I Survived, Now What?

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1 I Survived, Now What? Treating the Musculoskeletal Consequences of Maturing with a Chronic Pediatric Health Condition Thursday, August 24 through Saturday, August 26, 2017 Mary Massery, P.T., D.P.T., D.Sc. Children s Healthcare of Atlanta Office Park 1680 Tullie Circle NE, Classroom 5 Atlanta, GA choa.org/therapisteducation

2 Registration I Survived, Now What? Treating the Musculoskeletal Consequences of Maturing with a Chronic Pediatric Health Condition Registration Fee $495 Available discounts (choose only one, if applicable) $150 discount for Children s Healthcare of Atlanta employee/prn $50 discount for each participant with two or more employees from the same facility. Refund Policy: If you must cancel your registration, notify us at least seven days before the course and we will issue a refund (minus a $25 administration fee). No-shows or cancellations received fewer than seven days prior to the course are ineligible for a refund. Register Online Visit eply.com/isurvived2017 to register Call if you are not able to register online. Who Should Attend The target audience is pediatric PTs and OTs. Adult therapists are encouraged to attend as well as they will be treating this population as adults. Other disciplines are invited to attend as they see the need. This educational activity does not necessarily reflect the views, opinions, policies or procedures of Children s Healthcare of Atlanta, its staff or representatives. Children s cannot and does not assume any responsibility for the use, misuse or misapplication of any information provided.

3 Agenda Thursday, August 24, 2017 (7.5 Contact Hours) Focus: Breathing and its relationship to postural development 7:30 a.m. Registration and continental breakfast 8:00 a.m. Adverse postural development related to maturing around a chronic childhood health condition 10:00 a.m. Break 10:15 a.m. I don t have a clue how to evaluate breathing Well, now you will! Part 1: Ribs and sternal support of posture and respiration 11:30 a.m. Lunch (on your own) 12:30 p.m. Part 2: Core muscles: Assessing mid trunk control: intercostals, abdominals & diaphragm 1:30 p.m. Part 3: Assessing breathing patterns. Posture. Relationships. 2:30 p.m. Break 2:45 p.m. Part 3: continued 4:00 p.m. Rib cage, shoulders, trunk, pelvis: musculoskeletal assessment and interventions (Trunk):Part 1: Screening functional trunk mobility in stance (ribs, spine, shoulders, fascia) 5:00 p.m. Adjourn Friday, August 25, 2017 (7.5 Contact Hours) Focus: The rib cage: assessment and treatment of consequential problems 7:30 a.m. Continental breakfast 8:00.m. Trunk - Part 2: Lateral trunk assessment: Rib cage, quadratus lumborum, shoulders (side-lying) 10:00 a.m. Break 10:15 a.m. Trunk - Part 3: Therapeutic exercises: Increasing trunk mobility 11:30 a.m. Lunch (on your own) 12:30 p.m. Trunk - Part 4: Soft tissue techniques: quadratus lumborum, intercostals, fascia, others 2:00 p.m. Break 2:15 p.m. Case studies: Scars and restricted fascia 2:45 p.m. Trunk Part 5: Rib mobilization techniques 4:00 p.m. Patient demonstration (if available) 5:00 p.m. Adjourn

4 Agenda Saturday, August 26, 2017 (5.5 Contact Hours) Focus: The thoracic spine: assessment and treatment of consequential problems 7:30 a.m. Continental breakfast 8:00 a.m. The Spine 9:00 a.m. Spine treatment techniques: Mobs, releases, stretches, soft tissue releases, neuromotor retraining, and home exercise programs 9:45 a.m. Break 10:00 a.m. Spine treatment techniques: continued 11:30 p.m. Lunch (on your own) 12:15 p.m. Dynamic postural control: Neuromotor re-education exercises incorporating newfound mobility into dynamic core stabilization strategies 1:30 p.m. Case study Kristy: Long term consequences of survival 2:15 p.m. Planning ahead to avoid/minimize musculoskeletal consequences in your practice setting 2:30 p.m. Adjourn Course Description Children with complex medical problems are surviving to adulthood. Unfortunately, many reach adulthood with adverse musculoskeletal consequences of survival such as spinal deformities (thoracic kyphosis, scoliosis, tightness) and rib cage restrictions (pectus deformities, rib flares, asymmetry, tightness), which in turn, limit shoulder, trunk, and hip/ pelvis mobility. Repetitive stresses due to atypical movements/compensations predispose these children to the development of chronic pain conditions. This 3-day course will look specifically at why these limitations tend to occur and what can be done to minimize their development. The goal is to improve therapists knowledge and confidence in using musculoskeletal techniques that affect both quality, and potentially quantity of life. Participants will spend most of the course in lab. The focus will be on the rib cage, trunk, and spine.

5 General Information Objectives At the conclusion of the activity, learners will be better able to: Screen for musculoskeletal abnormalities, inadequate core stabilization strategies and compensatory breathing patterns that may contribute to the abnormal development of the rib cage, trunk, and/or spine across the lifespan secondary to pediatric chronic health conditions and/or survival of prematurity. Demonstrate musculoskeletal mobilization and soft tissue techniques to correct or minimize these deformities with a focus on the rib cage and spine. Develop subsequent treatment plans for neuromuscular retraining that is focused on simultaneously optimizing breathing, core stabilization and postural development across the lifespan in order to minimize long term postural impairments that develop secondary to these chronic conditions. Location Children s Healthcare of Atlanta Office Park 1680 Tullie Circle NE, Classroom 5 Atlanta, GA Visit choa.org/locations and click on The Children s Healthcare of Atlanta Office Park for door-to-door directions. Accommodations Doubletree Hotel Atlanta North Druid Hills 2061 North Druid Hills Road Atlanta, GA (Mention Children s Healthcare of Atlanta for discounted rates.) Courtyard Atlanta Executive Park/Emory 1236 Executive Park Drive NE Atlanta, GA (Direct link to CHOA discounted room rates)

6 General Information Continuing Education Credit This program is offered for 2.05 CEUs (Intermediate level; Professional area) Continuing Education Credits have been applied for through the Physical Therapy Association of Georgia (PTAG) for 20.5 contact hours for Physical Therapists. These credits may apply toward licensure in other states. Direct contact hours have been applied for through the Georgia Occupational Therapy Association (GOTA) for 20.5 contact hours for Occupational Therapists. These credits may apply toward licensure in other states. Children s Healthcare of Atlanta resolves to ensure that its educational mission, and particularly, its continuing education activities are not influenced by the special interests of any corporation or individual associated with its program. While having a financial interest or professional affiliation with a corporation does not necessarily influence a speaker s presentation, the standards of the American Speech, Language and Hearing Association require that this relationship be disclosed to the audience. Any potential conflict of interest will be made known to participants at the beginning of the conference and printed in the conference materials. Visit choa.org/therapisteducation for more information about Continuing Education opportunities for therapists at Children s.

7 Speaker Mary Massery, P.T., D.P.T., D.Sc. 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 Her publications and interests focus on linking motor behaviors to breathing and/or postural mechanics in both pediatric and adult patient populations. Dr. Massery has been invited to give over 800 professional presentations in 49 US states, 9 Canadian provinces, and 15 countries worldwide, including more than 100 presentations for the American Physical Therapy Association, and a full-day post-conference program at the World Congress of Physical Therapy in Singapore. Mary has delivered keynote and major addresses on topics such as cystic fibrosis and posture, neuropulmonary deficits, pectus excavatum (chest deformities), and connections between posture & breathing. Mary has received national awards from the APTA, including its highest clinical award, The Florence Kendall Practice Award, honoring one s outstanding and enduring contributions to the practice of physical therapy. She has been honored as Outstanding Alumnus of the Year by each of her 3 alma maters. And in 2016, she was awarded Northwestern University s Alumnae Research Achievement Award. Mary continues to maintain a private practice in Chicago, specializing in breathing and postural dysfunction. Disclosures Mary Massery, P.T., D.P.T., D.Sc.--Financial: none; Non-Financial: none Conference Coordinator Michelle Moore, M.S., O.T.R./L. Senior Physician Learning Coordinator michelle.moore@choa.org All programs are intended to be accessible to all persons. If you have a disability and require assistance in order to fully participate in the conference activities, call the conference coordinator to discuss your specific needs.

8 1699 Tullie Circle NE Atlanta, GA Children s Healthcare of Atlanta, Inc. All rights reserved. NONPROFIT U.S. Postage PAID Atlanta, GA Permit No. 2094

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