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

1


Don’t miss these<br />

upcoming issue<br />

features:<br />

• Aquatics<br />

• Annual CE Directory<br />

• Resource<br />

Directory: Cardio/<br />

Strength Equipment<br />

• Employment<br />

Supplement: South<br />

• APTA-PPS<br />

Conference Issue<br />

• PTA Supplement<br />

FREE<br />

yearly subscription.<br />

FREE<br />

online resources.<br />

FREE<br />

access to so much more.<br />

Don’t miss these<br />

upcoming online<br />

features:<br />

• APTA and NATA 2012<br />

Conference Coverage<br />

• Managing Chronic Pain<br />

• Education/Clinical<br />

Instruction<br />

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

Cancer Awareness Month<br />

• Business and Practice<br />

Management<br />

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


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3


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

Vol.<br />

[CoVER SToRy]<br />

12 The Next Frontier<br />

In the 1952 novel Player Piano, Kurt<br />

Vonnegut portrays a futuristic dystopia<br />

in which over-automation has made<br />

the work of laborers largely obsolete.<br />

Early readers would no doubt have<br />

marveled at the impossibly intricate<br />

and intuitive devices housed in today’s<br />

rehabilitation labs. <strong>Rehab</strong> engineering is<br />

entering the high-tech age with modern<br />

robotics, functional electrical stimulation<br />

and virtual reality systems. <strong>ADVANCE</strong><br />

focuses on the <strong>new</strong>est advances in rehab<br />

engineering--chosen in consultation<br />

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

in a <strong>new</strong> age of caring <strong>for</strong> patients. (Kyle<br />

Kielinski)<br />

[FEATuRED ARTIClES]<br />

9 Management Focus:<br />

Paperless Claims<br />

Providers continue to face myriad challenges.<br />

Many health care organizations<br />

find themselves either consolidating,<br />

merging or <strong>for</strong>ging <strong>new</strong> partnerships<br />

to remain competitive. And almost all<br />

providers are evaluating how they can<br />

do more with less to survive in a brave<br />

<strong>new</strong> world that is changing daily. This is<br />

where technology can help.<br />

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

16 Standing <strong>for</strong> Children With CP<br />

Studies have shown that 2.3 to 3.6 of 1,000<br />

children born in the United States have cerebral<br />

palsy. These children are susceptible to<br />

many illnesses and medical complications<br />

that can lead to a shortened life expectancy.<br />

Many therapists are aware of the impact<br />

of standing programs on range of motion<br />

and bone density, but they can also support<br />

respiratory health throughout the lifespan.<br />

23 | No. 15 | July 23, 2012<br />

19 Lymphedema: Proper Pressure<br />

Pneumatic compression is experiencing a<br />

resurgence in popularity as a treatment <strong>for</strong><br />

lymphedema, both as a means of accelerating<br />

the in-clinic treatment phase and <strong>for</strong><br />

home care. In the past, classically trained<br />

lymphedema therapists were cautious<br />

about adopting pneumatic compression<br />

as a modality. This is despite the fact that<br />

pneumatic compression has been shown to<br />

be equivalent in efficacy to professionally<br />

applied manual lymph drainage.


[MoRE ARTIClES]<br />

32 Product At Work<br />

[DEPARTMENTS]<br />

6 State by State/Ad Index<br />

7 Letters to the Editor<br />

8 Geriatric Function<br />

23 Calendar/CE<br />

30 Classified Marketplace<br />

31 Classified Employment<br />

Opportunities<br />

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

[COMiNG SOON]<br />

Although running is one of the most basic<br />

athletic activities the body can per<strong>for</strong>m,<br />

like other sports it has the propensity to<br />

cause injury. From chronic overuse conditions<br />

to traumatic incidents, the foot/<br />

ankle area is particularly vulnerable. Brad<br />

Carman, MPT, ATC, owner and director<br />

of rehabilitation at Mass Bay Spine &<br />

Sport <strong>Physical</strong> <strong>Therapy</strong>, Marshfield, MA,<br />

discusses foot/ankle injuries related to<br />

running and their treatment.<br />

[MulTIMEDIA]<br />

JoIN ouR PT CoMMuNITy!<br />

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

posts daily!<br />

PHYsICAl THERAPIsT<br />

IN TRANsITIoN<br />

Friendships Abound<br />

Making an extra ef<strong>for</strong>t in customer<br />

service can encourage patients to<br />

extend themselves as well.<br />

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

guest Blog: Farewell From Wimbeldon<br />

Clay Sniteman, MSPT, ATC, penned a second<br />

dispatch <strong>for</strong> <strong>ADVANCE</strong> shortly be<strong>for</strong>e<br />

the finals at this tennis tournament.<br />

MoRE PT Blogs<br />

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

• PT in the City<br />

• Toni Talks About PT Today<br />

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

• Journey with a DPT Student<br />

• PTA Blog Talk<br />

• Life of an PTA<br />

[NEw! CLiNiCiANS’ GuiDE]<br />

Return to Play Following ACl Surgery<br />

[STuDENT CENTER]<br />

Article: interview ‘Don’ts’<br />

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

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

relevant to physical therapy.<br />

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

[ColuMNS]<br />

MEDICARE ADVIsoR<br />

gERIATRIC FuNCTIoN<br />

INDusTRIAl INsIgHTs<br />

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

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

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

<strong>new</strong>smagazine. Its purpose is to provide in-depth coverage of <strong>new</strong>s and employment opportunities to therapists in<br />

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

facilities employing PTs.<br />

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

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

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

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

oN THE WEB www.advanceweb.com/pt uPDATED DAIlY!<br />

WHAT’s THE HEATH CARE<br />

REFoRM Buzz?<br />

Attendees at PT 2012 explain the importance<br />

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

oxFoRD DEBATE<br />

This highly entertaining event<br />

debated if PT education needs residencies.<br />

CoMMuNITY CHAT<br />

Interact with colleagues!<br />

THIs WEEk’s HoT ToPICs:<br />

Blogs: WHEN BloggERs MEET<br />

Dean posts: our <strong>new</strong> student started<br />

today: fellow <strong>ADVANCE</strong> blogger, lauren<br />

Rosso.<br />

lookINg FoR A NEW JoB?<br />

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

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

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

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

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

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[SPECiALTY SPOTLiGHT]<br />

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

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

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Please Recycle This Magazine<br />

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

5


Kentucky<br />

[STATE By STATE] By Brian W. Ferrie<br />

prorehab physical therapy opens<br />

<strong>new</strong> clinic in Bowling Green<br />

Pro<strong>Rehab</strong> has announced its expansion into Bowling Green, KY, stated<br />

a June 30 press release from PRWeb. The <strong>new</strong> Pro<strong>Rehab</strong> Bowling Green<br />

clinic is part of a facility that houses Western Kentucky Orthopaedic<br />

& Neurosurgical Associates (WKONA) and D1 Sports Training.<br />

Pro<strong>Rehab</strong> will serve as the official physical therapy provider <strong>for</strong> the<br />

Bowling Green D1 Sports Training athletes and as a rehabilitation<br />

resource <strong>for</strong> WKONA.<br />

It is a licensed rehab agency featuring two fully equipped and spacious<br />

rehabilitation areas. The primary rehab clinic is located next to<br />

WKONA, while the clinic best suited <strong>for</strong> injured athletes is situated<br />

inside D1 Sports Training.<br />

Bowling Green is the tenth Pro<strong>Rehab</strong> location serving southwest<br />

Indiana and western Kentucky. This <strong>new</strong> clinic offers a wide range of<br />

services including sports medicine, athletic training, general orthopedics<br />

and occupational therapy. Injury prediction and prevention tests<br />

will also be available <strong>for</strong> athletes of all ages and abilities. n<br />

• Check out their facilities<br />

and benefits through<br />

multimedia features<br />

• Chat live with recruiters looking<br />

to fill positions immediately<br />

• Submit your resume<br />

• Review downloadable resources<br />

• And much more!<br />

www.advanceweb.com/pt<br />

For more physical therapy in<strong>for</strong>mation and<br />

<strong>new</strong>s visit www.advanceweb.com/PT<br />

FREE VIRTUAL OPEN HOUSE<br />

Sentara Healthcare | July 31 | 10am-2pm ET<br />

SEnTARA HEAlTHCARE HAS JOB OPEnInGS!<br />

nOw HIRInG nuRSInG And AllIEd HEAlTH PROfESSIOnAlS In VIRGInIA<br />

Sign up to see all of the great career opportunities Sentara Healthcare has to offer in<br />

Virginia. You can attend from anywhere you can get online! This event is perfect <strong>for</strong><br />

anyone who lives in Virginia, northeastern north Carolina, or is looking to relocate<br />

to the area.<br />

REGISTER RIGHT AwAY fOR THIS<br />

fREE OnlInE OPEn HOuSE!<br />

Visit www.advanceweb.com/events or call 800-546-4987<br />

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

Advertiser Index<br />

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

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

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

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

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

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

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ADVERTISER WEB PG. #<br />

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PT 7/23/12


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

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

is published by Merion Matters<br />

Publishers of leading healthcare magazines since 1985<br />

PuBlIsHER<br />

Ann Wiest Kielinski<br />

gENERAl MANAgER<br />

W.M. “Woody” Kielinski<br />

CHIEF INFoRMATIoN oFFICER<br />

Khader Mohammed<br />

EDIToRIAl<br />

Editor-Lisa Lombardo<br />

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

Senior Regional Editor-Rebecca Mayer<br />

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

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

Brad Thuringer, PTA, Linda Jones<br />

Web Manager-Jennifer Montone<br />

DEsIgN<br />

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

Design Director-Walt Saylor<br />

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MEDIA & MARkETINg oPPoRTuNITIEs<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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For a FREE subscription: (800) 355-1088<br />

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PTA Education Too<br />

‘Watered Down?’<br />

Comment submitted <strong>for</strong> the article “Is There A<br />

Vision 2020 For PTAs?” at <strong>ADVANCE</strong> <strong>for</strong><br />

<strong>Physical</strong> <strong>Therapy</strong> and <strong>Rehab</strong> <strong>Medicine</strong>:<br />

to the editor:<br />

Having worked in the field <strong>for</strong> the past 20<br />

years, I see a recent trend of private schools<br />

offering the PTA degree, most of them advertising<br />

two years or less of study. I was in<br />

school <strong>for</strong> three years and couldn’t even be<br />

considered <strong>for</strong> the program until I passed all<br />

of my pre-requisites (with high marks). These<br />

<strong>new</strong> schools are providing an alternative <strong>for</strong><br />

those that can’t get into the community college<br />

program but seem to advertise a “fast track”<br />

attitude to finishing school.<br />

This field of study should not be rushed.<br />

I have gained the trust of every one of my<br />

PT co-workers and supervisors I have had<br />

the opportunity to work with, and feel that a<br />

good education is the key to demonstrating a<br />

trustworthy atmosphere <strong>for</strong> both clinician and<br />

patient. Let’s not ruin this by watering down<br />

or even “flooding” the field with programs<br />

that do not offer what is needed to be an intelligent<br />

and productive PTA.<br />

Don’t get me wrong—it is difficult to get<br />

into a program that only one or maybe two<br />

schools in the city or even state provide, but<br />

let’s make sure these schools teach what is<br />

needed to help the field grow. A bachelor’s<br />

program has always been a discussion topic—<br />

let’s make it a reality. I want the PTA credential<br />

to maintain the high level of respect it has<br />

deserved <strong>for</strong> the past 20 years.<br />

—Scott DeGraff, PTA<br />

Las Vegas, NV<br />

Use Caution Be<strong>for</strong>e<br />

Prescribing Lifts<br />

to the editor:<br />

I wanted to comment on an article published<br />

in May 14, 2012 edition of <strong>ADVANCE</strong>, “Walking<br />

Tall.” Though I understand the author is a<br />

podiatrist and the article was focusing on shoe<br />

lifts, I am a bit surprised there wasn’t more<br />

discussion of how leg lengths are evaluated.<br />

In the history of my continuing education<br />

courses, I’ve learned that less than 10 percent<br />

[lETTERS To THE EDIToR]<br />

of LLDs are true LLDs requiring shoe lifts; and<br />

that most often, LLDs are apparent (I believe<br />

the author refers to them as “functional”<br />

LLDs). However, the source is within the pelvis.<br />

By realignment of the pelvis, LLDs can<br />

be equalized, thereby negating need <strong>for</strong> shoe<br />

modifications (which can be expensive, can<br />

overcorrect/further malalign the pelvis, and<br />

create other long-term problems by the change<br />

in muscle length-tension relationships). I say<br />

this and am surprised because when the general<br />

population reads this article, they may<br />

go to shoe lift considerations be<strong>for</strong>e looking<br />

further into the reasons <strong>for</strong> the LLD.<br />

The therapist referring the patient to get a<br />

shoe lift can cause more harm (if your problem<br />

was from the pelvis and corrected by exercises,<br />

wouldn’t you want to avoid having to<br />

wear special shoes?). But if the LLD is present,<br />

the person making the shoe lift isn’t necessarily<br />

going to stop them: shoe lifts cost a lot<br />

of money and are profitable. And especially<br />

if the patient is a woman who likes to wear<br />

a lot of different shoes, the less-than-ethical<br />

person in this business would certainly rack<br />

up. Personally, I’ve seen too many people who<br />

have been talked into shoe lifts when their<br />

issue is coming from the pelvis.<br />

The saddest part is that by wearing a shoe<br />

lift <strong>for</strong> too long, the body adapts beyond<br />

repair, thereby creating the need <strong>for</strong> continued<br />

lifts. The compensations created by the shoe lift<br />

will further change normal muscle length-tension<br />

ratios throughout the polyarticular chains;<br />

creating <strong>new</strong> compensations and weaknesses<br />

or overuse of muscles not normally used. In<br />

conclusion, I must say that this article really<br />

disappoints me regarding its inclusion without<br />

further revision or suggestions. I have been a<br />

big fan of <strong>ADVANCE</strong>; this is the first article that<br />

really disturbed me. n<br />

—Julie Sandstedt, PT<br />

CoRRECTIoN: <strong>ADVANCE</strong> made an error<br />

in the article, “Diagnosis: ‘SiCK’ Scapula,”<br />

by Daniel Lorenz, DPT, PT, LAT, CSCS, in the<br />

July 9 issue. The article should have stated<br />

that “15 degrees or more discrepancy of<br />

internal rotation in the throwing shoulder<br />

signifies the athlete has GiRD” rather than<br />

“15 percent.” we regret the mistake and<br />

apologize <strong>for</strong> any confusion.<br />

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

7


[GERiATRiC FuNCTiON]<br />

8As physical therapists, we know intuitively<br />

and practically that it is important to assess sitting<br />

balance, but many of the measures available<br />

to our profession are geared toward assessing<br />

standing balance, or at the very least static sitting<br />

posture.<br />

So we went on a quest to find tools that were<br />

available that focused exclusively on static and<br />

dynamic sitting balance. This was not necessarily<br />

an easy task; as we mentioned, most of the measures<br />

available were either <strong>for</strong> standing balance or<br />

had a subsection <strong>for</strong> sitting balance. In our quest,<br />

we did come across one fairly <strong>new</strong> measure, the<br />

Sitting Balance Scale (SBS), that proposed to measure<br />

sitting balance in frail older adults. 1 This intrigued us enough<br />

to take a closer look.<br />

The authors of the SBS, Medley and Thompson, have insightfully<br />

identified the deficit in our profession of a scale that is valid and reliable<br />

in assessing the elements of sitting balance (static and dynamic).<br />

They also identified the need <strong>for</strong> standardized terms that describe<br />

By Carole lewis, DPT, gCs, gTC, Msg, MPA,<br />

PhD, FAPTA, and keiba shaw, EdD, MPT, MA<br />

Sitting Balance Scale: A Review<br />

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• af<strong>for</strong>dable • free evaluation • delivery in days<br />

Choose Amramp <strong>for</strong> solutions to<br />

all your accessibility needs!<br />

888-842-0191 www.amramp.com/advance<br />

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

sitting balance. To address these issues, the SBS was developed.<br />

The SBS consists of 11 items, pared down from an original of 38<br />

obtained through focus groups and content experts in the areas pertinent<br />

to geriatric care. The items represent various functional abilities related<br />

to sitting balance, such as “sitting unsupported with eyes closed,” “turning<br />

to look behind over left and right shoulders when sitting,” and “pick<br />

up objects from the floor while sitting unsupported on foam.”<br />

Scoring<br />

Scoring on the SBS is done on a zero-to-4 point Likert scale ranging<br />

from zero (worse per<strong>for</strong>mance) to 4 (best per<strong>for</strong>mance). Data <strong>for</strong><br />

both nonabmulatory and ambulatory older adults were taken from<br />

a sample of 127 community-dwelling older adults and 29 frail older<br />

adults from home health and long-term care settings. Scores were<br />

used to establish reliability of the items and validity of the SBS.<br />

It was reported by the authors that the SBS had good internal consistency<br />

(Cronbach’s alpha = 0.762) with intrarater reliability ranging<br />

from 0.96 to 0.99 <strong>for</strong> the total score, with interrater reliability in the<br />

good range with a Cronbach’s alpha = .87. Differences were reportedly<br />

found using a Mann Whitney U between the per<strong>for</strong>mance scores of<br />

those participants who had pathologies and those without (healthy<br />

subjects). In individuals with pathology, the average rank was 20.16<br />

<strong>for</strong> the total score as opposed to a rank of 91.82 <strong>for</strong> the total scores in<br />

those without pathology.<br />

use and Validity<br />

The SBS is a <strong>new</strong> instrument developed to measure static and dynamic<br />

elements of sitting balance in frail older people. From this brief review,<br />

the SBS appears to be a valid and reliable tool, but due to its <strong>new</strong>ness,<br />

future studies using a larger sample size need to be conducted<br />

to further confirm its psychometric properties and usefulness in the<br />

community <strong>for</strong> which it was developed. Furthermore, as the authors<br />

have pointed out, the scale’s responsiveness to meaningful change<br />

has not been established. Examining this would establish usefulness<br />

in the clinic.<br />

We will continue our journey to find a functional tool that objectively<br />

examines sitting balance in the older population, but as far as<br />

we can tell, the Sitting Balance Scale is a good start. n<br />

Reference<br />

1. Medley, A., & Thompson, M. (2011). Development, reliability and validity<br />

of the Sitting Balance Scale. Physiotherapy Theory Practice, 27(7), 471-481.<br />

Carole Lewis is co-owner of the Center of Evidence and consultant to Professional<br />

Sportcare and <strong>Rehab</strong>. She lectures exclusively <strong>for</strong> Great Seminars<br />

and Books and Great Seminars Online (www.greatseminarsandbooks.com<br />

and www.greatseminarsonline.com). She is also editor-in-chief of Topics in<br />

Geriatric <strong>Rehab</strong>ilitation (www.topicsingeriatricrehabilitation.com) and an<br />

adjunct professor at George Washington University Department of Geriatrics,<br />

College of <strong>Medicine</strong>. Keiba L. Shaw is associate professor at Nova<br />

Southeastern University College of Health Care Sciences <strong>Physical</strong> <strong>Therapy</strong><br />

Department Hybrid Entry Level DPT Program, Tampa, FL.


Going Paperless with Claims<br />

Now is a golden opportunity to offer paperless electronic<br />

claims processing to save significant time and money<br />

By Michael schramm<br />

watershed year as two important factors,<br />

the upcoming presidential election<br />

and the Supreme Court decision<br />

on the Af<strong>for</strong>dable Care Act, come into play.<br />

Both events could lead to sweeping changes<br />

that would impact millions of Americans and<br />

thousands of health care businesses across<br />

the nation.<br />

DAVE PERIllo The year 2012 is gearing up to be a<br />

On a more micro level, providers continue<br />

to face a myriad of challenges. Hospitals and<br />

private medical practices are experiencing<br />

shrinking patient volume, an increase in<br />

audits and limitations on organic growth<br />

due to constraints being placed on accessing<br />

capital <strong>for</strong> investment purposes.<br />

Long-term care providers (e.g., home<br />

health agencies, hospices and skilled nursing<br />

[MANAGEMENT FOCuS]<br />

homes) are confronted with cuts in Medicare<br />

reimbursements, <strong>new</strong> administrative requirements<br />

and payment system re<strong>for</strong>ms, while<br />

medical equipment suppliers struggle to<br />

remain profitable amid <strong>new</strong> bidding requirements<br />

and Medicare mandates created to<br />

reduce fraud.<br />

As a result, many health care organizations<br />

find themselves either consolidating, merging<br />

or <strong>for</strong>ging <strong>new</strong> partnerships to remain<br />

competitive. And, almost all providers are<br />

evaluating how they can do more with less to<br />

survive in a brave <strong>new</strong> world that is changing<br />

daily. This is where technology can help.<br />

Benefits and Barriers<br />

A 2012 Healthcare Provider Survey conducted<br />

by IVANS, a national health in<strong>for</strong>mation<br />

exchange (HIE), was administered electronically<br />

between January 5 and 12 and gathered<br />

responses from more than 700 health care<br />

providers from across the United States.<br />

In the survey, providers revealed they<br />

would like to submit more health care in<strong>for</strong>mation<br />

electronically, but it needs to be offered<br />

in a cost-effective manner, and guidance in<br />

its implementation is critical <strong>for</strong> widespread<br />

adoption to occur.<br />

Key findings from the study were:<br />

• 93 percent surveyed believe Medicare<br />

is fair either all or most of the time with<br />

claims reimbursements;<br />

• 62 percent do not believe commercial payers<br />

are fair all or most of the time, with 49<br />

percent stating they are fair only some of<br />

the time when reimbursing claims;<br />

• 39 percent of providers still use paper to<br />

submit claims to commercial payers;<br />

• less than one percent use paper <strong>for</strong> Medicare<br />

claims;<br />

• 11 percent still use paper <strong>for</strong> Medicaid<br />

claims.<br />

The survey also discovered that a considerable<br />

amount of providers, although eligible<br />

<strong>for</strong> Medicare EHR incentives, still have no<br />

plans <strong>for</strong> implementing stage one of Meaningful<br />

Use.<br />

For example, of the 39 percent surveyed<br />

that have no plans <strong>for</strong> implementing stage<br />

one, not surprisingly 44 percent (represented<br />

by home care, long-term care and hospices)<br />

are not yet eligible to participate in the<br />

Medicare EHR Incentive Program. What is<br />

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

9


[MANAGEMENT FOCuS]<br />

Top 5 Advantages of EMR systems in PT Practice<br />

By nitin chhoda, pt, Dpt<br />

Electronic medical record (EMR)<br />

systems <strong>for</strong> physical therapy documentation<br />

will be the norm by<br />

2014. EMRs offer flexibility and<br />

room to grow along with the practice,<br />

but they also deliver a variety of other<br />

benefits.<br />

The future of electronic health records<br />

is evolving and will continue to do so.<br />

They integrate easily into existing office<br />

systems, enhance patient care, provide<br />

valuable marketing tools and offer the<br />

means to expedite reimbursements.<br />

EMRs offer your practice the following<br />

advantages:<br />

Public health. EMR systems provide<br />

physical therapists with health in<strong>for</strong>mation<br />

and data that can be used to track<br />

injuries and treatments <strong>for</strong> public safety.<br />

Data can be broken down to ascertain<br />

the most common types of injuries by<br />

age group, location and other therapist identified parameters. The<br />

in<strong>for</strong>mation can be utilized to create better treatments to benefit<br />

the public good.<br />

Clinical decision making. <strong>Physical</strong> therapy management is essential,<br />

but it’s a task at which many therapists need some work. EMRs<br />

offer a ready-made record that therapists can use to schedule staff<br />

where their skills will best serve the practice. EMR statistics will easily<br />

show practice owners where the clinic’s strengths and weaknesses<br />

lie, allowing therapists to make better in<strong>for</strong>med decisions on hiring<br />

and expansion.<br />

surprising is that 26 percent (represented by<br />

hospitals and private medical practices) are<br />

eligible <strong>for</strong> EHR incentives but still have no<br />

plans yet <strong>for</strong> implementing stage one.<br />

Providers point to barriers such as cost,<br />

waiting on technology upgrades from vendors,<br />

integrating <strong>new</strong> changes into workflow<br />

processes and understanding/adopting<br />

complex Clinical Quality Measures within<br />

a short period of time. If these issues are not<br />

resolved and integrated into subsequent<br />

stages of meaningful use, it will be difficult<br />

<strong>for</strong> providers to become meaningful users,<br />

resulting in further misalignment of financial<br />

incentives down the road.<br />

ehrs ‘coming of age’<br />

Readily available solutions, such as automation<br />

software and web-based portals, can<br />

significantly improve revenue cycle management,<br />

but these types of technologies<br />

must demonstrate a high degree of usability<br />

and af<strong>for</strong>dability among providers to<br />

be successful.<br />

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

Further, these solutions must empower<br />

providers so they have more visibility and<br />

control over their cash flow. It is in this area<br />

where the study found that health insurers-<br />

—in particular commercial payers—have a<br />

golden opportunity to offer a paperless, electronic<br />

environment <strong>for</strong> processing claims that<br />

will save significant time and money <strong>for</strong> both<br />

health payers and providers.<br />

In addition, both groups will be better<br />

prepared to support upcoming federal initiatives,<br />

ultimately leading to greater adoption<br />

of health in<strong>for</strong>mation exchanges across<br />

the country.<br />

Farzad Mostashari, MD, national coordinator<br />

<strong>for</strong> health in<strong>for</strong>mation technology<br />

(HIT), predicts that 2012 will be a year “in<br />

which HIT truly comes of age.” The electronic<br />

health records incentive program, the<br />

Direct Project initiative and standards development<br />

<strong>for</strong> the Nationwide Health In<strong>for</strong>mation<br />

Network (NHIN) are all major projects<br />

that will greatly impact the way health care<br />

providers leverage technology in their day-<br />

Patient-centered care. Improved patient<br />

care is an ongoing goal and occupational<br />

therapy software offers immediate access<br />

to the patient’s entire health care record<br />

at a glance. <strong>Physical</strong> therapists can quickly<br />

evaluate treatments a patient has undergone<br />

and their effectiveness <strong>for</strong> better<br />

health care management, along with<br />

coordination of services with other medical<br />

professionals.<br />

Electronic billing. <strong>Physical</strong> therapy software<br />

allows practice owners to manage<br />

billing and coding, and submit reimbursement<br />

requests electronically. Practices<br />

must have a steady flow of income to<br />

meet wages, pay monthly bills and provide<br />

state-of-the-art treatments. EMRs increase<br />

the rate of recovery on reimbursements,<br />

can be utilized to compare providers,<br />

and obtain the best rate of payment <strong>for</strong><br />

a more profitable practice.<br />

In<strong>for</strong>mation exchange. EMRs allow clinicians and other health<br />

care professionals to coordinate treatments, and share in<strong>for</strong>mation<br />

at local, state and national levels when needed to better manage<br />

expenses, treatments and payments. n<br />

Nitin Chhoda, PT, DPT, is author of “<strong>Physical</strong> <strong>Therapy</strong> Marketing For The New<br />

Economy” and “Marketing <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> Clinics,” and founder of Referral<br />

Ignition training systems and the annual Private Practice Summit. Visit<br />

www.emr<strong>new</strong>s.com.<br />

to-day businesses.<br />

Providers will still need technology that<br />

optimizes efficiency and enables them to<br />

manage their revenue cycle management.<br />

Furthermore, payers need to make certain<br />

they offer automated solutions <strong>for</strong> processing<br />

claims that will accelerate cash flow,<br />

lower the rate of uncompensated care and<br />

reduce paperwork.<br />

But it doesn’t stop there. It is equally<br />

important that payers and technology providers<br />

educate health care providers on the<br />

ease of implementation and usability of automation<br />

software and web-based technology<br />

<strong>for</strong> greater adoption to occur. Doing so will<br />

not only save significant time and costs <strong>for</strong><br />

both groups, but it will also greatly enhance<br />

the overall payer-provider relationship and<br />

lead to real trans<strong>for</strong>mation in the way health<br />

care is delivered. n<br />

Michael Schramm is president of IVANS Healthcare<br />

Services. He can be reached at michael.schramm@<br />

ivans.com.<br />

ToM WHAlEN


MEDICARE ADVIsoR<br />

[MANAGEMENT FOCuS]<br />

Does Day of Discharge Time Count?<br />

By pauline m. franko, pt, ceeaa<br />

QuEsTIoN: For a short stay assessment, can we use minutes <strong>for</strong> the<br />

day of discharge to count toward the RuG? Typically, those minutes<br />

are non-billable, correct? And that day is not paid! Please correct<br />

me if i’m wrong—i am just looking <strong>for</strong> clarification on whether<br />

there is a different rule <strong>for</strong> short stays.<br />

ANsWER: yes, you can count the minutes <strong>for</strong> the day of discharge<br />

as the MDS captures everything that was provided on the ARD<br />

through 11:59 p.m. you will not get paid <strong>for</strong> that day but those<br />

minutes do count. This applies <strong>for</strong> any patient that is in an observation<br />

period. It would apply to the patient who is transferred to<br />

the hospital and stays out overnight, and comes back in the early<br />

morning hours. The minutes provided that day will count toward<br />

the RuG, but the facility does not get paid <strong>for</strong> that day.<br />

DISCLAIMER: The answer provided is based on Medicare guidelines.<br />

The provider should be aware of the other regulations that might<br />

supersede the Medicare payment guidelines. The in<strong>for</strong>mation<br />

provided is current as of the time of publication.<br />

Contact the authors at Encompass Consulting and Education, LLC,<br />

a company specializing in Medicare compliance, consulting and<br />

education services at www.encompassmedicare.com or by phone<br />

at 954-720-4087.<br />

Pursue a Residency<br />

Learn about Touro College’s Certifi cate in<br />

Orthopedic <strong>Physical</strong> <strong>Therapy</strong> Residency<br />

While Maintaining your present employment, the curriculum off ered<br />

at the Bay Shore Campus on Long Island will teach you how to:<br />

Develop skills in lab-intensive courses<br />

Study with renowned clinical faculty<br />

Prepare <strong>for</strong> the OCS exam<br />

ACCEPTING APPLICATIONS FOR FALL 2012 CLASSES<br />

FOR MORE INFORMATION CALL: 631 665-1600, Ext. 6276 or 6277<br />

EMAIL: optr.shs@touro.edu OR VISIT: www. touro.edu/shs<br />

Touro College is an Equal Opportunity Institution<br />

PHYSICAL THERAPISTS<br />

MAKE THE SMART CHOICE<br />

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

11


THE NExT FRoNTIER<br />

These mirAcle mAchiNes will help usher<br />

iN The New Age of rehAb eNgiNeeriNg<br />

BY JoNATHAN BAssETT<br />

In the 1952 novel Player Piano, Kurt<br />

Vonnegut portrays a haunting futuristic<br />

dystopia in which over-automation has<br />

made the work of manual laborers largely<br />

obsolete. While nobody is suggesting that<br />

the hands-on skills of rehabilitation professionals<br />

will ever be replaced by machines—<br />

in fact, employment projections suggest the<br />

exact opposite—early readers of Vonnegut’s<br />

novel would no doubt have marveled, and perhaps<br />

shuddered, at the impossibly intricate and<br />

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

intuitive devices currently housed in today’s<br />

rehabilitation labs.<br />

Visitors to the Newman Laboratory <strong>for</strong> Biomechanics<br />

and Human Function at the Massachusetts<br />

Institute of Technology would literally<br />

enter a “gym of robots,” according to Hermano<br />

Igo Krebs, PhD, principal research scientist and<br />

lecturer at MIT. Practically every movable body<br />

part has been replicated or fitted with a robot<br />

that can assist in its rehabilitation—ankle and<br />

elbow robots, whole-arm robots, wrist devices<br />

and the whole-body “Skywalker” are just the<br />

beginning.<br />

While Dr. Krebs’ robotic line-up is dazzling<br />

to behold, each has a profound purpose.<br />

“Ultimately, if [these machines] are not helpful,<br />

we are developing toys,” Dr. Krebs told his<br />

audience at last month’s annual meeting of the<br />

<strong>Rehab</strong>ilitation Engineering and Assistive Technology<br />

Society of North America (RESNA). His<br />

work addresses a real and growing need—<strong>for</strong><br />

instance, 800,000 strokes occur every year in<br />

the United States; even more in Europe. Spinal<br />

cord injury and degenerative neurological conditions<br />

mean significant cost and labor burdens<br />

to the health care system.<br />

But rather than training people to be reliant<br />

on machines, Dr. Krebs stresses that rehabilitative<br />

robotics enhances traditional therapy by kIElINSkI<br />

harnessing the recently discovered knowledge kylE


that the brain and nervous system have an<br />

inherent capacity to regenerate and compensate<br />

<strong>for</strong> damage.<br />

About two decades ago, “there was a shift<br />

in neuroscience in the paradigm that the brain<br />

was hard-wired,” said Dr. Krebs. “Be<strong>for</strong>e the<br />

1970s and 1980s there was the perception that<br />

if somebody had a stroke, there wasn’t that<br />

much that we could do to try to ameliorate the<br />

problem.” <strong>Rehab</strong> engineering is maximizing<br />

what the body is already capable of, he said.<br />

But <strong>for</strong> rehab technology to be effective,<br />

inventors and investigators are tasked with<br />

the charge of making a lasting impact, and<br />

generalizing the benefits so that gains made<br />

in the robotics lab carry over to untrained tasks<br />

in everyday life.<br />

“Robotic rehabilitation adds value to neurorehabilitation,”<br />

said Dr. Krebs. “Plasticity<br />

is real and measurable in terms of impact on<br />

patients’ recovery. [But] to be successful, we<br />

need to test everything carefully.”<br />

Here are a few burgeoning areas currently<br />

under close scrutiny.<br />

noninvasive Brain Stimulation<br />

Investigators at top research institutions across<br />

the country are placing electrodes on the heads<br />

of patients and having them run the gamut<br />

of rehabilitation techniques to determine<br />

whether noninvasive brain stimulation can<br />

enhance traditional therapy methods. So far,<br />

results are promising.<br />

“Noninvasive brain stimulation is a way of<br />

‘priming the brain’ be<strong>for</strong>e therapy,” explained<br />

Richard Harvey, MD, medical director of the<br />

stroke rehabilitation program at the <strong>Rehab</strong>ilitation<br />

Institute of Chicago. “We’re taking rehabilitation<br />

techniques that work, and making<br />

them work even better by using priming to<br />

help the brain better learn functional skills.”<br />

An ongoing RIC study suggests that noninvasive<br />

brain stimulation paired with taskspecific<br />

occupational therapy may significantly<br />

improve outcomes <strong>for</strong> patients with upperlimb<br />

deficiencies compared with therapy alone.<br />

This indicates that the approach promotes lasting<br />

neuroplastic change. RIC researchers use<br />

transcranial magnetic stimulation, a powerful<br />

Assisted gait training <strong>for</strong> stroke patients is entering the 21st century<br />

with high-tech equipment such as the active leg exoskeleton<br />

(“AlEx”), a device developed at the university of Delaware in<br />

Newark that supplies suitable <strong>for</strong>ces as needed to help a patient’s<br />

legs move in a desired trajectory.<br />

electromagnet that generates an electric current<br />

that activates neurons, sending a pulse down<br />

to a muscle.<br />

Researchers at the University of Ox<strong>for</strong>d and<br />

University College London are also looking<br />

at the potential of this technology to enhance<br />

memory training and speech therapy.<br />

In the physical therapy department at the<br />

College of Staten Island (CSI), associate professor<br />

Zaghloul Ahmed, PhD, PT, has developed<br />

a system that delivers low-power direct current<br />

to the brain, spinal cord and muscles to<br />

strengthen neuronal connections. By delivering<br />

a unique combination of electrical signals,<br />

the system stimulates the neuronal pathway<br />

that couples these sites and strengthens the<br />

signaling capacity between brain and muscle,<br />

engaging the natural recuperative mechanisms<br />

of the nervous system.<br />

What started as promising studies in animal<br />

models has grown into an encouraging treatment<br />

method with potential applications to<br />

people with stroke, spinal cord injury and neurological<br />

disease. Patients receive the modality<br />

passively <strong>for</strong> a fixed time, and Dr. Ahmed is<br />

currently enrolling subjects <strong>for</strong> a large study<br />

on humans to quantify its lasting effect. He<br />

sees potential <strong>for</strong> outpatient and even portable<br />

applications in the future.<br />

“The system and methods can be employed<br />

to strengthen or awaken any weak or dormant<br />

pathway in the nervous system—as<br />

long as there is at least some minimal connection,”<br />

he said.<br />

[CoVER SToRy]<br />

Brain-computer interfaces<br />

<strong>Rehab</strong> professionals are often limited in their<br />

options when faced with a patient with severe<br />

brainstem stroke or complete spinal cord injury<br />

that leaves no functional control of their limbs.<br />

But a collaboration of researchers at the Dept.<br />

of Veterans Affairs, Brown University, Massachusetts<br />

General Hospital, Harvard Medical<br />

School and the German Aerospace Center<br />

are combining brain-computer interfaces and<br />

robotic technology to allow patients to move<br />

robots using their minds.<br />

In the ongoing BrainGate2 study, researchers<br />

implanted a baby aspirin-sized device with a<br />

grid of 96 tiny electrodes into the motor cortex<br />

of two subjects. The electrodes are close<br />

enough to individual neurons that they can<br />

record the neural activity normally associated<br />

with intended movements.<br />

What started with a rudimentary exercise of<br />

moving a cursor on a computer screen using<br />

no more than a person’s thoughts has grown<br />

into experiments in which subjects are able to<br />

“think” a robotic arm to reach <strong>for</strong> an object or<br />

type words on a computer.<br />

In 158 trials over four days, one of the study’s<br />

subjects—a 58-year-old woman who had been<br />

paralyzed and unable to speak <strong>for</strong> nearly 15<br />

years—was able to touch a foam target 48.8 percent<br />

of the time using one model of robotic arm,<br />

and 69.2 percent using a second model. The<br />

other subject—a 66-year-old man—touched the<br />

target 95.6 percent of the time with one model.<br />

In one experiment, the female subject was able<br />

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

13


[CoVER SToRy]<br />

to command the robotic arm to lift a bottle of<br />

coffee to her mouth, tip it to drink through a<br />

straw, and return it to the table.<br />

“Our goal in this research is to develop technology<br />

that will restore independence and<br />

mobility <strong>for</strong> people with paralysis or limb<br />

loss,” said lead author Leigh Hochberg, MD,<br />

PhD, a vascular and critical care neurologist<br />

at Massachusetts General Hospital. “We have<br />

much more work to do, but the encouraging<br />

progress of this research is demonstrated not<br />

only in the reach-and-grasp data, but even<br />

more so in [the subject’s] smile when she<br />

served herself coffee of her own volition <strong>for</strong><br />

the first time in almost 15 years.”<br />

Split-Belt treadmill training<br />

Recent work in the lab of Amy Bastian, PhD,<br />

PT, director of the Motion Analysis Laboratory<br />

at Kennedy Krieger Institute in Baltimore, is<br />

focused on understanding how <strong>new</strong> walking<br />

patterns are learned. Her group has studied<br />

people adapting on a split-belt treadmill—<br />

which <strong>for</strong>ces one leg to move at a faster<br />

speed—and found that it can help correct<br />

walking deficits in children and adults with<br />

weakness on one side of the body caused by<br />

stroke, brain damage or other conditions. These<br />

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quality, access and the health care work<strong>for</strong>ce.<br />

The <strong>new</strong> health care law creates many opportunities and challenges to physical therapists.<br />

What does this mean <strong>for</strong> physical therapy practice, payment and professional<br />

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

university of Delaware postdoctoral researcher Damiano zanotto (above) and graduate student<br />

Paul stegall (previous page, in background) complete functional assessments during training to<br />

provide data on foot speed, joint motion, toe clearance and other factors that impact walking. The<br />

data will help researchers determine whether gait improvements are retained over time.<br />

effects were from a single training session and,<br />

while not permanent, show that these individuals<br />

are capable of producing a more symmetric<br />

walking pattern. Importantly, her group has


found that the cerebellum, a part of the brain<br />

involved in movement coordination, is essential<br />

<strong>for</strong> this walking adaptation. If the cerebellum is<br />

damaged, little learning occurs.<br />

“The split-belt treadmill concept came from<br />

a desire to study motor learning during walking<br />

in the laboratory. We were motivated by<br />

studies of cats, who could walk on treadmills<br />

when the legs were made to walk at different<br />

speeds,” Dr. Bastian said. “We had a specialized<br />

treadmill built in 2002 and saw robust<br />

learning effects early on.”<br />

Most recently, Dr. Bastian and colleagues<br />

coupled the treadmill training with noninvasive<br />

brain stimulation and found an even<br />

greater effect. In a study published last month<br />

in the Journal of Neurophysiology, the team<br />

found that by placing electrodes on the scalp<br />

over the cerebellum and applying very low<br />

levels of current, the rate of walking adaptation<br />

could be increased or decreased.<br />

Dr. Bastian’s team found not only that cerebellar<br />

transcranial direct current stimulation<br />

(tDCS) can change the rate of cerebellum-<br />

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dependent locomotor learning, but specifically<br />

that the anode (positive) stimulation<br />

speeds up learning, and the cathode (negative)<br />

slows it down. Also surprising was that<br />

only stimulation of the side that controls<br />

the leg walking on the faster treadmill belt<br />

changed adaptation rate.<br />

“It is important to demonstrate that we can<br />

make learning faster or slower, as it suggests<br />

that we are not merely interfering with brain<br />

function,” said Dr. Bastian. “Our findings also<br />

suggest that tDCS can be selectively used to<br />

assess and understand motor learning.”<br />

If anodal tDCS prompts faster learning,<br />

this may help reduce the amount of time<br />

needed <strong>for</strong> stroke patients to relearn to walk<br />

evenly, said Dr. Bastian. “It may also be possible<br />

to use tDCS to help sustain gains made<br />

in therapy, so patients can retain and practice<br />

improved walking patterns <strong>for</strong> a longer<br />

period of time.” Her current work is focused<br />

on the effects of long-term training on the splitbelt<br />

treadmill, with the goal of making more<br />

permanent changes in walking.<br />

Lifting your patients to a <strong>new</strong><br />

level may help control:<br />

• Leg Deficiencies<br />

• Back Pain<br />

• Achilles Tendonitis<br />

• Gait Problems<br />

[CoVER SToRy]<br />

rehabilitative robotics<br />

Walking ability is the most-often cited impairment<br />

after stroke, and breakthroughs in rehabilitative<br />

robotics are leading the way to<br />

return this critical function. Capitalizing on<br />

the plasticity of the human brain, and building<br />

on earlier studies in animals, researchers are<br />

finding that robot-assisted walking can return<br />

leg function through task-specific training.<br />

Sunil Agrawal, PhD, professor of mechanical<br />

engineering at the University of Delaware,<br />

is currently studying the effects of an<br />

actively driven leg exoskeleton (ALEX) that<br />

can modulate foot movement using motors<br />

at the joints.<br />

The ALEX robotic device helps users overcome<br />

learned compensation techniques by<br />

allowing them to move through a preselected<br />

footpath with a built-in window of variability.<br />

The robotic device corrects movements outside<br />

the desired window using an elastic resistance,<br />

similar to what physical therapists do during<br />

manual training.<br />

frontier continued on page 30<br />

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

15


[PEDIATRIC MoBIlITy]<br />

Easier Breathing<br />

standing can help prevent<br />

respiratory complications<br />

in children with cp<br />

By Carol gilligan, PT, lindsey Hulit-<br />

Harrigan, DPT, and Jennifer sargent, PT<br />

studies have shown that 2.3 to 3.6 of<br />

1,000 children born in the United<br />

States have cerebral palsy. Moderate<br />

to severe cerebral palsy is defined as<br />

Gross Motor Function Classification System<br />

(GMFCS) levels III to V. Level III is defined<br />

as being able to walk with assistive devices<br />

and requiring a wheelchair outdoors and in<br />

the community, level IV is defined as selfmobile<br />

in a wheelchair with limitations, and<br />

level V as very limited in self-mobility even<br />

with assistive technology. 1 These children are<br />

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

susceptible to many illnesses and medical<br />

complications throughout their lives, which<br />

may lead to a shortened life expectancy.<br />

Many therapists are aware of the impact<br />

of standing programs on range of motion<br />

and bone density, but a consistent standing<br />

program also supports respiratory development,<br />

positively affecting respiratory health<br />

throughout the lifespan.<br />

Forty-two percent of children who were<br />

classified as level IV and used a feeding tube<br />

had respiratory problems; 23 percent in level<br />

V who did not have a feeding tube had respiratory<br />

problems. Nine percent of children in<br />

level IV and 15 percent in level III had respiratory<br />

problems. 2<br />

Maudsley, Hutton and Pharoah in 1999<br />

reported that in the United Kingdom from<br />

1966 to 1991, 37 percent of children with<br />

cerebral palsy died as a result of viral or bacterial<br />

pneumonia, and 27 percent died as a<br />

result of acute upper respiratory illnesses<br />

such as bronchitis, bronchiolitis or as a result<br />

of pneumonia due to aspiration of foods, liquids<br />

or secretions. 3<br />

typical chest Development<br />

In a typically developing child, significant<br />

changes in chest wall shape and respiratory<br />

efficiency occur between the ages of 6<br />

months and 12 months when the child begins<br />

to assume upright positions. In a vertical<br />

position, the child effectively strengthens the<br />

abdominal musculature.<br />

The increase in muscle strength, combined<br />

with the effects of gravity, exert a downward<br />

pull on the ribs, opening the intercostal spaces<br />

and effectively optimizing the length-tension<br />

relationship of the diaphragm and intercostals.<br />

The <strong>new</strong>found length in these muscles enables<br />

them to contract more easily and with greater<br />

<strong>for</strong>ce, resulting in increased chest excursion<br />

in anterior-posterior, superior-inferior and<br />

transverse planes.<br />

The development of the diaphragm, abdominal<br />

muscles and intercostals provides stability<br />

to the viscera and chest wall as intra-abdominal<br />

and intrathoracic pressures inversely oscillate<br />

between phases of respiration.<br />

Total lung volume increases fourfold, and<br />

the size of the conducting airways increase<br />

threefold. 4 Increases in inspiratory and expiratory<br />

reserves and increased tidal volume<br />

support the child as activity levels rise.<br />

atypical chest Development<br />

Children with moderate to severe cerebral<br />

palsy have significant trunk muscle weakness<br />

and muscle tone imbalance. Their functional<br />

antigravity muscle strength and motor control<br />

are compromised, frequently resulting<br />

in increased time spent in supported supine<br />

positions. The floor acts as a stabilizing <strong>for</strong>ce<br />

on the ribcage, prohibiting it from a typical<br />

pattern of expansion, most notably in the<br />

anterior-posterior plane.<br />

Further exacerbating the problem is the<br />

effect of abdominal muscle weakness on the<br />

position of the ribs. The abdominals lack the<br />

strength to effectively rotate the ribs downward,<br />

leaving the intercostals and diaphragm<br />

in shortened positions and resulting in a<br />

reduced rib cage size relative to the size of<br />

the trunk.<br />

These children are typically restricted in<br />

CouRTESy kIDS ABIlITIES


oth anterior-posterior and superior-inferior<br />

rib cage expansion, allowing predominant<br />

lateral rib movement during respiration.<br />

This decreases tidal volume and respiratory<br />

reserves, resulting in poor secretion clearance<br />

and requiring an increase in respiratory<br />

rate.<br />

The a<strong>for</strong>ementioned deficits in respiratory<br />

muscle strength in children with moderate<br />

to severe cerebral palsy significantly increase<br />

their susceptibility to respiratory disease.<br />

Shallow, irregular respiration combined with<br />

decreased efficiency and poor coordination<br />

of the breathing mechanisms jeopardize ventilatory<br />

capacity. A compounding risk factor<br />

<strong>for</strong> respiratory disease is the reduced level of<br />

physical activity present in this population as<br />

a result of impaired neuromotor control. 5<br />

Decreased range of motion in the thorax<br />

and shoulder girdle results in increased work<br />

to maintain adequate ventilation. Many of<br />

these deficits can be addressed with the aid<br />

of positioning devices to develop an upright<br />

positioning routine.<br />

Standing <strong>for</strong> respiratory health<br />

A positioning and strengthening program is<br />

important <strong>for</strong> children with compromised<br />

respiratory status. Children with limited<br />

movement are at risk <strong>for</strong> chest complication<br />

because of chest wall biomechanics, feeding<br />

difficulties, immobility and poor coughing<br />

abilities. Regular placement in an upright<br />

position can contribute to pulmonary health. 6<br />

A strengthening program may include progressive<br />

resistive exercise, isometric exercise<br />

and use of isokinetic devices. 7<br />

Supported standing <strong>for</strong> children with moderate<br />

to severe cerebral palsy is a <strong>for</strong>m of exercise<br />

and has been shown to improve strength<br />

and endurance and these in turn will result in<br />

improved respiratory health.<br />

Standing has been shown to improve lung<br />

capacity. In addition, studies have shown<br />

that those who stand frequently have lesser<br />

or delayed occurrence of respiratory complications<br />

and improved respiratory volume.<br />

Standing can also help to reduce chest congestion<br />

and coughing. 8<br />

[PEDIATRIC MoBIlITy]<br />

The increased extension of the upper trunk<br />

that occurs when positioned in a stander<br />

reduces pressure on internal organs, thus<br />

enhancing respiratory capacity and the ability<br />

to function. A standing program can prevent<br />

many of the complications often seen in children<br />

who use wheelchairs <strong>for</strong> mobility.<br />

Respiratory problems can cause numerous<br />

hospitalizations <strong>for</strong> children with moderate to<br />

severe cerebral palsy. Maintaining a healthy<br />

respiratory status should be a top priority<br />

<strong>for</strong> this population. 9 <strong>Physical</strong> therapy is an<br />

important component in assisting children<br />

with moderate to severe cerebral palsy to<br />

maintain their respiratory health.<br />

<strong>Physical</strong> therapists can provide evaluation<br />

and recommendations <strong>for</strong> home standing programs<br />

using an appropriate assistive device.<br />

A standing program should be considered an<br />

essential preventive strategy. It is less expensive<br />

than a more passive or reactive approach<br />

to dealing with respiratory complications and<br />

should lead to greater health <strong>for</strong> children with<br />

cerebral palsy. 9<br />

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

17


[PEDIATRIC MoBIlITy]<br />

There have been few studies done that look<br />

at improving cardio-respiratory fitness in<br />

children with cerebral palsy, but preliminary<br />

results indicate that gains are possible with<br />

the use of a strengthening program such as<br />

one that includes standing.<br />

Respiratory health is essential <strong>for</strong> functional<br />

abilities and quality of life <strong>for</strong> children with<br />

moderate to severe cerebral palsy. The leading<br />

cause of death <strong>for</strong> these children is respiratory-related.<br />

It has been scientifically demonstrated<br />

that children with cerebral palsy<br />

have the potential to improve their respiratory<br />

function through exercise, but options<br />

<strong>for</strong> exercise through movement are limited<br />

<strong>for</strong> these children.<br />

A regular standing program has been<br />

proven to improve measures of respiratory<br />

function, leading to decreased incidence of illness<br />

and should be a daily part of life <strong>for</strong> children<br />

with moderate to severe cerebral palsy.<br />

Further research must be per<strong>for</strong>med that will<br />

allow us to improve our ability to intervene<br />

and to decrease disease, prevent secondary<br />

• Hands Free <strong>Therapy</strong><br />

• Decrease Fear of Falling &<br />

Increase Productive <strong>Therapy</strong><br />

health complications and enhance the quality<br />

of life in children with cerebral palsy. n<br />

References<br />

1. Liptak, G., O’Donnell, M., et al. (2001). Health status<br />

of children with moderate to severe cerebral<br />

palsy. Developmental <strong>Medicine</strong> & Child Neurology,<br />

43, 364-370.<br />

2. Maudsley, G., Hutton, J., & Pharoah, P. (1999).<br />

Cause of death in cerebral palsy: A descriptive<br />

study. Archives of Disease in Children, 81, 390-394.<br />

3. Massery, M. (1991). Chest development as a component<br />

of normal motor development: Implications<br />

<strong>for</strong> pediatric physical therapists. Pediatric<br />

<strong>Physical</strong> <strong>Therapy</strong>, 3(1), 3-8.<br />

4. Shaffer, T., Wolfson, M., & Bhutani, V. (1981).<br />

Respiratory muscle function, assessment and<br />

training. <strong>Physical</strong> <strong>Therapy</strong>, 61, 1711-1723.<br />

5. Campbell, S., Vander Linden, D., & Palisano, R.<br />

(2006). <strong>Physical</strong> <strong>Therapy</strong> <strong>for</strong> Children, Third Edition.<br />

Lyme, CT: Greenwich Publishing Group.<br />

6. Tecklin, J. (1981). <strong>Physical</strong> therapy <strong>for</strong> children<br />

with chronic lung disease. <strong>Physical</strong> <strong>Therapy</strong>, 61,<br />

1774-1782.<br />

7. Arva, J., Paleg, G., et al. (2009). RESNA Position<br />

Allowing Patients To Take The Next STEP...<br />

“SOLO-STEP has given our facility an added<br />

edge to take on more challenging cases safely <strong>for</strong><br />

both the patient and therapist.”<br />

-Michel Vincent - PT/MOMT<br />

“This is the single best application of<br />

movement available in all of our eight<br />

clinics and has improved compliance.”<br />

-Mark McDonald - PT-OCS<br />

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

Learn More @ www.solostep.com<br />

Phone: (866) 631-1117<br />

on the Application of Wheelchair Standing<br />

Devices. Assistive Technology, 21, 161-168.<br />

8. Massery, M. (1994). What’s Positioning Got to<br />

Do With It? Neurology Report, 18(3), 11-14.<br />

9. Fowler, E., Kolobe, T., et al. (2007). Promotion<br />

of physical fitness and prevention of secondary<br />

conditions <strong>for</strong> children with cerebral palsy: Section<br />

of Pediatrics Research Summit Proceedings.<br />

<strong>Physical</strong> <strong>Therapy</strong>, 87, 1495-1510.<br />

Carol Gilligan, Lindsey Hulit-Harrigan and Jenny<br />

Sargent are all physical therapists at Kids Abilities,<br />

established in January 2000 in Shoreview, MN,<br />

and Hugo, MN, with a third location opening in<br />

Indianapolis. Kids Abilities offers physical, occupational<br />

and speech therapies, serving clients from<br />

birth to young adulthood with diagnoses including<br />

cerebral palsy, spina bifida, brain injury, Down<br />

syndrome and autism disorders. Together the<br />

authors have more than 40 years of experience.<br />

www.advanceweb.com/pt<br />

Want more in<strong>for</strong>mation on pediatrics? Visit us<br />

at www.advanceweb.com/PTPediatrics<br />

PATENTED


Proper Pressure<br />

Transitioning lymphedema<br />

patients to home care with<br />

pneumatic compression<br />

By karen Ash<strong>for</strong>th, Ms, oTR, CHT, ClT-lANA<br />

ing a resurgence in popularity as a<br />

treatment <strong>for</strong> lymphedema, both as<br />

a means of accelerating the in-clinic<br />

treatment phase, as well as <strong>for</strong> home care.<br />

Lymphedema is a disease of the body’s<br />

“drainage system”—the lymphatics. It is<br />

a condition in which swelling occurs as a<br />

result of an abnormal collection of proteinrich<br />

lymphatic fluid, due to inadequate lymph<br />

transport capacity caused by mal<strong>for</strong>mation,<br />

disruption or disease. Common causes are tissue<br />

damage due to cancer surgery or radiation,<br />

and as a result of venous insufficiency. Lymphedema<br />

is often classified by stages ranging<br />

from zero, or subclinical, to Stage 3, which<br />

is characterized by disfigurement, impaired<br />

mobility and function. 1<br />

Lymphedema therapists are trained in<br />

complete decongestive therapy (CDT), the<br />

traditional treatment <strong>for</strong> lymphedema. Treatment<br />

goals are to reduce swelling by moving<br />

edema from the affected areas and into intact<br />

parts of the lymphatic system. CDT focuses<br />

on edema reduction using a specialized type<br />

of massage called manual lymphatic drainage<br />

(MLD), and multi-layered bandaging, which<br />

contains the reduction and applies strong<br />

kAREN ASHFoRTH Pneumatic compression is experienc-<br />

“working” pressure when muscles or joints are<br />

flexed. Lymphedema training is a 135-hour<br />

course, leading to board certification by the<br />

Lymphedema Association of North America<br />

(LANA). Most lymphedema therapists are PTs<br />

and OTs; other professions include physicians,<br />

nurses and massage therapists.<br />

history and resurgence<br />

In the past, classically trained lymphedema<br />

therapists were cautious about adopting<br />

pneumatic compression as a modality. This<br />

is despite the fact that pneumatic compression<br />

has been shown to be equivalent in efficacy<br />

to professionally applied manual lymph<br />

drainage, 2 offering better maintenance control<br />

than self-applied massage, 3 and an effective<br />

adjunctive modality when combined with<br />

other treatments. 4<br />

In addition, <strong>for</strong> many years pneumatic<br />

compression appliances were available <strong>for</strong><br />

extremities only, and did not provide treatment<br />

<strong>for</strong> torso edema. However, this limitation<br />

has long since been overcome due to the<br />

development of specialized appliances that<br />

treat the torso as well as the extremities, along<br />

with multimodal treatment cycles that can<br />

vary the patterns of massage. Pneumatic compression<br />

has once again become an important<br />

treatment component <strong>for</strong> lymphedema.<br />

It is important to remember that although<br />

pneumatic compression can per<strong>for</strong>m similar<br />

decongestive function, it is not a substitute<br />

<strong>for</strong> hands-on massage. A machine, no matter<br />

[lyMPHEDEMA]<br />

A patient uses a calibrated gradient pump and<br />

torso–arm appliance.<br />

how sophisticated, cannot replace the hands<br />

and eyes of a trained lymphedema therapist.<br />

Sometimes very specific manual techniques<br />

and drainage patterns are required; <strong>for</strong> example,<br />

in treating a patient with an irregularly<br />

shaped breast. However, the automated and<br />

replicable action of pneumatic compression<br />

has the advantage of being more cost-effective<br />

than professional MLD, and more efficient<br />

than self-applied massage.<br />

Pneumatic compression decongests swollen<br />

arms, legs and torso areas by applying massage<br />

and compression. A console supplies air<br />

at calibrated pressure to an appliance, which<br />

is worn around the treated body part. The<br />

appliance contains air chambers that inflate<br />

and deflate in one or more specific patterns,<br />

creating a directional compressive movement<br />

that decongests edematous areas.<br />

types of Systems<br />

There are a wide variety of pneumatic compression<br />

systems, from basic three or four<br />

chamber units that are limited to treating<br />

arms or legs, to more complex combinations<br />

that can treat extremities and trunk. Systems<br />

are classified by the ability to set the pressure<br />

across the entire appliance (sequential pump)<br />

or in individual sections on the appliance (calibrated<br />

gradient pump).<br />

The arms and legs are a major focus of<br />

lymphedema treatment. If edema is limited<br />

to these areas, an extremity-only appliance<br />

is usually sufficient and has the advantage<br />

of being lower-profile and easier to comply<br />

with than a torso or truncal appliance system.<br />

However, if the lymphatic system in the<br />

trunk is damaged, it needs treatment as well.<br />

Fluid drained from arms or legs can collect<br />

and congest at the end of the extremity, and<br />

add to edema that is already in the abdomen,<br />

genitals, shoulders, chest or back.<br />

In the past 10 years, more sophisticated<br />

devices and appliances have been developed<br />

to treat areas of the trunk and torso,<br />

with many options including the ability to<br />

vary amounts of compression and pre-treat<br />

proximal areas.<br />

applications<br />

Pneumatic compression can be particularly<br />

effective <strong>for</strong> patients who have widespread<br />

edema or have limited range of motion,<br />

strength and endurance. It is also useful <strong>for</strong><br />

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

19


[lyMPHEDEMA]<br />

Educate lymphedema Patients <strong>for</strong> Improved outcomes<br />

By philip allmendinger, mD<br />

lymphedema is an enigma <strong>for</strong> the medical/surgical<br />

world. We know of its many<br />

causes, such as inflammation, surgical<br />

obstruction, radiation obstruction,<br />

parasite infestation, congenital anomalies,<br />

tumor obstruction, and sometimes <strong>for</strong> reasons<br />

unknown.<br />

We can treat the manifestations of lymphedema;<br />

i.e., swelling, ulceration, infection<br />

and physical discom<strong>for</strong>t. However, it is critical<br />

<strong>for</strong> health care providers to keep in mind<br />

there is no known cure <strong>for</strong> this disorder and<br />

no way of predicting long-term patient outcome,<br />

i.e. complete remission, necessity of<br />

daily maintenance, or continued progression<br />

of the disorder.<br />

As part of all treatment programs, health<br />

care providers should educate patients about<br />

the importance of long-term self-care activities,<br />

which primarily consist of self-assessment, selfmassage,<br />

skin care and continued use of pneumatic<br />

pumps and/or compression garments to<br />

introducing<br />

The finest Italian therapeutic compression since 1976.<br />

MICRO MASSAGE<br />

—a <strong>new</strong>, more com<strong>for</strong>table approach to compression<br />

Exceptionally com<strong>for</strong>table and sleek, Solidea’s textured fabrics<br />

create a gentle micro massage in a lighter graduated compression<br />

garment. This combination helps the body utilize subcutaneous<br />

capillaries to maximize fluid movement.<br />

contact lsc distribution <strong>for</strong> in<strong>for</strong>mation<br />

888.841.8834 lscdistribution.com<br />

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

maintain the gains made in therapy.<br />

In addition, patients should be educated<br />

about the risks of not following a self-care<br />

regimen; i.e., progression of the disorder, risk<br />

of infection, and possible disfigurement from<br />

prolonged lymphatic fluids trapped in the tissues,<br />

causing fibrosis. This in<strong>for</strong>mation is not<br />

intended to scare the patient but to help them<br />

understand the risks of noncompliance.<br />

The issue of noncompliance is a result of<br />

many factors including time, difficulty of donning,<br />

discom<strong>for</strong>t and embarrassment of wearing<br />

compression garments. un<strong>for</strong>tunately,<br />

noncompliance can lead to a more progressed<br />

condition that can be much more difficult to<br />

treat and manage, resulting in a decreased<br />

quality of life <strong>for</strong> patients.<br />

Compression garments have long been and<br />

still are the mainstay of therapy maintenance,<br />

and there are many <strong>new</strong> options available to<br />

clinicians and patients.<br />

Although some patients with progressed<br />

conditions will still require garments that are<br />

uncom<strong>for</strong>table and difficult to put on, early<br />

detection and intervention is allowing patients<br />

to maintain with <strong>new</strong>er, more advanced garments<br />

that are effective while being com<strong>for</strong>table,<br />

easy to put on and attractive to wear.<br />

By introducing patients to more current<br />

options to manage this disorder, patients are<br />

more apt to be compliant with self-care activities,<br />

and there<strong>for</strong>e can increase the possibility<br />

of better long-term outcomes. n<br />

Philip Allmendinger is a recently retired cardiothoracic<br />

and vascular surgeon with a long history of interest in<br />

lymphedema. He received his education at the University<br />

of Michigan and his cardiac surgical training at the<br />

Texas Heart Institute. His surgical career spanned more<br />

than 35 years at the Hart<strong>for</strong>d Hospital in Hart<strong>for</strong>d, CT.<br />

Open-heart surgery and endovascular surgery have<br />

been the major focus of his career; however, lymphedema<br />

was a frequent condition in these patients<br />

and became a significant interest.


patients who have chronic wounds and those<br />

with limited mobility such as wheelchair users<br />

with feet in a prolonged dependent position.<br />

A recent survey of home users indicates<br />

that patients using pneumatic compression<br />

at home have high compliance and satisfaction<br />

levels. 5 Patient preference and perceived<br />

effectiveness of commonly used home treatment<br />

modalities were examined. Patients who<br />

had insurance access to all treatment modalities<br />

ranked pneumatic compression highest<br />

in effectiveness and compliance. Those who<br />

had access to pneumatic compression used<br />

it consistently, ranging from daily to several<br />

times a week compared to those who relied<br />

on MLD and were less consistent.<br />

reimbursement issues<br />

Many insurers will cover pneumatic compression<br />

<strong>for</strong> home use, particularly <strong>for</strong> patients<br />

who do not respond adequately to conservative<br />

treatment (exercise, elevation and<br />

compression).<br />

However, coverage criteria can vary. For<br />

example, Medicare requires a qualified diagnosis<br />

(primary lymphedema with onset in childhood<br />

or adolescence, lymphedema secondary<br />

to malignancy or surgery <strong>for</strong> cancer, or venous<br />

wounds of more than six months in duration)<br />

as well as evidence that conservative treatment<br />

has been used <strong>for</strong> at least a month, and has<br />

failed to significantly manage swelling.<br />

For those patients with extremity swelling<br />

who need a home program that goes beyond<br />

the standard conservative treatment, many<br />

insurers cover a basic 3-4 chamber pneumatic<br />

compression device with arm or leg sleeves.<br />

This type of system may, in fact, be sufficient<br />

<strong>for</strong> many patients.<br />

For patients with swelling in the torso,<br />

abdomen or genitals as well as extremities, a<br />

more complex device is appropriate: one with<br />

an appliance that can decongest the abdomen,<br />

torso and the extremities. Coverage <strong>for</strong> these<br />

pumps is more challenging and evidence<br />

of need and effectiveness <strong>for</strong> an individual<br />

patient must be documented. When selecting<br />

a system <strong>for</strong> a patient it is important to<br />

[lyMPHEDEMA]<br />

ensure that the patient can put on and remove<br />

the appliance; some systems are easier to use<br />

than others, especially <strong>for</strong> patients with limited<br />

range of motion.<br />

Calibrated gradient systems may also<br />

be necessary <strong>for</strong> extremity-only therapy in<br />

patients with fibrosis or very irregularly<br />

shaped legs or arms, or who have special circumstances<br />

requiring pressure adjustments<br />

over specific areas.<br />

using pneumatic compression<br />

Therapists should be aware of contraindications<br />

to pneumatic compression use, such as<br />

in cases of:<br />

• Active malignancy (although pneumatic<br />

compression can be used in providing com<strong>for</strong>t<br />

in terminal illness);<br />

• Unhealed fracture or high potential <strong>for</strong><br />

fracture (such as severe osteoporosis);<br />

• Unresolved deep vein thrombosis or pulmonary<br />

embolism;<br />

• Acute infection;<br />

lymphedema continued on page 30<br />

Fast-track your home treatment<br />

plan with Lympha Press ®<br />

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easy to use at home.<br />

Advanced pneumatic compression by Lympha Press ®<br />

www.lympha-press.com | 888-596-7421<br />

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

21


proDuctS at work<br />

Motivation and Enjoyment<br />

The clinical implementation of the Valedomotion, an<br />

innovative low-back pain therapy system<br />

By Bryan gilreath, PT, DPT, oCs, CWCE,<br />

Joel glasgow, PT, MsPT, and Anne<br />

Chan, PT, DPT, MBA, NCs<br />

sheltering Arms <strong>Physical</strong> <strong>Rehab</strong>ilitation<br />

Centers (Richmond, VA) was<br />

the first clinic in the United States<br />

to evaluate the ValedoMotion, an<br />

innovative therapy system developed by<br />

the Swiss-based company Hocoma, in cooperation<br />

with clinical experts and therapists,<br />

<strong>for</strong> low-back pain patients who require core<br />

conditioning or stabilization. The device is<br />

driven by software that challenges patients,<br />

while also motivating them through games<br />

that are progressive in complexity and difficulty,<br />

leading to improvement in strength,<br />

range of motion and trunk control.<br />

Some patients were skeptical at first,<br />

and some elderly patients were hesitant.<br />

But once they experienced the potential<br />

benefits of the ValedoMotion system, they<br />

were excited and motivated. Most of our<br />

patients showed improvement after using<br />

the device, leading us to consider expanding<br />

the number of patients treated with the<br />

ValedoMotion system.<br />

Our evaluation of this therapy system<br />

suggests that the biggest advantage is being<br />

able to visually demonstrate to patients their<br />

abnormal movement patterns and to provide<br />

them with detailed and engaging visual<br />

feedback on proper techniques to strengthen<br />

their trunk muscles. Most patients perceived<br />

the games as fun, not exercise. After a full<br />

day of training on how to set up and use the<br />

device, we were excited to implement the<br />

ValedoMotion into practice at two Sheltering<br />

Arms clinics.<br />

Setting up<br />

Typically, our clinics start with conventional<br />

therapy <strong>for</strong> patients with low-back<br />

pain. Following clinic implementation of<br />

the ValedoMotion System and protocols,<br />

the ValedoMotion system was incorporated<br />

in the treatment program when the<br />

treating therapist judged that either a more<br />

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

aggressive core strengthening program was<br />

indicated, or a movement disorder existed.<br />

We have found that a critical aspect to the<br />

ValedoMotion system is the fact that patients<br />

are easily engaged in the protocol and seem<br />

highly motivated to exercise.<br />

The ValedoMotion system works via two<br />

wireless movement sensors that are attached<br />

to the patient’s back and that transfer movements<br />

into specific exercises on a tablet PC.<br />

Patients can then train to improve their<br />

movement awareness and practice stabilization<br />

and mobilization exercises in different<br />

training positions, ranging from standing<br />

to four-point kneeling to sitting.<br />

In the typical ValedoMotion protocol, one<br />

or two basic activities are conducted during<br />

the first session, intended to familiarize the<br />

patient with the technology and to isolate<br />

the movements necessary to succeed in<br />

using it. As the patient learns to per<strong>for</strong>m<br />

the basic movements, they are progressed<br />

to additional exercises, increased exercise<br />

difficulty, extended game times, and more<br />

challenging training positions.<br />

The first sessions using the ValedoMotion<br />

have been 2/3 traditional therapy plus<br />

1/3 therapy devoted to the ValedoMotion.<br />

Because some patients required more<br />

hands-on instruction and feedback, we did<br />

not leave patients alone during treatment<br />

sessions with the device.<br />

Getting results<br />

We trialed the ValedoMotion on several<br />

types of back pain patients in order to<br />

determine those patients who might derive<br />

greatest benefit from the system. We used<br />

the system on patients with acute and<br />

chronic low-back pain, uni-level fusions,<br />

overall poor trunk or core strength, as<br />

well as lower back movement disorders.<br />

While the broad range of patients appear<br />

to benefit from using the device, the nonsurgical,<br />

acute patients with no radicular<br />

symptoms seemed to benefit most from the<br />

ValedoMotion system. Due to the inherent<br />

risks associated with the following conditions,<br />

we decided to exclude post-surgical<br />

patients (especially those with multi-level<br />

fusions), patients with radicular symptoms<br />

(pain, strength loss, sensory abnormalities),<br />

and spondylolysthesis patients from<br />

treatment using the ValedoMotion system.<br />

Some patients complained of post-treatment<br />

muscle soreness, which we characterized<br />

as indications that they were successfully<br />

isolating weak musculature.<br />

tips and conclusions<br />

In order to ensure the best possible integration<br />

of the ValedoMotion system in the<br />

clinical routine, it is vital <strong>for</strong> therapists to be<br />

familiar with the equipment prior to using it<br />

with a patient. Setting up a treatment protocol<br />

to familiarize the patients with the technology<br />

is important as well. Our clinics used<br />

the lumbar ROM exercise (an assessment<br />

tool) with all patients in the first four to five<br />

sessions just to teach them how to isolate<br />

the correct movements. There are different<br />

training positions that can be used with the<br />

system. While the patient is engaged in the<br />

game, the therapist is focused on the movements<br />

of the patient to ensure that he or<br />

she is not using substitution patterns. The<br />

reward-based approach employed in the<br />

ValedoMotion system represents welcome<br />

clinical enhancements <strong>for</strong> our patients. n<br />

Bryan Gilreath, Joel Glasgow and Anne Chan<br />

are physical therapists with Sheltering Arms,<br />

Richmond, VA.<br />

COuRTESY SHELTERiNG ARMS


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 website. Contact: In-Home<br />

<strong>Therapy</strong> Services, LLC, 800-931-5769; www.inhometherapy<br />

services.com <strong>for</strong> more in<strong>for</strong>mation and to register online.<br />

ON-SITE SEMINARS<br />

JULY 28-29, 2012 DALLAS, TX<br />

AUG. 11-12, 2012 SAN ANTONIO, TX<br />

SEPT. 22-23, 2012 CHARLOTTE, NC<br />

Assessment & Treatment<br />

Age-Related Balance Impairment<br />

This intensive two-day course is designed to provide evidence-based<br />

fall prevention strategies <strong>for</strong> reducing the<br />

number of falls in the elderly population and discuss balance<br />

treatments <strong>for</strong> inpatients as well as community-based falls<br />

prevention programs. Through interesting lecture and handson<br />

labs, this course will provide skills that can be used in the<br />

clinical setting the very next day. Over 80% of attendants<br />

rated this course Excellent, all others rated it Good. Cost: Only<br />

$350 <strong>for</strong> 16 hours. Contact: JVB Enterprises, Inc., 888-328-<br />

6755; or www.teachtx.com <strong>for</strong> other courses offered in your<br />

area or <strong>for</strong> more in<strong>for</strong>mation.<br />

AUG. 2-3, 2012 BALTIMORE, MD<br />

SEPT. 15-16, 2012 POMONA, CA<br />

OCT. 20-21, 2012 SAN FRANCISCO, CA<br />

#304 AEIOU: An Integrated<br />

Approach to Pediatric Feeding<br />

Nina Ayd Johanson, MS, CCC-SLP. The AEIOU Approach integrates<br />

five factors to guide effective family-centered intervention<br />

that emphasizes the concepts of active participation,<br />

independence, and shared control of feeding. Participants<br />

will learn practical in<strong>for</strong>mation to address complex etiologies,<br />

improve quality of mealtime, manage tube/supplement<br />

dependency, treat sensory-based food aversion, and more.<br />

Case studies, videos, and more, teach when and how to<br />

treat to achieve functional outcomes. Contact: Motivations,<br />

Inc., 800-791-0262; www.motivationsceu.com or admin@<br />

motivationsceu.com<br />

AUG. 10-11, 2012 NEWPORT BEACH, CA<br />

SEPT. 14-15, 2012 CHICAGO, IL<br />

OCT. 12-13, 2012 DENVER, CO<br />

Secrets & Steps to<br />

Private Practice Success<br />

Step-by-Step instruction course on how to increase referrals,<br />

revenue, & reimbursement quickly and af<strong>for</strong>dably! Perfect<br />

<strong>for</strong> Experienced Owners & Beginners. SECRETS INCLUDE: 1)<br />

Why an MD will stop referring, 2) Your front desk will make or<br />

break you, 3) Coding & Modifier Secrets to double your reimbursements,<br />

4) Employee Leadership is Key, 5) Advertising<br />

Secrets & Templates, 6) Secret Promotions <strong>for</strong> Instant<br />

Business, 7) Best Equipment & Software. TESTIMONIALS:<br />

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800-801-4511; or www.IndeFree.com <strong>for</strong> more locations.<br />

AUG. 10-11, 2012 PHILADELPHIA, PA<br />

SEPT. 21-22, 2012 KANSAS CITY, MO<br />

Treatment of Patients<br />

With Neurologic Disorders<br />

This course will help focus on making evidence-based strategies<br />

easy to integrate into your adult neuro-rehab practice.<br />

Outcome measures that are reliable and valid in persons with<br />

neurological diagnoses will be presented and demonstrated.<br />

Treatment approaches that improve ambulation and upper<br />

extremity functioning will be presented. Foundational strategies<br />

including strengthening, cardiovascular conditioning and<br />

neuroplasticity <strong>for</strong> persons with neurolgical diagnoses will<br />

be emphasized, with case studies. Instructor: Kari Dunning.<br />

Contact: Education Resources, Inc., 508-359-6533; 800-<br />

487-6530 (outside MA); www.educationresourcesinc.com<br />

AUG. 11-12, 2012 ST. PETERSBURG, FL<br />

AUG. 25-26, 2012 FT. MYERS, FL<br />

SEPT. 15-16, 2012 ATLANTA, GA<br />

Sara Meeks Seminars<br />

On Osteoporosis - Level I<br />

Statistics show that over 55% of people over age 50 have low<br />

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

people with these conditions; get the latest in<strong>for</strong>mation<br />

on management; take home a comprehensive, safe, effective<br />

intervention <strong>for</strong> this and other back pathologies including<br />

spinal stenosis. Start Certification in The Meeks Method,<br />

based on sound therapeutic exercise principles as reflected<br />

in the research literature. An award-winning, international<br />

presenter, Sara Meeks, PT, MS, GCS, teaches all locations.<br />

CEUs provided. Contact: SARA MEEKS SEMINARS, 888-330-<br />

7272; or www.sarameekspt.com<br />

AUG. 12, 2012 NEWPORT BEACH, CA<br />

SEPT. 16, 2012 CHICAGO, IL<br />

OCT. 14, 2012 DENVER, CO<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 />

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

Contact: 800-801-4511; or www.IndeFree.com<br />

AUG. 17-18, 2012 FAIRFIELD, CT<br />

OCT. 5-6, 2012 WASHINGTON, DC<br />

NOV. 9-10, 2012 HOLLYWOOD, FL<br />

Nothing Else Matters<br />

If You Can’t Breathe!<br />

This course focuses on the primary and secondary cardiopulmonary<br />

impairments that limit therapeutic and patient<br />

outcomes in various settings from the Intensive Care Unit to<br />

Long Term Care to Outpatients, school setting and to Home<br />

Care. It includes examination and patient care management<br />

of cardiopulmonary disease and dysfunction. The physiological<br />

and evidence basis of interventions will primarily focus on<br />

practical aspects relating to all patients and clients. The title<br />

of the seminar tells it all, nothing else matters if you can’t<br />

breathe! Instructor: Donna Frownfelter. Contact: Education<br />

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

www.educationresourcesinc.com<br />

AUG. 17-18, 2012 TALLAHASSEE, FL<br />

OCT. 12-13, 2012 FRAMINGHAM, MA<br />

DEC. 7-8, 2012 SAN ANTONIO, TX<br />

Driving Neuroplastic<br />

Change in Stroke Survivors<br />

Designed to take the complexity and guesswork out of planning<br />

treatment, this seminar focuses on a <strong>new</strong> perspective<br />

on stroke recovery. Based on principles proven to drive<br />

neuroplastic change in stroke survivors, this seminar will<br />

provide the tools to incorporate leading-edge, researchbased<br />

recovery options. Included will be an in-depth look at a<br />

variety of cutting edge strategies, technologies and treatment<br />

options to aid stroke survivors in reaching the highest level of<br />

potential recovery, such as modified constraint induced therapy,<br />

gaming technologies, and motor imagery techniques,<br />

among others. Instructors: Peter Levine. Contact: Education<br />

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

www.educationresourcesinc.com<br />

AUG. 18-19, 2012 NASHVILLE, TN<br />

AUG. 25-26, 2012 CHICAGO, IL<br />

Edema-Differential<br />

Diagnosis & Treatment<br />

This intensive two-day course is designed to teach clinicians<br />

to differentiate between various edema etiologies and 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 />

AUG. 18-19, 2012 SAN FRANCISCO, CA<br />

AUG. 25-26, 2012 ATLANTA, GA<br />

SEPT. 14-15, 2012 HOUSTON, TX<br />

#342 Evaluation and<br />

Treatment of the Clumsy Child<br />

Barbara H. Connolly, DPT, EdD, FAPTA. Learn current trends<br />

<strong>for</strong> dealing with the evaluation and treatment of children with<br />

clumsiness due to developmental Dyspraxia (developmental<br />

coordination disorder). Additionally, the <strong>new</strong>er concepts of<br />

motor control and motor development <strong>for</strong> praxis will be discussed<br />

in relationship to other neurophysiologic treatments.<br />

Treatment techniques and suggestions <strong>for</strong> the classroom<br />

utilizing an integrated approach will be presented. Contact:<br />

Motivations, Inc., 800-791-0262; www.motivationsceu.com<br />

or admin@motivationsceu.com<br />

AUG. 18-19, 2012 SEATTLE, WA<br />

SEPT. 15-16, 2012 MINNEAPOLIS, MN<br />

OCT. 13-14, 2012 BOSTON, MA<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 />

(Continued on next page)<br />

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

23


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 2008-2009 US<br />

grads (DPT/MPT) had a 100% first<br />

time US Educated DPT/MPT pass<br />

rate. Past per<strong>for</strong>mance does not<br />

guarantee you will pass, but it is<br />

better to be safe than sorry when<br />

it comes to your license and job<br />

offer. Join us in the following cities<br />

<strong>for</strong> the best review available.<br />

Recruiters call now to schedule<br />

your private NPTE-i Review Course<br />

Traditional<br />

Elk Grove, IL Aug. 18-26, 2012<br />

Philadelphia, PA Sept 8-16, 2012<br />

Orlando, FL Sept 22-30, 2012<br />

Toll Free: {877} 476-6684<br />

http://www.therapyteam.com<br />

timothyteach@aol.com<br />

FREE Summer Webinar Series<br />

Dr Ines Nakashima<br />

Cervical Spine - July 17th<br />

Lumbar Spine - September 5th<br />

Dr. Micahel Shacklock<br />

August 8th - Neuromobilization<br />

All Webinars are at 7pm EST<br />

NYC Fall Seminars with<br />

International Guest Faculty<br />

Dr. Ines Nakashima<br />

CAMT: Certification in Advanced<br />

Manipulative <strong>Therapy</strong> (Lower)<br />

October 12-14, 2012<br />

Dr. Michael Shacklock, FACP,<br />

MAppSc, DipPhysio<br />

Clinical NeuroDynamics of the<br />

Upper & Lower Extremiities<br />

September 7-8, 2012 (Upper)<br />

September 9-10, 2012-(Lower)<br />

PT-01: Myofascial Trigger Point and<br />

Propricep ve <strong>Therapy</strong><br />

August 11-12, 12 – San Pedro, CA<br />

August 25-26, 2012 – Fort Worth, TX<br />

September 8-9, 2012 – Miami, FL<br />

September 15-16, 2012 – San Antonio, TX<br />

September 29-30, 2012 – Astoria, NY<br />

December 1-2, 2012 – Astoria, NY<br />

January 26-27, 2013 – Astoria, NY<br />

PT-02: Comphrehensive Manual <strong>Therapy</strong><br />

Approach <strong>for</strong> Cervical Spine<br />

August 11-12, 2012 – Astoria, NY<br />

October 27-28, 2012 – Astoria, NY<br />

November 10-11, 2012 – Miami, FL<br />

November TBD – San Antonio, TX<br />

PT-03: Comprehensive Manual <strong>Therapy</strong><br />

Approach <strong>for</strong> Lumbar Spine<br />

July 28-29, 2012 – Fort Worth, TX<br />

August 18-19, 2012 – Lakeland, FL<br />

September 8-9, 2012 – Astoria, NY<br />

November 17-18, 2012 – Astoria, NY<br />

December 1-2, 2012 – Miami, FL<br />

(Continued from previous page)<br />

available <strong>for</strong> those unable to attend. Contact: 940-300-2299;<br />

or www.THERAPYSEMINARSLLC.COM to register online.<br />

AUG. 19-20, 2012 ENGLEWOOD, NJ<br />

OCT. 5-6, 2012 MONROE, NC<br />

NOV. 9-10, 2012 ORLAND PARK, IL<br />

Treatment of Children w/<br />

Sensory, Emotional & Motor<br />

Challenges<br />

This intensive conference will provide clinicians with dynamic<br />

state of the art intervention strategies that integrate sensation<br />

in children with sensory, emotional and motor challenges.<br />

Presentation of current neurobiology of the vestibular<br />

system’s central role in sub-cortical and cortical intercommunication<br />

and related research are reviewed. Assessment<br />

strategies and intervention methods to: Improve sensory<br />

modulation, Enhance vestibular function and postural skills,<br />

Optimize social readiness, Synchronize the organization<br />

and sequencing of motor skills and behavior as needed <strong>for</strong><br />

optimal function in time and space. Instructor: Lise Gerard-<br />

Faulise. Contact: Education Resources, Inc., 508-359-6533;<br />

800-487-6530 (outside MA); www.educationresourcesinc.<br />

com<br />

AUG. 24-25, 2012 TEMPLE, TX<br />

SEPT. 21-22, 2012 LOVELAND, CO<br />

OCT. 26-27, 2012 DOYLESTOWN, PA<br />

Management of the<br />

Medically Complex Acute Patient<br />

This course is designed to enhance the clinical decisionmaking<br />

skills of participants <strong>for</strong> early mobilization and safe,<br />

effective treatment of acutely ill patients. As more patients<br />

survive critical illnesses, intervention must complement the<br />

highly technologic, life-saving medical therapies, regardless<br />

of practice setting. Discussion of lines, physiologic monitors,<br />

MCMT: Mastery Certification in Manual <strong>Therapy</strong><br />

PT-04: Comprehensive Manual <strong>Therapy</strong><br />

Approach <strong>for</strong> Shoulder, Elbow, Hand<br />

August 4-5, 2012 – Chicago, IL<br />

August 11-12, 2012 – Miami, FL<br />

August 18-19, 2012 – San Antonio, TX<br />

September 8-9, 2012 – Derby, CT<br />

September 15-16 2012 – Fort Worth, TX<br />

September 22-23, 2012 – San Pedro, CA<br />

October 13-14, 2012 – Astoria, NY<br />

November 3-4, 2012 – Lakeland, FL<br />

PT-05: Comprehensive Manual <strong>Therapy</strong><br />

Approach <strong>for</strong> Hip, Knee, Foot<br />

September 29-30, 2012 – Lakeland, FL<br />

October 13-14, 2012 – San Antonio, TX<br />

October 20-21, 2012 – Chicago, IL<br />

October 27-28, 2012 – Miami, FL<br />

November 3-4, 2012 – Derby,CT<br />

PT-MCMT: Mastery Certification in Manual<br />

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

December 8-9, 2012 – Chicago,IL<br />

December 15-16, 2012 – Miami, FL<br />

January 12-13, 2013 – Lakeland, FL<br />

January 12-13, 2013 – Derby, CT<br />

January 19-20, 2013 – Astoria, NY<br />

Your Clinical Success is your Choice...and our Passion!<br />

FOR MORE DATES AND LOCATIONS, VISIT US AT<br />

Your Clinical Success www.HandsOnSeminars.com<br />

is your Choice... and our Passion!<br />

FOR MORE DATES or Call AND 1-888-767-5003<br />

LOCATIONS, VISIT US AT<br />

PTPN Preferred Vendor AOTA Approved Provider<br />

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

AUG. 24-25, 2012 PORTLAND, OR<br />

SEPT. 22-23, 2012 SEWICKLEY, PA<br />

OCT. 19-20, 2012 WATERTOWN, MA<br />

Yoga and Pilates <strong>Therapy</strong> <strong>for</strong><br />

The Child with Special Needs<br />

Learn how to integrate pilates and yoga exercise techniques<br />

into your therapeutic intervention. These techniques will be<br />

applied to the child with special needs from birth to school<br />

age with the diagnosis of sensory impairments, tone issues,<br />

autism, ADHD and spina bifida. Instruction will be completed<br />

on how to include these techniques into your everyday practice<br />

in pediatric rehabilitation. You will be able to design<br />

family friendly home programs <strong>for</strong> your clients and participate<br />

in labs so that you can better appreciate the use of these<br />

techniques. Instructor: Angelique Micallef-Courts. Contact:<br />

Education Resources, Inc., 508-359-6533; 800-487-6530<br />

(outside MA); www.educationresourcesinc.com<br />

AUG. 24-25, 2012 JACKSONVILLE, FL<br />

OCT. 12-13, 2012 BRIDGEPORT, CT<br />

NOV. 2-3, 2012 ARLINGTON, TX<br />

Mobilizing the Medically<br />

Complex Acute Care Patient<br />

Therapists are often challenged when presented with complex<br />

acute care patients who may have cardiovascular and/<br />

or pulmonary dysfunction or complications in addition to<br />

other medical conditions. Mobilizing these complex patients<br />

safely requires integration of the implications of lab values,<br />

diagnostic test results, patient history, medications and<br />

equipment. Signs of patient instability and when and how to<br />

modify or terminate treatment will be discussed. Instructor:<br />

Ellen Hillegass, EdD, PT, CCS, FAACVPR. Contact: Education<br />

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

www.educationresourcesinc.com<br />

AUG. 24-25, 2012 MOKENA, IL<br />

DEC. 7-8, 2012 PORTSMOUTH, NH<br />

Pediatric Brain: Functional<br />

Neuroanatomy, Sensory Systems, Rx, TX<br />

This course will provide physical and occupational therapists<br />

with a deeper understanding of the complex multi-system<br />

involvement of the brain in movement, learning and daily<br />

functioning. The course will focus on neuroanatomy incorporating<br />

cerebral development, nervous system function<br />

and interconnectivity between all areas of the brain as well<br />

as discuss the sensory systems. The instructor will demonstrate<br />

the importance of considering the visual system when<br />

assessing and treating vestibular and sensory dysfunction<br />

and will review real life cases through video. Instructor:<br />

Janine Wiskind. Contact: Education Resources, Inc., 508-<br />

359-6533; 800-487-6530 (outside MA); www.educationre<br />

sourcesinc.com<br />

AUG. 25-28, 2012 CHATTANOOGA, TN<br />

SEPT. 29-OCT. 2, 2012 BATON ROUGE, LA<br />

OCT. 27-30, 2012 PALM BEACH GARDENS, FL<br />

Lymphedema<br />

Management Seminar<br />

The Academy of Lymphatic Studies has pioneered lymphedema<br />

management in the U.S. since 1994. This course<br />

serves as an introduction to the management of upper and<br />

lower extremity lymphedema (primary and secondary) and is<br />

(Continued on next page)


Clinical Geriatric Orthopedics<br />

Dr. Carole Lewis, PT, DPT, GTC, GCS,<br />

CCOEE, MSG, MPA, PhD, FAPTA<br />

Chattanooga, TN . ......Aug.3-5, ‘12<br />

Cherry Hill, NJ ......Sept. 21-23, ‘12<br />

Lexington, KY ........ Nov. 2-4, ‘12<br />

Miami, FL . . . . . . Nov. 30-Dec. 2, ‘12<br />

Clinical Geriatric Neurology<br />

Dr. Carole Lewis,PT, DPT, GTC, GCS,<br />

CCOEE, MSG, MPA, PhD, FAPTA<br />

Saddle Brook, NJ . . . . July 20-21, ‘12<br />

Raleigh, NC ........Oct. 19-20, ‘12<br />

Geriatric Therapeutic Exercise<br />

Mark Traffas, PT, GTC<br />

Albany, NY .......... Nov. 2-3, ‘12<br />

Palm Springs, CA . . . . . . Dec. 1-2, ‘12<br />

Comprehensive<br />

<strong>Rehab</strong>ilitation Strategies<br />

Doug Dillon, PT, GTC, CSST<br />

Kissimmee, FL .......July 21-22, ‘12<br />

Toledo, OH .........Oct. 13-14, ‘12<br />

Los Angeles, CA . . . . . . Nov. 3-4, ‘12<br />

<strong>Rehab</strong>ilitation <strong>for</strong> the Frail Elderly<br />

Robert Thomas, MS, PT<br />

Fort Worth, TX . . . . . . July 21-22, ‘12<br />

Freehold, NJ ......... Dec. 1-2, ‘12<br />

Safe Steps<br />

Dr. James Wall, BSc, MSc, MEd, PhD<br />

Palm Springs, CA . . . June 23-24, ‘12<br />

Sacramento, CA . . . .Sept. 22-23, ‘12<br />

New Rochelle, NY . . . .Oct. 13-14, ‘12<br />

Charlotte, NC . ........ Dec. 1-2, ‘12<br />

Intensive Orthopedics<br />

Sandy Shelton, PT, GTC<br />

Chicago, IL .........July 20-21, ‘12<br />

<strong>Rehab</strong>ilitation <strong>for</strong><br />

Persons with Dementia<br />

Susan Staples, PT, GCS<br />

Denver, CO .........Oct. 12-13, ‘12<br />

Akron, OH ........... Nov. 3-4, ‘12<br />

Home Health <strong>Rehab</strong>ilitation<br />

Dr. Carol Schunk, PT PsyD<br />

Grand Rapids, MI. . . . .Sept. 29-30, ‘12<br />

Pittsburgh, PA .........Oct. 6-7, ‘12<br />

Davenport, IA . ........ Nov. 3-4, ‘12<br />

Provo, UT .......Nov. 30-Dec.1, ‘12<br />

Toll<br />

Free 1-877-794-7328<br />

www.greatseminarsandbooks.com<br />

Fax 330-865-6941<br />

Looking <strong>for</strong> GREAT Online courses?<br />

Visit us at www.greatseminarsonline.com<br />

Put Some Muscle Into Ther Ex<br />

Dr. Wendy Anemaet, PT,<br />

PhD, GCS, CWS, GTC, COS-C<br />

Billings, MT . ........July 20-21, ’12<br />

Boise, ID ...........Aug. 17-18, ‘12<br />

Des Moines, IA . . . . .Sept. 22-23, ‘12<br />

Savannah, GA .........Oct. 6-7, ‘12<br />

Acute Care<br />

<strong>Rehab</strong>ilitation<br />

Mark Nelson, MPT<br />

Jefferson City, MO . . . . July 21-22, ‘12<br />

Syracuse, NY ......Sept. 22-23, ‘12<br />

Lincoln, NE .........Oct. 13-14, ‘12<br />

Ox<strong>for</strong>d, MS .......... Nov. 3-4, ‘12<br />

Taking Balance<br />

to the Limits<br />

Janene Barber, PT, GTC<br />

San Francisco, CA . . . . July 21-22, ‘12<br />

Indianapolis, IN . . . . . Aug. 18-19, ‘12<br />

Albuquerque, NM . . . .Sept. 22-23, ‘12<br />

New Orleans, LA ...... Nov. 3-4, ‘12<br />

Cancer<br />

<strong>Rehab</strong>ilitation<br />

An Evidence Based<br />

Course <strong>for</strong> ALL Clinicians<br />

Nicole Stout, MPT, CLT-LANA<br />

Louisville, KY ........July 28-29, ‘12<br />

Green Bay, WI . . . . . .Sept. 29-30, ‘12<br />

Nashville, TN ........Oct. 13-14, ‘12<br />

Portland, OR ..........Nov.3-4, ‘12<br />

2012<br />

SCHEDULE<br />

<strong>Rehab</strong>ilitation<br />

of Persons with<br />

Common Medical<br />

Pathologies<br />

Dr. Steven Tepper, PhD, PT<br />

Omaha, NE .........July 21-22, ‘12<br />

Richmond, VA . ....... Aug. 4-5, ‘12<br />

Cromwell, CT ......... Oct. 5-6, ‘12<br />

Dallas, TX ........... Nov. 3-4, ‘12<br />

San Ramon, CA ....... Dec. 1-2, ‘12<br />

Springfield, IL ........Dec. 8-9, ‘12<br />

Home Study Courses<br />

See website <strong>for</strong> details.<br />

Improving Mobility in Older Persons<br />

with Functional Assessment & Treatment<br />

Aging: The Health Care Challenge<br />

Documentation and Functional Assessment<br />

Health Promotion & Exercise <strong>for</strong> Older Adults<br />

Hands On Evidence Based Manual <strong>Therapy</strong><br />

Techniques <strong>for</strong> Geriatrics (10hrs)<br />

Ethics: Ethical Decision Making<br />

in the Care of the Older Adult (5hrs)<br />

<strong>Rehab</strong> Roadie: Ride and Learn! (5hrs)<br />

All GREAT Courses are 20 Contact Hours. <br />

once you have completed 8 courses. See website <strong>for</strong> details. Visit our website <strong>for</strong> clinical tips<br />

and reference materials such as: The Functional Toolbox I & II, Geriatric Clinical Strategies,<br />

Prevention and Wellness Toolbox. Interested in Hosting a GREAT Seminar? Give us a call.<br />

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

EDUCATION OPPORTUNITIES<br />

25


EDUCATION OPPORTUNITIES<br />

Attention Therapists: Interested in Lymphedema Management Certification?<br />

Now you can get<br />

Certified even<br />

Faster!<br />

Announcing our <strong>new</strong> program:<br />

Accelerated Hybrid Online Program allows<br />

students to obtain their certification in 7 working days!<br />

Advantages Include:<br />

Cost Savings Less time in the classroom means less time away.<br />

Quality Both online and classroom hours to obtain maximum benefit. fit.<br />

Flexibility Students utilize our Home Study or Online Portal. .<br />

More Locations more classes in more locations, allows<br />

students to choose which location best serves their needs.<br />

All courses and seminars are approved <strong>for</strong> CEU’s<br />

NEW<br />

e -Integrative<br />

Lymphedema<br />

Certi cation Course<br />

Manual Lymph Drainage (MLD) & Complete<br />

Decongestive <strong>Therapy</strong> (CDT)<br />

e -Integrative (Full) Lymphedema Certi cation:<br />

• 135-hour certi cation course<br />

• 45 hours of internet-based home study<br />

• 90 hours of classroom (lab) instruction<br />

• Class runs 6 weekdays, 9 days total*<br />

• Offered throughout the U.S.<br />

• Most ef cient and<br />

cost-effective lymphedema<br />

certi cation available!<br />

Courses are approved <strong>for</strong> continuing education (PT, OT, MT).<br />

Our course meets the requirements to sit <strong>for</strong> the LANA exam.<br />

* Course days may vary based on availability of the host location.<br />

Website www.acols.com Phone 1.800.863.5935 35<br />

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

MLD/CDT Courses 2012<br />

August 3-11, 2012<br />

Red Bank, New Jersey<br />

August 17-25, 2012<br />

London, England<br />

September 22-30, 2012<br />

Chicago, Illinois<br />

October 12-20, 2012<br />

San Antonio, Texas<br />

Nov. 30- Dec. 8, 2012<br />

Boulder, Colorado<br />

For the most up-to-date course<br />

locations and schedule, visit<br />

www.klosetraining.com<br />

The Source <strong>for</strong> Research Based<br />

Lymphedema Management<br />

Introducing the NEW<br />

Accelerated Hybrid<br />

Online Program!<br />

We offer both Certifications<br />

Courses and Seminars.<br />

(Continued from previous page)<br />

focused on increasing the understanding of proper lymphedema<br />

management and the application of the techniques<br />

known as Manual Lymph Drainage (Vodder/Foeldi technique)<br />

and Complete Decongestive <strong>Therapy</strong> <strong>for</strong> lymphedema and<br />

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

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

program covers the anatomy, physiology and pathophysiology<br />

of the lymphatic system and the introduction in the<br />

current treatment techniques <strong>for</strong> upper and lower extremity<br />

lymphedema. The textbook “Lymphedema Management”<br />

authored by the Academy’s director was published in 2004<br />

by Thieme Medical and Scientific Publishers, NY, and is<br />

included in the tuition. Discounts are available <strong>for</strong> APTA &<br />

AOTA members. Contact: 800-863-5935; academy@acols.<br />

com or www.acols.com<br />

SEPT. 7-8, 2012 NAPERVILLE, IL<br />

SEPT. 28, 2012 NAPERVILLE, IL<br />

Kinesio Taping Method<br />

KT1 & KT2 and KT3 Certification<br />

KT1 & KT2: 2-days - Fundamental-Advanced Concepts,<br />

Muscle Taping, Corrective Techniques. Instructor: Clementine<br />

Carder, COTA/L, CMT, CKTI - Kinesio Tex Tape is the original<br />

and industry standard in elastic therapeutic taping. Learn<br />

to use this powerful modality to decrease pain, normalize<br />

muscle tension, increase circulation, influence fascia, support<br />

tendons and ligaments, and prevent pathological movement<br />

patterns. KT3 -1-day (KT1 & KT2 required). Instructor: Gerard<br />

Dysico, MD, CKTI (Physiatrist) - CEUs <strong>for</strong> PTs, PTAs, OTs,<br />

COTAs, MTs - Approved by KTA - Package deals available.<br />

Contact: Felicity Pine, Live and Learn Consulting, 914-263-<br />

1943; Info@SpineSolvers.com or www.SpineSolvers.com<br />

SEPT. 7-8, 2012 SACRAMENTO, CA<br />

OCT. 26-27, 2012 STATEN ISLAND, NY<br />

DEC. 1-2, 2012 DALLAS, TX<br />

Intervention <strong>for</strong> the Medically<br />

Complex Infant & Young Child<br />

This comprehensive course will help clinicians make the<br />

tough therapy decisions required when managing the care<br />

of children with complex medical issues. It will focus on<br />

applying evidence to decisions regarding therapy priorities,<br />

predicting outcomes, treatment modifications, and making<br />

appropriate discharge recommendations. Case studies will<br />

be used to advance clinical problem solving skills needed to<br />

address the complications and complexities of care that is<br />

constantly interrupted by medical issues, hospital stays and<br />

surgeries. The material will apply to children in all practice<br />

settings. Instructor: Jonathan Greenwood, PT, MS, NDT, PCS.<br />

Contact: Education Resources, Inc., 508-359-6533; 800-<br />

487-6530 (outside MA); www.educationresourcesinc.com<br />

SEPT. 8-9, 2012 MIAMI, FL<br />

SEPT. 14-15, 2012 POUGHKEEPSIE, NY<br />

Geriatric Neurology:<br />

Falls Prevention and Balance<br />

Are the interventions you are using to improve balance in<br />

geriatric and neurologic patients the most effective, up-todate<br />

and relevant <strong>for</strong> your individual patient? This course<br />

will teach you to select and use the most appropriate tools<br />

to assess the risk <strong>for</strong> fall, evaluate function and assess balance.<br />

Therapists will learn to differentiate normal aging from<br />

pathology and develop effective evidence-based treatment<br />

strategies to improve functional balance outcomes to optimize<br />

the environment. (Medically complex patient - Stroke -<br />

Dementia - Balance & Frail Elderly) Instructor: Carole Burnett.<br />

Contact: Education Resources, Inc., 508-359-6533; 800-<br />

487-6530 (outside MA); www.educationresourcesinc.com<br />

SUBSCRIBE TODAY — CALL 800.355.1088


SEPT. 8-9, 2012 CHICAGO, IL<br />

NOV. 3-4, 2012 HARTFORD, CT<br />

Best Practices in<br />

Home Health Care<br />

Home health care assessment and treatment has become<br />

more complex and requires specialized, advanced skills.<br />

Do you have the skills to provide your patients with the<br />

safest, best possible care? This course is designed to<br />

provide physical & occupational therapists with up-to-date,<br />

evidenced-based techniques <strong>for</strong> assessment & treatment of<br />

the medically complex geriatric home care patient. Instructor:<br />

Suzanne Clark. Contact: Education Resources, Inc., 800-<br />

487-6530; 508-359-6533 (within MA); www.educationre<br />

sourcesinc.com<br />

SEPT. 8-9, 2012 AKRON, OH<br />

NOV. 5-6, 2012 PHILADELPHIA, PA<br />

Baby Steps: Ambulation<br />

Interventions Birth to 3<br />

The impact of biomechanics, the neuromuscular system, the<br />

sensory system, orthotics, tone management, and equipment<br />

will be integrated as you learn to build intervention strategies<br />

to address ambulation early in infants and toddlers with<br />

diagnoses such as CP, developmental delay, prematurity, and<br />

Down Syndrome. This top-rated, standing-room-only course<br />

includes lecture, videos, lab, and group problem solving.<br />

Instructor Jan McElroy, PT, MS, PCS, draws from 35 years<br />

of pediatric experience. This one fills fast - register early!<br />

Contact: Care Resources, 888-613-2275; or www.carere<br />

sourcesinc.com<br />

SEPT. 8-11, 2012 HOUSTON, TX<br />

SEPT. 13-16, 2012 PITTSBURGH, PA<br />

SEPT. 21-24, 2012 DETROIT, MI<br />

Intro to NDT Part I<br />

Improving Gait Faster Part II<br />

Achieve functional outcomes <strong>for</strong> adults with hemiplegia.<br />

Content includes the principles of NDT, facilitation of sitto-stand,<br />

use of the LE in functional activities, transfers, UE<br />

weight bearing remediation of pain and subluxation of the<br />

hemiplegic shoulder. Bed mobility will be demonstrated.<br />

Treatment ideas and a framework to document goals based<br />

on functional outcomes using NDT will be provided. Get to<br />

results faster when improving gait. Increased clinical reasoning<br />

will enable you to know what to expect and what to<br />

predict. You will be able to assess the cause of the problem<br />

and have more immediate influence. You will have a better<br />

understanding of the normal components of gait and then<br />

understand why your patient with hemiplegia has tendencies<br />

in gait. You will practice with “hands-on” how to increase<br />

ROM of the hip and foot. Concepts <strong>for</strong> use of self-exercise<br />

program and use of orthotics will be discussed. Additional<br />

treatment ideas related to gait and more examples of documentation<br />

will be provided. Both parts include videotapes,<br />

“hands-on” experience and live patient demonstrations.<br />

Cathy Runyan, OTR, & Peggy Miller, PT, NDTA Inc. Certified<br />

Instructors. Audience: PTs, PTAs, OTs, COTAs. Contact hours:<br />

30. Contact: Recovering Function, 408-268-3691; or www.<br />

RecoveringFunction.com <strong>for</strong> 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 />

Visit our website <strong>for</strong> more in<strong>for</strong>mation on upcoming classes!<br />

Walk-Ins: Un<strong>for</strong>tunately, due to the nature of our events, walk-in registrations are not accepted.<br />

Questions: For questions, please email us at: rehabspecialevents@vnsny.org.<br />

CEs: For specific CE in<strong>for</strong>mation visit us online at http://www.vnsny.org/ce<br />

SEPT. 14, 2012 SPRINGFIELD, MO<br />

NOV. 9, 2012 GLEN MILLS, PA<br />

Geriatric Strength<br />

Building <strong>for</strong> Function<br />

Many clinicians are fearful of injuring geriatric patients<br />

with strength exercises and there<strong>for</strong>e these patients are<br />

often under-exercised. With a thorough understanding of<br />

the research, optimal strength exercises can be applied to<br />

virtually all senior patients. Whatever setting you work in,<br />

this practical, clinically applicable seminar will help you get<br />

great strength exercise results. Instructor: Mark Richards.<br />

Contact: Education Resources, Inc., 508-359-6533; 800-<br />

487-6530 (outside MA); www.educationresourcesinc.com<br />

SEPT. 15-16, 2012 LEXINGTON, KY<br />

SEPT. 29-30, 2012 LOS ANGELES, CA<br />

NOV. 30-DEC. 1, 2012 BAYSIDE, NY<br />

Integrating NDT, SI and<br />

Motor Learning in Children<br />

Are the goals you are setting <strong>for</strong> the children you treat,<br />

realistic? Is the treatment approach the most effective to<br />

achieve the outcome you want? This workshop will enhance<br />

critical thinking skills to enable therapists to use a systematic<br />

approach to treating children with developmental challenges.<br />

Focus will be on problem solving to gain function <strong>for</strong> children<br />

with motor control, sensory processing and behavioral compromise.<br />

The unique approach will help therapists set realistic<br />

measurable goals, set priorities and determine frequency of<br />

treatment and exit criteria. Instructor: Lezlie Adler. Contact:<br />

Education Resources, Inc., 508-359-6533; 800-487-6530<br />

(outside MA); www.educationresourcesinc.com<br />

REGISTER FOR A <strong>ADVANCE</strong> JOB FAIR & CAREER EVENT TODAY — WWW.<strong>ADVANCE</strong>WEB.COM/JOBFAIRS<br />

Only<br />

$79!<br />

VNSNY Continuing Education Courses – Summer 2012<br />

VNSNY is an approved provider of continuing education credit by the Alabama State Nurses Association, the New York<br />

State Education Department State Board <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong>, and the American Occupational <strong>Therapy</strong> Association,<br />

and the American Speech-Language-Hearing Association.<br />

AUGUST<br />

An Evidenced Based Approach to Strength Training<br />

in the Older Adult<br />

Presenter: Joseph Gallagher, PT, DPT<br />

Date: Tuesday, August 21st, 2012,<br />

1:30PM to 4:45PM<br />

Location: VNSNY Brooklyn Regional Office, Rooms C and D<br />

1630 East 15th Street,<br />

Brooklyn, New York 11229<br />

Who Should Attend: PTs, PTAs, OTs, and COTAs<br />

Summer 2012 Dates<br />

To register, please visit us online at: http://www.vnsny.org/ce<br />

Aphasia <strong>Therapy</strong> in the Home<br />

Presenter: Dorothy E. Ross, PhD, CCC-SLP<br />

Date: Tuesday, August 7th, 2012,<br />

9:00AM to 12:30PM<br />

Location: VNSNY Queens Office,<br />

75-20 Astoria Blvd, Jackson Heights, NY 11370<br />

Meeting Room: Queens Bulova D<br />

Additional Date: Thursday August 23rd, 2012,<br />

9:00AM to 12:30PM<br />

Location: VNSNY Manhattan Office<br />

1250 Broadway, 22nd Floor, New York, NY 10001<br />

Meeting Room 22 (22nd Floor)<br />

Who Should Attend: SLPs<br />

EOE M/F/D/V<br />

Best Companies to Work <strong>for</strong> in New York, SHRM (2012) • 50 Best Places to Work in New York City, Crain’s New York Business (2010) • 50 Best NonProfit Organizations to Work For, The NonProfit Times (2011)<br />

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

EDUCATION OPPORTUNITIES<br />

27


EDUCATION OPPORTUNITIES<br />

SEPT. 15-16, 2012 CLEVELAND, OH<br />

OCT. 20-21, 2012 NEW ORLEANS, LA<br />

#340 Therapeutic<br />

Interventions in Neonatal Care<br />

Instructor: Tracilyn Watson-Urruela, PT. This course covers life<br />

cycle and normal development of an infant in a NICU setting,<br />

assessment of the high risk infant and treatment techniques<br />

based on evaluative findings including identification of emerging<br />

disabilities. Learn how to maximize outcomes when treating this<br />

specialized population. Contact: Motivations, Inc., 800-791-<br />

0262; www.motivationsceu.com or admin@motivationsceu.com<br />

SEPT. 15-16, 2012 ATLANTA, GA<br />

OCT. 20-21, 2012 RESTON, VA<br />

NOV. 10-11, 2012 SCOTTSDALE, AZ<br />

#150 OCS Exam<br />

Prep Course Dr. Eric Wilson<br />

This two-day course boasts an 88% success rate and covers<br />

disease processes, modalities and research. It includes more<br />

than 150 OCS exam style questions and test-taking strategies.<br />

As a <strong>for</strong>mer item writer, the instructor shares the mechanics<br />

<strong>for</strong> testing, logic <strong>for</strong> study and questions that reflect the content<br />

and style of the exam questions. Included are: Questions<br />

and answers that reveal student needs <strong>for</strong> improvement exam<br />

and rationale <strong>for</strong> why the correct answer is right and why the<br />

incorrect answers are wrong; and a detailed study guide by<br />

body region. Contact: Motivations, Inc., 800-791-0262; www.<br />

motivationsceu.com or admin@motivationsceu.com<br />

SEPT. 15-25, 2012 CHARLOTTE, NC<br />

SEPT. 15-25, 2012 DENVER, CO<br />

OCT. 13-23, 2012 PALM BEACH GARDENS, FL<br />

Lymphedema<br />

Certification Course<br />

The Academy of Lymphatic Studies has pioneered certification<br />

classes in Manual Lymph Drainage (Vodder/Foeldi<br />

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

technique) and Complete Decongestive <strong>Therapy</strong> in the U.S.<br />

since 1994. This program is a comprehensive certification<br />

course (135 hours) and is taught in only 7 working days;<br />

the course length is 11 days in total, including 2 weekends<br />

(meets the requirements of the Lymphology Association of<br />

North America). The program covers: anatomy, physiology &<br />

pathology of the lymphatic system, basic and advanced techniques<br />

of MLD, bandaging <strong>for</strong> primary and secondary upper<br />

and lower extremity lymphedema (incl pediatric care and<br />

genital lymphedema) and other conditions (post-traumatic,<br />

postoperative swellings, CVI, Migraine). Special workshops<br />

are included in the course (insurance billing, certification <strong>for</strong><br />

compression garments, etc.) The textbook “Lymphedema<br />

Management” (included in tuition) authored by the Academy’s<br />

director was published in 2004 by Thieme Medical and<br />

Scientific Publishers, NY; tuition also includes educational CD,<br />

course manual, complete set of bandages, CD <strong>for</strong> limb volume<br />

calculation, set of posters of the “Lymphatic System”. After<br />

course completion each student is provided with instructor<br />

mentoring. All graduates qualify <strong>for</strong> free lifetime listing as<br />

certified lymphedema therapists <strong>for</strong> patient referral on our<br />

website. All courses are approved by FPTA, IPTA and AOTA<br />

<strong>for</strong> CEUs. Discounts are available <strong>for</strong> APTA & AOTA members.<br />

Financial aid available. Contact: 800-863-5935; academy@<br />

acols.com or www.acols.com <strong>for</strong> a free brochure.<br />

SEPT. 21-22, 2012 BALTIMORE, MD<br />

Mealtime Miseries:<br />

Managing Complex Issues<br />

This dynamic course covers innovative strategies to address<br />

oral aversion, food refusal, poor transition onto solids, texture<br />

grading, learning to chew, self feeding and feeding difficulties<br />

related to Autism and picky eaters. Using the Transdisciplinary<br />

Effective Assessment and Treatment (TR-eat©) model to<br />

create a distinctive treatment with outstanding outcomes<br />

<strong>for</strong> children with complex feeding problems. This course is<br />

packed with practical solutions to empower you with <strong>new</strong><br />

treatment methods <strong>for</strong> your most complex patients. Contact:<br />

Care Resources, 888-613-2275; or www.careresourcesinc.<br />

com <strong>for</strong> details.<br />

SEPT. 21-22, 2012 ENGLEWOOD, NJ<br />

Vestibular <strong>Rehab</strong>:<br />

Treatment Intensive<br />

Recognizing, assessing and treating vestibular disorders with<br />

an appropriate plan is dependent on careful differential diagnosis.<br />

Successful vestibular interventions must be based on<br />

understanding the complexities of the vestibular, oculomotor,<br />

or sensory systems they are targeting. This lab course covers<br />

treatments across the age spectrum, including childhood paroxysmal<br />

vertigo, BPPV, Meniere’s disease, ototoxicity, bilateral<br />

disorders, mal de debarquement, migraine associated<br />

vertigo, traumatic vertigo, acoustic neuroma, central vertigo,<br />

and disequilibrium of aging. Instructor: Gaye Cronin. Contact:<br />

Education Resources, Inc., 508-359-6533; 800-487-6530<br />

(outside MA); www.educationresourcesinc.com<br />

SEPT. 21-22, 2012 INDEPENDENCE, MO<br />

OCT. 19-20, 2012 WILKES-BARRE TWP, PA<br />

NOV. 16-17, 2012 SPOKANE, WA<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 be<br />

placed on the management of unilateral, bilateral and central<br />

vestibular dysfunction and BPPV variants. There is the option<br />

of a third day of Advanced study. Instructor: Jeffrey Walter.<br />

Contact: Education Resources, Inc., 508-359-6533; 800-<br />

487-6530 (outside MA); www.educationresourcesinc.com<br />

SEPT. 21-22, 2012 HARTFORD, CT<br />

OCT. 27-28, 2012 DENVER, CO<br />

NOV. 30-DEC. 1, 2012 STOUGHTON, MA<br />

Integrating Pilates,<br />

Tai Chi and Yoga<br />

Have you been puzzled by the patient who doesn’t progress<br />

with traditional therapy? Learn to apply Yoga, Pilates and Tai<br />

Chi into your therapeutic regime whether you are working in<br />

acute care, rehab, OPD or home care. The workshop focuses<br />

on techniques to facilitate core stabilization, muscle re-education,<br />

postural alignment, symmetry, mobility, and movement<br />

awareness. Learn to incorporate these effective techniques<br />

<strong>for</strong> patients with: neurologic dysfunction, orthopedic dysfunction,<br />

medical complexities, pulmonary conditions, myofascial<br />

pain, arthritis, osteoporosis. Instructor: Tim Dreher. Contact:<br />

Education Resources, Inc., 508-359-6533; 800-487-6530<br />

(outside MA); www.educationresourcesinc.com<br />

SEPT. 21-22, 2012 JACKSONVILLE, FL<br />

NOV. 2-3, 2012 STATEN ISLAND, NY<br />

Stable to the Core: Low<br />

Back & Cervical/Thoracic Patient<br />

A theory and exercise seminar <strong>for</strong> health care professionals<br />

who seek to functionally and dynamically treat low back<br />

patients and cervical spine with core stabilization. Core<br />

Stabilization is a nationally recognized clinical method of<br />

restoring function to the spine patient. Drawing on up to date<br />

evidence-based treatment involving dynamic training, participants<br />

will combine techniques of PNF, NDT and exercise<br />

physiology to take core stabilization to its highest level: using<br />

it in patient function, hobbies, sports, ADL’s and work. Opt 3rd<br />

day on Cervical/Thoracic. Instructor: Beverly Biondi. Contact:<br />

Education Resources, Inc., 508-359-6533; 800-487-6530<br />

(outside MA); www.educationresourcesinc.com


SEPT. 21-23, 2012 WHITMORE LAKE, MI<br />

OCT. 19-21, 2012 MANCHESTER, NH<br />

NOV. 16-18, 2012 LONG BEACH, CA<br />

NDT Treatment of<br />

The Baby and Child<br />

Learn how to assess and treat babies from birth to 3 years<br />

old with known or suspected neuromotor impairments. An<br />

emphasis will be placed on the practical application of treatment<br />

strategies to gain functional outcomes appropriate <strong>for</strong><br />

this age group and how to incorporate therapeutic strategies<br />

into family life. Instructor: Suzanne Davis Bombria. Contact:<br />

Education Resources, Inc., 508-359-6533; 800-487-6530<br />

(outside MA); www.educationresourcesinc.com<br />

SEPT. 22-23, 2012 HOUSTON, TX<br />

Introduction to<br />

Clinical Ai Chi<br />

Instructor: Cameron West. Location: Texas Children’s Hospital,<br />

Houston, Texas 77030. Contact: Mitzi Wiggin, 832-826-6107<br />

<strong>for</strong> more in<strong>for</strong>mation; e-mail: mmwiggin@texaschildrens.org;<br />

or register online: www.texaschildrens.org/pmr and click on<br />

continuing education.<br />

SEPT. 22-23, 2012 MARLTON, NJ<br />

Clinical Approach to<br />

Evaluation and Treatment of Torticollis<br />

With the implementation of the back to sleep program,<br />

therapists are noting an increased incidence of children<br />

with positional torticollis and plagiocephaly. This program<br />

presents guidelines <strong>for</strong> successful examination and progression<br />

of treatment and discharge <strong>for</strong> patients with torticollis.<br />

Guidelines incorporate current evidence and accepted<br />

treatment strategies. Short video case presentations will<br />

demonstrate treatment techniques followed by discussion.<br />

Course content was developed by the Pediatric <strong>Rehab</strong>ilitation<br />

Department of the Hospital <strong>for</strong> Special Surgery. Contact: Care<br />

Resources, 888-613-2275; or www.careresourcesinc.com<br />

SEPT. 22-23, 2012 SOMERVILLE, NJ<br />

Mechanical Disorders of<br />

The Lumbar Spine & SI Joint<br />

The lumbar portion of this course, which is a symptom reproduction<br />

model is based upon the teachings of James Cyriax,<br />

Robin McKenzie and Geoffrey Maitland. The sacroiliac portion<br />

of the course, which is a Norwegian symptom provocation<br />

and alleviation model is based upon the teachings of Olaf<br />

Evjenth and Freddie Kaltenborn. The participants will learn<br />

how to systematically assess the patient <strong>for</strong> lumbar and<br />

sacroiliac mechanical dysfunction and apply the appropriate<br />

therapeutic exercise and manual therapy, via lab sessions.<br />

Instructor: Russell Woodman. Contact: Education Resources,<br />

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

educationresourcesinc.com<br />

SEPT. 22-23, 2012 LONG ISLAND, NY<br />

OCT. 13-14, 2012 KING OF PRUSSIA, PA<br />

Clinical Analysis of<br />

24 Adult Foot Types<br />

This program offers a comprehensive approach to determining<br />

orthotic intervention that combines traditional with<br />

contemporary theory to provide a more holistic approach<br />

to managing gait disorders. Lab time is devoted to teaching<br />

functional assessment of 24 congenital foot types through<br />

postural assessment and gait analysis. Clinical evidence<br />

shows that there are four key features that influence how feet<br />

work, and various combinations of these features can produce<br />

foot, limb or back pain. Learn a systematic approach to<br />

successful management of symptoms utilizing pre-fabricated<br />

orthotic solutions; and, alternatively how to determine if a<br />

custom orthoses is necessary. Contact: 877-792-4669; education@strideorthotics.com<br />

or www.strideorthotics.com<br />

SEPT. 22-30, 2012 CHICAGO, IL<br />

OCT. 12-20, 2012 SAN ANTONIO, TX<br />

Lymphedema <strong>Therapy</strong> Certification<br />

Condensed Schedule<br />

“The best course I’ve ever taken!” is a frequent comment<br />

from graduates of this invaluable class. Klose Training’s<br />

reputation <strong>for</strong> top-quality education attracts students globally.<br />

Our extraordinary instructors are the most experienced<br />

in the field; all are practicing therapists. Students receive lots<br />

of personal attention during class plus free post-graduation<br />

consultations <strong>for</strong> challenging cases. The first 45 of 135 total<br />

hrs are completed in a self-paced home-study <strong>for</strong>mat; less<br />

lost work time & fewer travel costs. The remaining 9 days of<br />

classroom education emphasize hands-on experience. CEUapproved.<br />

Contact: Klose Training, 303-245-0333; info@<br />

klosetraining.com or www.klosetraining.com<br />

SEPT. 28-29, 2012 STATEN ISLAND, NY<br />

OCT. 26-27, 2012 NEW BERN, NC<br />

Geriatric Neurology in<br />

The Medically Complex Client<br />

Learn evaluation tools and treatment protocols <strong>for</strong> medically<br />

complex older persons with neurological dysfunction.<br />

Evidence-based in<strong>for</strong>mation on assessment and treatment<br />

of clients with Parkinson’s Disease, Stroke, Alzheimer’s, balance<br />

and gait disorders, neurosensory pathologies and pain<br />

will be provided. The changes associated with aging as well<br />

as pathological manifestations that affect the neurosensory<br />

system and result in problems with coordination, mobility,<br />

proprioception and kinesthesia, balance and falls, weakness<br />

and pain will be presented. Instructor: Jennifer Bottomley.<br />

Contact: Education Resources, Inc., 508-359-6533; 800-<br />

487-6530 (outside MA); www.educationresourcesinc.com<br />

OCT. 4-7, 2012 RICHMOND, VA<br />

OCT. 11-14, 2012 CHICAGO, IL<br />

OCT. 20-23, 2012 ATLANTA, GA<br />

Recovering Function NDT Courses<br />

Intro, Advanced, Cert<br />

Recovering Function’s series of “hands-on” NDT courses<br />

provides you with a step-by-step framework 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, NDTA, Inc. Certified Instructors. Offered nationwide.<br />

Contact: Recovering Function, 408-268-3691; or www.<br />

RecoveringFunction.com <strong>for</strong> a complete brochure of intro,<br />

advanced, and cert courses as well as in<strong>for</strong>mation about<br />

additional course dates/locations, group rates & free registrations<br />

when hosting courses at your facility.<br />

OCT. 12-13, 2012 JACKSONVILLE, FL<br />

Pediatric Vestibular<br />

<strong>Rehab</strong>ilitation<br />

This course focuses on effective vestibular rehabilitation <strong>for</strong><br />

treating children with dizziness, coordination, balance, motor,<br />

postural, vestibular, visual motor, perceptual, sensory organization<br />

and motion disorders, due to disease, toxicity, infection, tumors,<br />

trauma, neurological and congenital/genetic disorders. The clinician<br />

working in pediatric rehabilitation will learn a <strong>new</strong> frame of<br />

reference and treatment techniques that can positively affect the<br />

child’s motor skills, balance, coordination, rate of development,<br />

perceptual skills and tolerance of motion. Instructor: Gaye Cronin.<br />

Contact: Education Resources, Inc., 508-359-6533; 800-487-<br />

6530 (outside MA); www.educationresourcesinc.com<br />

OCT. 22-24, 2012 MIAMI, FL<br />

Lorna Ramos Brachial<br />

Plexus Birth Injury Course<br />

The Second Annual Lorna Ramos Course: Management<br />

Strategies <strong>for</strong> the <strong>Rehab</strong>ilitation of a Child with a Brachial<br />

Plexus Birth Injury. This course will provide an upto-date,<br />

evidence-based, comprehensive review of all<br />

aspects of the treatment of a child with a Brachial Plexus<br />

Birth Injury through didactic lectures, live and video<br />

case presentations, and hands-on lab sessions. Faculty:<br />

John A.I. Grossman, MD, FACS, Andrew Price, MD, Israel<br />

Alfonso, MD, Virginia Nelson, MD, MPH, Christine Curtis,<br />

BScPT, MSc, Alison Anthony, BScPT, MSc, Rachel Whyte<br />

Sarshalom, MOT, OTR, Lauren Rosenbaum Simhon, OTR,<br />

Denise Justice, OTR/L, Kate Wan-Chu Chang, MA, Herbert<br />

Valencia, RNFA, Joan Zell, MA, OTR/L, CHT, and Allison<br />

Allgier, OTR/L. Tuition cost: NO CHARGE. Location: Miami<br />

Children’s Hospital. Contact: info@lornaramoscourse.com<br />

JAN. 19-27, 2013 SAN JOSE, CA<br />

FEB. 2-10, 2013 PHOENIX, AZ<br />

FEB. 16-24, 2013 NASHVILLE, TN<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 />

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

EDUCATION OPPORTUNITIES<br />

29


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IMMIGRATION <strong>for</strong> PTs:<br />

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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 />

Intervertebral Discs and Other<br />

Mechanical Disorders<br />

of the Lumbar Spine<br />

Evidence-Based Conservative<br />

Management and Treatment<br />

Dr. C.K. Fernando | Dr. Arthur Nelson<br />

Dr. Elmer Pinzon,<br />

MD, Spine Specialist,<br />

says, “It is a refreshing<br />

look at the current<br />

theories and<br />

management of<br />

of these common<br />

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will be useful to<br />

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Call 800-355-5627<br />

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

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

[CoVER SToRy]<br />

frontier continued from page 15<br />

New design features of ALEX II, the latest<br />

device created by the research team,<br />

provide users a greater degree of freedom<br />

in <strong>for</strong>ward, backward, side-to-side trunk<br />

movement and lateral leg movement.<br />

“Human walking involves complex interaction<br />

between the upper body and the legs,”<br />

Dr. Agrawal said. “We believe that subjects<br />

can learn to walk better with ALEX II,<br />

which allows the motion of the trunk to<br />

be less constrained.”<br />

Functional assessments during training,<br />

and again one, three and six months following,<br />

provide data on foot speed, joint motion,<br />

toe clearance and other factors that impact<br />

walking. The data will help researchers determine<br />

whether improvements are retained<br />

over time, and hopefully lead to a clinical<br />

trial in a larger number of people.<br />

The research study also compares participants<br />

using this training paradigm with<br />

those using body weight supported treadmill<br />

training, a physically demanding treatment<br />

modality that involves up to two therapists<br />

manually moving the paretic leg and pelvis<br />

of a stroke survivor through a specific trajectory<br />

to achieve a desired gait pattern.<br />

Brilliant Breakthroughs<br />

While 21st century rehabilitation advances<br />

are often the domain more of engineers than<br />

of therapists, researchers at these sophisticated<br />

labs are quick to point out that their<br />

inventions are meant to supplement, not supplant,<br />

the skills of physical therapists.<br />

“We are not developing technology to assist<br />

a person with a disability,” said Dr. Krebs.<br />

“What we are trying to do is create tools <strong>for</strong><br />

the clinician that is [delivering a patient’s]<br />

therapy, to assist the person to re-engage and<br />

come back to everyday life. We want the person<br />

to leave the clinic and be able to do more.”<br />

And to truly benefit end users, the input of<br />

both rehab professionals and engineers is<br />

necessary.<br />

“Electronics and robotics are getting smarter<br />

every day,” said Dr. Ahmed, adding that<br />

many of his physical therapy students are<br />

actively involved in rehab engineering and<br />

will trans<strong>for</strong>m today’s know-how into tomorrow’s<br />

breakthroughs. “It’s truly an exciting<br />

time in physical therapy research.” n<br />

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

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

[lyMPHEDEMA]<br />

lymphedema continued from page 21<br />

• Uncontrolled congestive heart failure;<br />

• Severe arteriosclerosis or other ischemic<br />

vascular disease;<br />

• Inflammatory phlebitis;<br />

• Pregnancy (avoid compression over<br />

abdomen).<br />

A pump with an extremity sleeve should<br />

not be used if swelling is present in the torso<br />

(axilla, breast, chest, abdomen, hips or genitals).<br />

In these cases a torso-extremity appliance<br />

(pants or jacket) should be used.<br />

The amount of compression can be customized<br />

and should be guided by patient com<strong>for</strong>t<br />

in accordance with the prescribing physician’s<br />

instructions. Generally patients with Stage 1<br />

lymphedema can achieve good decongestive<br />

results with lower compression while patients<br />

with Stage 2 or Stage 3 lymphedema often<br />

require higher pressure due to the need to<br />

penetrate areas of hardened tissue. 6 There is<br />

much discussion in the lymphedema community<br />

about the correct amount of pressure used<br />

<strong>for</strong> both MLD and pneumatic compression; it<br />

is interesting to note that aquatic therapy is<br />

a standard lymphedema treatment and that<br />

most pneumatic compression devices deliver<br />

less compression than submersion in shoulder-height<br />

water. 7<br />

conclusion<br />

Pneumatic compression by itself isn’t a single<br />

solution <strong>for</strong> treating lymphedema. Whether<br />

patients have been decongested by MLD<br />

or pneumatic compression, it is essential to<br />

apply a bandaging system or compression<br />

garments to contain that result. But as an<br />

adjunctive treatment <strong>for</strong> appropriate patients,<br />

pneumatic compression is an effective tool<br />

<strong>for</strong> achieving decongestion in both the acute<br />

and maintenance phases of treatment. Its high<br />

degree of patient acceptance, as well as availability,<br />

makes it a valuable treatment option<br />

<strong>for</strong> lymphedema patients. n<br />

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

web.com/pt<br />

Karen Ash<strong>for</strong>th is an occupational therapist and<br />

certified hand therapist <strong>for</strong> the Lymphedema Management<br />

Clinic at Dominican Santa Cruz Hospital,<br />

Santa Cruz, CA.<br />

www.advanceweb.com/pt<br />

For more in<strong>for</strong>mation on lymphedema,<br />

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

PTPainManagement


CLASSIFIED EMPLOYMENT OPPORTUNITIES<br />

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

<strong>for</strong> <strong>Physical</strong> Therapists & <strong>Rehab</strong> <strong>Medicine</strong><br />

reaches over 85,100 active, qualified physical therapy<br />

professionals nationwide every issue.<br />

1 New England . . . . . . . . . . . . . . . . . . . . . . p. 31<br />

2 Middle Atlantic . . . . . . . . . . . . . . . . . . . . . p. 31<br />

3 Upper South Atlantic . . . . . . . . . . . . . . . . p. 36<br />

4 Lower South Atlantic . . . . . . . . . . . . . . . . p. 37<br />

5 East South Central . . . . . . . . . . . . . . . . . . p. 38<br />

6 East North Central . . . . . . . . . . . . . . . . . . p. 38<br />

7 West North Central . . . . . . . . . . . . . . . . . . p. 41<br />

8 West South Central. . . . . . . . . . . . . . . . . . p. 41<br />

9 Southwest . . . . . . . . . . . . . . . . . . . . . . . . p. 38<br />

10 Mountain . . . . . . . . . . . . . . . . . . . . . . . . . p. 39<br />

11 Pacific. . . . . . . . . . . . . . . . . . . . . . . . . . . . p. 39<br />

National . . . . . . . . . . . . . . . . . . . . . . . . . . p. 41<br />

NEW ENGLAND<br />

Cooley Dickinson Hospital<br />

in Northampton, MA looking <strong>for</strong> Full-Time PT<br />

<strong>for</strong> outpatient orthopedic satellite clinic. Orthopedic<br />

experience preferred. MA PT license and Current<br />

CPR required. Competitive Salary, generous benefit<br />

and continuing education package available<br />

<strong>for</strong> qualified candidates.<br />

Job Details<br />

Under the direction of the Director of <strong>Rehab</strong>ilitation<br />

Services and supervision of PT Dept. Supervisor,<br />

provides patient care <strong>for</strong> individuals requiring rehabilitation.<br />

The patient care is directed to the individual’s<br />

special needs in an eff ort to optimize their physical,<br />

functional, psychological, social and emotional<br />

well-being. Interacts with those patients within the<br />

following populations: adolescent, adult, geriatric,<br />

with an interdisciplinary level approach.<br />

Requirements<br />

EDUCATION REQUIREMENTS:<br />

Master of Science in <strong>Physical</strong> <strong>Therapy</strong> required.<br />

Valid licensure as <strong>Physical</strong> Therapist in Massachusetts<br />

required. Current CPR certifi cation required.<br />

EXPERIENCE REQUIREMENTS:<br />

Ambulatory and Acute Care. Outpatient Orthopedic<br />

experience preferred.<br />

Contact in<strong>for</strong>mation:<br />

www.cooley-dickinson.org<br />

EOE<br />

<strong>Physical</strong> <strong>Therapy</strong> Director/<br />

<strong>Physical</strong> Therapist<br />

Joint Ef<strong>for</strong>t <strong>Physical</strong> <strong>Therapy</strong> in Taunton, MA is seeking<br />

a dynamic, skilled and passionate PT Director <strong>for</strong> its busy,<br />

state of the art outpatient orthopedic PT clinic. Director will<br />

be responsible <strong>for</strong> patient care as well as overseeing and<br />

growing the therapy program. Ideal candidate will be an experienced<br />

PT with exceptional clinical and interpersonal skills.<br />

Must be a highly motivated therapist who thrives in busy<br />

environment. This exciting career opportunity offers professional<br />

challenge and growth potential. FT. Competitive salary plus bonus<br />

and full benefi ts including continuing education allowance. E-mail<br />

resumes to vlampert@acare.us or fax 877-885-6777.<br />

Massachusetts, New York, Middle Atlantic, New Jersey<br />

MIDDLE ATLANTIC<br />

TENDER TOUCH REHAB<br />

SEEKS<br />

PHYSICAL THERAPISTS & PTAs<br />

Great Benefits and Huge SignOn Bonus!<br />

Up to $15,000 in Tuition Forgiveness <strong>for</strong> <strong>new</strong> grads<br />

Director positions available<br />

Free Health Insurance Options<br />

H1B and Green Card (EB2) visas<br />

Sub acute settings<br />

. .... .<br />

SPECIAL KIDS • SPECIAL CARE • SPECIAL REWARDS AT ST. MARY’S<br />

BE APPRECIATED<br />

.Servicing over 100 facilities throughout NY, NJ, PA, and DE<br />

F/t, P/t and Per Diem positions<br />

Flexible schedule/ Weekend & evening hours available<br />

Early Intervention opportunities in Philadelphia<br />

Mentoring program<br />

Quality one on one treatment<br />

.....<br />

Contact Beth: phone:732.987.3887 fax:732.534.8660<br />

email: jobs@tendertouch.com www.tendertouch.com<br />

<strong>Physical</strong> Therapist<br />

Full-Time<br />

Dynamic multidisciplinary outpatient practice located<br />

in Rockland County, NY. Orthopedic caseload with<br />

high sports medicine component. Competitive<br />

salary and benefi ts. Motivated individual with NYS<br />

PT license required. New Grads welcome.<br />

Call Brendan at (845) 634-2460<br />

or fax resume to (845) 634-2190<br />

JOIN US AT OUR<br />

CLINICAL OPEN HOUSE<br />

Thur., August 16th, 1:00pm-5:30pm<br />

91-31 Queens Blvd., Suite 201, Elmhurst, NY<br />

Take the R or M train to Woodhaven Blvd Subway station<br />

St. Mary’s Healthcare System <strong>for</strong> Children is one of the nation’s premier providers of intensive rehabilitation and specialized care <strong>for</strong> children<br />

with special needs and life-limiting conditions. The largest pediatric post-acute care provider of its kind in the region, St. Mary's treats 4,000<br />

children each day through our Hospital, Home Care and Community Programs in the five boroughs of New York City, Nassau, Suffolk, Westchester<br />

and beyond. Following hospitalizations <strong>for</strong> complications from premature birth, illness and injury, or when special services are needed, children<br />

and their families come to St. Mary's to receive exceptional care, learn to manage their condition, and achieve a better quality of life.<br />

ST. MARY’S HOSPITAL FOR CHILDREN, COMMUNITY PROGRAMS<br />

PHYSICAL THERAPISTS - FT* & Per Diem ALL BOROUGHS, Nassau & Suffolk<br />

We seek NYS licensed PTs to enhance the lives of others while working <strong>for</strong> an exceptional organization which recognizes ability and<br />

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 • EOE M/F/D/V/SO<br />

PHYSICAL THERAPISTS<br />

We provide center, school and homebased<br />

interdisciplinary therapy in NJ.<br />

We are seeking Therapists who are<br />

interested in developing their potential<br />

and that of the children<br />

with whom they work.<br />

Please call or send resume:<br />

P: (973) 365-1444 • F: (973) 365-1446<br />

E-mail: dinahkidclanllc@aol.com<br />

Excellent<br />

rates<br />

HEALTHCARE JOB LISTINGS — UPDATED DAILY l WWW.<strong>ADVANCE</strong>WEB.COM<br />

www.advanceweb.com/pt | July 23, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 31<br />

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

31


EMPLOYMENT OPPORTUNITIES<br />

New York<br />

We’ve moved to a <strong>new</strong><br />

state-of-the-art facility<br />

in Yonkers!<br />

For the past twenty years, Manhattan<br />

has been home to the Elizabeth Seton<br />

Pediatric Center, a specialty nursing<br />

facility devoted to changing the lives<br />

of medically fragile children.<br />

The Center has moved to a magnificent<br />

“green” building designed specifically<br />

<strong>for</strong> children and staff with nearly<br />

double the space.<br />

Specialty features include: therapy on<br />

each of the 3 residential floors, a<br />

hydro-therapy pool, sensory rooms, art<br />

and music therapy suites, 5 terraces<br />

including a therapy terrace, 15<br />

classrooms, a gym and outdoor play<br />

areas. The design creates smaller,<br />

intimate neighborhoods of care to<br />

speak to the feelings of “home.”<br />

To learn more, visit<br />

www.setonpediatric.org<br />

“ I’m wishing to spend my days<br />

happy and growing. Are you?”<br />

In the tradition of our namesake, Saint Elizabeth Seton,<br />

the Elizabeth Seton Pediatric Center is dedicated<br />

to providing top quality medical and rehabilitative<br />

care to infants, children and adolescents who have<br />

complex medical and developmental needs. We<br />

feature a learning environment that nurtures your<br />

career as well as our residents’ lives.<br />

PHYSICAL THERAPISTS<br />

To qualify, you must have a Bachelor’s degree,<br />

Master’s preferred; NYS PT license and certification;<br />

and a minimum of 1 year Pediatric PT experience.<br />

We offer competitive salaries and excellent benefits.<br />

Send your resume today, to Recruiter, Elizabeth<br />

Seton Pediatric Center, 300 Corporate Boulevard<br />

South, Yonkers, New York, 10701 or email it to<br />

resumes@setonpediatric.org. Visit our website<br />

at www.careersatpeds.org. We are an equal<br />

opportunity employer, committed to diversity.<br />

Nationally<br />

ranked in the<br />

93rd<br />

percentile <strong>for</strong><br />

employee<br />

satisfaction!<br />

Enhance your career, while enhancing<br />

the lives of others. Hudson Valley Hospital<br />

is a 128-bed, acute-care Magnet hospital, located<br />

in suburban Westchester County, NY. Our dynamic<br />

team of professionals share an enhanced commitment<br />

to excellence! We are making life more rewarding<br />

than ever <strong>for</strong> this caring, compassionate<br />

team! We invite you to join us...<br />

<strong>Physical</strong> Therapists - FT & PT<br />

$15,000 SIGN-ON BONUS (Full Time only)<br />

Seeking Outpatient <strong>Physical</strong> Therapists.<br />

Applicants must be licensed in PT in NYS & able to work independently.<br />

New salary scale in place! In return <strong>for</strong> your ability & dedication, we<br />

offer an excellent total compensation package and a pleasant working environment<br />

which fosters personal and professional growth. Please send resume<br />

& salary requirements to:<br />

Human Resources, Hudson Valley Hospital Center<br />

1980 Crompond Rd., Cortlandt Manor, NY 10567<br />

Fax: (914) 734-3784 • E-mail: agallagher@hvhc.org<br />

EOE M/F<br />

A Better Place To Work...<br />

TRY <strong>ADVANCE</strong> REPRINTS! CALL 800-355-5627<br />

32 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | July 23, 2012 | www.advanceweb.com/pt<br />

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

Touro College and University System<br />

Institutional Advancement<br />

Director of Clinical Education<br />

Reports to: Chair of <strong>Physical</strong> <strong>Therapy</strong><br />

Status: Full-Time<br />

FLSA: Exempt<br />

Location: Manhattan<br />

SUMMARY<br />

Touro College invites applications <strong>for</strong> a Director of Clinical Education in<br />

the Doctor of <strong>Physical</strong> <strong>Therapy</strong> Program at the Manhattan Campus.<br />

JOB RESPONSIBILITIES:<br />

The Director of Clinical Education will be responsible <strong>for</strong> a wide range<br />

of activities including but not limited to the following: The successful<br />

candidate will plan and implement the clinical education program as<br />

well as administer, assess and document clinical education outcomes.<br />

The responsibilities of the position also include teaching in the<br />

professional development sequence, scholarship, professional service,<br />

student advisement, and participation in departmental and college<br />

wide committees.<br />

REQUIREMENTS:<br />

Academic Doctorate (Ph.D., Ed.D., D.Sc.) in <strong>Physical</strong> <strong>Therapy</strong> or<br />

related area, or a clinical doctorate with specialist certifi cation.<br />

Doctoral candidates will also be considered. Other highly desirable<br />

qualifi cations include active participation in clinical education teaching<br />

and/or evidence of scholarship related to clinical education,<br />

three years of experience as a clinical instructor or coordinator, and<br />

excellent communication, organization, and problem solving skills.<br />

Applicants must be licensed or eligible <strong>for</strong> physical therapy licensure<br />

in New York.<br />

SALARY/POSITION:<br />

Commensurate with qualifi cations and experience.<br />

APPLICATION:<br />

The position is available August 13, 2012. Review of applicants will<br />

begin immediately and continue until the position is fi lled. Candidates<br />

should <strong>for</strong>ward: 1) letter of application; 2) current curriculum vita;<br />

3) three current letters of recommendation, to:<br />

Jill Horbacewicz, PT, Ph.D.,<br />

Chair, <strong>Physical</strong> <strong>Therapy</strong> Department<br />

Touro College School of Health Sciences<br />

DPT Program<br />

27 West 23rd Street - 6th fl oor • New York, NY 10010<br />

Documents may also be sent via e-mail to<br />

jill.horbacewicz@touro.edu.<br />

Please have the subject line say “Application <strong>for</strong> DCE faculty position.”<br />

For additional in<strong>for</strong>mation call: (212) 463-0400 x 5678<br />

or e-mail: jill.horbacewicz@touro.edu.<br />

Candidates are advised to learn more about Touro College and PT<br />

Program on: www.touro.edu/shs/pt<br />

Support By Design<br />

Pediatric <strong>Therapy</strong> Center<br />

Full-time, part-time<br />

PHYSICAL THERAPISTS<br />

Great location in Lower Manhattan!<br />

Call Linda 212-608-9661<br />

E-mail résumé sbdincny@aol.com<br />

Low-Level<br />

Laser <strong>Therapy</strong><br />

Despite years of research demonstrating<br />

the benefits of low-level laser<br />

therapy (LLLT) as a modality <strong>for</strong> wound<br />

healing, Western medicine, and its<br />

adjunct professions, have been slow to<br />

adopt this technology. LLLT has been<br />

an essential part of therapy <strong>for</strong> practitioners<br />

around the world <strong>for</strong> almost 20<br />

years, but it is only recently catching<br />

on in the United States.


YOU TAKE CARE<br />

OF OUR PATIENTS.<br />

AND WE’LL TAKE<br />

CARE OF THE REST.<br />

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

Pediatric<br />

PT • PT • PT<br />

SIGN-ON BONUS<br />

IMMEDIATE Full/Part-Time positions<br />

available at various locations throughout<br />

New Jersey in school-based programs.<br />

Middlesex County<br />

and surrounding NJ areas<br />

Excellent Rates. Benefits & 401K.<br />

Limited or NO TRAVELING. Mentorship available.<br />

Call/Fax resume to: Harold Granek<br />

LEBA Therapeutic Service, Inc.<br />

Call (732) 572-3536 Fax (732) 572-3539<br />

info@lebats.com<br />

Cases of Typhus<br />

There are actually several different<br />

diseases called typhus, each of them<br />

caused by Rickettsia, a genus of Gramnegative,<br />

non-motile, non-spore <strong>for</strong>ming<br />

bacteria. Nowadays, epidemic<br />

typhus is most prevalent in mountainous<br />

areas of Latin America, Africa and<br />

Asia. It is quite rare in the United<br />

States, with only 15 sporadic acute<br />

cases actually documented. It is<br />

believed these occurred due to exposure<br />

to flying squirrels, with transmission<br />

via squirrel lice or fleas.<br />

HOME CARE PTs<br />

NEEDED FOR QUEENS & NASSAU COUNTIES<br />

• Minimum of one year experience<br />

• Flexible Schedule<br />

• Specifi c region <strong>for</strong> reduced travel time<br />

• Pediatric experience a plus<br />

Please <strong>for</strong>ward resume to:<br />

Laura Watrous, Administrative Assistant<br />

Visiting Nurse Association of Long Island, Inc.<br />

100 Garden City Plaza, Suite 100<br />

Garden City, NY 11530<br />

Fax: 516-739-3864 • E-Mail: LauraW@vnali.org<br />

PTA - Part - time <strong>for</strong> 2 to 3<br />

mornings/week <strong>for</strong> PT owned private<br />

practice in Marine Park area Brooklyn.<br />

Excellent salary<br />

Fax resume to 347-492-4335 or<br />

e-mail: CBPT0608@msn.com<br />

FASTEST SERVICE<br />

LOWEST MINIMUM QUANTITIES!<br />

LOWEST COST<br />

CALL 800.355.5627<br />

New York, New Jersey<br />

My work helps to improve the lives of others.<br />

You might call it unlikely.<br />

I call it MJHS.<br />

— Mohamed S., PT<br />

““<br />

Full Time - Brooklyn, Manhattan & Queens<br />

(Bilingual English/Chinese/Spanish/Russian helpful)<br />

Fee-For-Service - All Boroughs<br />

Fee-For-Service opportunities available <strong>for</strong> OTs and SLPs<br />

For additional job opportunities<br />

and event in<strong>for</strong>mation visit mjhs.jobs<br />

[ mjhs.jobs ]<br />

Crest <strong>Physical</strong> <strong>Therapy</strong><br />

Growing Corporately Owned <strong>Physical</strong> <strong>Therapy</strong> Practice<br />

(Orthopedic/Vestibular/Balance/Hand/Aquatic Specialties)<br />

Looking <strong>for</strong> <strong>Physical</strong> Therapists <strong>for</strong> our Whiting and Wall, NJ locations.<br />

Also, looking <strong>for</strong> a Per Diem physical and occupational therapist in<br />

our other locations.<br />

Full-time/Part-time. New Grads encouraged to apply.<br />

PTs, CHT (OT, PT, and PTA)<br />

To join our experienced and highly motivated team of PTs and OTs.<br />

Crest has multiple locations in the Red Bank, West Long Branch,<br />

Whiting, Toms River, Wall and Manasquan, New Jersey area, with<br />

<strong>new</strong> offi ces opening in Ocean County and North Jersey. The present<br />

position is <strong>for</strong> a <strong>Physical</strong> Therapist who can work independently and is<br />

self-motivated <strong>for</strong> our Whiting offi ce. Strong clinical manual skills are a<br />

plus. Vestibular experience is also an asset, but will work to train in this<br />

area. We offer a competitive salary, a retirement plan, medical/dental<br />

benefi ts, generous paid time off, continuing education reimbursement,<br />

and a quarterly incentive program.<br />

SIGN ON BONUS<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 />

Seeking PT PHYSICAL THERAPIST<br />

20-24 hrs.<br />

Flexible hours, competitive hourly rates!<br />

Must be professional and be able to work<br />

independently. New Grads Welcome!<br />

PEAK PERFORMANCE PHYSICAL THERAPY<br />

Fax resume to: (201) 997-2087<br />

or email jmac082969@verizon.net<br />

FOR JOB OPPORTUNITES THROUGHOUT THE NATION!<br />

WWW.<strong>ADVANCE</strong>WEB.COM<br />

www.advanceweb.com/pt | July 23, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 33<br />

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

EMPLOYMENT OPPORTUNITIES<br />

33


EMPLOYMENT OPPORTUNITIES<br />

New York, New Jersey<br />

Sign-On Bonus Opportunities!<br />

$5,000 – $15,000* • Home Care Experience Earns Additional $5,000<br />

Ongoing training and development. Clinical support. Cutting-edge technology. Competitive compensation<br />

and benefits. As a <strong>Physical</strong> Therapist with the Visiting Nurse Service of New York, you have the<br />

resources to provide the best care possible <strong>for</strong> your patients, while you enjoy the support you need<br />

to live your life and build your career your way.<br />

Open Interview Days<br />

10 a.m. - 2 p.m.<br />

Bulova Corporate Center<br />

75-20 Astoria Boulevard, 2nd Floor<br />

Jackson Heights, New York 11370<br />

Thursday, July 26th &<br />

August 2nd & 23rd<br />

1200 Waters Place • Bronx, New York 10461<br />

Thursday, July 26th<br />

1630 East 15th St. • Brooklyn, NY 11229<br />

Wednesday, August 1st &<br />

Monday, August 20th<br />

To RSVP, please email your resume to:<br />

recruitment2@vnsny.org<br />

Please bring a copy of your resume to the event.<br />

Walk-in Interviews<br />

<strong>for</strong> PTs, OTs and SLPs<br />

For more in<strong>for</strong>mation, please contact:<br />

Elizabeth Scholz • 212-609-7914<br />

Email Elizabeth.Scholz@vnsny.org<br />

Visit us at: apt.vnsnyjobs.com<br />

Best Companies to Work <strong>for</strong> in New York, SHRM (2012)<br />

50 Best Places to Work in New York City, Crain’s New York Business (2010)<br />

50 Best NonProfit Organizations to Work For, The NonProfit Times (2011)<br />

Don’t just be successful.<br />

Be significant!<br />

EVERY WEDNESDAY<br />

12pm-6pm<br />

460 West 34th Street<br />

11th fl oor, Manhattan<br />

Serve Individuals with<br />

Developmental Disabilities<br />

FEE FOR SERVICE THERAPIST<br />

Brooklyn Adolescent Group Home<br />

Seagate, Mon & Wed afternoons<br />

Ideal opportunity to gain consistent<br />

extra hours and experience<br />

View all opportunities and apply online at:<br />

www.yai.org/careers<br />

E-mail: rehabrecruiter@yai.org<br />

Fax: 212-563-4836<br />

#1 Best Companies to Work <strong>for</strong> in New York Award by NYS SHRM<br />

& APA National Psychologically Healthy Workplace Award<br />

www.yai.org/careers EOE<br />

FIND A NEW JOB<br />

CALL 800.546.4987 FOR DETAILS!<br />

• Recent and <strong>new</strong> graduates welcome<br />

• Use our sign-on bonus to pay off tuition<br />

and loans<br />

• Relocation assistance<br />

• Visa sponsorship<br />

• Competitive salaries<br />

• On-site CE programs<br />

Next CE Event:<br />

Tuesday, August 21st, 2012<br />

1:30PM to 4:45PM<br />

VNSNY Brooklyn Regional Office,<br />

Rooms C and D, 1630 East 15th Street,<br />

Brooklyn, New York 11229<br />

Topic: An Evidenced Based Approach to<br />

Strength Training in the Older Adult<br />

Presenter: Joseph Gallagher, PT, DPT<br />

To register <strong>for</strong> this event,<br />

please visit us at vnsny.org/ce<br />

PEDIATRICS!<br />

*Ranges from $5,000 – $15,000<br />

<strong>for</strong> certain locations.<br />

EOE M/F/D/V<br />

PHYSICAL THERAPISTS NEEDED<br />

SUMMER-SEPT<br />

EI/CPSE COMMUNITY<br />

CLINIC & SCHOOLS!<br />

EMPLOYEES-PER DIEM AVAILABLE<br />

all in Westchester County!<br />

Great Rates! Web Billing! Continuing Ed!<br />

E-mail: cwilber@donnakleinassociates.com<br />

Call: (914) 686-3116 x 3 or fax: (914) 686-3082<br />

www.donnakleintherapy.com<br />

Donna Klein & Associates, Inc.<br />

F/T or P/T PT or PTA<br />

<strong>for</strong> orthopedic clinic.<br />

Flexibility preferred with<br />

ortho/manual experience.<br />

F/T benefi ts incl vac, insurance,<br />

retirement and CEU allowance.<br />

New Grads considered.<br />

Fax 973-237-1977.<br />

E-mail: Damon@PTNorthJersey.com<br />

www.PTNorthJersey.com<br />

advancehealthcareshop.com<br />

34 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | July 23, 2012 | www.advanceweb.com/pt<br />

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

PT’s • OT’s • ST’s<br />

Home Care • Per Diem<br />

GREAT PAY<br />

Afternoon visits in Brooklyn, Queens<br />

Manhattan, & Long Island<br />

You Choose Your Location!<br />

IMMEDIATE HIRE!<br />

able<br />

health care<br />

Uncompromising<br />

Disease<br />

FAX Resume<br />

Attention CEO<br />

516-634-5329<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.


Exceed Your Expectations<br />

at<br />

BE WELL<br />

PHYSICAL THERAPIST - Full Time<br />

$20,000 SIGN-ON BONUS AVAILABLE!<br />

New Grads Welcomed!<br />

St. Francis Medical Center in Trenton, NJ is<br />

an acute care teaching hospital that provides<br />

comprehensive family health care services<br />

hires only the best people in all professions.<br />

The <strong>Physical</strong> Therapist will be responsible <strong>for</strong><br />

assessing, planning and implementing the delivery<br />

of care. Requirements: Must have a NJ State<br />

PT License, Basic Life Support (BLS). Education:<br />

Bachelors, Masters, or Doctorate in PT.<br />

Our <strong>Physical</strong> <strong>Therapy</strong> Department consists of a<br />

dynamic staff of <strong>Physical</strong> Therapists and <strong>Physical</strong><br />

Therapist Assistants who are active participants<br />

in a large multidisciplinary team. The physical<br />

therapist plays a vital role in the care of the postsurgical<br />

cardiothoracic patients, neurosurgical<br />

and post-wound-care patients, pulmonary patients,<br />

ICU and CCU patients and general medical patients.<br />

We offer a competitive salary and excellent<br />

benefits including: Health Insurance, Tuition<br />

Remittance, 403(b) Savings Plan, Paid Time Off,<br />

Other Incentives, Employee Referral Bonus, Free<br />

Secure Parking.<br />

Per Diem Positions Available!<br />

All qualified interested candidates please <strong>for</strong>ward<br />

or fax resumes to Attn: Leora Washington,<br />

Employment Manager, 601 Hamilton Avenue,<br />

Trenton, NJ 08629. Email: Lwashington@<br />

stfrancismedical.org, Fax: 609-599-6257. EOE<br />

Visit us at<br />

www.stfrancismedical.com.<br />

TRUMP<br />

PAVILION FOR NURSING AND REHABILITATION<br />

JAMAICA HOSPITAL MEDICAL CENTER<br />

PHYSICAL THERAPY ASSISTANT<br />

Nursing Home Experience Preferred but New Grads Welcome to Apply<br />

Trump Pavilion, a <strong>new</strong> 226-bed progressive skilled nursing and rehab facility that<br />

emphasizes quality sub-acute and rehabilitation care, seeks New York State<br />

Licensed PTA <strong>for</strong> a full-time position. We offer a competitive salary, comprehensive<br />

benefits, convenience to LIRR/E-train, on site parking, employee cafeteria<br />

and fitness center. Hours are: Monday through Friday - 8 am to 4:30 pm - Must<br />

be available to work weekends and holidays as needed.<br />

Please <strong>for</strong>ward resume to: Angela Czarnecki, Assistant Administrator<br />

TRUMP PAVILION FOR NURSING & REHABILITATION<br />

AT JAMAICA HOSPITAL MEDICAL CENTER<br />

89-40 135th Street, Jamaica, NY 11418<br />

Fax: (718) 206-5005 Email: aczarnec@jhmc.org<br />

Losing ‘Good’ Weight<br />

Studies have shown that people<br />

experiencing cancer cachexia, human<br />

immunodeficiency virus or autoimmune<br />

deficiency syndrome (HIV-AIDS),<br />

or chronic obstructive pulmonary disease<br />

(COPD) tend to lose fat free mass<br />

during weight loss which leads to a<br />

decline in physical per<strong>for</strong>mance and<br />

potential death.<br />

E/O/E<br />

Treating you better…<strong>for</strong> life.<br />

A MEMBER OF SAINT PETER’S HEALTHCARE L SYSTEM<br />

<br />

<br />

<br />

<br />

<br />

New Jersey, New York<br />

Saint Peter’s University Hospital<br />

<br />

<br />

<br />

<br />

<br />

<strong>Physical</strong> Therapists<br />

<br />

Sign-On Bonus Increase!<br />

$5000 <strong>for</strong> Full Time, Pro-rated <strong>for</strong> Part Time<br />

<br />

<br />

<br />

<br />

<br />

<br />

Human Resources Dept-KP, Fax 732-220-8046<br />

Email: kperucki@saintpetersuh.com or apply online at<br />

www.saintpetershcs.com/CareerCenter<br />

www.saintpetershcs.com EOE<br />

Brooklyn Community<br />

<strong>Rehab</strong>ilitation and Medical Center<br />

A private multidisciplinary facility<br />

seeks Full-Time and Part-Time PT<br />

<strong>for</strong> NJ to work with a diverse<br />

client population. Pediatric and adult<br />

clients across the age span. Training<br />

available, pediatric and adult treatment<br />

gyms, fully equipped SI room.<br />

Ongoing supervision, mentorship<br />

and professional growth opportunities<br />

available. Potential to earn $100 per<br />

hour. New grads welcome. Sunday<br />

positions available. Benefits. NJ<br />

State License required.<br />

We do not sponsor H1 VISA.<br />

Contact Chuck at<br />

(718) 951-8800 x 2181<br />

E-mail: chuck@communitytherapy.com<br />

THOUSANDS OF JOB<br />

OPPORTUNITIES ON<br />

WWW.<strong>ADVANCE</strong>WEB.COM<br />

Pediatric <strong>Physical</strong> Therapist<br />

Full-Time<br />

Seeking dynamic individual <strong>for</strong> <strong>new</strong>ly<br />

expanded state-of-the-art private school<br />

(11-month program) <strong>for</strong> children ages 6-13<br />

with multiple disabilities. Licensing and<br />

school certifi cation required. Please send<br />

or fax resume to: Patricia Procino, P.T.<br />

The Children’s <strong>Therapy</strong> Center-<br />

Upper School<br />

321 Prospect Street<br />

Midland Park, NJ 07432<br />

Ph: 201-612-5677<br />

Fax: 201-612-6706<br />

pprocino@thechildrenstherapycenter.org<br />

www.thechildrenstherapycenter.org<br />

CarePlus <strong>Rehab</strong> LLC<br />

Partnership Opportunities available <strong>for</strong> NJ Licensed <strong>Physical</strong><br />

Therapists in our outpatient geriatric rehab clinics in northern<br />

and central New Jersey. Enjoy all the benefi ts of owning a business<br />

without any hassles of running a business. Set your own<br />

schedule, be your own boss, and work independently. Attractive<br />

terms. Long term commitment preferred. DIRECT HIRES ONLY.<br />

Please send your resume to: resume@pmk-usa.com or fax<br />

to 732-692-8447 <strong>for</strong> consideration.<br />

www.advanceweb.com/pt | July 23, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 35<br />

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

EMPLOYMENT OPPORTUNITIES<br />

35


EMPLOYMENT OPPORTUNITIES<br />

Pennsylvania, Washington, D.C., Delaware<br />

On the lookout <strong>for</strong><br />

a great <strong>new</strong> position?<br />

Join our team of school-based therapists<br />

and have a job that fi ts your life.<br />

Opportunities:<br />

• Northampton County: Part-Time PT position in<br />

two neighboring school districts; elementary and<br />

secondary caseloads.<br />

$1,000 referral bonus (pro-rated <strong>for</strong> part-time)<br />

For more in<strong>for</strong>mation,<br />

e-mail candice@pts-inc.net<br />

call us at 610-941-7020 or visit us at<br />

www.pts-inc.net today to learn more!<br />

PHILADELPHIA PT<br />

NEEDED CENTER CITY<br />

We are seeking a<br />

FULL-TIME <strong>Physical</strong> Therapist<br />

<strong>for</strong> outpatient setting in<br />

CENTER CITY/PHILADELPHIA.<br />

Please fax resume to<br />

(215) 227-2739 or<br />

E-mail your resume to<br />

careers@outreachptr.com<br />

Theraplay, Inc. is a leading provider of childrens therapy<br />

services in Southeastern, PA. Current openings at our<br />

pediatric outpatient centers, school services and EI<br />

departments, with locations in Bucks, Chester, Delaware,<br />

Montgomery and Lancaster Counties. Named a “Top 25<br />

Small Company <strong>for</strong> Working Moms”.<br />

Contact Amanda Ryan, Recruiting Mgr. (610) 436-3604 x27<br />

or aryan@theraplayinc.com <strong>for</strong> details.<br />

UPPER SOUTH ATLANTIC<br />

Lab School of Washington<br />

Part-time PT wanted <strong>for</strong> 2012 School Year<br />

• Supportive Staff<br />

• Great Interdisciplinary team<br />

• Flexible Scheduling<br />

• Hourly Rate<br />

• Must be DC Licensed<br />

Fax resume to 202-454-2291<br />

or e-mail christine.chang@labschool.org<br />

PEDIATRIC OPPORTUNITIES<br />

Maryland and District of Columbia<br />

<strong>Physical</strong> Therapists<br />

Part-time and Full-time<br />

Early Intervention, School-based,<br />

Outpatient and Aquatic <strong>Therapy</strong><br />

For in<strong>for</strong>mation on current openings<br />

call Toll-Free 1-877-ASK-CARE or<br />

E-mail:<br />

careresources-hr@careresources.net<br />

www.careresourcesinc.com<br />

EOE M/F/D/V<br />

36 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | July 23, 2012 | www.advanceweb.com/pt<br />

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

EOE<br />

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

Clinical Leader<br />

Outpatient Adult<br />

Washington, DC<br />

MedStar Georgetown University Hospital is<br />

seeking a supervisor who will participate in<br />

and facilitate the management of the operational,<br />

personnel and financial activities of the<br />

department.<br />

Our PTs enjoy:<br />

<br />

<br />

opportunities<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Requirements:<br />

<br />

<br />

<br />

a skilled practitioner<br />

<br />

outpatient setting preferred<br />

<br />

http://www.attnhr.com/jobs/40739/<br />

Other PT opportunities include:<br />

PRN <strong>Physical</strong> Therapists<br />

(experience required)<br />

Wound Care – Outpatient<br />

Outpatient Adult – Ortho and Neuro<br />

Inpatient Adult – All areas<br />

Inpatient Pediatric<br />

<br />

georgetown-university-hospital.<br />

attnhr.com/jobs/t/5/<br />

EOE<br />

NEW!<br />

Improved Advertiser Index<br />

Faster and easier<br />

www.advanceweb.com/mag URL<br />

PHYSICAL<br />

THERAPISTS<br />

St. Coletta of Greater Washington<br />

St. Coletta of Greater Washington serves<br />

school age children and adults with intellectual<br />

disabilities, autism, and secondary disabilities.<br />

Our reputation as a premier educational facility<br />

is well known throughout the Washington DC<br />

metropolitan area. We are actively recruiting<br />

<strong>for</strong>:<br />

<strong>Physical</strong> Therapists<br />

Provides assessments, develop and implement<br />

IEP goals and objectives using an integrated<br />

services model. Utilize various <strong>for</strong>ms of data<br />

collection, including audio and video tapes,<br />

charts, and language samples. Advises and<br />

ensures the development and follow through<br />

of appropriate classroom adaptations to<br />

ensure maximum learning and communication.<br />

Provide therapy services to children/adults<br />

with developmental delays and/or disabilities.<br />

Establishes and maintains professional and<br />

cooperative relationships with parents,<br />

guardians, outside specialist and agencies.<br />

Must have a Bachelor's degree in <strong>Physical</strong><br />

<strong>Therapy</strong> and a valid <strong>Physical</strong> <strong>Therapy</strong> (PT)<br />

license in the District of Columbia; Master's<br />

degree in <strong>Physical</strong> <strong>Therapy</strong> preferred. Previous<br />

experience working with children<br />

or adults with intellectual disabilities is<br />

preferred.<br />

Our <strong>new</strong> state-of-the-art school is directly<br />

opposite the Stadium/Armory METRO exit on<br />

Independence Avenue, SE, Washington, DC.<br />

We off er top competitive salaries and excellent<br />

benefi ts. Learn more about us and our <strong>new</strong><br />

school at www.stcoletta.org.<br />

Mail resume to:<br />

St. Coletta of Greater Washington<br />

1901 Independence Ave., SE<br />

Washington, DC 20003<br />

Fax: 202-350-8657•Jobs@stcoletta.org<br />

No calls please. EOE<br />

Full-Time, Part-Time, Per Diem<br />

Pediatric <strong>Physical</strong>, Speech and<br />

Occupational Therapists Needed<br />

Bayada Pediatrics NEW Delaware Pediatric Visit<br />

offi ce is growing and has immediate openings<br />

<strong>for</strong> <strong>Physical</strong>, Speech and Occupational Therapists.<br />

Pediatric experience is a must and Early Intervention<br />

experience is a plus. At Bayada Pediatrics we<br />

offer competitive pay rates, benefi ts, fl exible scheduling,<br />

and much more!<br />

If you are interested in joining a dedicated<br />

team of professionals who believe their clients<br />

come fi rst, please call SherVonne Wilson at<br />

302-322-2300 or fax resume to 302-322-6300<br />

or e-mail to swilson@bayada.com.<br />

NEEDCAREERADVICE<br />

go to www.advanceweb.com today!


Serving Prince George’s, Charles County, Anne Arundel<br />

County, Calvert County, & St. Mary’s County<br />

<strong>Physical</strong> Therapist (FT and Per Diem)<br />

<strong>Physical</strong> <strong>Therapy</strong> Assistant (FT and Per Diem)<br />

Flexible Scheduling<br />

$10,000<br />

Tuition Reimbursement<br />

Sign-on Bonus<br />

Paid Time Off<br />

<strong>for</strong> Full-time<br />

Discounted Gym Membership PTs<br />

Comprehensive Healthcare Package<br />

E-mail resumes to<br />

Dianawalker@southernmarylandhospital.com<br />

or fax to 301-856-0218<br />

Come join our team <strong>for</strong> a REWARDING and EXCITING<br />

career in Home Healthcare with the opportunity to<br />

travel and meet <strong>new</strong> people!<br />

JOB OPENINGS – SENT DIRECTLY TO YOUR E-MAIL<br />

SIGN UP TODAY AT WWW.<strong>ADVANCE</strong>WEB.COM<br />

LOWER SOUTH ATLANTIC<br />

Your opinion matters atters<br />

when it comes to patient t care.<br />

Interested?<br />

Contact Anita Young: (877) 216-4803<br />

AYoung@WorkAtConcentra.com<br />

advpt.WorkAtConcentra.com<br />

Concentra is an equal opportunity employer.<br />

©2012 Concentra Operating Corporation. All rights reserved. eserved<br />

SPORTS PLUS PHYSICAL THERAPY<br />

Purely Outpatient Orthopaedics!<br />

Full-Time PTs and PTAs needed in strong outpatient ortho and sports medicine<br />

settings, including: • Aiken, SC (PT) • Myrtle Beach, SC (PT) • Columbia, SC (PT)<br />

• Irmo, SC (PRN PTA) • Clemson, SC (Neuro. PTA) • Gastonia, NC (PTA)<br />

Contact Catherine Sullivan, 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/OT/SLP: Opportunities in Laurinburg<br />

and Morehead City, NC.<br />

Management Opportunities Available!<br />

SIGN-ON BONUS OR RELOCATION PACKAGE $3,000-$5,000<br />

Competitive salaries and excellent benefits. Continuing education assistance<br />

with opportunities <strong>for</strong> professional growth.<br />

Call 866-388-9776 or Fax: 866-388-9779<br />

markw@carolinatherapy.net<br />

Visit us at the Web at www.carolinatherapy.net<br />

Maryland, Lower South Atlantic, South Carolina, North Carolina, Florida, Georgia<br />

Now Hiring:<br />

Center <strong>Therapy</strong> Director - Hinesville, GA<br />

Center <strong>Therapy</strong> Director - Columbus, GA<br />

Center <strong>Therapy</strong> Director - Richmond, VA<br />

Developmental preschool serving birth to age 7 seeking part-<br />

time pediatric physical therapist 25 hrs/wk (can be 4 or 5<br />

days). 12-month position with 8 weeks off (4 in summer) plus<br />

10-13 days paid leave and full benefi ts package. Dynamic<br />

interdisciplinary team and fl exible work environment. Contact<br />

Alexis Hanna, therapy director, Meyer Center <strong>for</strong> Special<br />

Children (864) 250-0005 ext. 216 or e-mail resume<br />

to ahanna@meyercenter.org.<br />

OUTPATIENT ORTHO.<br />

AT THE BEACH!!<br />

Full-time PT opening at MYRTLE BEACH PHYSICAL THERAPY in Carolina Forest and<br />

Little River areas. Strong outpatient ortho, spine rehab and lots of manual therapy opportunities.<br />

Spend your time with patients, gain valuable mentoring and further your career growth! Learn<br />

more at www.csmr.org. Send resume with references to: Catherine Sullivan, MPT<br />

Clemson Sports <strong>Medicine</strong> & <strong>Rehab</strong>ilitation (home company)<br />

(864) 482-0064 x20113 • Fax: (864) 482-0081<br />

catherine.sullivan@csmr.org<br />

LAKE COUNTY SCHOOLS, FLORIDA<br />

is seeking to direct hire 1 full-time <strong>Physical</strong> Therapist <strong>for</strong> the 2012-<br />

2013 School Year. Must have BS or MS degree from an accredited <strong>Physical</strong><br />

Therapist Program/Institute. Florida licensure required. Pediatric and/or<br />

school experience preferred. Competitive Salary and Benefi ts.<br />

Contact the Exceptional Student Education Department<br />

<strong>for</strong> details at 352-253-6610. Lake County Schools<br />

Tavares, FL 32778<br />

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 />

NEED <strong>ADVANCE</strong> REPRINTS? CALL 800-355-5627<br />

Today is the<br />

fi rst day of the<br />

rest of your career.<br />

Celebrate by making a bold move – to<br />

FirstHealth of the Carolinas. A leading<br />

healthcare system that puts patients fi rst,<br />

we offer you a medically sophisticated and<br />

supportive environment where you can learn and<br />

grow. Our not-<strong>for</strong>-profi t three-hospital system<br />

is an organization driven by our values: Focus<br />

on Quality and Excellence, Integrity, Respect <strong>for</strong><br />

the Individual, Service to Others and Teamwork.<br />

Here, you’ll enjoy excellent resources, a<br />

supportive management team and exceptional<br />

opportunities <strong>for</strong> career growth. We invite you to<br />

explore the following opportunities:<br />

PHYSICAL THERAPISTS<br />

• Outpatient <strong>Rehab</strong> –<br />

Rae<strong>for</strong>d & Rockingham<br />

• Home Health – Moore County<br />

• Acute Care – Pinehurst<br />

Requires a BS, MA or Doctorate degree<br />

in <strong>Physical</strong> <strong>Therapy</strong>, NC PT license and<br />

CPR certifi cation.<br />

PHYSICAL THERAPIST<br />

ASSISTANT<br />

• Home Health<br />

We offer an attractive compensation/benefi ts<br />

package and a wonderful lifestyle in the Sandhills<br />

region of North Carolina. The mountains, ocean,<br />

several universities and the metro area of Raleigh,<br />

Charlotte and Fayetteville are all within easy<br />

driving distance. To learn more, visit<br />

www.fi rsthealth.jobs<br />

Working Together, First in Quality, First in Health.<br />

www.advanceweb.com/pt | July 23, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 37<br />

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

EOE<br />

Immediate Openings<br />

Wellington Healthcare<br />

PHYSICAL THERAPIST<br />

GEORGIA: Buckhead area - FT/PT; & PRN PTA<br />

TENNESSEE: Memphis area - FT<br />

LOUISIANA: Shreveport - PT/PTA PRN<br />

ALABAMA: Mobile - PRN<br />

Competitive salary & benefi ts<br />

based on experience.<br />

Interested candidates should send their<br />

resume to <strong>Rehab</strong>hr@wellhs.com<br />

fax to 770-740-2910 or call 251-680-1262<br />

EMPLOYMENT OPPORTUNITIES<br />

37


EMPLOYMENT OPPORTUNITIES<br />

South Carolina, Alabama, Wisconsin, Arizona<br />

New Grads Welcome!<br />

PHYSICAL THERAPISTS<br />

needed in the Upstate SC area which was<br />

recently named #4 on the “Top 100 places to live.”<br />

• Since 2007 and annually, Member of HomeCare Elite<br />

<strong>for</strong> quality and fi nancial per<strong>for</strong>mance.<br />

• 2011 Home Care Compare - Superior in public<br />

outcome measures<br />

• TOP 500 Medicare Certifi ed Home Health Provider<br />

in the country<br />

We offer laptop computers, Total Joint Program,<br />

Orthopedics/<strong>Rehab</strong> Specialty, Flexible Schedule<br />

1-800-439-4590<br />

www.interimhealthcare.com<br />

EAST SOUTH CENTRAL<br />

Over 30 Years of Extraordinary<br />

Home Health Care<br />

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

<strong>Physical</strong> Therapists<br />

EAST NORTH CENTRAL<br />

SOUTHWEST<br />

38 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | July 23, 2012 | www.advanceweb.com/pt<br />

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

EOE<br />

Northport <strong>Rehab</strong> <strong>Therapy</strong> Services<br />

Northport Medical Center, Northport, Alabama Therapists<br />

Experienced and <strong>new</strong> graduate employment opportunities<br />

available. Clinical scope of services includes patient<br />

Northport <strong>Rehab</strong> populations from pediatric <strong>Therapy</strong> to geriatric. Services<br />

Minimum Qualifications:<br />

Northport Medical Center, Northport, Alabama<br />

Experienced and <strong>new</strong> graduates employment<br />

opportunities available. Clinical scope of services<br />

includes patient populations from pediatric<br />

to geriatric.<br />

Minimum Qualifi cations:<br />

• Bachelor’s degree in <strong>Physical</strong> <strong>Therapy</strong><br />

and/or Occupational <strong>Therapy</strong>.<br />

• Maintains active status with license in good<br />

standing with the state board of education or<br />

licensing agency.<br />

• CPR certifi ed.<br />

DCH offers you...<br />

• Competitive Pay and Benefi ts<br />

• Opportunities <strong>for</strong> New Graduates<br />

$10,000 Sign-on Bonus<br />

Opportunity requires<br />

• 2-year DCH Commitment<br />

• Minimum 0.7 FTE (56 hours bi-weekly)<br />

* Paid out in equal bi-weekly installments<br />

over the course of 2-year commitment.<br />

For more in<strong>for</strong>mation regarding these<br />

<strong>Physical</strong> Therapist positions currently available<br />

with DCH Health System and<br />

to apply online, visit DCH website:<br />

www.dchsystem.com<br />

Equal Opportunity Employer<br />

DCH Regional Medical Center - Tuscaloosa, Alabama<br />

Northport Medical Center - Northport, Alabama<br />

Fayette Medical Center - Fayette, Alabama<br />

www.dchsystem.com<br />

RENEW YOUR FREE SUBSCRIPTION<br />

CALL TODAY — 800.355.1088<br />

Restoring Function. Re<strong>new</strong>ing Lives.<br />

<strong>Rehab</strong>Care offers fantastic <strong>Physical</strong> <strong>Therapy</strong><br />

Opportunities throughout Wisconsin!<br />

<strong>Physical</strong> Therapist<br />

Appleton<br />

Clinton<br />

Elroy<br />

Green Bay<br />

Janesville<br />

Jefferson<br />

Kenosha<br />

Racine<br />

Menomonie<br />

Mondovi<br />

Sheboygan<br />

Wausau<br />

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

Assistants<br />

Elroy<br />

Jefferson<br />

Middleton<br />

Milwaukee<br />

Wyocena<br />

Call Lisa Hayden Today <strong>for</strong> Details!<br />

877-463-0014<br />

Fax: 877-463-0075<br />

E-Mail: Lisa.Hayden@peoplefi rstrehab.com<br />

PRN Opportunities<br />

Also Available!<br />

*Full-Time or Part-Time opportunity<br />

currently available<br />

<strong>Rehab</strong>Care offers<br />

excellent benefi ts, such as:<br />

• Medical/Dental/Vision<br />

• Generous Time Off<br />

• Annual Allowance <strong>for</strong> CEUs,<br />

Association Dues, etc.<br />

• Develop U-Online courses <strong>for</strong> CEUs<br />

• Mentoring Program <strong>for</strong> <strong>new</strong> graduates<br />

• Relocation Assistance


Unique Opportunity in<br />

Southwest New Mexico<br />

POSITION AVAILABLE<br />

DIRECTOR OF<br />

REHAB & WELLNESS<br />

<strong>for</strong> our state-of-the-art Outpatient<br />

<strong>Rehab</strong> Facility, Acute Care and<br />

2000 member Community Wellness<br />

Center. We will be hiring a Leader<br />

who is customer-centered, employeecentered<br />

and results-oriented with<br />

our clinical outcomes and business<br />

model. This Leader must also have<br />

a true passion <strong>for</strong> the privilege of<br />

leading others.<br />

We will consider those <strong>new</strong><br />

to Leadership who wish to be<br />

mentored in an evidenced-based<br />

Leadership model.<br />

APPLY ONLINE<br />

www.grmc.org<br />

Human Resources Contact<br />

(575) 538-4076<br />

Employment is contingent upon a successful<br />

completion of pre-employment<br />

drug and alcohol testing.<br />

GRMC is an Equal Opportunity Employer<br />

MOUNTAIN<br />

DREAM PEDS POSITION!!<br />

Come LIVE/PLAY in a dynamic city<br />

with nearby mountains, lakes, hiking and fun!<br />

DREAM THERAPIES in Las Vegas, NV seeks<br />

fun-loving Full/Part-Time PTs & SLP. Practice areas:<br />

outpt. peds with hippotherapy, aquatics!<br />

Benefi ts incl. health care, optional benefi ts:<br />

short term disability, accident plan, medical bridge<br />

plan, cancer plan, critical illness plan,<br />

term/universal life insurance, 401K.<br />

CALL: 702-227-4477<br />

E-MAIL: dreamtherapies@cox.net<br />

Your opinion matters atters<br />

when it comes to patient t care.<br />

Interested?<br />

Contact Brenda White: (877) 218-0136<br />

BWhite@WorkAtConcentra.com<br />

advpt.WorkAtConcentra.com<br />

Concentra is an equal opportunity employer.<br />

©2012 Concentra Operating Corporation. All rights reserved. eserved<br />

PACIFIC<br />

New Mexico, Nevada, Mountain, Cali<strong>for</strong>nia<br />

Now Hiring:<br />

Area <strong>Therapy</strong> Director- Las Vegas, NV<br />

Center <strong>Therapy</strong> Director- Houston, TX<br />

Center <strong>Therapy</strong> Directors- Phoenix & Tucson AZ<br />

Center <strong>Therapy</strong> Director- Davenport, IA<br />

DESTINY has room <strong>for</strong> adventure.<br />

A desk job didn’t fit my adventurous<br />

nature. So I became a <strong>Physical</strong><br />

Therapist to make a difference, a<br />

good living, and have the freedom to<br />

do the kinds of things that might<br />

not fit into other working lifestyles.<br />

One weekend when I was riding<br />

the dunes east of San Diego, I met a member of Palomar<br />

Health’s rehab team. After a few laughs and even more laps,<br />

he convinced me to visit the facility. I was so blown away I<br />

moved west and never looked back. Except occasionally at my<br />

<strong>new</strong> coworkers in my rear view mirrors.<br />

Ask about the Palomar Health Weekend Only Worker<br />

(W.O.W <strong>for</strong> <strong>Physical</strong> Therapists) Work three consecutive<br />

weekends and get paid <strong>for</strong> working the next weekend. That’s<br />

enough to make you say WOW!<br />

Currently seeking Full Time and Per Diem PTs to join our<br />

inpatient, outpatient, and skilled nursing teams!<br />

www.PalomarHealth.org/<strong>Rehab</strong>Careers<br />

888.645.5556 AA/EEO<br />

SIGN UP FOR YOUR FREE E-NEWSLETTER AT WWW. <strong>ADVANCE</strong>WEB. COM<br />

www.advanceweb.com/pt | July 23, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 39<br />

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

EMPLOYMENT OPPORTUNITIES<br />

39


EMPLOYMENT OPPORTUNITIES<br />

Cali<strong>for</strong>nia, Hawaii, Alaska<br />

BRING YOUR LIFEMOVE YOUR<br />

Take the scenic route to healing the lives of others by<br />

making a difference at Eisenhower Medical Center, a<br />

2011 Gallup “Great Workplace” winner located on<br />

130 acres near beautiful Palm Springs, Cali<strong>for</strong>nia.<br />

Bring your life to this dynamic desert resort<br />

community—and move your career to a supportive,<br />

state-of-the-art environment that values teamwork<br />

while fostering individual growth.<br />

The <strong>new</strong> Annenberg Pavilion has increased our<br />

capacity to 540 beds, featuring a brand <strong>new</strong>,<br />

state-of-the-art 23-bed acute rehab unit which<br />

complements our comprehensive outpatient<br />

programs and facilities. Our neuro and vestibular<br />

rehab programs seek clinicians with acute and/or<br />

outpatient experience or interests.<br />

Our focus on superlative care shows—we were<br />

ranked as #1 in Cali<strong>for</strong>nia <strong>for</strong> Joint Replacement in<br />

2010, 2009 and 2008 by HealthGrades® and are<br />

proudly JCAHO Certified <strong>for</strong> Stroke and Joint<br />

Replacement. Our current inpatient and outpatient<br />

rehab programs, including our <strong>new</strong> acute rehab<br />

units, focus on delivering exemplary patient care<br />

and demonstrate Eisenhower’s commitment and<br />

continuous program development.<br />

We Invest in You<br />

Contact Interface <strong>Rehab</strong>, LLC.<br />

PHYSICAL THERAPISTS<br />

and PTAs<br />

Visit www.interfacerehab.com<br />

View both our full-time and per diem positions in<br />

Southern Cali<strong>for</strong>nia. While you're there check<br />

out our "Platinum Benefi ts" that includes Unlimited<br />

"Hands On" Continuing Education. * Conditions Apply<br />

Contact:<br />

PTA: Linda Barnett 714-646-8302<br />

Linda@interfacerehab.com<br />

PT: Julie Lopez 714-646-8301<br />

Julie@interfacerehab.com<br />

<strong>Physical</strong> <strong>Therapy</strong> Director<br />

Beaver Medical Group in Redlands, CA seeks a<br />

dynamic, motivated and experienced PT Director <strong>for</strong> their<br />

busy outpatient physical therapy practice. This is an exciting<br />

opportunity to work with and lead a dedicated team of professionals<br />

who pride themselves on excellence in patient<br />

care. Great work environment. Unlimited career growth<br />

potential. Excellent salary plus bonus and full benefi ts.<br />

E-mail vlampert@acare.us or fax 877-885-6777.<br />

CAREER<br />

For you, Eisenhower’s inpatient<br />

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

centers offer:<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

We are currently seeking:<br />

<strong>Physical</strong> Therapists<br />

<strong>Physical</strong> <strong>Therapy</strong> Assistants<br />

To apply visit EMCrehabCareers.com<br />

39000 Bob Hope Drive, Rancho Mirage, CA 92270<br />

40 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | July 23, 2012 | www.advanceweb.com/pt<br />

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

EOE<br />

REGIONAL DIRECTOR<br />

Sacramento Region (PT/OT/ST)<br />

STAFF PT & PTA POSITIONS<br />

We are seeking a talented therapist to join our<br />

team as our Regional Director of Operations.<br />

This is the position <strong>for</strong> you, if you...<br />

- are a successful leader<br />

- enjoy sharing your expertise with others<br />

- have multi-site SNF management experience<br />

- want to make a difference.<br />

We invite you to join us and<br />

experience the ONR difference.<br />

For in<strong>for</strong>mation, contact<br />

Jessica at 1-800-550-5896<br />

jhill@onr-inc.com<br />

<strong>Physical</strong> Therapist & PTA Positions<br />

Director of <strong>Rehab</strong>, Staff & Travel Positions<br />

throughout Northern & Southern, CA.<br />

Visit www.ONR-INC.com <strong>for</strong> jobs in<br />

AZ, CA, IA, IL, MN, MO, TX & WA.<br />

1 (FT)<br />

<strong>Physical</strong> Therapist<br />

Maui, Hawaii<br />

Imagine living in paradise! Provide home,<br />

center-based, and preschool therapy services<br />

to children birth to age 6. Continuing<br />

education allowance, 24 paid days off, 15 paid<br />

holidays, cell phone reimbursement, laptops,<br />

fl exibility, & family-friendly environment!<br />

Imua Family Services<br />

95 Mahalani St. Ste. 19A<br />

Wailuku, HI 96793<br />

Ph: 808.244.7467 • Fax: 808.242.5835<br />

cmasters@imuafamilyservices.org<br />

www.imuafamilyservices.org<br />

<strong>Physical</strong> Therapist Opportunities<br />

FT Outpatient<br />

FT HH<br />

Join our dedicated, knowledgeable and<br />

strong core therapy staff who are great<br />

mentors and teammates.<br />

888-890-8301, ext. 1<br />

907-228-8554 (fax)<br />

kmcrecruiters@peacehealth.org<br />

www.peacehealth.org<br />

Rancho <strong>Physical</strong> <strong>Therapy</strong>, the premier group of outpatient<br />

orthopedic clinics in Southern Cali<strong>for</strong>nia, seeks full or<br />

part-time <strong>Physical</strong> Therapists <strong>for</strong> our Palm Desert and<br />

Victorville offi ces. Must be Cali<strong>for</strong>nia licensed or with PTLA<br />

status. We’re looking <strong>for</strong> energetic team players with strong<br />

computer skills. Setting Rancho apart is our APTA credentialed<br />

Orthopedic Residency Program and strong opportunities<br />

<strong>for</strong> advancement to clinic director. Excellent salary &<br />

benefi ts. Relocation expense assistance. Check our website<br />

<strong>for</strong> more in<strong>for</strong>mation on Rancho <strong>Physical</strong> <strong>Therapy</strong>.<br />

Please send resume to nkreile@ranchopt.com<br />

EOE/M/F/V/H


WEST NORTH CENTRAL<br />

Instructor, <strong>Physical</strong> Th erapist Assistant AND<br />

Program Director, <strong>Physical</strong> Th erapist Assistant<br />

and Th erapeutic Massage Programs<br />

Indian Hills Community College has openings <strong>for</strong><br />

someone who will direct the <strong>Physical</strong> Th erapist<br />

Assistant and Th erapeutic Massage Programs and<br />

instruct in the PTA program. Starting salaries range<br />

$50,312-$67,471 plus competitive fringe benefi t<br />

package and a 4-day workweek. PT preferred and<br />

must be eligible <strong>for</strong> Iowa Licensure. Minimum<br />

requirements and complete job descriptions can be<br />

found at www.indianhills.edu. Applications will be<br />

accepted until the positions are fi lled. Send letter of<br />

application and resume to:<br />

Human Resources<br />

Indian Hills Community College<br />

525 Grandview Avenue • Ottumwa, IA 25201<br />

Offi ce: 641-683-5200 • Monday thru Th ursday<br />

Fax: 641-683-5184 • E-mail: hr@indianhills.edu<br />

AA/EOE<br />

WEST SOUTH CENTRAL<br />

<strong>Rehab</strong> Synergies needs<br />

a Therapist Like You!<br />

• Are you looking <strong>for</strong> your next challenge at work?<br />

• Are you looking <strong>for</strong> an employer that encourages<br />

your professional growth and off ers a<br />

$750/annual CEU allowance?<br />

• Are you looking <strong>for</strong> a great job and great employer?<br />

Th is opportunity has both,<br />

Candidates Inquires/Privacy is guaranteed!<br />

We are currently seeking Full-time, Part-time and<br />

PRN professionals <strong>for</strong> the following locations:<br />

Dallas/Fort Worth • Houston • East Texas • El Paso<br />

San Antonio • McAllen • Lubbock • Wichita Falls<br />

<strong>Rehab</strong> Synergies is an In-House Th erapy Provider<br />

of Th erapy Services to 39 Centers in Texas. We are<br />

ramping up <strong>for</strong> major growth in the years ahead,<br />

central to our strategy is a signifi cant expansion of<br />

the <strong>Rehab</strong>ilitation Department.<br />

resumes@<strong>Rehab</strong>Synergies.com<br />

www.rehabsynergies.com<br />

1-877-503-4552<br />

Fax: 817-633-6285<br />

<strong>Physical</strong> Therapist<br />

Region 10 Education Service Center<br />

seeks TX licensed PT to serve public school<br />

students in counties around Dallas. Competitive<br />

Full-time Salary, Benefits, School Holidays<br />

196 Work Days with Summers Off!<br />

972-348-1580 • kitra.gray@region10.org<br />

Risks to<br />

Female Athletes<br />

According to a study led by Morgan<br />

Stanley Children’s Hospital of New<br />

York-Presbyterian and Columbia<br />

University Medical Center, adolescent<br />

female athletes are as much as eight<br />

times more likely than boys to injure<br />

their ACL.<br />

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Several opportunities available :<br />

Settings Include:<br />

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Outpatient & Inpatient<br />

Where you can enjoy:<br />

Flexible Shifts Competitive Salaries &<br />

Benefits Family Friendly<br />

Communities A Rewarding Lifestyle<br />

Contact: Beth Ann Martin, Recruiter<br />

(406) 683-2790 bethann@mtha.org<br />

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www.advanceweb.com/pt | July 23, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 41<br />

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

EMPLOYMENT OPPORTUNITIES<br />

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EMPLOYMENT OPPORTUNITIES<br />

National<br />

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42 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | July 23, 2012 | www.advanceweb.com/pt<br />

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

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We’re growing nationally and seeking dynamic professionals to<br />

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professional advancement and a family-friendly work environment.<br />

Regional Director of <strong>Rehab</strong> - Louisiana<br />

Must have 3 years of multisite management experience in a skilled<br />

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Full-time, Part-time and PRN opportunities available!<br />

ALABAMA<br />

Birmingham<br />

Florence<br />

GEORGIA<br />

Douglasville<br />

If you want to make a DIFFERENCE in patients’ lives<br />

Please Contact Julie Nankee:<br />

1-630-296-2222 ext. 7406<br />

www.ATIpt.com<br />

In a friendly and encouraging TEAM environment<br />

We are seeking PHYSICAL THERAPISTS and<br />

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<strong>for</strong> the following locations:<br />

ILLINOIS<br />

Hardin<br />

White Hall<br />

LOUISIANA<br />

Jena<br />

Ringgold<br />

Winnfield<br />

TARA THERAPY also has opportunities in<br />

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PT’s, PTA’s, OT’s, COTA’s & SLP’s!<br />

MISSISSIPPI<br />

Cleveland<br />

Ruleville<br />

MISSOURI<br />

Herculaneum<br />

Interested candidates, please send resumes to:<br />

Jackie K. Burke, MA/CCC-SLP • Email: jburke@tarahc.com<br />

Fax: (618) 473-3351 • Tel: (888) 411-4196<br />

TAKING PHYSICAL THERAPY TO A HIGHER LEVEL<br />

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ATI <strong>Physical</strong> <strong>Therapy</strong>... GET THERE<br />

ATI CURRENTLY HAS 160+ CLINICS IN 6 STATES<br />

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<br />

45


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

<br />

<br />

Add us to<br />

your circle on<br />

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5 5 Color Col olor<br />

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Enjoy your OFF-DUTY TIME this summer<br />

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47


Introducing the <strong>new</strong>est innovation <strong>for</strong> PTs - Spidertech Tape<br />

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

Add us to<br />

your circle on<br />

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Push Pin Changer<br />

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Exercise Bands<br />

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<br />

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#02623 Hard Case<br />

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$19.99 ea.<br />

to hold the cold longer Over-the-Door<br />

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Maureen Palumbo - TX<br />

Post your ratings &<br />

comments today!<br />

<br />

Shoulder Pulley<br />

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over-the-door web strap and nylon<br />

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photos and instructions <strong>for</strong> basic<br />

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NOW $22.99<br />

Chattanooga Group<br />

ColPacs<br />

Vinyl with non-toxic silica gel. Latexfree.<br />

#09045<br />

Standard / 11" x 14" $19.49<br />

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Turn the page <strong>for</strong> more great<br />

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

49


Have you visited advancehealthcareshop.com lately?<br />

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

<br />

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SPONSORS<br />

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IN-PERSON ATTENDEE REGISTRATION FORM<br />

Mail this <strong>for</strong>m to <strong>ADVANCE</strong> Job Fairs & Career Events,<br />

3100 Horizon Drive, King of Prussia, PA 19406 or fax to 610-270-3184.<br />

All in<strong>for</strong>mation is required to process your registration, so please print clearly.<br />

SHOW: DATE EARLY REGISTRATION DEADLINE<br />

PASADENA, CA: 9/6 8/20<br />

WHITE PLAINS, NY: 9/20 9/4<br />

BALTIMORE, MD: 10/2 9/17<br />

NEW YORK, NY: 10/16 10/1<br />

Registration includes FREE admission to the exhibit hall and classes.<br />

Parking and lunch are not included.<br />

Register <strong>for</strong> all ONLINE EVENTS right up to the day<br />

of the event at www.advanceweb.com/events<br />

____________________________________________________________________<br />

FULL NAME<br />

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FACILITY/SCHOOL (if your confi rmation is being mailed to this location)<br />

____________________________________________________________________<br />

TITLE<br />

____________________________________________________________________<br />

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We may occasionally send you mail/email with special offers from selected<br />

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EMAIL OFFERS:<br />

When you provide your email address, you will receive an email from <strong>ADVANCE</strong> to welcome<br />

you and help you manage your email preferences.<br />

GET MORE DETAILS AT<br />

WWW.<strong>ADVANCE</strong>WEB.COM/EVENTS<br />

OR EMAIL <strong>ADVANCE</strong>EVENTS@<strong>ADVANCE</strong>WEB.COM<br />

• Prize details<br />

• Driving directions<br />

• Complete session agendas<br />

• Exhibitor lists and locations<br />

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twitter.com/<strong>ADVANCE</strong>Careers<br />

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

PT20120723<br />

51


FREE HEALTHCARE<br />

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& SESSIONS<br />

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ONLINE<br />

IN PERSON<br />

Sign up to attend a FREE online job fair right at home!<br />

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• Genetics 2012: Where We’ve Been, Where<br />

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Western Regional<br />

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

www.advanceweb.com/events<br />

FREE SESSIONS<br />

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• Professional Development: Helping<br />

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Favorite Healthcare Staffi ng<br />

LIVE ONLINE EVENTS RUN FROM<br />

12:00PM-5:00PM IN THEIR<br />

CORRESPONDING TIME ZONE.<br />

THE ARCHIVED EVENT WILL REMAIN<br />

OPEN FOR 30 DAYS.<br />

REGISTER TODAY!<br />

Make a day of it at a FREE in-person job fair. Meet recruiters, shop <strong>for</strong><br />

<strong>new</strong> gear, play games and win prizes. One attendee at each in-person job<br />

fair will win a $500 Visa gift card!<br />

September 6<br />

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*Exhibitors shown in bold also support<br />

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Mercy Medical Center<br />

October 16<br />

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Jacob K. Javits Convention Center<br />

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Complete details, session agendas, exhibitor lists, prizes and directions can be found at www.advanceweb.com/events.

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