2018 Conference Courses

Friday, October 26, 2018

Classification-based Treatment for Temporomandibular Disorders, 8am-10am, 2CCUs
By understanding the unique anatomical design of the temporomandibular joint, physical therapists can identify signs and symptoms of dysfunction. The diagnostic criteria for temporomandibular disorders provides a framework to classify patients based on impairments and symptoms. Treatment is directed toward improving the impairments and resolution of symptoms. Manual therapy, exercise and patient education all play a role in physical therapy for temporomandibular disorders.

Elevating Clinical Language: Motivational Interviewing, 8am-11am, 3CCUs 
Do you know how get the best adherence and outcomes from your patients? Although we usually know how to help our patients feel better or heal from their injuries, often, we are less than successful at getting them to be adherent with the prescribed behavioral changes they need to make. This session will discuss the best ways to help motivate your patient to achieve their desired goals. Participants will be given practical tips, through lecture and case discussions, to improve adherence and navigate internal and external barriers of the patient which may be limiting progress. Ways to understand what motivates your patient and how to empower them to create positive change in their life will be practiced. By the conclusion of this session, participants will be able to improve outcomes, work through potential obstacles for home program adherence and attendance by making therapy a more collaborative effort between the therapist and patient.

Effective Strategies for Overcoming Common Clinical Reasoning Errors in Physical Therapy Practice, 8am-12pm, 4CCUs 
The development of clinical reasoning needs to be seen as part of a learner continuum and grounded in explicit teaching and learning strategies. Due to the variability in clinical reasoning for students in entry-level and even advanced level physical therapy programs, a systematic approach to introducing effective strategies and instructional tools is needed to improve this essential skill. This course will highlight the use of several clinical reasoning strategies and tools that can facilitate the development of clinical decision-making. Attendees will learn to utilize these tools in the clinical and academic settings to improve clinical reasoning and effective decision-making.

Pelvic Floor Physical Therapy: Treatment Interventions, 8am-12pm, 4CCUs 
This course will identify and discuss the physical therapy interventions used in pelvic floor rehabilitation specific to common diagnosis of pelvic floor dysfunction

Aquatic Therapy for Gait Dysfunction, 9am-11am, 2CCUs 
Gait is a complex functional activity that is a strong indicator for quality of life and overall health. A wide variety of patient populations have gait dysfunctions and addressing gait goals is common during therapy treatments. Aquatic therapy has unique advantages over traditional land therapy especially with patients who have certain characteristics. This workshop will address critical thinking for aquatic therapy patient selection as well as evidence to support aquatic intervention for improving gait. Focus will be on the adult orthopedic and geriatric patient populations, although many suggested treatment strategies will also apply to the neurologic population. A systematic approach to evaluating common gait deviations paired with specific aquatic interventions will be given as well as ways to quickly assess effectiveness. Multiple case examples utilizing before and after videos will used to help visualize and pull together the concepts of the workshop.

The Neuroscience of Psychological Capital and Brain Physiology Based Temperament Constructs for PT, 9am-12pm, 3CCUs 
In addition to having academic knowledge, and being the caring, ethical neuromusculoskeletal practitioners of choice who can understand the emotional concerns of their clients and colleagues, todays physical therapy clinicians must develop effective leadership skills to succeed and effect positive personal change and professional growth. Drawing from the academic fields of neuroscience, positive psychology, and organizational behavior -“psychological capital” or simply PsyCap, is now a widely recognized human and social capital, where intrinsic resources are invested and leveraged for a future return. Additionally, temperament constructs based on recent brain physiology literature have yielded behaviors associated with specific neural systems. The purpose of this course is to explore the neuroscience behind both PsyCap and the brain physiology-based temperament constructs with applications related to PT professionals in the clinic, classroom, and board-room. This course will include a study of the neuroanatomical substrates related to the cognitive and limbic systems with attention given to new research on neuroplasticity and corresponding clinical and leadership applications for physical therapy.

Concussion Bootcamp: Clinical Evaluation and Management, 10am-1pm, 3CCUs 
This course is designed to introduce the participant to screening tools and evaluation procedures to assess those with both acute concussion and post-concussive syndrome. The screened systems include musculoskeletal, visual-vestibular and autonomic nervous system. Decision making regarding referral to treatment team and return to activity will be discussed.

Blood Flow Restriction Rehabilitation: Mechanisms and Clinical Applications, 12pm-2pm, 2CCUs 
Loss of muscle size and strength is a complex condition experienced by many patients and high-level athletes after injury. This deconditioned state is termed anabolic resistance, which is defined as a reduction of protein synthesis specifically within the injured limb that is resistant to protein supplementation or exercises at low load. Furthermore, morphologic changes such as reduced myogenic stem cell (MSC) content occur to the muscle fiber after injuries such as anterior cruciate ligament injury. These changes seem resistant to rehabilitation interventions and may be a key to the persistent weakness seen after injuries. Personalized Blood flow restriction (BFR) rehabilitation is a new and novel technique that utilizes a specialized tourniquet system to reduce vascular flow in and out of an exercising limb to induce strength and hypertrophy responses at very low loads. BFR shows promising ability to activate muscle protein synthesis at these very low loads, which may serve as powerful tool to mitigate the atrophic effects of anabolic resistance. Additionally, increased up-regulation of MSC’s seen with BFR compared to low level exercise under free flow conditions may lead to rehabilitation guidelines at the cellular level.

BFR training within the rehabilitation setting has received a recent increase in attention from both the clinical science and popular press communities with regards to its potential benefits. Considering these gains in clinical utilization and the promising empirical evidence surrounding BFR, it is important to understand the indicated applications and contraindications of this treatment approach.

The Heart of the Matter: The PT's Role in The Management of Heart Failure, 12:30pm-2:30pm, 2CCUs 
An introduction to the role of the therapist and current trends in the medical and pharmacological treatment of heart failure. The course will include an overview of the anatomy and pathophysiology of heart failure as well as a discussion of the current pharmacological management of heart failure. We will include case studies and discuss current research on patient/motivation and compliance with management of the disease.

Using the Eyes as a Window to the Inner Ear: A Complex Case Management of Vestibular Migraines, Extra-Ocular Weakness, Vestibular Neuritis, and Cervicogenic Dizziness, 1pm-4pm, 3CCUs    
This course will focus on the management of a complex vestibular case, where multiple pathologies played into complex dizziness. The course will highlight the management of Vestibulopathy related to: vestibular migraines, extra ocular muscle weakness, cervicogenic dizziness, migraines, and vestibular neuritis. This course will describe treatment methods for management of the complex vestibular patient, including strategies that work to manage the different components of dizziness and the progression of activities. 

Exercise Interventions for People with Parkinson’s Disease Evidence-Based Approach, 1pm-4pm, 3CCUs    
Regular physical activity is thought to be crucial to maintaining optimal physical function in people with Parkinson’s disease, and research suggests that structured exercise programs may have neuroprotective effects. This session will present evidence-based exercise interventions for people with Parkinson’s disease. The goals of this session are to 1) present the theoretical framework and recent empirical evidence regarding exercise interventions for people with Parkinson’s disease; 2) highlight the evidence supporting the use of high-intensity aerobic exercise, highly challenging balance training, and resistance training for people with Parkinson’s disease; 3) present guidelines for comprehensive exercise programs that address multiple domains of fitness and show long-term adherence.

The results of our 10-year community-based ongoing exercises program for people with Parkinson’s disease will be presented along with our short and long-term (1, 3 and 5 years) published data. Examples and videos of exercises and activities from our community-based exercise program will be used for demonstration.

Current evidence on the physical, symptomatic, and participation effects of exercise will be presented to guide their practical application. The unique aspects and rationale for using particular exercise approaches including comprehensive group exercise programs will be presented. This session will also discuss general guidelines for how to design exercise programs within a rehabilitation framework that will encourage long-term adherence to exercise among people with Parkinson’s disease. Selected patient examples and examples of effective group programs will be presented.

This session will provide examples of general exercise programs that aim to improve diverse aspects of health and fitness over the long-term among people with Parkinson’s disease. 

Hip Preservation Cliff Notes for the Clinician, 1pm-4pm, 3CCUs    
This course is an educational lecture and lab revolving around the area of hip preservation. It will spotlight the spectrum of pain in the non-arthritic hip. This course will provide a clinically simple understanding of non-arthritic hip pain, background, examination, evaluation, and management options. It will also discuss the logistics and benefit of an interdisciplinary team.

Get out of the Aging Lane: Social and “Fun”ctional Activities for Seniors, 1:30pm-3:30pm, 2CCUs    
A mixed media and experiential presentation of options to get seniors active and social in the community. We will provide hands (or feet) on opportunities for participants to try out some of the human powered vehicles that are available for people who potentially are at risk of declining age-related health issues, serious injury with a fall or just have balance problems.

Cervicogenic Dizziness and Headaches, 1:30pm-3:30pm, 2CCUs   
Cervicogenic Dizziness (CGD) is not usually what comes to mind when discussing dizzy patients. It is not the most common dizziness diagnosis that clinicians will encounter in most settings. However, in the veteran population seen in the Polytrauma Traumatic Brain Injury (TBI) Clinic at the Audie L. Murphy VA hospital, cervicogenic dizziness is a common Physical Therapy referral. Considering the number of neck injuries and postural syndrome patients seen by physical therapists, and that CGD-like symptoms are often a sequela of these syndromes, it may pose a missed opportunity to not effectively address the patient’s concerns.

Headaches (HAs) are very common in the general population with 47% of the global population experiencing a headache disorder (2). The International Headache Society (IHS) has defined and classified four different types of primary headaches with multiple sub-types, eight secondary headaches with multiple subtypes, two painful cranial neuropathies, and two unspecified headache types (1). Two in particular may respond well to physical therapy interventions: (International Headache Society ref) Tension-Type Headache (TTH) a primary headache and Cervicogenic Headache (CGH) a secondary headache. Both of these types of headache can be notoriously hard to treat in their chronic form. The same population of veterans seen in the TBI Clinic appear to respond well to interventions provided by physical therapists and physical therapy assistants.

This course will describe and define the clinical characteristics associated with Cervicogenic Dizziness and Headaches, by providing the clinician with background information on these diagnoses, diagnostic criteria, treatment options, and additional training resources for the clinician to seek out.


Saturday, October 27, 2018

Utilizing Manual Therapy in the Pediatric Patient, 8am-10am, 2CCUs    
Manual therapy, including both mobilization and manipulation, is commonly utilized by physical therapists to treat pain and musculoskeletal impairments in the adult population. There are systematic reviews, clinical prediction rules, and lists of contraindications and indications to guide decision making. However, many of these do not extend to the pediatric population. Young age is even commonly listed along with contraindications. Does that mean that mobilization and manipulation should not be utilized in the pediatric population?

Certainly, the pediatric and adolescent patient does have both anatomical and psychological differences from the mature adult, but does this exclude them from receiving manual intervention entirely? Literature suggests that, instead of eliminating manual therapy as an option, it is important to carefully weigh the costs and benefits of the techniques selected. Kids and teenagers are not tiny versions of adults, but they can experience many of the same benefits from the use of manual therapy, therefore decreasing their pain and improving their function.

This presentation will include discussion of the various mechanisms of how manual therapy works, and how mobilization and manipulation can impact a patient’s pain and function. Case studies will be used to demonstrate how to weigh the costs and benefits of manual therapy, and how to integrate mobilization and manipulation into your treatment plans on Monday.

Evidence Based Approach to Assessment and Interventions of Children with Autism Spectrum Disorders, 8am-11am, 3CCUs
Autism is a spectrum of disorders, all of which have similar features, but in varying degrees, in social interaction, communication and repetitive behaviors. Intervention for autism involves medical and behavioral treatments.

This presentation will provide an overview of the autism spectrum disorders and will examine the physical, psychological, physiological, social, and communication characteristics of individuals with autism. The presentation will review and discuss therapeutic strategies related to autism. The first half of this course will focus on definition, diagnosis, causes, assessment, intervention and program planning. The second half of this course will examine specific intervention strategies for individuals with autism.

The presentation has been designed to provide a basic understanding of different therapeutic strategies related to autism. The contents will focus on an understanding of the rationale governing selected therapeutic intervention approaches for children with autism. The presentation will include discussion of the appropriate elements and multiple considerations necessary to plan and execute an intervention program for children with autism. Brief overview of each intervention will be provided. Discussion of available evidence and future research needs will be included.

Therapeutic interventions chosen for children with autism should be based on evidence-based practice: a blend of current research evidence, therapist clinical judgment, and individual patient values. This presentation will review different therapeutic interventions used for children with autism including available evidence supporting those intervention.

The Complex Shoulder, 8am-11am, 3CCUs  
Using lecture, lab, and discussion, we plan to demystify the treatment of your common shoulder patients. Through this three-hour course, we will review basic anatomy and common diagnoses before spending the majority of our time working in collaboration with our attendees to diagnose and treat various shoulder issues and postural dysfunctions.

Clinical Instructor Certification Course, 8am-12pm, 4CCUs
This onsite course leads to a certification as a clinical instructor from the Texas Consortium for Physical Therapy Clinical Education, Inc. Part I is an online pre-requisite course (approved for 6 CCUs). Registration for the online course is at www.texasconsortium.org under “Courses.”

2018 PT Faculty Summit: Begin with the End in Mind, 8am-12pm, 4CCUs 
During this workshop, to “begin with the end in mind” will be a recurrent theme for faculty professional development in teaching, research, and service. Educators in the academic and clinical settings share common challenges and interests in similar issues related to physical therapy education to include promotion and tenure. This workshop is intended to provide both seasoned educators and those new to academia relevant information to advance their academic careers. Topics include the following: 1) updates pertinent to the state of Texas regarding physical therapy education presented by leaders from CAPTE, ACAPT and the NCCE; 2) common barriers to achieving promotion, and suggestions of activities in teaching, scholarship and service to address the barriers; 3) content specific to teaching physical therapy to the current generation of students; and 4) topics relevant to student assessment. In addition, during round table discussions, both clinical and academic faculty will have the opportunity to discuss topics presented and issues relevant to teaching content areas taught in physical therapy and physical therapist assistant programs. Participants are encouraged to bring their programs' promotion and tenure policies as well as their CVs. Peer reviews during the session will assist the participants in preparing for promotion.

Introduction to Gentle Therapeutic Yoga for Physical Therapists, 9am-11am, 2CCUs
This interactive lecture, learning and practice course will introduce the participant to the Therapeutic Astanga Method™ which presents an entry level to therapeutic yoga for all levels of practitioners. The program will introduce 3 Part Diaphragmatic Breathing and focused attention to a gentle lying or seated Hatha Yoga practices that are directed towards encouraging the relaxation response. Subtle core activation, gentle mobility and flexibility of the extremities and spine will be introduced as well as the importance of moving safely down to the floor and getting back up. This course is intended to give the attendees an opportunity to experience the subtle aspects of the practices to help them more effectively understand the potential benefits to their patient/client base.

Balanced for Birth, 11:30am-2:30pm, 3CCUs
Introduction to the importance of creating balance within the body for optimizing maternal and neonatal birth outcomes; balance of the bony pelvis, pelvic floor, and uterine ligaments

Spine Rehab: From Supine to Sport, 12pm-3pm, 3CCUs 
From 12-year-old pitchers to 72-year-old golfers, many of our low back pain patients have a goal of returning to activities above and beyond sit to stands and wall push-ups. How many of our athletes of any ages are fully trained to return to their sports?

Very few examples of criterion-based rehab of the lumbar spine exist. We are aiming to provide a functional criterion framework for non-and post-operative lumbar spine rehab from day one evaluation with bed level exercises to return to sport activities within the clinic.

Beyond the Agility Ladder: Cutting and Changing Direction Following ACL, 1pm-3pm, 2CCUs  
This course will expose participants to lateral and linear agility progressions for athletes returning to sport following ACL reconstruction. The lecture component will discuss the biomechanics of agility, appropriate post-operative timelines for agility progressions, and how to build a periodized agility program. Current literature regarding optimal agility tests and mechanics will be summarized. Video analysis of proper and faulty agility mechanics will assist learners in understanding optimal movement. The lab component, led by a human performance coach, will teach participants practical warm-ups, drills, and programs to build and maximize agility performance. Learners will be exposed to proper cues and exercises to allow them to assist patients in returning to previous performance.

Automation and Uberization of the Home Health Industry, 1pm-3pm, 2CCUs  
The ability to embrace the "Uber Culture" that we live in today, is necessary if we want to stay viable in the current climate of declining reimbursement. Automation and "Uberization" not only streamlines business, but it also improves Quality, Compliance, and Recruitment. The culture of Home Health needs to be changed and embracing Technology is going to be a means to do so.

Ten Steps to Successful and Effective Patient Management, 2pm-4pm, 2CCUs  
The purpose of this course is to present a practical and evidence-based step by step framework for patient management in the outpatient orthopedic setting. This 10-step framework reflects contemporary understandings of the patient-therapist relationship, modern understanding of pain science, application of pain neuroscience education, neurophysiologic mechanisms of manual therapy, models of tissue homeostasis and allostatic load, motivational interviewing, and effective patient education. There is currently a noticeable gap in production of new evidence and effective implementation of this evidence into daily clinical practice. Furthermore, it is widely accepted that the development of a comprehensive and reflective clinical framework to guide patient care and critical thinking is the highest value-added aspect of mentor ship, residency, and fellowship. This presentation will aim to provide learners with an outlined framework to guide their clinical encounters and bridge the gap between present-day best evidence and current clinical practice.

Considerations the Post-Partum Athlete: Beyond Kegels2pm-4pm, 2CCUs  
This course is designed to discuss issues within the "fourth trimester". Pregnancy and post-partum present unique challenges to the active individual. The physical therapist is uniquely trained to identify impairments and assist in the return to activity phase post-delivery.