Engage. Experience. Empower. The Integrated Systems Model & the Head, Neck and Upper Thorax

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Warren Cameron
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In ancient Hawai i, the kukui nut was burned to provide light. The tree has a spiritual meaning of light, hope and renewal. Engage. Experience. Empower.

1 In ancient Hawai i, the kukui nut was burned to provide light. The tree has a spiritual meaning of light, hope and renewal. Engage. Experience. Empower. Diane Lee PT, BSR, FCAMT, CGIMS presents a 4-Day course The Integrated Systems Model & the Head, Neck and Upper Thorax March 22-25, 2016 Pearl Country Club Kaonohi Street, Aiea, Hawaii (Pearl 1 Conference Room, Lobby Level) CLASS SIZE LIMITED SIGN UP EARLY! COURSE OPEN TO PHYSICAL THERAPISTS ONLY. COURSE DESCRIPTION Headache, neck pain and symptoms of thoracic outlet syndrome are common complaints in patients with poor trunk function. When the upper thorax and shoulder girdle become restricted and/or poorly controlled more load is placed on the head and neck during everyday tasks. When the cranium is twisted due to external neuromuscular imbalances (i.e. asymmetric tone in SCM) or loss of tension balance of the intra-cranial membranes (cerebellar tentorium, cerebral and cerebellar falx) (i.e. concussions, head hits etc), function of the upper thorax can be impacted. Do you know how to determine if the upper thorax, neck or cranium is playing a role in the clinical presentation and if so what to do or where to begin treatment? A key feature of the Integrated Systems Model is how to determine the relationships between multiple sites of non-optimal alignment, biomechanics and control and decide where the best place is to intervene. This is called finding the primary driver and is task and individual specific. The key concepts of The ISM (meaningful task analysis and finding the primary driver) will be highlighted during this course with specific application to the cranium, neck and upper thorax/shoulder. Once the primary driver is determined for each meaningful task, vector analysis will confirm the underlying system impairment (articular, neural, myofascial, visceral) and thus determine the treatment prescription of what to release, align, connect and move (RACM). Clinical reasoning of multiple findings and manual and visual assessment and treatment skills are emphasized in this course with plenty of practical time/discussion devoted to these two clinical practice tools. Learn to be efficient and effective for your head, neck and upper quadrant patients!

2 OBJECTIVES & LEARNING OUTCOMES 1. Understand how the Integrated Systems Model can provide a framework to find the underlying driver for the patient s problem whether this is pain, loss of stability, loss of performance, or other disability. 2. Demonstrate and practice some key clinical tests for the cranium, neck, upper thorax/shoulder to determine whether or not a patient is using an optimal strategy for function & performance for their chosen task and when there are multiple sites of impairment, how to determine the primary driver or impairment to be addressed first. 3. Discuss the clinical reasoning process required to determine if the cranium, neck, upper thorax/shoulder is the primary driver for loss of optimal function (develop reflection skills). Secondary and co-drivers will also be introduced/discussed. 4. Demonstrate and practice key clinical tests for the articular, neural, and myofascial systems pertaining to the determined primary driver. 5. Discuss the clinical reasoning process for the development of a prescriptive treatment program that targets interventions to various system impairments pertaining to the primary driver. 6. Demonstrate and practice treatment techniques and movement training to release, align, connect & move the head, neck and upper quadrant for restoration of better strategies for function & performance. 7. As a course participant you will receive online video support through the Learn with Diane Lee website learn.dianelee.ca SUGGESTED COURSE PREPARATION Review your anatomy of the cranial bones (including the contents and location of the jugular foramen) and neck/upper thorax. Watch the 1 hour free lecture on the Integrated Systems Model as well as the 1 hour lecture on the Cranium/Neck/Upper thorax under Free Resources on the learn.dianelee.ca website. ABOUT DIANE LEE Diane is the owner, director, educator and physiotherapist at Diane Lee & Associates ( in White Rock, BC, Canada. She is well known for her clinical work on the thorax and pelvis and for helping clinicians become efficient and effective. Diane has been a keynote and conference speaker at many conferences including The World Congress on Low Back and Pelvic Pain, has contributed chapters to several books and self-published the book The Thorax An Integrated Approach. The Pelvic Girdle, first published by Elsevier in 1989 is now in its 4th edition and has been translated into multiple languages. Diane holds the North American patent for an innovative sacroiliac belt, The Com-Pressor, and is the innovator and manufacturer of the new belt for pregnancy, The Baby Belly Belt. With respect to research, together with Professor Paul Hodges she has investigated the behaviour of the abdominal wall in women with diastasis rectus abdominis and has received a grant from the Clinical Center of Research Excellence from the University of Queensland to further these studies. Their first research paper is currently submitted for publication.

NICOLE SULLIVAN, Senior Assistant As a graduate of Exercise Science from the University of British Columbia s School of Kinesiology, Nicole had the opportunity to work with athletes and individuals

3 NICOLE SULLIVAN, Senior Assistant As a graduate of Exercise Science from the University of British Columbia s School of Kinesiology, Nicole had the opportunity to work with athletes and individuals of all ages and skill levels before completing her Masters degree in Physiotherapy at McMaster University in Nicole has a rich background in athletic training, injury prevention, sports performance + conditioning, treatment of running injuries, screening for movement dysfunctions, and a passion for health promotion. In addition to being certified in both Strength & Conditioning (NSCA-CSCS) and Acupuncture (CAFCI), Nicole has also completed her Diploma of Advanced Orthopaedic Manual and Manipulative Physiotherapy (FCAMPT). The connections between all of the amazingly complex systems of the human body have always fascinated Nicole. On her search to find order amongst these connections, she came across the Integrated Systems Model in 2010, and has since gone on to assist and encourage others on their way to applying these ideas and skills into their own individual and unique practices. Nicole is able to organize and apply her various assessment and treatment skills in a specific and personalized manner to optimize performance and function of the whole person. In addition to her time at the clinic, Nicole continues to work in high performance sport with Beach Volleyball Canada as head physiotherapist. GENERAL INFORMATION Date March 22-25, 2016 Location Pearl Country Club, Kaonohi Street, Aiea, Hawaii (Pearl 1 Conference Room, Lobby Level) Time Continuing Education Units Tuition & Registration 8:30 am* - 4:30 pm *(Day 1 March 22, 2016 Registration at 8:00 am) 25 contact hours, 2.5 CEU s $ U.S.** Make check payable to: Orthopedic Rehabilitation Specialists, Inc. Mail registration form & payment to: Orthopedic Rehabilitation Specialists, Inc Kapiolani Blvd., Suite 600 Honolulu, Hawaii **Tuition includes a non-refundable registration fee of $ Refund requests must be submitted in writing 14 days prior to the course. No refunds will be made after that time or in the case of non-attendance. Only in the case of a substitution will tuition be refunded in full. Registration Deadline: February 28, 2016 For more information, please call Craig B. Nagata at (808) or cnagata@ors-pt.com Orthopedic Rehabilitation Specialists, Inc. (ORS) reserves the right to alter or cancel the scheduling of the course in the event of unforeseen circumstances (i.e. lack of sufficient attendance). If cancellation is necessary, all payments will be refunded in full. ORS is not responsible for costs incurred due to travel, airfare, lodging, etc.

4 The Integrated Systems Model and the Head, Neck and Upper Thorax SCHEDULE Day 1 Tuesday, March 22, :00 am - 4:30 pm 8:00 am - 8:30 am Registration 8:30 am - 9:30 am Introduction to the Integrated Systems Model for the Head, Neck and Upper Thorax course plan and goals 9:30 am - 10:30 am Surface anatomy & positional testing upper thoracic rings, shoulder girdle & neck (to C2) 10:45 am - 12:00pm Find the driver(s) for sitting posture, introduce vector listening on correction release 12:00 pm -12:30 pm Assess impact of the upper quadrant primary driver found in sitting on pelvic/hip position in standing 1:30 pm - 3:00 pm Head and neck rotation, biomechanics and identifying drivers for this task 3:00 pm - 3:15 pm Afternoon Break 3:15 pm - 4:30 pm Review of day and also review of some material from the Thorax-Pelvis course Day 2 Wednesday, March 23, :30 am - 4:30 pm 8:30 am - 9:30 am Questions & review of Day 1 new person find the driver for HN flexion/extension or rotation (what is their meaningful task) 9:30 am - 10:30 am OLS in groups of 3 assess intrapelvic mobility and control with and without thoracic ring and neck correction 10:45 am - 12:30pm The clavicle and SC joint, biomechanics of the clavicle and SC joint for following possible tasks elevation depression, protraction retraction, HN rotation 1:30 pm - 3:00 pm Vector analysis of the shoulder girdle (scapula/clavicle) in relationship to vector analysis of the related thoracic rings (direct and indirect), introduce specific neuromuscular release techniques 3:00 pm - 3:15 pm Afternoon Break 3:15 pm - 4:30 pm Neck & upper thoracic ring vector analysis (co-drivers) and release (stack and breathe and specific releases), upper thoracic ring taping review, scapula taping

5 Day 3 Thursday, March 24, :30 am - 4:30 pm 8:30 am - 9:30 am Questions & review of Day 2 new person find driver for arm elevation 9:30 am -10:30 am First thoracic ring, cranial anatomy & theory and postural screen for sitting 10:45 am -12:30 pm Revisit HN rotation, flexion/extension, arm elevation with cranial and/or cranio/clavicular co-corrections 1:30 pm - 3:30 pm Cranial vector analysis (including craniovertebral joints) (intra-cranial vs external cranial vectors) and release techniques 3:00 pm - 3:15 pm Afternoon Break 3:15 pm - 4:30 pm Movement lab Yogsio time! Day 4 Friday, March 25, :30 am - 3:30 pm 8:30 am - 9:00 am Questions & review of Day 3 9:00 am -10:00 am A more complicated task new person find driver for runner s lunge (choose screening tasks for both lower and upper quadrant) 10:00 am - 10:30 am Group discussions/presentations of last lab, clinical reasoning for determining the region of the body for best treatment 10:45 am - 12:30 pm Group discussion and presentation of their treatment plan demonstrate specific muscle releases, control cuing and movement training progressions for their patient with the meaningful task of a runner s lunge 1:30 pm -2:30 pm Dural/Neural treatment 2:30 pm - 3:15 pm Breathing 3:15 pm - 3:30 pm Close course Being a student in your classroom is just an all round fabulous experience. You approach learning with care, grace, knowledge, excitement, a sense of calmness and modesty. You cater to multiple learning styles. You make a huge impact on people... Tamarah Nerreter Physiotherapist I just wanted to say a HUGE thank you for an incredible four days of training last week. We have all returned this week to our Clients with the most functional tool in our tool kit. Thank you for spending so much of your life exploring and discovering so that the worlds population are able to live life fully. Jo Abbott Biomechanist, Clinical Anatomist And Physical Therapist

6 The Integrated Systems Model and the Head, Neck and Upper Thorax Presented by DIANE LEE PT, BSR, FCAMT, CGIMS March 22-25, 2016 Pearl Country Club Kaonohi Street, Aiea, HI (Pearl 1 Conference Room, Lobby Level) COURSE OPEN TO PHYSICAL THERAPISTS ONLY. Registration Form (PLEASE PRINT CLEARLY) Name (Last) (First) Address City State Zip Code PT License No. State Business Phone No. Residence Phone No. Employer Position Address City State Zip Code Method of Payment My check is enclosed. (Please make check payable to: Orthopedic Rehabilitation Specialists, Inc.) By checking this box, I authorize release of contact information (Name/Address/Phone No./ Address) to Diane Lee PT, BSR, FCAMT, CGIMS. Signature Date Registration Deadline: February 28, 2016 Sign up early seating is limited! Please mail completed registration form and payment to: Orthopedic Rehabilitation Specialists, Inc Kapiolani Blvd., Suite 600 Honolulu, Hawaii Payment must be received to reserve your place in the course.

EXPERIENCE. ENGAGE. EMPOWER.

EXPERIENCE. ENGAGE. EMPOWER. Diane Lee PT, BSR, FCAMT, CGIMS presents a 4-Day course The Thorax & Pelvis - Understanding the Relationship between the Thorax & Pelvis when Treating the Whole Person using