Archive: PT 2012: Patients with Complex Medical Needs Programming

  • This is archived programming for PT 2012. See current programming.

    Browse Complex Medical Needs sessions by day. Return to the main topic menu.

    Thursday, June 7

    Translating Science to Clinical Practice for Patients With Parkinson Disease: A Comprehensive Physical Therapy Approach

    Time: 8:00 am-11:00 am (See Program for Room)

    Speakers: Nancy Byl, PT, PhD, FAPTA; Rob de Bie, PT, PhD; Waldemar Hogerwaard, MS; Roger M. Nelson, PT, PhD, FAPTA; Maarten Nijkrake, PT, PhD

    CEUs: 0.3 (3 contact hours/CCUs)

    The incidence of Parkinson disease will increase by almost 45% between 2000 and 2020, affecting approximately 50% of Americans by age 85. The disease's progressive nature and wide diversity of symptoms cause significant social and financial burdens. While medication may improve some of the non-motor and motor signs, patients will continue to experience progressive deterioration in several daily activities and body functions. This evidence-based presentation will illustrate improved quality of life, quality of care, and reduced costs as a result of skilled physical therapy interventions focusing on domains of physical capacity, transfers, balance, posture, and gait.

    Cerebral Vascular Anatomy and Hemodynamic Applications to Patients With Neurological Impairments and Dysfunctions

    Time: 2:00 pm-5:00 pm (See Program for Room)

    Speakers: Jacob F. Brewer, PT, DPT, PhD; John Gassler, PT, MS, GCS; Dennis O'Connell, PT, PhD, CSCS, CEAS, FACSM

    CEUs: 0.3 (3 contact hours/CCUs)

    In this course, the speakers will present clinical case scenarios with adult patients with neurological impairments and dysfunctions such as hemorrhagic or thrombotic CVA, hyper/hypotension, mild traumatic or diffuse axonal brain injury, and normal pressure. Cerebral vascular anatomy and physiology, cerebral perfusion pressure, mean arterial pressure, intracranial pressure, vascular resistance, and cerebral blood flow velocity will be reviewed and relationships between these underpinnings will be discussed as they relate to clinical practice. Surprising physical findings can often be explained by a logical review of anatomical and physiological systems, resulting in enhanced and more effective treatment.

    Friday, June 8

    Quantitative and Comprehensive Evaluation of Athletes Post Concussion: Development and Validation of the Cleveland Clinic COMET Concussion Application Using the iPad

    Time: 8:00 am-11:00 am (See Program for Room)

    Speakers: Jay L. Alberts, PhD; Scott Euype, PT, DPT, MHS, OCS; Susan M. Linder, PT, DPT, NCS

    CEUs: 0.3 (3 contact hours/CCUs)

    Although athletes experience a multitude of clinical impairments after concussion, no single tool provides comprehensive and objective data evaluating the injured athlete's symptoms. The speakers will present their tool, the Cleveland Clinic COMET (C3) Concussion application for the iPad2, which uses gyroscopic and accelerometer technology to evaluate neurocognitive function, neuromotor function, visuo-vestibular function, and postural stability. This session will review the symptoms associated with concussion, present validation data of the tool, and demonstrate each of the clinical modules of the application as it relates to the systematic, comprehensive, and quantitative assessment of individuals with concussion.

    Virtual Reality and Computer Interfaces for Pain, Mood, and Movement: Help, Hype, or Hope?

    Time: 1:00 pm-3:00 pm (See Program for Room)

    Speakers: Wendy Powell, DC, PhD Cand; Maureen J. Simmonds, MCSP, BScPT, MScPT, PhD

    CEUs: 0.2 (2 contact hours/CCUs)

    Myriad technological innovations over the last decade have pervaded all aspects of professional life. In addition to equipment-intensive research laboratories and clinical facilities, miniature wearable devices, virtual reality, and cloud computing, among others, are commonly used in research, education, and clinical practice. These technologies are exciting and seductive, but do they work? How do they work, for what do they work, for whom, and when? The speakers will review research on different health-related technologies; their use in measuring, monitoring, and managing health conditions; and their use in patient education. Part 2 will focus on the state of the art, technology, and science of virtual reality and other computer technologies for pain management and rehabilitation.

    A Review of the Literature Pertaining to Body-Weight-Supported Treadmill Training for Persons With Stroke

    Time: 3:00 am-5:00 am (See Program for Room)

    Speakers: Janell Mancini; Diana A. Veneri, PT, EdD, NCS, RYT

    CEUs: 0.2 (2 contact hours/CCUs)

    Literature pertaining to body-weight-supported treadmill training (BWSTT) and adults with stroke varies with regard to purpose, training protocols, and outcome measures. In this session, the speakers will present findings from a systematic review of the research in this area, as well as a meta-analysis. Attendees will learn the implications of these findings for clinical practice, and where further research is needed.

    Saturday, June 9

    Understanding the Pain System: The Gateway to Resolving the "Difficult Patient" Challenge

    Time: 8:00 am-11:00 am (See Program for Room)

    Speakers: Mark Erickson, PT, DScPT, OCS; Gil Haight, PT

    CEUs: 0.3 (3 contact hours/CCUs)

    In this course, the speakers will present an innovative and comprehensive model of pain as a system analogous to the other body systems. The Pain System Model provides practitioners with a sound foundation for effective management of patients with persistent pain. Contemporary pain science clearly indicates pain experiences are not limited to local tissue inflammation or biomechanical dysfunction, but necessarily involve a complex multisystem network described by the Biopsychosocial (BPS) Model. Participants will learn inclusive examination and treatment strategies that emphasize a first-person perspective, which is paramount to the resolution of problems that inherently involve aspects of the biological, psychological, and social domains.

    Reign in the Resistant Patient: Ten Simple Skills for a Psychologically Informed Practice and Improved Outcomes

    Time: 1:00 pm-4:00 pm (See Program for Room)

    Speakers: Beth Haggerty, LCSW; John M. Woolf, PT, MS, ATC, COMT

    CEUs: 0.3 (3 contact hours/CCUs)

    Research suggests that patient outcomes depend on multiple psychosocial variables. PTs need additional, easy-to-learn skills to help patients successfully navigate these barriers. Simple language skills practiced by the clinician can have a profound influence on patients' ability to find solutions to problems that may otherwise perpetuate their condition. As our need to provide better outcomes increases, PTs must learn how to create positive therapeutic alliances with patients and decrease patient resistance to change. The speakers will present key strategic communication skills such as motivational language, behavior change techniques, precision information gathering, and measuring therapeutic alliance.