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Mary Massery PT, DPT, DSc presents...
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Mary Massery PT, DPT, DSc presents...

 Export to Your Calendar 8/7/2020 to 8/9/2020
When: Friday, August 7, 8:00am-5:30pm -
Sunday, August 9, 8:00am-3:00pm
Where: Saddleback Memorial Medical Center
24451 Health Center Drive – Classroom 1
Laguna Hills, CA  92653
United States
Presenter: Mary Massery, PT, DPT, DSc
Contact: Rita Pierson
(916) 929-2782 x 105


Online registration is available until: 8/7/2020
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If You Can’t Breathe, You Can’t Function: Integrating Cardiopulmonary and Postural Control Strategies in the Pediatric and Adult Populations

 

Course Description

This course will challenge the practitioner to make a paradigm shift: connecting breathing mechanics and postural control with management of trunk pressures. Through her model of postural control (Soda Pop Can Model), the speaker will link breathing mechanics with motor and physiologic behaviors (a multi-system perspective). She will present novel research demonstrating the role of vocal folds as postural stabilizers, extending the concept of “core stability” from the vocal folds on the top of the trunk to the pelvic floor on the bottom. Numerous interventions will be presented that use positioning and ventilatory strategies to optimize motor performance. Neuromotor breathing retraining techniques and manual assistive cough techniques will be the focus of treatment labs. Multiple patient cases will be presented throughout the course. The emphasis of the course will be on developing practical, quick clinical solutions for pediatric and adult patients in all practice settings.

Course Objectives

At the conclusion of Day 1, participants should be able to:

  1. Describe how trunk pressures link breathing and postural control using the Soda Pop Can Model.
  2. Describe the multiple, simultaneous roles of the diaphragm as related to breathing, postural control, gastroesophageal reflux, constipation, and venous return.
  3. Demonstrate the role of the vocal folds in normal postural stability responses (balance) and make the case for using speaking valves for patients with tracheostomies.
  4. Contrast normal infant chest wall development to those with impaired breathing mechanics.
  5.  Position patients for optimal physiological and biomechanical support of breathing with simple equipment (towels, pillows, etc.).

At the conclusion of Days 2-3, participants should be able to:

  1. Perform a multi-system (physical and physiologic) evaluation of motor impairments.
  2. Identify the variations of “normal” breathing patterns and discuss the efficiencies/inefficiencies for individual patient conditions.
  3. Evaluate need for, and demonstrate, appropriate neuromotor retraining techniques for patients with ineffective breathing/postural control strategies (health or participation deficits).
  4. Participate in a live patient demonstration (if a patient is available) and suggest possible evaluation and treatment ideas based on the course material.
  5. Design a targeted airway clearance program using the principles of mobilization, expectoration and oral management.
  6. Demonstrate airway clearance techniques, with a heavy emphasis on manual assistive cough techniques, and apply an airway clearance algorithm to specific patients.
  7. Identify thoracic cage/spine restrictions as they pertain to breathing mechanics and postural control (a very brief introduction to musculoskeletal issues).
  8. Evaluate need for, and demonstrate, neuromotor retraining techniques to improve breath support for voicing.
  9. Suggest means for incorporating the course material into therapy activities in your clinical setting immediately.

Schedule

Day 1 - (7.5 Contact Hours)

Availability of 130 Registrants

8:00 - 8:30

 

Registration

8:30 - 9:00

Discussion

Overview of course topics

9:00 - 10:30

Lecture

Breathing and posture: Part 1 - Pressure control (Soda pop model)

10:30 - 10:45

 

Break

10:45 - 12:00

Lecture

Breathing … Part 2 - The diaphragm

12:00 - 1:00

 

Lunch

1:00 - 2:15

Lecture

Breathing … Part 3 - The vocal folds

2:15 - 2:25

 

Break

2:25 - 3:25

Mini-lab

Positioning strategies: What can you do in 90 Seconds or less that has a profound and lasting effect?

3:25 - 3:30

 

Break

3:30 - 4:15

Lecture

Normal and abnormal chest wall development and function

4:15 - 5:30

Mini-lab

Ventilatory or movement strategies: Integrating neuromuscular, musculoskeletal, respiratory and sensory systems

 

Day 2 - (7.5 Contact Hours)

Limited Enrollment of 50 Registrants

8:00 - 8:30

 

Coffee and ...

8:30 - 9:00

Discussion

Review, synthesis and Q&A

9:00 - 10:15

Lecture/

Demo

Chest assessment:Focus on musculoskeletal alignment and breathing patterns

10:15 - 10:30

 

Break

10:30 - 12:00

Lab

Assessing breathing patterns and postural implications

12:00 - 1:00

 

Lunch

1:00 - 1:45

Lecture

Airway clearance: From Sherlock to solution

1:45 - 2:45

Lab

Facilitating efficient breathing patterns and endurance training: Neuromotor techniques for diaphragm, chest and other breathing patterns

2:45 - 3:00

 

Break

3:00 - 4:30

Lab

Facilitating breathing patterns (continued)

4:30 - 5:30

Demo

Patient demonstration (if possible)


Day 3 - (5.5 Contact Hours)

Limited Enrollment of 50 people

8:00 - 8:30

 

Coffee and ...

8:30 - 9:00

Discussion

Review, synthesis and Q&A

9:00 - 10:30

Lecture/

Discussion

Differential diagnosis (patient demo): “Find the Problem”

10:30 - 10:45

 

Break

10:45 - 12:00

Lab

Airway clearance lab: Focus on manual assistive cough techniques

12:00 - 12:45

 

Lunch

12:45 - 1:15

Lecture/

Demo

Brief introduction to rib cage and trunk musculoskeletal restrictions associated with breathing difficulties – Quick Screening!

1:15 - 2:30

Lab

Enhancing breath support for phonation and postural control

2:30 - 3:00

Discussion/Homework

Group problem solving: Putting it all together

 

Speaker Bio

Mary Massery, PT, DPT, DSc received her BS in Physical Therapy from Northwestern University in 1977, her DPT from the University of the Pacific in 2004 and her DSc from Rocky Mountain University in 2011. Her publications and interests focus on linking motor behaviors to breathing and/or postural mechanics in both pediatric and adult patient populations.

Dr. Massery has been invited to give over 800 professional presentations in 49 US states, 9 Canadian provinces, and 15 countries worldwide, including more than 100 presentations for the American Physical Therapy Association, and a full-day post-conference program at the World Congress of Physical Therapy in Singapore. Mary has delivered keynote and major addresses on topics such as cystic fibrosis and posture, neuropulmonary deficits, pectus excavatum (chest deformities), and connections between posture & breathing.

Mary has received national awards from the APTA, including its highest clinical award, The Florence Kendall Practice Award, honoring “one’s outstanding and enduring contributions to the practice of physical therapy." She has been honored as Outstanding Alumnus of the Year by each of her 3 alma maters. And in 2016, she was awarded Northwestern University’s Alumnae Research Achievement Award. Mary continues to maintain a private practice in Chicago, specializing in breathing and postural dysfunction.

Noel Marie Spina, PT, DPT

CEUs

20.5 contact hours or 2.5 CEUs

Instruction Level: Advance to Intermediate
Format: Lecture and lab
Attire: Comfortable business attire. Please consider dressing in layers as each person has a different comfort level when the air conditioning is on.
Target Audience: Physical Therapists

Cost

Registration received before July 25, 2020
$800 APTA PT members – 3 days
$900 Non-members – 3 days

$300 APTA PT members – Day 1 Lecture (only)
$400 Non-members – Day 1 Lecture (only)
$200 Student members – Day 1 Lecture (only)

Add $100 for late registration.

Cancellation

All cancellation requests must be received in writing – no exceptions. A full refund, less 20% service fee, if cancellation is received 14 days prior to the start of the course. No refunds after July 24, 2020.

Parking

Free surface parking

Hotels

Courtyard by Marriott – 23175 Avenida da la Carlota, Laguna Hills, CA
Laguna Hills Lodge – 23932 Paseo de Valencia, Laguna Hills, CA
The Hills Hotel, An Ascend Collection Hotel – 25205 la Paz Road, Laguna Hills, CA