If You Can't Breathe, You Can't Function

This course is now full. If you desire to be placed on a waiting list, please register for the course.

Audience: PT, OT, Speech, Pediatrics
Course Level: Intermediate
Date: April 27-29, 2012
Check in time: Day 1 8:00-8:30 am - Registration
Class time:  Day 1: 8:30-5:30 pm
                       Day 2: 8:00-8:30 am - Coffee, Continental Breakfast
                               8:30-5:30 pm
                       Day 3: 8:00-8:30 am - Coffee, Continental Breakfast
                                8:30-3:00 pm
Location: Fairview Southdale Hospital.  International Rooms A & B
                  6401 France Avenue South, Edina, MN 55435
Course Fee: $525.00
Contact Hours: 20.5

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Mary Massery, PT, DPT, DSc. 
Dr. Massery 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 interest focuses on linking motor behaviors to breathing and/or postural mechanics for in both pediatric and adult patient populations. Dr. Massery has been invited to give over 700 professional presentations in 47 US states, eight Canadian provinces, and nine countries worldwide.

In 2002, Dr. Massery received the American Physical Therapy Association's (APTA) highest clinical award: The Florence Kendall Practice Award, honoring one's "outstanding and enduring contributions to the practice of physical therapy."  In 2004, Mary was the invited international speaker on cystic fibrosis at the Royal Society of Medicine in London, England.  In 2005, she was keynote speaker for the annual Australian & New Zealand Spinal Cord Injury Conference in Brisbane, Australia, and in 2007, she was a keynote speaker at the annual meeting of the Irish Society of Chartered Physiotherapists in Galway, Ireland.  She was awarded and presented the APTA's honorary 2009 Linda Crane Memorial Lecture at the annual CSM meeting in Las Vegas, and in 2010 she presented a pre-conference course and keynote address at the 26th Annual International Seating Symposium in Vancouver, Canada.

Mary teaches in the PT curriculum at several universities, conducts clinical research, and consults at numerous Chicago area hospitals, schools and clinics. She continues to maintain a private practice as well, specializing in ventilation and postural dysfunction.

Course description
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.  The speaker will present a model of postural control (Soda Pop can Model) that demonstrates how breathing mechanics are linked to motor and physiologic behaviors.  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 diagnosis 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 1, participants should be able to: 

  • State how the mechanics of breathing and postural control are inter-active and inter-dependent components of normal movement strategies.
  • Describe the multiple, simultaneous roles of the diaphragm as related to breathing, postural control, gastroesophageal reflux, constipation and venous return.
  • 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.
  • 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.
  • Optimize patient function by integrating appropriate ventilatory strategies with all movements from low level activities to athletic endeavors.
  • Apply theoretical concepts to multiple clinical cases
At the conclusion of Days 2-3, participants should be able to:
  • Integrate the cardiopulmonary system into a multi-system physical and physiologic evaluation approach to motor dysfunction.
  • Identify numerous different breathing patterns and evaluate their efficiency for use while moving, talking and eating.
  • Evaluate breath support and postural control needs for verbal communication and perform therapeutic techniques to improve respiratory and/or trunk muscle support.
  • Design an airway clearance program targeted to a patient's particular need using the principles of mobilization, expectoration and management.
  • Demonstrate multiple airway clearance techniques and state when each would be applicable for a particular patient.
  • 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.
  • 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.
  • Demonstrate pulmonary therapeutic exercise techniques geared toward modifying inefficient breathing patterns and state when each would be applicable for a particular patient.
  • 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.

Friday April 27
8-00-8:30 am               Registration/check in/continental breakfast
8:30-10:30 am             Breathing and Posture: A Multi-system Event!
10:30-10:45 am           BREAK
10:45-11:30 am           Continued: Breathing and Posture: A Multi-system Event!
11:30-12:00 am           Normal and Abnormal Chest Wall Development and Function
12:00-1:00 pm             LUNCH
1:00-3:00 pm               What can you do in 90 Seconds or Less that has a Profound and Lasting Effect?  
                                        Positioning Strategies
3:00-3:15 pm               BREAK
3:15-5:30 pm                Integrating Systems Effectively: Movement Strategies
Saturday April 28
8:00-8:30 am              Continental Breakfast     
8:30-9:30 am              Finding the Problem: Pulmonary Assessment from a Multi-System Perspective
9:30-10:15 am           Lab 1: Chest Assessment: Focus on Breathing Patterns and Musculoskeletal Alignment
10:15-10:30 am         BREAK
10:30-12:00 pm         Lab 1: Continued
12:00-1:00 pm            LUNCH
1:00-1:30 pm              Lab 1: Continued
1:30-2:30 pm              Lab 2: Enhancing Phonation Skills through Improved Breath Support
2:30-2:45 pm              BREAK
2:45-3:45 pm               Airway Clearance: From Sherlock to Solution
3:45-4:45 pm              Lab 3: Airway Clearance
4:45-5:30 pm              Patient Demonstration (if possible)

Sunday April 29
8:00-8:30 am             Continental Breakfast
8:30-10:00 am           Lab 4: Thoracic Complex: Mobility Exercises and Techniques
10:00-10:15 am         BREAK
10:15-11:15 am         Lab 4: Continued
11:15-12:15 pm         Lab 5: Facilitating Efficient Breathing Patterns and Building Endurance
12:15-1:00 pm           LUNCH
1:00-2:00 pm              Lab 5: Continued
2:00-3:00 pm              Lab 6: Group Problem Solving: Putting it all Together

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.

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