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ADVANCE for Physical Therapy & Rehab Medicine
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contents
ADVANCE FOR PHYSICAL THERAPy & REHAB Medicine
Vol. 22 | No. 14 | July 11, 2011
[COVER STORY]
18 World in Motion
When Ernst van Dyk was born in
apartheid South Africa with congenital
limb differences in the early 1970s, his
parents were told that he would face a
lifetime of hardship. Despite what the
team of physicians had said, they made
a choice to raise him to believe that
anything was possible. Today, van Dyk
is a world-renowned athlete, advocate
and champion who is an inspiration
to thousands across the globe. “My
hope is that through my story people
are inspired to try new challenges and
enjoy their lives in ways they thought
might never be possible.”
(Spaulding Rehabilitation Network)
[FEATURED ARTICLES]
26 Real Relief Through
Pressure Mapping
22 Stroke Recovery and Robotics
The underlying causes of pressure ulcers
are multifactorial and are usually the
manifestation of any number of factors.
Therapists address functional mobility
deficits and equipment recommendations
such as wheelchairs, ADL equipment
and mattress selection. Interface pressure
mapping (IPM) systems are an excellent
tool for assisting in DME selection and for
establishing optimal patient positioning.
Rehabilitation Hospital of the Pacific
(REHAB) in Hawaii is no stranger to the
constantly changing health care climate.
To integrate high-tech into Hawaii’s hightouch culture seemed incompatible. But
in February of this year, REHAB Hospital
introduced a bionic leg into its outpatient
stroke program. A few months later, it was
implemented into the inpatient program.
24 Pilates’ Core Focus
An important element in any Pilates routine is the strengthening of entire muscle
groups. Unlike weight-bearing exercise
routines that isolate and develop short,
bulky muscle, Pilates exercises incorporate
fluidity and smoothness, training several
muscle groups at once for a whole-body
experience. The focus is on increasing
muscle length and flexibility. An evenly
balanced musculature is much more efficient, making the body less prone to injury.
4
ANNOUNCING THE
NEXT BIG STEP IN GAIT
REHABILITATION
The NESS L300® Plus is a wireless FES
system that provides knee flexion and
extension in addition to ankle dorsiflexion
which may improve gait.
The L300® Plus System:
• Combines the award winning NESS L300®
Foot Drop System with a functional
stimulation thigh cuff allowing greater
control over kneee flexion and extension.
• Incorporates a reversible thigh cuff for
quadriceps or hamstrings.
• Provides a single control unit for the leg
and thigh cuff, while walking.
• Operates off the same clinician’s
programmer as the L300.
NESS L300® PLUS
FOOT DROP & THIGH
MUSCLE WEAKNESS
CONTACT US AT 800.211.9136 option 2
or visit our new website at BIONESS.COM
Individual results vary. Patients are advised to consult with a qualified physician to determine if this product is right for them.
Contraindications, Adverse Reactions and Precautions are available on-line at www.bioness.com (also available in the NESS L300 Plus Clinician’s Guide).
NESS®, NESS L300®, NESS L300® Plus, Intelli-Gait®, Intelli-Sense Gait Sensor®, Bioness®, the Bioness Logo and LiveOn® are trademarks of Bioness Inc.
www.bioness.com | Rx Only
© 2011Bioness Inc.
01287_advance_pt_ad_r03v01.indd 1
6/8/11
5
11:32 AM
[more articles]
On The Web
10 Management Focus:
Referrals and Direct Access
[multimedia]
www.advanceweb.com/pt
UPDATED DAILY!
14 Sports Rehab: Upper
Extremity Taping
28 Laser Applications
30 Resource Directory: Aquatics
Healthy Gamers
Interactive digital games are
programming healthy lifestyles and
behaviors.
Scenes from New Orleans
ADVANCE gets up close and personal at
the NATA Conference held in the Big Easy.
Join Our Pt Community!
Blogs: Meet our bloggers and read new Community Chat
Interact with colleagues!
posts daily!
A NEW YORK PT IN QUEEN
ELIZABETH’S COURT
[DEPARTMENTS]
Forums: Where Is My Raise?
8 Ad Index
Would You Give Up Your Car?
Dean discusses the potential health
benefits of bike and mass transit use.
I just passed my OCS examination. What
can I expect, if any, for a raise for this?
9 Letter to the Editor
A BUSY PT’S GUIDE
TO FINDING BALANCE
Forums: State Medicare/
Medicaid Cuts
34 Where We Work
37 Calendar/CE
46 Classified Marketplace
47 Classified Employment Opportunities
59 ADVANCE Healthcare Shop
[coming soon]
Our cover story will focus on the work of
Physiofitness Associates, which contracts
with the PGA Tour to provide physical
therapy services to tour players through
on-site trailers at each tour stop. The
therapy professionals travel around the
country providing care, and were recently
at Aronimink Country Club in Newtown
Square, PA, where the AT&T National
tournament took place in June.
Interruptions
Janey says she needs to consider how her
activities are beneficial and what they are
costing her.
More PT Blogs
• PTA Blog Talk
• Journey with a DPT Student
• Life of an SPTA
• A New PT Reality
• PT and the City
• Toni Talks About PT Today
I’m seeing my medically fragile pediatric
patients be denied PT services and I’m
getting disgusted. Are there any parts of
physical therapy that are still financially
and emotionally rewarding?
Answer these questions, ask more… Join in
the conversation now!
[NEW! Patient Handouts]
[SPECIALTY SPOTLIGHT]
Special Edition: Focus on Foot Drop
Find targeted information tailored just for you!
Go to our homepage to choose your
specialty now:
[Student Center]
Article: Three Phases of an Interview: Ace It!
News & Notes: Student–Specific!
Student Links: Special interest groups and associations relevant to physical therapy.
Community: Blogs, forums, Facebook and more!
[Columns]
Medicare Advisor
Geriatric Function
Book REview
Advance for Physical Therapy & Rehab Medicine®
(ISSN 1099-9493) is published bi-weekly on alternate Mondays by Merion
Publications, Inc., 2900 Horizon Drive, Box 61556, King of Prussia, PA 19406-0956. Periodicals Postage Paid at Norristown, PA and additional mailing offices. ADVANCE was established March 1990 as a national newsmagazine. Its purpose is to provide in-depth coverage of news and employment opportunities to therapists in the nation. Subscriptions
are free to all PTs, PTAs and senior students as well as to national PT schools & health care facilities employing PTs.
Postmaster: send address changes to ADVANCE for Physical Therapy & Rehab Medicine®, Merion Publications,
Inc., Circulation, 2900 Horizon Drive, Box 61556, King of Prussia, PA 19406-0956. Contents are not to be
reproduced or reprinted without permission of publisher. ©2011 Merion Publications, Inc.
Our company publishes magazines and websites for audiologists, laboratory administrators, healthy aging
6
This week’s hot topics:
• Pediatrics
• Business & Practice Management
• Aquatic Therapy
• Hand Therapy
• Geriatrics
• Sports Rehab & Orthopedics
• Industrial Rehab
• Pain Management
• Gait Analysis & Balance
• Disabilities & Conditions
professionals, health executives, health information professionals, imaging and radiation oncology professionals, long-term care managers and professionals, medical laboratory professionals, respiratory care and sleep
medicine professionals, nurses, occupational therapy practitioners, nurse practitioners and physician assistants,
physical therapy and rehabilitation professionals, and speech-language pathologists.
Advertising Policy: All advertisements sent to Merion Publications Inc. for publication must comply with all applicable laws and regulations. Recruitment ads that discriminate against applicants based on sex, age, race, religion,
marital status or any other protected class will not be accepted for publication. The appearance of advertisements
in ADVANCE Newsmagazines is not an endorsement of the advertiser or its products or services. Merion Publications does not investigate the claims made by advertisers and is not responsible for their claims.
ADVANCE is a member of the National Association for Health Care Recruitment
OccuPro’s Online Assessment Application offers the most comprehensive and
profitable approach to industrial rehab available. OccuPro’s Comprehensive
Industrial Rehab Training CE course teaches clinicians 5 different industrial rehab
testing methodologies all in one course. You can attend OccuPro’s full array of
industrial rehab continuing education courses at our National Research and Training
Center or any of the courses offered can be performed at your clinic location.
Online Assessment Application
• Job Demands Analysis
• Functional Capacity Evaluation
• Functional Progress Note ™
• Functional Discharge Summary ™
• Work Hardening/Conditioning Evaluation
• Pre-Placement Post-Offer Assessment
• Six testing methodologies in one software system
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PT 7/11/11
[Get Tagged]
[Letter to the editor]
ADVANCE
for Physical Therapy & Rehab Medicine
is published by Merion Matters
Publishers of leading healthcare magazines since 1985
Publisher
Ann Wiest Kielinski
general manager
W.M. “Woody” Kielinski
Associate Publisher
Meg Lynam
Editorial
Editor-Lisa Lombardo
Managing Editors-Brian W. Ferrie, Jonathan Bassett
Senior Regional Editor-Rebecca Mayer
Assistant Editor/Web Editor-Danielle Bullen
Editorial Consultants-Margaret E. Rinehart Ayres, PhD, PT,
Jane M. Kepics, MS, PT, Susan Morrill Ramsey, MA, PT,
Brad Thuringer, PTA, Linda Jones
Web Manager-Jennifer Montone
Design
Vice President, Director of Creative Services-Susan Basile
Design Director-Walt Saylor
Multimedia Director-Todd Gerber
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Proper Support Also
Applies to Footstrike
To the Editor:
I am writing regarding ADVANCE’s cover
story of June 13, 2011. Gait analysis with highspeed video equipment is certainly a valuable
tool when treating the injured runner. This
article hits that point on the head.
I disagree with a few of the other points
presented, however. First, if the runner is
dealing with an injury that is a direct result
of poor biomechanics, the first step of action
is not always to provide them with the most
support possible.
The symptoms associated with some injuries
can change very quickly (for the better) when
the source of stress is eliminated.
Such sources of stress include, but are not
limited to, excessive pronation, heel striking
when compared to mid-foot or forefoot striking, and significant peak hip adduction and hip
internal rotation in stance.
As the authors stated, some runners may
need more support initially, but what they
failed to mention is that there are others who
may benefit from less support. For instance, a
patient who is struggling with persistent knee
pain may need to adjust footstrike kinematics
in order to eliminate the impact transient at
initial contact.
Take a closer look—is the patient heel striking, contacting the ground significantly outside
their center of gravity aka overstriding? The
proper way to eliminate that impact transient
is not to provide them with a more supportive
or cushioned shoe, but rather to teach them how
to contact the ground lightly underneath their
center of gravity.
Applying this principle is quite simple.
Within the session, trial test barefoot running on
a smooth grass or carpet surface. If the patient
experiences a reduction in symptoms, his or
her injury is most likely related to footstrike
kinematics, and a rehab program that involves
performing balance activities and other stability exercises barefoot as well as short barefoot
strides on grass (50-100m) will promote the
development of a mid-foot or forefoot strike.
If the runner does not experience a reduction
in symptoms, then maybe the clinician does
want to look into stability shoes or even an
orthotic….but not until barefoot running has
been trial tested.
As physical therapists, we do not want to
promote reliance upon external devices if they
are not truly necessary. The human foot and
ankle is a marvel and was created to be functional on its own. Physical therapists can help
injured runners develop a healthier, more stable foot and ankle complex through proper
exercise prescription.
Which leads me to my second counterpoint:
Why would the authors attempt to promote
a forefoot strike among injured runners while
they are wearing heavily cushioned and supportive shoes? A high heel-forefoot drop, which
exists in almost all stability shoes, encourages
a heel strike.
The human body will take advantage of
what it is given; therefore, if more cushioning is placed in the heel of a shoe, runners
will initially contact the ground in that area
of high cushioning.
Compare that to barefoot runners or those
who run in more minimalist footwear. They
would not dream of heel striking as their calcaneus would be unable to repetitively bear
such a load without bony injury.
So, if we try to encourage runners to wear
heavily cushioned and supportive shoes for
forefoot strike, what are we doing? We are certainly placing an awkward load on the Achilles
tendon as it is in a shortened state throughout.
We should be encouraging the Achilles
to lengthen through its normal range of
motion so that more elastic energy can be
stored before push-off in late stance. These
are just some thoughts for discussion and
to highlight that there is more than one
approach when an injured runner comes
to a clinic’s door. The clinic that considers
both approaches is going to be the one that
helps that runner return to running more
efficiently and effectively.
— J. Ryan Bair, PT, DPT
9
[management focus]
A More Direct Approach
By Larry Briand, MS, PT, ATC,
and Kevin Svoboda, PT
P
hysical therapy was recently included
among U.S. News and World Report’s
assessment of the top careers of 2011.
This comes at a time when graduates no
longer leave school without a doctorate-level
degree in physical therapy and the American
Physical Therapy Association has introduced
Vision 2020, a mandate that by the year 2020,
every practicing physical therapist will hold a
doctorate-level degree.
According to the mission statement, “Consumers will have direct access to physical
therapists in all environments for patient/
client management, prevention and wellness
services. Physical therapists will be practitioners of choice...and will hold all privileges of
autonomous practice.”
This puts the physical therapy discipline
at the cusp of an important era of heightened
recognition and independence, one that suggests the current state of referral relationships
between PTs and physicians should be perhaps redefined. One way to accomplish this is
through wider implementation of direct access
to physical therapists.
Prior to the introduction of direct access, a
patient must have previously been referred to
a physical therapist by a physician for an initial
assessment to occur. With these expanded rights,
10
however, patients are able to directly access the
therapist of their choice simply by visiting that
provider’s office and asking for treatment.
The ability of the patient to do this, and to
what degree, varies by state jurisdiction. Some
states allow full, unfettered access. Others, however, allow only partial or no direct access at all.
In recent years, the APTA has embraced the
benefits of direct access for all physical therapists and has lobbied Congress hard, along
with each state’s association, to expand direct
access rights to all states.
Mutual Benefits
As frequently expressed by the APTA and state
PTAs, all parties in a treatment model benefit
from direct access, starting with the payer,
which sees decreased costs because an initial
referral is not required. If a patient is not first
going to a physician, there are no costs associated with that visit.
The physical therapy provider also benefits
from direct access in many ways: they gain
more autonomy as a practitioner, and increase
their credibility. Earlier intervention leads to
greater clinical efficiency, thus allowing the
provider to offer more specialty prevention
and wellness programs. Finally, direct access
allows the provider to experience an open-door
model to the medical system.
The largest beneficiaries of direct access, however, are patients. Those benefits begin even
before a patient enters a therapist’s office, the
first of which is the ability to choose a provider.
Without direct access, a patient must first visit
a physician, who assesses them and makes a
Goal of the Doctorate
As it’s aligned with the APTA’s Vision 2020
plan, entry into the profession is controlled; if
the model holds true, all practicing physical
therapists will be licensed and one day hold
no less than a doctorate-level degree. This goal,
coupled with the fact that widespread Internet
use makes continuing education fast and easy,
means PTs are well qualified to initially treat
a patient.
Physical therapists also are well-qualified
to recognize when a patient demonstrates
dave perillo
Redefining referral
relationships under
increasing direct access
referral to a PT. This process is time-consuming
and can be inefficient, sometimes taking three
weeks or more for the patient to visit a physician and ultimately end up in a PT clinic. The
patient’s condition can deteriorate rapidly in
this amount of time, causing their recovery to
take exponentially longer. Numerous studies
supported by the APTA suggest that immediate
access to therapeutic care, in cooperation and
conjunction with the diagnostic assessment of
physicians and supporting medical community,
leads to a higher rate of success in a timelier
manner for the individual seeking services.
The goal of 2010’s health care reform law was
to reduce costs across the board. Direct access
supports this goal. Its cost control measures
ensure that patients will make the most efficient
use of their treatment and recovery times while
increasing access to health care professionals.
According to the APTA, a recent study by
Dr. Jean Mitchell and Dr. Greg deLissovoy of
Georgetown University and Johns Hopkins
University, respectively, found that states and
insurance companies that reimburse under
direct access realize savings of about $1,200
per patient episode of care.
Some may argue that physicians have
always been the first and last lines of defense
for everyone’s health, and indeed, physicians
have traditionally been the gatekeepers in the
medical model. Physical therapists, however,
have an established track record of success
in treating millions of patients. All therapists
receive formal education and clinical training
to evaluate a patient’s condition, assess his or
her physical therapy needs and, if appropriate,
safely and effectively treat the patient. Most
therapists ground their treatments in the latest
scientific and evidence-based models.
[management focus]
now recognize the value of a symbiotic relationship with physicians by referring their
own patients, and in turn receiving a steadier
stream of referrals. Additionally, direct access
can encourage therapists to make inroads with
industrial employers. This can help open doors
to more workers’ compensation billables, and
help diversify a therapist’s referral base and
payer mix.
Growing Health Concerns
Therapists should recognize that direct access
is a great way to grow a PT practice and should
work to encourage its implementation. This
can help advance the physical therapy discipline and ensure its recognition of credibility.
Not only does direct access benefit all
involved, it is also in demand. Patients are
beginning to understand the benefits of being
able to choose and now feel empowered to
advocate for direct access along with therapists. Providers are positioned for a unique
opportunity to recognize the market demand
for direct access and expand its reach.
Today there is a greater sense of health consciousness and emphasis on wellness. This
has led to skyrocketing health care costs and
the realization of a need to temper those costs
while increasing access. Direct access achieves
both of these mandates. The cost savings and
rationale behind direct access are clear.
It is perhaps contingent on physical therapists themselves to recognize their own
patient management skills and encourage the
re-evaluation of the patient-physician referral
relationship. n
Larry Briand is founder and CEO of Rehab Management Solutions. He has owned and operated
private practice physical therapy clinics nationwide for more than 25 years and is an APTA and
Private Practice Section member. He can be reached
at [email protected]. Kevin Svoboda
is clinical growth and development director of Rehab
Management Solutions. He is membership chair
of the APTA’s Occupational Health Special Interest Group. He can be reached at ksvoboda@rehab
mgtsolutions.com.
▲
symptoms that require a second opinion,
another form of therapy or the evaluation of
another health care professional. If a serious
medical condition is detected before starting
therapy, direct access allows the therapist to
refer directly to another physician.
Hurdles still block the implementation of
direct access in the four states that do not fully
recognize the professional training and skills
of physical therapists. It can be argued that
one of the largest hurdles is PTs themselves.
Some therapists have become accustomed
to the traditional referral source relationship
and may be afraid to assert their independence and claim their share of the patient
market. As the profession has grown and
developed, so must the relationship between
therapists and physicians.
Therapists should be encouraged to feel
comfortable approaching referral sources, not
intimidated. Physician relationships have not
always been thought of as strategic partnerships. Instead, therapists asked for patients
rather than earning them. Successful therapists
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PT_ad_rev2011.03.indd 1
2/9/11 4:20 PM
11
CLIPWELL
[management focus]
Therapists can add value to patient
management skills with 97002
By Kevin Svoboda, PT
I
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n a frequently changing world of third-party payer reimbursement
—one that now includes random Medicare audits and a burden
of proof on the therapist to demonstrate medical necessity—it is
encouraging to see therapists recognize their patient management
skills. One way of doing this is through use of CPT code 97002—the
Physical Therapy Re-Evaluation code—for physical therapists, or CPT
code 97004 for occupational therapists.
The re-evaluation code differs from the evaluation code, 97001.
Under those circumstances, “the healthcare provider re-examines the
patient/client. This includes taking a comprehensive history, systems
review and tests and measures. Tests and measures may include,
but are not limited, to tests of range of motion, motor function,
muscle performance, joint integrity, neuromuscular status and review
of orthotic or prosthetic devices. The PT formulates an assessment,
prognosis and notes an anticipated intervention,” according to the
2010 Coders’ Desk Reference for Procedures.
Following the patient’s progression through their plan of care, a
re-evaluation may need to take place. In this case, “the health care
provider re-examines the patient/client to obtain objective measures
of progress toward stated goals,” according to the 2010 Coders’ Desk
Reference for Procedures. The code can be used after a change in
diagnosis; after a change in status due to other medical problems; after
a significant change in the plan of care or goals; or after a significant
gap in services. It is critical, however, to utilize this code as described in
the CPT handbook language – and to document it properly.
Whereas 97002 is the clinically appropriate code to use, often therapists don’t value their patient management skills and fail to use this
code to describe services rendered. This can happen when a patient
comes to therapy, treatment is rendered and the therapist performs
an assessment or examination which determines further intervention is
not appropriate. Not only is assigning these services to the code 97002
the clinically appropriate thing to do, but it is also an opportunity to
get paid for the skilled medical services that you have provided.
To better understand the clinical presentations in which it is appropriate to use the 97002 code, consider the following examples. A change
in diagnosis can be caused by an exacerbation of symptoms, recognition of comorbidity or a medical complication—the development of a
wound from a surgical site, for example. The patient’s status can also
change due to other, unrelated medical problems.
Perform a re-evaluation after a significant change in the patient’s
plan of care or established goals. This can occur when there is a redirection of treatment intervention, a change in symptoms due to
the response to the treatment, a change in frequency of care, the
establishment of new goals or a graduation/discharge from the PT or
OT program. Re-state all of the goals from the initial plan of care and
re-state any new goals established during the subsequent plan of care.
It also is important to cite the patient’s progress toward each of the
initial goals, citing any measurable evidence of progress.
After establishing why the patient needs to continue therapy services, state what the plan is going to be to achieve those new goals.
As medical professionals who have the privilege of billing CPT codes,
it’s important that we uphold the standards of CPT terminology and
use our goals properly. The proper use of the Re-Evaluation code is
one opportunity for us to properly represent our profession and prove
medical necessity. n
Source: Ingenix. Coder’s Desk Reference for Procedures. 2010 ed.
12
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13
[sports rehab]
Patient Fares Issa is being taped by Chris Keating, PT, DPT, to temporarily decrease shoulder
pain at Strive Physical Therapy.
Shoulder Sensations
Kinesiology tape helps
upper extremity injuries
heal more rapidly and fully
By Rebecca Mayer
K
inesiology tape benefits a wide variety of injuries and inflammatory conditions. The modality can be used
to correct a movement deficiency,
brace an unstable joint or assist with muscle
re-education. The thin, stretchy, therapeutic
tape can be worn without binding, constricting or restricting movement.
Kinesiology taping can either provide support or prevent over-contraction of muscles.
When used for support, taping allows the
patient to retain his full range of motion
and normal biomechanics. When used to
14
prevent over-contraction, the taping technique provides all-day facilitation of lymphatic drainage.
“In my practice, I have used several different types of taping methods to help a patient
return to full functioning,” said Brian Koczenasz, DPT, SCS, A.R.T., physical therapist with
Performance Physical Therapy in Stamford,
CT. “I have used McConnell taping techniques
to help with patello-femoral issues and kinesiology tape to help with muscle re-education
and athletic tape for injury prevention prior
to athletic events.”
Dr. Koczenasz’s clinic is located inside a
large athletic training facility and the majority
of the patient caseload is sports-related, so he
tends to use taping more than most physical
therapists. “I find that it is very beneficial during the transition period between finishing up
Kinesiology Tape Basics
Unlike traditional athletic tape, which is
wrapped tightly around an injured area to
provide rigid support and restrict movement,
kinesiology tape provides dynamic support
and allows a functional range of motion.
Kinesiology tape is applied directly over or
around the periphery of the area, instead of
being wrapped completely around an injured
area. Kinesiology tape can be worn during
intense exercise, showering, bathing or swimming. The therapeutic benefits last the entire
time the patient wears the tape.
Because it’s lightweight, breathable and
flexible, kinesiology tape is an effective tool.
And unlike athletic tape, therapeutic tape does
not cause skin irritation from tight compression or moisture build-up.
Kinesiology tape is applied to a patient’s
shoulder when her arm is fully extended at
90 degrees. The PT gently presses the tape
at the top of the shoulder area and unrolls
down the length of the patient’s arm to the
elbow. Proper application ensures the tape
will glide along the same direction as the
patient’s shoulder and arm muscles.
Kinesiology tape can be applied to neck
or shoulder injuries to help speed recovery
time. Kinesiology tape is available in various cuts and colors to treat several different
muscle groups, including shoulders, knees,
wrists, back and other common areas where
sports injuries can occur. These cuts, in shapes
such as X, Y and I, are designed to mimic the
structure and makeup of the muscle fibers,
so the tape can be placed along the length
Mark Muir
with formal rehabilitation and a full return to
sports,” he shared.
The main benefits of kinesiology taping
include pain relief, lymphatic drainage with
bruising and edema, and as a corrective alignment or reminder to the patient, according to
Chris Keating, PT, DPT, a physical therapist
with Strive Physical Therapy & Sports Rehabilitation in Marlton, NJ. The four main types
of this taping are the Y, I, X, and fan shapes.
The PT can adjust the amount of tension to
suit the patient when applying the tape.
Because kinesiology tape is flexible, research
shows the modality helps circulation flow and
speeds healing. Kinesiology tape must be
applied correctly, by a trained professional.
[sports rehab]
of the muscle and provide extra support for
faster healing.
Kinesiology tape is used to help heal
injuries or strains without the rigidity and
inflexible properties of regular athletic tape.
Because it is made of cotton, kinesiology
tape is more breathable and allows for easy
movement. The tape is safe to use while training or working out, and is both sweat proof
and waterproof.
“I see kinesiology tape mainly as a bridge to
other treatments,” shared Dr. Keating. “The
modality helps patients move on, rather
than becoming dependent on the therapy.”
In Dr. Keating’s experience, patients tend to
get hooked on modalities such as TENS. But
with taping, patients can be discharged more
quickly because they are ready to stop wearing the tape.
Dr. Keating often uses kinesiology tape for
patients with fibromyalgia. “Shoulder taping
is an effective treatment for vague pain,” he
said. “It provides great sensory feedback.”
With fibromyalgia, there is a central pain
issue, and kinesiology tape can provide relief a constant reminder to sit upright and avoid
throughout day when applied properly, said a C-curved spine. “When the person is in a
Dr. Keating. With this patient population, he good postural position, they usually don’t
commonly uses the tape two times a week, feel anything,” observed Dr. Koczenasz.
and for about two to three weeks, then is able “When the patient moves into poor posto discontinue use because the pain has been tural position, he will feel the tape pull tight,
relieved enough for the patient to participate which should remind him to use the proper
in strengthening exercises. He generally uses postural muscles.”
a Y strip from the deltoid to the front, and an
Dr. Keating generally uses kinesiology
I strip to unload the deltoid.
tape for shoulder instability, postural issues
“I use kinesiology tape to eliminate pain, and realignment purposes. “Because the
not for structural purposes,” Dr. Keating patient wears the tape for a few days, it really
explained. Applying kinesiology tape before helps with awareness of issues in the shoultaking a patient through a strengthening der,” he said. “I often use kinesiology tape
program can help recruit muscle groups to for cuing patients to be aware of their body
fire through the tactile feedback the tape pro- mechanics.”
vides. This, in turn, can help correct faulty
According to Dr. Keating, kinesiology tape
neuromuscular firing patterns, according to is an appropriate solution for many of his
Dr. Koczenasz.
patients because there are sensory and neurological components in an orthopedic clinic
Body Awareness
that athletic tape cannot address.
Kinesiology tape, used along the lumbar and
Dr. Koczenasz has used kinesiology
thoracic paraspinals, can significantly help tape post-surgically to help decrease swellwith postural corrections. The tape provides ing. “What I was taught when taking the
15
[sports rehab]
kinesiotape courses was that the elastic recoil
of the tape, when applied in a grid or lattice
pattern causes the skin to dimple in the small
squares not covered by tape,” he explained.
“That dimpling creates alternating spaces of
increased/decreased pressure, which should
create a flow of fluid allowing the lymph system to better absorb it.”
Patients with subacromial impingement or
tendonitis typically also have a component of
altered neuromuscular firing patterns causing poor glenohumeral and scapulothoracic
biomechanics, shared Dr. Koczenasz. Kinesiology tape can help provide a tactile feedback
sensation which helps the patient feel how
the shoulder and arm both should and should
not be moving.
A muscle or muscle group can be activated
or helped when the recoil of the tape is moving in the same direction as the pull of the
muscle. “Inhibition can be achieved if the
recoil is moving in the opposite direction as
the pull of the muscle,” said Dr. Koczenasz.
“It is the tactile sensation of the tape on the
16
skin when either activating or inhibiting that
influences the muscle or muscle group.”
Kinesiology taping is used to alleviate pain
and swelling by lifting the skin, which serves
to relieve pressure on the neural receptors,
and allows the lymphatic system to drain
more freely.
Dr. Keating has had success using kinesiology tape with bruising. He generally applies
a wide strip in a spider formation. The theory is to apply when the area is stretched
to create a breather under the skin. He feels
the tape helps the lymphatic system to get
up and working. “If a patient has a gnarly
bruise, it helps to get it out of the area,”
he shared.
“When it comes to the traditional taping,
most patients understand the benefits and do
not need much education,” shared Dr. Koczenasz. “When using kinesiology tape, patients
do require some education about what it is
and how it will benefit. After the first application, most patients will see the benefits.”
According to Dr. Koczenasz, patients tend
to be a little skeptical about using kinesiology
tape, however, after a time or two, most can
see the benefit of the modality.
Dr. Keating finds kinesiology tape to
be exceptionally user-friendly. “There are
social aspects of wearing tape that need to
be considered as well. But with this tape, it
simply comes off when it’s done being effective Typically it’s about three days of use and
generally, the tape won’t have any effect after
that time.”
Kinesiology tape is one of many useful tools
in the PT toolbox. “It provides another option
and works like extra security because it’s easy
to use and satisfies the patient’s psychological
component about their injury or condition,”
observed Dr. Keating. n
Rebecca Mayer is senior regional editor of
ADVANCE.
For more information on taping, visit www.
advanceweb.com/PTSportsRehab
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17
[cover story]
Born with congenital limb differences, South African wheelchair athlete Ernst van Dyk today is an advocate for people with disabilities.
On behalf of Spaulding Rehabilitation Network and in partnership
with Massachusetts Rehab Commission, van Dyk recently addressed
a crowd at the Riverview School for students with complex language, learning and cognitive disabilities in Sandwich, MA.
18
[cover story]
World in
Motion
South African handcyclist soars both
on the course and behind the podium
By Rebecca Mayer
W
hen Ernst van Dyk was born in apartheid South Africa with
congenital limb differences in the early 1970s, his parents were
told that he would face a lifetime of hardship. Despite what
the team of physicians had said, they made a choice to raise
him to believe that anything was possible. Today, van Dyk is a
world-renowned athlete, advocate and champion who is an inspiration to thousands
across the globe. “Sports have given me the opportunity to help others realize that
life does not end with disability, it’s merely the beginning to a new way of life,” said
van Dyk. “My hope is that through my story people are inspired to try new challenges
and enjoy their lives in ways they thought might never be possible.”
With his parents’ support, he became a competitive athlete at a young age. His
affinity for sports—ranging from gymnastics to table tennis—reached a new level
when he represented South Africa in the 1992 Barcelona Paralympics in swimming and wheelchair events. After hearing the roar of the crowd as he pushed
wheelchair racing.
His list of accomplishments is long and varied but all of them point back to his
athletic achievements. He won a bronze medal in the 400 meters at the Summer
Paralympics in Sydney in 2000. At the 2004 Paralympics in Athens, he won silver in
the 800 meter race, silver in the 1500 meters and bronze in the 5000 meters. Van
Dyk won gold in the hand cycling road race and bronze in the wheelchair marathon
at the Beijing Paralympics in 2008.
▲
Spaulding Rehabilitation Network
around the track during his events, he decided to focus his athletic career on
19
[cover story]
Still a competitive athlete, he has devoted
much of his spare time to inspiring people of
all ages and abilities. In sharing his message of
overcoming adversity, van Dyk often stresses
that true victory is defined by how an individual chooses to get back up when he has
been knocked down.
Captivating an Audience
From first-time marathoners to aspiring young
athletes, van Dyk’s reach runs deep. “Ernst
truly embodies the strength and perseverance I
see in our patients each day. His story reminds
us all that anything is possible,” Sharon Gale,
PT, MHA, director of outpatient operations for
Spaulding Cape Cod, told ADVANCE.
With nine titles and counting, van Dyk holds
the record for wins across all divisions in the
Boston Marathon’s 115-year history.
As Gale prepared to tackle the Boston Marathon herself for the first time this past spring,
seeing someone as inspiring as van Dyk ener- Ernst van Dyk meets a fan. He believes that every athlete—whether disabled or not—attributes
gized her personally. Beginning in 2003, the success to hard work, dedication and perseverance.
Spaulding Rehabilitation Network has been
one of van Dyk’s major sponsors.
best qualities of strength and dedication that line up for an event. The critical factor is learnOn behalf of Spaulding Rehabilitation our caregivers and courageous patients display ing to dial in your skills, paying attention to
Network and in partnership with Massachu- each day at Spaulding.”
detail, planning carefully and most importantly,
setts Rehab Commission, van Dyk recently
consistently working hard. There are no more
free rides in the sports world.”
addressed a crowd of hundreds at the Riv- Global Recognition
erview School for students with complex lan- “Disabled sports do not often receive media
The decorated athlete feels that education,
guage, learning and cognitive disabilities in coverage,” explained van Dyk. “When a corpo- particularly among the youth, is of paramount
Sandwich, MA. “As a clinician, it was power- ration books me for a speech, it’s not unusual importance in the disabled sports community.
ful to see the impact his message had on our for more than half of the audience members “People simply do not know about disabled
community,” she recalled.
to have never heard of me. People are just not sports because they are never exposed to
“Spaulding is proud to have this long-stand- made aware of what we, as disabled athletes, or confronted with it. I try my best to eduing sponsorship with Ernst to support him as can achieve or the lives that we live.”
cate through my motivational talks and I
he continually rewrites the record books and
In 2006, van Dyk was honored as the use my achievements in sport to facilitate
challenges perceptions of what is possible,” Sportsperson of the Year with a Disability by the opportunity.”
said David Storto, president, Spaulding Reha- the international Laureus Sport Foundation.
People will become more knowledgeable
bilitation Network. “Ernst embodies the very This award is the apex of the sporting world, about the abilities of people with disabilities
and with this honor, he joined the likes of Ser- simply by taking a step back and looking at the
bigger picture, observed van Dyk.
ena Williams and Lance Armstrong.
He hopes that by making a name in his sport,
“Sometimes pros join when I am training with
he will play a role in bringing disabled sports a group of cyclists, and they’re amazed that we
to the forefront. “Media coverage of disabled can ride a bike just as fast and hard with our
sports is very important in opening people’s arms as they can with their legs. It’s like a light
MedicalBilling&Collection
minds to the possibilities in life and how we switch going on and they realize what physical
Doyou:
are making the best of sometimes rather dif- and mental ability they’re dealing with.”
9Wonder if you are getting underpaid?
ficult situations,” he said.
9Want to save money on staff?
He believes that every athlete—whether dis- At the Top of his Game
9Struggle with increased coding complexity?
abled or not—attributes success to hard work, With swimming as the first sport he knew, van
VZP will help you with a FRESH solution!
dedication and perseverance.
Dyk still believes it is a great sport to develop
www.vvzzpp.com
“In the modern world in which we live, it’s young athletes.
[email protected]
no longer enough to just have talent or athletic
“My early days of swimming developed
347Ͳ462Ͳ4876
ability,” van Dyk shared. “Most competitors my cardiovascular system to an optimal level,
WespecializeinPTBilling&Collection have the same natural attributes when they which really gave me an advantage when I
20
[cover story]
moved over to wheelchair racing,” shared van Dyk.
He works with a strength and conditioning coach three to four times
a week and also sees a physiotherapist once a week for prehabilitation.
“I’ve not suffered a serious injury for the last five years so it’s a formula
that seems to be working well for me,” van Dyk relayed. He receives his
sport science support at The Stellenbosch University Sport Performance
Institute in Stellenbosch, South Africa.
Winning the Boston Marathon for the ninth time and setting the
record for the most wins was a dream come true, according to van Dyk.
“For any athlete to stay at the top of [his] game for a decade is a massive
challenge and achievement,” he shared.
Although he is content with his achievements in the Boston Marathon,
he plans to be back next year to attempt number 10 for the second year
in a row. He acknowledges that the field is now crowded with new
racers who admittedly may be hungrier for a win than he is at this
point in his career.
“I have a lot of respect for all of my competitors,” expressed van
Dyk. “Sometimes when you listen to the horrific stories of how these
individuals ended up disabled, you’re amazed that they were able
to pick up the pieces and move on with their lives. I’m inspired by
their resilience.”
Although he was favored to win the 2011 Boston Marathon, he
placed third. In retrospect, he believes that he was not as well prepared
as he would like to be. He set the second-fastest time of his career
and the fourth-fastest time of all time in the sport—all at 38 years old.
Further, he has held on to the world record he set in 2004 for men’s
wheelchair marathon.
“Sometimes I’m still surprised by how hard we can push our bodies
when we have to,” he observed.
From May to September, the winter months in South Africa, he races
on the UCI Handcycling circuit with three World Cup events and a
world championship in August/September.
Handcycling has become his sport of focus and he is looking forward
to competing in the Paralympics in 2012.
In addition to training as a professional athlete, he owns a business,
works as an events manager at Stellenbosch University, gives motivational talks the world over and serves as chairman of the Western
Cape Koi Keepers Society. But aside from the professional and athletic
achievements, the fastest wheelchair marathoner in history is also a
loving husband and father.
Apart from his athletic career, van Dyk lists receiving his degree in
sport science and becoming the first person with a disability to do so
at his university as a top personal achievement.
Ernst is ever focused on how he can continue to expand his impact for
the community with disabilities worldwide. Fittingly, he has launched a
new sports equipment brand in South Africa that offers a range of sports
and recreational products for people with disabilities. “I live a balanced
life and see my sport as one of my many jobs,” van Dyk shared. n
Rebecca Mayer is senior regional editor of ADVANCE and can be reached at
[email protected]
To see more photos of Ernst van Dyk’s
inspiring visit to Spaulding Rehab, visit
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21
[stroke rehab]
Meeting the Challenge
A therapist at Rehabilitation Hospital of the
Pacific (REHAB) helps a patient with stroke use
a bionic leg during gait training.
Bringing ‘high-tech’
robotics to Hawaii’s
‘high-touch’ culture
By Teresa Wong, PT
A
s the only acute medical rehabilitation hospital serving the state of
Hawaii, Rehabilitation Hospital of
the Pacific (REHAB) is no stranger
to the constantly changing health care climate. These days, the challenges are even
more pressing, with reimbursement cuts at
every turn and the demand for rehabilitation
22
growing as our aging population explodes,
with Hawaii leading the nation in the growth
of the 65 and older population.
In business for almost 60 years, REHAB
Hospital is proud of its legacy of providing
rehabilitation with “aloha.” Its 70-bed acute
facility and three outpatient clinics serve more
than 6,000 patients each year with strokes,
traumatic brain injuries, spinal cord injuries,
orthopedic and sports injuries and general
rehabilitation needs.
In 2009, REHAB Hospital reorganized its
outpatient clinics to meet escalating economic
and regional competitive demands. One year
Treating Stroke Survivors
In February of this year, at the recommendation of the Innovation Center ’s Advisory Council member Nancy Byl, PT, PhD,
REHAB Hospital introduced a bionic leg
into its outpatient stroke program. A few
months later, it was implemented into
the inpatient program.
The bionic leg is a wearable “intention
based” robotic device that uses highly sensitive motors to provide assistance and “training” to the affected leg of a stroke survivor. A
foot sensor inside the patient’s shoe detects
the patient’s weightbearing status that is customized by the therapist to trigger the bionic
leg’s motors. Once the patient demonstrates
the proper weight bearing status, the bionic
leg’s high-torque motor applies the predetermined percentage of “unweighing” necessary
to equalize the strength of the affected leg with
Teresa Wong/Rehabilitation Hospital of the Pacific
later, its flagship Honolulu outpatient clinic
underwent a metamorphosis with a precise business plan that identified necessary
changes in facilities, services and marketing
strategies with the ambitious goal of increasing revenues by 20 percent.
In addition to a complete facilities renovation designed around new clinical programs
such as Clinical Pilates and an East West Rehabilitation Program, REHAB Hospital’s new
Innovation Center was instituted as a “think
tank” to synergistically combine emerging
technologies into clinical practice for maximal
patient outcomes.
REHAB Hospital’s Innovation Center has
three goals: to seek breakthrough technologies, innovative methodologies and emerging
trends; to inspire clinicians to implement the
highest standards of care; and to advance program development to bring the most powerful
treatment options to each patient.
To integrate high-tech into Hawaii’s intense
high-touch “island family” culture appears,
on the surface, to be incompatible. But with
technology comes the ability to engage a
patient dynamically in the recovery process,
creating a strong partnership between patient
and therapist.
In Hawaiian, the word is “kokua,” or cooperation; an integral part of Hawaii’s hightouch culture.
[stroke rehab]
that of the unaffected leg. This equalization enables stroke patients to
perform many high-level functional activities such as walking and
climbing stairs with significantly reduced assistance.
A Paradigm Shift
Traditional rehabilitation protocols rely on compensatory strategies
such as the use of a walker or quad cane after a stroke because of
demand for functional outcomes as quickly as possible. This biomechanically changes the natural bipedal gait pattern and reinforces a
pathological gait pattern during the critical initial recovery period,
resulting in long-term balance vulnerabilities and secondary pain due
to functional physical asymmetries.
With the bionic leg, its inherent design of using a customized weightbearing sensor to activate motion addresses not only what therapists
have been encouraging for years—“shift your weight”—it is encouraged through a dynamic sensory experience that becomes naturally
intuitive to the patient. More importantly, with its very snug fit and
strong hold around the knee joint, patients begins to “trust” the bionic
leg once they acclimate to its “assistance.” Patients feel safe using their
affected leg much more aggressively then they would otherwise. This
allows patients to actively engage in the intense, repetitive exercises
necessary for neuroplasticity and true recovery of motor function.
Stair climbing is an excellent demonstration of the advantages of
robotics for rehabilitation. The challenge of going down stairs or down
stroke continued on page 34
Lokomat – Functional locomotion therapy
®
Functional movement and sensory stimulation play an important role in the rehabilitation
of patients following neurological disorders and injuries. Through numerous repetitions
and intensive training, activities of daily living may be improved. The Lokomat system is a
driven gait orthosis that automates locomotion therapy on a treadmill.
The Lokomat improves the efficiency of gait training
• task-orientated and repetitive gait training supports the neural plasticity and the motor
relearning
• physiological gait pattern provided by individually adjustable orthosis, guidance force and
weight support
• real time feedback for a higher motivation leading to longer and more intensive training
sessions compared to manual treadmill training
• assessment and reporting functionality for an easy measurement of the patient’s progress
Hocoma International Headquarters:
Hocoma AG
Industriestrasse 4
8604 Volketswil / Switzerland
Phone 0041 43 444 2200
E-mail [email protected]
www.hocoma.com
Hocoma North American Hub:
Hocoma Inc, USA
100 Reservoir Park Drive, PO Box 553
Rockland, Massachusetts 02370
Phone 001 877 944 2200
E-mail [email protected]
www.hocoma.com
Visit www.hocoma.com/legalnotes for conditions of product use.
We move you
23
[pilates]
Combining gravity
and Pilates for more
effective rehabilitation
By Colette Barry, BMI, LMT, RYT
I
t’s hard to imagine that when Joseph
Pilates first started developing his training ideas back in 1912, he could have
envisioned the phenomenon it is today.
You would be hard pressed to find a gym
or physical therapy center that doesn’t offer
Pilates as part of its comprehensive fitness
program. Pilates has rocked the world down
to its core—literally.
When we think of Pilates, we think of the
core. Developing a strong core, or center of the
body, is one of the primary goals of any Pilates
routine. If we look at the core of the body as
those muscles that support the spine, and the
deep abdominal muscles required in much of
our daily body movements, then it’s easy to see
why Pilates built his fitness regimen around it.
But he didn’t stop at the core. Joseph Pilates,
and many of his students after, saw the conditioning and balance of the entire body as
essential for optimum health.
Elongate and Strengthen
Another important element in any Pilates
routine is the strengthening of entire muscle
24
groups. Unlike weight-bearing exercise routines which isolate and develop short, bulky
muscle, Pilates exercises incorporate fluidity and smoothness, training several muscle
groups at once for a whole-body experience.
The focus is on increasing muscle length and
flexibility, which in-turn strengthens muscles
down to their core. And an evenly balanced
musculature is much more efficient, making
the body less prone to injury.
The Seven Tenets of Pilates
Pilates is effective for rehabilitation and physical therapy because it has as its foundation
seven key principles:
• Precision of movement for optimization;
• C e n t e r a s f o c u s f o r m i n d - b o d y
connection;
• Balance before moving for safety;
• Breathing to maximize muscle efficiency;
• Alignment of posture for greater
awareness;
• Fluidity of motion for contour and grace;
• Integration of muscles for full support.
The Five Anchors
Having been born with a severe hearing
impairment that literally affects my sense of
balance, finding a way to optimal physical
and mental balance became a necessity. What
I’ve learned as a hearing impaired person, and
Gravity Gliding System
By combining yoga, Pilates and a gravity
gliding system, physical therapists, instructors and athletes can take Pilates to a whole
new level. Blending these three systems
allows you to isolate muscles that might
seem unreachable.
When patients or athletes rest their bodies
against an angular glideboard, they actually
reduce the load on the skeletal structure of the
body, maximizing muscle use with minimal
joint and back compression. In addition, the
adjustable angles provided by the glideboard
allow the patient or athlete to utilize gravity
as resistance rather than additional external
colette barry
Focus on the Core
what I’ve found in my 30 years of experience
as a certified yoga instructor, Pilates instructor and massage therapist, is that optimum
balance begins with the five key anchors of
the body:
• Heart Anchor (at the base of the
breastbone);
• T7 Anchor (at the base of the shoulder
blades);
• Pubic Anchor;
• Chin Anchor;
• Focal Anchor (looking inward).
By combining these five anchors of the
body with the seven key tenets of Pilates,
and by incorporating a gravity gliding board
found on home training machines, a person
can take Pilates to the next level, producing
perfect alignment, a well-centered body and
optimum balance.
[pilates]
weight, which only compounds joint and ligament strain.
The result is faster healing and a lesser
chance at aggravating an injury through
physical therapy or training.
Reaching New Heights
Pilates incorporates many moves and exercises on the mat, Cadillac “rack” and barrel
devices. But the gravity resistance apparatus surpasses those pieces of equipment
by offering adjustable moves, as well as
inversion moves. It opens up a whole new
world of opportunities for muscle integration, isolation and resistance. The glideboard
provides greater stability against opposing
resistance, which again decreases the chance
of aggravating an injury you might be trying to heal.
That’s why it’s great for PT and rehabilitation. Pilates on the gravity resistance apparatus makes it even better. Anybody can obtain
almost any pose with the board in their first
session, no matter the age or physical challenge they may be facing.
Exercises such as the double-leg stretch,
single-straight leg stretch and rollover are
enhanced significantly with the use of the
gravity board. By raising and lowering the
glideboard, the patient or athlete is working
every level of the rectus abdomonis and the
transverse, internal and external obliques. Isolation is easily obtained, creating quick and
effective results.
When inverted on the gravity glideboard,
exercises like the shoulder bridge, bicycle and
jackknife challenge the user at a whole new
level by using gravity to recruit deeper into
the core and upper body.
As simple as it sounds, one of the great
things about the slanting glideboard is that
it allows someone to easily master a solid
sit-up, recruiting muscles from the ground
up, not only from the chest down. Once
proper recruitment is achieved, muscle
memory is activated to the isolated muscle,
which helps to restore balance. It’s easier
to obtain healthy balance when all muscles
are recruiting at their full potential—accurately and systematically.
Ultimately, what Pilates users are trying
to achieve in their workouts is the ability to
anchor and steady their core against opposing
resistance. By incorporating yoga and a gravity gliding apparatus into any Pilates routine,
you elevate the workout or PT program three
fold, maximizing healing and minimizing
future injury. n
Colette Barry is CEO of Healthy Fit Studio and
Founder of The Barry Method™ training system.
She’s author of the book, Wall Yoga - The Art of
Centering, and the DVD, The Barry Method
Workout For The Total Trainer. She has more
I can move
without pain
again.
Thank you.
than 30 years of experience as a massage therapist, certified yoga instructor, certified Thai yoga
therapist and certified Pilates instructor. She lives
in Ohio with her husband.
For more information on Pilates, visit www.
advanceweb.com/pt
Balanced Body® and
Pilates will change your
clients and your business.
Find out more at
pilates.com/rehab.
YOUR CAREER.
OUR FULL SUPPORT.
Let’s talk!
pilates.com
1-800-PILATES (745-2837)
25
[pressure mapping]
physical and occupational therapists to select
support surfaces based on the manufacturer’s
brochure as the “best pressure-relieving surface” on the market.
Therapists must use solid evaluation skills,
evidence-based practice and clinical reasoning
when determining the optimal support surface for a specific patient. Interface pressure
mapping (IPM) systems are an excellent tool
for assisting in DME selection and establishing
optimal patient positioning.
Key Terminology
In January 2007, the National Pressure Ulcer
Advisory Panel (NPUAP) redefined critical terminology to facilitate universal standards when
discussing pressure ulcers. Pressure redistribution is defined as the ability of a support surface to distribute load over the contact areas
of the human body. Pressure-reduction and
pressure-relief surfaces are no longer accepted
terms. Support surfaces were further clarified
as specialized devices for pressure redistribution designed for management of tissue loads,
micro-climate and/or other therapeutic functions. This includes mattresses, integrated bed
systems, mattress overlays, seat cushions and
seat cushion overlays.2
Using advanced clinical
applications of interface
pressure mapping
By Gina Kubec, OTR/L, OTD,
and Martin J. Kilbane, PT, OCS
This article is a follow-up to the authors’ previous
article “Principles of Pressure Mapping,” published
in ADVANCE’s January 10, 2011, issue.
C
urrent research estimates reveal that
approximately 2.5 million people will
develop pressure ulcers each year in
the United States.1 The estimated costs
of medical treatment and care associated with
these pressure ulcers are astounding. Though
neither of these figures can predict nor estimate
the loss of quality of life for those affected by
pressure ulcers.
In the authors’ clinical experience, the
26
underlying causes of pressure ulcers are multifactorial and usually the manifestation of any
number or combination of factors. These factors
include impaired sensation, loss of functional
mobility, body weight, nutrition, education, aging skin, lifestyle/psychosocial issues,
incontinence, family or caregiver assistance,
positioning and equipment. Optimal management and prevention of pressure ulcers can only
be accomplished by the interdisciplinary team
management approach including patient, family
member or caregiver, physician, nursing, dietary,
social work, psychology, recreational therapy,
physical therapy and occupational therapy.
A physician may consult physical and occupational therapists if a patient incurs, or is at
risk of incurring, a pressure ulcer. In this situation, therapists usually address functional
mobility deficits and equipment recommendations such as wheelchairs, ADL equipment
and mattress selection. It isn’t enough for
Interface Pressure Mapping
IPM systems offer objective data, which can
help to determine the optimal support surfaces
and positions for individuals who are at risk
of pressure ulcers. IPM systems allow the clinician and the patient to obtain quantifiable
output on total surface area, peak pressure
dave perillo
Finding Real Relief
Pressure Ulcers
Pressure ulcers are caused by a variety of environmental factors including sheering, friction,
moisture and of course, pressure. Sheering
is a mechanical force that occurs when two
internal surfaces in contact with one another
move in opposite directions. An example of
this would be rubbing your temples. Friction
is a mechanical force that occurs when a body
part and something external come into contact. An example of this is tight shoes causing
a blister. Moisture can be an issue if the skin is
left wet too long from incontinence or sweating,
which can lead to maceration and increased
skin fragility. Pressure is the force on an object
divided by the area over which the force is
spread. The pressure of your body weight is
decreased when you sit as your weight is distributed over a larger area.
[pressure mapping]
and the average pressure. Total surface area is
measured as number of cells on the IPM sensor
pad that are coming into contact with both the
person and the surface being mapped.
The location of peak pressure provides
numerical and visual data regarding if there
is unequal distribution of weight over a specific
location, i.e., an ischial tuberosity or the sacrum.
The average pressure is the sum of all surface
pressures divided by the total area of the body
making contact with the surface. These factors are all important, as pressure ulcers can
be caused by a small amount of pressure over
a substantial amount of time or by a large
amount of pressure for a brief period of time.
Clinical interpretation of this data can assist
in selecting or modifying surfaces to prevent
pressure ulcers.
components in the wheelchair or through modifying the seating surface. If an individual has
one leg that is longer, a footrest may need to
be adjusted so that both femurs are parallel to
the cushion and able to redistribute pressure
away from the buttocks. A patient may have
discrepancies between the length of his ischial
tuberosities due to surgery, injury or a natural
variance, which results in increased pressure
on one side. This can be remedied by building
up one side of the cushion to compensate for
the obliquity.
The following two cases will describe
and demonstrate how IPM was used as
an effective adjunct that helped clinicians
solve complex seating and positioning issues
and provide the optimal management and
treatment approach.
Optimal Bed Positioning
A patient with C5 tetraplegia was admitted to
the hospital to heal a stage III pressure ulcer. The
patient had hip and knee flexion contractures
pressure continued on page 46
© 2011, HOMER TLC, Inc. All rights reserved.
Goals of Pressure Mapping
When completing an IPM of an individual on
a therapeutic surface, the goals are to decrease
peak values, increase surface area and equalize
pressure distribution. Decreasing peak pressure
values is a goal so that no one area of the body
is bearing an excessive amount of pressure
compared to other areas. This can often be
achieved by unloading pressure onto other
areas, or changing the therapeutic medium (e.g.,
air, gel, foam) between the individual and the
solid surface.
Increasing surface area allows for the body
weight of the individual to be dispersed over
a greater area, thereby decreasing the amount
of pressure on a given area. Often this can be
achieved by increasing seat depth on a wheelchair or lowering leg rests so that body weight
can be distributed over the thighs. It can also
mean adjusting the amount of air or gel in a
therapeutic surface in order to better envelop
the body and thereby distribute the pressure
over not only the bottom surface of the buttocks,
but also somewhat up the sides of the thigh.
Equalizing pressure distribution is important so that bony prominences on one side
of the body are not more susceptible to skin
breakdown. This can be achieved by fixing
asymmetries in posture through positioning
For safer bathrooms at more affordable prices, point your patients’ caregivers
to the bath aisle at The Home Depot. With a full selection of ADA-approved
solutions, we have what they need. For less. That’s the power of The Home Depot.
®
Learn more at homedepot.com/bathsafety
®
27
therapeutic lasers for
use in the United States.
With this clearance,
American clinicians,
physicians, insurance
carriers and health care
consumers should be
aware of the positive
potential of this technology. Phototherapy has a
four decade history, yet
it remains in its infancy
in the United States.
Fortunately, educational opportunities are
now becoming available
to practicing clinicians,
and academic centers
are just beginning to
incorporate phototherapy into their programs.
In addition, students
aren’t given exposure
to the modality, since
many universities don’t
have access to devices.
This lack of education
translates into skepticism and hesitation
among therapists.
At our clinic, we have years of clinical
experience using this treatment option. Even
with this understanding of the technology,
though, we had to address certain questions
before incorporating it into our practice. Our
questions focused on the efficacy of treatment
for our specific patient population, reimbursement and how we would sell the new
approach to our referral base.
We purchased the newly cleared modality with great caution, mainly because it’s a
substantial investment and had an infamous
history in the United States prior to FDA
clearance. But we always kept in mind that
it was also a huge step in providing a new
type of treatment to our patients.
In the competitive industrial sector, time
equals money. Clinicians must obtain effective patient outcomes rapidly in order to keep
clients happy and the business healthy. Our
particular challenge was that a large proportion of our practice involves repetitive strain
injuries, specifically carpal tunnel syndrome.
We face this condition more frequently than
any other occupational injury.
The preferred solution for repetitive strain
injuries is prevention. But many mid- to
Special Delivery
Phototherapy is being
sought out by health
care consumers. But
is it lucrative?
By Douglas Johnson, ATC, EES, CLS
P
hototherapy, also known as photobiomodulation, is a therapeutic modality that uses light energy from the
visible and infrared spectrum to
heal tissue and reduce pain. It’s an umbrella
term encompassing low-level (cold) lasers
and light-based technology, such as superluminous diodes (SLD) and light emitting
diodes (LED).
Literature and manufacturers indicate
that light can produce significant results
for a variety of conditions, from arthritis
to carpal tunnel syndrome (CTS) to wound
healing. To date, more than 3,500 published
articles espouse the benefits of light therapy,
and more than 200 double-blind studies
demonstrate its effectiveness on a variety of
medical conditions.
Although well documented, these results
have been met with mixed enthusiasm from
the medical community. It was just nine
years ago that the FDA cleared the first
28
small-sized companies are ill-equipped technically and financially to implement proactive
strategies. Therefore we need more effective
treatments. Cortisone, the most common CTS
treatment, has come under scrutiny.
With more clinicians sharing these sentiments, along with recent recalls of antiinflammatory medications, we’ve seen
a dramatic increase in patients seeking
alternative ways to treat their chronic pain.
Phototherapy offers a noninvasive, safe and
effective way to meet this demand. But is
it lucrative?
According to a published study in the
Journal of Hand Surgery (Sept. 2009), surgical management of CTS can vary between
$3,335 plus or minus $2,097; and non-surgical
care can run $3,068 plus or minus $983. At
Sports and Industrial Rehab, we have been
able to effectively treat CTS with laser therapy, reducing the number of office visits to
9.8 treatments, at a total of $180 for the laser
therapy procedures.
Yet despite its potential, phototherapy
reimbursement has been met with mixed
results. Most workers’ compensation carriers pay for the procedure when it’s detailed
on a 1500 form with the 97039 procedure
code, and accompanied by documentation
that describes the phototherapy procedure
(usually the FDA 510K summary).
However, there is new, fourth-generation
hybrid laser therapy technology that combines two forms of treatment. It can often
allow for the reimbursement of one of the
procedures. For instance, when using a
laser/EMS combo probe, if both are being
applied simultaneously, the EMS portion may
be billed under attended electrical muscle
stimulation (therapists should consult with
a bonded coding specialist for additional
information of this type of billing.)
Recently, many major health plans have
released policy statements stating that they
don’t recognize phototherapy and won’t
pay for the procedure. But many patients
who’ve found unsuccessful results from conventional treatments have sought pain relief
through this modality.
Low-level laser and SLD therapy have
fewer contraindications than other modalities for certain patients, such as those with
decreased microcirculation, pacemakers, over
implants (plastic or metal), or when heat isn’t
indicated.
It seems that patients like these drive the
jeffrey leeser
[laser therapy]
[laser therapy]
market for phototherapy, regardless of their carrier’s policies. It shows
the emerging trend of fee-for-service in the private health care sector,
and consumers’ overwhelming demand for safer, less invasive and
more effective treatments.
For patients who have inadequate insurance coverage, we offer
fee-for-service treatment at a cost of $18 for 15 minutes. An average
treatment takes between 10 minutes and 30 minutes, which puts
phototherapy within the financial grasp of most patients. It’s been a
successful endeavor, as evidenced by patients who’ve travelled more
than three hours one way for treatment at our facility.
In 2004, private pay for phototherapy was 13.5 percent of our
overall revenue to date. In 2010, that number rose to over 22.8 percent. Our clinic’s journey into the world of phototherapy continues
to surpass our expectations. At times it has even surprised us with
unanticipated results. n
Douglas Johnson is co-owner of Sports and Industrial Rehab in Taylor, MI.
For more on laser therapy, visit www.advanceweb.com/PTPainManagement
29
[buyers’ guide]
Aquatic Therapy
Buyers’ Guide
A Word From ADVANCE
W
e invite comments so that our future product supplements, buyers’ guides and reference guides may better
serve ADVANCE readers. Please forward comments to editor Lisa Lombardo, ADVANCE for Physical Therapy & Rehab Medicine,
3100 Horizon Drive, King of Prussia, PA, 19406; e-mail: llombardo@
advanceweb.com.
ADVANCE strives for accuracy in its reports. Inclusion or exclusion
doesn’t mean ADVANCE endorses one company over another.
ADVANCE reserves the right to edit entries for style, clarity, brevity
and fairness. Information in the listings was submitted by companies.
Trademark and registered symbols are listed as they were noted on
submitted entries. Only companies that responded to ADVANCE are
included in this guide.
1921 Production Dr.
Louisville, KY 40299-2119
502-425-5817
800-325-5438
Fax: 502-425-9607
E-mail: [email protected]
Website: www.aquaticaccess.com
Products Offered: Water-powered pool lifts that
meet all of the regulations for access to public pools
and spas. Full customization to fit any pool. Bariatric
units available.
Clarke Health Care Products
1003 International Dr.
Oakdale, PA 15071
724-695-2122
888-347-4537
Fax: 724-695-2922
Website: www.clarkehealthcare.com
Products Offered: Dynamic Stair Trainer, electrically elevating steps, Dolomite rollators, Aquatec bath
safety products, Mobeli portable grab bars, care bags
for hygiene and infection control.
Hudson Aquatic Systems
1100 Wohlert St.
Angola, IN 46703
260-665-1635
888-206-7802
Fax: 260-665-8069
Website: www.hudsonaquatic.com
30
Products Offered: Aquatic treadmill systems—
rehab, wellness, and conditioning products. The AquaCiser III full-sized self-contained aquatic treadmill
system; the Hydro Track 1103 small footprint selfcontained aquatic treadmill system; the AquaGaiter
drop-in aquatic treadmill system. Performance Pools:
rehab, wellness, and conditioning products. The Beam
Pool modular pool system with large viewing windows and swim jets available; fiberglass pools and spa
systems with swim jets and built-in aquatic treadmill;
in-ground liner pools system.
Human Kinetics
P.O. Box 5076
Champaign, IL 61825
217-351-5076
800-747-4457
Fax: 217-351-2674
Website: www.humankinetics.com
Products Offered: Human Kinetics is a publisher
of books and DVDs in the physical activity and health
fields, including Aquatic Exercise for Rehabilitation
and Training.
HydroWorx International Inc.
1420 Stoneridge Dr., Suite C
Middletown, PA 17057
717-902-1923
800-753-9633
Fax: 717-902-1933
Website: www.hydroworx.com
Products Offered: HydroWorx, a manufacturer of
kyle kielinski
Aquatic Access Inc.
[buyers’ guide]
Sprint Aquatics
aquatic rehabilitation/fitness products, offers innovation in every pool with an integrated underwater
treadmill, fully adjustable floor and options to fit every
application and budget.
MJM International Corp.
323 E. Owassa, Ste. 4
San Juan, TX 78589-3206
956-781-5000
800-270-6199
Fax: 956-781-5552
Website: www.mjminternational.com
Products Offered: Aquatic rehabilitation equipment such as aquatic rehab chairs, aqua floats for
children and adults, therapy weight bars, therapy
ball racks, exercise mats and much more.
P.O. Box 3840
San Luis Obispo, CA 93403
805-541-5330
800-235-2156
Fax: 805-541-5339
Website: www.sprintaquatics.com
Products Offered: Aquatic therapy and therapy
equipment; aqua aerobics and much more.
Spectrum Aquatics
7100 Spectrum Lane
Missoula, MT 59808
800-791-8056
Fax: 800-791-8057
Website: www.spectrumproducts.com
erapy::
ckson pb104Products Offered: Commercial swimming pool
and spa deck equipment. Spectrum manufactures
ydrolift
ADA-compliant
pool lifts and assisted access;
ermo therapy
tt101L
starting
platforms; stanchion post and anchors;
ermalator large
12pack
lifeguard chairs; grab rails and handrails; storrmasplint open
2 door
age reel
systems for pool blankets and racing lane
whirlpool lines; diving stands; thermal pool blankets; swim
platforms; water polo goals; water slides; vacuum
cleaner pump carts and ladders.
SwimEx Inc.
846 Airport Rd.
Fall River, MA 02720
508-646-1600
800-877-7946
Fax: 508-675-0525
Website: www.swimex.com
Products Offered: SwimEx manufactures aquatic
therapy, conditioning and hydrotherapy rehab pools.
SwimEx pools are available in 11 different models to
meet the needs of your facility.
Manufacturer of a comprehensive
Line of Therapy equipmenT
Ph 800-782-7706 / 626-968-6681
www.whitehallmfg.com
31
LAIMS &
MEDICAL C
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any questions Mon-Sat, 9 AM-10PM!
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• Credentialing/Contracting Services
2011 Promotions:
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• Drop in our Already LOW RATES for
First 3 Months
[buyers’ guide]
Vision Aquatics Inc.
12177 Branford St., Suite B
Sun Valley, CA 91352
877-338-5270
Website: www.visionaquatics.com
Products Offered: Therapy pools; fitness pools;
plunge pools.
Water Gear Inc.
P.O. Box 759
Pismo Beach, CA 93448
805-929-2834
800-794-6432
Fax: 805-929-2851
Website: www.watergear.com
Products Offered: Full-line supplier of aquatic equipment from aqua aerobics to competitive swim training gear. Water Gear has more than 300 items in its
36-page color catalog.
Whitehall Manufacturing
15125 Proctor Ave.
Industry, CA 91746
800-782-7706
Fax: 626-855-4862
Website: www.whitehallmfg.com
Products Offered: Since 1946, Whitehall has
been manufacturing comfortable and effective
equipment, such as Thermalator moist heat treatment units, ParaTherapy paraffin tanks, ThermoTherapy dry heat modalities, and Thermasplint
thermoplastic splint pans—each offering specific
types of regulated thermal effects. Whitehall continues to grow with the acquisition of Dakon and
AquaWhirl whirlpools, as well as Dickson paraffin
baths, Forma Splint, and Thermo Therapy product
lines. n
• Waiver of Set-Up Fee
• No Contractual Obligations
MCBEXPRESS...YOUR PATH TO PRACTICING
WITH PEACE OF MIND*
www.mcbexpress.net • (215) 725-4191
32
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Just log onto www.advanceweb.com to sign up.
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[where we work]
Professional Healthcare Resources Inc.
8When determining where to work, health care professionals have
many different work settings from which to choose. As the population
ages, the demand will be even greater for home health care services.
Professional Healthcare Resources Inc. (PHRI) is a home care agency
that serves the Washington D.C. metropolitan
area, including Baltimore, MD, and Richmond,
Norfolk and Roanoke, VA.
Home health care provides an opportunity to
work one-on-one with patients and their families
and make a real difference. The benefits of working in home health care
include flexible schedules; advancement opportunities; higher-level
relationships with physicians than in other health care settings; and
opportunities to help patients be more self-sufficient.
Founded by a nurse, PHRI is a family-owned and operated company
dedicated to helping thousands of patients improve the quality of their
lives. Professional Healthcare Resources established its first branch in
1994 and offers high quality care in a spirit of respect, compassion and
dignity. PHRI delivers a wide range of home health care services, to
include skilled nursing, therapy, personal care services and hospice.
There are about 100 PTs and PTAs employed with PHRI. The therapists are employed on a full-time and part-time basis, as well as through
contract agreements. PHRI has openings for physical and occupational
therapists and speech language pathologists. The organization is recruiting for physical therapist assistants in its Maryland branches.
The ideal candidate has at least one year of home care experience and
at least one year of hospital experience in an acute care setting. The hospital experience would allow the clinician to have a basic understanding
of common diagnoses and how they are managed.
PHRI’s core hours are 8:30 am to 5:30 pm.
Because PHRI is a 24-hour home care provider,
however, its employees are always on-call to provide triage services when necessary.
The Washington, DC, metropolitan area is an
exciting place to live. The surrounding area boasts plenty of shopping
and many museums, as well as the Kennedy Center, the Capitol, the
White House, top-rated school systems, outdoor activities, several universities for further education, cultural diversity and much more.
PHRI offers a health plan with Kaiser Permanente, dental and basic
life insurance with MetLife, a vision plan with Avesis, and an option
for flexible spending. PHRI also offers a retirement plan, supplemental
plans, employee assistance program, tuition assistance, family and medical leave, pre-paid legal, NW Federal Credit Union, seven paid holidays, and discounts for movies, museums, cell phones and more. n
Candidates interested in applying for a position should contact Andrea
McDade, Human Resources Manager, at 703-752-8700.
[stroke rehab]
stroke continued from page 23
curbs independently is heightened by the fear
of tumbling forward. Eccentric muscle contractions, or the controlled lowering of the
body, not only ignite tremendous apprehension, but require more stability.
On stairs, most patients are taught to use a
step-to pattern versus a reciprocal pattern for
safety reasons. However, this reinforces the
asymmetrical strength and motor pattern of
the affected versus non-affected leg.
With the bionic leg, most patients can immediately begin a reciprocal pattern on the stairs
as the bionic leg provides a comforting “resistance” customized by the therapist to assist
with the eccentric lowering of the body.
With the bionic leg on, patients often feel
confident enough to practice aggressively, and
over time, with a programmable decrease in
assistance, the patient demonstrates strong carryover of functional recovery without the leg.
Optimizing functional alignment as soon
as possible and consistently after a stroke
becomes critical for the prevention of secondary and tertiary issues that can significantly
impact a patient’s outcome, both physically
34
and emotionally. Once implemented and utilized as a functional pattern, compensatory
and pathological patterns become increasingly
difficult to change over time.
However, even with the chronic stroke
survivor, the bionic leg is still able to provide that intuitive sensory experience to
facilitate the normalizing of motor patterns
to improve a patient’s balance and dynamic
function. Plasticity of the neurologic system
requires both stress/challenge and repetition.
Robotic equipment such as the bionic leg can
do that.
Efficiency and Hope
Rehabilitation providers today face overwhelming challenges to providing optimal
care, with rapid reductions from third-party
payer systems. That pressure translates to the
critical need to maximize efficiency with each
treatment session.
New technologies like the bionic leg facilitate faster functional outcomes, and its design
emphasizes optimal functional alignment to
get a patient walking faster while allowing the
patient to intuitively self correct.
Contrary to common methods used by
therapists, physical rehabilitation is not a
cognitive task taught through verbal instructions; rather, it is sensory-based learning that
needs to be experienced repeatedly. The critical shift in which the patient becomes engaged
in the intuitive sensory experience of what
their body needs to do allows for real learning
and motor recovery.
One of the most important things a therapist must do is provide hope during rehabilitation. This sets off a positive cascade including
self-motivation, commitment and continued
progress, even when formal therapy has concluded. Therefore, the high-touch element so
integral to the Hawaiian culture becomes
further enhanced with technology, as therapists facilitate motor recovery and a patient’s
confidence and sense of hope. n
Teresa Wong is executive director of the REHAB
Innovation Center, Honolulu, HI.
For more information on stroke, visit
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Social Networking Strategies
When Your Friend Becomes Your Boss
Fibromyalgia & Chronic Fatigue Syndrome
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Infection Control Parts I&II
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PT20110711
UP TO 5* HOURS OF FREE CLASSES
EDUCATION OPPORTUNITIES
VIDEO SEMINARS
VIDEO SEMINARS
UNLIMITED CEUS
All the Continuing Education
Hours You Want for Only $199
For one low price of $199 you can have unlimited access
to over 640 hours of clinical continuing education; over 90
CEU seminars and programs. Take as many courses as you
want for 1 Full Year for only $199. Approved by BOC for
Athletic Trainers and specific State PT Boards. Check our
website for state PT board approvals. Take advantage of this
Special Offer while it lasts! Contact: 575-526-0012; or www.
clinicians-view.com
DISTANCE EDUCATION
DISTANCE EDUCATION
Being a Better PT Made Easy
Not Boring
Learn and earn 5 hours of continuing education credit
from each of our many exciting, interactive and extremely
clinical online courses: Gait and Balance, Knee Osteoarthritis,
Seating and Mobility, Lumbar Spinal Stenosis, Wiihabilitation,
Aging Foot, Vestibular, and Research to Practice. Wellknown instructors such as Dr. Carole Lewis and Dr. Richard
Bohannon bring these courses to life with real patients,
case studies and a focus on practical application. Fast and
easy to complete. Hyperlinks to PubMed for all references.
Bring evidence into your clinic. Visit our website to watch
2 minute relevant research videos on the most current
studies impacting your practice - for free. Contact: www.
Greatseminarsonline.com
DISTANCE EDUCATION
Online and Home
Study Courses
Earn 6 hours of continuing education credit from any one of
our four home study or online courses; 1) Assessment and
Treatment of Age Related Balance Impairment, 2) Introduction
to Therapeutic Ultrasound, 3) Dressed for Success! (An
Introduction to Wound Dressings), and 4) Taking charge of
Chronic Wounds: An Introduction to Electrical Stimulation
and Wound Healing. Offered by the original author, Jamie
Birmingham, PT, CWS, these courses have been recently
updated to provide you with the most current information
available and are only offered by JVB Enterprises, Inc., Cost:
Only $125 per course or $100 each for 2 or more. Contact:
JVB Enterprises, Inc., 888-328-6755 (toll-free); www.teachtx.
com
DISTANCE EDUCATION
Start Your Own
In-Home Therapy Practice
Learn how to take control of your physical therapy career and
work for yourself, instead of someone else. This seminar will
teach you the ins and outs on how to successfully start and
operate an in-home therapy practice under Medicare Part B.
Therapists will learn about the start-up process, business
structures, Medicare Part B requirements and regulations,
proper documentation and billing, and marketing and practice expansion. Participants can access the seminar through
our website. Contact: In-Home Therapy Services, LLC,
800-931-5769; www.inhometherapyservices.com for more
information and to register online.
ON-SITE SEMINARS
JULY 13-15, 2011
SEPT. 21-23, 2011
LARGO, FL
LARGO, FL
Vestibular
Rehabilitation Therapy
This three-day workshop provides “hands-on” training and
includes an overview of vestibular anatomy and physiology,
extensive training materials for therapy programs, direct
patient observation, business, and marketing concepts.
The American Institute of Balance has successfully trained
thousands of therapists from around the world and is one
of the few institutions that provide certification. Course
Director: Richard E. Gans, PhD, nationally known expert in
Vestibular Testing and Rehabilitation, and author of Vestibular
Rehabilitation: Protocols & Programs. Also, see a list of
additional workshop topics or take advantage of our online
courses. Contact: Karen Stephenson, 800-245-6442 for
program questions; or www.dizzy.com to register.
JULY 15-16, 2011
AUG. 5-6, 2011
OCT. 21-22, 2011
CHICAGO, IL
LAS VEGAS, NV
NEW YORK, NY
Secrets & Steps to
Private Practice Success
Step-by-step instruction course on how to increase referrals,
revenue, & reimbursement quickly and affordably! Perfect
for Experienced Owners & Beginners. SECRETS INCLUDE: 1)
Why an MD will stop referring, 2) Your front desk will make or
break you, 3) Coding & Modifier Secrets to double your reimbursements, 4) Employee Leadership is Key, 5) Advertising
Secrets & Templates, 6) Secret Promotions for Instant
Business, 7) Best Equipment & Software. TESTIMONIALS:
“You will kick yourself if you don’t go.” “Its so worth the
money and time to come here”, “It would be a MISTAKE not
to take this course!” 100% Money-Back Guarantee. Contact:
800-801-4511; www.IndeFree.com for more locations.
JULY 15-17, 2011
SEPT. 23-25, 2011
NOV. 4-6, 2011
MERCERVILLE, NJ
JACKSONVILLE, FL
WHITE PLAINS, NY
Vestibular Rehabilitation
This course will focus on the assessment of patient w/ vertigo
& disequilibrium from vestibular causes. Material covered
includes the neuroanatomy & neurophysiology of normal
vestibular system, the various pathological conditions that
result in vertigo or disturbances balance & the compensatory mechanisms available for recovery. Specific emphasis
on assessment & Tx of unilateral & bilateral vertigo, central
vestibular disorders & multisensory dizziness. This info
applicable to geriatric patients as well as individuals w/CNS
lesions such as multiple sclerosis, CVA & head injury. 3rd day
of course is optional. Instructor: Richard Clendaniel. Contact:
Education Resources, Inc., 508-359-6533; 800-487-6530;
www.educationresourcesinc.com
JULY 16-17, 2011
JULY 23-24, 2011
AUG. 6-7, 2011
TAMPA, FL
ATLANTA, GA
FT. LAUDERDALE, FL
Edema-Differential
Diagnosis & Treatment
This intensive two day course is designed to teach clinicians
to differentiate between various edema etiologies and design
effective treatment programs based on those findings. Topics
include the evaluation of the arterial, venous, and lymphatic
systems. Numerous treatment techniques will be covered,
such as compression bandaging as well as hands-on introduction to manual lymphatic drainage. Over 80% of attendants
rated this course Excellent, all others rated it Good. Cost:
$350 for 16 hours. CEUs vary from state to state. Contact:
JVB Enterprises, Inc., 888-328-6755; or www.teachtx.com for
other courses offered in your area or for more information.
JULY 16-17, 2011
AUG. 20-21, 2011
SEPT. 17-18, 2011
WASHINGTON, DC
SEATTLE, WA
MINNEAPOLIS, MN
Starting and Running a
Pediatric Therapy Practice
This seminar presented by entrepreneur Vincent Mullins,
MOT, OTR, will provide clear steps to open and run a pediatric
OT/PT/ST private practice. All aspects of start-up and growth
of the practice will be presented through personal experience
and years of research and development. Both therapy and
business portions will be discussed. 11 CE hours. Live video
available for those unable to attend. Contact: 940-300-2299;
or www.THERAPYSEMINARSLLC.com to register online.
JULY 17, 2011
AUG. 8, 2011
CHICAGO, IL
LAS VEGAS, NV
Advanced Billing, Coding,
Collections and Audit-Proofing
There are more requests for refund, denials, audits, and
reimbursement issues than ever before in the history of our
profession. Also, are your therapists billing only 3 units while
spending over an hour with patients? Is your documentation
making you vulnerable? This course will help solve many
of the problems confronted by most PT/OT practices today.
Get the secrets to quicker payment, better reimbursement,
appealing denials, audit-proofing, and more. TESTIMONIALS:
“This is the best course I’ve ever attended on billing, and
I’ve attended over 100. Take it!” 100% No-Risk Guarantee.
Contact: (800) 801-4511; www.IndeFree.com
JULY 22-23, 2011
SEPT. 24-25, 2011
NOV. 4-6, 2011
LOS ANGELES, CA
JEFFERSON CITY, MO
CLEVELAND, OH
Geriatric
Therapeutic Exercise
Speaker: Mark Traffas, PT, GTC. Exercising geriatric patients
presents a unique challenge to therapists. This course will
demonstrate different, evidence-based exercise techniques
and innovative interventions for all of the body’s major joints
as well as for the most common diagnoses seen in older
patients (i.e., stroke, Parkinson’s disease, gait and balance
deficits). You will learn how to use functional tools to establish
and guide exercise programs. Don’t miss this opportunity to
enlarge your arsenal of treatment ideas. Contact: 877-7947328 (toll-free); www.greatseminarsandbooks.com
JULY 22-23, 2011
SEPT. 30-OCT. 1, 2011
OMAHA, NE
IDAHO FALLS, ID
Rehab for Persons with Dementia:
Making Therapy Worth It
Speaker: Susan Staples, PT, GCS. This seminar provides
participants with specific evaluation and treatment strategies
that are critical to improve outcomes for this challenging and
rapidly growing patient population. Included are strategies
for gait, balance and falls, mobility, hip fractures, strength/
ROM, cardiopulmonary and pain issues, seating and positioning, restraints, and behavioral problems. Participants will
also gain a thorough understanding of the different types of
dementia with specific communication and approach strategies for success. The speaker provides an evidenced based
seminar with an extensive handout. Contact: 877-794-7328
(toll-free); www.greatseminarsandbooks.com
(Continued on next page)
37
NPTE/NPTE REVIEW
COURSE
Therapy Team Exam Review
is the only comprehensive evidenced based review course for
the Boards. For 2008-2009 US
grads (DPT/MPT) had a 100% first
time US Educated DPT/MPT pass
rate. Past performance does not
guarantee you will pass, but it is
better to be safe than sorry when
it comes to your license and job
offer. Join us in the following cities for the best review available.
Recruiters call now to schedule
your private NPTE-i Review Course
Traditional
Denver, CO
Costa Mesa, CA
Philadelphia, PA
Atlanta, GA
July 30-Aug 7, 2011
Sept 10-18, 2011
Oct 1-9, 2011
Oct 29-Nov 6, 2011
Toll Free: {877} 476-6684
http://www.therapyteam.com
[email protected]
BIG
(Continued from previous page)
JULY 22-24, 2011
SEPT. 23-25, 2011
DEC. 9-11, 2011
Dr. Carole B Lewis Presents:
Clinical Geriatrics Orthopedics 2011
This entertaining and informative seminar describes age
related changes and pathology, normative values, functional
tools for every joint in the body and shows you how to track
patient progress for reimbursement. In laboratory sessions,
Dr. Lewis, a clinician, international lecturer and author
teaches innovative mobilizations techniques, creative exercises and diagnosis specific protocols and efficient evaluations. 400+ page handout and over 5,000 evidence based
references and endless evidence based treatment strategies.
Contact: 877-794-7328 (toll-free); www.greatseminarsand
books.com
JULY 22-24, 2011
SEPT. 24-25, 2011
OCT. 21-22, 2011
Intensive whole body amplitude-based
protocol for individuals with
Parkinson 's Disease.
Chicago, IL
July 23-24, 2011
Dallas, TX
September 10-11, 2011
Sunnyvale, CA
Traverse City, MI
October 1-2, 2011
Atlanta, GA
October 7-8, 2011
Miami, FL
March 10-11, 2012
More Dates Coming Soon
Visit our website to update
your information.
For more information visit our
website at:
www.LSVTGlobal.com
Voice: 1-888-438-5788
Email: [email protected]
38
HOUSTON, TX
ARLINGTON, TX
STOUGHTON, MA
This evidence-based lab course will train clinicians in the
practical management of dizziness. It will include instruction
in anatomy and physiology, pathology, medical management, laboratory testing, performance of a detailed bedside/
office examination and treatment recommendations. The
application of VRT to a variety of practice settings (outpatient,
acute care, SNF, ER) will be discussed. An emphasis will
be placed on the management of unilateral, bilateral and
central vestibular dysfunction and BPPV variants. There is the
option of a third day of Advanced studies at certain locations.
Instructor: Jeffrey Walter. Contact: Education Resources,
Inc., 508-359-6533; 800-487-6530 (outside MA); www.
educationresourcesinc.com
JULY 23-24, 2011
SEPT. 24-25, 2011
OCT. 15-16, 2011
WINSTON SALEM, NC
GREEN BAY, WI
LITTLE ROCK, AR
Comprehensive
Rehabilitation Strategies
2011-12 Training and
Certification Workshops
ORLANDO, FL
ALBANY, NY
NEW ORLEANS, LA
Speaker: Doug Dillon, PT, GTC, Rehabilitation for our geriatric
population is changing rapidly. Payment changes make it
more challenging to deliver quality care for the rehabilitatively
and medically complex older patient. This seminar, with its
350 page handout and 5000 references, provides a thorough
approach to therapeutic strategies and goals, thereby preparing therapists with cutting-edge information, evaluation tools
and treatment protocols for the complex geriatric patient.
books.com
JULY 23-26, 2011
AUG. 27-30, 2011
SEPT. 17-20, 2011
PALM BEACH GARDENS, FL
CHATTANOOGA, TN
BATON ROUGE, LA
Lymphedema
Management Seminar
The Academy of Lymphatic Studies has pioneered lymphedema management in the U.S. since 1994. This course
serves as an introduction to the management of upper and
lower extremity lymphedema (primary and secondary) and
is focused on increasing the understanding of proper lymphedema management and the application of the techniques
known as Manual Lymph Drainage (Vodder/Foeldi technique)
and Complete Decongestive Therapy for lymphedema and
other conditions. The 31 hour program is taught in only 1 1/2
working days; the course length is 3 1/2 days in total. The
program covers the anatomy, physiology and pathophysiology of the lymphatic system and the introduction in the
current treatment techniques for upper and lower extremity lymphedema. The textbook “Lymphedema Management”
authored by the Academy’s director was published in 2004
by Thieme Medical and Scientific Publishers, NY, and is
included in the tuition. Discounts are available for APTA &
AOTA members. Contact: 800-863-5935; academy@acols.
com or www.acols.com
JULY 30-31, 2011
AUG. 6-7, 2011
AUG. 13-14, 2011
DUBUQUE, IA
TUSCALOOSA, AL
CHEYENNE, WY
Rehab of Persons with
Common Medical Pathologies
Speaker: Steven Tepper, PhD, PT. This entertaining lecture
provides take home information on rehabilitation of MI/CHF,
COPD, Diabetes, Renal Failure, Obesity, Peripheral Arterial
Disease and Deep Vein Thrombosis seen in a wide variety of
settings: acute, subacute, long-term care, home health, cardiac and pulmonary rehabilitation and fitness/wellness clinics. Specific evaluations, functional tools, interventions and
limitations to functional activities, will be covered in a case
study format and lab sessions utilizing the Guide to Physical
Therapy Practice. Stay up to date with the latest research
findings with this dedicated and talented educator. Contact:
877-794-7328 (toll-free); www.greatseminarsandbooks.com
JULY 30-31, 2011
OCT. 8-9, 2011
DEC. 3-4, 2011
DALLAS, TX
RICHMOND, VA
CHERRY HILL, NJ
Cancer Rehabilitation
Speaker: Nicole Stout, MPT, CLT-LANA. Current evidencebased rehabilitation strategies for individuals undergoing
treatment for cancer, survivorship from cancer, or facing
metastatic disease will be described in detail: exercise
prescription, contradictions and precautions with exercise
& modalities. Identify in a problem based format, with group
interaction, using real case examples; the latest in evaluation,
treatment and progression of care. Contact: 877-794-7328
AUG. 4-5, 2011
BATON ROUGE, LA
Wound Management Strategies for
Patients with Lymphedema
The Academy of Lymphatic Studies has pioneered lymphedema management in the U.S. since 1994. The Academy
offers a variety of advanced and refresher programs specifically tailored to the continuing education of Health
Care Professionals. Wound Management Strategies: this
intensive 2-day course is designed to further the knowledge
of therapists in the management of chronic wounds. Upon
completion of this course, therapists will be able to properly
identify wound characteristics consistent with venous insufficiencies in combination with lymphedema, and understand
how to effectively apply the different components of MLD/
CDT for patients with integumentary dysfunction associated
with lymphedema. Discounts are available for APTA & AOTA
members. Contact: 800-863-5935 for a free brochure; acad
[email protected] or www.acols.com
AUG. 6-7, 2011
OCT. 14-15, 2011
NOV. 5-6, 2011
ATLANTIC CITY, NJ
AUSTIN, TX
LAS VEGAS, NV
Dr. Carole B Lewis Presents:
Clinical Geriatric Neurology
Carole B. Lewis, PT, DPT, GCS, MSG, MPA, PhD, FAPTA, presents Geriatric Neurology. This entertaining lecture provides
take home information on cutting edge assessment and
treatment of older clients with Parkinson’s disease, stroke,
gait, balance disorders, and pain problems with a 300+
page handout with over 5,000 current medical references.
Use these treatment techniques and evaluation tools to work
smarter not harder. Contact: 877-794-7328 (toll-free); www.
greatseminarsandbooks.com
Manual Therapy and Orthopaedic Seminars
2011/2012 Seminar Calendar
CONTINUING
S1 - Spinal Evaluation & Manipulation
Impairment Based, Evidence Informed Approach
35 Hours, 3.5 CEUs (No Prerequisite)
$895
Cincinnati, OH . . . . . . .Furto . . . . . . . . . .Aug 10 - 14
St. Augustine, FL . . . .Viti . . . . . . . . . . . .Aug 17 - 21
Orlando, FL . . . . . . . . .Yack . . . . . . . . . . . . .Oct 5 - 9
Baltimore, MD . . . . . . .Smith . . . . . . . . . .Nov 11 - 15
Phoenix, AZ . . . . . . . .Yack . . . . . . . . . .Nov 16 - 20
Austin, TX . . . . . . . . . .Viti . . . . . . . . . . . . .Dec 7 - 11
2012
Chicago, IL . . . . . . . . . . . . . . . . . . . . . . . .Jan 18 - 22
Washington, DC . . . . . . . . . . . . . . . . . . . .Jan 25 - 29
St. Augustine, FL . . . . . . . . . . . . . . . . . . . . .Feb 1 - 5
New York City, NY . . . . . . . . . . . . . . . . . . . .Mar 7 - 11
Little Rock, AR . . . . . . . . . . . . . . . . . . . . . .Apr 11 - 15
Harrisburg, PA . . . . . . . . . . . . . . . . . . . . . .Apr 18 - 22
Atlanta, GA . . . . . . . . . . . . . . . . . . . . . . . . . .May 2 - 6
Orlando, FL . . . . . . . . . . . . . . . . . . . . . . .May 16 - 20
Houston, TX . . . . . . . . . . . . . . . . . . . . . . . .Jun 6 - 10
S2 - Advanced Evaluation &
Manipulation of Pelvis, Lumbar &
Thoracic Spine Including Thrust
21 Hours, 2.1 CEUs (Prerequisite S1)
$595
Baltimore, MD . . . . . . .Viti . . . . . . . . . . . .Jul 15 -17
Chicago, IL . . . . . . . . . .Irwin . . . . . . . . . .Jul 22 - 24
New York City, NY . . . .Yack . . . . . . . . . . .Aug 5 - 7
St. Augustine, FL . . . . .Irwin . . . . . . . . . . . .Oct 7 - 9
Grand Rapids, MI . . . . .Yack . . . . . . . . . . .Nov 4 - 6
2012
St. Louis, MO . . . . . . . . . . . . . . . . . . . . . . . .Mar 2 - 4
Ft. Lauderdale, FL . . . . . . . . . . . . . . . . . .Apr 20 - 22
St. Augustine, FL . . . . . . . . . . . . . . . . . . .May 11 - 13
Boston, MA . . . . . . . . . . . . . . . . . . . . . . .May 18 - 20
S3 - Advanced Evaluation &
Manipulation of the Cranio Facial,
Cervical & Upper Thoracic Spine
$795
Also Available to OTs
MF1 - Myofascial Manipulation
$745
Austin, TX . . . . . . . . . . .Naas . . . . . . . . . .Jul 21 - 24
San Francisco, CA . . . .Turner . . . . . . . . .Jul 28 - 31
Boston, MA . . . . . . . . . .Busby . . . . . . . .Aug 18 - 21
Phoenix, AZ . . . . . . . . .Turner . . . . . . . .Aug 25 - 28
St. Augustine, FL . . . . .Baldwin . . . . . . .Sep 15 - 18
Harrisburg (Dillsburg) PA .Naas . . . . . . . . . .Oct 13 - 16
Denver, CO . . . . . . . . .Turner . . . . . . . . . .Nov 3 - 6
St. Louis, MO . . . . . . . .Naas . . . . . . . . . . .Nov 3 - 6
Washington, DC . . . . . .Baldwin . . . . . . .Dec 15 - 18
2012
New York City, NY . . . . . . . . . . . . . . . . . . . .Jan 12-15
St. Augustine, FL . . . . . . . . . . . . . . . . . . .Jan 19 - 22
Denver, CO . . . . . . . . . . . . . . . . . . . . . . . .Feb 16 - 19
Ft. Lauderdale, FL . . . . . . . . . . . . . . . . . .Feb 23 - 26
Atlanta, GA . . . . . . . . . . . . . . . . . . . . . . . . .Mar 8 - 11
Austin, TX . . . . . . . . . . . . . . . . . . . . . . . . .Apr 12 - 15
San Diego, CA . . . . . . . . . . . . . . . . . . . . .Apr 19 - 22
Washington, DC . . . . . . . . . . . . . . . . . . . . .May 3 - 6
Las Vegas, NV . . . . . . . . . . . . . . . . . . . . .May 17 - 20
E2 - Extremity Integration
21 Hours, 2.1 CEUs (Prerequisite E1)
$595
Baltimore, MD . . . . . . .Conrad . . . . . . . . .Sep 9 - 11
New York City, NY . . . .Patla . . . . . . . . . .Oct 21 - 23
Chicago, IL . . . . . . . . . .Conrad . . . . . . . .Nov 11 - 13
St. Augustine, FL . . . . .Patla . . . . . . . . . .Nov 18 - 20
2012
Phoenix, AZ . . . . . . . . . . . . . . . . . . . . . . .Feb 24 - 26
St. Augustine, FL . . . . . . . . . . . . . . . . . . . .Apr 27 - 29
Ft. Lauderdale, FL . . . . . . . . . . . . . . . . . . .Jun 22 - 24
Advanced Manipulation Including
Thrust of the Spine & Extremities
San Diego, CA . . . . . . .Irwin/Yack . . . . .Aug 19 - 21
2012
St. Augustine, FL . . . . . . . . . . . . . . . .Mar 30 - Apr 1
Grand Rapids, MI . . . . . . . . . . . . . . . . . .Jun 22 - 24
Denver, CO . . . . . . . . . . . . . . . . . . . . . . . .Nov 9 - 11
Additional Seminar Offerings
Applied Musculoskeletal Imaging for
Physical Therapists
$545
San Diego, CA . . . . . . .Agustsson . . . . . .Jul 29 - 31
Denver, CO . . . . . . . . .Agustsson . . . . .Nov 11 - 13
$545 The Older Adult with a Neurological
Boston, MA . . . . . . . . . .Lonnemann . . . . . Jul 30 - 31
Minneapolis, MN . . . . .Lonnemann . . . . .Aug 13 - 14
San Diego, CA . . . . . .Nyberg . . . . . . . . .Aug 20 - 21
St. Augustine, FL . . . .Varela . . . . . . . . . .Sep 10 - 11
New York City, NY . . . .Nyberg . . . . . . . . .Sep 17 - 18
Orlando, FL . . . . . . . . .Lonnemann . . . . . . Nov 5 - 6
Atlanta, GA . . . . . . . . .Nyberg . . . . . . . . .Nov 12 - 13
Chicago, IL . . . . . . . . .Nyberg . . . . . . . . .Dec 10 - 11
2012
St. Augustine, FL . . . . . . . . . . . . . . . . . . . .Mar 17 - 18
Baltimore, MD . . . . . . . . . . . . . . . . . . . . . .Apr 14 - 15
New York City, NY . . . . . . . . . . . . . . . . . . .Jun 23 - 24
*Specifically designed to respect the Sabbath.
E1 - Extremity Evaluation and
Manipulation
SEMINARS
$595
St. Augustine, FL . . . . .Cantu . . . . . . . . .Jul 29 - 31
Ft. Lauderdale, FL . . . .Grodin . . . . . . . . . .Aug 5 - 7
Atlanta, GA . . . . . . . . . .Grodin . . . . . . . .Aug 12 - 14
Scranton, PA . . . . . . . .Grodin . . . . . . . .Sep 23 - 25
Baltimore, MD . . . . . . .Cantu . . . . . .Sep 30 - Oct 2
New York City, NY . . . .Grodin . . . . . . . .Oct 14 - 16
Las Vegas, NV . . . . . . .Stanborough . . .Oct 21 - 23
Chicago, IL . . . . . . . . . .Grodin . . . . . . . .Nov 11 - 13
Boston, MA . . . . . . . . . .Grodin . . . . . . . . .Dec 9 - 11
San Diego, CA . . . . . . .Cantu . . . . . . . .Dec 16 - 18
2012
Louisville, KY . . . . . . . . . . . . . . . . . . . . . .Feb 24 - 26
Columbus, OH . . . . . . . . . . . . . . . . . . . . .Mar 16 - 18
St. Augustine, FL . . . . . . . . . . . . . . . . . . .Apr 20 - 22
Denver, CO . . . . . . . . . . . . . . . . . . . . . . .May 18 - 20
MANUAL THERAPY CERTIFICATION
Preparation and Examination
32 Hours, 3.2 CEUs
(Prerequisites: S1, S2, S3, S4, E1, E2, MF1)
$995
St. Augustine, FL . . . . .Paris et al . .Nov 28 - Dec 3
2012
St. Augustine, FL . . . . . . . . . . . . . . .Feb 27 - Mar 3
St. Augustine, FL . . . . . . . . . . . . . . . . . .Jun 25 - 30
St. Augustine, FL . . . . . . . . . . . . . . . .Oct 29 - Nov 3
SPORTS THERAPY CERTIFICATION
Preparation and Examination
16 Hours, 1.6 CEUs
(Prerequisites: S1, E1,)
$498
St. Augustine, FL . . . . . . . . . . . . . . . . . . .Feb 27 - 29
Impairment
Also available to OTs
$625
2012
St. Augustine, FL. . . . . . . . . . . . . . . . . . . .Mar 17 - 20
The Pediatric Client with a Neurological
Impairment
Also available to OTs
$625
2012
St. Augustine, FL . . . . . . . . . . . . . . . . . . . .Jul 19 - 22
Seminar dates, locations, and tuition are subject to change, please call before making any non-refundable reservations.
Stanley V. Paris, PT, PhD, FAPTA
University of St. Augustine
For Health Sciences
1 University Boulevard
St. Augustine, FL 32086-5783
Registration: 800-241-1027
FAX: 904-826-0085
Name:
_____________________________
___PT
Address:
_____________________________
City:
_____________________________
State: _________ Zip: __________
Email: _____________________
Home: (_____) _____-_________
Work: (_____) _____-_________
FAX:
(_____) _____-_________
Please register me for:
Seminars:
_____________________________
Locations:
_____________________________
Dates:
_____________________________
Prerequisite information:
Seminar:______________________
Location/Date:
_____________________________
Is this your first seminar with the
University? Yes____ No ____
20 Hours, 2.0 CEUs (Prerequisite: Completion of MTC
Certification)
$775
Atlanta, GA . . . . . . . . .Smith . . . . . . . . .Aug 11 - 14
Denver, CO . . . . . . . . .Rot . . . . . . . . . . . .Sep 8 - 11
Boston, MA . . . . . . . . .Smith . . . . . . . . .Oct 20 - 23
New Orleans, LA . . . . .Rot . . . . . . . . . . .Nov 17 - 20
St. Augustine, FL . . . . .Paris/Smith . . . . . .Dec 1 - 4
Ft. Lauderdale, FL . . .Smith . . . . . . . . . .Dec 8 - 11
2012
Baltimore, MD . . . . . . . . . . . . . . . . . . . . .Mar 22 - 25
St. Augustine, FL . . . . . . . . . . . . . . . . . . . .May 3 - 6
New York City, NY . . . . . . . . . . . . . . . . .May 17 - 20
Atlanta, GA . . . . . . . . . . . . . . . . . . . . . . .Jun 14 - 17
S4 - Functional Analysis &
Management of Lumbo-Pelvic-Hip
Complex
EDUCATION
Online at
Register .edu or
www.usa ay at
Call tod 027!
1-1
1-800-24
The Continuing Professional Education Division of the
University of St. Augustine for Health Sciences has
been approved as an Authorized Provider by the
International Association for Continuing Education and
Training (IACET), 1760 Old Meadow Road Suite 500
McLean, VA 22102
A $100 non-refundable deposit must accompany registration
form. A 50% non-refundable, non-transferable deposit is
required for Certification. Balance is due 30 days prior to start
date of the seminar. Balance can be transferred or refunded
with 2 week written notice. Notice received after that time subject to only 50% refund. No refunds or transfers will be issued
after the seminar begins.
METHOD OF PAYMENT
____Check or Money Order enclosed
Residency and
Please make payable to: University of St. Augustine
Fellowship Opportunities Charge my:
___
___
Available!
The University of St. Augustine is proud
to offer the Clinical Orthopaedic
Residency Program and the Orthopaedic
Manual Physical Therapy Fellowship
Program. Both programs offer you the
chance to be mentored in a one-on-one
clinical environment while allowing you to
work towards earning one of USA’s
advanced degrees. Let us share with you
one of the many advantages of continuing
your education with USA!
Please contact
Dr. Erin Conrad
800-241-1027, ext 246
or [email protected]
Card #
______________________________
Exp. date: ___/___
Amount: $_________
Signature:
______________________________
Team Discount - Two or more persons from
the same facility registering for the same seminar at the same time, receive a 10% discount
at the time of registration.
(Advanced notice and full payment required, does not apply
after the first day of a seminar.)
Multiple Seminar Discount - Register and
pay in full for two or more seminars at the
same time and receive a 10% discount.
(May not be combined with any other discounts or previous
registrations.)
ADV 7-11
39
Now
you can get
Certified Faster!
even
Attention Therapists: Interested in Lymphedema Management Certification?
The Source for Research Based
Lymphedema Management
Introducing the NEW
Accelerated Hybrid
Online Program!
Announcing our new program:
Accelerated Hybrid Online Program allows
students to obtain their certification in 7 working days!
We offer both Certifications
Courses and Seminars.
Advantages Include:
Cost Savings Less time in the classroom means less time away.
Quality Both online and classroom hours to obtain maximum benefit.
fit.
Flexibility Students utilize our Home Study or Online Portal..
More Locations more classes in more locations, allows
students to choose which location best serves their needs.
AUG. 12-13, 2011
SEPT. 16-17, 2011
NOV. 4-5, 2011
SACRAMENTO, CA
SPOKANE, WA
TRUMBULL, CT
Torticollis: Effective
Assessment and Treatment
Has the clinical presentation of torticillis changed? Novice
and experienced clinicians will explore the effects of torticollis, sleep posture and increased use of positional devices
on infant postural development. Functional, clinically oriented evaluation and evidence based treatment strategies for
infants through 2 years of age will be provided. Clinical pathways of management of infant head shape, diagnostic procedures and surgical intervention will be appraised. Learning
opportunities will transpire through lectures, group problem
solving and video review. Instructor: Cindy Miles. Contact:
Education Resources, Inc., 508-359-6533; 800-487-6530
(outside MA); www.educationresourcesinc.com
All courses and seminars are approved for CEU’s
Website www.acols.com
AUG. 12-13, 2011
OCT. 14-15, 2011
NOV. 11-12, 2011
Phone 1.800.863.5935
35
TRUMBULL, CT
CEDAR KNOLLS, NJ
SACRAMENTO, CA
Children’s Brains and
Evidence for Intervention
Contemporary theories of neuroplasticity especially as related to motor control, motor learning, and motor development
will be presented. Emphasis will be on applying empirical
evidence to pediatric evaluation and intervention strategies.
Videotapes of treatment sessions will be used to illustrate
major points. Controversial issues related to spasticity, handling techniques, and early gait training will be addressed,
as well as cognitive and perceptual issues related to praxis.
Instructor: Patricia Montgomery, PT, PhD, FAPTA. Contact:
AUG. 12-20, 2011
SEPT. 17-25, 2011
OCT. 14-22, 2011
RED BANK, NJ
CHICAGO, IL
SAN ANTONIO, TX
Lymphedema Therapy Certification/
Lymphedema Mgmt
22011
009
The American BackPain Center
Lumbar - S.O. I
Strategic Orthopedics Spine System
Westlake- (Clev.),
Lumbar
S.O. I OH
A New Paradigm For Conservative Spine Care
Evidence-Based The most extensive compilation
of spine research available – supporting Examination,
Treatment Strategies, Documentation, & Outcomes.
Expand
Referrals
Mar 12-15
Woodruff,OH
WI
Columbus,
AugMay
27-301-4
Missoula, MT
May 16-19
St.
Cloud,
MN
Sept
15-18
Columbus, OH
Aug 27-30
Allentown,
PA IN
Oct. 7-10
Fort Wayne,
Sept
24-27
Chicago
(Berwyn),
IL
Oct
8-11
Kalispell, MT
Oct
14-17
Edgewood
(Cinci),
KY
Nov
5-8
Edgewood, KY (Cincy)
Nov 3-6
Cervical / Thoracic - S.O. II
“SO I (Lumbar) was a great course.
March 28-29
The most Rochester, MN
S.O.30-31
II
As a physician, I was impressed by
Chicago (Berwyn), IL - May
complete spine care system Cervical/Thoracic
the extensive review of literature
Edgewood,
(Cincy)
Oct12-13
1-2
EdgewoodKY
(Cinci),
KY Sep
which
now
includes
treatment
supporting the concepts taught”.
Appleton, WI
Oct19-20
24-25
Nov
of cervicogenic headache, TMJ, Joliet, IL
V. Johnson, MD
migraine, & oral-facial pain Migraine / TMJ - S.O. III
Carle Spine
Champaign, IL
June 13-14
“After SO III (Migraine), I’ve increased my priv. practice
Institute
Reading (Philly),III
PA Nov 21-22
referrals by 14-16 per week for the past 3 years”. Migraine/S.O.
Edgewood, KY (Cincy)
Dec 3-4
Jeff Turner, PT, Cert. MDT - Headache Institute of Texas
Focus & Detail (S.O. II)
Champaign, IL
Highest Rated
Your colleagues post-course critique scores are consistently the
highest in our field - near perfect scores on content/presentation
SO I – 97% SO II – 98% SO III – 98%
Dec 5-6
Focus & Detail (S.O. II+III)
San Antonio, TX
April 4-5
“Fun Day” & Dinner
April 6
www.americanbackpaincenter.com
40
This 135 hr lymphedema certification course combines
45 hrs of online home study & 90 hrs of classroom (lab)
instruction: The most efficient & cost effective way to
become lymphedema certified! UE lymphedema certification
available. Pathophysiology, Diagnosis & DD taught by expert
lymphedema physician. Lab instructors are the most experienced in the field. Approved for CEUs. Meets requirements to
sit for Lymphology Assoc. of N. America (LANA) exam. Free
post graduate services. Klose Training & Consulting; Guenter
Klose, Certified Instr. since 1987, Kathy Francis, MD, Med.
Director. Contact: 866-621-7888 (toll-free); info@klosetrain
ing.com or www.klosetraining.com for dates & locations.
AUG. 19-20, 2011
SEPT. 16-17, 2011
OCT. 28-29, 2011
HARTFORD, CT
RENTON, WA
CHICAGO, IL
Brachial Plexus Injuries
Treatment: Infant thru Teen
Do you assess and treat pediatric patients with Obstetrical
Brachial Plexus Injuries? This workshop will provide you
with the comprehensive knowledge you need to be able to
confidently perform comprehensive examinations, develop
attainable goals and choose the most effective therapeutic
strategies and make surgical referrals for each stage of
recovery throughout infancy, childhood, and teen years.
Instructors: Cindy Servello & Pia Stampe. Contact: Education
Resources, Inc., 800-487-6530; 508-359-6533; www.edu
cationresourcesinc.com
SUBSCRIBE TODAY
— CALL 800.355.1088
NEW BRUNSWICK, NJ
LEXINGTON, KY
OREGON, OH
AUG. 19-20, 2011
OCT. 14-15, 2011
DEC. 9-10, 2011
ATLANTA, GA
ENGLEWOOD, NJ
LAUREL, MD
AUG. 20-21, 2011
SEPT. 24-25, 2011
OCT. 15-16, 2011
BOISE, ID
FRESNO, CA
BOSTON, MA
Yoga Therapy for the Child
With Developmental Challenges
Driving Neuroplastic
Change in Stroke Survivors
Taking Balance
To the Limits
This workshop teaches a balanced therapeutic yoga approach
w/ modifications for various populations. Through experiential labs you will learn the physical, physiological, regulatory,
emotional & sensory-motor benefits of Yoga for the Child w/
Developmental Challenges. Use of Rhythm & Breath control
will be emphasized to facilitate regulation & organization. A
sequence of postures will be analyzed to highlight the therapeutic aspects. Case studies will highlight the therapeutic
benefits. Instructor: Anne Buckley-Reen. Contact: Education
Resources, Inc., 508-359-6533; 800-487-6530 (outside MA);
Designed to take the complexity and guesswork out of planning treatment, this seminar focuses on a new perspective
on stroke recovery. Based on principles proven to drive neuroplastic change in stroke survivors, this seminar will provide
the tools to incorporate leading-edge, research-based recovery options. Included will be an in-depth look at a variety of
cutting edge strategies, technologies and treatment options
to aid stroke survivors in reaching the highest level of potential recovery, such as modified constraint induced therapy,
gaming technologies, and motor imagery techniques, among
others. Instructors: Stephen Page and Peter Levine. Contact:
Speaker Janene Barber, PT, GTC, has taught and treated
extensively in this area with astounding results. This
course goes beyond all you have learned about the effects
of speed, strength and range of motion limitations as
causes for balance dysfunction. You will leave with an in
depth knowledge and skill in postural dyscontrol, somatosensation and vestibular arenas. Take home innovative
usable evaluation and treatment techniques that will dramatically change your practice. Contact: 877-794-7328
AUG. 19-20, 2011
OCT. 14-15, 2011
INDIANAPOLIS, IN
SAVANNAH, GA
AUG. 20-21, 2011
Intensive Orthopedics
Speaker: Sandy Shelton, PT, GTC. Take home innovative
evaluation and treatment ideas for total joint arthroplasties
and traumatic fractures. Learn clinically useful and cutting
edge protocols, critical paths and ways of working with
difficult patients. Diagnoses specific evaluations will be
demonstrated. Utilize these tools to work smarter, not harder.
books.com
FIND A NEW JOB AT
AN ADVANCE JOB FAIR
& CAREER EVENT
CALL 800.546.4987 FOR DETAILS!
EDISON, NJ
Assessment & Treatment
Age-Related Balance Impairment
This intensive two-day course is designed to provide evidence-based fall prevention strategies for reducing the
number of falls in the elderly population and discuss balance
treatments for inpatients as well as community-based falls
prevention programs. Through interesting lecture and handson labs, this course will provide skills that can be used in the
clinic setting the very next day. Over 80% of attendants rated
this course Excellent, all others rated it Good. Cost: Only $350
for 16 hours. CEUs vary from state to state. Contact: JVB
Enterprises, Inc., 888-328-6755; or www.teachtx.com for
other courses offered in your area or for more information.
FREE E-NEWSLETTER
AUG. 20-21, 2011
SEPT. 24-25, 2011
OCT. 22-23, 2011
AUG. 19-20, 2011
OCT. 1-2, 2011
DEC. 2-3, 2011
TOLEDO, OH
MIAMI, FL
LINCOLN, NE
Safe Steps: Making Gait,
Balance Assessment, & Treatment
Speaker: James C. Wall, BSC, MSc, MEd, PhD, presents Safe
Steps: Making Gait and Balance Assessment and Treatment
Worth It. This seminar reviews the major changes commonly seen in the elderly, which can contribute to problems
with gait, balance, and subsequent loss of independence.
Evaluations tools, objective techniques to measure functional
mobility tasks and evidence-based treatment strategies will
be covered. Contact: 877-794-7328 (toll-free); or www.
greatseminarsandbooks.com
— WWW.ADVANCEWEB.COM
TO ORDER ARTICLE
REPRINTS FROM ADVANCE
CALL 800-355-5627
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41
AUG. 20-28, 2011
SEPT. 10-18, 2011
SEPT. 17-25, 2011
LOS ANGELES, CA
NEW YORK, NY
ST. LOUIS, MO
Lymphedema
Therapy Certification
The Norton School of Lymphatic Therapy’s Advantage
Optimal Access Format is a blended live & web-based certification program producing LANA-eligible lymphedema
therapists in only 9 continuous days. Only 5 workdays and
2 weekends make this course the most sensible, costeffective, unmatched choice. Save large expenses on staff
coverage, travel, hotel and meals. Take our online Virtual
Tour and compare to other schools! This course teaches:
Manual Lymph Drainage (MLD) & Complete Decongestive
Therapy (Vodder/Foeldi Tech) covering 135 hours, basic
and advanced MLD, bandaging & Tx protocols, Tx of primary & secondary lymphedema, extremity & non-extremity
ONLINE CERTIFICATION WORKSHOPS
Ergonomics Assessment
Certification - 15 contact hours
CEAS I™ Certification
Practice & Management of
Occupational Ergonomics
Certification - 16 contact hours
CEAS III™ Certififcation
800.783.7536
W W W. B A C K S C H O O L O FAT L A N T A . C O M
lymphedema. All Norton School instructors are recognized
national experts and are available via e-mail & phone consultation for Tx of complex patients. We offer Advanced Training
Programs, Reviews, Bi-Annual Conferences, Specialized
Training Videos & free lifetime listing in our Therapist Referral
Database. Multiple courses offered per month nationally.
Inquire about hosting a course! MD, RN, PT, OT, PT & OT
Assistants, Nurses & MTs qualified. The Norton School is
recognized by FPTA, NJ, SBPTE, TPTA, AOTA & NCBTMB
for CEUs. Senior Faculty: Steve Norton, MLD/CD, CLT-LANA;
Andrea Cheville, MD, Medical Director. Contact: 866-4459674 (toll-free); 866-854-7800 (fax); info@NortonSchool.
com or www.NortonSchool.com
AUG. 20-30, 2011
SEPT. 10-20, 2011
OCT. 15-25, 2011
PALM BEACH GARDENS, FL
PHOENIX, AZ
LAS VEGAS, NV
Complete Lymphedema
Management Certification
The Academy of Lymphatic Studies has pioneered certification classes in Manual Lymph Drainage (Vodder/Foeldi
technique) and Complete Decongestive Therapy in the U.S.
since 1994. This program is a comprehensive certification
course (135 hours) and is taught in only 7 working days;
the course length is 11 days in total, including 2 weekends
(meets the requirements of the Lymphology Association of
North America). The program covers: anatomy, physiology &
pathology of the lymphatic system, basic and advanced techniques of MLD, bandaging for primary and secondary upper
and lower extremity lymphedema (incl pediatric care and
genital lymphedema) and other conditions (post-traumatic,
postoperative swellings, CVI, Migraine). Special workshops
are included in the course (insurance billing, certification for
compression garments, etc.) The textbook “Lymphedema
Management” (included in tuition) authored by the Academy’s
director was published in 2004 by Thieme Medical and
Scientific Publishers, NY; tuition also includes educational CD,
course manual, complete set of bandages, CD for limb volume
calculation, set of posters of the “Lymphatic System”. After
course completion each student is provided with instructor
mentoring. All graduates qualify for free lifetime listing as
certified lymphedema therapists for patient referral on our
website. All courses are approved by FPTA, IPTA and AOTA
for CEUs. Discounts are available for APTA & AOTA members.
Financial aid available. Contact: 800-863-5935; academy@
acols.com or www.acols.com for a free brochure.
AUG. 26-27, 2011
SEPT. 23-24, 2011
OCT. 21-22, 2011
PORTSMOUTH, NH
FORT WAYNE, IN
ROCKFORD, IL
Yoga and Pilates Therapy for
The Child with Special Needs
Learn how to integrate pilates and yoga exercise techniques
in to your therapeutic intervention. These techniques will be
applied to the child with special needs from birth to school
age with the diagnosis of sensory impairments, tone issues,
autism, ADHD and spina bifida. Instruction will be completed
on how to include these techniques into your everyday practice in pediatric rehabilitation. You will be able to design
family friendly home programs for your clients and participate
in labs so that you can better appreciate the use of these
techniques. Instructor: Angelique Micallef-Courts. Contact:
SEPT. 8-11, 2011
SEPT. 15-18, 2011
SEPT. 30-OCT. 3, 2011
PITTSBURGH, PA
ATLANTA, GA
DETROIT, MI
Intro to NDT Part I
Improving Gait Faster Part II
Achieve functional outcomes for adults with hemiplegia.
Content includes the principles of NDT, facilitation of sitto-stand, use of the LE in functional activities, transfers,
UE weight bearing, remediation of pain and subluxation of
the hemiplegic shoulder. Bed mobility will be demonstrated.
Treatment ideas and a framework to document goals based
on functional outcomes using NDT will be provided. Get to
results faster when improving gait. Increased clinical reasoning will enable you to know what to expect and what to
predict. You will be able to assess the cause of the problem
and have more immediate influence. You will have a better
understanding of the normal components of gait and then
understand why your patient with hemiplegia has tendencies
in gait. You will practice with “hands-on” how to increase
ROM of the hip and foot. Concepts for use of a self-exercise
program and use of orthotics will be discussed. Additional
treatment ideas related to gait and more examples of documentation will be provided. Both parts include videotapes,
“hands-on” experience and live patient demonstrations.
Cathy Runyan, OTR, & Peggy Miller, PT, NDTA Inc. Certified
Instructors. Audience: PTs, PTAs, OTs, COTAs. Contact hours:
30. Contact: Recovering Function, 408-268-3691; or www.
RecoveringFunction.com for a complete brochure of introductory, advanced, and certification courses as well as information about additional course dates/locations, group rates,
& free registrations when hosting courses at your facility.
SEPT. 9-10, 2011
OCT. 15-16, 2011
NOV. 4-5, 2011
ENGLEWOOD, NJ
NEW BERN, NC
MINNEAPOLIS, MN
Geriatric Neurology:
Falls Prevention and Balance
Are the interventions you are using to improve balance in
geriatric and neurologic patients the most effective, up-todate and relevant for your individual patient? This course
will teach you to select and use the most appropriate tools
to assess the risk for falls, evaluate function and assess balance. Therapists will learn to differentiate normal aging from
pathology and develop effective evidence based treatment
strategies to improve functional balance outcomes to opti-
42
SEPT. 9-10, 2011
NOV. 4-5, 2011
NOV. 18-19, 2011
MALVERN, PA
WALLINGFORD, CT
MONROE, NC
Traumatic Brain Injury:
Cognitive Rehab
This interactive course will provide therapists with the skills
necessary for implementing programs across the continuum
of care. Content will include, understanding associated
impairments and activity limitations, mechanisms of injury,
neurobiology, theory, cognitive and behavioral health issues.
Evidence based evaluation and intervention will be emphasized as well as emerging practice areas; virtual reality, telerehabilitation. Instructor: Leslie Davidson. Contact: Education
SEPT. 9-10, 2011
DEC. 9-10, 2011
WHITE PLAINS, NY
NEW BERN, NC
Comprehensive Assessment and
Treatment of the Shoulder
This lab seminar is an evidence based approach to examination and treatment of the conditions affecting the shoulder
complex. This will address shoulder pain and overall function for adults with Impingement conditions, rotator cuff
tendonitis, bicipital tendonitis, subacromial bursitis, adhesive
capsulitis, frozen shoulder Pain, arthritis, overuse syndromes,
scapular syndromes, shoulder instability, thoracic outlet syndrome, radiculitis/peripheral nerve entrapment. This seminar
will cover differential diagnosis of this region and address
cervico-thoracic contribution to the shoulder condition. The
treatment approach will integrate the best evidence in a clinically relevant manner. Instructor: Megan Donaldson. Contact:
SEPT. 10-11, 2011
EDISON, NJ
The Lumbosacral Complex
This Therapy Network Seminars 2-day lab intensive course
incorporates medical screening procedures, differential diagnosis, muscle energy techniques, functional exercise prescription, mobilization & manual therapy of the lumbosacral
complex. Evaluation and treatment is approached as a systematic process utilizing clinical reasoning and scientific evidence. Significant lab time allows each attendee to process,
practice, and polish intervention techniques under the guided
supervision of experienced manual therapists. The end result
is the ability to immediately apply new skills upon return to
the clinic. Sponsored by JFK Johnson Rehab Institute. Early
bird rate in effect until Aug. 11th. Contact: Mary Ann Laurita,
732-632-1570; e-mail: [email protected]
SEPT. 10-11, 2011
SEPT. 10-11, 2011
SEPT. 10-11, 2011
INDIANAPOLIS, IN
PHILADELPHIA, PA
RALEIGH, NC
KinesioTaping - KT1/KT2
More dates and locations, and KT3 Certification courses
listed online. KTA approved seminar. Learn the fundamental and advanced concepts, corrective techniques of the
KinesioTaping Method, and the unique properties and use
of KinesioTex Tape. Lab sessions provide ample time to
practice kinesiotaping skills for upper and lower body applications. Contact: Rehab Education, LLC, 845-368-2458;
[email protected] or www.RehabEd.com for details and
registration.
SEPT. 10-11, 2011
OCT. 1-2, 2011
OCT. 28-29, 2011
DENVER, CO
POWELL, TN
SPRINGFIELD, MO
Geriatric Neurology in
The Medically Complex Client
Learn evaluation tools and treatment protocols for medically complex older persons with neurological dysfunction.
Evidence-based information on assessment and treatment
of clients with Parkinson’s Disease, Stroke, Alzheimer’s
balance and gait disorders, neurosensory pathologies and
pain will be provided. The changes associated with aging
as well as pathological manifestations that affect the
neurosensory system and result in problems with coordination, mobility, proprioception and kinesthesia, balance
and falls, weakness and pain will be presented. Instructor:
Jennifer Bottomley. Contact: Education Resources, Inc.,
508-359-6533; 800-487-6530 (outside MA); www.educa
tionresourcesinc.com
SEPT. 10-11, 2011
OCT. 14-15, 2011
DEC. 2-3, 2011
mize the environment. (Medically complex patient-StrokeDementia-Balance Elderly-Frail Elderly). Instructor: Carole
Burnett. Contact: Education Resources, Inc., 508-359-6533;
800-487-6530 (outside MA); www.educationresourcesinc.
com
SEWICKLEY, PA
SPOKANE, WA
KEENE, NH
Small Patients, Big Challenges:
Complex Pediatric Patient
Therapists are often challenged by complex pediatric patients
whose care is constantly interrupted by medical issues,
hospital stays and surgeries. This comprehensive course
will guide clinicians through the process of managing
complex pediatric patients and medically fragile patients
within the context of their families, in all settings. Instructor:
Jonathan Greenwood, PT, MS, NDT, PCS. Contact: Education
Learn . . .
John F. Barnes, PT
International lecturer, author, and
authority on Myofascial Release
GOOGLE the leading search engine recognizes
John F. Barnes, PT & Myofascial Release Seminars
as the “Authority” on Myofascial Release.
SAN FRANCISCO, CALIFORNIA
Myofascial Release I™
August 19-21, 2011
Myofascial Rebounding
August 23-25, 2011
Cervical-Thoracic
August 26-28, 2011
TROY, MICHIGAN (NORTH DETROIT SUBURBS)
Myofascial Release I™
Myofascial Unwinding
Myofascial Release II™
MFR Seminars offers Over 80 Seminars a Year. For a Seminar near you call
1-800-FASCIAL or Visit
MyofascialRelease.com
43
SEPT. 10-11, 2011
OCT. 15-16, 2011
NOV. 12-13, 2011
LOVELAND, CO
FT. WORTH, TX
LIBERTY, MO
ICU and Acute
Care Update
Many therapists feel intimated by the ICU setting due to a
lack of training, unfamiliar equipment, alarms, lack of EKG
skills, fear of harming the patient and not knowing where
to start! This comprehensive course will focus on mobilizing patients early and guide clinicians through the process
of managing adult ICU patients. Case studies will be
used to practice clinical problem solving skills needed for
dealing with complications and complexities in this challenging population. Focus of the course will be on attaining functional outcomes by optimizing cardiopulmonary
and neuromuscular status. Instructor: Christiane Perme.
Contact: Education Resources, Inc., 800-487-6530; www.
www.TheraPeeds.com
There's H.O.P.E.
Take the guess work out of your therapy. Julia
Harper, MS, OTR/L, one of the industry's most
sought after instructors, teaches PRACTICAL
proven strategies for treating your pediatric
clients diagnosed with Autism, Learning
Disabilities, Developmental Delays, ADD/ADHD
and many other common pediatric deficits.
SEPT. 10-11, 2011
OCT. 22-23, 2011
NOV. 5-6, 2011
JACKSONVILLE, FL
FINDLAY, OH
TALLAHASSEE, FL
Sara Meeks Seminars
On Osteoporosis - Level I
Statistics show that over 55% of people over age 50 have low
bone mass (osteopenia/osteoporosis). Learn how to recognize people with these conditions; get the latest information
on management; take home a comprehensive, safe, effective
intervention for this and other back pathologies including
spinal stenosis. Start Certification in The Meeks Method,
based on sound therapeutic exercise principles as reflected
in the research literature. An award-winning, international
presenter, Sara Meeks, PT, MS, GCS, teaches all locations.
CEUs provided. Contact: SARA MEEKS SEMINARS, 888-3307272; www.sarameekspt.com
SEPT. 16-17, 2011
SEPT. 16-18, 2011
PUYALLUP, WA
An NDT Approach to
Treatment of the Baby
Instructed by Kim Westhoff, OTR/L, C/NDT and Debbie
Evans-Rogers, PT, MS, PCS, C/NDT, this course is a Lecture
and Lab presentation that will address: typical and atypical
components of motor development, sensory issues impacting development, assessment and treatment principles.
This course will include both lecture and hands on labs
throughout. Participants need to bring comfortable clothing
for treatment labs. In addition it would be beneficial if each
participant to bring a doll 18-24 inches long with movement
available at shoulders and hips. These dolls will be utilized
during labs in addition to lab partners in order to practice
techniques. Contact: NDTA National Office, 800-869-9295;
e-mail: [email protected] or visit www.ndta.org/education.php
to register.
HARTFORD, CT
Pediatric
This course focuses on effective vestibular rehabilitation
for treating children with dizziness, coordination, balance,
motor, postural, vestibular, visual motor, perceptual, sensory
organization and motion disorders, due to disease, toxicity, infection, tumors, trauma, neurological, and congenital/
genetic disorders. The Clinician working in pediatric rehabilitation will learn a new frame of reference and treatment
techniques that can positively affect the child’s motor skills,
balance, coordination, rate of development, perceptual skills
and tolerances of motion. Instructor: Gaye Cronin. Contact:
SEPT. 17-18, 2011
NOV. 19-20, 2011
MORRISTOWN, NJ
NEWTON, MA
Best Practices in
Home Health Care
Home health care assessment and treatment has become
more complex and requires specialized, advanced skills.
Do you have the skills to provide your patients with the
safest, best possible care? This course is designed to
provide physical & occupational therapists with up-to-date,
evidenced-based techniques for assessment & treatment of
the medically complex geriatric home care patient. Instructor:
Suzanne Clark. Contact: Education Resources, Inc., 800487-6530; 508-359-6533 (within MA); www.educationre
sourcesinc.com
LEAVE EACH CLASS WITH a "How-to" Guide!!!
• Practical Sense in Sensory Integration 1
• Pediatric Primer - Intro class taught by Janessa Rick, PT
• RISE- Reflex Integration to Support Education
• Treating Auditory Processing Disorders
• New - The Sensory Chef
800.899.8832
Go to www.TheraPeeds.com
for locations, dates, and details
SEPT. 16-18, 2011
HOLLYWOOD, FL
NDT Treatment of
The Baby and Child
Learn how to assess and treat babies from birth to 3 years
old with known or suspected neuromotor impairments. An
emphasis will be placed on the practical application of treatment strategies to gain functional outcomes appropriate for
this age group and how to incorporate therapeutic strategies
into family life. Instructor: Suzanne Davis. Contact: Education
CALL 800.355.5627 TO RENEW YOUR
FREE SUBSCRIPTION TODAY!
American Continuing Education Solutions is the leader in
providing interactive, online continuing education to the
allied healthcare industry.
Our success is built on understanding the needs of today's health care professional.
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continuing education (CE) courses. All of our courses are peer-reviewed and come
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44
SEPT. 23-25, 2011
NOV. 4-6, 2011
FT. WORTH, TX
NEW BRUNSWICK, NJ
Stable to the Core: Low
Back & Cervical/Thoracic Patient
A theory and exercise seminar for health care professionals
who seek to functionally and dynamically treat low back
patients and cervical spine with core stabilization. Core
Stabilization is a nationally recognized clinical method of
restoring function to the spine patient. Drawing on up to
date evidence based treatment involving dynamic training,
participants will combine techniques of PNF, NDT and exercise physiology to take core stabilization to its highest level:
using it in patient function, hobbies, sports, ADL’s and work.
Instructor: Beverly Biondi. Contact: Education Resources,
Inc., 508-359-6533; 800-487-6530 (outside MA); www.
SEPT. 24, 2011
LONG ISLAND CITY, NY
Everything You Need to
Know to Work in Homecare
As patient length stays reduce in hospital and subacute
settings, the demand for home care is sky rocketing. This
day long course will focus on all the basic information a
clinician would need to begin to provide therapy in a home
based setting. The speaker will cover all aspects of this
practice, including receiving a referral, therapy intervention,
reimbursement guidelines, documentation protocols, and the
importance of team members for achieving patient’s therapy
goals. This course is a must for clinicians who want to take
cases immediately. Fee: $239. before 8/21 - $259 on or after
8/21. Location & Times: Therapeutic Resources, 36-36 33rd
St., Long Island City, NY, 9am-4:30pm. Contact: 212-5299780; or visit www.therapeuticresource.com for more info.
SEPT. 24-25, 2011
WILKES-BARRE TWP, PA
Mechanical Derangement of
The Cervical and Thoracic Spine
This course will present an integration of the Cyriax, Maitland,
McKenzie, Edeling and Mulligan approaches for the examina-
SEPT. 24-25, 2011
OCT. 14-15, 2011
NOV. 5-6, 2011
CHARLESTON, SC
PROVO, UT
SACRAMENTO, CA
Rehabilitation for
The Frail Elderly
Speaker: Robert Thomas, MS, PT. Learn the latest information
on 30 assessment tools and treatment protocols for working
with the frail older population. Information on the effects of
institutionalization, medical and cognitive pathologies that
affect the frail population, pharmacological management,
and the impact of reimbursement models will be presented.
Specific evaluations and creative treatment protocols for gait,
balance, strength, flexibility, and endurance will be provided.
books.com
SEPT. 24-25, 2011
OCT. 15-16, 2011
PHOENIX, AZ
SAN FRANCISCO, CA
Put Some Muscle
Into Ther Ex
Speaker: Wendy K. Anemaet, PT, PhD, GCS, CWS, GTC, COSC; Strength loss begins in the 30’s-but what’s next? MMT’s
unreliable-what other options exist. Which muscles matter
most to ADL? Join us for an intensive, fun, 2-day tune up to
strengthen your outcomes & change the way you prescribe
Ther Ex on Monday morning! Explore the current scoop on
geriatric resistance training, practice evaluative techniques
& exercises, and learn about parameters of strengthening
for a range of medical & rehab diagnoses. Put Some Muscle
into Ther Ex offers the essential tools & knowledge to design,
implement, evaluate & modify effective resistance training
programs for the older populations. - See you there. Contact:
877-794-7328 (toll-free); www.greatseminarsandbooks.com
to make significant contributions to the medical team and
frequently are the determining factor in hospital length of
stay. This high tech seminar will provide therapists with clinical information, practical tips & high level problem solving
skills by utilizing lecture & case studies to discuss the role
of therapists in this challenging environment. Contact: 877794-7328 (toll-free); www.greatseminarsandbooks.com
OCT. 6-9, 2011
OCT. 14-17, 2011
OCT. 27-30, 2011
SAN DIEGO, CA
LONG ISLAND, NY
DALLAS, TX
Recovering Function NDT Courses
Intro, Advanced, Cert
Recovering Function’s series of “hands-on” NDT courses
provides you with a step-by-step framework of problemsolving strategies and manual cues for assessing potential
and individualizing functional outcomes when implementing
interventions for your adult clients with hemiplegia. Audience:
OTs, COTAs, PTs, PTAs. Cathy Runyan, OTR/L, & Peggy Miller,
PT, NDTA, Inc. Certified Instructors. Offered nationwide.
Contact: Recovering Function, 408-268-3691; or www.
RecoveringFunction.com for a complete brochure of intro,
advanced, and cert courses as well as information about
additional course dates/locations, group rates & free registrations when hosting courses at your facility.
OCT. 16, 2011
ALBUQUERQUE, NM
URBANA, IL
PHILADELPHIA, PA
Meet employers at
FREE ADVANCE
JOB FAIRS!
FREE CE
Fun Shopping
Great Prizes
Exciting Games
GREAT NECK, NY
Therapy Ball Techniques for
Early Childhood Skill Development
This course will focus on teaching participants the therapeutic value of therapy balls and the application of handling
skills to improve vestibular responses, balance, spatial
orientation, body awareness, muscle strength and tone in an
early childhood population. Video taped treatment session
analysis and experiential lab sessions using therapy balls will
enhance learning and promote skills which can be applied to
the clinical setting. Fee: $239 before 9/18 - $259 after 9/18,
9am-4pm, Location & Info: Bounce Gymnastics, 683 Middle
Neck Road, 2nd Floor, Great Neck, NY. Contact: Therapeutic
Resources, 212-529-9780; or visit www.therapeuticresource.
com for more information.
ABOUT CALENDAR:
SEPT. 24-25, 2011
OCT. 24-25, 2011
NOV. 5-6, 2011
Break away from
the computer and
the newspaper!
Make sure your important event appears in the ADVANCE
calendar. To place a listing or an attractive display ad in this
section, call 800-355-5627 or fax (610) 278-1422. Deadline
is Tuesday at noon, EST.
tion and treatment of cervical and thoracic derangement.
Special emphasis will be placed on cervicogenic headaches.
Lab experience will include how to perform a selective tissue
tension examination and the application of joint mobilization for increasing spinal range of motion and decreasing
pain in patients with mechanical derangement. Instructor:
Russell Woodman. Contact: Education Resources, Inc., 508359-6533; 800-487-6530 (outside MA); www.educationre
sourcesinc.com
FREE Refreshments
Visit
advanceweb.com/jobfairs
and find the next job fair
nearest you!
Home Health
Rehabilitation
Speaker: Carol Schunk, PT, PsyD. Home Health is a unique
physical therapy practice setting. Not only are there clinical
issues but being in the patient’s home environment makes
the delivery of service very different than in an outpatient
or inpatient facility. This course will provide both clinical
information relevant to those being treated in their home as
well as the psychological aspects of dealing with families
and caregivers including evaluation tools for balance, function, cognitive ability and environmental hazards presented
to allow the therapist to develop an appropriate plan of care.
books.com
SEPT. 24-25, 2011
NOV. 5-6, 2011
OLYMPIA, WA
PALM SPRINGS, CA
UPGRADE YOUR WORK
GEAR THIS SEASON!
We have a vast variety of apparel and
equipment for all healthcare professions.
›› Scrubs — Over 850 styles in prints and solids
›› Lab Coats — Various lengths and styles available
›› Shoes — Comfortable and fashionable work shoes and clogs
›› Medical Equipment — Stethoscope, scissors, penlights and more
Acute Care
Rehabilitation
Speaker: Mark Nelson, MPT. This dynamic seminar provides
the latest information on cardiac, pulmonary & geriatric rehab
in the acute care setting. As in all practice settings, acute
care rehab is continuously evolving. From the various entry
points into the acute care setting to discharge, rehab plays
an integral role. Therapists are being increasingly relied upon
advancehealthcareshop.com
45
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[pressure mapping]
IMMIGRATION for PTs:
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TN-1
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REDDY & NEUMANN, P.C.
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PT PRACTICE FOR SALE
• PT owned Private Practice conveniently located in
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MP2.2_3.5_4C011807_1.indd 1
46
1/18/07
pressure continued from page 27
that made finding a safe position in bed difficult. When the patient was initially placed on
the sensor pad there were areas of peak pressure noted over his sacral region. The therapist
adjusted the inflation of the mattress to increase
the amount of air between the patient and the
bed frame, thereby reducing peak pressure
values at the sacrum.
The mapping also showed that due to his
contractures, virtually no pressure was being
distributed under the patient’s legs. This was
remedied by raising the foot of the bed and
positioning the patient in “side-lying,” which
mean the hips are at a 30-degree angle to the
bed. This increased the overall surface area.
IPM data was further improved by using a
foam wedge under the patient’s back to maintain the side-lying position and to elevate the
sacral area off of the bed. A pillow in between
the patient’s knees was used to prevent new
pressure ulcers.
Optimal Chair Positioning
A patient with complete paraplegia presented
for seating evaluation following a shoulder surgery, and strict post-operative, upper-extremity
activity precautions. The patient was using a
standard foam cushion on a power wheelchair
that did not have a power tilt feature. Prior to
surgery, he developed an ischial pressure ulcer.
Upon initial seating evaluation, it became evident he was unable to perform adequate pressure shifts of forward lean or lateral lean and
maintain post-op activity precautions.
Clinicians’ initial thoughts of the underlying
causes contributing to the development of the
pressure ulcer were: loss of upper-extremity
function limiting ability to shift weight, poor
posture and wheelchair configuration, and to
a lesser extent inadequate support surface. Initial IPM showed significant high peak values
at bilateral ischial tuberosities. Evaluation of
his sitting posture revealed: moderate obesity, posterior pelvic tilt with lumbar kyphosis, severe thoracic kyphosis with protracted
shoulders, severe LE “frogging” and minimal
thigh contact with support surface. (Mat evaluation findings confirmed the posterior pelvic
tilt was fixed).
10:12:17 AM
Five different cushions (air, gel, combination foam/gel, combination foam/air, thermoplastic) were evaluated using IPM. No
substantial improvements were noted in pressure-mapping readings even after allowing for
adequate settling time. No single “pressure-
relieving” cushion evaluated using IPM was
able to provide adequate pressure distribution, increase surface area and decrease peak
values. In fact, all cushions continued to show
extremely high peak pressure values over the
ischial tuberosities.
This helped confirm the clinicians’ initial
theory that the patient’s posture and wheelchair positioning in combination with loss of
upper-extremity functional mobility were the
strongest contributing factors to the pressure
ulcer and not the support surface. (It is important to note the patient had been using this
support surface for years).
Initial treatment focused on adjusting his
current chair by lowering the foot plate and
lengthening the seat depth in attempt to
increase surface area and pressure distribution to his posterior thighs. Re-evaluation
using IPM revealed some reduction in peak
pressure at ischial tuberosities, with only one
out of the five cushions evaluated (all five
were re-evaluated). It was then determined
the best course of treatment was to opt for a
new wheelchair.
A new power wheelchair was ordered with
a custom contoured back support, lengthened
seat depth, lateral thigh supports and tilt feature to allow for adequate pressure redistribution every 10 to 15 minutes. Justification
for the new wheelchair was based on the
patient’s diagnosis of stage III ischial pressure
ulcer, recent shoulder surgery, documented
findings from the initial IPM, IPMs of different
support surfaces, IPMs post re-configuration of
current wheelchair and IPMs in a new demo
wheelchair. n
References
1. Lyder, C.H. (2003). Pressure ulcer prevention and
management. Journal of the American Medical Association, 289(2), 223-226.
2. National Pressure Ulcer Advisory Panel Support
Surface Standards Initiative. (2007). Terms and
definitions related to support surfaces. Retrieved
December 20, 2010, from www.npuap.org/
NPUAP_S3I_TD.pdf
Martin J. Kilbane and Gina Kubec are therapists
at the Louis Stokes Cleveland VAMC Spinal Cord
Injury/Disorders Center in Cleveland, OH.
For more information on pressure
mapping, visit www.advanceweb.
com/PTPainManagement
CLASSIFIED EMPLOYMENT OPPORTUNITIES
ADVANCE
for Physical Therapists & Rehab Medicine
reaches over 85,100 active, qualified physical therapy
professionals nationwide every issue.
Faculty, Connecticut, Massachusetts, New Hampshire, New York
Physical Therapists
Greater Boston & Worcester
Full-time, Part-time and Per Diem
Must be a licensed Physical Therapist with at
least 2 years of rehab and/or homecare exp.
Open House
Physical Therapy
Assistants
Tuesday, July 26th, 4pm – 7pm
VillageCare Corporate Offices
154 Christopher St.
New York, NY 10014
Full-time, Part-time and Per Diem
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Faculty . . . . . . . . . . . . . . . . . . . . . . . . . . .
New England . . . . . . . . . . . . . . . . . . . . . .
Middle Atlantic . . . . . . . . . . . . . . . . . . . . .
Upper South Atlantic . . . . . . . . . . . . . . . .
Lower South Atlantic . . . . . . . . . . . . . . . .
East South Central . . . . . . . . . . . . . . . . . .
East North Central . . . . . . . . . . . . . . . . . .
West North Central . . . . . . . . . . . . . . . . . .
West South Central. . . . . . . . . . . . . . . . . .
Southwest . . . . . . . . . . . . . . . . . . . . . . . .
Mountain . . . . . . . . . . . . . . . . . . . . . . . . .
Pacific. . . . . . . . . . . . . . . . . . . . . . . . . . . .
US Territories . . . . . . . . . . . . . . . . . . . . . .
National . . . . . . . . . . . . . . . . . . . . . . . . . .
International . . . . . . . . . . . . . . . . . . . . . . .
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Must be a licensed PTA with at least 2 years of
rehab and/or homecare exp. Must have time,
geographic commitment and flexibility.
We offer excellent per visit rates and
competitive benefits for full-time staff.
Interested candidates,
please contact: Judi Thomas
Human Resources Director
Tel: (508) 421-6800 X.232
Fax: (508) 421-6663
www.americareinc.com
Tender Touch Rehab
Seeking
The University of Nevada Las Vegas
Department of Physical Therapy invites
applications for a full-time, 9-month position
for Assistant/Associate Professor which may
be filled as a Faculty-in-Residence (nontenure-track) or within the tenure-track.
A complete job description with application
details may be obtained by visiting
http://jobs.unlv.edu or call (702) 895-2894.
EEO/AA Employer
NEW ENGLAND
Our growing outpatient orthopedic clinic is seeking
full-time or part-time Physical Therapists
and Physical Therapy Assistants
to join our dynamic team.
Not only will you be working along side
experienced orthopedic physical therapists,
but you will also have a great opportunity
to work closely with a team of
orthopedic surgeons with a
wide array of specialties.
We offer competitive benefits,
salary and continuing education.
Please fax your resume to OrthoSport
Rehab Associates • (860) 447-2193.
JOB OPENINGS – SENT DIRECTLY TO YOUR E-MAIL
SIGN UP TODAY AT WWW.ADVANCEWEB.COM
Occupational Therapist
Physical Therapist Assistant
expanding to MA!
Assistant/Associate
Professor
We currently have the following positions
in Manhattan at VillageCare Rehabilitation
& Nursing Center, and Rivington House.
Physical Therapist
EOE
FACULTY
VillageCare, a community-based, not-for-profit
service organization, provides innovative
care for older adults, persons living with
HIV/AIDS, and individuals in need of medical
and rehabilitation services.
We offer a competitive salary and
comprehensive benefits package!
For further information or to apply
anytime, please visit
www.villagecare.org/careers. EOE
Physical Therapist
Staff or Supervisor
for snf under new ownership in
Rockland, MA!
Top Salary, Sign-On
Bonus, Great Benets!
Call Yvonne: 732.987.3881
[email protected]
www.tendertouch.com
PHYSICAL THERAPIST
Busy Sports Medicine and Orthopaedic Outpatient facility in the
Seacoast area of New Hampshire is seeking a full and/or part-time
PT to assist in the growth of our new Raymond office. Looking for
a strong Orthopaedic Therapist to join our team who is dedicated to quality patient care. Exceptional opportunities in program
development and continuing education. Warm and friendly patient
population, atmosphere, and administrative support staff. Very positive and upbeat work environment! Comprehensive benefits and
competitive salary. Evening hours preferred. Multiple locations.
Please send resume to Kristen White, PT/Clinical Director,
Access Rehabilitation Specialists, 1 Hampton Road
Suite 205, Exeter, NH 03833 or E-mail to
[email protected] or fax to (603) 772-9993
MIDDLE ATLANTIC
Hillside Manor
Adult Day Healthcare Program
Is seeking a Physical Therapist
to run Rehab Program
Comp. Sal/Benets
Fax Resume to: 718-262-8651
or e-mail:
[email protected]
REBECCA SCHOOL
2011- 2012 SCHOOL YEAR
A Model educational program for children
with neurodevelopmental disorders of relating and
communicating, including PDD and autism.
PHYSICAL THERAPISTS
~ Full-Time position available. ~
~ Knowledge of Autism and DIR a plus. ~
Résumé and cover letter indicating
position of interest to: Melissa Fenice
[email protected]
212.810.4120 • Fax: 212.810.4121
PEDIATRICS!
IMMEDIATE & SEPT. POSITIONS !
HIGHER EI RATES !
Great Westchester School Districts
EI/CPSE Home Care & Private Sensory Gym!
We have Web-Based Billing, You will Love it!
Continuing Education, Supportive Environment
Call: (914) 686-3116 x3 or fax: (914) 686-3082
www.donnakleintherapy.com
Donna Klein & Associates, Inc.
www.advanceweb.com/pt | July 11, 2011 | ADVANCE for Physical Therapy & Rehab Medicine
47
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EMPLOYMENT OPPORTUNITIES
New York
**Sr. Physical Therapist**
**PT Supervisor**
Rockland Physical Therapy
Multiling
Multil
ingual
ual Th
Thera
erapy
py
Associates Inc.
Pediatric
i Clinical
Cli i l Service
S i
Situated on a Hudson River campus in Sleepy
Hollow, NY, just 35 miles north of NYC, Phelps
Memorial Hospital Center is a 238-bed acute
care community hospital. We are dedicated to
providing excellence in patient care with a staff of
highly skilled experts, state-of-the-art equipment
and a supportive management team.
PHYSICAL THERAPISTS
Full-time/Part-time
PRESCHOOLS & SCHOOL BASED POSITIONS
Immediate Openings:
Summer & Long-Term Contract Positions
Brooklyn, Staten Island and Bronx Locations
Supervision available • New Grads Welcome
Sr. Physical Therapist - Provide therapeutic
services for inpatients and outpatients with
a wide range of diagnoses, assist with staff
scheduling and development, and participate in
documentation review, student affiliations and
upgrading patient care programs. BS in physical
therapy, NYS license, experience in rehab, ortho,
acute care, inpatient and outpatient settings
required.
• Excellent Pediatric Training
• Highest rates in the industry
• Benefits Package
Call (888) 806-2497
Fax Resume To (888) 806-5151
[email protected]
PT Supervisor - Responsible for treatment and
supervision of care for inpatients and outpatients,
staff supervision, documentation review, QA
activities and orientation of new staff and students.
BS in PT and minimum 5 years as senior therapist
required. Prior supervisory experience preferred.
We offer one of the industry’s best benefits
packages including tax-sheltered annuity with
employer match, on-site childcare with reduced
rates for employees, health plan with employee
free option, tuition reimbursement and free
parking.
PHYSICAL THERAPISTS
EARLY INTERVENTION/SCHOOLS
Flexible Schedule • Full-time/Part-time
Competitive Pay & Excellent Benefits Package.
Rates from $55 to $120 per hour based on program
Please visit our website to apply at
www.phelpshospital.org. EOE
Contact Rudy or Apply Online:
ALLIEDMEDIX RESOURCES INC.
located in Suffern, NY is looking
for a per diem PT for 2-3 evenings.
Caseload is mainly orthopedic.
Please fax resume to Lynda at
845-357-3897 or e-mail to
[email protected]
PTA/Limited Permit
An expanding NYC musculoskeletal/sports
medicine practice is looking for a friendly and
knowledgeable individual. Excellent salary and
benefits. E-mail [email protected].
Outpatient facility in Manhattan.
Now hiring full-time & part-time
PTs. New grads welcome. Willing
to sponsor H1B.
Please fax resume to 718-268-1012
or E-mail: [email protected]
Health Service Mgr
to coordinate a physical therapy clinic
by managing personnel, policies etc.
MSPT or DPT req. Resume to:
C&K Healing Touch Physical Therapy, PC
271 Madison Ave, #1601
New York, NY 10016
Phone: 718.593.4121 Fax: 718.268.2646
E-mail: [email protected] • Visit us at: www.alliedmedix.com
Get better. Here.
Be significant!
Don’t just be successful.
Walk-in Interviews
PEDIATRIC PHYSICAL
THERAPIST
Every Wednesday
12pm-6pm
for SLPs, PTs and OTs 460 West 34th Street
11th Floor, Manhattan
Center and Community-based
opportunities serving individuals with
Developmental Disabilities
Must have pediatric experience and
possess NYS license. North Bronx
location. Mail, fax or e-mail resume to:
Rainbow School for Child Development
900 Pelham Parkway South
Bronx, NY 10462
Phone: 718-931-6600 • Fax: 718-822-6369
E-Mail: [email protected]
FULL TIME STAFF THERAPIST
Bronx Adult Day Program and
Adult Group Home
2 blocks from 2/5 train • Mon-Fri, day hours
FEE FOR SERVICE OPPORTUNITIES
Convenient after school hours!
Bronx Adult Group Homes
Elgar Place, E 225th St. and Aldus St.
2 afternoons/week each
PT/PTA PT/PTA PT/PTA
MR/DD Pop (1-2 eve/wk)
Manhattan W. 183rd Street, W. 92nd Street
E. 125th Street (AM - 1 hr only)
Queens Flushing, Fresh Meadows, Whitestone,
Long Island City, Jackson Heights
Bronx Bryant Avenue, East Tremont Avenue
Brooklyn Avenue H (AM - 1 hr only), Williamsburg,
Crown Heights
Staten Island Hylan Avenue
Westchester Brewster, Carmel
Seagate, Brooklyn
School-age children
2 afternoons/week
View all opportunities and apply online at:
www.yai.org/careers
Fax: 212-563-4836
Call GCS - 516-327-4681
#1 Best Companies to Work for in New York Award by NYS SHRM
& APA National Psychologically Healthy Workplace Award
WWW.YAI.ORG/CAREERS
EOE
CALL 800.355.1088 TO RENEW YOUR
FREE SUBSCRIPTION TODAY!
48
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UÊ
-Ê*/ÊU
Rockville Centre, NY.
Multidiscipline Outpatient Clinic.
PT/FT
Fax Resume and Salary requirements to
516-766-2405
ADVANCE for Physical Therapy & Rehab Medicine | July 11, 2011 | www.advanceweb.com/pt
Causes of
Nontraumatic SCI
There are approximately three times
as many people with non-traumatic
spinal cord injury (NTSCI) as there are
with TSCI in the U.S. While TSCI occurs
through an external event, NTSCI
typically occurs through some kind of
internal process with a gradual onset.
The cause may be vascular, neoplastic,
inflammatory, infectious or degenerative. The most common cases of NTSCI
presenting for inpatient rehabilitation
are spinal stenosis and spinal cord
tumors. Another cause of NTSCI is
transverse myelitis, an inflammation
of the spinal cord that can develop
following a viral infection or in conjunction with autoimmune diseases such
as lupus. Also, a neurological disorder
that can mimic the clinical presentation
of a SCI is Guillain-Barre Syndrome
(GBS). GBS is an inflammatory disorder
in which the body’s immune system
attacks the myelin sheath of its peripheral nerves, causing severe weakness
and sensory changes in the body.
New York
“I’m wishing to spend my days
happy and growing. Are you?”
You don’t just enter a home –
you enter a life!
Every time you meet a client, it’s like you become their
partner – devoting your energy, supporting their daily
activities and inspiring long-term wellness. You strive
to keep them happy, pain free, and comfortable
(especially since they get to recover at home) and to
restore functional capability.
Comprehensive Care Management has room for PTs
with your sense of engagement. CCM-LTHCP is a
Long-Term Care Program in South Brooklyn,
providing a network of services that help frail and
elderly patients receive care in their own homes for as
long as possible.
In this role, you will collaborate with the Rehab
Manager to plan and deliver the course of PT
treatment for clients with injuries, disease, and other
conditions.
Applicants must have a Bachelor’s Degree from an
accredited Physical Therapy Program and have 2 years
of experience, ideally in a community or outpatient
setting. Current NYS PT license is also necessary.
Want to be part of our mission? Forward your resume,
indicating position of interest to:
Lina Hurston, Corporate Recruiter
Fax: (718) 696-5013. Visit: www.ccmny.org
to learn more about us. EOE.
Beth Abraham Family of Health Services
values a culture of Integrity, Diversity, Caring and Creativity.
In the tradition of our namesake, Saint Elizabeth Seton,
the Elizabeth Seton Pediatric Center is dedicated
to providing top quality medical and rehabilitative
care to infants, children and adolescents who have
complex medical and developmental needs. We
feature a learning environment that nurtures your
career as well as our residents’ lives.
We’re moving to a
new state-of-the-art
facility in Yonkers in
February 2012!
For the past twenty years, Manhattan
has been home to the Elizabeth Seton
Pediatric Center, a specialty nursing
facility devoted to changing the lives
of medically fragile children.
The Center will be moving to a
magnificent “green” building designed
specifically for children and staff with
nearly double the space.
Specialty features will include: therapy
on each of the 3 residential floors, a
hydro-therapy pool, sensory rooms, art
and music therapy suites, 5 terraces
including a therapy terrace, 15
classrooms, a gym and outdoor play
areas. The design creates smaller,
intimate neighborhoods of care to
speak to the feelings of “home.”
PHYSICAL THERAPISTS
To qualify, you must have a Bachelor’s degree,
Master’s preferred; NYS PT license and certification;
and a minimum of 1 year Pediatric PT experience.
We offer competitive salaries and excellent benefits.
Send your resume today, to: Recruiter, Elizabeth
Seton Pediatric Center, 590 Ave of the Americas,
New York, NY 10011. Fax: (646) 459-3460. Email:
[email protected]. Visit our website at
www.careersatpeds.org. We are an equal
opportunity employer, committed to diversity.
To learn more, visit
www.setonpediatric.org
Physical Therapists
Nationally
ranked in the
94th
Brooklyn, New York
Full time Opportunities
Immediate Openings for PTs in our center based
comprehensive educational program serving children
with a wide variety of special needs ages 3-8. Come
Join our collaborative team with specialties in Applied
Behavior Analysis, Sensory Integration, Martial Arts,
and Swimming. State of the Art Suspension Equipment/
Multiple Treatment Rooms. Early Ed Experience Preferred.
s#OMPETITIVE3ALARYAND"ENElT0ACKAGE&4
s/NSITE0ARKINGs-ONTH3CHOOL#ALENDAR
Please contact Arlene Lehman:
Physical Therapists
percentile for
employee
satisfaction!
Enhance your career, while enhancing the lives of others.
Hudson Valley Hospital is a 128-bed, acute-care Magnet
hospital, located in suburban Westchester County, NY.
Our dynamic team of professionals share an enhanced
commitment to excellence! We are making life more rewarding than ever for this caring, compassionate team!
We invite you to join us...
Physical Therapist - Part Time
Ph. 718-906-5430 or fax 718-906-5485
[email protected]
$2,500 SIGN-ON BONUS
www.blockinstitute.org%/%!!%-&$6
We are currently seeking an inpatient physical therapist to work every
Sunday. Must be able to work independently.
PTs, PTAs & OTRs
Full-time or Part-time, licensed for
PM&R clinics in Flushing, Midtown
and Chinatown. Fluent in English/
Chinese a plus. Willing to sponsor H1B.
New Graduates Welcome
Fax resume:
212-732-2412
or e-mail:
[email protected]
Applicant must be licensed in Physical Therapy in New York State.
New salary scale in place! In return for your ability & dedication, we offer an excellent total compensation package and a pleasant working environment which
fosters personal and professional growth. Please send resume & salary req’ts to:
Human Resources, Hudson Valley Hospital Center
1980 Crompond Rd., Cortlandt Manor, NY 10567
Fax: (914) 734-3784 • E-mail: [email protected] EOE M/F
Visit us at: www.hvhc.org
A Better Place To Work...
ADVANCE for Physical Therapists & PT Assistants is on Facebook!
Visit www.advanceweb.com/pt and click on the “Find Us on Facebook” link.
49
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New York, New Jersey
There’s more to
life at VNSNY
Physical PTA
Therapist
Full-time/Part-time
Full-time
Work as a respected part of a rehabilitation team, where
you are challenged to develop your clinical skills by doctors that are board certified in Physical Medicine and
Rehabilitation.
Ongoing training and development. Clinical support. Cutting-edge technology.
Competitive compensation and benefits. As a Physical Therapist with the Visiting
Nurse Service of New York, you have the resources to provide the best care possible for
your patients, while you enjoy the support you need to live your life and build
your career your way.
We are the leading Physical Medicine and Rehabilitation
practice in Northern New Jersey and Rockland County.
If you feel comfortable with treatments and patient
instruction, managing a group therapy and fitness area
and supervising established physical therapy programs,
this is an excellent opportunity. We have a diverse patient
population with an emphasis on orthopedic and musculoskeletal injuries.
• Staff and per-diem opportunities
• New salaries!
• Sign-on bonus*
• Earn money! Refer a PT or OT
• Relocation assistance
• Visa sponsorship
• New graduates welcome
Benefits include health, dental, vacation, 401K, Continuing
Ed Pay and monthly incentive pay. E-mail resumes to:
[email protected]
or fax to 201-567-7506
www.Rehabmed.net
VNSNY offers a variety of Continuing
Education courses. To learn more, visit us
at www.vnsny.org/ceu.
PTs: Home Care - Per Diem, F/T
• Make your own schedule
• Excellent Pay
• Electronic Documentation
• Bonus Program
• Bergen & Hudson Counties • Great F/T Benefits Package!
• Geriatric Experience a Must
Fax/E-mail resume to (201) 645-4735
or [email protected]
www.bthrehab.com
For more information, please contact:
Elizabeth Scholz • 212-609-7914
Email [email protected]
Apply Online www.vnsnyjobs.com/rehab
Best Companies to Work for in New York, SHRM (2011)
50 Best Places to Work in New York City, Crain’s New York Business (2010)
50 Best NonProfit Organizations to Work For, The NonProfit Times (2011)
!
"
#
! " # $ % & ' ( ) * + , - . / 0 1 2 3 4 5 6
JACKSON DEVELOPMENTAL CENTER
3UMMER3EPTEMBER!VAILABILITYs.EW'RADS7ELCOME
We offer P/T and F/T positions with excellent salaries and ongoing training and support.
Come join our team!
Fax resume to Abbe Grosser (718) 205-0178 or E-mail: [email protected]
6 5 4 3 2 1 0 / . - , + * ) ( ' & % $ # " ! Therapy and Learning Center
(TLC) in Park Slope, Brooklyn
seeks a full time Physical
Therapist for the preschool
center-based program.
Beautiful state of the art
facility; multicultural families
& dynamic transdisciplinary
team. Must be NYS Licensed.
Also Seeking Independent
Contractors for Evals and El
home-based program.
Fax or email resumes with
certification to:
Fax: 718-290-2800
50
Pediatric PTs
Special Ed Preschool in Queens
and/or EI Services and Evaluations
PHYSICAL
THERAPIST
50
Physical Therapist
*Ranges from $5,000-$10,000
for certain locations
EOE M/F/D/V
Preakness Healthcare Center
305 Oldham Road, Wayne, NJ is seeking
part-time physical therapist w/2 years
experience for subacute & long-term
care residents. Send resumes to:
[email protected]
Per Diem/Part-time
Pediatric PT
Westwood, NJ
!
"
#
*Top Rates*
Contact: Victor 201-722-4700 • Fax: 201-722-4751
[email protected]
www.BergenPediatricTherapy.com
Orthopedic
Physical Therapist Needed
Full-time • Trenton, NJ
$95k + Benefits
PSCH, Inc. a leader in Health
and Human Services, seeks experienced Licensed Physical
Therapist for immediate fulltime opportunity for a Queens,
NY based Adult Day Treatment
Program for individuals with
developmental disabilities.
The ideal candidate will develop, implement, and monitor
physical therapy programs per physicians orders to include
recommendations for adaptive equipment, orthotics screening,
and wheelchair clinic.
Duties also include but are not limited to; providing on-going
supervision and training to Physical Therapy Assistants.
Salary is commensurate with exp. Current NYS Physical
Therapy license required, and must be able to work flexible
hours as well as travel to multiple sites. Experience working
with adults with developmental and intellectual disabilities
is a plus.
Please send your resume for immediate consideration to:
[email protected]
Flexible hours, no evenings or weekends!
Part-time position also available
E-mail: [email protected] or Fax: 609-695-8110
Description of BPPV
BPPV is a peripheral vestibular disorder that causes spells of vertigo that
generally last less than one minute
when the patient moves the head. It
can occur spontaneously, or it may follow head trauma, labyrinthitis or
ischemia of the labyrinth. It is a common cause of dizziness with an incidence of 64 per 100,000 patients per
year.
Pennsylvania, New Jersey
PHYSICAL THERAPISTS & PTAS
The only hospital in New Jersey selected
as one of the Best Places To Work
in NJ 6 years in a row.
Summer is Here...
New Opportunities Await!
BE PART OF IT.
Physical Therapist/Inpatient Rehab Medicine
Per Diem/Days
Physical Therapist/Outpatient Rehab Medicine
Part Time/Evenings
Tender Touch Rehab seeks
Staff, Lead and Supervisors in New Jersey:
Bergen . Cape May . Hudson . Hunterdon
Mercer . Middlesex . Monmouth . Ocean
Passaic . Salem . Somerset . Union
PA: Philadelphia
Competitive salary, sign on bonus,
free health insurance options & more!
Up to $15,000 Tuition Forgiveness for new grads!
www.tendertouch.com
Call Beth: 732.987.3887
fax: 732.534.8660
[email protected]
Physical Therapists
Early Intervention
Phila. and
Surrounding Counties
Top Dollar! Flexible Schedules
Contract Positions,
Employee Positions
Phone: 610-853-9919
Fax: 610-853-9921
E-mail:
[email protected]
www.sunshinetherapyclub.com
Sunshine
Therapy
Club, Inc.
Prestigious Orthopaedic group seeks a Physical Therapist
Manager for a new facility in Somerset, NJ. Candidate
should have at least 5-7 years of clinical experience as well
as leadership experience. Must have strong, confident ability
to develop relationships with physicians, promote excellent
working relationships with fellow PT staff, develop a team
approach to healthcare, and manage the challenges of a
multi-provider facility. Duties also include performing physical
therapy care and ensuring efficient and effective operations.
This is a working Manager position with liberal managerial
down time. Benefits include profit-sharing opportunities.
Please e-mail resumes to Alice at:
[email protected]
Physical Therapist
Sign-on Bonus!
Outpatient Rehab Center located in Media, PA.
Full-time, $75,000 to start. Benefits include
educational reimbursement and vacation.
Fax resume to: 610-892-0489
Physical Therapist/Center for Child Development
Per Diem/Evenings and/or Saturdays
All positions require a Bachelor’s in Physical Therapy and NJ PT license.
Our exceptional benefits include:
• Highly competitive salary
• Superior continuing education opportunities
• Access to our Center for Advancement of Holistic
Knowledge & Practice
• Tuition Assistance -- Up to $10,000/year
• On Site Master’s Programs
• Exceptional Work & Family Benefits
• Care for Yourself in our Wellness Center
Discover more about Valley Health System and our
exciting career opportunities by logging on to
valleyhealth.com/careers
We are an Equal
Opportunity Employer.
Full-Time Physical
Therapy Director needed
Advantage Therapy Centers has three Comprehensive Outpatient Rehabilitation Facilities
located in Southern New Jersey. Our reputation is built on the exceptional quality of care that
we provide to our patients. Our multi-disciplinary team of clinicians work together to ensure that
all patients experience the most from our comprehensive therapy program.
The Director of Physical Therapy will be responsible to oversee and support the growth of the
physical therapy program at all three facilities. The Director will update departmental plans,
goals and objectives in collaboration with staff members of the other disciplines. The Director
will make certain that the quality of care is provided while maintaining positive physician,
patient and inter-departmental relationships.
We offer a competitive salary and an excellent benefit package.
SIGN-ON BONUS available
Please visit our website at www.adtherapy.com to learn more about Advantage Therapy Centers
E-mail your resume to [email protected]
Full-time/Part-time PT
Growing outpatient orthopedic clinics in
Phillipsburg, NJ and Easton, PA
COMPETITIVE SALARY
Fully equipped facilities with emphasis on
exercise, manual therapy and aquatics.
Fax resume: 610-250-9257 or
Full-time PT
wanted in a PT owned practice. Excel. salary, Bonus
structure, benefits. Openings available in
Flemington, Clark, Hazlet, Colts Neck, NJ.
Call 732-335-8111
or fax: 732-335-8118 New grads welcome.
Physical Therapist
Immediate opening. Full-time position in our
Adult Medical Day Care Special Needs Center
for clients 21 years and older with various levels of
developmental abilities. Enjoy working within a team
approach of talented professionals and a very committed support staff. Competitive salary and benefits.
Applicants must possess NJ PT license.
Please send resume to:
Maria Alvarez, Human Resource Coordinator
Passaic County Elks Cerebral Palsy
Treatment Center
1481 Main Ave., Clifton, NJ 07011
[email protected]
Ph: (973) 772-2600 • Fax (973) 772-5171
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Maryland, Delaware, Virginia, Washington, D.C.
UPPER SOUTH ATLANTIC
Full-Time and Part-Time
Pediatric Physical Therapists
needed in New Castle County
If helping people is
your calling....
Since 1773, the Johns Hopkins Bayview Medical Center has been building
a legacy of medical excellence and community service.We’re home to a
700-bed state-of-the-art academic medical center, a Level II trauma center,
a regional burn center, and some of the area’s leading research facilities.
Our scenic campus is unique among urban medical centers, combining the
atmosphere of a community hospital with the prestige of a world-class
institution. Located in southeast Baltimore, Bayview is easily accessible from
I-95 and I-895.
Our therapists enjoy many opportunities including:
t Working with a wide range of patients
t Providing care in acute, burn rehab, outpatient, post-acute and
community-based settings
t A variety of continuing education benefits
t Learning from a staff of experienced therapists who love to mentor
While we are seeking therapists with inpatient and outpatient experience,
new grads are encouraged to apply as well. PT’s with pelvic specialty are
highly desirable; however, training for the right therapist will be provided.
We offer a comprehensive benefits package including excellent health care
benefits, and tuition reimbursement for you and your dependents.
Visit www.bayviewjobs.org/rehab for more
information and to apply today!
EOE/AA, M/F/D/V
PHYSICAL
THERAPIST
The Katherine Thomas School in Rockville, MD
seeks to hire a part-time / PRN / consultant Physical
Therapist to begin on August 22, 2011. The position will be responsible for providing therapy and
IEPs for DCPS, MCPS, and private pay students. Two
years working experience in an educational setting
or clinic is required. Must be able to lift 25-40lbs
suspended equipment in sensory gym. Must be
licensed by the Board of Physical Therapy of the
State of Maryland.
Resume to Rema Haddad at
[email protected]
EOE
RENEW YOUR FREE SUBSCRIPTION TO
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REVIVE YOUR CAREER
In the Family
Familial tendencies toward obesity
and type 2 diabetes give significant
credibility to the genetic predisposition
theory. Studies of twins have demonstrated a definite link between genetics
and obesity and diabetes. A child of
obese parents has a 30 percent to 40
percent probability of becoming obese.
The children of a diabetic parent have a
25 percent risk of developing the disease.
Bayada Nurses has immediate openings
for full-time and part-time Physical Therapists.
At Bayada Nurses you have the ability to make your own
schedule and choose the areas you want to work in.
We offer a $2500.00 Sign-on bonus (call for details),
competitive pay rates and much more!
If you are interested in joining a dedicated team of
professionals who believe their clients come first,
please call SherVonne Wilson at 302-322-2300
or fax resume to 302-322-6300
or e-mail to [email protected].
PEDIATRIC OPPORTUNITIES
MD, DC, Northern Virginia
PHYSICAL THERAPISTS
Join our team of OTs, PTs, SLPs providing services
to children in schools, early intervention settings and
our private practice.
• Full and Part-time positions
• Great continuing education
• Strong mentoring and support
• Opportunities for growth
For information on current openings call
Toll-Free 1-877-ASK-CARE or
EOE M/F/D/V
Serving Prince George’s, Charles County, Anne Arundel
County, Calvert County, & St. Mary’s County
))))CURRENTLY HIRING ))))
) Physical Therapist
) Physical Therapy Assistant
) Flexible Scheduling
) Tuition Reimbursement
) Paid Time Off
) Discounted Gym Membership
) Comprehensive Healthcare Package
E-mail resumes to
[email protected]
or fax to 301-856-0218
Come join our team for a REWARDING and EXCITING
career in Home Healthcare with the opportunity to
travel and meet new people!
ADVANCE for Physical Therapists
& PT Assistants is on Facebook!
• Meet tons of new people in your field
• Share your experiences on our wall
• Post your photos and videos
• Read our staff blogs • And more
Visit www.advanceweb.com/pt and
click on the “Find Us on Facebook” link.
Virginia, Washington, D.C., Lower South Atlantic, South Carolina, North Carolina
Join a Community of Care
and a World of Opportunity.
Measures of success come in many varieties—sharing knowledge,
gaining experience and achieving goals. At Carilion Clinic, our talented
team works together to return every patient to a healthier life.
We have hospitals, physician practices and home health offices
throughout Southwest Virginia—and opportunities in a
variety of settings for physical therapists, including:
• Acute care
• Inpatient
• Outpatient rehab
• Pediatrics
• Community hospitals
• Home health
Our Total Rewards package offers:
• Competitive salaries
• Sign-on bonuses
• Relocation assistance
• Shift differentials
To learn more about physical therapy career opportunities,
contact Heather Welter by phone at 540-983-4070 or e-mail
[email protected]. Visit www.carilionclinic.org for job
postings and to apply online. EEO/AA
Come see us @ APTA
Booth 525 in Baltimore.
Kids and Low
Back Pain
Low-back pain can be relatively common in our youth and is often underreported. The lifetime prevalence of
LBP by the mid-teen years has been
reported to be greater that 50 percent
(Spine, 21(20)). Salminen et al reported
a point prevalence of 17 percent (Spine,
20(19)). While LBP may be common,
there are unique variables to consider
in the young athlete. Specifically, the
type of sport one participates in and
the demands of that sport may significantly influence the rates of injury.
Higher rates of injury have been noted
in female gymnasts and figure skaters.
Also, male hockey and soccer players
have higher rates of LBP when compared with non-athletes. These higher
injury rates are not limited to these
sports as LBP is also prevalent in golfers, American football players, rowers
and rugby players (Medical Science of
Sports Exercise, 28(2)).
Physical Therapists
Full-Time, Inpatient and Outpatient Adult
PRN, Inpatient and Outpatient Pediatrics
(requires NICU experience)
Part-Time, Outpatient Adult
PRN Inpatient and Outpatient Adult
Requires a DC license (or eligibility).
Our PTs enjoy:
s&LEXIBLEWORKSCHEDULES
s#LINICALLADDERFORGROWTHAND
promotional opportunities
s0ERSONALIZEDMENTORSHIPPROGRAM
s7EEKLYINSERVICES
s#OMPLIMENTARYEDUCATIONDAYS
s3UPERBEDUCATIONALOPPORTUNITIESAND
tuition reimbursement
s4HE,EARNING.ETWORKRESOURCEFOR
WORKPLACEBASEDLEARNING
s&REESHUTTLEFROM-ETROSTATIONS
s,OWCOSTFITNESSANDRECREATIONALFACILITIES
,EARNMOREABOUTOUR0HYSICAL-EDICINE
2EHAB$EPThttp://guh.attnhr.com/rehab
!PPLYONLINECLICKONCareers, Allied Health:
www.georgetownuniversityhospital.org
LOWER SOUTH ATLANTIC
Comprehensive Therapy Consultants
PEDIATRICS
+ School-based + Full-Time/Part-Time
+ Excellent Compensation and Benefits
+ New Grads Welcome! + Sign-On Bonus
GA, AL, FL, NC, SC & TN
678-445-1666 • [email protected]
www.comprehensivetherapyconsultants.com
FULL-TIME NEURO PT needed in Myrtle Beach, SC outpatient clinic. Balance Retraining and Neurological Diagnoses in a
motivated and fun atmosphere! FULL-TIME PT needed for ortho.
caseload in outpatient clinic as well. Strong caseload of ortho. and
spine rehab. with lots of manual therapy opportunities!
www.csmr.org
Contact: Catherine Sullivan, MPT
Clemson Sports Medicine and Rehabilitation
(864) 482-0064 Ext. 20113
[email protected]
Physical Therapist-Outpatient Orthopedics
Triangle Orthopaedic Associates seeks dynamic and
motivated PTs for their busy outpatient clinics in Durham and Roxboro. These are exciting opportunities with unlimited career growth
potential. Come work with a dedicated team of professionals who pride
themselves on excellence in patient care. Great work environment.
Excellent salaries plus bonuses and full benefits. E-mail resumes to
[email protected] or fax 877-885-6777
Carolina Therapy Services
EOE
H E A LT H CA R E J O B L I S T I N G S
—
PT/OT/SLP: Opportunities in Fayetteville
PROGRAM MANAGER
Fayetteville and Greensboro, NC
Management Opportunities Available!
SIGN-ON BONUS OR RELOCATION PACKAGE $3,000-$5,000
Competitive salaries and excellent benefits. Continuing education assistance with
opportunities for professional growth.
Call 866-388-9776 or Fax: 866-388-9779
[email protected]
Visit us at the Web at www.carolinatherapy.net
U P DAT E D DA I LY
l
W W W . A D VA N C E W E B . C O M
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What’s buzzing
at GHS?
Today is the
U New Pay Rates
U New Programs
U New Sign-on Bonus
Greenville Hospital System
University Medical Center
first day of the
rest of your career.
South Carolina’s premier healthcare provider
invites you to be part of a dynamic team of10,000
plus employees delivering high-quality patient
care to the Upstate.
Visit our website at www.ghscareers.org
to apply online or call 864-455-8452
for more info.
Celebrate by making a bold move – to
FirstHealth of the Carolinas. A leading
healthcare system that puts patients first,
we offer you a medically sophisticated
and supportive environment where you
can learn and grow. Our not-for-profit
three-hospital system is an organization
driven by our values: Focus on Quality
and Excellence, Integrity, Respect for the
Individual, Service to Others and Teamwork.
Here, you’ll enjoy excellent resources,
a supportive management team and
exceptional opportunities for career growth.
We invite you to explore the following
opportunities:
• PTA, FT - Greenville Memorial Hospital
(Acute)
• PTA II, FT - Greenville Memorial Hospital
(Acute)
• PTA II, FT, Baptist Easley/Roger C. Peace
Rehab (Acute)
• PT, FT - Baptist Easley/Roger C. Peace Rehab
(Peds)
• PT, FT - Home Health
The Greenville Hospital System proudly
values diversity. All qualified candidates
are encouraged to apply.
PHYSICAL THERAPISTS
• Outpatient positions –
Pinehurst, Raeford, Rockingham & Troy
• Home Health position – Moore County
• Acute Care – Pinehurst
Requires a BS, MA or Doctorate degree in
Physical Therapy, NC PT license and CPR
certification.
PHYSICAL THERAPIST
ASSISTANT
• Home Health
We offer an attractive compensation/
benefits package and a wonderful lifestyle
in the Sandhills region of North Carolina.
The mountains, ocean, several universities
and the metro area of Raleigh, Charlotte and
Fayetteville are all within easy driving
distance. To learn more, visit
www.firsthealth.jobs
EOE
701 Grove Road, Greenville, SC 29605
Physical Therapists
Relocating to sunny South Carolina?
Love working with Children?
Need extra income?
YOU can be an angel of change working at Easter
Seals South Carolina. Work for one of the largest Early
Intervention providers in the state of South Carolina.
We change the lives of children with disabilities and
special needs by providing quality therapy services in the
home and school setting. Basic responsibilities include:
provide discipline specific treatment, including evaluation,
planning, documentation and professional communication.
Applicants must be registered and licensed to practice
in South Carolina. Graduate of an accredited program
in Physical Therapy with a minimum of a Bachelor’s
Degree. Minimum of one year clinical experience working
with infants/young children with developmental delays
preferred.
Fax or e-mail resume to:
Working Together, First in Quality, First in Health.
WANTED: PT/PTA
in beautiful Tampa Bay area
$3,500 Sign-on Bonus
Dynamic private practice with multiple locations
is seeking FT/PT/per diem PT/PTA. Cutting edge multidisciplinary team with abililty to treat either pediatric or
adult patients, or both if wanted! We offer competitive
salaries and benefits, flexible scheduling and career
advancement. New grads always welcome.
sK"ENEFITSs#%5Ss"ILINGUALAPLUS
Please fax resume for immediate consideration to:
Beth Ingram & Assoc.
Pam Kynkor 813-654-6644 Fax
813-653-1149sEMAIL [email protected]
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Tami Adger
803-429-8474
803-708-0506 (Fax)
[email protected]
CHARLESTON!! PTA NEEDED!!
Full-time PTA for strong orthopaedic and sports med. caseload in
SUMMERVILLE, SC at SPORTS PLUS! Wide variety of ortho. and
spine diagnoses, fun atmosphere, and incredible mentoring opportunities!
Send resume with references to:
Catherine Sullivan, MPT
Clemson Sports Medicine & Rehabilitation
(864) 482-0064, x20113 • [email protected]
www.csmr.org
1-877-776-6680
Recent Pay Increase & $12,000 Sign-on Bonus
or Relocation Assistance available!
New Grads Welcome!
PHYSICAL THERAPISTS
needed in the Upstate SC area which was
recently named #4 on the “Top 100 places to live.”
• Since 2007 and annually, Member of HomeCare Elite
for quality and financial performance.
• Best Performance for Public Quality Measures for
2009, 2008, 2007
• TOP 500 Medicare Certified Home Health Provider
in the country
We offer laptop computers, Total Joint Program,
Orthopedics/Rehab Specialty, Flexible Schedule
EOE
North Carolina, Florida, South Carolina, Georgia
1-800-439-4590
www.interimhealthcare.com
Over 30 Years of Extraordinary
Home Health Care
Well Care Home Health
Beautiful Coastal Region of NC!
Full & part time PT positions available in
beautiful Wilmington area. Excellent pay,
benefits. Sign on bonus!
Well Care Home Health
“Because We Care”
Contact Lauren at [email protected]
910-362-9405
Physical Therapist-Outpatient Orthopedics
Kernodle Clinic in Burlington, NC is seeking a full-time
PT for their outpatient orthopedic clinic. This is an exciting
opportunity for a PT with a passion for orthopedics to work
with a dynamic team of professionals. Diverse caseload.
Flexible Schedule. Highly competitive compensation package including bonuses and full benefits.
Please e-mail [email protected] or fax 877-885-6777
Ducktail Pediatric Therapy • Augusta, GA
FULL-TIME - PHYSICAL THERAPIST
This is a great opportunity for a therapist seeking
to make a real difference in children’s lives!
To apply Please contact:
Glena Boxrud, Office Manager
706-364-5262 • Fax 706-364-5263
ARE YOU DIRECTOR MATERIAL?
Seeking talented PT Director for neurological and vestibular rehab
patients at Balance, Mobility & Dizziness Center of CHARLESTON!
Full training on Neurocom Smart Balance Master, incredible caseload,
team, and marketing opportunities! Check us out at www.csmr.org.
Send resume to: Catherine Sullivan, MPT
Clemson Sports Medicine and Rehabilitation
PO Box 1844, Clemson, SC 29633
Phone: (864) 482-0064 x 20113 • Fax: (864) 482-0081
[email protected]
Losing a Limb
In the United States alone, there are
approximately 1.8 million people living
with limb loss according to National
Limb Loss Amputation Center statistics.
Florida, South Carolina, South Dakota, Texas
PHYSICAL
Join Our Team!
Physical
Therapists
Immediate Openings: Florida
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PhÊnnÇ°ÓÈn°{ÎÓÊÝ££{®ÊUÊFx 866.547.1017
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Contact Kelly McDonnell, M.S. CCC-SLP - Director of Services
1.877.268.4329 x114
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THERAPISTS
Nova Medical Centers is the recognized leader in outpatient Occupational Medicine
throughout Texas. Committed to those with talent and exceptionally high standards of care
and professional ethics, we provide our team members with such things as above average salaries; health, vision and dental insurance; CCUs, re-licensure, malpractice and professional
membership reimbursements; 401(k) w/ Company match & immediate vesting; PTO; retention
bonuses or student loan repayment; relocation assistance; and US Work sponsorship.
WEST SOUTH CENTRAL
For available locations and a detailed description
of position duties and requirements,
please send an e-mail request to:
[email protected]
Equal Opportunity Employer
$3000 SIGN ON BONUS
Pediatric Physical Therapist
ClinicPositions
Positions in St. Petersburg
Clinic
Petersburg&&Tampa.
Tampa.
Home-based Positions
Positions throughout the
Home-based
the Tampa
TampaBay
Bayarea.
area.
Schoolpositions
positions in
in Hillsborough
Hillsborough and
School
andPasco
PascoCounties.
Counties.
Competitive pay, benefits, CEUs & More!
813-963-6923 or email: ilicareers@iliflorida.com
www.independentlivinginc.com
ORTHOPAEDICS
AT ITS BEST!
Smithfield, NC - PTA • Orangeburg, SC - PT/PTA
Charleston, SC - PTA • Director PT
Myrtle Beach, SC - Neuro PT and Ortho PT/PTA
Columbia, SC - PT
From athletes to an active older patient population,
enjoy a variety of ortho, sports medicine and neurological
diagnoses! Great teamwork, mentoring and fun atmosphere!
Visit www.csmr.org to learn more about us!
Send resume with references to: Catherine Sullivan, MPT
Clemson Sports Medicine and Rehabilitation (home company)
(864) 482-0064, ext. 20113 • fax (864) 482-0081
[email protected]
WEST NORTH CENTRAL
PHYSICAL THERAPIST
Sign-On Bonus, Relocation Assistance
and Student Loan Assistance
Avera Queen of Peace Hospital has a career opportunity for
detail-oriented Physical Therapist. Our rehab team is seeking a
dedicated and talented physical therapist with excellent interpersonal
and clinical skills who wishes to work in an environment that encourages
and supports 1:1 patient care and “living” a Mission to make a
positive impact in the lives and health of persons and communities.
Avera Queen of Peace, a 120-bed, not-for-profit regional hospital
located in Mitchell, SD offers a varied caseload of inpatient and
outpatient with occasional home health.
Join Our Rehab Physical Therapy Team and receive a $7,500
Sign-on Bonus and relocation assistance. In addition to our excellent
compensation and benefit package, we offer student loan assistance
to qualified candidates.
Apply online at www.averajobs.org
or provide resumes of interest to:
Avera Queen of Peace Health Services
HR Dept
525 North Foster
Mitchell, SD 57301
(605) 995-2496
EEO/AAP
Since 1997, HealthPRO
has set the standard of
excellence for Long-Term Care
and Subacute rehabilitation.
We currently have opportunities for PTs, PTAs & Rehab Directors in
Dallas: The Traymore - Lemon Ave. and Lovers Lane
Signature Pointe on the Lake - Preston and Hwy 635
Autumn Leaves - White Rock Lake area
Walnut Place - Walnut Hill and Hwy 75
Bedford: Parkwood Healthcare - Murphy Dr and Hwy 183
%XPERIENCEINLONGTERMCAREAPLUSs&LEXIBLESCHEDULES
#OMPETITIVE3ALARIES"ENElTSAND4IME/FFs#LINICALPROGRAMMINGSUPPORT
&ORMOREINFOs2ITA+ACAL
888-531-8801 or e-mail [email protected]
or apply online www.healthpro-rehab.com
Outpatient Orthopedic
Physical Therapists & Clinic Directors
Fort Worth, Plano, Houston & San Antonio
• Mon.-Fri., 8am-5pm at most locations
• Manual Therapy Certification available
• Transitional DPT assistance
At Concentra, our PTs practice hands-on patient care
with minimal administrative duties.
Call: 800-232-3550 x78039 • Fax: 866-420-0302
www.ConcentraPT.com
Rehab Synergies is an In-House Therapy Provider
strategically aligned to provide skilled Occupational,
Physical and Speech-Language Therapy services for
our Sister-company of Residential and Transitional
Healthcare Centers located throughout Texas.
We are currently seeking enthusiastic Full-time, Part-time and
PRN professionals for our In-House Therapy Program for
the following locations:
Dallas/Fort Worth • Houston • East Texas • El Paso
San Antonio • McAllen • Lubbock • Wichita Falls
Improving America’s
health, one patient
at a time. EOE
Physical Therapist
Region 10 Education Service Center
seeks TX licensed PT to serve public school
students in counties around Dallas. Competitive
Full-time Salary, Benefits, School Holidays
196 Work Days with Summers Off!
972-348-1580 • [email protected]
We offer an outstanding benefit package, computerized
documentation and an opportunity to grow with a secure
In-House Rehabilitation Services Provider!
We welcome you to inquire about becoming a member
of the Rehab Synergies Family by contacting us at:
[email protected]
www.rehabsynergies.com
1-877-503-4552 • Fax 817-633-6285
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Nevada, Washington, Hawaii, Alaska, California
MOUNTAIN
UNLV
http://jobs.unlv.edu
(See our ad on page 47.)
PACIFIC
You could work anywhere.
You’re called to work here.
THE SPIRIT OF PeaceHealth.
Providence is calling Physical Therapists.
The location you deserve.
The lifestyle you’ve earned.
Join the Alaska Therapy Team! Consider Anchorage, Kodiak Island, Valdez and
Seward for Providence Health & Services (Alaska). We focus on developing the skills
patients need to improve and maintain mobility and self care skills and to insure they
feel prepared to meet the challenges of their home and community.
PeaceHealth St. John Medical Center in Longview,
Washington, is an integral part of a nationally
recognized not-for-profit healthcare system known
for its innovations in patient-centered care, patient
safety, and healthcare technologies.
Our rehabilitation program provides outpatient physical, occupational, and speech
therapy to children and adults. About 80% of people we treat are adults with
orthopedic injuries. We treat strokes, work related injuries, traumatic brain injuries,
and developmental disabilities. Our resources are an Olympic size pool, therapy pool,
and a fully equipped therapy gym.
Rehab Clinical Coordinator – Acute Care
This is an excellent opportunity for an experienced
Physical Therapist who is passionate about acute
care practice to grow and develop services at
St. John Medical Center. We have a dynamic team of
5 PTs, 2 PTAs, 2 SLPs and 3 OTs awaiting a mentor
and leader to further enhance their skills and
program development direction. Previous leadership
and/or mentoring experience is required.
Are you ready to make a difference?
Answer the call today. providenceiscalling.org
Physical Therapist
Then call Mary Ann today! (907) 212-6400
This full-time, Monday – Friday, acute care position
works with patients in our new Joint Replacement
Center and other medical/surgical caseload as
needed. Our therapists are a vital part of the
interdisciplinary team whose ideas and expertise are
highly valued. New grads are welcome to apply.
Providence Health & Services is an equal opportunity employer.
Physical Therapist - Martinez, CA
With its ideal location just 40 miles north of
Portland and a short drive from the beautiful Pacific
Coast and several different mountain adventures,
Longview is a small city with an urban flair.
Longview’s 37,000 friendly neighbors enjoy the
pace and natural beauty of a family-first community
that benefits from the amenities of nearby Portland
and Seattle.
Join our team of dedicated rehab professionals at the Department of Veterans
Affairs. We are seeking a dynamic, experienced Physical Therapist for
our 120-bed skilled nursing rehabilitation facility. The position
is a full-time, temporary position not to exceed
one year plus one day, with full benefits.
We offer a $10,000 sign-on bonus, relocation
assistance, competitive wages and a comprehensive
benefits package. For additional information or
to complete an application, please visit our
website at www.peacehealth.org or email
[email protected].
We offer a friendly work environment
with generous vacation, paid sick leave,
health insurance and retirement plan
with matching 401 (k) and guaranteed
hours. Full-time. A current and
unrestricted license to practice physical
therapy is required. Must be a
U.S. Citizen. EOE.
www.peacehealth.org
PeaceHealth is an AA/Equal Opportunity Employer.
For application information contact
Sandra Harris-Byrd, Human Resources Specialist
at [email protected]
HAWAII
PHYSICAL THERAPISTS
Want to be a part of cutting edge technology &
specialty programs? Come join us. We offer a
competitive salary, excellent benefits package, CE
courses, & relocation allowance.
Applications accepted on-line at
www.rehabhospital.org/jobs
or Email: [email protected]
Call (800) 973-4226 x 3334
EOE
56
56
Peds Physical Therapist
Come join our exp. multids team at The Children’s Therapy Center,
Orange Co., CA, a leading clinic serving diverse clients from birth to
school age. Great rates/benefits pkg., mentoring in NDT & SI, great
learning environ. FT/PT, flexible sched. Exp. preferred, would consider
new grad with peds. affil. Interested? Visit us at
www.thechildrenstherapycenter.com
or Fax: 714-898-9720 resumes.
Become a fan of ADVANCE for
Physical Therapists & PT Assistants!
Check us out on Facebook.
Visit www.advanceweb.com/pt
and click on the “Find Us on Facebook” link.
Alaska, California, Washington, National
NATIONAL
Get away from it all in
beautiful Ketchikan, Alaska
Physical Therapist Opportunities
FT Outpatient/HH
Join our dedicated, knowledgeable and strong core
therapy staff who are great mentors and teammates.
Apply online: www.peacehealth.org
Call: 888-890-8301 x1
Fax: 907-228-8554
WE OFFER:
Loan repayments
Relocation Aid • Sign-on bonus
Hospital-based childcare
EOE
Retirement with no vesting period!
Physical Therapist
Be part of a collaborative, multidisciplinary team
working with a variety of pediatric disabilities.
• Extraordinary support
• Full-Time and Part-Time
• $2000 Cont Ed
• Med/Dental/401(k) plus more
Must like chocolate!
Fax resume to Adrianna Foster 907-344-5103
[email protected]
www.allforkidsalaska.com
We currently have openings in the
following states: IN, MS
Our superior beneÄts package includes:
• 80% of premium paid for employee
• 70% of premium paid for dependents
• Over 5 weeks total Paid Time Off
• $50K life insurance at no cost to you
Low productivity requirements and high job
satisfaction gives us lower than 7% turnover in staff when the industry average is
in excess of 25%.
Apply now at
www.creativehealth-solutions.com
Physical Therapists and
Physical Therapist Assistants
or call at 877-651-3229
for further information
Visit us at
www.interfacerehab.com
EBS has nationwide opportunities
available for Physical Therapists
including: entry-level, mentorship,
supervisory, and director positions.
Our therapists are acknowledged
nationwide for their professional
expertise and delivering superior
quality of service.
Travel Therapy
Opportunities Nationwide!
* Conditions Apply
Contact: Julie Lopez
800-870-7989 ext. 201
[email protected]
Registered
Physical Therapists.
Select positions do offer a sign-on bonus.
Find Your Balance at
Interface Rehab, LLC
For both full-time and per diem positions in
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out our “Platinum Benefits” that includes
Unlimited “Hands-On” Continuing Education.*
National Therapy Company seeking
PT/PTA
Othello Community Hospital
Othello, Washington
We have an immediate opening for PT/PTA.
Othello is located in sunny Eastern Washington. Come join our family of health care
professionals. Contact the Physical Therapy
Department at Othello Community Hospital
Fax resume to Cheryl at 509-331-2617
or Nathan at 509-331-2612
t.FEJDBM%FOUBM7JTJPO
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tOur Rewards1SPHSBN
Call 1.888.800.8744
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RENEW TODAY! 800.355.1088
1-877-776-6680
The Gl
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Children in pain are hardly a medical
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conservative estimates say that 15 percent to 20 percent of the total pediatric
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pain conditions.
57
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National, International
%
Welcome to the exception
How does SunDance define ‘exceptional’? Unparalleled commitment to resident advocacy
and innovative resident-centered care programs at 525 facilities in 37 states.
Join the
Physical Therapists & PTAs exception a
Everything about SunDance makes us the exceptional choice for your rehab career.
%
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advocacy :: competency :: innovation :: versatility :: partnership
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INTERNATIONAL
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needed in Japan. Excellent
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or Master’s & 2 yrs exp with relevant concentration. 2 yrs exp providing
pediatric physical therapy for children ages 0-5 with special needs.
Contact Lynn Romer at 1-800-852-5678 x156
or e-mail [email protected]
Diabetes Related to
Peripheral Neuropathy
Current research supports that
diabetic neuropathy is a peripheral
nerve disorder caused by poor glycemic control. In the United States, 10
percent to 65 percent of the diabetic
population has some form of peripheral
neuropathy. It’s estimated to be present
in 7.5 percent of patients at the time
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Diabetes Control and Complications
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incidence of neuropathy. Interestingly,
research data shows that diabetic polyneuropathy is one of the most common
neuropathies in developed countries.
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