This course will challenge the practitioner to make a paradigm shift; acknowledging the importance of the cardiopulmonary system as an integral component of postural control. Every muscle of the trunk plays a dual role in postural control and respiration. This is the cornerstone for the speaker’s multi-system clinical approach to the evaluation and treatment of trunk and/or respiratory impairments. She will demonstrate how to integrate the cardiovascular, pulmonary, musculoskeletal, neuromuscular, integumentary and internal organ systems into every evaluation and intervention, as well as how to recognize physiologic causes or consequences that may accompany these motor dysfunctions. The speaker will show the participants how to effectively pair ventilatory strategies with specific movements in order to establish the pulmonary system as an asset rather than a liability for their patients, regardless of whether their original diagnoses were physiologic or physical. The emphasis of the presentation will be on developing and applying practical quick clinical solutions that are applicable for both pediatric and adult patients in all practice settings.
At the conclusion of Day I, participants should be able to:
1. State how the mechanics of breathing and postural control are inter-active and inter-dependent components of normal movement strategies.
2. Contrast normal musculoskeletal development of the chest in infants and the concurrent motor skill acquisition to that observed in patients with impaired trunk function resulting from multiple different diagnostic categories.
3. Position patients for optimal cardiopulmonary function (physiological and biomechanical) with simple equipment such as towel rolls and pillows in recumbent and upright positions for use in and out of hospital settings.
4. Optimize patient function by integrating appropriate ventilatory strategies with all movements from low level activities to athletic endeavors.
5. Apply theoretical concepts to multiple clinical cases.
At the conclusion of Day II and III, participants should be able to:
1. Integrate the cardiopulmonary system into a multi-system physical and physiologic evaluation approach to motor dysfunction.
2. Identify numerous different breathing patterns and evaluate their efficiency for use while moving, talking and eating.
3. Evaluate breath support and postural control needs for verbal communication and perform therapeutic techniques to improve respiratory and/or trunk muscle support.
4. Design an airway clearance program targeted to a patient’s particular need using the principles of mobilization, expectoration and management.
5. Demonstrate multiple airway clearance techniques and state when each would be applicable for a particular patient.
6. Participate in a live patient demonstration (if a patient is able to participate on that day) and suggest possible evaluation and treatment ideas based on the course material.
7. Demonstrate the use of thoracic cage/spine exercises and techniques to enhance rib cage and thoracic spine mobility and/or pulmonary function and state how this could lead to improved physical participation and health.
8. Demonstrate pulmonary therapeutic exercise techniques geared toward modifying inefficient breathing patterns and state when each would be applicable for a particular patient.
9. Demonstrate the integration of a multi-system approach to patient’s motor deficits by designing an individual evaluation and intervention program for specific clinical problems and share the findings with the class.
Physical Therapists, Occupational Therapists, Speech Therapists
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