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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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<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 />

14 Prevention, Public Health<br />

and <strong>Physical</strong> <strong>Therapy</strong><br />

As clinicians, physical therapists look<br />

at the health of individuals. How does<br />

each person present? What are their<br />

strengths and their needs? They provide<br />

a plan of care, a course of treatment, and<br />

then move on to the next individual.<br />

Public health, on the other hand, examines<br />

groups or populations of people.<br />

Just as individual people have health<br />

needs, so do large groups of people.<br />

Public health aims to improve the<br />

health outcomes of larger groups. PTs<br />

and PTAs can play a large role in public<br />

health initiatives.<br />

(Kyle Kielinski)<br />

[FEaTUrED arTIclES]<br />

10 Adolescents and ACL Injuries<br />

High school athletic injuries are getting a<br />

lot of media attention lately and researchers<br />

at Duke University’s Department of<br />

Orthopedic Surgery are making sure areas<br />

beyond the concussion zone are getting<br />

the attention they deserve. ACL injuries<br />

are common in soccer, basketball, football<br />

and lacrosse because of the focus on cutting,<br />

jumping and pivoting. Young, female athletes<br />

have the highest rate of ACL injury.<br />

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

18 Gait Treatment <strong>for</strong><br />

Arthroplasty Patients<br />

The majority of PTs strive <strong>for</strong> achieving<br />

the best possible functional outcomes <strong>for</strong><br />

post-operative hip and knee arthroplasty<br />

patients. The successful outcome <strong>for</strong> this<br />

type of patient is predicated on including<br />

the foot and ankle in the evaluation process,<br />

especially the biomechanical exam, based<br />

on data collection and clinical observation.<br />

24 | No. 5 | March 4, 2013<br />

22 Keeping Employees on the Job<br />

An occupational injury can be a financial<br />

burden <strong>for</strong> both the employer and employee.<br />

To fight the biomechanical disadvantage<br />

the work<strong>for</strong>ce has, many companies<br />

have begun to bring healthcare professionals,<br />

including those who specialize in the<br />

prevention of musculoskeletal injuries, to<br />

the team. This has made a major impact in<br />

reducing incidence by a focus on prevention,<br />

so that the employee stays at and<br />

returns to the job safely and effectively.


[MorE arTIclES]<br />

8 Management Focus: What to<br />

Expect Be<strong>for</strong>e Expanding<br />

25 <strong>ADVANCE</strong> Extra! Focus<br />

on the Midwest Region<br />

[DEParTMENTS]<br />

6 State by State<br />

7 Ad Index<br />

27 Educational Opportunities<br />

36 Classified Marketplace<br />

37 Classified Employment<br />

Opportunities<br />

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

[COMInG SOOn]<br />

A number of key provisions of the health<br />

re<strong>for</strong>m law will have a direct impact on<br />

physical therapists. One policy concept that<br />

has garnered much attention in recent years<br />

is “bundling,” or payment to hospitals or<br />

other entities in health care delivery that<br />

would cover episode costs — acute plus<br />

post-acute care costs over a defined period<br />

of time. The hospital or other entities would<br />

face the choice of either delivering postacute<br />

care services (such as home health,<br />

skilled nursing, inpatient rehabilitation, or<br />

long-term care) itself or paying freestanding<br />

providers to deliver those services. What will<br />

this mean to the home health PT sector?<br />

[MUlTIMEDIa]<br />

MoBility For<br />

Pediatric Patients<br />

There are many factors to consider when<br />

choosing the right mobility devices <strong>for</strong><br />

young patients.<br />

JoIN oUr PT coMMUNITY!<br />

Blogs: Meet our bloggers and read <strong>new</strong><br />

posts daily!<br />

<strong>Physical</strong> theraPist<br />

in transition<br />

adding to My Plate<br />

Though her schedule remains packed,<br />

Karen finds the time <strong>for</strong> volunteerism.<br />

Pta Blog talk<br />

rankle Fracture<br />

Jason discovers that a term he never heard<br />

be<strong>for</strong>e actually refers to a familiar injury.<br />

More Pt Blogs<br />

• Life of a PTA<br />

• <strong>ADVANCE</strong> Perspectives<br />

• Journey with a dPT student<br />

• PT and the greater good<br />

• PT and the City<br />

• Toni Talks About PT today<br />

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

[NEw! aPP rEVIEw]<br />

iYoga <strong>for</strong> Patients<br />

[STUDENT cENTEr]<br />

article: Bad Manners in <strong>Medicine</strong><br />

<strong>new</strong>s & notes: PT Schools and Student Programs<br />

student links: Special interest groups and<br />

associations relevant to physical therapy.<br />

community: Blogs, Facebook, linkedIn, 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 />

<strong>new</strong>smagazine. Its purpose is to provide in-depth coverage of <strong>new</strong>s 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 />

on the WeB www.advanceweb.com/pt uPdated daily!<br />

aniMal assisted<br />

theraPy at Work<br />

Facilities across the nation have boosted<br />

therapy outcomes and patient morale by<br />

building animal assisted therapy programs.<br />

coMMunity chat<br />

Interact with colleagues!<br />

this Week’s hot toPics:<br />

ForuM: discharge dileMMa<br />

I do a comprehensive reassessment; upon<br />

discharge, can I bill <strong>for</strong> a reevaluation<br />

when I do the discharge?<br />

looking For a neW JoB?<br />

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

Follow us at www.twitter.com/advancePT<br />

Jobs and www.facebook.com/aDVaNcE<br />

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

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

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[SPECIALTY SPOTLIGHT]<br />

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specialty now:<br />

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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 />

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Please Recycle This Magazine<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 5


[STaTE BY STaTE]<br />

Illinois and Cali<strong>for</strong>nia<br />

Chronic Pain Organization Elects<br />

First PT To Serve as President<br />

For the first time in its 18-year history, the<br />

International Pelvic Pain Society (IPPS),<br />

headquartered in Chicago, has elected a<br />

physical therapist to serve as its president.<br />

According to a press release last month from<br />

the organization, Stephanie Prendergast,<br />

MPT, will serve as the organization’s president<br />

<strong>for</strong> the duration of 2013.<br />

IPPS was founded in 1995 by a group of<br />

gynecologists and members also include<br />

urologists, physical therapists, psychologists,<br />

gastroenterologists and pain-management<br />

physicians. The organization has<br />

traditionally stressed an interdisciplinary<br />

approach toward treating pelvic pain, but<br />

never be<strong>for</strong>e has a PT been at its helm.<br />

“I think this really shows that as a society<br />

the IPPS genuinely does support a<br />

multidisciplinary approach,” Prendergast<br />

said. “The society was <strong>for</strong>med by gynecologists,<br />

they are open to advancing the<br />

go digital<br />

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Need a good reason to get your official FREE<br />

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

By Brian W. Ferrie<br />

entire arena of pelvic pain treatment, and<br />

PT is an important player in that arena. So I<br />

believe it shows a great deal of support <strong>for</strong><br />

PTs in general.”<br />

Prendergast, who is co-founder of the<br />

Pelvic Health and <strong>Rehab</strong>ilitation Center,<br />

a group of PT clinics in the San Francisco<br />

area, has been involved with IPPS <strong>for</strong> several<br />

years both as a board member and the<br />

scientific program chair of its 2012 conference<br />

in Chicago. She said there are three<br />

specific goals to fulfill during her tenure<br />

as president: a complete overhaul of the<br />

IPPS website with a focus on making it<br />

an outstanding resource <strong>for</strong> members and<br />

patients, getting the organization’s <strong>new</strong>ly<br />

<strong>for</strong>med committees up and running,<br />

and <strong>for</strong> IPPS to become active in online<br />

social media.<br />

“All three of these ef<strong>for</strong>ts are designed<br />

to grow the IPPS membership in order to<br />

further its mission of improving the diagnosis<br />

and treatment of pelvic-pain patients,”<br />

stated Prendergast.<br />

In addition to heading a private PT practice<br />

that focuses solely on treating the pelvic<br />

floor, Prendergast works as an educator<br />

and advocate in the pelvic-pain community.<br />

Toward that end, she teaches a pelvic-pain<br />

PT class four times a year in four different<br />

states around the country; has helped organize<br />

the first World Congress on Pelvic and<br />

Abdominal Pain, which will take place in<br />

Amsterdam this year; and is a member of<br />

the Global Society <strong>for</strong> Endometriosis, Pelvic<br />

Pain and Surgeons (GSEPS), an organization<br />

that works to train the medical community<br />

in China. She’s also a frequent speaker and<br />

author on the role of physical therapy in the<br />

treatment of pudendal neuralgia, an area in<br />

which she has long specialized.<br />

IPPS is a non-profit organization and<br />

since its founding in 1995, has sponsored<br />

a variety of research and educational programs<br />

aimed at providing optimal diagnosis<br />

and treatment to millions across the<br />

globe who experience pelvic pain. n<br />

www.advanceweb.com/pt<br />

For more PT in<strong>for</strong>mation and <strong>new</strong>s<br />

visit www.advanceweb.com/PT<br />

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

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

is published by Merion Matters<br />

Publishers of leading healthcare magazines since 1985<br />

PuBlisher<br />

Ann Wiest Kielinski<br />

general Manager<br />

W.M. “Woody” Kielinski<br />

chieF inForMation oFFicer<br />

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 />

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design<br />

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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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ADVERTISER WEB PG. #<br />

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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 7


[MAnAGEMEnT FOCuS]<br />

For the right reasons<br />

How one PT practice took<br />

a holistic approach toward<br />

expansion options<br />

By Jessica lagrossa<br />

darren Rodia, PT, MS, DPT, owner and<br />

president of Kinetic <strong>Physical</strong> <strong>Therapy</strong><br />

of Chester and Montgomery Counties,<br />

PA, isn’t one to sit around and<br />

complain when things aren’t going his way.<br />

So when he began to feel that his chosen field<br />

had lost sight of its number-one priority — the<br />

patients — he decided to do something about it.<br />

“Business was driving the care of human<br />

beings and, honestly, I felt that didn’t need<br />

to happen,” he told <strong>ADVANCE</strong>. “I tried to<br />

change it at every level — as a staff PT assistant<br />

and as a staff PT — and couldn’t. I k<strong>new</strong><br />

that the only way to make the human being<br />

come first and business second was to be on<br />

my own.”<br />

Rodia’s first step was to go back to school<br />

in 2002, which he did while continuing to<br />

practice as a PTA, knowing that his ultimate<br />

goal was to open his own practice. Degree in<br />

hand by 2005, Rodia was ready to realize his<br />

entrepreneurial dream with the opening of<br />

Kinetic <strong>Physical</strong> <strong>Therapy</strong> in Chester Springs.<br />

Today Kinetic has five locations across the two<br />

counties with close to 20 full-time therapists<br />

as well as more than 30 aides and office staff.<br />

According to Rodia, Kinetic <strong>Physical</strong> <strong>Therapy</strong><br />

strives to be the PT provider of choice <strong>for</strong><br />

people who demand the best care possible <strong>for</strong><br />

themselves and their families. “We want to be<br />

the providers who can satisfy the consumer,”<br />

he said.<br />

Building the Team<br />

Rodia first sought out two principal partners<br />

— Angelo Labrinakos, PT, MS, DPT, ATC, and<br />

Christopher R. Shearer, PT, MS, DPT, ATC,<br />

CSCS. Labrinakos, who began his career in<br />

athletic training, serves as Kinetic’s treasurer<br />

and director of athletic training services.<br />

Shearer, whose roots are also in athletic training<br />

and sports medicine, serves as the corporate<br />

secretary and director of clinical quality.<br />

Next to join was Cyndi Hill, PT, DPT, who<br />

took on the role of director of operations. “I<br />

believed in them,” Hill said when asked why<br />

she decided to join a budding practice. “I<br />

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

believed in their philosophy — to put people<br />

first. I took a leap of faith and I haven’t been<br />

wrong.”<br />

With the core Kinetic team established, it<br />

was time to round out the roster. “This is<br />

important,” Rodia said when asked what<br />

he looks <strong>for</strong> in employees. “This is why I am<br />

successful.”<br />

First and <strong>for</strong>emost, Rodia wants to hire<br />

“good” people. “I figured out a long time<br />

ago that clinical excellence begins with the<br />

human factor, the way we treat and relate to<br />

the people that come to us <strong>for</strong> healthcare,” he<br />

explained.<br />

There<strong>for</strong>e, Rodia asks each potential<br />

employee why he chose the profession.<br />

“<strong>Physical</strong> therapists usually get into the field<br />

because of science or humanity — they are<br />

into physics or into helping people,” he<br />

explained. “I want the therapists who want<br />

to help people.”<br />

Rodia also stresses the need to build relationships<br />

and trust with patients. “You have<br />

to be willing to hear everything from a good<br />

day to a bad day,” he explained. “You have to<br />

be a great listener and somebody who really<br />

cares about helping others.”<br />

Matthew Schildknecht, PT, DPT, fit the bill<br />

when he sought a position at Kinetic five years<br />

ago. “I love my profession,” he told <strong>ADVANCE</strong>.<br />

“I believe in what we do as clinicians, and I’m<br />

proud to share this sentiment with the entire<br />

Kinetic team.”<br />

Schildknecht, now the Chester Springs<br />

clinic director, is most proud of the clinic’s<br />

atmosphere on any given day, a direct result<br />

of the people-friendly philosophy Rodia has<br />

fostered. “Somehow, amidst people who are<br />

in pain or suffering from functional limitation,<br />

we’ve created an environment where everyone,<br />

particularly the patients, are frequently smiling<br />

and laughing,” shared Schildknecht. “That’s<br />

the magic of Kinetic. It’s an amazing place<br />

to work.”<br />

Overcoming Challenges<br />

Rodia found dealing with the insurance companies<br />

during the startup days as the most<br />

daunting aspect of establishing his own practice.<br />

“Understanding the way we get paid was<br />

the most difficult task,” he shared.<br />

Rodia needed to marry quality care to<br />

the way he and his staff would get paid.<br />

He accomplished this by handling all the<br />

insurance credentialing himself rather than<br />

outsourcing, a process that took close to two<br />

years. “I had meetings, phone calls and all<br />

the contact I could get with representatives<br />

at every insurance place,” he explained. “I<br />

wanted to get everything right — put the<br />

codes in the correct place, achieve proper compliance,<br />

avoid fraudulent billing etc. — and<br />

be a good client of the insurance companies.”<br />

The next challenge came when the practice<br />

became multi-clinic. Rodia quickly found that<br />

he simply couldn’t be everywhere at once. The<br />

staff was young and inexperienced in administration,<br />

and Rodia didn’t want to make what<br />

he felt was the common mistake of placing a<br />

PT in an administrative role without the proper<br />

education and training.<br />

“It wasn’t until about two years ago that<br />

I had enough senior staff I had groomed,<br />

trained and so on to promote to the position<br />

of clinic director at each location,” Rodia told<br />

<strong>ADVANCE</strong>. “Now they do the job better than<br />

I ever did!”<br />

Hill finds fitting all of the puzzle pieces<br />

together — multitasking, putting out fires<br />

etc. — to be the day-to-day challenges of the<br />

practice. But overall, the greatest obstacle she<br />

faces is money. Specifically, Hill struggles to staff<br />

appropriately while being fiscally responsible<br />

to the organization and trying to cut costs while<br />

providing quality care. “How can we give our<br />

patients top-notch care while also surviving in<br />

this economy?”<br />

One change that lightened the load was the<br />

number of PT assistants the practice carried.<br />

“There was a time when we’d rather have more<br />

help than needed than not enough — we never<br />

want patients to wait on their therapist — and<br />

we there<strong>for</strong>e went overboard,” she explained.<br />

“Instead, we realized we just needed a few good<br />

quality aides who could help handle the volume<br />

of our caseloads.”<br />

coUrESTY cYNDI hIll/KINETIc PhYSIcal ThEraPY


Additionally, Hill fine-tuned the staff at the<br />

front desk. “We were using college students<br />

looking to enter PT, but that meant lots of turnover,”<br />

she said. “The front desk is a busy and<br />

important place to be — you handle insurance,<br />

accept copays, take appointments, juggle scheduling<br />

— and we found that staff who are more<br />

long-term is better.”<br />

connecting with<br />

the community<br />

For Darren rodia, PT, MS, DPT,<br />

owner and president of Kinetic<br />

<strong>Physical</strong> <strong>Therapy</strong>, the number one<br />

priority of his PT practice is the community<br />

and the people in it. “we are the<br />

community resource,” he told <strong>ADVANCE</strong>.<br />

“we want to go right to the community and<br />

show them how we can help them.”<br />

Kinetic achieves this goal via two unique<br />

outlets—radio programming and free community<br />

events. locals of chester county, Pa,<br />

can tune in once a week to Kinetic’s radio<br />

show, Sports Chatter, on West Chester’s<br />

wchE.<br />

christopher Shearer, PT, MS, DPT, aTc,<br />

cScS, Kinetic corporate secretary and<br />

director of clinical quality, takes calls every<br />

Thursday between 2 and 3 p.m. from local<br />

listeners who have questions and/or concerns<br />

related to their physical health.<br />

and in another ef<strong>for</strong>t to stay “kinected”<br />

with the community, rodia and his staff<br />

created the Kinetic Survival Guide Series, a<br />

two- to three-hour free community event<br />

<strong>for</strong> coaches, players and parents. “want to<br />

know what we are about?” asked rodia.<br />

“Show up to one of these.”<br />

held routinely throughout the year, the<br />

series highlights various sports such as baseball,<br />

football, running, lacrosse and golf as<br />

well as triathlons and features speakers who<br />

provide tips on injury prevention, exercise<br />

and nutrition.<br />

The most recent survival guide series<br />

held this past January focused on baseball,<br />

specifically pitching. The kinetic therapists<br />

and special guest speakers—including Scott<br />

Sheridan, MS, PT, cScS, head athletic trainer<br />

of the Philadelphia Phillies—shared with<br />

attendees how to best warm up pitching<br />

arms, how to remain healthy during the<br />

season, etc.<br />

“There are a lot of people who simply<br />

choose the PT clinic closest to home,”<br />

explained rodia. “we want to transcend<br />

that, and we do so by fitting everything<br />

we do closely with the mission of being<br />

the community resource.” n<br />

Leading Success<br />

“The best thing I can do as leader of this organization<br />

is to put people in positions to succeed,”<br />

Rodia told <strong>ADVANCE</strong>. “I look <strong>for</strong> great PTs,<br />

learn what they like to do and put them in a<br />

position to do it. Then I get out of their way. I<br />

won’t micromanage; instead, I give autonomy.”<br />

As an example, Rodia offered Michelle<br />

[MAnAGEMEnT FOCuS]<br />

Feairheller, PT, MS, DPT, who has a special<br />

interest in the adolescent sports medicine field.<br />

“Sure, she can handle treating a stroke, no doubt,”<br />

explained Rodia. “But I k<strong>new</strong> that treating<br />

young athletes was her passion and where she<br />

could shine.”<br />

With Rodia’s support, Feairheller created the<br />

holistic continued on page 35<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 9


[SPorTS rEhaB]<br />

adolescents and acl Injuries<br />

Duke researchers study<br />

asymmetric loading<br />

patterns and bracing<br />

By robin hocevar<br />

high school athletic injuries are getting<br />

a lot of media attention lately<br />

and researchers at Duke University’s<br />

department of orthopedic<br />

surgery are making sure areas beyond the<br />

concussion zone are getting the attention<br />

they deserve.<br />

Robin Queen, PhD, Robert Butler, DPT,<br />

PhD, and William Garrett, MD, PhD, utilized<br />

the Michael W. Krzyzewski Human Per<strong>for</strong>mance<br />

Laboratory in setting out to learn the<br />

mechanics behind adolescent patients regaining<br />

symmetric loading patterns. Such in<strong>for</strong>mation<br />

could prove indispensible in preventing<br />

future anterior cruciate ligament (ACL) reinjuries<br />

and understanding the effectiveness<br />

of the knee brace.<br />

ACL injuries are common in soccer,<br />

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

basketball, football and lacrosse because of<br />

the focus on cutting, jumping and pivoting.<br />

Young, female athletes have the highest rate<br />

of ACL injury.<br />

Return to Play<br />

Two years following ACL replacement, the<br />

re-tear rate <strong>for</strong> ipsilateral knee injury or injury<br />

to the contralateral knee is about 3 percent,<br />

according to research by the Washington<br />

University School of <strong>Medicine</strong>, Barnes Jewish<br />

Hospital in St. Louis. In the shorter term,<br />

however, research shows injury rates to<br />

either knee reaching as high as 23 percent in<br />

a 12-month follow up. With such variability<br />

in re-injury rates, many researchers recommend<br />

longer-term follow-up.<br />

“People who reinjure likely do so because<br />

they return to their previous level of activity<br />

with incomplete neuromuscular control,”<br />

explained Butler. “They go back to their<br />

sport and they truly have not optimized their<br />

movement ability in post-operative rehab.<br />

However, this is not solely <strong>for</strong> the injured<br />

side since the chances of them tearing on<br />

the same leg vs. the opposite leg are approximately<br />

50/50.”<br />

Minus a standard guideline in orthopedics<br />

<strong>for</strong> return to sports competition, six months<br />

after ACL reconstruction is in the normal<br />

timeframe. However, many patients meeting<br />

rehabilitation goals return to low-level athletics<br />

as early as two months post-op. Returnto-play<br />

guidelines vary by gender, age and<br />

activity level.<br />

Re-Learning Loading<br />

When the study began, the investigators<br />

hypothesized that adolescent patients would<br />

demonstrate a decreased vertical ground-reaction<br />

<strong>for</strong>ce, knee extension movement, kneeflexion<br />

angle and knee-flexion velocity when<br />

compared with the non-surgical limb during<br />

a side-cutting task. Furthermore, a functional<br />

knee extension-resistant brace would decrease<br />

the limb asymmetries.<br />

“Most of these patients who are post-op<br />

from the ACL are not loading the surgical side<br />

KYlE KIElINSKI


Back in the game<br />

There is a wide spectrum of advice on<br />

the return-to-sports timeframe after<br />

acl replacement (aclr).<br />

The basketball world applauded<br />

Derrick Rose of the nBA’s Chicago Bulls in<br />

February when he joined a five-on-five practice<br />

after being sidelined <strong>for</strong> nine months following<br />

an acl tear.<br />

Everyone from leBron James to the PT community<br />

has expressed an opinion on Rose’s<br />

statement that he won’t return to the court<br />

“until he’s 110 percent.” Rose had holes drilled<br />

in the tibia and femur, replacing the torn acl<br />

with a piece of patellar tendon on May 12,<br />

2012. The guard was cleared <strong>for</strong> full-court<br />

practice in late January and reported a smooth<br />

practice session, despite not being able to dunk.<br />

adidas even launched an ad campaign<br />

called “The Return,” capturing the city’s horror<br />

at the injury and culminating in Rose’s<br />

homecoming at the United center, which is<br />

expected this spring. The return spectrum<br />

announced by the Bulls ranged from eight<br />

months to one year.<br />

Even athletes who don’t ply their trade<br />

in the NBa struggle with the decision about<br />

returning to sports after aclr. The timing<br />

aspect is always a tricky dance.<br />

The average time <strong>for</strong> return to sports is six<br />

months, but factors like gender, the type of<br />

sport, rehabilitation progress and return of<br />

motion or strength factor heavily.<br />

For pivoting sports like soccer, it typically<br />

takes four to eight weeks be<strong>for</strong>e a full range<br />

of motion is established and there is no joint<br />

swelling.<br />

The orthopedic standard <strong>for</strong> full sports competition<br />

is no earlier than six months, although<br />

there’s a movement toward a goal-specific,<br />

rather than time-specific focus.<br />

Goals include eliminating the effusion,<br />

regaining full, symmetric range of motion,<br />

and regaining symmetric quadriceps muscle<br />

strength compared to the opposite knee,<br />

according to a study by Scott Urch, MD, K. Donald<br />

Shelbourne, MD, and heather Freeman, PT,<br />

DhS. The research focused on basketball, soccer,<br />

volleyball, football and gymnastics.<br />

[SPorTS rEhaB]<br />

For high school athletes under age 17, the<br />

group reported a 95-percent return to competitive<br />

sports. The mean <strong>for</strong> returning to a lowlevel<br />

sport (shooting baskets, agility drills, ball<br />

handling) was 6.6 weeks and full competition<br />

was 5.4 months.<br />

In contrast to previous studies, this research<br />

found no differences in gender. The traditional<br />

thinking has always been that female rehabilitation<br />

was longer.<br />

Furthermore, the athletic future of young<br />

patients who have undergone aclr is bright,<br />

said the researchers. a full 25 percent of the<br />

high school athletes migrated to college teams.<br />

This is much higher than the 3 to 6 percent<br />

reported by the Ncaa.<br />

“These data indicate that the athletes in this<br />

study not only returned to sports quickly, but<br />

were able to return to playing at a high level<br />

of skill and remained competitive with their<br />

peers,” the study said. “This higher average<br />

may also be a reflection of the level of intensity<br />

and aggressiveness of athletes who tear<br />

their acl.” n<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 11


[SPorTS rEhaB]<br />

as much as they should,” Queen explained.<br />

“They’re loading the other leg. A lot of what<br />

we were trying to understand is related to<br />

regaining a symmetric loading pattern.”<br />

More simply put, Queen’s theory was that<br />

patients would be more com<strong>for</strong>table bearing<br />

weight and cutting off of the non-affected side.<br />

So, they set out to recruit 23 adolescent<br />

patients six months after ACL reconstruction.<br />

Kinematic and kinetic data were<br />

collected bilaterally during a 35-degree<br />

side-cutting task.<br />

Patients donned the functional knee<br />

extension-resistant brace <strong>for</strong> parts of the<br />

study and removed it from the surgical limb<br />

<strong>for</strong> other activities.<br />

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to 80%. Find out why clinicians and pro athletes are calling AlterG the<br />

“difference maker.” Contact us at info@alter-g.com or 510.270.5900.<br />

www.alter-g.com<br />

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

Psychological Hindrances<br />

One intangible factor was the fear dynamic.<br />

“Avoidance due to fear is a <strong>new</strong> concept to<br />

look at systematically,” Butler explained. “The<br />

early research suggests fear as a potential component<br />

of re-injury concerns. Even returning<br />

to activity requires a certain com<strong>for</strong>t level.”<br />

Results were mixed, primarily because the<br />

research team couldn’t be sure if patients were<br />

truly compliant about wearing the brace.<br />

The surgical limb demonstrated a significant<br />

decrease in peak impact vertical<br />

ground-reaction <strong>for</strong>ce, peak propulsion vertical<br />

ground-reaction <strong>for</strong>ce, peak knee extension<br />

moment, knee flexion angle at peak knee<br />

flexion velocity, peak knee flexion angle, and<br />

peak knee flexion velocity compared with the<br />

nonsurgical limb during both non-braced and<br />

braced conditions.<br />

Bracing increased the initial knee flexion<br />

velocity and decreased the initial knee flexion<br />

angle on the surgical limb. Bracing also<br />

affected kinematics of the nonsurgical limb.<br />

Bracing did not decrease the asymmetry<br />

between surgical and nonsurgical limbs.<br />

In jumping and cutting mechanisms,<br />

patients were still asymmetric, most noticeably<br />

during jumping. The limb asymmetries<br />

persisted when patients were wearing the<br />

functional knee brace. There were changes<br />

in the surgical knee kinematics both with<br />

and without bracing, especially near initial<br />

ground contact. That’s not to say the brace<br />

was ineffective.<br />

“The brace did provide some symmetry<br />

between sides,” said Butler. “It helped bring<br />

the sides a little closer together or more<br />

balanced. We’re looking at how to monitor<br />

symmetry.”<br />

Although they mentioned that people are<br />

different side-to-side, asymmetry may be<br />

associated with a second ACL tear. Increasing<br />

numbers of ACL tears are observed in the<br />

industry and many experts suspect a correlation<br />

with osteoarthritis.<br />

“Long-term, this may promote joint degeneration<br />

at an earlier age,” feared Butler. “Long-term<br />

joint health is very important. I think activity is<br />

good, but the range isn’t identified yet. n<br />

Robin Hocevar is a contributing editor at<br />

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

www.advanceweb.com/pt<br />

For more in<strong>for</strong>mation on sports<br />

rehab, visit www.advanceweb.<br />

com/PTSports<strong>Rehab</strong>


<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 13


[coVEr STorY]<br />

PrEVENTIoN, PUBlIc hEalTh<br />

How PT can—and is—playing a larger<br />

role in promoting public health outcomes<br />

By dean Metz, Pt, MPh<br />

vaccinations, mandatory<br />

seat belt laws, waste<br />

water treatment, falls<br />

prevention, childhood<br />

obesity, smoking cessation,<br />

healthy mothers<br />

and babies programs,<br />

and the “Above the<br />

Influence” campaign (Office of National<br />

Drug Control Policy 2012) — what do all these<br />

things have in common? They are just some<br />

of many issues that have been addressed by<br />

public health campaigns.<br />

As clinicians, we look at the health of<br />

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

individuals. How does each person present?<br />

What are their strengths and their needs? We<br />

provide a plan of care, a course of treatment,<br />

and then move on to the next individual. Public<br />

health, on the other hand, examines groups<br />

or populations of people. A population can be<br />

defined in many ways, i.e. all people over age<br />

65, families of Hispanic origin in Los Angeles,<br />

or females of reproductive age in Kenya. Just<br />

as individual people have health needs, so do<br />

large groups of people. Public health aims to<br />

improve the health outcomes of larger groups.<br />

John Snow is credited as the father of public<br />

health. In 1853 he traced an outbreak of cholera<br />

in a particular neighborhood of South London<br />

to one infected public water supply, the Broad<br />

Street pump. He removed the handle on the<br />

pump, and brought an end to the epidemic in<br />

that area. Public health tends to focus on the<br />

prevention of disease (primary prevention)<br />

rather than the treatment of disease (secondary<br />

and tertiary prevention).<br />

Leaders in Prevention<br />

Historically, public health has been a field<br />

championed by doctors and nurses. When<br />

one thinks of the example of John Snow, and<br />

that much of public health often centers on the<br />

epidemiology of disease, it seems an unlikely<br />

place <strong>for</strong> physical therapists to pursue a career.<br />

The very word “rehabilitation” implies care <strong>for</strong><br />

a disease or injury that has already happened,<br />

there<strong>for</strong>e placing the profession squarely into<br />

tertiary care. But does it have to stay there?<br />

<strong>Physical</strong> therapists know how to help those<br />

KYlE KIElINSKI


aND PhYSIcal ThEraPY<br />

on the cover: author dean Metz, Pt, MPh,<br />

works with allison simms, Pt, Mha, to foster<br />

programs through vnsny choice (community<br />

health options of integrated care <strong>for</strong> the<br />

elderly) in Woodside, ny. at left, exercises are<br />

conducted with attendees of the day program.<br />

who have sustained impairments because we<br />

understand the processes that initially caused<br />

them at the start. Whether it’s a thrombus, bullet,<br />

collision, plaque, neuropathy, overuse or<br />

anything else that may cause impairment, we<br />

can offer advice and guidance on how to avoid<br />

these root causes of disability. We can be leaders<br />

in prevention.<br />

There are three core functions to public<br />

health; assessment, policy development and<br />

assurance. Assessment is inherent in practicing<br />

physical therapy; it’s how most of us spend our<br />

days. Policy development is often left to the<br />

APTA and focuses mostly on our profession in<br />

as healthcare continues to shift<br />

toward prevention, the physical<br />

therapist’s and physical<br />

therapist assistant’s role in health<br />

promotion and wellness continues to expand.<br />

Many of us will need to sharpen our patienteducation<br />

skills to encourage behaviors that<br />

decrease risk of disability and chronic disease.<br />

This may include patient education <strong>for</strong> weight<br />

management, proper nutrition, smoking cessation<br />

and increased physical activity.<br />

Motivational interviewing (MI) is a tailored<br />

approach to behavioral change. It focuses on<br />

the importance of patient intention in initiating<br />

and maintaining a healthy lifestyle.<br />

research has shown that successful patient<br />

education must match the learning needs and<br />

readiness of an individual to alter behavior.<br />

readiness to change is closely related to the<br />

perceived importance of the proposed modification,<br />

positive outcome expectations and<br />

self-confidence in one’s ability to make the<br />

adjustment, i.e. self-efficacy.<br />

commitment to change is a malleable trait<br />

that can be encouraged through the use of MI.<br />

MI techniques include expressing empathy,<br />

discussing discrepancies between the patient’s<br />

values and present behavior, and promoting<br />

self-efficacy.<br />

resistance to change is considered a normal<br />

occurrence. arguments and direct persuasion<br />

are non-productive. Instead, when resistance<br />

occurs during MI, the clinician changes the<br />

approach by acknowledging how difficult it<br />

can be to change, and the fact that there are<br />

multiple factors to consider be<strong>for</strong>e adopting a<br />

<strong>new</strong> course of action. communication emphasizes<br />

the benefits of the <strong>new</strong> behavior, using<br />

specific examples relevant to the patient’s<br />

personal health status.<br />

For example, the PT might tell someone<br />

with lumbar dysfunction that weight reduction<br />

through increased physical activity and<br />

improved diet will likely decrease back pain.<br />

isolation. Only recently has the APTA acknowledged<br />

the role of physical therapists in the prevention<br />

of stroke and falls <strong>for</strong> public health.<br />

Consider workplace ergonomics; as experts of<br />

[coVEr STorY]<br />

Motivational intervieWing and PuBlic health<br />

The clinician and patient should discuss what<br />

degree of behavioral change is required, and<br />

at what point the patient should expect to<br />

see benefits.<br />

MI supports change by encouraging<br />

patients to verbalize their own personal<br />

motives, as well as their doubts and concerns<br />

about their ability to adopt the <strong>new</strong> behavior.<br />

As unique individuals, people experience<br />

fluctuating levels of initiative. considerations<br />

include the timing and content of advice<br />

and difficulties in prioritizing competing<br />

demands—<strong>for</strong> example, self-management<br />

of multiple comorbidities.<br />

Given these complex factors, it’s not accurate<br />

to assume that the provider has somehow<br />

failed if the patient doesn’t decide to change.<br />

Many misconceptions can be avoided through<br />

open communication, allowing patients to<br />

express any hesitations or difficulties in following<br />

recommendations.<br />

MI techniques recognize that motivation<br />

<strong>for</strong> behavioral change comes from within<br />

the individual, rather than being imposed by<br />

the healthcare provider. a confrontational<br />

approach can actually increase patient resistance<br />

to change and has a detrimental impact<br />

on self-efficacy.<br />

although MI was originally developed <strong>for</strong><br />

use in substance-abuse counseling, research<br />

has demonstrated a great deal of benefit in<br />

promoting improved self-management <strong>for</strong><br />

diabetes and other chronic diseases, and promoting<br />

increased physical activity in patients<br />

with fibromyalgia, arthritis and other musculoskeletal<br />

conditions. n<br />

For more in<strong>for</strong>mation, visit http://motivation<br />

alinterview.org<br />

Rose Pignataro, PT, DPT, CWS, is a physical therapy<br />

instructor at the University of South Florida and is<br />

pursuing her doctorate in public health at West Virginia<br />

University.<br />

function, motion and injury, physical therapists<br />

would seem to be a natural fit <strong>for</strong> positions in<br />

the Occupational Safety and Health Administration<br />

(OSHA). We could greatly affect<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 15


[coVEr STorY]<br />

the design and regulation of work spaces to<br />

decrease the incidence of workplace injuries.<br />

This is one of the more obvious ways physical<br />

therapists can make an impact in public health.<br />

New Challenges<br />

I had been practicing <strong>for</strong> nearly 15 years as a<br />

home care physical therapist and was becoming<br />

bored. I wasn’t sure where to find the <strong>new</strong> challenges<br />

my career needed until I stumbled across<br />

a position in an unlikely setting; a New York<br />

City managed care insurance company, which<br />

provides coverage and care to “dual eligibles”<br />

(those receiving both Medicaid and Medicare).<br />

I had always favored working with older adults,<br />

but here was a unique population. This group<br />

had the highest utilization of resources with<br />

the worst outcomes (Davenport, Hodin, Feder,<br />

2010; New York State DOH, 2011).<br />

The Visiting Nurse Service of New York<br />

(VNSNY) had identified this population and<br />

proposed to the state of New York that they<br />

provide a managed long-term care (MLTC) program<br />

with a focus on care management. In 1998,<br />

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

Metz discusses programming with deborah<br />

stricoff, director of adult day services and<br />

member satisfaction <strong>for</strong> vnsny choice adult<br />

day center.<br />

the VNSNY CHOICE (Community Health<br />

Options of Integrated Care <strong>for</strong> the Elderly)<br />

program began with the goal of keeping this<br />

population at home <strong>for</strong> as long as possible and<br />

delaying the need <strong>for</strong> nursing home placement,<br />

preventing emergency room visits, avoiding<br />

preventable hospitalizations and ultimately<br />

improving the quality of care and life <strong>for</strong> their<br />

members. It was an eye-opening experience<br />

<strong>for</strong> me as I helped people transition from medically<br />

unstable and poorly functioning to stable,<br />

happier and more functional members of their<br />

communities. The disparities of health (poorer<br />

outcomes generally occur in poorer populations)<br />

were also being addressed by this program<br />

as their need <strong>for</strong> institutionalization and<br />

hospitalization decreased. This was exciting to<br />

me, and I k<strong>new</strong> I had found my next vocation.<br />

After three years with this agency, I decided<br />

to pursue my master’s of public health degree.<br />

Coincidentally, I met and married a British<br />

citizen and moved to England. I had the good<br />

<strong>for</strong>tune to work in a completely different<br />

healthcare model overseas while taking online<br />

courses through Nova Southeastern University<br />

in Fort Lauderdale, FL. I was the lead physiotherapist<br />

<strong>for</strong> a falls clinic in northeast England.


Falls and their resultant injuries have become<br />

a significant public health problem in England<br />

as well as the United States. This gave me an<br />

ideal project in which to apply my <strong>new</strong> skills.<br />

The incidence of falls in one locality was the<br />

highest in the nation. My project was to per<strong>for</strong>m<br />

a health-needs assessment on that community.<br />

It involved defining the problem and its impact<br />

on the local population. I had to determine what<br />

resources and programs were already in place<br />

to address the problem, assess the efficacy of<br />

those programs and evaluate the public’s perception<br />

of the problem. It’s important to engage<br />

the public <strong>for</strong> ideas, while collecting the evidence<br />

base and proven solutions. Lastly a plan<br />

of action to the commissioners <strong>for</strong> service <strong>for</strong><br />

the National Health Service (NHS) needed to<br />

be prepared and presented with the findings<br />

and recommendations.<br />

Filling the Gaps<br />

The project was a fantastic opportunity. It was<br />

gratifying to deconstruct an entire system of<br />

care, find the gaps and provide evidence-based<br />

solutions, then have the commissioning body<br />

<strong>for</strong> public health listen to the results and use<br />

them to help minimize the risk of falls and<br />

injury <strong>for</strong> older adults. This is done through<br />

allocations <strong>for</strong> prevention programs, screening<br />

programs and education of both the public and<br />

healthcare providers. I had gone from helping<br />

one person at a time reduce fall risk to helping<br />

prevent 150,000 people from falling! Being a<br />

physical therapist also gave insight into this<br />

problem that a nurse or medical doctor may<br />

not have been able to bring to the equation.<br />

In the three years I lived in England, significant<br />

changes had occurred in the economy,<br />

government and the NHS. There were no posts<br />

<strong>for</strong> <strong>new</strong> public health graduates, no matter how<br />

proficient. So after earning my MPH degree<br />

last year, I started to look elsewhere. I looked<br />

back at the organization that sparked my interest<br />

in public health at first. Although one tends<br />

to think of government departments of health<br />

when using the term “public health,” many<br />

of its functions are carried out by private or<br />

not-<strong>for</strong>-profit industry. The key is to look at an<br />

organization’s mission statement. The VNSNY<br />

statement emphasizes promoting health,<br />

improving quality care, shaping policy and<br />

providing charitable care. All of these aspects<br />

fall under the domains of public health.<br />

Since I had been in England, this company<br />

had grown, continued to demonstrate desirable<br />

outcomes among its members, and was<br />

now ready to expand into the rest of New York<br />

State. A year ago, the Medicaid Redesign Team<br />

of New York investigated the population and<br />

found that of the $53 billion being spent on<br />

Medicaid recipients, 46 percent was <strong>for</strong> the<br />

frail elderly, dual-eligible population. The costs<br />

were escalating as well — except in the areas<br />

where MLTC plans were in place. (New York<br />

State DOH, 2011; Smith, 2011)<br />

The primary difference was care management.<br />

VNSNY CHOICE has defined a model<br />

of care that places their members at the center<br />

and builds on a continuous cycle of assessment,<br />

planning, facilitating and advocating<br />

<strong>for</strong> health. Effective care management can’t be<br />

solely the domain of nursing. For it to work, all<br />

the stakeholders need to be involved. In some<br />

cases, the PT could even be the lead care manager.<br />

This is the model that I’m now bringing<br />

to other counties and training physical therapists,<br />

nurses, dieticians and other clinicians to<br />

adopt into practice. It will be a major paradigm<br />

shift <strong>for</strong> some, but in a world of ever-declining<br />

resources, a necessary shift to ensure optimal<br />

health <strong>for</strong> this population.<br />

Collaborative Atmosphere<br />

Opportunity to Advance<br />

Great Perks and Benefits<br />

Interesting Work<br />

[coVEr STorY]<br />

I haven’t completely given up my work on<br />

falls. I’m collaborating with our rehabilitation<br />

manager to develop an initiative, based<br />

on the Otago program (Campbell 2003) from<br />

New Zealand, <strong>for</strong> our members who attend<br />

social day programs. I’m also still the primary<br />

investigator <strong>for</strong> a study going on back in England<br />

regarding falls interventions. It would be<br />

rewarding to know my work had an enduring<br />

impact on both sides of “the pond.” n<br />

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

web.com/Pt<br />

Dean Metz has been a PT <strong>for</strong> 21 years, working<br />

in both the US and England, primarily in community<br />

care. He also writes a weekly blog <strong>for</strong> the<br />

<strong>ADVANCE</strong> website, which was <strong>for</strong>merly called “A<br />

New York PT in Queen Elizabeth’s Court” and is<br />

now titled “PT and the Greater Good.”<br />

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working here. Make a profound difference by helping patients get back<br />

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Visit us at jobs.vnsny.org<br />

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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 17


[FooT aND aNKlE FocUS]<br />

careful Steps<br />

Correlating evaluation<br />

of the foot and ankle<br />

with selected treatment<br />

techniques <strong>for</strong> the lowerextremity<br />

arthroplasty<br />

patient By lou grant, Pt<br />

as a practicing physical therapist,<br />

I believe the majority of PTs<br />

strive <strong>for</strong> achieving the best possible<br />

functional outcomes <strong>for</strong> their<br />

post-operative hip and knee arthroplasty<br />

patients. 1,2 I believe the successful outcome<br />

<strong>for</strong> this type of patient is predicated on including<br />

the foot and ankle in the evaluation process,<br />

especially the biomechanical exam. 3 I<br />

base my opinion on empirical data collection<br />

and clinical observation taken from working<br />

in the clinical environment.<br />

Clinical Observations<br />

Based upon a review of five patient charts, I<br />

have noted that these charts contained only<br />

ROM and muscle testing of the ankle and foot.<br />

Some of the reasons that might be implicated <strong>for</strong><br />

not per<strong>for</strong>ming a more detailed biomechanical<br />

assessment of the foot and ankle could be due<br />

to lack of time by the practitioner, cost, productivity<br />

standards, patient com<strong>for</strong>t and physical<br />

activity status following surgery. 4,5<br />

My own clinical findings support the necessity<br />

of a biomechanical examination and specific<br />

treatment in select cases. I also per<strong>for</strong>med<br />

another chart audit of 10 patients, and noted<br />

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

that when the biomechanical exam was complete,<br />

and correlated to specific treatment<br />

interventions, the majority of these patients<br />

had reduced pain, more confidence in their<br />

gait pattern, and more consistency in the per<strong>for</strong>mance<br />

of the home exercise program. In fact,<br />

an average score of 7 out of 10 was noted on a<br />

Likert scale <strong>for</strong> the three a<strong>for</strong>ementioned areas<br />

of pain, gait and mobility. Certainly, observation<br />

of limb length, edema management, muscle<br />

testing and ROM are important clinically; however,<br />

we should strive <strong>for</strong> gathering additional<br />

clinical in<strong>for</strong>mation.<br />

Biomechanics<br />

I will primarily discuss the subtalar joint biomechanics<br />

as it relates to the biomechanical<br />

exam of the foot and ankle. The subtalar joint<br />

involves the articulating surfaces of the talocalcaneal<br />

and talocrual joints of the foot and ankle.<br />

In bipedal gait, this joint undergoes a locking<br />

and unlocking mechanism during pronation<br />

and supination of the foot and ankle, in concert<br />

with effective muscle function, to allow propulsive<br />

gait to occur. With proper biomechanical<br />

function, a triplanar motion occurs with the foot<br />

and ankle. 6<br />

The faulty biomechanics that are generated<br />

in this subtalar joint could be linked to some of<br />

the patient’s complaint of pain, impaired gait<br />

and mobility problems following surgery. 7 And<br />

if these concerns are not completely addressed<br />

during the biomechanical exam of the foot and<br />

ankle, a satisfactory functional outcome may be<br />

delayed <strong>for</strong> the hip or knee arthroplasty patient.<br />

Range of Motion<br />

The lower extremity hip or knee arthroplasty<br />

patient may have a history of reduced ROM<br />

of the foot and ankle related to the following<br />

clinical problems: previous ankle or heel fracture,<br />

shortening of an Achilles tendon, bunionectomy,<br />

and insufficient ankle dorsiflexion<br />

ROM from previous back, hip or knee surgery.<br />

These clinical problems could potentially have<br />

a negative sequelae on the patient’s functional<br />

mobility of the foot and ankle if not screened<br />

in the evaluation.<br />

Several studies have shown the changes<br />

in ROM as a function of age and gender.<br />

ROM is reported to decrease between 20 and<br />

80 years of age. 8 Grimston and his group<br />

of researchers reported that older females<br />

had 8 degrees less ankle dorsiflexion, while<br />

having 8 degrees more of plantar-flexion<br />

ROM than males. I have found that even<br />

with a reduction in ROM in the ankle, hip<br />

and knee arthroplasty patients will be able<br />

to per<strong>for</strong>m different activities of daily living.<br />

This concept is supported by Macagni<br />

et al., who reported on balance and ankle<br />

ROM in the elderly population, and noted<br />

that walking requires a minimum of 10<br />

degrees of ankle dorsiflexion. The same<br />

study indicated that changes in joint mobility<br />

and muscle mechanical properties were<br />

correlated to decreases in ankle ROM <strong>for</strong> all<br />

motions of the ankle in the elderly. 9 Ankle<br />

ROM may affect functional outcomes <strong>for</strong> the<br />

arthroplasty patient, as treatment should be<br />

designed according to the pathology.<br />

Clinical Techniques<br />

There are many tests and measurements available<br />

to the practitioner <strong>for</strong> assessing foot and<br />

ankle function; however, I will report on some<br />

of the pertinent clinical techniques that I use in<br />

the screening and examination of the foot and<br />

ankle. The selection of techniques is due to the<br />

importance of ROM of the ankle, subtalar joint<br />

arthrology, and muscle strength as correlated<br />

to the patient’s function.<br />

Great toe extension is important <strong>for</strong> pushing<br />

off in gait; consequently, ROM can be measured<br />

with the patient standing as well as in<br />

a supine position. The clinician can align the<br />

stationary arm of the goniometer along the<br />

medial aspect of the foot while the movable<br />

arm is placed along the proximal phalanx of the<br />

great toe. 6 I have treated patients that presented<br />

with decreased AROM of the great toe by using<br />

a Mulligan technique to the joint. 10<br />

DaVID PErIllo


”ToeOFF ®<br />

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walk without being afraid to fall!”<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 19


[FooT aND aNKlE FocUS]<br />

A flexible flat foot can be differentiated from a true flat foot by assessing<br />

Feis’s line. True flat foot will have depression of the navicular bone<br />

in both non-weight bearing and weight bearing positions, while a<br />

flexible flat foot will only have navicular drop in weight bearing. 6<br />

Shrader et al reported that patients who had RA had a range of 6 to<br />

8mm of navicular drop, as this measurement can be taken reliably<br />

by clinicians regardless of experience. 7<br />

Assessment of posterior tibialis strength <strong>for</strong> weakness, and to rule<br />

out myofascial tightness and restriction in the patient’s affected leg,<br />

is essential if the arthroplasty patient is to have effective gait function,<br />

especially when pushing off in gait. I have noticed particularly the<br />

element of myofascial restriction in this posterior tibialis muscle in<br />

selected cases involving knee arthroplasty.<br />

I propose that the restriction was present in this muscle prior to<br />

surgery, and that stretching and careful strengthening over days or<br />

several weeks was associated with greater arch height, calcaneal<br />

inversion and heel rise ability <strong>for</strong> improved muscle function. 11<br />

The clinician should also be aware of cuboid plantar and dorsal<br />

subluxations that occur in the foot and per<strong>for</strong>m necessary treatment,<br />

as I have had several patients respond rather quickly to manual therapy<br />

techniques with this particular problem. 12 Evaluation of gait with<br />

assessment of calcaneal motion is necessary to rule out additional hip<br />

or knee pain in the lower extremity arthroplasty patient.<br />

By marking the midline of the calcaneus the clinician can observe<br />

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

rear foot movement of the patient and determine whether a heel<br />

insert, taping, orthotic management, muscle strengthening or manual<br />

therapy intervention is required. A wobble board or similar apparatus<br />

would be used to assess the patient’s standing balance, and by<br />

incorporating balance and perturbation training, the patient may<br />

achieve improved awareness <strong>for</strong> fall prevention.<br />

Results and Conclusions<br />

The results of this pilot study are clinically empirical <strong>for</strong> patients that<br />

have had a history of surgery <strong>for</strong> hip or knee arthroplasty who had<br />

an age range of 65 years to 80 years. Patients noted improved gait<br />

function and reduction of pain, as well improved mobility, when the<br />

biomechanical assessment of the foot and ankle was incorporated<br />

into the treatment plan.<br />

Manual therapy, taping, inserts and orthotics, as well as therapeutic<br />

exercise, were all proven to compliment the foot and ankle biomechanical<br />

exam of the affected hip or knee in selected arthroplasty<br />

patients. n<br />

references are available online at www.advanceweb.com/pt<br />

Lou Grant has 40 years of experience in all areas of practice and has an interest<br />

in vestibular, geriatrics, manual therapy and orthopedics. He currently<br />

works <strong>for</strong> Physiotherapy Associates in Grand Rapids, MI.<br />

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Developed by a team of engineers and therapists, ZeroG is a state-of-the-art gait and balance training<br />

system that allows patients to practice a wide range of rehabilitation activities safely and progressively.<br />

Therapists can adjust the amount of body-weight support, set safe walking speeds, setup fall protection<br />

and monitor their patient’s progress all through a simple to use computer interface.<br />

Why ZeroG?<br />

Versatility:<br />

• Because ZeroG rides along a custom-designed<br />

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• Patients can practice the types of activities they will<br />

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Safety:<br />

• ZeroG monitors patient and system behaviors at<br />

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in the event of a fall.<br />

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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 21


[INDUSTrIal rEhaB]<br />

occupational Injury Prevention<br />

Keeping employees on<br />

the job through safe<br />

and effective care<br />

By Benjamin henry, Ms, atc<br />

an occupational injury can greatly<br />

impact the way industry operates<br />

and can be a financial burden <strong>for</strong><br />

both the employer and employee.<br />

The most recent labor injury data <strong>for</strong> 2011 shows<br />

3.8 million recordable cases <strong>for</strong> injury and illness.<br />

Even though that number has declined every<br />

year since 2002, occupational injury accounts<br />

<strong>for</strong> 2.9 million of those cases. 1-3<br />

That financial burden only increases<br />

when the severity of the injury prevents the<br />

employee from returning to work. In 2010<br />

alone, the U.S. Bureau of Labor Statistics<br />

reported 1,191,199 cases that involved days<br />

away from work due to injury or illness. 1,3-4<br />

To fight the biomechanical disadvantage the<br />

work<strong>for</strong>ce has, many companies have begun to<br />

bring healthcare professionals who specialize in<br />

the prevention of musculoskeletal injuries to the<br />

team. This has made a major impact in reducing<br />

incidence by preventing and treating injury so<br />

that the employee stays at and returns to the job<br />

safely and effectively. This has brought down<br />

the high cost of healthcare and has begun to<br />

change a culture within companies to prevent<br />

injury from occurring at all.<br />

Many of the costs associated with manufacturing<br />

can be attributed to materials, administrative<br />

costs, and payroll, but a large expense<br />

that cannot be ignored is medical costs. In 2009,<br />

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

employers spent $73.9 billion on workers compensation<br />

insurance, a cost that is mandatory<br />

in all states but Texas. 2,5 Since 2000, workers’<br />

compensation costs have increased 23 percent. 5<br />

In addition to those direct costs, injuries can<br />

create various other costs, including:<br />

• Wage costs relating to a stop in production;<br />

• Administrative costs due to injury;<br />

• Employee training or costs associated with<br />

replacing an injured employee;<br />

• Lost productivity on the job;<br />

• Costs associated with damaged machinery<br />

or material.<br />

Musculoskeletal injuries make up the largest<br />

percentage of work-related incidents. Specifically,<br />

in 2010, employees in all three areas of<br />

industry (state sector, government sector and<br />

private sector) sustained 474,000 sprains, strains<br />

and tears. In addition, 100,730 bruises or contusions<br />

occurred on the job.<br />

These work-related injuries can be caused<br />

by many different factors. Heavy equipment,<br />

repetitive motions, poor body mechanics, or<br />

sustained positions can attribute to many cases<br />

reported each year, but the most prominent<br />

mechanism was due to slips, trips or falls, 6 contributing<br />

to 294,620 recordable injuries, with the<br />

highest incidence of pain occurring in the back<br />

(227,730 cases). 1,4<br />

Overuse Injuries<br />

Overuse injuries can be due to many internal<br />

and external factors. Lack of muscular strength,<br />

endurance or range of motion can limit the body<br />

from achieving what is necessary <strong>for</strong> the job.<br />

An example of this is the shoulder. While the<br />

arm may function properly below 90 degrees<br />

of glenohumeral flexion, the increased risk of<br />

injury is prominent above 90 degrees, due to<br />

impingement of the rotator cuff musculature.<br />

By keeping the elbows closer to the body during<br />

repetitive tasks, the employee can work in the<br />

same location, but keep the humerus below 90<br />

degrees, thus reducing the risk of injury.<br />

Vibration tools such as rivet guns are<br />

another potentially hazardous condition. The<br />

risk <strong>for</strong> injury is high due to the repetitive<br />

nature of the job, and puts the entire kinetic<br />

chain at greater risk. Many tools are designed<br />

with the help of an ergonomics team to prevent<br />

overuse injuries by using proper grips, lightweight<br />

materials or tools that keep the body in<br />

efficient positions, as well as ergonomic aids<br />

such as anti-vibration gloves or cervical supports<br />

to prevent overuse injuries.<br />

Slips, Trips, Falls and Head Bumps<br />

Working in an industrial setting may increase<br />

the risk <strong>for</strong> slips, trips, and falls—the highest<br />

mechanism <strong>for</strong> injury according to 2011 injury<br />

reporting. Un<strong>for</strong>tunately, these injuries account<br />

<strong>for</strong> 15 percent of workplace fatalities. 6,7<br />

These injuries can happen due to very<br />

common environmental factors such as oil or<br />

water on the ground, unstable surfaces such<br />

as ladders, uneven surfaces, or material left<br />

in walkways. Maintaining ladders and other<br />

walking surfaces can greatly reduce the number<br />

of slip, trip or fall-related injuries.<br />

The Occupational Health and Safety Administration<br />

(OSHA) estimates that over 90 percent<br />

of head injuries reported by industrial workers<br />

could have been prevented by wearing bump<br />

caps or a full hard hat. When fitting properly, a<br />

hard hat can reduce the <strong>for</strong>ce by 78 percent. 8,9<br />

Sprains, Strains, Tears<br />

One of the most preventable occupational injuries<br />

is the high number of sprains, strains, and<br />

tears. OSHA classifies these as traumatic injuries<br />

to muscles, tendons, ligaments and joints caused<br />

by sudden wrenching, twisting, stretching, and<br />

ripping. 17 While these injuries have many different<br />

mechanisms, musculoskeletal tissue damage<br />

can have long-lasting side effects if left untreated.<br />

The inflammatory response to injury can<br />

last much longer than the initial injury, restrict<br />

motion and increase overall pain. These injuries<br />

can lead to significant time lost from production<br />

at work, costing both employers and<br />

employees thousands of dollars.<br />

Biomechanical Factors<br />

Movement dysfunctions pose great risk of<br />

injury <strong>for</strong> industry workers. Examination of<br />

basic movement patterns is necessary because<br />

of the extensive variation in both job demand<br />

and physical capacity among industrial employees.<br />

Daily repeated stresses contribute to the<br />

<strong>for</strong>mation of dysfunctional movement patterns<br />

over time.<br />

For example, many employees place their<br />

containment tray containing all of their tools<br />

on the floor next to them while they work.<br />

Every time a different tool or part is needed,<br />

the employee must bend down to select it.<br />

KYlE KIElINSKI


Over time, it’s common to observe poor lifting<br />

technique due to ankle immobility, hamstring<br />

tightness and weak core stability. These are<br />

constantly rein<strong>for</strong>ced by poor body mechanics.<br />

When evaluating acquired movement dysfunctions,<br />

clinicians should have a basic understanding<br />

of the job demands of the employees<br />

they are evaluating. This will enable them to<br />

correct the dysfunctional movement patterns<br />

and relate the corrections to the employee’s job,<br />

thereby rein<strong>for</strong>cing the relevance of the corrective<br />

exercise.<br />

When production is the key factor driving<br />

business <strong>for</strong>ward, employees’ overtime hours<br />

increase. It isn’t uncommon <strong>for</strong> industrial<br />

workers to change their schedule to meet the<br />

demands of the job. Overtime and irregular<br />

hours increase the amount of overexertion in<br />

the workplace—a key mechanism <strong>for</strong> sprains,<br />

strains and tears. 6<br />

Using the most up-to-date in<strong>for</strong>mation from<br />

OSHA, each recordable injury without lost<br />

work days costs $7,000. If days of work are lost<br />

due to that injury, the cost rises to an average of<br />

$28,000. If an occupational death occurs due to<br />

an accident in the workplace, average expenses<br />

ensued is $910,000.10.<br />

Due to the high costs associated with lost<br />

work days and expenses due to decreased<br />

production, many employers are taking action<br />

in the battle against occupational injuries. Companies<br />

are beginning to provide educational<br />

health and wellness programs, injury prevention<br />

programs, ergonomic assessments, nutritional<br />

assessments, symptom evaluations and<br />

intervention programs, heath risk assessments,<br />

pre-employment physicals, and job conditioning<br />

programs.<br />

These programs provide resources from athletic<br />

trainers, physical therapists, exercise physiologists<br />

and registered dieticians. They do much<br />

more than decrease the cost of medical expenses.<br />

In 2009, Huang et al measured outcomes associated<br />

with implementing health and wellness<br />

or workplace safety programs. Of the companies<br />

providing them, 43 percent saw increased<br />

productivity, 7 percent had increased retention<br />

of employees, 6 percent had increased job<br />

[INDUSTrIal rEhaB]<br />

satisfaction, and 28 percent saw reduced costs. 11<br />

OSHA estimates that the implementation<br />

of injury and illness prevention programs can<br />

reduce injuries by 15 to 35 percent <strong>for</strong> employers<br />

who do not currently have a safety and<br />

health program. This would potentially save<br />

between $9 and $23 billion annually.<br />

In a 2003 study by the National Athletic<br />

Trainers’ Association (NATA), of companies<br />

who utilized athletic trainers in worksite injury<br />

prevention programs, 100 percent reported a<br />

positive return on investment (ROI), with more<br />

than 80 percent showing an ROI of $3 <strong>for</strong> every<br />

$1 invested. 12-14<br />

Many recommendations can be provided to<br />

employees in the industrial field to begin reducing<br />

costs of injury.<br />

Always wear proper footwear. Avoid rockerbottom<br />

shoes while working on unstable<br />

surfaces such as slanted work areas or ladders.<br />

Some situations require steel-toe, electrical<br />

shock-resistant, or puncture-resistant<br />

footwear. 15 Shoes should fit properly and be<br />

replaced when worn out. The heel should fit<br />

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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 23


[INDUSTrIal rEhaB]<br />

com<strong>for</strong>tably with little to no slippage. Toes<br />

should have enough room to wiggle.<br />

Micro-break stretching can reduce fatigue<br />

due to sustained positioning. Maintaining<br />

proper body mechanics in positions can be difficult<br />

due to muscle ache or strain. Sustained<br />

positions reduce blood flow and oxygen to<br />

muscle tissue. By alternating tasks or positions<br />

throughout the day, muscles can recover and<br />

per<strong>for</strong>m more efficiently.<br />

Reduce slippery surfaces to prevent slips,<br />

trips or falls. Use grip tape or modify walking<br />

surfaces to reduce the incidence of these preventable<br />

injuries. Clean occupational hazards<br />

such as water, oil or hydraulic fluid. 7<br />

Create good housekeeping processes<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/rehab.<br />

24 <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 />

throughout the work site. Clean up spills,<br />

mark hazards with lights or signs, and use<br />

proper cable management devices <strong>for</strong> hoses<br />

and cords. When moving objects, use proper<br />

lifting mechanics. If an object is too heavy <strong>for</strong><br />

one person, be sure to team-lift to prevent back<br />

and spine injury.<br />

Hydrate be<strong>for</strong>e, during and after work.<br />

Keep a water bottle with you at your work station<br />

or desk if allowed. Reduce the consumption<br />

of drinks that lead to dehydration such as<br />

energy drinks or large amounts of caffeine. On<br />

warm days, increase your fluid intake.<br />

Maintain a healthy lifestyle. Smoking, obesity<br />

and substance abuse can lead to higher risk<br />

<strong>for</strong> injury. The likelihood of an employee developing<br />

discom<strong>for</strong>t while at work can be reduced<br />

by improving mood, reducing fatigue, increasing<br />

blood flow and reducing stress.<br />

Begin pre-shift warm up programs. Pre-shift<br />

warm up programs can increase the temperature<br />

of muscles, increase healthy blood flow,<br />

and improve muscle coordination. Stretching<br />

increases a joint’s ability to move through a<br />

greater range of motion, there<strong>for</strong>e reducing the<br />

risk of musculoskeletal injury. 16 In addition, balance<br />

programs can reduce the risk of falls in the<br />

workplace.<br />

Most importantly, seek help when you have<br />

pain. Athletic trainers are one example of profesionals<br />

who specialize in the prevention of musculoskeletal<br />

injuries in the workplace. They are<br />

medical professionals trained to assess workrelated<br />

symptoms and create a plan to prevent<br />

them from becoming lost work day injuries. n<br />

References are available online at www.<br />

advanceweb.com/PT<br />

This article was produced in cooperation<br />

with the National Athletic Trainers’ Association<br />

(NATA), the professional membership<br />

association <strong>for</strong> certified athletic trainers and<br />

those who support the athletic training profession.<br />

March is National Athletic Training<br />

Month, with the theme “Every Body Needs<br />

an Athletic Trainer.” For more in<strong>for</strong>mation<br />

visit www.nata.org<br />

Benjamin Henry is assistant head athletic trainer and<br />

operations manager at Work-Fit Inc. in Everett, WA.<br />

www.advanceweb.com/pt<br />

For more in<strong>for</strong>mation on worker<br />

rehab, visit www.advanceweb.<br />

com/PTindustrialrehab


lISa loMBarDo<br />

Playing to Their Strengths<br />

Therapists who live and<br />

work in the Midwest<br />

Region know how much<br />

they have to offer<br />

By sarah long<br />

When asked what it’s like to<br />

live and work as a physical<br />

therapist in the Midwest<br />

Region, many PTs display<br />

an enviable pride in their profession.<br />

Take Richard K. Shields, PT, PhD, FAPTA,<br />

professor and chair of the Department of<br />

<strong>Physical</strong> <strong>Therapy</strong> and <strong>Rehab</strong>ilitation Sciences<br />

at Carver College of <strong>Medicine</strong>, University<br />

of Iowa, in Iowa City, who said<br />

Iowa has always been a leader in physical<br />

therapy.<br />

The University of Iowa has been granting<br />

a professional physical therapy degree<br />

since 1943 and a PhD degree <strong>for</strong> physical<br />

therapists since 1973. “More than half of<br />

our graduates each year stay in Iowa to<br />

practice,” Shields said. “Iowa was one of<br />

the first states to adopt independent access<br />

to physical therapy without a physician<br />

referral as part of their practice act.”<br />

The market is open in Iowa, as 100 percent<br />

of the university’s graduates gain<br />

employment within six months, Shields<br />

said. Positions span from pediatrics to<br />

outpatient sports/orthopedics, and from<br />

acute hospital practice to academic medical<br />

centers.<br />

“There is extensive networking since<br />

many practicing therapists serve a dual<br />

role as adjunct faculty members at the<br />

University of Iowa,” he said. Networking<br />

opportunities also arise through the Iowa<br />

chapter of the APTA, with fall and spring<br />

continuing education courses offered each<br />

year.<br />

Scope of Practice<br />

Not to be outdone, Evan O. Nelson, PT,<br />

DPT, OCS, faculty associate in the doctor<br />

of physical therapy program at the University<br />

of Wisconsin-Madison in Madison, WI,<br />

said Wisconsin state law allows therapists<br />

to practice at the highest end of their training<br />

and scope of practice.<br />

“Since 1989, we have enjoyed the opportunity<br />

to treat patients with musculoskeletal<br />

injuries without a referral, and presently<br />

most insurance companies are paying <strong>for</strong><br />

patients to come directly to physical therapy,”<br />

he said.<br />

<strong>Physical</strong> therapists are allowed legally to<br />

refer <strong>for</strong> imaging studies, such as plain film<br />

radiography, MRI and CT scans. “Rules<br />

and regulations set <strong>for</strong>th by the hospital<br />

or other employment setting may restrict<br />

this ability, but as professionals we have<br />

the knowledge and ability to use imaging<br />

studies in our decision-making,” Nelson<br />

said. “I enjoy the ability to refer individuals<br />

<strong>for</strong> plain film radiography when a potential<br />

skeletal injury must be evaluated.”<br />

Favorable Environment<br />

<strong>Physical</strong> therapists in Wisconsin do not<br />

need a prescription to per<strong>for</strong>m joint<br />

manipulation, a skilled technique that’s<br />

very effective when applied appropriately<br />

and safely, Nelson said.<br />

Being able to provide this technique<br />

without having to wait <strong>for</strong> a prescription<br />

or specific referral reduces unnecessary<br />

[aDVaNcE ExTra!]<br />

Midwest region<br />

waiting time <strong>for</strong> the patient.<br />

“The favorable professional environment<br />

<strong>for</strong> physical therapists in Wisconsin<br />

leads to an enjoyable practice environment<br />

<strong>for</strong> professionals who are working hard to<br />

provide patient-centered care supported<br />

by the most current scientific research,”<br />

he said.<br />

<strong>Physical</strong> therapists get to work in a<br />

wide range of settings and have the ability<br />

to adapt their work environment during<br />

the course of their career. There are also<br />

plenty of openings <strong>for</strong> PTs and PTAs in<br />

Wisconsin’s current job market, Nelson<br />

said.<br />

While there’s a high concentration of<br />

healthcare jobs — and more competition<br />

— near the larger population centers, a<br />

greater need exists <strong>for</strong> PTs and PTAs in<br />

rural Wisconsin settings.<br />

“An individual who is flexible regarding<br />

geographic location will be able to easily<br />

find a job with a very competitive compensation<br />

package,” Nelson said.<br />

Continuing Education Strengths<br />

When it comes to continuing education, the<br />

Wisconsin <strong>Physical</strong> <strong>Therapy</strong> Association<br />

has a process to approve courses and offers<br />

many educational opportunities in a variety<br />

of settings and geographic locations.<br />

Academic institutions, clinical practices<br />

and private companies also offer educational<br />

opportunities.<br />

“Regardless of your professional interests<br />

or needs, there is an opportunity <strong>for</strong><br />

obtaining professional development that<br />

is both beneficial and convenient,” Nelson<br />

said.<br />

Indeed, the continuing education opportunities<br />

offered in the Chicagoland area<br />

and the work that the Illinois <strong>Physical</strong><br />

<strong>Therapy</strong> Association (IPTA) does <strong>for</strong> the<br />

profession are among the reasons Sarah<br />

Blatti, DPT, PT, of Edward <strong>Rehab</strong>ilitation,<br />

Naperville – Edward Hospital Campus,<br />

enjoys living in Illinois.<br />

Coming in April: Focus on the Northeast Region. Don’t Miss It!<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 25


[aDVaNcE ExTra!]<br />

Midwest region<br />

Professional Advancement<br />

The IPTA is fighting <strong>for</strong> professional<br />

advancement and working hard to get direct<br />

access passed in the state, said Blatti, who<br />

has been working as a PT <strong>for</strong> about eight<br />

months and has found that attending the IPTA<br />

local meetings both as a student and professional<br />

is a great way to network professionally<br />

and pursue continuing education.<br />

“I have especially enjoyed the poster<br />

presentations, which allow an in<strong>for</strong>mal<br />

way to learn about <strong>new</strong> research and network<br />

with those who actually per<strong>for</strong>med<br />

the studies,” she said. “I also like that the<br />

high density of therapy clinics causes each<br />

clinic to demonstrate the highest quality<br />

of services in order to keep business coming,”<br />

she said. “I think it makes each clinician<br />

accountable <strong>for</strong> their treatments and<br />

actions.”<br />

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

Blatti and her fiancé both did a lot of<br />

searching <strong>for</strong> jobs in Colorado and had a<br />

very difficult time finding opportunities in<br />

almost any setting. When they decided to<br />

stay local in Illinois, they were both able<br />

to find jobs in the settings of their choice<br />

within a couple of months.<br />

“I found that overall there were a lot of<br />

opportunities in Illinois in both inpatient<br />

and outpatient,” Blatti said. “I also have<br />

<strong>for</strong>mer classmates who were able to find<br />

employment in pediatric settings within<br />

their first year out of school. Others took<br />

jobs in inpatient rehab, skilled nursing and<br />

outpatient, both <strong>for</strong> a hospital and independent<br />

companies.”<br />

Job Variety<br />

David J. Dunham, BSN, RN, DC, PT, DPT,<br />

of Health 1st <strong>Physical</strong> <strong>Rehab</strong>ilitation in<br />

Indianapolis, IN, said although there’s<br />

no direct access or spinal manipulation<br />

in Indiana, there are plenty of job opportunities<br />

from home health to outpatient<br />

rehab. “If you want a job as a PT in Indiana,<br />

you can get one,” he said.<br />

Since his practice is located in a rural<br />

area, being able to consistently interact<br />

with other small business owners is very<br />

important to the practice’s success, said<br />

Christopher Staub, DPT, MBA, owner<br />

and head therapist at Active Per<strong>for</strong>mance<br />

<strong>Physical</strong> <strong>Therapy</strong> in Carroll, IA.<br />

Staub has pursued professional networking<br />

opportunities by becoming active with<br />

the Iowa <strong>Physical</strong> <strong>Therapy</strong> Association and<br />

the Iowa <strong>Physical</strong> <strong>Therapy</strong> Private Practice<br />

SIG and joining the local chapter of the Connect<br />

Young Professional organization.<br />

Midwest continued on page 36


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an MD will stop referring, 2) Your front desk will make or break<br />

you, 3) Coding & Modifier Secrets to double your reimbursements,<br />

4) Employee Leadership is Key, 5) Advertising Secrets<br />

& Templates, 6) Secret Promotions <strong>for</strong> Instant Business, 7)<br />

Best Equipment & Software. TESTIMONIALS: “You will kick<br />

yourself if you don’t go.” It’s so worth the money and time to<br />

come here”. “It would be a MISTAKE not to take this course!”<br />

100% Money-Back Guarantee. Contact: 800-801-4511; or<br />

www.IndeFree.com <strong>for</strong> more locations.<br />

MARCH 15-16, 2013 COLUMBIA, SC<br />

JUNE 21-23, 2013 MINNEAPOLIS, MN<br />

JULY 20-21, 2013 LOUISVILLE, KY<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 />

TO ORDER ARTICLE<br />

REPRINTS FROM <strong>ADVANCE</strong><br />

CALL 800-355-5627<br />

MARCH 16-17, 2013 HOUSTON, TX<br />

APRIL 13-14, 2013 TAMPA, FL<br />

APRIL 20-21, 2013 ATLANTA, GA<br />

Complete Wound Care<br />

Prevent-Assess-Debride-Treat<br />

The intensive two-day course covers topics ranging from<br />

physiology of wound healing and modalities in wound care to<br />

documentation & risk management. Through a combination<br />

of interesting lecture & extensive hands-on labs (including<br />

compression dressings, Doppler, sharp debridement, ultrasound<br />

& electrical stimulation), this course strives to provide<br />

individualized attention. After years of presentation, when<br />

given a choice of Excellent, Good, Fair, or Poor, over 80%<br />

of attendants rated this course Excellent, all others rated it<br />

Good. Cost: Only $350 <strong>for</strong> 16 hours. Please call <strong>for</strong> group<br />

discounts. Contact: JVB Enterprises, Inc., 888-328-6755<br />

(toll-free); or www.teachtx.com<br />

MARCH 16-17, 2013 SAN FRANCISCO, CA<br />

APRIL 20-21, 2013 NEW ORLEANS, LA<br />

SEPT. 21-22, 2013 TACOMA, WA<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 />

MARCH 16-17, 2013 SALT LAKE CITY, UT<br />

APRIL 27-28, 2013 HARRISBURG, PA<br />

MAY 4-5, 2013 ROYAL OAK, MI<br />

Acute Care <strong>Rehab</strong>ilitation<br />

Speaker: Mark Nelson, MPT. This dynamic seminar provides<br />

the latest in<strong>for</strong>mation on cardiac, pulmonary and geriatric<br />

rehabilitation in the acute care setting. As in all practice<br />

settings, acute care rehabilitation is continuously evolving.<br />

From the various entry points into the acute care setting to<br />

discharge, rehabilitation plays an integral role. Therapists are<br />

being increasingly relied upon to make significant contributions<br />

to the medical team and frequently are the determining<br />

factor in hospital length of stay. This high tech seminar will<br />

provide therapists with clinical in<strong>for</strong>mation, practical tips and<br />

high level problem solving skills by utilizing lecture and case<br />

studies to discuss the role of therapists in this challenging<br />

environment. Contact: Great Seminars and Books, 877-794-<br />

7328 (toll-free); or www.greatseminarsandbooks.com<br />

MARCH 16-17, 2013 WILMETTE, IL<br />

APRIL 27-28, 2013 STILLWATER, MN<br />

JUNE 8-9, 2013 ROUND ROCK, TX<br />

Myokinematic Restoration<br />

Advanced lecture and lab course explores biomechanics of<br />

contralateral and ipsilateral myokinematic lumbo-pelvicfemoral<br />

dysfunction. Treatment emphasizes restoration of<br />

pelvic-femoral alignment and recruitment of rotational muscles<br />

to reduce synergistic patterns of pathomechanic asymmetry.<br />

Emphasis on restoration, recruitment and retraining<br />

activities using rotators of the femur, pelvis and trunk.<br />

Techniques to inhibit overactive musculature will enable the<br />

course participant to restore normal resting muscle position.<br />

Learn assessment and management skills when treating<br />

“piri<strong>for</strong>mis syndrome”, right SI joint dysfunction, and low<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 />

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 />

3/9/13 & 4/13/13 (AM1)<br />

3/10/13 & 4/14/13 - (AM2)<br />

3/23/13 & 4/27/13 (AM3)<br />

NPTE/NPTE REVIEW<br />

COURSE<br />

<strong>Therapy</strong> Team Exam Review<br />

is the only comprehensive evidenced<br />

based review course <strong>for</strong><br />

the Boards. For 2008-2009 US<br />

grads (DPT/MPT) had a 100% first<br />

time US Educated DPT/MPT pass<br />

rate. Past per<strong>for</strong>mance does not<br />

guarantee you will pass, but it is<br />

better to be safe than sorry when<br />

it comes to your license and job<br />

offer. Join us in the following cities<br />

<strong>for</strong> the best review available.<br />

Traditional<br />

Houston, TX March 16-24, 2013<br />

Chicago, IL April 20-28, 2013<br />

Miami, FL May 11-19, 2013<br />

New York, NY June 8-16, 2013<br />

Online<br />

PTA online review: Groups starting<br />

March 11th <strong>for</strong> April 30, 2013 NPTE<br />

Toll Free: {877} 476-6684<br />

http://www.therapyteam.com<br />

timothyteach@aol.com<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 />

back strain. Mention this ad to receive a 5% tuition discount.<br />

Contact: Postural Restoration Institute, 888-691-4583 (tollfree);<br />

www.posturalrestoration.com<br />

MARCH 16-17, 2013 BATH, ME<br />

MAY 18-19, 2013 BARTLETT, IL<br />

SEPT. 7-8, 2013 COPPELL, TX<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 diagnoses such as “fibromyalgia”,<br />

thoracic outlet syndrome and shoulder dysfunction.<br />

Mention this ad to receive 5% tuition discount. Contact:<br />

Postural Restoration Institute, 888-691-4583 (toll-free); or<br />

www.posturalrestoration.com<br />

MARCH 16-17, 2013 MADISON, WI<br />

JUNE 22-23, 2013 SOUTH BEND, IN<br />

SEPT. 21-22, 2013 ALBUQUERQUE, NM<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 />

MARCH 16-17, 2013 SPRINGFIELD, IL<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 />

MARCH 17, 2013 DALLAS, TX<br />

APRIL 21, 2013 LAS VEGAS, NV<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 />

MARCH 22-23, 2013 FAIRFAX, VA<br />

APRIL 5-6, 2013 WHITE PLAINS, NY<br />

Traumatic Brain Injury:<br />

Maximizing Functional Outcomes<br />

This interactive course will provide therapists with the skills<br />

necessary <strong>for</strong> implementing programs across the continuum<br />

of care. Content will include, understanding associated<br />

impairments and activity limitations, mechanisms of injury,<br />

neurobiology, theory, cognitive and behavioral health issues.<br />

Evidence-based evaluation and intervention will be emphasized<br />

as well as emerging practice areas; virtual reality, telerehabilitation.<br />

Instructor: Leslie Davidson. Contact: Education<br />

Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />

www.educationresourcesinc.com<br />

MARCH 23-24, 2013 BALTIMORE, MD<br />

APRIL 6-7, 2013 SAN FRANCISCO, CA<br />

APRIL 27-28, 2013 BRIDGEWATER, NJ<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 $350 <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 />

APRIL 5-6, 2013 MINNEAPOLIS, MN<br />

APRIL 12-13, 2013 ROCKFORD, IL<br />

MAY 4-5, 2013 HONOLULU, HI<br />

Sara Meeks Seminars<br />

On Osteoporosis - Level I<br />

Statistics show that over 55% of people over age 50 have low<br />

bone mass (osteopenia/osteoporosis). Learn how to recognize<br />

people with these conditions; get the latest in<strong>for</strong>mation<br />

on management; take home a comprehensive, safe, effective<br />

intervention <strong>for</strong> this and other back pathologies including<br />

spinal stenosis. Start Certification in The Meeks Method,<br />

based on sound therapeutic exercise principles as reflected<br />

in the research literature. An award-winning, international<br />

presenter, Sara Meeks, MS, PT, GCS, teaches all locations.<br />

CEUs provided. Contact: SARA MEEKS SEMINARS, 888-330-<br />

7272; or www.sarameekspt.com<br />

APRIL 5-6, 2013 FAIRFAX, VA<br />

MAY 18-19, 2013 KISSIMMEE, FL<br />

JULY 14-15, 2013 STATEN ISLAND, NY<br />

Comprehensive Assessment and<br />

Treatment of the Shoulder<br />

This lab seminar is an evidence-based approach to examination<br />

and treatment of the conditions affecting the shoulder<br />

complex. This will address shoulder pain and overall function<br />

<strong>for</strong> adults with Impingement conditions, rotator cuff<br />

tendonitis, bicipital tendonitis, subacromial bursitis, adhesive<br />

capsulitis, frozen shoulder pain, arthritis, overuse syndromes,<br />

scapular syndromes, shoulder instability, thoracic outlet syndrome,<br />

radiculitis/peripheral nerve entrapment. This seminar<br />

will cover differential diagnosis of this region and address<br />

cervico-thoracic contribution to the shoulder condition. The<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 />

Ft. Lauderdale, FL ....... Yack .......................Mar 6 - 10<br />

Charleston, SC ............ Yack ......................... Apr 3 - 7<br />

Little Rock, AR ........... Furto ..................... Apr 17 - 21<br />

New York City, NY ...... Yack ........................ May 1 - 5<br />

Kalispell, MT ................ Yack .................... May 17 - 21<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 />

Chicago, IL ................... Yack ................... Apr 12 - 14<br />

St. Augustine, FL .......... Irwin ...................... May 3 - 5<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 />

Asheville, NC ............... Smith .......................Apr 5 - 8<br />

Chicago, IL .................. Irwin.........................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 />

St. Augustine, FL ......... Nyberg....................Mar 9 - 10<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 />

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 />

Austin, TX ..................... Turner ................. Apr 25 - 28<br />

Orlando, FL .................. Naas ................... Apr 25 - 28<br />

Atlanta, GA ................... Busby .....................May 2 - 5<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 />

Chicago, IL ................... Patla ....................Mar 15 - 17<br />

St. Augustine, FL .......... Patla ........................ May 3- 5<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 />

Caregiver Training 1: Assessment and<br />

Treatment of Dementia<br />

12 Hours, 1.2 CEUs (No Prerequisite ) $445<br />

Open to OTs, PTs, COTAs, PTAs and other health professionals<br />

Seminar dates, locations, and tuition are subject to change, please call be<strong>for</strong>e making any non-refundable reservations.<br />

MF1 - Myofascial Manipulation<br />

20 Hours, 2.0 CEUs (No Prerequisite)<br />

Additional Seminar Offerings<br />

Atlanta, GA ................... Hubbard ...............Apr 20 - 21<br />

St. Augustine, FL .......... Hubbard ..................Aug 3 - 4<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 249<br />

or residencyfellowship@usa.edu<br />

$595<br />

Orlando, FL ................... Grodin ................. Mar 8 - 10<br />

St. Augustine, FL .......... Grodin ................ Apr 19 - 21<br />

Birmingham, AL ............ Cantu ................. Apr 26 - 28<br />

San Marcos, CA ........... Stanborough.......Apr 26 - 28<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 />

St. Augustine, FL .......... Yack ......... Apr 26 - 28<br />

Austin, TX ..................... Irwin ................ Sep 27 - 29<br />

Exercise Strategies and Progression<br />

<strong>for</strong> Musculoskeletal Dysfunction<br />

15 Hours, 1.5 CEUs (No Prerequisite) $545<br />

Open to OTs, PTs, COTAs, PTAs<br />

St. Augustine, FL .......... Chaconas ............ Apr 13 - 14<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 />

Stanley V. Paris, PT, PhD, FAPTA<br />

University of St. Augustine<br />

For Health Sciences<br />

1 University Boulevard<br />

St. Augustine, FL 32086-5799<br />

Registration: 800-241-1027<br />

FAX: 904-826-0085<br />

Name:<br />

_____________________________<br />

___PT<br />

Address:<br />

_____________________________<br />

City:<br />

_____________________________<br />

State: _________ Zip: __________<br />

Email: _____________________<br />

Home: (_____) _____-_________<br />

Work: (_____) _____-_________<br />

FAX: (_____) _____-_________<br />

Please register me <strong>for</strong>:<br />

Seminars:<br />

_____________________________<br />

Locations:<br />

_____________________________<br />

Dates:<br />

_____________________________<br />

Prerequisite in<strong>for</strong>mation:<br />

Seminar:______________________<br />

Location/Date:<br />

_____________________________<br />

Is this your first seminar with the<br />

University? Yes____ No ____<br />

A $100 non-refundable deposit must accompany registration<br />

<strong>for</strong>m. A 50% non-refundable, non-transferable deposit is<br />

required <strong>for</strong> Certification. Balance is due 30 days prior to start<br />

date of the seminar. Balance can be transferred or refunded<br />

with 2 week written notice. Notice received after that time<br />

subject to only 50% refund. No refunds or transfers will be<br />

issued after the seminar begins.<br />

METHOD OF PAYMENT<br />

____Check or Money Order enclosed<br />

Please make payable to: University of St. Augustine<br />

Charge my:<br />

___ ___<br />

Card #<br />

______________________________<br />

Exp. date: ___/___<br />

Amount: $_________<br />

Signature:<br />

______________________________<br />

Team Discount - Two or more persons from<br />

the same facility registering <strong>for</strong> the same seminar<br />

at the same time, receive a 10% discount<br />

at the time of registration.<br />

(Advanced notice and full payment required, does not apply<br />

after the first day of a seminar.)<br />

Multiple Seminar Discount - Register and<br />

pay in full <strong>for</strong> two or more seminars at the<br />

same time and receive a 10% discount.<br />

(May not be combined with any other discounts or previous<br />

registrations.) ADV 3-13<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 />

2013!<br />

Advantages of our progam:<br />

• Variety of treatment and hand techniques taught<br />

• Hands-on practice with actual patients in our clinics<br />

• Learn valuable manual lymphatic drainage applications <strong>for</strong> many<br />

other indications, such as lupus, chronic fatigue and fi bromyalgia<br />

and orthopedic concerns<br />

• We are recognized as a MLD/CDP training program by the National<br />

Lymphedema Network<br />

• Class timing and payment options to fi t your life<br />

• The most cost conservative program with all costs included upfront<br />

Monarch Continuing Education, LLC<br />

Lymphedema Certifi cation Programs<br />

Carmen Thompson, B.S., LPTA, CMT, CLT • 540-357-2084<br />

www.lymphedemahope.com • carmen@lymphedemahope.com<br />

Course Director<br />

Carmen Thompson, BS, LPTA, CMT, CLT, is a licensed <strong>Physical</strong> Therapist Assistant and Certifi ed Massage Therapist with a specialty certifi cation in<br />

Lymphatic <strong>Therapy</strong>.<br />

Student Comments:<br />

"Great seminar. Very interesting topic and Carmen did a great job presenting the in<strong>for</strong>mation. Very competent and approachable. Would defi nitely take another course<br />

taught by her and will recommend Carmen and the course to others." - Anna, Hart<strong>for</strong>d, CT<br />

"Excellent course from start to fi nish-all Modules. Carmen is passionate, knowledgeable, experienced and very personable. These all came through during the training.<br />

There were no dull moments." - Ann, Ohio<br />

Please email <strong>for</strong> registration in<strong>for</strong>mation<br />

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

INTERACTIVE WEBINARS<br />

Mar 19-21<br />

Pregnancy & Postpartum: Prenatal & Postpartum Program<br />

Mar 26-28, May 14-16<br />

Beyond Kegels: Bladder, Bowel & Pelvic Muscle Dysfunction<br />

Apr 16-18<br />

Abdominal & Pelvic Core Power: From the Athlete to the Centenarian<br />

Apr 23-25<br />

Pelvic Rotator Cuff: Low Back, SI, Hip, Knee & Ankle<br />

See course descriptions and register at www.phoenixcore.com<br />

Course options:<br />

Full MLD/CDP certifi cation program, 140 hours<br />

MLD certifi cation, 90 hours<br />

Advanced Certifi cation<br />

Who May Attend: PT, PTA, OT, COTA, RN,<br />

Massage Therapists who have completed an accredited<br />

program of 500 hours or more.<br />

(Continued from previous page)<br />

treatment approach will integrate the best evidence in a clinically<br />

relevant manner. Instructor: Megan Donaldson. Contact:<br />

Education Resources, Inc., 508-359-6533; 800-487-6530<br />

(outside MA); www.educationresourcesinc.com<br />

APRIL 5-6, 2013 KANSAS CITY, MO<br />

MAY 18-19, 2013 NASHVILLE, TN<br />

NOV. 9-10, 2013 TULSA, OK<br />

Nothing Else Matters<br />

If You Can’t Breathe!<br />

Every patient you treat is a cardiovascular and pulmonary<br />

patient. For the client in the Intensive Care Unit, the Long<br />

Term Care Unit, Acute Care, Outpatient, Home, or school<br />

setting, your therapy outcome will be limited by primary<br />

and secondary cardiopulmonary impairments. Learn how<br />

to integrate examination and treatment of these systems<br />

with your traditional approaches in order to maximize<br />

functional outcomes whether the initial diagnosis medical,<br />

neurologic or orthopedic. Improve your clinical competence<br />

<strong>for</strong> evaluating and treating the trunk and respiratory system<br />

as well as the cardiac system to alter the client’s rehabilitation<br />

outcome evidence with evidence-based interventions<br />

because Nothing Else Matters If you Can’t Breathe! Instructor:<br />

Donna Frownfelter. Contact: Education Resources, Inc.,<br />

508-359-6533; 800-487-6530 (outside MA); www.educa<br />

tionresourcesinc.com<br />

APRIL 5-6, 2013 NEWPORT NEWS, VA<br />

JULY 26-27, 2013 GREENWOOD, SC<br />

AUG. 9-10, 2013 SANTA ROSA, CA<br />

Vestibular <strong>Rehab</strong>ilitation<br />

This course will focus on the assessment of patient w/vertigo<br />

& disequilibrium from vestibular causes. Material covered<br />

includes the neuroanatomy & neurophysiology of normal<br />

vestibular system, the various pathological conditions that<br />

result in vertigo or disturbances balance & the compensatory<br />

mechanisms available <strong>for</strong> recovery. Specific emphasis on<br />

assessment & Tx of unilateral & bilateral vertigo, central vestibular<br />

disorders & multisensory dizziness. This info applicable<br />

to geriatric patients as well as individuals w/CNS lesions<br />

such as multiple sclerosis, CVA & head injury. A 3rd day of<br />

course is optional. Instructor: Richard Clendaniel. Contact:<br />

Education Resources, Inc., 508-359-6533; 800-487-6530<br />

(outside MA); www.educationresourcesinc.com<br />

APRIL 5-6, 2013 PORTLAND, OR<br />

JULY 26-27, 2013 INDIANAPOLIS, IN<br />

OCT. 5-6, 2013 MIAMI, FL<br />

Treating Patients in<br />

The Critical Care Setting<br />

Assessment and treatment of acutely ill patients safely<br />

requires integrating the patient history with current lab<br />

values, diagnostic test results, and an understanding of how<br />

their current medications affect status. Therapists need to<br />

identify signs of patient instability and know how to modify or<br />

to terminate treatment when necessary. This course provides<br />

therapists with that knowledge with a goal of preventing or<br />

reversing the deconditioning often seen in the acute care and<br />

ICU setting. Case studies will be used <strong>for</strong> clinical problem<br />

solving in order to improve functional outcomes with multiple<br />

diagnoses commonly seen. Instructor: Steven Sadowsky.<br />

Contact: Education Resources, Inc., 508-359-6533; 800-<br />

487-6530 (outside MA); www.educationresourcesinc.com<br />

APRIL 6-7, 2013 DALLAS, TX<br />

APRIL 6-7, 2013 PHILADELPHIA, PA<br />

APRIL 20-21, 2013 SEATTLE, WA<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 influences of an asymmetrical pelvis and


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 sacro-iliac instability. Mention this ad to receive<br />

a 5% tuition discount. Contact: Postural Restoration Institute,<br />

888-691-4583 (toll-free); or www.posturalrestoration.com<br />

APRIL 6-7, 2013 LEBANON, NH<br />

APRIL 20-21, 2013 KNOXVILLE, TN<br />

APRIL 20-21, 2013 LITTLE ROCK, AR<br />

KinesioTaping®<br />

Fundamentals and Advanced<br />

More KT1/KT2 dates and locations, and KinesioTaping® KT3<br />

courses listed online. KTA approved seminars. Learn the<br />

fundamental and advanced concepts, corrective techniques<br />

of the KinesioTaping® Method, and the unique properties<br />

and use of Kinesio Tape. Lab sessions provide ample time<br />

to practice kinesiotaping skills <strong>for</strong> upper and lower body<br />

applications. Hosting opportunities available <strong>for</strong> 2013 and<br />

2014. Contact: <strong>Rehab</strong> Education, LLC, 845-368-2458 <strong>for</strong><br />

questions; info@<strong>Rehab</strong>Ed.com; or www.<strong>Rehab</strong>Ed.com <strong>for</strong><br />

details and registration.<br />

APRIL 7-8, 2013 NEW YORK, NY<br />

Ball Techniques in Treatment<br />

Of the Pediatric Patient<br />

This two-day lab experience focuses on the use of gymnastic<br />

balls in therapy to promote development and function in<br />

patients. Posture and balance reactions are evaluated as<br />

well as motor planning transitions and movement on the ball.<br />

This course addresses intervention <strong>for</strong> children from infants<br />

through young adults. Group size is limited to 40 participants.<br />

Instructor: Barbara Hypes, PT. Contact: Therapeutic Services,<br />

718-692-1929; 888-7-THERAPY; 718-338-3393 (fax); www.<br />

therapeuticservicesinc.com<br />

APRIL 7-8, 2013 WEST ORANGE, NJ<br />

Neuroanatomy: A Practical<br />

Review <strong>for</strong> Clinicians<br />

This workshop provides an overview of the neural systems<br />

important in rehabilitation of neurological disorders.<br />

Discussion focuses on cortical mechanisms, ascending and<br />

descending tracts, upper and lower motor neuron syndromes,<br />

cranial nerves, basal ganglia and cerebellum using a very<br />

clinical perspective. A brief overview of a particular system<br />

is followed by discussion of disorders that would result from<br />

damage to that system. This course will focus on disorders of<br />

speech and language, limb motor skill, visual deficits, agnosia,<br />

and other perceptual deficits. Course content is focused<br />

across the lifespan. Instructor: Edythe Strand, PhD, CCC-SLP,<br />

BC-NCD. Contact: Therapeutic Services, 718-692-1929;<br />

888-7-THERAPY; 718-338-3393 (fax); www.therapeuticser<br />

vicesinc.com<br />

APRIL 11-12, 2013 LINCOLN, NE<br />

Interdisciplinary<br />

Integration - Athletic Per<strong>for</strong>mance<br />

5th Annual Interdisciplinary Integration course brings together<br />

eight highly regarded professionals to share their expertise<br />

on athletic per<strong>for</strong>mance. Symposium will include interactive<br />

discussion on maximizing athletic per<strong>for</strong>mance through<br />

identification and inhibition of interferences in strength training,<br />

equipment use, holistic integration, visual processing,<br />

coaching, breathing, transverse plane rotation and overhead<br />

activity. Emphasis will be placed on training and conditioning<br />

concepts that maximize stability, confidence and repetitive<br />

Academy of Lymphatic Studies<br />

Website www.acols.com Phone 1.800.863.5935<br />

control of the athlete’s use of their neuromuscular system.<br />

Maximal individual per<strong>for</strong>mance requires guidance on regulating<br />

athletic activity. Speakers will provide parameters,<br />

boundaries and insight <strong>for</strong> healthy restrictions <strong>for</strong> safe<br />

optimal athletic function. Mention this ad to receive a 5%<br />

tuition discount. Contact: Postural Restoration Institute,<br />

888-691-4583 (toll-free); or www.posturalrestoration.com<br />

APRIL 12-13, 2013 CHICAGO, IL<br />

JULY 26-27, 2013 HOLLYWOOD, FL<br />

SEPT, 27-28, 2013 HAMDEN, CT<br />

Functional<br />

Strengthening in Children<br />

This course will assist clinicians in designing treatment<br />

programs to improve strength, fitness, and function in children<br />

with disabilities and chronic conditions. An evidencebased<br />

approach to examination, treatment strategies and<br />

outcome measurement will be presented. Case examples<br />

will be used to illustrate treatment activities using weights,<br />

therapy balls, treadmills and other exercise equipment.<br />

Instructor: Maria Fragala Pinkham, Maggie O’Neil. Contact:<br />

Education Resources, Inc., 508-359-6533; 800-487-6530<br />

(outside MA); www.educationresourcesinc.com<br />

APRIL 13-14, 2013 SEWICKLEY, PA<br />

MAY 31-JUNE 1, 2013 ENGLEWOOD, NJ<br />

OCT. 11-12, 2013 HOLLYWOOD, FL<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 />

(Continued on next page)<br />

can get Certified Faster!<br />

Complete Lymphedema Certification* (135 hours) Certification in Manual Lymph Drainage (40 hours)<br />

Now you<br />

March 9-19 Memphis, TN<br />

March 9-19 Minneapolis, MN<br />

April 13-23 Hart<strong>for</strong>d, CT<br />

April 13-23 Palm Beach Gardens, FL<br />

May 4-14 Austin, TX<br />

May 4-14 Palm Beach Gardens, FL<br />

June 1-11 Indianapolis, IN<br />

June 1-11 Los Angeles, CA<br />

June 1-11 Palm Beach Gardens, FL<br />

July 13-23 Atlanta, GA<br />

July 13-23 Baltimore, MD<br />

LANA ® Exam Preparation<br />

Course (16 hours)<br />

March 2-3 Palm Beach Gardens, FL<br />

Aug 24-25 Baton Rouge, LA<br />

Wound Management Strategies <strong>for</strong><br />

Patients w/ Lymphedema (16 hours)<br />

March 21-22 Palm Beach Gardens, FL<br />

Aug 20-21 Baton Rouge, LA<br />

even<br />

Lymphedema Management Seminar (31 hours)<br />

March 2-5 Palm Beach Gardens, FL<br />

April 6-9 New York, NY<br />

May 18-21 Palm Beach Gardens, FL<br />

June 22-25 Sacramento, CA<br />

July 27-30 Palm Beach Gardens, FL<br />

Advanced Lymphedema Management I (24 hours) Management of Lymphedema Affecting Head and Neck (14 hours)<br />

May 23-26 Palm Beach Gardens, FL<br />

Oct 3-6 Baton Rouge, LA<br />

Feb 20-24 Palm Beach Gardens, FL<br />

April 24-28 Mount Kisco, NY<br />

July 24-28 Minneapolis, MN<br />

April 13-14 Palm Beach Gardens, FL<br />

Oct 19-20 Baton Rouge, LA<br />

Advanced Wound<br />

Management (16 hours)<br />

March 23-24 Palm Beach Gardens, FL<br />

Aug 22-23 Baton Rouge, LA<br />

More dates and locations available online. Courses approved <strong>for</strong> CEU’s.<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 />

(Continued from previous page)<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<br />

priority impairments and facilitate optimal control of posture<br />

and movement. Instructor: Linda Kleibhan. Contact:<br />

Education Resources, Inc., 508-359-6533; 800-487-6530<br />

(outside MA); www.educationresourcesinc.com<br />

APRIL 13-14, 2013 STATEN ISLAND, NY<br />

JUNE 1-2, 2013 KALAMAZOO, MI<br />

OCT. 26-27, 2013 HOLLYWOOD, FL<br />

Diagnosis/Treatment:<br />

Movement Impairment Syndromes<br />

The concepts and principles of the movement system<br />

impairment (MSI) theory as developed by Shirley Sahrmann,<br />

PT, PhD, FAPTA, and its relationship to alteration in neuromusculoskeletal<br />

function will be presented. This course will<br />

enable the clinician to identify impairments in alignment,<br />

muscle length, and pattern of movement and their relationship<br />

to musculoskeletal pain syndromes. The signs and<br />

symptoms of syndromes to be diagnosed by the therapist will<br />

be described. Discussion will focus on developing a precise<br />

therapeutic exercise program to correct faulty posture and<br />

movement associated with functional activities. Instructor:<br />

Mary Kate McDonnell. Contact: Education Resources, Inc.,<br />

508-359-6533; 800-487-6530 (outside MA); www.educa<br />

tionresourcesinc.com<br />

APRIL 13-14, 2013 LAS VEGAS, NV<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 />

APRIL 14-15, 2013 NEW YORK, NY<br />

MNRI® Reflex Integration:<br />

Survival & Neurodevelopment<br />

MNRI® is a comprehensive set of programs that focus on<br />

motor reflex and sensory system integration. The primary<br />

focus of the MNRI Method is to support the integration process<br />

of primary motor reflex patterns regardless of a person’s<br />

condition or age. This workshop will give specific in<strong>for</strong>mation<br />

on the MNRI Neurosensorimotor Reflex Integration processes;<br />

share current research; explain the MNRI Reflex Pattern<br />

Assessment and provide specific strategies <strong>for</strong> use of the<br />

Masgutova Method with children and adults of different<br />

challenges. Instructor: Svetlana Masgutova, PhD. Contact:<br />

Therapeutic Services, 718-692-1929; 888-7-THERAPY; 718-<br />

338-3393 (fax); www.therapeuticservicesinc.com<br />

RENEW YOUR FREE <strong>ADVANCE</strong> SUBSCRIPTION TODAY<br />

WWW.<strong>ADVANCE</strong>WEB.COM<br />

Andrea Wolkenberg<br />

PT, MA, CKTI<br />

Your Clinical Success is your Choice... and our Passion!<br />

FOR MORE DATES AND LOCATIONS, VISIT US AT<br />

www.HandsOnSeminars.com or Call (888) 767-5003<br />

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

Become certified in the art and<br />

practice of Kinesio Taping<br />

Kinesio Taping Certification (CKTP®)<br />

Fundamentals & Advanced (KT1&2)<br />

Advanced Whole Body (KT3)<br />

Regular Price: $799<br />

Sale Price: $699 with Promo Code CKTP<br />

Astoria, NY - Lakeland, FL - Miami, FL - Warwick, RI<br />

Approved Partner Hosted Seminar Provider by<br />

Kinesio Taping Association International (KTAI)<br />

APRIL 14-15, 2013 BAYSHORE, NY<br />

JULY 7-8, 2013 MANHATTAN, NY<br />

DEC. 8, 2013 MANHATTAN, NY<br />

Kinesio Taping Method<br />

KT1 & KT2, KT3 Certification<br />

Kinesio Tex Tape is the original and industry standard in elastic<br />

therapeutic taping. Learn to use this powerful modality to<br />

decrease pain, normalize muscle tension, increase circulation,<br />

influence fascia, support tendons and ligaments, prevent pathological<br />

movement patterns, and extend your manual treatment<br />

well beyond what you achieve in the clinic. Instructor: Andrea<br />

Wolkenberg, PT, MA, CKTI - CEUs <strong>for</strong> PTs/PTAs (NYPTA); OTs/<br />

COTAs (AOTA) - Approved by KTA - Package deals available.<br />

Contact: Felicity Pine, Live and Learn Consulting, 914-263-1943;<br />

E-mail: Info@SpineSolvers.com or www.SpineSolvers.com<br />

APRIL 18-19, 2013 OCONOMOWOC, WI<br />

WI <strong>Physical</strong> <strong>Therapy</strong> Association<br />

Spring Conference<br />

The Wisconsin <strong>Physical</strong> <strong>Therapy</strong> Association (WPTA) will<br />

host its Spring Conference April 18-19, 2013 at the Olympia<br />

Resort & Convention Center, Oconomowoc. The conference<br />

will feature hands-on labs, lectures, discussions, expert<br />

panels and a professional issues <strong>for</strong>um. Attendees will<br />

receive contact hours qualified as continuing education by<br />

the Wisconsin DSPS <strong>for</strong> courses attended in their entirety.<br />

Registration includes continental breakfasts, morning &<br />

afternoon breaks, luncheons, Welcome Reception, Business<br />

Meeting, Awards Dinner and conference materials. All classes<br />

are held on a first-come, first-served basis. Sign up early!<br />

Contact: WPTA office, 608-221-9191; wpta@wpta.org <strong>for</strong><br />

more in<strong>for</strong>mation or www.wpta.org to download a registration<br />

<strong>for</strong>m or register online.<br />

APRIL 18-21, 2013 CHICAGO, IL<br />

MAY 2-5, 2013 BALTIMORE, MD<br />

MAY 16-19, 2013 PHILADELPHIA, 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 />

APRIL 20-21, 2013 LEXINGTON, KY<br />

MAY 18-19, 2013 HARTFORD, CT<br />

Orthopedic <strong>Therapy</strong> of the<br />

Shoulder: Examination & Intervention<br />

Evidence-based approach to evaluation and manual treatment<br />

of shoulder pathologies includes in-depth presentation,<br />

anatomechanics, non-operative, surgical and post-operative<br />

interventions <strong>for</strong> common shoulder problems, and extensive<br />

hands-on lab sessions. Instructor: Martin J. Kelley, PT, DPT,<br />

OCS. Hosting opportunities available <strong>for</strong> 2013 and 2014.<br />

Contact: <strong>Rehab</strong> Education, LLC, 845-368-2458 <strong>for</strong> questions;<br />

info@<strong>Rehab</strong>Ed.com or www.<strong>Rehab</strong>Ed.com<br />

APRIL 20-21, 2013 NEWARK, NJ<br />

MAY 18-19, 2013 CHICAGO, IL<br />

JUNE 8-9, 2013 ATLANTA, GA<br />

Starting and Running a<br />

Pediatric <strong>Therapy</strong> Practice<br />

This seminar presented by entrepreneur Vincent Mullins,<br />

MOT, OTR, will provide clear steps to open and run a pediatric


OT/PT/ST private practice. All aspects of start-up and growth<br />

of the practice will be presented through personal experience<br />

and years of research and development. Both therapy and<br />

business portions will be discussed. 11 CE hours. Live video<br />

available <strong>for</strong> those unable to attend. Contact: 940-300-2299;<br />

or www.THERAPYSEMINARSLLC.com to register online.<br />

APRIL 20-21, 2013 AUSTIN, TX<br />

JUNE 22-23, 2013 CHARLESTON, SC<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 />

APRIL 20-21, 2013 LINCOLN, NE<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 />

APRIL 21-22, 2013 NEW YORK, NY<br />

Taping <strong>for</strong> Alignment,<br />

Strength & Function in Children<br />

Enhance therapy outcomes in your pediatric clients by utilizing<br />

a combination of taping and strengthening techniques<br />

that will be presented in this course. You will practice with a<br />

variety of materials on other class participants. Strengthening<br />

strategies will be presented and practiced to enhance<br />

the <strong>new</strong> alignment achieved through taping. Examples<br />

of intervention with children through videotape and case<br />

studies will rein<strong>for</strong>ce learning. This course is applicable <strong>for</strong><br />

pediatric therapists of any level and provides techniques that<br />

can be used throughout the life span. Group size is limited.<br />

Instructor: Jacqueline Grimenstein, PT. Contact: Therapeutic<br />

Services, 718-692-1929; 888-7-THERAPY; 718-338-3393<br />

(fax); www.therapeuticservicesinc.com<br />

APRIL 26-27, 2013 BALTIMORE, MD<br />

Connective Tissue Mobilization<br />

For Pediatric Therapist<br />

Connective tissue changes may contribute to postural misalignment<br />

and movement dysfunction in children. This course<br />

introduces therapists to basic practices of connective tissue<br />

mobilization. Through observation, and hands on practicum,<br />

you will learn to identify and treat connective tissue restrictions<br />

resulting in structural misalignments, which interfere<br />

with efficient functional movement. Treatments specific to<br />

neuromotor impairment, musculoskeletal injury, post-surgical<br />

scars, and torticollis will be explored. Contact: Care<br />

Resources, 888-613-2275; or www.careresourcesinc.com<br />

APRIL 26-27, 2013 PUYALLUP, WA<br />

SEPT. 20-21, 2013 ORLAND PARK, IL<br />

OCT. 18-19, 2013 CEDAR KNOLLS, NJ<br />

Effective Ways to<br />

Manage Behavior in Autism<br />

Effectively treat children with sensory integration and<br />

behavior problems using a <strong>new</strong> approach that combines<br />

sensory integration and behavioral techniques into your<br />

current pediatric therapy. Emphasizes practical evidencebased<br />

strategies involving handling, play, art, music<br />

and movement activities. Approach synthesizes Sensory<br />

Integration, Behavioral, NDT, NeuroPsychology, Sensory<br />

Massage and Trager Body Work. Instructor: John Pagano.<br />

Contact: Education Resources, Inc., 508-359-6533; 800-<br />

487-6530; www.educationresourcesinc.com<br />

Entry-level DPT in a<br />

Weekend On-Campus Format<br />

The Neumann DPT…<br />

<br />

<br />

<br />

<br />

APRIL 27-28, 2013 HOLLYWOOD, FL<br />

JUNE 1-2, 2013 FORT WORTH, TX<br />

ICU and Acute<br />

Care Update<br />

Therapists working with patients in ICU face a complex<br />

challenge. These patients have limited mobility due to life<br />

support, monitoring equipment, multiple medical problems<br />

and muscle weakness. Early mobility and walking enhances<br />

functional outcomes by optimizing cardiopulmonary and neuromuscular<br />

status. It can lead to an increase in the patient’s<br />

quality of life and higher functional capability, and potentially<br />

reduce length of hospital stay. Case reports will be presented<br />

to demonstrate how the early mobility and walking program<br />

in ICU can positively impact the recovery of selected patients.<br />

Instructor: Christiane Perme. Contact: Education Resources,<br />

Inc., 800-487-6530; www.educationresourcesinc.com<br />

<br />

<br />

<br />

Aston, Pennsylvania<br />

WWW.<strong>ADVANCE</strong>WEB.COM/JOBFAIRS<br />

<br />

www.neumann.edu<br />

<br />

<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 />

APRIL 27-28, 2013 TAMPA, FL<br />

JUNE 1-2, 2013 SAN DIEGO, CA<br />

OCT. 19-20, 2013 MCKINNEY, TX<br />

Clinical Use of Graded Motor<br />

Imagery <strong>for</strong> Rewiring the Brain<br />

Graded Motor Imagery, an emerging therapeutic strategy<br />

<strong>for</strong> treating patients, integrates established principles of<br />

graded exposure and response prevention with the cur-<br />

Presents:<br />

LOTION & BRUSHES & SWINGS OH MY!<br />

Integrating Sensory Techniques<br />

Into Pediatric Treatment<br />

Sunday, April 14, 2013<br />

Westchester, NY<br />

For brochure or more info<br />

Call 914-347-5990<br />

Sponsored by KidAbilities, LLC<br />

Speakers: Sue Seiler, OT; Liz Mangione, PT;<br />

Dawn Rubbo, SLP; Monica Nazario, OT<br />

<br />

Visit our website <strong>for</strong> the current<br />

listing of continuing education<br />

courses.<br />

www.chs-ce.uwm.edu<br />

chs-outreach@uwm.edu<br />

414.227.3123<br />

JFK Professional<br />

Development Series<br />

Spring Courses <strong>for</strong> PTs & OTs<br />

May 18 & 19, 2013<br />

The Basics of Sacroiliac Mobilization<br />

June 1 & 2, 2013<br />

Comprehensive Treatment of<br />

the Shoulder<br />

These two Great Lakes seminars will give clincians<br />

a set of clinical tools to use with con dence<br />

on Monday morning. The Basics of Sacroiliac<br />

Mobilization offers both <strong>new</strong> and seasoned clinicians<br />

a more comprehensive way of treating the<br />

pelvis while The Comprehensive Treatment of<br />

the Shoulder focuses on the concept of hypohyper<br />

compensation and offers an entirly <strong>new</strong> and<br />

unique way to treat the shoulder girdle complex.<br />

Contact Eileen Nelson, 732-632-1570; or<br />

e-mail: enelson@jfkhealth.org<br />

to recieve a brochure.<br />

Early bird in effect until March 18th. Attendance is strictly<br />

limited and registrations must be received at least 4 weeks in<br />

advance of course.<br />

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

rent theories in the neuroscience of pain and neuroplasticity.<br />

Graded Motor Imagery consists of laterality training,<br />

imagery and mirror therapy. Therapeutic interventions that<br />

help the change in the brain or cortical reorganization will<br />

be discussed at length. Appropriate <strong>for</strong> therapists treating<br />

orthopedic as well as neurological consequences of injury.<br />

Instructor: Susan W. Stralka, PT, MS, DPT. Hosting opportunities<br />

available <strong>for</strong> 2013 and 2014. Contact: <strong>Rehab</strong> Education,<br />

LLC, 845-368-2458 <strong>for</strong> questions; info@<strong>Rehab</strong>Ed.com or<br />

www.<strong>Rehab</strong>Ed.com <strong>for</strong> details and registration.<br />

APRIL 27-28, 2013 PALM SPRINGS, CA<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 />

APRIL 27-28, 2013 PEMBROKE PINES, FL<br />

JULY 26-27, 2013 NEW BRUNSWICK, NJ<br />

Treatment of<br />

The Clumsy Child<br />

Many school-age children struggle with motor skills. This lab<br />

course will provide practical and effective intervention strategies<br />

<strong>for</strong> these “clumsy” children. Underlying etiologies of<br />

clumsiness (developmental coordination disorders) as well as<br />

<strong>new</strong>er concepts of motor control and motor learning will be<br />

discussed in relationship to other neurophysiologic concepts.<br />

This course will discuss evaluation tools to isolate the roots<br />

of the problem and treatment techniques and suggestions <strong>for</strong><br />

the classroom utilizing an integrated approach. Functional<br />

outcomes and clinical effectiveness will be emphasized.<br />

Instructor: Barbara Connolly. Contact: Education Resources,<br />

Inc., 508-359-6533; 800-487-6530 (outside MA); www.<br />

educationresourcesinc.com<br />

MAY 3-5, 2013 MYRTLE BEACH, SC<br />

SCAPTA Annual Conference<br />

The South Carolina Chapter of the American <strong>Physical</strong> <strong>Therapy</strong><br />

Association (SCAPTA) will host its next Annual Conference,<br />

May 3-5, 2013 at the Sheraton Myrtle Beach Convention<br />

Center Hotel, Myrtle Beach, SC. The conference will feature<br />

expert presentations on navigating the reimbursement process,<br />

<strong>new</strong> functional limitation reporting requirements, and<br />

health care re<strong>for</strong>m; management of lumbar spine dysfunction;<br />

and techniques <strong>for</strong> identifying and treating vestibular<br />

and central nervous system disorders related to balance<br />

dysfunction <strong>for</strong> persons of all ages. The conference will also<br />

include a course <strong>for</strong> students, job fair, exhibitors, poster<br />

presentations, and fun events. Contact: www.scapta.org to<br />

register by April 1 to take advantage of early bird rates.<br />

MAY 3-5, 2013 PLANTATION, FL<br />

JUNE 7-9, 2013 PORTLAND, OR<br />

NOV. 8-10, 2013 LAS VEGAS, NV<br />

Three Day Intensive on<br />

Treating the Child with Hypotonia<br />

This three day intensive workshop on treating the child with<br />

hypotonia will focus on specific strategies to improve motor<br />

control in this population. Techniques to improve proximal<br />

control, sustained postural movements against gravity, and<br />

symmetrical alignment will be demonstrated through use of<br />

videotapes, as well as 3 patient demonstrations and practice<br />

labs. Lecture and video material will cover key deficits in<br />

the motor and sensory development of the hypotonic child.<br />

Instructor: Barbara Hypes. Contact: Education Resources,<br />

Inc., 508-359-6533; 800-487-6530 (outside MA); www.<br />

educationresourcesinc.com<br />

MAY 4-5, 2013 BETHESDA, MD<br />

ProHealth Pilates Mat<br />

Course & Certificate<br />

Joseph Pilates developed a series of rehabilitation exercises<br />

focused on what he called the “powerhouse” of the body over<br />

50 years ago. His core stabilization programs and movement<br />

principles are appropriate <strong>for</strong> all types of clients and patients.<br />

ProHealth has designed an 18 hour course to explore the<br />

scientific side of Pilates. This program is designed specifically<br />

<strong>for</strong> licensed health care professionals who already have<br />

an excellent grasp of anatomy. Class time is spent on proper<br />

<strong>for</strong>m, function and progression. The science behind Pilates<br />

movement is explored by breaking down each exercise from<br />

the perspective of biomechanics, kinesiology and pathology.<br />

The curriculum includes the latest research on the multifidus,<br />

transverse abdominis, diaphragm and pelvic floor. The<br />

course also teaches the practitioner how to develop a Pilates<br />

program into a cash based business model. Contact: 301-<br />

263-9115; or www.prohealthandfitness.com<br />

MAY 4-5, 2013 ATLANTIC CITY, NJ<br />

JULY 20-21, 2013 LOS ANGELES, CA<br />

SEPT. 21-22, 2013 DENVER, CO<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 />

MAY 4-5, 2013 CHEYENNE, WY<br />

JULY 27-28, 2013 SEATTLE, WA<br />

SEPT. 21-22, 2013 DUBUQUE, IA<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 />

MAY 4-5, 2013 BOSTON, MA<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, utilizing<br />

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 />

FREE E-NEWSLETTER — WWW.<strong>ADVANCE</strong>WEB.COM


MAY 5, 2013 NEW YORK, NY<br />

Using Nutrition to<br />

Improve Biochemistry of Development<br />

This course is designed to help therapists and teachers<br />

improve clinical outcomes by identifying children who are<br />

not reaching their potential because of poor diet or insufficient<br />

nutrients <strong>for</strong> cognitive development. Youngsters can<br />

be eating foods that are irritating the system or missing<br />

nutrients needed to create neurological connections. Learn<br />

how to recognize nutritional problems that may be slowing<br />

down progress. Discover creative strategies <strong>for</strong> low muscle<br />

tone, cognitive enhancement, and improving classroom function.<br />

Nutritional strategies that support speech, occupational,<br />

and physical therapies will be discussed. Instructor: Kelly<br />

Dorfman, MS, LND. Contact: Therapeutic Services, 718-<br />

692-1929; 888-7-THERAPY; 718-338-3393 (fax); www.<br />

therapeuticservicesinc.com<br />

MAY 10-11, 2013 STATEN ISLAND, NY<br />

OCT. 26-27, 2013 PEMBROKE PINES, FL<br />

NOV. 22-23, 2013 DERBY, CT<br />

Clinical Applications of<br />

Pilates, Tai Chi and Yoga<br />

This seminar will arm you with <strong>new</strong> tools to enhance our<br />

therapy outcomes. Learn to apply and modify Yoga, Pilates<br />

and Tai Chi into your therapeutic regime whether you are<br />

working in acute care, rehab, OPD or home care with<br />

patients of all abilities. The workshop focuses on techniques<br />

to facilitate core stabilization, muscle re-education, postural<br />

alignment, symmetry, mobility, and movement awareness.<br />

Learn to incorporate and modify these effective techniques<br />

<strong>for</strong> patients with neurologic dysfunction, orthopedic dysfunction,<br />

medical complexities, pulmonary conditions, myofascial<br />

pain, osteoporosis, arthritis. Instructor: Tim Dreher. Contact:<br />

Education Resources, Inc., 508-359-6533; 800-487-6530<br />

(outside MA); www.educationresourcesinc.com<br />

MAY 18-19, 2013 JACKSON, MS<br />

AUG. 17-18, 2013 RICHMOND, VA<br />

SEP. 21-22, 2013 LOGAN, UT<br />

Put Some Muscle<br />

Into Ther Ex<br />

Speaker: Wendy K. Anemaet, PT, PhD, GCS, CWS, GTC, COS-<br />

C; Strength loss begins in the 30's - but what's next? MMT's<br />

unreliable - what other options exist. Which muscles matter<br />

most to ADL? Join us <strong>for</strong> an intensive, fun, 2-day tune up to<br />

strengthen your outcomes and change the way you prescribe<br />

Ther Ex on Monday morning! 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 18-26, 2013 FT. LAUDERDALE, FL<br />

MAY 25-JUNE 2, 2013 PHILADELPHIA, PA<br />

JUNE 8-16, 2013 DALLAS, TX<br />

Lymphedema<br />

<strong>Therapy</strong> Certification<br />

The Norton School of Lymphatic <strong>Therapy</strong>’s Advantage Optimal<br />

Access Format is a blended live & web-based certification<br />

program producing LANA-eligible lymphedema therapists<br />

in only 9 continuous days. Only 5 workdays and 2 weekends<br />

make this course the most sensible, cost-effective,<br />

unmatched choice. Save large expenses on staff coverage,<br />

travel, hotel and meals. Take our online Virtual Tour and<br />

compare to other schools! This course teaches: Manual<br />

Lymph Drainage (MLD) & Complete Decongestive <strong>Therapy</strong><br />

(Vodder/Foeldi Tech) covering 135 hours, basic and advanced<br />

MLD, bandaging & Tx protocols, Tx of primary & secondary<br />

lymphedema, extremity & non-extremity lymphedema. All<br />

Norton School instructors are recognized national experts<br />

and are available via e-mail & phone consultation <strong>for</strong> Tx of<br />

complex patients. We offer Advanced Training Programs,<br />

Reviews, Bi-Annual Conferences, Specialized Training Videos<br />

& free lifetime listing in our Therapist Referral Database.<br />

Multiple courses offered per month nationally. Inquire about<br />

hosting a course! MD, RN, PT, OT, PT & OT Assistants,<br />

Nurses & MTs qualified. The Norton School is recognized<br />

by FPTA, NJ, SBPTE, TPTA, AOTA & NCBTMB <strong>for</strong> CEUs.<br />

Senior Faculty: Steve Norton, MLD/CD, CLT-LANA; Andrea<br />

Cheville, MD, Medical Director. Contact: 866-445-9674 (tollfree);<br />

866-854-7800 (fax); info@NortonSchool.com or www.<br />

NortonSchool.com<br />

JUNE 8-9, 2013 HOUSTON, TX<br />

Schroth Method to Treat<br />

Scoliosis at all Ages<br />

Instructor: Hagit Berdishevsky, Advanced Clinical Specialist.<br />

Location: Texas Children’s Feigin Center. Contact: Mitzi<br />

Wiggin, 832-826-6107 <strong>for</strong> more in<strong>for</strong>mation; e-mail: mmwig<br />

gin@texaschildrens.org; or register on-line: www.texaschil<br />

drens.org/pmr and click on continuing education.<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 />

BEING NEW TO THE JOB<br />

MARKET CAN BE TOUGH!<br />

At our job fairs you’ll fi nd:<br />

Instant interviews l Facility in<strong>for</strong>mation<br />

Games and prizes l <strong>ADVANCE</strong> Healthcare Shop<br />

Visit: www.advanceweb.com/jobfairs<br />

UPGRADE YOUR WORK<br />

GEAR THIS SEASON!<br />

FIND THE LATEST TRENDS AT THE<br />

<strong>ADVANCE</strong> HEALTHCARE SHOP<br />

Scrubs l Lab Coats l Shoes l Medical Equipment<br />

advancehealthcareshop.com<br />

[MAnAGEMEnT FOCuS]<br />

holistic continued from page 9<br />

Kinetic adolescent sports medicine program.<br />

Armed with a budget and various resources,<br />

Feairheller and fellow therapist Schildknecht<br />

implemented, enhanced and marketed the<br />

program. “It was all her idea,” said Rodia.<br />

“And now she is a superstar and my organization<br />

is better <strong>for</strong> it.”<br />

Jason Elvin, DPT, began his PT career just<br />

over three years ago and was eager to do so at<br />

Kinetic. In that short time, he too has found his<br />

niche in several specialty areas. He and Schildknecht<br />

run the Kinetic mentorship program<br />

<strong>for</strong> <strong>new</strong> graduate hires that meets once a week<br />

to discuss a specific topic, review an assigned<br />

article related to the topic and practice manual<br />

therapy skills <strong>for</strong> that region.<br />

Elvin and Schildknecht are also active in a<br />

task <strong>for</strong>ce along with five other Kinetic therapists<br />

who are combating fragmentation within<br />

the clinical practice.<br />

“As we shift to a value-based system, our<br />

goal is to reduce variability by ensuring that<br />

we all deliver high-quality, evidence-based<br />

care,” Elvin explained.<br />

“We are focused on addressing the fragmentation<br />

of care that has become an epidemic in<br />

our profession,” added Schildknecht.<br />

Elvin is also currently establishing an acute<br />

spine program while Schildknecht is leading<br />

an initiative in the treatment of acute low-back<br />

pain.<br />

Along with giving therapists the opportunity<br />

to grow within their clinic, Hill finds that<br />

success relies on “the golden rule” — do unto<br />

your staff as you’d have them do unto you.<br />

“We respect our therapists when they have<br />

suggestions <strong>for</strong> the clinic or need time off<br />

<strong>for</strong> an emergency or to take an exam,” she<br />

explained. “In return, our staff is willing to<br />

go out of their way to cover shifts, stay extra<br />

hours when needed etc.”<br />

Finding success is as simple as loving what<br />

you do, said Hill. “Remember that you wake<br />

up every morning with the care of human<br />

beings in your charge,” Rodia advised other<br />

practice owners. “We are healthcare providers<br />

first, business people a distant second.” n<br />

Jessica LaGrossa is a managing editor at<br />

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

www.advanceweb.com/pt<br />

For more in<strong>for</strong>mation on business<br />

& practice management, see our<br />

specialty resource centers at www.<br />

advanceweb.com/PTBusiness<br />

EDUCATION OPPORTUNITIES<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 35


[claSSIFIED MarKETPlacE]<br />

IMMIGRATION <strong>for</strong> PTs:<br />

H-1B<br />

Permanent Residency<br />

TN-1<br />

Requests <strong>for</strong> Evidence<br />

Appeals<br />

Emily Lopez Neumann<br />

Attorney at Law<br />

REDDY & NEUMANN, P.C.<br />

Houston, Texas www.rnlawgroup.com<br />

713-953-7787 emily@rnlawgroup.com<br />

* Not Certifi ed by Texas Board of Legal Specialization.<br />

[aDVaNcE ExTra!]<br />

Midwest continued from page 26<br />

Becoming Active<br />

“Since becoming active in the association, I<br />

have made multiple business contacts that have<br />

assisted me in growing my practice,” Staub said.<br />

“I have also been able to get to know many of the<br />

other small business owners in my area.”<br />

In addition, Staub has been able to network<br />

and become friends with other therapists across<br />

the state, many of whom are private practice<br />

owners.<br />

“One of the things that has been the most<br />

at a glance<br />

salary in<strong>for</strong>mation in the Midwest region<br />

pleasant surprise is how open private<br />

practice owners and therapists are to<br />

offering help so that other private practices<br />

can start and grow their business,”<br />

he said. “I also love living in a smaller<br />

town. The people in the community like<br />

to see small businesses succeed and will<br />

go out of their way to spread a good<br />

word about you if you provide excellent<br />

service.”<br />

Working in a rural area means Staub’s<br />

days are diverse, as on any given day<br />

he’ll treat individuals after surgery or<br />

athletic injury, in home care, skilled nursing,<br />

pediatrics, lymphedema, spinal cord<br />

injury, aquatic therapy or sports per<strong>for</strong>mance<br />

training.<br />

“Having a practice in this setting has<br />

really improved my skills as a therapist<br />

in general, rather than focusing on one<br />

specific area, which can sometimes happen<br />

in larger cities,” he said.<br />

PTs in Iowa can find a variety of work<br />

settings, with opportunities available in<br />

hospitals, skilled nursing, outpatient,<br />

home care and schools.<br />

“From what I have seen on advertising<br />

<strong>for</strong> job openings, if a therapist wants a<br />

job, they really should not have difficulty<br />

finding one,” Staub said.<br />

Research and Technology<br />

Missouri’s diverse patient population<br />

combined with hospitals that provide<br />

cutting-edge research and technologies<br />

also have made David Buerck, PT, a wellrounded<br />

therapist.<br />

“From outpatient to skilled nursing to<br />

home health, the demand <strong>for</strong> physical<br />

therapists remains high,” said Buerck,<br />

clinic director at Farmington Sports &<br />

<strong>Rehab</strong>ilitation Center in Farmington,<br />

MO. “It is usually a pretty competitive<br />

environment when trying to hire a physical<br />

therapist as typically there is more<br />

than one organization trying to recruit<br />

the same therapist.”<br />

From statewide events hosted through<br />

the Missouri <strong>Physical</strong> <strong>Therapy</strong> Association<br />

(MPTA) to more regional opportunities<br />

through MPTA’s district chapters,<br />

there are always options <strong>for</strong> PTs to pursue<br />

continuing education, Buerck said.<br />

Independent companies and organizations,<br />

especially in the larger metropolitan<br />

areas of St. Louis, Columbia, Kansas<br />

City, Cape Girardeau and Springfield,<br />

also provide CEUs. “Missouri has a lot to<br />

offer me as a physical therapist,” Buerck<br />

said. n<br />

Sarah Long is a freelance writer.<br />

Illinois Indiana Iowa Kansas Minnesota<br />

employed Pts 8,030 4,310 1,820 1,530 3,220<br />

employed Ptas 3,720 1,820 870 940 1,020<br />

employed Pt aides 2,420 770 430 470 260<br />

Pt average salary $77,840 $75,190 $77,540 $74,000 $71,900<br />

Pta average salary $47,430 $52,950 $43,590 $53,150 $43,680<br />

Pt aide salary $25,872 $26,970 $24,750 $23,790 $28,240<br />

Missouri Nebraska North Dakota South Dakota Wisconsin<br />

employed Pts 4,160 1,290 560 590 4,090<br />

employed Ptas 2,090 570 100 250 1,400<br />

employed Pt aides 740 590 170 90 590<br />

Pt average salary $72,510 $75,290 $61,720 $70,470 $75,900<br />

Pta average salary $47,870 $49,510 $40,590 $33,440 $48,590<br />

Pt aide salary $24,360 $22,400 $24,790 $24,030 $27,610<br />

Salary in<strong>for</strong>mation provided by the U.S. Department of Labor, www.bls.gov. State licensing agencies can be found at www.fsbpt.org/licensing/index.asp<br />

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


CLASSIFIED EMPLOYMENT OPPORTUNITIES<br />

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

<strong>for</strong> <strong>Physical</strong> Therapists & <strong>Rehab</strong> <strong>Medicine</strong><br />

reaches over 85,100 active, qualified physical therapy<br />

professionals nationwide every issue.<br />

1 New England . . . . . . . . . . . . . . . . . . . . . . p. 37<br />

2 Middle Atlantic . . . . . . . . . . . . . . . . . . . . . p. 37<br />

3 Upper South Atlantic . . . . . . . . . . . . . . . . p. 41<br />

4 Lower South Atlantic . . . . . . . . . . . . . . . . p. 41<br />

5 East South Central . . . . . . . . . . . . . . . . . . p. 42<br />

8 West South Central. . . . . . . . . . . . . . . . . . p. 42<br />

11 Pacific. . . . . . . . . . . . . . . . . . . . . . . . . . . . p. 42<br />

National . . . . . . . . . . . . . . . . . . . . . . . . . . p. 42<br />

NEW ENGLAND<br />

Grow with US!<br />

Premier Home Health Care, an established home<br />

care co., seeks motivated, caring PT professionals:<br />

PHYSICAL THERAPISTS<br />

Per Diem<br />

Seeking skilled Per Diem PTs<br />

<strong>for</strong> the Greenwich, Stam<strong>for</strong>d,<br />

Bridgeport & Fairfield areas.<br />

Previous home care exp pref.<br />

CT lic/registration req. Flex schedules & competitive<br />

rates with this growing, caring org.<br />

mfiorentino@<br />

premierhomehealthcare.com<br />

Or Fax To: 914-539-4000<br />

MIDDLE ATLANTIC<br />

Connecticut, New Jersey, New York, Pennsylvania<br />

HAND THERAPISTS<br />

Join our Team!<br />

Busy Hand Therapists looking <strong>for</strong> OT and<br />

PT Hand Therapists to join them. Best<br />

work environment, varied caseload,<br />

continuing education, research, and more.<br />

Flexible hours, FT or PT, competitive<br />

salary and outstanding benefi ts.<br />

Don’t miss this unique opportunity.<br />

Contact us today.<br />

PTA/OTA also welcome to apply.<br />

Pennsylvania Hand Center<br />

Bryn Mawr & Collegeville, PA<br />

E-mail resume to<br />

phchire@hotmail.com<br />

PHYSICAL THERAPIST<br />

Developmental Disabilities Opportunity<br />

The Shield Institute invites a NYS licensed/registered<br />

PT to join our team at our Queens special education<br />

program. Position offers a competitive salary and an<br />

excellent benefit package. Applicants should send<br />

letter of interest, a resume and proof of eligibility to:<br />

Director of Human Resources<br />

144-61 Roosevelt Ave, Flushing, NY 11354<br />

Fax: 718-961-7669 • Email: HR@shield.org<br />

www.shield.org<br />

EOE AAP<br />

Educating and Supporting New Yorkers with Developmental Disabilities<br />

Enhance your career, while enhancing the lives of others.<br />

Hudson Valley Hospital is a 128-bed, acute-care<br />

Magnet hospital, located in suburban Westchester<br />

County, NY. Our dynamic team of profes-<br />

sionals share an enhanced commitment<br />

to excellence! We are making<br />

life more rewarding than ever <strong>for</strong><br />

this caring, compassionate team!<br />

We invite you to join us...<br />

<strong>Physical</strong> Therapists - FT & Per Diem<br />

$15,000 SIGN-ON BONUS (Full Time only)<br />

Inpatient Therapist Sunday-Thursday 9am-5pm<br />

Nationally<br />

ranked in the<br />

93rd<br />

percentile <strong>for</strong><br />

employee<br />

satisfaction!<br />

Outpatient Therapist Mon-Thurs 12pm-8pm, Fri 9am-5pm<br />

Applicants must be licensed in PT in NYS & able to work independently.<br />

New salary scale in place! In return <strong>for</strong> your ability & dedication, we<br />

offer an excellent total compensation package and a pleasant working environment<br />

which fosters personal and professional growth. Please send resume<br />

& salary requirements to:<br />

Human Resources, Hudson Valley Hospital Center<br />

1980 Crompond Rd., Cortlandt Manor, NY 10567<br />

Fax: (914) 734-3784 • E-mail: bkatona@hvhc.org<br />

EOE M/F<br />

A Better Place To Work...<br />

PT<br />

Needed<br />

Available in Southern<br />

Westchester School<br />

Full/Part-time,<br />

Per Diem placement available<br />

Competitive hourly rates<br />

Contact Mario Pellegrino<br />

Tel: (845) 893-7550<br />

Fax: (845) 639-6749<br />

mpellegrinoOT@gmail.com<br />

AAHAVA<br />

Medical and <strong>Rehab</strong> Center<br />

A private multidisciplinary facility seeks Full-Time<br />

and 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<br />

(718) 951-8800 x 2181 • E-mail: community64@msn.com<br />

Lebovitsg@gmail.com<br />

www.advanceweb.com/pt | March 4, 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 York<br />

YOU TAKE CARE<br />

OF OUR PATIENTS.<br />

AND WE’LL TAKE<br />

CARE OF THE REST.<br />

We are an equal opportunity employer, dedicated to promoting a drug-free workplace.<br />

Remember why you became<br />

a <strong>Physical</strong> Therapist? We do.<br />

Walk-in Interviews<br />

<strong>for</strong> OTs, PTs and SLPs<br />

EVERY WEDNESDAY<br />

12pm-6pm<br />

460 West 34th Street<br />

11th oor, Manhattan<br />

www.yai.org/careers<br />

38 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | March 4, 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 />

I’m confi dent that I have the support to be successful.<br />

You may call it unusual.<br />

I call it MJHS.<br />

- Mohamed S., PT<br />

Visit us at the Advance Job Fair in Manhattan<br />

on March 14th, booth # 316.<br />

#1 NYS SHRM Best Companies To Work For in New York Award<br />

#1 Large Not-<strong>for</strong>-Pro t APA National Psychologically Healthy Workplace Award<br />

#1 Large Not-<strong>for</strong>-Pro t Crain’s Best Places To Work in New York City Award<br />

View detailed job openings and apply online at:<br />

Losing a Limb<br />

In the United States alone, there are<br />

approximately 1.8 million people living<br />

with limb loss according to National<br />

Limb Loss Amputation Center statistics.<br />

““<br />

<strong>Physical</strong> Therapists at MJHS are both encouraged and challenged<br />

to learn and grow. Leadership is available to provide guidance<br />

and lend support to your career advancement goals. You’ll also<br />

have the advantage of comprehensive educational resources,<br />

mentorships and orientations, enriching development programs,<br />

and generous tuition reimbursement – <strong>for</strong> yourself and your<br />

family. You won’t find that everywhere. But you will find it here.<br />

For more in<strong>for</strong>mation or to view current opportunities visit<br />

mjhs.jobs or scan our QR code below.<br />

EOE<br />

GIVE YOUR MARKETING A NEW<br />

TWIST WITH <strong>ADVANCE</strong> REPRINTS<br />

EMAIL REPRINTS@<strong>ADVANCE</strong>WEB.COM<br />

Visit us at Booth # 319 at the<br />

Advance NYC Career Fair!<br />

[ mjhs.jobs ]<br />

<strong>Physical</strong> Therapist/PTA<br />

Full-time/Part-time positions are available in<br />

the Bronx, NY.<br />

New Grads Welcome.<br />

Excellent Working Environment.<br />

Please e-mail or fax your resume:<br />

Fax: 347-726-3036<br />

E-mail: revivalrehabilitation@gmail.com<br />

Seeking experienced Pediatric <strong>Physical</strong> Therapists.<br />

Home and community-based services<br />

needed. All areas of Westchester County. EI<br />

and CPSE work also available in our state-of-<br />

the-art sensory gym.<br />

Fax Resume to: Heather 914-377-8700<br />

Accidents Happen<br />

Automobile accidents in the United<br />

States cost money. Just take a look at<br />

the facts and figures. According to the<br />

U.S. Department of Transportation, in<br />

2000, approximately 5.5 million nonfatal<br />

injuries occurred and over $230 billion<br />

was spent because of automobile<br />

accidents. The costs of medical and<br />

productivity losses alone account <strong>for</strong><br />

approximately $90 billion, which is<br />

almost 40 percent of total medical<br />

costs.


PHYSICAL THERAPISTS<br />

Full Time, Part Time & Per Diem<br />

______________________________________<br />

______________________________________<br />

$5,000 Sign on Bonus<br />

St. Lawrence is a 166 bed Joint Commission<br />

accredited physical rehabilitation center<br />

located just outside beautiful Princeton,<br />

NJ. Our Dynamic Interdisciplinary Inpatient<br />

Team offers you the challenge and diversity<br />

your career deserves. St. Lawrence allows<br />

you to treat a varied patient mix including,<br />

ortho, neuro, amputee, brain injury and<br />

general debility.<br />

St. Lawrence offers a very competitive salary<br />

and benefits package, including medical<br />

beginning on day one, dental, life and<br />

403(b) pension plan with company match.<br />

To apply please<br />

email resumes<br />

to John Levi at<br />

jlevi@slrc.org<br />

or call<br />

609-896-9500<br />

ext 2360.<br />

St. Lawrence<br />

<strong>Rehab</strong>ilitation Center<br />

2381 Lawrenceville<br />

Rd., Lawrenceville,<br />

NJ 08648<br />

www.slrc.org<br />

Together, Possibilities.<br />

Equal Opportunity Employer<br />

One on One <strong>Physical</strong> <strong>Therapy</strong> with locations in Staten<br />

Island & Brooklyn has job opportunities available <strong>for</strong><br />

Licensed PTs. Full and Part-time. Benefi t Package <strong>for</strong> full-time<br />

employees including paid vacation, 401k and continuing<br />

education. New Grads welcome.<br />

Fax your cover letter & resume to<br />

718-979-5236<br />

or e-mail HRMGMT31@yahoo.com<br />

Sell Your<br />

Practice<br />

Faster with<br />

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

Marketplace<br />

Ads<br />

Call 800-355-5627<br />

today!<br />

The Children’s <strong>Rehab</strong>ilitation Center in White<br />

Plains, NY is an outpatient pediatric diagnostic<br />

and treatment center <strong>for</strong> children ages birth to 21.<br />

Our team of highly skilled professionals employs<br />

comprehensive medical and rehabilitative services<br />

and an intergrated approach to early identification<br />

and treatment of children with neurological and<br />

orthopedic impairments.<br />

PEDIATRICS!<br />

PHYSICAL THERAPISTS NEEDED<br />

FOR OUR NEW SENSORY GYM,<br />

EI,PRESCHOOLERS & GREAT SCHOOL DISTRICTS!<br />

EMPLOYEE or SUBCONTRACTOR<br />

POSITIONS AVAILABLE!<br />

Great Rates! Web Billing! Continuing Ed!<br />

E-mail: cwilber@wtstherapy.com<br />

Call: (914) 686-3116 x 3 or fax: (914) 686-3082<br />

www.westchestertherapysolutions.com<br />

Westchester <strong>Therapy</strong> Solutions, PLLC<br />

Jamaica <strong>Physical</strong> <strong>Therapy</strong> - Queens/NY<br />

A <strong>Physical</strong> Therapist owned and operated clinic<br />

• Immediate PT and PTA • Full-Time & Part-Time<br />

Positions available • Excellent Salary and Bene ts<br />

• New Grads Welcome<br />

Please Fax your Resume to 718-305-4929<br />

or email stoj2010@gmail.com<br />

In the Family<br />

Familial tendencies toward obesity<br />

and type 2 diabetes give significant<br />

credibility to the genetic predisposition<br />

theory. Studies of twins have demonstrated<br />

a definite link between genetics<br />

and obesity and diabetes. A child of<br />

obese parents has a 30 percent to 40<br />

percent probability of becoming obese.<br />

The children of a diabetic parent have a<br />

25 percent risk of developing the disease.<br />

New Jersey, New York<br />

PHYSICAL THERAPIST<br />

White Plains/Westchester • Full Time<br />

In this role, you will be responsible <strong>for</strong> evaluating<br />

and treating children ages 0 - 21. We offer<br />

a supportive team environment and a strong<br />

interdisciplinary approach.<br />

One year of experience is required.<br />

We also have Per Diem positions available!<br />

We offer a competitive salary and excellent<br />

benefits (retirement plan, employer paid<br />

medical/dental, continuing education, in-service<br />

training, clinical supervision and generous paid<br />

time off). Apply today, email your resume to<br />

crcresumes@setonpediatric.org or mail to: John<br />

A. Coleman School/Westchester Campus, 317<br />

North Street, White Plains, NY 10605.<br />

Where dreams take fl ight<br />

We are an equal opportunity employer, committed to diversity.<br />

IMMEDIATE NEED FOR<br />

FULL-TIME<br />

PHYSICAL THERAPISTS<br />

Join a National Leader<br />

in Pediatric Care<br />

Voorhees Pediatric Facility<br />

has opportunities available <strong>for</strong> a Full-<br />

Time <strong>Physical</strong> Therapist position,<br />

serving infants to adolescents with<br />

a wide range of neurological and<br />

developmental disorders. Be part of a<br />

dynamic team and a caring, supportive<br />

environment!<br />

Experience with specialized pediatric<br />

population required. Opportunities<br />

available <strong>for</strong> our in house school<br />

program, community school setting,<br />

EI program, and subacute/ long-term<br />

care population.<br />

School certifi cation preferred, but<br />

not required. Excellent salary and<br />

comprehensive healthcare benefi ts<br />

package, (cont. ed, 401k and more!)<br />

New graduates with pediatric clinical<br />

experience are welcome to apply.<br />

Interested parties may contact:<br />

Roselyn A. Roxas, PT<br />

Director of <strong>Rehab</strong> Services<br />

rroxas@<strong>for</strong>kidcare.com or<br />

FAX# (856) 346-4717<br />

Tel. No. (856) 821-8497<br />

1304 Laurel Oak Rd.<br />

Voorhees, NJ 08043<br />

A specialized healthcare facility.<br />

DON’T LET YOUR FREE SUBSCRIPTION<br />

EXPIRE! CALL 800.355.1088<br />

www.advanceweb.com/pt | March 4, 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 />

Pennsylvania, New Jersey, New York<br />

Defining the Future of Clinical Care<br />

Thomas Jefferson University Hospitals, Inc., is located in the center of Philadelphia. U.S. News & World<br />

Report has rated Jefferson as the 14th best hospital in the nation <strong>for</strong> <strong>Rehab</strong>ilitation <strong>Medicine</strong>, the 20th<br />

consecutive rating <strong>for</strong> our best-in-class <strong>Rehab</strong>ilitation <strong>Medicine</strong> Department. On the leading edge of<br />

rehabilitation and utilizing some of today’s most advanced equipment and techniques, we offer an<br />

environment ideal <strong>for</strong> career success and personal satisfaction.<br />

PHYSICAL THERAPIST <strong>ADVANCE</strong>D CLINICIAN II – ACUTE CARE – ORTHOPEDICS<br />

Full time position available in the acute care orthopedic setting. This individual will be responsible<br />

<strong>for</strong> patient care, staff development/per<strong>for</strong>mance management. Work directly with Rothman Institute<br />

Physicians on program development and per<strong>for</strong>mance improvement activities. Must possess four to five<br />

years of current clinical practice in an acute care setting.<br />

PHYSICAL THERAPIST <strong>ADVANCE</strong>D CLINICIAN I – ACUTE CARE<br />

Full time position available in the Acute Care Setting. This individual will be responsible <strong>for</strong> patient care<br />

and staff development. Must possess two to three years experience in acute care.<br />

STAFF PHYSICAL THERAPISTS – ACUTE CARE<br />

Full time positions available in the Acute Care Setting. Clinical ladder and mentoring available.<br />

Experienced therapists or <strong>new</strong> graduates will be considered. PRN positions also available at all<br />

campuses <strong>for</strong> experienced therapists.<br />

PHYSICAL THERAPIST <strong>ADVANCE</strong>D CLINICIAN I – OUTPATIENT<br />

METHODIST HOSPITAL DIVISION<br />

Full time positions available in the Outpatient setting. This individual will be responsible <strong>for</strong> patient care and<br />

program development. Must possess two to three years experience in an outpatient setting.<br />

<strong>Physical</strong> Therapist<br />

Per Diem<br />

Kendal-Crosslands Communities, a continuing care<br />

retirement community, has per diem opportunities <strong>for</strong><br />

<strong>Physical</strong> Therapist with experience in geriatrics. Excellent<br />

opportunity to work in a beautiful, homelike setting<br />

near Longwood Gardens. Resident participation, team<br />

approach emphasized. Competitive rate. Visit our website<br />

at www.kcc.kendal.org <strong>for</strong> an online application.<br />

EOE/ADA<br />

P/T or Per Diem PT needed <strong>for</strong> busy<br />

outpatient clinic in Berlin, NJ.<br />

Tue nights and Thur AM<br />

$50/hour<br />

E-mail resume to:<br />

drwrightdpt@mail.com<br />

Incontinence Issues<br />

Urinary incontinence is a condition<br />

characterized by involuntary loss of<br />

urine. Approximately 13 million<br />

Americans have incontinence and the<br />

financial cost of managing the condition<br />

is more than $26.3 billion annually<br />

(www.urologyhealth.org).<br />

An invitation only job fair will be held on April 9, 2013<br />

from 1 – 4 p.m. Job ID 1010. To apply, please visit:<br />

www.jeffersonhr.org<br />

Equal Opportunity Employer<br />

Do you love working with children?<br />

Theraplay, Inc., a leading provider of children’s therapy<br />

services is seeking <strong>Physical</strong> Therapists <strong>for</strong> FT/PT/IC<br />

opportunities in our six pediatric outpatient centers,<br />

early intervention, and school services in Southeastern,<br />

PA. Come join a great team of therapists making a<br />

difference in the daily lives of fantastic kids! Named<br />

a “Top 25 Small Company p y <strong>for</strong> Working Moms.”<br />

For more details, contact Amanda Ryan, Recruiting Mgr.<br />

(610) 436-3604 x27<br />

aryan@theraplayinc.com • www.theraplayinc.com EOE<br />

Seeking PT PHYSICAL THERAPIST<br />

20-24 hrs.<br />

Flexible hours, competitive hourly rates!<br />

Must be professional and be able to work<br />

independently. New Grads Welcome!<br />

PEAK PERFORMANCE PHYSICAL THERAPY<br />

Fax resume to: (201) 997-2087<br />

or e-mail jmac082969@verizon.net<br />

FIND THOUSANDS OF JOBS ON<br />

WWW.<strong>ADVANCE</strong>WEB.COM<br />

40 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | March 4, 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 />

MBG <strong>Therapy</strong> is seeking a F/T permanent<br />

PT and PTA <strong>for</strong> a brand <strong>new</strong> outpatient<br />

facility in Dutchess County, NY.<br />

Seeking F/T and P/T PTs<br />

<strong>for</strong> birth to 5 home cases in Philadelphia.<br />

Also seeking permanent and per diem<br />

PTs and PTAs <strong>for</strong> SNFs in NJ.<br />

Please send resumes to mbgtherapy@gmail.com<br />

or fax to 201-238-2719<br />

Outpatient facility in Queens, New<br />

York. Now hiring full-time & parttime<br />

PTs. New grads welcome.<br />

Willing to sponsor H1B. Please fax<br />

resume to 212-343-3041 or E-mail:<br />

ACESopt@gmail.com<br />

How Inflammation<br />

Occurs<br />

Inflammation may be classified as<br />

acute or chronic. Acute inflammation<br />

will usually run its course quickly,<br />

especially in a healthy body. However,<br />

it is important to realize—so as not to<br />

interfere with the healing process—<br />

that a healthier individual may experience<br />

more intense symptoms because<br />

their body is more vital and capable of<br />

healing.


Join the fastest growing Pediatric<br />

<strong>Therapy</strong> company in NJ<br />

Immediate openings <strong>for</strong>: <strong>Physical</strong> Therapist (PT or PTA)<br />

School based & Outpatient <strong>Therapy</strong> Center (peds/adults) in NJ.<br />

Licensed & Certifi ed, Must enjoy working with kids.<br />

We offer: Competitive high rates - salary & IC,<br />

travel stipend,assistance with applying <strong>for</strong> NJ<br />

license & school certifi cation, benefi t package.<br />

Full-time, Per Diem or Part-time positions.<br />

E-mail resume to: Recruit@Tinytotstherapyinc.com<br />

www.Tinytotstherapyinc.com<br />

UPPER SOUTH ATLANTIC<br />

Full-Time <strong>Physical</strong> <strong>Therapy</strong><br />

in Virginia Beach<br />

APM Spine and Sports Physicians, a <strong>Physical</strong><br />

<strong>Medicine</strong> and <strong>Rehab</strong>ilitation practice, is seeking<br />

an experienced <strong>Physical</strong> Th erapist <strong>for</strong> our<br />

busy PT department. Work in a fast-paced,<br />

highly skilled practice with other experienced<br />

therapists, assistants, and physicians focused on<br />

excellent results in musculoskeletal medicine.<br />

Forward resume to:<br />

rboslet@apmspineandsports.com<br />

Fax: 757-351-6051<br />

www.apmspineandsports.com<br />

Pediatric PTs<br />

Early Intervention<br />

Opportunities in<br />

District of Columbia<br />

Contact: Care Resources today to<br />

learn more 1-877-ASK-CARE<br />

careresources-hr@careresources.net<br />

www.careresourcesinc.com<br />

EOE M/F/D/V<br />

KINESIS PHYSICAL THERAPY<br />

A therapist-owned PT clinic, seeks an experienced MD licensed<br />

manual therapist to work full-time in our Rockville offi ce.<br />

• Minimum 2 years in outpatient rehab with signifi cant manual<br />

therapy work. Shown desire to grow professionally through<br />

continuing education.<br />

• Competitive salary & benefi ts, fl exible schedule, cont. ed.<br />

• Relaxed professional environment.<br />

Please send resume and cover letter to mbooth@atteloir.com<br />

LOWER SOUTH ATLANTIC<br />

SPORTS PLUS PHYSICAL THERAPY<br />

Purely Outpatient Orthopaedics!<br />

Full-Time PTs and PTAs needed in strong outpatient ortho and sports medicine<br />

settings, including: • Orangeburg, SC (PT) • Aiken, SC (PT)<br />

• PT In-Company Traveler • Columbia, SC (Lead PT) • Gastonia, NC (PT)<br />

Contact Catherine Sullivan, MPT<br />

CLEMSON SPORTS MEDICINE & REHABILITATION<br />

(864) 482-0064, x20113 • catherine.sullivan@csmr.org<br />

www.csmr.org<br />

Carolina <strong>Therapy</strong> Services<br />

Greensboro, NC and Lumberton, NC<br />

PT/OT/SLP: Opportunities in Laurinburg, NC<br />

Home Health and PTA<br />

Management Opportunities Available!<br />

SIGN-ON BONUS OR RELOCATION PACKAGE $3,000-$5,000<br />

Competitive salaries and excellent benefits. Continuing education assistance<br />

with opportunities <strong>for</strong> professional growth.<br />

Call 866-388-9776<br />

or Fax: 866-388-9779<br />

markw@carolinatherapy.net<br />

Visit us at the Web at www.carolinatherapy.net<br />

New Jersey, Virginia, Maryland, South Carolina, North Carolina<br />

Exciting Opportunities <strong>for</strong> <strong>Physical</strong><br />

Therapists in an Industrial Setting<br />

Spartanburg Regional <strong>Rehab</strong> is experiencing tremendous<br />

growth. We currently have <strong>Physical</strong> Therapist openings at<br />

BMW Manufacturing, Spartanburg to service our industrial<br />

rehabilitation needs. The purpose of these positions is to provide<br />

proactive floor based therapeutic and ergonomic services to<br />

production associates outside of the traditional medical model.<br />

In the industrial setting, the therapist will work directly with<br />

a BC Occupational <strong>Medicine</strong> physician along with the entire<br />

occupational health team <strong>for</strong> the provision of PT services and<br />

management of RTW. Additionally opportunities within the<br />

industrial setting offer the ability to work closely with plant safety<br />

representatives and engineers in an ef<strong>for</strong>t to identify and offer<br />

solutions to address workplace risk factors. The primary patient<br />

population is outpatient orthopedic that includes a variety of both<br />

post op and conservative treatments in additions to functioning<br />

within the Direct Access provision of the state practice act.<br />

For in<strong>for</strong>mation on this and other PT opportunities, contact Jeff Fields,<br />

Spartanburg Regional Recruiter, at 800-288-7762 or jfields@srhs.com<br />

or visit spartanburgregional.com.<br />

SPARTANBURG, SC<br />

KEEP <strong>ADVANCE</strong> COMING. CALL 800.355.1088 FOR YOUR FREE SUBSCRIPTION.<br />

www.advanceweb.com/pt | March 4, 2013 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 41<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 41<br />

EOE<br />

EMPLOYMENT OPPORTUNITIES


EMPLOYMENT OPPORTUNITIES<br />

South Carolina, Texas, Alaska, Cali<strong>for</strong>nia, National, Tennessee<br />

Greenville Hospital System (GHS)<br />

<strong>Physical</strong> Therapist Opportuni es<br />

PT, Level II<br />

Patewood Memorial Hospital<br />

PT, Level II<br />

Greenville Memorial Hospital<br />

PT, Level II<br />

Roger C. Peace <strong>Rehab</strong> Hospital<br />

PRN - Home Health & Co ages @ Brushy Creek<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. 10,000+ 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<br />

ARE YOU DIRECTOR MATERIAL? Clemson Sports<br />

<strong>Medicine</strong> & <strong>Rehab</strong>ilitation has a strong outpatient ortho.<br />

caseload, with active patient population and endless marketing<br />

opportunities! Beautiful area on Lake Keowee in<br />

Salem, SC, just outside of Clemson. Successful clinic with<br />

competitive benefi ts & salary- learn more at www.csmr.org!<br />

Send resume with references to: Catherine Sullivan, MPT<br />

Clemson Sports <strong>Medicine</strong> & <strong>Rehab</strong>ilitation (home company)<br />

(846) 482-0064, x20113 • fax (864) 482-0081<br />

catherine.sullivan@csmr.org<br />

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 />

Over 30 Years of Extraordinary<br />

Home Health Care<br />

WEST SOUTH CENTRAL<br />

PACIFIC<br />

NATIONAL<br />

42 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | March 4, 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 />

EOE<br />

EXCEPTIONAL LEADERSHIP SKILLS?<br />

We have what youre looking <strong>for</strong>! Seeking Director PT <strong>for</strong> PINNACLE<br />

PHYSICAL THERAPY <strong>for</strong> our outpatient ortho. and neuro. clinic in<br />

Columbia, SC who is passionate about top-notch patient care and<br />

who welcomes relationship-building opportunities!! Incredible growth<br />

<strong>for</strong> your career, just minutes from USC and surrounded by great<br />

referral sources!<br />

Contact: Catherine Sullivan, MPT<br />

Pinnacle <strong>Physical</strong> <strong>Therapy</strong><br />

(864) 482-0064, x20113<br />

catherine.sullivan@csmr.org<br />

Full-Time<br />

Job opportunity <strong>for</strong><br />

PTs & PTAs<br />

in Victoria, Texas!<br />

Are you looking<br />

<strong>for</strong> a change?<br />

Then come join our dynamic multi-disciplinary team of therapists<br />

at Health Force Home Health Care where growth is<br />

ongoing. Our therapists are dedicated to providing excellent<br />

patient care with great teamwork and a fun atmosphere.<br />

WE OFFER: Competitive Salary, Sign-On Bonus,<br />

Great Benefi ts, Paid Holidays, CEU Allowance,<br />

Relocation Assistance and<br />

Student Loan Re-payment Assistance<br />

For more in<strong>for</strong>mation contact Christie Craft at:<br />

1-800-582-6215. To apply e-mail resume to:<br />

ccraft@health<strong>for</strong>cevictoria.com<br />

Anchorage, Alaska<br />

Come join a team that loves what<br />

it does and cares about those it<br />

serves. St. Elias Specialty Hospital’s<br />

current needs are:<br />

PHYSICAL THERAPISTS<br />

Full-time<br />

For more details or to inquire about<br />

job opportunities, please call:<br />

Human Resources: 907-564-2225<br />

Apply online<br />

www.steliashospital.com<br />

We Invest in Your Success<br />

PHYSICAL THERAPISTS<br />

and PTAs<br />

Visit www.interfacerehab.com<br />

View both our full-time and per diem positions in<br />

Southern Cali<strong>for</strong>nia. While you're there check<br />

out our "Platinum Benefi ts" that includes Unlimited<br />

"Hands On" Continuing Education. * Conditions Apply<br />

Contact:<br />

Julie Lopez 714-646-8301<br />

Julie@interfacerehab.com<br />

Citrus Heights, Sacramento Area Licensed PT<br />

Peds, state-of-the-art clinic based, work with a great team,<br />

OTs, PTs, SLPs & music therapist. Good Salary/benefi ts; PTO,<br />

continuing Ed. We welcome <strong>new</strong> grads<br />

Call: (916) 536-1100<br />

Fax resume to: (916) 536-1114<br />

therapy@sltainc.com<br />

PHYSICAL THERAPIST needed in Japan. Excellent<br />

compensation & benefi ts! Relocation Assistance. Work under the Educational<br />

& Developmental Intervention Services program <strong>for</strong> US Military Families<br />

stationed abroad. Minimum Requirements: Bachelor’s deg & 5 yrs exp,<br />

or Master’s & 2 yrs exp with relevant concentration. 2 yrs exp providing<br />

pediatric physical therapy <strong>for</strong> children ages 0-5 with special needs.<br />

Contact Lynn Romer at 1-800-852-5678 x156<br />

or e-mail lynnr@magnummedicaloverseas.com<br />

SUMMER EMPLOYMENT<br />

PTs <strong>for</strong> summer therapy camp.<br />

• Children with physical<br />

disabilities ages 3-17.<br />

Located on Lake Superior.<br />

• June 9 th through August 4 th<br />

Salary plus room and board, and<br />

the experience of a lifetime.<br />

Contact Christy Osborn.<br />

Bay Cliff Health<br />

Camp<br />

P.O. Box 310<br />

Big Bay, MI 49808<br />

Make a difference<br />

in a child’s life.<br />

906-345-9314<br />

E-mail: BayCliff@baycliff.org<br />

www.baycliff.org<br />

EAST SOUTH CENTRAL<br />

Immediate Openings<br />

Wellington Healthcare<br />

Skilled Nursing Facilities<br />

PHYSICAL THERAPY<br />

Buckhead/Atlanta – PRN, PT, PTA<br />

Shreveport, LA - PRN, PT, PTA<br />

Memphis, TN - Full-time, Part-time PT<br />

Gainesville, GA – PRN, PT, Full-time PT<br />

Competitive salary & benefi ts based on experience.<br />

Interested candidates should send their resume to:<br />

<strong>Rehab</strong>hr@wellhs.com<br />

fax to 770-740-2910 or call 251-680-1262<br />

LOOKING FOR A LOW-COST MAILER?<br />

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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 43


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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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<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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<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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$33.99 Oversized /<br />

11" x 21"<br />

CPR Barrier Shield Keychain<br />

Elastic ear bands, instruction guide and<br />

key ring hook. Latex free. Red, Blue,<br />

Green, Yellow, Black or Orange. #02333<br />

$10.99<br />

NECK OVERSIZED<br />

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BLUE<br />

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14". Plastic, measures<br />

up to 360º range.<br />

#04265 65<br />

$7.99 9<br />

Mask with CPR Barrier and Case<br />

Reusable mask with optional oxygen inlet valve and head<br />

strap. Includes vinyl gloves, alcohol wipes and case. Red.<br />

#02623 Hard Case<br />

#02622 Soft Case<br />

$19.99 ea.<br />

1-877-405-9978 • advancehealthcareshop.com<br />

<br />

<br />

<br />

Gait Transfer Belt<br />

58" x 2". Cotton with metal buckle.<br />

Pink Stripe or White Stripe. #14551<br />

$12.99<br />

PINK<br />

WHITE<br />

<br />

ROYAL<br />

BLACK<br />

<br />

Gait Transfer Belt<br />

Nylon with quick-release plastic buckle. 53" x 2".<br />

Black or Royal Blue. #04264<br />

$12.99<br />

Large Gait Transfer Belt<br />

Cotton belt with metal buckle. 72" x 2". #11180<br />

$14.99<br />

Turn the page <strong>for</strong> more great<br />

products from <strong>ADVANCE</strong>!<br />

Perfect PP <strong>for</strong><br />

Bariatric<br />

Patients<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 49


Bringing Up Baby<br />

From bodysuits to bibs, fi nd everything you need <strong>for</strong> your bundle of joy.<br />

“Grow<br />

Stronger<br />

Every Day”<br />

Unisex Baby<br />

Bodysuit<br />

Light Blue,<br />

Daffodil Yellow<br />

or White.<br />

#27263<br />

$8.99<br />

<br />

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

<br />

<br />

<br />

“Grow Stronger<br />

Every Day” Baby Bib<br />

Yellow, White or Light Blue.<br />

#27261<br />

$5.99<br />

Children’s<br />

3-Pocket<br />

Lab Coat*<br />

White. #09139<br />

$18.99 2-12/14<br />

*Add Embroidery -<br />

First line up to<br />

29 characters on<br />

sleeves or chest <strong>for</strong><br />

only $4.99 and two<br />

additional lines <strong>for</strong><br />

$1.99 per line.<br />

<br />

1.877.405.9978<br />

advancehealthcareshop.com<br />

Flip.<br />

Zoom.<br />

Click.<br />

Order.<br />

Shop our<br />

68-page<br />

interactive<br />

catalog online!<br />

20 % OFF **<br />

all orders $50 or more!<br />

USE PROMO CODE<br />

PTWTY526<br />

**Not valid on Littmann stethoscopes, Ultrascope (#11840),<br />

Oximeter (#13221), Cherokee WorkWear, affi liate-specifi c<br />

merchandise, clearance or items ending in $.97. Valid to 05/26/13.<br />

Toddler Full-Zip Hoodie*<br />

Heather Grey, Black, Light Pink, Navy or Red.<br />

#15942<br />

$18.99<br />

*Add Embroidery – 1 line up to 29 characters<br />

<strong>for</strong> only $4.99 and two additional lines <strong>for</strong><br />

$1.99 per line.<br />

“My Dad’s a<br />

<strong>Physical</strong> Therapist”<br />

Baby Bodysuit<br />

White.<br />

#04702<br />

$11.99 12 or 18 M.<br />

<br />

“Watch Your<br />

Step…My Mom’s a<br />

PT” Terry Cloth Bib<br />

White/Red.<br />

#01378<br />

$6.99<br />

Catalog Code: PT-1310<br />

Prices and offers valid through 03/31/13


FEATURED EVENT<br />

New York, NY<br />

Jacob K. Javits Convention Center<br />

655 West 34th Street New York NY 10001<br />

Thursday, March 14<br />

FREE Job Fair: 9:30am-2:30pm ET<br />

FREE Sessions: 8:00am-3:30pm ET<br />

ENJOY UP TO 5 HOURS OF FREE SESSIONS!<br />

8:00am-9:00am<br />

• Family Presence During CPR<br />

• Time Management Tips<br />

9:15am-10:15am<br />

• Infection Control, Part I<br />

• Interviewing Skills<br />

EXHIBITORS<br />

Adelphi University<br />

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

For Gear, Gadgets & Gifts<br />

AHRC<br />

Archcare/<br />

Visiting Nurse Regional<br />

Better Healthcare<br />

OT/PT/SLP, PLLC<br />

Cerebral Palsy Assoc of NYS<br />

The College of New Rochelle<br />

DaVita<br />

Elizabeth Seton<br />

Pediatric Center<br />

EmblemHealth<br />

Felician College<br />

Florida Hospital<br />

Forum Healthcare<br />

Services, Inc<br />

The Gideons International<br />

Gotham Per Diem, Inc.<br />

Greater New York Home Care<br />

Green Key Resources, LLC<br />

Healthfi rst<br />

HHH Home Care, Inc<br />

Horizon Healthcare Staffi ng<br />

Hospital <strong>for</strong> Joint Diseases<br />

Hospital <strong>for</strong> Special Surgery<br />

Inter Fysio<br />

Kings Harbor Multicare Center<br />

LIU Brooklyn<br />

Lutheran Health Care<br />

Maimonides Medical Center<br />

Mercy College<br />

MJHS<br />

New York Methodist Hospital<br />

North Shore - LIJ<br />

Health System<br />

Nursefi nders<br />

NYU Langone Medical Center<br />

Omni/FTH<br />

Onward Healthcare<br />

PACE University, Lienhard<br />

School of Nursing<br />

Pacifi c College of<br />

Oriental <strong>Medicine</strong><br />

CELEBRITY SIGHTINGS<br />

Nancy the Job Fair Navigator is the star of<br />

our job fairs. Catch a glimpse of her being<br />

glamorous and you could win cash!<br />

SHOP &<br />

SAVE<br />

The <strong>ADVANCE</strong> Healthcare<br />

Shop is at every in-person job<br />

fair with scrubs, professional<br />

items and more.<br />

SAVE 10% with the<br />

coupon found inside the<br />

program guide at your event.<br />

11:30am-1:00pm<br />

• Infection Control, Part II<br />

• Workplace Bullying<br />

1:30pm-2:00pm<br />

• Thriving in Your Career<br />

2:30pm-3:30pm<br />

• Women and Cardiovascular Disease<br />

• Medical Record Documentation<br />

Paxxon Healthcare<br />

Services, LLC<br />

Perfect Choice Staffi ng<br />

Phelps Memorial<br />

Hospital Center<br />

PRIDE Health<br />

RCM Health Care Services<br />

Response Medical Services<br />

San Jacinto Methodist Hospital<br />

Selfhelp Community<br />

Services, Inc<br />

St. Joseph’s College<br />

Suny Delhi School of Nursing<br />

TheraCare<br />

Towne Nursing Staff, Inc.<br />

Vidant Health<br />

Walden University<br />

Work<strong>for</strong>ce 1 Healthcare<br />

Career Center<br />

YAI Network<br />

Yeled V’Yalda ECC<br />

www.advancehealthcareshop.com<br />

Save time by registering early<br />

You can come to any of our in-person job fairs and register at the<br />

door, but it’s faster to handle it ahead of time. Fill out this <strong>for</strong>m and<br />

send it to us today <strong>for</strong> quick admittance on the day of the event.<br />

IN-PERSON ATTENDEE REGISTRATION FORM<br />

Fax this <strong>for</strong>m to 610-270-3184 or mail it to: <strong>ADVANCE</strong> Events,<br />

3100 Horizon Drive, King of Prussia, PA 19406. All in<strong>for</strong>mation is<br />

required to process your registration, so please print clearly.<br />

EVENT: DATE EARLY REGISTRATION DEADLINE<br />

KING OF PRUSSIA, PA: 3/5 Register on site<br />

NEW YORK, NY: 3/14 Register on site<br />

CROMWELL, CT: 3/27 3/11<br />

EDISON, NJ: 4/23 4/8<br />

MELVILLE, NY: 5/7 4/22<br />

Registration includes FREE admission to the exhibit hall and classes.<br />

Parking and lunch are not included.<br />

Register <strong>for</strong> all ONLINE EVENTS right up to the day<br />

of the event at www.advanceweb.com/events<br />

____________________________________________________________________<br />

FULL NAME<br />

____________________________________________________________________<br />

FACILITY/SCHOOL (if your confi rmation is being mailed to this location)<br />

____________________________________________________________________<br />

TITLE<br />

____________________________________________________________________<br />

SPECIALTY<br />

____________________________________________________________________<br />

HOME ADDRESS<br />

____________________________________________________________________<br />

CITY STATE ZIP<br />

____________________________________________________________________<br />

PHONE (WORK) PHONE (HOME)<br />

____________________________________________________________________<br />

FAX EMAIL<br />

____________________________________________________________________<br />

SIGNATURE<br />

We may occasionally send you mail/email with special offers from selected<br />

companies. Check the box below if you do not wish to receive such offers.<br />

MAILINGS:<br />

❍ I don't wish to receive special offers from selected companies via mail<br />

EMAIL OFFERS:<br />

When you provide your email address, you will receive an email from <strong>ADVANCE</strong> to welcome you<br />

and help you manage your email preferences.<br />

GET MORE DETAILS AT<br />

WWW.<strong>ADVANCE</strong>WEB.COM/EVENTS<br />

OR EMAIL <strong>ADVANCE</strong>EVENTS@<strong>ADVANCE</strong>WEB.COM<br />

• Prize details<br />

• Driving directions<br />

• Complete session agendas<br />

• Exhibitor lists and locations<br />

• Restaurant recommendations<br />

• Hotel recommendations and more<br />

FOLLOW US ON TWITTER<br />

twitter.com/<strong>ADVANCE</strong>Careers<br />

FIND US ON FACEBOOK<br />

facebook.com/<strong>ADVANCE</strong>Careers<br />

<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 51<br />

PT20130304


HEALTHCARE<br />

JOB FAIRS & SESSIONS<br />

IN-PERSON EVENTS<br />

Enjoy a full day of FREE career enhancement<br />

at an in-person event near you. Meet<br />

recruiters, attend sessions, shop <strong>for</strong> healthcare<br />

essentials and more. You can even win a<br />

VISA GIFT CARD just by attending!<br />

March 5<br />

King of Prussia, PA • Valley Forge Casino Resort<br />

March 14<br />

New York, NY • Jacob K. Javits Convention Center<br />

March 27<br />

Cromwell, CT<br />

Crowne Plaza Hotel Hart<strong>for</strong>d-Cromwell<br />

April 23<br />

Edison, NJ • Pines Manor<br />

May 7<br />

Melville, NY • Melville Marriott Long Island<br />

Exhibit halls are open from 9:30am-2:30pm ET. Sessions<br />

run from 8:00am-3:30pm ET.<br />

REGISTER<br />

TODAY!<br />

Visit<br />

advanceweb.com/events<br />

or snap this code<br />

ONLINE EVENTS<br />

Attend a FREE online job fair from<br />

anywhere you can access the internet.<br />

Watch exclusive webinars, chat with recruiters<br />

and instantly submit your resume. You’ll be<br />

entered to win a $100 VISA GIFT<br />

CARD as soon as you sign in to the event.<br />

June 5<br />

Washington DC Tri-State Area<br />

COVERING DC, MD AND VA<br />

12:00-5:00pm ET<br />

June 19<br />

New York Tri-State Area<br />

COVERING NY, NJ AND CT<br />

12:00-5:00pm ET<br />

Archived events remain open <strong>for</strong> 30 days.<br />

Want more in<strong>for</strong>mation? Call: 800-546-4987 • Email: <strong>ADVANCE</strong>events@advanceweb.com<br />

Complete details, session agendas, exhibitor lists, and prizes can be found at www.advanceweb.com/events.<br />

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

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