This is archived programming for CSM 2013. See current programming.
Browse Oncology sessions by day. Return to the main topic menu
Monday, January 21 | Tuesday, January 22 | Wednesday, January 23 | Thursday, January 24
* Should you choose to preselect regular (not preconference) Tuesday-Thursday sessions during the registration process, please be advised that preselection is not a guarantee of a seat. Attendees are asked to preselect to better determine room size and all efforts will be made to accommodate sessions in the largest rooms possible. All attendees are encouraged to show up to sessions early. Attendees are also encouraged to select alternative sessions in the event their first choice is full.
Location: Hilton Bayfront | Sapphire 410
Time: 8:00 am - 5:30 pm
Speakers: Nancy Roberge, PT, DPT, MEd; Linda Boyle, PT, DPT, OCS, CLT-LANA; Linda T. Miller, PT, DPT, CLT; Barb Nicholson, PT, MSPT, CLT-LANA
Level: Beginner - Intermediate
CEUs: 0.8 (8.0 contact hours/CCUs)
Preconference Pricing: Standard (1A)
The IOM (Institute of Medicine) defined a cancer survivor as being one who has been diagnosed with cancer, throughout treatment, into survivorship. The IOM's recommendation to the medical community was to define "survivorship" as a "distinct" phase of the oncology patient, from diagnosis onward. Cancer is now being treated as a chronic disease, and cancer treatment can be a grueling journey of surgery, chemotherapy, and radiation therapy—leaving patients with significant musculoskeletal (and other) issues, which can be successfully addressed by physical therapy intervention. Historically, MDs have only sent patients to physical therapy if they have a problem; we need to foster a paradigm shift where the physical therapist is there at the initial diagnosis of cancer. PTs should be part of the multidisciplinary team that works with the individual diagnosed with cancer. This preconference session will help those who have seen this need for a paradigm shift by providing a template for moving their oncology program forward.
Upon completion of this course, you'll be able to:
Location: Hilton Bayfront | Sapphire 411
Speakers: Steve Morris, PT, PhD, FACS; Alison T. DeLeo, PT, DPT, NREMT-B
CEUs: 0.9 (9.0 contact hours/CCUs)
Exercise reconditioning has become a widely utilized treatment intervention for treating the oncology survivor. However, these survivors present with unique needs, comorbiditites, and impairments. The purpose of this course is to teach the attendees how to apply currently existing knowledge of exercise and fitness training to the unique needs of the oncology patient.
Time: 8:00 am–10:00 am (See Program for Room)
Speakers: Reyna Colombo, PT, MA; Deborah J. Doherty, PT, PhD
This intermediate-level course is designed to prepare participants to successfully develop a comprehensive oncology rehabilitation and survivorship program (CORSP). The presentation will focus on the 3 tenets of a successful CORSP: (1) efficient management and administration, (2) rehabilitation team members with advanced specialty training and education, and (3) informed stakeholders for appropriate and timely referrals. Strategies and discussions will cover methods for ensuring sound business practices, meeting the demands of the population served, and aligning institutional missions with insurance requirements and governmental regulations. Participants will be provided with tools to begin implementation of the various aspects of a CORSP in their facility.
Joint Program: Orthopaedics
Speakers: Andrea R. Branas, PT, MPT, MSE, CLT; Joy Cohn, PT, CLT-LANA; Kathryn Schmitz, PhD, MPH, FACSM
In order to provide the best care for patients, it is important for physical therapists to understand the current evidence in exercise for breast cancer survivors. Therapists must be able to translate that evidence into a clinical program applicable to each individual patient in their office. Common concerns surround lymphedema, use of compression garments, osteoporosis, cancer-related fatigue, and patients on active treatment. We will address the evidence and programmatic issues surrounding these concerns. For many years, health care providers cautioned breast cancer survivors to avoid exercise, for fear of developing lymphedema. The Physical Activity and Lymphedema (PAL) trial made a valuable clinical contribution to the collective knowledge by demonstrating the safety and effectiveness of a weight-training intervention in breast cancer survivors with and at risk for lymphedema. A physical therapy-based strength-training program for breast cancer survivors was created based on the results of this trial. Translating the PAL research into clinical practice has been a lesson in organizational dynamics, health care policy, planning, and implementation.
Joint Program: Women's Health
Time: 11:00 am–1:00 pm (See Program for Room)
Speakers: Nicole Stout, PT, MPT; Jill Binkley, PT, OCS
Level: Multiple Level
The current model of care for individuals with breast cancer focuses on treatment of the disease, followed by ongoing surveillance to detect recurrence. This approach lacks attention to patients' physical and functional well-being. Patients experience common impairments including pain, fatigue, upper-extremity dysfunction, lymphedema, weakness, joint arthralgia, neuropathy, weight gain, cardiovascular effects, and osteoporosis. Published evidence confirms that even when these impairments lead to functional limitation, rehabilitation referral is lacking. Evidence supports that a prospective surveillance model (PSM) for early identification and treatment of physical impairments may prevent or mitigate many of these functional concerns. The PSM identifies time points during breast cancer care for assessment of and education about physical impairments. The model seeks to optimize function during and following treatment and positively influence a growing survivorship community. This system could also provide a venue for patient activation towards exercise and other health promoting activities. Ultimately, implementation of the model may influence incidence and severity of breast cancer treatment-related physical impairments.
This presentation will provide an overview of the PSM for physical rehabilitation and exercise. The goals of the model are to promote surveillance for common breast cancer-related physical impairments and functional limitations, to provide education to facilitate early identification of impairments, to introduce rehabilitation and exercise intervention when physical impairments are identified, and to promote and support physical activity and exercise behaviors through the trajectory of disease treatment and survivorship. The PSM is ultimately coordinated with disease treatment from diagnosis through follow-up to create a more comprehensive approach to survivorship care.
Speakers: Shana Harrington, PT, PhD, SCS, MTC; Kathleen Sluka, PT, PhD; Meryl Alappattu, PT, DPT
The rehabilitation of individuals with cancer both during and after cancer treatments is a growing specialty practice area of physical therapy. To provide the highest quality of care to individuals with cancer, physical therapists must be able to recognize, assess, and manage one of the most common symptoms of cancer and its related treatments: cancer pain. The prevalence of chronic pain is estimated at over 75% in patients with cancer, yet approximately 43% of these patients fail to receive appropriate care for their pain. The purpose of this education session is to provide an overview of cancer pain and provide the physical therapist clinician with the tools to appropriate assess, evaluate, and managed the pain experienced by individuals with cancer. The speakers will review the neurobiology of cancer pain, including the role of peripheral and central sensitization. This session will also evaluate appropriate clinical pain assessment tools for individuals with cancer and provide recommendations of specific physical therapy interventions for individuals with cancer.
Joint Program: Neurology
Time: 3:00 pm–5:00 pm (See Program for Room)
Speakers: Elizabeth S. Hile, PT, PhD, NCS; Kathleen Brandfass, PT, MS; Hallie Zeleznik, PT, NCS
This course will describe the development and current progress of a balance screening program for cancer survivors led by neurologic physical therapists on site in an outpatient medical oncology clinic. Topics will include: an evidence-based overview of balance impairment across the spectrum of cancer survivorship, with emphasis on the multifactorial nature of the problem; identification of specific cancer treatments known to disrupt postural control; and common co-occurring conditions that heighten concern for fall-related injury; all in the context of current literature supporting increased risk for fall and fracture in cancer survivors. Consideration will be given to the potential advantages of applying a prospective surveillance model to the management of balance concerns in this population. Also included will be a discussion of barriers and facilitators to the integration of neurologic PT services into a medical oncology setting and a description of balance screening measures used, including discussion of selection considerations during program development, and a review of psychometric properties and protocols. Two clinical cases will be presented to demonstrate interpretation of specific screening results with discussion of how these results can be used to direct further physical therapy intervention. Emphasis will be placed on audience participation with solicitation of questions or feedback on both the screening program and the sample cases. Attendees will have the opportunity to seek guidance on management of their own clinical case examples.
Speakers: Mary Lou Galantino, PT, PhD, MSCE
This course is intended for the therapist who wishes to re-evaluate clinical examination, management, and long-term follow-up for patients with chronic disease management. Differential diagnosis and underscoring the psychological aspect of this group is a key feature of small-group discussions. This session will use various clinical cases and identify specific screening tools and surveys to determine life stressors and psychological considerations that impact physical well-being from the point of diagnosis, through treatment and various episodes of care. Evidence for the use of wellness coaches will be accompanied by case studies. Clinicians are encouraged to bring various caseload experiences for discussion. The speaker will engage attendees in an interactive dialogue and explore therapist self-care as the underpinning to managing individuals with chronic disease across the lifespan.
Joint Program: Research
Speakers: Laura Gilchrist, PT, PhD; Marisa Perdomo, PT, DPT; Kathryn A. Ryans, PT, DPT; Shanna Harrington, PT, PhD, SCS, MTC; Deborah J. Doherty, PT, PhD
As an outgrowth of the EDGE (Evaluation Database to Guide Effectiveness) Task Force of the Section on Research, the Oncology Section formed a task force to examine and categorize the utility of available clinical tests and measures to identify possible deficits (or assess changes) in body structure, activities, or participation in individuals treated for breast cancer. In this presentation the evidence for outcomes of pain, fatigue, and lymphedema will be reported. Measurement characteristics including psychometric properties as well as limitations as reported in the literature will be discussed. At the end of the session, you will identify which outcomes in these domains are recommended as a routine part of an examination for a patient treated for breast cancer.
Joint Program: Pediatrics
Speakers: Denise Cortes, PT, MBA; Megan L. Freeland, PT, DPT
According to the National Cancer Institute, the overall survival rate of children with cancer is nearly 80%. Physical therapists play a vital role in improving function and quality of life for children and young adults throughout the continuum of cancer care. From diagnosis to survivorship and palliative care, physical therapists are an integral part of the multidisciplinary team. Through case presentations and discussion of the current literature in pediatric oncology rehabilitation, participants will gain practical knowledge that can be readily applied to clinical practice at any stage of cancer treatment.
This is a joint program. See full description at Neurology programming.
This is a joint program. See full description at Women's Health programming.
Joint Program: Home Health
Speakers: Daniel W. Ovitt, PT, MS, MHA; Heidi J. Engel, PT, DPT
The physical therapist often is not recognized as a valuable member of the palliative care team in the acute care setting. This session, then, will emphasize the importance of providing palliative care physical therapy when treating patients throughout the continuum of care for chronic disease management. The presenters will outline a contextual approach you can use in providing palliative care rehabilitation to help you determine the fine balance between intervening and stepping back. They will describe the essential aspects of palliative care rehabilitation intervention and the impact of palliative care rehabilitation on overall health and quality of life.
Joint Program: Hand Rehabilitation
Speakers: Rebecca Golden, PT, DPT; Joy Cohn, PT, CLT-LANA; Jenna Fried, PT, DPT
Lymphedema is a common misdiagnosis for patients presenting with various other forms of edema. Nearly 12 million people with a history of cancer were alive as of January 2008, and nearly 1.7 million new cases will be diagnosed this year. Lymphedema and edema also may be the first sign of an undiagnosed new cancer, a reoccurrence, or another undiagnosed medical condition. Very often in the clinic, patients are referred by physicians who conclude the diagnosis of lymphedema without extensive testing or examination, even in light of a history of cancer. In the age of direct access, it is increasingly important that physical therapists are able to differentiate between treatable lymphedema and those edemas that are suspicious in nature. It also is important that PTs have the ability to discuss and educate the referring and involved health care providers about the many presentations of malignant lymphedema.
This is a joint program. See full description at Home Health programming.
Speakers: Margaret E. Rinehart Ayres, PT, PhD; Julie A. Hobbs, PT, DPT, PhD, CHES; Kristen Ness, PT, PhD; Cindy Pfalzer, PT, PhD; Anne Marie Flores, PT, PhD, CLT
In each of our busy worlds, keeping up with the expanding literature in oncology rehabilitation is an important responsibility but can be challenging if not overwhelming. This problem is further exacerbated by the need to recognize which literature is most significant. Clinicians often turn to experts in the field to provide them with insight into the literature. As such, the first hour portion of the course will be taught by 2 highly respected, nationally funded, and well published members of the oncology Section (Ness and Pfalzer). At the same time, insights gleaned from clinicians treating unique and challenging patients are equally valuable contributions to the literature and are presented in the form of case studies. Such publications often lay the groundwork for a larger clinical study. With this in mind, the second purpose of this presentation is to share information about how to write a case report using PTJ guidelines. This section of the course will be taught by a published clinician (Hobbs and a member of the editorial board for Oncology Rehabilitation [Rinehart Ayres]).