If You Can’t Breathe,
You Can’t Function:
Integrating Cardiopulmonary and
Postural Control Strategies in
Pediatric Populations
Friday, August 28 – Sunday, August 30, 2015
Mary Massery, P.T., D.P.T., D.Sc.
Children’s Healthcare of Atlanta Office Park
1680 Tullie Circle NE, Classroom 5
Atlanta, GA 30329
404-785-7842
If You Can’t Breathe, You Can’t Function:
Integrating Cardiopulmonary and Postural Control Strategies in Pediatric Populations Friday, August 28 – Sunday, August 30, 2015
Registration for all 3 days (including Lab Portion) is limited to the first 50 participants. $495 – 3-day regular registration price
$445 – 3-day registration price for 2 or more attendees from the same facility OR Georgia Speech-Language-Hearing Association (GSHA) member
$345 – 3-day registration price for Children’s Healthcare of Atlanta employee/PRN $185 – Friday only regular registration price
$165 – Friday only registration price for 2 or more attendees from the same facility OR Georgia Speech-Language-Hearing Association (GSHA) member
$110 – Friday only registration price for Children’s Healthcare of Atlanta employee/PRN Refund Policy: If you must cancel your registration, notify us at least seven days before the course and we will issue a
refund (minus a $25 administration fee). No-shows or cancellations received fewer than seven days prior to the course are ineligible for a refund.
Credit card, check and Children’s Healthcare of Atlanta departmental accounts are acceptable for payment.
Registration
Register Online
Visit choa.org/therapisteducation to Register
Agenda
Friday, August 28, 2015 (7.5 Contact Hours)
Open Enrollment
7:30 - 8 a.m. Registration & continental breakfast
8 - 10 a.m. Lecture: Breathing and Posture: A Multi-System Event! 10 - 10:15 a.m. Break
10:15 - Noon Lecture: Breathing and Posture (continued) Noon - 1 p.m. Lunch
1 - 1:30 p.m. Lecture: Breathing and Posture (continued)
1:30 - 2 p.m. Lecture: Normal and Abnormal Chest Wall Development and Function
2 - 2:15 p.m. Break
2:15 - 3:30 p.m Mini-Lab: What Can You Do in 90 Seconds or Less That Has a Profound and Lasting Effect? Positioning Strategies
3:30 - 5 p.m. Mini-Lab: Ventilatory or Movement Strategies: Integrating the Neuromuscular, Musculoskeletal, Respiratory and Sensory Systems
Saturday, August 29, 2015 (7.5 Contact Hours)
Limited Enrollment
7:30 - 8 a.m. Continental breakfast
8 - 9:30 a.m. Lecture: Find the Problem: Pulmonary Assessment from a Multi-system Perspective
9:30 - 9:45 a.m. Break
9:45 - Noon Lab: Chest Assessment: Focus Musculoskeletal Alignment and Breathing Pattern Assessment
Noon - 1 p.m. Lunch
1 p.m. - 2 p.m.. Lab: Enhancing Breath Support for Phonation 2 - 2:15 p.m. Break
2:15 - 3:15 p.m. Lecture: Airway Clearance: From Sherlock to Solution 3:15 - 4:15 p.m. Lab: Airway Clearance
Agenda
Sunday, August 30, 2015 (5.5 Contact Hours)
Limited Enrollment
7:30 - 8 a.m. Continental breakfast
8 - 8:45 a.m. Mini-lab: Introduction to Thoracic Spine/Rib Cage Musculoskeletal Restrictions Impairing Breathing Mechanics (or Vice Versa)
8:45 - 9:30 a.m. Lab: Facilitating Efficient Breathing Patterns and Building Endurance 9:30 - 9:45 a.m. Break
9:45 - Noon Lab: Facilitating Breathing Patterns (continued) Noon - 12:45 p.m. Lunch
12:45 - 2 p.m. Lab: Facilitating Breathing Patterns (continued) 2 - 2:30 p.m. Lab: Group Problem Solving: Putting It All Together
Course Description
This course will challenge the practitioner to make a paradigm shift; acknowledging the importance of the cardiopulmonary system as an integral component of postural control. The speaker will present a model of postural control (Soda Pop Can Model) that demonstrates how breathing mechanics are linked to motor and physiologic behaviors. This is the cornerstone for the speaker’s multi-system clinical approach to the evaluation and treatment of trunk and/or respiratory impairments. She will demonstrate how to integrate the cardiovascular, pulmonary, musculoskeletal, neuromuscular, integumentary and internal organ systems into every evaluation and intervention, as well as how to recognize physiologic causes or consequences that may accompany these motor dysfunctions. The speaker will show the participants how to effectively pair ventilatory strategies with specific movements in order to establish the pulmonary system as an asset rather than a liability. Neuromotor breathing retraining techniques and manual assistive cough techniques will be highlighted in labs as well as other manual interventions. The emphasis of the presentation will be on developing and applying practical quick clinical solutions that are applicable for pediatric patients in all practice settings.
Objectives
At the conclusion of Day 1, participants should be able to:
1. State how the mechanics of breathing and postural control are active and inter-dependent components of normal movement strategies.
2. Describe the multiple, simultaneous roles of the diaphragm as related to breathing, postural control, gastroesophageal reflux, constipation and venous return.
3. Contrast normal musculoskeletal development of the chest in infants and the concurrent motor skill acquisition to that observed in patients with impaired trunk function resulting from multiple different diagnostic categories.
4. Position patients for optimal cardiopulmonary function (physiological and biomechanical) with simple equipment such as towel rolls and pillows in recumbent and upright positions for use in and out of hospital settings.
5. Optimize patient function by integrating appropriate ventilatory strategies with all movements from low level activities to athletic endeavors.
6. Apply theoretical concepts to multiple clinical cases.
At the conclusion of Days 2- 3, participants should be able to:
7. Integrate the cardiopulmonary system into a multi-system physical and physiologic evaluation approach to motor dysfunction.
8. Identify numerous different breathing patterns and evaluate their efficiency for use while moving, talking and eating.
9. Evaluate breath support and postural control needs for verbal communication and perform therapeutic techniques to improve respiratory and/or trunk muscle support. 10. Design an airway clearance program targeted to a patient’s particular need using the
principles of mobilization, expectoration and management.
11. Demonstrate multiple airway clearance techniques and state when each would be applicable for a particular patient.
12. Participate in a live patient demonstration (if a patient is able to participate on that day) and suggest possible evaluation and treatment ideas based on the course material.
13. Identify thoracic cage/spine restrictions as they pertain to breathing mechanics and postural control (brief introduction to musculoskeletal topic).
14. Demonstrate pulmonary therapeutic exercise techniques geared toward modifying inefficient breathing patterns and state when each would be applicable for a particular patient.
15. Demonstrate the integration of a multi-system approach to patient’s motor deficits by designing an individual evaluation and intervention program for specific clinical problems and share the findings with the class.
16. Identify thoracic cage/spine restrictions as they pertain to breathing mechanics and postural control (brief introduction to musculoskeletal topic).
17. Demonstrate pulmonary therapeutic exercise techniques geared toward modifying inefficient breathing patterns and state when each would be applicable for a particular patient.
18. Demonstrate the integration of a multi-system approach to patient’s motor deficits by designing an individual evaluation and intervention program for specific clinical problems and share the findings with the class.
Who Should Attend
This course is designed for Physical Therapists/Physical Therapy Assistants, Occupational Therapists/Certified Occupational Therapy Assistants and Speech Language Pathologists.
This educational activity does not necessarily reflect the views, opinions, policies or procedures of Children’s Healthcare of Atlanta, its staff or representatives. Children’s cannot and does not assume any responsibility for the use, misuse or misapplication of any information provided.
General Information
Continuing Education Units
This program is offered for 2.05 CEUs (Intermediate level; Professional area). Continuing Education Units have been applied for/approved through the Physical Therapy Association of Georgia (PTAG) for 20.5 contact hours (2.05 CEUs) for Physical Therapists. These credits may apply toward licensure in other states as well as for other disciplines.
Continuing Education Units have been applied for/approved through the Georgia Occupational Therapy Association (GOTA) for 20.5 contact hours (2.05 CEUs) for Physical Therapists. These credits may apply toward licensure in other states as well as for other disciplines.
Children’s Healthcare of Atlanta resolves to assure that its educational mission, and particularly its continuing medical education program, is not influenced by the special interest of any corporation or individual. While having a financial interest of professional affiliation with a corporation does not necessarily influence a speaker’s presentation, the standards of the Accreditation Council for Continuing Medical Education require that the relationship be disclosed to the audience. Any potential conflict of interest will be made know to participants at the beginning of the activity.
Visit choa.org/therapisteducation for more information about Continuing Education offerings at Children’s.
Location
Children’s Healthcare of Atlanta Office Park 1680 Tullie Circle NE, Classroom 5
Atlanta, GA 30329
Visit choa.org/locations and click “Office Park” for door-to-door directions.
Accommodations
Mention Children’s Healthcare of Atlanta for discounted rates.
Doubletree Hotel Atlanta North Druid Hills 2061 North Druid Hills Road
Atlanta, GA 30329 404-321-4174
doubletree1.hilton.com
Courtyard by Marriott Executive Park/Emory 1236 Executive Park Drive NE
Atlanta, GA 30329 404-728-0708 marriott.com
Mary Massery, P.T., D.P.T., D.Sc.
Dr. Massery received her BS in Physical Therapy from Northwestern University in 1977, her DPT from the University of the Pacific in 2004 and her DSc from Rocky Mountain University in 2011. Her publications and interests focus on linking motor behaviors to breathing and/or postural mechanics in both pediatric and adult patient populations. Dr. Massery has been invited to give over 800 professional presentations in 49 US states, 9 Canadian provinces, and 13 countries worldwide. She has delivered keynote/major addresses on topics such as cystic fibrosis and posture, neuropulmonary deficits, pectus excavatum (chest deformities), and connections between posture & breathing for the
Royal Society of Medicine in London; the Australian & New Zealand Spinal Cord Injury Conference in Australia; the Irish Society of Chartered Physiotherapists Meeting in
Galway; the International Seating Symposium in Vancouver; and the Conference on
Posture and Mobility in England; as well as more than 100 presentations at the American Physical Therapy Association’s (APTA) conferences across the United States.
Dr. Massery has received national awards from the APTA, including its highest clinical award, The Florence Kendall Practice Award, and the honorary Linda Crane Memorial
Lecture. She continues to maintain a private practice in Chicago, specializing in
ventilation and postural dysfunction.
Financial- Dr. Massery is receiving an honorarium from Children’s Healthcare Of Atlanta for this presentation. She will also be selling copies of her educational DVD during the conference.
Non-financial- Dr. Massery has no financial relationships to disclose. She has no financial or non-financial interest or related personal interest of bias in any organization whose products or services are described, reviewed, evaluated or compared in the presentation.
Conference Coordinators
Michelle Moore, M.S., O.T.R./L. Senior Program Coordinator 404-785-7853 Michelle.Moore@choa.org Ashley Izydore Program Coordinator 404-785-7842 Ashley.Izydore@choa.orgAll programs are intended to be accessible to all persons. If you have a disability and require assistance in order to fully participate in the conference activities, call a conference coordinator to discuss your specific needs.
Speaker
Courtyard by Marriott Executive Park/Emory 1236 Executive Park Drive NE
Atlanta, GA 30329 404-728-0708 marriott.com
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Atlanta, GA
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1655 T ullie Cir cle NE Atlanta, GA 30329 © 2015 Childr en’ s Healthcar
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