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Osteoporosis

& Postural Change: Manual & Exercise Interventions

Course Description:

This two- day course is designed to give experienced therapists a practical approach to comprehensive mechanical problem solving, focusing on the osteoporotic or osteopenic patient who presents with low bone density, and often a kyphosis, forward head and protracted shoulder girdle. The introductory lecture details the scientific basis for mechanical osteoporosis intervention. Emphasis throughout the course is put on developing manual interventions and the exercise prescription to promote mechanical wellness, optimal bone building and balanced health. Lab sessions will feature flexible curve kypholordosis measurement, selected soft tissue releases, PNF with deep tissue mobilization, thoracic, lumbar and ISJ muscle energy techniques, manual therapy with contract/relax, postural and resistance exercises, ADL as exercise, osteoporosis dances. Detailed video and slide case presentations, as well as class member examples will be utilized for specific clinical problem solving. The personal mechanical health of the individual participant will be addressed throughout the course. Patient case studies will assist the therapist in developing an overall comprehensive treatment approach by appropriately combining manual therapy techniques, flexicurve analysis, and exercise programs. This course has been designed for the therapist to immediately apply the information in the clinical setting to patients with kyphosis, osteoporosis and/or postural restrictions.

Course objectives:

Upon completion of this course, participants will be able to:

• Describe the current medical evidence regarding osteoporosis pathogenesis and associated medical treatment

• Describe the scientific rationale for designing a weight bearing, resistance and postural enhancement exercise program for the osteoporosis and kyphosis patient

• Understand the sequencing concept for evaluation and treatment of mechanical impairments focusing on kyphosis, forward head, muscle imbalance, spinal and peripheral malalignments

• Utilize the flexible curve for accurate measurement of kypholordosis

• Apply passive physiologic intervertebral mobilization and osteopathic spinal muscle energy techniques best suited for treatment of the frail kyphotic patient.

• Utilize joint mobilization with contract/relax for kyphosis/forward head and protracted shoulder posture correction

• Apply PNF with deep tissue mobilization, myofascial unbinding and trigger point release manual therapies for the postural change

• Design biomechanically efficient exercise and ADL intervention programs in individual and class formats.

• Understand biomechanical resistance exercise safety for frail clients – theraband, free weights, resistance machines

• Integrate exercise and manual techniques with specific attention to posture and mechanics of the therapist as well as the patient.

Registration Form:

Name_______________________________

PT Registration Number _______________

Address_____________________________

City_________________________________

Prov. __________ Postal Code ___________

Tel#________________________________

Email________________________________

Space is limited so please register early.

Course Fee:

EARLY BIRD RATE

Before April 1, 2017 $499 +HST= $563.87

REGULAR RATE

After April 1, 2017 $549 + HST = $620.37

Payable by Cheque to: Osteo-CircuitTM

OR by PayPal: Paypal.me/OsteoCircuit

Fax Registration form to: (905) 731-2884

Email Registration to: dave@

Mail Cheque to: Pro Motion Physiotherapy

Questions?

Email Bonny O’Hare

bonny@

Course sponsored by:

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Course Location:

Pro Motion Physiotherapy

The Promenade Mall

Unit 301F

One Promenade Circle

Thornhill, ON L4J 4P8

905-731-1991

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Course Dates:

Sat. June 10 &

Sun. June 11, 2017

Instructor: Carleen Lindsey

PT, MScAH, GCS, CEEAA

About the Instructor:

[pic] Carleen has degrees in Physical Education and Physical Therapy from the University of California, and an advanced musculoskeletal Master’s in Allied Health from the University of Connecticut. She is a board-certified Geriatric Specialist, and an APTA Section on Geriatrics Certified Exercise Expert for Aging Adults. She treats an outpatient and homecare caseload composed of musculoskeletal, osteoporosis, balance, and women’s health patients of all ages at Bristol Physical Therapy, LLC in Bristol, CT. She also has many years of experience treating patients in university, student health, ECF, SNF, acute inpatient and senior day care settings. She teaches continuing education courses to health professionals internationally and also as adjunct instructor in the Physical Therapy program at the University of Connecticut.

Her continuing education is extensive in biomechanics, geriatrics, manual therapy, PNF, and many other areas of physical therapy expertise. She has participated in research and publications on osteoporosis and balance, authored an instructional video on flexible curve kypholordosis measurement technique, produced three patient home exercise videos, and presented numerous lectures and courses to professional and lay audiences locally and nationally. She was the primary developer of the UCHC Rehab Services Osteoporosis Prevention Program. Ms Lindsey has also written chapters for two major Geriatric Rehabilitation text books, co-authored an osteoporosis home study module for the APTA Section on Women's Health, and served as expert clinician, contributing to the Too Fit To Fracture Delphi Consensus (Giangregorio, L 2015). Currently she is a member of the Evidence Based Documents/Clinical Practice Guidelines for Osteoporosis Workgroup, for the APTA Practice Department.

Carleen has been co-chair for the National Osteoporosis Foundation's Committee on Continuing Education for Physical Therapists, and for the APTA Academy on Geriatric PT Balance and Falls Special Interest Group. She has also held many service positions for the AGPT Bone Health SIG. She is a member of the APTA Geriatric, Women's Health, Orthopaedic, and Private Practice Sections, and also the Connecticut chapter Manual Therapy SIG. She received the AGPT 2016 Award for Excellence in Geriatric Physical Therapy, the 2008 APTA AGPT President’s Award for Outstanding Service, the 2001 U Conn Allied Health Research Award for Excellence, and the 1999 AGPT Lynn Phillippi Advocacy for Older Adults Award..

Agenda (Day One):

8:00 Lecture: Introduction

-Medical overview & treatments for osteoporosis

• Diagnosis

• Nutrition

• Medication

• Surgery

9:00 Lecture/Lab: Scientific basis for osteoporosis PT Intervention

-Postural safety

• ADL as Exercise – Patient hand-outs

-Resistance Training with Patient hand-outs

• Weights

• Theraband

• Gym machines

10:00 Break

10:15 -Aerobics and bone health

• Gym, home

11:15 Lecture/Lab: Evaluating the Bone Health Patient

• History/Anthropometrics – height, weight, BMI

• Visual assessment/Posture (kypholordosis, forward head)

• Rib/pelvis space, lateral basal expansion, trunk ROM

• Strength

• Gait and lower extremity posture

• Fall risks

• Palpation – area of greatest restriction (AGR)

12:00 Lunch

1:00 LAB CLOTHES

Lab: Flexible curve kypholordosis measurement

• Usual /corrected posture

• Relating flexicurve findings to treatment planning

2:30 Break

2:45 Lab: Mobilization with contract/relax

• Thoracic p/a mobilization and gleno-humeral posterior glide alternating with shoulder extension contract/relax

• Gleno-humeral posterior glide with contract/relax for shoulder rotation, retraction

4:00 Lecture/Lab: Soft Tissue interventions:

emphasis on reversal of kyphosis, forward head, “sunken chest” and protracted shoulder girdle

• Myofascial unbinding techniques

• Tender point releases

Expected Completion: 5:00

Agenda (Day Two):

8:00 Lecture/demo: Exercise Specificity

-Exercise mechanics principles

-Postural and stretching exercises – patient hand-outs

• 2-joint muscle length safe stretches

• Triplanar exercise

• Core stabilization

-Balance exercises with Patient hand-outs

9:30 Break

9:45 Lab: PNF contract/relax with deep tissue mobilization – resistance at end-ROM combined with tissue strumming or oscillation

• Hip/knee extension

• Ankle dorsiflexion

• Restricted shoulder elevation

11:00 Lec/Lab: Passive Physiologic Intervertebral Mobilizations and Osteopathic Muscle Energy Techniques

• Cervical/thoriacic junction and thoracic flexed lesions - sitting - supine

• Reverse kyphosis (extended segment within kyphosis)

12:00 Lunch

1:00 Osteopathic Muscle Energy Techniques

(Rib, Ileo-sacral, Lumbar)

-Rib dysfunctions

-Ileo-sacral joint dysfunctions

• Lumbar Lesions

• Flexed

• Extended lumar

• Neutral (re: flexion/extension) lumbar lesions with sidebending and rotation opposite directions

3:00 Break

3:15 Lecture/Lab: Fracture treatment, group class

-Appendicular fractures

-Vertebral compression fracture therapy

• Pain relief

• Bracing, taping

• Exercise

-Osteoporosis exercise class – Patient hand-outs

• Schedule

• “Osteoporosis Dance”

4:30 Conclusion Case study problem-solving

Expected Completion: 5:00

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