IF YOU CAN'T BREATHE, YOU CAN'T FUNCTION 3 DAY SERIES

IF YOU CAN’T BREATHE, YOU CAN’T FUNCTION
Integrating Cardiopulmonary and Postural Control Strategies in the Pediatric and Adult Populations
Mary Massery, PT, DPT, DSc
 
December 2, 3, & 4 2016
Day 1: 8:00am- 5:30pm (Butterworth’s East Auditorium- PT, OT, SLP, RN, MD, DO, PA, NP, Respiratory)
Day 2: 8:00am- 5:30pm (East Beltline Integrated Care Campus Rehab Gym)
Day 3: 8:00am- 3:00pm (East Beltline Integrated Care Campus Rehab Gym)
Cost: SH employees- $250; non- SH employees $500
 
Location:
Day 1:
Spectrum Health Butterworth Hospital
100 Michigan St. NE
Grand Rapids, Michigan 49503
Day 2 and 3:
Integrated Care Center-Beltline;
2750 E. Beltline, Room 038
Grand Rapids, Michigan
Who should attend: Physical Therapists, Occupational Therapists, and Speech Therapists
 
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.  Neuromotor breathing retraining techniques and manual assistive cough techniques will be highlighted in labs as well as other manual interventions. 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.

Course Objectives
At the conclusion of Day 1, 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. Describe the multiple, simultaneous roles of the diaphragm as related to breathing, postural control, gastroesophageal reflux, constipation and venous return.
3. 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.
4. 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.
5. Optimize patient function by integrating appropriate ventilatory strategies with all movements from low level activities to athletic endeavors.
6. Apply theoretical concepts to multiple clinical cases.

 At the conclusion of Days 2- 3, 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. Identify thoracic cage/spine restrictions as they pertain to breathing mechanics and postural control (brief introduction to musculoskeletal topic). 
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.