This course, developed by Mary Massery, will challenge the practitioner to make a paradigm shift: connecting breathing mechanics and postural control with management of trunk pressures. Using Dr. Massery’s model of postural control (Soda Pop Can Model), the speaker will link breathing mechanics with motor and physiologic behaviors (a multi-system perspective). The speaker 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. 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.
Following this webinar, participants should be able to:
- Describe how trunk pressures link breathing and postural control using the Soda Pop Can Model.
- Describe the multiple, simultaneous roles of the diaphragm as related to breathing, postural control, gastroesophageal reflux, constipation, and venous return.
- 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.
- Contrast normal infant chest wall development to those with impaired breathing mechanics.
- Position patients for optimal physiological and biomechanical support of breathing with simple equipment (towels, pillows, etc.).
- Use a ventilatory strategy algorithm presented in class to optimally match breathing with movements from bed mobility to athletic endeavors.
- Apply concepts to a wide variety of patient populations from infancy to geriatrics.
Friday, November 13th
1:30-2:00pm Check-in, check audio, check video!
2:00-2:30 Class starts: Overview of course topics & logistics
2:30-4:00 Breathing and posture: Part 1 – Pressure control (Soda pop model)
4:10-4:55 Lab: Positioning strategies: What can you do in 90 Seconds or less that has a profound and lasting effect?
5:05-6:20 Breathing … Part 2 – The diaphragm
6:20-6:35 Q&A, review of Day 2 schedule
Saturday, November 14th
8:00-8:30am Check-in, check audio, check video!
8:30-10:00 Breathing … Part 3 – The vocal folds
10:15-11:00 Lab: Ventilatory or movement strategies: Integrating neuromuscular, musculoskeletal, respiratory and sensory systems
11:00-11:45 Normal and abnormal chest wall development and function
11:45-12:00 Summary and Q&A
12:00 Noon Adjourn
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.
.75 contact hours or 7.5 CEUs
Instruction Level: Basic
Format: Live lecture with on-line labs, demonstrations and Q&A
Target Audience: PT, PTA, and Students. All health care providers.
Registration received before October 30, 2020
$225 APTA members
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 October 30, 2020.