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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 1
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 3
contents ADVANcE For PhYSIcAl ThErAPY & rEhAB mEDIcINE<br />
Vol.<br />
[coVEr STorY]<br />
16 No Place Like It<br />
A number of key provisions of the<br />
health re<strong>for</strong>m law will have a direct<br />
impact on physical therapists. One policy<br />
concept is “bundling,” or payment to<br />
hospitals or other entities in health care<br />
delivery that would cover episode costs<br />
— acute plus post-acute care costs over a<br />
defined period of time. The hospital or<br />
other entities would face the choice of<br />
either delivering post-acute care services<br />
(home health, skilled nursing, inpatient<br />
rehab, long-term care) itself or paying<br />
freestanding providers to deliver those<br />
services. What will this mean to the<br />
home health PT sector? (Jeffrey Leeser)<br />
[FEATUrED ArTIclES]<br />
20 Making Room <strong>for</strong> Pilates<br />
“<strong>Physical</strong> fitness is the first requisite of<br />
happiness,” said the late Joseph H. Pilates,<br />
founder of the Pilates method. Over the past<br />
15 years, Pilates has become much more<br />
mainstream, with actors, models, dancers<br />
and athletes practicing and promoting the<br />
benefits of the method. However, as more<br />
people are trying Pilates, the true <strong>for</strong>m has<br />
become obscured at times.<br />
4 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
22 Aquatics: Pain-Free Waters<br />
Aquatic therapy, also known as water<br />
therapy or pool therapy, is quickly becoming<br />
well-known <strong>for</strong> its amazing effects on<br />
decreasing chronic pain, speeding recovery<br />
and improving function. It is a beneficial<br />
<strong>for</strong>m of physical therapy that uses the<br />
physical properties of water to assist in<br />
patient healing. When utilizing aquatic<br />
therapy, it is important to understand the<br />
benefits of the physical properties of water<br />
that assist in patient rehabilitation.<br />
25 | No. 6 | mArch 18, 2013<br />
24 Gait: The Science of Shifting<br />
Every physical therapist who has worked<br />
with patients post-stroke understands<br />
the tendency to unconsciously rely on the<br />
healthy side of the body during rehabilitation.<br />
One professor of physical therapy<br />
and bioengineering has devoted his entire<br />
career to improving patient walking patterns<br />
during rehabilitation. His most recent<br />
innovation is a remarkably simple concept:<br />
a shoe insole that trains the brain to rebalance<br />
body weight.
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 5
[morE ArTIclES]<br />
11 2013 Salary Survey Results<br />
13 Management Focus:<br />
Using Referral Software<br />
26 Tracing the Origins of<br />
Trigger Point Pain<br />
[DEPArTmENTS]<br />
8 Ad Index<br />
9 Letter to the Editor<br />
10 Geriatric Function<br />
31 Calendar/CE<br />
37 Classified Marketplace<br />
38 Classified Employment<br />
Opportunities<br />
51 <strong>ADVANCE</strong> Healthcare Shop<br />
[COMING SOON]<br />
Inpatient rehabilitation <strong>for</strong> patients with<br />
brain injury (BI) typically focuses on interventions<br />
that improve independence with<br />
functional mobility activities including<br />
transfers, ambulation, and elevations. In the<br />
clinical setting, it’s easy to control external<br />
factors that could present safety risks or <strong>for</strong>ce<br />
patients to make split second decisions. In the<br />
“real world,” patients will confront new and<br />
unfamiliar situations every day. So how do<br />
therapists best prepare them to successfully<br />
transition from hospital to home and back<br />
into the community?<br />
[mUlTImEDIA]<br />
IT’s WoMeN’s<br />
hIsTorY MoNTh!<br />
View this slideshow to see words of<br />
encouragement from top female<br />
healthcare executives.<br />
JoIN oUr PT commUNITY!<br />
Blogs: meet our bloggers<br />
and read new posts daily!<br />
ToNI TAlKs ABoUT PT ToDAY<br />
Not All Patients Work on Weekends<br />
Toni is amazed by how some patients<br />
choose to arrange their priorities.<br />
PT & The greATer gooD<br />
The obesity Fight<br />
Dean discusses the mayor of<br />
NYc’s quest to ban large,<br />
sugary drinks.<br />
More PT Blogs<br />
• Life of an SPTA<br />
• PT and the city<br />
• A New PT Reality<br />
• A Busy PT’s Guide to Finding Balance<br />
• PTA Blog Talk<br />
• <strong>Physical</strong> Therapist in Transition<br />
• <strong>ADVANCE</strong> Perspectives<br />
[NEw! APP rEVIEw]<br />
Pilates App Introduction<br />
[STudeNT & New GRAd CeNTeR]<br />
Article: will work <strong>for</strong> loan Forgiveness<br />
News & Notes: PT Schools and Student Programs<br />
Student Links: Special interest groups and<br />
associations relevant to physical therapy.<br />
Community: Blogs, <strong>for</strong>ums, Facebook, Twitter,<br />
linkedIn and more!<br />
[colUmNS]<br />
NeW! WATer WIsDoM<br />
NeW! MeDIcAre ADvIsor<br />
INDUsTrIAl INsIghTs<br />
Advance <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> ®<br />
is published bi-weekly on alternate Mondays by Merion Matters, 2900<br />
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6 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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MoBIlITY For<br />
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coMMUNITY chAT<br />
Interact with colleagues!<br />
ThIs WeeK’s hoT ToPIcs:<br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 7
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PT 3/18/13
<strong>ADVANCE</strong><br />
<strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & rehab <strong>Medicine</strong><br />
is published by Merion Matters<br />
Publishers of leading healthcare magazines since 1985<br />
PUBlIsher<br />
Ann Wiest Kielinski<br />
geNerAl MANAger<br />
W.M. “Woody” Kielinski<br />
chIeF INForMATIoN oFFIcer<br />
Bob Mozenter<br />
eDITorIAl<br />
Editor-Lisa Lombardo<br />
Managing Editors-Brian W. Ferrie, Jonathan Bassett<br />
Senior Regional Editor-Rebecca Mayer<br />
Editorial Consultants-Margaret E. Rinehart Ayres, PhD, PT,<br />
Jane M. Kepics, MS, PT, Susan Morrill Ramsey, MA, PT,<br />
Brad Thuringer, PTA, Linda Jones<br />
Web Manager-Jennifer Montone<br />
DesIgN<br />
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Advance <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> and <strong>Rehab</strong> <strong>Medicine</strong><br />
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Pediatric Mobility:<br />
Approach Solutions<br />
As Early as Possible<br />
To the Editor:<br />
(This comment was originally posted on the<br />
<strong>ADVANCE</strong> website, March 13, 2013)<br />
I’d like to comment on the recent article<br />
on mobility considerations <strong>for</strong> children with<br />
physical limitations (“Breaking Through Barriers,”<br />
Feb. 18, 2013). I have been a PT <strong>for</strong> more<br />
than 30 years, with more than 20 of those years<br />
in a pediatric setting treating children with a<br />
variety of conditions but primarily cerebral<br />
palsy. I have been around long enough to see<br />
some therapeutic theories of PT that significantly<br />
affect our practice patterns come and go,<br />
and in some cases, come back again.<br />
One of those areas is how we approach<br />
mobility <strong>for</strong> physically challenged children.<br />
I’ve always come down on the side of providing<br />
independent functional mobility <strong>for</strong> a child<br />
as early as possible. This has not always been<br />
accepted by my peers as “best practice,” especially<br />
those who were trained, certified and<br />
became disciples of NDT. Don’t get me wrong;<br />
in my experience, the NDT approach has many<br />
valuable tools through which to encourage<br />
and, hopefully, develop movement milestones.<br />
However, over the years I’ve witnessed enormous<br />
delays in the development of independent<br />
functional mobility because the treating<br />
therapist was too hung up on developing those<br />
motor milestones above anything else.<br />
In a perfect world we should be doing both,<br />
developmental movement and functional independent<br />
mobility, but sometimes the amount<br />
of therapy contact time necessitates that we<br />
make decisions about what the primary focus<br />
of those therapy sessions should contain. Last<br />
year I attended a seminar where the presenter<br />
stated this; “If a child cannot pull to stand and<br />
cruise by age 2, [the child] will never ambulate<br />
independently.” The look on most of the<br />
therapists in the room was one of shock. She<br />
continued to present research and clinical data<br />
to support this claim. What she presented<br />
exactly matched what I have experienced in<br />
my 20-plus years of working in pediatrics.<br />
Does this mean we should suspend weightbearing<br />
activities and all <strong>for</strong>ms of upright<br />
mobility at age 2 if the child cannot pull to<br />
stand and cruise? Certainly not. The body of<br />
knowledge regarding the physiologic, developmental<br />
and psychological benefits of the<br />
[lETTEr To ThE EDITor]<br />
upright posture is well documented. However,<br />
if this provocative predictive statement<br />
is true, as I believe it is, our primary focus perhaps<br />
should be working on alternate <strong>for</strong>ms of<br />
mobility to provide the child with independent<br />
mobility much sooner than many of us are<br />
doing. This would include powered mobility<br />
if cognitive and physical abilities permit.<br />
Those of you who have worked in a pediatric<br />
setting: How many of you have worked<br />
<strong>for</strong> years on ambulation skill development,<br />
employing all sorts of assistive devices and<br />
orthotics, to finally come to the conclusion<br />
when the child reaches age 10 or 12 that he/<br />
she is not going to be a functional ambulatory,<br />
and then you or another therapist become serious<br />
about exploring alternate <strong>for</strong>ms of mobility<br />
so the growing child can have some <strong>for</strong>m of<br />
mobility independence? Are we really doing<br />
service to the child, or <strong>for</strong> that matter the family,<br />
in perpetuating the dream of functional<br />
ambulation when the literature says otherwise?<br />
I realize this is a very touchy and tough subject<br />
to address with parents, but ask yourself this:<br />
What is our primary duty as a therapist? In<br />
my way of thinking, there is no more important<br />
goal <strong>for</strong> us as pediatric therapists than to<br />
provide a child with the least restrictive <strong>for</strong>m<br />
of independent mobility — and do so earlier<br />
in the child’s life rather than later. n<br />
—John Strein<br />
Owosso, MI<br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 9<br />
®
[GeRIATRIC FuNCTION]<br />
8When we get our eyes<br />
examined, we feel admiration<br />
and relief. The<br />
admiration we have <strong>for</strong><br />
optometrists is because<br />
they seem to have such<br />
finely honed skills in<br />
assessing eye problems<br />
and they seem to have a<br />
definitive data set of tests<br />
to work with. However,<br />
there is a lack of creativity<br />
in their daily practice. The<br />
relief comes because we<br />
are PTs, not optometrists. We have considerable<br />
latitude and creativity in our daily practice.<br />
So why is that important now?<br />
In the next few years, CMS is giving us a<br />
chance to show how we work. The piloting of<br />
functional G-codes and intensity modifiers is<br />
a means <strong>for</strong> CMS to collect data that reflects<br />
our decision making. However, if we just jot<br />
down numbers and don’t take the time to really<br />
think about what they mean, then we may lose<br />
the opportunity to be creative and eventually<br />
function more like optometrists. If we thoughtlessly<br />
use G-codes and carelessly calculate the<br />
complex modifier, eventually CMS will tell us<br />
which tools and cutoff scores to use.<br />
We can’t let this happen. So what can we do?<br />
We can do what Medicare/CMS has been asking<br />
us to do since its inception. We can show<br />
skill, medical necessity and complexity. We<br />
would like to give you an example. Below is<br />
a case study.<br />
Orthopedic Illustrative Case Study<br />
A 78-year-old female is referred <strong>for</strong> knee pain.<br />
She has a history of resolved bilateral rotator<br />
cuff impingement and low-back pain over the<br />
past five years and a slow progressive increase<br />
in left knee pain over the past three years. Her<br />
general health is excellent with no other medical<br />
issues.<br />
Prior to this episode of severe knee pain,<br />
she was completely independent and taking<br />
dancing lessons. Now she cannot even go up<br />
one step with her left leg because of the pain<br />
in her left knee. Her goal is to be pain free and<br />
return to doing all she did be<strong>for</strong>e— particularly<br />
stair climbing, taking care of and playing<br />
with her dog, and walking <strong>for</strong> exercise.<br />
By carole lewis, DPT, gcs, gTc, Msg, MPA,<br />
PhD, FAPTA, and Dale Avers, DPT, PhD<br />
PTs and Data: we Are Not optometrists<br />
10 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
Findings<br />
On a scale of 0-10, the pain in her left knee varies<br />
from 3-10 depending on activity. She completed<br />
the Lower Extremity Functional Scale<br />
(LEFS) to assess how her pain impacted her<br />
self-perceived function and scored a 38. Functional<br />
tests included:<br />
• 6-stair Stair Climb Test=23 seconds (up and<br />
down, leaning considerably on the banister<br />
and using one leg at a time secondary<br />
to pain) ( norms .5 sec/ stair). 1 Rationale:<br />
related to chief complaint and part of her<br />
community mobility.<br />
• 30s Chair Rise=6 (norms 11-16 times). 2 She<br />
complained of pain in both knees throughout.<br />
Demonstrated hip adduction as she was<br />
rising from the chair. Rationale: proxy <strong>for</strong> leg<br />
strength.<br />
• Floor Rise (less than 10 seconds <strong>for</strong> combined<br />
up and down is norm)=17-down, 19 up, and<br />
required a chair to pull herself up (norms<br />
6 down, 8 up). 3 Rationale: she reports she<br />
needs to get up and down from the floor to<br />
play with and care <strong>for</strong> her tiny dog.<br />
• 6-Minute Walk Test=295 meters (norms<br />
based on her age 471 meters). 4 Rationale:<br />
she walks in the community and is a<br />
very involved and active volunteer in the<br />
community.<br />
• Usual Gait Speed=1.6m/s (norms 1.3 m/s). 4<br />
She is in very good health and gait speed<br />
reflects that.<br />
Below are two questions. Read and think<br />
about your answer be<strong>for</strong>e reading ours.<br />
1. What G-code would you use at initial visit?<br />
2. What intensity modifier would you<br />
use at initial visit? Justify your decision <strong>for</strong><br />
documentation.<br />
Solutions<br />
What G-code would you use at initial visit?<br />
G8978 Mobility: walking & moving around<br />
functional limitation, current status, at therapy<br />
episode outset, and G8980: walking & moving<br />
around functional limitation, discharge status.<br />
What intensity modifier would you use at<br />
initial visit? CK (40 to 60 percent impaired);<br />
6MWT is 40 percent limited; floor rise is 75 percent<br />
limited; chair rise is 60 percent limited; and<br />
stair climb is 50 percent limited.<br />
In addition, this lady was very active and<br />
healthy (as reflected by her gait speed) but she<br />
has significant limitations in activities requiring<br />
any bending of the knee. She perceived her<br />
function as more than 60 percent impaired per<br />
the LEFS.<br />
Hence she is at least 50 percent limited compared<br />
to her prior level of function.<br />
What complex modifier would you use <strong>for</strong><br />
anticipated discharge? CI (1-20 percent).<br />
This study illustrates that the tools require<br />
professional judgment of a therapist to interpret<br />
and synthesize the in<strong>for</strong>mation to come<br />
up with the best assessment and plan of care.<br />
We have the opportunity to demonstrate clinical<br />
decision making every day supported by a<br />
CMS system that requires us to use functional<br />
outcome measures. Aren’t we lucky that we<br />
see things differently than optometrists! n<br />
references<br />
1. Strat<strong>for</strong>d, P. (1999). Interpreting validity indexes<br />
<strong>for</strong> diagnostic tests: An illustration using the Berg<br />
Balance Test. <strong>Physical</strong> <strong>Therapy</strong>, 79(10), 939-948.<br />
2. Jones, C., Rikli, R., & Beam, W. (1999). A 30-s<br />
chair-stand test as a measure of lower body<br />
strength in community-residing older adults.<br />
Research Quarterly <strong>for</strong> Exercise & Sport, 70(2),<br />
113-119.<br />
3. Bergland, A., & Laake, K. (2005). Concurrent and<br />
predictive validity of “getting up from lying on<br />
the floor.” Aging Clin Exp Research, 17(3), 181-185.<br />
4. Steffen, T., Hacker, T., & Mollinger, L. (2002).<br />
Age- and gender-related test per<strong>for</strong>mance in<br />
community-dwelling elderly people: Six-minute<br />
walk test, berg balance scale, timed up & go test,<br />
and gait speeds. <strong>Physical</strong> <strong>Therapy</strong>, 82(2), 128-137.<br />
Carole Lewis is co-owner of the Center of Evidence<br />
and consultant to Professional Sportcare and <strong>Rehab</strong>.<br />
She lectures exclusively <strong>for</strong> Great Seminars and<br />
Books and Great Seminars Online (www.greatseminarsandbooks.com<br />
and www.greatseminarsonline.com).<br />
She is editor-in-chief of Topics in<br />
Geriatric <strong>Rehab</strong>ilitation (www.topicsingeriatricrehabilitation.com)<br />
and an adjunct professor at<br />
George Washington University Department of<br />
Geriatrics, College of <strong>Medicine</strong>. Dale Avers is an<br />
associate professor at Upstate Medical University<br />
in Syracuse, NY, and co-author of the recently<br />
released 9th edition of the Daniels and Worthingham<br />
text Muscle Testing, in which functional<br />
outcome measures are incorporated. She also<br />
teaches the G-code course <strong>for</strong> GREAT seminars.<br />
www.greatseminarsandbooks.com
JEFFrEY lEESEr<br />
whAT’S IN<br />
YoUr<br />
wAllET?<br />
Our 2013 Salary Survey Results<br />
show a steadily rising rate<br />
<strong>for</strong> PT professionals<br />
By elizabeth rosto sitko<br />
once again, <strong>ADVANCE</strong> asked physical therapists,<br />
physical therapy assistants, certified<br />
athletic trainers, instructors and others in<br />
the rehabilitation field to share their salary<br />
in<strong>for</strong>mation. A total of 1,757 responses were gathered<br />
online between Nov. 3, 2012 and Jan. 16, 2013 using the<br />
survey tool Zarca.<br />
Most rehab professionals are doing quite well <strong>for</strong><br />
themselves: the overall average salary, across all job titles,<br />
specialties and regions, is $76,103. Most respondents earn<br />
between $65,000-$99,999 annually, while 13 percent make<br />
$100,000 or more.<br />
Full Time Annual Salaries<br />
19%<br />
$0-$24,999<br />
13%<br />
19%<br />
$25,000-$34,999<br />
$35,000-$44,999<br />
$45,000-$54,999<br />
$55,000-$64,999<br />
1%<br />
6%<br />
19%<br />
11%<br />
13%<br />
$65,000-$74,999<br />
$75,000-$84,999<br />
$85,000-$99,999<br />
$100,00 or more<br />
71%<br />
male ($82,575)<br />
[cArEErS]<br />
GENDER<br />
The overwhelming majority of survey respondents<br />
are women, however, their male counterparts<br />
make considerably more on average.<br />
29%<br />
Female ($73,517)<br />
PRACTICE OWNERSHIP<br />
Only 5 percent of our survey respondents are<br />
practice owners, and not surprisingly, owning<br />
a practice can be a lucrative endeavor.<br />
95%<br />
5%<br />
own a practice ($98,186)<br />
worker ($74,858)<br />
www.advanceweb.com/pt<br />
For more graphs and charts<br />
on salary info visit www.<br />
advanceweb.com/PT<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 11
[cArEErS]<br />
JOB TITLE & FUNCTION<br />
Most respondents to our survey hold the title of PT, but interestingly<br />
enough, professors/instructors make the most on average at $87,302.<br />
The majority of our survey takers work in an outpatient setting (43<br />
percent), but home health therapists earn the most on average. On the<br />
specialty side, those working in sports medicine/orthopedics earn the<br />
highest average salary ($80,810).<br />
$<br />
PTA<br />
PT<br />
Average Annual Salary By Title<br />
Certified<br />
Athletic<br />
Trainer<br />
$54,240<br />
$50,068<br />
Professor/Instructor<br />
$82,930<br />
$87,302<br />
$ $ $ $ $<br />
LOCATION<br />
The physical therapy professionals who responded to our survey live<br />
primarily in suburban locales (45 percent), followed by urban (32 percent)<br />
and rural (23 percent) areas. However, their average salaries do<br />
not differ much. Regionally, respondents living in the Southern states<br />
make the highest average annual salary.<br />
12 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
AGE & EXPERIENCE<br />
While age was a contributing factor to average salaries among physical<br />
therapy providers and educators, experience was even more so. Also,<br />
those holding a Master’s degree make more money on average, but<br />
obtaining a Doctorate does not necessarily show an increase in salary.<br />
$<br />
Average Annual Salary By Education<br />
Associate’s<br />
Bachelor’s<br />
Master’s<br />
Doctorate<br />
$ $ $ $ $<br />
Average Annual Salary By Age<br />
The referral ranks<br />
An <strong>ADVANCE</strong> roundtable<br />
addresses the use of PMS to<br />
boost referral rates<br />
By rebecca Mayer Knutsen<br />
the most appropriate practicemanagement<br />
system <strong>for</strong> your<br />
physical therapy practice, it’s<br />
crucial that you carefully review the functions<br />
that will best suit your specific needs.<br />
Because physical therapy is a referral-based<br />
business, knowing everything you can about<br />
your referring sources will enable you to make<br />
precise and accurate decisions about capturing<br />
those referrals.<br />
Practice-management software (PMS) can<br />
assist with improving referrals by measuring<br />
the value of a referral; monitoring referral<br />
trends and enhancing communication<br />
between the practice and the referral source;<br />
and tracking referral trends to guide marketing<br />
campaigns.<br />
<strong>ADVANCE</strong> spoke with three established private<br />
practice owners and industry executives<br />
about how they use PMS to leverage the most<br />
profitable referral types and referral sources.<br />
<strong>ADVANCE</strong>: In what ways does practicemanagement<br />
software help increase and/<br />
or improve your referrals and your overall<br />
bottom line?<br />
Benz: PMS is an enterprise that links financial<br />
data and clinical per<strong>for</strong>mance measures<br />
with billing data. It allows you to identify<br />
sources individually and their trends and<br />
patterns. Any practice-management system<br />
is only as good as the company’s level of discipline<br />
of managing numbers and analysis.<br />
It does the automation <strong>for</strong> you, but not the<br />
work <strong>for</strong> you.<br />
PMS is best used to produce a dashboard<br />
review that you find useable. For instance,<br />
we may use it to determine what our clients<br />
are paying on an average visit, units per visit<br />
and a mathematical analysis on each therapist.<br />
Does a referral source send you complex<br />
workers’ comp patients that will require visits<br />
<strong>for</strong> several months? Or do they send you<br />
the patients that require an evaluation and<br />
just one treatment session? These figures<br />
are important to see where your revenue is<br />
being generated.<br />
ScoTT DErBY When selecting and purchasing<br />
Linking EMR with a system that produces<br />
outcomes that you can share with your physicians<br />
is crucial because they are generally<br />
outcome data driven creatures. The system<br />
helps us to demonstrate data on patients<br />
and provide good care and high value. The<br />
mistake that people make is they wait until<br />
the end of the month to analyze data to find<br />
that, <strong>for</strong> example, a particular DO who typically<br />
sends 12 patients hasn’t sent any. Is he<br />
on vacation or is there a bigger problem that<br />
needs to be addressed?<br />
It’s meant to be used as a real-time enterprise<br />
and not a retrospective enterprise. Clinics<br />
that produce weekly reports can capture<br />
the real-time trends and take action.<br />
Kornbluth: My wife and I (both PTs) set out<br />
to create an efficient business model and our<br />
practice-management system has helped us to<br />
reduce the space that we dedicate to the nonrevenue<br />
part of our practice. The non-revenue<br />
part comprises 10 percent of our practice, such<br />
as billing and charting and our waiting area.<br />
Anything not revenue generating is housed<br />
by PMS.<br />
We’re devoted to getting patients better first.<br />
PMS has allowed us to create a model to dedicate<br />
time and space to improving patient care,<br />
which in turn makes the referral source more<br />
[MANAGeMeNT FOCuS]<br />
likely to refer to our clinic.<br />
There are a few things we use<br />
as best practices so we can spend<br />
more time with the patients. For<br />
example, we insist on direct communication<br />
with our referral<br />
sources by their preferred method.<br />
Some have not embraced the digital<br />
world and prefer communication<br />
via fax. Through our EMR, we<br />
can fax electronically and will be<br />
notified when it is received.<br />
Seidler: We use our practicemanagement<br />
system to track the<br />
number and types of referrals we<br />
receive from particular physicians.<br />
From there, we can focus on regularly<br />
meeting with the physicians<br />
who appreciate our service the<br />
most (i.e., send the most referrals).<br />
In addition, we can categorize the<br />
types of insurance carriers that<br />
each physician tends to see and<br />
refer to us. We tend to pay more<br />
attention to the physicians who send us better<br />
paying patients.<br />
Our system allows us to track the number<br />
of visits per referral, the reimbursement<br />
per visit from a doctor, the attendance rate<br />
of patients from a particular referral source<br />
and overall profitability of a referral source.<br />
We factor all of this data into our decisionmaking<br />
process when allocating our limited<br />
marketing dollars.<br />
<strong>ADVANCE</strong>: How do you measure the<br />
value of a referral? And how do you use that<br />
in<strong>for</strong>mation to leverage the most profitable<br />
referral types and referral sources?<br />
Benz: The value of a referral is based on<br />
the value and type of patients being referred<br />
over a length of time. We use the software<br />
to measure consistency and regularity of the<br />
referral source.<br />
The software allows you to parse all elements<br />
together to figure out who and what<br />
you’re getting from your referral sources.<br />
We divide our results into 3 tiers of revenue<br />
producing business—then we figure out how<br />
to make the third tier work <strong>for</strong> us how the<br />
second tier does, which links well with our<br />
marketing approach and goals. We find it<br />
easier to “feed the studs”—in other words,<br />
it’s easier to get the highest source of referrals<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 13
[MANAGeMeNT FOCuS]<br />
to send more than to get more referrals out of<br />
those that only provide a few. We function on<br />
the 80/20 rule.<br />
The object is to create a customer who creates<br />
a customer. We want our customers to<br />
have a positive experience because they can<br />
then refer other customers. It’s not just about<br />
the physician referral source.<br />
Kornbluth: We generate referral reports<br />
to determine who is sending the most referrals<br />
per month, quarter and year. Where are<br />
the referrals coming from? Can we redirect<br />
to the sources that aren’t sending as many?<br />
Or maybe we take out top referral sources,<br />
and figure out how to maintain that relationship.<br />
Do we need to go out and communicate<br />
more?<br />
We either print or email progress reports<br />
to give to our patients. They may take those<br />
reports to their doctors so they have quantitative<br />
measures attached to their progress.<br />
This method gives the referral source more<br />
in<strong>for</strong>mation and shows that we care about our<br />
patients and how they are progressing. This<br />
14 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
MeDIcAre ADvIsor<br />
leave of Absence rules clarified<br />
By Pauline M. Franko, PT, CEEAA<br />
QUesTIoN: If a patient on medicare Part A was out over midnight <strong>for</strong> a leave of absence<br />
with family, would therapy need to discharge and start over?<br />
ANsWer: No, a loA does not require a discharge. A loA does two things: 1) it changes the<br />
PPS schedules assessment as the day of a loA is not a paid day, but 2) it does not affect the<br />
coT schedule. The loA day still counts in the 7-day look back and if therapy was provided<br />
that day, it is counted in the coT even though the day was not a paid day. If no therapy<br />
was provided that day, it will count as a missed day of therapy <strong>for</strong> the coT.<br />
<strong>Therapy</strong> caps and cAh Update: cmS met with APTA on Feb. 4 and indicated that the<br />
cAh is not under the cap, but the services they provide will still be counted toward the<br />
cap should the patient seek treatment from a different provider setting.<br />
DIsclAIMer: The answers provided are based on medicare guidelines <strong>for</strong> what is payable<br />
under the medicare Part A and Part B benefit. As always, be aware of the other regulations<br />
that might supersede medicare payment guidelines, such as the state practice act<br />
and the state administrative code. In any scenario, the practitioner must go with the most<br />
stringent requirement in order to be compliant. The in<strong>for</strong>mation provided is current as of<br />
the time of publication.<br />
Pauline M. Franko is owner of Encompass Consulting & Education LLC based in Tamarac,<br />
FL. The company specializes in Medicare seminars and webcasts as well as consulting and<br />
compliance training. To learn more visit www.encompassmedicare.com.
approach drives more referrals because we’re spending time trying<br />
to get patients better and it shows that we care.<br />
Referrals are not just from physicians. We get a lot of referrals<br />
because of unique treatment methods we offer. We also get referrals<br />
from other PTs as well as patients, strength and conditioning coaches<br />
and fitness trainers at local gyms. We value every referral equally<br />
because you never know who will speak highly and loudly about<br />
the care they received.<br />
Seidler: We use the practice-management system to produce<br />
monthly reports on our referral sources. If there are changes in the<br />
referrals, I can tell if we’ve gone out of favor with a particular physician<br />
or office. Maybe they got a new office manager who doesn’t<br />
know about us or someone reported a problem to the physician. It’s<br />
helpful to be signaled that something might be wrong, giving us the<br />
opportunity to make it right. With the size of our practice, it’s not easy<br />
to stay on top of every office, so trends help tell us a story. I’ve always<br />
found that communication can solve most problems.<br />
<strong>ADVANCE</strong>: Why is it important to have integrated practice-management<br />
and billing systems?<br />
Benz: PMS and billing have to be integrated or else it’s a waste of<br />
time and energy. The billing system is a function of how successful it is.<br />
When your therapists are tasked with entering codes into the system,<br />
then you create better compliance and efficiency. The therapist is only<br />
billing <strong>for</strong> what they did and the service they provide. If documenting<br />
on one system and billing on another, then there is no link between<br />
the two. Having an integrated system mandates that you bill <strong>for</strong> the<br />
services you provide. It has been estimated that 16 percent of a visit<br />
is spent on paperwork—it’s a fact of patient care now. This detracts<br />
from patient care so you need to create a system that allows you to<br />
be efficient and effective.<br />
Kornbluth: We use one system <strong>for</strong> everything. We set out to establish<br />
the most progressive and efficient model. Having one system<br />
makes the biggest difference <strong>for</strong> us. I’ve owned my own practice since<br />
2004 and wished <strong>for</strong> one system to manage everything instead of<br />
using different programs throughout the day. Our PMS added billing<br />
about 4 years ago.<br />
Time is costly—time away from my patients and other important<br />
aspects of my business. Best way to gain referrals is if the patient has<br />
a good experience. One system to manage all in<strong>for</strong>mation is the way<br />
to go. If a patient sees you put in<strong>for</strong>mation in quickly and in one spot,<br />
roundtable Members:<br />
• larry Benz, DPT, ocS, mBA, is president and cEo of PT<br />
Development llc and a partner in Evidence In motion, Texas<br />
<strong>Physical</strong> <strong>Therapy</strong> Specialists, Prorehab-Pc, Fit For work and<br />
Breakthrough <strong>Physical</strong> <strong>Therapy</strong>.<br />
• Ian Kornbluth, PT, mPT, Neurac Therapist, is owner of Neurac<br />
Institute <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> in Princeton, NJ, and co-founder<br />
of redcord USA.<br />
• Daniel Seidler, PT, mS, is owner of westchester Square <strong>Physical</strong><br />
<strong>Therapy</strong> (wSPT) in Bronx, NY.<br />
[MANAGeMeNT FOCuS]<br />
then he knows your time is dedicated to his care first. We can chart<br />
progress, bill an insurance company, enter a co-pay and schedule a<br />
patient’s next appointment all with one system. It shows we have<br />
our act together.<br />
Seidler: Our entire system is integrated. When I began looking <strong>for</strong><br />
a new system, I had a few items on my must-have list. At the time, I<br />
had decided that it was best to outsource the billing and collections<br />
piece of our business to free up my staff members’ time. That decision<br />
narrowed down the list of available vendors. Many of the vendors we<br />
spoke with didn’t know much about physical therapy. They knew how<br />
to collect from insurance companies.<br />
The demo <strong>for</strong> our current system offered integrated scheduling,<br />
EMR, billing and they did the collections. They had a very keen focus<br />
on compliance and especially concerning Medicare and worker’s<br />
compensation. This was exactly what I wanted—automation at every<br />
level, simplifying work <strong>for</strong> my PTs and staff. n<br />
Rebecca Mayer Knutsen is on staff at <strong>ADVANCE</strong>. Contact: rknutsen@<br />
advanceweb.com<br />
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[coVEr STorY]<br />
No<br />
PlAcE<br />
lIKE IT<br />
As payers seek lower-cost<br />
rehab settings, home care<br />
PT takes center stage<br />
look no further than Deborah and Sandra<br />
Fanelli of Clementon, NJ, to sum<br />
up the present and future of home<br />
health physical therapy. The twins<br />
were professional singers and dancers<br />
who had developed debilitating arthritis<br />
over the past decade, making everyday living<br />
almost unbearable. “We could barely stand or<br />
walk, and rarely left the house,” said Sandra.<br />
In December 2012, the twins underwent hip<br />
replacement surgery—two <strong>for</strong> Sandra, one<br />
<strong>for</strong> Deborah. The day after surgery, they were<br />
discharged home, where a clinical manager<br />
from Bayada Home Health Care evaluated<br />
them and developed a plan of care. They<br />
continued with nursing and therapy at home<br />
<strong>for</strong> 7 weeks until recovering enough to enter<br />
outpatient care.<br />
In 1991, patients remained in the hospital<br />
an average of 9 days after hip replacement<br />
surgery, as reported in an April 2011 study in<br />
JAMA. The Fanellis were home the next day.<br />
Factor in the increasing frequency of these<br />
By Jonathan Bassett<br />
16 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
procedures, the advanced ages of hospitalizations,<br />
and constricting cost measures, and<br />
it’s no wonder that experts feel home health<br />
physical therapy is set to surge.<br />
“The future of home health physical therapy<br />
is so bright it will blind you,” said Kerry<br />
Pawl, DPT, director of Mission Health Care,<br />
a provider of home-based services in the San<br />
Diego area. After starting his career in the outpatient<br />
orthopedic setting, Pawl progressed to<br />
management roles and began to see a strong<br />
potential in home health as his patient demographic<br />
began to trend older and more medically<br />
complex.<br />
In 2009, Pawl partnered with his three<br />
co-founders—two of whom were PTAs—to<br />
purchase an existing home care service. They<br />
now cover three southern Cali<strong>for</strong>nia counties<br />
and provide physical, occupational, speech,<br />
behavioral and nursing therapy services along<br />
with hospice and non-medical home care <strong>for</strong><br />
lEESEr<br />
otherwise healthy adults needing some assistance<br />
to stay independent. JEFFrEY
Identical twins Deborah (wearing white scarf) and<br />
sandra Fanelli were discharged home the day after<br />
hip replacement surgery at rothman specialty hospital<br />
in Bensalem, PA. They received nursing and<br />
therapy from Bayada home health care <strong>for</strong> 7 weeks<br />
(including sessions with Ayesha Ahmet, PT, Mhs,<br />
pictured) be<strong>for</strong>e beginning outpatient therapy. As<br />
hospital stays shorten and insurers look to move<br />
patients to lower-cost care settings, experts predict<br />
that home health PT is poised to surge.<br />
[coVEr STorY]<br />
Home Health and the ACA<br />
As Pawl explains, home health is the most<br />
cost-effective level of care <strong>for</strong> those requiring<br />
assistance after surgery or hospitalization, or<br />
those requiring therapy <strong>for</strong> diagnoses such<br />
as congestive heart failure or balance issues.<br />
“The home health care industry believes<br />
now, as we have believed in the past, that we<br />
can play a vital role in support of responsible<br />
and sustainable government spending,” said<br />
Val Halamandaris, president of the National<br />
Association <strong>for</strong> Home Care & Hospice (NAHC).<br />
“Home health care not only keeps families<br />
together and is overwhelmingly what patients<br />
prefer, but it is also far more cost effective <strong>for</strong><br />
Medicare than institutional options. And with<br />
10,000 members of the baby boomer generation<br />
reaching their 65th birthday every day <strong>for</strong> the<br />
next 19 years, the need <strong>for</strong> home health services<br />
will only increase.”<br />
Halamandaris sees the Af<strong>for</strong>dable Care Act<br />
(ACA) expanding the number of people eligible<br />
<strong>for</strong> home health services under Medicaid.<br />
Another cost advantage to home health is<br />
keeping in front of health concerns as they arise,<br />
rather than using higher-cost settings such as<br />
the emergency room <strong>for</strong> a patient’s front-line<br />
care, according to Halamandaris.<br />
“Patients are coming out of the hospital<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 17
[coVEr STorY]<br />
sooner and sicker,” stressed Mike Johnson, PT, PhD, OCS, division director<br />
<strong>for</strong> Bayada Home Health Care, a Moorestown, NJ-based provider of<br />
nursing, rehabilitative therapeutic, hospice and assistive care services<br />
with locations nationwide. “Since Medicare doesn’t pay <strong>for</strong> room and<br />
board, the push these days is to move these patients out of expensive<br />
environments. Home care is a bargain, and payers are starting to realize<br />
its cost saving potential.”<br />
Of course, with added utilization comes added scrutiny. CMS and<br />
the Office of Inspector General are looking more closely than ever <strong>for</strong><br />
things like number of therapy visits per beneficiary, average outlier<br />
payments, long durations of care and similar markers of inappropriate<br />
and questionable billing, said Johnson. 2012 saw several home health<br />
providers being found guilty of Medicare fraud.<br />
And because Medicare is slowly moving to a pay-<strong>for</strong>-per<strong>for</strong>mance<br />
model, said Johnson, home care agencies must be ready to back up their<br />
outcomes with hard data.<br />
‘Asking More Questions’<br />
The “typical” home health rehab patient has a number of co-morbidities,<br />
is elderly, and has recently suffered some sort of setback, explained Betsy<br />
Van Markwyk, MA, CCC-SLP, manager of rehab services <strong>for</strong> Parkview<br />
Home Health & Hospice, a division of Parkview Health that provides<br />
home health therapy throughout northeast Indiana. Parkview has an<br />
average daily census of about 600 home health patients.<br />
TuEsday, MaRch 26<br />
hand <strong>Therapy</strong> Intervention:<br />
using Our Many Lenses<br />
3:00 PM ET (12:00 PM PT)<br />
Join us Tuesday, March 25 <strong>for</strong> this free presentation, which will<br />
cover the infusion of ‘authentic/occupation based’ practice into<br />
hand therapy. This webinar clarifies a conceptual way of tying the<br />
biomechanical approach together with the occupation based<br />
approach so that both goals can be accomplished in the clinic.<br />
Amini will provide concrete steps about incorporating these<br />
approaches into practice, which has historically been<br />
a source of confusion <strong>for</strong> many therapists.<br />
sPEakER:<br />
debbie amini, Edd, OTR/L, chT<br />
Speaker Debbie Amini, EdD, OTR/L, CHT, is an assistant professor of occupational therapy<br />
at East Carolina University in Greenville, NC. She also serves as the chairperson of AOTA’s<br />
Commission on Practice and is the columnist <strong>for</strong> <strong>ADVANCE</strong>’s Inside Occupation column.<br />
She became a clinical hand therapist in 1987 and became certified by HTCC in 1991.<br />
She has co-authored Treatment Guidelines and a patient education brochure <strong>for</strong> the<br />
American Society of Hand Therapists.<br />
RegisteR foR this<br />
FREE webinaR today!<br />
www.advanceweb.com/PT<br />
18 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
Some things haven’t changed about home health, said Van Markwyk—<br />
therapists still see patients in their homes with a special emphasis on<br />
function. They’re often transitioning back home after a hospitalization<br />
or a rehab stay.<br />
But <strong>for</strong> the reasons cited above, the regulations surrounding the therapist-patient<br />
encounter are shifting. And home health agencies must be<br />
poised to react.<br />
For one thing, get ready <strong>for</strong> more paperwork. Functional assessments<br />
must now be per<strong>for</strong>med by the supervising therapist at specific time<br />
points in the duration of care, said Van Markwyk. This requirement, new<br />
in 2012, is presenting new documentation and scheduling challenges<br />
<strong>for</strong> managers. Parkview had to hire additional and therapy staff and<br />
administrative support to absorb these functions.<br />
“Even <strong>for</strong> non-Medicare payers, documentation has become a significant<br />
focus,” she said, pointing to an increased role of electronic documentation<br />
in the new world of home care. “Payers want to know exactly<br />
what they’re paying <strong>for</strong>, and want to see that the therapy added value to<br />
the ultimate outcome.” Evidence-based interventions, interdisciplinary<br />
collaboration and telecare figure to play more prominent roles in the<br />
years ahead, she predicts.<br />
Another area of attention under scrutiny is the use of therapist assistants.<br />
CMS added a treatment code in 2012 that stipulates whether<br />
therapy was provided by a PT vs. a PTA, or an OT vs. an OTA, said<br />
Van Markwyk.<br />
“They say there are merely collecting data, but experts believe this<br />
will lead to a possible tiered payment structure in the future,” said Van<br />
Markwyk, adding that Indiana Medicaid currently only reimburses at<br />
60 percent of the normal rate when services are delivered by an assistant<br />
vs. a therapist. Combined with scheduling complications associated<br />
with CMS’ functional assessment requirement, Van Markwyk sees a less<br />
attractive or even burdensome role of PTAs in the home health sector.<br />
“I have three of the best PTAs,” said Van Markwyk. “But in light of<br />
these changes, I’m not planning to add any more.”<br />
A Setting Like No Other<br />
With these fast-paced changes shaping the industry, how do you keep up<br />
with the regulations? Professional online discussion groups, OIG reports,<br />
APTA and other industry publications and your Medicare intermediary<br />
are the best sources of in<strong>for</strong>mation, said Van Markwyk.<br />
As in other rehab lines, defensible documentation with the use of<br />
electronic medical records is essential. While home care is a cost-saver<br />
in most instances, it has the potential <strong>for</strong> overutilization. And its true<br />
value lies in quantifiable measures such as lowered hospital lengths of<br />
stay and reduced readmission rates.<br />
“Agencies will be focused on how they can help patients avoid readmissions<br />
to the hospital,” said Van Markwyk. “Outcomes and readmission<br />
rates will be publicly reported <strong>for</strong> agencies that see Medicare<br />
patients.”<br />
But perhaps the biggest challenge to home care administrators influencing<br />
the industry lies in finding and training the next generation of<br />
home care therapists with the desire and the skill-set to work in this<br />
unique subspecialty. While the flexibility and the compensation can be<br />
attractive, home care isn’t a profession that PT students typically aspire to.<br />
“You’re on their home turf,” said Johnson, adding that it can be a challenge<br />
to fill open positions. “You may be the medical professional in<br />
charge of their care, but first and <strong>for</strong>emost you’re a guest in their home.”
Establishing a level of trust and com<strong>for</strong>t—in addition to having the<br />
people skills to relate to family members and caregivers—is integral to<br />
being an effective home care therapist. Every home is unique, with its<br />
own set of challenges, and home care therapists must be com<strong>for</strong>table<br />
working under minimal supervision with little or no physical interaction<br />
with colleagues, said Johnson.<br />
“You need a GPS, a sense of adventure and an open mind,” quipped<br />
Kim Fleck, OTR, MBA, co-owner of <strong>Rehab</strong> Arisces, an outpatient therapy<br />
provider in Fond du Lac, WI. Fleck and co-owner Jen Taylor began with a<br />
small outpatient practice and began offering therapy services to assisted<br />
living facilities and group homes in the area.<br />
This grew into providing therapy in clients’ homes, and as Taylor said,<br />
“we never looked back. [The home care component] has been great <strong>for</strong><br />
the company.” She estimates that about 70 percent of their current caseload<br />
is in the assisted living and home care settings. They are licensed<br />
with the counties in which they operate and receive reimbursement<br />
from county and state agencies in addition to Medicare and third-party<br />
insurance payers.<br />
Boom or Bust?<br />
While the demand <strong>for</strong> skilled home health care is booming, it’s rarely a<br />
major revenue-generator, as it’s often beholden to state-level Medicaid<br />
rates, which are historically below Medicare and third-party rates and<br />
can fluctuate widely. It’s also becoming more competitive. Launching<br />
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a home care service goes beyond hiring a few therapists and printing<br />
a brochure.<br />
<strong>Rehab</strong> Arisces competes with a large health system in the area <strong>for</strong><br />
home health clients. Taylor and Fleck have found that the tried-and-true<br />
principles of customer care—one-on-one attention, fast appointments,<br />
niche services such as vertigo, and patient-focused service—give them<br />
an advantage and a strong foothold in the home health market.<br />
“Word of mouth is our biggest generator,” said Taylor. They present on<br />
topics such as Parkinson’s, MS and headaches at assisted living facilities<br />
to generate referrals.<br />
Mission Healthcare also has customer-friendly policies such as no<br />
minimum time frame <strong>for</strong> a visit (some agencies mandate four hours),<br />
live customer service representatives available by phone 24 hours a day,<br />
and a strict policy of delivering a therapist to the client’s home within<br />
two hours of a request, said Pawl.<br />
So while some degree of the business is changing, its core is not—<br />
bringing needed therapy to patients in the place they’d most prefer to<br />
be. And while the industry has its own challenges, many home health<br />
therapists can’t envision going back to the clinic.<br />
“You’re treating more than a diagnosis,” said Pawl. “You’re facilitating<br />
their entire lifestyle. It’s more rewarding than I ever thought<br />
possible in the outpatient setting.” n<br />
Jonathan Bassett is on staff at <strong>ADVANCE</strong>. Contact: jbassett@advanceweb.com<br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 19
[PIlATES]<br />
Incorporating Pilates into Practice<br />
Pilates-based PT is founded on the idea that a movementoriented<br />
approach can offer patients an opportunity to<br />
experience success. By Mischa Decker, PT, DPT, ocs, PMA ® -cPT<br />
<strong>Physical</strong> fitness is the first requisite of<br />
happiness,” said the late Joseph H.<br />
Pilates, founder of the Pilates method.<br />
Even though he published his progressive<br />
philosophies in his book, Return to Life, in<br />
1945, many teachings still ring true today. Over<br />
the past 15 years, Pilates has become much<br />
more mainstream, with actors, models, dancers<br />
and athletes practicing and promoting the benefits<br />
of the method. However, as more people<br />
are trying Pilates, the true <strong>for</strong>m has become<br />
obscured at times.<br />
The Pilates Method<br />
The Pilates method, developed over a 60-year<br />
period by the German-born Pilates, is a system<br />
of therapeutic exercises designed to stretch,<br />
strengthen and balance the whole body with an<br />
emphasis on the breath, mind, alignment and<br />
coordinated, flowing movement. Like physical<br />
therapy, the Pilates method places a strong<br />
emphasis on balancing muscular <strong>for</strong>ces around<br />
the joints to promote more efficient and painfree<br />
functional movement. Pilates promotes<br />
20 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
healthy movement of all the joints and muscles<br />
of the body in order to create balance and uni<strong>for</strong>mity<br />
throughout.<br />
Pilates himself was an athlete, innovator and<br />
physical therapy pioneer with a passion <strong>for</strong> and<br />
knowledge of the human body that was well<br />
beyond his level of education and time. His definition<br />
of physical fitness was “the attainment<br />
and maintenance of a uni<strong>for</strong>mly developed<br />
body with a sound mind fully capable of naturally,<br />
easily and satisfactorily per<strong>for</strong>ming our<br />
many and varied daily tasks with spontaneous<br />
zest and pleasure.” Although quite superfluous<br />
in his description, the importance of functional<br />
skills is evident, which is consistent with functional<br />
physical therapy goals.<br />
The Pilates system continues to promote<br />
strengthening of the more intrinsic, stabilizing<br />
muscles in order to promote joint health<br />
and improve biomechanics. Many physical<br />
therapists have found the Pilates system to be<br />
a useful tool in their practice. With the common<br />
goals of increasing flexibility, strength and<br />
circulation, improving joint range of motion,<br />
facilitating proper muscular alignment and<br />
neuromuscular patterns and heightening overall<br />
body awareness and body mechanics, one<br />
question remains: How can you incorporate<br />
Pilates into your physical therapy practice?<br />
Pilates-Based <strong>Physical</strong> <strong>Therapy</strong><br />
Pilates-based physical therapy (PBPT) is an<br />
approach to healing grounded in the moving<br />
body, using the therapeutic movements<br />
and techniques of classical Pilates as well as<br />
traditional physical therapy interventions.<br />
Pilates-based physical therapists generally use<br />
Pilates as their main exercise modality, replacing<br />
more traditional exercise machines with<br />
Pilates equipment.<br />
PBPT is founded on the idea that a movement-oriented<br />
approach to PT can offer<br />
patients an opportunity to experience success<br />
with movement. When patients have a positive<br />
movement experience, a shift can occur in the<br />
perception that movement causes pain.<br />
Therapists should have completed a thorough<br />
Pilates teacher training program. Being<br />
a niche practice, it’s imperative to fully understand<br />
and embody the Pilates method. The<br />
most intensive and all-encompassing Pilates<br />
teacher training programs consist of 450 to<br />
950 hours of internship and pedagogy and cost<br />
from $5,000 to $12,000.<br />
Purchasing the main pieces of Pilates equipment<br />
<strong>for</strong> a clinic can be costly; however, compared<br />
to professional-quality fitness equipment,<br />
the price seems more reasonable. Approximate<br />
cost of clinic/studio-quality Pilates equipment:<br />
• Universal Re<strong>for</strong>mer: $3,000 to $5,000;<br />
• Cadillac/Trapeze Table: $3,000 to $6,000;<br />
• Wunda Chair: $900 to $1,200.<br />
Pilates Equipment in a PT Clinic<br />
For PTs who would like to incorporate Pilates<br />
into the traditional clinic setting, but not make<br />
it the primary modality, there are less expensive,<br />
shorter training options. However, it’s imperative<br />
to have adequate knowledge of the Pilates<br />
system be<strong>for</strong>e purchasing and using Pilates<br />
equipment with your patients. It’s important<br />
to understand all aspects of the equipment and<br />
ensure that all staff members who will be using<br />
the equipment are also adequately trained.<br />
Today’s spring-loaded Pilates equipment has<br />
evolved over the decades to facilitate recovery<br />
KYlE KIElINSKI
from a variety of different injuries and coordination<br />
difficulties. Spring tension gives the<br />
body proprioceptive feedback, which in turn<br />
stimulates the postural system. Effective and<br />
appropriate stabilization and sequencing can<br />
then be trained so that these new skills are<br />
easily integrated into daily life. Many Pilates<br />
exercises are per<strong>for</strong>med lying down on the<br />
equipment, which can facilitate a gentle progression<br />
from non-weight-bearing to full<br />
weight-bearing activities. The Pilates equipment<br />
is versatile, allowing <strong>for</strong> most body types,<br />
sizes and conditions to be com<strong>for</strong>tably accommodated.<br />
The springs provide two types of<br />
feedback <strong>for</strong> the patient: support <strong>for</strong> those who<br />
are unable to independently per<strong>for</strong>m certain<br />
movement patterns efficiently and resistance<br />
<strong>for</strong> when strengthening is needed.<br />
Incorporating Pilates Mat Exercises<br />
Pilates mat exercises are an accessible way to<br />
incorporate the Pilates method into the PT clinic.<br />
The mat work and fundamental exercises are<br />
helpful in teaching patients transversus abdominus<br />
activation and how to properly access<br />
all of the core musculature. PTs are able to teach<br />
these exercises in most clinical settings and can<br />
also include these exercises in a patient’s home<br />
exercise program.<br />
A common misconception is that Pilates<br />
work involves fit-balls, bands and other fitness<br />
equipment. These are not classical Pilates<br />
tools, however it’s reasonable to say that Pilates<br />
may have influenced the development of these<br />
products. With the proper training, PTs may<br />
choose to teach some of the Pilates fundamentals<br />
and movement skills with fit-balls and<br />
bands, especially when classical Pilates equipment<br />
is unavailable.<br />
Along with the mat work, there are several<br />
small and relatively inexpensive pieces of classical<br />
Pilates equipment that work well in the<br />
PT setting.<br />
Magic Circle: a flexible metal ring with padded<br />
handles designed to build strength in the<br />
hip abductors and adductors, tone the arms<br />
and strengthen the muscles of the neck.<br />
Foot Corrector: designed to strengthen<br />
the feet and build support through the lower<br />
extremities. It enhances and supports the arches<br />
of the feet.<br />
Ped-o-Pull: originally designed by Pilates<br />
<strong>for</strong> clients who were professional singers. This<br />
apparatus increases postural awareness and<br />
strength, assists in teaching breath control and<br />
improves scapular stabilization.<br />
Referring Pilates<br />
Whether you are practicing in a fully equipped<br />
Pilates-based PT clinic, or just use the mat exercises<br />
to teach core work, there comes a point<br />
where a patient must be discharged. Time<br />
constraints in the clinic may limit the amount<br />
of sessions you can spend with the patient on<br />
specific core-strengthening exercises. Other<br />
[PIlATES]<br />
patients may benefit from the alignment and<br />
postural training of Pilates to maintain the<br />
gains obtained in PT and prevent re-injury post<br />
physical therapy.<br />
When referring a patient to a Pilates class or<br />
instructor, it’s important to ensure your patient<br />
is in good hands. Pilates is an unregulated field,<br />
Pilates continued on page 28<br />
I can move without pain<br />
again. Thank you.<br />
Balanced Body® and Pilates will change your clients and your<br />
business. Find out more at pilates.com/advance.<br />
pilates.com |<br />
1-800-PILATES (745-2837)<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 21
1<br />
2<br />
3<br />
4<br />
5<br />
22 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
[AQUATIc ThErAPY]<br />
Pain-Free waters<br />
Aquatic therapy is known <strong>for</strong> its therapeutic<br />
effects on decreasing chronic pain<br />
By John r. Mishock, PT, DPT, Dc, and Melissa Bennett, ATc<br />
Aquatic therapy, also known as water therapy or pool therapy,<br />
consists of exercises per<strong>for</strong>med in the water. It’s quickly<br />
becoming well-known <strong>for</strong> amazing effects on decreasing<br />
chronic pain, speeding recovery and improving function.<br />
When using aquatic therapy, it’s important to understand the benefits<br />
of the physical properties of water that assist in patient rehabilitation.<br />
Buoyancy<br />
The natural buoyancy of water is one of the prime benefits of exercising<br />
in water. When a patient is submerged to the waist in water, up to 50<br />
percent of body weight is supported. For example, a 150-pound person<br />
would have approximately 75 pounds of body weight supported in<br />
waist-deep water. When a person is submerged neck-deep in water, the<br />
percentage of supported body weight increases to around 90 percent.<br />
There<strong>for</strong>e, the buoyancy of water can help to decrease even more stress<br />
placed on injured joints and muscles, allowing patients to exercise more<br />
efficiently and with less pain.<br />
Hydrostatic Pressure<br />
Another beneficial property of exercising in water is hydrostatic pressure.<br />
This is the external pressure exerted on the body by the water.<br />
chemical-Free Pools<br />
many of today’s aquatic therapy pools are chlorine-, bromine-<br />
and salt-free. This means patients don’t have to worry about<br />
burning eyes, skin irritation or bleached hair. Systems use copper<br />
ionization in the water to kill bacteria (E-coli, Pseudomonas etc.)<br />
and algae, which oxidizes, freshens and sanitizes the pool.<br />
coUrTESY JohN mIShocK
Hydrostatic pressure helps increase the<br />
efficiency of the circulatory system. This<br />
increase in blood flow results in increased<br />
oxygen and nutrient delivery as well as<br />
increased waste product removal, all of<br />
which help to promote the healing process.<br />
Another advantage to increased circulation<br />
and blood flow is decreased swelling in<br />
lower extremities, which can aid range of<br />
motion and help speed the recovery process.<br />
Temperature<br />
The warm temperature of the water is another<br />
therapeutic benefit of aquatic therapy. <strong>Therapy</strong><br />
pool temperatures range between 92 and 96<br />
degrees. The warmth of the water allows blood<br />
vessels to dilate and blood flow to increase,<br />
helping muscle tissue to relax. This warm<br />
temperature may also help to reduce stress<br />
or anxiety.<br />
Resistance<br />
The natural resistance of water is another beneficial<br />
aspect to exercising in this environment.<br />
The resistance of water is much greater than<br />
the resistance of air, so patients who exercise in<br />
water use many more muscles and have much<br />
stronger contractions than they would when<br />
exercising on land. Water resistance is also<br />
unique because it can be felt in all directions<br />
of movement, as opposed to land exercise<br />
where the resistance is only felt in one direction.<br />
The intensity of the movement (strength<br />
of resistance) can be altered by increasing or<br />
decreasing the speed or by using equipment<br />
such as weights or floats.<br />
These unique properties of water — buoyancy,<br />
hydrostatic pressure, heat and water<br />
conditions commonly<br />
Treated with Aquatic<br />
<strong>Therapy</strong><br />
• Post-surgical total joint replacements<br />
• Multi-trauma injuries (fractures,<br />
soft tissue injuries, auto injuries)<br />
• Orthopedic injuries<br />
• Spine conditions (strains/sprains,<br />
spinal stenosis, disc herniations)<br />
• Athletic injuries (osteoarthritis,<br />
rheumatoid, fibromyalgia)<br />
• Neurological disorders<br />
(Multiple Sclerosis, Guillain-<br />
Barre, muscular Dystrophy)<br />
• Arthritic conditions<br />
• Pregnancy<br />
• Obesity<br />
resistance — can help to reduce pain and<br />
speed recovery. Aquatic therapy can also help<br />
improve strength, balance and coordination;<br />
increase range of motion, normalize muscle<br />
tone, protect joints during exercise and reduce<br />
stress on joints.<br />
These components working together, when<br />
initiated early in the rehabilitation process,<br />
can decrease recovery times and help make<br />
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rehabilitation a less painful and more enjoyable<br />
experience. n<br />
John R. Mishock is owner of Mishock <strong>Physical</strong><br />
<strong>Therapy</strong> & Associates, an outpatient physical<br />
therapy practice with five locations in southeastern<br />
Pennsylvania. Melissa Bennett is an athletic<br />
trainer at Mishock <strong>Physical</strong> <strong>Therapy</strong>. For more<br />
in<strong>for</strong>mation, visit www.mishockpt.com<br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 23
[GAIT INTeRveNTIONS]<br />
The Science of Shifting<br />
Using shoe insoles correctly<br />
can help patients improve<br />
post-stroke walking<br />
By robin hocevar<br />
every physical therapist who has worked<br />
with patients post-stroke understands<br />
the tendency to unconsciously rely on<br />
the healthy side of the body during<br />
rehabilitation. It doesn’t affect every patient<br />
but quasistatic standing postures are commonly<br />
observed because of motor weakness,<br />
asymmetrical muscle tone and somatonsensory<br />
deficits.<br />
Deadly Habit<br />
Alex Aruin, PhD, DSc, professor of physical<br />
therapy and bioengineering at University of<br />
Illinois at Chicago (UIC), has devoted his entire<br />
career to improving patient walking patterns<br />
during rehabilitation. His most recent innovation<br />
is a remarkably simple concept: a half-inch<br />
thick shoe insole that trains the brain to rebalance<br />
body weight. “It’s common <strong>for</strong> patients<br />
to want to put weight on their healthy side,”<br />
explained Aruin. “During rehabilitation, many<br />
individuals improve their muscle strength and<br />
are better than in the period immediately after<br />
stroke. Continuing to not use the affected side<br />
becomes a habit.”<br />
The habit of unstable walking is one that<br />
could easily result in a life-altering fall. At a<br />
minimum, it decreases the patient’s level of<br />
24 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
self-care independence.<br />
Another frequent occurrence, said Aruin, is<br />
the initial use of the stroke-affected side during<br />
physical therapy, only to resort back to relying<br />
on the healthy side after the therapy ends.<br />
The typical rehabilitation interventions<br />
include voluntary body-weight shifts based<br />
on dynamic visual or auditory feedback about<br />
relative weight distribution.<br />
After years of trial and error, Aruin’s work<br />
group confirmed that use of the healthy side<br />
does improve steps. Furthermore, they hypothesized<br />
that a simple shoe insole on the healthy<br />
side could facilitate improvement in steps<br />
and gait. “We tried a purely biomechanical<br />
approach,” Aruin said. “We mechanically lifted<br />
the healthy side so the patient cannot resist.<br />
The mechanics <strong>for</strong>ce body weight to where<br />
it is distributed almost 50/50. When patients<br />
ambulate in such a condition, they learn how to<br />
bear weight equally through both extremities.”<br />
According to Aruin, a single case study<br />
revealed positive results. The idea originated<br />
in 2000 and the group has just recently finetuned<br />
the data enough to publish five or six<br />
papers on the topic.<br />
<strong>Rehab</strong> Populations<br />
Aruin partnered with physical therapists at<br />
Marianjoy <strong>Rehab</strong>ilitation Hospital in suburban<br />
Wheaton, IL. The ef<strong>for</strong>t with the longer-term<br />
stroke survivors in the western suburbs was<br />
led by Noel Rao, MD, vice president of medical<br />
affairs.<br />
At UIC, the trial focused on patients who<br />
experienced a stroke 10 days earlier. Marianjoy’s<br />
patient population was one-year poststroke.<br />
Asymmetrical weight bearing had to be<br />
at least 35 percent to merit involvement in the<br />
study and all patients had only one stroke. In<br />
both scenarios, therapists inserted the insole in<br />
the shoe of the patient’s healthy side. The insole<br />
is compatible with any shoe and the inner sole<br />
can be cut to accommodate shoe mechanics.<br />
For their part, patients were excited to participate.<br />
“They were sure this would not only<br />
help them, but also make a difference <strong>for</strong> other<br />
patients,” said Aruin.<br />
Neurological Recovery Factor<br />
The patient populations weren’t selected at<br />
random. According to Rao, the research team<br />
wanted to ensure that their positive results<br />
couldn’t be attributed to neurological recovery.<br />
Natural neurological recovery is often<br />
the result of brain reorganization. Spontaneous<br />
recovery has traditionally been regarded<br />
as inaccessible to medical intervention or<br />
manipulation.<br />
For that reason, patients participating in<br />
the Marianjoy <strong>Rehab</strong>ilitation portion of the<br />
study were 1.1 to 14 years post-stroke. The<br />
mean period post-stroke was 6.7 years. “With<br />
recovery post-stroke, it is what it is after a year,”<br />
Rao said. “Most recovery takes place in the first<br />
three to six months. After a year, no further<br />
neurological recovery takes place, according<br />
to the literature. Our most recent patient was<br />
one year, one month post-stroke so we were<br />
sure no spontaneous recovery was occurring.”<br />
Concurrent <strong>Physical</strong> <strong>Therapy</strong><br />
The two groups were simultaneously undergoing<br />
physical therapy one hour per week <strong>for</strong> six<br />
weeks to improve foot weight on the affected<br />
side. PTs worked with the patients on muscle<br />
strengthening with step exercise machines.<br />
To equalize weight bearing, they employed a<br />
technique using a bathroom scale and adjacent<br />
wooden block. Participants would place the<br />
affected leg on the scale and the stronger leg<br />
on the block, which was the exact same height.<br />
A mirror illustrated the weight bearing and<br />
posture.<br />
Patients were also instructed to per<strong>for</strong>m<br />
the exercise at home. Family caregivers were<br />
trained on the intervention and diary entries<br />
were mandatory to detail progress. “It took a<br />
lot of work on our part to make sure the patient<br />
was motivated,” recalled Rao. “We interviewed<br />
JohN cIUPPA
family members and reviewed all the logs to<br />
make sure they were following through.”<br />
Shoe Insole Success<br />
Both populations had positive results. Aruin,<br />
Rao and the rest of the team tested participants<br />
be<strong>for</strong>e the insoles intervention, immediately<br />
after the conclusion of the therapy at six weeks<br />
and again after three months.<br />
“We measured gait velocity, weight bearing<br />
and <strong>for</strong>ces on the affected side,” said Aruin.<br />
“It’s like they were standing on two scales. We<br />
put one scale under each foot, which shows<br />
how much weight is borne on one side versus<br />
the other.” Force plat<strong>for</strong>ms connected to<br />
personal computers allowed the research team<br />
to independently measure <strong>for</strong>ces within the<br />
feet and view how much weight is placed on<br />
each side. Gait velocity was obtained when<br />
the subject walked normally with a cane at a<br />
com<strong>for</strong>table walking speed across a 10-meter<br />
walkway. The time of crossing 5m along this<br />
walkway was recorded with a stopwatch. No<br />
lift insert was used during any tests.<br />
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Balance per<strong>for</strong>mance was determined by<br />
the Berg Balance Scale (BBS), a 14-item scale<br />
designed to measure balance in a clinical setting<br />
with a maximum score of 56. This test correlates<br />
with the Tinetti mobility index and the Get<br />
Up and Go test. The Fugl-Meyer Assessment<br />
<strong>for</strong> the lower extremities was administered<br />
<strong>for</strong> motor function, sensation, sitting/standing<br />
balance, joint range and joint pain. The<br />
results showed that patients were indeed walking<br />
faster and symmetrically bearing weight<br />
after three months. <strong>Physical</strong> therapy benefitted<br />
both the insole-user and control group, but the<br />
insole group had an added boost.<br />
After intervention, gait velocity increased<br />
in both groups, reaching 0.55 (+/-0.2 m/s)<br />
in the experimental and 0.28 (+/-0.1 m/s) in<br />
the control groups. While the increase in gait<br />
velocity with treatment was significant in<br />
both groups, the experimental group showed<br />
greater improvement.<br />
The main finding, investigators said, was the<br />
improvement of symmetry of weight bearing<br />
with intervention. The mean weight bearing<br />
Lifting your patients to a new<br />
level may help control:<br />
• Leg Deficiencies<br />
• Back Pain<br />
• Achilles Tendonitis<br />
• Gait Problems<br />
[GAIT INTeRveNTIONS]<br />
increased after test, reaching 37.9 percent<br />
(+/-0.05 percent) in the experimental group<br />
of subjects, approaching the level of statistical<br />
significance (P = 0.07). The mean weight<br />
bearing on the affected side of the subjects in<br />
the control group decreased after test to 27.4<br />
percent (+/-0.06); however, such a decrease<br />
was not statistically significant (P = 0.29).<br />
The most important takeaway, summarized<br />
Rao, is the continuation of the healthier walking<br />
habit after the rehab therapy was complete.<br />
“They stopped using the shoe insole at six<br />
weeks and, when we measured three months<br />
later, they were still walking faster with more<br />
even weight bearing.” n<br />
Robin Hocevar is on staff at <strong>ADVANCE</strong>. Contact:<br />
rhocevar@advanceweb.com.<br />
www.advanceweb.com/pt<br />
For more in<strong>for</strong>mation on gait,<br />
visit www.advanceweb.com/<br />
PTgaitandbalance<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 25
[PAIN MANAGeMeNT]<br />
Get To the Point<br />
Considering myofascial<br />
trigger points can improve<br />
therapy outcomes<br />
By Mary Biancalana, Ms, cMTPT, lMT<br />
If you ask someone on the street, he will<br />
probably know someone directly or indirectly<br />
who has had difficulty recovering<br />
from a minor surgical procedure or mild<br />
injury. The story repeats itself like this: The<br />
person went through what the physician<br />
said would be a simple and routine procedure.<br />
<strong>Rehab</strong> should only take a few weeks and<br />
after eight to 10 visits to physical therapy, the<br />
person would be as good as new.<br />
However, life had another path <strong>for</strong> that<br />
person to follow. He’s not achieving the<br />
expected strength goals at expected time<br />
intervals post-surgery. He’s not achieving<br />
the expected range-of-motion goals at a reasonable<br />
time post-procedure. He’s doing all<br />
his home exercises, pulling on variously colored<br />
rubber bands and stretching in all ways<br />
shown in the handouts, but still the area will<br />
not improve. The strength plateau leads<br />
to guarding and compensation with other<br />
26 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
muscles. The range-of-motion deficits lead<br />
to postural changes and shifts in movement<br />
to accommodate the “new normal” range to<br />
complete ADLs — with difficulty.<br />
Perhaps this isn’t really a failed procedure<br />
or a malingering patient, but rather a person<br />
who has developed or activated already<br />
existing latent myofascial trigger points (TrPs).<br />
Those pesky trigger points may be the root<br />
cause of the lack of post-surgical progress.<br />
Understanding that myofascial trigger points<br />
can cause referred pain, weakness and loss of<br />
range of motion (myofascial dysfunction) can<br />
alter and improve the course of treatment <strong>for</strong><br />
traditional physical therapy.<br />
To Stretch or Not to Stretch<br />
Much is now known about the pathological<br />
biochemistry of the trigger-point complex.<br />
There are at least 13 sensitizing substances<br />
found locally in the trigger point that are in<br />
much higher concentrations than the surrounding<br />
tissue (Shah et al., 2005). It’s not<br />
known if each of these sensitizing substances<br />
is a good guy or bad guy. More in<strong>for</strong>mation is<br />
<strong>for</strong>thcoming from many researchers, including<br />
Dr. Jay P. Shah and his colleagues at NIH.<br />
These trigger points contain areas of<br />
densely compacted sarcomeres and the altered<br />
chemistry can change the ability of the muscle<br />
cell to fully contract and fully relax. When the<br />
sarcomeres are densely contracted within the<br />
trigger point, this leaves some of the sarcomeres<br />
overly stretched. Many thousands of<br />
myofibril bundles containing dysfunctional<br />
muscle cells are stuck in this biochemical<br />
feedback loop. It’s not the tiny microscopic<br />
trigger points we’re looking <strong>for</strong> and treating,<br />
rather the taut bands that develop that are<br />
palpable and made up of many dysfunctional<br />
muscle segments. Referred pain, loss of range<br />
of motion, and strength deficits develop when<br />
these segments go untreated.<br />
Strength deficits may develop because a<br />
muscle cell that is already stuck in the contractile<br />
state cannot contract any further. The<br />
local energy crisis and biochemical changes<br />
that occur within the trigger-point complex<br />
perpetuate the muscular dysfunction. As <strong>for</strong><br />
range-of-motion deficits, yes there is dysfunction<br />
in the primary muscle that was truly<br />
injured or traumatized, but often during the<br />
recovery stage, antagonistic muscles develop<br />
trigger-point dysfunction and aren’t able to<br />
allow full stretch range. These antagonists can<br />
actually, due to the trigger-point dysfunction<br />
in their taut bands, contract on the passive<br />
short while we’re attempting to stretch the<br />
opposing primary muscle, thereby restricting<br />
the intended movement.<br />
Root Cause of the Problem<br />
For instance, when a patient presents with<br />
restricted femoral external rotation after rehabbing<br />
a hip strain, it would make sense to work<br />
to increase the current external rotation. Considering<br />
the myofascial trigger point therapy<br />
model however, it may actually be the external<br />
rotators themselves contracting on the short,<br />
preventing further range gains. Trigger-point<br />
compression to deactivate the taut bands in<br />
these external rotators will be necessary to<br />
bring more normal stretch range to internal<br />
rotators in the area.<br />
Weakness Caused by TrPs<br />
How can considering the pseudo weakness<br />
caused by referred pain and myofascial dysfunction<br />
alter the course of treatment <strong>for</strong> traditional<br />
physical therapy practices?<br />
When considering that physical therapists<br />
are held accountable <strong>for</strong> per<strong>for</strong>mance and<br />
ROM outcomes, uncovering anything that<br />
ADVANcE
can reduce those favorable outcomes is very<br />
important. If you don’t consider the weakness<br />
and restriction in ROM caused by taut bands<br />
and TrPs, then it would appear the patient<br />
will be labeled a “failure” in physical therapy.<br />
For example, after a supraspinatus tear<br />
repair and reattachment, the patient will be<br />
placed in an immobilizing sling <strong>for</strong> a certain<br />
amount of time. When physical therapy is<br />
started, abduction exercises are often prescribed.<br />
Since the arm has been passively held<br />
in one position <strong>for</strong> so long, there’s bound to be<br />
weakness and some loss of range of motion<br />
due to the development of TrPs. Perhaps the<br />
loss of humeral abduction is not due just to<br />
weakness in the abductors themselves.<br />
Instead, this could be due to trigger-point<br />
inhibition of the antagonists and other shoulder<br />
stabilizers, which are not able to fully<br />
stretch and relax to allow abduction. The latissimus<br />
dorsi, teres major and subscapularis<br />
need to be free of taut bands causing restriction,<br />
so as to allow scapular upward rotation<br />
and thereby humeral abduction.<br />
So, Which Muscles Get Treated?<br />
Knowing which muscles can refer to or cause<br />
weakness in a particular area can directly alter<br />
treatment interventions.<br />
Often, treatments are directly applied to the<br />
area of pain. In both theory and practice, this<br />
seems like a perfectly good way to use time<br />
and resources. However, referred pain from<br />
trigger points in muscles far removed from<br />
the painful area could be the primary culprit.<br />
Knowing the referral patterns of muscles can<br />
greatly increase PT outcomes because intervention<br />
can be applied to the source of the pain,<br />
which could be seemingly unrelated to the<br />
actual location of pain.<br />
For example, if a patient complains of<br />
lateral lower-leg pain and has an unstable<br />
ankle due to inhibition of the fibularis longus,<br />
ultrasound, heat or compression is usually<br />
applied to the lateral lower leg and not to the<br />
muscles in the hip or buttocks. Refer to the<br />
gluteus minimus illustration based on Drs.<br />
Travell and Simons to see how primary trigger<br />
points in the gluteus minimus can refer pain<br />
[PAIN MANAGeMeNT]<br />
to the lateral lower leg. This referral can also<br />
cause functional changes to all the muscles<br />
in the referral zone, including the fibularis<br />
longus. Drs. Travell and Simons and others<br />
have mapped pain-referral patterns across<br />
the entire body. Each area has listed the most<br />
probable muscles that could cause pain there.<br />
Also consider the anterior shoulder. A<br />
patient can insistently complain of pain<br />
directly in the front of the left shoulder. Upon<br />
a visit to a physician, a DX of impingement<br />
syndrome is given and treatment of 8 to 10<br />
sessions of physical therapy is suggested.<br />
What if the physical therapist knew that the<br />
infraspinatus (in the posterior shoulder) was<br />
the most likely source of referred pain directly<br />
to the anterior shoulder? Upon further important<br />
investigation into the patient’s sleep,<br />
working and living postures, it may also be<br />
discovered that the patient actually sleeps on<br />
his stomach with the left arm overhead and<br />
tucked under a pillow every night. Then the<br />
true root of the problem could be uncovered<br />
and remediation in sleep and work posture<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 27
[PAIN MANAGeMeNT] [clASSIFIED mArKETPlAcE]<br />
could begin immediately. Therapeutic interventions<br />
could be applied to the infraspinatus<br />
including trigger-point pressure release, dry<br />
needling, ultrasound and compression work<br />
through range of motion, even though that<br />
wasn’t the site of the complaint of pain. The<br />
patient could also learn self-care techniques<br />
to apply compression to the infraspinatus to<br />
keep the trigger points deactivated. All this<br />
may not have been considered unless the<br />
Travell and Simons Trigger-Point Protocol<br />
was considered as part of an already excellent<br />
physical therapy practice model.<br />
Treating Myofascial Trigger Points<br />
There are many <strong>for</strong>ms of treatment used<br />
to deactivate trigger points and restore full,<br />
pain-free range of motion. In-clinic dry needling,<br />
treatment with vapocoolants, as well as<br />
medical devices such as cold laser and acoustic<br />
shockwave compression can be used, in addition<br />
to manually applied trigger-point pressure<br />
release. To improve outcomes even more,<br />
a home self-care program should be taught to<br />
the patient. This home care program should<br />
emphasize applying trigger-point pressure<br />
release to replicate the clinical interventions.<br />
It’s wise to have the patient passively apply<br />
pressure against gravity or against a self-care<br />
tool. Tennis balls, “s-curve” tools and an assortment<br />
of other small compression tools can be<br />
employed by the patient to restore local circulation,<br />
normalize contracted sarcomeres and<br />
reduce pain caused by myofascial TrPs.<br />
We should be sure to ask about sleep, work<br />
and hobby postures that may be continuing to<br />
perpetuate the muscular dysfunction. Unidentified<br />
and untreated trigger points can be detrimental<br />
to clinical outcomes in rehabilitation.<br />
Knowing which muscles may be harboring<br />
them, restricting range of motion and reducing<br />
strength can improve clinical results. n<br />
Mary Biancalana is owner of Trigger Point Sports<br />
Per<strong>for</strong>mance and Muscle Health Inc., Chicago, IL. She<br />
is a board-certified myofascial trigger point therapist<br />
with more than 12 years of clinical experience working<br />
with people in chronic and acute pain due to myofascial<br />
dysfunction. She is also co-author of the book<br />
Trigger Point <strong>Therapy</strong> <strong>for</strong> Low Back Pain, (New<br />
Harbinger, 2010).<br />
www.advanceweb.com/pt<br />
For more PT in<strong>for</strong>mation and news<br />
visit www.advanceweb.com/PT<br />
28 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
Pilates continued from page 21<br />
which can make the search <strong>for</strong> a properly<br />
qualified instructor challenging. The best<br />
resource <strong>for</strong> finding a qualified instructor is<br />
the Pilates Method Alliance (PMA) website<br />
(www.pilatesmethodalliance.org).<br />
PMA is the professional organization and<br />
certifying agency <strong>for</strong> the Pilates profession,<br />
establishing standards and promoting the<br />
Pilates method. Instructors are only able to<br />
say they are PMA-certified after completing<br />
the only psychometrically validated, thirdparty<br />
professional certification exam in the<br />
Pilates field.<br />
Benefits <strong>for</strong> PTs and Patients<br />
The growing popularity of Pilates has made<br />
it a common term in many fitness centers<br />
and rehabilitation facilities. PTs preferring<br />
an alternative approach to the diagnosis and<br />
treatment of injuries will enjoy using this<br />
holistic method to promote health and healing.<br />
Pilates is inherently integrative. Though<br />
it can address a variety of pathologies very<br />
specifically, the system consistently demands<br />
whole-body movement, awareness and connection.<br />
Such movement integration is not<br />
only an effective approach to local injury, it<br />
engages the patient’s whole body and mind<br />
in the healing process.<br />
This type of engagement can be both enjoyable<br />
and empowering, which increases the<br />
likelihood of completing a prescribed course<br />
of treatment and compliance with a home<br />
exercises program. PTs using Pilates have the<br />
benefit of giving their patients a system of<br />
movement that can be used and developed<br />
over a lifetime. n<br />
Mischa Decker, co-owner of InsideOut Body Therapies<br />
(0), earned a DPT from Duke University<br />
School of <strong>Medicine</strong> and a BS in exercise and sport<br />
sciences from the University of Florida. Decker is<br />
a PMA ® -certified Pilates teacher trained at The<br />
Pilates Center of Boulder. She also completed The<br />
Pilates Center master’s program and is a faculty<br />
member of The Pilates Center. She co-leads the<br />
InsideOut Body Therapies Pilates teacher training<br />
program and is director of the InsideOut Body<br />
Therapies Pilates-based physical therapy program.<br />
www.advanceweb.com/pt<br />
For more in<strong>for</strong>mation on<br />
Pilates, visit www.advance<br />
web.com/PTPilates<br />
IMMIGRATION <strong>for</strong> PTs:<br />
H-1B<br />
Permanent Residency<br />
TN-1<br />
Requests <strong>for</strong> Evidence<br />
Appeals<br />
Emily Lopez Neumann<br />
Attorney at Law<br />
REDDY & NEUMANN, P.C.<br />
Houston, Texas www.rnlawgroup.com<br />
713-953-7787 emily@rnlawgroup.com<br />
* Not Certifi ed by Texas Board of Legal Specialization.<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong><br />
Therapists and PT<br />
Assistants is on Facebook!<br />
• Meet tons of new people in your field<br />
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EDUCATION OPPORTUNITIES<br />
DISTANCE EDUCATION<br />
DISTANCE EDUCATION<br />
Become Your Own Boss<br />
Starting an In-Home <strong>Therapy</strong> Practice<br />
Reap the personal and financial benefits of working <strong>for</strong><br />
yourself! This online seminar will teach you the ins and outs<br />
of how to successfully start and operate an in-home therapy<br />
practice under Medicare Part B. Therapists will learn about<br />
the start-up process, business structures, Medicare Part B<br />
requirements and regulations, proper documentation and billing,<br />
and marketing and practice expansion. Participants can<br />
access the seminar through our web site. Contact: In-Home<br />
<strong>Therapy</strong> Services, LLC, 800-931-5769; www.inhometherapy<br />
services.com <strong>for</strong> more in<strong>for</strong>mation and to register online.<br />
DISTANCE EDUCATION<br />
Best Course in Stroke <strong>Rehab</strong>!<br />
Jan Davis Videos -15 hrs <strong>for</strong> $195!<br />
Easy to use & quick turnaround time. Perfect <strong>for</strong> Stroke Center<br />
Certification! Jan Davis fills her courses with real patients,<br />
great treatment ideas and practice labs. Af<strong>for</strong>dable: $195<br />
<strong>for</strong> 15 hours. View samples online. Three courses offered,<br />
“Functional Treatment Ideas & Strategies”, “Treatment<br />
Strategies in Acute Care” or “Teaching Independence: A<br />
Therapeutic Approach”. Each course has clear, concise stepby-step<br />
handling methods. Meets PT license board requirements.<br />
Contact: 888-665-6556 (toll-free); or order securely<br />
online: www.ICELearningCenter.com<br />
DISTANCE EDUCATION<br />
Great CEUs<br />
Fast and Easy to Complete<br />
Learn and earn 5 hours of continuing education credit from<br />
each of our many exciting, interactive and extremely clinical<br />
online courses: Gait and Balance, Knee Osteoarthritis, Seating<br />
and Mobility, Lumbar Spinal Stenosis, Wiihabilitation, Aging<br />
Foot, Vestibular, Home Health, and Research to Practice<br />
as well as the NEW MASTER CLINICIAN SERIES. Well-<br />
Known instructors such as Dr. Carole Lewis and Dr. Richard<br />
Bohannon bring these courses to life with real patients, case<br />
studies and a focus on practical application. Fast and easy<br />
to complete. Hyperlinks to PubMed <strong>for</strong> references. Contact:<br />
www.Greatseminarsonline.com to visit our website to watch<br />
2 minute relevant research videos on the most current studies<br />
impacting your practice - <strong>for</strong> free.<br />
ON-SITE SEMINARS<br />
MARCH 23-29, 2013 CHICAGO, IL<br />
APRIL 14-20, 2013 NEW YORK, NY<br />
MAY 3-9, 2013 NASSAU, BAHAMAS<br />
Yoga <strong>for</strong> the Special Child®, LLC<br />
Part 2 Certification Programs<br />
This comprehensive program of Yoga techniques is designed<br />
to stimulate the development of children with special needs.<br />
Our teaching methods are gentle and restorative; safe<br />
<strong>for</strong> babies & children w/ Down Syndrome, Cerebral Palsy,<br />
Microcephaly, Autism, & other developmental disabilities.<br />
These methods also provide an effective Tx <strong>for</strong> children<br />
diagnosed w/ ADD/ADHD. Basic Program focus on babies and<br />
kids up to 12 years old. Basic Part 2, on kids 13 and above.<br />
Taught by internationally renowned Yoga Therapist & author<br />
Sonia Sumar, our certification program curriculum includes<br />
instruction in Yoga poses, breathing exercises, infant massage<br />
& deep relaxation. Contact: 941-925-9677; or www.<br />
specialyoga.com <strong>for</strong> a complete list of program dates and<br />
locations.<br />
APRIL 4-6, 2013 SAVANNAH, GA<br />
<strong>Physical</strong> <strong>Therapy</strong> Assoc of<br />
Georgia Annual Spring Meeting<br />
PTAG will host the 2013 Spring Meeting at The Armstrong<br />
Center in Savannah, GA on April 5-6, 2013. The educational<br />
meeting will feature educational programs <strong>for</strong> PTs & PTAs.<br />
Athletic Trainers may also earn educational credits at PTAG<br />
meetings. PTAG is offering (19) nineteen contact hours of<br />
continuing education in the following topics: Ethics and GA<br />
Jurisprudence <strong>for</strong> the PT Practice, Differential Diagnosis of<br />
Leg Pain, Fascial Manipulation, The Three I’s: Imaging and<br />
Issues in the Neuro ICU, Shoulder Pain, Posture - Let’s Get<br />
Vertical with Pilates Principles. Contact: 770-433-2418;<br />
www.ptagonline.org <strong>for</strong> more in<strong>for</strong>mation.<br />
APRIL 4-7, 2013 ATLANTA, GA<br />
APRIL 11-14, 2013 SAN DIEGO, CA<br />
APRIL 18-21, 2013 CHICAGO, IL<br />
Intro to NDT Part I<br />
Improving Gait Faster Part II<br />
Achieve functional outcomes <strong>for</strong> adults with hemiplegia.<br />
Content includes the principles of NDT, facilitation of sitto-stand,<br />
use of the LE in functional activities, transfers,<br />
UE weight-bearing, remediation of pain and subluxation of<br />
the hemiplegic shoulder. Bed mobility will be demonstrated.<br />
Treatment ideas and a framework to document goals based<br />
on functional outcomes using NDT will be provided. Get<br />
to results faster when improving gait. Increased clinical<br />
reasoning will enable you to know what to expect and what<br />
to predict. You will be able to assess the cause of the<br />
problem and have more immediate influence. You will have<br />
a better understanding of the normal components of gait<br />
and then understand why your patient with hemiplegia has<br />
tendencies in gait. You will practice with “hands-on” how<br />
to increase ROM of the hip and foot. Concepts <strong>for</strong> use of a<br />
self-exercise program and use of orthotics will be discussed.<br />
Additional treatment ideas related to gait and more examples<br />
of documentation will be provided. Both parts include client<br />
intervention videos & “hands-on” experience. Cathy<br />
Runyan, OTR/L, & Peggy Miller, PT, Recovering Function NDT<br />
Instructors. Audience: PTs, PTAs, OTs, COTAs. Contact hours:<br />
30. Contact: Recovering Function, 408-268-3691; or www.<br />
RecoveringFunction.com <strong>for</strong> a complete brochure of introductory,<br />
advanced, and certification courses as well as in<strong>for</strong>mation<br />
about additional course dates/locations, group rates,<br />
& free registrations when hosting courses at your facility.<br />
APRIL 4-7, 2013 MOUNTAINSIDE, NJ<br />
APRIL 25-28, 2013 COON RAPIDS, MN<br />
OCT. 17-20, 2013 HOUSTON, TX<br />
Sensory<br />
Integration Intensive<br />
This intensive, hands on evidence-based course addresses<br />
sensory integrative dysfunction across all ages in those with<br />
Autism spectrum, developmental and learning disorders.<br />
Participants will learn to treat the root deficit systems instead<br />
of isolated deficit behaviors. The focus will be on tools to<br />
improve body awareness, postural stability/security, coordinative<br />
skill, motor planning, interest and skill with interpersonal<br />
communication, organization, and abstract reasoning<br />
<strong>for</strong> learning. Instructor: Jeanetta Burpee. Contact: Education<br />
Resources, Inc., 508-359-6533; 800-487-6530; (outside<br />
MA); www.educationresourcesinc.com<br />
WWW.<strong>ADVANCE</strong>WEB.COM/JOBFAIRS<br />
APRIL 5-6, 2013 BAYSIDE, NY<br />
APRIL 26-27, 2013 PORTSMOUTH, NH<br />
Is it Sensory or Behavior:<br />
Assessment & Intervention<br />
This workshop will focus on the underlying causes of challenging<br />
behavior that impact per<strong>for</strong>mance and functional<br />
outcomes. Clinicians will learn how to differentiate between<br />
the sensory processing problems and the behavioral/emotional<br />
problems in order to develop an integrated approach to<br />
intervention. We will specifically address visual and vestibular<br />
processing disorders that impact social skills and school<br />
per<strong>for</strong>mance as the key to designing effective, integrated<br />
treatment <strong>for</strong> improved sensory processing, motor skills and<br />
behavior, through extensive video case analysis. Participants<br />
will learn to assess the subtle motor and sensory deficits<br />
that may be contributing to attention, motor and behavioral<br />
challenges. Instructor: Debra Dickson. Contact: Education<br />
Resources, Inc., 800-487-6530; 508-359-6533; www.edu<br />
cationresourcesinc.com<br />
APRIL 6-7, 2013 LEBANON, NH<br />
APRIL 20-21, 2013 KNOXVILLE, TN<br />
APRIL 20-21, 2013 LITTLE ROCK, AR<br />
KinesioTaping®<br />
Fundamentals and Advanced<br />
Many more KT1/KT2 dates and locations, and KinesioTaping®<br />
KT3 courses listed online. KTA approved seminars. Learn the<br />
fundamental and advanced concepts, corrective techniques<br />
of the KinesioTaping® Method, and the unique properties<br />
and use of KinesioTape. Lab sessions provide ample time<br />
to practice kinesiotaping skills <strong>for</strong> upper and lower body<br />
applications. Hosting opportunities available <strong>for</strong> 2013 and<br />
2014. Contact: <strong>Rehab</strong> Education, LLC, 845-368-2458 <strong>for</strong><br />
questions; info@<strong>Rehab</strong>Ed.com or www.<strong>Rehab</strong>Ed.com <strong>for</strong><br />
details and registration.<br />
APRIL 6-7, 2013 SAN FRANCISCO, CA<br />
APRIL 27-28, 2013 BRIDGEWATER, NJ<br />
MAY 4-5, 2013 LOS ANGELES, CA<br />
Edema-Differential<br />
Diagnosis & Treatment<br />
This intensive two-day course is designed to teach clinicians<br />
to differentiate between various edema etiologies and design<br />
effective treatment programs based on those findings. Topics<br />
include the evaluation of the arterial, venous, and lymphatic<br />
systems. Numerous treatment techniques will be covered,<br />
such as compression bandaging as well as a hands-on<br />
introduction to manual lymphatic drainage. Over 80% of<br />
attendants rated this course Excellent, all others rated it<br />
Good. Cost: Only $350 <strong>for</strong> 16 hours. Please call <strong>for</strong> group<br />
discounts. Contact: JVB Enterprises, Inc., 888-328-6755<br />
(toll-free); www.teachtx.com <strong>for</strong> other courses offered in your<br />
area or <strong>for</strong> more in<strong>for</strong>mation.<br />
APRIL 6-7, 2013 HOUSTON, TX<br />
JUNE 22-23, 2013 HONOLULU, HI<br />
Biomechanics of the Hand:<br />
Analytical Approach to Hand <strong>Rehab</strong><br />
A great hand therapy review course <strong>for</strong> the hand therapy certification<br />
exam! Comprehensive course provides an analytical<br />
approach to hand rehabilitation. Enhance your theoretical<br />
knowledge to be better able to problem solve and design<br />
treatment programs <strong>for</strong> a variety of upper extremity conditions.<br />
Includes video presentation of pathomechanics, treatment,<br />
cadaver dissection, and surgery. Instructor: Shrikant<br />
J. Chinchalkar, OTR, CHT. Hosting opportunities available <strong>for</strong><br />
2013 and 2014. Contact: <strong>Rehab</strong> Education, LLC, 845-368-<br />
2458 <strong>for</strong> questions; info@<strong>Rehab</strong>Ed.com or www.<strong>Rehab</strong>Ed.<br />
com <strong>for</strong> details and registration.<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 29
EDUCATION OPPORTUNITIES<br />
Sara Meeks Seminars<br />
Seminars on Osteoporosis <strong>for</strong><br />
Health & Exercise Professionals<br />
Deb Gulbrandson PT, DPT<br />
Sara Meeks PT, MS, GCS<br />
2013 Schedule h d l<br />
OSTEOPOROSIS: A Comprehensive<br />
Treatment Strategy Level 1<br />
The Meeks Method "It Just Makes Sense"<br />
Minneapolis, MN Apr 5-6<br />
Rock<strong>for</strong>d, IL Apr 12-13<br />
Honolulu, HI May 4-5<br />
(with Deb Gulbrandson PT, DPT)<br />
Secaucus, NJ Jun 15-16<br />
New London, CT Jun 21-22<br />
Gainsville, FL Jul 13-14<br />
Kansas City, MO Jul 27-28<br />
(with Deb Gulbrandson PT, DPT)<br />
New Orleans, LA Nov 9-10<br />
Level 2: Advanced Movement<br />
Concepts <strong>for</strong> Skeletal Health<br />
Prescott, AZ Mar 23-24<br />
Hagerstown, MD Nov 22-23<br />
For full description of seminars<br />
see website<br />
www.sarameekspt.com<br />
Webinars & Online Course also Available<br />
Sara Meeks Seminars<br />
(888) 330-7272<br />
APRIL 11-12, 2013 ST. LOUIS, MO<br />
SEPT. 19-20, 2013 CHICAGO, IL<br />
OCT. 17-18, 2013 PROVIDENCE, RI<br />
Intervention <strong>for</strong> the High Risk<br />
Infant: NICU, Home and EI<br />
This seminar offers practical strategies toward a contextual<br />
approach to behavioral, developmental and feeding<br />
assessment and intervention. Video, demonstration and<br />
case examples will be used to introduce the NICU Network<br />
Neurobehavioral Scale (NNNS), to illustrate feeding assessment<br />
and intervention and to train participants in administration<br />
and scoring of the Posture and Fine Motor Assessment of<br />
Infants. Participants will enhance their clinical skills through<br />
creative problem-solving. Instructor: Rosemarie Bigsby.<br />
Contact: Education Resources, Inc., 508-359-6533; 800-<br />
487-6530 (outside MA); www.educationresourcesinc.com<br />
APRIL 12, 2013 BROOKVILLE, NY<br />
Therapeutic Evaluation &<br />
Tx of Pediatric Toe Walking<br />
Liesa M. Persaud, PT, DPT, PCS, CKTP will discuss how<br />
evaluation and treatment of this diagnosis is often frustrating<br />
and frequently results in an inaccurate evaluation with<br />
subsequent ineffective interventions and poor achievement of<br />
results. Long term results are rarely achieved. An organized<br />
evaluation procedure will be discussed so that specific data<br />
can be used to direct the clinician to potential etiologies.<br />
Causes and appropriate intervention strategies will be identified<br />
in order to <strong>for</strong>mulate a systematic approach to developing<br />
an effective treatment plan. Contact: Marian, 516-747-<br />
9030, ext 161; kidzconferenceservices@kidztherapy.com or<br />
www.kidzconferences.com<br />
APRIL 12-13, 2013 SCOTTSDALE, AZ<br />
MAY 3-4, 2013 HOLLYWOOD, FL<br />
MAY 17-18, 2013 FAIRFIELD, CT<br />
Treatment of Patients with<br />
Neurologic Disorders<br />
This course will help focus on making evidence-based strategies<br />
easy to integrate into your adult neuro-rehab practice.<br />
Outcome measures that are reliable and valid in persons with<br />
neurological diagnoses will be presented and demonstrated.<br />
Treatment approaches that improve functional participation,<br />
ambulation and upper extremity skill will be presented.<br />
Foundational strategies include strengthening, cardiovascular<br />
Allied Health Educa on provides relevant, high quality<br />
con nuing educa on courses, webinars, and seminars<br />
<strong>for</strong> physical therapists & physical therapist assistants.<br />
Check out these upcoming live webinars:<br />
• March 26 – “Osteoporosis: Strategies <strong>for</strong> ALL Ages and ALL Stages”<br />
• April 4 – “Func onal <strong>Rehab</strong> <strong>for</strong> Lower Extremity Injuries”<br />
• April 9 – “The Elbow: Anatomy, Biomechanics and <strong>Rehab</strong>ilita on Considera ons; Emphasis<br />
on Elbow Instability/Disloca on”<br />
• April 18 – “Developing Fit Knees: Current Concepts in ACL Injury Preven on”<br />
For more info on these courses and others<br />
or to register go to www.alliedhealthed.com or call us at 1-888-459-2272 ext. 505<br />
Approved <strong>for</strong> Con nuing Educa on Credits in most states.<br />
BOOST YOUR CAREER — GO TO WWW.<strong>ADVANCE</strong>WEB.COM<br />
30 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
conditioning and neuroplasticity, with case studies, focusing<br />
on stroke, TBI, MS, Parkinson’s and fall risk assessment<br />
and treatment. Instructor: Kari Dunning. Contact: Education<br />
Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />
www.educationresourcesinc.com<br />
APRIL 12-13, 2013 PLANTATION, FL<br />
MAY 17-18, 2013 FRAMINGHAM, MA<br />
AUG. 16-17, 2013 ROCHESTER, NY<br />
Torticollis: Effective<br />
Treatment of Infants and Children<br />
This course will concentrate on effective treatment schemes<br />
<strong>for</strong> infants and young children with a diagnosis of torticollis<br />
with or without plagiocephaly. Participants will analyze the<br />
implications of torticollis, sleep posture and increased use of<br />
positional devices on infant postural and motor development.<br />
Clinical pathways <strong>for</strong> management of infant head shape,<br />
diagnostic procedures and surgical intervention will be<br />
appraised. Functional, clinically oriented evaluation and evidence-based<br />
treatment strategies that can be integrated into<br />
play will be provided. Emphasis on home exercise programs<br />
and effective strategies to team with parents to ensure follow<br />
through will be explored. Instructor: Cindy Miles. Contact:<br />
Education Resources, Inc., 508-359-6533; 800-487-6530<br />
(outside MA); www.educationresourcesinc.com<br />
APRIL 12-13, 2013 CHICAGO, IL<br />
JULY 26-27, 2013 HOLLYWOOD, FL<br />
SEPT. 27-28, 2013 HAMDEN, CT<br />
Functional<br />
Strengthening in Children<br />
This course will assist clinicians in designing treatment programs<br />
to improve strength, fitness, and function in children<br />
with disabilities and chronic conditions. An evidence-based<br />
approach to examination, treatment strategies and outcome<br />
measurement will be presented. Case examples will be<br />
used to illustrate treatment activities using weights, therapy<br />
balls, treadmills and other exercise equipment. Instructor:<br />
Maria Fragala Pinkham, Maggie O’Neil. Contact: Education<br />
Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />
www.educationresourcesinc.com<br />
APRIL 12-13, 2013 URBANA, IL<br />
AUG. 16-17, 2013 WEYMOUTH, MA<br />
OCT. 25-26, 2013 JOHNSON CITY, NY<br />
Movement, Rhythm and<br />
Sequencing - Getting the Beat<br />
This intensive conference will provide clinicians with dynamic<br />
state of the art intervention strategies that support integration<br />
of sensation in children with sensory, emotional and<br />
motor challenges. Presentation of current neurobiology of<br />
the vestibular system’s central role in sub-cortical and cortical<br />
intercommunication and related research are reviewed.<br />
Assessment strategies and intervention methods to: Improve<br />
sensory modulation, Enhance vestibular function and postural<br />
skills, Optimize social readiness, Synchronize the<br />
organization and sequencing of motor skills and behavior<br />
as needed <strong>for</strong> optimal function in time and space. Instructor:<br />
Lise Gerard-Faulise. Contact: Education Resources, Inc.,<br />
508-359-6533; 800-487-6530 (outside MA); www.educa<br />
tionresourcesinc.com<br />
APRIL 12-20, 2013 BALTIMORE, MD<br />
MAY 2-10, 2013 INDIANAPOLIS, IN<br />
MAY 3-11, 2013 MINNEAPOLIS, MN<br />
Lymphedema <strong>Therapy</strong> Certification<br />
Vodder MLD & Foeldi CDT<br />
Klose Training offers the highest-quality lymphedema certification<br />
course in the US. It’s the most efficient & costeffective<br />
way to become certified. 45 hrs of online home<br />
study + 90 hrs of classroom (lab) instruction. (Fewer days<br />
(Continued on next page)
Toll<br />
Free 1-877-794-7328<br />
www.greatseminarsandbooks.com<br />
2013 SCHEDULE<br />
<br />
G-Code Know How:<br />
Becoming Proficient in<br />
Functional Assessment<br />
Dale Avers, DPT, PhD<br />
Freehold, NJ ............ March 16-17, ‘13<br />
Palm Springs, CA . . . . . . . . . .April 27-28, ‘13<br />
Idaho Falls, ID ............June 22-23, ‘13<br />
Clinical Geriatric Orthopedics<br />
Dr. Carole Lewis, PT, DPT, GTC, GCS,<br />
CCOEE, MSG, MPA, PhD, FAPTA<br />
Pittsburgh, PA ............July 19-21, ‘13<br />
Kansas City, MO ...........Aug. 16-18 ‘13<br />
Savannah, GA. . . . . . . . . . . . Sept. 20-22, ‘13<br />
Dallas, TX ................Oct. 11-13, ‘13<br />
Palm Springs, CA . . . . . . . . . . Nov. 15-17, ‘13<br />
Clinical Geriatric Neurology<br />
Dr. Carole Lewis, PT, DPT, GTC, GCS,<br />
CCOEE, MSG, MPA, PhD, FAPTA<br />
New York, NY .............April 13-14, ‘13<br />
Portland, OR .............April 26-27, ‘13<br />
Orlando, FL ..............June 21-22, ‘13<br />
Philadelphia, PA .............Nov. 1-2, ‘13<br />
Des Moines, IA .............Dec. 7-8, ‘13<br />
Geriatric Therapeutic Exercise<br />
Mark Traffas, PT, GTC<br />
Columbia, SC ...........March 15-16, ‘13<br />
Minneapolis, MN ..........June 21-23, ‘13<br />
Louisville, KY .............July 20-21, ‘13<br />
Milwaukee, WI ............Aug. 17-18, ‘13<br />
St. Louis, MO ............Sept. 20-22, ‘13<br />
Chattanooga, TN ............Nov. 2-3, ‘13<br />
Comprehensive <strong>Rehab</strong>ilitation Strategies<br />
<strong>for</strong> the Geriatric Patient<br />
Doug Dillon, PT, GTC, CSST<br />
San Francisco, CA . . . . . . . March 16-17, ‘13<br />
New Orleans, LA .......... April 20-21, ‘13<br />
Syracuse, NY ...............May 3-4, ‘13<br />
Tacoma, WA .............Sept. 21-22, ‘13<br />
Billings, MT ..............Oct. 18-19, ‘13<br />
Ox<strong>for</strong>d, MS .................Dec. 7-8, ‘13<br />
Acute Care <strong>Rehab</strong>ilitation<br />
Mark Nelson, MPT<br />
Salt Lake City, UT . . . . . . . March 16-17, ‘13<br />
Harrisburg, PA ............April 27-28, ‘13<br />
Royal Oak, MI ..............May 4-5, ‘13<br />
Raleigh, NC ..............June 22-23, ‘13<br />
Atlanta, GA ..............July 20-21, ‘13<br />
Nashville, TN ............Sept. 21-22, ‘13<br />
Manual <strong>Therapy</strong><br />
<strong>for</strong> the Geriatric Patient<br />
James Gose, PT, DPT, OCS, Cert. MDT, COMT, CMP<br />
Portland, ME ......................TBA<br />
Omaha, NE ...............Aug. 17-18, ‘13<br />
NEW<br />
Green Bay, WI ............Oct. DATES 19-20, ‘13<br />
Spokane, WA ...............Nov. 1-2, ‘13<br />
Raleigh, NC ................Dec. 7-8, ‘13<br />
Total Joint Arthroplasty<br />
Alisa Curry, PT, DPT<br />
Annapolis, MD ............ July 27-28, ‘13<br />
Carson City, NV . . . . . . . . . . Sept. 21-22, ‘13<br />
San Luis Obispo, CA . . . . . . . . . .Nov. 2-3, ‘13<br />
Freehold, NJ ................Dec. 7-8, ‘13<br />
<strong>Rehab</strong>ilitation <strong>for</strong> Osteoporosis<br />
Sherri Betz, PT, GCS, CEEAA, PMA®-CPT<br />
Las Vegas, NV ............April 13-14, ‘13<br />
Cherry Hill, NJ ............June 22-23, ‘13<br />
San Jose, CA .............Aug. 17-18, ‘13<br />
<strong>Rehab</strong>ilitation <strong>for</strong><br />
Persons with Dementia<br />
Susan Staples, PT, GCS<br />
Springfield, IL . . . . . . . . . . March 16-17, ‘13<br />
Kissimmee, FL ............Oct. 19-20, ‘13<br />
Albany, NY .................Nov. 1-2, ‘13<br />
<strong>Rehab</strong>ilitation of Persons with<br />
Common Medical Pathologies<br />
Dr. Steven Tepper, PhD, PT<br />
Madison, WI ............ March 16-17, ‘13<br />
South Bend, IN ............June 22-23, ‘13<br />
Albuquerque, NM .........Sept. 21-22, ‘13<br />
Charlotte, NC .............Oct. 19-20, ‘13<br />
Lexington, KY ...............Nov. 2-3, ‘13<br />
Sacramento, CA .............Dec. 7-8, ‘13<br />
Safe Steps:<br />
Making Gait and Balance<br />
Assessment and Treatment Worth It<br />
Dr. James Wall, BSc, MSc, MEd, PhD<br />
Austin, TX ............... April 20-21, ‘13<br />
Charleston, SC ............June 22-23, ‘13<br />
Boise, ID ................Aug. 17-18, ‘13<br />
Taking Balance to the Limits<br />
Janene Barber, PT, GTC<br />
Atlantic City, NJ .............May 4-5, ‘13<br />
Los Angeles, CA ...........July 20-21, ‘13<br />
Denver, CO ..............Sept. 21-22, ‘13<br />
Chicago, IL ...............Oct. 12-13, ‘13<br />
Cancer <strong>Rehab</strong>ilitation<br />
An Evidence Based Course <strong>for</strong> ALL Clinicians<br />
Nicole Stout, MPT, CLT-LANA<br />
Boston, MA ................May 4-5, ‘13<br />
Indianapolis, IN ...........Aug. 17-18, ‘13<br />
Miami, FL ..................Nov. 2-3, ‘13<br />
<strong>Rehab</strong>ilitation <strong>for</strong> the Frail Elderly<br />
Robert Thomas, MS, PT<br />
Cheyenne, WY ..............May 4-5, ‘13<br />
Seattle, WA .............. July 27-28, ‘13<br />
Dubuque, IA .............Sept. 21-22, ‘13<br />
Toledo, OH ...............Oct. 19-20, ‘13<br />
Put Some Muscle Into Ther Ex<br />
Dr. Wendy Anemaet, PT, PhD, GCS, CWS, GTC, COS-C<br />
Jackson, MS ..............May 18-19, ‘13<br />
Richmond, VA .............Aug. 17-18, ‘13<br />
Logan, UT ...............Sept. 21-22, ‘13<br />
New Rochelle, NY . . . . . . . . . . Oct. 19-20, ‘13<br />
Olympia, WA ................Dec. 7-8, ‘13<br />
Home Health <strong>Rehab</strong>ilitation<br />
Dr. Carol Schunk, PT PsyD<br />
Lincoln, NE ............. April 20-21, ‘13<br />
Toms River, NJ . . . . . . . . . . . . Aug. 17-18, ‘13<br />
Newport News, VA ...........Nov. 2-3, ‘13<br />
Home Study Courses<br />
See website <strong>for</strong> details.<br />
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EDUCATION OPPORTUNITIES<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 31
EDUCATION OPPORTUNITIES<br />
32 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
(Continued from previous page)<br />
away from work; lower travel costs). UE-only option: 90 hrs.<br />
Pathophysiology, diagnosis, & DD are taught by an expert<br />
lymphedema physician. Lab instructors are the most experienced<br />
in the field. Approved <strong>for</strong> CEUs. Meets requirements to<br />
take the LANA exam. Free post-graduate services. Program<br />
est. 1990 by Guenter Klose, Certified Instructor. Contact:<br />
Klose Training, 303-245-0333; info@klosetraining.com or<br />
www.klosetraining.com<br />
APRIL 13-14, 2013 TAMPA, FL<br />
APRIL 20-21, 2013 ATLANTA, GA<br />
Complete Wound Care<br />
Prevent-Assess-Debride-Treat<br />
The intensive two-day course covers topics ranging from<br />
physiology of wound healing and modalities in wound care to<br />
documentation & risk management. Through a combination<br />
of interesting lecture & extensive hands-on labs (including<br />
compression dressings, Doppler, sharp debridement, ultrasound<br />
& electrical stimulation), this course strives to provide<br />
individualized attention. After years of presentation, when<br />
given a choice of Excellent, Good, Fair, or Poor, over 80%<br />
of attendants rated this course Excellent, all others rated it<br />
Good. Cost: Only $350 <strong>for</strong> 16 hours. Please call <strong>for</strong> group<br />
discounts. Contact: JVB Enterprises, Inc., 888-328-6755<br />
(toll-free); or www.teachtx.com<br />
APRIL 13-14, 2013 SEWICKLEY, PA<br />
MAY 31-JUNE 1, 2013 ENGLEWOOD, NJ<br />
OCT. 11-12, 2013 HOLLYWOOD, FL<br />
NDT: Handling and<br />
Problem Solving <strong>for</strong> Function<br />
This intensive course is designed <strong>for</strong> experienced pediatric<br />
therapists who are interested in improving their problem<br />
solving skills in order to achieve more efficient functional<br />
outcomes <strong>for</strong> children with Neuro-Motor disorders such as<br />
Cerebral Palsy and Down Syndrome. Emphasizing a NDT<br />
framework, the course will utilize client videos as a basis<br />
<strong>for</strong> problem solving sessions and handling labs. Therapists<br />
will have the opportunity to develop realistic short and<br />
long-term functional outcomes, analyze multi-system and<br />
single-system impairments and develop treatment plans.<br />
Labs will focus on handling strategies that address the priority<br />
impairments and facilitate optimal control of posture and<br />
movement. Instructor: Linda Kleibhan. Contact: Education<br />
Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />
www.educationresourcesinc.com<br />
APRIL 13-14, 2013 STATEN ISLAND, NY<br />
JUNE 1-2, 2013 KALAMAZOO, MI<br />
OCT. 26-27, 2013 HOLLYWOOD, FL<br />
Diagnosis/Treatment:<br />
Movement Impairment Syndromes<br />
The concepts and principles of the movement system impairment<br />
(MSI) theory as developed by Shirley Sahrmann, PT,<br />
PhD, FAPTA, and its relationship to alteration in neuromusculoskeletal<br />
function will be presented. This course will enable<br />
the clinician to identify impairments in alignment, muscle<br />
length, and pattern of movement and their relationship to<br />
musculoskeletal pain syndromes. The signs and symptoms<br />
of syndromes to be diagnosed by the therapist will be<br />
described. Discussion will focus on developing a precise<br />
therapeutic exercise program to correct faulty posture and<br />
movement associated with functional activities. Instructor:<br />
Mary Kate McDonnell. Contact: Education Resources, Inc.,<br />
508-359-6533; 800-487-6530 (outside MA); www.educa<br />
tionresourcesinc.com<br />
TO ORDER ARTICLE<br />
REPRINTS FROM <strong>ADVANCE</strong><br />
CALL 800-355-5627
APRIL 14-15, 2013 NEW YORK, NY<br />
MNRI® Reflex Integration:<br />
Survival & Neurodevelopment<br />
MNRI® is a comprehensive set of programs that focus on<br />
motor reflex and sensory system integration. The primary<br />
focus of the MNRI Method is to support the integration process<br />
of primary motor reflex patterns regardless of a person’s<br />
condition or age. This workshop will give specific in<strong>for</strong>mation<br />
on the MNRI Neurosensorimotor Reflex Integration processes;<br />
share current research; explain the MNRI Reflex Pattern<br />
Assessment and provide specific strategies <strong>for</strong> use of the<br />
Masgutova Method with children and adults of different<br />
challenges. Instructor: Svetlana Masgutova, PhD. Contact:<br />
Therapeutic Services, 718-692-1929; 888-7-THERAPY; 718-<br />
338-3393 (fax); www.therapeuticservicesinc.com<br />
APRIL 14-15, 2013 ISLANDIA, NY<br />
JULY 7-8, 2013 MANHATTAN, NY<br />
DEC. 8, 2013 MANHATTAN, NY<br />
Kinesio Taping Method<br />
KT1 & KT2, KT3 Certification<br />
Kinesio Tex Tape is the original and industry standard in<br />
elastic therapeutic taping. Learn to use this powerful modality<br />
to decrease pain, normalize muscle tension, increase<br />
circulation, influence fascia, support tendons and ligaments,<br />
prevent pathological movement patterns, and extend your<br />
manual treatment well beyond what you achieve in the clinic.<br />
Instructor: Andrea Wolkenberg, PT, MA, CKTI - KTA Approved<br />
- CEUs: PTs (NY); OTs (AOTA); MTs (NCBTMB) - Package<br />
rates. Contact: Felicity Pine, Live and Learn Consulting/CE,<br />
914-263-1943; e-mail: Info@LiveandLearnConsulting.NET;<br />
or www.LiveandLearnConsulting.NET to register.<br />
FREE E-NEWSLETTER — WWW.<strong>ADVANCE</strong>WEB.COM<br />
APRIL 18-19, 2013 OCONOMOWOC, WI<br />
WI <strong>Physical</strong> <strong>Therapy</strong> Association<br />
Spring Conference<br />
The Wisconsin <strong>Physical</strong> <strong>Therapy</strong> Association (WPTA) will host<br />
its Spring Conference April 18-19, 2013 at the Olympia Resort<br />
& Convention Center, Oconomowoc. The conference will feature<br />
hands-on labs, lectures, discussions, expert panels and<br />
a professional issues <strong>for</strong>um. Attendees will receive contact<br />
hours qualified as continuing education by the Wisconsin DSPS<br />
<strong>for</strong> courses attended in their entirety. Registration includes<br />
continental breakfasts, morning & afternoon breaks, luncheons,<br />
Welcome Reception, Business Meeting, Awards Dinner<br />
and conference materials. All classes are held on a first-come,<br />
first-served basis. Sign up early! Contact: WPTA office, 608-<br />
221-9191; wpta@wpta.org <strong>for</strong> more in<strong>for</strong>mation or www.<br />
wpta.org to download a registration <strong>for</strong>m or register online.<br />
APRIL 19, 2013 SANTA ROSA, CA<br />
MAY 18, 2013 LIBERTY, MO<br />
OCT. 11, 2013 FAIRFAX, VA<br />
Pharmacology<br />
Fundamentals <strong>for</strong> Therapists<br />
Patients undergoing therapy routinely take Rx drugs and OTC<br />
medicines that ultimately influence treatment outcomes.<br />
Therapists with knowledge of these medicines practice safer,<br />
more effective therapy. The course will examine Rx and<br />
non-Rx medicine used in the therapy setting. In<strong>for</strong>mation will<br />
focus on drug actions and patient errors when treating pain,<br />
as well as common disorders of the musculoskeletal, neurologic,<br />
cardiorespiratory, and endocrine systems. Common<br />
OTC drugs and herbals are examined <strong>for</strong> occult hazards and<br />
drug interactions. Electronic resources <strong>for</strong> free drug-related<br />
in<strong>for</strong>mation will be demonstrated. Instructor: Mark Nash.<br />
Contact: Education Resources, Inc., 508-359-6533; 800-<br />
487-6530 (outside MA); www.educationresourcesinc.com<br />
APRIL 19-20, 2013 LAS VEGAS, NV<br />
Secrets & Steps to<br />
Private Practice Success<br />
Step-by-step instruction course on how to increase referrals,<br />
revenue, & reimbursement quickly and af<strong>for</strong>dably!<br />
Perfect <strong>for</strong> Experienced Owners & Beginners. SECRETS<br />
INCLUDE: 1) Why an MD will stop referring, 2) Your front<br />
desk will make or break you, 3) Coding & Modifier Secrets<br />
to double your reimbursements, 4) Employee Leadership<br />
is Key, 5) Advertising Secrets & Templates, 6) Secret<br />
Promotions <strong>for</strong> Instant Business, 7) Best Equipment &<br />
Software. TESTIMONIALS: “You will kick yourself if you<br />
don’t go.” It’s so worth the money and time to come<br />
here”. “It would be a MISTAKE not to take this course!”<br />
100% Money-Back Guarantee. Contact: 800-801-4511;<br />
or www.IndeFree.com <strong>for</strong> more locations.<br />
Entry-level DPT in a<br />
Weekend On-Campus Format<br />
The Neumann DPT…<br />
<br />
<br />
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<br />
APRIL 19-20, 2013 TALLAHASSEE, FL<br />
APRIL 26-27, 2013 SCOTTSDALE, AZ<br />
SEPT. 20-21, 2013 TUSCALOOSA, AL<br />
Mobilizing the Medically<br />
Complex Acute Care Patient<br />
Therapists are often challenged when presented with complex<br />
acute care patients who may have cardiovascular and/<br />
or pulmonary dysfunction or complications in addition to<br />
other medical conditions. Mobilizing these complex patients<br />
safely requires integration of the implications of lab values,<br />
diagnostic test results, patient history, medications and<br />
equipment. Signs of patient instability and when and how to<br />
modify or terminate treatment will be discussed. Instructor:<br />
Ellen Hillegass, EdD, PT, CCS, FAACVPR. Contact: Education<br />
Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />
www.educationresourcesinc.com<br />
<br />
<br />
<br />
Aston, Pennsylvania<br />
<br />
www.neumann.edu<br />
<br />
<br />
EDUCATION OPPORTUNITIES<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 33
EDUCATION OPPORTUNITIES<br />
NPTE/NPTE REVIEW<br />
COURSE<br />
<strong>Therapy</strong> Team Exam Review<br />
is the only comprehensive evidenced<br />
based review course <strong>for</strong><br />
the Boards. For 2008-2011 US<br />
grads (DPT/MPT) had a 100% first<br />
time US Educated DPT/MPT pass<br />
rate. Past per<strong>for</strong>mance does not<br />
guarantee you will pass, but it is<br />
better to be safe than sorry when<br />
it comes to your license and job<br />
offer. Join us in the following cities<br />
<strong>for</strong> the best review available.<br />
Chicago, IL<br />
Traditional<br />
April 20-28, 2013<br />
Miami, FL May 11-19, 2013<br />
New York, NY June 8-16, 2013<br />
Toll Free: {877} 476-6684<br />
http://www.therapyteam.com<br />
timothyteach@aol.com<br />
APRIL 19-20, 2013 WEYMOUTH, MA<br />
MAY 31-JUNE 1, 2013 ANAHEIM, CA<br />
OCT. 4-5, 2013 FORT WORTH, TX<br />
Therapeutic<br />
Interventions in the NICU<br />
This course focuses on developmental and therapeutic interventions<br />
in the NICU. It covers assessment and treatment,<br />
transition to home, post discharge follow-up and identification<br />
of emerging disabilities. Strategies to optimize behavior,<br />
development and feeding of the neonate will be offered in<br />
addition to practical, approaches to facilitating teamwork and<br />
caregiver engagement. Instructor: Tracilyn Watson-Urruela.<br />
Contact: Education Resources, Inc., 508-359-6533; 800-<br />
487-6530 (outside MA); www.educationresourcesinc.com<br />
APRIL 19-20, 2013 PORTLAND, OR<br />
JUNE 20-21, 2013 EDISON, NJ<br />
NOV. 15-16, 2013 ATLANTA, GA<br />
Linking Play to Function:<br />
NDT and Sensory Integration<br />
This workshop, developed and taught by Lezlie Adler, internationally<br />
renowned clinician and teacher, will focus on play<br />
as a vehicle <strong>for</strong> learning <strong>for</strong> children with developmental<br />
challenges. Current in<strong>for</strong>mation on Neuro Developmental<br />
Treatment and Sensory Integration will provide the foundation<br />
<strong>for</strong> analyzing and applying play to assessment and<br />
intervention with children of all ages to attain functional<br />
skills. Instructor: Lezlie Adler. Contact: Education Resources,<br />
Inc., 508-359-6533; 800-487-6530 (outside MA); www.<br />
educationresourcesinc.com<br />
NEW KNOWLEDGE, NEW SKILLS...<br />
Become a better physical therapist<br />
Complete<br />
your D.P.T.<br />
entirely<br />
online!<br />
34 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
RENEW YOUR FREE SUBSCRIPTION TODAY<br />
CALL 800.355.1088<br />
A Post-Professional D.P.T.<br />
degree from Des Moines<br />
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skills you can start using in<br />
your clinic tomorrow. The<br />
manual therapy emphasis<br />
and rigorous curriculum will<br />
challenge and inspire you to<br />
be your best.<br />
Manual <strong>Therapy</strong>/Wellness<br />
focus<br />
Af<strong>for</strong>dable/Easy online<br />
application<br />
In-depth curriculum<br />
Finish in two years<br />
Check us out at www.dmu.edu/ppdpt or call 515-271-7864.<br />
APRIL 19-21, 2013 HOUSTON, TX<br />
MAY 3-5, 2013 CINCINNATI, OH<br />
MAY 9-11, 2013 FORT WAYNE, IN<br />
Ambulation Interventions<br />
For the 0-3 Population<br />
This course will focus on pre-and early ambulation in a population<br />
that is predisposed to rapid and dramatic changes: the<br />
birth to three populations. Typical and atypical preparation <strong>for</strong><br />
and development of ambulation in the infant and toddler will<br />
be examined. The impact of biomechanics, the neuromuscular<br />
system, the sensory system, orthotics, tone management,<br />
and equipment will be integrated as participants learn to<br />
build intervention strategies to address ambulation early and<br />
effectively in infants and toddlers with diagnoses such as<br />
CP, developmental delay, prematurity and Down Syndrome.<br />
Instructor: Jan McElroy. Contact: Education Resources, Inc.,<br />
508-359-6533; 800-487-6530 (outside MA); www.educa<br />
tionresourcesinc.com<br />
APRIL 19-21, 2013 SEATTLE, WA<br />
MAY 3-5, 2013 SEATTLE, WA<br />
MAY 31-JUNE 2, 2013 SEATTLE, WA<br />
CranioSacral Classes &<br />
Certificate Program<br />
Seminars use a bio-mechanical approach through lecture,<br />
demonstration & hands-on practice. Level 1: Skills to assess<br />
& treat restrictions in the body, & feel/utilize the craniosacral<br />
rhythm to release restrictions. Level 2: Assessment<br />
& Treatment of the bones & structures of the head, face &<br />
intraoral. Level 3: Holistic approach to client health using<br />
craniosacral to address body, mind & spirit. You may also pursue<br />
the optional certification program. Instructors: Nancy Witt,<br />
PT, MSW, CST-D & Einat Arian, ND, PhD, CST-D. Cost: $475/<br />
class. Contact: Bastyr University, 425-602-3152; continu<br />
inged@Bastyr.edu; or www.Bastyr.edu/Continuing-Education<br />
APRIL 19-21, 2013 SACRAMENTO, CA<br />
MAY 17-19, 2013 OMAHA, NE<br />
SEPT. 20-22, 2013 ATLANTA, GA<br />
NDT Treatment of<br />
The Baby and Child<br />
Learn how to assess and treat babies from birth to 3 years<br />
old with known or suspected neuromotor impairments. An<br />
emphasis will be placed on the practical application of treatment<br />
strategies to gain functional outcomes appropriate <strong>for</strong><br />
this age group and how to incorporate therapeutic strategies<br />
into family life. Instructor: Suzanne Davis. Contact: Education<br />
Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />
www.educationresourcesinc.com<br />
APRIL 19-21, 2013 SOMERVILLE, NJ<br />
MAY 18-19, 2013 STOUGHTON, MA<br />
JULY 13-14, 2013 MIAMI BEACH, FL<br />
Vestibular <strong>Rehab</strong>ilitation<br />
This evidence-based lab course will train clinicians in the<br />
practical management of dizziness. It will include instruction<br />
in anatomy and physiology, pathology, medical management,<br />
laboratory testing, per<strong>for</strong>mance of a detailed bedside/<br />
office examination and treatment recommendations. The<br />
application of VRT to a variety of practice settings (outpatient,<br />
acute care, SNF, ER) will be discussed. An emphasis will<br />
be placed on the management of unilateral, bilateral and<br />
central vestibular dysfunction and BPPV variants. There is the<br />
option of a third day of Advanced studies at certain locations.<br />
Instructor: Jeffrey Walter. Contact: Education Resources,<br />
Inc., 508-359-6533; 800-487-6530 (outside MA); www.<br />
educationresourcesinc.com<br />
THEY ALL WANT TO HIRE YOU. MEET THEM AT<br />
AN <strong>ADVANCE</strong> JOB FAIR & CAREER EVENTS<br />
WWW<strong>ADVANCE</strong>WEB.COM/JOBFAIRS
APRIL 20-21, 2013 LEXINGTON, KY<br />
MAY 18-19, 2013 HARTFORD, CT<br />
Orthopedic <strong>Therapy</strong> of the<br />
Shoulder: Examination & Intervention<br />
Evidence-based approach to evaluation and manual treatment<br />
of shoulder pathologies includes in-depth presentation,<br />
anatomechanics, non-operative, surgical and post-operative<br />
interventions <strong>for</strong> common shoulder problems, and extensive<br />
hands-on lab sessions. Instructor: Martin J. Kelley, PT, DPT,<br />
OCS. Hosting opportunities available <strong>for</strong> 2013 and 2014.<br />
Contact: <strong>Rehab</strong> Education, LLC, 845-368-2458 <strong>for</strong> questions;<br />
info@<strong>Rehab</strong>Ed.com or www.<strong>Rehab</strong>Ed.com <strong>for</strong> details<br />
and registration.<br />
APRIL 20-21, 2013 NEWARK, NJ<br />
MAY 18-19, 2013 CHICAGO, IL<br />
JUNE 8-9, 2013 ATLANTA, GA<br />
Starting and Running a<br />
Pediatric <strong>Therapy</strong> Practice<br />
This seminar presented by entrepreneur Vincent Mullins,<br />
MOT, OTR, will provide clear steps to open and run a pediatric<br />
OT/PT/ST private practice. All aspects of start-up and growth<br />
of the practice will be presented through personal experience<br />
and years of research and development. Both therapy and<br />
business portions will be discussed. 11 CE hours. Live video<br />
available <strong>for</strong> those unable to attend. Contact: 940-300-2299;<br />
or www.THERAPYSEMINARSLLC.com to register online.<br />
APRIL 21, 2013 BROOKLYN, NY<br />
Advanced Course in<br />
Sensory Modulation<br />
Presented by Gwen Wild, MOT, OTR - owner of Sensation<br />
Brain, LLC, and creator of Popular Brain Works sensory diet<br />
tools. This advanced course is <strong>for</strong> therapists and teachers<br />
who reached a com<strong>for</strong>t level in the use of sensory strate-<br />
CHARLOTTE, NC<br />
Myofascial Release I <br />
April 5-7, 2013<br />
Myofascial Unwinding<br />
April 9-11, 2013<br />
Myofascial Release II <br />
April 12-14, 2013<br />
gies to assist with sensory modulation. Gwen will guide you<br />
through neurochemical involved in sensory modulation, the<br />
correlation between related disorders ex., autism and ADHD,<br />
and introduce you to a Whole-brain approach in addressing<br />
difficult behaviors from a sensory perspective. This innovative<br />
approach will leave you with handy <strong>for</strong>ms, intervention tools<br />
and knowledge to differentiate behavior issues from sensory<br />
ones. And to use a combination of best practice, evidencebased<br />
approach to meeting needs of your most difficult<br />
clients. .6 CEUs are offered <strong>for</strong> SLPs, OTs and PTs. Location:<br />
Sisu Vesimchu Hall, 4127 18th Avenue, Brooklyn, NY 11218.<br />
Contact: Esther, 718-686-5901 <strong>for</strong> registration.<br />
APRIL 21, 2013 LAS VEGAS, NV<br />
Advanced Billing, Coding,<br />
Collections and Audit-Proofing<br />
There are more requests <strong>for</strong> refund, denials, audits, and<br />
reimbursement issues than ever be<strong>for</strong>e in the history of our<br />
profession. Also, are your therapists billing only 3 units while<br />
spending over an hour with patients? Is your documentation<br />
making you vulnerable? This course will help solve many<br />
of the problems confronted by most PT/OT practices today.<br />
Get the secrets to quicker payment, better reimbursement,<br />
appealing denials, audit-proofing, and more. TESTIMONIALS:<br />
“This is the best course I’ve ever attended on billing, and<br />
I’ve attended over 100. Take It!” 100% No-Risk Guarantee.<br />
Contact: 800-801-4511; or www.IndeFree.com<br />
APRIL 21, 2013 QUEENS, NY<br />
Using Apps to Enhance<br />
Everyday Treatment of Children<br />
This course will present a series of apps <strong>for</strong> electronic<br />
tablets that will enhance practitioners treatment programs<br />
with young children in the clinic, classroom and in the<br />
home. Therapists and teachers will gain a list of low cost<br />
MADISON, WI<br />
Myofascial Release I <br />
May 3-5, 2013<br />
Myofascial Unwinding<br />
May 7-9, 2013<br />
Myofascial Release II <br />
May 10-12, 2013<br />
VICTORIA, BRITISH COLUMBIA<br />
Myofascial Release I <br />
May 30 - June 2 ( 1 ⁄2 days), 2013<br />
Myofascial Unwinding<br />
June 3-5, 2013<br />
Myofascial Release II <br />
June 6-9 ( 1 ⁄2 days), 2013<br />
or freely available software that can make a significant<br />
difference. Participants will engage and interact with the<br />
apps presented to address gross motor, fine motor, visual<br />
perceptual and self-care skills. Children with ASD will also<br />
be addressed in this apps course. This is not to be missed!<br />
Fee: $239 - be<strong>for</strong>e 2/15, $259 on or after 2/15. Time:<br />
9-4pm. Location & Info: LaGuardia Plaza Hotel, 104-04<br />
Ditmars Blvd, East Elmhurst, NY 11369. Contact: 212-<br />
529-9780; or www.therapeuticresource.com<br />
APRIL 21-22, 2013 NEW YORK, NY<br />
Taping <strong>for</strong> Alignment,<br />
Strength & Function in Children<br />
Enhance therapy outcomes in your pediatric clients by<br />
utilizing a combination of taping and strengthening techniques<br />
that will be presented in this course. You will practice<br />
with a variety of materials on other class participants.<br />
Strengthening strategies will be presented and practiced<br />
to enhance the new alignment achieved through taping.<br />
Examples of intervention with children through videotape and<br />
case studies will rein<strong>for</strong>ce learning. This course is applicable<br />
<strong>for</strong> pediatric therapists of any level and provides techniques<br />
that can be used throughout the life span. Group size is<br />
limited. Instructor: Jacqueline Grimenstein, PT. Contact:<br />
Therapeutic Services, 718-692-1929; 888-7-THERAPY; 718-<br />
338-3393 (fax); www.therapeuticservicesinc.com<br />
APRIL 26, 2013 DENISON, TX<br />
MAY 17, 2013 COON RAPIDS, MN<br />
SEPT. 20, 2013 FAIRFIELD, CT<br />
Geriatric Strength<br />
Building <strong>for</strong> Function<br />
Muscular weakness in aging adults is effectively treated when<br />
using the proper exercise protocols. This heavily evidence-<br />
(Continued on next page)<br />
Learn . . . Research<br />
verifies the<br />
principles that have<br />
been taught the past<br />
40 years by<br />
John F. Barnes, PT.<br />
John F. Barnes, PT<br />
International lecturer, author, and authority on Myofascial Release.<br />
Myofascial Release Seminar Series Register <strong>for</strong> 3 Seminars & Receive $ 300off!<br />
Register Today . . . Call 1-800-FASCIAL<br />
Visit our website: MyofascialRelease.com<br />
EDUCATION OPPORTUNITIES<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 35
EDUCATION OPPORTUNITIES<br />
Spinal Cord Injury Seminars<br />
Advantages of our progam:<br />
• Variety of treatment and hand techniques taught<br />
• Hands-on practice with actual patients in our clinics<br />
• Learn valuable manual lymphatic drainage applications <strong>for</strong> many<br />
other indications, such as lupus, chronic fatigue and fi bromyalgia<br />
and orthopedic concerns<br />
• We are recognized as a MLD/CDP training program by the National<br />
Lymphedema Network<br />
• Class timing and payment options to fi t your life<br />
• The most cost conservative program with all costs included upfront<br />
2013 Seminars<br />
Occupational and <strong>Physical</strong> <strong>Therapy</strong> Management<br />
of Spinal Cord Injury<br />
March 23-24, 2013 ........................................................................... Lincoln, NE<br />
Bryan Medical Center, West Campus<br />
April 20-21, 2013 .......................................................................... Hollywood, FL<br />
The <strong>Rehab</strong>ilitation Institute of South Florida at Memorial Regional Hospital South<br />
May 4-5, 2013 ............................................................................Washington, DC<br />
The HSC Pediatric Center<br />
August 10-11, 2013 ............................................................................ Chicago, IL<br />
Shriners Hospital <strong>for</strong> Children - Chicago<br />
September 28-29, 2013 ......................................................West Haverstraw, NY<br />
Helen Hayes Hospital<br />
November 2-3, 2013 ...........................................................................Vallejo, CA<br />
Kaiser <strong>Rehab</strong>ilitation Center<br />
For more in<strong>for</strong>mation on registration or hosting a seminar...<br />
www.sciseminars.com Phone/Fax: 800.305.8818<br />
Monarch Continuing Education, LLC<br />
Lymphedema Certifi cation Programs<br />
Carmen Thompson, B.S., LPTA, CMT, CLT • 540-357-2084<br />
www.lymphedemahope.com • carmen@lymphedemahope.com<br />
Course options:<br />
Full MLD/CDP certifi cation program, 140 hours<br />
MLD certifi cation, 90 hours<br />
Advanced Certifi cation<br />
Who May Attend: PT, PTA, OT, COTA, RN,<br />
Massage Therapists who have completed an accredited<br />
program of 500 hours or more.<br />
Course Director<br />
Carmen Thompson, BS, LPTA, CMT, CLT, is a licensed <strong>Physical</strong> Therapist Assistant and Certifi ed Massage Therapist with a specialty certifi cation in<br />
Lymphatic <strong>Therapy</strong>.<br />
Student Comments:<br />
"Great seminar. Very interesting topic and Carmen did a great job presenting the in<strong>for</strong>mation. Very competent and approachable. Would defi nitely take another course<br />
taught by her and will recommend Carmen and the course to others." - Anna, Hart<strong>for</strong>d, CT<br />
"Excellent course from start to fi nish-all Modules. Carmen is passionate, knowledgeable, experienced and very personable. These all came through during the training.<br />
There were no dull moments." - Ann, Ohio<br />
Please email <strong>for</strong> registration in<strong>for</strong>mation<br />
36 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
(Continued from previous page)<br />
based seminar will provide you with the in<strong>for</strong>mation needed<br />
to deliver safe and highly effective optimal strength exercise<br />
to aging adults in any clinical setting. The course is designed<br />
to enable you to immediately and efficiently incorporate the<br />
learned material into your treatments to help you get great<br />
treatment results and to comply with reimbursement and<br />
regulatory challenges. Instructor: Mark Richards. Contact:<br />
Education Resources, Inc., 508-359-6533; 800-487-6530<br />
(outside MA); www.educationresourcesinc.com<br />
APRIL 26-27, 2013 TEMPLE, TX<br />
JUNE 14-15, 2013 BURLINGTON, NC<br />
SEPT. 20-21, 2013 MANCHESTER, NH<br />
Neurorehabilitation<br />
Across the Continuum of Care<br />
Does what’s going on in the nervous system really matter<br />
to therapy practice? This course will provide therapists<br />
with a new perspective <strong>for</strong> improving outcomes in their<br />
patients with neurologic deficits. Participants will learn an<br />
evidence-based approach to selecting the most appropriate<br />
interventions based on functional prognosis and learn when<br />
and how to facilitate recovery versus facilitate compensation.<br />
Participants will be able to per<strong>for</strong>m a comprehensive<br />
neurological examination, correlating findings to symptoms,<br />
neuropathology and prognosis as well as skillful documentation.<br />
Speaker: Roseanne Thomas. Contact: Education<br />
Resources, Inc., 800-487-6530; 508-359-6533; www.edu<br />
cationresourcesinc.com<br />
APRIL 26-27, 2013 LOS ANGELES, CA<br />
OCT. 25-26, 2013 MAITLAND, FL<br />
NOV. 22-23, 2013 WASHINGTON, DC<br />
Treatment of the Child with<br />
CP & Other Neurological Disorders<br />
Therapists are bombarded with new in<strong>for</strong>mation on brain<br />
function and new techniques to improve functional mobility.<br />
This course will help therapists select and prioritize the most<br />
appropriate treatment strategies <strong>for</strong> infants, toddlers & young<br />
children with neurologic challenges and other special needs.<br />
They will become familiar with and select from new approaches<br />
including: MOVE, Conductive Education, Compression<br />
Garments, MEDEK and TAMO. Focus will be on children with<br />
cerebral palsy and children with severe motor impairments<br />
as well as others with positioning and mobility challenges.<br />
Evidence-based interventions will be emphasized to achieve<br />
measurable functional goals. Instructor: Ginny Paleg. Contact:<br />
Education Resources, Inc., 508-359-6533; 800-487-6530<br />
(outside MA); www.educationresourcesinc.com<br />
APRIL 27-28, 2013 TAMPA, FL<br />
JUNE 1-2, 2013 SAN DIEGO, CA<br />
Clinical Use of Graded Motor<br />
Imagery <strong>for</strong> Rewiring the Brain<br />
Graded Motor Imagery, an emerging therapeutic strategy <strong>for</strong><br />
treating patients, integrates established principles of graded<br />
exposure and response prevention with the current theories<br />
in the neuroscience of pain and neuroplasticity. Graded Motor<br />
Imagery consists of laterality training, imagery and mirror<br />
therapy. Therapeutic interventions that help the change<br />
in the brain or cortical reorganization will be discussed at<br />
length. Appropriate <strong>for</strong> therapists treating orthopedic as well<br />
as neurological consequences of injury. Instructor: Susan W.<br />
Stralka, PT, MS, DPT. Hosting opportunities available <strong>for</strong> 2013<br />
and 2014. Contact: <strong>Rehab</strong> Education, LLC, 845-368-2458<br />
<strong>for</strong> questions; info@<strong>Rehab</strong>Ed.com or www.<strong>Rehab</strong>Ed.com <strong>for</strong><br />
details and registration.<br />
CALL 800.355.5627 TO RENEW YOUR<br />
FREE SUBSCRIPTION TODAY!
APRIL 27-28, 2013 ATLANTA, GA<br />
OCT. 12-13, 2013 BOSTON, MA<br />
Simplifying Management of<br />
The Wrist and Elbow<br />
Focus on the management of the wrist, carpals and elbow<br />
in this intermediate to advanced level course. Designed to<br />
enhance your understanding of the complexity of the wrist<br />
and elbow joints, and the assessment and management<br />
of various conditions affecting them. Gain confidence in<br />
problem solving and designing treatment programs <strong>for</strong> a<br />
variety of upper extremity conditions. Instructor: Shrikant J.<br />
Chinchalkar, OTR, CHT. Hosting opportunities available <strong>for</strong><br />
2013 and 2014. Contact: <strong>Rehab</strong> Education, LLC, 845-368-<br />
2458 <strong>for</strong> questions; info@<strong>Rehab</strong>Ed.com or www.<strong>Rehab</strong>Ed.<br />
com <strong>for</strong> details and registration.<br />
MAY 2-5, 2013 BALTIMORE, MD<br />
MAY 16-19, 2013 PHILADELPHIA, PA<br />
JUNE 8-11, 2013 LOUISVILLE, KY<br />
Recovering Function NDT Courses<br />
Intro, Advanced, Cert<br />
Recovering Function’s series of “hands-on” NDT courses<br />
provides you with a step-by-step framework of problemsolving<br />
strategies and manual cues <strong>for</strong> assessing potential<br />
and individualizing functional outcomes when implementing<br />
interventions <strong>for</strong> your adult clients with hemiplegia. Audience:<br />
OTs, COTAs, PTs, PTAs. Cathy Runyan, OTR/L & Peggy Miller,<br />
PT, Recovering Function NDT Instructors. Offered nationwide.<br />
Contact: Recovering Function, 408-268-3691; or www.<br />
RecoveringFunction.com <strong>for</strong> a complete brochure of intro,<br />
advanced, and cert courses as well as in<strong>for</strong>mation about<br />
additional course dates/locations, group rates & free registrations<br />
when hosting courses at your facility.<br />
IT’S FREE!<br />
CALL 800.355.1088 &<br />
SUBSCRIBE TO <strong>ADVANCE</strong> TODAY<br />
2013 Marks the Fifth Year that<br />
VNSNY is Among the Best<br />
Companies To Work For in<br />
New York State<br />
MAY 3-5, 2013 MYRTLE BEACH, SC<br />
SCAPTA Annual Conference<br />
The South Carolina Chapter of the American <strong>Physical</strong> <strong>Therapy</strong><br />
Association (SCAPTA) will host its next Annual Conference,<br />
May 3-5, 2013 at the Sheraton Myrtle Beach Convention<br />
Center Hotel, Myrtle Beach, SC. The conference will feature<br />
expert presentations on navigating the reimbursement process,<br />
new functional limitation reporting requirements, and<br />
health care re<strong>for</strong>m; management of lumbar spine dysfunction;<br />
and techniques <strong>for</strong> identifying and treating vestibular<br />
and central nervous system disorders related to balance<br />
dysfunction <strong>for</strong> persons of all ages. The conference will also<br />
include a course <strong>for</strong> students, job fair, exhibitors, poster<br />
presentations, and fun events. Contact: www.scapta.org to<br />
register by April 1 to take advantage of early bird rates.<br />
MAY 3-5, 2013 HILTON HEAD, SC<br />
AUG. 23-25, 2013 RALEIGH, NC<br />
DEC. 6-8, 2013 GREENVILLE, SC<br />
EBP Spinal<br />
Thrust Joint Manipulation (TJM) &<br />
Exercise<br />
Cervico-Thoracic and Lumbo-Sacroiliac courses. Review<br />
evidence to support the use of manual therapy to include a<br />
classification system in diagnosis and management. Describe<br />
neurophysiology, indications, precautions and contra-indications<br />
(relative and absolute) of high velocity low-amplitude<br />
thrust manipulation and therapeutic exercise. Incorporate<br />
cognitive behavior approach in spinal pain management.<br />
Facilitate sound clinical reasoning processes behind manual<br />
therapy techniques and an appreciation of current evidence.<br />
Demonstrate safe, competent per<strong>for</strong>mance of HVLA thrust<br />
joint manipulation techniques. Contact: 803-338-0862; or<br />
www.manualorthopedicsolutions.com<br />
VISITING NURSE SERVICE OF NEW YORK<br />
CONTINUING EDUCATION COURSES<br />
SPRING 2013<br />
Treatment Strategies <strong>for</strong> the Pediatric Home Care<br />
Patient: Birth Through Five Seminar<br />
Date: Thursday, April 4, 2013<br />
Time: 9:00AM –12:30PM<br />
Sign-in starts promptly at 8:30AM<br />
Location: 1630 East 15th St. Brooklyn, NY 11229 - 3rd Floor Rooms A, B<br />
Speakers: Shari Mayer PT, PCS and Andrea Schloss MSPT<br />
Who Should Attend: PTs, SLPs, and OTs<br />
MAY 9-10, 2013 EDISON, NJ<br />
Courses in End of Life &<br />
Palliative Care<br />
This two-day program is designed to offer physicians and<br />
other clinicians the in<strong>for</strong>mation and skills needed to discuss<br />
advance care planning and end-of-life issues with patients<br />
and families. The Thursday afternoon presentations will<br />
cover both inpatient and outpatient situations, as well as<br />
introduce the POLST paradigm. The Thursday evening<br />
workshop will feature physicians within multiple specialties<br />
who will share some of their most difficult cases and<br />
illustrate how they addressed and managed the challenges<br />
in their interactions with patients, families, and treatment<br />
team/other colleagues. Friday’s session will include lecture<br />
and discussion <strong>for</strong>mats along with case-based learning in<br />
providing the in<strong>for</strong>mation and practice strategies consistent<br />
with up-to-date evidence on achieving the best palliative<br />
care outcomes and resource utilization. Contact: Marianne<br />
Mohary, via e-mail: mmohary@jfkhealth.org<br />
MAY 10-11, 2013 JACKSONVILLE, FL<br />
JUNE 14-15, 2013 BAYSIDE, NY<br />
AUG. 9-10, 2013 DALLAS, TX<br />
Children’s Brains and<br />
Evidence <strong>for</strong> Intervention<br />
The course is designed to present the most recent empirical<br />
evidence regarding efficacy of specific therapy related interventions.<br />
Emphasis will be on strategies <strong>for</strong> children with cerebral<br />
palsy and other neurologic-based diagnoses. Video tapes<br />
of treatment sessions will be used to illustrate major points<br />
and to present longitudinal case studies. Treatment strategies<br />
based on current knowledge of neuroplasticity, such as<br />
constraint-induced therapy, mirror therapy and treadmill training,<br />
are emphasized. Instructor: Patricia Montgomery, PT, PhD,<br />
FAPTA. Contact: Education Resources, Inc., 508-359-6533;<br />
800-487-6530 (outside MA); www.educationresourcesinc.com<br />
VISIT OUR WEBSITE FOR MORE INFORMATION ON UPCOMING COURSES!<br />
Walk-Ins: Un<strong>for</strong>tunately, due to the nature of our events, walk-in registrations are not accepted.<br />
Questions: For questions, please email us at: rehabspecialevents@vnsny.org<br />
ONLY<br />
$79!*<br />
Upcoming Courses:<br />
The following neurological seminars are offered<br />
in multiple sessions and various locations.<br />
Understanding and Treating Deficits in Executive<br />
Function Seminar<br />
Who Should Attend: OTs and SLPs<br />
Evaluation and Treatment of Gait Deficits in<br />
Neurological Disorders Seminar<br />
Who Should Attend: PTs, PTAs, OTs, and COTAs<br />
For specific CE course in<strong>for</strong>mation, or to register, visit us online at www.vnsny.org/ce<br />
VNSNY values education! *Our employees attend our CE events free of charge, and the $79 fee is waived <strong>for</strong> first time<br />
external job applicants! New grads welcome!<br />
VNSNY is recognized as a Provider of Continuing Education <strong>for</strong> PT<br />
and PTA by the New York State Education Department State Board <strong>for</strong><br />
<strong>Physical</strong> <strong>Therapy</strong> Please see each event listing online <strong>for</strong> more detailed<br />
in<strong>for</strong>mation on credits.<br />
Scan QR Code<br />
EOE M/F/D/V<br />
EDUCATION OPPORTUNITIES<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 37
EDUCATION OPPORTUNITIES<br />
2013 Training and<br />
Certifi cation Workshops<br />
Intensive whole body amplitude-based<br />
protocol <strong>for</strong> individuals with<br />
Parkinson's Disease.<br />
New York, NY May 17-18<br />
Portland, OR June 1-2<br />
Charlotte, NC June 8-9<br />
Sydney, AU June 14-15<br />
Atlanta, GA July 12-13<br />
Detroit, MI July 26-27<br />
Kansas City, MO August 17-18<br />
Traverse City, MI October 12-13<br />
More Dates Coming Soon<br />
For more in<strong>for</strong>mation visit our website at:<br />
www.LSVTGlobal.com<br />
Voice: 1-888-438-5788<br />
Email: info@lsvtglobal.com<br />
Andrea Wolkenberg<br />
PT, MA, CKTI<br />
MAY 18-19, 2013 ATLANTA, GA<br />
JULY 20-21, 2013 SEATTLE, WA<br />
SEP. 21-22, 2013 NEW YORK, NY<br />
#110 Hoke’s<br />
Foot and Ankle Course<br />
Instructor: Brian Hoke, PT, SCS. An overview of the influence<br />
of foot and ankle structural alignment on lower extremity<br />
function and rehabilitation. Learn an understanding of joint<br />
biomechanics of the foot and ankle, biomechanical assessment,<br />
and intervention through the use of exercise, footwear,<br />
and foot orthoses. A lecture <strong>for</strong>mat will be coupled with<br />
hands-on lab sessions to rein<strong>for</strong>ce and demonstrate practical<br />
applications of the course content. Contact: Motivations,<br />
Inc., 800-791-0262, ext 206; admin@motivationsceu.com or<br />
www.motivationsceu.com<br />
Become certified in the art and<br />
practice of Kinesio Taping<br />
Kinesio Taping Certification (CKTP®)<br />
Fundamentals & Advanced (KT1&2)<br />
Advanced Whole Body (KT3)<br />
Regular Price: $799<br />
Sale Price: $699 with Promo Code CKTP<br />
Astoria, NY - Lakeland, FL - Miami, FL - Warwick, RI<br />
Approved Partner Hosted Seminar Provider by<br />
Kinesio Taping Association International (KTAI)<br />
Your Clinical Success is your Choice... and our Passion!<br />
FOR MORE DATES AND LOCATIONS, VISIT US AT<br />
www.HandsOnSeminars.com or Call (888) 767-5003<br />
38 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
SUBSCRIBE TODAY — CALL 800.355.1088<br />
Presents:<br />
LOTION & BRUSHES & SWINGS OH MY!<br />
Integrating Sensory Techniques<br />
Into Pediatric Treatment<br />
Sunday, April 14, 2013<br />
Westchester, NY<br />
For brochure or more info<br />
Call 914-347-5990<br />
Sponsored by KidAbilities, LLC<br />
Speakers: Sue Seiler, OT; Liz Mangione, PT;<br />
Dawn Rubbo, SLP; Monica Nazario, OT<br />
MAY 19-20, 2013 NEW YORK, NY<br />
Current Concepts in<br />
Pediatric Gait and Orthoses<br />
This workshop will review typical gait and lower extremity<br />
development as well as common pediatric orthoses, their<br />
indications and contraindications. Evidence <strong>for</strong> the efficacy of<br />
orthoses will be reviewed and critically analyzed. Current philosophy<br />
and newer trends will be explored. Orthoses specifically<br />
<strong>for</strong> children with hypotonia, with an emphasis on Down<br />
syndrome, will be discussed in more detail. Techniques <strong>for</strong><br />
documentation of gait and alignment will also be presented.<br />
The workshop will include lecture, case study and video discussion,<br />
along with group discussion of concepts presented.<br />
Instructor: Kathy Martin, PT, DHS. Contact: Therapeutic<br />
Services, 718-692-1929; 888-7-THERAPY; 718-338-3393<br />
(fax); www.therapeuticservicesinc.com<br />
MAY 31-JUNE 1, 2013 POUGHKEEPSIE, NY<br />
JULY 12-13, 2013 AURORA, IL<br />
AUG. 16-17, 2013 JACKSONVILLE, FL<br />
Management of the<br />
Medically Complex Acute Patient<br />
This course is designed to enhance the clinical decisionmaking<br />
skills of participants <strong>for</strong> early mobilization and safe,<br />
effective treatment of acutely ill patients. As more patients<br />
survive critical illnesses, intervention must complement the<br />
highly technologic, life-saving medical therapies, regardless<br />
of practice setting. Discussion of lines, physiologic monitors,<br />
lab values and diagnostic test results will focus on implications<br />
<strong>for</strong> treatment. This course will highlight a multisystem<br />
approach to the acutely ill patient. Participants will integrate<br />
examination findings into individualized care plans that can<br />
be implemented from ICU and across acute care and postacute<br />
practice settings. Instructor: Daniel Malone. Contact:<br />
Education Resources, Inc., 508-359-6533; 800-487-6530<br />
(outside MA); www.educationresourcesinc.com<br />
MAY 31-JUNE 1, 2013 HOUSTON, TX<br />
NOV. 22-23, 2013 STATEN ISLAND, NY<br />
Sensory Processing Disorders:<br />
Advanced Applications<br />
This workshop will build on participant’s understanding of<br />
Sensory Integration theory and sensory processing disorders<br />
to enhance direct and indirect intervention <strong>for</strong> young children.<br />
Intervention <strong>for</strong> young children with SPD will be discussed<br />
in terms of helping parents to better understand their child,<br />
creation of a goodness of fit between the child as they<br />
function in natural environments, and individualized direct<br />
intervention using Sensory Integration in conjunction with<br />
other appropriate evidence-based intervention approaches.<br />
Instructor: Marie Anzalone. Contact: Education Resources,<br />
Inc., 508-359-6533; 800-487-6530 (outside MA); www.<br />
educationresourcesinc.com<br />
JUNE 2, 2013 BROOKLYN, NY<br />
Torticollis: Assessment &<br />
Treatment in Infants/Children<br />
One-day course <strong>for</strong> novice & experienced clinicians explores<br />
possible effects of torticollis, sleep posture & increased use<br />
of positional devices on infant postural development, w/<br />
implications <strong>for</strong> management. Functional, clinically oriented<br />
evaluation & evidence-based treatment strategies provided.<br />
Clinical management of infant head shape, diagnostic procedures,<br />
surgical intervention discussed. Home exercise<br />
programs, effective strategies to team w/ parents when<br />
establishing individualized goals. Lecture & video review.<br />
9.6 NYPTA CEUs, 8 NJBPTE CEUs, 8 NBCOT PDUs. Highly<br />
Qualified, Experienced Instructor: Cindy Miles, PT, M Ed, PCS.<br />
Contact: Angela, 718-851-3300, ext 157; e-mail: shoshana.<br />
challenge@thejnet.com or web site: challenge-ei.com<br />
WWW.<strong>ADVANCE</strong>WEB.COM/JOBFAIRS
JUNE 2, 2013 NEW YORK, NY<br />
Parkinson’s Disease:<br />
Tools <strong>for</strong> <strong>Rehab</strong> Management<br />
It is possible <strong>for</strong> people with Parkinson’s disease to live longer<br />
and better with the help of therapy and exercise. No longer<br />
are individuals with Parkinson’s only receiving medication<br />
to treat their disease, but also quality, evidence-based<br />
rehabilitation services. This course will educate therapists on<br />
practical approaches to providing comprehensive, evidencebased<br />
evaluation and treatment strategies <strong>for</strong> individuals<br />
with Parkinson’s disease. We will review current studies<br />
and discuss cognitive changes, motor-learning, and the<br />
principles of neuroplasticity as they relate to Parkinson’s<br />
and rehabilitation. A short portion of the lecture will focus<br />
on the Atypical Parkinsonisms and the role of therapy as<br />
well. Keynote: Heather J. Cianci, PT, MS, GCS. Contact:<br />
Therapeutic Services, 718-692-1929; 888-7-THERAPY;<br />
www.therapeuticservicesinc.com<br />
JUNE 8-9, 2013 HOUSTON, TX<br />
Schroth Method to<br />
Treat Scoliosis at all Ages<br />
Instructors: Hagit Berdishevsky, Advanced Clinical Specialist.<br />
Location: Texas Children’s Feigin Center. Contact: Mitzi<br />
Wiggin, 832-826-6107 <strong>for</strong> more in<strong>for</strong>mation; e-mail: mmwig<br />
gin@texaschildrens.org; or register on-line: www.texaschil<br />
drens.org/pmr and click on continuing education.<br />
JUNE 8-16, 2013 DALLAS, TX<br />
JUNE 15-23, 2013 ORLANDO, FL<br />
JUNE 22-30, 2013 ST. LOUIS, MO<br />
Lymphedema<br />
<strong>Therapy</strong> Certification<br />
The Norton School of Lymphatic <strong>Therapy</strong>’s Advantage Optimal<br />
Access Format is a blended live & web-based certification<br />
program producing LANA-eligible lymphedema therapists<br />
in only 9 continuous days. Only 5 workdays and 2 weekends<br />
make this course the most sensible, cost-effective,<br />
unmatched choice. Save large expenses on staff coverage,<br />
travel, hotel and meals. Take our online Virtual Tour and<br />
compare to other schools! This course teaches: Manual<br />
Lymph Drainage (MLD) & Complete Decongestive <strong>Therapy</strong><br />
(Vodder/Foeldi Tech) covering 135 hours, basic and advanced<br />
MLD, bandaging & Tx protocols, Tx of primary & secondary<br />
lymphedema, extremity & non-extremity lymphedema. All<br />
Norton School instructors are recognized national experts<br />
and are available via e-mail & phone consultation <strong>for</strong> Tx of<br />
complex patients. We offer Advanced Training Programs,<br />
Reviews, Bi-Annual Conferences, Specialized Training Videos<br />
& free lifetime listing in our Therapist Referral Database.<br />
Multiple courses offered per month nationally. Inquire about<br />
hosting a course! MD, RN, PT, OT, PT & OT Assistants,<br />
Nurses & MTs qualified. The Norton School is recognized<br />
by FPTA, NJ, SBPTE, TPTA, AOTA & NCBTMB <strong>for</strong> CEUs.<br />
Senior Faculty: Steve Norton, MLD/CD, CLT-LANA; Andrea<br />
Cheville, MD, Medical Director. Contact: 866-445-9674 (tollfree);<br />
866-854-7800 (fax); info@NortonSchool.com or www.<br />
NortonSchool.com<br />
JULY 27-28, 2013 HOUSTON, TX<br />
Kinesio Taping Fundamentals and<br />
Whole Body Techniques<br />
Instructor: Patricia Martin, PT, Audrey Yasukawa, OTR.<br />
Location: Texas Children’s Pavillion <strong>for</strong> Women, Houston,<br />
Texas 77030. Contact: Mitzi Wiggin, 832-826-6107 <strong>for</strong> more<br />
in<strong>for</strong>mation; e-mail: mmwiggin@texaschildrenshospital.org;<br />
or register on-line: www.texaschildrens.org/pmr and click on<br />
continuing education.<br />
Academy of Lymphatic Studies<br />
Website www.acols.com Phone 1.800.863.5935<br />
can get Certified Faster!<br />
Complete Lymphedema Certification* (135 hours) Certification in Manual Lymph Drainage (40 hours)<br />
Now you<br />
May 4-14 Austin, TX<br />
May 4-14 Palm Beach Gardens, FL<br />
June 1-11 Indianapolis, IN<br />
June 1-11 Los Angeles, CA<br />
June 1-11 Palm Beach Gardens, FL<br />
July 13-23 Atlanta, GA<br />
July 13-23 Baltimore, MD<br />
August 3-13 Souix Falls, SD<br />
August 5-16 Pittsburgh, PA<br />
Sept. 21-Oct. 1 Charlotte, NC<br />
Sept. 21-Oct. 1 Kansas City, MO<br />
LANA ® Exam Preparation<br />
Course (16 hours)<br />
Aug 24-25 Baton Rouge, LA<br />
---<br />
Wound Management Strategies <strong>for</strong><br />
Patients w/ Lymphedema (16 hours)<br />
Aug 20-21 Baton Rouge, LA<br />
---<br />
even<br />
Lymphedema Management Seminar (31 hours)<br />
Advanced Lymphedema Management I (24 hours) Management of Lymphedema Affecting Head and Neck (14 hours)<br />
May 23-26 Palm Beach Gardens, FL<br />
Oct 3-6 Baton Rouge, LA<br />
FREE E-NEWSLETTER — WWW.<strong>ADVANCE</strong>WEB.COM<br />
THERE’S ALWAYS<br />
MORE TO<br />
EXPLORE AT THE<br />
›› Scrubs ›› Lab Coats<br />
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advancehealthcareshop.com<br />
April 24-28 Mount Kisco, NY<br />
May 22-26 Los Angeles, CA<br />
June 19-23 Palm Beach Gardens, FL<br />
April 20-23 Ann Arbor, MI<br />
May 5-8 New York, NY<br />
May 18-21 Palm Beach Gardens, FL<br />
June 22-25 Sacramento, CA<br />
July 27-30 Palm Beach Gardens, FL<br />
April 13-14 Palm Beach Gardens, FL<br />
Oct 19-20 Baton Rouge, LA<br />
Advanced Wound<br />
Management (16 hours)<br />
Aug 22-23 Baton Rouge, LA<br />
---<br />
More dates and locations available online. Courses approved <strong>for</strong> CEU’s.<br />
EDUCATION OPPORTUNITIES<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 39
CLASSIFIED EMPLOYMENT OPPORTUNITIES<br />
<strong>ADVANCE</strong><br />
<strong>for</strong> <strong>Physical</strong> Therapists & <strong>Rehab</strong> <strong>Medicine</strong><br />
reaches over 85,100 active, qualified physical therapy<br />
professionals nationwide every issue.<br />
Faculty . . . . . . . . . . . . . . . . . . . . . . . . . . . p. 40<br />
1 New England . . . . . . . . . . . . . . . . . . . . . . p. 40<br />
2 Middle Atlantic . . . . . . . . . . . . . . . . . . . . . p. 40<br />
3 Upper South Atlantic . . . . . . . . . . . . . . . . p. 43<br />
4 Lower South Atlantic . . . . . . . . . . . . . . . . p. 44<br />
5 East South Central . . . . . . . . . . . . . . . . . . .<br />
6 East North Central . . . . . . . . . . . . . . . . . . .<br />
7 West North Central . . . . . . . . . . . . . . . . . . .<br />
8 West South Central. . . . . . . . . . . . . . . . . . .<br />
9 Southwest . . . . . . . . . . . . . . . . . . . . . . . . p. 44<br />
10 Mountain . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
11 Pacific. . . . . . . . . . . . . . . . . . . . . . . . . . . . p. 46<br />
US Territories . . . . . . . . . . . . . . . . . . . . . . .<br />
National . . . . . . . . . . . . . . . . . . . . . . . . . . p. 45<br />
International . . . . . . . . . . . . . . . . . . . . . . . .<br />
SUBSCRIBE FREE — 800.355.1088<br />
NEW ENGLAND<br />
Connecticut, New York, Faculty<br />
PTs & PTAs<br />
Full-Time/Part-Time/PRN<br />
$$ SIGN-ON BONUS $$<br />
PT Openings:<br />
• Long Island - FT<br />
PTA Openings:<br />
• Albany - FT • Binghamton - FT, PT<br />
• Cortland - PRN • Somers - FT, PRN<br />
• Vestal - PT<br />
For more in<strong>for</strong>mation call:<br />
877-247-5522 • Fax: 914-373-6521<br />
E-mail: careers@betterhealthcare.com<br />
www.betterhealthcare.com<br />
FACULTY<br />
Director/Department Chair,<br />
<strong>Physical</strong> Therapist Assistant<br />
Tyler Junior College, Tyler, Texas is seeking<br />
a qualifi ed candidate to fi ll a full-time<br />
twelve-month faculty position; please visit:<br />
https://employment.tjc.edu<br />
<strong>for</strong> a complete position description and application<br />
or contact the Offi ce of Human Resources at<br />
1-800-687-5680 Ext:2419<br />
Find your<br />
future<br />
Now Hiring:<br />
Full Time <strong>Physical</strong> Therapist<br />
Danbury Hospital, a 371 bed, progressive teaching hospital, with a level II trauma center,<br />
is currently hiring a 40 hour <strong>Physical</strong> Therapist to work as part of our inpatient<br />
rehabilitation unit.<br />
Environment:<br />
• Modern 14 bed acute care rehab unit<br />
• Interdisciplinary team approach to care<br />
Requirements:<br />
• CT state <strong>Physical</strong> <strong>Therapy</strong> License<br />
• Recent acute care hospital experience. New grads with hospital experience are welcome to apply.<br />
We are also currently seeking experienced <strong>Physical</strong> Therapists interested in<br />
working Per Diem.<br />
Join our award-winning, innovative, patient-centered workplace, where quality and teamwork are valued.<br />
Apply online at jobs.westernconnecticuthealthnetwork.org<br />
Danbury Hospital is part of Western Connecticut Health Network, a growing regional medical center and the premier provider<br />
of healthcare <strong>for</strong> the residents of Western Connecticut and nearby New York State. As a university teaching hospital, Danbury<br />
is committed to advancing the health and well-being of our patients and our community. We’re investing in research,<br />
technology and education today – to support and train the nurses and healthcare professionals of tomorrow. We are a national<br />
model of clinical excellence and patient safety. Discover how we can offer you more ways to reach your professional goals.<br />
40 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | March 18, 2013 | www.advanceweb.com/pt<br />
40 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
MIDDLE ATLANTIC<br />
<strong>Physical</strong><br />
Therapist<br />
The Guild School, serving 53 students ages<br />
5-21 who are blind, visually impaired with<br />
multiple disabilities, is seeking one full time<br />
<strong>Physical</strong> Therapist to work five days a week<br />
OR two part time <strong>Physical</strong> Therapists to<br />
work 3 days/week and 2 days/week.<br />
Responsibilities include evaluation, goal<br />
development, and implementation of<br />
therapeutic functional motor program,<br />
designing and maintaining adaptive<br />
devices, staff training in positioning<br />
techniques, evaluating student progress,<br />
and writing daily session notes.<br />
Master’s degree in <strong>Physical</strong> <strong>Therapy</strong>, NYS<br />
licensure and experience with pediatrics<br />
and individuals with severe disabilities<br />
required. Must be computer literate.<br />
For immediate consideration, please<br />
send resume to: Human Resources<br />
Recruiter, Jewish<br />
Guild Healthcare,<br />
15 West 65th Street,<br />
New York, NY 10023,<br />
Email: employment@<br />
guildhealth.org or<br />
Fax: 212-769-6223.<br />
An Equal Opportunity<br />
Employer M/F.<br />
PT<br />
Needed<br />
Available in Southern<br />
Westchester School<br />
Full/Part-time,<br />
Per Diem placement available<br />
Competitive hourly rates<br />
Contact Mario Pellegrino<br />
Tel: (845) 893-7550<br />
Fax: (845) 639-6749<br />
mpellegrinoOT@gmail.com<br />
Dominican Sisters Family Health Service,<br />
a leading non-profi t home health care agency seeks NYS<br />
licensed <strong>Physical</strong> Therapist <strong>for</strong> Nassau and Suffolk<br />
counties. Min. 2 yrs experience and 1 yr home health care<br />
required. Must be available <strong>for</strong> the summer & weekends.<br />
E-mail: careers@dsfhs.org. Positions also available in<br />
NYC, Westchester, Rockland and Orange Counties.<br />
Malverne Center <strong>for</strong> Play and Development<br />
Seeking Pediatric <strong>Physical</strong><br />
Therapist - Part-time position. State-of-the-<br />
Art Sensory Facility in Nassau County, NY<br />
Contact: Emilia Solinto (516) 495-4898<br />
mcpdevelopment@gmail.com<br />
Visit us on web: mcpdevelopment.com
HeartShare<br />
HUMAN SERVICES OF NEW YORK<br />
PEDIATRIC<br />
PHYSICAL<br />
THERAPIST<br />
The HeartShare School<br />
1825 Bath Avenue, Brooklyn, NY 11214<br />
Work with school age children with special needs.<br />
Full time salary positions with benefits. New York<br />
State License is required. Please send resume by<br />
email or by fax.<br />
Fax number: (718) 621-1649<br />
Attn: Sharon Toledo, Director<br />
Email: Sharon.Toledo@heartshare.org<br />
Web site: www.heartshare.org<br />
www.heartshare.org EOE<br />
Do you love working with children?<br />
Theraplay, Inc. is a leading provider of children’s therapy<br />
services in Southeastern, PA. FT/PT/IC options available in<br />
our pediatric outpatient centers, school contracts, and EI.<br />
Come have fun at work!<br />
Job Fair and Continuing Education Event<br />
Newtown, PA Outpatient Center<br />
April 16th, 6:30pm<br />
790 Newtown-Yardley Rd, Suite 422,<br />
Newtown, PA 18940<br />
Topic: Building Engagement And<br />
Focus With Pediatric Patients<br />
Please contact ntact Amanda Ryan to RSVP RSV R V VP<strong>for</strong><br />
<strong>for</strong> the t event,<br />
or to fi nd out about job opportunities<br />
(610) 436-3604, ext. 27<br />
aryan@theraplayinc.com • www.theraplayinc.com<br />
EOE<br />
Mult Multilin ilingual gual The <strong>Therapy</strong> rapy<br />
Associates Inc.<br />
Pediatric Ped Pediat iatric ric i Clinical Cli Clinic nical i al l Service SSer Servic vice i<br />
PHYSICAL THERAPISTS<br />
PRESCHOOLS & SCHOOL BASED POSITIONS<br />
Full-time with experience<br />
All Boros<br />
• Supervision available<br />
• Excellent Pediatric Training • Highest rates<br />
in the industry • Benefits Package<br />
Call (888) 806-2497<br />
Fax Resume To (888) 806-5151<br />
lillianMTA@yahoo.com<br />
<strong>Physical</strong> Therapist<br />
Monmouth County, NJ<br />
Opportunity to be your own boss.<br />
Join Drs group looking to develop PT side of practice<br />
and share the future. Hazlet/Holmdel, NJ Area.<br />
E-mail: r26ts@yahoo.com or fax CV to: 732-872-4321<br />
LOOKING FOR A LOW-COST MAILER?<br />
CALL 800-355-5627 FOR<br />
HAND THERAPISTS<br />
Join our Team!<br />
Busy Hand Therapists looking <strong>for</strong> OT and<br />
PT Hand Therapists to join them. Best<br />
work environment, varied caseload,<br />
continuing education, research, and more.<br />
Flexible hours, FT or PT, competitive<br />
salary and outstanding benefi ts.<br />
Don’t miss this unique opportunity.<br />
Contact us today.<br />
PTA/OTA also welcome to apply.<br />
Pennsylvania Hand Center<br />
Bryn Mawr & Collegeville, PA<br />
E-mail resume to<br />
phchire@hotmail.com<br />
Collaborative Atmosphere<br />
Opportunity to Advance<br />
Positive Work/Life Balance<br />
Rewarding Work<br />
Outpatient facility in Queens, New<br />
York. Now hiring full-time & parttime<br />
PTs. New grads welcome.<br />
Willing to sponsor H1B. Please fax<br />
resume to 212-343-3041 or E-mail:<br />
ACESopt@gmail.com<br />
New York, Pennsylvania, New Jersey<br />
A BRIGHTER FUTURE AT ONE<br />
OF THE BEST PLACES TO WORK<br />
AT VNSNY, we’ll give you everything you need to achieve your goals<br />
and provide the best care possible—competitive compensation<br />
and benefits, advanced technology, invaluable training, and<br />
interprofessional team collaboration. These are just a few of the<br />
reasons why people love working here. Make a profound difference<br />
by helping patients get back on the road to recovery in their own<br />
homes.<br />
Please check the Continuing Education section to find out about our<br />
upcoming CE courses!<br />
Visit us at jobs.vnsny.org<br />
2013 Marks the Fifth Year that VNSNY is Among the<br />
Best Companies to Work For in New York State EOE M/F/D/V<br />
Outpatient physical therapy practice<br />
on the South Shore looking <strong>for</strong><br />
Full-time and Part-time positions <strong>for</strong><br />
PTs and PTAs<br />
Please E-mail: lizmeritz@sportsetrvc.com<br />
or fax your resume to: 516-608-6717<br />
SIGN-ON BONUS<br />
OPPORTUNITIES<br />
FOR PTs & OTs<br />
$5K - $15K*<br />
(*Depending upon location)<br />
RELOCATION ASSISTANCE<br />
NEW GRADS WELCOME<br />
Crest <strong>Physical</strong> <strong>Therapy</strong><br />
Growing Corporately Owned <strong>Physical</strong> <strong>Therapy</strong> Practice<br />
(Orthopedic/Vestibular/Balance/Hand/Aquatic Specialties)<br />
Positions available:<br />
Part-time or Full-time<br />
<strong>Physical</strong> Therapist Assistant <strong>for</strong> our offi ce<br />
located at 1450 Rt 22 West Mountainside, NJ 07092.<br />
New Grads Welcome!<br />
Part-time or Full-time Certi ed Hand Therapist<br />
<strong>for</strong> our Red Bank offi ce and West Long Branch offi ce.<br />
Crest has multiple locations in Mountainside, Hazlet, Red<br />
Bank, West Long Branch, Whiting, Toms River, Lakewood,<br />
Wall and Manasquan, New Jersey with new offi ces opening in<br />
Old Bridge. Strong clinical manual skills are a plus. Vestibular<br />
experience is also an asset, but will work to train in this area.<br />
We offer a competitive salary, a retirement plan, medical/<br />
dental benefi ts, generous paid time off, continuing education reimbursement,<br />
and a quarterly incentive program.<br />
For consideration, please e-mail your<br />
CV/Resume to:<br />
ccurtis@crestphysicaltherapy.com<br />
Dr. Charles Curtis MS, PT, DPT, Cert MDT<br />
(732) 759-8358 • Fax (732) 759-8478<br />
Occupational Therapist/COTA<br />
PER DIEM <strong>for</strong> weekdays<br />
<strong>Physical</strong> Therapist/PTA<br />
PER DIEM <strong>for</strong> weekdays & weekends<br />
Long-term care and sub-acute center.<br />
Princeton, New Jersey. NJ license required.<br />
Apply to:<br />
msorrento@atriumhealthusa.com<br />
www.advanceweb.com/pt | March 18, 2013 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 41<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 41<br />
EMPLOYMENT OPPORTUNITIES
EMPLOYMENT OPPORTUNITIES<br />
New York, New Jersey<br />
SPECIAL KIDS • SPECIAL CARE • SPECIAL REWARDS AT ST. MARY’S<br />
Bergen County<br />
Join our Team!<br />
New Grads Welcome!<br />
Experience Quality Care<br />
NOT High Patient Quotas<br />
EXCEL is Looking <strong>for</strong> Full-Time PTs<br />
Specializing in Orthopedics<br />
and Sports <strong>Medicine</strong> at<br />
Each of Our 6 Facilities Located<br />
in Bergen County, New Jersey.<br />
Hackensack / Waldwick / Oakland<br />
Fort Lee / Cresskill / Ruther<strong>for</strong>d<br />
$2000 Sign-on Bonus<br />
Competitive Benefi ts Package<br />
Please fax resume to<br />
201-488-5787<br />
or e-mail Laura Ash:<br />
lash@exceltherapy.com<br />
JOIN US AT OUR<br />
OPEN HOUSE<br />
Tues., April 2nd, 1:00pm-5:30pm<br />
5 Dakota Dr., Suite 200,<br />
New Hyde Park, NY<br />
St. Mary’s Healthcare System <strong>for</strong> Children is one of the nation’s premier providers of intensive rehabilitation and specialized<br />
care <strong>for</strong> children with special needs and life-limiting conditions. The largest pediatric post-acute care provider of its kind in the<br />
region, St. Mary's treats 4,000 children each day through our Hospital, Home Care and Community Programs in the five boroughs<br />
of New York City, Nassau, Suffolk, Westchester and beyond. Following hospitalizations <strong>for</strong> complications from premature birth,<br />
illness and injury, or when special services are needed, children and their families come to St. Mary's to receive exceptional care,<br />
learn to manage their condition, and achieve a better quality of life.<br />
ST. MARY’S HOME CARE<br />
PHYSICAL THERAPISTS - FT* & Per Diem, All Boroughs & Nassau County<br />
We seek NYS licensed home care PTs to enhance the lives of others while working <strong>for</strong> an exceptional organization which<br />
recognizes ability and rewards excellence. Must have 1 year PEDIATRIC EXPERIENCE.<br />
* The opportunities are great...the rewards are excellent!<br />
• Excel Individual/Family Benefits • Tuition Reimbursement • Life Insurance • Flexible Spending Accounts • & More<br />
If you cannot attend our Open House, please apply online at: www.stmaryskids.jobs<br />
• Email: phackenjos@stmaryskids.org • Fax: 516-471-9398<br />
WWW.STMARYSKIDS.ORG •An Equal Opportunity/Affirmative Action Employer<br />
IMMEDIATE NEED FOR<br />
FULL-TIME<br />
PHYSICAL THERAPISTS<br />
Join a National Leader<br />
in Pediatric Care<br />
Voorhees Pediatric Facility<br />
has opportunities available <strong>for</strong> a Full-<br />
Time <strong>Physical</strong> Therapist position,<br />
serving infants to adolescents with<br />
a wide range of neurological and<br />
developmental disorders. Be part of a<br />
dynamic team and a caring, supportive<br />
environment!<br />
Experience with specialized pediatric<br />
population required. Opportunities<br />
available <strong>for</strong> our in house school<br />
program, community school setting,<br />
EI program, and subacute/ long-term<br />
care population.<br />
School certifi cation preferred, but<br />
not required. Excellent salary and<br />
comprehensive healthcare benefi ts<br />
package, (cont. ed, 401k and more!)<br />
New graduates with pediatric clinical<br />
experience are welcome to apply.<br />
Interested parties may contact:<br />
Roselyn A. Roxas, PT<br />
Director of <strong>Rehab</strong> Services<br />
rroxas@<strong>for</strong>kidcare.com or<br />
FAX# (856) 346-4717<br />
Tel. No. (856) 821-8497<br />
1304 Laurel Oak Rd.<br />
Voorhees, NJ 08043<br />
A specialized healthcare facility.<br />
42 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | March 18, 2013 | www.advanceweb.com/pt<br />
42 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
PHYSICAL<br />
THERAPIST<br />
<strong>Therapy</strong> and Learning<br />
Center (TLC) in Park Slope,<br />
Brooklyn seeks a full time<br />
<strong>Physical</strong> Therapist <strong>for</strong> the<br />
preschool center-based<br />
program. Beautiful state of<br />
the art facility; multicultural<br />
families & dynamic<br />
transdisciplinary team.<br />
Must be NYS Licensed.<br />
Also seeking Independent<br />
Contractors <strong>for</strong> Evals.<br />
Fax or email resumes with certification to:<br />
<strong>Therapy</strong> & Learning Center<br />
Fax: 718-290-2800 or<br />
Email: barbara.deeb@TLCkids.org<br />
We They need your<br />
compassion,<br />
professionalism<br />
and energy!<br />
The Arc Kohler School has been<br />
serving children with developmental<br />
delays & disabilities from ages 3 to 11 <strong>for</strong><br />
nearly 50 years! Now we need a Full<br />
Time PT to join our progressive team.<br />
NJ School Certification, PT license and<br />
valid NJ driver's license required. Please<br />
send your resume/salary requirements<br />
to: HR, The Arc of Union County, 52<br />
Fadem Rd, Springfield, NJ 07081. Fax:<br />
973-315-0002. Email: hr@arcunion.org.<br />
The Arc of Union County<br />
Equal Opportunity Employer<br />
<strong>Physical</strong> Therapist<br />
We are seeking a full-time or part-time<br />
<strong>Physical</strong> Therapist to work in our state-of-the-art<br />
outpatient pediatric physical therapy clinic.<br />
Pediatric experience is preferred.<br />
To inquire, please fax your resume to: (973) 616-9314<br />
www.kidstherapycenter.com<br />
MOMENTUM REHAB<br />
South Western Suffolk County<br />
F/T and per diem, PT/PTA positions available at<br />
a premiere remodeled rehabilitation facility.<br />
Sub-acute experience preferred. Excellent salary<br />
and bene ts. Fax resume to <strong>Rehab</strong> Director at<br />
631-581-6018 <strong>for</strong> immediate consideration.<br />
Uncompromising<br />
Disease<br />
Multiple sclerosis (MS) is an unpredictable<br />
disease of the central nervous<br />
system that affects 350,000 Americans<br />
and two million patients worldwide.
AAHAVA<br />
Medical and <strong>Rehab</strong> Center<br />
A private multidisciplinary facility seeks Full-Time<br />
and Part-Time PT <strong>for</strong> NYC, Long Island, NJ and<br />
Upstate NY to work with a diverse client population. Also<br />
hiring OTs and STs. Pediatric and adult clients across<br />
the age span. Training available, pediatric and adult<br />
treatment gyms, fully equipped SI room. Ongoing<br />
supervision, mentorship and professional growth opportunities<br />
available. Potential to earn $100 per hour. Sunday positions<br />
available. Benefits. NY or NJ State License required.<br />
We sponsor H1 VISA.<br />
Contact Chuck at<br />
(718) 951-8800 x 2181 • E-mail: community64@msn.com<br />
Lebovitsg@gmail.com<br />
Brooklyn Health <strong>Physical</strong> <strong>Therapy</strong>, LLC<br />
is a PT-owned outpatient practice looking<br />
<strong>for</strong> a F/T therapist with good manual skills<br />
specializing in pelvic fl oor dysfunction.<br />
Competitive salary and benefi ts. New grads welcome.<br />
Willing to train in men’s and women’s health.<br />
Send resumes to: gjhaveri@brooklynhealthpt.com<br />
PT and PTA positions are available in Physiatrist Private<br />
Offi ce in Chinatown, Manhattan, New York <strong>for</strong> part or full-time.<br />
Offering excellent benefi ts package with competitive salaries.<br />
Chinese/Cantonese speaking or Philippine speaking is<br />
preferred. New Graduates are welcome.<br />
Fax or e-mail resumes to:<br />
212-966-9189 or xingpeng200@ yahoo.com<br />
LOOKING FOR A<br />
LOW-COST MAILER?<br />
CALL 800.355.5627 FOR<br />
OSS Health, located in beautiful York, PA,<br />
is expanding our services to include OSS<br />
Health at Home, our new home health<br />
agency. To grow this exciting venture, we<br />
are recruiting <strong>for</strong> a full-time, experienced<br />
Home Health <strong>Physical</strong> Th erapist.<br />
Please visit us at www.osshealth.com <strong>for</strong><br />
more in<strong>for</strong>mation regarding job duties, job<br />
requirements, hours, etc.<br />
Join the OSS Health family and enjoy<br />
competitive compensation, a generous benefi t<br />
package, an incomparable work environment<br />
and more!<br />
ossresumes@osshealth.com<br />
Attn: Human Resources<br />
717-741-9603 (FAX)<br />
EOE<br />
PT Homecare<br />
Tired of: Mandatory meetings? Unreasonable employers?<br />
Inadequate compensation? Demanding schedule? If you<br />
are, be a part of our PT Part-time Home Care Team serving<br />
Phila, Bucks, & Montgomery Counties. $50,000/yr salary.<br />
Fax resume to 215-230-4970 or<br />
e-mail jenniferg@athomerehabllc.com<br />
New Jersey, New York, Pennsylvania, Delaware<br />
Defining the Future of Clinical Care<br />
Thomas Jefferson University Hospitals, Inc., is located in the center of Philadelphia. U.S. News & World<br />
Report has rated Jefferson as the 14th best hospital in the nation <strong>for</strong> <strong>Rehab</strong>ilitation <strong>Medicine</strong>, the 20th<br />
consecutive rating <strong>for</strong> our best-in-class <strong>Rehab</strong>ilitation <strong>Medicine</strong> Department. On the leading edge of<br />
rehabilitation and utilizing some of today’s most advanced equipment and techniques, we offer an<br />
environment ideal <strong>for</strong> career success and personal satisfaction.<br />
PHYSICAL THERAPIST <strong>ADVANCE</strong>D CLINICIAN II – ACUTE CARE – ORTHOPEDICS<br />
Full time position available in the acute care orthopedic setting. This individual will be responsible<br />
<strong>for</strong> patient care, staff development/per<strong>for</strong>mance management. Work directly with Rothman Institute<br />
Physicians on program development and per<strong>for</strong>mance improvement activities. Must possess four to five<br />
years of current clinical practice in an acute care setting.<br />
PHYSICAL THERAPIST <strong>ADVANCE</strong>D CLINICIAN I – ACUTE CARE<br />
Full time position available in the Acute Care Setting. This individual will be responsible <strong>for</strong> patient care<br />
and staff development. Must possess two to three years experience in acute care.<br />
STAFF PHYSICAL THERAPISTS – ACUTE CARE<br />
Full time positions available in the Acute Care Setting. Clinical ladder and mentoring available.<br />
Experienced therapists or new graduates will be considered. PRN positions also available at all<br />
campuses <strong>for</strong> experienced therapists.<br />
PHYSICAL THERAPIST <strong>ADVANCE</strong>D CLINICIAN I – OUTPATIENT<br />
METHODIST HOSPITAL DIVISION<br />
Full time positions available in the Outpatient setting. This individual will be responsible <strong>for</strong> patient care and<br />
program development. Must possess two to three years experience in an outpatient setting.<br />
Introduces<br />
OSS Health<br />
at Home<br />
JOB OPENINGS – SENT DIRECTLY TO YOUR E-MAIL<br />
SIGN UP TODAY AT WWW.<strong>ADVANCE</strong>WEB.COM<br />
An invitation only job fair will be held on April 9, 2013<br />
from 1 – 4 p.m. Job ID 1010. To apply, please visit:<br />
www.jeffersonhr.org<br />
Equal Opportunity Employer<br />
UPPER SOUTH ATLANTIC<br />
Pediatric<br />
<strong>Physical</strong> Therapists<br />
The BAYADA Pediatrics Visit offi ce<br />
in Delaware is expanding! We have<br />
immediate openings <strong>for</strong> <strong>Physical</strong><br />
Therapists throughout New Castle<br />
County - YOU CHOOSE YOUR LOCATION.<br />
We have part-time positions with the<br />
opportunity to grow into full-time, to<br />
meet the needs of our pediatric rehab<br />
and early intervention population.<br />
No weekends or holidays. At BAYADA<br />
Pediatrics we off er competitive pay<br />
rates, benefi ts, and the ability to make<br />
your own schedule and much more!<br />
If you are interested in joining a<br />
dedicated team of professionals who<br />
believe their clients come fi rst, please call<br />
Jennifer Andrelczyk at 302-322-2300<br />
or fax resume to 302-322-1339<br />
or e-mail jandrelczyk@bayada.com<br />
www.advanceweb.com<br />
YOUR ONE-STOP CAREER CENTER<br />
www.advanceweb.com/pt | March 18, 2013 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 43<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 43<br />
EMPLOYMENT OPPORTUNITIES
EMPLOYMENT OPPORTUNITIES<br />
Maryland, New York, Washington, D.C., Colorado, South Carolina, North Carolina, Florida<br />
Enhance your life at University of Maryland<br />
St. Joseph Medical Center<br />
UM-ST. JOSEPH is now a proud member of the University of Maryland Medical System.<br />
We are a 263-licensed bed acute care, regional medical center. Here, you’ll enjoy<br />
all the advantages of a close knit community hospital with some of the area’s most<br />
advanced clinical programs including three Centers of Excellence that draw patients<br />
from throughout the mid-Atlantic region. At UM-St. Joseph, you will be contributing to<br />
a locally and nationally recognized institution.<br />
We offer competitive compensation and benefits, free parking and a beautiful suburban<br />
location. Visit www.StJosephJobs.org to apply or contact our rehab recruiter at<br />
410.337.1790.<br />
As a PT at UM-St. Joseph, you will begin a professional journey that encourages<br />
opportunities, values a team atmosphere and makes convenience and flexibility<br />
a priority. We are currently seeking a Lead <strong>Physical</strong> Therapist to provide total,<br />
comprehensive care to patients. Candidates must have a Bachelor’s degree, Master’s<br />
preferred, BLS certification and a Maryland state <strong>Physical</strong> <strong>Therapy</strong> license. To see our<br />
current openings, please visit our website.<br />
www.medstarfranklin.org<br />
7601 Osler Drive, Towson, MD 21204<br />
UM-St. Joseph is an inclusive workplace & an equal opportunity/affirmative action plan employer. M/F/D/V • We are a smoke-free & drug-free campus.<br />
One of the largest...and the best.<br />
MedStar Franklin Square Hospital Center, the third largest hospital in Maryland<br />
and part of MedStar Health, can elevate your career to a new level of caring,<br />
compassion and clinical excellence. We’re progressive, patient-focused and received<br />
“2012 Delmarva Foundation Award <strong>for</strong> Quality Excellence.” Join us in Baltimore!<br />
Pediatric PT<br />
Full-time salaried position commencing<br />
July 2013 at Special Education preschool.<br />
Applicant should have a demonstrated<br />
ability to work well as a part of a multidisciplinary<br />
team of professionals and hold a NYS license.<br />
Apply online at NYEduCareer@gmail.com<br />
PHYSICAL THERAPIST<br />
Full-time, Inpatient Acute Care<br />
Must be licensed in the State of Maryland and prefer 1-2 years’ experience.<br />
Excellent salary and benefi ts offered.<br />
To learn more and apply, visit<br />
www.medstarfranklin.org<br />
BEST PLACES<br />
T O W O R K<br />
Orthopedic/Sports <strong>Medicine</strong> <strong>Physical</strong> Therapist<br />
Rockville and Germantown, MD<br />
Will mentor and train various orthopedic and osteopathic manual<br />
and manipulation techniques and MSI diagnostic approaches.<br />
We are a fun and energetic clinic that prides itself in teamwork,<br />
employee satisfaction, growth, and quality patient care.<br />
Excellent Benefi ts: • Health/Dental/Life/Malpractice insurance<br />
• Paid time off up to 4 weeks and Flexible schedule • Continuing Ed<br />
allowance, Train with COMT • New graduates welcome to apply!<br />
E-mail to Dr. Victor Chang, PT, DPT at: vchang@theorthocentermd.com<br />
44 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | March 18, 2013 | www.advanceweb.com/pt<br />
44 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
2012<br />
JOB SEARCHING MADE SIMPLE — WWW.<strong>ADVANCE</strong>WEB.COM<br />
EOE<br />
Pediatric PTs<br />
Early Intervention<br />
Opportunities in<br />
District of Columbia<br />
Contact: Care Resources today to<br />
learn more 1-877-ASK-CARE<br />
careresources-hr@careresources.net<br />
www.careresourcesinc.com<br />
SOUTHWEST<br />
EOE M/F/D/V<br />
PHYSICAL THERAPIST<br />
opening at<br />
Gunnison Valley Hospital<br />
in Colorado!<br />
Ski/Snowboard/Mountain Bike/Rock-climb<br />
minutes away from work and home in an<br />
outdoor enthusiast’s paradise!<br />
Current Colorado PT license or eligibility required.<br />
Clinical training or past experience<br />
in orthopedic injury preferred.<br />
Apply online www.gunnisonvalleyhealth.org<br />
or call HR 970-641-1456<br />
Tyler Junior College<br />
http://employment.tjc.edu<br />
(See our ad on page 40.)<br />
LOWER SOUTH ATLANTIC<br />
SPORTS PLUS PHYSICAL THERAPY<br />
Purely Outpatient Orthopaedics!<br />
Full-Time PTs and PTAs needed in strong outpatient ortho and sports medicine<br />
settings, including: • Orangeburg, SC (PT & PTA) • Aiken, SC (PT)<br />
• PT In-Company Traveler • Columbia, SC (Director PT)<br />
Contact Catherine Sullivan, MPT<br />
CLEMSON SPORTS MEDICINE & REHABILITATION<br />
(864) 482-0064, x20113 • catherine.sullivan@csmr.org<br />
www.csmr.org<br />
Carolina <strong>Therapy</strong> Services<br />
PT/PTA<br />
•Greensboro, NC • Hickory, NC • Laurinburg, NC<br />
• Lumberton, NC • Winston-Salem, NC<br />
Management Opportunities Available!<br />
SIGN-ON BONUS OR RELOCATION PACKAGE $3,000-$5,000<br />
Competitive salaries and excellent benefits. Continuing education assistance<br />
with opportunities <strong>for</strong> professional growth.<br />
Call 866-388-9776 or Fax: 866-388-9779<br />
markw@carolinatherapy.net<br />
Visit us at the Web at www.carolinatherapy.net<br />
School Based <strong>Physical</strong> Therapist<br />
Nassau County School Board is seeking a PT who has<br />
pediatric experience and is self motivated to join our<br />
dynamic team in providing physical therapy services in<br />
the Nassau County School System. Please send resume to<br />
ESE Dept., 1207 Atlantic Ave, Fernandina Beach, FL 32034<br />
or fax: 904-277-9041. For more info phone: 904-491-9929.<br />
ARE YOU DIRECTOR MATERIAL? Clemson Sports<br />
<strong>Medicine</strong> & <strong>Rehab</strong>ilitation has a strong outpatient ortho.<br />
caseload, with active patient population and endless marketing<br />
opportunities! Beautiful area on Lake Keowee in<br />
Salem, SC, just outside of Clemson. Successful clinic with<br />
competitive benefi ts & salary- learn more at www.csmr.org!<br />
Send resume with references to: Catherine Sullivan, MPT<br />
Clemson Sports <strong>Medicine</strong> & <strong>Rehab</strong>ilitation (home company)<br />
(846) 482-0064, x20113 • fax (864) 482-0081<br />
catherine.sullivan@csmr.org<br />
VISIT WWW.<strong>ADVANCE</strong>WEB.COM TODAY
Greenville Hospital System (GHS)<br />
<strong>Physical</strong> Therapist Opportuni es<br />
PT, Level II<br />
Patewood Memorial Hospital<br />
PT, Level II<br />
Greenville Memorial Hospital<br />
PT, Level II<br />
Roger C. Peace <strong>Rehab</strong> Hospital<br />
PRN - Home Health & Co ages @ Brushy Creek<br />
Sign-on Bonus <strong>for</strong> FT & PT status<br />
Paid interview expenses<br />
Excellent Benei s Package<br />
Reloca on expenses<br />
GHS is South Carolina’s premier healthcare<br />
provider. 10,000+ employees delivering<br />
high quality pa ent care in the Upstate.<br />
Apply online at www.ghscareers.org<br />
<strong>for</strong> immediate considera on.<br />
GHS proudly values diversity, all quali ed<br />
candidates are encouraged to apply.<br />
GHS is located in Greenville, SC<br />
Twi er - @ghs_careers<br />
New Grads Welcome!<br />
PHYSICAL THERAPISTS<br />
needed in the Upstate SC area which was<br />
recently named #4 on the “Top 100 places to live.”<br />
• Since 2007 and annually, Member of HomeCare Elite<br />
<strong>for</strong> quality and nancial per<strong>for</strong>mance.<br />
• 2011 Home Care Compare - Superior in public<br />
outcome measures<br />
• TOP 500 Medicare Certi ed Home Health Provider<br />
in the country<br />
We offer laptop computers, Total Joint Program,<br />
Orthopedics/<strong>Rehab</strong> Specialty, Flexible Schedule<br />
1-800-439-4590<br />
www.interimhealthcare.com<br />
Over 30 Years of Extraordinary<br />
Home Health Care<br />
<strong>Physical</strong> Therapist<br />
CHOICE HEALTH<br />
MANAGEMENT SERVICES<br />
a long-term care management<br />
company located in North Carolina.<br />
Now hiring PTs and PTAs<br />
<strong>for</strong> 19 locations in the western, eastern<br />
and piedmont regions of N.C.<br />
Excellent wages and competitive<br />
benefi t package offered.<br />
Please E-mail resume to:<br />
sgallimore@choice-health.net<br />
WWW.<strong>ADVANCE</strong>WEB.COM<br />
EOE<br />
South Carolina, North Carolina, National, International<br />
Today is the<br />
fi rst day of the<br />
rest of your career.<br />
Celebrate by making a bold move –<br />
to FirstHealth of the Carolinas.<br />
A leading healthcare system that<br />
puts patients fi rst, we offer you<br />
a medically sophisticated and<br />
supportive environment where<br />
you can learn and grow. Our not<strong>for</strong>-profi<br />
t three-hospital system<br />
is an organization driven by our<br />
values: Focus on Quality and<br />
Excellence, Integrity, Respect <strong>for</strong><br />
the Individual, Service to Others<br />
and Teamwork. Here, you’ll enjoy<br />
excellent resources, a supportive<br />
management team and exceptional<br />
opportunities <strong>for</strong> career growth. We<br />
invite you to explore the following<br />
opportunities:<br />
PHYSICAL THERAPISTS<br />
Richmond Memorial Hospital<br />
We offer an attractive compensation/<br />
benefi ts package and a wonderful<br />
lifestyle in the Sandhills region of<br />
North Carolina. The mountains,<br />
ocean, several universities and the<br />
metro area of Raleigh, Charlotte and<br />
Fayetteville are all within easy driving<br />
distance. To learn more, visit<br />
www.fi rsthealth.jobs<br />
EOE<br />
Working Together, First in Quality, First in Health.<br />
EXCEPTIONAL LEADERSHIP SKILLS?<br />
We have what youre looking <strong>for</strong>! Seeking Director PT <strong>for</strong> PINNACLE<br />
PHYSICAL THERAPY <strong>for</strong> our outpatient ortho. and neuro. clinic in<br />
Columbia, SC who is passionate about top-notch patient care and<br />
who welcomes relationship-building opportunities!! Incredible growth<br />
<strong>for</strong> your career, just minutes from USC and surrounded by great<br />
referral sources!<br />
Contact: Catherine Sullivan, MPT<br />
Pinnacle <strong>Physical</strong> <strong>Therapy</strong><br />
(864) 482-0064, x20113<br />
catherine.sullivan@csmr.org<br />
NATIONAL<br />
PT Director<br />
Sports <strong>Medicine</strong><br />
PT Director needed <strong>for</strong> developing sports medicine<br />
program. Seeking an experienced, dynamic and<br />
moticated PT with leadership experience to help<br />
lead and grow this sports medicine program in the<br />
Portland, Maine area. Ideal candidate is a PT with a<br />
minimum 5 years of experience in sports medicine<br />
with leadership and supervisory experience with an<br />
OCS, SCS or CSCS certifi cation. Full-time position.<br />
Great work environment. Excellent salary plus<br />
bonus and full benefits.<br />
Please e-mail: vlampert@acare.us<br />
or fax: 877-885-6777<br />
PHYSICAL THERAPIST needed in Japan. Excellent<br />
compensation & benefi ts! Relocation Assistance. Work under the Educational<br />
& Developmental Intervention Services program <strong>for</strong> US Military Families<br />
stationed abroad. Minimum Requirements: Bachelor’s deg & 5 yrs exp,<br />
or Master’s & 2 yrs exp with relevant concentration. 2 yrs exp providing<br />
pediatric physical therapy <strong>for</strong> children ages 0-5 with special needs.<br />
Contact Lynn Romer at 1-800-852-5678 x156<br />
or e-mail lynnr@magnummedicaloverseas.com<br />
LOOKING FOR<br />
A LOW-COST MAILER?<br />
CALL TODAY 800-355-5627 FOR OPTIONS<br />
www.advanceweb.com/pt | March 18, 2013 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 45<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 45<br />
EMPLOYMENT OPPORTUNITIES
EMPLOYMENT OPPORTUNITIES<br />
National, Alaska, Cali<strong>for</strong>nia, Washington<br />
$1,000 QUICK START BONUS FOR NEW TRAVELERS STARTING AN ASSIGNMENT BEFORE THE END OF MARCH<br />
PACIFIC<br />
DO YOU LOVE WHAT YOU DO<br />
& WHERE YOU WORK?<br />
Get the Experience of a Lifetime by<br />
Joining our Expanding Hand <strong>Therapy</strong> Practice!<br />
We Can Offer You:<br />
• Collaborative Team Approach to Patient Care<br />
• Excellent Interoffi ce Dynamics<br />
• Opportunity to work closely with Recognized Hand Surgeons<br />
• Rewarding Career as a Hand U/E Specialist<br />
Anchorage, Alaska Can Offer You:<br />
• City Life/Per<strong>for</strong>ming Arts/Fine Dining<br />
• World Class Fishing/Hiking/Biking/Ocean/Mtns/Wildlife<br />
• Ski Alyeska...enjoy the most annual snowfall of any ski resort<br />
in North America<br />
• Great Place to Raise a Family<br />
Contact us to find out more about our:<br />
Start-up Bonus/CE/Competitive Salary &<br />
Benefits/Employee Stock Ownership Plan<br />
Jean Keckhut, OTR/L, CHT<br />
Alaska Hand <strong>Rehab</strong>ilitation, Inc. • Anchorage, Alaska<br />
P: (907) 563-8318 • F: (907) 563-3472<br />
jean@akhandrehab.com • www.akhandrehab.com<br />
La Crescenta, Pasadena, Glendale, Calif. Area<br />
HOME HEALTH AGENCY<br />
is seeking licensed PT, OT, ST<br />
Requirement: min. 2-yr. experience in home health<br />
Contact: sku@vhhomecare.org<br />
Anchorage, Alaska<br />
Come join a team that loves what<br />
it does and cares about those it<br />
serves. St. Elias Specialty Hospital’s<br />
current needs are:<br />
PHYSICAL THERAPISTS<br />
Full-time<br />
For more details or to inquire about<br />
job opportunities, please call:<br />
Human Resources: 907-564-2225<br />
Apply online<br />
www.steliashospital.com<br />
We Invest in Your Success<br />
PHYSICAL THERAPISTS<br />
and PTAs<br />
Visit www.interfacerehab.com<br />
View both our full-time and per diem positions<br />
in Southern Cali<strong>for</strong>nia. While you're there check<br />
out our "Platinum Benefi ts" that includes Unlimited<br />
"Hands On" Continuing Education. * Conditions Apply<br />
Contact:<br />
Julie Lopez 714-646-8301<br />
Julie@interfacerehab.com<br />
46 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | March 18, 2013 | www.advanceweb.com/pt<br />
46 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
AM. <strong>Physical</strong> <strong>Therapy</strong>,<br />
looking <strong>for</strong> RPTs and PTAs<br />
primarily in Home Health<br />
(LA/Orange/Riverside).<br />
Fluent in <strong>for</strong>eign<br />
language is a plus<br />
(especially Tagalo, Vietnamese,<br />
Chinese and Korean)<br />
Please fax 323-488-9117<br />
or mail to P.O. Box 3170,<br />
Costa Mesa, CA 92628<br />
McRory Pediatric Services, Inc. • FT Pediatric PT<br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 47
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48 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
PT1310_C02-C03.indd 64 2/22/13 11:08 AM
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PT1310_C02-C03.indd 65 2/22/13 11:08 AM
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50 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 51
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52 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
PT1310_C06-C07.indd 64 2/22/13 11:14 AM
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 53<br />
PT1310_C06-C07.indd 65 2/22/13 11:15 AM
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54 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
PT1310_C01-C08.indd 2 2/22/13 11:04 AM
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56 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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