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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
1
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
3
contents <strong>ADVANCE</strong> FoR PHYsICAl tHERAPY & REHAB MEDICINE<br />
Vol.<br />
[CoVER stoRY]<br />
12 Running Right<br />
A speedy recovery <strong>for</strong> runners, like all<br />
athletes, is paramount. This fact underscores<br />
the need to appropriately identify<br />
the nature of the problem from a biomechanical<br />
standpoint and everything contributing<br />
to it. Beyond the specific injury,<br />
adjacent structures need to be assessed<br />
and treated. Patient education about<br />
factors such as training routines, early<br />
injury recognition, footwear and overall<br />
conditioning needs to be a substantial<br />
part of any treatment plan. This will<br />
minimize recovery time and maximize<br />
ef<strong>for</strong>ts <strong>for</strong> preventing future running<br />
injuries. (Kyle Kielinski)<br />
[FEAtuRED ARtIClEs]<br />
16 Mechanics of Foot Drop Conditions<br />
Foot drop refers to the downward point<br />
of toes from a plantar flexed ankle resulting<br />
from weakness or contracture around<br />
the ankle joint. Management of foot drop<br />
focuses on limiting the impact on gait and<br />
preventing damage to the bones and soft<br />
tissue of the foot. Another goal is decreasing<br />
the risk of falls. This is accomplished using<br />
an exercise program and orthotics.<br />
4 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
20 Lasers: Photobiology<br />
and Living Tissue<br />
Photobiology is the study of how light<br />
interacts with living tissue. Light interacts<br />
with the cells in our retinas and skin, and<br />
we now know that it can interact in positive<br />
ways with every cell. While surgical<br />
lasers are now commonplace in the U.S.<br />
medical community, low-level therapeutic<br />
lasers are a distinctly different tool.<br />
Scientists are developing a picture of how<br />
low-level lasers work on tissues.<br />
23 | No. 16 | August 6, 2012<br />
28 Aquatics: Confidence <strong>for</strong><br />
Patients With Brain Injury<br />
Aquatic therapy has roots dating back<br />
to the days of the Grecian empire.<br />
Hippocrates applied water healing techniques,<br />
finding its properties ideal <strong>for</strong><br />
patients who had difficulty exercising on<br />
land. Water’s resistance qualities helped<br />
orthopedic patients improve flexibility,<br />
strength and muscle tone. These principles<br />
apply to treating patients with acquired<br />
brain injuries.
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
5
[MORe ARTiCleS]<br />
9 Management Focus:<br />
Handling an Audit<br />
24 Back Pain: An Epidemic?<br />
26 Infection Control<br />
in Acute Settings<br />
33 Our Annual CE Directory<br />
[DePARTMeNTS]<br />
7 State by State/Ad Index<br />
8 Editor’s Note<br />
46 Classified Marketplace<br />
47 Classified Employment<br />
Opportunities<br />
59 <strong>ADVANCE</strong> Healthcare Shop<br />
[COMiNG SOON]<br />
Being a physical therapist on the ATP World<br />
Tour is full of exciting challenges. Players<br />
want to play, period. Forget the hurt, <strong>for</strong>get<br />
the injury—they are ready to complete. Clay<br />
Sniteman, MSPT, ATC, owner of Sundance<br />
<strong>Physical</strong> <strong>Therapy</strong> in Ogden, UT, has also<br />
worked part-time <strong>for</strong> the Association of<br />
Tennis Professionals (ATP) World Tour since<br />
2003. Sniteman travels to about 20 events per<br />
year, treating the top tennis players in the<br />
world on-site be<strong>for</strong>e, during and after their<br />
matches. He writes about his experiences on<br />
the tour, types of injuries he treats and what<br />
it’s like to work behind the scenes at fabled<br />
events like Wimbledon.<br />
[MUlTiMeDiA]<br />
CoNQueriNg The<br />
ChesAPeAke<br />
Man without limbs competes in a 4.4-mile<br />
swim in the Chesapeake Bay.<br />
JOiN OUR PT COMMUNiTy!<br />
Blogs: Meet our bloggers and read<br />
new posts daily!<br />
A New York PT iN QueeN<br />
elizABeTh’s CourT<br />
The Top of the Physio Food Chain<br />
Dean finds limited options across the UK<br />
when searching <strong>for</strong> a higher-level position.<br />
liFe oF A PTA<br />
what Matters Most<br />
A trusted colleague reminds Allison<br />
of the most important attribute any<br />
skilled therapist can possess.<br />
More PT Blogs<br />
• Toni Talks About PT Today<br />
• PT in the City<br />
• A New PT Reality<br />
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• Journey with a DPT Student<br />
• PTA Blog Talk<br />
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[New! APP Review]<br />
GetMyROM: Range of Motion App Highlighted<br />
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[STUDeNT CeNTeR]<br />
Article: workplace Diversity Promotes Productivity<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 />
newsmagazine. Its purpose is to provide in-depth coverage of news and employment opportunities to therapists in<br />
the nation. Subscriptions are free to all PTs, PTAs and senior students as well as to national PT schools & health care<br />
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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 />
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6 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
oN The weB www.advanceweb.com/pt uPdATed dAilY!<br />
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 />
CoMMuNiTY ChAT<br />
interact with colleagues!<br />
This week’s hoT ToPiCs:<br />
Blogs: uNliMiTed TherAPY<br />
lisa posts: what if patients could have as<br />
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American <strong>Physical</strong> <strong>Therapy</strong> Association www.apta.org 37<br />
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Visiting Nurse Service of New York www.vnsny.org/ce 39<br />
By Brian w. Ferrie<br />
Cali<strong>for</strong>nia<br />
state PT group Accuses Assemblymember<br />
of Massive waste of Taxpayer dollars<br />
[stAtE BY stAtE]<br />
In a statement released July 9 to hundreds of media outlets, following<br />
the disclosure of the results of a state audit of the Cali<strong>for</strong>nia <strong>Physical</strong><br />
<strong>Therapy</strong> Board (PTBC) requested by Assemblymember Mary<br />
Hayashi on Aug. 24, 2011, the Cali<strong>for</strong>nia <strong>Physical</strong> Therapist Private<br />
Practice Group (CA PPG) criticized Hayashi <strong>for</strong> “abusing her power<br />
and misusing public funds.”<br />
According to PRWeb, in a letter posted on Hayashi’s website and<br />
in testimony presented in front of the Joint Legislative Audit Committee<br />
(JLAC), she accused the PTBC of coordinating unethical activities<br />
with the Cali<strong>for</strong>nia <strong>Physical</strong> <strong>Therapy</strong> Association (CPTA) and<br />
unfairly investigating complaints against physical therapists who<br />
were allegedly employed by medical corporations—illegally. Just<br />
two months earlier, a Hayashi-authored bill, AB 783, was dismissed<br />
in the Senate, which would have legalized physician self referral<strong>for</strong>-profit<br />
in the <strong>for</strong>m of physician-owned physical therapy clinics.<br />
Dr. David Straight, physical therapist and chair of the CA PPG,<br />
stated, “It’s shameful that Ms. Hayashi again overstepped her<br />
bounds and persuaded the JLAC to investigate the PTBC at the cost<br />
of $200,000 to taxpayers, despite her lack of evidence to back her<br />
claims of wrongdoing.”<br />
During the hearing, and in an NBC 4 LA article after the hearing,<br />
Paul Gaspar, DPT, a spokesperson <strong>for</strong> CA PPG, referred to the audit<br />
request as a sham and fishing expedition. More recently, on June 26,<br />
2012, the State Auditor’s office released the results of the Hayashirequested<br />
audit of the PTBC. According to Dr. Gaspar, “The auditor’s<br />
results proved there was absolutely no merit to any of Assemblymember<br />
Hayashi’s baseless accusations against the PTBC. In the<br />
opinion of many citizens, this was a power play by Hayashi to curtail<br />
the PTBC investigation of the two percent of physical therapists<br />
working illegally <strong>for</strong> Cali<strong>for</strong>nia Medical Association physicians—her<br />
wealthy campaign donors.” n<br />
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7
[EDiToR’S ViEw]<br />
8National <strong>Rehab</strong>ilitation<br />
Week was first started by a<br />
health system in Pennsylvania<br />
in 1976 as a local awareness<br />
campaign to educate<br />
people on the value of<br />
rehabilitation. The concept<br />
spread to healthcare facilities across the country,<br />
and in 1990 they banded together to secure a<br />
Presidential declaration of the third week in<br />
September as National <strong>Rehab</strong>ilitation Week.<br />
This year, <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong><br />
& <strong>Rehab</strong> <strong>Medicine</strong>, along with our sister publications<br />
<strong>ADVANCE</strong> <strong>for</strong> Occupational <strong>Therapy</strong><br />
Practitioners and <strong>ADVANCE</strong> <strong>for</strong> Speech-Language<br />
Pathologists & Audiologists, are joining to bring<br />
you <strong>ADVANCE</strong>’s first annual National <strong>Rehab</strong>ilitation<br />
Week Celebration, Sept. 16-22!<br />
We want to recognize those who make rehabilitation<br />
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function! PT, OT and speech therapy don’t exist<br />
in silos in the real healthcare world—multidisciplinary<br />
and collaborative care is, indeed,<br />
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acknowledge that collaboration, our <strong>Rehab</strong><br />
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Celebrating <strong>Rehab</strong> teams<br />
8 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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A rehab team must consist of at least two members<br />
representing at least two of the three major<br />
rehab disciplines (PT, OT and S-LP). Teams can<br />
include members of other disciplines, but the<br />
majority of the team must be rehab therapists.<br />
Submissions should be no longer than 500<br />
words, and should focus on teamwork, collaboration,<br />
communication and/or other facets<br />
of care provision that take advantage of the<br />
strengths of each profession/team member.<br />
Team members as well as managers and<br />
employers may submit entries <strong>for</strong> the team.<br />
One submission per team only. Entries must<br />
include contact in<strong>for</strong>mation <strong>for</strong> one team representative,<br />
as well as names and professional<br />
credentials of all members of the team, and the<br />
name of your facility. Do not include the name<br />
of the facility in the text of your essay.<br />
Entries will be emailed to <strong>Rehab</strong>Group@<br />
advanceweb.com as either an email or an<br />
attachment (Microsoft Word or Adobe .pdf documents<br />
only). One group photograph should<br />
be included as an attachment to the submission;<br />
photographs are not required to participate.<br />
The deadline <strong>for</strong> submissions is Aug. 31, 2012.<br />
Celebrating <strong>Rehab</strong> Week<br />
In September we will launch our National<br />
<strong>Rehab</strong> Week Celebration site, which will offer<br />
tips on celebrating <strong>Rehab</strong> Week, cards and certificates<br />
you can send to colleagues, and articles<br />
on multidisciplinary care from the <strong>ADVANCE</strong><br />
archives. On Sept. 16, as National <strong>Rehab</strong> Week<br />
begins, we will publish on our site the profiles<br />
of every team that has submitted an entry. PTs,<br />
OTs and speech therapists across the country<br />
will be able to read stories of teamwork by<br />
their peers that have made a positive impact<br />
on patient care. For more in<strong>for</strong>mation and to<br />
submit your team profile, visit www.advance<br />
web.com/PT<strong>Rehab</strong>WeekEntry. n<br />
Jill Glomstad is an editor at <strong>ADVANCE</strong> and can<br />
be reached at jglomstad@advanceweb.com<br />
<strong>ADVANCE</strong><br />
<strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & rehab <strong>Medicine</strong><br />
is published by Merion Matters<br />
Publishers of leading healthcare magazines since 1985<br />
PuBlisher<br />
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geNerAl MANAger<br />
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HIPAA Privacy and RoI:<br />
the Adventure Continues<br />
A good foundation <strong>for</strong> privacy/security is<br />
just the beginning in avoiding audits<br />
By rita Bowen, MA rhiA, ChiPs, ssgB<br />
mation unconstrained by physical<br />
boundaries. Healthcare organizations<br />
now live in a virtual world, and<br />
HIM professionals must provide privacy leadership<br />
across the institution and beyond.<br />
Although it is easy <strong>for</strong> us to succumb to tunnel<br />
vision, paying attention only to that which<br />
is perceived to be in our realm, our responsibilities<br />
<strong>for</strong> patient privacy go further-much<br />
further. Our vision must expand to encompass<br />
a complete data governance policy <strong>for</strong><br />
the entire organization.<br />
We’ll provide the remainder of a complete<br />
ROI checklist and discuss three critical areas<br />
within an organization-wide privacy and<br />
security policy where HIM professionals can<br />
lend an important hand: PHI location and<br />
JEFFREy lEESER Technology has made patient in<strong>for</strong>-<br />
data classification audits, understanding<br />
privacy and security laws and establishing a<br />
global encryption policy.<br />
ROI Checklist Continued<br />
Be<strong>for</strong>e we try to influence the privacy of the<br />
rest of the institution, we need assurance that<br />
our own house is in order. The ROI process is<br />
your best place to start. These checklist items<br />
are general and not all-inclusive. You must<br />
tailor them to your specific needs and situation.<br />
That being said, all of them need to be<br />
implemented to some extent.<br />
• Policy/procedures <strong>for</strong> chart pulls if you are<br />
in a paper or hybrid environment;<br />
• Principles <strong>for</strong> patient identity controls and<br />
patient look-up if you are totally electronic;<br />
• Mail opened and logged—same day;<br />
[MANAgEMENt FoCus]<br />
• In<strong>for</strong>mation maintained in secure/private<br />
manner on desks;<br />
• If material is printed—disposal is made<br />
within shred-bins;<br />
• Are shred bins locked prior to shredding;<br />
• Scanned document validation of patient ID<br />
and second identifier;<br />
• EHR validation of patient ID and second<br />
identifier;<br />
• Processing of subpoenas observed—standards<br />
met;<br />
• Knowledge of who to report MPI issues to;<br />
• Employees can verbalize understanding of<br />
privacy standards.<br />
Be sure to document all processes, training<br />
and validation. This is important should you<br />
ever need to show that all these steps have<br />
been taken. Validation of your ef<strong>for</strong>ts is the<br />
best way to minimize any penalties, fines or<br />
investigations should a breach occur. Good<br />
faith best ef<strong>for</strong>ts go a long way and are proof<br />
that everyone was doing their part should the<br />
inevitable occur.<br />
Beyond Checklist 101<br />
A good foundation <strong>for</strong> privacy/security is just<br />
the beginning of the process. There is a need<br />
<strong>for</strong> considerably more broad work to be done<br />
to create a complete data governance program,<br />
as mentioned in the beginning of this article.<br />
More advanced ef<strong>for</strong>ts may be the purview of<br />
management, but those ef<strong>for</strong>ts must translate<br />
to action. Three areas of concern that HIM<br />
directors should participate in or lead are:<br />
• PHI location and data classification audit;<br />
• Federal/state privacy and security law<br />
analysis;<br />
• Global encryption policy.<br />
Where Is It?<br />
It is amazing the number of places you can<br />
find PHI. Ask IT, the business office, case management,<br />
utilization review and all clinical<br />
areas where PHI resides, and you will have<br />
a good starting point <strong>for</strong> defining the world<br />
of privacy. After compiling your list, walk<br />
around and classify the type of data. Then<br />
you should work with IT to verify the list.<br />
You will often find areas that are overlooked<br />
such as unattended computer terminals and<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
9
[MANAgEMENt FoCus]<br />
sticky notes with patient in<strong>for</strong>mation stuck<br />
everywhere. You also may find areas of PHI<br />
that are not on anybody’s radar screen such<br />
as discarded documents in ancillary departments<br />
or stacks of charts left unattended.<br />
Lastly, business associates (BA) need<br />
to be contractually obligated to adhere<br />
to HIPAA compliant privacy and security<br />
policies and procedure. Any PHI that<br />
leaves your organization with a BA, paper<br />
or electronic, must be covered. Your BAs<br />
also should be subject to your “trust but<br />
verify” school of thought.<br />
Which Rule Do We Adhere To?<br />
State and federal privacy and security laws<br />
exist, and HIM professionals should understand<br />
both. Adhere to the most stringent policies<br />
in cases where they differ.<br />
It comes as no surprise that in some cases<br />
state and federal law contradict each other.<br />
You need to know where these conflicts are<br />
and present them to your legal counsel <strong>for</strong><br />
clarification on how to proceed is that instance.<br />
10 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
To Encrypt or Not To Encrypt<br />
That is the question. The law does not mandate<br />
encryption. Yet we believe it is on the<br />
way. We suggest you go beyond and above the<br />
law with encryption by establishing a global<br />
encryption policy <strong>for</strong> your organization.<br />
The majority of large breaches involved<br />
theft of an unencrypted device, hard drive<br />
or other electronic media. Simple, inexpensive<br />
encryption would have saved the day in<br />
many of these breaches. Yes, it is a bit of work<br />
and does incur an added expense. However,<br />
the cost of encryption has dropped steadily<br />
while the cost of breach has risen considerably.<br />
This better justifies the cost/benefit of<br />
encryption.<br />
For example, Blue Cross Blue Shield of Tennessee<br />
just settled <strong>for</strong> a $1.5 million penalty in<br />
a large breach that involved unsecured physical<br />
facilities and unencrypted computer hard<br />
drives. It was stated by Computerworld that<br />
BCBS spent nearly $17 million in investigation,<br />
notification and protection ef<strong>for</strong>ts. Encrypting<br />
the data and locking down access seems like<br />
a much more cost- effective solution.<br />
Finally, it is important <strong>for</strong> HIM professionals<br />
to remember that if a breach occurs by an<br />
HIM business associate (e.g., record auditor,<br />
outsourced transcription or coding services<br />
provider) your organization is held responsible<br />
and must bear the brunt of the cost and<br />
reputational harm.<br />
So as you can see through this article and<br />
the CMS “wall of shame,” our realm is really<br />
much larger than it looks. HIM responsibilities<br />
to help protect patient in<strong>for</strong>mation extend<br />
across the entire galaxy of data governance.<br />
Data governance is a whole new world <strong>for</strong><br />
HIM professionals. n<br />
Rita Bowen is senior vice president of HIM and<br />
privacy officer, Health Port, Alpharetta, GA.<br />
www.advanceweb.com/pt<br />
For more in<strong>for</strong>mation on business<br />
& practice management, see our<br />
specialty resource centers at www.<br />
advanceweb.com/PTBusiness
MediCAre Advisor<br />
Proper use of Modifiers<br />
By Pauline M. Franko, PT, CEEAA<br />
QuesTioN: Must a 59 modifier be used every<br />
time when billing 97140 and 97124 together?<br />
ANswer: the 59 modifier is used as part of the<br />
Correct Coding Initiative (CCI) to identify that<br />
the practitioner provided “distinct procedural<br />
services” when 2 CPt codes listed as part of the<br />
CCI edits are per<strong>for</strong>med by the same practitioner<br />
on the same day. Recently, CMs merged the<br />
2 listing of the edits, the Column 1/ Column<br />
2 correct coding edits and Mutually exclusive<br />
coding combinations into 1 integrated system.<br />
the CCI edits were initially designed to prevent<br />
unbundling of services, believing that one<br />
CPt code was actually part of a more comprehensive<br />
code and there<strong>for</strong>e, the practitioner<br />
was already getting reimbursed <strong>for</strong> the lesser<br />
service with the comprehensive code. the<br />
system did allow <strong>for</strong> use of the 59 modifier<br />
when the documentation supported that the<br />
2 codes billed were distinctly different from<br />
one another.<br />
Based on that explanation, the CPt code<br />
97140 describes the use of manual therapy<br />
procedures, including techniques of mobilization/manipulation,<br />
manual lymphatic drainage<br />
and manual tractions. when billed, the<br />
documentation should clearly describe the<br />
specific techniques used along with the body<br />
part treated. CPt code 97124 describes the use<br />
of massage including effleurage, petrissage<br />
and/or tapotement (i.e., stroking, compression,<br />
percussion). Again, to bill this code, the documentation<br />
should support the use of massage<br />
<strong>for</strong> the condition being treated, identify the<br />
techniques used and the body part treated.<br />
If this is done, then the 59 modifier is added<br />
to the code to indicate that the CCI edits are<br />
being used and the contractor should pay <strong>for</strong><br />
the lesser code.<br />
By adding the 59 modifier to the claim, the<br />
practitioner is attesting that there is documentation<br />
in the medical record supporting<br />
the two codes. However, if these services are<br />
provided on different days, then the modifier<br />
is not required. n<br />
[MANAgEMENt FoCus]<br />
disclaimer: The answers provide are based on<br />
Medicare guidelines <strong>for</strong> what is payable under<br />
the Medicare Part A and Part B Benefit. As<br />
always, the provider should be aware of the<br />
other regulations that might supersede the<br />
Medicare payment guidelines such as the state<br />
Practice Act and the state Administrative Code.<br />
in any scenario, the practitioner must go with<br />
the most stringent requirement in order to be<br />
compliant. The in<strong>for</strong>mation provided is current<br />
as of the time of publication.<br />
Pauline M. Franko is owner of Encompass<br />
Consulting & Education, LLC based in Tamarac,<br />
FL. The company specializes in Medicare<br />
Seminars and Webcasts as well as Consulting<br />
and Compliance Training. To learn more visit<br />
www.encompassmedicare.com. The company’s<br />
“Direction on Demand” service specializes in<br />
providing the rehabilitation professional with<br />
a clear, easy way to understand how to provide<br />
Medicare compliant services to their patients in<br />
the SNF and outpatient settings. Contact the<br />
author through the Encompass website or by<br />
phone at 954-720-4087.<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
11
[CoVER stoRY]<br />
ruNNiNg righT<br />
how To ideNTiFY ANd TreAT ruNNiNg<br />
iNJuries For loNg-TerM PosiTive ouTCoMes<br />
BY BreNdAN CArMAN, PT, MPT, ATC<br />
12 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
The key is to ensure a<br />
properly fitted sneaker<br />
that has enough support<br />
to reduce the possibility <strong>for</strong><br />
tendon and ligament strain.
over the years, I have consulted and<br />
treated hundreds of runners, from<br />
average joggers to marathoners,<br />
professional athletes and high<br />
school athletes. Foot and ankle<br />
injuries, including plantar fasciitis,<br />
Achilles tendonitis, fibularis<br />
tendonitis and posterior tibialis<br />
strain are the most common we see among this population.<br />
Treatment <strong>for</strong> these types of injuries presents<br />
additional challenges when dealing with runners given<br />
the nature of their injuries, typically chronic/overuse<br />
type injuries, and the typical runner’s propensity <strong>for</strong><br />
training “through the pain.”<br />
A speedy recovery <strong>for</strong> runners, like all athletes, is<br />
paramount. This fact underscores the need as a clinician<br />
to appropriately identify the nature of the problem from<br />
a biomechanical standpoint and everything contributing<br />
to it, and then implement a treatment approach<br />
addressing what’s been identified through our evaluation<br />
as comprehensively as possible.<br />
With treating foot and ankle injuries, it is easy to<br />
develop tunnel vision, focusing too narrowly on the<br />
affected tissues and not adequately considering the big<br />
picture. Beyond the specific injury, adjacent structures<br />
need to be assessed and treated <strong>for</strong> their potential role<br />
in the cardinal complaints. In addition, patient education<br />
about factors such as training routines, early injury<br />
recognition, footwear and overall conditioning needs<br />
to be a substantial part of any treatment plan. This will<br />
minimize recovery time and maximize ef<strong>for</strong>ts <strong>for</strong> prevention<br />
of future occurrences.<br />
So how do we satisfy optimal rehabilitation time<br />
and long-term success? We think the key is to use a<br />
comprehensive yet straight<strong>for</strong>ward plan that balances<br />
a combination of manual techniques, varied exercises<br />
<strong>for</strong> different purposes and extensive patient education<br />
about the injury, normal and abnormal physiological<br />
responses, and strategies to avoid injury in the future.<br />
Localized Treatment<br />
As with any injury, managing symptoms and promoting<br />
tissue healing is initially the primary focus. There<br />
is a wide variety of therapeutic exercises, manual techniques<br />
and modalities that can be employed to assist<br />
the body’s ability to heal. Balancing all of these options<br />
has proven a key factor <strong>for</strong> success in my experience.<br />
The most common modalities we utilize include various<br />
<strong>for</strong>ms of heat or ice, and educating patients about<br />
when to use either is important. It is also significant to<br />
avoid the habit of “icing after every treatment” or using<br />
heat be<strong>for</strong>e every treatment. Consider exactly what the<br />
desired treatment and tissue response is and apply the<br />
modality (or not) that best aids in that ef<strong>for</strong>t.<br />
[CoVER stoRY]<br />
Manual techniques: Manual techniques including<br />
joint mobilization and stretching, traditional soft-tissue<br />
manipulation and IASTM (instrument-assisted softtissue<br />
mobilization) can improve circulation, tissue<br />
remodeling and joint mobility, as well as modulate<br />
pain. Plantar fasciitis and tendonitis injuries tend to<br />
respond particularly well to the appropriately implemented<br />
manual techniques.<br />
Therapeutic exercise: I have also had excellent success<br />
treating these types of injuries with therapeutic<br />
exercises that focus on joint and soft-tissue conditioning.<br />
This involves prescribing exercises that promote<br />
ROM, healthy blood flow and oxygenation of tissues,<br />
along with joint lubrication, below a threshold that<br />
exacerbates the inflammatory response when dealing<br />
in the more acute phases of injury. Using very light<br />
resistance with high repetitions (i.e., three sets of 30 <strong>for</strong><br />
each exercise) helps promote healing but it is imperative<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
13
[CoVER stoRY]<br />
that patients adhere to the prescribed number<br />
of exercises and not exceed the threshold<br />
that will exacerbate their condition. Once<br />
out of the acute phase, more traditional<br />
PREs become the focus to promote localized<br />
strengthening and neuromuscular control.<br />
Therapeutic taping: A growing trend over<br />
the recent past is the use of elastic therapeutic<br />
tape, which has been made popular<br />
by professional athletes from all the major<br />
sports and Olympians. Therapeutic taping<br />
is used to augment traditional physical<br />
therapy in an ef<strong>for</strong>t to help relieve pain and<br />
sore muscles, enhance function and facilitate<br />
the healing process.<br />
Therapeutic tape is a lightweight, “breathable”<br />
elastic tape with a long-lasting adhesive<br />
that is extremely durable. One theory<br />
is that the tape helps support muscles and<br />
improve the stability of joints that are in a<br />
particularly weakened state from overuse/<br />
strain or injury. It is also said that the elastic<br />
composition of the tape enables “lifting”<br />
of the skin at the injured site, resulting in<br />
INCREASED PERFORMANCE<br />
increased blood flow and a reduction in the<br />
perception of pain. In these ways, elastic<br />
therapeutic tape may help to speed healing<br />
and rehabilitation.<br />
The application and positioning of the<br />
tape is key. Depending on the type of strain<br />
or injury involved, the tape may be used to<br />
limit or promote movement. This modality,<br />
when used and applied correctly, has been<br />
reported to help runners reach their therapeutic<br />
goals in a timelier manner.<br />
Kinetic chain and muscle imbalance: The fundamental<br />
problem we see with the majority<br />
of our runners and their associated foot and<br />
ankle injuries involves muscle imbalance/<br />
weakness beyond the lower leg itself. It is<br />
important to establish a strengthening program<br />
that addresses potential weakness<br />
in the trunk, hip and upper-thigh muscles,<br />
using functional movement patterns promoting<br />
synergy <strong>for</strong> neuromuscular control. Rein<strong>for</strong>ce<br />
the basic concept: Control and stability<br />
of a distal extremity requires strength and<br />
stability proximally.<br />
IMPROVED BREATHABILITY<br />
IMPROVED MOISTURE WICKING CAPABILITIES<br />
INCREASED RESULTS<br />
PATENTED DESIGN ENCOURAGES<br />
DEEPER FASCIAL PENETRATION<br />
INCREASED VALUE<br />
$8.00 PER ROLL<br />
2” x 16.1’<br />
Educating the Patient<br />
Patient education begins from the first time<br />
I consult with a new client and is interwoven<br />
into every visit through the patient’s<br />
discharge from skilled services. Initially,<br />
the process should focus on teaching a new<br />
patient about his injury, what treatment will<br />
be provided, what the goals and expected<br />
outcomes of treatment are, and what the<br />
patient’s role will be. From there, education<br />
shifts to more global factors that are<br />
contributing to the current condition and<br />
how to manage those factors. Lastly, each<br />
patient needs to have a good understanding<br />
of how he can prevent future problems<br />
through proper training and compliance<br />
with an ongoing self-management program.<br />
The body’s response: It is easy to make<br />
assumptions that runners, given their dedication<br />
to a fitness-related activity, are educated<br />
about their own bodies and how they<br />
respond to training. While this may be true<br />
<strong>for</strong> some, I have found that the vast majority<br />
running continued on page 32<br />
THE NEXT GENERATION OF KINESIOLOGY TAPE<br />
14 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
6 out of the 10 clinics who have tried Per<strong>for</strong>mTex Tape, have made the switch!
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
15
[Foot DRoP]<br />
Positive steps<br />
Understanding the mechanics of foot drop conditions<br />
guides the way to more effective treatment<br />
By Toni Patt, dPT<br />
Foot drop refers to the downward point<br />
of toes from a plantar-flexed ankle,<br />
resulting from weakness or contracture<br />
around the ankle joint. In the language<br />
of the ICD it is an impairment of body structure<br />
that influences activities and participation.<br />
Causes of foot drop include a spinal cord injury,<br />
cerebral palsy, an acquired brain injury such<br />
as a traumatic brain injury or stroke, injury to<br />
tendons or muscles, or a peripheral nerve injury.<br />
The dropped foot results from weakness of<br />
the tibialis anterior. Often the extensor digitorum<br />
longus and extensor hallucis longus are<br />
involved. Involvement of the invertors and<br />
evertors results in an equus appearance of the<br />
foot. The consequence is difficulty clearing the<br />
involved foot during swing phase.<br />
In normal gait, the swing foot moves away<br />
from the floor following push off and clears the<br />
floor as the hip and knee move into extension.<br />
The foot moves into full dorsiflexion and the<br />
hip flexes <strong>for</strong>ward. It remains in dorsiflexion as<br />
the heel moves toward the floor <strong>for</strong> heel strike.<br />
In the contralateral limb, the <strong>for</strong>efoot lowers<br />
to the ground following heel contact. The tibia<br />
moves <strong>for</strong>ward over the stationary foot via<br />
16 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
The author demonstrates a treatment<br />
technique <strong>for</strong> a patient with foot drop.<br />
the heel rocker. As the foot continues<br />
to move <strong>for</strong>ward, the heel rises off the<br />
floor while the ankle plantar flexes and<br />
the toes extend <strong>for</strong> push off.<br />
When the foot remains in a plantarflexed<br />
position, gait mechanics are<br />
affected. The most noticeable changes<br />
are a shortened stride length, decreased<br />
gait velocity, decreased stability and<br />
decreased shock absorption at the knee.<br />
Compensatory Movement<br />
With drop foot, <strong>for</strong>efoot or toe contact<br />
occurs instead of heel strike. Following<br />
contact the foot immediately goes into<br />
flat foot, causing the knee to hyperextend.<br />
This prevents the rocker system of<br />
the foot to function as the tibia moves<br />
<strong>for</strong>ward. Instead of a smooth motion,<br />
the tibia is only able to move through available<br />
passive range of motion (ROM). Limb advancement<br />
is abridged, resulting in shortened stance<br />
duration. Heel off occurs once tibial movement<br />
halts. The foot is able to move into position <strong>for</strong><br />
push off, but weak or absent toe extensors limit<br />
the amount of <strong>for</strong>ce generated. Sometimes <strong>for</strong>ward<br />
trunk lean occurs to assist with moving<br />
the leg <strong>for</strong>ward over the foot.<br />
When the limb is in swing phase, toe clearance<br />
is impaired. In mild cases the toes may<br />
clear the floor but with little or no room to<br />
spare. In severe cases the toes and <strong>for</strong>efoot<br />
can drag along the floor. In order to compensate,<br />
gait deviations develop to assist with<br />
clearance of the foot. Compensations at the<br />
hip include exaggerated flexion or circumduction.<br />
The trunk will lean laterally away from<br />
the affected leg and may be accompanied by<br />
hip vaulting. The purpose of these deviations<br />
is to increase the amount of space between the<br />
foot and the toes.<br />
A secondary effect of foot drop is increased<br />
energy expenditure <strong>for</strong> gait. Normal gait follows<br />
a pendulum pattern in which energy<br />
is transferred from limb to limb at heel<br />
strike. Combined with effective use of gravity,<br />
minimal energy is exerted to walk. When<br />
gait mechanics are altered, there is increased<br />
muscular activity. Instead of relying on the<br />
transference of energy, the body must generate<br />
the energy necessary to move <strong>for</strong>ward and<br />
control balance. The increased energy demand<br />
can limit endurance and increase the potential<br />
<strong>for</strong> falls.<br />
Management of foot drop focuses on minimizing<br />
further loss of ROM, limiting the impact<br />
on gait, and preventing damage to the bones<br />
and soft tissue of the foot. A secondary goal is<br />
decreasing the risk of falls. Depending on the<br />
cause, this is accomplished by development of<br />
an exercise program and orthotics. Functional<br />
electrical stimulation (FES) and neuroprotheses<br />
have also been effective.<br />
In cases where foot drop is the result of a<br />
peripheral nerve injury, a solid plastic anklefoot<br />
orthosis (AFO) is used. The purpose is to<br />
prevent damage to the foot and maintain ROM<br />
while the nerve regenerates. No movement is<br />
permitted at the ankle. Strengthening exercises<br />
are begun once muscle function returns. Sometimes<br />
surgery is required to repair or relocate<br />
damaged nerves.<br />
Treatment following a neuromuscular or<br />
acquired brain injury is more complex. In this<br />
case, both the underlying body impairment and<br />
the functional loss must be addressed. An AFO<br />
is used to position the foot in either neutral or<br />
slight dorsiflexion to assist with toe clearance.<br />
A built-up medial wall can be used to control<br />
an equus de<strong>for</strong>mity. In order to facilitate normal<br />
movement and positioning during transfers,<br />
an AFO with a hinge is used. The hinge<br />
allows the ankle to dorsiflex so the foot can be<br />
positioned beneath the patient. It also creates<br />
a more normal gait pattern. Dorsiflexion assist<br />
can be added if active dorsiflexion is present.<br />
Use of AFOs<br />
The use of an AFO can be temporary or permanent.<br />
If the patient develops activity ankle<br />
control, the AFO may eventually be discarded<br />
once the muscles are strong enough to function<br />
independently. One of the secondary consequences<br />
of foot drop is shortening of the Achilles<br />
tendon. Use of an AFO along with resting<br />
splints can reduce the risk of contracture.<br />
FES can be used separately or as part of the<br />
AFO. It is applied to the dorsiflexors to facilitate<br />
activation during swing. Depending on<br />
the patient’s cognition and functional level, it<br />
can be applied as part of an exercise program<br />
CouRTESy JEREmy STEwART/ToNi PATT
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17
[Foot DRoP]<br />
<strong>for</strong> strengthening or used during gait training.<br />
Activation of the stimulation can be per<strong>for</strong>med<br />
manually by the therapist or via a heel switch<br />
in the patient’s shoe. Weight bearing through<br />
the heel activates the switch.<br />
A neuroprothesis is an FES-based orthosis.<br />
The stimulation facilitates dorsiflexion while<br />
the prosthesis is worn. The stimulation is provided<br />
via surface electrodes over the muscle<br />
belly of the tibialis anterior. The result is a lifting<br />
of the toes as weight comes off the heel. The lift<br />
is maintained during swing phase. As weight<br />
moves onto the heel, the stimulation stops firing<br />
and the dorsiflexors relax. The amount and<br />
severity of gait deviations are reduced, as is<br />
energy expenditure.<br />
Several studies are showing a relationship<br />
between the use of FES and neuroprotheses to<br />
motor learning during gait. Continued practice<br />
of dorsiflexion with each step facilitates<br />
motor learning of the action. As the patient<br />
continues to walk, the practice continues.<br />
Over time, improvement is seen even when<br />
not using the stimulation.<br />
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While AFOs can be used <strong>for</strong> almost any<br />
patient, FES and neuroprotheses have some<br />
limitations. The patient must have adequate<br />
cognition to understand the purpose of the<br />
stimulation and provide feedback about the<br />
intensity. Fitting a neuroprothesis can be time<br />
consuming. Appropriate electrode placement<br />
must be determined on an individual basis.<br />
Not everyone tolerates the sensation of electricity.<br />
Some people have allergic reactions to the<br />
electrodes. Compared to AFOs and FES alone,<br />
the cost is significantly greater and may not be<br />
covered by insurance.<br />
Treatment <strong>for</strong> foot drop resulting from cerebral<br />
palsy is different. Some children rely on<br />
their extensor tone <strong>for</strong> ambulation. Inhibiting<br />
it via an AFO would decrease their functional<br />
abilities. Continued growth of the child means<br />
AFOs must be refabricated to keep up with<br />
changes in structure size and shape. Tendonrelease<br />
surgery is sometimes per<strong>for</strong>med to<br />
increase ROM of the ankle. Although the surgery<br />
is delayed as long as possible, it is often<br />
repeated as the child grows. n<br />
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18 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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Phone: (866) 631-1117<br />
resources<br />
Graham, J. (2010). Foot drop: Explaining the causes,<br />
characteristics and treatment. British Journal of Neuroscience<br />
Nursing, 6(4), 168-172.<br />
The Pathokinesology Service and the <strong>Physical</strong> <strong>Therapy</strong><br />
Department of Rancho Los Amigos National<br />
<strong>Rehab</strong> Center. Observational gait analysis. (2001).<br />
Los Amigos Research and Education Institute Inc.<br />
Downey, CA.<br />
Perry, J., & Burnfield, J. (2010). Gait analysis: Normal<br />
and pathological function, 2nd edition. Thorofare, NJ:<br />
Slack Incorporated.<br />
Sackley, C., Disler, P., Turner-Stokes, L., Wade, D.,<br />
Brittle, N., & Hoppitt, T. (2009). <strong>Rehab</strong>ilitation interventions<br />
<strong>for</strong> foot drop in neuromuscular disease (review).<br />
The Cochrane Library.<br />
Toni Patt is an <strong>ADVANCE</strong> blogger based in the<br />
Houston area.<br />
www.advanceweb.com/pt<br />
For more in<strong>for</strong>mation on<br />
foot drop, please visit www.<br />
advanceweb.com/PT<br />
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19
[lAsER tHERAPY]<br />
laser and living tissue<br />
The science of photobiology<br />
can have enduring effects<br />
on patients who are in pain<br />
By Cathy ulrich, PT, dPT<br />
Photobiology is the study of how light<br />
interacts with living tissue. While we<br />
have long known that light interacts<br />
with the cells in our retinas and skin,<br />
we now know that it can interact in positive<br />
ways with every cell in the body.<br />
Light from lasers has specific characteristics<br />
that light from other sources does not.<br />
While surgical lasers are now commonplace<br />
in the U.S. medical community, low-level<br />
therapeutic lasers are a distinctly different tool.<br />
With power outputs of 500 milliWatts or less,<br />
therapeutic lasers (also called soft lasers or<br />
cold lasers) don’t burn or cut tissue; they don’t<br />
even heat tissue. They work in an entirely different<br />
way to promote tissue healing.<br />
With thousands of laboratory and clinical<br />
studies per<strong>for</strong>med and published to date,<br />
scientists are developing a picture of how<br />
low level lasers work on tissues--and often<br />
work so well. Cold lasers were used initially<br />
<strong>for</strong> skin and wound healing, mainly because<br />
researchers believed that the light emitted<br />
from a laser didn’t penetrate below the layers<br />
of the skin. Later studies found that lasers<br />
20 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
actually penetrate significantly deeper than<br />
the skin--as much as 4 centimeters with infrared<br />
lasers.<br />
Effects of Light <strong>Therapy</strong> on Tissue<br />
Among the many effects that lasers produce<br />
on biological tissues, below are some of the<br />
most important <strong>for</strong> the purposes of a physical<br />
therapy practice.<br />
Increased cellular energy. Light photons<br />
produced by a laser increase the production<br />
of adenosine triphosphate (ATP)--the basic<br />
energy packet of the cell. Mitochondria--organelles<br />
in cells that synthesize ATP--contain<br />
light-sensitive molecules known as porphyrins,<br />
which absorb laser photons and raise the<br />
energy level of the molecule, causing a chain<br />
reaction resulting in increased ATP levels by<br />
as much as 170 percent in some lab studies.<br />
This marked increase in energy boosts cells<br />
to reproduce, replicate proteins and function<br />
more efficiently.<br />
Improved cell membrane polarity. Injured<br />
or congested cells develop membranes that<br />
lose their efficiency to absorb nutrients and<br />
eliminate wastes. And cell membrane function<br />
affects every process of the cell, from energy<br />
production to enzyme reactions to protein<br />
synthesis. Laser light encourages the polarity<br />
of cell membranes to return to normal, creating<br />
an environment <strong>for</strong> the cells to function<br />
at an optimum level.<br />
Increased immune response. Studies show<br />
that low-level laser light increases the activity<br />
of lymphocytes as well as the proliferation of<br />
these cells. This increased immune response<br />
stimulates a localized low-grade inflammation,<br />
which starts the body on a path of<br />
healing. Inflammation is the body’s way of<br />
cleaning out dead or damaged tissue to make<br />
room <strong>for</strong> new, healthy cells. Some studies<br />
have shown that herpes simplex blisters (better<br />
known as cold sores) heal in about half<br />
the time when treated with a low-level laser.<br />
Tissue healing. While it makes sense that<br />
increased ATP production from therapeutic<br />
laser treatment helps cells reproduce, studies<br />
have proven that therapeutic lasers stimulate<br />
cell mitosis as well as fibroblast activity.<br />
Fibroblasts--the cells that make collagen and<br />
connective tissue--reproduce rapidly and get<br />
to work to make more collagen, strengthening<br />
and repairing injured areas. Tissue healing<br />
is enhanced with the presence of laser light.<br />
Blood circulation. Thermographic studies<br />
show that low-level lasers increase tissue temperature--not<br />
from the laser light, but from<br />
an increase in blood flow--as much as four<br />
degrees. Many of my clients report feeling<br />
warmth from the laser and I explain to them<br />
that this sensation is not heat from the laser<br />
(since there is no heat), but from the increase<br />
in circulation.<br />
Pain reduction. Both lab and clinical studies<br />
have documented the effects of therapeutic<br />
lasers on pain. In vitro studies show increased<br />
serotonin, beta-endorphins and acetylcholine<br />
levels, all of which are known to reduce pain.<br />
At the same time, laser light reduces bradykinins,<br />
chemical substances known to stimulate<br />
pain nerve endings. Clinical studies have<br />
repeatedly shown marked reduction in pain<br />
with the application of therapeutic lasers.<br />
Muscle relaxation. Clinical observations<br />
(including my own) show a marked reduction<br />
of muscle spasm with laser application.<br />
I’ve seen trigger points practically melt. Aside<br />
from their energy function, ATP molecules<br />
per<strong>for</strong>m the vital role of releasing the actin<br />
and myosin protein bond in muscle so that<br />
the muscle can return to a relaxed state.<br />
When muscles are chronically contracted,<br />
they develop compromised circulation and<br />
an inability to produce enough ATP to relax.<br />
So increased ATP and improved circulation<br />
gained from the laser act together to restore<br />
balance in chronically contracted muscles.<br />
JEFFREy lEESER/JASoN STEiGlEmAN
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21
[lAsER tHERAPY]<br />
Therapeutic Laser Specifications<br />
Specifications can help you understand how<br />
one laser might be expected to per<strong>for</strong>m<br />
when compared with another. There are<br />
many parameters to consider. The partial<br />
list that follows covers some of the most<br />
important. These definitions are presented<br />
as general guidelines, and may not be scientifically<br />
precise.<br />
Wavelength. The color of the emitted light<br />
specified in nanometers (nm). Research has<br />
shown that different light colors interact with<br />
tissue differently.<br />
Specifically, lasers emitting light toward<br />
the infrared end of the spectrum tend to be<br />
better suited <strong>for</strong> treating hard tissue such as<br />
bone, while those emitting light in the red<br />
region are better suited <strong>for</strong> soft tissue such<br />
as muscle.<br />
All other things being equal, lasers in the<br />
infrared range will penetrate hard tissue better.<br />
Within a color range, there is no research<br />
that shows that light of one wavelength is<br />
more effective than another.<br />
For example, both 660nm and 635nm<br />
wavelengths are in the red region but, if<br />
identical in all other ways, both are equally<br />
effective. For example, a 660nm laser is in<br />
the red range, an 808nm laser is in the nearinfrared<br />
range, and a 904nm laser is in the<br />
infrared range.<br />
Power density. Total power output<br />
divided by the area illuminated by the light,<br />
typically specified in watts per centimeter<br />
squared. This is the driving power behind<br />
the emitted light. All other things being equal,<br />
lasers with higher power density levels can<br />
be expected to penetrate further.<br />
Energy output. The therapeutic effect<br />
delivered by the device, typically specified<br />
in Joules per unit of time. All other things<br />
being equal, lasers with higher energy output<br />
levels can be expected to treat more quickly<br />
than those with lower energy output. Knowing<br />
your laser’s energy output will allow you<br />
to plan your treatment dosage.<br />
For example, if you read a study that says<br />
“50 Joules of infrared laser light was shown to<br />
be effective in 90 percent of cases,” and you<br />
know that your infrared laser emits 10 Joules<br />
per minute, you will need to treat <strong>for</strong> five minutes<br />
to duplicate the conditions of the study.<br />
Laser therapy is gaining traction as a preferred<br />
treatment modality <strong>for</strong> clients in pain.<br />
And it was approved by the APTA last year<br />
as an effective modality. Including this treatment<br />
in your offerings can bring a new level<br />
of service to your practice. n<br />
resource<br />
Tuner, J., & Hode, L. (2010). The New Laser <strong>Therapy</strong><br />
Handbook. Grangesburg, Sweden: Prima Books.<br />
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22 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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Cathy Ulrich is director of education <strong>for</strong> Integrated<br />
Laser Therapies, Fort Collins, CO. She also maintains<br />
a full-time physical therapy practice where<br />
she has used lasers extensively <strong>for</strong> more than six<br />
years. Visit www.integratedlasertherapies.com<br />
www.advanceweb.com/pt<br />
For more in<strong>for</strong>mation on lasers,<br />
visit www.advanceweb.com/PT<br />
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23
[BACK PAIN]<br />
Pain Epidemic<br />
<strong>Physical</strong> therapy program<br />
targets pain in the low-back<br />
and sacral region<br />
By greg Todd, PT, oCs, CsCs<br />
lumbosacral dysfunction is the number<br />
one musculoskeletal issue in the United<br />
States. The total cost of treating back<br />
pain has jumped 65 percent in the past<br />
decade, but after all the pricey treatments, many<br />
people are still left with an aching back and an<br />
increasingly empty wallet.<br />
More than 80 percent of people will suffer<br />
from back discom<strong>for</strong>t at some point in their<br />
lives, and as of 2008, back problems have annually<br />
comprised $85 billion worth of medical<br />
expenses in the United States.<br />
This epidemic has continued to put physical<br />
therapists in a very opportunistic position.<br />
Many people are looking <strong>for</strong> a way to manage<br />
24 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
greg Todd, PT, oCs,<br />
CsCs, assists a patient<br />
with a body blade <strong>for</strong><br />
core stabilization in<br />
the Phase 3 lumbar<br />
stabilization program at<br />
renewal rehabilitation.<br />
their lumbosacral issues,<br />
and the physical therapy<br />
profession offers effective<br />
ways of keeping<br />
back problems curtailed<br />
to a minimum.<br />
Reaching Patients<br />
One of the advantages<br />
that rehab professionals<br />
have compared with<br />
other medical specialties<br />
is our ability to explain<br />
and simplify lumbosacral<br />
issues. I like to use<br />
the time during my<br />
initial evaluation as an<br />
opportunity to explain<br />
the anatomy and biomechanics<br />
of the lumbosacral<br />
region in detail to<br />
my patients. This helps<br />
me stage my attack on<br />
how to manage lumbosacral<br />
problems and design treatment plans<br />
from a therapy perspective.<br />
Sending the patient home with a comprehensive<br />
explanation of his lumbosacral condition<br />
is extremely important. Many times patients<br />
understand and are impressed with our ability<br />
to explain their issues, but it is fairly common<br />
<strong>for</strong> them to <strong>for</strong>get the explanations that<br />
have been given to them or lose sight of the<br />
goals <strong>for</strong> physical therapy. We rein<strong>for</strong>ce the<br />
educational piece by sending out a customary<br />
email after the first visit, or creating a video<br />
explaining the patient’s condition and the<br />
importance of adhering to the program that<br />
is set <strong>for</strong>th <strong>for</strong> him.<br />
Patients often do not realize that the spinal<br />
column can be split into four different regions.<br />
The two lower areas are known as the lumbar<br />
and sacral region. The most important function<br />
of the spinal column is to protect the<br />
spinal cord. Nerve root tissue gives people<br />
sensations and the ability to innervate the<br />
muscles throughout the body.<br />
In the bottom regions of the spinal column,<br />
the lumbar spine creates a C curve. The sacral<br />
region creates a reverse C curve. In order to<br />
maintain those curves, ligamentous tissue<br />
keeps the spinal column in those positions.<br />
Ligament tissue is made up of collagen, a<br />
tough type of tissue, and elastin, which has<br />
a “rubber band” quality. If stretched too far<br />
and into a vulnerable position, the tissue can<br />
either rip or get stretched and lose its inherent<br />
elasticity.<br />
Pain begins in the low-back and sacral<br />
region <strong>for</strong> a few different reasons. There are<br />
pain receptors around the ligaments, and<br />
when the ligament gets stretched, the pain<br />
receptors get disrupted and create pain. Due<br />
to the ligaments being stretched, the spinal<br />
column becomes unstable. As a result, muscles<br />
that surround the spinal column start to<br />
tighten in an attempt to stabilize the area. This<br />
is known as a muscle spasm.<br />
There are multiple levels of ligaments that<br />
connect the lumbar spinal column. As these<br />
layers are stretched from superficial to deep<br />
layers, the intervertebral disc has the potential<br />
to be compromised, which is the tissue that is<br />
between each spinal bone (known as vertebra).<br />
Un<strong>for</strong>tunately the disc doesn’t have the<br />
elastic quality of ligaments, so once we start<br />
to stretch it, it usually rips. It is common <strong>for</strong><br />
the disc to rip on the outer edges, which has<br />
another set of pain receptors.<br />
Joints in the lumbar and sacral regions can<br />
get irritated over time, creating irritation at<br />
the articulating surfaces. This can create pain<br />
and discom<strong>for</strong>t with activity. Due to its proximity<br />
to the lumbar spine, the sacral region<br />
is often irritated. When the lumbar spine is<br />
compromised due to its instability or lack of<br />
flexibility, there is more pressure put on the<br />
sacral region, which can stretch the surrounding<br />
ligaments and irritate the pain receptors<br />
surrounding those ligaments.<br />
Goals <strong>for</strong> Treatment<br />
Treatment <strong>for</strong> correcting lumbosacral dysfunction<br />
needs to be broken down into the<br />
appropriate phases. A physical therapist is not<br />
considered competent and skillful because of<br />
the complicated and fancy exercises that can<br />
be designed <strong>for</strong> a patient. A therapist who<br />
understands a patient’s subjective and objective<br />
data and knows what phase to start the<br />
patient in with regard to lumbosacral issues,<br />
RENEwAl REHABIlItAtIoN
[BACK PAIN]<br />
and when it’s appropriate <strong>for</strong> the patient to move <strong>for</strong>ward or regress<br />
to another phase, is what makes a therapist competent.<br />
The main goal in the initial phase is to calm down inflammation of the<br />
tissue at fault as quickly as possible. The patient should not participate<br />
in any activities that would stretch the tissue more during this time.<br />
Activities that should be avoided include bending <strong>for</strong>ward and twisting,<br />
walking, sitting <strong>for</strong> long periods of time, stooping, lifting heavy objects<br />
with or without rotation, and participating in static activities that require<br />
the ligament to hold the spinal column <strong>for</strong> long periods.<br />
Having the patient lie on their stomach or back and using modalities<br />
such as ice (inflammation) and electrical stimulation will help calm<br />
down the overstretched and inflamed tissue. The McKenzie Method<br />
and/or Williams flexion-based exercises can put the back in a position<br />
to not overstretch or compress inflamed tissue.<br />
Active rest, such as walking, can help put the low-back tissue on<br />
slack as the patient strides through the walking motion <strong>for</strong> posterior<br />
ligamentous dysfunction. Isometric back exercises and Kegel pelvic<br />
floor exercises <strong>for</strong> the pelvic/sacral region while lying in the prone or<br />
supine position are great <strong>for</strong> getting the muscles firing again without<br />
putting any major load on the surrounding inflamed tissue. During<br />
this phase, it’s important that the patient adheres to this program<br />
at home on a continual basis. Compliance is the key to managing<br />
symptoms to progress through the first phase.<br />
The next phase should be focused on strengthening the back via<br />
isometric exercises in a standing position. Per<strong>for</strong>ming rhythmic stabilization<br />
exercises <strong>for</strong> the back and pelvic musculature in a standing<br />
position can be done using a physioball or other devices.<br />
The third phase of lumbosacral rehabilitation involves active resistive<br />
exercises in single plane positions such as sidebending, rotation,<br />
extension and flexion. This can be done using exercise bands, a medicine<br />
ball or free weights.<br />
The purpose of the fourth phase is to mimic functional movements,<br />
and prepare the patient <strong>for</strong> return to normal work-related and recreational<br />
activities. We usually use exercise bands, medicine balls and/or<br />
free weights while incorporating chop, lift, push and pull exercises to<br />
mimic functional activities. It is also important to incorporate diagonal<br />
movements during this phase, as this is what’s most common in our<br />
daily lives. During patients’ physical therapy regimens, we often incorporate<br />
stability exercises using a body blade, rocker boards, physioball,<br />
the BOSU ball, and other devices that challenge their balance and put<br />
stress on their core region.<br />
The fifth and final phase is optional <strong>for</strong> those wanting to return to<br />
high-level recreational activities. This is the time to per<strong>for</strong>m sport-specific<br />
exercises that produce the biggest load on the lumbosacral region.<br />
The Home Program<br />
Throughout the phases that involve resistance training, it is important<br />
that patients execute home programs appropriately. As you start to<br />
progress patients to more of a strengthening/stability regimen, do<br />
not get carried away with doing resistive exercises to the same region<br />
(lumbosacral) on a daily basis. Recovery throughout an aggressive<br />
training and rehabilitation regimen is nearly as important as the actual<br />
treatment itself.<br />
I usually require the patient to participate in a home program based<br />
on the amount of times he is being seen on a weekly basis in therapy. I<br />
back pain continued on page 46<br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
25
[INFECtIoN CoNtRol]<br />
soft-surface Contamination<br />
Within a week of being laundered, 92 percent of<br />
hospital privacy curtains studied were contaminated<br />
By Bill o’Neill<br />
what’s wrong with this picture:<br />
a nurse enters a hospital room,<br />
does a thorough handwashing,<br />
pulls back the privacy<br />
curtains and attends to a patient?<br />
The hard-to-spot flaw in this scenario is<br />
that the nurse’s conscientious ef<strong>for</strong>ts at hand<br />
hygiene are compromised by one simple,<br />
everyday act—touching the privacy curtains<br />
after washing her hands.<br />
According to a growing body of published,<br />
peer-reviewed evidence, those curtains may<br />
often harbor infectious microorganisms, such<br />
as MRSA and vancomycin-resistant Enterococcus<br />
(VRE)—and these opportunistic bacterial<br />
strains can hitch a ride on the hands<br />
of nurses.<br />
This unwitting transfer of pathogens could<br />
potentially increase the incidence of HAIs<br />
(healthcare-associated infections), 1 which<br />
currently afflict approximately one out of<br />
every 20 hospitalized patients and can lead<br />
to dire consequences. HAIs cause 100,000<br />
deaths annually in the United States—more<br />
than deaths due to car crashes and HIV/<br />
AIDS combined.<br />
26 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
The speed with which soft surfaces in the<br />
hospital environment can become contaminated<br />
was revealed in a recently reported<br />
study at the University of Iowa Hospitals in<br />
Iowa City. The results of the study were sobering:<br />
Within one week of being laundered, 92<br />
percent of hospital privacy curtains studied<br />
were contaminated. 2<br />
Those results echo findings from an earlier<br />
study conducted at the Cleveland VA Medical<br />
Center, which showed that 42 percent of<br />
hospital privacy curtains studied were contaminated<br />
with VRE, 22 percent with MRSA<br />
and 4 percent with Clostridium difficile.<br />
Meanwhile, a report from researchers at<br />
the Hospital of Saint Raphael in New Haven,<br />
CT, confirmed that when healthcare workers<br />
touch contaminated environmental surfaces,<br />
they are likely to transmit pathogens<br />
to patients. 3<br />
Results from a recently released study<br />
presented at the 2011 annual meeting of the<br />
Infectious Disease Society of America have<br />
made an explicit link between a reduction in<br />
bioburden on hospital surfaces and reduced<br />
infection rates. 4<br />
Research Implications<br />
While further research is needed, there are a<br />
number of implications <strong>for</strong> hospitals nationally.<br />
Since privacy curtains are one of the<br />
most commonly touched soft surfaces in the<br />
patient environment, hospital staff need to<br />
heighten their awareness about the possible<br />
pathogens hiding in these fabrics, and many<br />
healthcare workers may have to change longingrained<br />
habits.<br />
As the University of Iowa Hospital study<br />
suggests, staff should wash their hands after<br />
touching privacy curtains and be<strong>for</strong>e touching<br />
patients. Such a protocol can be time-consuming,<br />
however, at a time when hospital administrators<br />
and managers are already grappling<br />
with scheduling and staffing constraints.<br />
While healthcare facilities have long<br />
focused on disinfecting hard surfaces, such<br />
as bed rails, over-bed tables and door knobs,<br />
and sterilizing medical devices (catheters <strong>for</strong><br />
example), they will face increasing pressures<br />
to address the condition of the entire patient<br />
environment.<br />
That means hospitals may need to expand<br />
their multi-layered attack on HAIs to fighting<br />
contamination on soft surfaces such as bedding<br />
and scrubs, as well as privacy curtains<br />
and other materials.<br />
The rapid rate at which soft surfaces<br />
can become contaminated in a hospital<br />
setting poses a challenge to conventional<br />
approaches to managing privacy curtains,<br />
including schedules <strong>for</strong> laundering and/or<br />
replacement.<br />
Some hospitals clean their curtains every<br />
few months, while others may only do so<br />
when they are obviously soiled; but all<br />
healthcare facilities will need to re-examine<br />
their approach to cleaning and maintaining<br />
these textiles.<br />
Strategic Considerations<br />
When it comes to reducing bioburden in the<br />
patient environment, there is, un<strong>for</strong>tunately,<br />
no “silver bullet.” Microbial contamination<br />
is endemic in the hospital setting, in spite of<br />
the Herculean ef<strong>for</strong>ts made by both clinicians<br />
and environmental services staff over the past<br />
several years.<br />
Consider the challenge: Whether colonized<br />
or infected, many patients bring pathogens<br />
with them when they enter the hospital. The<br />
<strong>ADVANCE</strong>
environment can be further compromised by<br />
visitors, delivery people, service technicians<br />
and even clinicians who may carry unwelcome<br />
microbial guests with them as they<br />
move through the hospital.<br />
In such a scenario, the robust and consistent<br />
application of proper hand hygiene is a<br />
top priority. That said, healthcare workers and<br />
hospital management should also consider<br />
every available tool and approach to reducing<br />
bioburden on soft surfaces. The options are<br />
many, ranging from the use of hydrogen peroxide<br />
mists to intense exposure to ultraviolet<br />
light to fabrics and textiles that incorporate<br />
one or more antimicrobial elements.<br />
All have their positive qualities as well as<br />
their limitations. With budgets tight, how<br />
should institutions evaluate their options?<br />
Here are some questions hospital directors<br />
and administrators should ask themselves<br />
and potential vendors about their solutions:<br />
• Is there clinical evidence that the solution<br />
reduces bioburden specifically on soft<br />
surfaces?<br />
How<br />
true!!<br />
• Are there any harmful side effects or<br />
unintended consequences associated with<br />
the solution?<br />
• What are the incremental costs of implementing<br />
the solution?<br />
• Does the solution require additional staff<br />
training or education?<br />
• What impact does the approach have on<br />
bed or room availability? Does it increase<br />
“down time” between patients?<br />
Every institution will need to determine<br />
which approach, or group of approaches, is<br />
right <strong>for</strong> their particular situation. The above<br />
questions, however, may provide a useful<br />
analytical framework <strong>for</strong> those decisions.<br />
As with most subjects in healthcare, more<br />
published, peer-reviewed clinical data is<br />
needed on the transmission of pathogens<br />
from soft surfaces to patients in hospitals.<br />
While that research is underway, healthcare<br />
workers involved in patient care must continue<br />
their multi-pronged attack on HAIs by<br />
making the patient environment as clean and<br />
healthy as possible. n<br />
Reprinted with permission of King Features<br />
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[INFECtIoN CoNtRol]<br />
references<br />
1. Trillis, F., et al. (2008). Contamination of<br />
hospital curtains with healthcare-associated<br />
pathogens. Infection Control and Hospital Epidemiology,<br />
29(11), 1074-1076.<br />
2. Ohl, M., et al. (2011). Hospital privacy curtains<br />
are frequently and rapidly contaminated with<br />
potentially pathogenic bacteria. 51st Interscience<br />
Conference on Antimicrobial Agents<br />
and Chemotherapy, Poster #K-1463.<br />
3. Boyce, J., et al. (2007). Environmental contamination<br />
makes an important contribution<br />
to hospital infection. Journal of Hospital Infection,<br />
6(65), Supplement 2: 50-54.<br />
4. Sepkowitz, K., et al. (2011). Copper surfaces<br />
(CuS) significantly lower rate of hospital<br />
infections (HAIs) in the medical intensive<br />
care unit (MICU). Annual Meeting of the<br />
Infectious Disease Society of America, Oral<br />
Abstract Session 163.<br />
Bill O’Neill is vice president of infection control<br />
applications <strong>for</strong> PurThread Technologies Inc.,<br />
Princeton, NJ.<br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
27
[AquAtIC tHERAPY]<br />
Confidence gain<br />
Water is a welcome sight<br />
<strong>for</strong> many patients with<br />
acquired brain injuries<br />
By Patty haddock, PTA, CBis, ATriC<br />
Aquatic therapy has a rich history<br />
with roots dating back to the days<br />
of the Grecian empire. In fact, the<br />
so-called father of medicine, Hippocrates,<br />
applied a variety of “water healing”<br />
techniques <strong>for</strong> patients, finding its unique<br />
properties ideal <strong>for</strong> physically constrained<br />
patients who had difficulty exercising on land.<br />
He understood that buoyancy makes individuals<br />
less weight bearing, reducing the<br />
amount of pressure placed on a knee or hip,<br />
<strong>for</strong> example. And he learned that water’s<br />
resistance qualities helped orthopedic patients<br />
improve flexibility, strength and muscle tone.<br />
These same principles apply to other areas<br />
of therapeutic rehabilitation, including programs<br />
focused specifically on treating patients<br />
with acquired brain injuries (ABIs).<br />
28 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
Aquatics <strong>for</strong> Individuals With ABIs<br />
Causes of an acquired brain injury include<br />
external <strong>for</strong>ces applied to the head and/or<br />
neck (traumatic brain injury), anoxic/hypoxic<br />
injury (i.e., cardiac arrest, carbon monoxide<br />
poisoning, airway obstruction, hemorrhage,<br />
near drowning), intracranial surgery, infectious<br />
diseases, seizure disorders, toxic exposure<br />
(i.e., substance abuse, ingestion of lead<br />
and inhalation of volatile agents), aneurysms<br />
and vascular obstruction (stroke).<br />
An acquired brain injury can result in cognitive,<br />
physical, emotional or behavioral impairments<br />
that lead to permanent or temporary<br />
changes in functioning, often dramatically<br />
affecting an individual’s balance, gait, flexibility<br />
and strength and emotional stability.<br />
Enter aquatic therapy.<br />
Aquatic therapists have found that waterbased<br />
activities help patients with acquired<br />
brain injuries gain strength and stimulate<br />
the confidence that will encourage them to<br />
try similar activities on land, assisting in a<br />
quicker return to near-normal functionality.<br />
This is the end portion of a modified Ai Chi<br />
pose. The patient has moved her arms, rotated<br />
her trunk and pivoted her feet. At this time,<br />
she requires tactile cues from the therapist in<br />
order to maintain her balance and align her<br />
body. Throughout the activity, therapist Patty<br />
haddock, PTA, CBis, ATriC, works on deep<br />
breathing with the patient.<br />
The physics behind aquatic therapy is hydrostatic<br />
pressure, or the <strong>for</strong>ce exerted by a fluid,<br />
which increases or decreases in proportion to<br />
its depth to create buoyancy. In fact, individuals<br />
are up to 90 percent less weight-bearing in<br />
neck-deep water than on land, ensuring that<br />
weak muscles are well supported.<br />
Many patients with a brain injury will have<br />
muscle spasticity on the affected side. Aquatic<br />
therapists have found that warm water is conducive<br />
<strong>for</strong> dampening spastic movements and<br />
tremors. When heated to between 85 and 90<br />
degrees, the water helps soothe muscle tone,<br />
providing <strong>for</strong> greater range of motion with<br />
less pain.<br />
Water also is a great medium <strong>for</strong> re-educating<br />
muscles—one of the most common<br />
physical therapies <strong>for</strong> individuals with neurological<br />
impairments. Its property of viscosity<br />
provides natural resistance, meaning that<br />
an individual must exert more ef<strong>for</strong>t in the<br />
water to accomplish the same exercise on land.<br />
Resistance activities in water build muscle<br />
tone, improve balance and even increase<br />
cardiovascular fitness. Varied levels of resistance—the<br />
speed at which an aquatic therapy<br />
pool’s treadmill moves, <strong>for</strong> instance—can be<br />
used to create progressions <strong>for</strong> patients recovering<br />
from an acquired brain injury.<br />
Take Scott, <strong>for</strong> example, a marathon runner<br />
who suffered a stroke that left him unable to<br />
maintain his standing balance without support.<br />
As part of his treatment program at<br />
Pate <strong>Rehab</strong>ilitation, he runs on a treadmill in<br />
an aquatic therapy pool to improve his gait<br />
pattern and core stability. On land, this was<br />
prohibitively difficult, but in a buoyant environment—controlled<br />
by the therapist who can<br />
raise or lower the pool’s water level—Scott is<br />
achieving remarkable success.<br />
Running in the water has helped decrease<br />
his base of support during gait, allowing<br />
him the freedom of working on unsupported<br />
walking while in the water, a goal<br />
Scott wants to eventually carry over on land.<br />
Overall, aquatic therapy has not only helped<br />
Scott regain his strength and improve his gait,<br />
but it has also greatly boosted his confidence<br />
CouRtEsY PAttY HADDoCK
that perhaps one day he will be able to return<br />
to the sport he loves.<br />
New Techniques, New Equipment<br />
The practice of aquatic therapy is becoming<br />
more sophisticated, with many emerging<br />
techniques that not only employ therapeutic<br />
advantages, but are also enjoyable activities.<br />
Ai Chi, <strong>for</strong> instance, mimics the fluid movements<br />
of the Tai Chi martial arts, a Chinese<br />
technique known <strong>for</strong> its healthy benefits in<br />
dealing with stress and tension.<br />
Ai Chi is per<strong>for</strong>med standing in shoulderdepth<br />
water using a combination of deep<br />
breathing and slow, broad movements of<br />
the arms, legs and torso. It is described by its<br />
creator Jun Konno, an Olympic swimming<br />
coach, as a combination relaxation/exercise<br />
technique “that increases oxygen and caloric<br />
consumption simply with correct <strong>for</strong>m and<br />
positioning in the water … and is ideal <strong>for</strong><br />
creating improved range of motion, balance<br />
and mobility.”<br />
The Bad Ragaz Ring Method, named after<br />
Easy to use on either hand,<br />
C-TRAC provides traction to<br />
the Carpal Ligament.<br />
the mountain town of Bad Ragaz, Switzerland,<br />
which gained notoriety in the 1930s as a hub<br />
<strong>for</strong> aquatic therapy, is based on specific movement<br />
patterns and is enhancing the rehabilitation<br />
treatment of patients with acquired<br />
brain injuries. These patterns are per<strong>for</strong>med<br />
while the patient is supported horizontally<br />
in the water by floats or rings and consist of<br />
passive, active, active assistive and resistive<br />
movements, allowing the therapist to help<br />
facilitate or inhibit a response from the patient.<br />
Should the patient have a cognitive deficit<br />
that prevents him or her from per<strong>for</strong>ming<br />
the movement patterns, the therapist would<br />
use the passive approach, in which the therapist<br />
moves the patient’s arm or leg. The Bad<br />
Ragaz Ring Method is also very beneficial<br />
to those who have lost function in a limb by<br />
assisting in the neuromuscular re-education<br />
of that hemiparetic limb.<br />
Today’s aquatic therapy pools are designed<br />
to help facilitate more effective treatments<br />
that fit a particular patient’s individual diagnosis,<br />
needs and goals. Underwater treadmills<br />
[AquAtIC tHERAPY]<br />
are effectively used <strong>for</strong> gait training, whether<br />
at a walking or running pace.<br />
In addition to controlling buoyancy levels<br />
by adjusting water levels, therapists can<br />
increase or decrease resistance by activating<br />
a series of jets. To supplement a therapist’s<br />
instruction, many facilities are even using<br />
underwater cameras that connect with recording<br />
equipment and nearby monitors to provide<br />
instant visual feedback <strong>for</strong> patients.<br />
Some individuals are even using the<br />
aquatic therapy techniques to return to swimming.<br />
For example, Kate suffered a stroke<br />
and was diagnosed with a seizure disorder.<br />
During her rehabilitation, Kate used the pool<br />
to return to swimming.<br />
Her aquatic therapy sessions help<br />
strengthen her core muscles by using those<br />
muscles to stabilize her body in the water<br />
and against the jets. The movements used<br />
help strengthen Kate’s arms and legs while<br />
rotation of her trunk and reciprocal arm<br />
movement aid in improving her gait pattern.<br />
Ultimately, these movements will translate<br />
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Average Pain, Tingling and<br />
Numbness Levels VAS<br />
9<br />
8<br />
7<br />
6<br />
5<br />
4<br />
3<br />
2<br />
1<br />
0 Evaluation 1 2 3 4<br />
Average Weekly<br />
Pain Level 8.53 4.89 2.68 1.47 1.05<br />
Average Weekly<br />
Tingling Level 8.16 3.84 2.63 1.37 0.95<br />
Average Weekly<br />
Numbness Level 8.47 4.16 2.63 1.58 0.95<br />
Weeks<br />
Graph from the study published<br />
in the Journal of Hand <strong>Therapy</strong>.<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
29
30 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
[AquAtIC tHERAPY]<br />
into improved walking and balance on land. Besides gaining strength,<br />
these activities have also boosted her confidence and given her a<br />
sense of normalcy and enthusiasm—part of the less documented,<br />
but no less important, psychological benefits of aquatic therapy.<br />
In addition to the physical attributes, water is also a healing<br />
medium <strong>for</strong> reducing stress and improving concentration—two<br />
significant areas of focus in acquired brain injury rehab. Many individuals<br />
who are overly focused on a particular exercise on land have<br />
a tendency to hold their breath.<br />
Therapists have found that the less stressful aquatic environment<br />
provides a great opportunity to work on consistent breathing patterns.<br />
They also note that one-on-one instruction in a private and<br />
safe pool helps ease a patient’s anxiety, producing quicker results<br />
among individuals who have not responded as well in group settings.<br />
A Small Part of a Larger Ef<strong>for</strong>t<br />
One concern that treatment centers may express when launching<br />
an aquatic therapy program is how they will be reimbursed <strong>for</strong> these<br />
services. That issue was largely laid to rest in 1995 with the addition<br />
of an aquatic therapy current procedural terminology (CPT) code.<br />
Up to that point, providers were simply billing aquatic therapy as<br />
“therapeutic exercise.” Yet some insurers remain suspect of aquatic<br />
therapy charges—concerned that it could amount to not much more<br />
than a long soak in a hot tub, perhaps—and continue to deny aquaticrelated<br />
claims.<br />
The lack of understanding of the importance of aquatic therapy and<br />
the reimbursement hesitations indicate the need <strong>for</strong> aquatic therapists<br />
to present a united front to espouse the benefits of aquatic therapy <strong>for</strong><br />
many injuries, including acquired brain injuries.<br />
Organizations such as the Aquatic <strong>Therapy</strong> and <strong>Rehab</strong> Institute<br />
provide education and certifications <strong>for</strong> health care professionals<br />
working in the aquatic environment. Its programs are designed to<br />
promote therapeutic standards and best practices that can be applied<br />
to patients with virtually any physical ailment.<br />
Aquatic therapies designed <strong>for</strong> patients with acquired brain injuries<br />
are effectively helping individuals with acquired brain injury to not<br />
only regain balance, strengthen muscles and walk or run at a consistent<br />
gait, but to also regain the confidence and emotional strength they<br />
had be<strong>for</strong>e their injury.<br />
The most successful aquatic therapy regimens complement an overall<br />
treatment plan with activities that mimic land-based movements.<br />
Aquatic therapy is just one aspect of a complete rehabilitation<br />
program that includes physical, occupational, speech/language and<br />
behavioral therapies and repeated cognitive testing. Nonetheless,<br />
a water-based program designed around a patient’s overall needs<br />
and goals can hasten a patient’s reintegration into the society they<br />
are most familiar with. n<br />
Patty Haddock is a physical therapist assistant and a certified aquatic therapist<br />
and brain injury specialist <strong>for</strong> Pate <strong>Rehab</strong>ilitation in Anna, TX.<br />
www.advanceweb.com/pt<br />
For more in<strong>for</strong>mation on pain, please visit<br />
www.advanceweb.com/PTAquatic<strong>Therapy</strong>
Aquatic rehab: using simple Buoyant Tools<br />
By Wendy L. Morine, PTA, ATRIC, CI<br />
using buoyant equipment in the<br />
aquatic setting is very important<br />
when it comes to progressing a<br />
patient within the pool, and also<br />
to help achieve the seamless transition to land.<br />
the buoyant dumbbell is probably the most<br />
useful piece of equipment as it can be used to<br />
target the core (rectus abdominis and obliques),<br />
deltoids, latissimus dorsi, triceps, pectorals and<br />
more. I use them primarily <strong>for</strong> back patients<br />
<strong>for</strong> pre-surgical strengthening or post-surgical<br />
rehab. simple exercises such as an anterior press<br />
(short-lever arm), chest press (long-lever arm),<br />
lateral press (either short- or long-lever arms),<br />
butterfly (long-lever arm) and rows can be used<br />
<strong>for</strong> shoulder/back rehab or core strengthening.<br />
to progress from the dumbbell <strong>for</strong> a more<br />
challenging workout, a simple 12-inch beach ball<br />
is what I use in the anterior press, lateral press<br />
and chest press. to add the PNF patterns to the<br />
mix, take the beach ball and make a diagonal<br />
pattern starting at the opposite shoulder, push<br />
through the water to the hip, then slowly and<br />
When<br />
you spend<br />
all your time<br />
worried about<br />
running<br />
a business,<br />
it can be hard<br />
to focus on<br />
why you started it.<br />
with control bring it back up to the surface.<br />
A boogie board is a great tool to use <strong>for</strong> progression<br />
of the rows in the horizontal position,<br />
pushing and pulling it. It is also used <strong>for</strong> the<br />
upper body as well as core progression in the<br />
horizontal position in a rotational movement<br />
while keeping it under the water. the board<br />
can be used to rehab the rotator cuff in the early<br />
stages <strong>for</strong> RoM, resting the hands and going<br />
into the transverse and frontal planes, then<br />
progressing to the buoyant dumbbells. Pediatric<br />
patients love to swim behind it <strong>for</strong> core<br />
and lower-extremity strengthening and RoM.<br />
Buoyant ankle cuffs are great to use <strong>for</strong><br />
AquaStretch, watsu® and Bad Ragaz techniques<br />
to take stress off of the patient. These<br />
buoyant cuffs can also be adapted to be used<br />
on the upper-arm area to assist <strong>for</strong> those with<br />
arm or shoulder weakness, following shoulder<br />
surgery or simply <strong>for</strong> assisted flotation.<br />
the buoyant belt is used mostly <strong>for</strong> the deep<br />
water; however, I use it <strong>for</strong> patients who have<br />
limited weight-bearing status. this makes it<br />
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[AquAtIC tHERAPY]<br />
possible <strong>for</strong> them to get into an environment<br />
that is conducive to their diagnosis and do some<br />
walking. I have also used them on a patient who<br />
was in training <strong>for</strong> an Ironman race, sustained<br />
a stress fracture of the femur and was deemed<br />
non-weight bearing. she got permission to come<br />
into the pool and water jog with the buoyant<br />
belt, and was able to complete the race.<br />
Probably the most unique buoyant equipment<br />
I use is <strong>for</strong> my pediatric population. I have<br />
a basketball hoop as well as floating frogs and<br />
ducks. the kids love when I make them swim<br />
and collect the frogs and ducks, and they play<br />
basketball <strong>for</strong> shoulder RoM and hand-eye coordination.<br />
Pool equipment does not have to be<br />
expensive. I discharge patients with an exercise<br />
program that I want them to continue. so if they<br />
cannot af<strong>for</strong>d the same equipment as we have,<br />
I make suggestions, since I want them to have<br />
positive outcomes. n<br />
Wendy Morine is owner of Spooner <strong>Physical</strong> <strong>Therapy</strong><br />
in Scottsdale, AZ.<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
31
[CoVER stoRY]<br />
running continued from page 14<br />
of my clients lack the basic understanding<br />
of what constitutes normal versus abnormal<br />
responses to training. Delayed-onset muscle<br />
soreness (DOMS), the normal muscle soreness<br />
that occurs with a new challenge or<br />
change in training routines, is a key concept<br />
every active runner needs to be aware of. The<br />
typical cycle <strong>for</strong> DOMS includes tenderness<br />
within muscle bellies that peaks in intensity<br />
24 to 48 hours after a new challenge has been<br />
introduced, and usually subsides within two<br />
to three days total. The muscles are often tender<br />
to moderate pressure and with activities<br />
that specifically activate those muscles. Signs<br />
that indicate the possibility of an abnormal<br />
response include pain that is closer to joints<br />
and tendons, pain that is constant at rest,<br />
swelling/heat/redness that is associated<br />
with the pain, and pain that is not resolving<br />
within 72 hours. Having this in<strong>for</strong>mation can<br />
be the difference between preventing injury<br />
and creating one.<br />
Footwear: I get asked by most of my<br />
Thinking of selling<br />
your practice?<br />
runners, “What sneakers should I wear?”<br />
The answer can get complicated; in general,<br />
I find that the key is to ensure a properly<br />
fitted sneaker that has enough support to<br />
reduce the possibility <strong>for</strong> tendon and ligament<br />
strain. Too small and the sneaker can<br />
cause blisters and compression problems.<br />
Too large and the added mechanical <strong>for</strong>ce<br />
from the increased moment arm can strain<br />
the plantar fascia and Achilles tendon. It<br />
is generally recommended that sneakers<br />
be replaced every 350 to 500 miles trained,<br />
depending on body type and training<br />
style. Having multiple pairs of sneakers<br />
that are rotated throughout training can<br />
also be helpful.<br />
Training habits: Overtraining is one of the<br />
more common contributing factors involved<br />
in the onset of ankle tendonitis injuries and<br />
plantar fasciitis in more serious runners. In<br />
an ef<strong>for</strong>t to improve stamina and endurance,<br />
early warning signs of injury are often<br />
ignored as the intensity and frequency of<br />
training increase. As tissues break down in<br />
response to these increased challenges, the<br />
body’s ability to respond and repair may<br />
not always be able to keep pace, eventually<br />
leading to injury.<br />
Every injury and individual has a different<br />
threshold, which is why educating<br />
patients about the overall concept and how<br />
they can control it through training modification<br />
is so important. As a simple part of<br />
this training management, teaching runners<br />
the importance of avoiding abrupt changes<br />
in their regimen like excessively increasing<br />
miles, speed or intensity goes a long way in<br />
avoiding injury. n<br />
Brendan Carman is a physical therapist, athletic<br />
trainer certified and the director of rehabilitation<br />
at Mass Bay Spine & Sport <strong>Physical</strong> <strong>Therapy</strong>,<br />
Marshfield, MA.<br />
TAKE YOUR PHYSICAL THERAPY PRACTICE TO A HIGHER LEVEL<br />
www.advanceweb.com/pt<br />
For more PT in<strong>for</strong>mation and news<br />
visit www.advanceweb.com/PT<br />
Think<br />
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and the personalized, family-like atmosphere of a SMALL PRACTICE.<br />
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32 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong>
9th Annual<br />
<strong>ADVANCE</strong> is pleased to offer you its<br />
nineth annual Education directory. This<br />
listing of continuing education providers<br />
is categorized into more than 20 specifi c<br />
practice areas <strong>for</strong> your convenience in<br />
fi nding continuing education opportunities<br />
on the topics of your choice.<br />
There are some 300 CE providers who<br />
advertise their courses in the <strong>ADVANCE</strong><br />
bi-weekly calendar. This directory includes<br />
provider and contact in<strong>for</strong>mation from<br />
• Academy of Lymphatic Studies<br />
Phone: 772-589-3355<br />
Email: academy@acols.com<br />
Web: www.acols.com<br />
Topics Covered: 9-ER, HS, IS, IO, SW, 21-SW<br />
State PT Association, APTA<br />
Continuing Education Key<br />
AC Audio Conferences<br />
AV Audio/Video Tapes<br />
CER Certifi cation<br />
CIP Compliance Inspection Prep<br />
CD Computer Tutorials/CD-ROM<br />
CF Conferences<br />
DC Degree Courses/Certifi cates<br />
DCDOC Degrees/Course: Doctorate<br />
DL Distance Learning<br />
DOCPT Doctorate of <strong>Physical</strong> <strong>Therapy</strong><br />
ER Examination Reviews<br />
HS Home Study<br />
IS In-Service<br />
IO Internet/Online Instruction<br />
JOU Journals<br />
NC National Conferences<br />
O Other<br />
RFC Refresher Course<br />
RC Regional Conferences<br />
SW Seminars/Workshops<br />
SC State Conferences<br />
TAV Tele/Audio/Video Conferences<br />
TEL Teleconferences<br />
TJ Textbook Journals<br />
TXT Textbooks<br />
VC Video Conferences<br />
Continuing Education<br />
only those who returned our questionnaire<br />
asking them to describe their areas<br />
of expertise.<br />
We encourage you to clip and save<br />
this directory if you are interested in CE<br />
units in particular areas of practice. You<br />
can contact these advertisers to fi nd out<br />
where and when they are offering their<br />
2012 courses and plan your continuing<br />
education year.<br />
• Education Resources, Inc.<br />
Phone: 508-359-6533<br />
Email: mwashington@educationresourcesinc.com<br />
Web: www.educationresourcesinc.com<br />
Topics Covered: 3-IS, SW, 4-IS, SW, 5-IS,<br />
SW, 6-IS, SW, 7-IS, SW, 10-IS, SW, 12-IS, SW,<br />
13-IS, SW, 14-IS, SW, 15-IS, SW, 16-IS, SW,<br />
17-IS, SW, 18-IS, SW<br />
State PT Association<br />
• GoGo Babies<br />
Phone: 718-643-6064<br />
Email: e2bklyn@mindspring.com<br />
Web: www.gogobabies.net<br />
Topics Covered: 4-SW, 15-SW, 16-SW, 19-SW<br />
Disciplines Key<br />
1 Administration/Documentation<br />
2 Advanced Degrees<br />
3 All Practice Areas<br />
4 Alternative <strong>Therapy</strong><br />
5 Developmental Disabilities<br />
6 Feeding/Swallowing/Dysphagia<br />
7 Geriatrics<br />
8 Hand <strong>Therapy</strong><br />
9 Lymphedema<br />
10 Manual Techniques<br />
11 Modalities<br />
12 NDT and Neuro Conditions<br />
13 Orthopedics/Sports <strong>Medicine</strong><br />
14 Pain Management<br />
15 Pediatrics/Early Intervention<br />
16 Pilates/Yoga<br />
17 Sensory Integration<br />
18 Vestibular <strong>Rehab</strong>/Balance<br />
19 Wellness<br />
20 Work Conditioning/Industrial<br />
<strong>Rehab</strong>/Ergonomics<br />
21 Wound Care<br />
Resource Directory<br />
If you are more interested in choosing<br />
particular dates or places, you can continue<br />
to seek those in our regular calendar<br />
listings, in this edition as well.<br />
We hope you fi nd this a useful tool in<br />
keeping up with your credits. Please contact<br />
ptedit@merion.com with feedback<br />
to help us improve the directory <strong>for</strong> next<br />
year.<br />
• Great Seminars and Books<br />
Phone: 877-794-7328<br />
Email: greatseminars@aol.com<br />
Web: www.greatseminarsandbooks.com<br />
Topics Covered: 3-HS, IO, SW, 7-HS, IO, SW,<br />
13-HS, IO, SW, 18-AV, SW, 19-IO, SW<br />
State PT Association<br />
• Klose Training & Consulting, LLC<br />
Phone: 303-245-0333<br />
Email: info@klosetraining.com<br />
Web: www.klosetraining.com<br />
Topics Covered: 9-AV, DOCPT, ER, HS, IS, IO,<br />
SW, 21-IO, SW<br />
State PT Association, APTA<br />
• New York University Steinhardt School,<br />
Department of <strong>Physical</strong> <strong>Therapy</strong><br />
Phone: 212-998-9413<br />
Email: apc2@nyu.edu<br />
Web: www.steinhardt.nyu.edu/pt<br />
Topics Covered: 2-DOCPT, 1-SW, 2-SW, 3-SW,<br />
4-SW, 5-SW, 7-SW, 9-SW, 10-SW, 11-SW,<br />
12-SW, 13-SW, 15-SW, 16-IS, 16-SW, 17-SW,<br />
18-SW, 19-SW, 20-SW, 21-SW<br />
• Ola Grimsby Institute<br />
Phone: 619-298-4116<br />
Email: carmi@olagrimsby.com<br />
Web: www.olagrimsby.com<br />
Topics Covered: 2-HS, SW, 3-SW, 10-SW,<br />
13-SW, 18-SW<br />
State PT Association, APTA<br />
• Roy Matheson and Associates, Inc.<br />
Phone: 603-358-6525<br />
Email: norma.elliott@roymatheson.com<br />
Web: www.roymatheson.com<br />
Topics Covered: 20-IS, IO, SW<br />
• Spinal Dynamics of Wisconsin, SC<br />
Phone: 414-302-0770<br />
Email: cmarti@sdwpt.com<br />
Web: www.sdwpt.com<br />
Topics Covered: 13-SW, 15-SW<br />
State PT Association<br />
• The American Institute of Balance<br />
Phone: 727-398-5728<br />
Email: ryellowdy@dizzy.com<br />
Web: dizzy.com/<br />
Topics Covered: 18-IO, SW<br />
State PT Association<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
33
[CE DIRECTORY]<br />
•<br />
•<br />
Summer Webinar Series<br />
Micahel Shacklock<br />
FACP, MAppSc, DipPhysio<br />
August 8, 2012 - 7PM EST<br />
Neuromobilization<br />
Ines Nakashima, PT, MCMT<br />
September 5, 2012 - 7PM EST<br />
Lumbar Spine<br />
NYC Fall Seminars with<br />
International Guest Faculty<br />
Michael Shacklock,<br />
FACP, MAppSc, DipPhysio<br />
Clinical NeuroDynamics of the<br />
Upper & Lower Extremities<br />
September 7-8, 2012 (Upper)<br />
September 9-10, 2012 (Lower)<br />
Ines Nakashima, PT, MCMT<br />
CAMT: Certification in Advanced<br />
Manipulative <strong>Therapy</strong> (Lower)<br />
October 12-14, 2012<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 10-11, 2012 – San Antonio, TX<br />
PT-03: Comprehensive Manual <strong>Therapy</strong><br />
Approach <strong>for</strong> Lumbar Spine<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 />
• University of Wisconsin-Milwaukee,<br />
Outreach Offi ce<br />
Phone: 414-227-3123<br />
Email: panichj@uwm.edu<br />
Web: www.chs-ce.uwm.edu<br />
Topics Covered: 1-IO, 4-SW, 5-SW, 6-SW,<br />
7-SW, 8-AV, SW, 9-SW, 10-SW, 11-SW, 12-SW,<br />
14-SW, 15-SW, 16-SW, 17-SW, 18-SW, 20-SW,<br />
21-SW<br />
Entry-level DPT in a<br />
Weekend On-Campus Format<br />
<br />
<br />
<br />
The Neumann DPT…<br />
<br />
<br />
<br />
<br />
Aston, Pennsylvania<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 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 Cert. in Manual <strong>Therapy</strong><br />
December 8-9, 2012 – Chicago,IL<br />
December 15-16, 2012 – San Antonio, TX<br />
January 12-13, 2013 – Lakeland, FL<br />
January 12-13, 2013 – Derby, CT<br />
January 19-20, 2013 – Astoria, NY<br />
January 26-27, 2013 – San Pedro, CA<br />
February 2-3, 2013 – Ft. Worth, TX<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 />
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34 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
<br />
www.neumann.edu
<strong>Rehab</strong>ilitation <strong>for</strong><br />
Osteoporosis<br />
Sherri Betz, PT, GCS,<br />
CEEAA, PMA®-CPT<br />
Washington, DC .......Dec. 8-9, ‘12<br />
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 />
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 />
Toledo, OH . . . . . . . . .Oct. 13-14, ‘12<br />
Los Angeles, CA . . . . . . Nov. 3-4, ‘12<br />
<strong>Rehab</strong>ilitation<br />
<strong>for</strong> the Frail Elderly<br />
Robert Thomas, MS, PT<br />
Freehold, NJ . . . . . . . . . Dec. 1-2, ‘12<br />
Safe Steps<br />
Dr. James Wall, BSc, MSc, MEd, PhD<br />
Sacramento, CA . . . .Sept. 22-23, ‘12<br />
New Rochelle, NY . . . .Oct. 13-14, ‘12<br />
Charlotte, NC . ........ Dec. 1-2, ‘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<br />
Into Ther Ex<br />
Dr. Wendy Anemaet, PT,<br />
PhD, GCS, CWS, GTC, COS-C<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 />
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 />
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 />
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 />
35
Register Online at<br />
www.usa.edu or<br />
Call today at<br />
1-800-241-1027!<br />
S1 - Spinal Evaluation & Manipulation<br />
Impairment Based, Evidence In<strong>for</strong>med Approach<br />
35 Hours, 3.5 CEUs (No Prerequisite)<br />
$895<br />
San Diego, CA ............. Smith ....................Aug 15 - 19<br />
Birmingham, AL ........... Irwin......................Aug 22 - 26<br />
Las Vegas, NV ............ Yack .....................Sep 12 - 16<br />
Columbus, OH ............. Furto .....................Sep 12 - 16<br />
Boston, MA .................. Yack .....................Sep 26 - 30<br />
St. Augustine, FL ......... Viti ........................ Oct 24 - 28<br />
Baltimore, MD .............. Smith .......................Nov 8- 12<br />
S2 - Advanced Evaluation &<br />
Manipulation of Pelvis, Lumbar &<br />
Thoracic Spine Including Thrust<br />
21 Hours, 2.1 CEUs (Prerequisite S1)<br />
$595<br />
New York City, NY ....... Yack .................. Aug 10 - 12<br />
St. Louis, MO ................ Irwin .................. Aug 10 - 12<br />
St. Augustine, FL .......... Viti ..................... Sep 14 - 16<br />
Washington, DC ........... Irwin .................. Sep 21 - 23<br />
Cincinnati, OH .............. Irwin ....................... Oct 5 - 7<br />
Atlanta, GA ................... Irwin ...................... Nov 2 - 4<br />
Chicago, IL ................... Yack .................. Nov 16 - 18<br />
S3 - Advanced Evaluation &<br />
Manipulation of the Cranio Facial,<br />
Cervical & Upper Thoracic Spine<br />
27 Hours, 2.7 CEUs (Prerequisite S1)<br />
$795<br />
Chicago, IL .................. Smith ..................Sep 14 - 17<br />
New York City, NY ...... Smith ...................Oct 19 - 22<br />
Las Vegas, NV ............................................Nov 1 - 4<br />
Boston, MA ................................................Nov 8 - 11<br />
St. Augustine, FL ......... Smith ....................Dec 7 - 10<br />
San Diego, CA .........................................Dec 13 - 16<br />
S4 - Functional Analysis &<br />
Management of Lumbo-Pelvic-Hip<br />
Complex<br />
15 Hours, 1.5 CEUs (Prerequisite S1) $545<br />
Boston, MA .................. Nyberg..................Aug 18 - 19<br />
Harrisburg, PA ............. Nyberg..................Sep 15 - 16<br />
St. Augustine, FL ........Grant Roys ................Oct 6 - 7<br />
Atlanta, GA .................. Nyberg.................. Oct 20 - 21<br />
Cincinnati, OH ..............Lonnemann..............Nov 3 - 4<br />
Ft. Lauderdale, FL ....... Grant Roys Nov 10 - 11<br />
Chicago, IL .................. Nyberg......................Dec 8 - 9<br />
The University of St. Augustine <strong>for</strong> Health Sciences has been<br />
accredited as an Authorized Provider by the International<br />
Association <strong>for</strong> Continuing Education and Training (IACET),<br />
1760 Old Meadow Road, Suite 500, McLean, VA 22102.<br />
Manual <strong>Therapy</strong> and Orthopaedic Seminars<br />
2012 Seminar Calendar<br />
CONTINUING EDUCATION SEMINARS<br />
E1 - Extremity Evaluation and<br />
Manipulation<br />
30 Hours, 3.0 CEUs (No Prerequisite)<br />
Also Available to OTs $745<br />
Little Rock, AR .............. Naas ...................... Aug 2 - 5<br />
Chicago, IL ................... Busby ..................... Aug 2 - 5<br />
Denver, CO .................. Turner ................ Aug 23 - 26<br />
Louisville, KY ................ Naas .................. Sep 20 - 23<br />
Orlando, FL .................. Busby .................. Oct 25 - 28<br />
Houston, TX ................. Turner ................. Oct 18 - 21<br />
Virginia Beach, VA ....... Naas .................... Nov 8 - 11<br />
Birmingham, AL ............ Busby ..................... Dec 6 - 9<br />
Las Vegas, NV ............. Turner .................... Dec 6 - 9<br />
Scranton, PA ................ Naas ...................... Dec 6 - 9<br />
E2 - Extremity Integration<br />
21 Hours, 2.1 CEUs (Prerequisite E1)<br />
$595<br />
Atlanta, GA ................... Conrad ................. Jul 27 - 29<br />
Austin, TX ..................... Patla ....................Sep 21 - 23<br />
New York City, NY ....... Patla .................... Oct 12 - 14<br />
Little Rock, AR .............. Conrad ................ Oct 26 - 28<br />
Chicago, IL ................... Conrad ....................Nov 2 - 4<br />
St. Augustine, FL ........... Patla/Conrad Nov 30 - Dec 2<br />
Denver, CO .................. Patla ........................Dec 7 - 9<br />
Advanced Manipulation Including<br />
Thrust of the Spine & Extremities<br />
20 Hours, 2.0 CEUs (Prerequisite: Completion of MTC<br />
Certification) $775<br />
Seminar dates, locations, and tuition are subject to change, please call be<strong>for</strong>e making any non-refundable reservations.<br />
36 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
UNIVERSITY OF ST. AUGUSTINE<br />
F O R H E A L T H S C I E N C E S<br />
Denver, CO .................. Yack .................... Nov 9 - 11<br />
Applied Musculoskeletal Imaging <strong>for</strong><br />
<strong>Physical</strong> Therapists<br />
21 Hours, 2.1 CEUs (No Prerequisite) $545<br />
St. Augustine, FL .......... Agustsson ............ Jul 27 - 29<br />
Grand Rapids, MI ......... Agustsson .......... Sep 14 - 16<br />
New York City, NY ....... Agustsson .............. Nov 2 - 4<br />
Animal-Assisted <strong>Therapy</strong>: Improving<br />
Treatment Outcomes<br />
15 Hours, 1.5 CEUs (No Prerequisite) $545<br />
St. Augustine, FL....Redner/Schefke/ ........Nov 17 - 18<br />
Schuitema<br />
MF1 - Myofascial Manipulation<br />
20 Hours, 2.0 CEUs (No Prerequisite)<br />
$595<br />
Atlanta, GA ................... Grodin ............... Aug 10 - 12<br />
Ft. Lauderdale, FL .........Stanborough......Aug 24 - 26<br />
Cape Coral, FL ..............Stanborough......Sep 14 - 16<br />
New York City, NY ....... Grodin ............... Sep 28 - 30<br />
Gulf Port, MS ................ Cantu ................. Oct 12 - 14<br />
Washington, DC ........... Grodin ................ Oct 12 - 14<br />
Charleston, SC ............. Cantu .................... Nov 2 - 4<br />
San Francisco, CA ....... Grodin ....................Nov 9-11<br />
Houston, TX ................. Grodin ................... Dec 1 - 3<br />
St. Augustine, FL ...........Stanborough......Dec 14 - 16<br />
MANUAL THERAPY CERTIFICATION<br />
Preparation and Examination<br />
32 Hours, 3.2 CEUs<br />
(Prerequisites: S1, S2, S3, S4, E1, E2, MF1) $995<br />
St. Augustine, FL ............................... Oct 29 - Nov 3<br />
CRANIO-MANDIBULAR, HEAD, NECK<br />
& FACIAL PAIN CERTIFICATION<br />
Preparation and Examination<br />
32 Hours, 3.2 CEUs<br />
(Prerequisites: S1, S3, CF1, CF2, CF3, CF4) $995<br />
Additional Seminar Offerings<br />
St. Augustine, FL ....................................... Oct 27 - 31<br />
Upper Quarter Soft Tissue Mobilization<br />
<strong>for</strong> Occupational <strong>Therapy</strong><br />
15 Hours, 1.5 CEUs (No Prerequisite) $545<br />
St. Augustine, FL .......... McGee ..................Jul 28 - 29<br />
Caregiver Training 1: Assessment and<br />
Treatment of Dementia<br />
12 Hours, 1.2 CEUs (No Prerequisite ) $445<br />
Open to OTs, PTs, COTAs, PTAs and other health professionals<br />
St. Augustine, FL .......... Hubbard ..............Sep 29 - 30<br />
Residency and Fellowship Opportunities Available!<br />
The University of St. Augustine is proud to offer the Clinical<br />
Orthopaedic Residency Program and the Orthopaedic Manual<br />
<strong>Physical</strong> <strong>Therapy</strong> Fellowship Program. Both programs offer you<br />
the opportunity to be mentored in a one-on-one clinical environment<br />
while allowing you to work toward earning one of USA’s advanced<br />
degrees without the need to relocate! Let us share with you the many<br />
advantages of continuing your education with USA!<br />
Please contact<br />
Dr. Erin Conrad<br />
800-241-1027, ext 249<br />
or residencyfellowship@usa.edu<br />
Stanley V. Paris, PT, PhD, FAPTA<br />
University of St. Augustine<br />
For Health Sciences<br />
1 University Boulevard<br />
St. Augustine, FL 32086-5799<br />
Registration: 800-241-1027<br />
FAX: 904-826-0085<br />
Name:<br />
_____________________________<br />
___PT<br />
Address:<br />
_____________________________<br />
City:<br />
_____________________________<br />
State: _________ Zip: __________<br />
Email: _____________________<br />
Home: (_____) _____-_________<br />
Work: (_____) _____-_________<br />
FAX: (_____) _____-_________<br />
Please register me <strong>for</strong>:<br />
Seminars:<br />
_____________________________<br />
Locations:<br />
_____________________________<br />
Dates:<br />
_____________________________<br />
Prerequisite in<strong>for</strong>mation:<br />
Seminar:______________________<br />
Location/Date:<br />
_____________________________<br />
Is this your first seminar with the<br />
University? Yes____ No ____<br />
A $100 non-refundable deposit must accompany registration<br />
<strong>for</strong>m. A 50% non-refundable, non-transferable deposit is<br />
required <strong>for</strong> Certification. Balance is due 30 days prior to start<br />
date of the seminar. Balance can be transferred or refunded<br />
with 2 week written notice. Notice received after that time<br />
subject to only 50% refund. No refunds or transfers will be<br />
issued after the seminar begins.<br />
METHOD OF PAYMENT<br />
____Check or Money Order enclosed<br />
Please make payable to: University of St. Augustine<br />
Charge my:<br />
___ ___<br />
Card #<br />
______________________________<br />
Exp. date: ___/___<br />
Amount: $_________<br />
Signature:<br />
______________________________<br />
Team Discount - Two or more persons from<br />
the same facility registering <strong>for</strong> the same seminar<br />
at the same time, receive a 10% discount<br />
at the time of registration.<br />
(Advanced notice and full payment required, does not apply<br />
after the first day of a seminar.)<br />
Multiple Seminar Discount - Register and<br />
pay in full <strong>for</strong> two or more seminars at the<br />
same time and receive a 10% discount.<br />
(May not be combined with any other discounts or previous<br />
registrations.) ADV 8-12
Meet Your<br />
Learning Objectives with<br />
the Learning Center<br />
Deliver cost-effective, high-quality physical therapy CEU offerings to your<br />
organization through the APTA Learning Center. Your staff will be able to<br />
manage their individual professional learning while your training director<br />
will be able to track and monitor account usage via quarterly reports.<br />
The Bulk Purchase Program offers volume discounts and personalized<br />
course offerings to organizations in need of budget-friendly, convenient,<br />
and timely continuing education opportunities. To learn more about the<br />
program or to place an order, please contact us at 800/999-2782, x3395.<br />
learningcenter.apta.org<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
37
[CE DIRECTORY]<br />
Attention Therapists: Interested in Lymphedema Management Certification?<br />
Now you can get<br />
Certified even<br />
Faster!<br />
Announcing our new 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 />
Website www.acols.com Phone 1.800.863.5935 35<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 />
38 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><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 />
MLD/CDT Courses 2012<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 />
January 18-26, 2013<br />
Pittsburgh, Pennsylvania<br />
February 15-23, 2013<br />
Chicago, Illinois<br />
For the most up-to-date course<br />
locations and schedule, visit<br />
www.klosetraining.com<br />
Aquatic <strong>Therapy</strong><br />
Choose your course!<br />
AM1 - Spine - (no pre requisite)<br />
AM2 - Extremities - (AM 1 Pre requisite)<br />
AM3 - Neuro, Ortho, Peds, Lymphedema<br />
(No pre requisite)<br />
Dr. Shepherd will provide in-depth training<br />
<strong>for</strong> complex and simple patients covering<br />
multiple diagnoses. The course will emphasize<br />
the selection of corrective exercises based<br />
on results of the evaluation. In-depth training<br />
on Aquatic documentation and equipment<br />
used in treatment.<br />
Instruction is tailored <strong>for</strong> beginners,<br />
intermediate and advanced Aquatic <strong>Therapy</strong>.<br />
Discounts are available <strong>for</strong> APTA members<br />
and multiple registrations.<br />
Certi cation course coming soon!<br />
FPTA certi ed course/CE Broker.<br />
Contact Jennifer 321-453-8484 Ext 14<br />
or by website<br />
www.aquamoves.net<br />
Course Dates: Merritt Island, FL<br />
9/15/12 - 9/16/12 (AM1 - AM2)<br />
10/20/12 - (AM3)<br />
11/24/12 - 11/25/12 - (AM1 - AM2)<br />
2012 Training and<br />
Certifi cation Workshops<br />
Intensive whole body amplitude-based<br />
protocol <strong>for</strong> individuals with<br />
Parkinson's Disease.<br />
Sunnyvale, CA<br />
September 22-23, 2012<br />
St. Louis, MO<br />
September 29-30, 2012<br />
Sydney, Australia<br />
October 5-6, 2012<br />
Oslo, Norway<br />
October 26-27, 2012<br />
Jacksonville, FL<br />
November 3-4, 2012<br />
Honolulu, HI<br />
November 17-18, 2012<br />
Scottsdale, AZ<br />
December 1-2, 2012<br />
More Dates Coming Soon<br />
For more in<strong>for</strong>mation visit our<br />
website at:<br />
www.LSVTGlobal.com<br />
Voice: 1-888-438-5788<br />
Email: info@lsvtglobal.com
VIDEO SEMINARS<br />
VIDEO SEMINARS UNLIMITED CEUs<br />
All the Continuing Education<br />
Hours You Want. Two Great Options<br />
$177 <strong>for</strong> 7 months or $199 <strong>for</strong> 1-Full Year. Unlimited access<br />
to over 640 hours of clinical continuing education; over<br />
90 CEU seminars and programs. Take as many courses as<br />
you want. Approved by BOC <strong>for</strong> Athletic Trainers and specific<br />
State PT Boards. Check our web site <strong>for</strong> state PT board<br />
approvals. Take advantage of either of these Great Offers.<br />
Contact: 575-526-0012; or www.clinicians-view.com<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<br />
outs of how to successfully start and operate an in-home<br />
therapy practice under Medicare Part B. Therapists will learn<br />
about the start-up process, business structures, Medicare<br />
Part B requirements and regulations, proper documentation<br />
and billing, and marketing and practice expansion.<br />
Participants can access the seminar through our website.<br />
Contact: In-Home <strong>Therapy</strong> Services, LLC, 800-931-5769;<br />
www.inhometherapyservices.com <strong>for</strong> more in<strong>for</strong>mation and<br />
to register online.<br />
DISTANCE EDUCATION<br />
GREAT CEUs Fast and<br />
Easy to Complete<br />
Learn and earn 5 hours of continuing education credit from<br />
each of our many exciting, interactive and extremely clinical<br />
online courses: Gait and Balance, Knee Osteoarthritis, Seating<br />
Only<br />
$79!<br />
ON-SITE SEMINARS<br />
and Mobility, Lumbar Spinal Stenosis, Wiihabilitation, Aging<br />
Foot, Vestibular, Home Health, and Research to Practice. Wellknown<br />
instructors such as Dr. Carole Lewis and Dr. Richard<br />
Bohannon bring these courses to life with real patients, case<br />
studies and a focus on practical application. Fast and easy<br />
to complete. Hyperlinks to PubMed <strong>for</strong> references. Contact:<br />
Visit our web site: www.Greatseminarsonline.com to watch 2<br />
minute relevant research videos on the most current studies<br />
impacting your practice - <strong>for</strong> free.<br />
DISTANCE EDUCATION ONLINE<br />
TheraPeeds/Julia Harper<br />
Sensory Integration Courses<br />
THOUSANDS OF THERAPISTS AGREE. Julia Harper, MS,<br />
OTR/L, one of the industry’s most sought-after speakers, is<br />
now offering ONLINE video courses <strong>for</strong> her most demanded<br />
conferences: Practical Sense in SI parts 1, 2 and 3! Earn<br />
CEUs and experience the same high energy, fun, and wealth<br />
of practical in<strong>for</strong>mation that Julia brings to her live courses<br />
from the com<strong>for</strong>t of your home, practice, school, or anywhere<br />
you have internet access. These all video courses are the<br />
next best thing to actually being there. Learn practical stepby-step<br />
protocols to evaluate and treat all of your clients<br />
with processing disorders from the low functioning child<br />
with behaviors blocking your ability to teach skills to the<br />
higher functioning subtle disorders that need the right push<br />
to increase their functional outputs. Contact: 800-899-8832;<br />
or www.therapeeds.com to take a sneak peek and to hear<br />
what others have to say about these dynamic, confidence<br />
building courses.<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 />
“You will kick yourself if you don’t go.” “It’s so worth the<br />
money and time to come here”. “It would be a MISTAKE not<br />
to take this course!” 100% Money-Back Guarantee. Contact:<br />
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 />
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 />
2012-2013 CE Events<br />
VNSNY offers a variety of Continuing<br />
Education courses, open to both guests<br />
from outside the Agency and VNSNY staff<br />
members. We host 1-2 events per month at<br />
our regional offices in Manhattan, Queens,<br />
Brooklyn and the Bronx. Our courses are<br />
evidence-based, utilizing proven outcomes.<br />
The focus of our courses is mainly geriatric<br />
and home health care.<br />
For an updated CE Calendar and to register,<br />
please visit us online at vnsny.org/ce.<br />
BOOST YOUR CAREER — GO TO WWW.<strong>ADVANCE</strong>WEB.COM<br />
VNSNY Continuing Education Courses<br />
Topics:<br />
• An Evidence-Based Approach to Strength<br />
Training in the Older Adult<br />
• Aphasia <strong>Therapy</strong> in the Home<br />
• Creating a Pediatric Assessment: Evaluation<br />
of the Baby<br />
• Drugs in the Geriatric Patient<br />
• Evidence-Based Home Exercise Programs: PT,<br />
OT, SLP<br />
• Feeding Medically Fragile Infants and Toddlers<br />
• Neurologic Treatments and Interventions<br />
• Motor Control and Motor Learning<br />
• Home Health Care <strong>Rehab</strong>ilitation<br />
• Lymphedema Interventions in the Home<br />
• Manual Wheelchair Positioning and Seating<br />
• Mobile Apps <strong>for</strong> the 21st Century Therapist<br />
• The Vestibular System: Homecare Clinical<br />
Considerations<br />
• Therapeutic Exercises <strong>for</strong> Geriatric Patients<br />
• Vision and Cognition <strong>for</strong> the Occupational<br />
Therapist<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<br />
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 />
*Employees of Visiting Nurse Service of New York attend all CE courses free-of-charge.<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 />
[CE DIRECTORY]<br />
39
[CE DIRECTORY]<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 reimbursement<br />
issues than ever be<strong>for</strong>e in the history of our profession.<br />
Also, are your therapists billing only 3 units while spending<br />
over an hour with patients? Is your documentation making you<br />
vulnerable? This course will help solve many of the problems<br />
confronted by most PT/OT practices today. Get the secrets to<br />
quicker payment, better reimbursement, appealing denials,<br />
audit-proofing, and more. TESTIMONIALS: “This is the best<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 />
course I’ve ever attended on billing, and I’ve attended over 100.<br />
Take it!” 100% No-Risk Guarantee. Contact: 800-801-4511; or<br />
www.IndeFree.com<br />
AUG. 17-18, 2012 BOISE, ID<br />
SEPT. 22-23, 2012 DES MOINES, IA<br />
OCT. 6-7, 2012 SAVANNAH, GA<br />
Put Some Muscle<br />
Into Ther Ex<br />
Speaker: Wendy K. Anemaet, PT, PhD, GCS, CWS, GTC, COS-<br />
C; Strength loss begins in the 30's - but what's next? MMT's<br />
unreliable - what other options exist. Which muscles matter<br />
most to ADL? Join us <strong>for</strong> an intensive, fun, 2-day tune up to<br />
strengthen your outcomes and change the way you prescribe<br />
Ther Ex on Monday morning! This 20 contact hour course<br />
explores the current scoop on geriatric resistance training,<br />
practice evaluative techniques and exercises, and learn<br />
about parameters of strengthening <strong>for</strong> a range of medical<br />
and rehab diagnoses. Put Some Muscle into Ther Ex offers<br />
the essential tools and knowledge to design, implement,<br />
evaluate and modify effective resistance training programs<br />
<strong>for</strong> the older populations. - See you there. Contact: 877-794-<br />
7328 (toll-free); or www.greatseminarsandbooks.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 of<br />
the seminar tells it all, nothing else matters if you can’t breathe!<br />
Instructor: Donna Frownfelter. Contact: Education Resources,<br />
Inc., 508-359-6533; 800-487-6530 (outside MA); www.educa<br />
tionresourcesinc.com<br />
AUG. 17-18, 2012 DULUTH, MN<br />
OCT. 26-27, 2012 OREGON, OH<br />
Brachial Plexus Injuries<br />
Treatment: Infant thru Teen<br />
Do you assess and treat pediatric patients with Obstetrical Brachial<br />
Plexus Injuries? This workshop will provide you with the comprehensive<br />
knowledge you need to be able to confidently per<strong>for</strong>m<br />
comprehensive examinations, develop attainable goals and choose<br />
Spinal Cord Injury Seminars<br />
2012 Seminars<br />
Occupational and <strong>Physical</strong> <strong>Therapy</strong> Management<br />
of Spinal Cord Injury<br />
September 29-30, 2012 ........ Encinitas, CA (San Diego Area)<br />
Scripps Memorial Hospital Encinitas<br />
November 3-4, 2012 ................................. Chattanooga, TN<br />
Siskin Hospital <strong>for</strong> <strong>Physical</strong> <strong>Rehab</strong>ilitation<br />
For more in<strong>for</strong>mation on registration or hosting a seminar...<br />
www.sciseminars.com Phone/Fax: 800.305.8818<br />
40 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
the most effective therapeutic strategies and make surgical referrals<br />
<strong>for</strong> each stage of recovery throughout infancy, childhood, and teen<br />
years. Instructors: Cindy Servello & Pia Stampe. Contact: Education<br />
Resources, Inc., 800-487-6530; 508-359-6533; www.educa<br />
tionresourcesinc.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<br />
and design effective treatment programs based on those<br />
findings. Topics include the evaluation of the arterial, venous,<br />
and lymphatic systems. Numerous treatment techniques will<br />
be covered, such as compression bandaging as well as a<br />
hands-on introduction to manual lymphatic drainage. Over<br />
80% of attendants rated this course Excellent, all others<br />
rated it Good. Cost: Only $350 <strong>for</strong> 16 hours. Please call <strong>for</strong><br />
group discounts. Contact: JVB Enterprises, Inc., 888-328-<br />
6755 (toll-free); www.teachtx.com <strong>for</strong> other courses offered<br />
in your area or <strong>for</strong> more in<strong>for</strong>mation.<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 />
available <strong>for</strong> those unable to attend. Contact: 940-300-2299;<br />
or www.THERAPYSEMINARSLLC.COM to register online.<br />
AUG. 18-19, 2012 INDIANAPOLIS, IN<br />
SEPT. 22-23, 2012 ALBUQUERQUE, NM<br />
NOV. 3-4, 2012 NEW ORLEANS, LA<br />
Taking Balance<br />
To the Limits<br />
Speaker Janene Barber PT, GTC has taught and treated<br />
extensively in this area with astounding results. This 20<br />
contact hour course goes beyond all you have learned<br />
about the effects of speed, strength and range of motion<br />
limitations as causes <strong>for</strong> balance dysfunction. You will leave<br />
with an in depth knowledge and skill in postural dyscontrol,<br />
somatosensation and vestibular arenas. Take home innovative<br />
useable evaluation and treatment techniques that will<br />
dramatically change your practice. Contact: 877-794-7328<br />
(toll-free); or www.greatseminarsandbooks.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 />
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
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 family<br />
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 BURLINGTON, NC<br />
OCT. 20-21, 2012 BAYSIDE, NY<br />
NOV. 2-3, 2012 ROCHESTER, NY<br />
Practical Intervention Strategies<br />
For Children with ASD<br />
With the increasing number of children with ASD it is essential<br />
that therapists keep current on the latest research and<br />
interventions to incorporate new knowledge and techniques<br />
into their clinical practice. This course will assist practitioners<br />
in identifying, selecting and prioritizing intervention strategies<br />
to best support functional participation and successful<br />
engagement in developmentally appropriate tasks. Case<br />
analysis and group problem-solving will highlight strategies<br />
that can be used immediately in treatment of children with<br />
ASD. Instructor: Stacey Szklut. Contact: Education Resources,<br />
Inc., 508-359-6533; 800-487-6530 (outside MA); www.edu<br />
cationresourcesinc.com<br />
AUG. 25-26, 2012 FT. MYERS, FL<br />
SEPT. 15-16, 2012 ATLANTA, GA<br />
DEC. 1-2, 2012 BOSTON, MA<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. 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<br />
is 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 - 1day (KT1 & KT2 required). Instructor: Gerard<br />
Dysico, MD, CKTI (Physiatrist). CEUs <strong>for</strong> PT, PTAs, OTs, COTAs,<br />
MTs. Approved by KTA. Package deals available. Contact:<br />
Felicity Pine, Live and Learn Consulting, 914-263-1943;<br />
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<br />
the tough therapy decisions required when managing<br />
the care of children with complex medical issues. It<br />
will focus on applying evidence to decisions regarding<br />
therapy priorities, predicting outcomes, treatment<br />
modifications, and making appropriate discharge recommendations.<br />
Case studies will be used to advance<br />
clinical problem solving skills needed to address the<br />
complications and complexities of care that is constantly<br />
interrupted by medical issues, hospital stays<br />
and surgeries. The material will apply to children in all<br />
practice settings. Instructor: Jonathan Greenwood, PT,<br />
MS, NDT, PCS. Contact: Education Resources, Inc., 508-<br />
359-6533; 800-487-6530 (outside MA); www.educa<br />
tionresourcesinc.com<br />
SEPT. 8-9, 2012 SOMERVILLE, NJ<br />
Neural Mobilization:<br />
Examination and Intervention<br />
Strategies<br />
Discover how neural mobilization can enhance your treatment<br />
outcomes. Learn basic to advanced concepts <strong>for</strong> examination<br />
of restricted neural mobility and intervention strategies<br />
to address the dura, nerve bed, and peripheral nerves.<br />
Instructor: Mark Butler, PT, MPT, OCS, Cert MDT. Contact:<br />
<strong>Rehab</strong> Education, LLC, 845-368-2458; info@<strong>Rehab</strong>Ed.com<br />
or www.<strong>Rehab</strong>Ed.com <strong>for</strong> details and registration.<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<br />
balance. Therapists will learn to differentiate normal aging<br />
from pathology and develop effective evidence-based treatment<br />
strategies to improve functional balance outcomes to<br />
optimize the environment. (Medically complex patient<br />
- Stroke - Dementia - Balance & Frail Elderly) Instructor:<br />
Carole Burnett. Contact: Education Resources, Inc., 508-<br />
359-6533; 800-487-6530 (outside MA); www.education<br />
resourcesinc.com<br />
SUBSCRIBE TODAY — CALL 800.355.1088<br />
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. 8-11, 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<br />
based on functional outcomes using NDT will be provided.<br />
Get to results faster when improving gait. Increased clinical<br />
reasoning will enable you to know what to expect and<br />
what to predict. You will be able to assess the cause of<br />
the problem and have more immediate influence. You will<br />
have a better understanding of the normal components of<br />
gait and then understand why your patient with hemiplegia<br />
has tendencies in gait. You will practice with “hands-on”<br />
how to increase ROM of the hip and foot. Concepts <strong>for</strong><br />
use of self-exercise program and use of orthotics will be<br />
discussed. Additional treatment ideas related to gait and<br />
more examples of documentation will be provided. Both<br />
parts include videotapes, “hands-on” experience and live<br />
patient demonstrations. Cathy Runyan, OTR, & Peggy<br />
Miller, PT, NDTA Inc. Certified Instructors. Audience: PTs,<br />
PTAs, OTs, COTAs. Contact hours: 30. Contact: Recovering<br />
Function, 408-268-3691; or www.RecoveringFunction.com<br />
<strong>for</strong> complete brochure of introductory, advanced, and certification<br />
courses as well as in<strong>for</strong>mation about additional<br />
course dates/locations, group rates, & free registrations<br />
when hosting courses at your facility.<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 with<br />
strength exercises and there<strong>for</strong>e these patients are often<br />
under-exercised. With a thorough understanding of the<br />
research, optimal strength exercises can be applied to virtually<br />
all senior patients. Whatever setting you work in, this<br />
practical, clinically applicable seminar will help you get great<br />
strength exercise results. Instructor: Mark Richards. Contact:<br />
Education Resources, Inc., 508-359-6533; 800-487-6530<br />
(outside MA); www.educationresourcesinc.com<br />
SEPT. 15-16, 2012 RICHMOND, VA<br />
Therapeutic Ultrasound and<br />
Electrical Stimulation<br />
This two-day course thoroughly covers ultrasound & electrical<br />
stimulation from theory to application. Through a<br />
combination of interesting lecture and hands-on labs, this<br />
course provides in<strong>for</strong>mation and skills that can be utilized in<br />
the clinic the very next day. Using top-of-the-line equipment,<br />
this course includes numerous application labs <strong>for</strong> ultrasound<br />
and electrical stimulation, as well as a three-hour simulated<br />
treatment lab. Cost: Only $350 <strong>for</strong> 16 hours. Please call <strong>for</strong><br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
[CE DIRECTORY]<br />
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[CE DIRECTORY]<br />
group discounts. Contact: JVB Enterprises, Inc., 888-328-<br />
6755 (toll-free); or www.teachtx.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, realistic?<br />
Is the treatment approach the most effective to achieve<br />
the outcome you want? This workshop will enhance critical<br />
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<br />
compromise. The unique approach will help therapists set<br />
realistic measurable goals, set priorities and determine frequency<br />
of treatment and exit criteria. Instructor: Lezlie Adler.<br />
Contact: Education Resources, Inc., 508-359-6533; 800-<br />
487-6530 (outside MA); www.educationresourcesinc.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 />
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<br />
techniques of MLD, bandaging <strong>for</strong> primary and secondary<br />
upper and lower extremity lymphedema (incl pediatric<br />
care and genital lymphedema) and other conditions (posttraumatic,<br />
postoperative swellings, CVI, Migraine). Special<br />
workshops are included in the course (insurance billing,<br />
certification <strong>for</strong> compression garments, etc.) The textbook<br />
“Lymphedema Management” (included in tuition) authored<br />
by the Academy’s director was published in 2004 by Thieme<br />
Medical and Scientific Publishers, NY; tuition also includes<br />
educational CD, course manual, complete set of bandages,<br />
CD <strong>for</strong> limb volume calculation, set of posters of the<br />
“Lymphatic System”. After course completion each student<br />
is provided with instructor mentoring. All graduates qualify<br />
<strong>for</strong> free lifetime listing as certified lymphedema therapists<br />
<strong>for</strong> patient referral on our website. All courses are approved<br />
by FPTA, IPTA and AOTA <strong>for</strong> CEUs. Discounts are available<br />
<strong>for</strong> APTA & AOTA members. Financial aid available. Contact:<br />
800-863-5935; academy@acols.com or www.acols.com <strong>for</strong><br />
a free brochure.<br />
SEPT. 20-21, 2012 BAYSIDE, NY<br />
OCT. 19-20, 2012 CINCINNATI, OH<br />
NOV. 16-17, 2012 MIAMI, FL<br />
Intervention <strong>for</strong> the High Risk<br />
Infant: NICU, Home and EI<br />
This seminar offers practical strategies toward a contextual<br />
approach to behavioral, developmental and feeding<br />
assessment and intervention. Video, demonstration<br />
and case examples will be used to introduce the NICU<br />
Network Neurobehavioral Scale (NNNS), to illustrate feeding<br />
assessment and intervention and to train participants<br />
in administration and scoring of the Posture and Fine<br />
Motor Assessment of Infants. Participants will enhance their<br />
clinical skills through creative problem-solving. Instructor:<br />
Rosemarie Bigsby. Contact: Education Resources, Inc.,<br />
508-359-6533; 800-487-6530 (outside MA); www.edu<br />
cationresourcesinc.com<br />
42 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
SEPT. 21-22, 2012 ENGLEWOOD, NJ<br />
Vestibular <strong>Rehab</strong>:<br />
Treatment Intensive<br />
Recognizing, assessing and treating vestibular disorders<br />
with an appropriate plan is dependent on careful differential<br />
diagnosis. Successful vestibular interventions must be<br />
based on understanding the complexities of the vestibular,<br />
oculomotor, or sensory systems they are targeting. This<br />
lab course covers treatments across the age spectrum,<br />
including childhood paroxysmal vertigo, BPPV, Meniere’s<br />
disease, ototoxicity, bilateral disorders, mal de debarquement,<br />
migraine associated vertigo, traumatic vertigo, acoustic<br />
neuroma, central vertigo, and disequilibrium of aging.<br />
Instructor: Gaye Cronin. Contact: Education Resources,<br />
Inc., 508-359-6533; 800-487-6530 (outside MA); www.<br />
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<br />
the practical management of dizziness. It will include<br />
instruction in anatomy and physiology, pathology, medical<br />
management, laboratory testing, per<strong>for</strong>mance of a detailed<br />
bedside / office examination and treatment recommendations.<br />
The application of VRT to a variety of practice settings<br />
(outpatient, acute care, SNF, ER) will be discussed. An<br />
emphasis will be placed on the management of unilateral,<br />
bilateral and central vestibular dysfunction and BPPV variants.<br />
There is the option of a third day of Advanced study.<br />
Instructor: Jeffrey Walter. Contact: Education Resources,<br />
Inc., 508-359-6533; 800-487-6530 (outside MA); www.<br />
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<br />
Tai Chi into your therapeutic regime whether you are working<br />
in acute care, rehab, OPD or home care. The workshop<br />
focuses on techniques to facilitate core stabilization, muscle<br />
re-education, postural alignment, symmetry, mobility, and<br />
movement awareness. Learn to incorporate these effective<br />
techniques <strong>for</strong> patients with: neurologic dysfunction, orthopedic<br />
dysfunction, medical complexities, pulmonary conditions,<br />
myofascial pain, arthritis, osteoporosis. Instructor: Tim<br />
Dreher. Contact: Education Resources, Inc., 508-359-6533;<br />
800-487-6530 (outside MA); www.educationresourcesinc.<br />
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<br />
low back patients and cervical spine with core stabilization.<br />
Core Stabilization is a nationally recognized clinical<br />
method of restoring function to the spine patient. Drawing<br />
on up to date evidence-based treatment involving dynamic<br />
training, participants will combine techniques of PNF,<br />
NDT and exercise physiology to take core stabilization<br />
to its highest level: using it in patient function, hobbies,<br />
sports, ADL’s and work. Opt 3rd day on Cervical/Thoracic.<br />
Instructor: Beverly Biondi. Contact: Education Resources,<br />
Inc., 508-359-6533; 800-487-6530 (outside MA); www.<br />
educationresourcesinc.com<br />
SEPT. 21-23, 2012 ATLANTA, GA<br />
OCT. 12-14, 2012 HOLLYWOOD, FL<br />
Oral Motor, Feed/Swallow &<br />
Respiratory Function Challenges<br />
This course delivers clinically relevant assessment and<br />
treatment strategies <strong>for</strong> infants and children with neuromotor<br />
impairments and challenges to their oral motor, feeding/<br />
swallowing and respiratory function. A special emphasis is<br />
on postural alignment and control as well as on sensory<br />
factors that can influence a child’s feeding and swallowing.<br />
Effective treatment strategies to improve cheeks/<br />
lips, tongue, jaw and rib cage function will be highlighted.<br />
Instructor: Rona Alexander. Contact: Education Resources,<br />
Inc., 508-359-6533; 800-487-6530 (outside MA); www.<br />
educationresourcesinc.com<br />
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. 21-23, 2012 CHERRY HILL, NJ<br />
NOV. 2-4, 2012 LEXINGTON, KY<br />
NOV. 30-DEC. 2, 2012 MIAMI, FL<br />
Dr. Carole B. Lewis Presents:<br />
Clinical Geriatrics Orthopedics 2012<br />
This entertaining and in<strong>for</strong>mative 20 contact hour seminar<br />
describes age related changes and pathology, normative values,<br />
functional tools <strong>for</strong> every joint in the body and shows you<br />
how to track patient progress <strong>for</strong> reimbursement. In laboratory<br />
sessions, Dr. Lewis, a clinician, international lecturer and<br />
author teaches innovative mobilizations techniques, creative<br />
exercises and diagnosis specific protocols and efficient evaluations.<br />
400+page handout and over 5,000 evidence based<br />
references and endless evidence based treatment strategies.<br />
Contact: 877-794-7328 (toll-free); or www.greatseminar<br />
sandbooks.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.<br />
org; or register online: www.texaschildrens.org/pmr and click<br />
on continuing education.<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.edu<br />
cationresourcesinc.com
SEPT. 22-23, 2012 PORTLAND, OR<br />
SEPT. 22-23, 2012 RONKONKOMA (LONG ISLAND), NY<br />
OCT. 13-14, 2012 URBANA, IL<br />
KinesioTaping ® - KT1/KT2<br />
More dates and locations, and Kinesiotaping KT3 courses listed<br />
online. KTA approved seminars. Learn the fundamental and<br />
advanced concepts, corrective techniques of the KinesioTaping<br />
Method, and the unique properties and use of KinesioTex Tape.<br />
Lab sessions provide ample time to practice kinesiotaping<br />
skills <strong>for</strong> upper and lower body applications. Contact: <strong>Rehab</strong><br />
Education, LLC, 845-368-2458 <strong>for</strong> questions; info@<strong>Rehab</strong>Ed.<br />
com or www.<strong>Rehab</strong>Ed.com <strong>for</strong> details and registration.<br />
SEPT. 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 to<br />
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<br />
feet work, and various combinations of these features<br />
can produce foot, limb or back pain. Learn a systematic<br />
approach to successful management of symptoms utilizing<br />
pre-fabricated orthotic solutions; and, alternatively how<br />
to determine if a custom orthoses is necessary. Contact:<br />
877-792-4669; education@strideorthotics.com or www.<br />
strideorthotics.com<br />
SEPT. 22-23, 2012 SYRACUSE, NY<br />
OCT. 13-14, 2012 LINCOLN, NE<br />
NOV. 3-4, 2012 OXFORD, MS<br />
Acute Care<br />
<strong>Rehab</strong>ilitation<br />
Speaker: Mark Nelson, MPT. This dynamic 20 contact hour seminar<br />
provides the latest in<strong>for</strong>mation on cardiac, pulmonary and geriatric<br />
rehabilitation in the acute care setting. As in all practice settings,<br />
acute care rehabilitation is continuously evolving. From the various<br />
entry points into the acute care setting to discharge, rehabilitation<br />
plays an integral role. Therapists are being increasingly relied upon<br />
to make significant contributions to the medical team and frequently<br />
are the determining factor in hospital length of stay. This high tech<br />
seminar will provide therapists with clinical in<strong>for</strong>mation, practical<br />
tips and high level problem solving skills by utilizing lecture and case<br />
studies to discuss the role of therapists in this challenging environment.<br />
Contact: 877-794-7328 (toll-free); or www.greatseminar<br />
sandbooks.com<br />
SEPT. 22-23, 2012 SACRAMENTO, CA<br />
OCT. 13-14, 2012 NEW ROCHELLE, NY<br />
DEC. 1-2, 2012 CHARLOTTE, NC<br />
Safe Steps: Making Gait,<br />
Balance Assessment & Treatment<br />
Speaker James C. Wall, BSC, MSc, MEd, PhD, presents Safe<br />
Steps: Making Gait and Balance Assessment and Treatment<br />
Worth It. This 20 contact hour seminar reviews the major<br />
changes commonly seen in the elderly, which can contribute<br />
to problems with gait, balance, and subsequent loss of independence.<br />
Evaluation tools, objective techniques to measure<br />
functional mobility tasks and evidence-based treatment<br />
strategies will be covered. Contact: 877-794-7328 (tollfree);<br />
or www.greatseminarsandbooks.com<br />
SEPT. 22-30, 2012 CHICAGO, IL<br />
OCT. 12-20, 2012 SAN ANTONIO, TX<br />
NOV. 30-DEC. 8, 2012 BOULDER, CO<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. 23, 2012 QUEENS, NY<br />
OCT. 21, 2012 QUEENS, NY<br />
NOV. 3-4, 2012 FT. LAUDERDALE, FL<br />
TheraPeeds/Julia Harper<br />
Sensory Integration Courses<br />
Join Julia Harper, MS, OTR/L, one of the industry’s most<br />
sought after instructors, in the limited offerings of her live<br />
courses where she teaches PRACTICAL proven strategies <strong>for</strong><br />
treating your pediatric clients diagnosed with a wide variety<br />
of deficits. Don’t miss the opportunity to meet with her, ask<br />
your questions and leave each course with a “How-to” Guide!<br />
Contact: www.therapeeds.com <strong>for</strong> a list of courses, both<br />
LIVE and ONLINE VIDEO COURSES!<br />
SEPT. 28-29, 2012 HAMDEN, CT<br />
Yoga <strong>Therapy</strong> in<br />
The Classroom: Get Ready to Learn<br />
This NEW 2 day course offers the school based therapist 4<br />
research routines utilizing a comprehensive group yoga program<br />
in an accessible <strong>for</strong>mat <strong>for</strong> children of all abilities. The<br />
Get Ready to Learn program was developed by yoga teacher<br />
and occupational therapist, Anne Buckley Reen. Get Ready<br />
to Learn provides a daily therapeutic classroom routine<br />
designed to address problems with self regulation, attention,<br />
motor planning, auditory processing and motor per<strong>for</strong>mance.<br />
Instructor: Anne Buckley-Reen. Contact: Education<br />
Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />
www.educationresourcesinc.com<br />
SEPT. 28-29, 2012 MANCHESTER, NH<br />
Feeding the Most Fragile:<br />
From NICU to Early Intervention<br />
This feeding workshop is designed <strong>for</strong> those who work with<br />
infants in or just discharged from the NICU. Practical in<strong>for</strong>mation<br />
from a developmental specialist will help practitioners to<br />
increase their knowledge about factors that impact successful<br />
oral feeding. The presenter will include in<strong>for</strong>mation on preterm<br />
and ill term infants. Strategies to facilitate infant abilities<br />
will be emphasized. Facilitating caregiver interactions to<br />
support the acquisition of appropriate feeding skills, utilizing<br />
a multi-disciplinary supportive team in the NICU and after<br />
discharge to Early Intervention follow up services. Instructor:<br />
Erin Sundseth Ross. Contact: Education Resources, Inc.,<br />
508-359-6533; 800-487-6530 (outside MA); www.educa<br />
tionresourcesinc.com<br />
SEPT. 28-29, 2012 SHREVEPORT, LA<br />
OCT. 12-13, 2012 PORTLAND, OR<br />
NOV. 2-3, 2012 FAIRFAX, VA<br />
Vestibular <strong>Rehab</strong>ilitation<br />
This course will focus on the assessment of patient w/<br />
vertigo & disequilibrium from vestibular causes. Material<br />
covered includes the neuroanatomy & neurophysiology of<br />
normal vestibular system, the various pathological conditions<br />
that result in vertigo or disturbances balance & the<br />
compensatory mechanisms available <strong>for</strong> recovery. Specific<br />
emphasis on assessment & Tx of unilateral & bilateral<br />
vertigo, central vestibular disorders & multisensory dizziness.<br />
This info applicable to geriatric patients as well as<br />
individuals w/CNS lesions such as multiple sclerosis, CVA<br />
& head injury. There is a 3rd day of this course which is<br />
optional. Instructor: Richard Clendaniel. Contact: Education<br />
Resources, Inc., 508-359-6533; 800-487-6530; www.edu<br />
cationresourcesinc.com<br />
SEPT. 28-29, 2012 ALLENTOWN, PA<br />
OCT. 26-27, 2012 STAFFORD, TX<br />
Effective Ways to<br />
Manage Behavior in Autism<br />
Effectively treat children with sensory integration and behavior<br />
problems using a new approach that combines sensory<br />
integration and behavioral techniques into your current pediatric<br />
therapy. Emphasizes practical evidence-based strategies<br />
involving handling, play, art, music and movement activities.<br />
Approach synthesizes Sensory Integration, Behavioral, NDT,<br />
NeuroPsychology, Sensory Massage and Trager Body Work.<br />
Instructor: John Pagano. Contact: Education Resources, Inc.,<br />
508-359-6533; 800-487-6530 (outside MA); www.education<br />
resourcesinc.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 />
SEPT. 28-29, 2012 ROCHESTER, NH<br />
NOV. 3-4, 2012 ATLANTA, GA<br />
Wii Hab: Skilled <strong>Therapy</strong><br />
In a Virtual World<br />
This interactive workshop teaches the therapist the SKILLED<br />
use of the Nintendo ® Wii and WiiFit Balance Board to rehabilitation<br />
patients of all ages with various ortho and neuro<br />
impairments. The course focuses on using the Wii to promote<br />
movement patterns <strong>for</strong> functional tasks in the real world.<br />
Program design, modifications, safety, infection control, and<br />
documentation are also discussed. CEUs: 13 hours preapproved<br />
<strong>for</strong> PT by AL, GA, MD, & NY and NBCOT <strong>for</strong> OT, and<br />
BOC <strong>for</strong> ATCs. Cost $435. Contact: Trudy, 781-273-4978; or<br />
www.questseminars.com<br />
SEPT. 28-29, 2012 MATTHEWS, NC<br />
DEC. 7-8, 2012 HOUSTON, TX<br />
Therapeutic<br />
Interventions in the NICU<br />
This course focuses on developmental and therapeutic<br />
interventions in the NICU. It covers assessment and treatment,<br />
transition to home, post discharge follow-up and<br />
identification of emerging disabilities. Strategies to optimize<br />
behavior, development and feeding of the neonate will<br />
be offered in addition to practical approaches to facilitating<br />
teamwork and caregiver engagement. Instructor: Tracilyn<br />
Watson-Urruela. Contact: Education Resources, Inc., 508-<br />
359-6533; 800-487-6530 (outside MA); www.education<br />
resourcesinc.com<br />
SEPT. 29, 2012 BALTIMORE, MD<br />
Using ICF in<br />
Support of School Based PT<br />
This course was created to support school based PTs<br />
with implementing best practices in an educational culture<br />
resistant to change. Per IDEA 2004, school based PTs are<br />
mandated to support “access and participation” <strong>for</strong> students<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
[CE DIRECTORY] 43
[CE DIRECTORY]<br />
with disabilities. The workshop introduces participants to the<br />
International Classification of Function (ICF), its affiliation with<br />
IDEA 2004 and its application to school practice. Using the<br />
Individualized Education Plan (IEP), participants will utilize ICF<br />
concepts to build their own educationally relevant practices.<br />
Contact: Care Resources, 888-613-2275; or www.carere<br />
sourcesinc.com<br />
SEPT. 29-30, 2012 EDISON, NJ<br />
NDT Course<br />
This two day course focuses on the improvement<br />
& facilitation of function in adults who have experienced<br />
strokes. The workshop <strong>for</strong>mat features practice<br />
labs, functional treatment ideas & patient videos<br />
extrapolated from acute care, rehabilitation, skilled<br />
nursing facilities & outpatient settings. It is taught<br />
by the renowned instructor, Jan Davis, MS, OTR/L.<br />
The course also strongly incorporates the hemiplegic<br />
shoulder & provides useful “tips” on documentation<br />
& treating “poorly motivated” patients. This conference<br />
is sponsored by JFK Johnson <strong>Rehab</strong> Institute.<br />
Early bird rates in effect until September 6th. Contact:<br />
Marianne Mohary, 732-632-1570; or e-mail: mmo<br />
hary@jfkhealth.org to register or receive a brochure.<br />
SEPT. 29-30, 2012 GRAND RAPIDS, MI<br />
OCT. 6-7, 2012 PITTSBURGH, PA<br />
NOV. 3-4, 2012 DAVENPORT, IA<br />
Home Health<br />
<strong>Rehab</strong>ilitation<br />
Speaker: Carol Schunk PT, PsyD. Home Health is a unique<br />
physical therapy practice setting. Not only are there clinical<br />
issues but being in the patient’s home environment makes<br />
the delivery of service very different than in an outpatient<br />
or inpatient facility. This 20 contact hour course will provide<br />
both clinical in<strong>for</strong>mation relevant to those being treated in<br />
their home as well as the psychological aspects of dealing<br />
with families and caregivers including evaluation tools <strong>for</strong><br />
balance, function, cognitive ability and environmental hazards<br />
presented to allow the therapist to develop an appropriate<br />
plan of care. Contact: 877-794-7328 (toll-free); or www.<br />
greatseminarsandbooks.com<br />
SEPT. 29-30, 2012 GREEN BAY, WI<br />
OCT. 13-14, 2012 NASHVILLE, TN<br />
NOV. 3-4, 2012 PORTLAND, OR<br />
Cancer <strong>Rehab</strong>ilitation<br />
Speaker: Nicole Stout, MPT, CLT-LANA. Current evidencebased<br />
rehabilitation interventions <strong>for</strong> individuals undergoing<br />
treatment <strong>for</strong> cancer, survivorship from cancer, or<br />
facing metastatic disease will be highlighted in this 20<br />
contact hour course. Exercise prescription, contradictions<br />
and precautions with exercise & modalities. A unique,<br />
problem based <strong>for</strong>mat, with group interaction, utilizing<br />
case studies <strong>for</strong> client evaluation and development of<br />
plan of care. Contact: 877-794-7328 (toll-free); or www.<br />
greatseminarsandbooks.com<br />
SEPT. 29-30, 2012 PEMBROKE PINES, FL<br />
NOV. 3-4, 2012 NASHVILLE, TN<br />
Traumatic Brain Injury:<br />
Cognitive <strong>Rehab</strong><br />
This interactive course will provide therapists with the skills<br />
necessary <strong>for</strong> implementing programs across the continuum<br />
of care. Content will include, understanding associated<br />
impairments and activity limitations, mechanisms of injury,<br />
neurobiology, theory, cognitive and behavioral health issues.<br />
Evidence-based evaluation and intervention will be emphasized<br />
as well as emerging practice areas; virtual reality, telerehabilitation.<br />
Instructor: Leslie Davidson. Contact: Education<br />
Resources, Inc., 508-359-6533; 800-487-6530 (outside<br />
MA); www.educationresourcesinc.com<br />
44 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><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.<br />
Audience: OTs, COTAs, PTs, PTA. Cathy Runyan, OTR/L &<br />
Peggy Miller, PT, NDTA, Inc. Certified Instructors. Offered<br />
nationwide. Contact: Recovering Function, 408-268-3691;<br />
or www.RecoveringFunction.com <strong>for</strong> a complete brochure<br />
of intro, advanced, and cert courses as well as in<strong>for</strong>mation<br />
about additional course dates/locations, group rates & free<br />
registrations when hosting courses at your facility.<br />
OCT. 5-6, 2012 CROMWELL, CT<br />
NOV. 3-4, 2012 DALLAS, TX<br />
DEC. 1-2, 2012 SAN RAMON, CA<br />
<strong>Rehab</strong> of Persons with<br />
Common Medical Pathologies<br />
Speaker: Steven Tepper PhD, PT. This entertaining 20 contact<br />
hour lecture provides take home in<strong>for</strong>mation on rehabilitation<br />
of MI/CHF, COPD, Diabetes, Renal Failure, Obesity, Peripheral<br />
Arterial Disease and Deep Vein Thrombosis seen in a wide<br />
variety of settings: acute, subacute, long-term care, home<br />
health, cardiac and pulmonary rehabilitation and fitness/wellness<br />
clinics. Specific evaluations, functional tools, interventions<br />
and limitations to functional activities, will be covered<br />
in a case study <strong>for</strong>mat and lab sessions utilizing the Guide<br />
to <strong>Physical</strong> <strong>Therapy</strong> Practice. Stay up to date with the latest<br />
research findings with this dedicated and talented educator.<br />
Contact: 877-794-7328 (toll-free); or www.greatseminar<br />
sandbooks.com<br />
OCT. 5-6, 2012 BALTIMORE, MD<br />
NOV. 10-11, 2012 SAN DIEGO, CA<br />
Handling and Problem<br />
Solving <strong>for</strong> Function<br />
This 2-day course is designed <strong>for</strong> experienced pediatric PTs<br />
and OTs who are interested in improving their problem-solving<br />
skills in order to achieve more efficient functional outcomes<br />
<strong>for</strong> children with Neuro-Motor disorders such as Cerebral<br />
Palsy and Down Syndrome. Emphasizing a NDT (Neuro-<br />
Developmental Treatment) framework, the course will utilize<br />
client videos as a basis <strong>for</strong> problem solving sessions and<br />
handling labs. This one fills fast - register early! Contact: Care<br />
Resources, 888-613-2275; or www.careresourcesinc.com<br />
OCT. 5-6, 2012 VISALIA, CA<br />
DEC. 7-8, 2012 DECATUR, GA<br />
Expediting Diagnosis, Prognosis,<br />
Function in Neuro Patients<br />
This course will provide therapists with a new perspective <strong>for</strong><br />
improving outcomes in their patients with neurologic deficits.<br />
A framework <strong>for</strong> clinical decision making and therapy intervention<br />
based on the clinical relevance of the neuropathology<br />
underlying the movement dysfunction will be presented.<br />
Participants will learn an evidence-based approach to selecting<br />
the most appropriate interventions based on functional<br />
prognosis and learn when and how to facilitate recovery<br />
versus facilitate compensation. Speaker: Roseanne Thomas.<br />
Contact: Education Resources, Inc., 800-487-6530; 508-<br />
359-6533; www.educationresourcesinc.com<br />
OCT. 5-7, 2012 HOUSTON, TX<br />
NOV. 9-11, 2012 WEYMOUTH, MA<br />
Three-Day Intensive on<br />
Treating the Child with Hypotonia<br />
This three-day intensive workshop on treating the child with<br />
hypotonia will focus on specific strategies to improve motor<br />
control in this population. Techniques to improve proximal<br />
control, sustained postural movements against gravity, and<br />
symmetrical alignment will be demonstrated through use of<br />
videotapes, as well as 3 patient demonstrations and practice<br />
labs. Lecture and video material will cover key deficits in<br />
the motor and sensory development of the hypotonic child.<br />
Instructor: Barbara Hypes. Contact: Education Resources, Inc.,<br />
508-359-6533; 800-487-6530 (outside MA); www.education<br />
resourcesinc.com<br />
OCT. 10-12, 2012 TAMPA BAY, FL<br />
Vestibular<br />
<strong>Rehab</strong>ilitation <strong>Therapy</strong><br />
This 3-day workshop provides “hands-on” training<br />
and includes an overview of vestibular anatomy and<br />
physiology, extensive training materials <strong>for</strong> therapy<br />
programs, as well as direct patient observation. The<br />
American Institute of Balance has successfully trained<br />
thousands of therapists from around the world and<br />
is one of the few institutions that provide certification.<br />
Course Director: Richard E. Gans, PhD, nationally<br />
known expert in Vestibular Testing and <strong>Rehab</strong>ilitation and<br />
author of Vestibular <strong>Rehab</strong>ilitation: Protocols & Programs.<br />
Workshops in Vestibular Assessment or Vestibular<br />
Assessment & Management are also available. Contact:<br />
Karen Stephenson, 800-245-6442 <strong>for</strong> program questions;<br />
or www.dizzy.com to register.<br />
OCT. 12, 2012 ENGLEWOOD, NJ<br />
The Athlete’s Shoulder:<br />
Repetitive and Overhead Injuries<br />
Learn about rehab techniques used to return overhead<br />
athletes to competition. Focus on treatment methods used in<br />
overhead throwing patients with complaints of shoulder pain,<br />
limitation in movement, instability and weakness. Contact:<br />
<strong>Rehab</strong> Education, LLC, 845-368-2458; info@<strong>Rehab</strong>Ed.com<br />
<strong>for</strong> questions; or www.<strong>Rehab</strong>Ed.com <strong>for</strong> details and registration.<br />
OCT. 12-13, 2012 ATLANTA, GA<br />
Building the Brain:<br />
Neurobiological Treatment Approach<br />
This two day integrative, holistic workshop will provide<br />
you with a scientific and theoretical framework <strong>for</strong><br />
assessment and treatment of ANY brain of ANY age. This<br />
course draws on the expansive brain-behavioral sciences<br />
to energize and empower any practice, demystifying the<br />
process of neuro-rehabilitation. These concepts will be<br />
easily incorporated into any treatment setting and will<br />
provide immediate applicable treatment tools. Instructor:<br />
Robin Harwell. Contact: Education Resources, Inc., 800-<br />
487-6530; 508-359-6533 (within MA); www.education<br />
resourcesinc.com<br />
OCT. 12-13, 2012 AURORA, IL<br />
Special Topics in Pediatric<br />
Feeding and Swallowing<br />
This evidence-based course will focus on problem-solving<br />
with complex feeding and swallowing issues in infants and<br />
children. Through lecture and case analyses, participants<br />
will develop a tool kit of intervention strategies <strong>for</strong> complex<br />
issues. Topics include airway stability critical <strong>for</strong> oral feeding,<br />
identification of barriers to successful oral feeding, clinical<br />
and instrumental evaluations <strong>for</strong> decision-making in children<br />
with neurologically based dysphagia, advancing oral<br />
feeding in children with tube feedings, and problem solving<br />
<strong>for</strong> functional focused intervention strategies. Instructor:<br />
Joan Arvedson. Contact: Education Resources, Inc., 508-<br />
359-6533; 800-487-6530 (outside MA); www.educationre<br />
sourcesinc.com<br />
WWW.<strong>ADVANCE</strong>WEB.COM/JOBFAIRS
OCT. 12-13, 2012 JACKSONVILLE, FL<br />
Pediatric<br />
Vestibular <strong>Rehab</strong>ilitation<br />
This course focuses on effective vestibular rehabilitation<br />
<strong>for</strong> treating children with dizziness, coordination,<br />
balance, motor, postural, vestibular, visual motor, perceptual,<br />
sensory organization and motion disorders, due to<br />
disease, toxicity, infection, tumors, trauma, neurological<br />
and congenital/genetic disorders. The clinician working<br />
in pediatric rehabilitation will learn a new frame of reference<br />
and treatment techniques that can positively affect<br />
the child’s motor skills, balance, coordination, rate of<br />
development, perceptual skills and tolerance of motion.<br />
Instructor: Gaye Cronin. Contact: Education Resources,<br />
Inc., 508-359-6533; 800-487-6530 (outside MA); www.<br />
educationresourcesinc.com<br />
OCT. 12-13, 2012 DENVER, CO<br />
NOV. 3-4, 2012 AKRON, OH<br />
<strong>Rehab</strong> <strong>for</strong> Persons w/ Dementia:<br />
Making <strong>Therapy</strong> Worth It<br />
Speaker: Susan Staples, PT, GCS. This 20 contact hour seminar<br />
provides participants with specific evaluation and treatment<br />
strategies that are critical to improve outcomes <strong>for</strong> this<br />
challenging and rapidly growing patient population. Included<br />
are strategies <strong>for</strong> gait, balance and falls, mobility, hip<br />
fractures, strength/ROM, cardiopulmonary and pain issues,<br />
seating and positioning, restraints, and behavioral problems.<br />
Participants will also gain a thorough understanding of the<br />
different types of dementia with specific communication<br />
and approach strategies <strong>for</strong> success. The speaker provides<br />
an evidence-based seminar with an extensive handout.<br />
Contact: 877-794-7328 (toll-free); or www.greatseminar<br />
sandbooks.com<br />
OCT. 13-14, 2012 TOLEDO, OH<br />
NOV. 3-4, 2012 LOS ANGELES, CA<br />
Comprehensive<br />
<strong>Rehab</strong>ilitation Strategies<br />
Speaker: Doug Dillon, PT, GTC, CSST <strong>Rehab</strong>ilitation <strong>for</strong> our<br />
geriatric population is changing rapidly. Payment changes<br />
make it more challenging to deliver quality care <strong>for</strong> the<br />
rehabilitatively and medically complex older patient. This 20<br />
contact hour seminar, with its 350 page handout and 5000<br />
references, provides a thorough approach to therapeutic<br />
strategies and goals, thereby preparing therapists with<br />
cutting-edge in<strong>for</strong>mation, evaluation tools and treatment<br />
protocols <strong>for</strong> the complex geriatric patient. Contact: 877-<br />
794-7328 (toll-free); or www.greatseminarsandbooks.com<br />
OCT. 19-20, 2012 FORT WAYNE, IN<br />
Linking Play to Function:<br />
NDT and Sensory Integration<br />
This workshop, developed and taught by Lezlie Adler, internationally<br />
renowned clinician and teacher, will focus on play<br />
as a vehicle <strong>for</strong> learning <strong>for</strong> children with developmental<br />
challenges. Current in<strong>for</strong>mation on Neuro Developmental<br />
Treatment and Sensory Integration will provide the foundation<br />
<strong>for</strong> analyzing and applying play to assessment and intervention<br />
with children of all ages to attain functional skills.<br />
Instructor: Lezlie Adler. Contact: Education Resources, Inc.,<br />
508-359-6533; 800-487-6530 (outside MA); www.education<br />
resourcesinc.com<br />
OCT. 19-20, 2012 RALEIGH, NC<br />
Dr. Carole B. Lewis Presents:<br />
Clinical Geriatric Neurology<br />
Carole B. Lewis, PT, DPT, GCS, MSG, MPA, Ph. D. FAPTA<br />
presents Geriatric Neurology. This entertaining 20 contact<br />
hour lecture provides take home in<strong>for</strong>mation on cutting edge<br />
assessment and treatment of older clients with Parkinson’s<br />
disease, stroke, gait, balance disorders, and pain problems<br />
with a 300+ page handout with over 5,000 current medical<br />
references. Use these treatment techniques and evaluation<br />
tools to work smarter not harder. Contact: 877-794-7328<br />
(toll-free); or www.greatseminarsandbooks.com<br />
OCT. 19-20, 2012 CEDAR KNOLLS, NJ<br />
OCT. 26-27, 2012 JOHNSON CITY, NY<br />
Pediatric NDT:<br />
Treatment Intensive<br />
A unique clinical problem solving approach, addressing<br />
the single and multi system impairments of different<br />
motor/sensory diagnosis. The course will address motor<br />
impairments and treatment strategies <strong>for</strong> functional gains<br />
in the zero-20y population with CP, TBI Seizure disorders,<br />
Down syndrome, and other motor syndromes. This<br />
course is intended <strong>for</strong> those therapists/assistants, PT/OT/<br />
ST with some previous experiences and additional training<br />
in NDT, and other modalities, working with the outlined<br />
population. Primarily lab/video/demo and problem-solving<br />
to develop functional goals and practice treatment strategies<br />
to achieve increased functional abilities. Instructor:<br />
Barbara Hodge. Contact: Education Resources, Inc., 508-<br />
359-6533; 800-487-6530 (outside MA); www.education<br />
resourcesinc.com<br />
OCT. 19-20, 2012 DES MOINES, IA<br />
OCT. 27-28, 2012 HARTFORD, CT<br />
NOV. 30-DEC. 1, 2012 WILKES-BARRE TWP, PA<br />
NDT: Intensive Handling/Problem<br />
Solving <strong>for</strong> Function<br />
This intensive course is designed <strong>for</strong> experienced pediatric<br />
therapists who are interested in improving their problemsolving<br />
skills in order to achieve more efficient functional outcomes<br />
<strong>for</strong> children with Neuro-Motor disorders. Emphasizing<br />
a NDT (Neuro-Developmental Treatment) framework, the<br />
course will utilize client videos as a basis <strong>for</strong> problemsolving<br />
sessions and handling labs. Labs will focus on<br />
handling strategies that address the priority impairments and<br />
facilitate optimal control of posture and movement. Carryover<br />
strategies will also be discussed. Instructor: Linda Kleibhan.<br />
Contact: Education Resources, Inc., 508-359-6533; 800-<br />
487-6530 (outside MA); www.educationresourcesinc.com<br />
OCT. 19-20, 2012 PROVIDENCE, RI<br />
NOV. 10-11, 2012 LOS ANGELES, CA<br />
Children’s Brains and<br />
Evidence <strong>for</strong> Intervention<br />
Contemporary theories of neuroplasticity especially as related<br />
to motor control, motor learning, and motor development will<br />
be presented. Emphasis will be on applying empirical evidence<br />
to pediatric evaluation and intervention strategies. Videotapes<br />
of treatment sessions will be used to illustrate major points.<br />
Controversial issues related to spasticity, handling techniques,<br />
and early gait training will be addressed, as well as cognitive<br />
and perceptual issues related to praxis. Instructor: Patricia<br />
Montgomery, PT, PhD, FAPTA. Contact: Education Resources,<br />
Inc., 508-359-6533; 800-487-6530 (outside MA); www.edu<br />
cationresourcesinc.com<br />
OCT. 26-28, 2012 PUYALLUP, WA<br />
NOV. 30-DEC. 2, 2012 HOLLYWOOD, FL<br />
Ambulation Interventions<br />
For the 0-3 Population<br />
This course will focus on pre - and early ambulation in a population<br />
that is predisposed to rapid and dramatic changes: the<br />
birth to three populations. Typical and atypical preparation <strong>for</strong><br />
and development of ambulation in the infant and toddler will<br />
be examined. The impact of biomechanics, the neuromuscular<br />
system, the sensory system, orthotics, tone management,<br />
and equipment will be integrated as participants learn to<br />
build intervention strategies to address ambulation early and<br />
effectively in infants and toddlers with diagnoses such as<br />
CP, developmental delay, prematurity and Down Syndrome.<br />
Instructor: Jan McElroy. Contact: Education Resources, Inc.,<br />
508-359-6533; 800-487-6530 (outside MA); www.education<br />
resourcesinc.com<br />
OCT. 27-28, 2012 ENGLEWOOD, NJ<br />
DEC. 8-9, 2012 TALLAHASSEE, FL<br />
Diagnosis/Treatment:<br />
Movement Impairment Syndromes<br />
The concepts and principles of the movement system impairment<br />
(MSI) theory as developed by Shirley Sahrmann, PT,<br />
PhD, FAPTA, and its relationship to alteration in neuromusculoskeletal<br />
function will be presented. This course will enable<br />
the clinician to identify impairments in alignment, muscle<br />
length, and pattern of movement and their relationship to<br />
musculoskeletal pain syndromes. The signs and symptoms<br />
of syndromes to be diagnosed by the therapist will be<br />
described. Discussion will focus on developing a precise<br />
therapeutic exercise program to correct faulty posture and<br />
movement associated with functional activities. Instructor:<br />
Mary Kate McDonnell. Contact: Education Resources, Inc.,<br />
508-359-6533; 800-487-6530 (outside MA); www.educa<br />
tionresourcesinc.com<br />
NOV. 2-3, 2012 ALBANY, NY<br />
DEC. 1-2, 2012 PALM SPRINGS, CA<br />
Geriatric<br />
Therapeutic Exercise<br />
Speaker: Mark Traffas PT, GTC. Exercising geriatric patients<br />
presents a unique challenge to therapists. This 20 contact<br />
hour course will demonstrate different, evidence-based<br />
exercise techniques and innovative interventions <strong>for</strong> all of the<br />
body’s major joints as well as <strong>for</strong> the most common diagnoses<br />
seen in older patients (i.e., stroke, Parkinson’s disease,<br />
gait and balance deficits). You will learn how to use functional<br />
tools to establish and guide exercise programs. Don’t miss<br />
this opportunity to enlarge your arsenal of treatment ideas.<br />
Contact: 877-794-7328 (toll-free); or www.greatseminar<br />
sandbooks.com<br />
NOV. 15-16, 2012 FRAMINGHAM, MA<br />
13th Annual Therapies in<br />
The School Conference<br />
Register early <strong>for</strong> this popular conference which closed out<br />
last year to learn creative and effective strategies and help<br />
you to prioritize your school interventions in a collaborative<br />
model. Topics include outcomes in ASD, integrating movement<br />
based learning into the classroom, gaining postural<br />
stability <strong>for</strong> school function, motor control and motor learning,<br />
as well as managing the severely involved child. Multi<br />
Faculty. Contact: Education Resources, Inc., 800-487-6530;<br />
508-359-6533; www.educationresourcesinc.com<br />
DEC. 1-2, 2012 FREEHOLD, NJ<br />
<strong>Rehab</strong>ilitation <strong>for</strong><br />
The Frail Elderly<br />
Speaker: Robert Thomas, MS, PT. Learn the latest in<strong>for</strong>mation<br />
on 30 assessment tools and treatment protocols <strong>for</strong> working<br />
with the frail older population. In<strong>for</strong>mation on the effects of<br />
institutionalization, medical and cognitive pathologies that<br />
affect the frail population, pharmacological management,<br />
and the impact of reimbursement models will be presented at<br />
this 20 contact hour course. Specific evaluations and creative<br />
treatment protocols <strong>for</strong> gait, balance, strength, flexibility, and<br />
endurance will be provided. Contact: 877-794-7328 (tollfree);<br />
or www.greatseminarsandbooks.com<br />
MARCH 9-17, 2013 SALT LAKE CITY, UT<br />
MARCH 9-17, 2013 ALBERTA, CANADA<br />
APRIL 6-14, 2013 LONG ISLAND, NY<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 />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
[CE DIRECTORY] 45
[CE DIRECTORY]<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<br />
of 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 />
EXPLORE<br />
PROFESSIONAL INFORMATION<br />
JOB FAIRS<br />
HEALTHCARE CAREERS<br />
ONLINE CE CREDITS<br />
BUYERS GUIDES<br />
SHOPPING<br />
SURVEYS<br />
COURSES<br />
AND MORE!<br />
46 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
[ClAssIFIED MARKEtPlACE]<br />
IMMIGRATION <strong>for</strong> PTs:<br />
H-1B<br />
Permanent Residency<br />
TN-1<br />
Requests <strong>for</strong> Evidence<br />
Appeals<br />
Emily Lopez Neumann<br />
Attorney at Law<br />
REDDY & NEUMANN, P.C.<br />
Houston, Texas www.rnlawgroup.com<br />
713-953-7787 emily@rnlawgroup.com<br />
* Not Certifi ed by Texas Board of Legal Specialization.<br />
[BACK PAIN]<br />
back pain continued from page 25<br />
feel it is important to stress the tissue at fault,<br />
but have one day of appropriate recovery<br />
be<strong>for</strong>e stressing the tissue again. Patients who<br />
have therapy on an infrequent basis need to<br />
understand the importance of continuing<br />
their regimen on a consistent basis in order<br />
to get the best possible results with their rehabilitation<br />
program.<br />
<strong>Physical</strong> therapists need to know how<br />
quickly they should move their patients<br />
through each of these phases. It is careless<br />
to skip phases, as this puts the patient at risk<br />
<strong>for</strong> re-injuring his back and/or sacral region.<br />
It is also extremely important <strong>for</strong> patients to<br />
understand that they will need to continue to<br />
maintain the improved strength, stability and<br />
flexibility of their lumbosacral region through<br />
participating in a comprehensive post-rehab<br />
exercise program.This will ensure that the<br />
injured tissue does not have undue stress put<br />
on it. This point cannot be overstated.<br />
It is extremely important to make the home<br />
program as consistent and similar to the therapy<br />
program as possible. Using simple equipment<br />
that mimics the <strong>for</strong>mal therapy program<br />
helps patients feel com<strong>for</strong>table and confident<br />
that the post-rehabilitation program will be as<br />
effective as previous therapy. I frequently tell<br />
patients to do their exercises at the same time<br />
as when they were participating in therapy. It<br />
is important to keep as much consistency as<br />
possible, in order to have the highest probability<br />
of maintaining compliance beyond<br />
<strong>for</strong>mal physical therapy.<br />
I also believe that it can be extremely beneficial<br />
to participate in a safe Pilates-based<br />
exercise program, as I have found that this is<br />
the most beneficial exercise to help continue<br />
to strengthen and stabilize the lumbosacral<br />
region. If this is all done correctly, we as physical<br />
therapists can truly change the epidemic<br />
of lumbosacral dysfunction. n<br />
Greg Todd is clinic director and co-owner of<br />
Renewal <strong>Rehab</strong>ilitation in Hyde Park and Wesley<br />
Chapel, FL. He is also president of <strong>Physical</strong> <strong>Therapy</strong><br />
Builder, a consulting firm designed to assist therapists<br />
in growing their private practices.<br />
www.advanceweb.com/pt<br />
For more in<strong>for</strong>mation on pain, please<br />
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 />
Faculty . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
1 New England . . . . . . . . . . . . . . . . . . . . . . .<br />
2 Middle Atlantic . . . . . . . . . . . . . . . . . . . . . p. 47<br />
3 Upper South Atlantic . . . . . . . . . . . . . . . . p. 52<br />
4 Lower South Atlantic . . . . . . . . . . . . . . . . p. 53<br />
5 East South Central . . . . . . . . . . . . . . . . . . p. 54<br />
6 East North Central . . . . . . . . . . . . . . . . . . p. 58<br />
7 West North Central . . . . . . . . . . . . . . . . . . p. 54<br />
8 West South Central. . . . . . . . . . . . . . . . . . p. 55<br />
9 Southwest . . . . . . . . . . . . . . . . . . . . . . . . .<br />
10 Mountain . . . . . . . . . . . . . . . . . . . . . . . . . p. 58<br />
11 Pacific. . . . . . . . . . . . . . . . . . . . . . . . . . . . p. 55<br />
US Territories . . . . . . . . . . . . . . . . . . . . . . .<br />
National . . . . . . . . . . . . . . . . . . . . . . . . . . p. 56<br />
International . . . . . . . . . . . . . . . . . . . . . . . p. 58<br />
MIDDLE ATLANTIC<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 />
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Each of Our 6 Facilities Located<br />
in Bergen County, New Jersey.<br />
Hackensack / Waldwick / Oakland<br />
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$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 />
RENEW YOUR FREE SUBSCRIPTION TO REVIVE YOUR CAREER<br />
New Jersey, New York<br />
SPECIAL KIDS • SPECIAL CARE • SPECIAL REWARDS AT ST. MARY’S<br />
JOIN US AT OUR<br />
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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 />
PER DIEM PHYSICAL<br />
THERAPISTS<br />
Partners in Care is a respected leader in home<br />
health care.<br />
We are currently seeking Per Diem <strong>Physical</strong> Therapists<br />
<strong>for</strong> Queens, Brooklyn, Staten Island, Bronx,<br />
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coordinated physical therapy services in collaboration<br />
with the health care team to patients in their homes,<br />
or other designated settings, consistent with the<br />
organizational philosophies, policies and standards of<br />
care. A license and current registration to practice<br />
<strong>Physical</strong> <strong>Therapy</strong> in New York State and a minimum<br />
of one year of full time paid, work experience (or<br />
equivalent) as a <strong>Physical</strong> Therapist a must. Home<br />
Care experience preferred.<br />
We offer a competitive salary. Please <strong>for</strong>ward your<br />
resume to: Partners in Care, Human Resources<br />
Department, 1250 Broadway, 10th Floor, New<br />
York, NY 10001. Fax: 212-290-3184. E-mail:<br />
Lorna.Williams@partnersincareny.org. EOE.<br />
www.partnersincareny.org<br />
YOU CAN HAVE IT ALL!<br />
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multidisciplinary private practice centrally located in suburban East Brunswick, NJ. Our goal is simple - provide one of a kind,<br />
quality care to help our patients get well. We have been so successful that we are expanding our practice! Check us out at<br />
www.aimsclinic.com to fi nd out what makes AIMS so unique. If you are looking <strong>for</strong> what we offer and want to be a part of<br />
our ongoing 35-year success story please send your resume to:<br />
732-238-6194 or to director@aimsclinic.com<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 />
PEDIATRIC PT<br />
School district in West Nassau; 3-5 days/week;<br />
flexible schedule; excellent hourly rate;<br />
paid student absences; New Grads welcome.<br />
Call/fax Pediatric PT & OT<br />
516-320-6997 or e-mail to<br />
pedptot@gmail.com<br />
<strong>ADVANCE</strong> RESUME BUILDER—FIND A JOB YOU<br />
LIKE AT WWW.<strong>ADVANCE</strong>WEB.COM TODAY!<br />
www.advanceweb.com/pt | August 8, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 47<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
47
EMPLOYMENT OPPORTUNITIES<br />
New York, New Jersey<br />
YOU TAKE CARE<br />
OF OUR PATIENTS.<br />
AND WE’LL TAKE<br />
CARE OF THE REST.<br />
We are an equal opportunity employer, dedicated to promoting a drug-free workplace.<br />
We change the world,<br />
one person at a time.<br />
Birch Family Services is a<br />
non-profit organization providing<br />
specialized services to children<br />
with special needs.<br />
PHYSICAL THERAPISTS<br />
Full-Time & Part-Time<br />
All Boroughs<br />
Provide physical therapy services to children in preschool<br />
and school-age settings. NYS license and<br />
pediatric experience required.<br />
Competitive salaries and benefits. Please <strong>for</strong>ward<br />
resume to: Human Resources, 104 West 29th<br />
Street, 3rd Floor, New York, NY 10001, or Email:<br />
jobs.ed@birchfamilyservices.org.<br />
An Equal Opportunity<br />
Employer M/F/D/V<br />
Hawthorne<br />
Country<br />
Day School<br />
www.hawthornecountryday.org<br />
Seeking NYS Licensed<br />
<strong>Physical</strong> Therapists<br />
<strong>for</strong> Westchester and Manhattan Campuses<br />
Full-time/Part-time, Immediate Need 12-month<br />
School Calendar Special Education, autism &<br />
multiple disabilities. Competitive Salary & Benefi ts<br />
Phone: 914-592-8526 x 3125 or<br />
E-mail: darlenem@hfadm.org EEO Employer<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 />
48 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | August 8, 2012 | www.advanceweb.com/pt<br />
48 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
My work helps to improve the lives of others.<br />
You might call it unlikely.<br />
I call it MJHS.<br />
— Gebeth V., PT<br />
““<br />
Full Time - Brooklyn, Manhattan, Queens & The Bronx<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 />
FAX Resume<br />
Attention CEO<br />
516-634-5329<br />
Immediate opening <strong>for</strong> a part-time PT in beautiful Morristown/<br />
Parsippany area of New Jersey. Hours are Monday to Friday<br />
minimum 5 pm to 8 pm. Great opportunity with room <strong>for</strong> growth.<br />
Ideal candidate will be licensed to work in NJ and participation<br />
in the Medicare program is essential. The practice is a very well<br />
established and fl ourishing company with deep roots in the<br />
community. Come be a part of our team.<br />
Please contact ptjob261@aol.com or fax 973.538.4957<br />
PEDIATRICS!<br />
[ mjhs.jobs ]<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 />
<strong>Physical</strong> Therapist(s)<br />
(1) Anticipated Full-Time position and (1) Anticipated<br />
Part-Time position <strong>for</strong> ONC BOCES component<br />
School Districts in Otsego County beginning<br />
September 2012. Must have or be eligible <strong>for</strong> NYS<br />
License. Competitive benefi ts & salary.<br />
Interested candidates should apply online at<br />
www.olasjobs.org/southern<br />
or send application materials to:<br />
ONC BOCES, Human Resources, NCOC<br />
PO Box 382, 2020 Jump Brook Road<br />
Grand Gorge, NY 12434. EOE<br />
Losing a Limb<br />
In the United States alone, there are<br />
approximately 1.8 million people living<br />
with limb loss according to National<br />
Limb Loss Amputation Center statistics.
Join our team of great therapists!<br />
Metro SportsMed is dedicated to delivering<br />
premium quality care to our patients. We<br />
promote a strong learning environment<br />
with excellent opportunities <strong>for</strong> growth. Our<br />
comprehensive program includes orthopedics,<br />
neuro, pelvic health, lymphedema, pediatric,<br />
aquatic, and fi tness/wellness. We offer a<br />
competitive salary and benefi ts package,<br />
and support therapists interested in obtaining<br />
specialty certifi cations. Currently, we are<br />
seeking inpatient & outpatient:<br />
Senior <strong>Physical</strong> Therapists<br />
(min. 3 years of experience)<br />
<strong>Physical</strong> Therapists<br />
<strong>Physical</strong> Therapist Assistants<br />
Lymphedema Therapists<br />
Fax resume to 888-318-2437<br />
www.metrosportmed.com<br />
POSITIVE BEGINNINGS<br />
PRESCHOOL<br />
PEDIATRIC PHYSICAL<br />
THERAPIST<br />
EXPERIENCE PREFERRED<br />
Special Ed Preschool in Queens<br />
Full Time, Part Time and Per Diem<br />
are Welcome To Apply<br />
Send resumes Attn:<br />
Kristen Lamparter, PT<br />
Fax: 718-326-0637<br />
Email: klamparter@posbegin.org<br />
EOE<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 />
(CENTRAL NEW JERSEY)<br />
FT/PT - PT/PTA<br />
Immediate Opening <strong>for</strong> PT owned outpatient facility.<br />
New grads welcome. Will sponsor green card.<br />
Excellent salary and benefi ts.<br />
QABABAR@yahoo.com<br />
Call: 732-324-2121 • Fax: 732-324-2422<br />
Parkinson’s Study<br />
A preliminary study suggests that<br />
implants of cells from the human retina<br />
improved motor symptoms in<br />
patients with Parkinson’s disease, and<br />
they appear to be safe and well-tolerated,<br />
according to a report in the<br />
December 2005 issue of Archives of<br />
Neurology.<br />
EOE<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 />
KIDZ THERAPY SERVICES, PLLC<br />
PHYSICAL/OCCUPATIONAL THERAPISTS<br />
Nassau/Suffolk Clinics<br />
• Immediate Full-time/Part-time Clinic/School-based Positions<br />
• School-based Independent Contractor Positions<br />
• State-of-the-Art Sensory Gym and Equipment<br />
• Excellent Benefi ts <strong>for</strong> Full-time Employees<br />
• Supervision and Professional Development Available<br />
• New Grads Welcome<br />
Contact: Kidztherapy@Kidztherapy.com or<br />
Phone: 516-747-9030 (Nassau) or 631-382-7311 (Suffolk)<br />
Fax: 516-877-0998 (Nassau) or 631-382-7399 (Suffolk)<br />
Equal Opportunity Employer<br />
Watch Me Grow, a pediatric sensory gym has part-time,<br />
per diem and salary OT and PT positions available<br />
at both it’s UWS and Gramercy locations.<br />
Monday-Friday. September start date.<br />
www.WatchMeGrowNYC.com<br />
E-mail:info@watchmegrownyc.com<br />
Fax: (212) 982-9816<br />
PT sports/ortho practice in<br />
Manhattan/Brooklyn searching <strong>for</strong> a FT PT to<br />
join our dynamic org. 1-2 patients/hr. NYS licensed, have<br />
good interpersonal skills, be team oriented, leadership &<br />
quality focused. Benefi ts included.<br />
Fax resume 718-854-9121 or e-mail<br />
JB@qualitycarephysicaltherapy.com<br />
New York, Pennsylvania, 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, August 23rd<br />
1250 Broadway, 7th Floor<br />
New York, NY 10001<br />
Monday, August 13th & 20th<br />
1630 East 15th St. • Brooklyn, NY 11229<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 />
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 />
• Recent and new 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 />
*Ranges from $5,000 – $15,000<br />
<strong>for</strong> certain locations.<br />
EOE M/F/D/V<br />
PHYSICAL THERAPIST<br />
WHAT ARE YOU WAITING FOR? ACT NOW!<br />
Join our team of top professionals and get a once in a<br />
lifetime opportunity to be trained and get certifi ed in manual<br />
therapy by leading manual therapy experts Dr. Kostopoulos &<br />
Dr. Rizopoulos.<br />
New York’s premier PT company, Hands-On Care <strong>Physical</strong><br />
<strong>Therapy</strong> has PT openings in all boroughs throughout the NYC<br />
area in our new state-of-the-art outpatient facilities. We not<br />
only off er quality care but a chance <strong>for</strong> you to grow within the<br />
company as a future clinical director and/or teaching faculty<br />
of the prestigious Hands-On Seminars. We provide signifi cant<br />
continuing education packages, certifi cation in manual therapy,<br />
along with health insurance and other benefi ts. Must<br />
have a NYS license or be eligible. We sponsor <strong>for</strong> Work VISA<br />
status, salary negotiable along with bonus incentives. So if<br />
you’re a person that believes the sky is the limit, come join<br />
our team today and never stop growing.<br />
Hands-On Care <strong>Physical</strong> <strong>Therapy</strong><br />
www.HandsOnPT.org<br />
Sara Castano / 718 707 6970 ext. 308<br />
Fax: 718 532 9650 • sarac@handsonpt.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 />
DON’T LET YOUR FREE <strong>ADVANCE</strong> SUBSCRIPTION EXPIRE!<br />
CALL 800.355.1088<br />
www.advanceweb.com/pt | August 8, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 49<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
EMPLOYMENT OPPORTUNITIES<br />
49
EMPLOYMENT OPPORTUNITIES<br />
New Jersey<br />
Now Hiring <strong>Physical</strong> Therapists<br />
FULL TIME, PART TIME, PER DIEM<br />
Helping you become a better therapist is critical<br />
to our success.<br />
Located in Monmouth and Ocean Counties in New Jersey, Health-<br />
South is a leading provider of inpatient rehabilitation services. We are<br />
fully accredited acute rehabilitation hospitals that treat a wide clinical<br />
case load such as stroke, brain injury, neurological disorders, cardiac,<br />
orthopedic, amputation, multiple trauma, pulmonary and diabetes.<br />
Our therapists work with state-of-the-art therapy technologies including:<br />
® ®<br />
<br />
Exciting Time to Join HealthSouth<br />
<br />
<br />
<br />
and training<br />
Joint Commission Disease-Specific Care Certification in Brain Injury <strong>Rehab</strong>ilitation, Cardiac <strong>Rehab</strong>ilitation, Hip Fracture<br />
<strong>Rehab</strong>ilitation, Pulmonary <strong>Rehab</strong>ilitation and Stroke <strong>Rehab</strong>ilitation (Tinton Falls), and Brain Injury <strong>Rehab</strong>ilitation, Cardiac<br />
<strong>Rehab</strong>ilitation, Diabetes Mellitus, Pulmonary <strong>Rehab</strong>ilitation and Stroke <strong>Rehab</strong>ilitation (Toms River).<br />
$10,000<br />
SIGN-ON<br />
BONUS!<br />
PHYSICAL THERAPIST F/T<br />
You have a knack <strong>for</strong> seeing<br />
just what’s needed…<br />
regardless of the patient, their age,<br />
or their condition!<br />
You thrive on a diversity of challenges at work. You belong at Bergen Regional<br />
Medical Center in Paramus, the largest hospital in the area. We currently seek a<br />
NJ licensed <strong>Physical</strong> Therapist <strong>for</strong> our busy outpatient physical rehab practice,<br />
one of the renowned levels of care we proudly offer the community.<br />
Use your energy and knowledge to keenly evaluate disability/functionality, organize<br />
and conduct the therapeutic program, and treat varied conditions/age groups.<br />
Bachelor’s degree and Heart Saver Certification also required. Along with variety<br />
and a team-focused approach, you will enjoy a very lucrative sign-on bonus.<br />
To learn more about us and to apply online,<br />
visit:www.bergenregional.com<br />
Email: apply@bergenregional.com<br />
Fax: (201) 967-4109<br />
Medical Center<br />
Our patients and residents are at the heart of everything we do.<br />
50 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | August 8, 2012 | www.advanceweb.com/pt<br />
50 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
EOE<br />
Apply Now<br />
Get the process started by applying<br />
online at www.healthsouth.jobs or<br />
contact one of our hospitals below.<br />
New Jersey licensed physical therapists<br />
with inpatient rehabilitation experience<br />
preferred. New grads welcome!<br />
Anita Pisani/Director, Human Resources<br />
anita.pisani@healthsouth.com<br />
<br />
Lori Munyan/Director, Human Resources<br />
lori.munyan@healthsouth.com<br />
<br />
BETTER OUTCOMES AT WORK <br />
www.healthsouth.jobs ©2012:HealthSouth Corporation:544752<br />
CALL <strong>ADVANCE</strong> AT 800.355.1088 TO<br />
SUBSCRIBE FREE TODAY!<br />
Stronger<br />
... Every Day<br />
Kessler <strong>Rehab</strong>ilitation Center<br />
seeks talented, motivated and energetic<br />
PHYSICAL<br />
THERAPISTS<br />
Join the team at one<br />
of our more than<br />
80 outpatient centers<br />
in New Jersey.<br />
There’s one that’s<br />
right <strong>for</strong> you!<br />
• Sign-on<br />
Bonus Available<br />
• Continuing Ed<br />
• Tuition<br />
Reimbursement<br />
• Loan Forgiveness<br />
Please contact our Recruiter<br />
Jennifer Taft at 610-992-7209<br />
jtaft@selectmedicalcorp.com<br />
www.kessler-pt.com<br />
WWW.<strong>ADVANCE</strong>WEB.COM
Exceed Your Expectations<br />
at<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 />
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 />
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 sponsor H1 VISA.<br />
Contact Chuck at<br />
(718) 951-8800 x 2181<br />
E-mail: chuck@communitytherapy.com<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 />
Treating you better…<strong>for</strong> life.<br />
New Jersey, Pennsylvania<br />
Saint Peter’s University Hospital<br />
<br />
<br />
<br />
<br />
<br />
<strong>Physical</strong> Therapists<br />
<br />
TENDER TOUCH REHAB<br />
seeks<br />
PHYSICAL THERAPISTS & PTAs<br />
Because we care<br />
servicing over 100 facilities throughout NY, NJ, PA, and DE<br />
full-time, part-time 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 />
great benefits and huge sign-on bonus!<br />
up to $15,000 in tuition <strong>for</strong>giveness <strong>for</strong> new grads<br />
director positions available<br />
free health insurance options<br />
h1B and green card (EB2) visas<br />
sub acute settings<br />
............<br />
Sign-On Bonus Increase!<br />
$5000 <strong>for</strong> Full Time, Pro-rated <strong>for</strong> Part Time<br />
Please inquire about our new rates!<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 />
A MEMBER OF SAINT PETER’S HEALTHCARE L SYSTEM<br />
<br />
<br />
<br />
<br />
<br />
www.saintpetershcs.com EOE<br />
Contact Beth:<br />
p:732.987.3887<br />
f:732.534.8660<br />
e: jobs@tendertouch.com<br />
www.tendertouch.com<br />
CAREER ADVICE AVAILABLE — SEARCH WWW.<strong>ADVANCE</strong>WEB.COM TODAY!<br />
www.advanceweb.com/pt | August 8, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 51<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
EMPLOYMENT OPPORTUNITIES<br />
51
EMPLOYMENT OPPORTUNITIES<br />
Pennsylvania, New Jersey, National, Maryland, Washington, D.C.<br />
CASE MANAGER REHAB THERAPY<br />
Geisinger Health System (GHS) is seeking a Case Manager,<br />
<strong>Rehab</strong> <strong>Therapy</strong> (PT/OT) to join its growing Geisinger<br />
Health Plan team in Danville, PA.<br />
Come join the team that supports the #1 health insurance plan in the state.<br />
This unique position utilizes knowledge of <strong>Rehab</strong> <strong>Therapy</strong> to review cases<br />
and coordinate care with providers to ensure the best clinical outcome<br />
<strong>for</strong> the patient.<br />
About the position:<br />
• Coordinating the pre-certi cation process <strong>for</strong> therapy services<br />
• Handling pre-certi cation requests, authorization and concurrent review as<br />
determined by individualized plans of care, managed care guidelines, contracts<br />
and clinical pathways<br />
• Responding to clinical, outcome system and scal data<br />
• Participating in programs to improve clinical, quality and scal outcomes<br />
• Positive, understanding attitude toward managed care principles and practices<br />
• Must be a licensed <strong>Physical</strong> Therapist or Occupational Therapist; previous Case<br />
Management experience preferred<br />
Visit geisinger.org/careers to learn more about this position, or contact<br />
Roxie D. Shrawder, RN, BSN, MS, HR Manager, at 570.214.9206<br />
or rshrawder@geisinger.edu.<br />
On the lookout <strong>for</strong><br />
a great new 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 />
{ <strong>ADVANCE</strong> }<br />
NOBODY DOES IT BETTER THAN THE BEST<br />
WWW.<strong>ADVANCE</strong>WEB.COM<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 />
new 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 />
Bone Growth,<br />
Bone Loss<br />
According to the International<br />
Osteoporosis Foundation, bone tissue<br />
accumulated in girls between the ages<br />
of 11 to 13 is approximately equal to<br />
the amount of bone lost during the 30<br />
years that follow menopause.<br />
52 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | August 8, 2012 | www.advanceweb.com/pt<br />
52 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
PHYSICAL THERAPIST NEEDED<br />
YCS-Sawtelle Learning Centers offer outstanding educational and related<br />
services <strong>for</strong> students with autistic spectrum disorder, ages 3-21. The schools<br />
offer a high degree of structure, excellent staff to student ratio and the<br />
systematic use of behavioral teaching techniques. Every aspect of the<br />
student’s day incorporates the theories of applied behavior analysis (ABA)<br />
with an average of 3-3.5 hours of individualized instruction (discrete trial<br />
teaching) per day. A collaborative approach between teaching and related<br />
service professionals is utilized to maximize student progress. Educational,<br />
behavioral and related service goals are customized using our comprehensive<br />
language based curriculum to meet each student’s individual needs.<br />
Experience with autism, ABA preferred. Pediatric experience is required.<br />
Requires: BS/MS in <strong>Physical</strong> <strong>Therapy</strong>, NJ State license, NJ school certifi cation.<br />
Youth Consultation Service (YCS) in NJ’s leading private provider of<br />
social services offering individualized care with educational and behavioral<br />
health program in the community locations.<br />
Fax: 973-672-7876 • E-mail: HRresumes@ycs.org<br />
WWW.YCS.ORG<br />
YCS is an Equal Opportunity/Affi rmative Action Employer<br />
PHYSICAL THERAPIST<br />
Full-time 30 hrs./Part-time position available immediately<br />
in dynamic outpatient private practice in<br />
East Brunswick, NJ. Will train in Hands-On. New<br />
Grads Wanted.<br />
Please fax resume to 732-257-5099<br />
or call 732-740-5659<br />
or call 732-257-0900<br />
UPPER SOUTH ATLANTIC<br />
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 new people!<br />
Pediatric PTs<br />
Early Intervention Opportunities in<br />
District of Columbia<br />
PT Supervisor and PT positions<br />
<strong>for</strong> School-based, EI, and Out-patient<br />
in Baltimore, MD metro area<br />
Contact: Care Resources today to<br />
learn more 1-877-ASK-CARE<br />
careresources-hr@careresources.net<br />
www.careresourcesinc.com<br />
EOE M/F/D/V<br />
RENEW YOUR FREE SUBSCRIPTION<br />
CALL TODAY — 800.355.1088
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 new 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 new<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 />
<strong>Physical</strong> Therapists<br />
PRN, Inpatient and Outpatient Adult<br />
PRN, Inpatient Pediatrics<br />
Requires a DC license (or eligibility).<br />
Our PTs enjoy:<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
www.medstargeorgetown.jobs/m/t/5<br />
EOE<br />
Washington, D.C., West Virginia, South Carolina, Florida, North Carolina<br />
Typical kids…<br />
at home again, thanks to you.<br />
You have it in you to make perhaps the largest difference in a small person’s life. The<br />
powerful gift you can give your patient -- is the ability to return home. This is what we do<br />
at The HSC Pediatric Center. Join the Washington, DC area’s only premier provider<br />
of pediatric rehabilitative and transitional care, accredited by The Joint Commission©<br />
(TJC), and CARF (The Commission on Accreditation of <strong>Rehab</strong>ilitation Facilities).<br />
<strong>Physical</strong> Therapist (FT, Days)<br />
Position requires a graduate of an approved professional school <strong>for</strong> physical therapy,<br />
District of Columbia license (or eligible), and valid CPR certification. Recent pediatric<br />
clinical experience highly desired.<br />
New grads are welcome to apply.<br />
We offer a competitive salary and a complete benefits<br />
package including medical, dental, pension plan, and more!<br />
For immediate consideration, apply online or<br />
e-mail your resume to: yhutto@hospsc.org.<br />
EOE M/F/D/V.<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 />
www.hschealthcarecareers.org<br />
LOWER SOUTH ATLANTIC<br />
SPORTS PLUS PHYSICAL THERAPY<br />
Purely Outpatient Orthopaedics!<br />
Full-Time PTs and PTAs needed in strong outpatient ortho and sports medicine<br />
settings, including: • Gastonia, NC (PTA) • Aiken, SC (PT) • Myrtle Beach, SC (PT)<br />
• Charleston, SC (Neuro. PT) • Summerville, SC (PTA)<br />
Contact Catherine Sullivan, MPT<br />
CLEMSON SPORTS MEDICINE & REHABILITATION<br />
(864) 482-0064, x20113 • catherine.sullivan@csmr.org<br />
www.csmr.org<br />
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 />
Carolina <strong>Therapy</strong> Services<br />
PT/OT/SLP: Opportunities in Boone,<br />
Fayetteville, Warrenton<br />
and Dunn, NC (Home Health)<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 />
try<br />
CALL 800-355-5627 TODAY<br />
www.advanceweb.com/pt | August 8, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 53<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
EMPLOYMENT OPPORTUNITIES<br />
53
EMPLOYMENT OPPORTUNITIES<br />
North Carolina, South Carolina, Georgia, Alabama, Iowa<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 />
EOE<br />
Working Together, First in Quality, First in Health.<br />
OUTPATIENT ORTHO.<br />
AT THE BEACH!!<br />
Full-time PT opening at MYRTLE BEACH PHYSICAL THERAPY in Carolina Forest.<br />
Strong outpatient ortho, spine rehab and lots of manual therapy opportunities. Spend your<br />
time with patients, gain valuable mentoring and further your career growth! Learn more at<br />
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 />
NEEDCAREERADVICE<br />
go to www.advanceweb.com today!<br />
Shepherd Center<br />
The Art of restoring Hope,<br />
rebuilding Lives<br />
Shepherd Center, located in Atlanta,<br />
GA, specializes in the treatment and<br />
rehabilitation of people with acquired<br />
brain and spinal cord injuries. We are<br />
seeking experienced:<br />
<strong>Physical</strong><br />
Therapist<br />
ACQUIRED<br />
BRAIN INJURY<br />
PROGRAM<br />
Staff Therapist, Full-Time<br />
and PRN Opportunities<br />
For in<strong>for</strong>mation please call<br />
404.350.7340 or apply online at<br />
shepherd.org<br />
54 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | August 8, 2012 | www.advanceweb.com/pt<br />
54 <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 />
Conyers - <strong>Rehab</strong> Director<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 />
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 />
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 />
EAST SOUTH CENTRAL<br />
<strong>Physical</strong><br />
<strong>Physical</strong> Therapists<br />
Northport <strong>Rehab</strong> <strong>Therapy</strong> Services<br />
Northport Medical Center, Northport, Alabama Therapists<br />
Experienced and new 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 new 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 />
WEST NORTH CENTRAL<br />
Instructor, <strong>Physical</strong> Therapist Assistant<br />
AND Program Director,<br />
<strong>Physical</strong> Therapist Assistant and<br />
Therapeutic Massage Programs<br />
Indian Hills Community College has openings <strong>for</strong><br />
someone who will direct the <strong>Physical</strong> Therapist Assistant and<br />
Therapeutic Massage Programs and instruct in the PTA<br />
program. Starting salaries range $51,601-$69,079 plus<br />
competitive fringe benefi t package and a 4-day workweek<br />
(161-184 days annually). PT preferred and must be eligible<br />
<strong>for</strong> Iowa Licensure. Minimum requirements and complete<br />
job descriptions can be found at www.indianhills.edu.<br />
Applications will be accepted until the positions are fi lled.<br />
Send letter of application and resume to:<br />
Human Resources<br />
Indian Hills Community College<br />
525 Grandview Ave.<br />
Ottumwa, IA 52501<br />
Offi ce: 641-683-5200<br />
Monday thru Thursday<br />
Fax: 641-683-5184<br />
E-mail: hr@indianhills.edu<br />
AA/EOE<br />
www.advanceweb.com<br />
YOUR ONE-STOP CAREER CENTER
WEST SOUTH CENTRAL<br />
PACIFIC<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<br />
a $750/annual CEU allowance?<br />
• Are you looking <strong>for</strong> a great job and great employer?<br />
Th is opportunity has both,<br />
Candidate 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 the<br />
<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 />
LOOKING FOR A NEW CAREER?<br />
WWW.<strong>ADVANCE</strong>WEB.COM<br />
CAN HELP YOU FIND ONE TODAY!<br />
Mentoring is our Strength.<br />
<strong>Rehab</strong> is our Core.<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> Therapist<br />
-Outpatient Orthopedics<br />
Liberty <strong>Physical</strong> <strong>Therapy</strong> and Sports Per<strong>for</strong>mance<br />
in Redding, CA is currently looking <strong>for</strong> an energetic<br />
and motivated PT <strong>for</strong> their outpatient orthopedic clinic.<br />
Incredible opportunity <strong>for</strong> someone to join a busy, state<br />
of the art outpatient practice with an exciting caseload<br />
and unlimited opportunity <strong>for</strong> growth and advancement.<br />
Full-time. Great work environment. Excellent salary plus<br />
full benefi ts and bonus.<br />
Please E-mail vlampert@acare.us<br />
or fax 877-885-6777<br />
WWW.<strong>ADVANCE</strong>WEB.COM<br />
THERE’S NO PLACE LIKE<br />
JPS HEALTH NETWORK.<br />
JPS Health Network values<br />
highly motivated clinicians<br />
who want to make a<br />
difference in people’s lives<br />
and serve the 1 million JPS<br />
patients a year. As a major<br />
employer in the Fort Worth<br />
area, JPS is a teaching<br />
hospital and a Level 1 Trauma<br />
Center, providing a level of<br />
care <strong>for</strong> the seriously injured<br />
unmatched by any<br />
Tarrant County hospital.<br />
“Each day, I walk through the doors excited to challenge myself and my<br />
team, to make a positive difference in the lives of the patients we serve.”<br />
~David Graves, Director of <strong>Rehab</strong>ilitation Services<br />
We’re currently seeking physical therapists.<br />
If you’re interested in joining our team, please visit<br />
www.jpshealthnet.org<br />
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www.advanceweb.com/pt | August 8, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 55<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
EMPLOYMENT OPPORTUNITIES<br />
55
EMPLOYMENT OPPORTUNITIES<br />
Hawaii, Alaska, Cali<strong>for</strong>nia, National<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<br />
NATIONAL<br />
56 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | August 8, 2012 | www.advanceweb.com/pt<br />
56 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
BRING YOUR LIFEMOVE YOUR<br />
CAREER<br />
Take the scenic route to healing the lives of others by<br />
making a difference at Eisenhower Medical Center.<br />
A 2011 Gallup "Great Workplace" winner, and<br />
recently voted among the “Top 20 Most Beautiful<br />
Hospitals" of 2012 by Soliant Health, we are located<br />
on 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 new Annenberg Pavilion has increased our<br />
capacity to 540 beds, featuring a brand new,<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 new acute rehab<br />
units, focus on delivering exemplary patient care<br />
and demonstrate Eisenhower’s commitment and<br />
continuous program development.<br />
EOE<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
“Genesis was really appealing to me because of the mentor program. From the first day, if I had<br />
questions he was available. Our mentors always have the time <strong>for</strong> us and I can tell they enjoy it too.”<br />
- Keith Coy, <strong>Physical</strong> Therapist<br />
What makes a company a REMARKABLE place to work? k?<br />
BE EXCITED!<br />
[ more places to discover your career ]<br />
BE EMPOWERED!<br />
[ more choices to reach your potential ]<br />
BE EXCEPTIONAL!<br />
[ more opportunities to experience success ]<br />
BE EBS!<br />
[ we’re making a difference ]<br />
Global Leader in PT Programs!<br />
PHONE:<br />
EMAIL:<br />
WEB:<br />
On your<br />
get set... grow.<br />
800-578-7906<br />
8 0 0 0-<br />
5 57 7 8 7 9 0 6<br />
hr@ebshealthcare.com<br />
h r @ e ebs<br />
bbs<br />
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eea<br />
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e a l lth<br />
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o m<br />
National<br />
Is it the benefits? At Genesis, we provide a selection of flexible options <strong>for</strong> you to best meet your needs from day one–it’s part of the<br />
reason we have one of the highest retention levels in the industry.<br />
Resources? There’s a wealth of resources here. You’ll onboard with a mentor, work with cutting-edge technology and benefit from a<br />
focus on continuing education while setting your sights on the variety of challenges and specialty clinical areas available to you.<br />
Stability? With more than 1,100 service sites in 36 states, we’re growing and getting stronger as a company every day.<br />
When you think about your career as a <strong>Physical</strong> Therapist or PTA, we believe you will likely come back to the same answer that we do<br />
at Genesis <strong>Rehab</strong> Services.<br />
It’s the people. Genesis <strong>Rehab</strong> Services is an ideal place <strong>for</strong> those new to the profession or with a wealth of experience <strong>for</strong> all of these<br />
reasons and more, but at the heart of it all, it’s our people that make all the difference. People who are committed to making care<br />
something more–something REMARKABLE.<br />
Want to hear more of Keith’s<br />
story and what it’s like to work<br />
at Genesis?<br />
Watch his video at:<br />
www.genesishcc.com/pt<br />
Career Opportunities are available in a rich<br />
variety of settings Nationwide.<br />
Contact Jason Grant at 1•866•428•5875,<br />
email: Jason.Grant@genesishcc.com<br />
Learn more and apply today at: genesiscareers.jobs<br />
<br />
. <br />
Look around. Listen up. Speak your mind.<br />
<br />
<br />
<br />
<br />
<br />
800-232-3550 visit our website<br />
<br />
<br />
Concentra.com/Careers<br />
<br />
©2012 Concentra Operating Corporation. All rights reserved.<br />
www.advanceweb.com/pt | August 8, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 57<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
EOE<br />
EMPLOYMENT OPPORTUNITIES<br />
57
EMPLOYMENT OPPORTUNITIES<br />
National, International, Nevada, Ohio<br />
Join an IN-HOUSE <strong>Rehab</strong> Team...<br />
MAKING A DIFFERENCE, ONE PATIENT AT A TIME<br />
• Full Time Salaried Positions/PER DIEM Hourly Positions<br />
(Day, Evening, Weekends)<br />
• Great Bene ts and Competitive Salaries<br />
• SIGN ON BONUS and Relocation Assistance available<br />
• New Grads Welcome/Visa Sponsorship<br />
• Regional Support and Mentorship<br />
• Online Continuing Education and Licensure Reimbursement<br />
OPPORTUNITIES AVAILABLE:<br />
• Director of <strong>Rehab</strong>ilitation<br />
• Assistant Director of <strong>Rehab</strong>ilitation<br />
• <strong>Physical</strong> Therapist/<strong>Physical</strong> Therapist Assistant<br />
• Occupational Therapist/Certi ed Occupational<br />
<strong>Therapy</strong> Assistant<br />
• Speech Language Pathologists (CCC/CFY)<br />
LOCATIONS:<br />
Atlantic Shores <strong>Rehab</strong>ilitation & Health Care<br />
231 South Washington St. | Millsboro, DE 19966 | T 302-934-7300 | F 302-934-1913<br />
Birchwood Nursing & <strong>Rehab</strong>ilitation Center<br />
395 Middle Road | Nanticoke, PA 18634 | T 570-735-2973 | F 570-735-8420<br />
Buckingham Valley <strong>Rehab</strong>ilitation & Nursing Center<br />
820 Durham Road | Buckingham, PA 18912 | T 215-598-7181 | F 215-598-0967<br />
Cambridge Springs <strong>Rehab</strong>ilitation & Nursing Center<br />
110 Canfi eld Street | Cambridge Springs, PA 16403 | T 814-398-4626 | F 814-398-2803<br />
Caring Heart <strong>Rehab</strong>ilitation & Nursing Center<br />
6445 Germantown Avenue | Philadelphia, PA 19119 | T 215-438-5268 | F 215-951-0798<br />
Chester Valley <strong>Rehab</strong>ilitation and Nursing Center<br />
283 East Lancaster Avenue | Malvern, PA 19355 | T 610-296-4170 | F 610-296-7051<br />
Champion <strong>Rehab</strong>ilitation & Health Center<br />
2 Beaumont Ave. | Brockton, MA 02302 | T 508-588-8550 | F 508-583-1820<br />
<strong>Physical</strong> Therapists<br />
& PTAs<br />
SunDance <strong>Rehab</strong>ilitation offers<br />
a wealth of Team Member benefits.<br />
Please contact us to learn more about our<br />
exceptional benefits plans and opportunities.<br />
We are an equal opportunity employer that believes<br />
difference is what makes us exceptional. Drug-free workplace.<br />
Welcome to the exceptional<br />
How does SunDance define ‘exceptional’? Unparalleled commitment<br />
to resident advocacy and innovative resident-centered care programs<br />
at 525 facilities in 37 states. Everything about SunDance makes us the<br />
exceptional choice <strong>for</strong> your rehab career.<br />
Join the<br />
exceptional.<br />
www.SunDance<strong>Rehab</strong>.com<br />
SunDanceCareers@sunh.com<br />
Toll Free: 888-267-2220<br />
advocacy :: competency :: innovation :: versatility :: partnership<br />
58 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | August 8, 2012 | www.advanceweb.com/pt<br />
58 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
Deanwood <strong>Rehab</strong>ilitation & Wellness Center<br />
5000 Nannie Helen Burroughs Avenue N.E. | Washington, D.C. 20019 |<br />
T 202-399-7504 | F 202-399-0881<br />
Gowanda <strong>Rehab</strong>ilitation and Nursing Center<br />
100 Miller Street | Gowanda, NY 14070 | T 716-532-5700 | www.gowandarehab.com<br />
Hearthside <strong>Rehab</strong>ilitation & Nursing Center<br />
450 Waupelani Drive | State College, PA 16801| T 814-237-0630<br />
Hillsdale <strong>Rehab</strong>ilitation & Nursing Facility<br />
383 Mountain View Dr | Hillsdale, PA 15746 | T 814-743-6613<br />
Indian River <strong>Rehab</strong>ilitation & Nursing Center<br />
17 Madison Street | Granville, NY 12832 | T 518-642-2710 | F 518-642-1318<br />
Ivy Hill <strong>Rehab</strong>ilitation & Nursing Center<br />
1401 Ivy Hill Road | Wyndmoor, PA 19150 | T 215-233-5605 | F 215-836-1050<br />
Meadville <strong>Rehab</strong>ilitation & Nursing Center<br />
14714 Park Avenue Ext. | Meadville, PA 16335 | T 814-337-4228 | F 814-336-5345<br />
Ocean Promenade <strong>Rehab</strong>ilitation & Nursing Center<br />
140 Beach 113th St | Rockaway Park, NY 11694 | T 718-945-6350 | F 718-945-6470<br />
Pinnacle <strong>Rehab</strong>ilitation & Health Center<br />
3034 S Dupont Blvd | Smyrna, DE 19977 | T 302-653-5085 | F 302-653-3988<br />
Richboro <strong>Rehab</strong>ilitation & Nursing Center<br />
253 Twining Ford Road | Richboro, PA 18954 | T 215-357-2032 | F 215-357-3444<br />
Riverside <strong>Rehab</strong>ilitation & Nursing Center<br />
500 W. Hospital Street | Taylor, PA 18517 | T 570-562-2102 | F 570-562-2196<br />
Riverview <strong>Rehab</strong>ilitation & Health Center<br />
1 Eastern Blvd. | Essex, MD 21221 | T 410-574-1400 | F 410-574-6475<br />
West Ledge Health Care Facility<br />
2000 E. Main St. | Peekskill, NY 10566 | T 914-737-8400<br />
Westgate Hills <strong>Rehab</strong>ilitation and Nursing Center<br />
2050 Old West Chester Pike | Havertown, PA 19083 | T 610-449-8600 | F 610-449-1302<br />
INTERNATIONAL<br />
PHYSICAL THERAPIST needed in Japan. Excellent<br />
compensation & benefi ts! Relocation Assistance. Work under the Educational<br />
& Developmental Intervention Services program <strong>for</strong> US Military Families<br />
stationed abroad. Minimum Requirements: Bachelor’s deg & 5 yrs exp,<br />
or Master’s & 2 yrs exp with relevant concentration. 2 yrs exp providing<br />
pediatric physical therapy <strong>for</strong> children ages 0-5 with special needs.<br />
Contact Lynn Romer at 1-800-852-5678 x156<br />
or e-mail lynnr@magnummedicaloverseas.com<br />
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 />
EAST NORTH CENTRAL<br />
Washington State Community College,<br />
located in Marietta, OH, is seeking<br />
applicants <strong>for</strong> the position of<br />
DIRECTOR, PHYSICAL THERAPIST<br />
ASSISTANT PROGRAM<br />
Please contact Sue Murdock, Director<br />
of Human Resources, at 740-568-1899.<br />
For a complete description, please go to<br />
www.wscc.edu/about/hr.html
It’s Time to Celebrate<br />
<strong>Physical</strong> <strong>Therapy</strong> Month<br />
with our exclusive designs that are<br />
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Poster #26313<br />
1.877.405.9978 • advancehealthcareshop.com<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
59
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60 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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61
Celebrate <strong>Rehab</strong>!<br />
62 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
63
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64 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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$4.25<br />
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you love on<br />
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#16466<br />
new!<br />
SpiderTech<br />
Kinesiology Tape<br />
100% high-grade cotton fabric with 100%<br />
poly-acrylic adhesive. Engineered and precut<br />
<strong>for</strong> use, latex-free and hypoallergenic,<br />
one-piece construction, water-resistant,<br />
highly breathable and mimics the elasticity<br />
of human skin and muscle. Can be worn<br />
<strong>for</strong> approximately 5 days. Beige, Black,<br />
Blue or Red.<br />
#16470 Low Back<br />
#16467 Upper Knee Spider<br />
$9.99 ea.<br />
#16466 Full Knee<br />
#16468 Left Shoulder<br />
#16469 Right Shoulder<br />
$10.99 ea.<br />
new!<br />
Digital Fingertip<br />
Pulse Oximeter<br />
Portable, reads SPO2 and pulse rate,<br />
multi-color LED display and includes AAA<br />
batteries. 2½" x 1½" x 1". #17095<br />
$89.99<br />
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Exercise Bands<br />
Latex. Endorsed by APTA. Measures 6<br />
yards. #09049<br />
Yellow/Thin $11.49<br />
Red/Medium $12.99<br />
Green/Heavy $13.99<br />
Exercise Tubing<br />
Latex. Available in 5' lengths. Endorsed<br />
by APTA. Light Set (Yellow/Thin, Red/<br />
Medium, Green/Heavy resistance levels)<br />
or Heavy Set (Blue/Extra Heavy, Black/<br />
Special Heavy resistance levels). #09051<br />
$11.99<br />
<br />
14" Goniometer<br />
Plastic. Measures degree of movement<br />
and spinal displacement. Fits easily in<br />
pocket. #04265<br />
$7.99<br />
<br />
Heart Tape Measure<br />
Carabiner<br />
60" and 150 cm. Fiberglass.<br />
Red. #03677<br />
$5.99<br />
Medical Retractable<br />
Tape Measure<br />
Plastic. Extends up to<br />
60”/150cm. Royal or White.<br />
#06321<br />
$1.99<br />
Gait Transfer Belt<br />
Nylon with quick-release plastic<br />
buckle. 53" x 2".<br />
Black or Royal Blue. #04264<br />
$12.99<br />
Large Gait Transfer Belt<br />
Cotton belt with metal buckle.<br />
72" x 2". #11180<br />
$14.99<br />
<br />
<br />
Door Anchor<br />
Nylon strap with synthetic rubber<br />
7"D disc. Designed to be used with<br />
Thera-Band exercise bands and tubing.<br />
#09050<br />
$5.49<br />
Handles<br />
Foam rubber grips and nylon strap<br />
measures 4¾" x 8½" x 1". Set of two.<br />
Designed to be used with Thera-<br />
Band exercise bands and tubing.<br />
#09052<br />
$9.99<br />
<br />
<br />
Soft<br />
Case<br />
Hard Case<br />
<br />
<br />
<br />
Perfect <strong>for</strong><br />
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<br />
<br />
Flexible and seemed<br />
<br />
CPR Barrier Shield<br />
Keychain<br />
One-way valve with elastic ear<br />
bands, instruction guide with CPR<br />
techniques and key ring hook. Latex<br />
free. Red, Blue, Green, Yellow, Black<br />
or Orange. #02333<br />
$10.99<br />
Striped Cotton<br />
Gait Belt<br />
Cotton belt with metal buckle. 58"<br />
length. Pink Stripe or White Stripe.<br />
#14551<br />
$13.99<br />
Ambu+ Res-Cue Mask <br />
with CPR Barrier and Case<br />
Reusable mask with optional oxygen<br />
inlet valve and head strap. For adults,<br />
children and infants. Includes vinyl<br />
gloves, alcohol wipes and case. Red.<br />
#02623 Hard Case<br />
#02622 Soft Case<br />
$19.99 ea.<br />
to hold the cold longer Over-the-Door<br />
than other cold packs<br />
we use.<br />
Maureen Palumbo - TX<br />
Post your ratings &<br />
comments today!<br />
<br />
Shoulder Pulley<br />
Rubber handles with braided rope,<br />
over-the-door web strap and nylon<br />
pulley. Includes exercise book with<br />
photos and instructions <strong>for</strong> basic<br />
rehabilitation exercises. #09048<br />
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 />
Neck Contour / 23" $21.49<br />
Oversized / 11" x 21" $33.99<br />
Turn the page <strong>for</strong> more great<br />
products from <strong>ADVANCE</strong>!<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
65
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Women's Tee<br />
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66 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
Women’s Happy Pink<br />
Ribbon Mary Janes<br />
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SAVE<br />
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Prices and offers valid through 09/02/12
Celebrate & Promote<br />
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(505) 856-2029<br />
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68 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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