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Professional Resources & Education

Mary Massery’s IF YOU CAN’T BREATHE, YOU CAN’T FUNCTION

Integrating Cardiopulmonary and Postural Control Strategies in the Pediatric and Adult Populations

Instructor

Nechama Karman, PT, MS, PCS

Sponsored by:
TIRR Memorial Hermann
Houston, TX

Open to: All Professionals. Pending Occupational Therapy, Physical Therapy and Respiratory Care Practitioner Education Credits

Course Date: April 20-22, 2018

Time: Registration: 8:00 am – 6:00 pm Friday and Saturday, 8:00 am – 3:00 pm Sunday

Location:

TIRR Memorial Hermann Inpatient Rehabilitation – MHHS Greater Heights Hospital
South Tower Conference Center, Main Entrance
Conference Rooms A-F

1635 North Loop West
Houston, TX 77008
(I-610 and Ella Blvd, The Heights)
Parking available in Garage 2

Hotel: Memorial Hermann is located close to these hotels. Please let them know you were referred by Memorial Hermann Greater Heights for a corporate rate.

Parking: Parking available in Garage 2, $6 per visit

Class Size: Friday only limited to 20, Full 3 days limited to 50

Handouts: Printed handouts given upon registration

Description

This course will challenge the practitioner to make a paradigm shift: connecting breathing mechanics and postural control with management of trunk pressures. Through Dr. Massery’s model of postural control (Soda Pop Can Model), the speaker will link breathing mechanics with motor and physiologic behaviors (a multi-system perspective). She will present novel research demonstrating the role of vocal folds as postural stabilizers, extending the concept of “core stability” from the vocal folds on the top of the trunk to the pelvic floor on the bottom. Numerous interventions will be presented that use positioning and ventilatory strategies to optimize motor performance. Neuromotor breathing retraining techniques and manual assistive cough techniques will be the focus of treatment labs. Multiple patient cases will be presented throughout the course. The emphasis of the course will be on developing practical, quick clinical solutions for pediatric and adult patients in all practice settings.

Course Objectives:
At the conclusion of Day 1, participants should be able to:

  1. Describe how trunk pressures link breathing and postural control using the Soda Pop Can Model.
  2. Describe the multiple, simultaneous roles of the diaphragm as related to breathing, postural control, gastroesophageal reflux, constipation, and venous return.
  3. Demonstrate the role of the vocal folds in normal postural stability responses (balance) and make the case for using speaking valves for patients with tracheostomies.
  4. Contrast normal infant chest wall development to those with impaired breathing mechanics.
  5. Position patients for optimal physiological and biomechanical support of breathing with simple equipment (towels, pillows, etc.).
  6. Use a ventilatory strategy algorithm presented in class to optimally match breathing with movements from bed mobility to athletic endeavors.

At the conclusion of Days 2- 3, participants should be able to:

  1. Perform a multi-system (physical and physiologic) evaluation of motor impairments.
  2. Identify the variations of “normal” breathing patterns and discuss the efficiencies/inefficiencies for individual patient conditions.
  3. Evaluate need for, and demonstrate, appropriate neuromotor retraining techniques for patients with ineffective breathing/postural control strategies (health or participation deficits).
  4. Participate in a live patient demonstration (if a patient is available) and suggest possible evaluation and treatment ideas based on the course material.
  5. Design a targeted airway clearance program using the principles of mobilization, expectoration and oral management.
  6. Demonstrate airway clearance techniques, with a heavy emphasis on manual assistive cough techniques, and apply an airway clearance algorithm to specific patients.
  7. Identify thoracic cage/spine restrictions as they pertain to breathing mechanics and postural control (a very brief introduction musculoskeletal issues).
  8. Evaluate need for, and demonstrate, neuromotor retraining techniques to improve breath support for voicing.
  9. Suggest means for incorporating the course material into therapy activities in your clinical setting immediately.

Speaker Information

Mary Massey

Nechama Karman, PT, MS, PCS from New York City, received her MSPT from Columbia University in 1994, her Advanced MS in orthopedic PT from Touro College in 1998, and she has completed all coursework toward a PhD in Health Sciences at Seton Hall University. She has held academic appointments at Hunter College and NYIT. Nechama is chief clinical educator at Mobility Research, providing pediatric and adult trainings, introductory and advanced seminars, webinars, and clinical support for LiteGait in the USA and internationally. She is a primary instructor in LiteGait's "train the trainer" program. Nechama owns a private practice (“A Step Beyond Physical Therapy”) in NYC, where she treats patients with complex neurological conditions and/or complex pelvic conditions.

Nechama had served as a teaching assistant for each of Mary Massery’s courses for over a decade before starting a 2-year faculty apprenticeship in 2014. She became Mary’s first certified faculty member in June of 2016! One of Nechama's proudest “Mary Massery” moments occurred when she treated a man suffering from prostatectomy-related incontinence using Mary’s approach. She taught him to transfer without incontinence for the first time in 9 months - all in under 15 minutes! She is passionate about helping other therapists learn these important concepts.

Speaker Disclosures & Conflicts of Interest:

Policy & Procedures exist whereby all speakers must disclose any relationships which may cause a conflict of interest. Any relevant financial and non-financial relationships will be disclosed via speaker agreement, written notification after agreement, and prior to presentation.

MASSERY PHYSICAL THERAPY
Mary Massery, PT, DPT, DSc
3820 Timbers Edge Lane
Glenview, IL 60025

wk: 847-803-0803
fax: 847-803-8654
e-mail: mmassery@aol.com
website: www.MasseryPT.com

  • Financial disclosures: Paid speaker; employment relationship with Massery Physical Therapy; LiteGait's "train the trainer" program; private practice “A Step Beyond Physical Therapy”
  • Non-financial disclosures: None reported

Conflicts of Interest

Policy & Procedures exist whereby all speakers must disclose any relationships which may cause a conflict of interest. Any relevant financial and non-financial relationships will be disclosed via speaker agreement, written notification after agreement, and prior to presentation.

Friday (7.5 Contact Hours)

Open Enrollment

TimeTopic & Activity
8:00 - 8:30Registration
8:30 - 10:30

Lecture: Breathing and posture: Part 1 - Pressure control (Soda pop model)

10:30 - 10:45

Break

10:45 - 12:00Lecture: Breathing and posture: Part 2 - The diaphragm
12:00 - 1:00

Lunch : Salad bar lunch provided or facility has a cafeteria, or close to local restaurants

1:00 - 2:00

Lecture: Breathing and posture: Part 3 - The vocal folds

2:00 - 2:30

Lecture: Normal and abnormal chest wall development and function

2:30 - 2:45

Break

2:45 - 4:00

Mini-lab: What can you do in 90 Seconds or less that has a profound and lasting effect? Positioning strategies

4:00 - 5:30

Mini-lab: Ventilatory strategies: Integrating breathing strategies with movement for optimal motor performance

Saturday (7.5 Contact Hours)

Limited Enrollment

TimeTopic & Activity
8:00 - 8:30Registration and Refreshments
8:30 - 10:00

Lecture/Demonstration: Chest assessment: Focus on musculoskeletal alignment and breathing patterns

10:00 - 10:15

Break

10:15 - 12:00Lab: Assessing breathing patterns and postural implications
12:00 - 1:00

Lunch : Salad bar lunch provided or facility has a cafeteria, or close to local restaurants

1:00 - 1:30

Lab: Chest assessment (continued)

1:30 - 2:30

Lab: Facilitating efficient breathing patterns and endurance training: Neuromotor techniques for diaphragm, chest and other breathing patterns

2:30 - 2:45

Break

2:45 - 4:45

Lab: Facilitating breathing patterns (continued)

4:45 - 5:30

Patient demonstration (if possible)

Sunday (5.5 Contact Hours)

Limited Enrollment

TimeTopic & Activity
8:00 - 8:30Coffee and ...
8:30 – 9:30

Lecture/Discussion: recap patient demo using “Find the Problem” Chart

9:30 – 10:15

Lecture: Airway clearance: From Sherlock to solution

10:15 - 10:30Break
10:30 – 12:00

Lab: Airway clearance: Focus on manual assistive cough techniques

12:00 - 12:45

Lunch : Salad bar lunch provided or facility has a cafeteria, or close to local restaurants

12:45 – 1:30

Mini-lab: Brief introduction to musculoskeletal restrictions of thoracic spine / rib cage that impair breathing mechanics (or vice versa)

1:30 – 2:30

Lab: Enhancing breath support for phonationk

2:30 - 3:00

Lab: Group problem solving: Putting it all together

Education

  • Friday only attendance, education credits are being applied for 7.5 contact hours
  • Three day attendance is 20.5 contact hours
  • Pending application approval for TPTA, AOTA, Respiratory Therapy

Target Audience:
OT, PT, Respiratory Therapy

Criteria for Course Completion:
Attendance, participation, and completion of feedback form.

OT: Memorial Hermann Health System is an AOTA Approved Provider of Continuing Education. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures from AOTA.

Instructional Level: pending
AOTA CEUs: pending
AOTA Classification Code: pending

OT Participants MUST ATTEND ENTIRE COURSE in order to receive CEUs / CCUs and course certificate. No partial credits will be given.

OT Approved CE

  

PT: Memorial Hermann Health System is TPTA Approved Provider of Continuing Education. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. This course meets continuing competence requirements for Physical Therapists and Physical Therapy Assistants licensure renewal in Texas.

Instructional Level: Pending
TPTA CCUs: Pending

PT Participants MUST ATTEND ENTIRE COURSE in order to receive CEUs / CCUs and course certificate. No partial credits will be given.

TPTA 2017

RT: Application pending to Texas Society for Respiratory Care (TSRC) for Continuing Education for Respiratory Therapy (CERT) credits.

Participants MUST ATTEND ENTIRE COURSE in order to receive CEUs / CCUs and course certificate. No partial credits will be given.

RT

Cost/Registration

Course registration closes on:
April 15, 2018 @ 4:00 pm.
Registration Limited to:

  • Friday only attendance limited to 20 people.
  • Full weekend attendance limited to 50 people.

Space is limited and registrations will be accepted in the order received.

Early Bird Registration before February 15, 2018

Friday only registration

  • $ 150 for MHHS employees
  • $ 200 for Community Attendees

Full 3-day registration

  • $ 500 for MHHS with early registration by February 15, 2018
  • $ 575 for Community Attendees by February 15, 2018

Regular Registration:

Friday only registration

  • $175 for MHHS employees
  • $250 for Community Attendees

Full 3-day registration

  • $ 600 for MHHS with
  • $ 675 for Community Attendees

Print outs: Bound print outs will be given on registration and are included in the cost of the course.

Cancellation policy: All cancellations must be in writing by March 15, 2018 to ContinuingEducationRegistration@memorialhermann.org. Refunds will not be granted past this date.

Cancellation of the event by TIRR Memorial Hermann will result in a full refund of monies received. TIRR Memorial Hermann is not responsible for the refund of travel or hotel expenses under any circumstances. TIRR Memorial Hermann reserves the right to cancel or change any programs for due cause. In the event of a course cancellation, participants will be notified via email & contact phone number on the registration form below. Please fill out all information in registration form.

Complaints: Complaints of faculty and participants are handled with dignity and respect by the course coordinator and/or Director of Rehabilitation with resolution of the complaint communicated to all involved parties.

Assistance: All participants in Memorial Hermann Continuing Education Courses are entitled to an accessible, accommodating, and supportive teaching and learning environment. Please email or note on registration any specific needs we can work to assist you with in advance.

Questions: Contact TIRR Education Academy via ContinuingEducationRegistration@memorialhermann.org or call (713) 797-7432.

Registration Form