new! - ADVANCE for Physical Therapy & Rehab Medicine
new! - ADVANCE for Physical Therapy & Rehab Medicine
new! - ADVANCE for Physical Therapy & Rehab Medicine
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<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 />
3
contents ADVANCe For pHYSICAl tHerApY & reHAb meDICINe<br />
Vol.<br />
[CoVer StorY]<br />
14 Brain Attack<br />
In the early morning hours of April 7,<br />
2012, 37-year-old Meg Hunt woke up to<br />
a loud buzzing in her head. Hunt had<br />
a CT scan and other tests at St. Luke’s<br />
Hospital in New Bed<strong>for</strong>d, MA, and<br />
recalls being aware of her surroundings<br />
but unable to communicate. The<br />
last thing she remembers was being<br />
wheeled to a medical helicopter <strong>for</strong><br />
transport to Beth Israel Deaconess<br />
Medical Center in Boston, MA. Hunt<br />
was told she had had a stroke. This story<br />
tells how Hunt adapted to her “<strong>new</strong><br />
normal” by recovering from a condition<br />
that usually affects much older patients.<br />
(Jeffrey Leeser)<br />
[FeAtUreD ArtICleS]<br />
18 Pressure Ulcers: Softer Landings<br />
Blythedale Children’s Hospital in Valhalla,<br />
NY, has integrated a <strong>new</strong> pressure ulcer<br />
prevention protocol into their existing practice.<br />
Although Blythedale had zero hospitalacquired<br />
pressure ulcers on surveys in the<br />
two years be<strong>for</strong>e nursing leaders looked at<br />
<strong>for</strong>malizing their skin care protocol, they<br />
chose to develop an evidence-based prevention<br />
protocol.<br />
4 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
20 The Root of Low-Back Pain<br />
Back pain is among the most common<br />
complaints seen in primary care. An estimated<br />
80 percent of the population will<br />
have at least one bout with this condition<br />
in their life and in as many as 50 percent<br />
of these cases the problem may recur<br />
within the following three years. There are<br />
conditions that can contribute to low-back<br />
pain--degenerative disk disease, herniated<br />
disks, inflamed nerves, spinal stenosis and<br />
lumbar strains are just a few.<br />
23 | No. 19 | September 17, 2012<br />
22 Mobility: Rolling Smoothly<br />
For physical therapists, when evaluating<br />
full-time wheelchair users, their job is to<br />
develop a treatment plan that makes these<br />
patients as high functioning as they can be.<br />
For these individuals, walking will never<br />
be an option, so that means they need<br />
complex rehabilitation technology (CRT)<br />
wheelchairs. An appropriately selected<br />
wheelchair can be the difference between<br />
being stuck in the home or having a job<br />
and being productive members of society.
TELL THE WORLD<br />
WHAT MAKES<br />
YOUR REHAB<br />
TEAM GREAT<br />
WE WANT<br />
TO HEAR<br />
FROM YOU!<br />
★ Do you and your colleagues work together like<br />
a fi nely-tuned engine?<br />
★ Have you established a unique multidisciplinary program<br />
to meet the needs of your specifi c patient population?<br />
★ Do you co-treat in creative ways?<br />
★ Do you use novel or cutting-edge communication<br />
methods to make patient care as effective as possible?<br />
VISIT OUR WEBSITE FOR MORE INFORMATION:<br />
www.advanceweb.com/PT<strong>Rehab</strong>WeekEntry<br />
Check the website on September 16—the fi rst day of National <strong>Rehab</strong> Week—<br />
<strong>for</strong> the profi les of every team that has submitted an entry. PTs, OTs and<br />
speech therapists across the country will be able to read stories of successful<br />
teamwork by their peers that has made a positive impact on patient care.<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
5
[more ArtICleS]<br />
12 Management Focus:<br />
The Bridge to Digital<br />
25 Regional Employment<br />
Supplement: South<br />
[DepArtmeNtS]<br />
10 Editor’s View<br />
11 Geriatric Function<br />
27 Classified Marketplace<br />
29 Education Opportunities<br />
38 Classified Employment<br />
Opportunities<br />
51 <strong>ADVANCE</strong> Healthcare Shop<br />
[COMING SOON]<br />
<strong>Physical</strong> therapists working in the industrial<br />
rehabilitation arena consult with companies<br />
across a range of industries, helping<br />
them design work-injury prevention strategies,<br />
creating appropriate job screening <strong>for</strong><br />
<strong>new</strong> candidates, and recommending proactive<br />
interventions to keep workers safe and<br />
injury-free. They also work individually<br />
with injured workers to help them get back<br />
on the job. <strong>ADVANCE</strong> profiles this specialized<br />
and growing rehabilitation niche.<br />
[mUltImeDIA]<br />
CElEBRATE WITh us!<br />
our photo gallery highlights rehab<br />
week 2012 facility profiles and what these<br />
teams do to collaborate on the job!<br />
JoIN oUr pt CommUNItY!<br />
Blogs: meet our bloggers and read <strong>new</strong><br />
posts daily!<br />
PTA Blog TAlK<br />
The Non-Compete Clause<br />
Jason offers some advice to prospective<br />
employees who are asked to sign this<br />
type of document.<br />
<strong>ADVANCE</strong> PERsPECTIVEs<br />
PT legislative Battle Rages in CA<br />
the latest action has infuriated many<br />
physical therapists, according to the AptA.<br />
MoRE PT Blogs<br />
• A New York PT in Queen Elizabeth’s Court<br />
• pt and the City<br />
• <strong>Physical</strong> Therapist in Transition<br />
• A Busy PT’s Guide to Finding Balance<br />
• Journey with a DPT Student<br />
• Toni Talks About PT Today<br />
• Life of an PTA<br />
[New! pAtIeNt HANDoUt]<br />
the Causes of Stroke in Younger Adults<br />
[StUDeNt CeNter]<br />
Article: Avoiding the breakdown lane<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, twitter,<br />
linkedIn and more!<br />
[ColUmNS]<br />
NEW! WATER WIsDoM<br />
MEDICARE ADVIsoR<br />
INDusTRIAl INsIghTs<br />
Advance <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> ®<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 />
ACCEss foR All<br />
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CoMMuNITy ChAT<br />
Interact with colleagues!<br />
ThIs WEEK’s hoT ToPICs:<br />
suRVEys: ElECTIoN 2012:<br />
WhAT MATTERs?<br />
take our online survey on what you feel is<br />
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looKINg foR A NEW JoB?<br />
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Southern Regional<br />
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November 7<br />
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September 20<br />
White Plains, NY • Westchester<br />
County Center<br />
FREE SESSIONS<br />
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• When to Speak to Legal Counsel<br />
• Crucial Conversations<br />
EXHIBITORS *<br />
Ability Beyond Disability<br />
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BAYADA Home Health Care<br />
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Comprehensive Resources<br />
Elizabeth Seton Pediatric Center<br />
The Execu/Search Group<br />
Felician College<br />
The Gideons International<br />
Greenwich Hospital<br />
Health Quest<br />
Horizon Healthcare Staffi ng<br />
Lawrence Hospital Center<br />
Mercy College<br />
MJHS<br />
Montefi ore Medical Center<br />
NYU Langone Medical Center<br />
Onward Healthcare<br />
Pace University Lienhard School of Nursing<br />
Paxxon Healthcare Services<br />
Richmond Community Services<br />
St. John’s Riverside Hospital<br />
Suny Delhi School of Nursing<br />
TheraCare of New York, Inc<br />
US Army Healthcare<br />
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Care System<br />
The Visiting Nurse Service of New York<br />
Walden University<br />
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Model of Care<br />
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Baltimore Washington Medical Center<br />
BAYADA Home Health Care<br />
CareFirst, Inc<br />
Dimensions Healthcare System<br />
The George Washington University<br />
Medical Faculty Associates<br />
The Gideons International<br />
Johns Hopkins Bayview Medical Center<br />
Johns Hopkins <strong>Medicine</strong><br />
Kennedy Krieger Institute<br />
Kernan Orthopaedics and <strong>Rehab</strong>ilitation<br />
Mercy Medical Center<br />
St. Joseph Medical Center<br />
University of Maryland Medical Center<br />
Walden University<br />
Walter Reed National Military<br />
Medical Center<br />
October 16<br />
New York, NY • Jacob K. Javits<br />
Convention Center<br />
FREE SESSIONS<br />
• Long-Term Care Insurance:<br />
What’s Your Plan?<br />
• Moral Leadership<br />
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<strong>ADVANCE</strong> Healthcare Shop:<br />
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ArchCare<br />
BAYADA Home Health Care<br />
Better Healthcare OT/PT/SLP, PLLC<br />
CenterLight Health System<br />
Cerebral Palsy Assoc of NYS<br />
The College of New Rochelle<br />
Comprehensive Resources<br />
Elizabeth Seton Pediatric Center<br />
The Execu/Search Group<br />
Felician College<br />
The Gideons International<br />
Gotham Per Diem, Inc<br />
GreenKey Resources<br />
Horizon Healthcare Staffi ng<br />
InterFysio<br />
Long Island University<br />
Lutheran HealthCare<br />
Maimonides Medical Center<br />
Memorial Hermann (Houston, TX)<br />
Memorial Sloan Kettering Cancer Center<br />
Mercy College<br />
MJHS<br />
New York Methodist Hospital<br />
North Shore - LIJ Health System<br />
NPORT/Nurseworks<br />
NYU Langone Medical Center<br />
Omni Childhood Center<br />
Onward Healthcare<br />
Pace University Lienhard School of Nursing<br />
Pride Health<br />
RCM Healthcare Services<br />
Response Medical Services<br />
St. Mary’s Healthcare System <strong>for</strong> Children<br />
Suny Delhi School of Nursing<br />
TheraCare of New York, Inc<br />
U.S. Army Healthcare Recruiting<br />
Visiting Nurse Regional<br />
The Visiting Nurse Service of New York<br />
Walden University<br />
YAI Network<br />
Yeled V’Yalda ECC<br />
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PT20120910
pt 9/17/12<br />
Advertiser Index<br />
log on to www.advanceweb.com/pt our searchable online resource<br />
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SUpport tHe CompANIeS tHAt SUpport YoUr proFeSSIoN. the companies<br />
listed below support the physical therapy profession by placing advertisements<br />
in ADVANCe <strong>for</strong> physical therapy & rehab medicine. their support keeps our<br />
publication coming to you free of charge. please contact these advertisers or visit<br />
their web sites to learn more about their products or services.<br />
ADVERTISER WEB PG. #<br />
Academy of Lymphatic Studies www.acols.com 34<br />
Advance Custom Promotions http://www.advancecustompromotions.com IBC<br />
Advance Healthcare Shop http://www.advancehealthcareshop.com 51<br />
Advance Job Fairs http://www.advanceweb.com/jobfairs 7<br />
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Advance <strong>Rehab</strong> Week http://www.advanceweb.com 5<br />
Advance What does your mailing label say http://www.advanceweb.com/PT 3<br />
Altimate Medical, Inc. www.easystand.com 23<br />
ClinicSource Software www.clinicsource.com 24<br />
Cross Country TravCorps www.crosscountrytravcorps.com IFC<br />
Des Moines University http://www.dmu.edu/ppdpt 36<br />
G W Heel Lift www.gwheellift.com 19<br />
Great Seminars & Books http://www.greatseminarsonline.com/ 31<br />
Hands On Seminars Inc www.HandsOnSeminars.com 32<br />
Hands on Technology http://www.handsontechnology.com 13<br />
Hocoma Inc http://www.hocoma.com BC<br />
Integrative Manual <strong>Therapy</strong> Solutions IMTSglobal.com 37<br />
Klose Training And Consulting www.klosetraining.com 34<br />
Mobility Research www.litegait.com 16<br />
Neumann University www.neumann.edu 32<br />
New York University Advertising www.steinhardt.nyu.edu/2012-fall-intensives 35<br />
Norton School of Lymphatic <strong>Therapy</strong> www.NortonSchool.com 30<br />
Phoenix Core Solutions www.phoenixpub.com 20<br />
Physiotec www.physiotec.org 17<br />
Practice Perfect EMR & Management http://www.practiceperfectemr.com 24<br />
Serola Biomechanics www.serola.net 21<br />
Spinal Cord Injury Seminars Inc. www.sciseminars.com 34<br />
<strong>Therapy</strong> Team Exam Review Incorporated www.therapyteam.com 35<br />
Visiting Nurse Service of New York www.vnsny.org/ce 33<br />
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9
[EDITOR’S vIEw]<br />
rehab week: time to Shine!<br />
8Back in July, <strong>ADVANCE</strong><br />
put out a call <strong>for</strong> great<br />
rehab teams in preparation<br />
<strong>for</strong> National <strong>Rehab</strong>ilitation<br />
Week, which runs<br />
Sept. 16-22, 2012.<br />
The response has been<br />
overwhelming, with over 30 facilities from<br />
across the country writing to laud the teamwork<br />
and collaboration that helps their patient care<br />
exceed expectations.<br />
Beginning on Sept. 16 at www.advanceweb.<br />
com/PT<strong>Rehab</strong>Week, we’ll publish the profiles<br />
of every team who entered. Teams hail from<br />
pediatric private practices to skilled nursing<br />
facilities hailing from Oregon to Kentucky and<br />
from New Orleans to New York City.<br />
These teams have truly taken teamwork<br />
to an elite level. For example, therapists at<br />
the Miriam Hospital in Providence, RI, have<br />
developed a training and education program<br />
<strong>for</strong> CNAs on the roles and skills of all therapy<br />
disciplines as well as nursing; the CNAs also<br />
learn competencies in basic areas of geriatric,<br />
orthopedic and neurologic care. The program<br />
has already resulted in decreased falls,<br />
decreased hospital-acquired pressure ulcers<br />
and shorter lengths of stay.<br />
At Oakwood Garden in Deland, FL, all disciplines,<br />
including nursing and activities, share<br />
in<strong>for</strong>mation on patients’ cognitive functioning<br />
via the Allen Cognitive Levels to ensure patients<br />
go DIgITAl<br />
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10 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
By Jill glomstad<br />
are appropriately challenged in daily tasks and<br />
activities. As a result, incidences of behavior outbursts<br />
and agitation have decreased.<br />
Communication is key among therapy disciplines<br />
at St. Luke’s Hospital Inpatient <strong>Rehab</strong><br />
Department in Bethlehem, PA. OTs, PTs and<br />
speech therapists meet daily to discuss patient<br />
progress and obstacles. The team has developed<br />
a safe patient handling program that has been a<br />
major cost-saver <strong>for</strong> the facility in terms of workers<br />
compensation claims.<br />
To keep team members focused on the same,<br />
client-centered goals, therapists of all disciplines<br />
at Pate <strong>Rehab</strong> in Anna, TX, attend all staff and<br />
family conferences, and work collaboratively<br />
to accompany patients on community outings.<br />
Magee <strong>Rehab</strong>ilitation Hospital Riverfront<br />
Outpatient Center, Philadelphia, PA Neuro-<br />
Recovery Network (NRN) LT Team includes<br />
physical and occupational therapists (PT and<br />
OT), physicians, nurses, speech and language<br />
pathologists (SLP), psychologists and case managers<br />
(CM). This multi-disciplinary approach<br />
is necessary to ensure patients maintain the<br />
principles of LT not just during sessions, but in<br />
every aspect of their lives.<br />
Each LT session is conducted by a clinical<br />
team consisting of one therapist and three<br />
highly-skilled therapy aides. The 90-minute sessions<br />
require extensive verbal and non-verbal<br />
communication between all members of the<br />
team to ensure top-quality delivery of therapy.<br />
While you’re visiting our <strong>Rehab</strong> Week site,<br />
don’t <strong>for</strong>get to check out all the other resources<br />
we’ve compiled. You’ll find feature stories<br />
from the <strong>ADVANCE</strong> archives that highlight<br />
top-notch multidisciplinary programming; tips<br />
<strong>for</strong> celebrating <strong>Rehab</strong> Week at your facility; an<br />
animated e-card you can send to friends and<br />
colleagues; and a downloadable certificate you<br />
can print and give to all of your fellow rehab<br />
team members. We also have links to our 2012<br />
PT salary survey, our patient handouts and our<br />
student center.<br />
From all of us here at <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong><br />
<strong>Therapy</strong> and <strong>Rehab</strong> <strong>Medicine</strong>, <strong>ADVANCE</strong><br />
<strong>for</strong> Occupational <strong>Therapy</strong> Practitioners and<br />
<strong>ADVANCE</strong> <strong>for</strong> Speech Language Pathologists and<br />
Audiologists, we wish you a happy National<br />
<strong>Rehab</strong> Week 2012! n<br />
Jill Glomstad is an editor at <strong>ADVANCE</strong>.<br />
<strong>ADVANCE</strong><br />
<strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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8On Sept. 10-11, 2012,<br />
the National Institutes of<br />
Health (NIH) is having<br />
a meeting to launch the<br />
NIH Toolbox. The rest<br />
of the week will consist<br />
of intensive training on<br />
how to use the instruments in the toolbox.<br />
The meeting is free, but the training sessions<br />
have been sold out <strong>for</strong> months.<br />
Ho hum, another NIH meeting, you say?<br />
Well, let me tell you why I’m excited about<br />
this, and why I think you should be as well.<br />
Outcomes in the field of rehabilitation are best<br />
assessed by functional measures, and recent<br />
research has been focused on functional outcome<br />
tools as the best measure <strong>for</strong> this area. In<br />
the past two decades hundreds to thousands<br />
of them have been published. 1-3 Medicare has<br />
mandated their use and our profession is in<br />
part defined by them.<br />
There<strong>for</strong>e, when a large and well-respected<br />
branch of government, the NIH, has a meeting<br />
to strongly suggest the best tools, therapists<br />
need to be aware of what they are. We may<br />
be mandated to use them in some way in the<br />
future or we will need to be aware of the in<strong>for</strong>mation<br />
these tools give us <strong>for</strong> comprehensive<br />
patient care, especially practicing as autonomous<br />
practitioners.<br />
The purpose of the Toolbox project is to<br />
develop brief yet comprehensive functional<br />
assessment tools <strong>for</strong> persons age 3-85 that measure<br />
four domains: motor, cognitive, sensory<br />
and emotional per<strong>for</strong>mance, and to provide a<br />
complete picture of how a person at any age is<br />
functioning in all the different domains.<br />
Most of us don’t have years to devote to the<br />
compilation of a set of tools that are reliable,<br />
versatile and comprehensive. So this grant has<br />
done that <strong>for</strong> us.<br />
The NIH Toolbox Objectives<br />
I’m very eager to learn more about what’s<br />
included, but here’s a quick summary of the<br />
proposed tools and objectives.<br />
1. Showcase tests that cover the full range of<br />
normal function;<br />
2. Enable comparisons across studies and<br />
allow integration of data by using wellvalidated,<br />
brief and standardized tools;<br />
3. Provide assessments that can identify<br />
By Carole lewis, DPT, gCs, gTC, Msg, MPA, PhD, fAPTA<br />
Anticipating the release of New NIH toolbox<br />
at-risk populations;<br />
4. Compile tools that are not burdensome in<br />
terms of time, training or cost;<br />
5. Be a convenient, dynamic repository of<br />
state-of-the-art assessments that are adaptable<br />
over time.<br />
When I met with him recently, Dr. Gershon,<br />
the principal investigator on the NIH Toolbox,<br />
explained that the upcoming meeting is<br />
an endpoint of a 5-year, multimillion dollar<br />
grant that used experts in all health-related<br />
Most of us don’t have<br />
years to devote to<br />
the compilation of a<br />
set of tools that are<br />
reliable, versatile<br />
and comprehensive.<br />
fields to determine, modify and even develop<br />
tools that would be easy to use, inexpensive<br />
and fast.<br />
According to Dr. Gershon, these tools can<br />
be administered by a high school graduate<br />
but interpreted by trained health professionals.<br />
They were not developed to be used in a<br />
disease state setting.<br />
Nevertheless, if you go to the NIHtoolbox.<br />
com website, you’ll see that they are already<br />
conducting studies using the toolbox in the<br />
acute care setting and with patients who have<br />
Parkinson’s disease.<br />
Preview of NIH Toolbox Contents<br />
Of the four domains of function addressed by<br />
the Toolbox, the motor domain has the most<br />
direct relevance to physical therapy, so I’ll<br />
describe this one in some detail. The Toolbox<br />
contains five instruments that assess motor<br />
function (the first five are definite and the last<br />
experimental):<br />
1. Dexterity—9 Hole Peg Test;<br />
2. Endurance—2-minute Walk Endurance;<br />
3. Locomotion—4-meter Walk Gait Speed;<br />
4. Strength—Upper Extremity Grip Strength;<br />
5. Vestibular Balance—Vestibular Spinal<br />
Function-Standing Balance;<br />
6. Strength—Lower Extremity-Knee Extension<br />
(hand held dynamometer) Strength<br />
[GERIATRIC FuNCTION]<br />
(experimental).<br />
The other domains are:<br />
Cognition Domain: Seven definitive instruments<br />
plus two supplemental measures <strong>for</strong><br />
the nine subdomains identified.<br />
Emotion Domain: Four definitive instruments<br />
and four experimental instruments <strong>for</strong><br />
the eight subdomains identified.<br />
Sensory Domain: Six definitive instruments,<br />
three supplemental and three experimental<br />
instruments <strong>for</strong> the 12 subdomains identified.<br />
The first NIH Toolbox meeting is occurring<br />
while you are reading this. I am attending the<br />
entire week and I will be reporting back to you<br />
on its outcomes and the outcome tools. n<br />
References<br />
1. Lewis, C. (1990). The Functional Toolbox: Clinical<br />
Measures of Functional Outcomes (FTBI).<br />
Greatseminarsandbooks.com<br />
2. Lewis, C. (1993). The Functional Toolbox II: Clinical<br />
Measures of Functional Outcomes (FTBII).<br />
Greatseminarsandbooks.com<br />
3. Lewis, C., Wilkes, K., & Wright, R. (1995). The<br />
Orthopedic Outcomes Toolbox. Greatseminars<br />
andbooks.com<br />
Carole Lewis lectures exclusively on geriatric rehabilitation<br />
<strong>for</strong> Great Seminars and Books and Great<br />
Seminars Online (Greatseminarsandbooks.com and<br />
Greatseminarsonline.com). She is co-owner of Center<br />
of Evidence and consultant to Professional Sportscare<br />
& <strong>Rehab</strong>ilitation (prosportscare.com). She is also<br />
editor-in-chief of Topics in Geriatric <strong>Rehab</strong>ilitation<br />
(www.topicsingeriatricrehabilitation.com) and an<br />
adjunct professor at George Washington University<br />
Department of Geriatrics, College of <strong>Medicine</strong>.<br />
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11
[MANAGEMENT FOCuS]<br />
Crossing the bridge<br />
Shifting to an electronic<br />
system is an arduous yet<br />
worthwhile endeavor<br />
By Nitin Chhoda, DPT<br />
Electronic medical records <strong>for</strong> today’s<br />
physical therapy businesses consist<br />
of more than just a billing software<br />
system. They provide valuable in<strong>for</strong>mation<br />
that private practice owners can use<br />
to market their business, track <strong>new</strong> patients<br />
and referrals, and expedite the billing and<br />
payment process.<br />
By 2014, President Obama is implementing<br />
EMR as part of his economic plan. It’s important<br />
<strong>for</strong> physical therapists to understand this<br />
development in order to prevent any major<br />
mistakes as modernization of physical therapy<br />
billing approaches.<br />
Electronic medical records provide physical<br />
therapists with the means to access a patient’s<br />
complete medical record, including treatments,<br />
procedures and prescriptions obtained<br />
from other medical professionals.<br />
Enabling physical therapy staff to retrieve<br />
patient in<strong>for</strong>mation from a computer is a<br />
highly efficient method of increasing productivity.<br />
EMR systems provide essential,<br />
updated documentation at a glance. Ideally,<br />
an EMR system contains all the pertinent<br />
patient in<strong>for</strong>mation on a single page, and all<br />
that’s needed to update a current visit is a few<br />
touches on a screen.<br />
12 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
Reasons to Go Electronic<br />
The initial process of transitioning<br />
to an EMR can seem overwhelming.<br />
But it’s well worth the ef<strong>for</strong>t.<br />
<strong>Physical</strong> therapy software is an<br />
excellent way of both simplifying<br />
and modernizing office procedures.<br />
EMR systems track patient<br />
contact in<strong>for</strong>mation, procedures,<br />
billing and scheduling with just a<br />
mouse click. Creating permanent<br />
patient records with physical therapy<br />
EMR is quicker and saves time.<br />
EMRs <strong>for</strong> physical therapists<br />
span the entire documentation<br />
process, from those that provide<br />
basic documentation services to<br />
complete systems that address all<br />
facets of the practice and integrate easily with<br />
the normal workflow of the individual office.<br />
Advantages include:<br />
Less expensive. EMRs reduce costs in a number<br />
of areas, from postage and paper to storage<br />
space and bulky computer systems.<br />
Speed. There is no need to wait <strong>for</strong> records<br />
to pass through the postal system or to rely on<br />
the memory of patients about the treatments,<br />
procedures and prescriptions they have had.<br />
Billing can be done electronically to reduce<br />
reimbursement turnarounds and bring funds<br />
into the practice quicker.<br />
Communication. The medical field has<br />
become highly specialized and patients<br />
rarely go to the same doctor <strong>for</strong> every health<br />
issue. Most patients have primary care physicians<br />
and other medical providers. EMR<br />
systems enable therapists to quickly access<br />
the diagnosis and treatment of every doctor<br />
involved in a patient’s care. There’s no need to<br />
contact other doctors.<br />
Organization. A user-friendly interface<br />
reduces the time needed to learn the system<br />
and provides an intuitive means of entering<br />
in<strong>for</strong>mation.<br />
Business metrics. The EMR system allows<br />
managers to track the success of marketing<br />
ef<strong>for</strong>ts, determine where to focus future ef<strong>for</strong>ts,<br />
and ascertain where referrals are originating.<br />
Therapists can discover which referrals are making<br />
appointments, pinpoint those unlikely to<br />
follow through with treatment, and establish<br />
protocols <strong>for</strong> patients that require reminders.<br />
Flexibility. To accommodate the needs of an<br />
individual practice, an EMR <strong>for</strong> physical therapy<br />
services can be customized. As treatments<br />
and procedures evolve within the practice, an<br />
EMR provides the ability to reflect changes in<br />
the industry.<br />
Disaster planning. EMR systems are beneficial<br />
in accessing patient in<strong>for</strong>mation in the event<br />
of a natural disaster. They also provide ongoing<br />
documentation even when a physical therapist<br />
retires, relocates or dies. Significant savings are<br />
possible when the cost of paper records and the<br />
space to store them are eliminated.<br />
Tips <strong>for</strong> Implementation<br />
The selection of an EMR is one of the most<br />
important decisions a practice owner will make.<br />
It affects every aspect of the clinic, from practice<br />
workflow and billing, to patient communication<br />
and staff productivity. But with so many<br />
systems available, it can be an exhausting and<br />
confusing process.<br />
A well-thought out action plan and clear<br />
expectations of what the system will accomplish<br />
is a good way to navigate the “EMR jungle.”<br />
Be<strong>for</strong>e deciding on a system, here are some<br />
things to ask.<br />
Is the billing software compatible with the<br />
kind of computer you’re currently using? Can<br />
it be networked to other workstations in your<br />
practice? This is one of the most important<br />
tips to include in your buying plans. If you’ve<br />
mistakenly purchased something incompatible,<br />
it will be a waste of time, ef<strong>for</strong>t and money.<br />
Is the physical therapy billing software I’m<br />
considering accredited? This simply means that<br />
you should make sure the software is highly<br />
accredited with all the professional physical<br />
therapy training courses you’ve received.<br />
Is the price af<strong>for</strong>dable? A lot of software products<br />
<strong>for</strong> medical billing are scattered throughout<br />
the market today, and they often come with<br />
expensive price tags. There is also af<strong>for</strong>dable<br />
software <strong>for</strong> medical practitioners that effectively<br />
improves your billing per<strong>for</strong>mance.<br />
Getting to know the per<strong>for</strong>mance and nature<br />
of the software can help you get acquainted<br />
with it. It’s best to download free trials offered<br />
by the software provider; many manufacturers<br />
will let you test-drive their product <strong>for</strong> 30 days.<br />
EMR Features Checklist<br />
As you narrow down your choices, here’s a<br />
checklist of additional steps and features to<br />
look <strong>for</strong> in your electronic management system.<br />
crossing continued on page 24<br />
SCott DerbY
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13
[CoVer StorY]<br />
Young woman<br />
makes extraordinary<br />
comeback from<br />
stroke By Rebecca Mayer<br />
I<br />
don’t like having to live a <strong>new</strong> normal,”<br />
37-year-old Meg Hunt told <strong>ADVANCE</strong><br />
just 3 months after she narrowly escaped<br />
death following a stroke.<br />
Although the casual observer may<br />
not recognize Hunt as post-stroke, she<br />
continues to battle deficits that affect her<br />
daily function.<br />
Be<strong>for</strong>e her stroke, Hunt was the picture<br />
of health. The married mother of two and<br />
full-time teacher was an avid runner, lifted<br />
weights regularly and frequently attended<br />
Cross Fit.<br />
“For me, 100-percent recovery means returning<br />
to those activities and doing everything I<br />
used to do,” Hunt shared. “I expect myself to<br />
be as good as I was be<strong>for</strong>e.”<br />
It is that perseverance and steely determination—with<br />
a dash of self-deprecating<br />
humor mixed in—that has helped her make<br />
a faster-than-average and incredible recovery.<br />
Her Worst Nightmare<br />
In the early morning hours of April 7, Hunt<br />
woke up to a loud buzzing in her head. She<br />
was confused, nauseous and unable to see.<br />
After insisting that her husband, a state police<br />
officer, call an ambulance, she was violently<br />
sick to her stomach.<br />
Hunt had a CT scan and other tests at St.<br />
Luke’s Hospital in New Bed<strong>for</strong>d, MA, and<br />
recalls being aware of her surroundings but<br />
unable to communicate. The last thing she<br />
remembers was being intubated and then<br />
wheeled to a medical helicopter <strong>for</strong> transport<br />
to Beth Israel Deaconess Medical Center in<br />
Boston, MA. She doesn’t remember the ride.<br />
Her next memory was of waking up in a<br />
hospital bed unable to see. She could hear people<br />
swarming around her. The only thing she<br />
14 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
could move on her right side was her thumb.<br />
Hunt was told she had had a stroke. Officially,<br />
she had a spontaneous vertebral artery<br />
dissection that was trying to heal itself when<br />
it caused two brain stem blood clots.<br />
When Hunt thinks back on the first sign of<br />
symptoms, she recalls seeing spots on New<br />
Year’s Day. She was sure it was nothing.<br />
Vertebral artery dissection (VAD) is a flaplike<br />
tear of the inner lining of the vertebral<br />
artery. Located in the neck, the vertebral arteries<br />
supply blood to the brain. VAD symptoms<br />
may include head and neck pain and common<br />
stroke symptoms such as difficulty speaking,<br />
vision loss and impaired function. The<br />
life-threatening tear can be spontaneous or<br />
traumatic.<br />
An increasingly recognized cause of stroke<br />
in patients younger than 45 years of age, VAD<br />
(Above) susan sherman, PT, team leader at<br />
southcoast Brain & spine Center in Darmouth,<br />
MA, works with Meg hunt on core exercises;<br />
(below and right) sandra gibson, PT, of southcoast<br />
Brain & spine applies kinesiology tape to<br />
hunt be<strong>for</strong>e a PT session; (bottom right) Brian<br />
Knutsen, oTR/l, ChT, Buzzards Bay hand <strong>Therapy</strong><br />
llC in Marion, MA, ensures that hunt uses<br />
the correct posture in her push ups.<br />
is often confused with the more common<br />
carotid artery dissection (dissection of the large<br />
arteries in the front of the neck).<br />
Experts have varied opinions on the causes<br />
of VAD. Many believe that the condition’s risk<br />
factors may include chiropractic manipulation,<br />
migraines, strenuous yoga and other exercise<br />
routines, to name a few. “There are theories<br />
about why this happens and how it happens<br />
but the fact is, we don’t know exactly how it<br />
JeFFreY leeSer
ebeCCA mAYer<br />
happens,” said Sandra Gibson, PT, Southcoast<br />
Brain & Spine Center in Dartmouth, MA.<br />
According to Gibson, it’s important that<br />
people know to call a doctor when they have<br />
an unusually bad headache or numbness or<br />
tingling in the face. “Don’t think that these<br />
symptoms will just go away with time or that<br />
they are nothing,” she cautioned.<br />
Battling Back<br />
On April 11, Hunt was admitted to the inpatient<br />
unit of Braintree <strong>Rehab</strong>ilitation Hospital in<br />
Braintree, MA. She was dealing with the loss of<br />
hearing in her right ear. She was on a Heparin<br />
drip until her International Normalized Ratio<br />
(INR) could be deemed normal. Her roommate<br />
was a fellow stroke patient but unlike Hunt, she<br />
was in her 80s.<br />
“Every patient is a lesson because they all<br />
have different backgrounds and levels of motivation,”<br />
observed Kerri Kennedy, PT, Braintree<br />
<strong>Rehab</strong>. “From Meg, I learned about interacting<br />
with a younger patient and the emotional challenges<br />
that go along with it.”<br />
[CoVer StorY]<br />
Kennedy found Hunt’s case challenging<br />
because she doesn’t typically have young<br />
patients in her setting. “I had to pick my brain<br />
to come up with <strong>new</strong> activities to challenge her,”<br />
she explained.<br />
Following an evaluation with Kennedy,<br />
Hunt was issued a hemi walker. She could<br />
only walk 20 feet with the hemi walker be<strong>for</strong>e<br />
fatiguing. “I felt unsteady and like I had vertigo,”<br />
Hunt said. “But mainly I was frustrated<br />
because I couldn’t understand why I couldn’t<br />
do more.”<br />
When Hunt arrived at Braintree, she was<br />
beginning to regain some movement on her<br />
right side. She had hip flexion and extension<br />
but no ankle flexion and she was vaulting<br />
on the left side to get her right side <strong>for</strong>ward.<br />
She needed moderate assist <strong>for</strong> transfers and<br />
mobility.<br />
Because she was a fall risk, two aides needed<br />
to assist her when visiting the bathroom. “The<br />
toilet paper holder and the handle to flush were<br />
both on the right side and I had little function<br />
on that side,” she recalled. “It was humiliating<br />
that I couldn’t even do that part <strong>for</strong> myself.”<br />
Most of the PT sessions focused on<br />
strengthening her right leg with exercises<br />
such as squatting. She went to a walking<br />
group each day and worked on quad control<br />
and sit to stand. Her rehab sessions also<br />
consisted of functional electric stimulation to<br />
work her tibialis anterior and hamstring and<br />
an automated body weight supported treadmill<br />
training device <strong>for</strong> gait training.<br />
“It was challenging working with Meg<br />
because she wanted to work at a higher level<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
15
[CoVer StorY]<br />
than she actually could,” Kennedy shared. “We<br />
did 30 minutes of mobility exercises each day<br />
but she wanted to do an hour. When I let her<br />
try one day, she fatigued around 35 minutes. It<br />
was a hard lesson <strong>for</strong> her to learn.”<br />
Hunt walked independently with a cane<br />
and brace upon discharge, with the goal of progressing<br />
to indoor/outdoor walking without a<br />
device. She was using a non-reciprocal pattern<br />
on the stairs and was determined to get back<br />
to normal, Kennedy explained.<br />
Making Progress in Outpatient<br />
“When you look at Meg’s CT scans, it’s completely<br />
amazing,” said Susan Sherman, PT,<br />
team leader at Southcoast Brain & Spine Center.<br />
“You see her vertebral artery flow and then it<br />
just vanishes. It was a clean severance and it<br />
looks like a bomb went off.”<br />
At Southcoast Brain & Spine Center, Gibson<br />
conducted the initial evaluation to identify her<br />
deficits and determine the plan of care. When<br />
Hunt first arrived, she presented with significant<br />
disability on her right side. Her lower right<br />
16 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
extremity showed weakness at her hip and<br />
recurvatum at her knee. Her core instability<br />
was significant.<br />
“When she first arrived, she was not weight<br />
shifting to the right side completely and she<br />
had a little bit of toe drag,” stated Heather Robinson,<br />
PT, Southcoast Brain & Spine. “Strength<br />
was an issue <strong>for</strong> Meg.”<br />
Robinson believes in a functional approach.<br />
“A patient who safely works on balance on<br />
an unsteady surface is going to make a faster<br />
recovery than working on a solid surface,” she<br />
explained. With Robinson, Hunt worked on<br />
weight shifting and balance on a trampoline<br />
and progressed to catch-throw on a bosu.<br />
According to Robinson, younger stroke<br />
patients rebound more quickly. “Some older<br />
patients do very well but it may just take them<br />
longer,” she stated. “Balance is generally more<br />
of an issue with older patients but when safe,<br />
I have them participate in the same activities.”<br />
But Hunt’s deficits did not end with her core<br />
and lower extremity. She was having difficulty<br />
completing daily activities, such as blow drying<br />
FREEDOM FOR THERAPISTS<br />
INDEPENDENCE FOR PATIENTS<br />
her hair, which required regaining strength and<br />
coordination in her upper extremity.<br />
Hunt has been going to PT and OT sessions<br />
twice each week since her discharge from<br />
Braintree <strong>Rehab</strong>.<br />
“We initially worked on functional activities<br />
such as bending over to put on her shoes and<br />
socks, tie her shoes and grasping a coffee mug<br />
to bring it to her mouth,” stated Brian Knutsen,<br />
OTR/L, CHT, president of Buzzards Bay Hand<br />
<strong>Therapy</strong> LLC in Marion and Lexington, MA.<br />
“Now that she has progressed, we are working<br />
on more refined movements.”<br />
Her OT sessions have mainly addressed<br />
proximal stability of the shoulder, gross upper<br />
extremity strength and fine motor control and<br />
coordination.<br />
“When Meg first came to me, she was relatively<br />
acute after her stroke,” Knutsen relayed.<br />
“I expected her progress to be slow and steady<br />
as is common with neuro cases. Meg’s rapid<br />
progress was an interesting challenge <strong>for</strong> me.<br />
I constantly updated her treatment plan to stay<br />
relevant and keep up with her recovery.”
Knutsen has had Hunt work on workspecific<br />
tasks such as sustained shoulder positioning<br />
while she holds a dry erase marker to<br />
prepare her to write on a board in a classroom<br />
<strong>for</strong> prolonged periods.<br />
“We worked together as a team <strong>for</strong> Meg’s<br />
recovery,” said Sherman. “Each of us has her<br />
own styles and beliefs. I focus on core stability,<br />
Heather has a functional rehab approach and<br />
Sandy uses a neuro-developmental approach.”<br />
Hunt refers to her PTs as her “3 brains.”<br />
Because she is unable to work right now, Hunt<br />
likes to think of therapy as her job.<br />
“Recovery depends on the patient, the severity<br />
of the stroke, her fitness level prior to the<br />
event and how much exercise she is doing on<br />
her own.” Robinson observed. “Meg caught<br />
on to the exercises relatively quickly, partly<br />
because she was an athlete prior.”<br />
The therapists have given Hunt a home exercise<br />
program. She supplements the program by<br />
going to the gym and doing Pilates privately<br />
four times a week.<br />
“Meg has rapidly run through all of the<br />
developmental sequences which is a reflection<br />
of her perseverance and dedication,” Sherman<br />
observed.<br />
According to Gibson, the therapists will continue<br />
to see Hunt twice a week. Patients are<br />
reevaluated every 30 days to reassess goals and<br />
treatment plans.<br />
At this point, Hunt has hardly any recurvatum<br />
on the right side, she can bend her knee<br />
smoothly and kick through, and she’s not<br />
keeping the knee flexed at mid-stance, according<br />
to Robinson. Her weight shifting has<br />
improved and her core has gotten stronger.<br />
“It’s amazing to see what Meg has been<br />
able to accomplish and recover through hard<br />
work and dedication,” Sherman said. “In<br />
my 26 years as a therapist, I’ve never seen a<br />
patient who has worked harder or has been<br />
as involved in her own recovery.”<br />
Hunt’s personal goals at this point are<br />
somewhat more focused. “I would like to<br />
be able to write out a check and type on the<br />
computer without fatiguing,” she stated. And,<br />
of course, the goal to get back to running is<br />
[CoVer StorY]<br />
never far from her thoughts.<br />
“Many patients following stroke are very<br />
focused on their ultimate prognosis,” Knutsen<br />
said. “This is a challenging question <strong>for</strong> the<br />
therapist to answer especially early on in the<br />
rehab process.”<br />
Knutsen feels confident that Hunt has every<br />
opportunity to make a full recovery given her<br />
rapid recovery, positive attitude and commitment<br />
to rehab.<br />
“Meg was in the best shape of her life,” Sherman<br />
told <strong>ADVANCE</strong>. “If she had had any less<br />
core stability and lower extremity and cardiovascular<br />
strength leading into the stroke, the<br />
outcome would not be the same.” n<br />
Rebecca Mayer is senior regional editor of<br />
<strong>ADVANCE</strong> and can be reached at rmayer@<br />
advanceweb.com<br />
www.advanceweb.com/pt<br />
To see video coverage, visit<br />
www.advanceweb.com/pt<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
17
[SEATING AND PRESSuRE MAPPING]<br />
A Soft landing<br />
An interdisciplinary approach<br />
reduces ulcerations in<br />
at-risk populations<br />
By sandy Keefe, MsN, RN<br />
When a young man with a <strong>new</strong><br />
spinal cord injury was admitted<br />
to Blythedale Children’s<br />
Hospital in Valhalla, NY, chief<br />
nursing officer Linda Hurwitz, MS, RN, NEA-<br />
BC, was appalled at the large pressure ulcer on<br />
his sacrum.<br />
“Staff from the referring hospital said he<br />
wasn’t compliant, but here was this patient<br />
paralyzed from the neck down—what was he<br />
supposed to do to turn himself?” she asked.<br />
“We soon found he decompensated when he<br />
was turned, looking like he was going into<br />
cardiac arrest, so we got a high-end bed to<br />
accommodate that issue. During his stay with<br />
us, he transitioned to a wheelchair and was<br />
discharged to long-term care.”<br />
Although Blythedale had zero hospitalacquired<br />
pressure ulcers on prevalence surveys<br />
in the two years be<strong>for</strong>e nursing leaders<br />
looked at <strong>for</strong>malizing their skin care protocol,<br />
they chose to further enhance their practice<br />
by developing an evidence-based prevention<br />
protocol.<br />
18 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
“We wanted to look at what we<br />
were doing to prevent pressure<br />
ulcers throughout our hospital,<br />
standardize and <strong>for</strong>malize our<br />
approach, and share the results<br />
both within our facility and with<br />
colleagues outside the hospital,”<br />
Hurwitz said.<br />
The impetus <strong>for</strong> advancing<br />
evidence-based practice at Blythedale<br />
didn’t come from skin<br />
breakdown issues within the hospital<br />
itself. For the past four years,<br />
on prevalence surveys there has<br />
been only one hospital-acquired<br />
pressure ulcer at Blythedale—a<br />
blister from a pulse oximeter that<br />
easily healed. These results are<br />
even more impressive because<br />
the percentage of at-risk children<br />
within the hospital averages 80<br />
percent.<br />
An At-Risk Population<br />
Children come to Blythedale from major medical<br />
centers in the tri-state metropolitan area<br />
(New York, New Jersey and Connecticut) following<br />
an acute hospitalization that is typically<br />
longer than the average four-day ICU stay.<br />
“We receive children mainly from NICUs<br />
and PICUs, and some from pediatric units,”<br />
Hurwitz said. “In the past few years, we have<br />
received some children with pressure ulcers all<br />
the way to stage IV and beyond. That situation<br />
stimulated us to take a close look at what we<br />
could do to heal those ulcers and prevent further<br />
skin breakdown in this population.”<br />
The average length of stay at Blythedale is<br />
60 days, and these children are at high risk <strong>for</strong><br />
development of pressure ulcers by the very<br />
nature of their disability, injury or illness. Children<br />
are admitted to the specialized children’s<br />
hospital <strong>for</strong> acute care and/or rehabilitation<br />
following respiratory disorders requiring ventilator<br />
support; TBI; endocrine, nutrition and<br />
metabolic disorders; cerebral palsy; congenital<br />
mal<strong>for</strong>mations and disorders; oncology, posttumor<br />
resection and chemotherapy; post-transplants,<br />
and burns.<br />
Specific risk areas include impaired mobility,<br />
nutritional challenges that require gastrostomy<br />
tubes or TPN feeding, activity limitations,<br />
alterations in sensory perception, moisture from<br />
body secretions or incontinence, friction and<br />
shearing <strong>for</strong>ces and inadequate tissue perfusion.<br />
“Most of the children we care <strong>for</strong> are immobile<br />
and considered medically fragile, some with<br />
impaired temperature regulation and sensation,”<br />
Hurwitz said. “Splints, braces, casts and<br />
other supportive or positioning appliances can<br />
also create pressure areas. The nurses check skin<br />
regularly <strong>for</strong> the presence of any related redness<br />
that does not resolve within 15 minutes.”<br />
Coming to Consensus<br />
Hurwitz appointed assistant director of nursing<br />
Virginia Andriola, MSN, RN, WCC, CPN, to<br />
oversee the project.<br />
“I asked her to look at our skin care protocols<br />
and get together an interdisciplinary team of<br />
major stakeholders in pressure ulcer prevention,<br />
including nurses, pediatricians, dietitians,<br />
physical therapists, occupational therapists,<br />
psychologists and one of our physiatrists with<br />
a special interest in the topic,” she said.<br />
As Andriola facilitated the early group meetings,<br />
there was rapid consensus.<br />
“Everyone came to the conclusion all of our<br />
children were at risk <strong>for</strong> pressure ulcers, so we<br />
had to identify those at particularly high risk,”<br />
she said. “We automatically included those children<br />
coming in with diagnoses such as spinal<br />
cord or traumatic brain injuries, and then began<br />
using the Braden Scale <strong>for</strong> Predicting Pressure<br />
Sore Risk <strong>for</strong> children 5 years and older, and the<br />
Modified Braden Q Pressure Ulcer Risk Assessment<br />
Scale <strong>for</strong> those under the age of 5. Those<br />
scores allow us to correlate specific risk factors<br />
with the development of pressure ulcers in our<br />
special population.”<br />
The group developed a pressure ulcer prevention<br />
protocol that included seven major<br />
components: patient risk assessment using the<br />
appropriate Braden scale; daily skin assessment;<br />
meticulous skin care, including tub or<br />
shower bathing; pressure mapping; surface<br />
selection; turning and positioning schedules,<br />
and nutrition.<br />
Tackling the Challenges<br />
Blythedale immediately integrated the <strong>new</strong><br />
pressure ulcer prevention protocol into their<br />
existing practice. Meticulous skin care begins<br />
with a bath or shower at least every other day;<br />
most children at the hospital are bathed daily.<br />
Shower stretchers are used <strong>for</strong> older children,<br />
and even those who are ventilator-dependent<br />
are bathed or showered. Bathing and showering<br />
wash away dead skin that can breed bacteria;<br />
JeFFreY leeSer
applying lotion afterward to maintain moisture and suppleness is clinically<br />
appropriate and also feels good.<br />
Turning and positioning schedules are carefully planned to reduce<br />
skin integrity issues.<br />
“We turn our children at least every two hours and position them carefully<br />
with special gel positioning pods,” Hurwitz said. “Rather than<br />
rolling up a pillow or using a neck roll, we can precisely position limbs,<br />
trunks and heads by carefully selecting and placing these pods to reduce<br />
pressure over bony prominences.”<br />
How does staff encourage children to follow the turning schedule?<br />
“Patients are with us <strong>for</strong> a long time—some <strong>for</strong> several months—so staff<br />
develop close relationships with the children and their families,” Andriola<br />
said. “We know what motivates each child, and can set up situations and<br />
rewards so they comply with pressure ulcer prevention.”<br />
Distraction is key. “Whether the child is lying in bed, up on a gurney<br />
or using a standing board, we’re able to provide activities to distract and<br />
engage him while selected skin areas get pressure relief,” said Kathleen<br />
Henry, MSN, RN, CPN, director of nursing. “We talk with the child at his<br />
cognitive level, helping him understand the need <strong>for</strong> position changes<br />
to prevent skin breakdown.”<br />
Blythedale uses technology to encourage good positioning. “We have<br />
portable DVD players and even our little babies are com<strong>for</strong>table lying<br />
on their sides to watch ‘Baby Einstein’ right in their cribs,” Hurwitz said.<br />
“PlayStation and videogames have made it easier to amuse the older<br />
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children, keeping them positioned to relieve pressure on specific body<br />
areas.”<br />
Pressure ulcer prevention is a team ef<strong>for</strong>t. “Child life and recreational<br />
therapy staff have different things they can bring to the bedside, such<br />
as the Snoezelen multisensory systems with different lights, smells and<br />
tactile surfaces,” Henry said. “We have developmental therapists who<br />
see the children in school or at the bedside if they can’t get up.”<br />
Pressure Mapping<br />
An advanced computerized system aids Blythedale Children’s Hospital<br />
in preventing pressure ulcers. An advanced computerized pressure<br />
mapping system provides a way to measure pressures qualitatively and<br />
quantitatively over specific areas of the skin.<br />
A typical pressure mapping system includes a computer, software<br />
specific to the mapping tool, an interface module and a specialized mat<br />
known as a sensing matrix. The visual tool is used to objectively assess<br />
the way pressure is distributed when the patient is in a specific position<br />
and on a specific surface.<br />
“Pressure mapping involves electronic sensors imbedded within a<br />
device that goes under a surface such as a mattress or wheelchair cushion,”<br />
said Virginia Andriola, MSN, RN, assistant director of nursing. “The<br />
computer then generates a colored schematic that shows pressure points<br />
<strong>for</strong> that particular child on that particular surface.”<br />
seating continued on page 28<br />
Lifting your patients to a <strong>new</strong><br />
level may help control:<br />
• Leg Deficiencies<br />
• Back Pain<br />
• Achilles Tendonitis<br />
• Gait Problems<br />
[SEATING AND PRESSuRE MAPPING]<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
19
[bACk pAIN]<br />
balance or Strength?<br />
Getting to the root of lowback<br />
pain and sacroiliac<br />
dysfunction By Janet A. hulme, PT<br />
low-back pain touches young and old,<br />
male and female, professional and<br />
manual laborer. Back pain is among<br />
the most common complaints seen in<br />
primary care. There are a number of conditions<br />
that can contribute to low-back pain—<br />
degenerative disk disease, herniated disk,<br />
inflamed nerves, poor posture, spinal stenosis<br />
and lumbar sprains and strains are just a<br />
few. Older individuals are more susceptible<br />
to degenerative problems (degenerative disk<br />
and joint disease and spinal stenosis) since their<br />
disk fluid is more viscous than that of younger<br />
people. Young people are more susceptible to<br />
mechanical or traumatic joint and disk problems,<br />
such as herniated disks.<br />
Low-back injury is generally caused by<br />
20 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
repetitive overload in the end-range of the joint<br />
or muscle. McGill states that back injury most<br />
frequently results from “a history of excessive<br />
loading, which gradually, but progressively,<br />
reduces the tissue failure tolerance.”<br />
DeRosa and Porterfield suggest that impairments<br />
including joint hypomobility and muscle<br />
imbalance can create excessive stress on neighboring<br />
joints. This regional interdependence<br />
model suggests that seemingly unrelated<br />
impairments in a remote anatomical region may<br />
be associated with a patient’s primary complaint.<br />
Spinal joint or disk dysfunction could<br />
lead to pelvic pain, knee or foot pain. Pelvic,<br />
knee, foot and internal organ dysfunction can<br />
lead to back pain.<br />
Acute low-back pain may have a localized<br />
cause, but when there is chronic low-back pain,<br />
pain lasting longer than six months or reoccurring<br />
within a three-year time-span, the cause<br />
is multidimensional. A local muscle strain in<br />
the acute phase spreads to facet joint stiffness,<br />
a muscle holding pattern around the facet joint<br />
and disk compression from the chronic holding<br />
pattern. Circulation is compromised to the<br />
area. Proprioception and postural alignment<br />
is altered.<br />
Strengthening exercises <strong>for</strong> the localized<br />
strained muscles will help restore the local<br />
problem, but within weeks of the injury, many<br />
other systems and structures are affected and<br />
will need to return to a balanced state.<br />
Although clinical research on the efficacy of<br />
exercise in the treatment of low-back pain is not<br />
entirely consistent, the majority of the literature<br />
favors active low-back exercise programs that<br />
focus on increasing the strength, flexibility and<br />
stability of the lumbar musculature. Manual<br />
therapy, postural reeducation and motor planning<br />
are being used more frequently with positive<br />
results.<br />
Repetitive overload implies a chronic condition<br />
<strong>for</strong> most low-back pain rather than an<br />
injury induced dysfunction. There<strong>for</strong>e, treatment<br />
strategies that include proprioception<br />
(autonomic nervous system) and circulation<br />
rebalancing along with dynamic postural and<br />
breathing rebalancing in addition to strengthening<br />
and stability exercises and manual therapy<br />
will have the best long-term outcomes.<br />
Integrated Treatment Approach<br />
It is important to remember that muscles can<br />
appear weak due to interrupted nerve input,<br />
autonomic nervous system (ANS) inhibition<br />
of postural tone after injury, disuse atrophy or<br />
lack of circulation. In chronic low-back pain, all<br />
three reasons can play a role in the pain and<br />
functional limitations. Interrupted nerve input<br />
can be from nerve damage or compression as<br />
it travels through muscle that has higher than<br />
normal resting tone. Certain muscles are inhibited<br />
by the ANS following an injury and do not<br />
automatically return to normal postural tone<br />
during daily activities. Chronic pain often leads<br />
to a sedentary lifestyle with secondary disuse<br />
atrophy.<br />
Interruption in circulation to the affected<br />
area leads to accumulation of waste products<br />
and decreased oxygen and nutrients <strong>for</strong> muscle<br />
function. There<strong>for</strong>e “strengthening” muscles<br />
around the low back can take an integrated<br />
treatment approach that includes traditional<br />
strengthening exercises, core stabilization, postural<br />
motor reeducation, moderate aerobic activity,<br />
manual therapy and autonomic nervous<br />
system rebalancing.<br />
Strength Training<br />
While many practitioners use the terms stabilization<br />
and strengthening interchangeably, they<br />
are unique. Strengthening involves muscles<br />
per<strong>for</strong>ming dynamic concentric and eccentric<br />
contractions techniques using isometric, isokinetic<br />
and isotonic training. Strengthening<br />
primarily improves function in muscles that<br />
are superficial and of long length crossing one<br />
or more joints.<br />
It is common to per<strong>for</strong>m sit-ups and crunches<br />
from the head down as part of strength training<br />
<strong>for</strong> abdominal muscles. This technique excessively<br />
increases intraabdominal and intradiscal<br />
pressure. Strengthening the abdominals<br />
kYle kIelINSkI
from the head down descends internal organs and pelvic muscles. The<br />
internal organs and pelvic muscles are attached to the sacrum so with<br />
descent the sacroiliac joints are altered resulting in pain and dysfunction.<br />
Strengthening abdominal muscles initiating the movement from the<br />
pelvis toward the head realigns internal organs and eliminates stress on<br />
the pelvic muscles.<br />
Core Stabilization<br />
Core stabilization primarily improves function in muscles that are deep<br />
rather than superficial and of short length, often running in an oblique<br />
fashion over 1-2 spinal joints. In function, core stabilization exercises<br />
provide postural alignment and stability of the trunk and spine so that<br />
the more superficial muscles can move the limbs and head to accomplish<br />
a task. In the trunk and back, muscles that fit this category include the<br />
multifidi, transverse abdominus and internal obliques.<br />
Motor learning or neuromuscular reeducation must be employed<br />
through the use of specific exercises to facilitate the quality and efficiency<br />
of core musculature. When these core muscles achieve a “neutral” position,<br />
between the extremes of the end-ranges, dynamic stability of the<br />
spine and injury or re-injury can be avoided. It is important that patients<br />
are able to isolate the correct muscle during core exercise. Abdominal<br />
“hollowing” is preferable to the pelvic tilt due to improved co-contraction<br />
of the transverse abdominus and multifidus.<br />
Postural Reeducation and Motor Planning<br />
A study by Hodges et al looked at abdominal activity during movement<br />
of the upper extremity. It found that the transverse abdominus was the<br />
first muscle active prior to the initiation of arm motion. An unconscious<br />
autonomic presetting by the nervous system sets tonic muscle tone to<br />
stabilize the trunk, rather than produce larger movements. The deepest<br />
core muscles, transverse abdominus and multifidi are influenced primarily<br />
by the autonomic nervous system via the subcortex <strong>for</strong> unconscious<br />
postural changes.<br />
Postural reeducation is a motor control strategy rather than a strengthening<br />
strategy. Rather than initiating a movement, it activates muscles<br />
to support a movement. Postural reeducation exercises are midline and<br />
midrange exercises using the deepest, shortest muscles of the pelvis and<br />
trunk as a unit. Dynamic postural balance within the trunk and spine<br />
allows efficient and pain free arm and leg activity. Total body movement<br />
is essential to recovery from low-back pain. Fear of movement is common<br />
with chronic pain so a safe and supportive environment is important to<br />
increasing total body aerobic exercise. Pool exercises in warm, shoulder<br />
height water provides total body support and sensory security. Water<br />
walking, midrange trunk rotations and increased arm and leg activity<br />
will increase total body fitness and cardiac/circulatory function.<br />
Autonomic Nervous System Rebalancing<br />
The autonomic nervous system (ANS) is the transportation system <strong>for</strong><br />
the subcortex of the brain. The subcortex includes the cerebellum which<br />
directs unconscious postural control during all upright activities. The<br />
ANS and subcortex also mediate breathing, circulation, muscle tone and<br />
proprioception <strong>for</strong> the low-back and throughout the body.<br />
Chronic low-back pain and ANS imbalance go together. Circulation<br />
decreases to back tissues, muscle resting tone is asymmetrical and in<br />
chronic holding patterns, and balanced automatic postural adjustments<br />
<strong>for</strong> leg and arm movements are slow or absent. In the past it was referred<br />
[bACk pAIN]<br />
to as the “fight or flight” system being on high drive. Now we know it’s<br />
an imbalance of the sympathetic, parasympathetic and enteric divisions<br />
of the ANS. When balance and strength are restored as partners in lowback<br />
function, pain can be minimized and dynamic postural adjustments<br />
returned <strong>for</strong> efficient activity. n<br />
Resources<br />
Bates, A., & Hanson, N. (1996). Aquatic Exercise <strong>Therapy</strong>. Philadelphia: W.B. Saunders<br />
Company.<br />
Hodges, P. (2003). Core stability exercise in chronic low-back pain. Orthopedic<br />
Clinics of North America, 34(2), 245-254.<br />
Hodges, P. & Richardson, C. (1996). Inefficient muscular stabilization of the lumbar<br />
spine associated with low back pain: A motor control evaluation of transversus<br />
abdominis. Spine, 21, 2640-2650.<br />
Hulme, J. (2012). Pelvic Pain & Low Back Pain. Missoula, MT: Phoenix Publishing.<br />
Janda, V. (1968). Postural and phasic muscles in the pathogenesis of low-back pain. In<br />
XIth Congress ISRD. Dublin: XIth Congress ISRD.<br />
McGill, S. (1997). The biomechanics of low back injury: Implications on current<br />
practice in industry and the clinic. Biomechanics, 30(5), 465-447.<br />
Janet A. Hulme is a physical therapist with more than 35 years of experience. She<br />
is an international speaker on abdominal and pelvic muscle function in relation<br />
to women’s health.<br />
1. Helps stretched ligaments heal faster.<br />
2. Helps re-align and narrow pelvis after delivery.<br />
3. Significant pain relief has been clinically confirmed.<br />
Sold Worldwide For Pregnancy and Back Pain<br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
21
[mobIlItY]<br />
rolling Smoothly<br />
Addressing complex rehab technology choices can<br />
help determine how wheelchair users gain function<br />
By lauren Rosen, PT, MPT, MsMs, ATP/sMs<br />
Jason is a 25-year-old who recently graduated<br />
from law school and is getting married<br />
next spring. Susan, 30-year-old single<br />
mother, is currently looking <strong>for</strong> work.<br />
David is a 21-year-old finishing his junior year<br />
of college.<br />
At first glance, these three people have little<br />
in common. They are all different ages and have<br />
different daily activities and needs. The one<br />
thing that unites them is that they are all fulltime<br />
wheelchair users. Jason was hit by a car<br />
when he was 15 years old. The accident resulted<br />
in a complete thoracic spinal cord injury. Susan<br />
was shot in the chest by an ex-boyfriend four<br />
years ago. David dove into the shallow end of<br />
the pool when he was 19 years old and has a<br />
cervical spinal cord injury.<br />
When evaluating these people, our job as<br />
physical therapists is to develop a treatment<br />
plan that makes them as high functioning as<br />
they can be. For many individuals, that means a<br />
return to functional walking following an injury<br />
or disease. However, <strong>for</strong> these individuals,<br />
walking will never be an option so that means<br />
they need complex rehabilitation technology<br />
22 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
(CRT) wheelchairs.<br />
The appropriately selected and fit wheelchair<br />
<strong>for</strong> a person can be the difference between him<br />
being stuck in his home and receiving funding<br />
from the government or him having a job<br />
and being a productive member of society.<br />
For example, Susan had a job as a receptionist<br />
<strong>for</strong> two years following her injury. Her initial<br />
power wheelchair following rehabilitation<br />
never fit her properly and did not have power<br />
tilt <strong>for</strong> pressure relief so she developed a pressure<br />
sore. The sore got so bad that she required<br />
surgery and prolonged bed rest. After she was<br />
away from the office <strong>for</strong> many months, her disability<br />
leave ran out and she lost her job.<br />
Many people like Susan have had to quit<br />
jobs or have lost jobs because they were given<br />
equipment that was not appropriate <strong>for</strong> them<br />
either in the type of wheelchair or the setup of<br />
the equipment. Some people developed shoulder<br />
or back pain so severe they couldn’t propel<br />
their manual wheelchair. Others, like Susan,<br />
developed pressure sores that required them<br />
to be out of their wheelchairs and away from<br />
their jobs <strong>for</strong> months.<br />
Most of the wheelchair-related problems that<br />
people with disabilities experience are preventable.<br />
One way to lessen the risk of problems is<br />
to assure that both the therapist and equipment<br />
supplier have the right amount of knowledge to<br />
be selecting and fitting the necessary products<br />
<strong>for</strong> the individual. This is true <strong>for</strong> any durable<br />
medical equipment being provided but it’s<br />
critically important with complex rehabilitation<br />
technology.<br />
There are two other ways to help improve<br />
outcomes <strong>for</strong> people who use wheelchairs.<br />
One is to work with the federal government to<br />
change funding policies that limit equipment<br />
availability and selection. The final, but probably<br />
most important, area to address is teaching<br />
people to advocate <strong>for</strong> themselves and their<br />
needs.<br />
<strong>Therapy</strong> Practice<br />
Most therapists are not regularly involved in<br />
wheelchair provision. A therapist who only<br />
prescribes a wheelchair once or twice a year<br />
is not knowledgeable enough to ensure that<br />
a client is getting the appropriate equipment.<br />
As therapists, we protect clients all the time by<br />
ensuring that we have the necessary knowledge<br />
to provide treatment.<br />
Knowing the significant problems that can<br />
be caused by providing the wrong CRT equipment,<br />
it’s clear that wheelchair provision is also<br />
a specialty area and all participants should be<br />
specially trained in this equipment. Relying<br />
on an equipment supplier to know the correct<br />
things to do <strong>for</strong> the client and simply documenting<br />
those recommendations is not assuring that<br />
clients get what they need.<br />
Most therapists are not aware of the<br />
advanced training and certification that is available<br />
regarding wheelchairs. The <strong>Rehab</strong>ilitation<br />
Engineering and Assistive Technology Society<br />
of North America has two certifications: an<br />
assistive technology professional (ATP) and<br />
a seating and mobility specialist (SMS). These<br />
certifications are available to both therapists and<br />
equipment suppliers.<br />
There are many skillful equipment suppliers<br />
who have either an ATP or SMS certification.<br />
However, when designing a wheelchair, two<br />
sets of knowledgeable eyes are always better<br />
than one when possible.<br />
Additionally, suppliers do get paid <strong>for</strong> the<br />
equipment provided. Some are paid commission.<br />
Consequently, they might steer a client<br />
toward a piece of equipment with a higher<br />
profit margin rather than the most medically<br />
appropriate one <strong>for</strong> the client. Having a knowledgeable<br />
therapist with no financial tie to the<br />
equipment adds a needed level of objectivity.<br />
The best way to assure that clients get what they<br />
need and that it’s adjusted properly is to refer<br />
patients where both the therapist and equipment<br />
supplier have advanced training.<br />
Advocacy<br />
To help prevent many of the problems from<br />
improper equipment, we need to actively support<br />
HR 4378, the “Ensuring Access to Quality<br />
Complex <strong>Rehab</strong>ilitation Technology Act.” This<br />
bill will create a separate benefit category <strong>for</strong><br />
CRT within the Medicare program.<br />
This is similar to the separate category<br />
given to orthotics and prosthetics, which were<br />
included in this current category. It will provide<br />
needed changes and safeguards to improve<br />
access <strong>for</strong> the people with disabilities who rely<br />
on this equipment and the related supporting<br />
services. At present, CRT, which includes<br />
individually configured products such as<br />
CoUrteSY lAUreN roSeN
manual wheelchairs and power wheelchairs,<br />
adaptive seating and positioning systems, and<br />
other specialized equipment such as standing<br />
frames and gait trainers that require evaluation,<br />
fitting, configuration, adjustment or programming,<br />
are governed by similar rules to standard<br />
wheelchairs. The standards <strong>for</strong> what qualifies<br />
an individual <strong>for</strong> equipment are antiquated and<br />
restrict independence and function.<br />
The majority of individuals who use CRT are<br />
young and healthy with diagnoses like spinal<br />
cord injury, cerebral palsy, muscular dystrophy<br />
and spina bifida. These people differ significantly<br />
from the people who commonly use<br />
standard durable medical equipment. Those<br />
individuals are usually older and have diagnoses<br />
like arthritis, chronic obstructive pulmonary<br />
disease and peripheral neuropathy.<br />
Most individuals who use CRT are people<br />
like Jason, Susan and David. They want to<br />
work. They want to take care of their family.<br />
Most important is the fact that they are capable<br />
of doing so. All three of them have a mobility<br />
impairment, so many payer sources treat<br />
them like they are now invalids who cannot<br />
and should not be able to fulfill their normal<br />
roles in society.<br />
Instead of paying <strong>for</strong> equipment that allows<br />
them to function in all environments, most<br />
funding sources, following the lead of Medicare,<br />
only pay <strong>for</strong> what the person needs to<br />
move around in his home. This “in-the-home”<br />
restriction prevents many people from being<br />
productive members of society.<br />
Take David <strong>for</strong> example, who has a C6 spinal<br />
cord injury. In his house, he can propel a manual<br />
wheelchair functionally.<br />
However, on a college campus, he cannot<br />
propel himself fast enough to get to his classes.<br />
He would benefit from a power wheelchair, but<br />
because the manual wheelchair works in his<br />
home, he has to rely on friends to push him<br />
between buildings, making him dependent on<br />
others. Once he graduates and looks <strong>for</strong> a job,<br />
he will continue to be limited by his use of a<br />
manual wheelchair unless he’s lucky enough to<br />
find a private insurance company that would<br />
cover a power wheelchair <strong>for</strong> him.<br />
[mobIlItY]<br />
HR 4378 changes the rules <strong>for</strong> these individuals.<br />
It treats people who need this type of<br />
specialized, individualized equipment like they<br />
should be treated. It removes the “in-the-home”<br />
restriction. It establishes a minimum level of<br />
knowledge <strong>for</strong> the equipment suppliers who<br />
provide the products. It will improve people’s<br />
lives and allow them to truly reach their highest<br />
level of function. To get more specifics about the<br />
bill, go to www.access2crt.org.<br />
Empowering Clients<br />
While we as therapists advocate <strong>for</strong> HR 4378<br />
and work to assure that people get appropriate<br />
equipment, we need to be empowering our clients<br />
to do so as well. As therapists, we can help<br />
connect consumers to a nonprofit organization<br />
that can provide the support they need to live<br />
the lives they choose. A consumer organization<br />
can provide them with the ability to voice their<br />
concerns and challenges to policy-makers.<br />
One organization that can be specifically<br />
helpful with issues affecting people who use<br />
rolling continued on page 28<br />
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23
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crossing continued from page 12<br />
Teamwork. Form a team to evaluate different EMR systems and report<br />
back to the final decision makers.<br />
Specialization. Choose a documentation system specifically designed<br />
<strong>for</strong> physical therapy practices.<br />
Privacy and security. To maintain HIPAA compliance, therapists must<br />
ensure their EMR meets stringent requirements to safeguard personal<br />
health in<strong>for</strong>mation. Practice owners that fail to do so will find themselves<br />
faced with costly fines, along with civil and criminal penalties, not to<br />
mention endangerment of their own licensure status.<br />
Customization. <strong>Physical</strong> therapy practices have unique needs and an<br />
EMR should allow clinicians to create custom documents and templates.<br />
Web-based. Select a web-based system that stores in<strong>for</strong>mation in the<br />
cloud to eliminate the dangers of natural disasters and identify theft.<br />
Workflow integration. Choose an EMR that integrates any existing<br />
office software and offers the ability <strong>for</strong> the clinic to migrate/upgrade<br />
from outdated systems that are no longer wanted or needed.<br />
Portability. iPad compatibility is essential <strong>for</strong> portability throughout<br />
the office, at home and other venues where your clinic offers services.<br />
Electronic billing. An EMR equipped with electronic billing reduces<br />
the turnaround time on reimbursement claims and allows <strong>for</strong> the quick<br />
submission of documentation and resolution of denials.<br />
Communication. Interacting with clients can be automated to deliver<br />
appointment and billing reminders. Communications can be sent via<br />
email, phone, and text and voice messaging.<br />
Patient portal. Clients can schedule an appointment, view test results,<br />
complete health histories and provide insurance in<strong>for</strong>mation with a<br />
patient portal. Therapists can easily verify insurer in<strong>for</strong>mation and contact<br />
patients if there’s a problem.<br />
Interconnectivity. Tests, X-rays and lab work from outside facilities can<br />
all be ordered from the office with an EMR. Therapists should ensure their<br />
EMR is compatible with other facilities in the area. Results can easily be<br />
returned to the office electronically and posted through a patient portal<br />
where clients can view them.<br />
Import capabilities. EMRs are designed to eliminate paper files, but the<br />
in<strong>for</strong>mation contained within existing documents must find its way into<br />
the documentation software. It’s essential that the EMR offer the ability to<br />
import notes, documents and test results <strong>for</strong> a complete electronic solution.<br />
Online training. Staff must be trained in the use of an EMR, but training<br />
provided by vendors often results in an overload <strong>for</strong> staff. Online training<br />
can be accessed multiple times and whenever it’s needed to reduce<br />
the learning curve and assist staff in retaining more in<strong>for</strong>mation. The<br />
best type of support makes staff independent and gives them the tools to<br />
answer their own questions, instead of having to rely on the EMR vendor.<br />
The implementation an electronic medical record can be an intimidating<br />
process, but with the right planning, it can prove to be the right decision<br />
to improve clinical efficiency and patient outcomes at your practice. n<br />
Nitin Chhoda is a physical therapy business consultant, speaker and author.<br />
Download his free e-book “<strong>Physical</strong> <strong>Therapy</strong> Marketing <strong>for</strong> the New Economy”<br />
at www.physicaltherapywebsite.com<br />
www.advanceweb.com/pt<br />
For more in<strong>for</strong>mation on business & practice<br />
management, see our specialty resource centers<br />
at www.advanceweb.com/PTBusiness
SoUtH CArolINA toUrISm<br />
A Bright Horizon<br />
Therapists in the South<br />
region welcome growth<br />
and foster opportunity<br />
By sarah long<br />
one of the aspects of practicing<br />
physical therapy in Tennessee that<br />
Kim Contryman, PT, DPT, NCS,<br />
OCS, finds most rewarding is the<br />
state seems to be really growing and open to<br />
<strong>new</strong> ideas.<br />
“Many people are coming from all over<br />
the country bringing in <strong>new</strong> perspectives and<br />
ideas, which is great <strong>for</strong> our clients,” said Dr.<br />
Contryman, of Blue Ridge <strong>Physical</strong> <strong>Therapy</strong><br />
Inc., in Johnson City, TN. “Physicians are very<br />
open to my calling them to get in<strong>for</strong>mation<br />
from them or give them my professional opinion<br />
about what’s going on with a patient. This<br />
is really nice and doesn’t happen in a lot of<br />
places.”<br />
This sentiment is echoed by many of Dr.<br />
Contryman’s fellow PTs in the South Region,<br />
including Alabama, Arkansas, Florida, Georgia,<br />
North Carolina, South Carolina, Oklahoma,<br />
Tennessee, Mississippi, Louisiana and<br />
Texas.<br />
Take South Carolina <strong>for</strong> example—a<br />
relatively small state when assessing the<br />
geographic size and relative number<br />
of PTs and PTAs licensed and<br />
actively participating in the professional<br />
association. However, there<br />
are several opportunities <strong>for</strong> professional<br />
growth and development<br />
that are accessible and meaningful,<br />
said Gretchen A. Seif, PT, DPT, OCS,<br />
FAAOMPT, assistant professor and<br />
assistant ACCE at The Medical University<br />
of South Carolina, Division of<br />
<strong>Physical</strong> <strong>Therapy</strong>, in Charleston.<br />
South Carolina physical therapists<br />
and assistants have been and continue<br />
to be active in legislative and<br />
advocacy opportunities that can, and often<br />
do, impact the profession well beyond state<br />
lines, Dr. Seif said.<br />
“Current and past SCAPTA leadership<br />
have done an amazing job with mentoring<br />
others in the legislative process to influence<br />
and protect the profession,” she said. “I have<br />
personally seen and felt this impact as well<br />
as been able to participate in the process and<br />
make a difference.”<br />
Additionally, South Carolina has been <strong>for</strong>tunate<br />
to have influential national association<br />
(APTA) leaders, who have continued to push<br />
the level of involvement and professional<br />
growth within the state, Dr. Seif said.<br />
“These individuals have helped to shape<br />
my professional career and mentor me<br />
through various leadership positions within<br />
the profession and our association,” she<br />
added. “And best of all, because we are a<br />
relatively small, tight-knit state, opportunities<br />
<strong>for</strong> leadership and professional growth<br />
abound. All you have to do is ask.”<br />
Opportunities <strong>for</strong> networking in South<br />
Carolina can be found in continuing education<br />
via the state PT association and through<br />
independent companies that frequently<br />
host “mixers” to make therapists in the area<br />
aware of employment opportunities, said<br />
Tauna Eaddy, PT, DPT, secretary of the South<br />
[ADVANCe extrA!]<br />
south Region<br />
Carolina Chapter of the American <strong>Physical</strong><br />
<strong>Therapy</strong> Association.<br />
Many of the CEU opportunities offered are<br />
at a reduced rate if you are a member of the<br />
state association. The state is divided into several<br />
different districts via the state association<br />
and each of these districts also holds meetings<br />
and CEU opportunities throughout the year.<br />
The South Carolina Chapter also hosts a statewide<br />
annual conference, which offers opportunities<br />
<strong>for</strong> clinicians across the state to gather<br />
<strong>for</strong> networking and CEU opportunities.<br />
“I love that there are many professional<br />
opportunities within the state to work in a<br />
variety of different clinical settings and patient<br />
populations,” Dr. Eaddy said. “There are also<br />
many opportunities to volunteer your services<br />
and many passionate therapists to collaborate<br />
with.”<br />
Because there are many rural areas within<br />
South Carolina, therapists are able to easily<br />
find full-time, part-time, travel or PRN<br />
employment in diverse settings.<br />
“I frequently receive at least one to two<br />
mailers weekly about employment opportunities<br />
in my area. Many companies offer<br />
assistance with student-loan repayment or<br />
sign-on bonuses and the salary range is very<br />
fair in comparison to the cost of living here in<br />
South Carolina,” she said.<br />
Thanks to the desirable recreational<br />
locations, hotels and transportation in the<br />
Orlando, FL, area, continuing education<br />
courses abound there, said Dwight A. Salkey,<br />
PT, MS, CEAS, president/CEO of Work-Fit<br />
Solutions in Orlando.<br />
“Jobs are available but primarily in skilled<br />
nursing facilities and home health from what<br />
I have observed; also some in jobs in pediatrics,”<br />
he said.<br />
Like its neighbors, North Carolina is home<br />
to an active PT association with chapters<br />
throughout the state. Debbie J. Craig, PT, DPT,<br />
director at PT Pros Burke in Morganton, NC,<br />
co-chairs a <strong>new</strong> chapter that was carved out<br />
of a larger chapter.<br />
“We found that areas in the mountains<br />
were not having access to meetings due to<br />
the distance; 30 miles in the mountains could<br />
take two hours vs. 30 miles at the beach,” Dr.<br />
Coming in November: Focus on the Western Region. Don’t Miss It!<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
25
[ADVANCe extrA!]<br />
south Region<br />
At A glance<br />
salary In<strong>for</strong>mation in the south Region<br />
Craig said. “So far this has not resulted in the<br />
participation that we had hoped <strong>for</strong> but we<br />
are scheduling meetings in all corners of the<br />
district to encourage better participation. This<br />
shows a commitment on the part of our state<br />
association in trying to increase membership<br />
and participation.”<br />
The association has redesigned the NCPTA<br />
website to improve ability to access in<strong>for</strong>mation<br />
and boost networking.<br />
Since the introduction of required CEUs<br />
several years ago, the availability of in-state<br />
education programs has grown significantly,<br />
Dr. Craig said. “We are having major providers<br />
of courses scheduling in some of the<br />
larger metropolitan areas such as Charlotte<br />
and Raleigh more regularly.”<br />
Other benefits <strong>for</strong> PTs in North Carolina are<br />
direct access with good insurance support in<br />
that most carriers comply with this ruling and<br />
don’t require doctor’s prescriptions.<br />
Jobs are available <strong>for</strong> PTs in most settings in<br />
most areas of North Carolina, Dr. Craig said.<br />
“There are fewer jobs available <strong>for</strong> PTAs,<br />
with most <strong>new</strong> grads finding themselves in<br />
skilled nursing facilities or working two parttime<br />
jobs,” she said. “The biggest issue is a<br />
decline in patient load, resulting in PTs and<br />
PTAs being sent home when there isn’t an<br />
adequate workload to sustain their position<br />
<strong>for</strong> that day.”<br />
Alabama Arkansas Florida Georgia Louisiana Mississippi<br />
Employed PTs 1,910 1,500 12,020 3,990 2,190 1,670<br />
Employed PTAs 1,620 670 4,110 1,470 890 590<br />
Employed PT Aides 600 240 1,940 880 1,230 310<br />
PT Average salary $80,180 $78,960 $82,050 $77,680 $79,800 $78,210<br />
PTA Average salary $50,410 $49,270 $56,740 $48,960 $45,670 $42,750<br />
PTA Aide salary $23,070 $23,900 $24,380 $21,890 $22,290 $23,600<br />
North Carolina Oklahoma South Carolina Tennessee Texas<br />
Employed PTs 4,790 2,030 2,650 4,410 11,880<br />
Employed PTAs 1,970 1,180 990 2,280 4,760<br />
Employed PT Aides 770 640 580 1,010 4,880<br />
PT Average salary $76,220 $77,870 $74,480 $78,060 $90,500<br />
PTA Average salary $52,200 $47,260 $49,120 $51,570 $66,170<br />
PTA Aide salary $24,540 $23,210 $24,910 $22,090 $22,090<br />
Salary in<strong>for</strong>mation provided by the U.S. Department of Labor, www.bls.gov. State licensing agencies can be found at www.fsbpt.org/licensing/index.asp<br />
26 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
South Carolina’s job market is very diverse,<br />
with the state’s geography yielding many<br />
opportunities in rural settings where PTs<br />
and PTAs can make significant differences<br />
in people’s lives, along with urban areas with<br />
award-winning hospital systems and successful<br />
private practices, Dr. Seif said.<br />
“We have successful PTs and PTAs working<br />
in all practice settings and with all patient<br />
populations with a variety of employment<br />
opportunities across the state,” she said.<br />
In Tennessee, available work settings<br />
include outpatient private practice, orthopedic<br />
clinics, rehabilitation hospitals, home<br />
health agencies, nursing homes, universities<br />
and colleges.<br />
“I get updates on job openings on a weekly<br />
basis, so it seems that there are quite a few jobs<br />
available,” Dr. Contryman said.<br />
Every spring and fall, the Tennessee<br />
<strong>Physical</strong> <strong>Therapy</strong> Association hosts events<br />
composed of business meetings, continuing<br />
education courses, and honors and awards<br />
ceremonies. Continuing education also can<br />
be completed through many different online<br />
courses, Dr. Contryman said. “Some states<br />
don’t have this, but <strong>for</strong> instance, ethics and<br />
jurisprudence courses are required and can<br />
be done online.”<br />
South Carolina requires a total of 3.0 CEUs<br />
(30 contact hours) every two years, which has<br />
led to the development of several opportunities<br />
<strong>for</strong> continuing education across the state,<br />
according to Dr. Seif. Courses offered range<br />
across nearly all areas of practice and are presented<br />
by a variety of private and public companies,<br />
as well as the South Carolina Chapter<br />
of the APTA.<br />
South Carolina’s two DPT education programs—Medical<br />
University of South Carolina<br />
and the University of South Carolina—each<br />
offers various CEU courses <strong>for</strong> both PTs and<br />
PTAs. In addition, the Carolina Consortium<br />
of Clinical Education sponsors and hosts continuing<br />
education in either North Carolina or<br />
South Carolina.<br />
South Carolina, via SCAPTA, has multiple<br />
opportunities <strong>for</strong> professional networking,<br />
including but not limited to the annual conference,<br />
district meetings and a variety of<br />
electronic communication tools.<br />
“There is not currently a <strong>for</strong>mal networking<br />
structure but attempts are being made to<br />
improve the mentoring and development of<br />
members and professionals across the state,”<br />
Dr. Seif said.<br />
Trudy Messer, PT, OCS, supervisor at St.<br />
Francis <strong>Physical</strong> <strong>Therapy</strong> @ Sportsclub in<br />
Greenville, SC, works in a hospital setting<br />
and schedules and hosts two to four CEU<br />
opportunities at her job site every year <strong>for</strong> all<br />
of the hospital therapists.
“On a weekly basis, I receive multiple<br />
online and marketing materials on courses<br />
being held within the area... no problem finding<br />
a course to go to at any time,” she said.<br />
Having two PT programs at University of<br />
South Carolina and the Medical University<br />
of South Carolina provides “<strong>new</strong> blood” in<br />
the profession. “Students are aplenty and<br />
I love teaching so that makes me happy,”<br />
Messer said. “I think we have an incredibly<br />
strong state association and as a member of<br />
that board, I think we do an excellent job<br />
bringing our profession together.”<br />
[ADVANCe extrA!]<br />
south Region<br />
Based on the advertisements Messer<br />
receives, she believes there is more job availability<br />
in subacute rehab facilities. But with<br />
two large hospitals and countless private<br />
practice clinics in the area, PTs should not<br />
have difficulty finding a job.<br />
“I probably get literally 10 to 15 job advertisements<br />
in the mail a week,” she said.<br />
“Locally, the market is definitely not tight.<br />
I think there is always room <strong>for</strong> a change <strong>for</strong><br />
anyone if they wanted to.” n<br />
Sarah Long is a freelance writer.<br />
Advertiser Index<br />
Advance your career in the South region with these facilities. look to these employers <strong>for</strong> a great<br />
<strong>new</strong> job in the South region!<br />
our special South region section, starting on page 25, details what it is like to live and work in the<br />
South region—and these highlighted employers want you to know about their exciting job openings.<br />
If you're looking <strong>for</strong> a job in the South region, think of these facilites first. And, remember,<br />
when you respond to an ad in <strong>ADVANCE</strong>, you are helping to keep <strong>ADVANCE</strong> coming Free to physical<br />
Therapists and PT Assistants all over the nation. Our magazine is Free because of the support of<br />
these and other advertisers. Happy job hunting!<br />
Advertiser/State URL Page #<br />
NATIONAL<br />
Aureus Medical Group www.aureusmedical.com 49<br />
Concentra 48<br />
EBS Healthcare www.ebshealthcare.com 49<br />
Five Star Quality Care, Inc 49<br />
Innovative Senior Care 49<br />
Sterling Medical Corporation 46<br />
SunDance <strong>Rehab</strong>ilitation www.SunDance<strong>Rehab</strong>.com 50<br />
Tara <strong>Therapy</strong><br />
ALAbAmA<br />
taratherapy.com 50<br />
Cross Country TravCorps<br />
ArkANsAs<br />
www.crosscountrytravcorps.com FIC<br />
Johnson Regional Medical Ctr<br />
FLOrIdA<br />
46<br />
Bethesda Healthcare System www.bethesdaweb.com 44<br />
Hohman <strong>Rehab</strong> and Sports <strong>Therapy</strong> 45<br />
Jessica M. Booth, CCC-SLP and Assoc.L 45<br />
Lehigh Regional Medical Center<br />
GeOrGIA<br />
45<br />
Archbold Medical Center<br />
NOrTh CArOLINA<br />
www.archbold.org 45<br />
Carolina <strong>Therapy</strong> Services 44<br />
First Health of the Carolinas<br />
sOuTh CArOLINA<br />
44<br />
Pediatrics Unlimited Inc. 44<br />
Interim Healthcare 44<br />
TeNNessee<br />
Mountain States Health Alliance 45<br />
TexAs<br />
Region 10 ESC 46<br />
[ClASSIFIeD mArketplACe]<br />
Intervertebral Discs and Other<br />
Mechanical Disorders<br />
of the Lumbar Spine<br />
Evidence-Based Conservative<br />
Management and Treatment<br />
Dr. C.K. Fernando | Dr. Arthur Nelson<br />
Dr. Elmer Pinzon,<br />
MD, Spine Specialist,<br />
says, “It is a refreshing<br />
look at the current<br />
theories and<br />
management of<br />
of these common<br />
problems in spinerelated<br />
medicine and<br />
will be useful to<br />
physical therapists<br />
and physicians<br />
treating low back<br />
pain patients.”<br />
Available <strong>for</strong> purchase on<br />
Amazon.com and at Barnes & Noble<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 />
BUSINESS OPPORTUNITY<br />
Rent/Share/Buy<br />
<strong>Physical</strong> <strong>Therapy</strong> Practice<br />
SOHO, Manhattan, NYC<br />
• Seeking junior partner, but would be<br />
willing to sell immediately or share space<br />
• Sky lit loft with city scape views<br />
• 1,750 square feet with private treatment<br />
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• Space has gyrotonic, pilates, aerobic,<br />
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Call: 212-343-1500 or<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
[mobIlItY]<br />
rolling continued from page 23<br />
wheelchairs is Users First, a program of the<br />
United Spinal Association (www.usersfirst.org).<br />
It’s a non-profit organization whose mission is<br />
to empower and amplify the voice of consumers<br />
with disabilities and maximize their independence<br />
in the community. It’s free to join (<strong>for</strong><br />
therapists too) and they have a number of ways<br />
<strong>for</strong> people to get involved or to get assistance.<br />
One resource created by Users First is The<br />
Mobility Map (www.usersfirst.org/resources/<br />
mobilitymap/). It details the proper process<br />
that should be followed to get a wheelchair<br />
and is helpful <strong>for</strong> consumers and therapists.<br />
It describes everything that should occur to<br />
assure that a client receives the correct equipment,<br />
including providing links to websites to<br />
assist in finding properly certified equipment<br />
suppliers. It also recommends finding a therapist<br />
who is knowledgeable in wheelchairs to<br />
assure proper equipment provision.<br />
The Users First website also provides a <strong>for</strong>um<br />
to ask questions and provide in<strong>for</strong>mation about<br />
previous wheelchair acquisitions, both good<br />
and bad. Additionally, as it’s important that<br />
everyone be heard, Users First works with their<br />
[SEATING AND PRESSuRE MAPPING]<br />
seating continued from page 19<br />
The schematic diagram is keyed to a color<br />
gradient scale that represents the pressure values.<br />
Darker colors represent areas of lower pressure,<br />
lighter colors signify higher pressures, and<br />
red designates area of highest pressures where<br />
pressure ulcer risk is the greatest.<br />
Pressure mapping, together with an in-depth<br />
assessment, helps identify Blythedale children<br />
at risk <strong>for</strong> skin breakdown. “We <strong>for</strong>malized<br />
an interdisciplinary plan of care where those<br />
at risk get an immediate evaluation from the<br />
physiatrist <strong>for</strong> pressure mapping so we can<br />
tailor a pressure ulcer prevention plan <strong>for</strong> each<br />
child,” Andriola said.<br />
Pressure mapping serves as a rich source of<br />
in<strong>for</strong>mation to prevent pressure ulcers; if the<br />
pressures are too high, the patient’s position<br />
can be adjusted and special mattresses or cushions<br />
ordered to reduce the pressures to a more<br />
acceptable range.<br />
Karen Conti, PT, MA, ATP, uses pressure<br />
maps as part of an evaluation to select an appropriate<br />
wheelchair cushion <strong>for</strong> a child.<br />
“She will see a schematic of the buttocks with<br />
28 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
parent organization to create opportunities <strong>for</strong><br />
consumers to talk to their legislators. The most<br />
important voice <strong>for</strong> our legislators to hear is<br />
that of consumers, since they are the ones most<br />
affected by any changes in healthcare. Their<br />
voice can be very powerful and effect changes<br />
that we as therapists cannot.<br />
After having difficulty obtaining his current<br />
wheelchair, Jason was encouraged to join Users<br />
First by his therapists when they referred him<br />
to a wheelchair clinic. Between Users First, the<br />
wheelchair clinic therapist and his equipment<br />
supplier, Jason was able to obtain the correct<br />
and properly adjusted wheelchair. He was so<br />
empowered by his own accomplishment that he<br />
wanted to help others. Jason attended the first<br />
Roll On Capitol Hill, sponsored by Users First<br />
and the United Spinal Association. He learned<br />
about many of the issues affecting people with<br />
disabilities and then had an opportunity to meet<br />
with his local congressman.<br />
During the meeting, he explained his use<br />
of a wheelchair and why the type of wheelchair<br />
made such a difference <strong>for</strong> him. Once<br />
he understood the importance of the issue to<br />
his constituents, his congressman and his staff<br />
different color intensities indicating pressure<br />
over various bony prominences,” said chief<br />
nursing officer Hurwitz. “She and others in<br />
the therapy department can then try different<br />
cushions to disperse that pressure.”<br />
Pressure mapping is a valuable resource <strong>for</strong><br />
patients and caregivers, giving them a clear<br />
visual of where pressure is high over bony<br />
prominences, or why a specific seat cushion is<br />
necessary.<br />
At Blythedale, pressure mapping is used to<br />
compare seat cushions, mattresses and wheelchairs;<br />
train patients and caregivers about the<br />
effects of pressure on skin integrity; decrease<br />
length of stay; and document outcomes <strong>for</strong><br />
insurance companies.<br />
“When we’re getting a child ready to go home,<br />
members of the team will do some more pressure<br />
mapping that allows us to select the proper<br />
mattress <strong>for</strong> home use, as well as any other seating<br />
options,” Andriola said. Nursing leaders<br />
continue to monitor compliance with the pressure<br />
ulcer prevention protocol, and are gratified<br />
to find risk assessments done 100 percent<br />
of the time.<br />
further researched the issues and he decided<br />
to support HR 4378.<br />
Making a Difference<br />
By assisting Jason, the therapist created an advocate<br />
who got through to his elected representative.<br />
If the bill finally passes and it’s easier <strong>for</strong><br />
Jason and others to get the right equipment in<br />
the future, then yes, one therapist made a difference—not<br />
only <strong>for</strong> one client but also <strong>for</strong> all<br />
people who use wheelchairs.<br />
The way therapists provide treatment, the<br />
treatments offered and expected results are constantly<br />
evolving. Therapists need to ensure they<br />
are serving their clients and maximizing their<br />
functional abilities. n<br />
Lauren Rosen is a physical therapist and seating and<br />
mobility specialist at St. Joseph’s Children’s Hospital<br />
in Tampa, FL. She is program coordinator <strong>for</strong> the<br />
Motion Analysis Center, a three-dimensional motion<br />
analysis lab where she runs a pediatric and adult seating<br />
and positioning clinic. Rosen has been active in<br />
DME prescription <strong>for</strong> the past 17 years. She is on the<br />
board of directors of the <strong>Rehab</strong>ilitation Engineering<br />
and Assistive Technology Society of North America.<br />
Documentation and Follow-through<br />
Solid education about pressure ulcer documentation<br />
and consistent follow through have made<br />
a difference.<br />
“We use the tutorial <strong>for</strong> staging and describing<br />
pressure ulcers developed by the National<br />
Pressure Ulcer Advisory Panel to ensure all of<br />
our nurses and clinicians from other disciplines<br />
consistently describe a child’s decubitus,” said<br />
Hurwitz. “If you not have taken the tutorial,<br />
you are not allowed to stage a pressure ulcer.”<br />
“Documentation is an issue of reminding people<br />
consistently [and of] deciding on a number<br />
of <strong>for</strong>ms and triggers that help rather than hinder<br />
nursing practice,” Andriola said.<br />
“If you have a paper medical record with<br />
pages <strong>for</strong> narratives and only a few boxes to<br />
check, your documentation won’t be as complete<br />
as a special <strong>for</strong>m with all the triggers in<br />
one place,” Hurwitz said. “An EMR is even<br />
more advantageous, with its pop-up screens<br />
containing every dimension of documentation<br />
<strong>for</strong> pressure ulcers.” n<br />
Sandy Keefe is a frequent contributor to <strong>ADVANCE</strong>.
EDUCATION OPPORTUNITIES<br />
DISTANCE EDUCATION<br />
DISTANCE EDUCATION<br />
Become Your Own Boss:<br />
Starting an In-Home <strong>Therapy</strong> Practice<br />
Reap the personal and financial benefits of working <strong>for</strong><br />
yourself! This online seminar will teach you the ins and outs<br />
of how to successfully start and operate an in-home therapy<br />
practice under Medicare Part B. Therapists will learn about<br />
the start-up process, business structures, Medicare Part B<br />
requirements and regulations, proper documentation and billing,<br />
and marketing and practice expansion. Participants can<br />
access the seminar through our website. Contact: In-Home<br />
<strong>Therapy</strong> Services, LLC, 800-931-5769; www.inhometherapy<br />
services.com <strong>for</strong> more in<strong>for</strong>mation and to register online.<br />
DISTANCE EDUCATION ONLINE<br />
Being a Better PT<br />
Made Easy Not Boring<br />
Learn and earn 5 hours of continuing education credit from<br />
each of our many exciting, interactive and extremely clinical<br />
online courses: Gait and Balance, Knee Osteoarthritis, Seating<br />
and Mobility, Lumbar Spinal Stenosis, Wiihabilitation, Aging<br />
Foot, Vestibular, Home Health, and Research to Practice. 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. Visit our<br />
website watch 2 minute relevant research videos on the most<br />
current studies impacting your practice - <strong>for</strong> free. Contact:<br />
www.Greatseminarsonline.com<br />
ON-SITE SEMINARS<br />
SEPT. 21-22, 2012 LOVELAND, CO<br />
OCT. 26-27, 2012 DOYLESTOWN, PA<br />
MARCH 16-17, 2013 DETROIT, MI<br />
Management of the<br />
Medically Complex Acute Patient<br />
This course is designed to enhance the clinical decisionmaking<br />
skills of participants <strong>for</strong> early mobilization and safe,<br />
effective treatment of acutely ill patients. As more patients<br />
survive critical illnesses, intervention must complement the<br />
highly technologic, life-saving medical therapies, regardless<br />
of practice setting. Discussion of lines, physiologic monitors,<br />
lab values, and diagnostic test results will focus on implications<br />
<strong>for</strong> treatment. This course will highlight a multisystem<br />
approach to the acutely ill patient. Participants will integrate<br />
examination findings into individualized care plans that can<br />
be implemented from ICU and across acute care and postacute<br />
practice settings. Instructor: Daniel Malone. Contact:<br />
Education Resources, Inc., 508-359-6533; 800-487-6530<br />
(outside MA); www.educationresourcesinc.com<br />
SEPT. 21-23, 2012 INDEPENDENCE, MO<br />
OCT. 19-21, 2012 WILKES-BARRE TOWNSHIP, PA<br />
NOV. 16-18, 2012 SPOKANE, WA<br />
Vestibular <strong>Rehab</strong>ilitation<br />
This evidence-based lab course will train clinicians in the<br />
practical management of dizziness. It will include instruction<br />
in anatomy and physiology, pathology, medical management,<br />
laboratory testing, per<strong>for</strong>mance of a detailed bedside/<br />
office examination and treatment recommendations. The<br />
application of VRT to a variety of practice settings (outpatient,<br />
acute care, SNF, ER) will be discussed. An emphasis will be<br />
placed on the management of unilateral, bilateral and central<br />
vestibular dysfunction and BPPV variants. There is the option<br />
of a third day of Advanced studies. Instructor: Jeffrey Walter.<br />
Contact: Education Resources, Inc., 508-359-6533; 800-<br />
487-6530 (outside MA); www.educationresourcesinc.com<br />
SEPT. 21-23, 2012 JACKSONVILLE, FL<br />
NOV. 2-4, 2012 STATEN ISLAND, NY<br />
Stable to the Core: Low<br />
Back & Cervical/Thoracic Patient<br />
A theory and exercise seminar <strong>for</strong> health care professionals<br />
who seek to functionally and dynamically treat low back<br />
patients and cervical spine with core stabilization. Core<br />
Stabilization is a nationally recognized clinical method of<br />
restoring function to the spine patient. Drawing on up to<br />
date evidence based treatment involving dynamic training,<br />
participants will combine techniques of PNF, NDT and exercise<br />
physiology to take core stabilization to its highest level:<br />
using it in patient function, hobbies, sports, ADL’s and work.<br />
Instructor: Beverly Biondi. Contact: Education Resources,<br />
Inc., 508-359-6533; 800-487-6530 (outside MA); www.<br />
educationresourcesinc.com<br />
SEPT. 21-24, 2012 DETROIT, MI<br />
OCT. 4-7, 2012 RICHMOND, VA<br />
OCT. 11-14, 2012 CHICAGO, IL<br />
Intro to NDT Part I<br />
Improving Gait Faster Part II<br />
Achieve functional outcomes <strong>for</strong> adults with hemiplegia.<br />
Content includes the principles of NDT, facilitation of sitto-stand,<br />
use of the LE in functional activities, transfers, UE<br />
weight bearing remediation of pain and subluxation of the<br />
hemiplegic shoulder. Bed mobility will be demonstrated.<br />
Treatment ideas and a framework to document goals based<br />
on functional outcomes using NDT will be provided. Get to<br />
results faster when improving gait. Increased clinical reasoning<br />
will enable you to know what to expect and what to<br />
predict. You will be able to assess the cause of the problem<br />
and have more immediate influence. You will have a better<br />
understanding of the normal components of gait and then<br />
understand why your patient with hemiplegia has tendencies<br />
in gait. You will practice with “hands-on” how to increase<br />
ROM of the hip and foot. Concepts <strong>for</strong> use of self-exercise<br />
program and use of orthotics will be discussed. Additional<br />
treatment ideas related to gait and more examples of<br />
documentation will be provided. Both parts include videotapes,<br />
“hands-on” experience and patient demonstrations.<br />
Cathy Runyan, OTR, & Peggy Miller, PT, NDTA Inc. Certified<br />
Instructors. Audience: PTs, PTAs, OTs, COTAs. Contact hours:<br />
30. Contact: Recovering Function, 408-268-3691; or www.<br />
RecoveringFunction.com <strong>for</strong> complete brochure of introductory,<br />
advanced, and certification courses as well as in<strong>for</strong>mation<br />
about additional course dates/locations, group rates, &<br />
free registrations when hosting courses at your facility.<br />
SEPT. 22-23, 2012 LONG ISLAND, NY<br />
OCT. 13-14, 2012 KING OF PRUSSIA, PA<br />
Clinical Analysis of<br />
24 Adult Foot Types<br />
This program offers a comprehensive approach to determining<br />
orthotic intervention that combines traditional with<br />
contemporary theory to provide a more holistic approach<br />
to managing gait disorders. Lab time is devoted to teaching<br />
functional assessment of 24 congenital foot types through<br />
postural assessment and gait analysis. Clinical evidence<br />
shows that there are four key features that influence how feet<br />
work, and various combinations of these features can produce<br />
foot, limb or back pain. Learn a systematic approach to<br />
successful management of symptoms utilizing pre-fabricated<br />
orthotic solutions; and, alternatively how to determine if a<br />
custom orthoses is necessary. Contact: 877-792-4669; edu<br />
cation@strideorthotics.com or www.strideorthotics.com<br />
SEPT. 28-29, 2012 STATEN ISLAND, NY<br />
OCT. 26-27, 2012 NEW BERN, NC<br />
FEB. 9-10, 2013 IOWA CITY, IA<br />
Geriatric Neurology in the<br />
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. 28-30, 2012 SHREVEPORT, LA<br />
OCT. 12-14, 2012 PORTLAND, OR<br />
NOV. 2-4, 2012 FAIRFAX, VA<br />
Vestibular <strong>Rehab</strong>ilitation<br />
This course will focus on the assessment of patient w/vertigo<br />
& disequilibrium from vestibular causes. Material covered<br />
includes the neuroanatomy & neurophysiology of normal<br />
vestibular system, the various pathological conditions that<br />
result in vertigo or disturbances balance & the compensatory<br />
mechanisms available <strong>for</strong> recovery. Specific emphasis<br />
on assessment & Tx of unilateral & bilateral vertigo, central<br />
vestibular disorders & multisensory dizziness. This info<br />
applicable to geriatric patients as well as individuals w/CNS<br />
lesions such as multiple sclerosis, CVA & head injury. 3rd day<br />
of course is optional. Instructor: Richard Clendaniel. Contact:<br />
Education Resources, Inc., 508-359-6533; 800-487-6530<br />
(outside MA); www.educationresourcesinc.com<br />
SEPT. 29-OCT. 2, 2012 BATON ROUGE, LA<br />
OCT. 27-30, 2012 PALM BEACH GARDENS, FL<br />
DEC. 1-4, 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 />
RENEW YOUR FREE SUBSCRIPTION TODAY<br />
CALL 800.355.1088<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
29
EDUCATION OPPORTUNITIES<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 two-day course is designed <strong>for</strong> experienced pediatric<br />
PTs and OTs who are interested in improving their problem-solving<br />
skills in order to achieve more efficient functional<br />
outcomes <strong>for</strong> children with Neuro-Motor disorders<br />
such as Cerebral Palsy and Down Syndrome. Emphasizing<br />
a NDT (Neuro-Developmental Treatment) framework, the<br />
course will utilize client videos as a basis <strong>for</strong> problem solving<br />
sessions and handling labs. This one fills fast - register<br />
early! Contact: Care Resources, 888-613-2275; www.<br />
careresourcesinc.com<br />
THE BEST JOB FAIR & CAREER EVENT<br />
WWW.<strong>ADVANCE</strong>WEB.COM/JOBFAIRS<br />
30 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
OCT. 6-7, 2012 HOUSTON, TX<br />
NOV. 3-4, 2012 DALLAS, TX<br />
NOV. 17-18, 2012 CINCINNATI, OH<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 />
group discounts. Contact: JVB Enterprises, Inc., 888-328-<br />
6755 (toll-free); or www.teachtx.com<br />
OCT. 10-12, 2012 WISCONSIN DELLS, WI<br />
Wisconsin <strong>Physical</strong> <strong>Therapy</strong><br />
Association Fall Conference<br />
The Wisconsin <strong>Physical</strong> <strong>Therapy</strong> Association (WPTA) will host<br />
its Fall Conference Oct. 10-12, 2012 at the Kalahari Resort<br />
& Conference Center, Wisconsin Dells. The conference will<br />
feature hands-on labs, lectures, discussions, expert panels<br />
and a professional issues <strong>for</strong>um. Attendees will receive contact<br />
hours qualified as continuing education by the Wisconsin<br />
DSPS <strong>for</strong> courses attended in their entirety. Registration<br />
includes continental breakfasts, morning & afternoon breaks,<br />
luncheons, Welcome Reception, Business Meeting, Exhibit<br />
Hall and conference materials. All classes are held on a firstcome,<br />
first-served basis. Sign up early! Download a registration<br />
<strong>for</strong>m or register online at www.wpta.org. Registration<br />
deadline is Oct. 5. Contact: WPTA, 608-221-9191; or wpta@<br />
wpta.org <strong>for</strong> more in<strong>for</strong>mation.<br />
OCT. 12-13, 2012 BRIDGEPORT, CT<br />
NOV. 2-3, 2012 ARLINGTON, TX<br />
FEB. 9-10, 2013 RICHMOND, VA<br />
Mobilizing the Medically<br />
Complex Acute Care Patient<br />
Therapists are often challenged when presented with complex<br />
acute care patients who may have cardiovascular and/<br />
or pulmonary dysfunction or complications in addition to<br />
other medical conditions. Mobilizing these complex patients<br />
safely requires integration of the implications of lab values,<br />
diagnostic test results, patient history, medications and<br />
equipment. Signs of patient instability and when and how to<br />
modify or terminate treatment will be discussed. Instructor:<br />
Ellen Hillegass, EdD, PT, CCS, FAACVPR. Contact: Education<br />
Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />
www.educationresourcesinc.com<br />
OCT. 12-13, 2012 DENVER, CO<br />
NOV. 7-9, 2012 HONOLULU, HI<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 />
OCT. 12-13, 2012 FRAMINGHAM, MA<br />
DEC. 7-8, 2012 SAN ANTONIO, TX<br />
Driving Neuroplastic<br />
Change in Stroke Survivors<br />
Designed to take the complexity and guesswork out of planning<br />
treatment, this seminar focuses on a <strong>new</strong> perspective<br />
on stroke recovery. Based on principles proven to drive<br />
neuroplastic change in stroke survivors, this seminar will<br />
provide the tools to incorporate leading-edge, researchbased<br />
recovery options. Included will be an in-depth look at a<br />
variety of cutting edge strategies, technologies and treatment<br />
options to aid stroke survivors in reaching the highest level of<br />
potential recovery, such as modified constraint induced therapy,<br />
gaming technologies, and motor imagery techniques,<br />
among others. Instructors: Peter Levine. Contact: Education<br />
Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />
www.educationresourcesinc.com<br />
OCT. 12-20, 2012 SAN ANTONIO, TX<br />
NOV. 9-17, 2012 LANSING, MI<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 />
OCT. 13-14, 2012 ORLANDO, FL<br />
Complete Wound Care<br />
Prevent-Assess-Debride-Treat<br />
The intensive two-day course covers topics ranging from<br />
physiology of wound healing and modalities in wound care to<br />
documentation & risk management. Through a combination<br />
of interesting lecture & extensive hands-on labs (including<br />
compression dressings, Doppler, sharp debridement, ultrasound<br />
& electrical stimulation), this course strives to provide<br />
individualized attention. After years of presentation, when<br />
given a choice of Excellent, Good, Fair, or Poor, over 80%<br />
of attendants rated this course Excellent, all others rated it<br />
Good. Cost: Only $350 <strong>for</strong> 16 hours. Please call <strong>for</strong> group<br />
discounts. Contact: JVB Enterprises, Inc., 888-328-6755<br />
(toll-free); or www.teachtx.com<br />
TO ORDER ARTICLE<br />
REPRINTS FROM <strong>ADVANCE</strong><br />
CALL 800-355-5627
<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 />
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 />
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 />
<strong>Rehab</strong>ilitation of Persons with<br />
Common Medical Pathologies<br />
Dr. Steven Tepper, PhD, PT<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 />
2012<br />
SCHEDULE<br />
Watch a Master Clinician in Action from Start to Finish.<br />
Introducing the Master Clinician Series<br />
from GREAT Seminars Online.<br />
A Master Clinician Tackles the Knee<br />
A Master Clinician Handles the Hip<br />
A Master Clinician Confronts the Medically Complex Patient<br />
A Master Clinician Confronts Stroke<br />
5 Contact Hours<br />
Go to www.greatseminarsonline.com<br />
Acute Care <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 to the Limits<br />
Janene Barber, PT, GTC<br />
Albuquerque, NM . . . .Sept. 22-23, ‘12<br />
New Orleans, LA . . . . . . Nov. 3-4, ‘12<br />
Cancer <strong>Rehab</strong>ilitation<br />
An Evidence Based<br />
Course <strong>for</strong> ALL Clinicians<br />
Nicole Stout, MPT, CLT-LANA<br />
Green Bay, WI . . . . . .Sept. 29-30, ‘12<br />
Nashville, TN . . . . . . . .Oct. 13-14, ‘12<br />
Portland, OR ..........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 />
Put Some Muscle Into Ther Ex<br />
Dr. Wendy Anemaet, PT,<br />
PhD, GCS, CWS, GTC, COS-C<br />
Des Moines, IA . . . . .Sept. 22-23, ‘12<br />
Savannah, GA . . . . . . . . . Oct. 6-7, ‘12<br />
Watch <strong>for</strong> 2013<br />
Courses Next Month!<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 />
Toll<br />
Free 1-877-794-7328<br />
www.greatseminarsandbooks.com<br />
Fax 330-865-6941<br />
Looking <strong>for</strong> GREAT Online courses? Visit us at www.greatseminarsonline.com<br />
All GREAT Courses are 20 Contact Hours. <br />
once you have completed 8 courses. See website <strong>for</strong> details. Visit our website <strong>for</strong> clinical tips<br />
and reference materials such as: The Functional Toolbox I & II, Geriatric Clinical Strategies,<br />
Prevention and Wellness Toolbox. Interested in Hosting a GREAT Seminar? Give us a call.<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
EDUCATION OPPORTUNITIES<br />
31
EDUCATION OPPORTUNITIES<br />
2013 Courses Locations<br />
Astoria, NY<br />
Boca Raton, FL<br />
Dallas/Ft Worth, TX<br />
Houston, TX<br />
Los Angeles, CA<br />
Knoxville, TN<br />
Tampa/Orlando, FL<br />
Toledo, OH<br />
Warwick, RI<br />
CAMT: Certification in<br />
Advanced Manipulative<br />
<strong>Therapy</strong> with<br />
Ines Nakashima, PT, MCMT<br />
CAMT2: Lumbar Spine, Pelvis<br />
and Lower Extremity<br />
October 12-14, 2012<br />
New York, NY<br />
When Everything Else Fails try<br />
Advanced Manipulative<br />
<strong>Therapy</strong><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 />
PT-01: Myofascial Trigger Point and<br />
Propricep ve <strong>Therapy</strong><br />
December 1-2, 2012 – Astoria, NY<br />
January 12-13, 2013– Boca Raron, FL<br />
January 26-27, 2013 – Astoria, NY<br />
January 26-27, 2013 – Knoxville, TN<br />
February 2-3, 2013 – Hoston, TX<br />
February 2-3, 2013– Warwick, RI<br />
February 23-24, 2013 – Toledo, OH<br />
PT-02: Comphrehensive Manual <strong>Therapy</strong><br />
Approach <strong>for</strong> Cervical Spine<br />
October 27-28, 2012 – Astoria, NY<br />
November 10-11, 2012 – Miami, FL<br />
November 10-11, 2012 – San Antonio, TX<br />
February 9-10, 2013 – Astoria, NY<br />
March 2-3, 2013 – Boca Raron, FL<br />
PT-03: Comprehensive Manual <strong>Therapy</strong><br />
Approach <strong>for</strong> Lumbar Spine<br />
November 17-18, 2012 – Astoria, NY<br />
December 1-2, 2012 – Miami, FL<br />
February 23-24, 2013 – Astoria, NY<br />
April 6-7, 2013 – Knoxville, TN<br />
April 13-14, 2013 – Boca Raton, FL<br />
PT-04: Comprehensive Manual <strong>Therapy</strong><br />
Approach <strong>for</strong> Shoulder, Elbow, Hand<br />
September 22-23, 2012 – Los Angeles, CA<br />
October 13-14, 2012 – Astoria, NY<br />
November 3-4, 2012 – Lakeland, FL<br />
December 15-16, 2012 – Astoria, NY<br />
January 12-13, 2013 – Derby, CT<br />
PT-05: Comprehensive Manual <strong>Therapy</strong><br />
Approach <strong>for</strong> Hip, Knee, Foot<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 />
November 3-4, 2012 – Astoria, NY<br />
November 17-18, 2012 - Los Angeles, CA<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 26-27, 2013 – San Pedro, CA<br />
February 2-3, 2013 – Ft. Worth, TX<br />
February 23-24, 2013 – Derby, CT<br />
Your Clinical Success is your Choice...and our Passion!<br />
FOR MORE DATES AND LOCATIONS, VISIT US AT<br />
Your Clinical Success www.HandsOnSeminars.com<br />
is your Choice... and our Passion!<br />
FOR MORE DATES or Call AND 1-888-767-5003<br />
LOCATIONS, VISIT US AT<br />
PTPN Preferred Vendor AOTA Approved Provider<br />
32 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
MCMT: Mastery Certification in Manual <strong>Therapy</strong><br />
<br />
<br />
www.neumann.edu<br />
<br />
<br />
OCT. 13-14, 2012 URBANA, IL<br />
OCT. 13-14, 2012 SAN FRANCISCO, CA<br />
DEC. 1-2, 2012 TAMPA, FL<br />
KinesioTaping® - KT1/KT2<br />
More dates and locations, and Kinesiotaping KT3 courses<br />
listed online. KTA approved seminars. Learn the fundamental<br />
and advanced concepts, corrective techniques of<br />
the KinesioTaping Method, and the unique properties and<br />
use of KinesioTex Tape. Lab sessions provide ample time<br />
to practice kinesiotaping skills <strong>for</strong> upper and lower body<br />
applications. Contact: <strong>Rehab</strong> Education, LLC, 845-368-2458;<br />
info@<strong>Rehab</strong>Ed.com or www.<strong>Rehab</strong>Ed.com <strong>for</strong> details and<br />
registration.<br />
OCT. 13-14, 2012 BOSTON, MA<br />
NOV. 10-11, 2012 LOS ANGELES, CA<br />
DEC. 8-9, 2012 MIAMI, FL<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 />
OCT. 14, 2012 DENVER, CO<br />
Advanced Billing, Coding,<br />
Collections and Audit-Proofing<br />
There are more requests <strong>for</strong> refund, denials, audits, and<br />
reimbursement issues than ever be<strong>for</strong>e in the history of our<br />
profession. Also, are your therapists billing only 3 units while<br />
spending over an hour with patients? Is your documentation<br />
making you vulnerable? This course will help solve many<br />
of the problems confronted by most PT/OT practices today.<br />
Get the secrets to quicker payment, better reimbursement,<br />
appealing denials, audit-proofing, and more. TESTIMONIALS:<br />
“This is the best course I’ve ever attended on billing, and<br />
I’ve attended over 100. Take it!” 100% No-Risk Guarantee.<br />
Contact: 800-801-4511; or www.IndeFree.com<br />
OCT. 19-20, 2012 ROCHESTER, NY<br />
New York <strong>Physical</strong> <strong>Therapy</strong><br />
Association Conference<br />
The New York <strong>Physical</strong> <strong>Therapy</strong> Association (NYPTA) will<br />
hold a Conference on October 19-20, 2012 at the Radisson<br />
Rochester Riverside Hotel in Rochester, NY. Would you like to<br />
know about changes that are occurring in the insurance and<br />
payment arenas? A full-day course on Medicare documentation<br />
that will help you correctly file Medicare claims and avoid<br />
errors is just one example of the exemplary programming.<br />
Contact: NYPTA, 518-459-4499; or www.nypta.org <strong>for</strong> more<br />
in<strong>for</strong>mation.<br />
OCT. 19-20, 2012 CEDAR KNOLLS, NJ<br />
OCT. 26-27, 2012 JOHNSON CITY, NY<br />
OCT. 25-26, 2013 WATERTOWN, MA<br />
Pediatric NDT:<br />
Treatment Intensive<br />
A unique clinical problem solving approach, addressing the<br />
single and multi system impairments of different motor/sensory<br />
diagnosis. The course will address motor impairments<br />
and treatment strategies <strong>for</strong> functional gains in the zero-20y<br />
population with CP, TBI Seizure disorders, Down syndrome,<br />
and other motor syndromes. This course is intended <strong>for</strong> those<br />
therapists/assistants, PT/OT/ST with some previous experiences<br />
and additional training in NDT, and other modalities,<br />
working with the outlined population. Primarily lab/video/<br />
demo and problem-solving to develop functional goals and<br />
practice treatment strategies to achieve increased func-
tional abilities. Instructor: Barbara Hodge. Contact: Education<br />
Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />
www.educationresourcesinc.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/<br />
Problem Solving <strong>for</strong> Function<br />
This intensive course is designed <strong>for</strong> experienced pediatric<br />
therapists who are interested in improving their 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> problem-solving<br />
sessions and handling labs. Labs will focus on handling<br />
strategies that address the priority impairments and facilitate<br />
optimal control of posture and movement. Carryover strategies<br />
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 CONWAY, AR<br />
NOV. 9-10, 2012 PORTLAND, OR<br />
MARCH 15-16, 2013 FORT WAYNE, IN<br />
Torticollis: Effective<br />
Assessment and Treatment<br />
Has the clinical presentation of torticollis changed? Novice<br />
and experienced clinicians will explore the effects of torticollis,<br />
sleep posture and increased use of positional devices on<br />
infant postural development. Functional, clinically oriented<br />
evaluation and evidence-based treatment strategies <strong>for</strong><br />
infants through 2 years of age will be provided. Clinical pathways<br />
of management of infant head shape, diagnostic procedures<br />
and surgical intervention will be appraised. Learning<br />
AT VNSNY,<br />
WE WORK<br />
HARD<br />
TO MAKE<br />
SURE YOU<br />
LIVE WELL.<br />
VNSNY is an approved provider<br />
of continuing education credit<br />
by the Alabama State Nurses<br />
Association, the New York State<br />
Education Department State<br />
Board <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong>,<br />
the American Occupational<br />
<strong>Therapy</strong> Association, and the<br />
American Speech-Language-<br />
Hearing Association. VNSNY<br />
is recognized as a Provider of<br />
Continuing Education <strong>for</strong> PTs<br />
and PTAs by the New York State<br />
Education Department State<br />
Board <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong>.<br />
Best Companies to Work <strong>for</strong> in New York,<br />
SHRM (2012)<br />
50 Best Places to Work in New York City,<br />
Crain’s New York Business (2010)<br />
50 Best NonProfit Organizations to Work For,<br />
The NonProfit Times (2011)<br />
opportunities will transpire through lectures, group problem<br />
solving and video review. Instructor: Cindy Miles. Contact:<br />
Education Resources, Inc., 508-359-6533; 800-487-6530<br />
(outside MA); www.educationresourcesinc.com<br />
OCT. 19-20, 2012 WATERTOWN, MA<br />
NOV. 9-10, 2012 CHICAGO, IL<br />
JUNE 7-8, 2013 WILKES-BARRE TWP, PA<br />
Yoga and Pilates <strong>Therapy</strong> <strong>for</strong><br />
The Child with Special Needs<br />
Learn how to integrate pilates and yoga exercise techniques<br />
into your therapeutic intervention. These techniques will be<br />
applied to the child with special needs from birth to school<br />
age with the diagnosis of sensory impairments, tone issues,<br />
autism, ADHD and spina bifida. Instruction will be completed<br />
on how to include these techniques into your everyday practice<br />
in pediatric rehabilitation. You will be able to design<br />
family friendly home programs <strong>for</strong> your clients and participate<br />
in labs so that you can better appreciate the use of these<br />
techniques. Instructor: Angelique Micallef-Courts. Contact:<br />
Education Resources, Inc., 508-359-6533; 800-487-6530<br />
(outside MA); www.educationresourcesinc.com<br />
OCT. 19-20, 2012 CINCINNATI, OH<br />
NOV. 16-17, 2012 MIAMI, FL<br />
APRIL 11-13, 2013 ST. LOUIS, MO<br />
Intervention <strong>for</strong> the High Risk<br />
Infant: NICU, Home and EI<br />
This seminar offers practical strategies toward a contextual<br />
approach to behavioral, developmental and feeding<br />
assessment and intervention. Video, demonstration and<br />
case examples will be used to introduce the NICU Network<br />
Neurobehavioral Scale (NNNS), to illustrate feeding assessment<br />
and intervention and to train participants in administration<br />
and scoring of the Posture and Fine Motor Assessment<br />
Evidence Based Home Exercise<br />
Program: How to Design an<br />
Effective Program <strong>for</strong> the<br />
Home Care Setting<br />
Presenters: Chad Johnson,<br />
Christopher Balducci, Mary<br />
Taylor and Susan Morabito<br />
Date: Tuesday, Oct. 2nd, 2012<br />
Time: 9:00AM - 12:30PM<br />
Location: VNSNY Manhattan<br />
Regional Office Room: 7A<br />
1250 Broadway, 7th Floor<br />
New York, NY 10001<br />
Who Should Attend: PTs,<br />
PTAs, OTs, COTAs<br />
To register, please visit us online at: www.vnsny.org/ce<br />
of Infants. Participants will enhance their clinical skills<br />
through creative problem-solving. Instructor: Rosemarie<br />
Bigsby. Contact: Education Resources, Inc., 508-359-<br />
6533; 800-487-6530 (outside MA); www.educationresourcesinc.com<br />
OCT. 19-21, 2012 MANCHESTER, NH<br />
NOV. 16-18, 2012 LONG BEACH, CA<br />
APRIL 19-21, 2013 SACRAMENTO, 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.<br />
An emphasis will be placed on the practical application of<br />
treatment strategies to gain functional outcomes appropriate<br />
<strong>for</strong> this age group and how to incorporate therapeutic<br />
strategies into family life. Instructor: Suzanne Davis.<br />
Contact: Education Resources, Inc., 508-359-6533; 800-<br />
487-6530 (outside MA); www.educationresourcesinc.com<br />
OCT. 20, 2012 WEST WINDSOR, NJ<br />
American <strong>Physical</strong> <strong>Therapy</strong><br />
Assoc NJ 2012 Fall Conference<br />
The American <strong>Physical</strong> <strong>Therapy</strong> Association of New Jersey<br />
will host its annual Fall Conference at the Conference Center<br />
at Mercer, West Windsor, NJ. Members can attend the morning<br />
members’ meeting, with elections <strong>for</strong> President-Elect,<br />
Chief Delegate and three At-large Delegate positions. During<br />
lunch, registrants can visit the exhibitor booths or attend a<br />
Special Interest Group meeting. In the afternoon, members<br />
and non-members can earn 3 CE credits in one of the various<br />
educational programs. Contact: 609-208-0200; www.aptanj.<br />
org <strong>for</strong> more in<strong>for</strong>mation.<br />
VNSNY<br />
CONTINUING EDUCATION COURSES<br />
FALL 2012—OCTOBER<br />
Increasing Lymphedema<br />
Awareness in Home Health<br />
Care <strong>Rehab</strong>ilitation Therapists<br />
Presenter: Kathleen Lieu<br />
DPT, CLT<br />
Date: Tuesday, Oct. 16, 2012<br />
Time: 2:00PM – 5:00PM<br />
Location: VNSNY Brooklyn<br />
Regional Office Rooms A and B<br />
1630 East 15th St.<br />
Brooklyn, NY 11229<br />
Who Should Attend: PTs, PTAs,<br />
OTs, and COTAs<br />
ONLY<br />
$79!<br />
Feeding Medically Fragile<br />
Infants and Toddlers<br />
Presenter: Sherri Hughes,<br />
MS SLP CNDT<br />
Date: Friday, Oct. 19th, 2012<br />
Time: 9:00AM – 1:30PM<br />
Location: VNSNY Manhattan<br />
Regional Office, 7th Floor<br />
Rooms 7B and 7C<br />
1250 Broadway,<br />
New York, NY 10001<br />
Who Should Attend: SLPs<br />
VISIT OUR WEBSITE FOR MORE INFORMATION ON UPCOMING CLASSES!<br />
Walk-Ins: Un<strong>for</strong>tunately, due to the nature of our events, walk-in registrations are not accepted.<br />
Questions: For questions, please email us at: rehabspecialevents@vnsny.org.<br />
CEs: For specific CE in<strong>for</strong>mation visit us online at http://www.vnsny.org/ce<br />
This course is offered <strong>for</strong> .40 ASHA CEUs (Introductory level, Professional area)<br />
EOE M/F/D/V<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
EDUCATION OPPORTUNITIES<br />
33
EDUCATION OPPORTUNITIES<br />
Attention Therapists: Interested in Lymphedema Management Certification?<br />
Now you can get<br />
Certified even<br />
Faster!<br />
Announcing our <strong>new</strong> program:<br />
Accelerated Hybrid Online Program allows<br />
students to obtain their certification in 7 working days!<br />
Advantages Include:<br />
Cost Savings Less time in the classroom means less time away.<br />
Quality Both online and classroom hours to obtain maximum benefit. fit.<br />
Flexibility Students utilize our Home Study or Online Portal. .<br />
More Locations more classes in more locations, allows<br />
students to choose which location best serves their needs.<br />
All courses and seminars are approved <strong>for</strong> CEU’s<br />
Website www.acols.com Phone 1.800.863.5935 35<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 />
e -Integrative<br />
Full Lymphedema<br />
Certi cation Course<br />
NEW<br />
Manual Lymph Drainage (MLD) &<br />
Complete Decongestive <strong>Therapy</strong> (CDT)<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 />
This 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 />
34 <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 2012/2013<br />
Oct. 12-20, 2012<br />
San Antonio, Texas<br />
Nov. 9-17, 2012<br />
Lansing, Michigan<br />
Nov. 30-Dec. 8, 2012<br />
Boulder, Colorado<br />
Jan. 18-26, 2013<br />
Pittsburgh, Pennsylvania<br />
Feb. 15-23, 2013<br />
Chicago, Illinois<br />
For the most up-to-date course<br />
locations and schedule, visit<br />
www.klosetraining.com<br />
OCT. 20-21, 2012 RESTON, VA<br />
NOV. 10-11, 2012 SCOTTSDALE, AZ<br />
DEC. 1-2, 2012 NASHVILLE, TN<br />
#150 OCS Exam<br />
Prep Course<br />
Dr. Eric Wilson. This two-day course boasts an 88% success<br />
rate and covers disease processes, modalities and research.<br />
It includes more than 150 OCS exam style questions and<br />
test-taking strategies. As a <strong>for</strong>mer item writer, the instructor<br />
shares the mechanics <strong>for</strong> testing, logic <strong>for</strong> study and questions<br />
that reflect the content and style of the exam questions.<br />
Included are: Questions and answers that reveal student<br />
needs <strong>for</strong> improvement exam and rationale <strong>for</strong> why the<br />
correct answer is right and why the incorrect answers are<br />
wrong; and a detailed study guide by body region. Contact:<br />
Motivations, Inc., 800-791-0262; admin@motivationsceu.<br />
com or www.motivationsceu.com<br />
OCT. 20-23, 2012 ATLANTA, GA<br />
NOV. 2-5, 2012 ST. LOUIS, MO<br />
NOV. 8-11, 2012 WHITE PLAINS, NY<br />
Recovering Function NDT Courses<br />
Intro, Advanced, Cert<br />
Recovering Function’s series of “hands-on” NDT courses<br />
provides you with a step-by-step framework of problemsolving<br />
strategies and manual cues <strong>for</strong> assessing potential<br />
and individualizing functional outcomes when implementing<br />
interventions <strong>for</strong> your adult clients with hemiplegia. Audience:<br />
OTs, COTAs, PTs, PTAs. Cathy Runyan, OTR/L, & Peggy Miller,<br />
PT, NDTA, Inc., Certified Instructors. Offered nationwide.<br />
Contact: Recovering Function, 408-268-3691; or www.<br />
RecoveringFunction.com <strong>for</strong> a complete brochure of intro,<br />
advanced, and cert courses as well as in<strong>for</strong>mation about<br />
additional course dates/locations, group rates & free registrations<br />
when hosting courses at your facility.<br />
OCT. 21-22, 2012 NEW YORK, NY<br />
DIR®/Floortime & the<br />
Science that Supports the Theory<br />
This course focuses on DIR®/Floortime Approach to treat<br />
children with autism, regulatory disorders or other challenges<br />
in relating and communicating. DIR - Developmental,<br />
Individual-Difference, Relationship Based Treatment. DIR<br />
provides an understanding of the child’s functional emotional<br />
levels including regulation and attention; mutual<br />
engagement; purposeful interaction with gestures; problem<br />
solving; elaborating ideas (pretend play, creating symbols);<br />
and building bridges between ideas (emotional thinking).<br />
This course is a progression from Rosemary’s earlier DIR<br />
courses bringing in videos from recent years. All sessions<br />
emphasize coaching parents, therapists, teachers & aides in<br />
DIR. Instructor: Rosemary White, OTR/L. Contact: Therapeutic<br />
Services, 718-692-1929; 888-7-THERAPY; www.therapeu<br />
ticservicesinc.com<br />
OCT. 22-24, 2012 MIAMI, FL<br />
Lorna Ramos Brachial<br />
Plexus Birth Injury Course<br />
The Second Annual Lorna Ramos Course: Management<br />
Strategies <strong>for</strong> the <strong>Rehab</strong>ilitation of a Child with a Brachial<br />
Plexus Birth Injury. This course will provide an up-to-date,<br />
evidence-based, comprehensive review of all aspects of<br />
the treatment of a child with a Brachial Plexus Birth Injury<br />
through didactic lectures, live and video case presentations,<br />
and hands-on lab sessions. Faculty: John A.I. Grossman,<br />
MD, FACS, Andrew Price, MD, Israel Alfonso, MD, Virginia<br />
Nelson, MD, MPH, Christine Curtis, BScPT, MSc, Alison<br />
Anthony, BScPT, MSc, Rachel Whyte Sarshalom, MOT, OTR,<br />
Lauren Rosenbaum Simhon, OTR, Denise Justice, OTR/L,<br />
Kate Wan-Chu Chang, MA, Herbert Valencia, RNFA, Joan Zell,<br />
MA, OTR/L, CHT, and Allison Allgier, OTR/L. Tuition Cost: NO<br />
CHARGE. Location: Miami Children’s Hospital, Limited Seats<br />
Available. Contact: info@lornaramoscourse.com
OCT. 26-27, 2012 STATEN ISLAND, NY<br />
DEC. 1-2, 2012 DALLAS, TX<br />
Intervention <strong>for</strong> the Medically<br />
Complex Infant & Young Child<br />
This comprehensive course will help clinicians make the<br />
tough therapy decisions required when managing the care<br />
of children with complex medical issues. It will focus on<br />
applying evidence to decision regarding therapy priorities,<br />
predicting outcomes, treatment modifications, and making<br />
appropriate discharge recommendations. Case studies will<br />
be used to advance clinical problem-solving skills needed to<br />
address the complications and complexities of care that is<br />
constantly interrupted by medical issues, hospital stays and<br />
surgeries. The material will apply to children in all practice<br />
settings. Instructor: Jonathan Greenwood, PT, MS, NDT, PCS.<br />
Contact: Education Resources, Inc., 508-359-6533; 800-<br />
487-6530 (outside MA); www.educationresourcesinc.com<br />
OCT. 26-28, 2012 PUYALLUP, WA<br />
NOV. 30-DEC. 2, 2012 HOLLYWOOD, FL<br />
JAN. 11-13, 2013 CINCINNATI, OH<br />
Ambulation Interventions<br />
For the 0-3 Population<br />
This course will focus on pre - and early ambulation in<br />
a population that is predisposed to rapid and dramatic<br />
changes: the birth to three populations. Typical and atypical<br />
preparation <strong>for</strong> and development of ambulation in the infant<br />
and toddler will be examined. The impact of biomechanics,<br />
the neuromuscular system, the sensory system, orthotics,<br />
tone management, and equipment will be integrated as<br />
participants learn to build intervention strategies to address<br />
ambulation early and effectively in infants and toddlers with<br />
diagnoses such as CP, developmental delay, prematurity and<br />
Down Syndrome. Instructor: Jan McElroy. Contact: Education<br />
Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />
www.educationresourcesinc.com<br />
OCT. 27-28, 2012 ENGLEWOOD, NJ<br />
DEC. 8-9, 2012 TALLAHASSEE, FL<br />
APRIL 13-14, 2013 STATEN ISLAND, NY<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. 1-4, 2012 DALLAS, TX<br />
APRIL 4-7, 2013 MOUNTAINSIDE, NJ<br />
APRIL 25-28, 2013 COON RAPIDS, MN<br />
Sensory<br />
Integration Intensive<br />
This intensive, hands-on evidence-based course addresses<br />
sensory integrative dysfunction across all ages in those with<br />
Autism spectrum, developmental and learning disorders.<br />
Participants will learn to treat the root deficit systems instead<br />
of isolated deficit behaviors. The focus will be on tools to<br />
improve body awareness, postural stability/security, coordinative<br />
skill, motor planning, interest and skill with interpersonal<br />
communication, organization, and abstract reasoning<br />
<strong>for</strong> learning. Instructor: Jeanetta Burpee. Contact: Education<br />
Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);<br />
www.educationresourcesinc.com<br />
NOV. 3-4, 2012 EDISON, NJ<br />
Visual Deficits after<br />
Acquired Brain Injury<br />
This conference is designed to help therapists develop a<br />
comprehensive understanding of vision deficits commonly<br />
associated with acquired brain injury. Included will be the<br />
most common vision disorder and basic pathologies of the<br />
visual system, as well as their functional implications. Day<br />
one is designed <strong>for</strong> those who are interested in developing<br />
a comprehensive understanding of vision, how to screen<br />
<strong>for</strong> vision problems and how vision deficits may affect per<strong>for</strong>mance.<br />
Day two is designed primarily <strong>for</strong> therapists who<br />
want to learn how to manage vision problems in therapy. This<br />
conference is sponsored by JFK Johnson <strong>Rehab</strong> Institute.<br />
Early bird rates in effect until 10/4/12. Contact: Marianne<br />
Mohary, 732-632-1570; e-mail: mmohary@jfkhealth.org to<br />
register or receive a brochure.<br />
NOV. 3-13, 2012 CHATTANOOGA, TN<br />
NOV. 3-13, 2012 DALLAS, TX<br />
DEC. 8-18, 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 (post-<br />
(Continued on next page)<br />
NEW YORK UNIVERSITY IS AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY INSTITUTION.<br />
DEPARTMENT OF PHYSICAL THERAPY<br />
Fall Weekend Intensives in Advanced <strong>Physical</strong> <strong>Therapy</strong><br />
Examination and Intervention Skills of the Musculoskeletal System<br />
Module 1: Shoulder<br />
Eric Hegedus, Duke University<br />
September 21-22, 2012<br />
Module 2: Gross Screens/Scans and<br />
Differential Diagnosis<br />
Gail Deyle, US Army/Baylor<br />
September 28-29, 2012<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 />
Orlando, FL Sept 22-30, 2012<br />
Newark, NJ Nov 24-Dec 2, 2012<br />
Atlanta, GA Dec 8-16, 2012<br />
Toll Free: {877} 476-6684<br />
http://www.therapyteam.com<br />
timothyteach@aol.com<br />
Module 3: Elbow/Wrist/Hand<br />
Angie Dickerson-Schnatz, University of Delaware<br />
October 19-20, 2012<br />
Module 4: Cervical/Spine<br />
Robert Rowe, Brooks/UNF<br />
November 9-10, 2012<br />
Cost: $400 per module; $1,400 <strong>for</strong> all four modules. Volume/group discounts available. To learn more<br />
and register, visit www.steinhardt.nyu.edu/2012-fall-intensives. Questions? Email dd84@nyu.edu. Each<br />
module is a minimum of 1.1 CEUs toward New York State’s physical therapist licensing re<strong>new</strong>al requirements.<br />
Visit www.steinhardt.nyu.edu/2012-fall-intensives<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
EDUCATION OPPORTUNITIES<br />
35
EDUCATION OPPORTUNITIES<br />
(Continued from previous page)<br />
traumatic, 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<br />
Thieme Medical and Scientific Publishers, NY; tuition also<br />
includes educational CD, course manual, complete set of<br />
bandages, CD <strong>for</strong> limb volume calculation, set of posters<br />
of the “Lymphatic System”. After course completion each<br />
student is provided with instructor mentoring. All graduates<br />
qualify <strong>for</strong> free lifetime listing as certified lymphedema<br />
therapists <strong>for</strong> patient referral on our website. All courses<br />
are approved by FPTA, IPTA and AOTA <strong>for</strong> CEUs. Discounts<br />
are available <strong>for</strong> APTA & AOTA members. Financial aid<br />
available. Contact: 800-863-5935; academy@acols.com<br />
or www.acols.com <strong>for</strong> a free brochure.<br />
NOV. 4-5, 2012 NEW YORK, NY<br />
Incorporating Taping into a<br />
<strong>Rehab</strong>ilitation Program<br />
This course provides an understanding of the indications and<br />
contraindications of taping techniques <strong>for</strong> pediatric and adult<br />
patients of all ages with orthopedic and neurologic impairments.<br />
Participants will demonstrate competency through lab<br />
activities and clinical decision making exercises. Taping strategies<br />
<strong>for</strong> musculoskeletal injuries are foundation of course.<br />
Progressive intervention, including taping <strong>for</strong> posture reeducation,<br />
balance and gait training, and enhancing specific<br />
occupational functions will be demonstrated. Specific strategies<br />
to improve movement patterns in pediatric population<br />
will be shown. Taping as a complement to traditional bracing<br />
presented. Instructor: Stephen Kanter, PT, DPT, ATC. Contact:<br />
Therapeutic Services, 718-692-1929; 888-7-THERAPY; 718-<br />
338-3393 (fax); or www.therapeuticservicesinc.com<br />
NOV. 9-10, 2012 TALLAHASSEE, TN<br />
NOV. 30-DEC. 1, 2012 ATLANTA, GA<br />
DEC. 13-14, 2012 TRUMBULL, CT<br />
Treatment of the Child with<br />
CP & Other Neurological Disorders<br />
Therapists are bombarded with <strong>new</strong> in<strong>for</strong>mation on brain<br />
function and <strong>new</strong> techniques to improve functional mobility.<br />
This course will help therapists select and prioritize the<br />
most appropriate treatment strategies <strong>for</strong> infants, toddlers<br />
and young children with neurological challenges and other<br />
special needs. They will become familiar with and select<br />
from <strong>new</strong> approaches including: MOVE, Conductive Education,<br />
Compression Garments, MEDEK and TAMO. Focus will be on<br />
children with cerebral palsy and children with severe motor<br />
impairments as well as others with positioning and mobility<br />
challenges. Evidence-based interventions will be emphasized<br />
to achieve measurable functional goals. Instructor: Ginny Paleg.<br />
Contact: Education Resources, Inc., 508-359-6533; 800-487-<br />
6530 (outside MA); www.educationresourcesinc.com<br />
NOV. 9-10, 2012 INDIANAPOLIS, IN<br />
DEC. 7-8, 2012 STATEN ISLAND, NY<br />
MARCH 22-23, 2013 CANTON, MA<br />
Yoga <strong>Therapy</strong> <strong>for</strong> the Child<br />
With Developmental Challenges<br />
This DYNAMIC workshop shares clinically tested individual<br />
yoga therapy protocols as well as therapeutic use of specific<br />
yoga modalities and modifications <strong>for</strong> various populations.<br />
This program highlights the use of YOGA therapy <strong>for</strong><br />
INDIVIDUAL treatment sessions and strategies <strong>for</strong> even your<br />
most challenging clients. Experiential labs participants will<br />
focus on the physical, regulatory physiological, sensorymotor<br />
and emotional benefits of specific therapeutic yoga<br />
postures, breath-work and relaxation techniques. Instructor:<br />
Anne Buckley-Reen. Contact: Education Resources, Inc.,<br />
508-359-6533; 800-487-6530 (outside MA); www.educa<br />
tionresourcesinc.com<br />
NEW KNOWLEDGE, NEW SKILLS...<br />
Become a better physical therapist<br />
Complete<br />
your D.P.T.<br />
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36 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
A Post-Professional D.P.T.<br />
degree from Des Moines<br />
University will give you<br />
skills you can start using in<br />
your clinic tomorrow. The<br />
manual therapy emphasis<br />
and rigorous curriculum will<br />
challenge and inspire you to<br />
be your best.<br />
Manual <strong>Therapy</strong>/Wellness<br />
focus<br />
Af<strong>for</strong>dable/Easy online<br />
application<br />
In-depth curriculum<br />
Finish in two years<br />
Check us out at www.dmu.edu/ppdpt or call 515-271-7864.<br />
NOV. 9-13, 2012 HOUSTON, TX<br />
Advanced NDT<br />
Handling and Problem Solving<br />
Instructor: Patricia Kay Folmar. Location: Texas Children’s<br />
Hospital, Houston, Texas 77030. Contact: Mitzi Wiggin,<br />
832-826-6107 <strong>for</strong> more in<strong>for</strong>mation; e-mail: mmwiggin@<br />
texaschildrens.org; or register online: www.texaschildrens.<br />
org/pmr and click on continuing education.<br />
NOV. 10-11, 2012 TAMPA, FL<br />
It’s All in<br />
Your Brain<br />
Clinical Use of Graded Motor Imagery <strong>for</strong> Rewiring the Brain.<br />
Graded Motor Imagery, an emerging therapeutic strategy <strong>for</strong><br />
treating patients, integrates established principles of graded<br />
exposure and response prevention with the current theories<br />
in the neuroscience of pain and neuroplasticity. Graded Motor<br />
Imagery consists of laterality training, imagery and mirror<br />
therapy. Therapeutic interventions that help the change<br />
in the brain or cortical reorganization will be discussed at<br />
length. Appropriate <strong>for</strong> therapists treating orthopedic as well<br />
as neurological consequences of injury. Instructor: Susan W.<br />
Stralka, PT, MS, DPT. Contact: <strong>Rehab</strong> Education, LLC, 845-<br />
368-2458; info@<strong>Rehab</strong>Ed.com or www.<strong>Rehab</strong>Ed.com <strong>for</strong><br />
details and registration.<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 />
NOV. 17-18, 2012 EDISON, NJ<br />
Diagnosis/Treatment:<br />
Movement Impairment Syndromes<br />
Through this introductory course, Shirley Sahrmann, PT, PhD,<br />
FAPTA will present the concepts and principles associated<br />
with movement system impairments (MSI) and their role in<br />
mechanical musculoskeletal pain syndromes. The program<br />
will include demonstrations of examinations, selection of<br />
corrective exercises, and per<strong>for</strong>mance of therapeutic exercises.<br />
This course uses a lecture and demonstration <strong>for</strong>mat<br />
and does not include laboratory practice. Early Bird in effect<br />
until October 19. Sponsored by JFK Johnson <strong>Rehab</strong>ilitation<br />
Institute. (Movement System Impairment Syndromes of the<br />
Lower Quarter: Advanced Application will be offered in the<br />
spring of 2013 and is includes in the same program brochure.)<br />
Contact: Mary Ann Laurita, 732-632-1570; e-mail:<br />
mlaurita@jfkhealth.org<br />
NOV. 17-18, 2012 ENGLEWOOD, NJ<br />
Unlocking the Brain After Stroke:<br />
Keys to Rewiring <strong>for</strong> Recovery<br />
Designed to take the complexity and guesswork out of<br />
planning treatment, this course provides the background to<br />
implement evidence-based treatment strategies <strong>for</strong> stroke<br />
recovery. This seminar reveals a paradigm shift that impacts<br />
on every post stroke sequelae, by focusing on cortical<br />
plasticity at the foundation of post stroke recovery. Course<br />
includes concepts of neuroplasticity; inducement of neuroplastic<br />
change; learned nonuse and <strong>for</strong>ced use; and modified<br />
constraint induced therapy (mCIT). Instructor: Peter Levine,<br />
BA, PTA. Contact: <strong>Rehab</strong> Education, LLC, 845-368-2458;<br />
info@<strong>Rehab</strong>Ed.com or www.<strong>Rehab</strong>Ed.com <strong>for</strong> details and<br />
registration.
NOV. 17-18, 2012 SOMERVILLE, NJ<br />
Introduction to<br />
The NeuroIFRAH®<br />
Approach to Treatment of Adults with Hemiplegia Post-Stroke.<br />
Introduction to the Neuro-IFRAH® principles of management<br />
and a practical application of these principles to increase<br />
function in adults with hemiplegia from a stroke or brain<br />
injury. Useful in a variety of treatment settings including acute<br />
care, inpatient and outpatient rehabilitation, home care, and<br />
skilled nursing facilities. Lab intensive course emphasizes<br />
the development of patient handling skills. Contact: <strong>Rehab</strong><br />
Education, LLC, 845-368-2458; info@<strong>Rehab</strong>Ed.com or www.<br />
<strong>Rehab</strong>Ed.com<br />
NOV. 17-18, 2012 ATLANTA, GA<br />
MARCH 2-3, 2013 NEW BRUNSWICK, NJ<br />
APRIL 27-28, 2013 HOLLYWOOD, FL<br />
ICU and Acute<br />
Care Update<br />
Therapists working with patients in ICU face a complex<br />
challenge. These patients have limited mobility due to life<br />
support, monitoring equipment, multiple medical problems<br />
and muscle weakness. Early mobility and walking enhances<br />
functional outcomes by optimizing cardiopulmonary and neuromuscular<br />
status. It can lead to an increase in the patient’s<br />
quality of life and higher functional capability, and potentially<br />
reduce length of hospital stay. Case reports will be presented<br />
to demonstrate how the early mobility and waling program in<br />
ICU can positively impact the recovery of selected patients.<br />
Instructor: Christiane Perme. Contact: Education Resources,<br />
Inc., 800-487-6530; www.educationresourcesinc.com<br />
DEC. 1-2, 2012 BOSTON, MA<br />
JAN. 26-27, 2013 SAN DIEGO, CA<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 />
DEC. 7-8, 2012 HAMDEN, CT<br />
<strong>Therapy</strong> Roles & Intervention<br />
During Student Transitions<br />
Students go through many transitions throughout their<br />
schooling; vertical, horizontal, and part of daily routine.<br />
Related services assist students and families to transition<br />
more easily and to reduce stress. This course presents<br />
practical in<strong>for</strong>mation on the main features and challenges of<br />
each transition, and evidence-based evaluations, interventions,<br />
and strategies <strong>for</strong> success. Target population: Students<br />
with disabilities in school settings, ages 3-21. Instructor:<br />
Meira Orentlicher. Contact: Education Resources, Inc., 508-<br />
359-6533; 800-487-6530 (outside MA); www.educationre<br />
sourcesinc.com<br />
DEC. 7-8, 2012 WEYMOUTH, MA<br />
Treatment of the<br />
Neurologic Upper Extremity<br />
This interactive workshop is designed to teach participants<br />
to comprehensively evaluate and develop an evidencebased<br />
intervention plan <strong>for</strong> the neurologic upper extremity.<br />
Management and intervention <strong>for</strong> the upper extremity (subluxation,<br />
spasticity, weakness and pain) as well as improving<br />
functional use of the upper extremity will be emphasized<br />
<strong>for</strong> neurological/biomechanical impairments that impact<br />
function, superimposed orthopedic limitations, methods of<br />
shoulder support/stabilization, optimizing integration of the<br />
arm into ADL/mobility and decreasing the impact of stereotypical<br />
movement patterns. Instructor: Glen Gillen. Contact:<br />
Education Resources, Inc., 508-359-6533; 800-487-6530<br />
(outside MA); www.educationresourcesinc.com<br />
DEC. 7-8, 2012 HOUSTON, TX<br />
JAN. 25-26, 2013 STATEN ISLAND, NY<br />
FEB. 8-9, 2013 HOLLYWOOD, FL<br />
Therapeutic<br />
Interventions in the NICU<br />
This course focuses on developmental and therapeutic interventions<br />
in the NICU. It covers assessment and treatment,<br />
transition to home, post discharge follow-up and identification<br />
of emerging disabilities. Strategies to optimize behavior,<br />
development and feeding of the neonate will be offered in<br />
addition to practical approaches to facilitating teamwork and<br />
caregiver engagement. Instructor: Tracilyn Watson-Urruela.<br />
Contact: Education Resources, Inc., 508-359-6533; 800-<br />
487-6530 (outside MA); www.educationresourcesinc.com<br />
DEC. 13-16, 2012 HOUSTON, TX<br />
Visceral Manipulation:<br />
Abdomen 1 (VM1)<br />
Instructor: Jean Ann Zoller. Location: Texas Children’s Hospital,<br />
Houston, Texas 77030. Contact: Mitzi Wiggin, 832-826-6107<br />
<strong>for</strong> more in<strong>for</strong>mation, e-mail: mmwiggin@texaschildrens.org<br />
or register online: www.texaschildrens.org/pmr and click on<br />
continuing education.<br />
MARCH 9-17, 2013 ALBERTA, CANADA<br />
APRIL 6-14, 2013 LONG ISLAND, NY<br />
APRIL 20-28, 2013 CHICAGO, IL<br />
Lymphedema<br />
<strong>Therapy</strong> Certification<br />
The Norton School of Lymphatic <strong>Therapy</strong>’s Advantage Optimal<br />
Access Format is a blended live & web-based certification<br />
program producing LANA-eligible lymphedema therapists<br />
in only 9 continuous days. Only 5 workdays and 2 weekends<br />
make this course the most sensible, cost-effective,<br />
unmatched choice. Save large expenses on staff coverage,<br />
travel, hotel and meals. Take our online Virtual Tour and compare<br />
to other schools! This course teaches: Manual Lymph<br />
Drainage (MLD) & Complete Decongestive <strong>Therapy</strong> (Vodder/<br />
Foeldi Tech) covering 135 hours, basic and advanced MLD,<br />
bandaging & Tx protocols, Tx of primary & secondary lymphedema,<br />
extremity & non-extremity lymphedema. All Norton<br />
School instructors are recognized national experts and are<br />
available via e-mail & phone consultation <strong>for</strong> Tx of complex<br />
patients. We offer Advanced Training Programs, Reviews,<br />
Bi-Annual Conferences, Specialized Training Videos & free<br />
lifetime listing in our Therapist Referral Database. Multiple<br />
courses offered per month nationally. Inquire about hosting<br />
a course! MD, RN, PT, OT, PT & OT Assistants, Nurses<br />
& MTs qualified. The Norton School is recognized by<br />
FPTA, NJ, SBPTE, TPTA, AOTA & NCBTMB <strong>for</strong> CEUs. Senior<br />
Faculty: Steve Norton, MLD/CD, CLT-LANA; Andrea Cheville,<br />
MD, Medical Director. Contact: 866-445-9674 (toll-free);<br />
866-854-7800 (fax); info@NortonSchool.com or www.<br />
NortonSchool.com<br />
<br />
LATE 2012 COURSE LISTINGS<br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
EDUCATION OPPORTUNITIES<br />
37
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 />
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2 Middle Atlantic . . . . . . . . . . . . . . . . . . . . . p. 38<br />
3 Upper South Atlantic . . . . . . . . . . . . . . . . p. 43<br />
4 Lower South Atlantic . . . . . . . . . . . . . . . . p. 44<br />
5 East South Central . . . . . . . . . . . . . . . . . . p. 45<br />
6 East North Central . . . . . . . . . . . . . . . . . . p. 46<br />
7 West North Central . . . . . . . . . . . . . . . . . . p. 46<br />
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MIDDLE ATLANTIC<br />
DRIVEN TO BE<br />
the best.<br />
MANAGER<br />
PHYSICAL THERAPY<br />
Outpatient - Mineola - Full Time<br />
We currently seek a dynamic manager <strong>for</strong> our<br />
Outpatient <strong>Physical</strong> <strong>Therapy</strong> facility with a strong<br />
interest in ortho/neuro. In this key appointment,<br />
you will participate in the development, execution<br />
and evaluation of programs as the result of hospital<br />
and community needs, as well as related clinical<br />
responsibilities.<br />
The successful candidate must possess a Bachelor’s<br />
degree from an APTA approved school, Master’s<br />
preferred, t-DPT or DPT; NYS licensure, preferred<br />
completion of CPR course <strong>for</strong> healthcare providers.<br />
Minimum 10 years progressively responsible experience<br />
in an out –patient orthopedic setting and/or<br />
acute care setting which must include 3+ years in a<br />
supervisory capacity.<br />
We offer an excellent compensation package.<br />
Please <strong>for</strong>ward resume/cover<br />
letter, in confidence, to<br />
emurtha@winthrop.org<br />
An EOE m/f/d/v<br />
Full-Time/Part-Time/Per Diem<br />
positions <strong>for</strong> Licensed PT/PTA in Outpatient<br />
clinic and home care in Manhattan.<br />
MUST BE EXPERIENCED IN MANUAL THERAPY.<br />
Willing to sponsor.<br />
Fax resume at 212-420-7786<br />
or Email: jvhelpinghands@gmail.com<br />
New York, New Jersey<br />
AT VNSNY,<br />
WE WORK<br />
HARD<br />
TO MAKE<br />
SURE YOU<br />
LIVE WELL.<br />
At VNSNY our employees<br />
are our most valuable asset<br />
so we work hard to ensure<br />
they have everything they<br />
need to live their best life.<br />
Learn more about a <strong>Physical</strong><br />
<strong>Therapy</strong> career with the<br />
Visiting Nurse Service of<br />
New York and how you can<br />
make a profound difference<br />
in your life and in the lives<br />
of our patients.<br />
Serving all fi ve boroughs of New York and Long Island<br />
www.nytps.com<br />
Contact Debbie:<br />
718-264-1640 (ph) • 718-484-0530 (fax)<br />
Debbie.powder@nytps.com<br />
E-mailed and faxed resumes welcome.<br />
PEDIATRICS!<br />
PHYSICAL THERAPISTS!<br />
WANT TO JOIN OUR GREAT TEAM OF<br />
PROFESSIONALS?<br />
EI/CPSE COMMUNITY<br />
CLINIC & GREAT SCHOOLS!<br />
EMPLOYEES-PER DIEM AVAILABLE<br />
Great Rates! Web Billing! Continuing Ed!<br />
E-mail: cwilber@wtstherapy.com<br />
Call: (914) 686-3116 x 3<br />
or fax: (914) 686-3082<br />
www.westchestertherapysolutions.com<br />
(Formerly Donna Klein and Associates)<br />
Westchester <strong>Therapy</strong> Solutions, PLLC<br />
38 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | September 17, 2012 | www.advanceweb.com/pt<br />
38 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
<br />
<br />
<br />
<br />
OPEN INTERVIEWS 10AM – 2PM<br />
THURSDAY,<br />
SEPTEMBER 20TH & 27TH<br />
75-20 Astoria Blvd<br />
Suite 220<br />
Queens, NY 11370<br />
(Bulova corporate Center)<br />
TUESDAY,<br />
SEPTEMBER 25TH<br />
1630 East 15th St<br />
Brooklyn NY 11229<br />
SIGN-ON BONUS<br />
OPPORTUNITIES!<br />
$5,000 - $15,000*<br />
<br />
Home Care Experience<br />
Earns Additional $5,000<br />
MONDAY,<br />
SEPTEMBER 24TH<br />
1250 Broadway<br />
7th Floor<br />
New York, NY 10001<br />
(Entrance on West 32rd St)<br />
THURSDAY,<br />
SEPTEMBER 27TH<br />
1200 Waters Place<br />
Bronx, New York 10461<br />
RSVP by emailing your resume to recruitment2@vnsny.org<br />
Please bring a copy of your resume to the event.<br />
For more in<strong>for</strong>mation, please contact: Elizabeth Scholz at<br />
212-609-7914 or email Elizabeth.Scholz@vnsny.org.<br />
Visit us at apt.vnsnyjobs.com<br />
Best Companies to Work <strong>for</strong> in New York, SHRM (2012)<br />
50 Best Places to Work in New York City, Crain’s New York Business (2010)<br />
50 Best NonProfit Organizations to Work For, The NonProfit Times (2011)<br />
EOE M/F/D/V<br />
NYTPS has won the NYC DOE bid!!!<br />
Seeking monolingual & bilingual PTs, OTs,<br />
Speech Therapists, CFYs,<br />
LMHCs and LCSWs.<br />
• Immediate Need - Adult and Pediatric Home Care<br />
• DOE Schools and Preschools<br />
• Private school placements<br />
• Facility placements<br />
Workshops and training sessions<br />
scheduled throughout the year!<br />
Be part of our team! High rates available!<br />
Pediatric PT<br />
Excellent Rates. Flexible Scheduling.<br />
Benefits & 401k<br />
Limited or NO TRAVELING.<br />
Mentorship available.<br />
Call/Fax resume to: Harold Granek<br />
LEBA Therapeutic Service, Inc.<br />
Call (732) 572-3536<br />
Fax (732) 572-3539 • info@lebats.com<br />
IMMEDIATE Full/Part-Time and Home Care positions<br />
in school-based programs available at<br />
various locations throughout<br />
Middlesex County and surrounding NJ areas<br />
WWW.<strong>ADVANCE</strong>WEB.COM
Don’t just be successful.<br />
Be significant!<br />
Walk-in Interviews<br />
<strong>for</strong> PTs, OTs and SLPs<br />
EVERY WEDNESDAY<br />
12pm-6pm<br />
460 West 34th Street<br />
11th oor, Manhattan<br />
Serve Individuals with<br />
Developmental Disabilities<br />
HAPPY REHAB WEEK!<br />
We thank our <strong>Physical</strong> <strong>Therapy</strong> team<br />
<strong>for</strong> helping us change the world<br />
through improving the lives<br />
of people with developmental<br />
and intellectual disabilities.<br />
View all opportunities and apply online at:<br />
www.yai.org/careers<br />
E-mail: rehabrecruiter@yai.org<br />
Fax: 212-563-4836<br />
#1 Best Companies to Work <strong>for</strong> in New York Award by NYS SHRM<br />
& APA National Psychologically Healthy Workplace Award<br />
www.yai.org/careers EOE<br />
<strong>Physical</strong> Therapist/Working Partner<br />
<strong>Physical</strong> <strong>Therapy</strong> Assistant<br />
Full-time/Part-time; Outpatient Clinic<br />
Immediate opening <strong>for</strong> NJ Licensed PTs.<br />
Be part of business as working partner<br />
(No investment needed). Plan your own sched., Hourly rate<br />
+ profi t sharing. Sponsor H1B (Employment Visa).<br />
Forward your resumes to qcarept@gmail.com<br />
or fax to: 973-415-2328.<br />
Motivated individual who would like to<br />
open a NEW PRACTICE at your location<br />
as a franchise may also contact<br />
Quality Care <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> Center, PA<br />
East Orange, Rahway & Hackettstown, NJ<br />
Clubfoot De<strong>for</strong>mity<br />
Approximately one in 1,000 babies is<br />
born with clubfoot de<strong>for</strong>mity, in which<br />
the foot is positioned in equinovarus.<br />
Clubfoot has been recognized in fetuses<br />
as young as 16 weeks, but the<br />
cause is still unknown. While clubfoot<br />
can occur in conjunction with other<br />
birth defects, most children born with<br />
clubfoot don’t have other congenital<br />
problems. The risk of clubfoot is 20<br />
times greater if there’s an affected<br />
first-degree relative; the overall incidence<br />
is higher in males than females.<br />
Thirty percent to 50 percent of cases<br />
have bilateral involvement.<br />
Support By Design<br />
Pediatric <strong>Therapy</strong> Center<br />
Full-time, part-time<br />
PHYSICAL THERAPISTS<br />
Great location in Lower Manhattan!<br />
Call Linda 212-608-9661<br />
E-mail résumé sbdincny@aol.com<br />
New York, New Jersey<br />
SPECIAL KIDS • SPECIAL CARE • SPECIAL REWARDS AT ST. MARY’S<br />
JOIN US AT EITHER OF OUR<br />
OPEN HOUSES<br />
• Wed, Oct 3, 3pm-6pm at the Ramada Inn Staten Island, 535 N. Gannon Ave.<br />
• Thurs, Oct 4, 1:00 pm-5:30 pm, One Executive Blvd., Yonkers<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 HOME CARE<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. Early Intervention experience a plus.<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 />
PTs & PTAs<br />
Full-Time/Part-Time/PRN<br />
$$ SIGN-ON BONUS $$<br />
Current Openings:<br />
• Full-time PTA in Queens<br />
• PRN <strong>for</strong> PT/PTA in Cortland<br />
For more in<strong>for</strong>mation call:<br />
877-247-5522 • Fax: 914-373-6521<br />
E-mail: careers@betterhealthcare.com<br />
www.betterhealthcare.com<br />
try<br />
CALL 800-355-5627 TODAY<br />
Crest <strong>Physical</strong> <strong>Therapy</strong><br />
Growing Corporately Owned <strong>Physical</strong> <strong>Therapy</strong> Practice<br />
(Orthopedic/Vestibular/Balance/Hand/Aquatic Specialties)<br />
Looking <strong>for</strong> <strong>Physical</strong> Therapists <strong>for</strong> our Whiting and Wall, NJ locations.<br />
Also, looking <strong>for</strong> a Per Diem physical and occupational therapist in<br />
our other locations.<br />
Full-time/Part-time. New Grads encouraged to apply.<br />
PTs, CHT (OT, PT, and PTA)<br />
To join our experienced and highly motivated team of PTs and OTs.<br />
Crest has multiple locations in the Red Bank, West Long Branch,<br />
Whiting, Toms River, Wall and Manasquan, New Jersey area, with<br />
<strong>new</strong> offi ces opening in Ocean County and North Jersey. The present<br />
position is <strong>for</strong> a <strong>Physical</strong> Therapist who can work independently and is<br />
self-motivated <strong>for</strong> our Whiting offi ce. Strong clinical manual skills are a<br />
plus. Vestibular experience is also an asset, but will work to train in this<br />
area. We offer a competitive salary, a retirement plan, medical/dental<br />
benefi ts, generous paid time off, continuing education reimbursement,<br />
and a quarterly incentive program.<br />
SIGN ON BONUS<br />
For consideration, please e-mail your<br />
CV/Resume to:<br />
ccurtis@crestphysicaltherapy.com<br />
Dr. Charles Curtis MS, PT, DPT, Cert MDT<br />
(732) 759-8358 • Fax (732) 759-8478<br />
PT<br />
An expanding NYC musculoskeletal/sports<br />
medicine practice is looking <strong>for</strong> a friendly and<br />
knowledgeable individual. Excellent salary and<br />
benefi ts.<br />
E-mail s2d3f4@aol.com or fax 888-289-1346.<br />
{ <strong>ADVANCE</strong> }<br />
NOBODY DOES IT BETTER THAN THE BEST<br />
WWW.<strong>ADVANCE</strong>WEB.COM<br />
www.advanceweb.com/pt | September 17, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 39<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
EMPLOYMENT OPPORTUNITIES<br />
39
EMPLOYMENT OPPORTUNITIES<br />
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 />
HeartShare<br />
HUMAN SERVICES OF NEW YORK Community <strong>Rehab</strong>ilitation<br />
PEDIATRIC PHYSICAL<br />
THERAPISTS<br />
Work with preschool children aged 3-5 years with<br />
special needs. FT salary position with benefits.<br />
NYS license required.<br />
The HeartShare School &<br />
HeartShare First Step Early<br />
Childhood Center<br />
Bensonhurst, Brooklyn<br />
Please fax resume to: (718) 238-9584. Attn:<br />
Jill Fitzgerald, Director<br />
E-Mail: Jill.Fitzgerald@heartshare.org<br />
Kiwanis First Step Early<br />
Childhood Center<br />
Howard Beach, Queens<br />
Please fax to: (718)835-2862. Attn: Chyung-<br />
Fen Kao OT and PT Supervisor<br />
E-Mail: Chyung-fen.kao@heartshare.org<br />
www.heartshare.org<br />
Losing a Limb<br />
EOE<br />
In the United States alone, there are<br />
approximately 1.8 million people living<br />
with limb loss according to National<br />
Limb Loss Amputation Center statistics.<br />
and Medical Center<br />
A private multidisciplinary facility<br />
seeks Part-Time PT to work at an<br />
Adult Home in Toms River, NJ. New<br />
grads welcome. Great opportunity.<br />
Flexible hours.<br />
Contact Libby at<br />
718-951-8800 x2166<br />
E-mail:<br />
Libby@communitytherapy.com<br />
40 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | September 17, 2012 | www.advanceweb.com/pt<br />
40 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
“<br />
I continuously get the resources I need to never stop learning.<br />
You might call that an overstatement.<br />
I call it MJHS.<br />
- Guy C., PT<br />
<strong>ADVANCE</strong><br />
MESSENGER<br />
THE JOBS YOU’RE LOOKING FOR ARE<br />
EMAILED DIRECTLY TO YOU!<br />
SIGN UP AT WWW.<strong>ADVANCE</strong>WEB.COM<br />
“<br />
Full Time - Brooklyn & 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 />
Visit us at booth #305 at the<br />
Advance White Plains Career Fair!<br />
Free CE Event<br />
THA and TKA: State of the Art in Surgery and<br />
<strong>Rehab</strong>ilitation<br />
Thursday, September 13th • 4:30pm - 7:00 pm<br />
For more in<strong>for</strong>mation and to register, visit<br />
mjhs.jobs/eventregistration<br />
[ mjhs.jobs ]<br />
New Family-owned & operated practice has<br />
opportunity <strong>for</strong> New Grad to join our team.<br />
Manual based therapy, fl exible schedule, great<br />
work environment.<br />
Please contact us:<br />
Phone: 609-738-3143•FAX: 609-738-3144<br />
www.carusoptrd.com<br />
Weighty Issues<br />
An estimated 65 percent of adults in<br />
the United States are either overweight<br />
or obese, and an estimated 16 percent<br />
of adolescents six to 19 years old are<br />
overweight. These statistics demonstrate<br />
a 16 percent increase in prevalence<br />
of overweight status from 1988-<br />
1994 data. Overweight and obesity are<br />
associated with increased risk <strong>for</strong> medical<br />
conditions including cardiovascular<br />
diseases, diabetes, respiratory complications,<br />
osteoarthritis and some cancers.
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 />
BELIEVE in a way back.<br />
MAGEE <strong>Rehab</strong>ilitation Hospital<br />
mageerehab.org<br />
When you do what we do, you come<br />
to believe in miracles.<br />
Located in Center City Philadelphia, Magee<br />
<strong>Rehab</strong>ilitation continues to be part of the<br />
region’s only federally designated Model System<br />
of Care <strong>for</strong> Spinal Cord Injury and home to<br />
CARF accredited Specialty Programs in<br />
SCI, Stroke, Brain Injury and Comprehensive<br />
Integrated Inpatient <strong>Rehab</strong>ilitation. We are<br />
seeking individuals who are as passionate<br />
about rehabilitation as we are to join our SCI<br />
and Locomotor Training teams. We currently<br />
have opportunities <strong>for</strong>:<br />
SCI <strong>Therapy</strong> Supervisor<br />
5 years experience in acute inpatient rehab<br />
required with demonstrated clinical expertise<br />
in SCI rehab. Minimum of 3 years leadership<br />
experience. ATP or advanced level skills in<br />
complex seating and positioning preferred.<br />
SCI Advanced Clinician<br />
3 years experience in acute inpatient spinal<br />
cord injury rehab required as well as strong<br />
leadership skills. ATP or advanced level skills<br />
in complex seating and positioning preferred.<br />
Generous continuing education support, tuition<br />
assistance, mentoring and leadership development<br />
opportunities are available to staff of all<br />
levels.<br />
CARF called us, “unique... exceptional... energetic.”<br />
For unparalleled experience, cutting edge technology,<br />
and a quality and spirit that is ours alone, come to Magee.<br />
Candidates interested in this or other<br />
positions should apply online at<br />
www.mageerehab.org<br />
EOE M/F<br />
Find your home in Peapack, NJ with<br />
Matheny Medical and Educational<br />
Center, a unique special hospital and<br />
school <strong>for</strong> children and adults with<br />
medically complex developmental<br />
disabilities such as cerebral palsy,<br />
spina bifida, Lesch-Nyhan Disease,<br />
as well as a wide range of other<br />
neuro-developmental and congenital<br />
conditions. You can put your<br />
skills to work, and be part of an<br />
interdisciplinary team trained to<br />
empower patients and students<br />
by helping them to accomplish<br />
the small moments of success that<br />
lead to a better quality of life.<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 />
Pamela Morrison<br />
<strong>Physical</strong> <strong>Therapy</strong>, P.C.<br />
An Established Group Practice Serving<br />
the New York City Metropolitan Area<br />
<strong>Physical</strong> Therapist • Part-Time<br />
PT-owned Manual Orthopedic<br />
and Women’s Health/Pelvic Pain<br />
<strong>Physical</strong> <strong>Therapy</strong> Practice. Manhattan.<br />
Only 1 to 1 sessions. Advanced manual<br />
therapy skills required. Flexible hours.<br />
Fax resume to: 212-362-8760<br />
www.pamelamorrisonpt.com<br />
advancecustompromotions.com<br />
1-877-776-6680<br />
• From the publishers of <strong>ADVANCE</strong> Newsmagazines<br />
• Custom gifts, giveaways & promotional products<br />
• Exclusive healthcare designs you won't fi nd<br />
anywhere else<br />
• Free design, copy & creative services<br />
• Staff gifts & event giveaways <strong>for</strong> every budget<br />
Pennsylvania , New Jersey, New York<br />
Improving the<br />
Lives of People<br />
with Disabilities.<br />
SCHOOL PHYSICAL THERAPIST<br />
As a member of our team, you will assess and implement physical therapy<br />
treatment techniques in a school setting. You will be responsible <strong>for</strong><br />
collaborating with classroom staff, families and caregivers as well as our<br />
hospital staff to help our students achieve their goals. You will have the<br />
opportunity to work with our assistive technology practitioners, rehab<br />
technology department and medical staff while being involved in seating<br />
and mobility clinic, orthotics clinic, physiatry clinic and orthopedic clinic.<br />
To qualify, you must possess a current NJ PT License, be a graduate of<br />
an accredited PT Program, and School Certified or Eligible. We offer<br />
a competitive salary and comprehensive benefits package that includes<br />
medical/dental, life insurance, tuition reimbursement, tax deferred<br />
retirement plan, and generous paid time off. For immediate consideration,<br />
please email: bschmitt@matheny.org, fax 908.781.6816, or send your<br />
resume to: Brad Schmitt, Employment Recruiter, Matheny Medical<br />
and Educational Center, 65 Highland Ave, Peapack, NJ 07977.<br />
EOE M/F/D/V<br />
Bergen County<br />
Join our Team!<br />
New Grads Welcome!<br />
Experience Quality Care<br />
NOT High Patient Quotas<br />
EXCEL is Looking <strong>for</strong> Full-Time PTs<br />
Specializing in Orthopedics<br />
and Sports <strong>Medicine</strong> at<br />
Each of Our 6 Facilities Located<br />
in Bergen County, New Jersey.<br />
Hackensack / Waldwick / Oakland<br />
Fort Lee / Cresskill / Ruther<strong>for</strong>d<br />
$2000 Sign-on Bonus<br />
Competitive Benefi ts Package<br />
Please fax resume to<br />
201-488-5787<br />
or e-mail Laura Ash:<br />
lash@exceltherapy.com<br />
MBG <strong>Therapy</strong> is seeking<br />
F/T PT <strong>for</strong> an outpatient facility in Secaucus NJ,<br />
F/T PT or PTA <strong>for</strong> an outpatient facility in Clifton NJ,<br />
and per diem PTs and PTAs <strong>for</strong> SNFs in North NJ.<br />
Also seeking per diem PTs to cover cases in schools in Trenton NJ.<br />
Please e-mail resumes to<br />
mbgtherapy@gmail.com or fax to 201-238-2719.<br />
WWW.<strong>ADVANCE</strong>WEB.COM/JOBFAIRS<br />
www.advanceweb.com/pt | September 17, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 41<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
EMPLOYMENT OPPORTUNITIES<br />
41
EMPLOYMENT OPPORTUNITIES<br />
New Jersey, New York, Pennsylvania<br />
Now Hiring <strong>Physical</strong> Therapists<br />
FULL TIME, PART TIME, PER DIEM<br />
SIGN ON BONUSES!<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 />
BETTER OUTCOMES AT WORK <br />
<strong>Physical</strong> Therapists<br />
All-City Health Care Services<br />
is a licensed home care agency,<br />
with current opportunities in<br />
Manhattan and Brooklyn.<br />
Excellent pay<br />
Interested applicants please call<br />
718-897-3656 or 813-781-4343<br />
E-mail: allcityhealth@aol.com<br />
<strong>Physical</strong> Therapist - FT or PT<br />
F/T or P/T <strong>Physical</strong> Therapist needed<br />
<strong>for</strong> a multidisciplinary clinic in Scotch<br />
Plains, NJ. Flexible hours and<br />
excellent pay. New grads welcome.<br />
Fax resume to 908-490-1848<br />
or e-mail: echludzinski@yahoo.com<br />
42 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | September 17, 2012 | www.advanceweb.com/pt<br />
42 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
Apply Now<br />
Apply Now<br />
Get the process started by applying<br />
Get the process started by applying<br />
online at 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 />
<br />
Lori Munyan/Director, Human Resources<br />
lori.munyan@healthsouth.com<br />
<br />
<br />
www.healthsouth.jobs ©2012:HealthSouth Corporation:544752<br />
<strong>Physical</strong> Therapist<br />
Ambulatory healthcare organization committed to quality<br />
patient outcomes is seeking <strong>Physical</strong> Therapists <strong>for</strong> various<br />
NYC locations. Responsibilities include per<strong>for</strong>ming patient<br />
evaluations, coordinating and communicating treatment<br />
plan/goals and patient discharge with medical providers,<br />
providing direct care to address the patient’s condition,<br />
adjusting treatment plan when necessary, maintaining<br />
medical charts/documenting patient progress and providing<br />
patient with exercise instruction/demonstration <strong>for</strong> home<br />
exercises and pain management. Additionally, the position<br />
may guide the activities of <strong>Physical</strong> <strong>Therapy</strong> Assistants.<br />
The ideal candidate will possess a Bachelor’s degree in<br />
PT, 2+ years prior work experience in a clinical setting,<br />
excellent communication (verbal/written) skills, computer<br />
literate and hold a valid New York State PT license.<br />
<strong>Physical</strong> <strong>Therapy</strong> Assistant<br />
Ambulatory healthcare organization committed to quality<br />
patient outcomes is seeking <strong>Physical</strong> <strong>Therapy</strong> Assistants<br />
<strong>for</strong> various NYC locations. Under the supervision of a<br />
<strong>Physical</strong> Therapist, the position is responsible <strong>for</strong> treating<br />
assigned patients through all phases of a comprehensive<br />
treatment plan. Additional duties include reviewing<br />
charts and documenting patient care/progress, providing<br />
exercise instruction and demonstration <strong>for</strong> patients. The<br />
ideal candidate will possess 2+ years prior work<br />
experience in a clinical setting, excellent communication<br />
(verbal/written) skills, be a graduate of an accredited<br />
<strong>Physical</strong> <strong>Therapy</strong> Assistant program and hold a valid New<br />
York State PTA license.<br />
We offer a competitive salary, an exceptional benefi ts package<br />
and a patient focused, professional work environment.<br />
For consideration, please send resume indicating position<br />
of interest, to nyhealthcareers@yahoo.com EOE<br />
SUBSCRIBE TODAY — CALL 800.355.1088<br />
Losing ‘Good’ Weight<br />
Studies have shown that people<br />
experiencing cancer cachexia, human<br />
immunodeficiency virus or autoimmune<br />
deficiency syndrome (HIV-AIDS),<br />
or chronic obstructive pulmonary disease<br />
(COPD) tend to lose fat free mass<br />
during weight loss which leads to a<br />
decline in physical per<strong>for</strong>mance and<br />
potential death.<br />
Full-time PT, CHT, and licensed PTA<br />
positions available in NJ & PA at a<br />
growing private orthopedic practice.<br />
Please visit our website<br />
<strong>for</strong> in<strong>for</strong>mation:<br />
www.mbortho.com<br />
advancecustompromotions.com<br />
1-877-776-6680<br />
• From the publishers of <strong>ADVANCE</strong> Newsmagazines<br />
• Custom gifts, giveaways & promotional products<br />
• Exclusive healthcare designs you won't fi nd anywhere else<br />
• Free design, copy & creative services<br />
• Staff gifts & event giveaways <strong>for</strong> every budget<br />
VISIT WWW.<strong>ADVANCE</strong>WEB.COM TODAY
Why work<br />
<strong>for</strong> the<br />
VNA?<br />
Here’s what our PTs say:<br />
“I value the relationships I have with patients.”<br />
VNAGP is one of the region’s largest nonprofit<br />
hospice and home care providers,<br />
serving residents throughout Philadelphia<br />
& immediate PA suburbs.<br />
Home Care<br />
<strong>Physical</strong> Therapists<br />
Full-time, Part-time & Per Diem<br />
Current license & at least 1 year clinical<br />
experience required. Orientation program<br />
<strong>for</strong> all <strong>new</strong> therapist hires. Independent<br />
Contractors welcome.<br />
We offer outstanding compensation and<br />
generous benefits including laptop & cell<br />
phone, top mileage reimbursement, tuition<br />
reimbursement, paid access <strong>for</strong> CE credits<br />
and generous paid time off.<br />
For more in<strong>for</strong>mation, please contact:<br />
Clinical Recruiter<br />
at 215-581-2073 or e-mail:<br />
recruiter@vnaphilly.org<br />
Learn more at<br />
www.vnaphilly.org<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 />
EOE M/F/V/H<br />
Theraplay, Inc. is a leading provider of childrens<br />
therapy services in Southeastern,PA. Current<br />
openings at our pediatric outpatient centers,<br />
school services and EI departments, with locations<br />
in Bucks, Chester, Delaware, Montgomery<br />
and Lancaster Counties. Named a “Top 25<br />
Small Company <strong>for</strong> Working Moms”.<br />
New location coming soon in Yardley, PA!<br />
Contact Amanda Ryan, Recruiting Mgr.<br />
(610) 436-3604 x27 or<br />
aryan@theraplayinc.com p y <strong>for</strong> details.<br />
In Motion <strong>Physical</strong> <strong>Therapy</strong> & Fitness Ctr.<br />
Large PT owned outpatient physical therapy practice has openings <strong>for</strong> a<br />
full-time and part-time <strong>Physical</strong> Therapist. The clinic is about 45 min.<br />
from Phila. in the western suburb of Downingtown. Caseload primarily<br />
orthopedic & sports rehab with a younger population including pre and<br />
post operative care. Hrs. flexible w/oppty. <strong>for</strong> (4) 10-hour days <strong>for</strong> F-T<br />
employment. Our treatment philosophy is a hands on approach, ample<br />
time w/each patient to build rapport & administer the best care possible.<br />
Facility is state-of-the-art w/15,000 sf incl. heated pool, extensive<br />
support staff, dictation <strong>for</strong> documentation, associated full service fitness<br />
ctr & fertile environment <strong>for</strong> exchange of ideas between clinicians. New<br />
grads & expd. therapists welcome to apply. Salary commensurate w/exp.<br />
Full Medical, Dental & Vision benefits, matching 401(k), vacation time,<br />
con ed budget, bonus structure, laptop issued upon employment, & free<br />
gym membership to name a few benefits. Call Brock at 610-518-9100 or<br />
fax resume, 610-518-0992. E-mail: brockristy@aol.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 />
EOE<br />
Pennsylvania, New Jersey, Maryland, Washington, D.C., Delaware<br />
Founded by the Sisters of the Holy Family of<br />
Nazareth in 1940, Nazareth Hospital provides<br />
a full array of healthcare services to<br />
Northeast Philadelphia, including nationally<br />
certi ed stroke care, joint replacement and a<br />
CARF accredited <strong>Rehab</strong> Program. We invite<br />
PA licensed physical therapists to join our<br />
team of healthcare professionals where we<br />
take pride in the personal approach to customer<br />
service and excellent clinical care.<br />
Senior <strong>Physical</strong> Therapist<br />
Previous experience required.<br />
PA licensed PT.<br />
McKenzie back certi cation and<br />
certi ed hand therapist a plus.<br />
Staff <strong>Physical</strong> Therapist<br />
PA Licensed PT.<br />
Pool/Per Diem<br />
<strong>Physical</strong> Therapists<br />
Weekday and weekend hours available.<br />
Inpatient and Outpatient opportunities available.<br />
Nazareth Hospital is a member of Mercy Health<br />
System, the largest Catholic healthcare system<br />
serving the Delaware Valley, and of Catholic<br />
Health East, a multi-institutional, Catholic<br />
health system serving the Eastern U.S..<br />
BRAND NEW RATES!!<br />
To apply visit our website at:<br />
www.mercyhealth.org<br />
or contact Lisa Marie Elliss<br />
at 215-335-6627 or e-mail<br />
lellis@mercyhealth.org<br />
Nazareth Hospital<br />
2601 Holme Avenue<br />
Philadelphia, PA 19152<br />
We are an equal opportunity employer<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 <strong>new</strong> people!<br />
advancecustompromotions.com<br />
1-877-776-6680<br />
<strong>Physical</strong> Therapists<br />
PRN, Inpatient and Outpatient Adult<br />
PRN, Inpatient Pediatrics<br />
PRN, Outpatient Wound Care<br />
Requires a DC license (or eligibility).<br />
Experience required <strong>for</strong> all PRN positions.<br />
<strong>Physical</strong> <strong>Therapy</strong><br />
Clinical Leader<br />
Inpatient Adult<br />
Requires 2 years supervisory experience and 3<br />
years clinical experience.<br />
Our PTs enjoy:<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
www.medstargeorgetown.jobs/m/t/5<br />
Full-Time, Part-Time, Per Diem<br />
Pediatric <strong>Physical</strong>, Speech and<br />
Occupational Therapists Needed<br />
Bayada Pediatrics NEW Delaware Pediatric Visit<br />
offi ce is growing and has immediate openings<br />
<strong>for</strong> <strong>Physical</strong>, Speech and Occupational Therapists.<br />
Pediatric experience is a must and Early Intervention<br />
experience is a plus. At Bayada Pediatrics we<br />
offer competitive pay rates, benefi ts, fl exible scheduling,<br />
and much more!<br />
If you are interested in joining a dedicated<br />
team of professionals who believe their clients<br />
come fi rst, please call SherVonne Wilson at<br />
302-322-2300 or fax resume to 302-322-6300<br />
or e-mail to swilson@bayada.com.<br />
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 />
www.advanceweb.com/pt | September 17, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 43<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
EOE<br />
EMPLOYMENT OPPORTUNITIES<br />
43
EMPLOYMENT OPPORTUNITIES<br />
Florida, South Carolina, North Carolina<br />
LOWER SOUTH ATLANTIC<br />
Join Bethesda Memorial Hospital in Boynton Beach, Florida, and find yourself in a friendly<br />
community, team-oriented environment. Working here means knowing that you’ll be respected,<br />
valued and appreciated. And living here means feeling like you belong! We are committed to<br />
helping each patient achieve their optimum level of wellness, independence and quality<br />
of life by offering special programs <strong>for</strong> orthopedic and neurologic rehabilitation.<br />
Acute Care, Inpatient, Pediatrics & Outpatient-Orthopedic<br />
Benefits:<br />
• Comprehensive Health Benefits • Competitive Rates<br />
• On-Site Child Care • On-Site Education Resources<br />
• Paid Time Off • Referral Bonuses<br />
Get the support and resources you need here at our warm and inviting suburban hospital.<br />
For immediate consideration, please apply online at:<br />
www.BethesdaWeb.com/careers<br />
For more in<strong>for</strong>mation, please contact<br />
Human Resources at (561) 737-7733 x84200 or<br />
Jerilynn Marazzo, Allied Health Recruiter,<br />
Jerilynn.Marazzo@BethesdaHealthcare.com<br />
New Grads Welcome!<br />
PHYSICAL THERAPISTS<br />
needed in the Upstate SC area which was<br />
recently named #4 on the “Top 100 places to live.”<br />
• Since 2007 and annually, Member of HomeCare Elite<br />
<strong>for</strong> quality and fi nancial per<strong>for</strong>mance.<br />
• 2011 Home Care Compare - Superior in public<br />
outcome measures<br />
• TOP 500 Medicare Certifi ed Home Health Provider<br />
in the country<br />
We offer laptop computers, Total Joint Program,<br />
Orthopedics/<strong>Rehab</strong> Specialty, Flexible Schedule<br />
1-800-439-4590<br />
www.interimhealthcare.com<br />
Over 30 Years of Extraordinary<br />
Home Health Care<br />
LEAVE A LASTING IMPRESSION<br />
EMAIL REPRINTS@<strong>ADVANCE</strong>WEB.COM<br />
44 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | September 17, 2012 | www.advanceweb.com/pt<br />
44 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
EOE<br />
IMMEDIATE<br />
OPPORTUNITIES:<br />
<strong>Physical</strong> Therapists<br />
Bethesda Memorial Hospital is a fully-accredited,<br />
not-<strong>for</strong>-profit community hospital and equal<br />
opportunity employer. Smoke-free, drug-free<br />
workplace.<br />
Carolina <strong>Therapy</strong> Services<br />
PT/OT/SLP: Opportunities in Boone,<br />
Fayetteville, Warrenton and Dunn, NC<br />
(Home Health), and Laurinburg, NC (PTA)<br />
Management Opportunities Available!<br />
SIGN-ON BONUS OR RELOCATION PACKAGE $3,000-$5,000<br />
Competitive salaries and excellent benefits. Continuing education assistance<br />
with opportunities <strong>for</strong> professional growth.<br />
Call 866-388-9776 or Fax: 866-388-9779<br />
markw@carolinatherapy.net<br />
Visit us at the Web at www.carolinatherapy.net<br />
Pediatric <strong>Physical</strong> Therapist<br />
Pediatrics Unlimited, Inc. is therapist owned and operated. Our specialized<br />
therapy team includes Occupational therapy, physical therapy, speech and<br />
language pathology, and pediatric neuropsychology. The advertised position is<br />
at our Greenville location.<br />
Benefi ts: medical, dental and vision insurance, 401K plan, paid time off and<br />
assistance with continuing ed. Req. <strong>for</strong> this position include graduation from an<br />
accredited school or therapy, current South Carolina license or license-eligible,<br />
and pediatric training/experience.<br />
Resumes: jobs@pediatricsunlimited.org•pediatricsunlimited.org<br />
Pediatric MS<br />
According to the National Multiple<br />
Sclerosis Society, there are an estimated<br />
400,000 Americans living with multiple<br />
sclerosis, and 8,000 to 10,000 of<br />
those affected by the disease are children<br />
or adolescents. Although MS is<br />
typically considered a disease that<br />
affects adults, children have been<br />
diagnosed with the disease as early as<br />
two years old.<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 />
LOWEST COST • FASTEST SERVICE<br />
LOWEST MINIMUM QUANTITIES!<br />
CALL 800-355-5627 TODAY
PT Opportunity<br />
in the Orlando, FL area!<br />
Relocation & sign-on bonus available<br />
www.hohmanrehab.com/career-opportunities/<br />
407-404-4970<br />
Jessica M. Booth MS. CCC-SLP & Associates, PA<br />
Pediatric <strong>Physical</strong> Th erapist or <strong>Physical</strong> Th erapist<br />
Assistant Supervisor needed. Servicing high functioning<br />
children in 3 private schools in Davie area.<br />
Requirements: Active <strong>Physical</strong> Th erapy License<br />
from Department of Health, Liability Insurance.<br />
Pay: $50/hour. Contact Jessica Booth: (954) 319-7609<br />
<strong>Physical</strong> Therapists<br />
Archbold Medical Center is currently seeking<br />
<strong>Physical</strong> Therapists <strong>for</strong> the Acute <strong>Rehab</strong> Unit,<br />
Outpatient <strong>Rehab</strong> and Home Health Services.<br />
$10,000 Recruitment Incentive<br />
Relocation Assistance<br />
Visit our website <strong>for</strong> further details on our<br />
Medical Center. Competitive compensation<br />
and excellent benefi ts.<br />
Contact: Employment Manager<br />
PO Box 1018, Thomasville, GA 31799<br />
LKennedy@archbold.org<br />
Phone: 229-227-5047 • Fax: 229-227-5188<br />
EOE<br />
www.archbold.org<br />
EAST SOUTH CENTRAL<br />
Florida, Georgia, Tennessee<br />
You really can move mountains.<br />
Mountain States Health Alliance, located in a region full of wonderful places to live, work and play, focuses on creating a Patient-Centered Care<br />
environment. We provide competitive wages, great benefits, and an atmosphere of support and respect. We offer up to a $15,000 sign-on bonus,<br />
scholarship award program, tuition reimbursement and continuing education. And our Wellness Program helps Team Members better their own<br />
health while improving the health of their patients. It all adds up to a powerful community of healthcare leaders you should join.<br />
FEATURED OPPORTUNITY: <strong>Physical</strong> Therapist<br />
MSHA is a locally owned and managed healthcare system based in Johnson City, Tennessee. We are the region’s largest healthcare system with 13<br />
hospitals. Mountain States Health Alliance caregivers build relationships, create environments and provide service delivery based on the patient<br />
through a holistic approach to healing that ministers to the mind, body and spirit. Our integrated, comprehensive continuum of care serves<br />
people in 29 counties in Tennessee, Virginia, Kentucky, and North Carolina. In addition to our hospitals, MSHA’s integrated healthcare delivery<br />
system includes 21 primary/preventive care centers and numerous outpatient care sites, including First Assist Urgent Care, MedWorks, Same Day<br />
Surgery, and <strong>Rehab</strong> Plus.<br />
Franklin Woods Community Hospital<br />
Johnson City Medical Center<br />
Johnston Memorial Hospital<br />
Norton & Dickenson Community Hospitals<br />
APPLY online at www.msha.com<br />
Questions? Contact our recruiters at<br />
<br />
(P.S. - In your free time, they’re also great <strong>for</strong> hiking, biking, and picnicking.)<br />
Russell County Medical Center<br />
Smyth County Community Hospital<br />
Francis Marion Manor<br />
The Florida lifestyle…<br />
ere’s noing like it anywhere!<br />
Minutes to world-class beaches. Under 3 hours to internationally<br />
renowned entertainment venues in Miami, Tampa, and Orlando. Year<br />
‘round outdoor fun. Activities to suit every lifestyle. NO STATE INCOME<br />
TAXES! It’s easy to see why so many health professionals like you decide<br />
to call The Sunshine State - and Lee County - home!<br />
You also want to work where you can provide top-quality care - and<br />
Lehigh Regional Medical Center makes that possible. We invite you to<br />
explore this outstanding opportunity.<br />
PHYSICAL THERAPIST<br />
Our hospital-based service gives you the chance to really spread your<br />
clinical wings. Help round out our team as we support outpatient, joint<br />
replacement, wound care, and inpatient services. Every day will bring a<br />
<strong>new</strong> challenge, surrounded by friendly, collaborative, engaged coworkers.<br />
Experience preferred, but <strong>new</strong> grads welcome.<br />
Come discover <strong>for</strong> yourself why Lehigh Regional Medical Center is<br />
recognized as an employer of choice. Please apply online and view<br />
additional opportunities at www.lehighregional.com<br />
HomeCare & Hospice Services<br />
HH - PTA (Lebanon/Russell Co.)<br />
HH - PTA (Kingsport/Sullivan Co.)<br />
HH - PTA (Mountain City)<br />
HH - PT (Kingsport/Sullivan Co.)<br />
EOE/AA<br />
107158_0306820_09-03-12_7x4.75_AdvancePT.indd 1 8/17/12 10:07 AM<br />
CALL <strong>ADVANCE</strong>WEB.COM AT 800.355.1088 TO SUBSCRIBE FREE TODAY!<br />
We drug test. EOE<br />
www.advanceweb.com/pt | September 17, 2012 | <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> 45<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
EMPLOYMENT OPPORTUNITIES<br />
45
EMPLOYMENT OPPORTUNITIES<br />
Missouri, Illinois, Colorado, Arkansas, Texas<br />
WEST NORTH CENTRAL<br />
Ozarks<br />
Medical Center<br />
is a rapidly growing 114-bed<br />
regional medical center,<br />
located in West Plains, Missouri<br />
Seeking<br />
EAST NORTH CENTRAL<br />
<strong>Physical</strong> Therapist<br />
Assesses and plans treatment <strong>for</strong> direct patient care,<br />
oversees plan of care with PTA. Must have a Bachelor's Degree.<br />
Salary commensurate with training and experience.<br />
OMC offers a competitive salary and benefi t package.<br />
• Medical/dental insurance • 403B retirement plan<br />
• Tuition reimbursement • Vision<br />
• 27 days paid time off • Long-term/Short-term disability<br />
Located in the Ozark Mountains in southern Missouri, our area offers small town<br />
friendliness, reasonable cost of living, and gorgeous surroundings. Live and work in one<br />
of the best small towns in America.<br />
Submit an application at www.ozarksmedicalcenter.com, <strong>for</strong> more in<strong>for</strong>mation<br />
contact OMC Recruitment at 417-257-6743<br />
SCHOOL-BASED PT - NW ILLINOIS<br />
Part-time PT job in Rock<strong>for</strong>d. In-service,<br />
mentoring, progressive school setting.<br />
Call Mary Kolinski, NIA at 630-402-2002<br />
fax resume to 630-513-1980<br />
or e-mail mkolinski@thenia.org<br />
Web: www.thenia.org EOE<br />
Cases of Typhus<br />
There are actually several different<br />
diseases called typhus, each of them<br />
caused by Rickettsia, a genus of Gramnegative,<br />
non-motile, non-spore <strong>for</strong>ming<br />
bacteria. Nowadays, epidemic<br />
typhus is most prevalent in mountainous<br />
areas of Latin America, Africa and<br />
Asia. It is quite rare in the United<br />
States, with only 15 sporadic acute<br />
cases actually documented. It is<br />
believed these occurred due to exposure<br />
to flying squirrels, with transmission<br />
via squirrel lice or fleas.<br />
LEAVE L A LASTING<br />
IMPRESSION I<br />
WITH<br />
<strong>ADVANCE</strong> REPRINTS<br />
A<br />
EMAIL E REPRINTS@<strong>ADVANCE</strong>WEB.COM<br />
SOUTHWEST<br />
46 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | September 17, 2012 | www.advanceweb.com/pt<br />
46 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
WEST SOUTH CENTRAL<br />
Full-time exempt PT<br />
positions available at progressive 80-bed<br />
hospital in the Arkansas River Valley area,<br />
just off I-40.<br />
We provide both inpatient and outpatient<br />
<strong>Physical</strong> <strong>Therapy</strong> services in a well-equipped,<br />
ample therapy area.<br />
We offer competitive wages and bene ts,<br />
including company matched 401(k).<br />
Apply online at www.jrmc.com<br />
EOE • Tobacco Free Campus<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 />
Hometown Hospital. World Class Care.<br />
In Steamboat Springs, community isn’t just a welcome idea, it’s a<br />
reality. The charm and charisma of this beautiful mountain valley<br />
makes <strong>for</strong> an outstanding place to raise a family, enjoy an active<br />
lifestyle and engage in a prosperous and gratifying career.<br />
<strong>Physical</strong> Therapist (Temporay)<br />
November-Mid-April<br />
Candidate must per<strong>for</strong>m PT evaluations and designs and implement<br />
appropriate treatment plan. The candidate must complete all<br />
electronic and written documentation inlcuding: evaluations, daily<br />
and progress notes, and discharge summaries.<br />
NEW!<br />
Improved<br />
Advertiser Index<br />
FASTER AND EASIER<br />
• No login<br />
• Simplifi ed interface<br />
• Request in<strong>for</strong>mation with one click<br />
• Expanded listings from featured<br />
manufacturers<br />
www.advanceweb.com/mag URL<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 />
Must also attend continuing educations, in-services, staff meetings,<br />
care conferences, discharge planning and medical meetings. Must<br />
be HIPAA compliant. B.S. or MPT in <strong>Physical</strong> <strong>Therapy</strong> and one year<br />
experience and licensure in PT and current CPR.<br />
1024 Central Park Drive<br />
Steamboat Springs, CO 80487<br />
Ph: 970-870-1118 / careers@yvmc.org<br />
YVMC is an EOE<br />
<strong>Physical</strong> Therapists Asst F/T - $3K Sign-On<br />
La Villa Grande, Grand Junction, CO<br />
ALSO PT’s & OT’s / Skilled Nursing Community<br />
MED/DENT/VIS/401K WITH MATCH AND MORE<br />
Excellent compensation and benefits<br />
Call Emily, Five Star <strong>Rehab</strong> & Wellness<br />
Tel: 866-670-8721, Fax: 617-658-1706<br />
efay@5sqc.com www.5sqc.com eoe<br />
RENEW YOUR FREE SUBSCRIPTION<br />
CALL TODAY — 800.355.1088
PHYSICAL THERAPIST<br />
Exceptional FT opportunity <strong>for</strong> a <strong>Physical</strong><br />
Th erapist in our busy Wellness/<strong>Rehab</strong>ilitation<br />
department located in the western Colorado<br />
paradise of Meeker!<br />
Current CO PT license and BS in <strong>Physical</strong><br />
Th erapy required. Excellent benefi ts, sign-on<br />
bonus, relocation assistance, competitive<br />
salary and abundant recreational opportunities<br />
available.<br />
Details and application available at<br />
www.pioneershospital.org<br />
or call 970-878-9264. EOE<br />
<strong>Physical</strong> Therapists - F/T, P/T & PRN<br />
Forum at Tucson, Tucson, AZ<br />
Independent Living, Assisted Living, Skilled Care<br />
Inpatient/outpatient - internal therapy company<br />
Excellent compensation and benefi ts<br />
Five Star <strong>Rehab</strong> & Wellness<br />
Tel: 866-670-8721, Fax: 617-658-1706<br />
dglassburn@5sqc.com • www.5sqc.com EOE<br />
Origins of Cholera<br />
Cholera struck London in the mid<br />
1800s. Medical professionals of the<br />
period thought the disease was spread<br />
through the air. However, John Snow, a<br />
British physician of the time, hypothesized<br />
instead that the disease might be<br />
transmitted through contaminated<br />
water. By plotting on a map where<br />
each case had occurred, he noted a<br />
cluster around a water pump at Broad<br />
Street. He had the pump’s handle<br />
removed, basically stopping the epidemic.<br />
HEALTHCARE<br />
JOB LISTINGS—<br />
UPDATED DAILY!<br />
WWW.<strong>ADVANCE</strong>WEB.COM<br />
WWW.<strong>ADVANCE</strong>WEB.COM<br />
PACIFIC<br />
<strong>Physical</strong> Therapists - F/T, P/T 24 - 40 hrs/wk<br />
Meadowood Retirement Community<br />
Inpatient/outpatient - Excellent compensation/benefits<br />
September is <strong>Rehab</strong> Month - accept a FT job in<br />
September and receive a free iPad!! (ask <strong>for</strong> details!)<br />
Five Star <strong>Rehab</strong> & Wellness<br />
Tel: 617-796-8299, Fax: 617-658-1732<br />
efay@5sqc.com www.5sqc.com eoe<br />
FREE <strong>ADVANCE</strong> JOB<br />
FAIR & CAREER EVENTS<br />
IN YOUR AREA<br />
WWW.<strong>ADVANCE</strong>WEB.COM/JOBFAIRS<br />
Colorado, Arizona, Cali<strong>for</strong>nia<br />
Don't Gamble<br />
with your Career!<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 />
GET NEWS THE FAST WAY SIGN UP FOR<br />
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www.advanceweb.com/pt | September 17, 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 />
EMPLOYMENT OPPORTUNITIES<br />
47
EMPLOYMENT OPPORTUNITIES<br />
Alaska, Cali<strong>for</strong>nia, National<br />
<strong>Physical</strong><br />
Therapist<br />
Be part of our<br />
collaborative,<br />
multidisciplinary team in<br />
Anchorage, Alaska!<br />
• Extraordinary support<br />
• Full-Time & Part-Time<br />
• Generous continuing education funds<br />
• Medical-Dental-401k<br />
• Generous PTO and bonus system<br />
Fax resume to Dana Pasol at 907-344-5103<br />
danap@all<strong>for</strong>kidsalaska.com<br />
check us out at www.all<strong>for</strong>kidsalaska.com<br />
Anchorage, Alaska<br />
Come join a team that loves what<br />
it does and cares about those it<br />
serves. St. Elias Specialty Hospital’s<br />
current needs are:<br />
PHYSICAL THERAPISTS<br />
Full-time<br />
For more details or to inquire about<br />
job opportunities, please call:<br />
Human Resources: 907-564-2225<br />
Apply online<br />
www.steliashospital.com<br />
<strong>Physical</strong> <strong>Therapy</strong><br />
2 Assistant/Associate Professor positions:<br />
An earned doctorate (Ph.D., Ed.D., D.Sc.) in<br />
<strong>Physical</strong> <strong>Therapy</strong> or closely related discipline is<br />
required <strong>for</strong> appointment. ABD candidates will be<br />
considered, however candidates must have an<br />
earned doctorate <strong>for</strong> appointment. Candidates with<br />
post-professional DPT with board certification or<br />
exceptional clinical expertise in desired clinical<br />
teaching areas and a commitment to engage in<br />
scholarly activity will be considered. Please apply<br />
online http://apptrkr.com/274816 no later than<br />
November 28, 2012. Contact: Toni Tyner, (559)<br />
278-2625 or 559-278-4862; tonit@csufresno.edu<br />
Cali<strong>for</strong>nia State University, Fresno is an<br />
affirmative action/equal opportunity institution.<br />
Autism Occurrences<br />
According to the Centers <strong>for</strong> Disease<br />
Control, autism occurs in approximately<br />
two to six per 1,000 individuals, is four<br />
times more prevalent in boys than in<br />
girls and has no racial, ethnic or social<br />
boundaries.<br />
NATIONAL<br />
Your opinion matters atters<br />
when it comes to patient t care.<br />
Interested?<br />
Contact Anita Young: (877) 216-4803<br />
AYoung@WorkAtConcentra.com<br />
advpt.WorkAtConcentra.com<br />
Concentra is an equal opportunity employer.<br />
©2012 Concentra Operating Corporation. All rights reserved. eserved<br />
Now Hiring:<br />
Center <strong>Therapy</strong> Director - Hinesville, GA<br />
Center <strong>Therapy</strong> Director - Atlanta, GA<br />
Center <strong>Therapy</strong> Director - Fort Lauderdale, FL<br />
48 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | September 17, 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 />
HAVE AN OPEN POSITION? CALL 800.355.5627 TO PLACE AND AD IN <strong>ADVANCE</strong> TODAY!
REHAB CAREERS<br />
National<br />
Five Star <strong>Rehab</strong> and Wellness is a large - and growing<br />
In celebration<br />
company, committed to the highest standards, employing of <strong>Rehab</strong> Month,<br />
more than 1,200 therapists with extensive clinical knowl- accept a Full-Time<br />
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edge in all aspects of specialized rehabilitation and<br />
the month of September<br />
fitness <strong>for</strong> seniors. Our professional staff includes<br />
with Five Star (must start<br />
Occupational Therapists, <strong>Physical</strong> Therapists<br />
and Speech-Language Pathologists.<br />
Outstanding benefit packages available<br />
including: Excellent Salary & Benefits -<br />
Health/Dental,Vision, 401k with match,<br />
Continuing Education and Much More.<br />
We operate therapy programs in 34-plus states,<br />
totaling more than 9,000 beds and a rehabilitation<br />
staff of close to 1,200 employees.<br />
within 30 days of<br />
acceptance) & receive a<br />
Free Apple<br />
iPad!<br />
For opportunities in:<br />
NJ, DE, FL, SC, WI, MI, GA.<br />
Mike Connell, mconnell@5sqc.com<br />
tel: 617-219-1427, efax: 617-658-1706<br />
For opportunities in:<br />
MD,VA, NC, TX, NM, CO, NE, IA,<br />
OH, KS, KY, IN.<br />
Emily Fay, efay@5sqc.com<br />
tel: 617-796-8299 efax: 617-658-1732<br />
For current opportunities in:<br />
AZ, CA, TX, IL, FL, TN<br />
Dave Glassburn, dglassburn@5sqc.com<br />
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NEED A QUICK TRADESHOW GIVEAWAY? TRY <strong>ADVANCE</strong> REPRINTS! EMAIL REPRINTS@<strong>ADVANCE</strong>WEB.COM<br />
www.advanceweb.com/pt | September 17, 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 />
eoe<br />
EMPLOYMENT OPPORTUNITIES<br />
49
EMPLOYMENT OPPORTUNITIES<br />
National<br />
Follow the heart...and love the job.<br />
Interested candidates, please send<br />
resumes to:<br />
Jackie K. Burke, MA/CCC-SLP<br />
Email: jburke@tarahc.com<br />
Fax: (618) 473-3351<br />
Tel: (888) 411-4196<br />
www.taratherapy.com<br />
EOE<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 have Full-time, Part-time and<br />
PRN opportunities available <strong>for</strong><br />
PHYSICAL THERAPISTS and<br />
PHYSICAL THERAPY ASSISTANTS<br />
at the following locations:<br />
ALABAMA<br />
Florence<br />
GEORGIA<br />
Douglasville<br />
ILLINOIS<br />
Granite City<br />
Hardin<br />
White Hall<br />
MISSOURI<br />
Herculaneum<br />
LOUISIANA<br />
Ringgold<br />
50 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong> | September 17, 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 />
♥<br />
Professional Growth. Personal Satisfaction.<br />
♥♥<br />
We’re growing nationally and seeking dynamic professionals to join us. You’ll be part<br />
of a well-managed team of rehabilitation specialists who are passionate about their<br />
work and will be rewarded with attractive compensation, comprehensive benefits,<br />
professional advancement and a family-friendly work environment.<br />
Regional Director of <strong>Rehab</strong>ilitation (2 Positions)<br />
Mississippi/Tennessee • Louisiana<br />
Multi-site experience required.<br />
Director of <strong>Rehab</strong>ilitation (3 Positions)<br />
Fairfield, AL • Arcadia & Jena, LA<br />
All of the above positions must have 3 years’ management experience in a skilled<br />
nursing environment. Licensed PT, OT or SLP required.<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 />
We are an equal opportunity employer that believes<br />
difference is what makes us exceptional. Drug-free workplace.<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 />
TARA THERAPY<br />
also has opportunities <strong>for</strong>:<br />
PT’s, PTA’s, OT’s,<br />
COTA’s & SLP’s<br />
IN<br />
Tennessee, Illinois,<br />
Missouri, Georgia, Alabama<br />
and Mississippi<br />
Solidifying the Spine<br />
The Scoliosis Research Society<br />
defines scoliosis as a curve of the<br />
spine measuring 10 degrees or greater.<br />
Diagnosis is confirmed through a physical<br />
exam and X-rays. Congenital scoliosis<br />
strikes one in 1,000 children. It’s<br />
often associated with other abnormalities,<br />
such as genitourinary tract anomaly<br />
(20 percent occurrence), congenital<br />
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and lower extremity anomalies,<br />
such as clubfoot, flat foot, cavus<br />
(high arches), muscle atrophy and<br />
absent or asymmetric reflexes.<br />
YOUR ONE-STOP<br />
CAREER CENTER<br />
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It’s Time to Celebrate<br />
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Poster #26313<br />
1.877.405.9978 • advancehealthcareshop.com<br />
PT1236_C01-C08.indd 1 8/9/12 3:48 PM 51<br />
<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong>
Travel Mug<br />
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52 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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ShopAdvance<br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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53
Celebrate <strong>Rehab</strong>!<br />
54 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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For<br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
55
Introducing the <strong>new</strong>est innovation <strong>for</strong> PTs - Spidertech Tape<br />
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56 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
Add us to<br />
your circle on<br />
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1½". Black. #13221<br />
$124.99<br />
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Exercise Bands<br />
Latex. Endorsed by APTA. Measures 6<br />
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Yellow/Thin $11.49<br />
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Shoulder Pulley<br />
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ColPacs<br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
57
Have you visited advancehealthcareshop.com lately?<br />
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$3.99<br />
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58 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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Women’s Happy Pink<br />
Ribbon Mary Janes<br />
European sizes: 35-42.<br />
#25825<br />
$109.99<br />
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Not valid on Littmann stethoscopes, Ultrascope (#11840), Oximeter<br />
(#13221), Cherokee WorkWear, affi liate-specifi c merchandise or<br />
items ending in $.97 cents. Valid now through 10/28/12.<br />
Catalog Code: PT-1236<br />
Prices and offers valid through 09/30/12
Healthcare<br />
Promotions <strong>for</strong><br />
Any Occasion<br />
Envoy Tote Bag<br />
• Item #25616<br />
Look no further <strong>for</strong> the perfect<br />
healthcare professional tote! This<br />
colorful bag comes equipped with<br />
pockets, bottle holder, and a pen<br />
loop to keep all necessities secure.<br />
The large imprint area will give your<br />
facility logo lots of exposure.<br />
Imprint Area: 6 ½” x 8”<br />
CPR Kit<br />
• Item #10782<br />
Imprint Area: 5” x 2 ½”<br />
As low as $4.32 each<br />
Hospital Visit and Me<br />
Educational Storybook<br />
• Item #25348<br />
Imprint Area: on back cover,<br />
4 ½” x 2”<br />
As low as 72¢ each<br />
Includes<br />
full-color<br />
imprint<br />
As low as<br />
$ 3 42<br />
each<br />
Tissue Pack<br />
• Item #25851<br />
Imprint Area: 3” x 2 ¼”<br />
As low as $1.09 each<br />
Full-Color Antibacterial<br />
Hand Sanitizer Pump<br />
• Item #25331<br />
Imprint Area: 2 ¾” x 3 7/8”<br />
As low as $1.12 each<br />
Record Doc<br />
Medical Diary<br />
• Item #25613<br />
Imprint Area: 1 ¾” x 2 7/8”<br />
As low as 94¢ each<br />
Recycled Badge<br />
Holder with Zipper<br />
• Item #7411<br />
Imprint Area: 3 ½” x 1 ½”<br />
As low as $1.80 each<br />
Stethoscope-Themed<br />
Memo Board<br />
• Item #25461<br />
Imprint Area: 11” x 8 ½”<br />
As low as $1.16 each<br />
Scrubs Cooler Bag<br />
• Item #25341<br />
Imprint Area: 3 ¼” x 6”<br />
As low as $7.62 each<br />
Call today to speak with a consultant <strong>for</strong> a custom quote or more product ideas!<br />
1-877-776-6680<br />
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<strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong><br />
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60 <strong>ADVANCE</strong> <strong>for</strong> <strong>Physical</strong> <strong>Therapy</strong> & <strong>Rehab</strong> <strong>Medicine</strong>
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