therapy facilities throughout the<br />
country.<br />
Much of the Pilates focus in a therapeutic setting<br />
appears to be structurally based. Un<strong>for</strong>tunately,<br />
that ignores or misses a key benefit of<br />
Pilates: breath. Patients with asthma, COPD and<br />
other respiratory diseases can greatly benefit<br />
from Pilates.<br />
“Joseph Pilates had asthma himself,”<br />
described Donnelly. “Several of the Pilates<br />
exercises incorporate thoracic rotation, which<br />
helps with efficient breathing by creating space<br />
in the chest cavity.”<br />
Additionally, the method of breathing<br />
employed in Pilates can assist an individual<br />
with a respiratory disease.<br />
“During inhalation, breathing is encouraged<br />
from the lateral aspect of the thorax. This activates<br />
the natural buckle handle movement of<br />
the ribcage, allowing <strong>for</strong> maximum movement<br />
of the ribs and, there<strong>for</strong>e, maximum filling of<br />
the lungs,” Donnelly said. “During exhalation,<br />
the transverse abdominus (TA) is activated. This<br />
muscle assists in expelling air completely from<br />
the lungs.”<br />
Essentially, with focused practice Pilates<br />
allows the individual to learn techniques that<br />
enable full, deep and meaningful breathing.<br />
Using a <strong>Physical</strong> Therapist<br />
But if this method of breathing is encouraged in<br />
all Pilates practice, why can’t a patient simply<br />
sign up <strong>for</strong> a class at the gym or download an<br />
online tutorial? It’s not as easy as it may sound.<br />
In a gym or at home in front of a TV or computer<br />
screen, an individual may think she is<br />
doing everything right, but more often than not,<br />
her technique won’t be as precise as it needs to<br />
be <strong>for</strong> full benefit — at least not at first.<br />
breathing continued on page 36<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 15
[CoVER SToRy]<br />
Community<br />
EFFoRT<br />
Nursing home rehab<br />
departments celebrate the<br />
benefits of working as a team<br />
By rebecca Mayer knutsen<br />
ealthcare policymakers advocate teamwork as a means<br />
of assuring quality and safety in the delivery of services.<br />
In the case of skilled nursing facilities, the best benefits<br />
are realized when individual team members work in<br />
cooperation with each other to set and reach unit and<br />
individual goals.<br />
The American Health Care Association (AHCA) stresses the value<br />
of care planning in which everyone “pitches in” <strong>for</strong> optimal outcomes.<br />
Accordingly, the theme of this year’s National Nursing Home<br />
Week (NNHW) is “Team Care” with an ancillary theme of “Everyone<br />
Pitches In.” NNHW will be observed in skilled nursing facilities<br />
throughout the United States, beginning Mother’s Day, May 12, and<br />
continuing through May 18, 2013.<br />
According to the AHCA, this year’s theme recognizes residents and<br />
patients in long-term and post-acute care settings and the dedicated<br />
staff who care <strong>for</strong> them. Observing NNHW is an opportunity to show<br />
support and respect <strong>for</strong> the individuals and staff who provide care<br />
and support services.<br />
To celebrate NNHW, facilities across the country will host activities<br />
designed to foster intergenerational contact, strengthen family<br />
relationships and encourage volunteerism by individuals and local<br />
organizations. The AHCA encourages facilities to hold open houses,<br />
tours welcoming VIPs and other guests, and special events <strong>for</strong> the<br />
residents, families, staff and community.<br />
In long-term and post-acute care settings, a large team — including<br />
nurses, CNAs, physical, occupational, speech and recreational<br />
therapists, and other support staff — contributes to achieving high<br />
levels of satisfaction.<br />
Signature HealthCARE, a provider of long-term care services in the<br />
Eastern and Southeastern United States, operates 73 communities in<br />
six states, with more than 12,000 employees. At each Signature facility,<br />
the rehabilitation team works together to develop a coordinated<br />
plan of care designed to meet patient needs. <strong>Rehab</strong>ilitation works<br />
best when the disciplines work together, with each bringing its own<br />
special expertise to the table.<br />
16 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
COuRTeSY OF SIGNATuRe HeALTHCARe
[CoVER SToRy]<br />
Under Signature <strong>Rehab</strong>’s integrated care model, therapists work<br />
closely with other clinical caregivers to ensure residents and patients<br />
make a full recovery and a timely return to the activities they enjoy. To<br />
get a better understanding of how OTs, PTs and SLPs work together,<br />
<strong>ADVANCE</strong> spoke with three rehabilitation service managers from different<br />
Signature HealthCARE facilities:<br />
• Denise Holland, PT, rehab service manager, Heritage Park Care &<br />
<strong>Rehab</strong> in Bradenton, FL;<br />
• Tessa Perkinson, MS, OTR/L, rehab service manager, Bridge at<br />
Rockwood in Rockwood, TN;<br />
• Shannon DuBose, CCC-SLP, rehab service manager at Signature<br />
HealthCARE of Gainesville in Gainesville, FL.<br />
<strong>ADVANCE</strong>: Which Signature Healthcare community do you work<br />
in and what unique challenges are you presented with as the rehab<br />
service manager?<br />
Holland: Our community at Heritage Park Care & <strong>Rehab</strong> in Bradenton,<br />
FL, has a mix of both short- and long-term care patients. Our<br />
therapists tend to see more of the short-term patients as many of them<br />
are being discharged to assisted living, not necessarily to home. Our<br />
patient population ranges from orthopedic to cardiac and respiratoryrelated<br />
issues and other illnesses.<br />
We use a multidisciplinary approach, which allows us to work side<br />
by side to coordinate the best care <strong>for</strong> our patients. We collaborate<br />
with each other but also with nursing and special services. Our PTs<br />
generally address pain and balance with exercise and manual therapy<br />
techniques including massage and myofascial release. We are not<br />
opposed to using all tools in the toolbox so our approach often involves<br />
pain management modalities and interventions including ultrasound,<br />
e-stim and diathermy.<br />
Education and family involvement are crucial to the success of<br />
our patients. As a manager, I expect that my therapists educate the<br />
patient and/or the caregiver at least<br />
once a week. That’s my standard and<br />
my expectation.<br />
Perkinson: Treatment is a bit different<br />
in our community, Bridge at<br />
Rockwood in Rockwood, TN, than at<br />
a typical nursing home because we are<br />
a serenity building. Signature Serenity<br />
offers specialized care to individuals<br />
suffering from Alzheimer’s disease<br />
and other <strong>for</strong>ms of dementia. About<br />
80% of our caseload is dementia<br />
[patients] and we focus on a functional<br />
approach <strong>for</strong> this patient population.<br />
We have developed an ability-based<br />
program <strong>for</strong> them and we trial and<br />
error various approaches with patients<br />
Mary Beckman, a resident at Signature<br />
HealthCARE of Cherokee Park, in<br />
Louisville, Ky, works in the kitchen<br />
in the Activities of Daily Living (ADL)<br />
suite with COTA Anna Versweyveld<br />
(bottom) and relaxes with Stacey<br />
Carayanis, <strong>Rehab</strong> Service Manager,<br />
and Winston (at far left). Winston is<br />
a frequent pet therapy guest.<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 17
[CoVER SToRy]<br />
to determine what is best <strong>for</strong> each individual.<br />
Our OTs develop cognitive programs <strong>for</strong><br />
the dementia patients and work on ADLs<br />
that keep them safe. We do a lot of work<br />
with positioning, splinting and pressure relief<br />
with nursing <strong>for</strong> wounds. Service delivery<br />
is important to us and we focus on patientcentered<br />
care.<br />
DuBose: Our patient population at Signature<br />
HealthCARE of Gainesville in Gainesville,<br />
FL, is mainly composed of short-term patients<br />
who are discharged to home. We may have<br />
a 20-year-old with orthopedic issues from a<br />
motor vehicle accident or an 80-year-old who<br />
is having trouble swallowing from radiation<br />
treatments to his throat due to cancer.<br />
We SLPs work on cognitive issues including<br />
short- and long-term memory loss, word<br />
finding, orientation and problem solving. We<br />
teach patients with aphasia to speak again<br />
and learn how to follow directions. We also<br />
address safety awareness <strong>for</strong> a safe discharge<br />
back to home and teach patients who have a<br />
trach to communicate. For patients who are<br />
FREE<br />
IN-PERSON EVENTS<br />
having difficulty communicating, we can<br />
teach them how to express wants and needs<br />
to caregivers and family members.<br />
Today’s patients need even more rehab<br />
because of shorter hospital stays and they are<br />
usually arriving with more complications. We<br />
have a full-time respiratory therapist on staff,<br />
so that gives us an advantage on the medical<br />
side. As a result, we need the goals to be<br />
creative to engage our patients. Healthcare<br />
is always changing so as clinicians, we need<br />
to be flexible, creative and willing to change<br />
along with the system.<br />
<strong>ADVANCE</strong>: How does your facility exemplify<br />
this notion of team care?<br />
Holland: The multidisciplinary approach<br />
is threefold: consistency, coordination of<br />
treatment plans and preparation <strong>for</strong> discharge.<br />
Working together across all disciplines<br />
enhances skills, confidence and knowledge.<br />
When we can problem solve together, it helps<br />
us learn from each other each and every<br />
day. We collaborate on a case-by-case basis<br />
to exchange patient treatment in<strong>for</strong>mation.<br />
HEALTHCARE<br />
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18 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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Each team member complements the other as<br />
they work together to develop an appropriate<br />
treatment plan.<br />
Our patients with stroke are perfect <strong>for</strong><br />
our multidisciplinary care model. It’s often<br />
difficult <strong>for</strong> PT to communicate with stroke<br />
patients. SLPs teach communication strategies<br />
and know how to give the right cues and<br />
get the response we are looking <strong>for</strong>. Overall,<br />
it’s less frustrating (<strong>for</strong> the patient and the<br />
therapist) and facilitates a quicker recovery.<br />
Sometimes patients won’t or can’t communicate<br />
their abilities to us. OTs and SLPs are so<br />
creative in their approach and are great communicators.<br />
They often share approaches that<br />
work really well <strong>for</strong> our patient interactions.<br />
It’s critical <strong>for</strong> the disciplines to maintain<br />
open communication because we want to<br />
avoid doing the same thing with patients.<br />
We need to know how a patient is per<strong>for</strong>ming<br />
OT and then in SLP — it influences our<br />
plan of care. It helps me know when I can<br />
push them farther or start the next step in<br />
their care. Because we work side by side, OT<br />
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and SLP can observe what I’m working on<br />
from across the room.<br />
Perkinson: We have regular department<br />
meetings and we share office space with PT<br />
and SLP so we regularly bounce ideas off of<br />
each other and discuss resident needs. It helps<br />
to be aware of the other disciplines’ strengths<br />
and use them to help patients. If we notice a<br />
decline in a particular area, then we know<br />
to notify the other discipline who can best<br />
address it.<br />
A good example of teamwork is when an<br />
SLP is working with a resident because of<br />
weight loss and identifies the problem as<br />
her inability to feed herself properly. SLP will<br />
address swallowing issues and bring OT in to<br />
help the resident relearn how to feed herself.<br />
We may refer to PT if we notice that a resident’s<br />
transfer rate has declined.<br />
We are in the process of adding a sensory<br />
integration room that will be used by OT, PT<br />
and SLP. It will be a multisensory room to<br />
engage patients in various sensory experiences<br />
— it will include media that can be<br />
calming and will include visual, aromatic<br />
and musical components. The program is<br />
being initiated based on a research program<br />
that is just wrapping up in collaboration with<br />
the Signature Research Institute. Our plan is<br />
to train nurses to use the area with patients<br />
as well.<br />
DuBose: Our clinical team works together<br />
to provide personalized care <strong>for</strong> our patients<br />
with the end goal of improving daily life. It’s<br />
a rewarding work environment because many<br />
of our patients are not able to eat at all when<br />
they arrive. People take eating <strong>for</strong> granted<br />
and it’s the first thing they want back. As an<br />
SLP, we often ask PT to help with proper positioning<br />
with a swallowing patient.<br />
For a patient who is struggling to follow<br />
instructions, <strong>for</strong> example, we may do<br />
a cooking activity with OT to demonstrate<br />
following directions and sequencing. PT can<br />
be involved, too, by addressing the patient’s<br />
balance and mobility in the kitchen.<br />
<strong>ADVANCE</strong>: How will you celebrate<br />
National Nursing Home Week this year?<br />
[CoVER SToRy]<br />
Holland: We celebrate every occasion that<br />
we have an excuse to celebrate, so National<br />
Nursing Home Week is no different. We<br />
work in a challenging environment full of<br />
tremendous joys and great heartaches. Any<br />
cause <strong>for</strong> celebration helps liven up the average<br />
day. I’m excited to see how we honor<br />
NNHW this year.<br />
Perkinson: We have week-long activities<br />
lined up with dress-up days <strong>for</strong> residents and<br />
staff members. Our staff members also partner<br />
with residents <strong>for</strong> a week-long competition.<br />
Each team can earn tokens that can be<br />
cashed in <strong>for</strong> prizes. At the end of the week,<br />
we close with a community-wide picnic.<br />
DuBose: For last year’s NNHW, we<br />
decided on a tropical beach theme. We had<br />
dress-up days and beach-themed activities<br />
scheduled <strong>for</strong> residents. It can be a fun challenge<br />
coming up with exciting activities that<br />
involve the disparity in ages. n<br />
Rebecca Mayer Knutsen is on staff at <strong>ADVANCE</strong><br />
and can be reached at rknutsen@advanceweb.com<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 19
[GAIT TRAINING]<br />
Careful Steps<br />
Research sheds light on body weight supported<br />
treadmill training versus overground gait training<br />
By Toni Patt, dPT<br />
Body weight supported treadmill<br />
training (BWSTT) is an intervention<br />
that combines use of a treadmill<br />
and offloading of body weight<br />
from one or both legs. The patient ambulates<br />
on a treadmill while wearing a harness<br />
attached to a mounting frame that mechanically<br />
unloads weight from the patient. 1 It<br />
provides physical support to allow weight<br />
bearing through weak or hemiparetic limbs.<br />
The therapist provides manual assist to<br />
20 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
guide the trunk and legs through normal<br />
gait trajectory. The goal is to create a more<br />
symmetrical gait with improved kinematics<br />
and timing. 2<br />
Using BWSTT<br />
BWSTT has been used to treat patients with<br />
spinal cord injury, stroke and cerebral palsy,<br />
among other patient populations. More<br />
recently, patients with Parkinson’s disease<br />
have also been showing improvements in<br />
gait parameters following treatment. Selection<br />
criteria include the ability to follow one-step<br />
commands, continence of bowel and bladder,<br />
no significant orthopedic or cardiovascular<br />
limitations and pain control. Receptive aphasic<br />
patients aren’t good candidates, secondary<br />
to an inability to grasp the process.<br />
The idea <strong>for</strong> BWSTT arose from animal<br />
models. Animals with severed spinal cords<br />
were still able to take steps when the hindquarters<br />
were supported while walking on<br />
a treadmill. Gait on a treadmill provides<br />
a <strong>for</strong>m of highly repetitive task-oriented<br />
practice in which the patient is able to take<br />
more steps in the same amount of time compared<br />
to overground walking. 3 The result is<br />
practice that is massed and specific to the<br />
outcome of walking. 4,5<br />
Motor learning is enhanced by the<br />
increased stepping. Patients are able to take<br />
hundreds of steps where previously they<br />
might have taken only ten or twenty.<br />
Both traditional overground gait training<br />
and BWSTT are labor intensive. With traditional<br />
therapy, therapists manually assist<br />
patients to walk over ground. The therapist<br />
controls the patient’s trunk while also assisting<br />
with gait. In addition, the therapist is able<br />
to assess whether maximal ef<strong>for</strong>t is being<br />
given by the patient. Although overground<br />
walking is significantly less expensive than<br />
BWSTT since there are minimal equipment<br />
needs, both are physically demanding to the<br />
patient and therapist.<br />
A minimum of two people is needed <strong>for</strong><br />
safety when walking on the treadmill. Often,<br />
the therapist assists the patient with balance<br />
and stepping while a second person controls<br />
the treadmill and assists the patient with<br />
standing. When working with patients with<br />
spinal cord injury, a third person often assists<br />
with the other leg. As a safety precaution,<br />
most body weight support (BWS) systems<br />
include a kill switch, which can be attached<br />
to the patient’s clothing.<br />
Generally, training is begun with 30% of<br />
body weight removed. 4,5 As the patient progresses,<br />
the amount of support is gradually<br />
decreased and walking speed on the treadmill<br />
is increased. Faster treadmill walking has<br />
been associated with faster gait speeds overground.<br />
6 BWSTT is associated with increased<br />
single-leg support, increased hip and knee<br />
extension in hemiparetic limbs, increased<br />
stride length and cadence, and decreased<br />
double limb support. 2,5,6<br />
JEFFREy lEESER
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TM<br />
[GAIT TRAINING]<br />
Extra Support<br />
There is some debate as to whether it is beneficial to allow the<br />
patient to use arm rails <strong>for</strong> support, which also allows weight<br />
to offload from the legs to the arms. Although weight bearing is<br />
necessary <strong>for</strong> the reflexive stepping, use of the arms <strong>for</strong> support<br />
improves balance and trunk control, thereby allowing the patient<br />
and therapist to concentrate more on the stepping than maintaining<br />
balance. Most of the BWS systems have hand grips built into<br />
the harness apparatus.<br />
Use of orthotics on the treadmill is another area of debate. Traditionally,<br />
treadmill training has been per<strong>for</strong>med without use of any<br />
orthotics to make the gait as normal as possible. More recently, ankle<br />
foot orthotics have been successfully used with patients with spinal<br />
cord injury, stroke and children with cerebral palsy. The reasoning is<br />
that the patient should practice walking with whatever equipment<br />
will be used outside of therapy.<br />
Robotic Gait Trainers<br />
Robotic gait trainers were developed as the second generation of<br />
BWS systems. The robot helps decrease both the physical demands<br />
on staff and the number of staff needed to per<strong>for</strong>m the treatment,<br />
and generally one person can per<strong>for</strong>m the setup and treatment. In<br />
place of a harness, the patient is fit into a robot. The robot provides<br />
the body weight support and controls the steps. Parameters specific<br />
to each patient are programmed into the robot.<br />
Although similar in purpose, robotic gait trainers have not been<br />
as effective as either overground or treadmill training systems.<br />
Although the robot eliminates the problem of inconsistent assist<br />
across different therapists — all of the steps are the same — problems<br />
have been experienced with patient compliance with the system.<br />
Additionally, it is difficult to determine whether the patient is putting<br />
out maximal ef<strong>for</strong>t with each step with robotic assist. 7<br />
BWSTT Benefits<br />
There are two possible mechanisms thought to be responsible <strong>for</strong> the<br />
improvements seen with BWSTT. Patients with brain lesions, such<br />
as following stroke, need to reorganize cortically in order to regain<br />
motor function. Repetitive treadmill walking is thought to stimulate<br />
reorganization of the central nervous system, resulting in improved<br />
motor control and planning. The continued stepping recruits neural<br />
circuitry that restores locomotion capacity via compensatory activation.<br />
8 This process is associated with recruitment of subcortical<br />
structures, which drive neuroplasticity.<br />
Patients with spinal cord injury often have intact brains but lack<br />
supra-spinal input to the spinal cord. In these patients, neuroplasticity<br />
is thought to occur at the central pattern generator (CPG). 9<br />
The CPG responds to symmetrical afferent input despite loss of<br />
cortical input, which results in automatic, coordinated stepping. 10<br />
For this to happen the movement must be rhythmic, reciprocal<br />
and alternating.<br />
BWSTT has also been used to control spasticity in patients with<br />
chronic spinal cord injury. 11 Adams and Hicks noted decreases in<br />
the amplitude of the H reflex after one session of training. Following<br />
completion of BWSTT they also noted improvement in control<br />
of flexor tone, extensor tone and clonus, with patients reporting a<br />
general improvement in quality of life. 11
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[GAIT TRAINING]<br />
Research Complications<br />
BWSTT was thought to be superior to other<br />
<strong>for</strong>ms of gait training until 2011 when the<br />
results of the Locomotor Experience Post<br />
Stroke Trial (LEAPS) was published. LEAPS<br />
found that BWSTT was not superior to<br />
progressive exercises at home. 12 In the trial,<br />
408 patients were assigned to either BWSTT<br />
(early and late) or home exercise consisting<br />
of strengthening and balance activities. All<br />
of the subjects were seen <strong>for</strong> 36 sessions of<br />
90 minutes each. At one year, 52% of all participants<br />
had increased functional walking<br />
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Similar results were found in the Spinal<br />
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The following year, two of the researchers<br />
identified problems with the LEAPS trial. 9 It<br />
didn’t include patients with chronic stroke<br />
who were non-ambulatory one year poststroke.<br />
While BWSTT is similar to normal<br />
walking, it isn’t an exact replication. Use of<br />
the harness creates lateral sway that is normally<br />
absent from walking. Use of a BWS<br />
system eliminated errant steps and the ability<br />
to learn from those missteps. Those systems<br />
were based on what therapists would<br />
normally do, and as a result they produced<br />
task-oriented but not task-specific training. 9<br />
Future Needs<br />
Research is now needed to determine the best<br />
use of BWSTT in the future. Further work<br />
must be done to identify the missing components<br />
of gait from current designs. Trials with<br />
chronic patients and very acute patients may<br />
reveal new populations. For instance, patients<br />
with Parkinson’s disease may benefit from<br />
faster speeds. Perhaps combining BWSTT<br />
with virtual reality to create virtual objects<br />
to step over will improve results.<br />
Two research areas <strong>for</strong> BWSTT have<br />
emerged. Some use the system to increase<br />
training intensity and <strong>for</strong> aerobic conditioning<br />
<strong>for</strong> patients who have already become<br />
ambulatory. BWSTT is per<strong>for</strong>med at speeds<br />
faster than those that are self-selected.<br />
Speeds are either increased in 30-second<br />
intervals followed by rest, or increased each<br />
session based on self-selected speed.<br />
Another option is waiting until the<br />
patients have plateaued with traditional<br />
therapy be<strong>for</strong>e introducing the training.<br />
In this case, the patient receives more<br />
traditional outpatient therapy, and once<br />
the patient is no longer making increases,<br />
BWSTT is introduced. The patient then continues<br />
with therapy, concentrating on gait<br />
speed, symmetry and timing. Gait speed is a<br />
predictor <strong>for</strong> community ambulation, so even<br />
a small increase could be significant. n<br />
references online at www.advanceweb.com/PT.<br />
Toni Patt is a physical therapist in Texas. She also<br />
writes a weekly blog <strong>for</strong> the <strong>ADVANCE</strong> website<br />
titled “Toni Talks about PT Today.”<br />
www.advanceweb.com/pt<br />
For more in<strong>for</strong>mation on gait,<br />
visit www.advanceweb.com/<br />
PTgaitandbalance
<strong>ADVANCE</strong><br />
walking and running dysfunctions<br />
and pain are a common<br />
reason <strong>for</strong> patients to seek<br />
outpatient therapy, as well<br />
as a frequent complication of surgery, aging<br />
and many neurological disorders.<br />
Thorough gait evaluations and biomechanical<br />
assessments coupled with manual treatments<br />
and patient education can alleviate the<br />
majority of painful and inefficient gait disorders.<br />
Further, an evidence-based approach<br />
to orthotic intervention can often make an<br />
immediate impact on patient symptoms and<br />
preclude months of expensive therapy visits.<br />
Thorough Evaluation<br />
Treating gait dysfunction starts with a thorough<br />
biomechanical evaluation of a person’s<br />
pelvis and lower extremities, and will provide<br />
insight into ambulation patterns and lowerhalf<br />
function, said Josh Bailey, PT, DPT, OCS,<br />
CSCS, CPed. You can’t just look at a person’s<br />
foot and tell whether it’s pronated or supinated,<br />
normal or abnormal, said Bailey. People<br />
aren’t machines, and nothing happens in a<br />
vacuum. Have the patient replicate their usual<br />
movement patterns as you work to pinpoint<br />
the origins of suboptimal gait patterns and<br />
determine the root cause of symptoms. Combine<br />
static assessments with functional tasks<br />
<strong>for</strong> the complete picture.<br />
Reviewing bony anatomy and joint function<br />
of the foot and ankle complex will unearth<br />
clues into restrictions and gait inefficiencies.<br />
A systematic approach to lower-extremity biomechanical<br />
evaluation will determine normal<br />
and pathological lower-extremity function.<br />
A thorough assessment will recognize common<br />
clinical entities of the foot and ankle<br />
through differential diagnostic processes,<br />
identify normal and abnormal accessory<br />
motion of the ankle, rearfoot and <strong>for</strong>efoot,<br />
and pinpoint weaknesses and restrictions<br />
in range of motion through palpation and<br />
motion testing.<br />
Current research is showing that foot and<br />
ankle function has a direct correlation on overall<br />
function, and potential problems elsewhere<br />
in the body, said Bailey. If a patient’s primary<br />
complaint is low-back pain, <strong>for</strong> example,<br />
therapists must rule out postural or movement<br />
variations that may be exacerbating the<br />
issue; this way you’ll spend less time chasing<br />
symptoms and more time treating the actual<br />
etiology of pain.<br />
Common Pathologies<br />
Although Bailey treats children and older<br />
patients, his primary patient load is comprised<br />
of active individuals presenting with iliotibial<br />
friction syndrome, patellar and Achilles tendonitis,<br />
hamstring or quadriceps injury, metatarsalgia,<br />
postsurgical cases, and leg-length<br />
inequalities arising from injury or anatomic<br />
variations. Though true leg-length discrepancies<br />
are uncommon, if a discrepancy is more<br />
than 5 millimeters, almost all will require some<br />
<strong>for</strong>m of compensation, and thus treatment.<br />
While many patients enter the clinic complaining<br />
of plantar fasciitis, <strong>for</strong> instance, a<br />
muscle weakness or limitation in range may<br />
be the underlying issue contributing to the<br />
inflammation. It takes a practiced eye to connect<br />
the dots and to determine what’s leading<br />
[CLINICIAN’S GuIDe]<br />
effective Treatment <strong>for</strong> Gait Dysfunctions<br />
DISClaImER: The purpose of this Clinician’s Guide is to further explain or remind you about an issue<br />
related to your health care practice. This handout is a general guide only. ©2013 Merion MAtters<br />
to the complaint.<br />
Following a differential diagnosis, Bailey<br />
will employ soft-tissue mobilization,<br />
therapeutic exercise, and a healthy degree of<br />
patient education to progress in therapy and<br />
maintain goals long term.<br />
Orthotic Prescriptions<br />
At Bailey’s practice, up to 50% of his patient<br />
load will be fitted with some type of foot or leg<br />
orthotic (a number that’s higher than average<br />
because of his specialty in these cases).<br />
While he feels that many physical therapists<br />
will eschew orthotic prescription <strong>for</strong> cost<br />
purposes or because they’re hesitant to have<br />
a patient rely on an external device, Bailey<br />
recognizes that many cases won’t improve<br />
under conservative measures and will require<br />
a degree of assistance. The key, he said, is to<br />
complete an evaluation that proves the need<br />
to insurers.<br />
If the patient’s magnitude or speed of<br />
motion is greater than normal in the lower<br />
extremity, the likelihood of the need <strong>for</strong> an<br />
orthotic goes up, said Bailey. This can only be<br />
determined once you have assessed the axis of<br />
inclination of the subtalar joint <strong>for</strong> each foot,<br />
as this predicts the expected motion a patient<br />
should have.<br />
Bailey has an orthotic fabrication lab on<br />
site, allowing him to manufacture orthotics<br />
made from a variety of materials. He starts<br />
with making a mold of the patient’s foot in<br />
soft foam or plaster, then uses a convection<br />
oven and grinding tools to construct and fit<br />
the device. It’s a time-consuming process<br />
that many therapists choose to outsource to<br />
an orthotics lab.<br />
However, simpler cases such as postsurgical<br />
patients who have received an osseus<br />
correction or those requiring smaller postural<br />
alterations can often see results with prefabricated<br />
models. Heel or full-sole lifts can help<br />
level an inferior pelvis or sacrum due to an<br />
anatomical short leg that has initiated a scoliosis.<br />
They can inhibit further degradation,<br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 25
[CLINICIAN’S GuIDe]<br />
and improve spinal balance and gait.<br />
Along with orthotic fabrications in his onsite<br />
lab, Bailey’s team can work with other<br />
avenues to locate a permanent solution:<br />
Shoe recommendations. In a surprising<br />
number of cases, changing a patient’s shoe<br />
selection to a better-fitting model <strong>for</strong> their<br />
foot shape, or one more appropriate <strong>for</strong> their<br />
sport, activity level or body weight, can go<br />
a long way toward improving foot and gait<br />
mechanics, said Bailey.<br />
Over-the-counter products. Bailey sees<br />
a role <strong>for</strong> over-the-counter orthotics and<br />
heel lifts in minor cases of lower extremity<br />
dysfunction. In fact, he often prefers using<br />
them <strong>for</strong> immature skeletons (from infancy<br />
through about age 15) <strong>for</strong> cost purposes, as the<br />
patient has a greater likelihood to outgrow the<br />
device. However, a professional evaluation<br />
is recommended be<strong>for</strong>e using a store-bought<br />
product, and in more involved cases (such<br />
as an abnormally shaped foot), a professionally<br />
designed and administered intervention<br />
becomes necessary.<br />
Fooot f or<br />
Foot Steps you See<br />
Measures you Trust<br />
MDD (93/42/EEC)<br />
ISO 13485:2012 +<br />
AC: 2012 (ISO 13485:2003)<br />
26 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
®<br />
Learning More<br />
Treating foot and ankle anomalies is not a<br />
common area of specialization <strong>for</strong> many<br />
physical therapists, and school curricula often<br />
don’t cover the wide range of complications<br />
that can affect gait mechanics, said Bailey. He<br />
recommends searching available CE courses<br />
on the topic (he teaches a course on foot and<br />
ankle rehabilitation through North American<br />
Seminars) and getting involved with the Foot<br />
and Ankle special interest group of the American<br />
<strong>Physical</strong> <strong>Therapy</strong> Association. n<br />
In<strong>for</strong>mation <strong>for</strong> this guide was provided by<br />
Josh Bailey, PT, DPT, OCS, CSCS, CPed, president<br />
and CEO of <strong>Rehab</strong>ilitation Associates of<br />
Central Virginia (RACVA), a 10-site practice<br />
headquartered in Lynchburg, VA.<br />
www.advanceweb.com/pt<br />
For more handouts visit www.<br />
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www.GAITRite.com<br />
®<br />
[SPoRTS REHaB]<br />
aCl continued from page 14<br />
As more research is done on subjects recovering<br />
from ACL reconstruction, the rehabilitation<br />
community is learning more about loading<br />
asymmetries with resistance exercises as well<br />
as jumping and landing. Because of that, it’s<br />
imperative that clinicians be cognizant of<br />
these asymmetries so they can be addressed<br />
in a comprehensive rehabilitation plan, both in<br />
treatment and the establishment of return-toplay<br />
criteria. n<br />
references online at www.advanceweb.com/PT.<br />
Daniel Lorenz is director of physical therapy at Specialists<br />
in Sports and Orthopedic <strong>Rehab</strong>ilitation,<br />
Overland Park, KS, and an adjunct faculty member<br />
at Rockhurst University in Kansas City, MO.<br />
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ON-SITE SEMINARS<br />
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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! Explore the current scoop on<br />
geriatric resistance training, practice evaluative techniques<br />
and exercises, and learn about parameters of strengthening<br />
<strong>for</strong> a range of medical and rehab diagnoses. Put Some<br />
Muscle into Ther Ex offers the essential tools and knowledge<br />
to design, implement, evaluate and modify effective resistance<br />
training programs <strong>for</strong> the older populations. Contact:<br />
Great Seminars and Books, 877-794-7328 (toll-free); or<br />
www.greatseminarsandbooks.com<br />
MAY 20, 2013 PHILADELPHIA, PA<br />
Complex SCI Patient:<br />
Team Approaches to Challenging<br />
Issues<br />
Join the Moss<strong>Rehab</strong> Spinal Cord System of Care <strong>for</strong> “The<br />
Complex SCI Patient: Team Approaches to Challenging<br />
Issues” on Monday, May 20, 2013 at the Chemical Heritage<br />
Foundation in the Old City section of Philadelphia. This 7.5<br />
contact hour educational symposium highlights many of the<br />
medical and psychosocial challenges faced by the spinal<br />
cord team and offers the participant clinical strategies to<br />
develop expert spinal cord programming. Contact: Sheila<br />
Wallace, 215-663-6457; or www.mossrehabconference.com<br />
<strong>for</strong> complete conference in<strong>for</strong>mation, including contact hour<br />
providers, agenda and registration.<br />
MAY 25-31, 2013 HOUSTON, TX<br />
MAY 27-JUNE 2, 2013 SANTA CLARITA, CA<br />
JUNE 8-14, 2013 RENO, NV<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 and author Sonia Sumar, our<br />
certification curriculum includes instruction in Yoga poses,<br />
breathing exercises, infant massage and deep relaxation<br />
techniques. Contact: 941-925-9677; or www.specialyoga.<br />
com <strong>for</strong> a complete list of program dates & locations.<br />
MAY 31-JUNE 1, 2013 ANAHEIM, CA<br />
OCT. 4-5, 2013 FORT WORTH, TX<br />
Therapeutic<br />
Interventions in the NICU<br />
This course focuses on development and therapeutic interventions<br />
in the NICU. It covers assessment and treatment,<br />
transition to home, post discharge follow-up and identification<br />
of emerging disabilities. Strategies to optimize behavior,<br />
development and feeding of the neonate will be offered in<br />
addition to practical approaches to facilitating teamwork and<br />
(Continued on next page)<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 27
EDUCATION OPPORTUNITIES<br />
Functional Capacity Evaluation<br />
Certi cation Workshop<br />
Orlando, FL<br />
August 3 & 4, 2013<br />
®<br />
thebackschool.net<br />
800-783-5636<br />
Train to be a Certified Educator<br />
Bring the many bene ts of<br />
Infant of Massage Infant Massage to parents (CEIM) and babies!<br />
Course Teach topics parents include working about with the babies benefits born premature, and<br />
babies life-long with special impact needs of and nurturing the older pediatric touch! child.<br />
Great Great skills skills <strong>for</strong> <strong>for</strong> OTs and PTs.<br />
CEUs available. Trainings Classes nationwide.<br />
Call: 703-455-3455/800-497-5996<br />
www.InfantMassageUSA.org<br />
Aquatic <strong>Therapy</strong><br />
Choose your course!<br />
AM1 - Spine - (no pre requisite)<br />
AM2 - Extremities - (AM 1 Pre requisite)<br />
AM3 - Neuro, Ortho, Peds, Lymphedema<br />
(No pre requisite)<br />
Dr. Shepherd will provide in-depth training<br />
<strong>for</strong> complex and simple patients covering<br />
multiple diagnoses. The course will emphasize<br />
the selection of corrective exercises based<br />
on results of the evaluation. In-depth training<br />
on Aquatic documentation and equipment<br />
used in treatment.<br />
Instruction is tailored <strong>for</strong> beginners,<br />
intermediate and advanced Aquatic <strong>Therapy</strong>.<br />
Discounts are available <strong>for</strong> APTA members<br />
and multiple registrations.<br />
Certi cation course coming soon!<br />
FPTA certi ed course/CE Broker.<br />
Contact 321-453-8484<br />
or by website<br />
www.aquamoves.net<br />
Course Dates: Merritt Island, FL<br />
5/25/13 & 6/15/13 (AM1)<br />
6/8/13 & 7/13/13 (AM2)<br />
6/9/13 & 7/14/13 (AM3)<br />
28 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
(Continued from previous page)<br />
caregiver engagement. Instructor: Tracilyn Watson-Urruela.<br />
Contact: Education Resources, Inc., 508-359-6533; 800-<br />
487-6530 (outside MA); www.educationresourcesinc.com<br />
MAY 31-JUNE 1, 2013 ENGLEWOOD, NJ<br />
OCT. 11-12, 2013 HOLLYWOOD, FL<br />
NOV. 15-16, 2013 HENDERSON, NV<br />
NDT: Handling and<br />
Problem Solving <strong>for</strong> Function<br />
This intensive course is designed <strong>for</strong> experienced pediatric<br />
therapists who are interested in improving their problem<br />
solving skills in order to achieve more efficient functional<br />
outcomes <strong>for</strong> children with Neuro-Motor disorders such as<br />
Cerebral Palsy and Down Syndrome. Emphasizing a NDT<br />
framework, the course will utilize client videos as a basis<br />
<strong>for</strong> problem solving sessions and handling labs. Therapists<br />
will have the opportunity to develop realistic short and<br />
long-term functional outcomes, analyze multi-system and<br />
single-system impairments and develop treatment plans.<br />
Labs will focus on handling strategies that address the priority<br />
impairments and facilitate optimal control of posture and<br />
movement. Instructor: Linda Kleibhan. Contact: Education<br />
Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />
www.educationresourcesinc.com<br />
JUNE 1, 2013 DENVER, CO<br />
JULY 27-28, 2013 BURLINGTON, VT<br />
SEPT. 7-8, 2013 NEW HAVEN, CT<br />
Kinesio Taping®<br />
Fundamentals and Advanced<br />
Many more KT1/KT2 dates and locations, Kinesio Taping®<br />
KT3 courses and new Kinesio Taping® KT4 courses listed<br />
online. KTA approved seminars. Learn the fundamental and<br />
advanced concepts, corrective techniques of the Kinesio<br />
Taping® Method, and the unique properties and use of<br />
Kinesio Tape. Lab sessions provide ample time to practice<br />
kinesiotaping skills <strong>for</strong> upper and lower body applications.<br />
Hosting opportunities available <strong>for</strong> 2013 and 2014. Contact:<br />
<strong>Rehab</strong> Education, LLC, 845-368-2458 <strong>for</strong> questions; info@<br />
<strong>Rehab</strong>Ed.com or www.<strong>Rehab</strong>Ed.com <strong>for</strong> details and registration.<br />
JUNE 1-2, 2013 FT. LAUDERDALE, FL<br />
JUNE 8-9, 2013 ORLANDO, FL<br />
JUNE 29-30, 2013 DALLAS, TX<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 design<br />
effective treatment programs based on those findings. Topics<br />
include the evaluation of the arterial, venous, and lymphatic<br />
systems. Numerous treatment techniques will be covered,<br />
such as compression bandaging as well as a hands-on<br />
introduction to manual lymphatic drainage. Over 80% of<br />
attendants rated this course Excellent, all others rated it<br />
Good. Cost: Only $369 <strong>for</strong> 16 hours. Please call <strong>for</strong> group<br />
discounts. Contact: JVB Enterprises, Inc., 888-328-6755<br />
(toll-free); www.teachtx.com <strong>for</strong> other courses offered in your<br />
area or <strong>for</strong> more in<strong>for</strong>mation.<br />
JUNE 2, 2013 BROOKLYN, NY<br />
Torticollis: Assessment &<br />
Treatment in Infants/Children<br />
One day course <strong>for</strong> novice & experienced clinicians explores<br />
possible effects of torticollis, sleep posture & increased use<br />
of positional devices on infant postural development, w/<br />
implications <strong>for</strong> management. Functional, clinically oriented<br />
evaluation & evidence-based treatment strategies provided.<br />
Clinical management of infant head shape, diagnostic procedures,<br />
surgical intervention discussed. Home exercise<br />
programs, effective strategies to team w/ parents when<br />
establishing individualized goals. Lecture & video review.<br />
9.6 NYPTA CEUs, 8 NJBPTE CEUs, 8 NBCOT PDUs. Highly<br />
Qualified, Experienced Instructor: Cindy Miles, PT, M Ed, PCS.<br />
Contact: Angela, 718-851-3300, ext 157; E-mail: shoshana.<br />
challenge@thejnet.com or Web site: challenge-ei.com<br />
JUNE 7-8, 2013 WILKES-BARRE TWP, PA<br />
AUG. 23-24, 2013 BAYSIDE, NY<br />
OCT. 18-19, 2013 ST. LOUIS, MO<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 />
JUNE 7-9, 2013 PORTLAND, OR<br />
NOV. 8-10, 2013 LAS VEGAS, NV<br />
Three Day Intensive on Treating<br />
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 />
JUNE 8-9, 2013 RICHMOND, VA<br />
SEPT. 6-7, 2013 MISSOULA, MT<br />
SEPT. 21-22, 2013 BISMARCK, ND<br />
Pelvis Restoration<br />
Advanced lecture and lab course designed to assist clinicians<br />
with complex patients struggling to improve. Gain an<br />
appreciation <strong>for</strong> the influence of an asymmetrical pelvis and<br />
how this imbalance contributes to pelvic floor dysfunction.<br />
We will explore in detail the function of the pelvic inlet and<br />
outlet as it relates to anatomy, respiration, and asymmetry in<br />
a multiple polyarticular chain system. Learn to restore pelvic<br />
and respiratory neutrality through a PRI treatment approach.<br />
Treatment integration to assist with the following pelvic floor<br />
dysfunctions will be discussed: incontinence, hypertonicity,<br />
prolapse and sacroiliac instability. Mention this ad to receive<br />
a 5% tuition discount. Home study also available. Contact:<br />
Postural Restoration Institute, 888-691-4583 (toll-free); or<br />
www.posturalrestoration.com<br />
JUNE 8-9, 2013 ROUND ROCK, TX<br />
SEPT. 14-15, 2013 MONTGOMERY, AL<br />
SEPT. 21-22, 2013 BARTLETT, IL<br />
Myokinematic Restoration<br />
Advanced lecture and lab course explores biomechanics of<br />
contralateral and ipsilateral myokinematic lumbo-pelvic-femoral<br />
dysfunction. Treatment emphasizes restoration of pelvicfemoral<br />
alignment and recruitment of rotational muscles to<br />
reduce synergistic patterns of pathomechanic asymmetry.<br />
Emphasis on restoration, recruitment and retraining activities<br />
using rotators of the femur, pelvis and trunk. Techniques<br />
to inhibit overactive musculature will enable the course<br />
(Continued on next page)
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 />
Boston, MA .................. Yack ..................... Jun 19 - 23<br />
Orlando, FL ................. Furto ...................... Jul 17 - 21<br />
Austin, TX .................... Yack ......................Aug 14 -18<br />
St. Louis, MO ............... Furto .....................Sep 11 - 15<br />
Atlanta, GA .................. Yack .....................Sep 18 - 22<br />
St. Augustine, FL ......... Viti .......................... Oct 9 - 13<br />
Harrisburg, PA ............. Furto .......................Nov 6 - 10<br />
Baltimore, MD .............. Smith ......................Nov 7 - 11<br />
Indianapolis, IN ............ Yack ......................Nov 13 -17<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 />
Atlanta, GA ................... Yack ............. May 31 - Jun 2<br />
Denver, CO .................. Yack ....................... Jun 7 - 9<br />
New York City, NY ....... Yack .................... Jul 12 - 14<br />
St. Augustine, FL .......... Irwin .................. Sep 13 - 15<br />
Houston, TX ................. Irwin ................... Oct 18 - 20<br />
Birmingham, AL ............ Irwin ................... Oct 25 - 27<br />
Little Rock, AR .............. Irwin ...................... Dec 6 - 8<br />
Orlando, FL .................. Yack ...................... Dec 6 - 8<br />
San Marcos, CA ........... Yack .................. Dec 13 - 15<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 />
Chicago, IL .................. Viti ...........................Jun 6 - 9<br />
St. Augustine, FL ......... Smith ...................Jun 13 - 16<br />
Denver, CO ................. Smith ....................Jul 25 - 28<br />
New York City, NY ...... Smith ......................Aug 1 - 4<br />
Birmingham, AL ........... Irwin....................Aug 15 - 18<br />
Baltimore, MD .............. Smith ..................Sep 13 - 16<br />
Ft. Lauderdale, FL ....... Irwin......................Nov 7 - 10<br />
St. Augustine, FL ......... Smith ......................Dec 6 - 9<br />
S4 - Functional Analysis &<br />
Management of Lumbo-Pelvic-Hip<br />
Complex<br />
15 Hours, 1.5 CEUs (Prerequisite S1) $545<br />
Ft. Lauderdale, FL ....... Lonnemann...............Jun 1 - 2<br />
Virginia Beach, VA ....... Nyberg.................. Jun 22 - 23<br />
San Marcos, CA .......... Grant ....................Aug 17 - 18<br />
Denver, CO .................. Grant ....................Aug 24 - 25<br />
Charleston, SC ............ Nyberg..................Sep 14 - 15<br />
New York City, NY ....... Nyberg.................. Oct 12 - 13<br />
St. Augustine, FL ......... Grant ........................Nov 2 - 3<br />
Houston, TX................. Nyberg..................Nov 16 - 17<br />
Chicago, IL .................. Nyberg......................Dec 7 - 8<br />
The University of St. Augustine <strong>for</strong> Health Sciences<br />
has been accredited as an Authorized Provider by the<br />
International Association <strong>for</strong> Continuing Education and<br />
Training (IACET), 1760 Old Meadow Road,<br />
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 />
2013 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 />
San Marcos, CA ........... Turner ...........May 30 - Jun 2<br />
Washington, DC ........... Naas ...................Jun 20 - 23<br />
Boston, MA ................... Busby ................... Jul 18 - 21<br />
St. Augustine, FL .......... Busby ................... Jul 25 - 28<br />
Asheville, NC ................ Naas .................... Aug 8 - 11<br />
Columbus, OH .............. Naas ................... Sep 12 -15<br />
Kalispell, MT ................. Busby ................. Sep 19 - 22<br />
Las Vegas, NV ............. Turner ..................... Oct 3 - 6<br />
New York City, NY ....... Busby ...................... Oct 3 - 6<br />
Ft. Lauderdale, FL ........ Naas ................... Oct 10 - 13<br />
Chicago, IL ................... Busby .................. Oct 24 - 27<br />
Charleston, SC ............. Busby ................. Nov 14 - 17<br />
E2 - Extremity Integration<br />
21 Hours, 2.1 CEUs (Prerequisite E1)<br />
$595<br />
Birmingham, AL ............ Patla .................... Jun 28 - 30<br />
San Marcos, CA ........... Patla ..................... Jul 19 - 21<br />
Orlando, FL .................. Patla ........................Aug 2 - 4<br />
Houston, TX ................. Patla ....................Sep 13 - 15<br />
Virginia Beach, VA ....... Patla .....................Sep 20 -22<br />
New York City, NY ....... Conrad ..................Nov 8 - 10<br />
St. Augustine, FL .......... Patla ....................Nov 15 - 17<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 ..........May 17 - 19<br />
San Marcos, CA ........... Agustsson .......... Aug 23 - 25<br />
Austin, TX ..................... Agustsson .............. Nov 1 - 3<br />
The Pediatric Client with a Neurological<br />
Impairment<br />
21 Hours, 2.1 CEUs (No Prerequisite)<br />
Also available to OTs $595<br />
St. Augustine, FL .......... Decker ..................Jul 19 - 21<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 />
Residency and Fellowship Opportunities Available!<br />
The University of St. Augustine is proud to offer the Clinical Orthopaedic<br />
Residency Program, Geriatric Residency Program and the Orthopaedic<br />
Manual <strong>Physical</strong> <strong>Therapy</strong> Fellowship Program. These programs offer you<br />
the opportunity to be mentored in a one-on-one clinical environment while<br />
allowing you to work toward earning one of USA’s advanced degrees without<br />
the need to relocate! Let us share with you the many advantages of<br />
continuing your education with USA!<br />
Please contact<br />
Dr. Erin Conrad<br />
800-241-1027, ext 1249<br />
or residencyfellowship@usa.edu<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 />
Additional Seminar Offerings<br />
Prerequisite in<strong>for</strong>mation:<br />
Caregiver Training 1: Assessment and nd d Seminar:______________________<br />
S Sem<br />
Treatment of Dementia<br />
New! Location/Date:<br />
Lo Loca<br />
12 Hours, 1.2 CEUs (No Prerequisite ) $445 45 5 _____________________________<br />
____<br />
$595<br />
Atlanta, GA ................... Grodin ...............May 17 - 19<br />
Little Rock, AR .............. Cantu .................Jun 28 - 30<br />
New Orleans, LA .......... Cantu ................ Aug 23 - 25<br />
Chicago, IL ................... Cantu ................ Sep 20 - 22<br />
Las Vegas, NV .............. Grodin .................... Oct 4 - 6<br />
Ft. Lauderdale, FL ........ Cantu ................. Oct 25 - 27<br />
Columbus, OH .............. Cantu .................. Nov 8 - 10<br />
New York City, NY ........ Grodin ................... Dec 6 - 8<br />
St. Augustine, FL .......... Cantu .................... Dec 6 - 8<br />
Washington, DC ..............Stanborough....Dec 13 - 15<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 .....................................Jun 10 - 15<br />
San Marcos, CA ....................................... Jul 15 - 20<br />
St. Augustine, FL ............................... Sep 30 - Oct 5<br />
Advanced Manipulation Including<br />
Thrust of the Spine & Extremities<br />
20 Hours, 2.0 CEUs (Prerequisite: Completion of MTC<br />
Certification) $775<br />
Austin, TX ..................... Irwin ................ Sep 27 - 29<br />
Open to OTs, PTs, COTAs, PTAs and other health professionals<br />
Is this your first seminar with the<br />
University? Univ U Yes____ No ____<br />
Animal-Assisted <strong>Therapy</strong>: Improving g<br />
New!<br />
Treatment Outcomes<br />
A $100<br />
<strong>for</strong>m. <strong>for</strong> A<br />
15 Hours, 1.5 CEUs (No Prerequisite) $545 45 5<br />
St. Augustine, FL .......... Hubbard ..................Aug 3 - 4<br />
St. Augustine, FL....Redner/Schefke/ Sep 28 - 29<br />
Schuitema<br />
Austin, TX . . .Redner/Scheflke/Schuitema Nov 9 - 10<br />
A $100 non-refundable deposit must accompany registration<br />
<strong>for</strong>m. A 50% non-refundable, non-transferable deposit is<br />
required require q <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 />
Haven Horse Ranch’s Equine-Assisted ed d ___ _____Check<br />
or Money Order enclosed<br />
<strong>Therapy</strong> Instructor Seminar New!<br />
Please Pleas P make payable to: University of St. Augustine<br />
21 Hours, 2.1 CEUs (No Prerequisite) $595 95 5<br />
Open to OTs, PTs, COTAs, PTAs and other health professionals s Charge Char my:<br />
___ ___<br />
St. Augustine, FL..Lehman/Gorman...May 31 - Jun 2<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 5-13<br />
EDUCATION OPPORTUNITIES<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 29
EDUCATION OPPORTUNITIES<br />
30 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
(Continued from previous page)<br />
participant to restore normal resting muscle position. Learn<br />
assessment and management skills when treating “piri<strong>for</strong>mis<br />
syndrome”, right SI joint dysfunction, and low back strain.<br />
Mention this ad to receive a 5% tuition discount. Home study<br />
also available. Contact: Postural Restoration Institute, 888-<br />
691-4583 (toll-free); or www.posturalrestoration.com<br />
JUNE 8-11, 2013 LOUISVILLE, KY<br />
JUNE 20-23, 2013 WEST ORANGE, NJ<br />
JULY 12-15, 2013 HOUSTON, TX<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<br />
to results faster when improving gait. Increased clinical<br />
reasoning will enable you to know what to expect and what<br />
to predict. You will be able to assess the cause of the<br />
problem and have more immediate influence. You will have<br />
a better understanding of the normal components of gait<br />
and then understand why your patient with hemiplegia has<br />
tendencies in gait. You will practice with “hands-on” how<br />
to increase ROM of the hip and foot. Concepts <strong>for</strong> use of a<br />
self-exercise program and use of orthotics will be discussed.<br />
Additional treatment ideas related to gait and more examples<br />
of documentation will be provided. Both parts include client<br />
intervention videos & “hands-on” experience. Cathy<br />
Runyan, OTR/L, & Peggy Miller, PT, Recovering Function NDT<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 />
JUNE 12-14, 2013 TAMPA BAY, FL<br />
OCT. 16-18, 2013 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: Sherry Tribby, 800-245-6442 <strong>for</strong> program questions;<br />
or www.dizzy.com to register.<br />
JUNE 14-15, 2013 BAYSIDE, NY<br />
AUG. 9-10, 2013 DALLAS, TX<br />
OCT. 18-19, 2013 ROCKFORD, IL<br />
Children’s Brains and<br />
Evidence <strong>for</strong> Intervention<br />
This course is designed to present the most recent empirical<br />
evidence regarding efficacy of specific therapy related<br />
interventions. Emphasis will be on strategies <strong>for</strong> children<br />
with cerebral palsy and other neurologic-based diagnoses.<br />
Videotapes of treatment sessions will be used to illustrate<br />
major points and to present longitudinal case studies.<br />
Treatment strategies based on current knowledge of neuroplasticity,<br />
such as constraint-induced therapy, mirror therapy<br />
and treadmill training, are emphasized. Instructor: Patricia<br />
Montgomery, PT, PhD, FAPTA. Contact: Education Resources,
Inc., 508-359-6533; 800-487-6530 (outside MA); www.<br />
educationresourcesinc.com<br />
JUNE 14-15, 2013 BURLINGTON, NC<br />
SEPT. 20-21, 2013 MANCHESTER, NH<br />
OCT. 18-19, 2013 JACKSONVILLE, FL<br />
Neurorehabilitation<br />
Across the Continuum of Care<br />
Does what’s going on in the nervous system really matter<br />
to therapy practice? This course will provide therapists<br />
with a new perspective <strong>for</strong> improving outcomes in their<br />
patients with neurologic deficits. Participants will learn an<br />
evidence-based approach to selecting the most appropriate<br />
interventions based on functional prognosis and learn when<br />
and how to facilitate recovery versus facilitate compensation.<br />
Participants will be able to per<strong>for</strong>m a comprehensive<br />
neurological examination, correlating findings to symptoms,<br />
neuropathology and prognosis as well as skillful documentation.<br />
Speaker: Roseanne Thomas. Contact: Education<br />
Resources, Inc., 800-487-6530; 508-359-6533 (within MA);<br />
www.educationresourcesinc.com<br />
JUNE 14-15, 2013 NEWPORT NEWS, VA<br />
SEPT. 27-28, 2013 DURHAM, NC<br />
NOV. 2-3, 2013 NASHVILLE, TN<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 />
Complete Lymphedema Certification Course (135 hours)<br />
July 13–23<br />
July 13–23<br />
August 3–13<br />
August 5–16<br />
Sept. 21–Oct. 1<br />
Sept. 21–Oct. 1<br />
Sept. 21–Oct. 1<br />
October 12–22<br />
November 2–12<br />
June 22–25<br />
July 27–30<br />
August 24–27<br />
September 7–10<br />
October 5–8<br />
December 7–10<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 />
JUNE 14-15, 2013 PHILADELPHIA, PA<br />
OCT. 11-12, 2013 KANSAS CITY, MO<br />
Vestibular <strong>Rehab</strong>:<br />
Treatment Intensive<br />
Recognizing, assessing and treating vestibular disorders with<br />
an appropriate plan is dependent on careful differential diagnosis.<br />
Successful vestibular interventions must be based on<br />
understanding the complexities of the vestibular, oculomotor,<br />
or sensory systems they are targeting. This lab course covers<br />
treatments across the age spectrum, including childhood paroxysmal<br />
vertigo, BPPV, Meniere’s disease, ototoxicity, bilateral<br />
disorders, mal de debarquement, migraine associated<br />
vertigo, traumatic vertigo, acoustic neuroma, central vertigo,<br />
and disequilibrium of aging. Instructor: Gaye Cronin. Contact:<br />
Education Resources, Inc., 508-359-6533; 800-487-6530<br />
(outside MA); www.educationresourcesinc.com<br />
JUNE 15-16, 2013 SECAUCUS, NJ<br />
JUNE 21-22, 2013 NEW LONDON, CT<br />
JULY 12-13, 2013 GAINESVILLE, FL<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 identify<br />
people with these conditions; get the latest evidence-based<br />
in<strong>for</strong>mation on management; take home a comprehensive,<br />
safe, effective intervention <strong>for</strong> this and other back<br />
pathologies including spinal stenosis. Start Certification in<br />
The Meeks Method, based on sound therapeutic exercise<br />
principles as reflected in the research literature. An award-<br />
Lymphedema<br />
Management Courses<br />
Atlanta, GA<br />
Baltimore, MD<br />
Sioux Falls, SD<br />
Pittsburgh, PA<br />
Charlotte, NC<br />
Kansas City, MO<br />
Palm Beach Gardens, FL (Spanish)<br />
Palm Beach Gardens, FL<br />
Chattanooga, TN<br />
Lymphedema Management Seminar (31 hours)<br />
Sacramento, CA<br />
Palm Beach Gardens, FL<br />
Chattanooga, TN<br />
Indianapolis, IN<br />
Palm Beach Gardens, FL<br />
Palm Beach Gardens, FL<br />
Call <strong>for</strong> more dates and locations, or to ask about discounts and financing options.<br />
winning, international presenter, Sara Meeks, PT, MS, GCS,<br />
teaches all locations. CEUs provided. Contact: Sara Meeks<br />
Seminars, 888-330-7272; or www.sarameekspt.com<br />
JUNE 21-22, 2013 ORLANDO, FL<br />
NOV. 1-2, 2013 PHILADELPHIA, PA<br />
DEC. 7-8, 2013 DES MOINES, IA<br />
Dr. Carol 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 lecture provides<br />
take home in<strong>for</strong>mation on cutting edge assessment<br />
and treatment of older clients with Parkinson’s disease,<br />
stroke, gait, balance disorders, and pain problems with<br />
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: Great Seminars<br />
and Books, 877-794-7328 (toll-free); or www.greatsemi<br />
narsandbooks.com<br />
JUNE 21-23, 2013 MINNEAPOLIS, MN<br />
JULY 20-21, 2013 LOUISVILLE, KY<br />
AUG. 17-18, 2013 MILWAUKEE, WI<br />
Geriatric<br />
Therapeutic Exercise<br />
Speaker: Mark Traffas, PT, GTC. Exercising geriatric patients<br />
presents a unique challenge to therapists. This course will<br />
demonstrate different, evidence-based exercise techniques<br />
and innovative interventions <strong>for</strong> all of the body’s major joints<br />
as well as <strong>for</strong> the most common diagnoses seen in older<br />
patients (i.e. stroke, Parkinson’s disease, gait and balance<br />
deficits). You will learn how to use functional tools to establish<br />
and guide exercise programs. Don’t miss this opportunity to<br />
enlarge your arsenal of treatment ideas. Contact: 877-794-<br />
7328 (toll-free); www.greatseminarsandbooks.com<br />
Management of Lymphedema <strong>for</strong> the Head and Neck<br />
June 21–22<br />
Dallas, TX<br />
August 9–10 Sacramento, CA<br />
Lymphatic Correction Using Elastic Taping Method<br />
June 23–24<br />
Dallas, TX<br />
August 11–12 Sacramento, CA<br />
Wound Management Strategies <strong>for</strong> Lymphedema<br />
August 20–21 Baton Rouge, LA<br />
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Advanced Wound Management Strategies<br />
August 22–23 Baton Rouge, LA<br />
–––––<br />
–––––––––<br />
LANA® Exam Preparation Course<br />
August 24–25 Baton Rouge, LA<br />
–––––<br />
–––––––––<br />
www.acols.com | 1.800.863.5935<br />
EDUCATION OPPORTUNITIES<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 31
EDUCATION OPPORTUNITIES<br />
NPTE/NPTE REVIEW<br />
COURSE<br />
<strong>Therapy</strong> Team Exam Review is the<br />
only comprehensive evidenced<br />
based review course <strong>for</strong> the Boards.<br />
For 2008-2011 US grads (DPT/MPT)<br />
had a 100% first time US Educated<br />
DPT/MPT pass rate. Past per<strong>for</strong>mance<br />
does not guarantee you will<br />
pass, but it is better to be safe than<br />
sorry when it comes to your license<br />
and job offer. Join us in the following<br />
cities <strong>for</strong> the best review available.<br />
Traditional<br />
Newark, NJ June 8-16, 2013<br />
Chicago, IL Sept. 14-22, 2013<br />
Online<br />
May 20, 2013 PTA Online Review <strong>for</strong> the<br />
July 10, 2013 NPTAE<br />
June 3, 2013 PT Online Review <strong>for</strong> the<br />
July 24, 2013 NPTE<br />
June 24, 2013 PT Online Review <strong>for</strong> the<br />
July 24, 2013 NPTE<br />
August 12, 2013 PTA Online Review <strong>for</strong><br />
the October 9, 2013 NPTE<br />
Toll Free: {877} 476-6684<br />
http://www.therapyteam.com<br />
timothyteach@aol.com<br />
Join Us <strong>for</strong> APTA's Section on Pediatrics'<br />
Innovations in School-based<br />
<strong>Physical</strong> <strong>Therapy</strong> Practice<br />
July 13 & 14, 2013<br />
Drexel University Center City Campus<br />
Philadelphia, PA<br />
13.25 CEUs<br />
This popular course (<strong>for</strong>mally titled Providing<br />
School-Based <strong>Physical</strong> <strong>Therapy</strong> under the Individuals<br />
with Disabilities Education Improvment Act of 2004<br />
(IDEA)) will provide in<strong>for</strong>mation on the delivery of<br />
physical therapy services and decision-making that is<br />
necessary to support a free and appropriate public<br />
education <strong>for</strong> all children. The nationally recognized<br />
speakers will address the content of the IDEA Part<br />
B and school-based service delivery issues including<br />
outcome and measures and accountability<br />
The registration deadline is<br />
June 28, so register today!<br />
To nd out more or to register,<br />
visit www.pediatricapta.org and click on<br />
Professional Development under Quick Links.<br />
32 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
JUNE 22-23, 2013 IDAHO FALLS, ID<br />
G-Code Know How: Becoming<br />
Proficient in Functional Assessment<br />
Speaker Dr. Dale Avers provides the most current functional<br />
tools in PT practice and in<strong>for</strong>mation about CMS’s policy <strong>for</strong><br />
the use of documenting physical function. This course with<br />
both lecture and lab where functional tools and their purposes<br />
are discussed and practiced in a case <strong>for</strong>mat. Directions<br />
and references <strong>for</strong> over 20 tests provided in a written <strong>for</strong>mat.<br />
Contact: Great Seminars and Books, 877-794-7328 (tollfree);<br />
or www.greatseminarsandbooks.com<br />
JUNE 22-23, 2013 HOUSTON, TX<br />
JULY 20-21, 2013 SAN FRANCISCO, CA<br />
AUG. 17-18, 2013 BRIDGEWATER, NJ<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<br />
falls prevention programs. Through interesting lecture and<br />
hands-on labs, this course will provide skills that can be<br />
used in the clinical setting the very next day. Over 80% of<br />
attendants rated this course Excellent, all others rated it<br />
Good. Cost: Only $369 <strong>for</strong> 16 hours. Please call <strong>for</strong> group<br />
discounts. Contact: JVB Enterprises, Inc., 888-328-6755; or<br />
www.teachtx.com <strong>for</strong> other courses offered in your area or<br />
<strong>for</strong> more in<strong>for</strong>mation.<br />
JUNE 22-23, 2013 RALEIGH, NC<br />
JULY 20-21, 2013 ATLANTA, GA<br />
SEPT. 21-22, 2013 NASHVILLE, TN<br />
Acute Care<br />
<strong>Rehab</strong>ilitation<br />
Mark Nelson, MPT. This dynamic seminar provides the latest<br />
in<strong>for</strong>mation on cardiac, pulmonary and geriatric rehabilitation<br />
in the acute care setting. As in all practice settings, acute care<br />
rehabilitation is continuously evolving. From the various entry<br />
points into the acute care setting to discharge, rehabilitation<br />
plays an integral role. Therapists are being increasingly relied<br />
upon to make significant contributions to the medical team<br />
and frequently are the determining factor in hospital length of<br />
stay. This high tech seminar will provide therapists with clinical<br />
in<strong>for</strong>mation, practical tips and high level problem solving<br />
skills by utilizing lecture and case studies to discuss the role<br />
of therapists in this challenging environment. Contact: Great<br />
Seminars and Books, 877-794-7328 (toll-free); or www.<br />
greatseminarsandbooks.com<br />
JUNE 22-23, 2013 CHARLESTON, SC<br />
AUG. 17-18, 2013 BOISE, ID<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 seminar reviews the major changes commonly<br />
seen in the elderly, which can contribute to problems<br />
with gait, balance, and subsequent loss of independence.<br />
Evaluations tools, objective techniques to measure functional<br />
mobility tasks and evidence-based treatment strategies will<br />
be covered. Contact: Great Seminars and Books, 877-794-<br />
7328 (toll-free); or www.greatseminarsandbooks.com<br />
JUNE 22-23, 2013 CHERRY HILL, NJ<br />
AUG. 17-18, 2013 SAN JOSE, CA<br />
<strong>Rehab</strong>ilitation<br />
For Osteoporosis<br />
Speaker: Sherri Betz, PT, GCS, CEEAA, PMA-CPT. This in<strong>for</strong>mative<br />
20-hour seminar places an emphasis on postural<br />
awareness, neuromuscular re-education <strong>for</strong> trunk control,<br />
balance, spinal extension & lower extremity strength as<br />
applied to fall and fracture prevention of the hip and vertebral<br />
bodies. Learn innovative & creative Pilates-based models<br />
and evidence-based treatment ideas. Discover how to use<br />
the FRAC fracture risk assessment tool & how to introduce<br />
alignment, breathing and core control. Exercise classes<br />
presented will be appropriate <strong>for</strong> the fit or frail osteoporotic<br />
patient. Contact: Great Seminars and Books, 877-794-7328<br />
(toll-free); or www.greatseminarsandbooks.com<br />
JUNE 22-23, 2013 SOUTH BEND, IN<br />
SEPT. 21-22, 2013 ALBUQUERQUE, NM<br />
OCT. 19-20, 2013 CHARLOTTE, NC<br />
<strong>Rehab</strong> of Persons with<br />
Common Medical Pathologies<br />
Speaker: Steven Tepper PhD, PT. This entertaining lecture<br />
provides take home in<strong>for</strong>mation on rehabilitation of MI/CHF,<br />
COPD, Diabetes, Renal Failure, Obesity, Peripheral Arterial<br />
Disease and Deep Vein Thrombosis seen in a wide variety<br />
of settings: acute, subacute, long-term care, home health,<br />
cardiac and pulmonary rehabilitation and fitness/wellness<br />
clinics. Specific evaluations, functional tools, interventions<br />
and limitations to functional activities, will be covered in a<br />
case study <strong>for</strong>mat and lab sessions utilizing the Guide to<br />
<strong>Physical</strong> <strong>Therapy</strong> Practice. Stay up to date with the latest<br />
research findings with this dedicated and talented educator.<br />
Contact: Great Seminars and Books, 877-794-7328 (tollfree);<br />
or www.greatseminarsandbooks.com<br />
JUNE 23, 2013 SAN FRANCISCO, CA<br />
AUG. 18, 2013 SEATTLE, WA<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 />
JUNE 23-24, 2013 NEW YORK, NY<br />
The Child’s Brain:<br />
Emerging Neuroscience and <strong>Therapy</strong><br />
Neuroscience as a field has changed our understanding of<br />
the brain and its development over the past two decades.<br />
The impact of new imaging and genetic testing has lead<br />
to a better understanding of the development of the child’s<br />
brain. This course will focus on the newest changes in brain<br />
research and provide a <strong>for</strong>um <strong>for</strong> implications that this<br />
might have on our therapeutic intervention with the young<br />
child with disabilities. Whether it be a sensory, perceptual or<br />
motor problem, the understanding of the brain is essential to<br />
analysis and critical decision making concerning the focus<br />
of intervention. Instructor: Mary Ann Sharkey, PhD, MS,<br />
PT, C/NDT. Contact: Therapeutic Services, 718-692-1929;<br />
888-7-THERAPY; 718-338-3393 (fax); or www.therapeutic<br />
servicesinc.com<br />
JUNE 28-29, 2013 JOHNSTON, IA<br />
SEPT. 28-29, 2013 SEWICKLEY, PA<br />
OCT. 18-19, 2013 HAMDEN, CT<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 strate-
gies 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 />
JULY 7-8, 2013 MANHATTAN, NY<br />
DEC. 8, 2013 MANHATTAN, NY<br />
Kinesio Taping Method<br />
KT1 & KT2, KT3 Certification<br />
From high-profile athletes to rehab patients, the KT Method<br />
is advancing health science everywhere. Learn to use this<br />
powerful modality to decrease pain, normalize muscle tension,<br />
increase circulation, influence fascia, support tendons<br />
and ligaments, prevent pathological movement patterns, and<br />
extend your manual treatment well beyond what you achieve<br />
in the clinic. Kinesio Tex Tape is the original and industry<br />
standard in elastic therapeutic taping. Instructor: Andrea<br />
Wolkenberg, PT, MA, CKTI - KTA Approved - CEUs: PTs (NY);<br />
OTs (AOTA); MTs (NCBTMB); ATCs (BOC) - Package Rates.<br />
Contact: Live and Learn Consulting, 914-263-1943 (Felicity<br />
Pine); Info@LiveandLearnConsulting.net or Web site: www.<br />
LiveandLearnConsulting.net<br />
JULY 19-27, 2013 BOSTON (CHELMSFORD), MA<br />
AUG. 2-10, 2013 ST. LOUIS, MO<br />
AUG. 16-24, 2013 BALTIMORE (GLEN BURNIE), MD<br />
Lymphedema <strong>Therapy</strong> Certification<br />
Vodder MLD & Foeldi CDT<br />
Klose Training offers the highest-quality lymphedema certification<br />
course in the US. It’s the most efficient & costeffective<br />
way to become certified. 45 hrs of online home<br />
study + 90 hrs of classroom (lab) instruction. (Fewer days<br />
John F. Barnes, PT<br />
International lecturer, author,<br />
and authority on Myofascial Release.<br />
MYOFASCIAL RELEASE I<br />
San Jose, CA<br />
May 17-19, 2013<br />
Victoria, BC<br />
May 30 - June 2 ( 1 ⁄2 days), 2013<br />
Salt Lake City, UT<br />
May 31 - June 2, 2013<br />
away from work; lower travel costs). UE-only option: 90 hrs.<br />
Pathophysiology, diagnosis, & DD are taught by an expert<br />
lymphedema physician. Lab instructors are the most experienced<br />
in the field. Approved <strong>for</strong> CEUs. Meets requirements to<br />
take the LANA exam. Free post-graduate services. Program<br />
est. 1990 by Guenter Klose, Certified Instructor. Contact:<br />
Klose Training, 303-245-0333; info@klosetraining.com or<br />
www.klosetraining.com<br />
JULY 20-21, 2013 LOS ANGELES, CA<br />
SEPT. 21-22, 2013 DENVER, CO<br />
OCT. 12-13, 2013 CHICAGO, IL<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 course<br />
goes beyond all you have learned about the effects of speed,<br />
strength and range of motion limitations as causes <strong>for</strong><br />
balance dysfunction. You will leave with an in depth knowledge<br />
and skill in postural dyscontrol, somatosensation and<br />
vestibular arenas. Take home innovative useable evaluation<br />
and treatment techniques that will dramatically change your<br />
practice. Contact: Great Seminars and Books, 877-794-7328<br />
(toll-free); or www.greatseminarsandbooks.com<br />
JULY 26-27, 2013 GREENWOOD, SC<br />
AUG. 9-10, 2013 SANTA ROSA, CA<br />
SEPT. 27-28, 2013 COON RAPIDS, MN<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 />
Sioux Falls, SD<br />
May 31 - June 2, 2013<br />
Ocean City, MD<br />
July 11-14 ( 1 ⁄2 days), 2013<br />
Nashville, TN<br />
August 2-4, 2013<br />
Sarasota, FL<br />
August 16 -18, 2013<br />
Eureka, CA<br />
August 23 - 25, 2013<br />
Hilton Head, SC<br />
September 5-8 ( 1 ⁄2 days), 2013<br />
South Bend, IN<br />
September 13-15, 2013<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. A 3rd day of course is optional. Instructor:<br />
Richard Clendaniel. Contact: Education Resources, Inc.,<br />
508-359-6533; 800-487-6530 (outside MA); www.educa<br />
tionresourcesinc.com<br />
JULY 27-28, 2013 HOUSTON, TX<br />
Kinesio Taping Fundamentals and<br />
Whole Body Techniques<br />
Instructor: Patricia Martin, PT, Audrey Yasukawa, OTR.<br />
Location: Texas Children’s Pavillion <strong>for</strong> Women, Houston,<br />
Texas 77030. Contact: Mitzi Wiggin, 832-826-6107 <strong>for</strong><br />
more in<strong>for</strong>mation; e-mail: mmwiggin@texaschildrenshos<br />
pital.org; or register online: www.texaschildrens.org/pmr<br />
and click on continuing education.<br />
JULY 27-28, 2013 SEATTLE, WA<br />
SEPT. 21-22, 2013 DUBUQUE, IA<br />
OCT. 19-20, 2013 TOLEDO, OH<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.<br />
Specific evaluations and creative treatment protocols <strong>for</strong> gait,<br />
balance, strength, flexibility, and endurance will be provided.<br />
Contact: Great Seminars and Books, 877-794-7328 (tollfree);<br />
or www.greatseminarsandbooks.com<br />
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September 27- 29, 2013<br />
Augusta, ME<br />
October 4-6, 2013<br />
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November 22-24, 2013<br />
Miami, FL<br />
November 22-24, 2013<br />
Register Today . . . Call 1-800-FASCIAL<br />
Visit our website: MyofascialRelease.com<br />
EDUCATION OPPORTUNITIES<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 33
EDUCATION OPPORTUNITIES<br />
JULY 27-AUG. 4, 2013 FREEHOLD, NJ<br />
AUG. 3-11, 2013 BOSTON, MA<br />
SEPT. 14-22, 2013 CLEVELAND, OH<br />
Lymphedema<br />
<strong>Therapy</strong> Certification<br />
The Norton School of Lymphatic <strong>Therapy</strong>’s Advantage<br />
Optimal Access Format is a blended live & web-based certification<br />
program producing LANA-eligible lymphedema<br />
therapists in only 9 continuous days. Only 5 workdays<br />
and 2 weekends make this course the most sensible,<br />
cost-effective, unmatched choice. Save large expenses<br />
on staff coverage, travel, hotel and meals. Take our online<br />
Virtual Tour and compare to other schools! This course<br />
teaches: Manual Lymph Drainage (MLD) & Complete<br />
Decongestive <strong>Therapy</strong> (Vodder/Foeldi Tech) covering 135<br />
hours, basic and advanced MLD, bandaging & Tx protocols,<br />
Tx of primary & secondary lymphedema, extremity<br />
& non-extremity lymphedema. All Norton School instructors<br />
are recognized national experts and are available<br />
via e-mail & phone consultation <strong>for</strong> Tx of complex patients.<br />
We offer Advanced Training Programs, Reviews, Bi-Annual<br />
Conferences, Specialized Training Videos & free lifetime<br />
COAST TO COAST SCHOOL OF<br />
Lymphedema<br />
Management<br />
A branch of Pacifi c <strong>Therapy</strong> Education, Inc.<br />
Teaching the Leduc Method<br />
A research-based certifi cation course open to<br />
PTs, PTAs, OTs, COTAs, MDs<br />
• Classes held since 1995<br />
• Over 1000 PTs, PTAs, OTs, COTAs certifi ed<br />
• Post-course support<br />
• Earn ICLM certifi cation<br />
• Curriculum includes 162 contact hours<br />
Initial Courses: May 18-22, 2013 - Medstar NRH, Washington, DC<br />
June 5-9, 2013 - Stan<strong>for</strong>d University Hospital, CA<br />
Advanced Courses: May 22-26, 2013 - Medstar NRH, Washington, DC<br />
October 21- 24, 2013 - Stan<strong>for</strong>d University Hospital, CA<br />
Conference (open to all): October 25, 2013 - Stan<strong>for</strong>d U Hospital<br />
NEW!! Course Level III: October 26-27, 2013 - Stan<strong>for</strong>d U Hospital<br />
Guest Speakers: S. G. Rockson, M.D., Allan & Tina Neill, Prof. of Lymphatic<br />
Research and <strong>Medicine</strong>, Stan<strong>for</strong>d University School of <strong>Medicine</strong><br />
( at all courses & conference)<br />
I. Wapnir, MD Chief of Breast Surgery - Stan<strong>for</strong>d University School of<br />
<strong>Medicine</strong> (Conference)<br />
J. Mollick, MD Clinical Instructor - Division of Oncology - Stan<strong>for</strong>d<br />
University School of <strong>Medicine</strong> (Conference)<br />
J.P. Belgrado, M.P. Researcher: Lymphology Research Unit - Free University<br />
of Brussels, Belgium (Conference & Instructor of Course Level III)<br />
Instructor: Anne-Marie Vaillant-Newman, PT, MA, 28 years of<br />
experience in Lymphedema Managment Leduc method.<br />
www.lymphedemamanagement.com<br />
1-951-347-0362 • E-mail: amvnewman@gmail.com<br />
34 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
listing in our Therapist Referral Database. Multiple courses<br />
offered per month nationally. Inquire about hosting a course!<br />
MD, RN, PT, OT, PT & OT Assistants, Nurses & MTs qualified.<br />
The Norton School is recognized by FPTA, NJ, SBPTE, TPTA,<br />
AOTA & NCBTMB <strong>for</strong> CEUs. Senior Faculty: Steve Norton,<br />
MLD/CD, CLT-LANA; Andrea Cheville, MD, Medical Director.<br />
Contact: 866-445-9674 (toll-free); 866-854-7800 (fax);<br />
info@NortonSchool.com or www.NortonSchool.com<br />
AUG. 2-5, 2013 SAN JOSE, CA<br />
SEPT. 5-8, 2013 ORLANDO, FL<br />
SEPT. 14-17, 2013 PITTSBURGH, PA<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 of 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, Recovering Function NDT 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 />
AUG. 9-10, 2013 MIAMI, FL<br />
Treating the Cardiac Patient:<br />
Reaching Full Potential Safely<br />
Patients, in each setting, are sicker than ever be<strong>for</strong>e. This<br />
requires that therapists in settings, where patients were<br />
traditionally considered “stable”, now be aware of acute<br />
comorbidities, precautions and contraindications, as well as<br />
to make decisions quickly and independently to preserve the<br />
patient’s safety and help them reach their full potential. This<br />
course delivers clinically relevant and immediately applicable<br />
knowledge to in<strong>for</strong>m such decisions <strong>for</strong> practitioners in any<br />
setting, from acute care to rehab, outpatient or home care.<br />
Instructor: Donna Frownfelter. Contact: Education Resources,<br />
Inc., 508-359-6533; 800-487-6530 (outside MA); www.<br />
educationresourcesinc.com<br />
AUG. 16-17, 2013 LINCOLN, NE<br />
SEPT. 7-8, 2013 COPPELL, TX<br />
OCT. 5-6, 2013 CHAPEL HILL, NC<br />
Postural Respiration<br />
Clinicians will gain an appreciation <strong>for</strong> the postural influences<br />
of: rib torsion, asymmetrical oblique strength, inconsistent<br />
breathing patterns, habitual use of accessory respiratory<br />
musculature and a restricted diaphragm. The focus of this<br />
course will be to “balance” polyarticular muscular chains<br />
through focused functional assessment of the upper-half.<br />
Integrated treatments using manual therapy and non-manual<br />
techniques to restore respiratory and rotational functions<br />
of the trunk will be covered. Learn clinical assessment and<br />
management skills when treating diagnosis such as “fibromyalgia”,<br />
thoracic outlet syndrome and shoulder dysfunction.<br />
Mention this ad to receive a 5% tuition discount. Home study<br />
also available. Contact: Postural Restoration Institute, 888-<br />
691-4583 (toll-free); or www.posturalrestoration.com<br />
AUG. 17-18, 2013 OMAHA, NE<br />
SEPT. 21-22, 2013 PORTLAND, ME<br />
OCT. 19-20, 2013 GREEN BAY, WI<br />
Manual <strong>Therapy</strong> <strong>for</strong><br />
The Geriatric Patient<br />
Speaker - James Gose PT, DPT, OCS, Cert MDT, COMT, CMP:<br />
Using concepts of Robin McKenzie, Geoffrey Maitland and<br />
Brian Mulligan this course presents the evidence-based<br />
rational <strong>for</strong> using manual therapy with geriatric patients &<br />
demonstrates how manual therapy can safely & effectively be<br />
applied to this population. With over 120 manual techniques<br />
demonstrated and practiced the philosophical, evaluative and<br />
treatment concepts of each approach will be compared and<br />
contrasted. The perfect course if you see geriatric patients.<br />
Contact: Great Seminars and Books, 877-794-7328 (tollfree);<br />
or www.greatseminarsandbooks.com<br />
AUG. 17-18, 2013 EL DORADO HILLS, CA<br />
OCT. 6-7, 2013 CEDAR KNOLLS, NJ<br />
Yoga <strong>Therapy</strong> in<br />
The Classroom<br />
This highly acclaimed program has been shown to positively<br />
impact sensory processing, self regulation, attention, communication,<br />
motor planning and per<strong>for</strong>mance, Get Ready<br />
To Learn is designed <strong>for</strong> adaption across the range of<br />
student challenges, from minimal to severe. Challenges<br />
addressed include students with physical limitations, autistic<br />
spectrum disorders, developmental delays to high per<strong>for</strong>ming<br />
mainstream populations with learning and attention<br />
issues. Instructor: Anne Buckley-Reen. Contact: Education<br />
Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />
www.educationresourcesinc.com<br />
AUG. 17-18, 2013 OMAHA, NE<br />
OCT. 19-20, 2013 GREEN BAY, WI<br />
NOV. 1-2, 2013 SPOKANE, WA<br />
Manual <strong>Therapy</strong> <strong>for</strong><br />
The Geriatric Patient<br />
Speaker - James Gose, PT, DPT, OCS, Cert MDT, COMT, CMP:<br />
Using concepts of Robin McKenzie, Geoffrey Maitland and<br />
Brian Mulligan this course presents the evidence-based<br />
rational <strong>for</strong> using manual therapy with geriatric patients &<br />
demonstrates how manual therapy can safely & effectively be<br />
applied to this population. With over 120 manual techniques<br />
demonstrated and practiced the philosophical, evaluative and<br />
treatment concepts of each approach will be compared and<br />
contrasted. The perfect course if you see geriatric patients.<br />
Contact: Great Seminars and Books, 877-794-7328 (tollfree);<br />
or www.greatseminarsandbooks.com<br />
AUG. 17-18, 2013 INDIANAPOLIS, IN<br />
NOV. 2-3, 2013 MIAMI, FL<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. Exercise prescription,<br />
contradictions and precautions with exercise & modalities. A<br />
unique, problem based <strong>for</strong>mat, with group interaction, utiliz-
ing case studies <strong>for</strong> client evaluation and development of plan<br />
of care. Contact: Great Seminars and Books, 877-794-7328<br />
(toll-free); or www.greatseminarsandbooks.com<br />
AUG. 17-18, 2013 TOMS RIVER, NJ<br />
NOV. 2-3, 2013 NEWPORT NEWS, VA<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 course will provide both clinical<br />
in<strong>for</strong>mation relevant to those being treated in their home as<br />
well as the psychological aspects of dealing with families<br />
and caregivers including evaluation tools <strong>for</strong> balance, function,<br />
cognitive ability and environmental hazards presented<br />
to allow the therapist to develop an appropriate plan of care.<br />
Contact: Great Seminars and Books, 877-794-7328 (tollfree);<br />
or www.greatseminarsandbooks.com<br />
AUG. 23-24, 2013 HOUSTON, TX<br />
Hands-On Aquatic <strong>Therapy</strong> Polyclinic<br />
For the Ortho & Neuro Client<br />
Instructor: Kiki Dickinson. Location: Pearland Parks and<br />
Recreation. Contact: Mitzi Wiggin, 832-826-6107 <strong>for</strong> more<br />
in<strong>for</strong>mation; e-mail: mmwiggin@texaschildrens.org; or www.<br />
texaschildrens.org/pmr and click on continuing education.<br />
SEPT. 21-22, 2013 WINSTON-SALEM, NC<br />
OCT. 5-6, 2013 DALLAS, TX<br />
Pediatric Hand<br />
<strong>Therapy</strong> and Splinting<br />
Focus on common and complex pediatric upper extremity<br />
conditions. Learn about normal hand development, evaluation<br />
and therapeutic intervention. Includes hands-on splinting lab<br />
with a variety of thermoplastic and soft-splinting techniques.<br />
Instructor: Jill Peck-Murray, MOT, OTR/L, CHT. Contact: <strong>Rehab</strong><br />
Education, LLC, 845-368-2458 <strong>for</strong> questions; info@<strong>Rehab</strong>Ed.<br />
com or www.<strong>Rehab</strong>Ed.com <strong>for</strong> details and registration.<br />
SEPT. 21-22, 2013 WEST ORANGE, NJ<br />
OCT. 5-6, 2013 WASHINGTON, DC<br />
NOV. 9-10, 2013 SAN ANTONIO, TX<br />
Neural Mobilization:<br />
Examination and Intervention Strategies<br />
Enhance your treatment outcomes with neural mobilization.<br />
Learn basic to advanced concepts <strong>for</strong> examination<br />
of restricted neural mobility and intervention strategies to<br />
address the dura, nerve bed, and the peripheral nerves. This<br />
lab intensive course will help you to understand the vulnerability<br />
of the nervous system and the resulting pathologies<br />
that can develop, and how neural mobilization can enhance<br />
your treatment outcomes. Instructor: Mark W. Butler, PT, DPT,<br />
OCS, Cert. MDT. Contact: <strong>Rehab</strong> Education, LLC, 845-368-<br />
2458 <strong>for</strong> questions; info@<strong>Rehab</strong>Ed.com or www.<strong>Rehab</strong>Ed.<br />
com <strong>for</strong> details and registration.<br />
SEPT. 21-22, 2013 TACOMA, WA<br />
OCT. 18-19, 2013 BILLINGS, MT<br />
DEC. 7-8, 2013 OXFORD, MS<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 rehabilitatively<br />
and medically complex older patient. This seminar,<br />
with its 350 page handout and 5000 references, provides<br />
a thorough approach to therapeutic strategies and goals,<br />
thereby preparing therapists with cutting-edge in<strong>for</strong>mation,<br />
evaluation tools and treatment protocols <strong>for</strong> the complex<br />
geriatric patient. Contact: Great Seminars and Books, 877-<br />
794-7328 (toll-free); or www.greatseminarsandbooks.com<br />
OCT. 12-13, 2013 BOSTON, MA<br />
Simplifying Management of<br />
The Wrist and Elbow<br />
Focus on the management of the wrist, carpals and elbow<br />
in this intermediate to advanced level course. Designed to<br />
enhance your understanding of the complexity of the wrist<br />
and elbow joints, and the assessment and management<br />
of various conditions affecting them. Gain confidence in<br />
problem solving and designing treatment programs <strong>for</strong> a<br />
variety of upper extremity conditions. Instructor: Shrikant J.<br />
Chinchalkar, OTR, CHT. Hosting opportunities available <strong>for</strong><br />
2013 and 2014. Contact: <strong>Rehab</strong> Education, LLC, 845-368-<br />
2458 <strong>for</strong> questions; info@<strong>Rehab</strong>Ed.com or www.<strong>Rehab</strong>Ed.<br />
com <strong>for</strong> details and registration.<br />
OCT. 19-20, 2013 KISSIMMEE, FL<br />
NOV. 1-2, 2013 ALBANY, NY<br />
<strong>Rehab</strong> <strong>for</strong> Persons w/ Dementia:<br />
Making <strong>Therapy</strong> Worth It<br />
Speaker: Susan Staples, PT, GCS. This seminar provides<br />
participants with specific evaluation and treatment strategies<br />
that are critical to improve outcomes <strong>for</strong> this challenging and<br />
rapidly growing patient population. Included are strategies<br />
<strong>for</strong> gait, balance and falls, mobility, hip fractures, strength/<br />
ROM, cardiopulmonary and pain issues, seating and positioning,<br />
restraints, and behavioral problems. Participants will<br />
also gain a thorough understanding of the different types of<br />
dementia with specific communication and approach strategies<br />
<strong>for</strong> success. The speaker provides an evidence-based<br />
seminar with an extensive handout. Contact: Great Seminars<br />
and Books, 877-794-7328 (toll-free); or www.greatseminar<br />
sandbooks.com<br />
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EDUCATION OPPORTUNITIES<br />
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MP2.2_1_4C011807_1.indd 1 1/18/07 10:11:57 AM
[PIlaTES]<br />
breathing continued from page 15<br />
“Eventually, an individual with a respiratory<br />
disease can do Pilates on her own,” said Donnelly.<br />
“However, it would be best to start with<br />
a knowledgeable practitioner. A physical<br />
therapist can guide a patient in proper lateral<br />
costal breathing and proper activation of the<br />
TA. Both of these techniques are difficult to<br />
master without a trained specialist.”<br />
Often patients compensate by overusing<br />
their neck muscles during inhalation or by<br />
engaging more global abdominal muscles<br />
during exhalation, she added.<br />
“These compensations can lead to decreased<br />
I can move without pain<br />
again. Thank you.<br />
Balanced Body® and Pilates will change your clients and your<br />
business. Find out more at pilates.com/advance.<br />
36 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
pilates.com |<br />
1-800-PILATES (745-2837)<br />
breathing capacity, as well as other musculoskeletal<br />
problems. <strong>Physical</strong> therapists are<br />
trained to monitor and correct the compensations<br />
in order to guide patients with respiratory<br />
problems toward better health and function.”<br />
Overcoming Doubt, Getting Started<br />
Thus, it is clear that a physical therapist is<br />
needed <strong>for</strong> Pilates practice to benefit individuals<br />
with respiratory concerns (or any individuals<br />
with therapeutic need <strong>for</strong> that matter). But<br />
two obstacles may stand in the way of that:<br />
training and patient doubt.<br />
Training can be easily taken care of with<br />
some time and energy. “There are many<br />
Pilates certification programs out there,” said<br />
Donnelly. “I would advise PTs wanting to add<br />
Pilates to their resume to seek out a program<br />
that is created and taught by another physical<br />
therapist.”<br />
Donnelly was taught initially by Brent<br />
Anderson, PT, who designed the curriculum<br />
taught at Polestar Pilates, a now international<br />
organization that offers certification courses<br />
and advanced training. Donnelly also sought<br />
out opportunities to learn about Pilates<br />
through internships and entry-level positions.<br />
“I was working as an aide in a clinic be<strong>for</strong>e<br />
I even applied to PT school and one of the<br />
physical therapists I was working with took<br />
me to a weekend Pilates course. I was hooked<br />
immediately. When I finally enrolled in PT<br />
school, I made sure that my final rotation was<br />
at a clinic that incorporated Pilates into their<br />
rehabilitation approach. Likewise, my first job<br />
after graduation was at a clinic that embraced<br />
Pilates-based rehabilitation,” she remembered.<br />
Once trained, it’s a matter of integration<br />
and use with patients. And while many<br />
patients will be open to it, some may be a bit<br />
more hesitant.<br />
“Men are usually skeptical at first,” Donnelly<br />
generalized. “Women are usually excited to<br />
try Pilates. However, once men try Pilates and<br />
are challenged by it, that skepticism goes away<br />
pretty fast. And [women] often continue with it<br />
long after their therapy is finished.” n<br />
In<strong>for</strong>mation <strong>for</strong> this article on the history<br />
and practice of Pilates was gathered from the<br />
Mayo Clinic (www.mayoclinic.com), Studio<br />
Equilibrium (www.studioequilibrium.com)<br />
and <strong>Medicine</strong> Net (www.medicinenet.com).<br />
Sue Coyle is a freelance writer in Philadelphia. Contact<br />
her at susanelizabeth.coyle@gmail.com.
CLASSIFIED EMPLOYMENT OPPORTUNITIES<br />
<strong>ADVANCE</strong><br />
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reaches over 85,100 active, qualified physical therapy<br />
professionals nationwide every issue.<br />
Faculty . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
1 New England . . . . . . . . . . . . . . . . . . . . . . p. 37<br />
2 Middle Atlantic . . . . . . . . . . . . . . . . . . . . . p. 37<br />
3 Upper South Atlantic . . . . . . . . . . . . . . . . p. 40<br />
4 Lower South Atlantic . . . . . . . . . . . . . . . . p. 41<br />
5 East South Central . . . . . . . . . . . . . . . . . . .<br />
6 East North Central . . . . . . . . . . . . . . . . . . p. 42<br />
7 West North Central . . . . . . . . . . . . . . . . . . .<br />
8 West South Central. . . . . . . . . . . . . . . . . . p. 42<br />
9 Southwest . . . . . . . . . . . . . . . . . . . . . . . . .<br />
10 Mountain . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
11 Pacific. . . . . . . . . . . . . . . . . . . . . . . . . . . . p. 42<br />
US Territories . . . . . . . . . . . . . . . . . . . . . . .<br />
National . . . . . . . . . . . . . . . . . . . . . . . . . . p. 42<br />
International . . . . . . . . . . . . . . . . . . . . . . . p. 42<br />
NEW ENGLAND<br />
Early intervention<br />
<strong>Physical</strong> Therapists<br />
Criterion Child Enrichment is currently seeking <strong>Physical</strong><br />
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• Excellent compensation and benefi ts<br />
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Interested individuals with applicable knowledge and<br />
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www.criterionchild.com<br />
Criterion Child Enrichment is an Equal Opportunity Employer.<br />
Massachusetts, New Jersey, New Hampshire, New York<br />
MIDDLE ATLANTIC<br />
Pediatric <strong>Physical</strong> Therapist<br />
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Seeking dynamic individual <strong>for</strong> newly expanded<br />
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(11-month program) <strong>for</strong> children ages 6-13<br />
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school certifi cation required.<br />
Please send or fax resume to:<br />
Patricia Procino, P.T.<br />
The Children’s <strong>Therapy</strong> Center<br />
Upper School<br />
321 Prospect Street, Midland Park, NJ 07432<br />
Ph: 201-612-5677 • Fax: 201-612-6706<br />
pprocino@thechildrenstherapycenter.org<br />
www.thechildrenstherapycenter.org<br />
<strong>Physical</strong> Therapist ~ Andover MA<br />
Exciting full-time opportunity to work as part of a team within an innovative educational<br />
program serving children with autism spectrum disorders, acquired brain injury and<br />
other neurologically-based disorders. Experience: Graduate of approved <strong>Physical</strong><br />
<strong>Therapy</strong> Program with Bachelor’s or Master’s degree. Minimum of two (2) years physical<br />
therapy experience preferred. Current Massachusetts physical therapy licensure.<br />
Direct supervision of physical therapy assistant required. $10,000 Sign-On Bonus!<br />
We offer competitive salaries and benefits. See our website www.melmarkne.org <strong>for</strong> more<br />
detail. Mail, fax or email your resume to: Melmark New England, 461 River Road,<br />
Andover, MA 01810, (Fax) 978-654-4382<br />
or newstaff@melmarkne.org.<br />
AA/EOE Employer<br />
www.melmarkne.org<br />
<strong>Physical</strong> Therapists & Assistants - FT<br />
Leisure Park (a Five Star Senior Living Community)<br />
1400 Route 70, Lakewood, NJ 08701 (near Brick)<br />
IL/AL, Skilled Care, Outpatient, Inpatient & Home<br />
Health Excellent Compensation & Benefits<br />
Five Star <strong>Rehab</strong> & Wellness, The internal therapy co.<br />
of Five Star Senior Living. Mike Connell, <strong>Rehab</strong><br />
Recruiter, Tel: 617-219-1427, Fax: 617-454-3648<br />
mconnell@5sqc.com fivestarseniorliving.com eoe<br />
Sports <strong>Medicine</strong> and Orthopaedic Outpa ent prac ce in<br />
the Seacoast area of NH is seeking a <strong>Physical</strong> Therapist<br />
<strong>for</strong> FULL and/or PART-TIME/PER DIEM with possible FT<br />
opportunity to assist in the growth of satellite o ces<br />
in Seacoast area of NH. Looking <strong>for</strong> a candidate with<br />
strong orthopedic and manual therapy skills to join our<br />
dedicated team. Excep onal opportuni es in program<br />
development and con nuing educa on. Warm & friendly<br />
pa ent popula on, atmosphere, and administra ve<br />
support sta . Comprehensive bene ts and compe ve<br />
salary. Evening hours preferred. Mul ple loca ons.<br />
Please send resume to Pamela Bronson, Administrator,<br />
Access Sports <strong>Medicine</strong> & Orthopaedics,<br />
1 Hampton Road Suite 205, Exeter, NH 03833<br />
e: pbronson@accesssportsmed.com • f: (603) 778-9680<br />
NEED <strong>ADVANCE</strong> REPRINTS?<br />
CALL 800-355-5627<br />
Established in 1995, Metro SportsMed, PC is the leading<br />
therapy services provider in Brooklyn, NY. We are<br />
committed to providing the best one-on-one treatments<br />
to our patients. With an emphasis on quality and growth,<br />
our company represents opportunities and continued<br />
learning. Our dedicated team excels in a broad range<br />
of specialties, including orthopedic, neurologic, cardiac,<br />
vestibular, pelvic health, lymphedema, pediatric, aquatic,<br />
and hand therapy. Each of our units is proud to serve our<br />
patients in its unique caring way, and together we make<br />
Metro SportsMed, PC a successful company lled with fun<br />
and character.<br />
Currently we are seeking:<br />
Director of <strong>Therapy</strong> Services<br />
Responsibilities <strong>for</strong> this position include:<br />
• Overseeing more than 50 clinical staff in inpatient and<br />
outpatient areas<br />
• Strategic planning in aligning per<strong>for</strong>mance goals with<br />
companys mission<br />
• Developing annual budgets and monitors expenditure<br />
to ensure compliance with approved budgetary constraints<br />
• Preparing and assessing quality assurance and<br />
statistical reports<br />
• Developing and monitoring departmental per<strong>for</strong>mance<br />
improvement programs<br />
• Establishing orientation programs; building programs<br />
<strong>for</strong> ongoing professional growth of all clinical staff<br />
• Identifying market needs and expanding companys<br />
practice<br />
Quali ed candidates should possess a minimum of 7 years<br />
of supervisory experience in physical therapy in a<br />
medium or large size organization. An advanced degree in<br />
business/management strongly preferred.<br />
Fax resume to 888-318-2437<br />
www.metrosportsmed.com<br />
Northside Center <strong>for</strong> Child Development<br />
Early Intervention Program<br />
OT, PT, SLP<br />
Fee-<strong>for</strong>-Service Positions<br />
Immediately Available<br />
Early Intervention Program serving children<br />
(birth-3yrs.) in their homes or in a community<br />
agency in Manhattan and the Bronx. NY<br />
State DOH approval required. Bilingual Spanish<br />
a plus. Very competitive payment rates.<br />
Not accepting CFYs.<br />
E-mail, fax, or mail resume to:<br />
Angelina Fernandez<br />
Chief of Early Intervention Services<br />
Northside Center <strong>for</strong> Child Development<br />
1301 Fifth Avenue, New York, NY 10029<br />
Fax #: (212) 426-8976<br />
afernandez@northsidecenter.org<br />
NO CALLS PLEASE<br />
Dream Job! One Patient Per Hour!<br />
PT-owned outpatient practice is looking <strong>for</strong> a FT/PT PT with great manual<br />
skills and working knowledge in any of the following areas: Pelvic<br />
Floor, TMJ, Vestibular <strong>Rehab</strong>, Sahrman’s exercise protocol. Competitive<br />
salary and benefi ts. Willing to teach. Provide at least 1 hr one on one<br />
treatment time.<br />
Fax resume to 201.791.7111<br />
E-mail: bellapt3940@gmail.com<br />
www.advanceweb.com/pt | May 13, 2013 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 37<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 37
EMPLOYMENT OPPORTUNITIES<br />
New Jersey, New York<br />
Therapist Owned Private Practice<br />
OUTPATIENT ORTHOPEDICS<br />
Seeking experienced PT/FT physical therapists<br />
<strong>for</strong> a busy, outpatient practice<br />
PTs/PTAs<br />
Enthusiastic New Graduates Welcome!<br />
We need motivated therapists who value being<br />
part of a dynamic interdisciplinary team in our<br />
Throggs Neck offi ce. We offer supervision with<br />
experienced PTs. Salary commensurate with<br />
experience; incentive bonus program, health<br />
benefi ts, and continuing education available.<br />
For consideration, please fax your resume to:<br />
(347) 582-2859 or e-mail to:<br />
john.ofarrell@proactiveptot.com<br />
2904 Bruckner Blvd, Bronx, New York 10465<br />
Distracted Driving<br />
Most U.S. drivers reported talking on<br />
their cell phone, and about one in three<br />
read or sent text or email messages<br />
when driving, according to a new study<br />
released by the CDC. The U.S. figures are<br />
twice that found in Spain and the U.K.<br />
Remember why<br />
you became a<br />
<strong>Physical</strong> Therapist?<br />
We do.<br />
NOW HIRING Full Time and<br />
Fee For Service Therapists to<br />
change the lives of people with<br />
developmental disabilities in<br />
the NYC area.<br />
WALK-IN INTERVIEWS<br />
Wednesdays 12:00pm – 6:00pm<br />
460 West 34 th Street 11 th Floor<br />
New York, NY 10001<br />
Apply at yai.org/careers<br />
Sign-On<br />
Bonus!<br />
New Family-owned & operated practice located<br />
in Allentown, NJ has opportunity <strong>for</strong> New Grad<br />
to join our team. Manual based therapy, fl exible<br />
schedule, great work environment.<br />
Please contact Olivia:<br />
Phone: 609-738-3143 • FAX: 609-738-3144<br />
E-mail: ocaruso@carusoptrd.com<br />
www.carusoptrd.com<br />
advancecustompromotions.com<br />
1-877-776-6680<br />
Promote your facility, recognize<br />
your staff or celebrate important<br />
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gifts, giveaways and promotional<br />
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38 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | May 13, 2013 | www.advanceweb.com/pt<br />
38 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
<strong>Physical</strong> Therapist<br />
Join our experienced team of pediatric therapists, many with DPT<br />
degrees and NDT certi cations. Full-time positions available at<br />
innovative and highly respected non-pro t Approved Private School<br />
<strong>for</strong> young multiply disabled students Adjunct programs include<br />
early intervention, aquatics, school-based contracts and child care.<br />
Candidates must be eager to learn and willing to make a signi cant<br />
professional contribution to the organization and children served.<br />
Competitive salary, excellent bene ts and strong commitment to<br />
continuing education. Experience with assistive technology and<br />
equipment a plus. NJ License and School Certi 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 />
info@ChambersSchool.org<br />
Mult Multilin ilingual gual The <strong>Therapy</strong> rapy<br />
Associates Inc.<br />
Pediatric Ped Pediat iatric ric i Clinical Cli Clinic nical i al l Service SSer Servic vice i<br />
PHYSICAL THERAPISTS<br />
PRESCHOOLS & SCHOOL BASED POSITIONS<br />
Full-time with experience<br />
All Boros<br />
• Supervision available<br />
• Excellent Pediatric Training • Highest rates<br />
in the industry • Benefits Package<br />
Call (888) 806-2497<br />
Fax Resume To (888) 806-5151<br />
lillianMTA@yahoo.com<br />
Brooklyn Health <strong>Physical</strong> <strong>Therapy</strong>, LLC<br />
is a PT-owned outpatient practice looking<br />
<strong>for</strong> a F/T therapist with good manual skills<br />
specializing in pelvic fl oor dysfunction.<br />
Competitive salary and benefi ts. New grads welcome.<br />
Willing to train in men’s and women’s health.<br />
Send resumes to: gjhaveri@brooklynhealthpt.com<br />
Diabetes Stats<br />
According to the American Diabetes<br />
Association, the latest diabetes statistics<br />
show that one in three American adults<br />
are at high risk <strong>for</strong> developing type 2<br />
diabetes. Seventy-nine million American<br />
adults have pre-diabetes, which means<br />
their blood glucose is higher than normal,<br />
but not high enough to be classified<br />
as diabetes. What's more, out of the<br />
nearly 26 million Americans with diabetes,<br />
one-fourth of them do not realize<br />
they have the disease.<br />
CALL 800-355-5627<br />
FASTEST SERVICE<br />
LOWEST COST<br />
LOWEST MINIMUM QUANTITIES!<br />
EOE
POSITIVE BEGINNINGS<br />
PRESCHOOL<br />
EXPERIENCED PEDIATRIC<br />
PHYSICAL/OCCUPATIONAL<br />
THERAPIST<br />
Full-Time/Part-Time Openings<br />
We serve a bilingual population, ages 3-5,<br />
in a preschool setting in Queens.<br />
Excellent bene ts.<br />
Send resumes/licensure to:<br />
E-mail:<br />
mjacobson@posbegin.org<br />
718-268-0556 EOE<br />
<strong>Physical</strong> Therapists<br />
NEW GRADS / LIMITED PERMITS<br />
Multiple positions available in leading rehab<br />
centers/SNFs located in 5 boroughs, LI and<br />
Westchester. Full-time. Competitive<br />
salaries and benefi ts.<br />
Call Lorraine 347-330-5834<br />
SentosaCare<br />
www.sentosacare.com<br />
<br />
<strong>Therapy</strong> 4 Kids<br />
Exciting opportunity <strong>for</strong> Pediatric PT<br />
• PRN/PT/FT with fl exible schedule<br />
• Early intervention in Fairfax/PW<br />
• Experienced / multi-disciplinary team<br />
Call Lorna at 703-978-8400 or fax resume to<br />
703-978-9898 • lornasher@t4konline.com<br />
HIV Transmission<br />
The number of pregnant and breastfeeding<br />
women in Malawi with HIV<br />
who started life-saving antiretroviral<br />
treatment (ART) increased by more<br />
than 700% in one year, according to a<br />
study in CDC’s March 1 Morbidity and<br />
Mortality Weekly Report. The new treatment<br />
option, called Option B+, offers<br />
ART to all pregnant or breastfeeding<br />
women infected with HIV. ART reduces<br />
mother-to-child HIV transmission rates<br />
to less than 5%, maintains a mother’s<br />
health, and prevents transmission of the<br />
PHYSICAL<br />
THERAPIST<br />
<strong>Therapy</strong> and Learning<br />
Center (TLC) in Park Slope,<br />
Brooklyn seeks a full time<br />
<strong>Physical</strong> Therapist <strong>for</strong> the<br />
preschool center-based<br />
program. Beautiful state of<br />
the art facility; multicultural<br />
families & dynamic<br />
transdisciplinary team.<br />
Must be NYS Licensed.<br />
Also seeking Independent<br />
Contractors <strong>for</strong> Evals.<br />
Fax or email resumes with certification to:<br />
<strong>Therapy</strong> & Learning Center<br />
Fax: 718-290-2800 or<br />
Email: barbara.deeb@TLCkids.org<br />
AAHAVA<br />
Medical and <strong>Rehab</strong> Center<br />
A private multidisciplinary facility seeks Full-Time and<br />
Part-Time PT <strong>for</strong> NYC, Long Island, NJ and<br />
Upstate NY to work with a diverse client population. Also<br />
hiring OTs and STs. Pediatric and adult clients across<br />
the age span. Training available, pediatric and adult<br />
treatment gyms, fully equipped SI room. Ongoing<br />
supervision, mentorship and professional growth opportunities<br />
available. Potential to earn $100 per hour. Sunday positions<br />
available. Benefits. NY or NJ State License required.<br />
We sponsor H1 VISA.<br />
Contact Chuck at: (718) 951-8800 x 2181<br />
E-mail: community64@msn.com<br />
Lebovitsg@gmail.com<br />
New York, Virginia<br />
The right choice!<br />
You chose the right career...<br />
now join the right team!<br />
Revival Home Health Care is dedicated to<br />
a brighter future... both <strong>for</strong> its patients<br />
and valued staff!<br />
LICENSED PTs<br />
Full Time - Brooklyn & Manhattan<br />
FFS LICENSED PTs<br />
Spring Valley area<br />
• Willing to train motivated individuals.<br />
• NYS License required.<br />
• Excellent compensation package<br />
New Grads Welcome!<br />
To apply please send resume to:<br />
eljobs53@gmail.com<br />
EOE<br />
www.revivalhhc.org<br />
Home Care PTs<br />
Needed <strong>for</strong> Nassau, Suff olk, Queens & Brooklyn<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<br />
E-mail: LauraW@vnali.org<br />
virus during future pregnancies. Sharing Ideas<br />
NEED A QUICK<br />
TRADESHOW GIVEAWAY?<br />
EMAIL<br />
REPRINTS@<strong>ADVANCE</strong>WEB.COM<br />
DON’T MISS<br />
A SINGLE<br />
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ISSUE OF<br />
<strong>ADVANCE</strong><br />
SUBSCRIBE TODAY<br />
800.355.1088<br />
www.advanceweb.com<br />
The Health Care Innovations Exchange<br />
was created by AHRQ to speed the<br />
implementation of new and better ways<br />
of delivering healthcare. It offers busy<br />
health professionals and researchers a<br />
variety of opportunities to share, learn<br />
about, and ultimately adopt evidencebased<br />
innovations and tools suitable<br />
<strong>for</strong> a range of healthcare settings and<br />
populations.<br />
www.advanceweb.com/pt | May 13, 2013 | <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> 39<br />
EMPLOYMENT OPPORTUNITIES
EMPLOYMENT OPPORTUNITIES<br />
New Jersey, Pennsylvania, Maryland<br />
We have a brand new<br />
opening <strong>for</strong> a Pediatric<br />
<strong>Physical</strong> Therapist!<br />
This position is a<br />
contracted school-based<br />
physical therapy opening<br />
starting this June 2013, with<br />
the possibility of working with<br />
infants/toddlers in the Birth to 3 year old<br />
early intervention program, if interested. We<br />
offer top competitive rates, fl exible scheduling,<br />
a supportive & collaborative environment with<br />
strong therapists and a $500 sign-on bonus!<br />
Contact Alison@ProgressivePediatrics.org<br />
today to fi nd out more and see if this is the<br />
right fi t <strong>for</strong> you and your career goals!<br />
<strong>Physical</strong> Therapist<br />
Community VNA, located in Somerville, NJ<br />
seeks a per diem <strong>Physical</strong> Therapist<br />
w/1 year minimum experience.<br />
Home care experience preferred.<br />
Applicants may complete application<br />
online at: www.communityvna.org<br />
or e-mail: epost@communityvna.org<br />
be all you’re meant to be<br />
when work<br />
is rewarding, life is rewarding.<br />
Wound Care Manager<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
65 James Street, Edison, NJ 08820 | Equal Opportunity Employer<br />
40 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | May 13, 2013 | 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 />
www.medstarfranklin.org<br />
UPPER SOUTH ATLANTIC<br />
Stronger...Every Day<br />
Kessler <strong>Rehab</strong>ilitation Center<br />
seeks talented, motivated and energetic<br />
PHYSICAL<br />
THERAPISTS<br />
Kessler now offers an<br />
Orthopaedic Residency Program!<br />
Join the team at one of our more than 80<br />
outpatient centers in New Jersey. There’s<br />
one that’s right <strong>for</strong> you!<br />
• Sign-on Bonus Available • Continuing Ed<br />
• Tuition Reimbursement • Loan Forgiveness<br />
Please contact Jennifer Taft at<br />
• 610-992-7209<br />
• jtaft@kessler-rehab.com<br />
www.kessler-pt.com<br />
One of the largest...and the best.<br />
MedStar Franklin Square Hospital Center, the third largest hospital in Maryland<br />
and part of MedStar Health, can elevate your career to a new level of caring,<br />
compassion and clinical excellence. We’re progressive, patient-focused and received<br />
“2012 Delmarva Foundation Award <strong>for</strong> Quality Excellence.” Join us in Baltimore!<br />
PHYSICAL THERAPIST<br />
Full-time, Inpatient Acute Care<br />
Must be licensed in the State of Maryland and 1-2 years’ experience preferred.<br />
Switching to Solids<br />
At least 40% of moms are feeding their<br />
infants solid foods be<strong>for</strong>e the recommended<br />
6 month age, according a study<br />
in the medical journal Pediatrics.<br />
Will consider NEW GRADS.<br />
Excellent salary and benefi ts offered.<br />
To learn more and apply, visit<br />
www.medstarfranklin.org<br />
WWW.<strong>ADVANCE</strong>WEB.COM<br />
BEST PLACES<br />
2012<br />
T O W O R K<br />
Pennhurst Group<br />
<strong>Physical</strong> Therapist Needed<br />
Vineland, NJ<br />
$75,000 + Health Insurance Benefi ts<br />
E-mail: BP@Pennhurstgroup.com<br />
Phone: (610) 251-2597 x13<br />
Fax: (610) 251-0159<br />
EOE<br />
WWW.<strong>ADVANCE</strong>WEB.COM
Opportunity <strong>for</strong> <strong>Physical</strong><br />
and Occupational <strong>Therapy</strong><br />
Assistants<br />
Join our Innovative Chronic Hospital and<br />
Long-term Care Facility in Maryland.<br />
Sign On Bonus Available!<br />
Levindale Hebrew Geriatric Center & Hospital,<br />
member of LifeBridge Health, seeks experienced<br />
Occupational <strong>Therapy</strong> and <strong>Physical</strong> <strong>Therapy</strong><br />
assistants.<br />
• Full-time, part-time and PRN positions<br />
available<br />
• Long term care, critical care or sub-acute<br />
experience required<br />
Levindale offers a competitive salary and benefits<br />
package, including free parking, tuition<br />
reimbursement and a 403-b retirement plan with<br />
employer match.<br />
Learn more and apply online<br />
www.lifejobs.org<br />
LOWER SOUTH ATLANTIC<br />
Greenville Health System (GHS)<br />
<strong>Physical</strong> Therapist Opportuni es<br />
PT, Level II -<br />
Greenville Memorial Hospital<br />
PT, Level II - Brain Injury<br />
PT, PRN - Brain Injury<br />
Sign-on Bonus <strong>for</strong> FT & PT status<br />
Paid interview expenses<br />
Excellent Benei s Package<br />
Reloca on expenses<br />
GHS is South Carolina’s premier healthcare<br />
provider. 11,000+ employees delivering<br />
high quality pa ent care in the Upstate.<br />
Apply online at www.ghscareers.org<br />
<strong>for</strong> immediate considera on.<br />
GHS proudly values diversity, all quali ed<br />
candidates are encouraged to apply.<br />
GHS is located in Greenville, SC<br />
Twi er - @ghs_careers/#modelofchange<br />
WWW.<strong>ADVANCE</strong>WEB.COM<br />
EOE/M/F/V/D<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 nancial per<strong>for</strong>mance.<br />
• 2011 Home Care Compare - Superior in public<br />
outcome measures<br />
• TOP 500 Medicare Certi 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 />
Maryland, South Carolina, North Carolina, Georgia<br />
Want the<br />
Freedom<br />
to Love<br />
Your Job<br />
Again?<br />
Over 30 Years of Extraordinary<br />
Home Health Care<br />
Carolina <strong>Therapy</strong> Services<br />
PT/PTA<br />
Laurinburg, NC • Burgaw, NC • Winston-Salem, NC<br />
Management Opportunities Available!<br />
SIGN-ON BONUS OR RELOCATION PACKAGE $3,000-$5,000<br />
Competitive salaries and excellent benefits.<br />
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 />
EOE<br />
Shepherd Center<br />
The Art of restoring Hope,<br />
rebuilding Lives<br />
Shepherd Center, located in Atlanta,<br />
GA, specializes in the treatment and<br />
rehabilitation of people with acquired<br />
brain and spinal cord injuries.<br />
<strong>Physical</strong> <strong>Therapy</strong><br />
• Shepherd Pathways,<br />
Post-Acute Brain Injury<br />
Program<br />
Staff Therapist, Full-time<br />
• Spinal Cord Injury<br />
Inpatient <strong>Rehab</strong><br />
Staff Therapist, Full-time<br />
Call 404.350.7340,<br />
visit our website to learn more or<br />
apply online at shepherd.org.<br />
www.advanceweb.com/pt | May 13, 2013 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 41<br />
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EOE<br />
SPORTS PLUS PHYSICAL THERAPY<br />
Purely Outpatient Orthopaedics!<br />
Full-Time PTs and PTAs needed in strong outpatient ortho and<br />
sports medicine settings, including: • Aiken, SC (PT) • Gastonia, NC (PTA)<br />
• PT In-Company Traveler • Orangeburg, SC (PTA)<br />
Contact Catherine Sullivan, MPT<br />
CLEMSON SPORTS MEDICINE & REHABILITATION<br />
(864) 482-0064, x20113 • catherine.sullivan@csmr.org<br />
www.csmr.org<br />
In Demand<br />
The demand <strong>for</strong> direct-care workers<br />
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Healthcare Institute. As many as 3.3<br />
million direct-care workers – including<br />
nursing home aides, home health<br />
aides, and personal care aides – were<br />
employed in 2010 and 1.6 million new<br />
positions are projected by 2020.<br />
EMPLOYMENT OPPORTUNITIES
EMPLOYMENT OPPORTUNITIES<br />
Florida, Indiana, Illinois, Cali<strong>for</strong>nia, National, Alaska, International, Oregon, Texas<br />
FLAGLER<br />
Extending the healing ministry of Christ<br />
Now Hiring Qualifi ed & Experienced<br />
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• Excellent benefi ts<br />
• Family atmosphere<br />
www.creativehealth-solutions.com<br />
Call 877-651-3229<br />
PT Job-School-Based, NW Illinois<br />
Full or Part-time PT job serving students in special education<br />
in the Rock<strong>for</strong>d or Belvidere area.<br />
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Call Mary Kolinski, NIA<br />
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E-mail: mkolinski@thenia.org • www.thenia.org<br />
PACIFIC<br />
Pediatric PT Position FT/PT/Per Diem<br />
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Cornerstone Therapies<br />
18700 Beach Boulevard, Suite 120 • Huntington Beach, CA 92648<br />
Phone: (714) 962-6760 Fax: (714) 962-5961<br />
E-mail: info@cornerstonetherapies.net<br />
Charlotte_pt@verizon.net<br />
Website: http://www.cornerstonetherapies.net<br />
We Will Make You<br />
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PHYSICAL THERAPISTS<br />
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Visit www.interfacerehab.com<br />
View both our full-time and per diem positions<br />
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DJ@interfacerehab.com<br />
NATIONAL<br />
Anchorage, Alaska<br />
Come join a team that loves what<br />
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Full-time<br />
PHYSICAL THERAPISTS<br />
Ask us about our:<br />
• Relocation Package<br />
• Great Bene ts<br />
• 401K with 2% match<br />
• Amazing Lifestyle<br />
Call Human Resources:<br />
907-564-2225<br />
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PHYSICAL THERAPIST needed in Japan and Spain.<br />
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yrs exp, or Masters & 2 yrs exp with relevant concentration. 2 yrs exp<br />
providing 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 />
42 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | May 13, 2013 | 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 />
1 Full time PT position and 1 LPTA<br />
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INTERNATIONAL WEST SOUTH CENTRAL<br />
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972-348-1580 • kitra.gray@region10.org
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 43<br />
PT1318_C01-C08.indd 1 4/24/13 11:29 AM
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44 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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5 colors<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 45
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46 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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Enjoy your OFF-DUTY TIME this summer<br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 47
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48 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 49
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50 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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THE FACILITIES BELOW ARE LOOKING FOR BOTH FULL-TIME AND SEASONAL PROFESSIONALS JUST LIKE YOU!<br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 51
Help your Patients Recapture the Freedom of Mobility<br />
Complete Adult & Pediatric Gait Solutions From Bioness<br />
Available with a small cuff & cleared<br />
<strong>for</strong> use with pediatric patients!<br />
The L300 Plus System is designed to provide<br />
better knee control and stability The award-winning L300 Foot Drop System is<br />
designed to improve gait and re-educate muscles<br />
NOW<br />
CONTACT US AT 800.211.9136 option 2 | BIONESS.COM<br />
Individual results vary. Patients are advised to consult with a qualified physician to determine if these products are right <strong>for</strong> them.<br />
Contraindications, Adverse Reactions and Precautions are available on-line at www.bioness.com (also available in the NESS L300/<br />
L300 Plus Clinician’s Guides).<br />
NESS ® , NESS L300 ® , NESS L300 ® Plus, Intelli-Gait ® , Intelli-Sense Gait Sensor , Bioness, the Bioness Logo ® and LiveOn ®<br />
are trademarks of Bioness Inc. | www.bioness.com | Rx Only<br />
© 2013 Bioness Inc.<br />
52 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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