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3

contents ADVANce For PHYSIcAl tHerAPY & reHAb MeDIcINe 

Vol. 

[coVer StorY] 

18 Survivorship Services 

In a recent collaborative study between 

348 researchers, four distinct genetic 

types of breast cancer were discovered. 

Scientists hope the results of this study, 

part of a project known as the Cancer 

Genome Atlas, will lead to better treatment. 

But until a cure is found, early 

detection remains the best defense. The 

disease does not just target women; 

more than 2,000 new cases of invasive 

breast cancer were expected to be 

diagnosed in men last year. With better 

screening, more cancers are being spotted 

early. The spotlight is also beginning 

to shine on what happens after cancer. 

(Jeffrey Leeser) 

[FeAtUreD ArtIcleS] 

22 Warming Trend for Laser Treatment 

Low-level laser therapy (LLLT) devices 

produce therapeutic effects by non-thermal 

absorption of photons by cells. 

LLLT has been shown to hasten the 

inflammatory process through mitochondrial 

chromophore stimulation. 

This increases respiratory chain activity, 

which enhances ATP synthesis, cellular 

repair and reproduction. 


29 Varied Approaches for 

Chronic Trigger Pain 

Myofascial trigger-point therapy has 

become widely used by healthcare providers 

for musculoskeletal problems. Two 

instrument-assisted means of treating 

chronic pain conditions are acupuncture 

and trigger-point dry needling. Many therapists 

confuse the terms acupuncture and 

dry needling, or use the terms interchangeably. 

However, a clear distinction exists 

between the two modalities. 

23 | No. 20 | october 15, 2012 

32 Pediatrics: Balance Development 

and Bladder Control 

Bladder and bowel issues are integrally 

connected to standing balance and walking 

in children. A child learns upright 

standing and walking before bladder and 

bowel control. Balance and walking patterns 

don’t have to be perfect to aid continence. 

A child with cerebral palsy, spinal 

bifida or Down syndrome who practices 

standing and walking, even if using a 

walker, can gain better control.

With mobility options like wheelchair and scooter lifts, 

hand controls, wheelchair-accessible vehicles and the 

industry-first, factory-installed Auto Access Seat and 

other adaptive equipment, Toyota offers quality solutions to 

accommodate both caregivers and the people they care for. 

Options shown. ©2010 Toyota Motor Sales, U.S.A., Inc. 

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5

[More ArtIcleS] 

14 Management Focus: 

Past the Paper Trail 

26 Aquatic Therapy: 

Avoiding Denials 

35 Therapeutic Heat: 

Effective E-Stim and TENS 

[DePArtMeNtS] 

8 Ad Index 

10 Guest Editorial 

12 Geriatric Function 

17 Medicare Advisor 

37 Calendar/CE 

45 Classified Marketplace 

46 Classified Employment 

Opportunities 

59 ADVANCE Healthcare Shop 

[ComiNG SooN] 

Marc Nowak, PT, MPT, is the official physical 

therapist for USA Rowing. Also a staff 

therapist at the Sports Physical Therapy 

Institute in Princeton, NJ, Marc recently 

returned from the London Olympics, where 

he helped the national rowing team compete 

for gold. This cover story will reveal 

not only some highlights of that trip, but 

also delve into the types of injuries and 

rehab involved with providing treatment 

to elite rowers. 

[MUltIMeDIA] 

octoBer is Pt Month! 

Kick off the month by sending your 

colleagues a special Pt Month e-card. 

JoiN our PT CommuNiTY! 

Blogs: Meet our bloggers and read new 

posts daily! 

Physical theraPist 

in transition 

team Building 

Amid a stressful time at work, Karen 

thinks a group outing for employees 

could help let off a little steam. 

Pt and the city 

Who Will you Vote For? 

on the heels of the first Presidential debate, 

lisa looks for feedback on issues. 

More Pt Blogs 

• Life of a PTA 

• Toni Talks About PT today 

• A New York PT in Queen Elizabeth’s Court 

• ADVANCE Perspectives 

• PTA Blog Talk 

• Journey with a dPT student 

• A Busy PT’s Guide to Finding Balance 

[New! APP reVIew] 

Physical Therapy Spanish Guide 

[StUDeNt ceNter] 

article: Ingredients for Successful transitions 

news & notes: Pt Schools and Student Programs 

student links: Special interest groups and associations 

relevant to physical therapy. 

community: blogs, forums, Facebook, twitter, 

linkedIn and more! 

[colUMNS] 

neW! Water WisdoM 

industrial insights 

Medicare adVisor 

Advance for Physical Therapy & Rehab Medicine ® 

is published bi-weekly on alternate Mondays by Merion Matters, 2900 

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

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

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

facilities employing PTs. 

Postmaster: send address changes to ADVANCE for Physical Therapy & Rehab Medicine ® , Merion Matters, Circulation, 

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

permission of publisher. ©2012 Merion Matters. 

Our company publishes magazines and websites for audiologists, laboratory administrators, healthy aging profession- 


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

access For all 

therapists provide rehabilitation 

services to students with special needs. 

coMMunity chat 

Interact with colleagues! 

this Week’s hot toPics: 

ForuMs: on the hunt 

For resources 

“I am seeking a PtA, Pt or exercise physiologist 

for a developmentally delayed 

adult relative in NY.” 

looking For a neW JoB? 

Get job postings on Facebook and Twitter! 

Follow us at www.twitter.com/AdvanceP- 

TJobs and www.facebook.com/ADVANCEforPT 

to search for physical therapy jobs. 

answer these questions, ask more… Join in 

the conversation now! 

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als, health executives, health information professionals, imaging and radiation oncology professionals, long-term care 

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occupational therapy practitioners, nurse practitioners and physician assistants, physical therapy and rehabilitation professionals, 

and speech-language pathologists. 

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[GuEST EDiToriAL] 

‘Successful outcomes’ Can 

Address the wrong Problem 

8There is an old joke that goes something 

like this: A man goes to a tailor to get a new suit. 

The tailor makes a total botch of it and creates a 

suit with one arm way too short and the other 

too long, pant legs crooked and misshapen, 

along with a jacket that slopes. Instead of fixing 

it, the tailor passes it off on the poor man, 

who is too intimidated to refuse it. So the man 

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By steven Friedman, Pt 

In medicine, we are sometimes guilty of 

looking at the wrong side of the problem and 

making outcomes that fit our own conclusions 

without really addressing the actual problem. 

We wind up spending money and time trying 

to correct the wrong thing. 

Take an example of an elderly woman who 

has had several episodes of falling in her home. 

Her doctor figures it must be neurological, so 

he orders a CT scan and refers her to a neurologist. 

The CT scan shows nothing significant, 

so the neurologist determines it must be 

vestibular and sends her to a vestibular clinic. 

Their tests show some inconclusive findings, 

but the clinicians decide she could benefit from 

vestibular rehab. 

A month after her vestibular rehab, she falls 

again. Her physician then refers her to a physical 

therapist, who determines she must have 

some muscle weakness, so he starts her on leg 

exercises. After a month she falls again in her 

home, so home care is ordered. The home care 

therapist asks her to walk the way she normally 

does at home. When she puts on her “walking 

shoes,” the therapist notices they are totally 

worn on one side and cause her to sway every 

time she walks. A change of shoes, and the 

swaying goes away. 

The question this begs is, “Which of these 

things was the cause of the problem, and did 

the outcomes address the actual problem or a 

nonexistent one?” 

In medicine today, we are often faced with 

such dilemmas because we tend to see the 

problem mainly from our own narrow perspective. 

We then assume that our perspective 

is the correct one. In each of these cases, the 

interventions provided achieved a “successful 

outcome.” But achieving success in this respect 

is hardly noteworthy. 

Objective tests are also not always the answer 

because while the test may show a significant 

finding, it’s often difficult to determine for certain 

if that finding is paramount to the problem. 

Your results may be successful, but not 

completely solve the problem at hand. n 

Steven Friedman has been a PT for 30 years and 

is currently living in the Denver area while working 

as a home care clinician. He can be emailed at 

sfriedman451@gmail.com 

ADVANCE 

for Physical therapy & rehab Medicine 

is published by Merion Matters 

Publishers of leading healthcare magazines since 1985 

PuBlisher 

Ann Wiest Kielinski 

general Manager 

W.M. “Woody” Kielinski 

chieF inForMation oFFicer 

Bob Mozenter 

editorial 

Editor-Lisa Lombardo 

Managing Editors-Brian W. Ferrie, Jonathan Bassett 

Senior Regional Editor-Rebecca Mayer 

Editorial Consultants-Margaret E. Rinehart Ayres, PhD, PT, 

Jane M. Kepics, MS, PT, Susan Morrill Ramsey, MA, PT, 

Brad Thuringer, PTA, Linda Jones 

Web Manager-Jennifer Montone 

design 

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11

[GEriATriC FuNCTioN] 

Grip Strength: is it Worth Doing? 

8In our previous column (ADVANCE, Sept. 17, 

2012), we wrote that Dr. Lewis would be undergoing 

intensive training on how to properly use the 

instruments in the new NIH Toolbox. Well, the wait 

is over! As promised, we will begin to review the 

instruments within the toolbox for feasibility, ease 

of use and functionality. 

The NIH has established a comprehensive listing 

of functional tools for our use in a broad range of 

ages (3-85 years) that measure the domains of motor, 

cognitive, sensory and emotional performance. Each 

instrument has a video component where you can 

preview how to correctly perform the test or use 

the instrument. 

When you access the NIH toolbox online, the first tool featured is one 

that measures grip strength, so let’s start there. 1 As early as 1992, the 

Jamar dynamometer has been found to be a reliable and valid instrument 

to measure grip strength in a variety of patient populations. 2 In 

the elderly, hand grip strength along with tandem standing has been 

found to be just as successful in predicting recurrent falls as sophisticated 

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By carole lewis, dPt, gcs, gtc, Msg, MPa, 

Phd, FaPta, and keiba shaw, edd, MPt, Ma 

measures assessing postural sway and balance. 3 In addition, a study 

assessing grip strength as a measure of limb strength suggests that for 

healthy adults, isometric measures of grip, in combination with strength 

as demonstrated via isometric knee extension, share a common construct: 

limb muscle strength. 4 We aren’t downplaying the value of using more 

complex equipment and testing, but if you had to choose one or more 

measures to ascertain falls or the likelihood of having a recurrent fall, 

grip strength is a cost-effective (outside of the initial expense of buying 

the dynamometer), easy to administer, and time-sensitive alternative. 

The NIH toolbox website supplies a written description of testing 

protocol and patient positioning as well as a “video protocol” that shows 

exactly how the test should be administered. For the grip strength test, 

the protocol was adopted from the American Society of Hand Therapists. 

5 The patient is seated in a chair with feet flat on the ground, elbow 

flexed to 90 degrees, and arm held firm against the trunk. The patient’s 

wrist is in the neutral position, and when given the command, the patient 

is directed to squeeze, in this case a digital dynamometer, as hard as 

possible for three seconds. One practice trial during which they do not 

exert full force is followed by one test at full force with each hand. The 

test takes about three minutes, with resultant force recorded in pounds. 

A score for each hand is recorded, with the individual’s dominant 

hand the primary score taken into consideration. The dominant hand 

score is converted to the Toolbox normative scale scores and the nondominant 

hand score reported as a raw score, in pounds of force. The 

non-dominant hand information is recorded in the “Computed Score 

Non-Dominant column of the Toolbox Assessment Scores output file.” 1 

Typically within the literature where grip strength is tested, the raw 

score (amount of force measured in pounds) is used for interpretation, 

with greater force attributed to greater strength. Using the raw score 

allows for comparisons between dominant and non-dominant hand 

performance. The NIH Toolbox provides fully adjusted normative scale 

scores that account for gender, age, ethnicity and educational differences 

that can be used to evaluate performance in the dominant hand. 6 The 

developers of the Toolbox state that a fully adjusted scale score that is 

two standard deviations below the mean—in other words, a scale score 

of 70 or below—is indicative of motor dysfunction that would benefit 

from further evaluation. 

What do you think? Is grip strength worth doing? Based on the 

fact that muscle strength declines with age, and is associated with an 

increased risk of falls, potential hip fractures, loss of bone mineral density, 

functional dependence in people age 75 years and older, and loss of function 

in hospitalized patients, 7 our answer would be a resounding yes. n 

References are available online at www.advanceweb.com/pt 

Carole Lewis lectures exclusively on geriatric rehabilitation for Great Seminars 

and Books and Great Seminars Online. She is co-owner of Center of Evidence 

and consultant to Professional Sportscare & Rehabilitation. She is also editorin-chief 

of Topics in Geriatric Rehabilitation and an adjunct professor at George 

Washington University Department of Geriatrics. Keiba L. Shaw is associate 

professor at Nova Southeastern University’s College of Health Care Sciences 

Physical Therapy Department Hybrid Entry Level DPT Program, Tampa, FL.

With mobility options like wheelchair and scooter lifts, 

hand controls, wheelchair-accessible vehicles and the 

industry-first, factory-installed Auto Access Seat and 

other adaptive equipment, Toyota offers quality solutions to 

accommodate both caregivers and the people they care for. 

Options shown. ©2010 Toyota Motor Sales, U.S.A., Inc. 

www.toyotamobility.com 


13

[mANAGEmENT FoCuS] 

Moving Past the Paper trail 

Experienced practice owners enjoy the modern 

benefits of practice management technology. 

By Jonathan Bassett 

sandra Schall, PT, is a self-described “oldfashioned” 

therapist who’s been serving 

the community of Walnut Creek, CA— 

about a half-hour east of San Francisco— 

for the last 24 years. As owner of Health-Pro 

Physical Therapy, which she purchased from a 

retiring owner in 2004, Schall oversees a team 

of two PTs and one PTA in addition to techs 

and office staff. She handles everything from 

orthopedic and neurological cases to ergonomic 

consultation, hand therapy and sports medicine. 

As an experienced therapist and owner, 

Schall was content with keeping her business 

operations on paper, and didn’t think much 

about converting to a computer-based system 

until about four years ago, when her Medicare 

intermediary began to encourage their network 

providers to submit claims electronically. 

Because her practice is comprised of 20 to 

30 percent Medicare, Schall felt it was time to 

make the switch. 


“It was all new to me,” Schall said. “I needed 

some guidance.” 

Fortunately, Schall belongs to a small cadre 

of practice owners in her area that meet regularly 

to discuss issues pertinent to running 

a therapy business in California. The group 

recommended that Schall investigate a system 

that they were having success with, and she 

made the call. 

“I didn’t really have to demo other models,” 

she said. “I trust this group and they were right.” 

At first, Schall converted billing and reimbursement 

operations only, and found the 

transition wasn’t nearly as daunting as she’d 

feared. Now, she’s in the process of shifting her 

patient records and appointment management 

operations to a computer-based platform. 

In October, patient scheduling and appointment 

setting go live; she and her staff are 

learning their way around the documentation 

software system, which will be put into 

use by January. 

“Most of my clinical staff are younger than I 

am, so they were the ones actually pushing me 

to get this done,” Schall said. 

Despite the initial cost and some snags with 

compatibility—the equipment vendor had to 

remotely access her network recently to troubleshoot 

some issues—Schall is pleased with the 

ease of use, efficiency of entering patient data, 

and the timeliness of getting claims reimbursed. 

“I put this off for as long as I could,” quipped 

Schall. “Now I’m at the point where I don’t 

know why I waited this long. It’s done wonders 

for my practice’s efficiency.” 

Cliff Lafreniere, PT, Cert.MDT, also has 

decades of experience in private practice. Graduating 

from the University of North Dakota in 

1976, Lafreniere launched a private practice in 

the late 1980s that, after some restructuring and 

ownership changes, has grown into Achieve 

Therapy and Fitness, with six locations in Minnesota 

and eastern North Dakota. Lafreniere 

has had a software-based system in place for 

billing and records for over a decade, but still 

recalls the days of cumbersome handwritten 

practice management. 

“I can’t imagine going back to that way of 

running a practice,” said Lafreniere, who treats 

patients at his practice’s location in Grand Forks, 

ND, a town on the Minnesota border about an 

hour north of Fargo. “And I honestly can’t 

understand how [some practice owners] still 

operate that way.” 

Where the old system of sending dictated 

patient notes to a transcriber and then mailing 

paper forms to an insurance company might 

have taken days or weeks—longer if there was 

a missing piece of information—Lafreniere’s 

computerized system is instant and seamless. 

“I have no secretaries in any of my offices,” 

said Lafreniere, who also outsources his billing 

operations to the same company that hosts his 

practice management software. “Everything is 

streamlined. There’s no searching around for 

a missing chart when a patient comes into the 

office. And once you close your notes [at the end 

of a session], you’re finished. There’s no going 

back to re-write what you’ve done.” 

Furthermore, built-in alerts flag missing 

information and let the treating therapist know 

when a patient is coming to the end of his allotted 

number of visits. 

“All of the authorizations we have to deal 

Scott DerbY

the aBcs of ‘Meaningful use’ 

It is a rare healthcare professional who hasn’t heard about electronic 

health records (EHr). Yet as often as it’s addressed, adoption 

of this technology is not moving as quickly as anticipated, said a 

federal information technology expert. 

“there was a belief the market itself would drive implementation 

of eHrs; after all, we saw industry and retail embrace technology 

quickly,” explained Judy murphy, rN, FHimSS, FACmi, FAAN, 

deputy national coordinator for Programs and Policies in the office 

of the National coordinator (oNc) for Health It in the U.S. Department 

of Health and Human Services. 

“but technology uptake was not taking place in hospitals,” she 

said, “so the government decided to offer incentives for adopting it.” 

that incentive is called Meaningful Use, an umbrella term for rules 

and regulations that, among other things, involve electronic record 

keeping and e-documentation of care that hospitals and physicians 

must meet to qualify for federal incentive funding under the American 

recovery and reinvestment Act of 2009 (ArrA). 

It is meant to encourage providers to embrace technology and thoroughly 

document patient information that can travel with the patient 

anywhere in the healthcare continuum, encourage patients to get 

involved in maintaining their own health, and enabling providers to 

benchmark their care using evidence-based practice. 

According to provisions of the Health Information technology for 

economic and clinical Health (HItecH) Act of 2009, a component of 

ArrA, organizations that achieve meaningful use of EHrs by 2014 will 

be eligible for incentive payments. 

those incentives also are linked to reimbursement for the care of 

medicare and medicaid patients. Conversely, organizations that fail to 

achieve the standard by 2015 will be penalized. meaningful use was 

designed to occur in three stages: 

• stage 1 began in 2011 and involved adoption of computerized 

physician order entry (cPoe). 

• stage 2 brings greater emphasis, among other things, on disease 

management, clinical decision support, transition of care, documentation 

of care plans and patient access to health information. In the 

original proposal for stage 2, healthcare providers must record care 

plan fields, including goals and discharge instructions within 36 hours of 

being released from the hospital, for more than 10 percent of patients. 

Although stage 2 begins next year, final regulations have not been 

publicized. The federal government solicited public comment on proposed 

stage 2 regulations and are reviewing those comments. Final 

regulations were published this year. 

• Little has been explained about stage 3, which begins in 2015, 

and is expected to continue building on the goals of stage 1 and 2. 

Although stage 2 isn’t finalized, many of the goals within the 

original version are expected to remain intact. “the proposed stage 2 

includes criteria requiring more consumer involvement. The oNC has 

been working on consumer e-health with a program that revolves 

around three A’s: access, action and attitude,” murphy explained. 

“Stage 2 proposes encouraging patients to access their health records 

and get involved in their own healthcare, so it encourages patients to 

get a copy upon discharge of what happened to them while they were 

in the clinic or the hospital,” said Murphy. “Patients do understand 

what their health records say, despite prevailing views.” 

Some help may come from accountable care organizations 

(Acos), a network of doctors and hospitals sharing responsibility 

for providing care to patients, whether on Medicare or privately 

insured. other aid is coming from the technology industry in the 

form of mobile apps that help track chronic conditions. n 

Gail O. Guterl is a frequent contributor to ADVANce. 



15



with, this patient gets six visits, this one needs a re-evaluation at eight 

visits, how are you going to manually keep track of that?” said Lafreniere, 

adding that electronic explanation of benefits (EOB) forms are another 

major advantage when it comes to complying with insurance mandates 

and practice act regulations. 

And because payers wish to see progress from visit to visit, the short- 

and long-term goals built into the system mean fewer insurance questions 

and denials. After a patient’s session is over, scheduling the next 

one takes mere seconds. 

A final benefit to the system pointed out by Schall and Lafreniere is the 

protection they enjoy from the system that ensures all treatments were 

provided by a licensed physical therapist. 

“This is built into the system, and it means I’m protected legally and 

from denials because of missing certification,” said Lafreniere. “To me, 

that’s the true power of electronic documentation. It takes all the cumbersome 

work out of the hands of the therapist, who should be using those 

hands to treat patients.” n 

Jonathan Bassett is on staff at ADVANCE, and can be reached at jbassett@ 

advanceweb.com 

www.advanceweb.com/pt 

For more information on business & practice 

management, see our specialty resource centers 

at www.advanceweb.com/PTBusiness

Medicare adVisor 

What exactly can Pt aides do? 

By Pauline M. Franko, PT, CEEAA 

Question: I am a travel Pt currently working 

in an acute care setting in Arizona. This facility 

pairs a Pt with a Pt aide. the aides are in 

a patient’s room providing the patient with 

exercises, while the Pt is either treating another 

patient (in a different room) or out of sight performing 

documentation. 

The Arizona practice act allows on-site and 

general supervision. However, it is my understanding 

that Medicare guidelines do not allow 

aides to perform Pt tasks such as exercises or 

transfers. I have discussed this with my supervisor, 

and he presented me a copy of the Medicare 

Advisor column from ADVANCE, dated July 

25, 2011. the supervisor feels the explanation 

in the article of how the DrG reimbursement 

is bundled and the cPt is not charged to the 

patient but is used as an accounting of time 

spent justifies the use of aides in this manner. 

I contend that Medicare is very clear regarding 

the use of aides with Medicare patients. the 

aide will provide exercises, walk a patient, or 

transfer a patient, and then fill out a SoAP note 

or verbally tell the Pt what the aide did with the 

patient, and then the Pt writes up the note in 

the electronic medical record. Do you have any 

clarification regarding the use of aides? 

ansWer: Thank you for your question. it certainly 

was not the intent of the article to say 

“anything goes” just because our services are 

bundled. cMS is very specific in the fact that only 

therapists and assistants can perform therapy 

services and be paid for those services. this is 

clear in the code of Federal regulations. I have 

included those sections for you that state only 

qualified personnel can “bill” for their services. 

i also included the page of the Arizona Practice 

Act that makes the supervising therapist 

responsible for all care provided and its documentation. 

Although the act states that support 

personnel can provide help, it states very 

clearly that: “32-2043. Supervision; patient care 

management: 

A. A physical therapist is responsible for 

patient care given by assistive personnel under 

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the physical therapist’s supervision. A physical 

therapist may delegate to assistive personnel 

and supervise selected acts, tasks or procedures 

that fall within the scope of physical therapy 

practice but that do not exceed the education 

or training of the assistive personnel.” 

i think that’s specific enough, as in order to bill 

as therapy it must require the “judgment, knowledge 

and skills of a therapist.” (Source: http:// 

www.azleg.gov/FormatDocument.asp?inDoc=/ 

ars/32/02043.htm&Title=32&DocType=ArS). n 

DISCLAIMER: The answer provided is based 

on Medicare guidelines. The provider should 

be aware of the other regulations that might 

supersede the Medicare payment guidelines. The 

information provided is current as of the time 

of publication. 

Pauline M. Franko is owner of Encompass Consulting 

& Education LLC, a consulting and education company 

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and seminars, based in Tamarac, FL. Visit Encompass’ 

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17


surViVorshiP 

serVices

JEFFrEY LEESEr 

Rehab helps breast cancer patients 

meet post-treatment goals By reBecca Mayer 

Major breakthroughs have been announced 

as recently as last month in the fight against 

breast cancer. In a collaborative study between 

348 researchers, four distinct genetic types of 

breast cancer were discovered. Scientists hope 

the results of this study, part of a larger project 

known as the Cancer Genome Atlas, will lead 

to better treatments for this disease. 

But until a cure is found, early detection 

remains the best defense for this disease, which 

strikes nearly 300,000 women each year in the 

United States. Last year, about 230,480 new 

cases of invasive breast cancer and 57,650 new 

cases of non-invasive (in situ) breast cancer were 

expected to be diagnosed among women in the 

U.S., according to breastcancer.org. 

The disease does not just target women; in 

fact, more than 2,000 new cases of invasive 

breast cancer were expected to be diagnosed 

in men last year. 

With better screening tools and an increased 

number of people seeking out mammograms, 

more cancers are being spotted early. But the 

spotlight is also beginning to shine on what 

happens after cancer. 

“Rehab plays an integral role in the progression 

of cancer patients,” said Yvonne Francis, PT, 

MBA, CLT, STAR/C, MedStar National Rehabilitation 

Network in Washington, DC. “It’s no 

longer acceptable to dismiss cancer patients and 

say ‘there is nothing more we can do for you.’” 

“Just as we educate women in screening and 

early detection of breast cancer, it’s extremely 

important for women to know about potential 

short-term and long-term consequences of cancer 

treatments,” stated Sherry Spencer Brown, 

PT, CLT-LANA, lymphedema and oncology 

rehab specialist with Hawthorn Medical Associates 

in Dartmouth, MA. 

Brown believes that women need to be 

their own advocates in today’s medical system. 

Patients should speak up if fatigue, pain 

or movement restrictions prevent them from 

returning to prior activity levels. 

“Brief screening tools can be put in place in 

various medical settings to identify patients 

with decreased function and energy,” Brown 

said. “There is such a focus on drug treatment, 

radiation and surgery interventions for cancer 

that rehab is often overlooked.” 

Spanning Three Generations 

“My mother was diagnosed with breast cancer 

when she was 44 years old,” Tiffany Ryan told 

ADVANCE. “It was suggested that I have a 

mammogram at age 35 because of my family 

history.” 

Women who have a first-degree relative 

(mother, sister or daughter) with a history of 

breast cancer have about twice the risk of developing 

breast cancer, compared with women 

[coVer StorY] 

who do not have this family history, according 

to the American Cancer Society. 

Admittedly due to fear of the worst, Ryan 

waited until she was 38 years old to have her 

first mammogram. Her fears became a reality 

when the baseline mammogram revealed a spot 

on her right breast. She was asked to return for 

a biopsy and was ultimately diagnosed with 

ductal carcinoma in situ (DCIS), the most common 

type of non-invasive breast cancer. 

Ryan’s mother had the same diagnosis 14 

years ago. 

“My philosophy following the mammogram 

was ‘hope for the best, but prepare for 

the worst,’” Ryan shared. “Once I learned my 

Pictured on the cover (and above) are breast cancer survivors tiffany ryan and her mother karen 

corbo. Photo on left (l to r): tiffany ryan enjoys a beautiful fall day in Valley Forge national 

historical Park in Valley Forge, Pa, with her son declan, 5, and her mother. 

diagnosis, I tried my best to move forward 

because I have a husband and three kids who 

need me to be strong.” 

The same week that Ryan was diagnosed, her 

maternal grandmother, 80, was also diagnosed. 

Despite no prior diagnosis and having annual 

mammograms, she was diagnosed with 2 types 

of invasive cancer in each breast and is undergoing 

chemotherapy and radiation. 

Ryan was treated at the Comprehensive 

Breast Center at Bryn Mawr Hospital in Bryn 

Mawr, PA. After the biopsy, she was assigned a 

breast care coordinator to help with the process. 


19

[coVer StorY] 

“The amount of information I was given was 

overwhelming,” Ryan shared. “The coordinator 

told me what to look into, arranged conversations 

with survivors and made all appointments 

for the rest of my care.” Surely not by accident, 

the breast care coordinator, a breast health nurse, 

was also a breast cancer survivor. 

Standard treatment options for DCIS include: 

lumpectomy followed by radiation therapy; 

mastectomy; lumpectomy alone or with hormone 

therapy after surgery. 

Ryan tested negative for the breast cancer 

gene. Weighing all of her options carefully, 

Ryan chose to have a bilateral mastectomy, followed 

by immediate reconstructive surgery. 

She was home with her family and slowly 

getting back to her normal walking routine 

within a week. 

The bilateral mastectomy was chosen as a 

preventive measure, and also one that Ryan 

felt best suited her life circumstances. The 

other option was a lumpectomy which would 

be followed by seven weeks of radiation and 

hormone therapy for five years. 

FOR MORE INFORMATION: (913) 387- 0695 pt@nueterra.com nueterra.com 

The Rehab Component 

“Survivorship services that improve physical 

and psychological health outcomes have 

become an increasingly important part of cancer 

care,” explained Julie Silver, MD, assistant professor, 

Harvard Medical School’s Department 

of Physical Medicine and Rehabilitation and 

co-founder of the STAR (Survivorship Training 

and Rehab) program certification. 

Numerous studies confirm the importance of 

physical activity for breast cancer patients and 

survivors, according to Brown. 

“After cancer diagnosis and treatment, there 

is often a period of sedentary activity,” Brown 

observed. “Physical therapists are ideally suited 

to create a customized approach for people to 

maximize their healing whether they have cancer-related 

fatigue, weakness, restricted motion, 

postural changes or peripheral neuropathy 

resulting in a decline in function.” 

At the Comprehensive Breast Center, each 

patient has a consult with PT and OT. “The 

goal is to return to normal function as quickly 

as possible,” said Thomas G. Frazier, MD, 

When 

you spend 

all your time 

worried about 

running 

a business, 

it can be hard 

to focus on 

why you started it. 

You started your business because you understood how to improve 

your patients’ lives. At Nueterra, our goal isn’t much different. 

We spend our days focused on the behind-the-scenes task that can build 

your practice into a success. Whether you need assistance in navigating 

constant changes in the health care industry, advice on how to improve the 

financial vitality of your current facility or building a new one, or developing a 

succession plan, we can provide you with the resources you need to help you enjoy 

the rewards of ownership with the security of a partnership. 


medical director, Comprehensive Breast Center. 

“Breast cancer is a team sport and rehab is 

part of the team.” 

The number one goal with post-surgery 

breast cancer patients is getting full function 

back, explained Erin Kemm, MS, PT, CLT, of 

Bryn Mawr Hospital Health Center. “Normal 

movement particularly of the shoulder may be 

restricted by a number of things including postural 

dysfunction, scar tissue adhesions, pain or 

other soft tissues changes,” she said. 

According to Dr. Frazier, 93 percent of 

patients with breast cancer stage I and II diagnoses 

are cured. “We’re seeing more survivors 

than ever,” he said. He believes that physical 

activity and PT are important to survivorship 

to keep weight down and help patients manage 

their stress levels. 

Francis educates her pre-op patients about 

the importance of exercise, stretching, breathing 

and self-massage of scar tissue. “The postop 

cancer patients are generally referred to 

outpatient for strength and range of motion 

issues, lymphedema or cancer-related

[coVer StorY] 

fatigue,” she told ADVANCE. 

Francis focuses on educating cancer survivors during each PT session 

because needs change throughout the continuum of care. The treatment 

intervention that Francis relies on most is manual therapy including scar 

mobilization and myofascial release. Francis also uses electrical stimulation 

to manage patients’ pain issues. 

Occupational therapists are particularly suited to identify how function 

affects a patient’s daily life, according to Naomi Aaronson, MA, OTR/L, 

CHT, CET, mat Pilates instructor, and founder of the RECOVERCISES 

program for breast cancer survivors. 

OTs address the whole person and side effects that can linger such as 

endurance and chemo brain, sleep quality, and the ability to fasten seat 

belts and lift children. 

OTs also may recommend assistive devices such as stocking aids, reachers 

and Velcro on shoes to make life easier. 

Some cancer survivors benefit from the skills of a specialized therapist 

when the lymphatic system is damaged by some surgical procedures, 

chemotherapeutic agents, radiation or reconstruction. Francis, a certified 

lymphedema therapist, stresses the importance of monitoring a patient 

with lymphedema to recognize new issues. 

Education is the biggest component of lymphedema treatment. Education 

topics for lymphedema patients include skin care and hygiene, 

exercise in moderation and appropriate compression strategies, according 

to Kemm. 

Return to Life’s Activities 

“My patients who have completed their cancer treatments want to return 

to their regular activities whether it is tennis, yoga, running or simply 

picking up their small children or grandchildren,” Kemm observed. 

Post-surgery breast cancer patients may be scared or hesitant to resume 

activity so the education piece is very important, Kemm explained. “For 

the majority of my patients, it’s a realistic goal to return to all former 

activities,” she said. “Many patients just need the reassurance that it’s 

OK to get back to normal, everyday life.” 

In her practice, Kemm mainly focuses on myofascial release, soft-tissue 

mobilization, scar tissue massage, range of motion of the shoulder and 

cervical spine and postural interventions. 

Kemm has observed that breast cancer patients, particularly after surgery, 

tend to present with an exaggerated forward head and rounded 

shoulder, “protective” posture due to post-operative muscle imbalances. 

As a result, postural training and strengthening is an important part of 

the rehab program. 

“Muscle imbalances often result in poor posture so I focus on teaching 

good body mechanics and proper lifting techniques,” Francis shared. 

With breast cancer survivors, Aaronson believes in a holistic approach 

that includes traditional rehab techniques as well as Pilates based methods. 

“The Pilates principles help women make the mind-body connection and 

promote relaxation,” she said. 

With proper instruction, Pilates is appropriate for patients who had 

lymph nodes removed or who have undergone mastectomies. “The 

practice emphasizes proper form over doing a million repetitions, which 

is good because pain and poor endurance may be factors with this patient 

population,” Aaronson shared. “The focused breathing of Pilates may 

help with scar manipulation and dealing with adhesions.” 

Furthermore, because Pilates focuses on activation of the core and 

survivorship continued on page 45 

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21

[lASer tHerAPY] 

the Healing light 

Patients and practice 

owners are warming to 

the idea of laser therapy 

By Jonathan Bassett 

low-level laser therapy (LLLT) uses light 

with specific characteristics to treat 

medical conditions. Low-level laser 

devices produce therapeutic effects 

by non-thermal absorption of photons by cells. 

Inflammation and pain typically result in 

functional limitations, decreased strength 

and impaired mobility. LLLT has been 

shown to hasten the inflammatory process 

through mitochondrial chromophore stimulation. 

This increases respiratory chain activity, 

which enhances ATP synthesis, cellular 

repair and reproduction. The absorption of 

photons by enzymes within the respiratory 

chain of mitochondria is the primary event 

by which the electromagnetic energy of a 

laser is transduced into electrochemical and 

electrophysical effects. 

These actions initiate a cascade of secondary 

intra-cellular events that alter cell-specific 

functions, inducing tertiary physiological 

changes in tissues that cause therapeutic benefits, 

such as wound healing, pain relief and 

tissue repair. This “photobiostimulation” energizes 

cells and accelerates the body’s normal 

healing processes. Research has demonstrated 

significant benefits for patients, including 

pain reduction, increased speed of healing, 


reducing inflammation and return of function. 

While the science is there, the clinical community 

in the United States has been slow to 

adopt laser treatment as standard protocol, 

and insurers are even more reluctant to pay 

for it. However, many clinicians—even skeptical 

ones—are finding that laser therapy has a 

definite place. 

Lars Mitchell, MPT, OCS, CSCS, opened 

Kingsley Physical Therapy in Kingsley, MI, 

in 2006, serving his northwest Michigan 

area with a full complement of evidencebased 

therapies for orthopedic and sportsrelated 

injuries. 

“To be successful you have to resolve current 

pain and dysfunction as well as address 

potential biomechanical causes,” Mitchell said. 

“A strong emphasis [in my clinic] is placed on 

manual therapy and functional exercise, as 

well as patient education in prevention and 

self-management.” 

While not overly reliant on modalities, 

Mitchell sees the practical value of adding a 

few well-researched technology options to his 

repertoire, such as instrument-assisted soft 

tissue mobilization, a traction table capable of 

three-dimensional positioning for back pain, 

and a laser therapy system for painful injuries 

and conditions. 

“In this world, you need a niche,” said 

Mitchell, who first learned of the modality in 

physical therapy school and performed extensive 

research before deciding to bring laser 

therapy to his clinic. “Even skilled therapists 

need something to set them apart and get 

people to notice.” 

According to Mitchell, Kingsley Physical 

Therapy was the first clinic in northern Michigan 

to offer his particular laser system, and 

so far, the investment has been worthwhile. 

“There’s really no downside to it, other than 

the initial expense,” he said, adding that the 

laser can be used over growth plates, metal 

implants, fractures—any area except the eyes. 

Treatment is painless and contraindications 

are few. His FDA-cleared model of laser 

emits a wavelength that provides deep penetration 

without a heating effect. If patients 

are unfamiliar with the therapy at first, they 

quickly respond to the reduction in pain and 

enhanced clinical outcomes of the modality. 

At Health Pro Physical Therapy, a private 

practice in Walnut Creek, CA, owner Sandra 

Schall, PT, offers laser therapy alongside a 

full complement of physical agents such as 

infrared therapy, low- and high-frequency 

electrical stimulation, and a counter-balancing 

orthosis for enhancing stability in people with 

multiple sclerosis and Parkinson’s disease. 

Like Mitchell, Schall’s treatment is individualized, 

manual-first, and employs a healthy 

dose of patient involvement. She and her staff 

offer manual therapies such as myofascial 

release, trigger point therapy, muscle energy 

techniques, joint/spine mobilization and soft 

tissue mobilization along with education in 

body mechanics and ergonomics, postural 

re-education and individualized exercise. 

But with problematic sports injuries, stubborn 

conditions or cases of ongoing tendonitis 

or pain, once the source of the issue has been 

uncovered, Schall will often introduce modalities 

such as laser into the treatment plan to 

speed recovery and return of function. She 

appreciates the safe, noninvasive properties of 

laser therapy and finds it effective for carpal 

tunnel syndrome, arthritis, bursitis, tendonitis, 

trigger points, fibromyalgia, heel spur/ 

plantar fasciitis and postsurgical orthopedic 

conditions—even those with healing fractures 

and metal hardware. 

The research community is beginning to 

substantiate what many in private practice 

are already witnessing. A study by Margaret 

Naeser, PhD, in Boston University’s School 

of Medicine reviewed seven previously published 

clinical trials on the effectiveness of 

laser therapy for carpal tunnel syndrome and 

found an 84-percent success rate across five 

of the studies. 1 

CourTESY rG LASEr THErAPY, WAYNE PA/JEFFrEY LEESEr

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23

[lASer tHerAPY] 

“Photoradiation is a promising new, conservative 

treatment for mild/moderate CTS 

cases (motor latency < 7 msec; needle EMG, 

normal),” Dr. Naeser concluded. “It is costeffective 

compared to current treatments.” 

A Cochrane Database Systematic Review of 

the efficacy of low-level laser therapy (LLLT) 

on arthritis pain examined a total of 222 


patients randomized to receive either laser 

therapy or placebo, and found positive results 

in measures such as pain, morning stiffness 

and fingertip-to-palm flexibility. 2 

Other outcomes such as functional assessment, 

range of motion and local swelling did 

not differ between the laser therapy and placebo 

groups. 

“LLLT could be considered for short-term 

treatment for relief of pain and morning stiffness 

for rheumatoid arthritis patients, particularly 

since it has few side-effects,” the authors 

concluded. However, they acknowledge that 

“despite some positive findings, this meta-analysis 

lacked data on how LLLT effectiveness is 

affected by four important factors: wavelength, 

treatment duration of LLLT, dosage and site of 

application over nerves instead of joints. There 

is clearly a need to investigate the effects of 

these factors on LLLT effectiveness for rheumatoid 

arthritis in randomized controlled 

clinical trials.” 

At Kingsley Physical Therapy, the laser 

is typically used as an adjunct tretment for 

tendonitis, bursitis or trigger points. Localized 

areas of pain and inflammation benefit 

from accelerated cellular activity. Penetration 

can reach 5 centimetes below the skin’s 

surface, said Mitchell, adding that he’ll 

focus on patient eduction during a typical 

10-minute session. 

Billing is often successful under the manual 

therapy code, and Schall and Mitchell 

often accept cash-pay for the service. Many 

times, they’ll perform the treatment as a free 

“throw-in” for purposes of better outcomes 

and higher patient satisfaction. 

Marketing gets a benefit as well. Mitchell 

composed a brochure explaining the laser 

system and its applications to distribute to 

the community, and often receives word-ofmouth 

referrals of patients specifically asking 

for it. 

“I’d never classify [laser] as a cure-all,” 

Mitchell stresses. “But it’s a valuable niche 

service that clients are looking for. It was a 

good decision for me.” n 

references 

1. Naeser, M.A. (2006). Photobiomodulation of pain 

in carpal tunnel syndrome: review of seven laser 

therapy studies. Photomedicine and Laser Surgery, 

24(2), 101-110. 

2. Brosseau, L., Robinson, V., Wells, G., et al. (2005). 

Low level laser therapy (Classes I, II and III) for 

treating rheumatoid arthritis. Cochrane Database 

of Systematic Reviews, 19(4), CD002049. 

Jonathan Bassett is on staff at ADVANCE, and 

can be reached at jbassett@advanceweb.com. 


For more information on lasers, 

visit www.advanceweb.com/PT


25

[AQuATiC THErAPY] 

Denying Aquatic Therapy: 

The New Payer Pastime? 

Providers need to be aware that payers see 

aquatic therapy as worthy of special attention 

By andrea salzman, Pt, Ms 

in 1995, the American Medical Association 

(AMA) defined aquatic therapy as a new 

procedure code (CPT 97113) in order to 

differentiate it from whirlpool and other 

passive aquatic treatments. From the start, 

97113 was a very different kind of code than 

all others. Why? Because it described an environment 

and not an intervention. 

Think about it this way. When therapists 

perform gait training in the water, there is 

now no way to code that act differently from 

when they provide manual therapy—or therapeutic 

exercise or any other procedure—in 

the water. The payer knows where the action 

took place, but not “what kind” of action it 

was. This may be at the center of the problem 

that insurers are having with the 97113 code. 

By making aquatic therapy its own special 

code, the AMA made it seem as if aquaticbased 

interventions are unique (insurers read 

this: experimental), instead of the same old 

procedures taking place in an aquatic medium. 

Providers don’t have a separate code for 

mat-based therapy or plinth-based therapy; 

why a separate code for pool-based therapy? 

It does not describe the intervention that’s 

taking place, but only the medium in which 

it occurs. 

That said, the problem is now difficult to 

correct. If the AMA rectified this situation 

by eliminating the aquatic therapy code 

and suggested that providers return to using 

other codes to bill for services, payers would 

see this as an indication that aquatic therapy 

is no longer a coverable service. 

In many ways, insurers now consider 

aquatic therapy a red flag. Providers need to 

be aware that payers see aquatic therapy as a 

noteworthy code, worthy of special attention, 

and act accordingly. 

Federal Programs 

Medicare and Medicaid are federal programs; 

however, CMS leaves many reimbursement 

decisions up to its local contractors (known 


as Fiscal Intermediaries and Medicare 

Administrative Contractors). This means 

that although aquatic therapy is considered 

a coverable service under federal rules, any 

local contractor may restrict its use or deny 

coverage unless certain standards are met. 

These standards, known as LCDs (local 

coverage determinations), can vary wildly 

from state to state and from contractor to contractor. 

Because many therapists are unaware 

of LCDs, they can get caught with their pants 

down (financially speaking) when billing for 

aquatic therapy. 

There is a single “go-to” source to find 

out exactly what each local Medicare contractor 

has to say about aquatic therapy 

in its LCDs. Here’s a link that can help 

therapists find any LCDs that relate to their 

specific Medicare contractors: www.aquatic 

therapist.com/index/2008/05/finding-outwhy.html 

Some Medicare contractors treat aquatic 

therapy as just another physical medicine 

code. However, this is by no means universal; 

other contractors are currently flagging 

aquatic therapy as a billed service worthy 

of special attention. For instance, in 2007, 

Cigna reported that it found several concerns 

regarding the practice and documentation 

of aquatic therapy for Medicare patients. 

They published an article to alert providers 

to their concerns. Here are the reasons they 

cited for taking an extra look at CPT code 

97113 (aquatic therapy). 

• Therapy services were provided to beneficiaries 

with no identified need for the 

use of this type of therapy. There was little 

evidence to support the need for use of a 

water-based environment (i.e., buoyancy 

for un-weighting joints, resistance and/or 

loss of motion). 

• Services were provided for excessive 

durations of time per treatment session. 

In some cases, aquatic therapy was rendered 

in excess of one hour. 

• Aquatic services continued for long periods 

(several months) in the absence of 

documented functional gains. 

• Services were repetitive in nature and 

appeared to be for conditioning and overall 

fitness or maintenance. 

• There was little evidence of transitioning 

the aquatic exercise program to a 

land-based exercise program to improve 

functional performance with everyday 

activities. 

• The programs provided in the pool setting 

were rendered in a group environment, yet 

individual therapy was billed. 

Based on these findings, Cigna initiated 

several investigations and made aquatic 

therapy a major area in their strategic medical 

review plan. 

Private Payers 

Private payers tend to follow the broad path 

created by Medicare. However, not all payers 

treat aquatic therapy equally. More than 

a decade ago, one payer’s national office 

made a controversial decision to deny all 

aquatic therapy as experimental in nature. 

This national decision was redacted before 

it was ever implemented, but the damage 

was done. 

Since that time, this payer’s national 

office has published a policy paper stating 

unequivocally that it considers aquatic therapy 

medically necessary for musculoskeletal 

conditions. To this day, in the eyes of many 

local branches, all aquatic therapy charges 

coUrteSY ANDreA SAlzMAN

common pitfalls in billing for aquatic therapy (97113) 

read these tips to make billing with 

the cPt code 97113 as painless as 

possible. Note: this reference cites 

one Medicare contractor; there are 

hundreds of contractors, each with its own 

standards. However, these five standards crop 

up almost all the time. 

cPt 97113, aquatic therapy/exercises 

1. Since this procedure uses the therapeutic 

properties of water (e.g., buoyancy, 

resistance), documentation must support 

the need for a water environment. the 

procedure may be reasonable and medically 

necessary for a loss or restriction of 

joint motion, strength, mobility, or function 

that has resulted from a specific disease or 

injury. Documentation must show objective 

loss of joint motion, strength, or mobility 

(e.g., degrees of motion, strength grades, 

levels of assistance) and should demonstrate 

progression to land-based activities. 

2. this code should not be used in situations 

where no exercise is being performed 

in the water environment (e.g., debridement 

of ulcers). 

3. other forms of exercise therapy may be 

medically necessary in addition to aquatic 

therapy. this includes when the patient cannot 

perform land-based exercises effectively 

to treat his/her condition without first undergoing 

the aquatic therapy or when aquatic 

therapy facilitates progress to land-based 

exercise or increased function. 

there may be instances where land-based 

activities were attempted prior to the use 

of water-based activities. In these cases, the 

documentation shall provide evidence that 

the beneficiary was not progressing with 

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land-based efforts and offer rationale for the 

use of water-based services (i.e., severe pain, 

inability to support body weight). 

The continued use of aquatic therapy 

without any eventual progression to landbased 

activities would not be considered 

medically necessary. the transition from 

water-based to land-based is required to 

allow functional performance with everyday 

activities and documentation must be 

available in the record to support medical 

necessity. 

4. it is not medically necessary to have 

more than one form of hydrotherapy (codes 

97022 and 97036) during the same visit. 

5. The billing of aquatic therapy code 

(97113) is for one-on-one therapy provided 

in the pool. In the situation where services 

are provided to more than one beneficiary, 

the only permissible code to bill is group 

therapy (97150). n 

SOURCE: CodeMap for Aquatic Therapy 

(97113). https://www.codemap.com/content. 

cfm?id=7280&lcd=31062&sid=219 

ADVANCE_EarlyIntervention_Oct2012.indd 2 10/3/2012 2:20:57 PM 


27


remain suspect. 

Each payer has its own rules and regulations. 

For a sample of common standards 

applied to the “aquatic therapy” code, see 

the sidebar. 

Note that these standards go far beyond 

just establishing that the aquatic intervention 

was medically necessary. 

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Aquatic therapy is a covered service under 

some workers’ compensation plans. For 

a master list of rules and statutes for each 

state, log onto: www.workerscompensation. 

com/stateregs.php. Under certain circumstances, 

the insurer will question whether 

aquatic therapy was medically necessary. If 

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this occurs and the insurer then denies the 

charges, the issue often goes to an independent 

review board or a compensation judge. 

In many states, any review must include all 

the following factors: 

• The employee’s unique disabilities and 

assets in relation to the goals, objectives, 

and timetable of the rehabilitation plan; 

• The type of rehabilitation services provided 

and the actual amount of time and 

expense incurred; 

• An evaluation of whether services provided 

were unnecessary, duplicated other 

services, were available at no charge to the 

public, or were excessive relative to the 

actual needs of the employee; 

• An evaluation of whether services rendered 

were expressly called for by the 

employee’s rehabilitation plan. 

Sometimes independent reviews support 

the denial; other times, they rule against the 

insurer. As the literature supporting effectiveness 

grows, the scales will tip toward allowing 

aquatic therapy as medically necessary. 

For some reason, insurance companies 

have it in their respective heads that aquatic 

therapy requires extra justification. Payers 

often make the argument that rehab in water 

isn’t functional. Why? Because people don’t 

live in water. Well, people don’t live on the 

receiving end of an ultrasound head either. 

Or draped over a treatment plinth. But 

somehow, those interventions are considered 

functional. 

The result? Clinicians who work in the 

water have to make a special effort to support 

their treatment rationale. It’s a bother, 

frankly, but one worth doing right. n 

Andrea Salzman is creator of the Aquatic 

Resources Network (www.aquaticnet.com), 

which claims the largest clearinghouse of aquatic 

therapy and fitness information online. At the 

ARN Online Command Center, more than 

8,000 aquatic-specific articles and downloads 

are available free. Individuals seeking advanced 

competency in aquatic therapy can pursue training 

through Aquatic Therapy University (www. 

swimatu.com). You can reach the author at 

Asalzman@aquaticnet.com. Copyright 2012. All 

rights reserved. 


For more information on aquatics, 

visit www.advanceweb.com/PT 

AquaticTherapy

Points of clarification 

Delineating the distinction 

between acupuncture 

and dry needling for 

trigger-point pain 

By dimitrios kostopoulos, Pt, Md, 

Phd, dsc, ecs, and konstantine 

rizopoulos, Pt, dPt, McMt 

a prevalent condition facing 

therapists who treat chronic 

pain cases. Myofascial triggerpoint 

therapy has become widely used by 

many healthcare providers for a variety of 

musculoskeletal problems. 

Several studies demonstrate a high prevalence 

of pain due to myofascial trigger points. 

One researcher suggests that prevalence of pain 

originating from myofascial trigger points in 

a general pain practice can reach the level of 

85 percent. The recognition of the myofascial 

pain phenomenon by the medical community 

as one of the key pain generators has led to 

the development and expansion of a variety 

of myofascial therapy interventions. 

Two instrument-assisted means of treating 

chronic pain conditions are acupuncture 

and trigger-point dry needling. Unfortunately, 

many therapists confuse the terms acupuncture 

CourTESY ENLiGHTENiNG SouLS, WAYNE PA/JEFFrEY LEESEr Myofascial trigger-point pain is 

and dry needling, or use the terms interchangeably. 

However, a clear and definitive distinction 

exists between the two modalities, and a 

distinction must be made to avoid confusion. 

Dry Needling 

Trigger-point dry needling is one of many treatment 

methods for myofascial trigger points and 

it is not proprietary to one specific profession. 

Trigger-point dry needling is practiced around 

the world by physicians, physical therapists, 

acupuncturists, chiropractors, osteopaths, dentists, 

nurses and many other properly trained 

healthcare providers who specialize in the treatment 

of myofascial trigger points. 

Dry needling is the insertion and repetitive 

manipulation of a fine, flexible, filamentous 

needle within a myofascial trigger-point area 

that produces repetitive local twitch responses 

and leads to inactivation of the trigger point 

or a decrease of the trigger-point activity. Preliminary 

research supports that dry needling 

improves pain control, reduces muscle tension, 

normalizes biochemical and electrical dysfunction 

of motor endplates, and facilitates an accelerated 

return to active rehabilitation. 

It’s unfortunate that a number of acupuncture 

practitioners and some of their associations 

try to equate dry needling with acupuncture, 

and to make dry needling proprietary to 

[TriGGEr PoiNT PAiN] 

acupuncturists. Some do this by using a modified 

definition of acupuncture points, which 

defines an acupuncture point the same as a 

myofascial trigger point. This creates confusion 

regarding appropriateness of treatment, which 

may have negative consequences on consumers 

deciding on the most appropriate provider 

for their condition. 

Belgrade supports that “tender points are 

acupuncture points and can be often chosen 

for therapy.” 1-3 Belgrade uses one of the major 

criteria used to define a trigger point to also 

define an acupuncture point. Issues become 

even more confusing when one considers that 

trigger-point dry needling, 4-6 one of the major 

treatments for myofascial trigger points, is performed 

with an acupuncture needle. 

Acupuncture 

Acupuncture is a traditional system of Chinese 

medicine that has been practiced for more than 

2000 years. 7 The Florida State Code defines acupuncture 

as follows: “Acupuncture” means a 

form of primary health care, based on traditional 

Chinese medical concepts and modern 

oriental medical techniques, that employs acupuncture 

diagnosis and treatment, as well as 

adjunctive therapies and diagnostic techniques, 

for the promotion, maintenance and restoration 

of health and the prevention of disease. Acupuncture 

shall include, but not be limited to, 

the insertion of acupuncture needles and the 

application of moxibustion to specific areas of 

the human body and the use of electroacupuncture, 

Qi gong, Oriental massage, herbal therapy, 

dietary guidelines and other adjunctive therapies 

as defined by board rule. 

In some manner, the ancient Chinese became 

aware of certain sensitive skin areas (sensitive 

points) when a body organ, muscle or function 

was impaired. They also observed that these 

sensitive skin areas were the same or similar in 

all people who suffered from the same impairment. 

Moreover, the sensitive areas varied 

consistently according to the organ or muscle 

function deviating from the norm. It was at 

this point that some of the relationships among 

various internal organs or muscles and their 

functions were observed and established. 7-9 

Acupuncture was introduced to the West 

in the 17th century by Jesuit missionaries sent 

to Peking. In the 1940s, French sinologist and 

diplomat Soulie de Morant published his voluminous 

writings on acupuncture. 8 

Acupuncture was first introduced in the 

United States in the late 1960s. Since then, 


29

[TriGGEr PoiNT PAiN] 

therapist, heal thyself 

the concept for a soft-tissue therapy 

device evolved over the past 25 years 

treating patients with every condition 

from carpal tunnel syndrome to lowback 

pain to plantar fasciitis and more. 

About seven years ago, I found myself 

in the middle of battling carpel tunnel 

syndrome and osteoarthritis in both of my 

hands, wrists and forearms from the years of 

practicing soft-tissue therapy without using any 

professional quality instruments. 

I searched for a tool that could facilitate my 

manual therapy techniques and that would 

ultimately help me get better results for my 

patients. Finding none, I knew I had to create 

something myself that would help me continue 

practicing all of those soft-tissue therapy techniques 

while simultaneously protecting and 

rehabilitating myself. 

the benefits of the soft-tissue therapy tool 

are numerous for both the patient and the 

therapist. every millimeter is designed to be 

in contact with the human body either as a 

treatment surface, handle/grip or both. 

the device is very capable at implementing 

a wide variety of orthopedic and manual 

soft-tissue therapy treatments, techniques and 


conditions. these include but are not limited to 

iT band syndrome, rotator cuff injuries, nerve 

entrapment, osteoarthritis, psoas release, TmJ, 

tennis elbow and carpel tunnel syndrome. clinicians 

can implement almost any soft-tissue 

therapy technique regardless of whether it is 

traditionally applied with a tool or with just 

the hands. the soft-tissue therapy tool enables 

clinicians to seamlessly integrate a wide variety 

of both hand and instrument therapies and 

techniques with stellar results and ease of use. 

Self treatment is another designed 

strength of the soft-tissue therapy tool. A 

user can easily and effectively treat more 

than 90 percent of their own body, from the 

trapezius and teres muscles to the glutes, piriformis, 

calves, feet, hands, elbows, hips and 

knees. I was able to treat my carpel tunnel 

condition successfully with the prototypes I 

had created of the device. 

For therapists with limited treatment time, 

the tool can make a significant impact in as 

little as a minute or two. It is especially good 

for isolated pressure points, cross-friction 

fiber and myofascial release techniques. 

this tool is extremely efficient because of 

the increased leverage and mass that add a 

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tremendous value to the practitioner. they 

will only need a fraction of the force that they 

would normally apply to implement the treatment. 

It is much easier to guide the weight 

than it is to create the force. 

the ability to “feel” the tissues is greatly 

enhanced when utilizing this instrument, much 

like a needle on a record player as it picks up 

the vibrations of the music. treatment with 

the device is a very stable, comfortable and 

balanced experience for the therapist. one 

of the central design elements was to free up 

the therapist’s fingers during the treatments 

so they could be used in conjunction with the 

instrument to stay in full patient contact. 

Now, clinicians have twice as much feedback 

since both the instrument and their 

fingers are actively involved in the treatment. 

the key thing here is that the instrument 

by design absorbs all of the treatment force 

through the palm of the hand and not the 

fingers. therapists should see the soft-tissue 

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[trigger point pain] 

Western licensed acupuncturists use acupuncture primarily for the treatment 

of various conditions such as gastrointestinal problems, gynecological 

conditions, infertility, musculoskeletal problems, immunological 

conditions, smoking cessation and many others. 

Melzack et al found a 71-percent correlation between trigger points 

and acupuncture points for the treatment of pain. 10 Melzack’s contention 

was that trigger points and acupuncture points may have the same 

neural mechanism. However, new discoveries clearly demonstrate that 

the trigger-point phenomena originate in the vicinity of dysfunctional 

endplates, 11-12 and this puts an end to the previous claim by Melzack. 

In a subsequent article, Melzack defines acupuncture and trigger-point 

dry needling as two distinctively different approaches. 13 

Recognizing the Distinction 

Despite some similarities in terms of location between acupuncture 

points and trigger points, the objective clinician and researcher 

must recognize the distinct differences. These differences define 

acupuncture points and trigger points as two completely different 

clinical entities with possible overlaps. 5-14 

There are foundational and pathophysiological differences between 

trigger points and acupuncture points. Classical acupuncture points 

are identified as precise points along meridians defined by ancient 

Chinese documents. 9 An exception to that are extrameridian and “achi” 

clarification continued on page 45 


31

[pediatrics] 

posture restored 

Standing balance can 

influence bladder and 

bowel issues for children 

By Janet A. Hulme, PT 

Bladder and bowel issues are integrally 

connected to standing balance and 

walking in children as well as adults. 

A child learns to accomplish upright 

standing and walking before gaining bladder 

and bowel control. A woman experiencing a 

high-risk pregnancy and placed on bed rest 

will lose bladder and bowel control within four 

weeks. An elderly continent individual placed 

in long-term care for dementia related problems 

will most often be incontinent within three to 

four weeks if walking is not encouraged. 

Standing balance and walking patterns don’t 

have to be perfect to facilitate bladder and 


bowel continence. A child with cerebral palsy, 

spinal bifida or Down syndrome who practices 

standing and walking, even if using a walker, 

can gain bladder and bowel control. An individual 

after a stroke regains bladder and bowel 

control in direct relation to time and distance 

ambulating. The individual with Alzheimer’s 

or dementia can regain bladder and bowel control 

with increased standing and walking while 

in the first two stages of the disease. 

Development of Balance 

Standing balance keeps us upright against 

gravity. Compared to other animals, humans 

have more of a challenge, since we balance over 

2 feet with a narrow base of support compared 

to 4 feet over a wider base of support. When 

babies are born, they have a predominant 

supine, flexed C-shaped posture. They move 

through developmental stages including 

Standing balance and 

walking patterns don’t 

have to be perfect to 

facilitate bladder and 

bowel continence. 

predominant prone extended posture then 

sitting to crawling to cruising to standing and 

walking. The unconscious push of cerebellar 

stimulus is to move upright against gravity 

learning balance in each new position during 

the first year and one half of life. 

Toward the end of this cycle, before independent 

standing and walking occurs, the 

child learns to cruise (walk sideways) around 

furniture. This important milestone integrates 

hip outward rotation/abduction with inward 

rotation/adduction muscle action in midline 

to allow side-to-side balance over the two-foot 

base. Without cruising, the child would function 

as a robot, moving forward and back but 

not able to pivot and turn in different directions. 

Posture is an active and dynamic process 

which underpins movement and function 

(Hong, 2005). Standing posture is “temporary 

arrested movement” and in constant subtle 

change (Howe and Oldham, 2001). The primary 

muscles of posture as we remain upright 

are the transverse abdominus, external obliques, 

multifidi, breathing diaphragm and the pelvic 

rotator cuff. These postural muscles controlled 

predominately by the cerebellum via the autonomic 

nervous system to direct the subtle muscle 

spindle gamma bias changes are necessary 

for upright standing and walking. 

Standing balance and bladder/bowel 

function have been linked in several studies 

(Wechsler, 2011, Watanabe, 2010, Labanz, 2010). 

Bowel function improved in SCI or elderly 

participants with increased standing in seven 

studies. Four studies found bladder emptying 

improvement and reduced urinary infections 

with upright standing. Standing is related to 

gravity, and gravity is related to the emptying 

of the bladder and bowel. 

Bladder function improves significantly after 

one year of age. The child’s bladder capacity 

increases so they are dry after the afternoon 

nap. This increasing bladder capacity with 

increasing voided volumes is an important 

parameter for normal development. By 15 

months, the child is able to be dry for two to 

three hours. By 18 to 24 months, he can delay 

jeffrey leeser

urination for short periods and can go to the 

toilet with physical prompts. Between 2-3 years, 

most children can announce the need to toilet 

and go to the appropriate place. 

Tie to the Nervous System 

Bladder and bowel function improve with 

maturation of the central nervous system most 

specifically the brain stem, pontine micturition 

center, limbic system and cerebral cortex. The 

peripheral nervous system centers involved 

with continence include the ANS sympathetic 

hypogastric plexus of thoracic 10-12 and lumbar 

1-2. It inhibits bladder wall tone so the 

bladder fills while the sympathetic system 

simultaneously stimulates the bladder outlet 

closure mechanisms to maintain closure tone. 

The second ANS center is sacral parasympathetic 

S2-4 that excites the bladder when it 

is time to empty at the same time sympathetic 

activity is inhibited. A third neurological center 

of action is sympathetic control of pelvic 

muscle resting tone (postural tone) setting the 

muscle spindle gamma bias. The same pelvic 

[pediatrics] 

muscle system controls bladder and bowel 

continence and standing balance during walking. 

The pelvic muscles that work together 

as a unit for bladder, bowel and dynamic 

standing balance are called the pelvic rotator 

cuff (PRC). These muscles lie deep in the 

pelvis, are generally short stubby muscles that 

function for dynamic postural support rather 

than movement through space. The PRC is 

composed of the pelvic diaphragm, urogenital 

diaphragm, external anal and urethral 

sphincters, obturator internus and externus 

and adductor muscles. 

The dynamic motion of the PRC is midline 

rotation of the hips bilaterally. Rotation 

is experienced as a pivot at the heel or forefoot 

in a closed chain motion of the leg. Standing 

balance occurs unconsciously with small 

weight shifts in a figure of eight pattern set 

off by the heartbeat, breathing patterns as well 

as proprioceptive feedback. Small midline hip 

rotation occurs six to eight times per minute, 

transferring weight from left heel to lateral 

foot to left big toe and medial foot, then to 


33

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[pediatrics] 

right heel and lateral foot to right big toe and medial foot with the 

knees unlocked. During walking, the same hip rotation pattern occurs. 

Simultaneously with each standing balance and walking action of 

the PRC, the obturator and adductor action facilitates closure of the 

anal and urethral sphincters and positioning the anorectal and bladder 

angles so bladder and bowel continence is secure. The PRC system 

works at the unconscious level of cerebellum, pons, limbic system to 

create dynamic standing balance, walking, bladder and bowel control. 

When neurological, physiological or psychological insults occur, 

the PRC and its neurological control mechanisms are vulnerable 

to imbalance. Falls, inability to arise from sit-to-stand, inability to 

walk, bladder and bowel dysfunction are directly relation to the PRC 

and ANS imbalance. Cerebral palsy, spina bifida, multiple sclerosis, 

Parkinson’s disease, diabetes, stroke, post-traumatic stress disorder, 

flu, constipation or urinary tract infection all create imbalance within 

the system. 

The primary problem must be addressed to every extent possible. 

In addition, the PRC and its neurological control mechanism must 

be re-balanced using exercises for the PRC, control exercises for the 

ANS and lifestyle changes including walking and nutritional changes. 

Practiced over a four to six week period, the re-balance protocol can 

restore health and wellbeing to the systems for improved function in 

bladder, bowel, standing balance and walking. n 

Resources 

Hulme, J. (2002). Bladder and Bowel Issues for Kids: A Handy Guide for Kids Ages 

4-12. Missoula, MT: Phoenix Publishing. 

Hulme, J. (2005). Solving the Mystery of the Pelvic Rotator Cuff in Human Function 

and Movement. Back Pain, Balance, Bladder and Bowel Health. Missoula, MT: 

Phoenix Publishing. 

Martin, C., Provance, P., et al. The effects of static and dynamic standing in 

multiple sclerosis: Mid-study progress. VA Maryland Health Care. Baltimore. 

Dept. of Neurology, University of Maryland School of Medicine. 

Georgopoulos, A. (2007). Movement, Balance, and Coordination—the Dana 

Guide to Brain Health. Web citation. 

Mathias, C. (2002). To stand on ones’ own legs. Clinical Medicine, 2, 237-245. 

Critchley, H., et al. (2002). Fear conditioning in humans: The influence of awareness 

and autonomic arousal on functional neuroanatomy. Neuron, 33, 653-663. 

Uchiyama, I., et al. (2008). Locomotor experience affects self and emotion. Developmental 

Psychology, 44, 1225-1231. 

Hindley, C. (1968). Growing up in five countries: A comparison of data and weaning, 

elimination training, age of walking and IQ in relation to social class from 

European longitudinal study. Developmental Medical Child Neurology, 10, 715-724. 

Hong. (2002). Positioning for children with learning disabilities. British Journal 

of Therapy & Rehab, 9, 443-446. 

Howe, T., & Oldham, J. (2001). Posture and balance. In M. Trew & T. Everett, 

(Ed), Human Movement: An Introductory Text. London: Churchill Livingstone. 

Labandz, S. (2010). Take a stand for standing. Exceptional Parent, (Jul), 47-49. 

Watanabe, I. (2010). The “other” benefits of proper positioning. Mobility 

Management. 

Wechsler, K. (2009). Stand up! MDA’s Research and Health Magazine, 18(1). 

Janet A. Hulme is a physical therapist with more than 35 years of experience. 

She is an international speaker on abdominal and pelvic muscle function in 

relation to women’s health.

pain Waves 

The use of electrical 

stimulation devices is often 

debated in clinical settings 

By Rebecca Mayer 

tion to control pain has been questioned 

since the very first day the 

approach arrived on the rehab scene. 

Some studies show electrical stimulation 

to be an effective modality but conflicting 

research shows the approach to be no more 

effective than a placebo. 

The difference in opinion likely stems from 

the fact that pain is a subjective description 

that varies from patient to patient due to 

many factors. But one must also consider 

the personal preference of the therapist as to 

when and why the use of electrical stimulation 

may be the correct course of treatment. 

The most familiar use for electrical 

stimulation in physical therapy is pain 

control. Although these approaches have 

not been proven to cure the source of pain, 

many patients will experience short-term 

pain relief with little risk of side effects or 

adverse reactions. 

A transcutaneous electrical nerve stimulation 

(TENS) unit is one of several devices 

that use very small doses of electric current 

to promote natural pain relief. 

Unlike systemic drugs, which affect the 

entire body, TENS is designed to target the 

pain where it occurs. 

TENS and electrical stimulation (e-stim) 

may be used to control several different types 

Brian Knutsen, Buzzards Bay Hand tHerapy The effectiveness of electrical stimula- 

of pain including acute, chronic, phantom limb, 

postoperative, obstetric, cardiopulmonary and 

neurological. 

Clinical Practice 

At Hardy Physical Therapy in Northborough, 

MA, the therapists use electrical stimulation 

daily in the clinic. Uses range from pain control 

to facilitating muscle relaxation/reduction of 

spasm, reducing inflammation and controlling 

edema. The therapists commonly use Russian 

e-stim to assist in muscle contraction/recruitment 

post surgically and interferential e-stim 

to control pain. 

Contracting a patient’s muscle via electrical 

stimulation—in which electrodes are 

placed on the skin in various locations—can 

help a physical therapist recruit the appropriate 

muscle fibers and thereby strengthen the 

affected muscle. 

The treating physical therapist is able to 

change the current setting to allow for a forceful 

or gentle muscle contraction. Along with 

increasing muscle strength, the contraction 

of the muscle also promotes blood supply 

to the area that assists in healing. 

“Whether we use e-stim with a patient at 

the beginning or the end of a treatment varies 

by diagnosis,” shared Tyler Bowie, PT, 

clinic manager, Hardy Physical Therapy. “We 

often use Russian electrical stimulation early 

on post-operatively, especially with knee 

patients to facilitate muscle contraction and 

recruitment when quadriceps control is poor.” 

The therapists use electrical stimulation 

for post-operative patients to control and 

minimize swelling/edema and reduce 

[pain modalities] 

inflammation. Depending on the patient’s 

circumstances, heat or ice may be used, for 

about 15 to 20 minutes, in conjunction with 

e-stim. 

“We also use e-stim for patients with acute 

pain/muscle spasm to reduce the spasm and 

promote muscle relaxation prior to any mobilizations 

or manual therapies,” said Bowie. 

At Coastal Orthopaedics in Fall River, MA, 

the PTs primarily use electrical stimulation 

for neuromuscular re-education with the 

largely post-operative patient population. 

Neuromuscular e-stim (NMES) is often 

used to facilitate quad control with postoperative 

anterior cruciate ligament (ACL) 

tears or with knee replacements, according 

to Stacie Rego, PT, MS, OCS. Rego is a PT at 

Coastal Orthopaedics under a contract with 

New England Physical Therapy Plus. 

“I always include a functional, standing 

component with NMES,” Rego explained. “A 

sample treatment would be a few minutes of 

quad sets and straight-leg raises to get the 

patient used to the unit and contracting the 

muscle well, followed by five to 10 minutes 

of step-ups.” 

When using NMES with new patients, 

Rego typically explains the basic mechanism 

behind muscle contractions and the method 

of facilitating the nerve to assist the muscle 

to fire, so they may understand the modality. 

Coastal Orthopaedics recently issued an 

NMES home or portable unit to a patient 

who was being treated pre-operatively for 

an ACL tear. 

“If I’m seeing good results in the clinic, and 

the patient seems like he will be compliant, 

then home units are great,” Rego shared. 

Home units enable increased carryover, 

while also allowing the physical therapists 

greater time to spend on more active treatment 

in the clinic. Rego’s patient was lacking 

a significant amount of extension and presented 

with noticeable quad atrophy. “He 

will be able to use the portable NMES unit 

immediately after surgery to facilitate quad 

contraction,” Rego said. 

Blocking Pain Pathways 

TENS is used to stimulate sensory fibers and 

block “pain pathways” to the brain by overstimulating 

them, according to Bowie. 

According to Rego, the thought is that 

a TENS unit acts along the gate control 

theory. “If you bump your elbow, you rub 

it to decrease the pain,” she shared. “This 


35

[pain modalities] 

happens because our touch nerve fibers process 

in our brain faster than pain fibers.” 

Physical therapists with Hardy Physical 

Therapy typically do not use TENS in the 

clinic, but do provide instruction on home 

use for patients in chronic pain. 

“I tend to be a very evidence-based clinician, 

so I typically do not incorporate modalities 

such as TENS into my practice,” Rego shared. 

“Although, I know recent research showed 

some promising results with the use of TENS 

for knee osteoarthritis when used in conjunction 

with therex.” 

The main contraindication when using 

electrical stimulation is significant cardiac 

history with a pacemaker/defibrillator. “The 

electrical current interferes with the current 

from the pacemaker,” shared Rego. 

E-stim should also not be used in patients 

with epilepsy/seizure disorders, decreased 

sensation or cognitive impairments, carotid 

sinus, over an infection or open wound/incision, 

and any form of cancers/malignancies or 

in those who may be pregnant, shared Bowie. 

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Pain Reduction 

E-stim can be used in a physical therapy setting 

to decrease inflammation and muscle spasm, 

which often leads to a reduction in pain. 

According to Bowie, these modalities can 

safely be used in place of pain medications 

because they generally do not lead to any 

dependence/addiction issues. There are no 

side effects associated with the use of TENS or 

e-stim; however, pain medication may cause 

nausea, constipation or dizziness and even 

worse, can be addictive. 

Bowie recently treated a 14-year-old soccer 

player who suffered a major contusion/trauma 

after being kicked below her shin guard in a 

game. The patient presented in a CAM boot and 

crutches two weeks after her injury. Her ankle/ 

foot had severe edema and she was unable to 

move her ankle, foot or toes. 

“For her first few visits, I used e-stim with a 

very low frequency for edema reduction in her 

ankle and forefoot,” Bowie relayed. “Swelling 

was minimized after approximately one week, 

but at that time, she still had minimal range of 

motion and poor strength in ankle and foot. She 

was unable to flex or extend her toes at all and 

dorsiflexion of her ankle was a trace.” 

Bowie began using Russian e-stim to promote 

muscle recruitment and facilitation of contraction 

in her foot and ankle. After a few treatments, 

the patient was able to move her foot and ankle 

again and gained enough strength and range of 

motion (ROM) to begin normal strength and 

proprioceptive training exercises. 

“We truly see results from the use of electrical 

stimulation,” Bowie shared. “Unfortunately, 

many insurance companies no longer 

reimburse for the use of e-stim. We still use the 

modality for patients because we feel they do 

benefit and it generally speeds recovery.” n 

Rebecca Mayer is senior regional editor for 

ADVANCE and can be reached at rmayer@ 

advanceweb.com. 


For more information on pain, 

visit www.advanceweb.com/ 

PTPainManagement

EDUCATION OPPORTUNITIES 

DISTANCE EDUCATION 


Become Your Own Boss: 

Starting an In-Home Therapy Practice 

Reap the personal and financial benefits of working for 

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practice under Medicare Part B. Therapists will learn about 

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access the seminar through our web site. Contact: In-Home 

Therapy Services, LLC, 800-931-5769; www.inhometherapy 

services.com for more information and to register online. 


Best Course in Stroke Rehab! 

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online. Three courses offered, “Functional Treatment Ideas 

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Bohannon bring these courses to life with real patients, case 

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ON-SITE SEMINARS 

OCT. 19-20, 2012 ROCHESTER, NY 

New York Physical Therapy 

Association Conference 

The New York Physical Therapy Association (NYPTA) will hold a 

Conference on October 19-20, 2012 at the Radisson Rochester 

Riverside Hotel in Rochester, NY. Would you like to know about 

changes that are occurring in the insurance and payment 

arenas? A full-day course on Medicare documentation that will 

help you correctly file Medicare claims and avoid errors is just 

one example of the exemplary programming. Contact: NYPTA, 

518-459-4499; or www.nypta.org for more information. 

OCT. 20, 2012 WEST WINDSOR, NJ 

American Physical Therapy 

Assn.- NJ 2012 Fall Conference 

The American Physical Therapy Association of New Jersey 

will host its annual Fall Conference at the Conference Center 

at Mercer, West Windsor, NJ. Members can attend the morning 

members’ meeting, with elections for President-Elect, 

Chief Delegate and three At-large Delegate positions. During 

lunch, registrants can visit the exhibitor booths or attend a 

Special Interest Group meeting. In the afternoon, members 

and non-members can earn 3 CE credits in one of the various 

educational programs. Contact: 609-208-0200; www.aptanj. 

org for more information. 

OCT. 20-23, 2012 ATLANTA, GA 

NOV. 2-5, 2012 ST. LOUIS, MO 

NOV. 8-11, 2012 WHITE PLAINS, NY 

Intro to NDT Part I 

Improving Gait Faster Part II 

Achieve functional outcomes for adults with hemiplegia. 

Content includes the principles of NDT, facilitation of sitto-stand, 

use of the LE in functional activities, transfers, UE 

weight bearing remediation of pain and subluxation of the 

hemiplegic shoulder. Bed mobility will be demonstrated. 

Treatment ideas and a framework to document goals based 

on functional outcomes using NDT will be provided. Get to 

results faster when improving gait. Increased clinical reasoning 

will enable you to know what to expect and what to 

predict. You will be able to assess the cause of the problem 

and have more immediate influence. You will have a better 

understanding of the normal components of gait and then 

understand why your patient with hemiplegia has tendencies 

in gait. You will practice with “hands-on” how to increase 

ROM of the hip and foot. Concepts for use of self-exercise 

program and use of orthotics will be discussed. Additional 

treatment ideas related to gait and more examples of 

documentation will be provided. Both parts include videotapes, 

“hands-on” experience and patient demonstrations. 

Cathy Runyan, OTR, & Peggy Miller, PT, NDTA Inc. Certified 

Instructors. Audience: PTs, PTAs, OTs, COTAs. Contact hours: 

30. Contact: Recovering Function, 408-268-3691; or www. 

RecoveringFunction.com for complete brochure of introductory, 

advanced, and certification courses as well as information 

about additional course dates/locations, group rates, & 

free registrations when hosting courses at your facility. 

OCT. 26-27, 2012 STATEN ISLAND, NY 

DEC. 1-2, 2012 DALLAS, TX 

Intervention for the Medically 

Complex Infant & Young Child 

This comprehensive course will help clinicians make the 

tough therapy decisions required when managing the care 

of children with complex medical issues. It will focus on 

applying evidence to decisions regarding therapy priorities, 

predicting outcomes, treatment modifications, and making 

appropriate discharge recommendations. Case studies will 

be used to advance clinical problem solving skills needed to 

address the complications and complexities of care that is 

constantly interrupted by medical issues, hospital stays and 

surgeries. The material will apply to children in all practice 

settings. Instructor: Jonathan Greenwood, PT, MS, NDT, PCS. 

Contact: Education Resources, Inc., 508-359-6533; 800- 

487-6530 (outside MA); www.educationresourcesinc.com 

DON’T LET YOUR FREE ADVANCE SUBSCRIPTION EXPIRE! 

CALL 800.355.1088 

OCT. 27-28, 2012 ENGLEWOOD, NJ 

DEC. 8-9, 2012 TALLAHASSEE, FL 

APRIL 13-14, 2013 STATEN ISLAND, NY 

Diagnosis/Treatment: 

Movement Impairment Syndromes 

Designed to take the complexity and guesswork out of planning 

treatment, this seminar focuses on a new perspective 

on stroke recovery. Based on principles proven to drive neuroplastic 

change in stroke survivors, this seminar will provide 

the tools to incorporate leading-edge, research-based recovery 

options. Included will be an in-depth look at a variety of 

cutting edge strategies, technologies and treatment options 

to aid stroke survivors in reaching the highest level of potential 

recovery, such as modified constraint induced therapy, 

gaming technologies, and motor imagery techniques, among 

others. Instructor: Mary Kate McDonnell. Contact: Education 

Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); 

www.educationresourcesinc.com 

NOV. 2-3, 2012 ARLINGTON, TX 

NOV. 9-10, 2012 DERBY, CT 

FEB. 9-10, 2013 RICHMOND, VA 

Mobilizing the Medically 

Complex Acute Care Patient 

Therapists are often challenged when presented with complex 

acute care patients who may have cardiovascular and/ 

or pulmonary dysfunction or complications in addition to 

other medical conditions. Mobilizing these complex patients 

safely requires integration of the implications of lab values, 

diagnostic test results, patient history, medications and 

equipment. Signs of patient instability and when and how to 

modify or terminate treatment will be discussed. Instructor: 

Ellen Hillegass, EdD, PT, CCS, FAACVPR. Contact: Education 

Resources, Inc., 508-359-6533; 800-487-6530 (outside MA); 

www.educationresourcesinc.com 

NOV. 3-4, 2012 DALLAS, TX 

NOV. 17-18, 2012 CINCINNATI, OH 

DEC. 1-2, 2012 FT. LAUDERDALE, FL 

Therapeutic Ultrasound and 

Electrical Stimulation 

This two-day course thoroughly covers ultrasound & electrical 

stimulation from theory to application. Through a 

combination of interesting lecture and hands-on labs, this 

course provides information and skills that can be utilized in 

the clinic the very next day. Using top-of-the-line equipment, 

this course includes numerous application labs for ultrasound 

and electrical stimulation, as well as a three-hour simulated 

treatment lab. Cost: Only $350 for 16 hours. Please call for 

group discounts. Contact: JVB Enterprises, Inc., 888-328- 

6755 (toll-free); or www.teachtx.com 

NOV. 4-5, 2012 NEW YORK, NY 

Incorporating Taping into a 

Rehabilitation Program 

This course provides an understanding of the indications and 

contraindications of taping techniques for pediatric and adult 

patients of all ages with orthopedic and neurologic impairments. 

Participants will demonstrate competency through lab 

activities and clinical decision making exercises. Taping strategies 

for musculoskeletal injuries are foundation of course. 

Progressive intervention, including taping for posture reeducation, 

balance and gait training, and enhancing specific 

occupational functions will be demonstrated. Specific strategies 

to improve movement patterns in pediatric population 

will be shown. Taping as a complement to traditional bracing 

presented. Instructor: Stephen Kanter, PT, DPT, ATC. Contact: 

Therapeutic Services, 718-692-1929; 888-7-THERAPY; 718- 

338-3393 (fax); or www.therapeuticservicesinc.com 


37


NOV. 7-9, 2012 HONOLULU, HI 

Secrets & Steps to 

Private Practice Success 

Step-by-step instruction course on how to increase referrals, 

revenue, & reimbursement quickly and affordably! 

Perfect for Experienced Owners & Beginners. SECRETS 

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Promotions for Instant Business, 7) Best Equipment & 

Software. TESTIMONIALS: “You will kick yourself if you 

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here”. “It would be a MISTAKE not to take this course!” 

100% Money-Back Guarantee. Contact: 800-801-4511; 

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NOV. 9-10, 2012 TALLAHASSEE, FL 

NOV. 30-DEC. 1, 2012 ATLANTA, GA 

DEC. 13-14, 2012 TRUMBULL, CT 

Treatment of the Child with 

CP & Other Neurological Disorders 

Therapists are bombarded with new information on brain 

function and new techniques to improve functional mobility. 

This course will help therapists select and prioritize the 

2012! 


most appropriate treatment strategies for infants, toddlers 

and young children with neurologic challenges and other 

special needs. They will become familiar with and select from 

new approaches including: MOVE, Conductive Education, 

Compression Garments, MEDEK and TAMO. Focus will be on 

children with cerebral palsy and children with severe motor 

impairments as well as others with positioning and mobility 

challenges. Evidence-based interventions will be emphasized 

to achieve measurable functional goals. Instructor: Ginny 

Paleg. Contact: Education Resources, Inc., 508-359-6533; 

800-487-6530 (outside MA); www.educationresourcesinc. 

com 

NOV. 9-13, 2012 HOUSTON, TX 

Advanced NDT 

Handling and Problem Solving 

Instructor: Patricia Kay Folmar. Location: Texas Children’s 

Hospital, Houston, Texas 77030. Contact: Mitzi Wiggin, 

832-826-6107 for more information; e-mail: mmwiggin@ 

texaschildrens.org; or register online: www.texaschildrens. 

org/pmr and click on continuing education. 

WWW.ADVANCEWEB.COM/JOBFAIRS 

INTERACTIVE WEBINARS 

Oct 16-18 

Pelvic Rotator Cuff: Low Back, SI, Hip, Knee & Ankle 

Oct 23-25 

Bowel Dysfunction: Assessment & Treatment 

Nov 6-8 

Abdominal & Pelvic Core Power: Inner Core Strength-Athlete to Centenarian 

Nov 13-15 

Beyond Kegels: Pelvic Muscle, Bladder & Bowel Dysfunction 

See course descriptions and register at www.phoenixcore.com 

NOV. 9-17, 2012 LANSING, MI 

NOV. 30-DEC. 8, 2012 BOULDER, CO 

JAN. 11-19, 2013 PORTLAND, OR 

Lymphedema Therapy Certification 

MLD Vodder & CDT Foeldi 

Klose Training offers the highest-quality lymphedema certification 

course in the US. It’s the most efficient & cost-effective 

way to become certified. 45 hrs of online home study +90 hrs 

of classroom (lab) instruction. (Fewer days away from work; 

lower travel costs). UE-only option: 90 hrs. Pathophysiology, 

diagnosis, & DD are taught by an expert lymphedema physician. 

Lab instructors are the most experienced in the field. 

Approved for CEUs. Meets requirements to take the LANA 

exam. Free post-graduate services. Program est. 1990 by 

Guenter Klose, Certified Instructor. Contact: Klose Training, 

303-245-0333; info@klosetraining.com; or www.klosetrain 

ing.com 

NOV. 10-11, 2012 NASHVILLE, TN 

Assessment & Treatment 

Age-Related Balance Impairment 

This intensive two-day course is designed to provide evidence-based 

fall prevention strategies for reducing the 

number of falls in the elderly population and discuss balance 

treatments for inpatients as well as community-based falls 

prevention programs. Through interesting lecture and handson 

labs, this course will provide skills that can be used in the 

clinical setting the very next day. Over 80% of attendants 

rated this course Excellent, all others rated it Good. Cost: Only 

$350 for 16 hours. Contact: JVB Enterprises, Inc., 888-328- 

6755; or www.teachtx.com for other courses offered in your 

area or for more information. 

NOV. 10-11, 2012 SCOTTSDALE, AZ 

DEC. 1-2, 2012 NASHVILLE, TN 

JAN. 19-20, 2013 BROOKLYN, NY 

#150 OCS Exam 

Prep Course 

Dr. Eric Wilson. This two-day course boasts an 88% success 

rate and covers disease processes, modalities and research. 

It includes more than 150 OCS exam style questions and 

test-taking strategies. As a former item writer, the instructor 

shares the mechanics for testing, logic for study and questions 

that reflect the content and style of the exam questions. 

Included are: Questions and answers that reveal student 

needs for improvement exam and rationale for why the 

correct answer is right and why the incorrect answers are 

wrong; and a detailed study guide by body region. Contact: 

Motivations, Inc., 800-791-0262; admin@motivationsceu. 

com or www.motivationsceu.com 

NOV. 10-11, 2012 LOS ANGELES, CA 

DEC. 8-9, 2012 MIAMI, FL 

Starting and Running a 

Pediatric Therapy Practice 

This seminar presented by entrepreneur Vincent Mullins, 

MOT, OTR, will provide clear steps to open and run a pediatric 

OT/PT/ST private practice. All aspects of start-up and growth 

of the practice will be presented through personal experience 

and years of research and development. Both therapy and 

business portions will be discussed. 11 CE hours. Live video 

available for those unable to attend. Contact: 940-300-2299; 

or www.THERAPYSEMINARSLLC.COM to register online. 

NOV. 10-11, 2012 FAYETTEVILLE, NC 

JAN. 18-19, 2013 CHICAGO, IL 

FEB. 22-23, 2013 DALLAS, TX 

Treatment of 

The Clumsy Child 

Many school-age children struggle with motor skills that their 

peers have long mastered. These “clumsy” children may 

(Continued on next page)

Toll 

Free 1-877-794-7328 

www.greatseminarsandbooks.com 

 

Clinical Geriatric Orthopedics 

Dr. Carole Lewis, PT, DPT, GTC, GCS, 

CCOEE, MSG, MPA, PhD, FAPTA 

Lexington, KY .............Nov. 2-4, ‘12 

Miami, FL ...........Nov. 30-Dec. 2, ‘12 

Dover, DE ..............Feb. 22-24, ‘13 

Pittsburgh, PA ...........July 19-21, ‘13 

Kansas City, MO .........Aug. 16-18 ‘13 

Savannah, GA ..........Sept. 20-22, ‘13 

Dallas, TX ..............Oct. 11-13, ‘13 

Palm Springs, CA .........Nov. 15-17, ‘13 

Clinical Geriatric Neurology 

Dr. Carole Lewis, PT, DPT, GTC, GCS, 

CCOEE, MSG, MPA, PhD, FAPTA 

Raleigh, NC .............Oct. 19-20, ‘12 

Cleveland, OH .......... March 9-10, ‘13 

New York, NY ...........April 13-14, ‘13 

Portland, OR ............April 26-27, ‘13 

Orlando, FL ............ June 21-22, ‘13 

Philadelphia, PA. . . . . . . . . . . .Nov. 1-2, ‘13 

Des Moines, IA ........... Dec. 7-8, ‘13 

Geriatric Therapeutic Exercise 

Mark Traffas, PT, GTC 

Albany, NY . ...............Nov. 2-3, ‘12 

Palm Springs, CA ...........Dec. 1-2, ‘12 

Jacksonville, FL ..........Jan. 12-13, ‘13 

Columbia, SC .........March 15-16, ‘13 

Minneapolis, MN ........ June 21-23, ‘13 

Louisville, KY ...........July 20-21, ‘13 

Milwaukee, WI .........August 17-18, ‘13 

St. Louis, MO ..........Sept. 20-22, ‘13 

Chattanooga, TN ...........Nov. 2-3, ‘13 

Comprehensive 

Rehabilitation Strategies 

for the Geriatric Patient 

Doug Dillon, PT, GTC, CSST 

Toledo, OH .............Oct. 13-14, ‘12 

Los Angeles, CA .......... Nov. 3-4, ‘12 

San Francisco, CA . . . . . . March 16-17, ‘13 

New Orleans, LA .........April 20-21, ‘13 

Tacoma, WA ...........Sept. 21-22, ‘13 

Billings, MT . ............Oct. 18-19, ‘13 

Oxford, MS .............. Dec. 7-8, ‘13 

Safe Steps 

Dr. James Wall, BSc, MSc, MEd, PhD 

New Rochelle, NY ........Oct. 13-14, ‘12 

Charlotte, NC .............Dec. 1-2, ‘12 

Baltimore, MD ...........Feb. 23-24, ‘13 

Austin, TX ..............April 20-21, ‘13 

Charleston, SC ......... June 22-23, ‘13 

Boise, ID .............August 17-18, ‘13 

 

Rehabilitation for 

Persons with Dementia 

Susan Staples, PT, GCS 

Denver, CO .............Oct. 12-13, ‘12 

Akron, OH ............... Nov. 3-4, ‘12 

Bristol, TN ..............Feb. 23-24, ‘13 

Springfield, IL ......... March 16-17, ‘13 

Kissimmee, FL ..........Oct. 19-20, ‘13 

Albany, NY . ...............Nov. 1-2, ‘13 

Home Health Rehabilitation 

Dr. Carol Schunk, PT PsyD 

Pittsburgh, PA .............Oct. 6-7, ‘12 

Davenport, IA ............ Nov. 3-4, ‘12 

Provo, UT ...........Nov. 30-Dec.1, ‘12 

Tuscaloosa, AL ..........Feb. 23-24, ‘13 

Lincoln, NE . ............April 20-21, ‘13 

Toms River, NJ . ........August 17-18, ‘13 

Newport News, VA ..........Nov. 2-3, ‘13 

Rehabilitation of Persons with 

Common Medical Pathologies 

Dr. Steven Tepper, PhD, PT 

Cromwell, CT ..............Oct. 5-6, ‘12 

Dallas, TX ............... Nov. 3-4, ‘12 

San Ramon, CA ............Dec. 1-2, ‘12 

Springfield, IL ............ Dec. 8-9, ‘12 

Madison, WI .......... March 16-17, ‘13 

South Bend, IN ......... June 22-23, ‘13 

Albuquerque, NM . .......Sept. 21-22, ‘13 

Charlotte, NC ...........Oct. 19-20, ‘13 

Lexington, KY .............Nov. 2-3, ‘13 

Sacramento, CA .......... Dec. 7-8, ‘13 

Acute Care 

Rehabilitation 

Mark Nelson, MPT 

Lincoln, NE .............Oct. 13-14, ‘12 

Oxford, MS .............. Nov. 3-4, ‘12 

Oklahoma City, OK . .......Feb. 23-24, ‘13 

Salt Lake City, UT . . . . . . March 16-17, ‘13 

Harrisburg, PA ..........April 27-28, ‘13 

Royal Oak, MI .............May 4-5, ‘13 

Raleigh, NC ............ June 22-23, ‘13 

Atlanta, GA .............July 20-21, ‘13 

Nashville, TN ...........Sept. 21-22, ‘13 

Taking Balance to the Limits 

Janene Barber, PT, GTC 

New Orleans, LA .......... Nov. 3-4, ‘12 

Winston-Salem, NC .......Feb. 23-24, ‘13 

Atlantic City, NJ ............May 4-5, ‘13 

Los Angeles, CA .........July 20-21, ‘13 

Denver, CO ............Sept. 21-22, ‘13 

Chicago, IL .............Oct. 12-13, ‘13 

Rehabilitation for Osteoporosis 

Sherri Betz, PT, GCS, CEEAA, PMA®-CPT 

Washington, DC ........... Dec. 8-9, ‘12 

Las Vegas, NV ...........April 13-14, ‘13 

Cherry Hill, NJ .......... June 22-23, ‘13 

San Jose, CA ..........August 17-18, ‘13 

Cancer Rehabilitation 

An Evidence Based Course for ALL Clinicians 

Nicole Stout, MPT, CLT-LANA 

Nashville, TN ............Oct. 13-14, ‘12 

Portland, OR ..............Nov.3-4, ‘12 

Boston, MA ..............May 4-5, ‘13 

Indianapolis, IN ..........Aug. 17-18, ‘13 

Miami, FL ................Nov. 2-3, ‘13 

Rehabilitation for the Frail Elderly 

Robert Thomas, MS, PT 

Freehold, NJ ..............Dec. 1-2, ‘12 

Cheyenne, WY .............May 4-5, ‘13 

Seattle, WA ............. July 27-28, ‘13 

Dubuque, IA ...........Sept. 21-22, ‘13 

Toledo, OH .............Oct. 19-20, ‘13 

Put Some Muscle Into Ther Ex 

Dr. Wendy Anemaet, PT, 

PhD, GCS, CWS, GTC, COS-C 

Savannah, GA .............Oct. 6-7, ‘12 

Jackson, MS ............May 18-19, ‘13 

Richmond, VA ...........Aug. 17-18, ‘13 

Logan, UT .............Sept. 21-22, ‘13 

New Rochelle, NY ........Oct. 19-20, ‘13 

Olympia, WA ............. Dec. 7-8, ‘13 

Home Study Courses 

See website for details. 

 

 

 

 

 

 

 

 

 

 

All GREAT Courses are 20 Contact Hours. 

 

 

Fax 330-865-6941 Looking for GREAT Online courses? Visit us at www.greatseminarsonline.com 



39


NPTE/NPTE REVIEW 

COURSE 

Therapy Team Exam Review 

is the only comprehensive evidenced 

based review course for 

the Boards. For 2008-2009 US 

grads (DPT/MPT) had a 100% first 

time US Educated DPT/MPT pass 

rate. Past performance does not 

guarantee you will pass, but it is 

better to be safe than sorry when 

it comes to your license and job 

offer. Join us in the following cities 

for the best review available. 

Recruiters call now to schedule 

your private NPTE-i Review Course 

Traditional 

Newark, NJ Nov 24-Dec 2, 2012 

Atlanta, GA Dec 8-16, 2012 

Toll Free: {877} 476-6684 

http://www.therapyteam.com 

timothyteach@aol.com 

CKTP: Certified Kinesio 

Taping Practitioner 

Fundamentals & Adv (KT1&2) 

Advanced Whole Body (KT3) 

Astoria (NY) - Lakeland (FL) 

Miami (FL) - Warwick (RI) 

Michael Shacklock 

FACP, MAppSc, DipPhysio 

Clinical Neurodynamics - 

Upper & Lower Quarters 

May 3-6, 2013 - New York, NY 

May 17-20, 2013 - Texas (TBD) 

Oct 25-28, 2013 - New York, NY 

Nov 1-4, 2013 - Miami, FL 

FALL SAVINGS FROM 

HANDS-ON SEMINARS 

SAVE $50 NOW, 

GET $50 LATER 

Call us at (888) 767-5003 

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PT-01: Myofascial Trigger Point and 

Propricep ve Therapy 

December 1-2, 2012 – Astoria, NY 

January 12-13, 2013– Boca Raton, FL 

January 26-27, 2013 – Astoria, NY 

January 26-27, 2013 – Knoxville, TN 

February 2-3, 2013– Warwick, RI 

February 2-3, 2013– Orlando, FL 

February 23-24, 2013 – Toledo, OH 

PT-02: Comphrehensive Manual Therapy 

Approach for Cervical Spine 

November 10-11, 2012 – Miami, FL 

November 10-11, 2012 – San Antonio, TX 

February 9-10, 2013 – Astoria, NY 

March 2-3, 2013 – Boca Raton, FL 

March 16-17, 2013– Knoxville, TN 

PT-03: Comprehensive Manual Therapy 

Approach for Lumbar Spine 

December 1-2, 2012 – Miami, FL 

February 23-24, 2013 – Astoria, NY 

March 9-10, 2013 – Los Angeles, CA 

March 23-24, 2013 – New England 

(Continued from previous page) 

exhibit difficulties with writing, activities of daily living, as 

well as issues with play and sports. Underlying etiologies of 

clumsiness (development incoordination disorders) as well as 

newer concepts of motor control/motor development will be 

discussed. This course will discuss evaluation tools to isolate 

the roots of the problem and treatment techniques and suggestions 

for the classroom utilizing an integrated approach for 

functional outcomes. Instructor: Barbara Connolly. Contact: 

Education Resources, Inc., 508-359-6533; 800-487-6530 

(outside MA); www.educationresourcesinc.com 

NOV. 10-11, 2012 PHILADELPHIA, PA 

JAN. 19-20, 2013 PHOENIX, AZ 

FEB. 9-10, 2013 PORTLAND, OR 

Myokinematic Restoration 

Advanced lecture and lab course explores biomechanics of 

contralateral and ipsilateral myokinematic lumbo-pelvic-femoral 

dysfunction. Treatment emphasizes restoration of pelvicfemoral 

alignment and recruitment of rotational muscles to 

reduce synergistic patterns of pathomechanic asymmetry. 

Emphasis on restoration, recruitment and retraining activities 

using rotators of the femur, pelvis and trunk. Techniques 

to inhibit overactive musculature will enable the course 

participant to restore normal resting muscle position. Learn 

assessment and management skills when treating “piriformis 

syndrome”, right SI joint dysfunction, and low back strain. 

Mention this ad to receive a 5% tuition discount. Contact: 

Postural Restoration Institute, 888-691-4583 (toll-free); or 

www.posturalrestoration.com 

NOV. 12, 2012 HONOLULU, HI 

Advanced Billing, Coding, 

Collections and Audit-Proofing 

There are more requests for refund, denials, audits, and 

reimbursement issues than ever before in the history of our 

MCMT: Mastery Certification in Manual Therapy 


Approach for Shoulder, Elbow, Hand 

November 3-4, 2012 – Lakeland, FL 

December 15-16, 2012 – Astoria, NY 

January 12-13, 2013 – Derby, CT 

March 9-10, 2013 – Astoria, NY 

April 27-28, 2013 - Philadelphia, PA 

April 27-28, 2013 - Orlando, FL 


Approach for Hip, Knee, Foot 

October 27-28, 2012 – Miami, FL 

November 3-4, 2012 – Derby,CT 

November 17-18, 2012 - Ft Worth, TX 

November 17-18, 2012 – Astoria, NY 

November 17-18, 2012 – Los Angeles, CA 

December 8-9, 2012 – Chicago,IL 

March 2-3, 2013 – Philadelphia, PA 

PT-MCMT: Mastery Cert. in Manual Therapy 

December 15-16, 2012 – San Antonio, TX 

January 12-13, 2013 – Lakeland, FL 

January 26-27, 2013 – Los Angeles, CA 

February 23-24, 2013 – Derby, CT 

Your Clinical Success is your Choice...and our Passion! 

FOR MORE DATES AND LOCATIONS, VISIT US AT 

Your Clinical Success www.HandsOnSeminars.com 

is your Choice... and our Passion! 

FOR MORE DATES or Call AND 1-888-767-5003 

LOCATIONS, VISIT US AT 

PTPN Preferred Vendor AOTA Approved Provider 


profession. Also, are your therapists billing only 3 units while 

spending over an hour with patients? Is your documentation 

making you vulnerable? This course will help solve many 

of the problems confronted by most PT/OT practices today. 

Get the secrets to quicker payment, better reimbursement, 

appealing denials, audit-proofing, and more. TESTIMONIALS: 

“This is the best course I’ve ever attended on billing, and 

I’ve attended over 100. Take it!” 100% No-Risk Guarantee. 

Contact: 800-801-4511; or www.IndeFree.com 

NOV. 17-18, 2012 ENGLEWOOD, NJ 

Unlocking the Brain After Stroke: 

Keys to Rewiring for Recovery 

Designed to take the complexity and guesswork out of 

planning treatment, this course provides the background to 

implement evidence-based treatment strategies for stroke 

recovery. This seminar reveals a paradigm shift that impacts 

on every post stroke sequelae, by focusing on cortical 

plasticity at the foundation of post stroke recovery. Course 

includes concepts of neuroplasticity; inducement of neuroplastic 

change; learned nonuse and forced use; and modified 

constraint induced therapy (mCIT). Instructor: Peter Levine, 

BA, PTA. Contact: Rehab Education, LLC, 845-368-2458; 

info@RehabEd.com or www.RehabEd.com for details and 

registration. 

NOV. 17-18, 2012 SOMERVILLE, NJ 

Introduction to the 

NeuroIFRAH Approach for Hemiplegia 

Introduction to the Neuro-IFRAH® principles of management 

and a practical application of these principles to increase 

function in adults with hemiplegia from a stroke or brain 

injury. Useful in a variety of treatment settings including acute 

care, inpatient and outpatient rehabilitation, home care, and 

skilled nursing facilities. Lab intensive course emphasizes 

the development of patient handling skills. Contact: Rehab 

Education, LLC, 845-368-2458; info@RehabEd.com or www. 

RehabEd.com for details and registration. 

NOV. 17-18, 2012 PORTLAND, OR 

DEC. 1-2, 2012 TAMPA, FL 

FEB. 9-10, 2013 DALLAS, TX 

KinesioTaping - KT1/KT2 

More dates and locations, and Kinesiotaping KT3 courses 

listed online. KTA approved seminars. Learn the fundamental 

and advanced concepts, corrective techniques of the 

KinesioTaping Method, and the unique properties and use of 

KinesioTex Tape. Lab sessions provide ample time to practice 

kinesiotaping skills for upper and lower body applications. 

Contact: Rehab Education, LLC, 845-368-2458 for questions; 

info@RehabEd.com or www.RehabEd.com for details 

and registration. 

NOV. 18, 2012 GREAT NECK, NY 

Therapy Ball Techniques for 

Early Childhood Skill Dev. 

This course will focus on teaching participants the therapeutic 

value of therapy balls and the application of handling 

skills to improve vestibular responses, balance, spatial 

orientation, body awareness, muscle strength and tone in 

an early childhood population. Videotaped treatment session 

analysis and experiential lab sessions using therapy balls will 

enhance learning and promote skills which can be applied 

to the clinical setting. Fee: $239 before 10/11 - $259 after 

10/11. 9am-4:30pm. Location & Info: Bounce Gymnastics, 

683 Middle Neck Road, 2nd Floor, Great Neck, NY. Contact: 

212-529-9780; or visit: www.therapeuticresource.com for 

more information. 

FREE E-NEWSLETTER — WWW.ADVANCEWEB.COM

Sail Around 

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“Paris 63–Kiwi Spirit” 

– or greater – Special Placement 

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To make a donation or learn more, go to 

Foundation4pt.org or call us at 800/875-1378. 

Follow Stanley @UofStaugsolo 

Noted physical therapist and adventurer Stanley V. Paris PT, PhD, FAPTA, 

FAAOMPT will attempt to become the oldest person to solo circumnavigate 

the globe nonstop by sailboat in less than 150 days! 

You too can sail around the world with Stanley Paris by making a donation to 

the Foundation for Physical Th erapy to support the advancement of physical 

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Make a donation today to add your name to Stanley’s boat. 

 

 

Visit us at Booth #324 at the 2012 PPS Conference in Las Vegas. 



41


Attention Therapists: Interested in Lymphedema Management Certification? 

Now you can get 

Certified even 

Faster! 

of Spinal Cord Injury 

November 3-4, 2012 ................................................................ Chattanooga, TN 

Siskin Hospital for Physical Rehabilitation 

March 23-24, 2013 ........................................................................... Lincoln, NE 

Bryan Medical Center 

April 20-21, 2013 .......................................................................... Hollywood, FL 

The Rehabilitaion Institute of South Florida at Memorial Regional Hospital South 

May 4-5, 2013 ............................................................................Washington, DC 

HSC Pediatric Center 

September 28-29, 2013 .................................................................New York, NY 

Helen Hayes Hospital 

November 2-3, 2013 ...........................................................................Vallejo, CA 

Kaiser Rehabilitation Center 

For more information on registration or hosting a seminar... 

www.sciseminars.com Phone/Fax: 800.305.8818 

2013 Courses 

Announcing our new program: 

Accelerated Hybrid Online Program allows 

students to obtain their certification in 7 working days! 

Advantages Include: 

Cost Savings Less time in the classroom means less time away. 

Quality Both online and classroom hours to obtain maximum benefit. fit. 

Flexibility Students utilize our Home Study or Online Portal. . 

More Locations more classes in more locations, allows 

students to choose which location best serves their needs. 

All courses and seminars are approved for CEU’s 

Website www.acols.com Phone 1.800.863.5935 35 

e -Integrative 

Full Lymphedema 

Certi cation Course 

NEW 

Manual Lymph Drainage (MLD) & 

Complete Decongestive Therapy (CDT) 

• 135-hour certi cation course 

• 45 hours of internet-based home study 

• 90 hours of classroom (lab) instruction 

• Class runs 6 weekdays, 9 days total* 

• Offered throughout the U.S. 

Most ef cient and 

cost-effective lymphedema 

certi cation available! 

Courses are approved for continuing education (PT, OT, MT). 

This course meets the requirements to sit for the LANA exam. 

* Course days may vary based on availability of the host location. 

The Source for Research Based 

Lymphedema Management 

MLD/CDT Courses 2012/2013 

Nov. 9-17, 2012 

Lansing, MI 

Nov. 30-Dec. 8, 2012 

Boulder, CO 

Jan. 11-19, 2013 

Portland, OR 

Feb. 8-16, 2013 

Pittsburgh (Monroeville), P 

Feb. 15-23, 2013 

Chicago, IL 

Feb. 22-Mar. 2, 2013 

San Francisco, CA 

For the most up-to-date course 

locations and schedule, visit 

www.klosetraining.com 

Spinal Cord Injury Seminars 

2012-2013 Seminars 

Added! Occupational and Physical Therapy Management 


Introducing the NEW 

Accelerated Hybrid 

Online Program! 

We offer both Certifications 

Courses and Seminars. 

NOV. 30-DEC. 1, 2012 BAYSIDE, NY 

JAN. 25-26, 2013 MAITLAND, FL 

MAY 3-4, 2013 CANTON, MA 

Integrating NDT, SI and 

Motor Learning in Children 

Are the goals you are setting for the children you treat, 

realistic? Is the treatment approach the most effective to 

achieve the outcome you want? This workshop will enhance 

critical thinking skills to enable therapists to use a systematic 

approach to treating children with developmental challenges. 

Focus will be on problem solving to gain function for children 

with motor control, sensory processing and behavioral compromise. 

The unique approach will help therapists set realistic 

measurable goals, set priorities and determine frequency of 

treatment and exit criteria. Instructor: Lezlie Adler. Contact: 



NOV. 30-DEC. 2, 2012 HOLLYWOOD, FL 

JAN. 11-13, 2013 CINCINNATI, OH 

APRIL 19-21, 2013 HOUSTON, TX 

Ambulation Interventions 

For the 0-3 Population 

This course will focus on pre-and early ambulation in a population 

that is predisposed to rapid and dramatic changes: the 

birth to three populations. Typical and atypical preparation for 

and development of ambulation in the infant and toddler will 

be examined. The impact of biomechanics, the neuromuscular 

system, the sensory system, orthotics, tone management, 

and equipment will be integrated as participants learn to 

build intervention strategies to address ambulation early and 

effectively in infants and toddlers with diagnoses such as 

CP, developmental delay, prematurity and Down Syndrome. 

Instructor: Jan McElroy. Contact: Education Resources, Inc., 

508-359-6533; 800-487-6530 (outside MA); www.educa 

tionresourcesinc.com 

DEC. 1-2, 2012 BOSTON, MA 

JAN. 26-27, 2013 SAN DIEGO, CA 

FEB. 9-10, 2013 TUCSON, AZ 

Sara Meeks Seminars 

On Osteoporosis - Level I 

Statistics show that over 55% of people over age 50 have low 

bone mass (osteopenia/osteoporosis). Learn how to recognize 

people with these conditions; get the latest information 

on management; take home a comprehensive, safe, effective 

intervention for this and other back pathologies including 

spinal stenosis. Start Certification in The Meeks Method, 

based on sound therapeutic exercise principles as reflected 

in the research literature. An award-winning, international 

presenter, Sara Meeks, PT, MS, GCS, teaches all locations. 

CEUs provided. Contact: SARA MEEKS SEMINARS, 888-330- 

7272; or www.sarameekspt.com 

DEC. 1-4, 2012 PALM BEACH GARDENS, FL 

JAN. 26-29, 2013 PALM BEACH GARDENS, FL 

MARCH 2-5, 2013 PALM BEACH GARDENS, FL 

Lymphedema 

Management Seminar 

The Academy of Lymphatic Studies has pioneered lymphedema 

management in the U.S. since 1994. This course 

serves as an introduction to the management of upper and 

lower extremity lymphedema (primary and secondary) and 

is focused on increasing the understanding of proper lymphedema 

management and the application of the techniques 

known as Manual Lymph Drainage (Vodder/Foeldi technique) 

and Complete Decongestive Therapy for lymphedema and 

other conditions. The 31 hour program is taught in only 1 1/2 

working days; the course length is 3 1/2 days in total. The 

program covers the anatomy, physiology and pathophysiology 

of the lymphatic system and the introduction in the 

current treatment techniques for upper and lower extremity 

lymphedema. The textbook “Lymphedema Management”

authored by the Academy’s director was published in 2004 

by Thieme Medical and Scientific Publishers, NY, and is 

included in the tuition. Discounts are available for APTA & 

AOTA members. Contact: 800-863-5935; academy@acols. 

com or www.acols.com 

DEC. 2-3, 2012 NEW YORK, NY 

Pediatric 

Vestibular Rehabilitation 

This course is designed for physical and occupational 

therapists working in pediatric settings with infants through 

teenagers. The course covers vestibular rehabilitation principles 

for treating children with dizziness, coordination, 

balance, motor, postural, reflex integration, vestibular, visual 

motor, sensory organization and motion disorders. The course 

will include pediatric assessments for vestibular, sensory 

organization, visual motor, reflex integration and motor development. 

Treatment techniques, video case studies, home 

program development, and lab practice time will be included. 

Instructor: Gaye Cronin, OTD, OTR/L. Contact: Therapeutic 

Services, 718-692-1929; 888-7-THERAPY; 718-338-3393 

(fax); or www.therapeuticservicesinc.com 

DEC. 7-8, 2012 SAN ANTONIO, TX 

Driving Neuroplastic 

Change in Stroke Survivors 

Designed to take the complexity and guesswork out of planning 

treatment, this seminar focuses on a new perspective 

on stroke recovery. Based on principles proven to drive 

neuroplastic change in stroke survivors, this seminar will 

provide the tools to incorporate leading-edge, researchbased 

recovery options. Included will be an in-depth look at 

a variety of cutting edge strategies, technologies and treatment 

options to aid stroke survivors in reaching the highest 

level of potential recovery, such as modified constraint 

AT VNSNY, 

WE WORK 

HARD 

TO MAKE 

SURE YOU 

LIVE WELL. 

VNSNY is an approved provider 

of continuing education credit 

by the Alabama State Nurses 

Association, the New York State 

Education Department State 

Board for Physical Therapy, 

the American Occupational 

Therapy Association, and the 

American Speech-Language- 

Hearing Association. VNSNY 

is recognized as a Provider of 

Continuing Education for PTs 

and PTAs by the New York State 

Education Department State 

Board for Physical Therapy. 

Best Companies to Work for in New York, 

SHRM (2012) 

50 Best Places to Work in New York City, 

Crain’s New York Business (2010) 

50 Best NonProfit Organizations to Work for, 

The NonProfit Times (2011) 

induced therapy, gaming technologies, and motor imagery 

techniques, among others. Instructor: Peter Levine. Contact: 



DEC. 7-8, 2012 PORTSMOUTH, NH 

JAN. 25-26, 2013 SACRAMENTO, CA 

MARCH 22-23, 2013 WILMINGTON, DE 

Pediatric Brain: Functional 

Neuroanatomy, Sensory Systems, Tx 

This intermediate-level course will provide therapists with a 

deeper understanding of the complex multi-system involvement 

of the brain in movement, learning and daily functioning. 

The instructor will use innovative and multi-sensory 

approaches to help participants relate the information to their 

therapeutic practice. The course will focus on neuroanatomy 

incorporating cerebral development, nervous system function 

and interconnectivity between all areas of the brain as well 

as discuss the sensory systems. The instructor will demonstrate 

the importance of considering the visual system when 

assessing and treating vestibular and sensory dysfunction. 

Instructor: Janine Wiskind. Contact: Education Resources, 

Inc., 508-359-6533; 800-487-6530 (outside MA); www. 

educationresourcesinc.com 

DEC. 7-8, 2012 DECATUR, GA 

APRIL 26-27, 2013 TEMPLE, TX 

JUNE 14-15, 2013 BURLINGTON, NC 

Expediting Diagnosis, Prognosis, 

Function in Neuro Patients 

This course will provide therapists with a new perspective 

for improving outcomes in their patients with neurologic 

deficits. A framework for clinical decision making and 

therapy intervention based on the clinical relevance of the 

neuropathology underlying the movement dysfunction will 

Increasing Lymphedema 

Awareness in Home 

Health Care Rehabilitation 

Therapists 

Presenter: Kathleen Lieu 

DPT, CLT 

Date: Tuesday, Oct. 16, 2012 

Time: 2:00PM – 5:00PM 

Location: VNSNY Brooklyn 

Regional Office 

Rooms A and B 

1630 East 15th St. 

Brooklyn, NY 11229 

Who Should Attend: PTs, 

PTAs, OTs, and COTAs 

be presented. Participants will learn an evidence-based 

approach to selecting the most appropriate interventions 

based on functional prognosis and learn when and 

how to facilitate recovery versus facilitate compensation. 

Speaker: Roseanne Thomas. Contact: Education 

Resources, Inc., 800-487-6530; 508-359-6533; www. 

educationresourcesinc.com 

DEC. 8-18, 2012 PALM BEACH GARDENS, FL 

JAN. 12-22, 2013 PALM BEACH GARDENS, FL 

JAN. 26-FEB. 5, 2013 PHOENIX, AZ 

Lymphedema 

Certification Course 

The Academy of Lymphatic Studies has pioneered certification 

classes in Manual Lymph Drainage (Vodder/Foeldi 

technique) and Complete Decongestive Therapy in the U.S. 

since 1994. This program is a comprehensive certification 

course (135 hours) and is taught in only 7 working days; 

the course length is 11 days in total, including 2 weekends 

(meets the requirements of the Lymphology Association of 

North America). The program covers: anatomy, physiology & 

pathology of the lymphatic system, basic and advanced techniques 

of MLD, bandaging for primary and secondary upper 

and lower extremity lymphedema (incl pediatric care and 

genital lymphedema) and other conditions (post-traumatic, 

postoperative swellings, CVI, Migraine). Special workshops 

are included in the course (insurance billing, certification for 

compression garments, etc.) The textbook “Lymphedema 

Management” (included in tuition) authored by the Academy’s 

director was published in 2004 by Thieme Medical and 

Scientific Publishers, NY; tuition also includes educational 

CD, course manual, complete set of bandages, CD for limb 

volume calculation, set of posters of the “Lymphatic System”. 

After course completion each student is provided with 

instructor mentoring. All graduates qualify for free lifetime 

(Continued on next page) 

VNSNY 

CONTINUING EDUCATION COURSES 

FALL 2012 

The Evidence Based Home 

Exercise Program: “How to 

design an effective program 

for the Home Care Setting” 

Presenters: Chad Johnson, 

Christopher Balducci, Mary 

Taylor and Susan Morabito 

Date: Wednesday, Nov. 7th, 2012 

Time: 12:30PM – 4:00PM 

Location: VNSNY Bronx 

Regional Office, Hutch 

Conference Center 

1200 Waters Place 

Bronx, NY 10461 

Who Should Attend: PTs, 

PTAs, OTs, and COTAs 

To register, please visit us online at: www.vnsny.org/ce 

ONLY 

$79! 

An Evidenced Based Approach 

to Strength Training in the 

Older Adult 

Presenter: Joseph Gallagher, 

PT, DPT 

Date: Thursday, Nov. 15th, 2012 

Time: 1:30PM – 4:45PM 

Location: VNSNY Manhattan 

Regional Office 

Rooms 6A and B 

1250 Broadway, 6th Floor 

New York, NY 10001 

Who Should Attend: PTs, PTAs, 

OTs, and COTAs 

VNSNY OFFERS A VARIETY OF CE COURSES FOR PTS, PTAS, OTS, COTAS AND SLPS. 

VISIT OUR WEBSITE FOR MORE INFORMATION ON UPCOMING CLASSES! 

Walk-Ins: Unfortunately, due to the nature of our events, walk-in registrations are not accepted 

Questions: For questions, please email us at rehabspecialevents@vnsny.org 

CEs: For specific CE information visit us online at http://www.vnsny.org/ce 

EOE M/F/D/V 



43


(Continued from previous page) 

listing as certified lymphedema therapists for patient 

referral on our web site. All courses are approved by FPTA, 

IPTA and AOTA for CEUs. Discounts are available for APTA 

& AOTA members. Financial aid available. Contact: 800- 

863-5935; academy@acols.com or www.acols.com for 

a free brochure. 

DEC. 13-16, 2012 HOUSTON, TX 

Visceral Manipulation: 

Abdomen 1 (VM1) 

Instructor: Jean Ann Zoller. Location: Texas Children’s 

Hospital, Houston, Texas 77030. Contact: Mitzi Wiggin, 

832-826-6107 for more information, e-mail: mmwiggin@ 

texaschildrens.org or register online: www.texaschildrens. 

org/pmr and click on continuing education. 

® 

Train to be a Certified Educator 

of Infant Massage (CEIM) 

Teach parents about the benefits and 

life-long impact of nurturing touch! 

Great skills for OTs and PTs. 

CEUs available. Classes nationwide. 

Call: 703-455-3455/800-497-5996 

www.InfantMassageUSA.org 


JAN. 10-13, 2013 SAN JOSE, CA 

MARCH 7-10, 2013 DALLAS, TX 

MARCH 14-17, 2013 WINSTON-SALEM, NC 

Recovering Function NDT Courses 

Intro, Advanced, Cert 

Recovering Function’s series of “hands-on” NDT courses 

provides you with a step-by-step framework of problem 

solving strategies and manual cues for assessing potential 

and individualizing functional outcomes when implementing 

interventions for your adult clients with hemiplegia. 

Audience: OTs, COTAs, PTs, PTAs. Cathy Runyan, OTR/L, & 

Peggy Miller, PT, NDTA, Inc. Certified Instructors. Offered 

nationwide. Contact: Recovering Function, 408-268-3691; 

or www.RecoveringFunction.com for a complete brochure 

of intro, advanced, and cert courses as well as information 

about additional course dates/locations, group rates & free 

registrations when hosting courses at your facility. 

JAN. 12-13, 2013 PASADENA, MD 

JAN. 19-20, 2013 RAPID CITY, SD 

FEB. 23-24, 2013 CROOKSTON, MN 

Pelvis Restoration 

Advanced lecture and lab course designed to assist clinicians 

with complex patients struggling to improve. Gain an 

appreciation for the influences of an asymmetrical pelvis and 

how this imbalance contributes to pelvic floor dysfunction. 

We will explore in detail the function of the pelvic inlet and 

outlet as it relates to anatomy, respiration, and asymmetry in 

a multiple polyarticular chain system. Learn to restore pelvic 

and respiratory neutrality through a PRI treatment approach. 

Treatment integration to assist with the following pelvic floor 

dysfunctions will be discussed: incontinence, hypertonicity, 

prolapse and sacro-iliac instability. Mention this ad to receive 

a 5% tuition discount. Contact: Postural Restoration Institute, 

888-691-4583 (toll-free); or www.posturalrestoration.com 

JAN. 18-19, 2013 ST. LOUIS, MO 

FEB. 16-17, 2013 RICHMOND, VA 

MARCH 16-17, 2013 BATH, ME 

Postural Respiration 

Clinicians will gain an appreciation for the postural influences 

of: rib torsion, asymmetrical oblique strength, inconsistent 

breathing patterns, habitual use of accessory respiratory 

musculature and a restricted diaphragm. The focus of this 

course will be to “balance” polyarticular muscular chains 

through focused functional assessment of the upper-half. 

Integrated treatments using manual therapy and non-manual 

techniques to restore respiratory and rotational functions 

of the trunk will be covered. Learn clinical assessment and 

management skills when treating diagnosis such as “fibromyalgia”, 

thoracic outlet syndrome and shoulder dysfunction. 

Mention this ad to receive a 5% tuition discount. Contact: 

Postural Restoration Institute, 888-691-4583 (toll-free); or 

www.posturalrestoration.com 

APRIL 20-28, 2013 CHICAGO, IL 

MAY 18-26, 2013 FT. LAUDERDALE, FL 

MAY 25-JUNE 2, 2013 PHILADELPHIA, PA 

Lymphedema 

Therapy Certification 

The Norton School of Lymphatic Therapy’s Advantage Optimal 

Access Format is a blended live & web-based certification 

program producing LANA-eligible lymphedema therapists 

in only 9 continuous days. Only 5 workdays and 2 weekends 

make this course the most sensible, cost-effective, 

unmatched choice. Save large expenses on staff coverage, 

travel, hotel and meals. Take our online Virtual Tour and 

compare to other schools! This course teaches: Manual 

Lymph Drainage (MLD) & Complete Decongestive Therapy 

(Vodder/Foeldi Tech) covering 135 hours, basic and advanced 

MLD, bandaging & Tx protocols, Tx of primary & secondary 

lymphedema, extremity & non-extremity lymphedema. All 

Norton School instructors are recognized national experts 

and are available via e-mail & phone consultation for Tx of 

complex patients. We offer Advanced Training Programs, 

Reviews, Bi-Annual Conferences, Specialized Training Videos 

& free lifetime listing in our Therapist Referral Database. 

Multiple courses offered per month nationally. Inquire about 

hosting a course! MD, RN, PT, OT, PT & OT Assistants, 

Nurses & MTs qualified. The Norton School is recognized 

by FPTA, NJ, SBPTE, TPTA, AOTA & NCBTMB for CEUs. 

Senior Faculty: Steve Norton, MLD/CD, CLT-LANA; Andrea 

Cheville, MD, Medical Director. Contact: 866-445-9674 (tollfree); 

866-854-7800 (fax); info@NortonSchool.com or www. 

NortonSchool.com 

Visit advancehealthcareshop.com 

to see our 

full selection 

of items in 

your specialty. 

NEED A QUICK 

TRADESHOW GIVEAWAY? 

EMAIL 

REPRINTS@ADVANCEWEB.COM

[coVer story] 

survivorship continued from page 21 

breathing, it may promote clearance of the 

trunk area for lymphedema patients. 

“Cancer is a disease that affects both mind 

and body so it’s important to know how the 

treatments affect the whole person,” said 

Aaronson. 

Teaming Up To Fight Cancer 

The landscape of cancer rehabilitation is changing 

rapidly and has revealed tremendous 

opportunities for skilled clinicians, according 

to Dr. Silver. 

Each of the therapists who ADVANCE spoke 

with acknowledged the positive progression 

of cancer rehab in recent years. 

“I used to only see cancer patients who came 

in because they were having pain or active 

lymphedema,” Kemm said. “But now the 

focus has shifted to educating these patients 

and returning them to their former function as 

soon as possible.” 

According to Aaronson, quality of life has 

become a big focal point. “I’ve noticed that 

other health care providers are starting to come 

on board and realize how important rehab is 

for cancer survivors who are living longer than 

ever now. Bringing awareness to the issues and 

working together as a multidisciplinary team 

is the key,” she explained. n 

Rebecca Mayer is senior regional editor 

of ADVANCE and can be reached at rmayer@ 

advanceweb.com 

[trigger point pain] 

points. Conversely, myofascial trigger points 

may be found anywhere within a muscle belly, 

and there is evidence that their pathophysiological 

mechanism resides in dysfunctional 

endplates. 12,15 

Trigger-point dry needling is a very effective 

clinical intervention for the treatment of myofascial 

pain syndrome. While this intervention 

uses a thin filamentous stainless steel needle, the 

same as an acupuncture needle, it is distinctly 

different from acupuncture both in the rationale 

and its means of application. 5-14 clarification continued from page 31 

It is important 

to understand that these two approaches are 

very different and require different training for 

their clinical application. 

Trigger-point dry needling is not proprietary 

to one specific profession, but can be practiced 

FOR SALE: 

FLORIDA MEDICARE 

PART B PROVIDER 

Owners Retiring – Also some 

Equipment for sale 

Part B Medicare Provider is good 

in the State of Florida 

Contact: Donna Flammang, Esquire 

(239) 405-8672 

Rental Opportunity for PT: 

MANHATTAN 

Manhattan midtown sensory integration clinic 

seeking PT with pediatric experience to rent space. 

• Great opportunity to jump start a private practice due to 

built in referral base for clinic and school based services. 

• 2200 sq feet newly renovated clinic. 

• Monthly rent includes most costs of running a clinic. 

E-mail resume to 

admin@ctdtherapy.com 

or fax to (212) 290-0292 

OCCUPATIONAL THERAPY, PLLC 

For Sale: 

Private Practice Pediatrics OT/ST/PT 

EI/CPSE contract; 

Private pay/Insurance panels 

Turnkey operation; Excellent reputation 

All equipment, test materials, furniture 

Westchester/Northern Suburb of NYC 

Serious Inquiries; Principals only, 

respond to: 

pedtherapies@gmail.com 

by properly trained healthcare providers. Scientific 

merit requires that we are clear in our 

distinction between these two separate treatment 

approaches. n 

References are available at www.advance 

web.com/pt under the Resources tab. 

Dimitrios Kostopoulos graduated from the New 

York College of Traditional Chinese Medicine and 

UHSA School of Medicine. He can be reached at 

dimi@handsonpt.org. Konstantine Rizopoulos is 

a graduate of Evidence in Motion’s DPT program. 

He can be reached at kostas@handsonpt.org They 

are founders of Hands-On Seminars (www.handsonseminars.com) 

and Hands-On Care Physical 

Therapy in New York. 

[classified marKetplace] 

Intervertebral Discs and Other 

Mechanical Disorders 

of the Lumbar Spine 

Evidence-Based Conservative 

Management and Treatment 

Dr. C.K. Fernando | Dr. Arthur Nelson 

Dr. Elmer Pinzon, 

MD, Spine Specialist, 

says, “It is a refreshing 

look at the current 

theories and 

management of 

of these common 

problems in spinerelated 

medicine and 

will be useful to 

physical therapists 

and physicians 

treating low back 

pain patients.” 

Available for purchase on 

Amazon.com and at Barnes & Noble 

IMMIGRATION for PTs: 

H-1B 

Permanent Residency 

TN-1 

Requests for Evidence 

Appeals 

Emily Lopez Neumann 

Attorney at Law 

REDDY & NEUMANN, P.C. 

Houston, Texas www.rnlawgroup.com 

713-953-7787 emily@rnlawgroup.com 

* Not Certifi ed by Texas Board of Legal Specialization. 

BUSINESS OPPORTUNITY 

Rent/Share/Buy 

Physical Therapy Practice 

SOHO, Manhattan, NYC 

• Seeking junior partner, but would be 

willing to sell immediately or share space 

• Sky lit loft with city scape views 

• 1,750 square feet with private treatment 

rooms and bathrooms 

• Practice generates $200,000/year 

• Space has gyrotonic, pilates, aerobic, 

free weights, and functional equipment 

Call: 212-343-1500 or 

Email: info@physicaltherapyarts.net 


45

CLASSIFIED EMPLOYMENT OPPORTUNITIES 


for Physical Therapists & Rehab Medicine 

reaches over 85,100 active, qualified physical therapy 

professionals nationwide every issue. 

Faculty . . . . . . . . . . . . . . . . . . . . . . . . . . . p. 46 

1 New England . . . . . . . . . . . . . . . . . . . . . . p. 46 

2 Middle Atlantic . . . . . . . . . . . . . . . . . . . . . p. 46 

3 Upper South Atlantic . . . . . . . . . . . . . . . . p. 52 

4 Lower South Atlantic . . . . . . . . . . . . . . . . p. 53 

6 East North Central . . . . . . . . . . . . . . . . . . p. 56 

8 West South Central. . . . . . . . . . . . . . . . . . p. 56 

10 Mountain . . . . . . . . . . . . . . . . . . . . . . . . . p. 56 

11 Pacific. . . . . . . . . . . . . . . . . . . . . . . . . . . . p. 57 

National . . . . . . . . . . . . . . . . . . . . . . . . . . p. 57 

International . . . . . . . . . . . . . . . . . . . . . . . p. 58 

Calais Regional Hospital 

FACULTY 

Stevens-Henager College 

StevensHenager.edu 

(See our ad on page 58.) 

NEW ENGLAND 

PHYSICAL THERAPIST 

Our Rehabilitation Services 

Department currently has an 

opening for a full-time Physical 

Therapist. 

We are a critical access hospital 

on the coast of Maine near the 

Canadian border. Competitive 

salary and relocation assistance 

offered. 

Contact Human Resources 

Department at 207-454-9228 

or send a resume to: Calais 

Regional Hospital, 24 Hospital 

Lane, Calais, ME 04619 E-mail: 

hrd@calaishospital.org 

Applications can be completed 

online at calaishospital.org. 

EOE 

FREE ADVANCE JOB 

FAIR & CAREER EVENTS 

IN YOUR AREA 


Faculty, Maine, Connecticut, New York 

MIDDLE ATLANTIC 

Servicing Infants through Geriatrics for over 25 years in 

the 5 Boroughs of New York and Long Island 

NYTPS has won the DOE Bid! Come Join Our Team!! 

Now hiring PTs, OTs, monolingual 

and bilingual Speech Therapists, 

CFYs, LMHCs and LCSWs. 

IMMEDIATE NEEDS: 

Adult and Pediatric Home Care•Schools and 

Preschools•Private School Placements• 

Facility Placements 

High Rates Available! 

Workshops and training sessions scheduled 

throughout the year! 

For 5 Boroughs contact Miriam: (718) 264-1640 

Miriam.Shmueli@nytps.com 

For Long Island contact Donna: (631) 473-4284 

Donna.Bernesser@nytps.com 

46 ADVANCE for Physical Therapy & Rehab Medicine | October 15, 2012 | www.advanceweb.com/pt 


Charting anew course to success! 

PHYSICAL THERAPISTS 

Per Diem • Days 

Evaluates patients, organizes and conducts medically prescribed physical therapy programs 

on an inpatient and outpatient basis to restore function and prevent disability following 

disease, injury or loss of body parts. Helps patients reach their maximum performance while 

learning to live within the limits of their capabilities. Bachelor’s degree in Physical Therapy 

or entry-level Master’s in PT, or Doctorate in PT from an accredited institution. State of CT 

PT licensure and 1 year of experience is required. APTA optional. 

Scan to view the Career Portal or go to 

www.stmh.org 

and click on Career Portal 

WATERBURY, CT 

We are an Equal Employment 

Opportunity Employer M/F/D/V 

As the largest multi-specialty medical practice 

on Staten Island, we offer advanced state-ofthe-art 

medical treatments, expertise and 

cutting-edge technology. Our outpatient 

facilities offer the highest quality of care and 

service to our patients and employees. 


Our newly renovated facilities are a great place to 

work and we offer attractive salaries and benefits. 

Please send resume including a cover letter and 

salary requirements to hresumes@si-pp.com or 

Fax: (718) 816-3817. 

www.si-pp.com EOE M/F 

PT POSITIONS AVAILABLE 

Part-time or Full-time 

Pilates/Physical Therapy Practice 

Emphasis on strong manual skills 

Specialization in orthopedics, dance, sports medicine 

Inviting Midtown Location • Morning hours 

Fax Resume 212-486-0999 or Call 212-486-0888 

E-mail: rawein1@aol.com

Bergen County 

Join our Team! 

New Grads Welcome! 

Experience Quality Care 

NOT High Patient Quotas 

EXCEL is Looking for Full-Time PTs 

Specializing in Orthopedics 

and Sports Medicine at 

Each of Our 6 Facilities Located 

in Bergen County, New Jersey. 

Hackensack / Waldwick / Oakland 

Fort Lee / Cresskill / Rutherford 

$2000 Sign-on Bonus 

Competitive Benefi ts Package 

Please fax resume to 

201-488-5787 

or e-mail Laura Ash: 

lash@exceltherapy.com 

Hawthorne 

Country 

Day School 

www.hawthornecountryday.org 

Seeking NYS Licensed 

Physical Therapists 

for Westchester and Manhattan Campuses 

Full-time/Part-time, Immediate Need 12-month 

School Calendar Special Education, autism & 

multiple disabilities. Competitive Salary & Benefi ts 

Phone: 914-592-8526 x 3125 or 

E-mail: darlenem@hfadm.org EEO Employer 

Avascular Necrosis 

Avascular necrosis (AVN), also known 

as osteonecrosis, aseptic necrosis and 

ischemic bone necrosis, is when bone 

tissue does not get adequate blood circulation 

and begins to die at a faster 

rate than can be repaired (Health- 

Cares.net). Approximately 10,000 to 

20,000 people develop AVN each year 

in the United States. Early diagnosis 

and intervention is the key to maintaining 

an active lifestyle in the shadow of 

dying bones. 

AT VNSNY, 

WE WORK 

HARD 

TO MAKE 

SURE YOU 

LIVE WELL. 

At VNSNY our employees 

are our most valuable asset 

so we work hard to ensure 

they have everything they 

need to live their best life. 

Learn more about a Physical 

Therapy career with the 

Visiting Nurse Service of 

New York and how you can 

make a profound difference 

in your life and in the lives 

of our patients. 

Best Companies to Work for in New 

York, SHRM (2012) 

50 Best Places to Work in New York 

City, (2010) 

50 Best NonProfit Organizations to 

Work For, (2011) 

PTs & PTAs 

Full-Time/Part-Time/PRN 

$$ SIGN-ON BONUS $$ 

Visit us @ Booth 322 for the 


Job Fair 

at the Javits Center 

on 10/16 

Competitive Salaries, Bene ts and excellent 401k program 

For more information call: 

914-373-6520 • Fax: 914-373-6521 

E-mail: careers@betterhealthcare.com 

www.betterhealthcare.com 

WE’LL DELIVER YOUR 

DREAM JOB TO YOU. 

SIGN UP AT 

WWW.ADVANCEWEB.COM 

ADVANCE MESSENGER 

New Jersey, New York, Pennsylvania 

 

 

 

 

 

OPEN INTERVIEWS 10AM – 2PM 

THURSDAY, 

OCTOBER 25TH 

1200 Waters Place 

Bronx, New York 10461 

MONDAY 

OCTOBER 22ND 

1630 East 15th St 

Brooklyn, NY 11229 

SIGN-ON BONUS 

OPPORTUNITIES! 

$5,000 - $15,000* 

 

Home Care Experience 

Earns Additional $5,000 

MONDAY, 

OCTOBER 29TH 

1250 Broadway, 7th Floor 

New York, NY 10001 

(Entrance on West 32rd St) 

RSVP by emailing your resume to recruitment2@vnsny.org 

Please bring a copy of your resume to the event. 

For more information, please contact: Elizabeth Scholz at 

212-609-7914 or email Elizabeth.Scholz@vnsny.org. 

Visit us at apt.vnsnyjobs.com 

EOE M/F/D/V 

Progressive Steps, LLC 

NJ Early Intervention 

Physical Therapist 

Flexible Hours 

COMPETITIVE SALARIES 

Positions available in: 

Bergen, Essex, Middlesex, Monmouth, Morris, 

Ocean, Passaic, Sussex Counties 

Contact: Phyllis Androvett 

Ph: 201-525-6199 • Fx: 201-525-4880 

Phyllis@progressivestepsnj.com 

Full-time Physical Therapist 

needed for privately-owned practice located in 

Morganville/Marlboro, NJ. 

Competitive pay, paid time off. 

New Grads welcome to apply! 

Please fax resumes to 732-262-8071 

NEEDCAREERADVICE 

go to www.advanceweb.com today! 

www.advanceweb.com/pt | October 15, 2012 | ADVANCE for Physical Therapy & Rehab Medicine 47 


EMPLOYMENT OPPORTUNITIES 

47


New York, New Jersey 

Director of Rehabilitation 

In the most recent U.S.News & World Report “America’s Best Hospitals” issue, Hospital 

for Special Surgery was ranked #1 for Orthopedics and #2 for Rheumatology in the 

nation. In addition, the American Nurses Credentialing Center has honored HSS with 

three consecutive designations of Magnet® recognition. We provide world-class patient 

care with a world-class team. 

In this highly visible role, you will play an important part in the overall success of the 

Acute Care and Pediatric divisions. The director will be responsible for planning, 

coordinating, and implementing strategic performance improvement initiatives that 

cross through the organization and work with other departments (nursing). You will 

help design, implement and evaluate multidisciplinary strategic initiatives across the 

Rehabilitation division. 

Reports to Vice President Rehabilitation. 

The qualified candidate will possess a Bachelor’s and/or Masters Level degree (PT and 

Business preferred) with 3 years previous work experience and current NYS PT License. 

Experience working with front-line staff and senior leadership as well as knowledge of 

general hospital management theories and practices is required. Exceptional oral and 

written communication skills will be essential for success in this role as well as the 

ability to influence people, build relationships, and collaborate within a multidisciplinary 

team. Excellent analytical, quantitative, and problem solving skills coupled 

with excellent organization and project management skills are a must. Proficiency with 

Microsoft applications including: Word, Excel, and PowerPoint is also required. 

Knowledge of management consulting or hospital operations is a plus. 

At Hospital for Special Surgery, you will find tremendous 

opportunities available for education, research and career 

advancement. For more information about this career 

opportunity and to apply online, please visit our website: 

www.hss.edu. 

HSS is an equal opportunity employer 

HeartShare 

HUMAN SERVICES OF NEW YORK 

PEDIATRIC PHYSICAL 

THERAPISTS 

Work with preschool children aged 3-5 years with 

special needs. FT salary position with benefits. 

NYS license required. 

The HeartShare School & 

HeartShare First Step Early 

Childhood Center 

Bensonhurst, Brooklyn 

Please fax resume to: (718) 238-9584. Attn: 

Jill Fitzgerald, Director 

E-Mail: Jill.Fitzgerald@heartshare.org 

Kiwanis First Step Early 

Childhood Center 

Howard Beach, Queens 

Please fax to: (718)835-2862. Attn: Chyung- 

Fen Kao OT and PT Supervisor 

E-Mail: Chyung-fen.kao@heartshare.org 

www.heartshare.org 

Losing a Limb 



EOE 

In the United States alone, there are 

approximately 1.8 million people living 

with limb loss according to National 

Limb Loss Amputation Center statistics. 

Mult Multilin ilingual gual Therapy 

Associates Inc. 

Pediatric Ped Pediat iatric ric i Clinical Cli Clinic nical i al l Service SSer Servic vice i 


PRESCHOOLS & SCHOOL BASED POSITIONS 

Full-time with experience 

BROOKLYN 

• Supervision available 

• Excellent Pediatric Training • Highest rates 

in the industry • Benefits Package 

Call (888) 806-2497 

Fax Resume To (888) 806-5151 

MTATherapy@att.net 

LOOKING 

FOR A CAREER 

CHANGE? VISIT 



YOUR ONE-STOP CAREER CENTER 

In an atmosphere 

this distinguished... 

everyone is 

a leader. 

A special Thank You to our 

Therapists for your caring 

and dedicated service! 

At Trinitas Regional Medical Center, our 

great healthcare comes from outstanding 

employees and our commitment to an 

enriched work/life balanced environment. 

Currently, our 531-bed acute care teaching 

facility is seeking a Physical Therapist to 

join an expanding rehabilitation services 

department. 


One year of experience in orthopedics 

is preferred; however new graduates are 

welcome to apply. A NJ PT license or 

eligibility is required. 

We offer a competitive salary and 

comprehensive benefits package - 

a strong mentorship program and 

opportunities to grow as a professional. 

For consideration, please apply online 

at www.trinitasrmc.org to Position 

#4704. We are an equal opportunity/ 

AFFIRMATIVE ACTION employer. 

www.trinitasrmc.org 

We They need your 

compassion, 

professionalism 

and energy! 

The Arc Kohler School has been 

serving children with developmental 

delays & disabilities from ages 3 to 11 for 

nearly 50 years! Now we need a Full 

Time PT to join our progressive team. 

NJ School Certification, PT license and 

valid NJ driver's license required. Please 

send your resume/salary requirements 

to: HR, The Arc of Union County, 52 

Fadem Rd, Springfield, NJ 07081. Fax: 

973-315-0002. Email: hr@arcunion.org. 

The Arc of Union County 

Equal Opportunity Employer

YOU TAKE CARE 

OF OUR PATIENTS. 

AND WE’LL TAKE 

CARE OF THE REST. 

A special Thank You to our 

Therapists for your continued hard work! 

We are an equal opportunity employer, dedicated to promoting a drug-free workplace. 


All-City Health Care Services 

is a licensed home care agency, 

with current opportunities in 

Manhattan and Brooklyn. 

Per Diem • Excellent pay 

Interested applicants please call 

718-897-3656 or 813-781-4343 

E-mail: allcityhealth@aol.com 


1-877-776-6680 

• From the publishers of ADVANCE Newsmagazines 

• Custom gifts, giveaways & promotional products 

• Exclusive healthcare designs you won't fi nd 

anywhere else 

• Free design, copy & creative services 

• Staff gifts & event giveaways for every budget 

You may call it unusual. 

I call it MJHS. 

- Guy C., PT 

““ 

Theraplay, Inc. is a leading provider of childrens 

therapy services in Southeastern,PA. Current 

openings at our pediatric outpatient centers, 

school services and EI departments, with locations in 

Bucks, Chester, Delaware, Montgomery and 

Lancaster Counties. Named a “Top 25 Small 

Company for Working Moms”. 

New location coming soon in 

Newtown, PA! 

Contact Amanda Ryan, Recruiting Mgr. 

(610) 436-3604 x27 or 

aryan@theraplayinc.com @theraplayinc.com for details. d 

Cases of Typhus 

There are actually several different 

diseases called typhus, each of them 

caused by Rickettsia, a genus of Gramnegative, 

non-motile, non-spore forming 

bacteria. Nowadays, epidemic 

typhus is most prevalent in mountainous 

areas of Latin America, Africa and 

Asia. It is quite rare in the United 

States, with only 15 sporadic acute 

cases actually documented. It is 

believed these occurred due to exposure 

to flying squirrels, with transmission 

via squirrel lice or fleas. 

New York, Pennsylvania 

I’m confi dent that I have the support to be successful. 

Visit us at booth #416 at the 

Advance NYC Career Fair! 

Virtual Open House 

Thursday, November 1 • 11am - 3pm 

For more information and to register, please visit 

mjhs.jobs/eventregistration 

EOE 

[ mjhs.jobs ] 


WHAT ARE YOU WAITING FOR? ACT NOW! 

Join our team of top professionals and get a once in a 

lifetime opportunity to be trained and get certifi ed in 

manual therapy by leading manual therapy experts Dr. 

Kostopoulos & Dr. Rizopoulos. 

New York’s premier PT company, Hands-On Care Physical 

Therapy has PT and HOME CARE openings in all boroughs 

throughout the NYC area in our new state-of-the-art 

outpatient facilities. We not only off er quality care but a 

chance for you to grow within the company as a future 

clinical director and/or teaching faculty of the prestigious 

Hands-On Seminars. We provide signifi cant continuing 

education packages, certifi cation in manual therapy, 

along with health insurance and other benefi ts. Must 

have a NYS license or be eligible. We sponsor for Work VISA 

status, salary negotiable along with bonus incentives. So 

if you’re a person that believes the sky is the limit, come 

join our team today and never stop growing. 

Hands-On Care Physical Therapy 

www.HandsOnPT.org 

Sara Castano / 718 707 6970 ext. 308 

Fax: 718 532 9650 

sarac@handsonpt.org 

try 

CALL 800-355-5627 TODAY 




49


New Jersey, New York 

Now Hiring Physical Therapists 

FULL TIME, PART TIME, PER DIEM 

SIGN ON BONUSES! 

Helping you become a better therapist is critical 

to our success. 

Located in Monmouth and Ocean Counties in New Jersey, Health- 

South is a leading provider of inpatient rehabilitation services. We are 

fully accredited acute rehabilitation hospitals that treat a wide clinical 

case load such as stroke, brain injury, neurological disorders, cardiac, 

orthopedic, amputation, multiple trauma, pulmonary and diabetes. 

Our therapists work with state-of-the-art therapy technologies including: 

® ® 

 

Exciting Time to Join HealthSouth 

 

 

 

and training 

Joint Commission Disease-Specific Care Certification in Brain Injury Rehabilitation, Cardiac Rehabilitation, Hip Fracture 

Rehabilitation, Pulmonary Rehabilitation and Stroke Rehabilitation (Tinton Falls), and Brain Injury Rehabilitation, Cardiac 

Rehabilitation, Diabetes Mellitus, Pulmonary Rehabilitation and Stroke Rehabilitation (Toms River). 

BETTER OUTCOMES AT WORK 



Apply Now 

Apply Now 

Get the process started by applying 

Get the process started by applying 

online online at www.healthsouth.jobs or 

contact one of our hospitals below. 

New Jersey licensed physical therapists 

with inpatient rehabilitation experience 

preferred. New grads welcome! 

Anita Pisani/Director, Human Resources 

anita.pisani@healthsouth.com 

 

 

Lori Munyan/Director, Human Resources 

lori.munyan@healthsouth.com 

 

 

www.healthsouth.jobs ©2012:HealthSouth Corporation:544752 

SPECIAL KIDS • SPECIAL CARE • SPECIAL REWARDS AT ST. MARY’S 


FT & Per Diem 

St. Mary’s Healthcare System for Children is one of the nation’s premier providers of intensive rehabilitation and specialized 

care for children with special needs and life-limiting conditions. The largest pediatric post-acute care provider of its kind in the 

region, St. Mary's treats 4,000 children each day through our Hospital, Home Care and Community Programs in the five boroughs 

of New York City, Nassau, Suffolk, Westchester and beyond. Following hospitalizations for complications from premature birth, 

illness and injury, or when special services are needed, children and their families come to St. Mary's to receive exceptional 

care, learn to manage their condition, and achieve a better quality of life. 

ST. MARY’S HOME CARE 

PHYSICAL THERAPISTS - FT* & Per Diem, ALL BOROUGHS, Nassau & Suffolk 

We seek NYS licensed PTs to enhance the lives of others while working for an exceptional organization which recognizes 

ability and rewards excellence. Must have 1 year PEDIATRIC EXPERIENCE. Early Intervention experience a plus. 

. 

* The opportunities are great...the rewards are excellent! 

• Excel Individual/Family Benefits • Tuition Reimbursement • Life Insurance • Flexible Spending Accounts • & More 

Please apply online at: www.stmaryskids.jobs 

• Email: phackenjos@stmaryskids.org • Fax: 516-471-9398 

• or visit us at booth #104 at the NYC Advance Job Fair 

WWW.STMARYSKIDS.ORG • EOE M/F/D/V/SO 


Immediate Opening in Lakewood School District 

Full-time and part-time position 

Send resume via e-mail to: AWeisz@piners.org 

Adina Weisz, Supervisor 

Lakewood Public Schools 

1771 Madison Ave, Suite B 

Lakewood, NJ 08701 

Fax: 732-363-0810 • Phone: 732-905-3515 

Common Wound 

Problems 

In 2001, an executive summary was 

published in the journal Advances in 

Skin & Wound Care reviewing the state 

of pressure ulcers in the United States 

between the years of 1990 and 2000. A 

pressure ulcer is one of, if not the most 

common wounds found in patients in 

long-term acute care facilities. The 

researchers were able to determine 

there was much positive progress in 

the realm of prevention and treatment 

of pressure ulcers.

ATRIUM ATRIUM AT WAYNE WAYNE 

Excellent benefits & salary, 

401k retirement, and a 

great team atmosphere. 

Currently seeking Full-time & Part-time 

PTs & PTAs 

Please contact Rita Todd, Director of Therapy 

(973) 694-2100 

E-mail: rtodd@atriumhealthusa.com 

Fax: (973) 305-5834 

PHYSICAL 

THERAPISTS 

Pediatric Home Care 

Bergen & Passaic Counties 

E.I. 0 to 3 years 

Bilingual a plus, Excellent rates 

Please e-mail resume 

iinj@optonline.net 

www.innovativeinterventionsnj.com 

Innovative Interventions, Inc. 

PTs & PTAs 

Full-time/Part-time 

for orthopedic Rehab Practice 

excellent opportunity 

Locations in Queens, Brooklyn, 

Bronx, Nassau & Suffolk counties. 

E-mail: 

imcbonedoc@optonline.net 

Fax - 516-374-2362 

Island Musculoskeletal 

Care MD, PC 

Clubfoot Deformity 

Approximately one in 1,000 babies is 

born with clubfoot deformity, in which 

the foot is positioned in equinovarus. 

Clubfoot has been recognized in fetuses 

as young as 16 weeks, but the 

cause is still unknown. While clubfoot 

can occur in conjunction with other 

birth defects, most children born with 

clubfoot don’t have other congenital 

problems. The risk of clubfoot is 20 

times greater if there’s an affected 

first-degree relative; the overall incidence 

is higher in males than females. 

Thirty percent to 50 percent of cases 

have bilateral involvement. 

Find your home in Peapack, NJ with 

Matheny Medical and Educational 

Center, a unique special hospital and 

school for children and adults with 

medically complex developmental 

disabilities such as cerebral palsy, 

spina bifida, Lesch-Nyhan Disease, 

as well as a wide range of other 

neuro-developmental and congenital 

conditions. You can put your 

skills to work, and be part of an 

interdisciplinary team trained to 

empower patients and students 

by helping them to accomplish 

the small moments of success that 

lead to a better quality of life. 

The UNIVERSITY HOSPITAL, UMDNJ 

Physical 

Therapists 

UMDNJ-University Hospital, a Level I trauma 

center is currently seeking full time and per 

diem Physical Therapists to join our Physical 

Medicine and Rehab department located in 

Newark, New Jersey. As a member of our 

interdisciplinary team, you will be responsible 

for providing diagnostic and therapeutic 

services to patients of all ages to restore 

function, relieve or reduce pain, and to prevent 

disability following disease or injury. We offer 

mentorship. Opportunities for student and 

volunteer supervision are available. 

The position requires a graduate from an 

accredited Physical Therapy program, NJ 

PT licensure in good standing and CPR 

certification (or completed within 6 months 

of employment). New graduates will be 

considered. 

Interested applicants are encouraged to apply 

on-line at: www.umdnj.edu/hrweb and 

search for Job Number: 12NS977385. 

UMDNJ is an AA/EO Employer, M/F/D/V. 

University of Medicine & Dentistry of New Jersey 

www.umdnj.edu/hrweb 

FIND THOUSANDS OF JOBS ON 

WWW.ADVANCEWEB.COM 

New Jersey, New York 

Improving the 

Lives of People 

with Disabilities. 

SCHOOL PHYSICAL THERAPIST 

As a member of our team, you will assess and implement physical therapy 

treatment techniques in a school setting. You will be responsible for 

collaborating with classroom staff, families and caregivers as well as our 

hospital staff to help our students achieve their goals. You will have the 

opportunity to work with our assistive technology practitioners, rehab 

technology department and medical staff while being involved in seating 

and mobility clinic, orthotics clinic, physiatry clinic and orthopedic clinic. 

To qualify, you must possess a current NJ PT License, be a graduate of 

an accredited PT Program, and School Certified or Eligible. We offer 

a competitive salary and comprehensive benefits package that includes 

medical/dental, life insurance, tuition reimbursement, tax deferred 

retirement plan, and generous paid time off. For immediate consideration, 

please email: bschmitt@matheny.org, fax 908.781.6816, or send your 

resume to: Brad Schmitt, Employment Recruiter, Matheny Medical 

and Educational Center, 65 Highland Ave, Peapack, NJ 07977. 

EOE M/F/D/V 

Don’t just be successful. 

Be significant! 

Every Wednesday 

Walk-in Interviews 12pm-6pm 

for PTs, OTs, and SLPs 460 West 34th Street 

11th Floor, Manhattan 

New York League for Early Learning provides 

early intervention and special education for 

children birth to 5 with developmental disabilities 

and learning delays. 


Part-Time, Midwood, Brooklyn 

• PT License Mandatory 

• Evaluation and treatment of children 

3-5 years of age with developmental delays 

• Strong interdisciplinary approach 

• Supportive team environment 

Apply Apply online at: at: 

www.yai.org/careers 

Email: Jennifer.Grappone@yai.org 

heather.greeley@yai.org 

#1 Best Companies to Work for in New York Award by NYS SHRM 

& APA National Psychologically Healthy Workplace Award 

WWW.YAI.ORG/CAREERS 



EOE 

Repetitive Strain 

According to the U.S. Bureau of Labor 

Statistics, musculoskeletal disorders, 

which include repetitive strain injuries, 

accounted for a third of all workplace 

injuries reported in 2003—the latest 

data available. 


51


Pennsylvania, New Jersey, Virginia, Washington, D.C. 

BELIEVE in a way back. 

MAGEE Rehabilitation Hospital 

Join our team of 

school-based therapists 

and have a job 

that ts your life. 

Opportunities: 

• Delaware County: 

1 day/week PT Position 

in Southern Delco with fl exible hours. 

$1,000 referral bonus 

(pro-rated for part-time) 

mageerehab.org 

When you do what we do, you come 

to believe in miracles. 

Located in Center City Philadelphia, Magee 

Rehabilitation continues to be part of the 

region’s only federally designated Model System 

of Care for Spinal Cord Injury and home to 

CARF accredited Specialty Programs in 

SCI, Stroke, Brain Injury and Comprehensive 

Integrated Inpatient Rehabilitation. We are 

seeking individuals who are as passionate 

about rehabilitation as we are to join our SCI 

and Locomotor Training teams. We currently 

have opportunities for: 

SCI Therapy Supervisor 

5 years experience in acute inpatient rehab 

required with demonstrated clinical expertise 

in SCI rehab. Minimum of 3 years leadership 

experience. ATP or advanced level skills in 

complex seating and positioning preferred. 

SCI Advanced Clinician 

3 years experience in acute inpatient spinal 

cord injury rehab required as well as strong 

leadership skills. ATP or advanced level skills 

in complex seating and positioning preferred. 

Generous continuing education support, tuition 

assistance, mentoring and leadership development 

opportunities are available to staff of all 

levels. 

CARF called us, “unique... exceptional... energetic.” 

For unparalleled experience, cutting edge technology, 

and a quality and spirit that is ours alone, come to Magee. 

Candidates interested in this or other 

positions should apply online at 

www.mageerehab.org 

EOE M/F 

For more information, 

E-mail melissa@pts-inc.net 

call us at 610-941-7020 

or visit us at 

www.pts-inc.net 

today to learn more! 


YOUR ONE-STOP CAREER CENTER 

$10,000 

SIGN-ON 

BONUS! 

UPPER SOUTH ATLANTIC 

Pediatric PTs 

Early Intervention Opportunities in 

District of Columbia 

PT Supervisor and PT positions 

for School-based, EI, and Out-patient 

in Baltimore, MD metro area 

Contact: Care Resources today to 

learn more 1-877-ASK-CARE 

careresources-hr@careresources.net 

www.careresourcesinc.com 

EOE M/F/D/V 



PHYSICAL THERAPIST F/T 

You have a knack for seeing 

just what’s needed… 

regardless of the patient, their age, 

or their condition! 

You thrive on a diversity of challenges at work. You belong at Bergen Regional 

Medical Center in Paramus, the largest hospital in the area. We currently seek a 

NJ licensed Physical Therapist for our busy outpatient physical rehab practice, 

one of the renowned levels of care we proudly offer the community. 

Use your energy and knowledge to keenly evaluate disability/functionality, organize 

and conduct the therapeutic program, and treat varied conditions/age groups. 

Bachelor’s degree and Heart Saver Certification also required. Along with variety 

and a team-focused approach, you will enjoy a very lucrative sign-on bonus. 

To learn more about us and to apply online, 

visit:www.bergenregional.com 

Email: apply@bergenregional.com 

Fax: (201) 967-4109 

Medical Center 

Our patients and residents are at the heart of everything we do. 

 

 

 

 

 

 

 

 

 

EOE 

 

 

 

 

 

 

Rehab Directors/ 

Team Leaders 

We current have two excellent opportunities for 

Physical Therapists &/or Physical Therapist Assistants 

Morningside of Bellgrade - Midlothian, VA 

& Morningside of West End - Richmond, VA 

Both are Independent Living/Assisted Living 

Communities/Outpatient 

$25 gift card for just interviewing! 

eoe 

 

 

 

Five Star Rehab & Wellness 

Tel: 866-670-8721 

Fax: 617-658-1732 

efay@5sqc.com 

www.5sqc.com


PRN, Inpatient and Outpatient Adult 

PRN, Inpatient Pediatrics 

PRN, Outpatient Wound Care 

Requires a DC license (or eligibility). 

Experience required for all PRN positions. 

Physical Therapy 

Clinical Leader 

Inpatient Adult 

Requires 2 years supervisory experience and 

3 years clinical experience. 

Our PTs enjoy: 

 

 

 

 

 

 

 

 

 

 

 

 

 

www.medstargeorgetown.jobs/m/t/5 

Serving Prince George’s, Charles County, Anne Arundel 

County, Calvert County, & St. Mary’s County 

✦ Physical Therapist (FT and Per Diem) 

✦ Physical Therapy Assistant (FT and Per Diem) 

✦ Flexible Scheduling 

$10,000 

✦ Tuition Reimbursement 

Sign-on Bonus 

✦ Paid Time Off 

for Full-time 

✦ Discounted Gym Membership PTs 

✦ Comprehensive Healthcare Package 

E-mail resumes to 

Dianawalker@southernmarylandhospital.com 

or fax to 301-856-0218 

Come join our team for a REWARDING and EXCITING 

career in Home Healthcare with the opportunity to 

travel and meet new people! 

Do you share our philosophy that a 

happy therapy environment 

creates motivated kids? 

Join our team! 

Full and part-time pediatric 

PHYSICAL and OCCUPATIONAL 

therapy positions available 

in Northern Virginia. 

E-mail us at 

info@gbtherapy.org 

EOE 

INTERNATIONAL 

INTERNATIONAL 

Washington, D.C., Maryland, Virginia, Florida, South Carolina, Georgia 

LOWER SOUTH ATLANTIC 




IMMEDIATE 


OPPORTUNITIES: 

Physical Therapists & 


Occupational Therapists 

MOUNTAIN 

MOUNTAIN 

Join Bethesda Memorial Hospital in Boynton Beach, Florida, and find yourself in a friendly 

community, MOUNTAIN team-oriented environment. Working here means knowing that you’ll be 

respected, valued and appreciated. And living here means feeling like you belong! 

We NATIONAL 

are committed to helping each patient achieve their optimum level of wellness, 

independence and quality of life by offering special programs for orthopedic and 

neurologic NATIONAL rehabilitation. 

Acute NATIONAL Care, Inpatient, Pediatrics & Outpatient-Orthopedic 

NEW ENGLAND 

Benefits: 

• Community Leader Since 1959 • Paid Time Off 

• Comprehensive NEW ENGLAND Health Benefits • Competitive Rates 

• On-Site Child Care • Referral Bonuses 

• On-Site Education Resources 

NEW ENGLAND 

Get the support and resources you need here 

at PACIFIC our warm and inviting suburban hospital. 

For immediate consideration, please apply online at: 

www.BethesdaWeb.com/careers 

PACIFIC 

For more information, please contact 

PACIFIC 

Human Resources at (561) 737-7733 x4200 or 

Jerilynn Marazzo, Allied Health Recruiter, 

SOUTHWEST 

Jerilynn.Marazzo@BethesdaHealthcare.com 

SOUTHWEST 

SOUTHWEST 




WEST NORTH CENTRAL 



WEST SOUTH CENTRAL 



ARE YOU DIRECTOR MATERIAL? Clemson Sports 

Medicine & Rehabilitation has a strong outpatient ortho. 

caseload, with active patient population and endless marketing 

opportunities! Beautiful area on Lake Keowee in 

Salem, SC, just outside of Clemson. Successful clinic with 

competitive benefi ts & salary- learn more at www.csmr.org! 

Send resume with references to: Catherine Sullivan, MPT 

Clemson Sports Medicine & Rehabilitation (home company) 

(846) 482-0064, x20113 • fax (864) 482-0081 

catherine.sullivan@csmr.org 

CALL ADVANCE AT 800.355.1088 TO 

SUBSCRIBE FREE TODAY! 

Bethesda Memorial Hospital is a fully-accredited, 

not-for-profit community hospital and equal opportunity 

employer. Smoke-free, drug-free workplace. 


Therapist 

Georgia Neurological Surgery & Comprehensive 

Spine, a multispecialty neurosurgical 

and spine practice, has an immediate 

employment opportunity available for a 

physical therapist. 

Seeking an experienced therapist to develop 

and direct an activity-based and outcomesoriented 

spine therapy program in conjunction 

with spine-fellowship trained physiatrist. 

The practice is located in Athens, Georgia. 

Excellent salary and benefi ts package. 

Fax or email resume with cover letter to: 

Brandt Halbach, Executive Director 

706-546-0821 • gns@georgianeuro.com 

Now Hiring Therapists for 

Pediatric Private Practice 

Work with a Great Multidisciplinary Team 

Full-Time or Part-Time Positions Available 

Flexible Schedules & Great Pay 

Cumming, GA 770-886-6204 

E-mail: info@BuildingBridgesTherapy.com 

www.BuildingBridgesTherapy.com 




53


Georgia, South Carolina, North Carolina, Florida 

PUSHING 

BEYOND 

ordinary jobs to extraordinary careers 

DEKALB MEDICAL IN ATLANTA, GA 

REHABILITATION SERVICES – PHYSICAL THERAPISTS 

We have a variety of opportunities for Physical Therapists available across all three of our campuses: N. Decatur 

in Decatur, GA, Hillandale in Lithonia, GA and our LTAC in downtown Decatur. Our facilities offer a variety of 

settings, including acute care, a hospital-based outpatient facility and an inpatient rehab unit. 

• Full-time • Part-time • Weekends Only • PRN 

***Immediate full-time opportunity in our Long-Term Acute Care Unit. 

Ideal candidate will have experience with, or a high interest level in, 

wound care and working with patients with trachs and vents.*** 

Getting our patients back to life after a stroke, on-the-job injury, trauma or illness is the goal of DeKalb Medical’s 

rehabilitation team. We offer one of the most comprehensive rehabilitation programs in Georgia, including many 

specialty services. With our supportive work culture and excellent benefi ts, it’s no wonder we’re honored as one 

of the area’s “Best Places to Work” by Atlanta Magazine and one of the “Top Workplaces in Atlanta” by the Atlanta 

Journal Constitution. For more information about DeKalb Medical’s Rehab Services, we invite you to visit us at: 

www.dekalbmedical.org. 

For more information about careers at DeKalb Medical, please visit us at: http://dekalbmedicalcareers.org. 

Send your resume directly to carol.mcdermott@dekalbmedical.org 

New Grads Welcome! 


needed in the Upstate SC area which was 

recently named #4 on the “Top 100 places to live.” 

• Since 2007 and annually, Member of HomeCare Elite 

for quality and fi nancial performance. 

• 2011 Home Care Compare - Superior in public 

outcome measures 

• TOP 500 Medicare Certifi ed Home Health Provider 

in the country 

We offer laptop computers, Total Joint Program, 

Orthopedics/Rehab Specialty, Flexible Schedule 

1-800-439-4590 

www.interimhealthcare.com 

Over 30 Years of Extraordinary 

Home Health Care 

Carolina Therapy Services 

PT/OT/SLP: Opportunities in Boone, 

Fayetteville, Warrenton and Dunn, NC 

(Home Health), and Laurinburg, NC (PTA) 

Management Opportunities Available! 

SIGN-ON BONUS OR RELOCATION PACKAGE $3,000-$5,000 

Competitive salaries and excellent benefits. Continuing education assistance 

with opportunities for professional growth. 

Call 866-388-9776 or Fax: 866-388-9779 

markw@carolinatherapy.net 

Visit us at the Web at www.carolinatherapy.net 

PT Opportunity 

in the Orlando, FL area! 

Relocation & sign-on bonus available 

www.hohmanrehab.com/career-opportunities/ 

407-404-4970 



EOE 

SPORTS PLUS PHYSICAL THERAPY 

Purely Outpatient Orthopaedics! 

Full-Time PTs and PTAs needed in strong outpatient ortho and sports medicine 

settings, including: • Gastonia, NC (PTA)•Orangeburg, SC (PTA,PT) • Aiken, SC (PT) 

• Charleston, SC (Neuro. PTA) • Clemson, SC (Neuro. PTA) 

Contact Catherine Sullivan, MPT 

CLEMSON SPORTS MEDICINE & REHABILITATION 

(864) 482-0064, x20113 • catherine.sullivan@csmr.org 

www.csmr.org 


searchable job listings—updated daily! 

PURELY OUTPATIENT 

ORTHOPAEDICS!! 

Clemson Sports Medicine & Rehabilitation is hiring for a full-time PT and PTA 

in Clemson, SC! Strong ortho and sports medicine caseload, lots of manual therapy 

opportunities, fantastic teamwork atmosphere, and just a few miles from the lakes and 

Clemson University!! Contact Catherine Sullivan 

(864) 482-0064 x20113 

catherine.sullivan@csmr.org • www.csmr.org 

Full-time Orthopaedic 


Vero Orthopaedic and Neurology Physical 

Therapy Clinic in Vero Beach and Sebastian, FL 

seeks per diem PTs for Full-time or Part-time. 

Competitive salary, benefits and 401k. 

Please fax resume to 772-569-4616 

or e-mail: lottebran@aol.com 

FIND A NEW JOB 

CALL 800.546.4987 FOR DETAILS! 

Today is the 

fi rst day of the 

rest of your career. 

Celebrate by making a bold move – to 

FirstHealth of the Carolinas. A leading 

healthcare system that puts patients fi rst, 

we offer you a medically sophisticated and 

supportive environment where you can learn and 

grow. Our not-for-profi t three-hospital system 

is an organization driven by our values: Focus 

on Quality and Excellence, Integrity, Respect for 

the Individual, Service to Others and Teamwork. 

Here, you’ll enjoy excellent resources, a 

supportive management team and exceptional 

opportunities for career growth. We invite you to 

explore the following opportunities: 


• Outpatient Rehab – 

Raeford & Rockingham 

• Home Health – Moore County 

Requires a BS, MA or Doctorate degree 

in Physical Therapy, NC PT license and 

CPR certifi cation. 


ASSISTANT 

• Home Health 

We offer an attractive compensation/benefi ts 

package and a wonderful lifestyle in the Sandhills 

region of North Carolina. The mountains, ocean, 

several universities and the metro area of Raleigh, 

Charlotte and Fayetteville are all within easy 

driving distance. To learn more, visit 

www.fi rsthealth.jobs 

EOE 

Working Together, First in Quality, First in Health. 

Jessica M. Booth MS. CCC-SLP & Associates, PA 

Pediatric Physical Th erapist or Physical Th erapist 

Assistant Supervisor needed. Servicing high functioning 

children in 3 private schools in Davie area. 

Requirements: Active Physical Th erapy License 

from Department of Health, Liability Insurance. 

Pay: $50/hour. Contact Jessica Booth: (954) 319-7609 

CALL 800.355.1088 TO RENEW YOUR 

FREE SUBSCRIPTION TODAY!

SPARTANBURG, S.C. 

South Carolina 

OPPORTUNITIES for PHYSICAL 

THERAPISTS IN AN INDUSTRIAL SETTING 

Spartanburg Regional Rehab is experiencing tremendous growth. We currently have 

Physical Therapist openings at BMW Manufacturing, Spartanburg to service our 

industrial rehabilitation needs. The purpose of these positions is to provide proactive 

fl oor based therapeutic and ergonomic services to production associates outside of the 

traditional medical model. In the industrial setting, the therapist will work directly with 

a BC Occupational Medicine physician along with the entire occupational health team 

for provision of PT services and management of RTW. Additionally, opportunities within 

the industrial setting offer the ability to work closely with plant safety 

representatives and engineers in an effort to identify and offer solutions to address 

workplace risk factors. The primary patient population is outpatient orthopedic that 

includes a variety of both post op and conservative treatments in additions to 

functioning within the Direct Access provision of the state practice act. 

For information on this and other PT opportunities, contact Jeff Fields, 

Spartanburg Regional Recruiter, at 800-288-7762 or jfi elds@srhs.com. 

Or visit spartanburgregional.com. 



EOE 


55


Texas, Ohio, Illinois, Montana 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

We’re SERIOUS 

about SAN ANTONIO! 

VIP Job Fair 

Wednesday, October 24 

9:00 a.m. - 5 p.m. 

1777 NE Loop 410, Ste 600 

Now hiring PT/PTA 

Full-time/Part-time/PRN 

Unable to attend?? 

Please email: 

recruitment@cofk.com 

and we will contact you!! 

Visit our website: 

www.cofk.com 

Rehab Synergies needs 

a Therapist Like You! 

• Are you looking for your next challenge at work? 

• Are you looking for an employer that encourages 

your professional growth and off ers 

a $750/annual CEU allowance? 

• Are you looking for a great job and great employer? 

Th is opportunity has both, 

Candidate Inquires/Privacy is guaranteed! 

We are currently seeking Full-time, Part-time and 

PRN professionals for the following locations: 

Dallas/Fort Worth • Houston • East Texas • El Paso 

San Antonio • McAllen • Lubbock • Wichita Falls 

Rehab Synergies is an In-House Th erapy Provider 

of Th erapy Services to 39 Centers in Texas. We are 

ramping up for major growth in the years ahead, 

central to our strategy is a signifi cant expansion of the 

Rehabilitation Department. 

resumes@RehabSynergies.com 

www.rehabsynergies.com 

1-877-503-4552 

Fax 817-633-6285 

 

 

 


Region 10 Education Service Center 

seeks TX licensed PT to serve public school 

students in counties around Dallas. Competitive 

Full-time Salary, Benefits, School Holidays 

196 Work Days with Summers Off! 

972-348-1580 • kitra.gray@region10.org 

EAST NORTH CENTRAL 

PEDIATRIC PT 

The Cuyahoga County Board of Developmental Disabilities 

seeks one full-time Physical Therapist to work in an Early 

Childhood (birth to 3 years of age) Team Approach, primarily 

in family homes in Cuyahoga County. Caseload and Teams are 

regionalized. Promote optimal level of function for the health 

and safety of individuals with developmental disabilities and 

those who are eligible for services through various appropriate 

therapeutic techniques within guidelines as established by 

Ohio laws and rules of practice and professional codes of 

ethics and philosophy of CCBDD. Opportunities exist to work 

in clinic settings in conjunction with home visits. Structured 

mentoring program provided. Must be a licensed PT and have 

an excellent driving record. Competitive salary, FLEXIBLE 

work schedule, and generous bene ts package available. 

Send detailed resume in con dence either to: 

Employment Mgr, 1275 Lakeside Ave., Cleveland, OH 44114 

You may also e-mail your information to: 

Yoo.Christina@CuyahogaBDD.org 

EOE 

SCHOOL-BASED PT - NW ILLINOIS 

Part-time PT job in Rockford. In-service, 

mentoring, progressive school setting. 

Call Mary Kolinski, NIA at 630-402-2002 

fax resume to 630-513-1980 

or e-mail mkolinski@thenia.org 

Web: www.thenia.org EOE 

Improving Motor Ability 

Patients who have had a stroke 

reported great improvement in arm 

motor ability and use after constraintinduced 

movement therapy (CIMT), 

according to a randomized controlled 

trial published in the Nov. 1, 2006 issue 

of the Journal of the American Medical 

Association (JAMA). 



Physical Therapy Team Lead 

Dreyer Medical Clinic in Aurora, Illinois 

seeks an experienced, dynamic and 

motivated PT to join and lead the team at 

their busy outpatient orthopedic PT clinic. 

This is an exciting opportunity with unlimited 

career growth potential. Come work with 

a dedicated team of professionals who 

pride themselves on excellence in 

patient care. Great work environment. 

Flex schedule. Full-Time. Competitive 

salary plus bonus and generous bene ts 

package. Please e-mail resumes to 

vlampert@acare.us or fax 877-885-6777. 

HEALTHCARE FACILITY, INC. 

PHYSICAL THERAPIST/ 

PHYSICAL THERAPY ASSISTANT 

Part-Time Afternoons 

Excellent working environment 

Send Resume to Human Resources Director 

1347 Crystal Ave, 

Naperville, 60563 

or FAX to (630) 778-9826 

MOUNTAIN 

Seeking a Full-time 


in an established offi ce setting. We 

are located in beautiful Bozeman, 

Montana. We have been in business 

for 11 years and are expanding our 

services to include Physical Therapy. 

Our company offers Medical, Dental, 

Vision and Life Benefi ts. Wage DOE. 

Very pleasant working environment. 

Please forward CV and/or resume to: 

P.O. Box 11714 

Bozeman, MT 59718 

For more information 

please call 

406.586.5694 

HEALTHCARE 

JOB LISTINGS— 

UPDATED DAILY! 

WWW.ADVANCEWEB.COM

PACIFIC 


Therapist 

Be part of our 

collaborative, 

multidisciplinary team in 

Anchorage, Alaska! 

• Extraordinary support 

• Full-Time & Part-Time 

• Generous continuing education funds 

• Medical-Dental-401k 

• Generous PTO and bonus system 

Fax resume to Dana Pasol at 907-344-5103 

danap@allforkidsalaska.com 

check us out at www.allforkidsalaska.com 

Don't Gamble 

with your Career! 


and PTAs 

Visit www.interfacerehab.com 

View both our full-time and per diem positions in 

Southern California. While you're there check 

out our "Platinum Benefi ts" that includes Unlimited 

"Hands On" Continuing Education. * Conditions Apply 

Contact: 

PTA: Linda Barnett 714-646-8302 

Linda@interfacerehab.com 

PT: Julie Lopez 714-646-8301 

Julie@interfacerehab.com 

Physical Therapy Solutions 

Privately-owned outpatient orthopedic center in 

sunny Santa Monica, CA has an immediate need for: 

P/T Physical Therapist 

Apply online: 

www.BodyTherapySolutions.com 

800-507-2634 

Easter Seals Bay Area 

is seeking a licensed PT with experience working with 

children with ASD, including some that are medically 

fragile. Clinic and home based: Napa/Solano counties. 

Join us and let’s make a difference together! 

Visit out website 

http://bayarea.easterseals.com to apply. 

NATIONAL 

Program Director 

Physical Therapy 

CollegeAmerica Services Inc. (CASI) is a privately 

held company that has been under the same ownership 

for nearly 20 years. CASI operates for-profi t Colleges and 

owns Stevens-Henager Colleges in Utah and Idaho (including 

Independence University); CollegeAmerica in Colorado, 

Arizona, and Wyoming; and California College San Diego. 

The Physical Therapy Program Director will have oversight 

responsibility for the Physical Therapy Program. The 

individual must hold certifi cation as a physical therapist, have 

a master’s degree (does not have to be in the fi eld of physical 

therapy), fi ve years’ experience in the fi eld including at least 

one year in an administrative role, three years of teaching 

in higher education, excellent communication skills and the 

ability to get along with people. Salary is negotiable. 

Please forward resume to 

shamus.walljasper@collegeamerica.edu 

www.stevenshenager.edu 

Alaska, California, National 




57


National, International 

Franchise Opportunities Available 

Visit Booth #414 

www.apexnetworkpt.com 

INTERNATIONAL 



Through 

our doors... 

“I was able to help my patient reach their best possible outcome” 

At HCR ManorCare, the leader in post-acute rehabilitation, we make a difference in the lives of our patients every day. Our goal is for every patient to get 

back to their lives, with HCR ManorCare, you can make it happen! 

Physical Therapists & Physical Therapist Assistants 

Full-time, Part-time and PRN 

• Opportunities Nationwide • Sign-on Bonuses available at select locations! 

In addition to competitive pay, job stability, great benefits, and opportunity for professional growth, we provide an atmosphere of 

warmth, welcome, and respect. As a member of our team, you’ll enjoy: 

• Medical/Dental/Vision • In-house CEUs • PTO • 401(k) matching • Mentorship opportunities 

• State-of-the-art equipment • Clean and spacious rehab gyms 

For more information please call 866-427-2004 and dial 1 for immediate assistance or apply online at jobs.hcr-manorcare.com. EEO/Drug-Free Employer 

PHYSICAL THERAPIST needed in Japan. Excellent 

compensation & benefi ts! Relocation Assistance. Work under the Educational 

& Developmental Intervention Services program for US Military Families 

stationed abroad. Minimum Requirements: Bachelor’s deg & 5 yrs exp, 

or Master’s & 2 yrs exp with relevant concentration. 2 yrs exp providing 

pediatric physical therapy for children ages 0-5 with special needs. 

Contact Lynn Romer at 1-800-852-5678 x156 

or e-mail lynnr@magnummedicaloverseas.com 

Vitamin D 

Supplementation 

Researchers at Boston University 

Medical Center found that 83 percent 

of patients admitted to a skilled nursing 

facility-based rehabilitation unit 

after acute hospitalization were either 

vitamin D deficient or insufficient, and 

more than two-thirds had either 

osteopenia or osteoporosis. 

ROY LESTER SCHNEIDER MYRAH KEATING SMITH CHARLOTTE KIMELMAN 

HOSPITAL COMMUNITY HEALTH CENTER CANCER INSTITUTE 

AN OPPORTUNITY IN PARADISE 

Schneider Regional Medical Center, a 169-bed acute care facility located in beautiful 

St. Thomas, U.S. Virgin Islands is seeking 


We serve the needs of many populations, employ more than 500 qualifi ed team members and host 

a team of more than 60 physicians who came from all over the world. Schneider Regional Medical 

Center in St. Thomas, U.S. Virgin Islands has served the Caribbean community for 30 years. 

Qualifi cations 

Able to provide physical therapy care to acute or outpatients, Bachelor’s Degree in Physical 

Therapy from an Accredited College, BLS Required and eligible to obtain Physical Therapist 

Licensure in the USVI. 

We offer competitive salary, great benefi ts package and relocation assistance. 

Interested candidates can forward letters of interest and resume to: 

Sherlikia Lewis, Human Resources Trainer/Recruiter 

Schneider Regional Medical Center | 9048 Sugar Estate, St. Thomas, VI 00802 

Phone: 340-776-8311 ext 2291 | Fax: 340-714-6317 | hr@srmedicalcenter.org 


1-877-776-6680 

• From the publishers of ADVANCE Newsmagazines 

• Custom gifts, giveaways & promotional products 

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• Free design, copy & creative services 

• Staff gifts & event giveaways for every budget

It’s Time to Celebrate 

Physical Therapy Month 

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59

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61

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GET TO KNOW 

Joe Persico 

PT, DPT 

Q: Who or what inspired you to become a 

physical therapist? 

Joe: It began when I started playing sports in school. I had 

sustained several injuries and was treated by various physical 

therapists. I majored in Physical Therapy in college and now have 

my Doctorate. I feel fortunate to work in a fi eld that allows me to help 

my patients attain their goals to once again gain their independence. 

Q: What would you like patients to remember most 

about you? 

Joe: I hope that my patients notice the passion and compassion 

that I have for their concerns and feelings during treatment. I want 

them to leave each session knowing that I am there to support them 

and offer the most up-to-date medical advice/intervention. 

Q: What did you think about the Ecotec 

Performance Polo? 

Joe: The polo is excellent! I wear polos every day. When I’m 

working hands-on with patients, I need workwear that’s comfortable 

and not confi ning. This polo fi ts that bill. 

Men’s & Women’s Ecotec ® Performance Polo Shirts* 

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#26418 Men’s / S-6XL 

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*Additional charge for embroidery. 

new! 

MAROON 

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For 

PTAs 

 

Car Window 

Decal 

8½" x 2". #18760 

$3.99 

For 

PTs 

Water 

Bottles 

20 oz. 

$12.99 ea. 

 

License Plate 

Holder 

6¼” x 12¼”. Metal. 

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#11036 #11035 

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Retractable 

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Crystal 

Keychains 

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$10.99 ea. 



 

new! 


63

Introducing the newest innovation for PTs - Spidertech Tape 

#16469 Right 

#16468 Left 

ThermoActive Hot and Cold 

Compression Therapy Wraps 

Plastic/cotton blend with adjustable Velcro 

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sized with removable gel pack, exact 

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Digital Fingertip 

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rubberized bumper included. 2¼" x 1¼" x 

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Push Pin Changer 

Plastic. For use with either hand. 

1" x 1¼". Blue, Pink or Red. #16594 

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Share what 

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#16466 

SpiderTech 

Kinesiology Tape 

100% high-grade cotton fabric with 100% 

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#16470 Low Back 

#16467 Upper Knee Spider 

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#16469 Right Shoulder 

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Digital Fingertip 

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Portable, reads SPO2 and pulse rate, 

multi-color LED display and includes AAA 

batteries. 2½" x 1½" x 1". #17095 

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Exercise Bands 

Latex. Endorsed by APTA. Measures 6 

yards. #09049 

Yellow/Thin $11.49 

Red/Medium $12.99 

Green/Heavy $13.99 

Exercise Tubing 

Latex. Available in 5' lengths. Endorsed 

by APTA. Light Set (Yellow/Thin, Red/ 

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14" Goniometer 

Plastic. Measures degree of movement 

and spinal displacement. Fits easily in 

pocket. #04265 

$7.99 

 

Heart Tape Measure 

Carabiner 

60" and 150 cm. Fiberglass. 

Red. #03677 

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Medical Retractable 

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Large Gait Transfer Belt 

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Door Anchor 

Nylon strap with synthetic rubber 

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Soft 

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#02623 Hard Case 

#02622 Soft Case 

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to hold the cold longer Over-the-Door 

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Maureen Palumbo - TX 

Post your ratings & 

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Shoulder Pulley 

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Chattanooga Group 

ColPacs 

Vinyl with non-toxic silica gel. Latexfree. 

#09045 

Standard / 11" x 14" $19.49 

Neck Contour / 23" $21.49 

Oversized / 11" x 21" $33.99 




65

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67

68 ADVANCE for Physical Therapy & Rehab Medicine

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