Prevention and Wellness: Practical Strategies in Clinical Practice to Effectively Prevent and Manage Metabolic Disease

Audience: P.T., P.T.A., O.T.R./L., C.O.T.A., S.L.P., A.T.C.

Course level: Beginner

Date: Saturday-Sunday, Nov. 13-14, 2010
Check-In Time(s): Day One: 7:30 a.m. - 8:00 a.m., Day Two: 8:00 a.m. - 8:30 a.m.
Class Time(s): Day One: 8:00 a.m.-5:00 p.m., Day Two: 8:30 a.m. - 5:00 p.m.
Location: University of Minnesota Medical Center - Riverside East building, Dining room A

Contact Hours: 14.5


Steven H. Tepper, P.T., Ph.D.–Dr. Tepper directs the transitional DPT program at the University of Montana. He is an adjunct professor with the University of Delaware, University of Maryland, George Washington University, University of Northern Arizona, Daemen College, Utica College, The Ohio State University and other programs. He is also the President of Rehabilitation Essentials, Inc. Dr. Tepper received his B.S. in Physical Therapy and a Ph.D. in Experimental Pathology from the University of Maryland. He taught at the University of Maryland for 12 years and then spent 13 years at Shenandoah University where he was a professor and director of the entry-level and transitional DPT programs. His fields of experience include an interest in endurance testing, differential diagnosis of endurance impairments and the effects exercise training has on disease or the prevention of disease. He has authored several chapters and peer-reviewed journal articles on various topics. His professional highlights include: president of the Cardiovascular and Pulmonary Section of the American Physical Therapy Association, task force member on Clinical Practice Guidelines III for the APTA; recipient of the Cardiopulmonary Sections Linda Crane Merit Award; University of Maryland Alumnus of the Year 2003; and Robert C. Bartlett Award for Innovation in Fundraising from the Foundation for Physical Therapy, 2005.

Reed Humphrey, P.T., Ph.D.- Dr. Humphrey is professor and chair for the School of Physical Therapy and Rehabilitation Science in the College of Health Professions and Biomedical Sciences at the University of Montana. Dr. Humphrey received his B.S. and Ph.D. degrees from the University of Pittsburgh, an M.A. degree from Wake Forest University and an M.S. degree in physical therapy from Virginia Commonwealth University’s Medical College in Virginia, where he also taught for 10 years with joint appointments in Physiology and Physical Medicine and Rehabilitation. He has 35 years of clinical experience in the exercise assessment and treatment of patients with cardiopulmonary and metabolic disease and maintains parallel interest and experience in the testing, training and study of endurance athletes. His scholarly contributions, principally in the area of exercise and chronic heart failure, include over 80 peer-reviewed articles, scientific abstracts and book chapters. He also was associate editor of two widely-used texts on exercise testing and prescription and special populations. Dr. Humphrey is a Fellow of the American College of Sports Medicine and the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) and is a past president of AACVPR. He also served as head of the World Council for Cardiovascular and Pulmonary Rehabilitation from 2000-2004. Dr. Humphrey is the only physical therapist to be recognized by the AACVPR with its Award of Excellence, the highest award conferred by the association. The award has been given each year since 1986 to recognize outstanding contributions by an individual to the field of cardiopulmonary rehabilitation.

Course Description:
The purpose of this course is to provide clinicians with practical strategies in the management of people at risk for or diagnosed with diabetes and/or metabolic syndrome with special emphasis on management of excess mass. The course includes a comprehensive overview of the epidemiology, risk factor identification, assessment and intervention to remediate or ameliorate risk and negative health effects. This course will utilize evidence-based research to guide the development of assessment and intervention strategies.

Course Objectives:
1. Describe the prevalence and other important health trends associated with metabolic disease across differing
    genders and ethnic groups.
2. Describe the association of metabolic risk factors for chronic disease risk with particular reference to vascular 
3. Evaluation the evidence for exercise and nutritional strategies in the prevention or remediation of vascular risk.
4. Monitor the new "vital sign" of physical activity.
5. Identify and evaluation practical clinical approaches in the assessment of exercise endurance, body mass and
    composition to optimize patient/client outcomes at risk for or diagnosed with metabolic disease.

Course Agenda:
Day One
7:30-8 a.m.              Registration
8-9:15 a.m.              Course overview: the epidemiology of diabetes, obesity and metabolic syndrome 
                                   (Dr. Humphrey)
9:15-10:30 a.m.      Obesity and chronic disease: Synergistic risk and the exercise effect in diabetes (Dr. Tepper)
10:30-10:45 a.m.    Break
10:45 a.m. - Noon   Practical assessment techniques and interpretation (Dr. Humphrey)
Noon-1 p.m.             Lunch
1-2:30 p.m.               Associated intervention strategies (Dr. Humphrey)
2:30-2:45 p.m.         Break
2:45-4 p.m.               Considerations in physiological assessment of endurance and caloric expense (Dr. Tepper)
4-5 p.m.                     Discussion

Day Two
8:30-9 a.m.               Recap and discussion for Day 1 (Dr. Humphrey)
9-10.a.m.                  The evidence base for exercise intervention: A review of traditional and contemporary 
                                    approaches to exercise intervention (Dr. Humphrey)
10-10:15a.m.            Break
10:15-11:30 a.m.      Performance of physiological assessment (Dr. Tepper)
11:30 a.m.-Noon      Payment for services (Dr. Tepper)
Noon-1 p.m.              Lunch
1-2:30 p.m.                Development of personal intervention plans (Dr. Tepper)
2:30-2:45 p.m.          Break
2:45-4:30 p.m.          From paper to practice: Translating endurance assessment data into exercise 
                                    recommendations: problem sets and discussion (Dr. Tepper/Dr. Humphrey)
4:30-5 p.m.               Questions/Discussion/Evaluations

This course is eligible for American Occupational Therapy Association (AOTA) Approved Provider credit. The assignment of AOTA CEUs does not imply endorsement of specific course content, products or clinical procedures by AOTA.

This course has been approved for Category 1 credit from the Minnesota Board of Physical Therapy for 14.5 contact hours. Course approval number 4090.

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