If You Can’t Breathe, You Can’t Function
IF YOU CAN’T BREATHE, YOU CAN’T FUNCTION Integrating Cardiopulmonary and Postural Control Strategies (Pediatric and Adult Populations) Instructor: Mary Massery, PT, DPT, DSc 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. Every muscle of the trunk plays a dual role in postural control and respiration. 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 for their patients, regardless of whether their original diagnoses were physiologic or physical. The emphasis of the presentation will be on developing and applying practical quick clinical solutions that are applicable for both pediatric and adult patients in all practice settings. TARGET AUDIENCE: • Day 1 is appropriate for PT’s, OT’s, SLP’s, nurses, MD’s, PTA’s, COTA’s and RT’s • Days 2-3 are appropriate for PT’s, OT’s and SLP’s LOCATION: Phoenix Children’s Hospital Rosenberg Building - Cohen Conference Room 1919 E. Thomas Rd. Phoenix, AZ 85016 Free parking is available in the Cambridge Garage, located one block south of Thomas Rd on Cambridge Rd. DISCLOSURE: Mary Massery will benefit financially as she will receive a speaking fee as the speaker and teacher of this course. She has no relevant non-financial relationships to disclose. Mary Massery is not associated with Phoenix Children’s Hospital other than receiving a speaking fee for presenting the course. Day 1 (7.5 Contact Hours) Open Enrollment 8:00-8:30 Registration 8:30-10:30 Breathing and Posture: A Multi-system Event. 10:30-10:45 Break 10:45-11:30 Continued: Breathing and Posture: A Multi-system Event. 11:30-12:00 Normal and Abnormal Chest Wall Development and Function 12:00-1:00 Lunch 1:00-3:00 What can you do in 90 Seconds or Less that has a Profound and Lasting Effect? Positioning Strategies 3:00-3:15 Break 3:15-5:30 Integrating Systems Effectively: Movement Strategies Day 2 (7.5 Contact Hours) Limited Enrollment 8:00-8:30 Continental Breakfast 8:30-9:30 Finding the Problem: Pulmonary Assessment from a Multi-system Perspective 9:30-10:15 Lab 1: Chest Assessment: - Focus on Breathing Patterns and Musculoskeletal Alignment 10:15-10:30 Break 10:30-12:00 Lab 1: continued 12:00-1:00 Lunch 1:00-1:30 Lab 1: Continued 1:30-2:30 Lab 2: Enhancing Phonation Skills through Improved Breath Support 2:30-2:45 Break 2:45-3:45 Airway Clearance: From Sherlock to Solution 3:45-4:45 Lab 3: Airway Clearance 4:45-5:30 Patient Demonstration (if possible) Day 3 (5.5 Contact Hours) Limited Enrollment 8:00-8:30 Continental Breakfast 8:30-10:00 Lab 4: Thoracic Complex: Mobility Exercises and Techniques 10:00-10:15 Break 10:15-11:15 Lab 4: continued 11:15-12:15 Lab 5: Facilitating Efficient Breathing Patterns and Building Endurance 12:15-1:00 Lunch 1:00-2:00 Lab 5: continued 2:003:00 Lab 6: Group Problem Solving: Putting It All Together COURSE OBJECTIVES: At the conclusion of Day 1, participants should be able to: 1. State how the mechanics of breathing and postural control are inter-active and inter-dependent components of normal movement strategies. 2Describe the multiple, simultaneous roles of the diaphragm as related to breathing, postural control, gastroesophageal reflux, constipation and venous return. 3Contrast 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. 4Position 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. 5Optimize patient function by integrating appropriate ventilatory strategies with all movements from low level activities to athletic endeavors. 6Apply 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. 8Identify numerous different breathing patterns and evaluate their efficiency for use while moving, talking and eating. 9Evaluate 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. Demonstrate the use of thoracic cage/spine exercises and techniques to enhance rib cage and thoracic spine mobility and/or pulmonary function and state how this could lead to improved physical participation and health. 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 spe.
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