2019 Conference Program

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Saturday, November 9, 2019

 
7:30 am Exhibit and Poster Set Up
8:00 am Registration Opens / Poster Presentations / Exhibit Hall    (Coffee Provided) 
8:30 am Morning Sessions
11:30 am Break / Lunch * with Exhibitors and Poster Presentations
12:15 pm APTAMD Member Meeting
1:00 pm Afternoon Sessions

* Lunch is provided. Special meals available if previously requested.

Click on Course Title to view description and learning objectives.

We will provide a comprehensive overview of normal development in children and how to manage abnormal presentations through physical therapy and orthoses. We will have an interactive lab section and case studies to have an open discussion about the integration of physical therapy and orthosis use for successful patient outcomes.

Learning Objectives:

  • Understand the basics of when orthotic intervention is appropriate, and what options exist
  • Use a combination of physical therapy and orthotic knowledge to work through case studies
  • Trial orthoses to understand materials, fit, and potential applications for various populations
Course Schedule/Agenda:
I. Introduction/background/normal development in children
II. Orthotic Interventions to address abnormal gait/development
III. Case studies: (Past patients, inclusion of videos/images)
IV. Physical therapy for orthosis users
V. Interactive Lab Session
a. Case studies for participants to work on
b. Adult sized AFOs to try: PLS, ToeOff/BlueRocker/WalkOn
c. Pediatric demos: shoes, KiddieGait, SMOs, AFOs

Speakers: Nina Bondre is a Certified Prosthetist Orthotist (CPO) and Clinical Educator at Cascade Orthopedic Supply, Inc. She received her Master’s in Prosthetics and Orthotics from Northwestern University. Nina has worked extensively with the spinal cord injury population and pediatric patients, specializing in RGOs, HKAFOs, and KAFOs.

Elizabeth Neighbors, PT, DPT is a physical therapist at the International Center for Spinal Cord Injury at Kennedy Krieger Institute. She obtained her Doctor of Physical Therapy degree from Drexel University in 2012. She serves as a clinical specialist in orthotic prescription treating patients as part of an interdisciplinary orthotics clinic at Kennedy Krieger Institute. Her clinical interests include orthotic prescription, gait analysis, and robotic gait training.

Educational Credit: This course meets the criteria for three Hours (0.3) CEUs by the Maryland Board of Physical Therapy Examiners

 

FSN was invented in 1996 in China by Dr. Zhonghua Fu for the treatment of painful conditions. Gathering information from different disciplines and philosophies, FSN utilizes the 12 fascial lines as outlined in Thomas Myers’ Anatomy Trains ’ and supported through a systematic review by Wilke, Krause, Vogt and Banzer in 2016. FSN uses these lines as a way to discern insertion sites, with emphasis on pelvic alignment and the theory of tensegrity. FSN involves the insertion of a needle into the subcutaneous tissue, which differs from the traditional ‘dry needling’ approach, where a needle is inserted into the muscle belly. Due to the insertional location, FSN is relatively painless and is effective in relieving pain and dysfunction related to the myofascial system.

Learning Objectives:

Through lecture and demonstrations, participants will learn to:
  • Address myofascial pain & muscle dysfunction
  • Use fascial planes to discern area of dysfunction
  • Apply orthopedic testing to assess ROM per region and muscle specific movements
  • Demonstration of FSN treatment subcutaneously with proper manipulation demonstration, utilizing the ‘flashlight effect’ to address area of dysfunction
Speaker: Brendan Glackin, DPT, CMTPT, CSCS; Ryan Shepherd, ND, L AC, R AC

Educational Credit: This course meets the criteria for three Hours (0.3) CEUs by the Maryland Board of Physical Therapy Examiners

Motivational interviewing is a client-centered approach that can help you activate a client’s own motivation for change and adherence, resulting in better outcomes. Motivational interviewing is successful in both managing chronic conditions and saving health care costs. This course will help PTs of all levels to successfully motivate a client’s own desire for change, and help identify common goals and treatment plans for clients who are complex or difficult to engage.

Learning Objectives:

  • Define Motivational Interviewing
  • Describe the guiding principles of Motivational Interviewing
  • Identify the clients best suited for Motivational Interviewing
  • Recognize how Motivational Interviewing can help you to help your clients
Speaker: Nicole Schechter, Psy.D. is an assistant professor and rehabilitation psychologist in the Johns Hopkins Department of Physical Medicine and Rehabilitation. She specializes in working with individuals with chronic health conditions and disability, with specific interest in working with individuals with spinal cord injury/dysfunction and chronic pain. Dr. Schechter is also an active trainer, researcher and program developer, studying provider-patient communication and the impacts on provider confidence, skills, and attitudes and patient health outcomes.

Educational Credit: This course meets the criteria for three hours (0.3) CEUs by the Maryland Board of Physical Therapy Examiners

 

As PTs we are movement specialists, we excel at identifying movement impairments and increasing participation in our clients. However, we have often lagged in providing education and encouragement for movement at a basic health and wellness level. We as PTs and PTAs can play a vital role in encouraging our clients to be active and healthy in all aspects of their life. This holistic model is an integrated healthcare approach that aims to address the physical, mental, spiritual, and emotional aspects of illness or injury. According to APTA, the goal of physical therapy is to optimize movement and function to improve an individual’s quality of life. Physical therapists are experts in physical health; our primary function is to address the functional aspects of illness or injury. However, a physical therapist can be considered holistic if they address other aspects of an issue that may be interfering with a patient’s functional ability or quality of life.

As PTs and PTAs we can encourage our patients to live healthy lifestyles and have them engage with their communities through nature. Physical activity and nature provide tremendous health benefits that extend beyond the known benefits of active movement. We are fortunate in this area to have a tremendous resource, the Park Rx or Park Prescription formulary which provides a compilation of all parks in the DC, MD and VA area that can be utilized to prescribe parks and nature as part of a client's home exercise program. Physicians and nurses in DC have been prescribing nature as a means to health and wellness to treat chronic medical conditions and it is time that we as PTs begin to see the power of movement outside for all our patients.

Learning Objectives

  • Understand the benefits of nature on health
  • Identify the roles and responsibilities PTs can use in promoting nature and health
  • Understand the Park Prescription (Park Rx) program and how it can improve health
  • Learn how to integrate elements of holistic health (sleep, activity, nutrition, emotional, spiritual, social) into clinical practice
Speaker: Erin Wentzell is a pediatric physical therapist that practices in Washington DC with the DC Strong Start Early Intervention program. She has her doctorate in physical therapy from Oakland University (2006) and a bachelors in English from the University of Michigan (2003). She is a board certified pediatric specialist from the American Board of Physical Therapy Specialists (2012) and received her certificate in Early Intervention from Georgetown University (2018). She has practiced in a hospital setting at Children’s National Hospital in Washington DC. She has been providing home based pediatric physical therapy in DC since 2010. Dr. Wentzell is an assistant clinical professor at the George Washington University (GW) doctorate of physical therapy program and the academic residency director for the pediatric physical therapy post-professional residency program that is run in conjunction with GW and Johns Hopkins Hospital. She is passionate about health equity and community engagement and is a doctoral student at the GW Milken School of Public Health in Health Behavior. Dr. Wentzell is very involved in the DC community and serves as the state director for FUNFitness for the Special Olympics Healthy Athlete program. She is passionate about children and their families and helping everyone achieve their goals.

Michele Fry, PT, L.Ac holds both a Doctor of Physical Therapy degree from The George Washington University School of Medicine and Health Sciences and a Master of Science in Traditional Oriental Medicine from Pacific College of Oriental Medicine. She is a Licensed Acupuncturist in California, Maryland, and Washington, DC. Michele has been practicing yoga since 1994 and is a Registered Yoga Teacher (RYT 500). In 2017 she received her GYROTONIC® exercise Level 1 certification. She specializes in women’s health, pelvic floor therapy, and postpartum care.

Educational Credit: This course meets the criteria for three Hours (0.3) CEUs by the Maryland Board of Physical Therapy Examiners

Two of the most frequent concerns for safety when working with older adults is that of fall prevention and cognitive decline. The Alzheimer Society of Manitoba reports that people with dementia are 4-5 times more likely to fall, and those with Parkinson’s disease, vascular and Lewy body Dementia are more prone to mobility disturbances. Though it may not be realistic to set a goal for no falls, interdisciplinary teams must identify components contributing to fall risk that are modifiable or show responsiveness to interventions. Our session will summarize effective strategies for assessing cognitive decline and how physical therapists need to integrate this knowledge into fall risk and prevention programs. Attendees will leave this session with relevant treatment approaches which translate into clinical practice. These strategies will include programming focused on functional mobility, continence management and cognition as well as development of collaborative maintenance programs for caregivers.

Fall prevention and identification of fall risk is a frequent expectation of physical therapists and physical therapist assistants working in the long -term care setting. We bring expertise in motion and strength assessment, balance systems and prevention strategies. We, however, may not be as versed in the differential Diagnosis and assessment of cognition status or the signs of impairments as our rehabilitation peers in Occupational Therapy. We need to collaborate with our interdisciplinary team peers for full appreciation of our patient’s cognition and how this is reflected as remaining capabilities and not a focus on memory loss and disability. We need to integrate evidence-based practices that incorporate interventions addressing physical and cognitive decline when we establish skilled treatment and collaborative maintenance programs. When we understand and capitalize on our patient’s remaining cognitive skills we become better clinicians; able to enhance quality outcomes and safety.

Target Audience: New Professionals & PTAs

Learning Objectives

  • Apply at least 4 components contributing to fall risk in the elderly patient with cognitive impairments
  • Describe neuroanatomy of the fascial subsystem
  • Describe cognitive strengths associated with fall risk reduction and safety awareness
  • Summarize the strength and behaviors observed in early, middle and advanced stages of cognitive decline
  • Describe recommended balance assessments for use with patients demonstrating declining cognition

Speakers: Angela Edney, MSA, OTR/L is a national clinical director for Aegis Therapies with 25+ years of management experience in senior care and resides in Florida. She has a BS degree in Occupational Therapy and a MS in Administration. She currently provides field support for clinical practice specialists, area vice presidents, facility staff and OT, PT and SLP staff. Ms. Edney has co-authored many resources on dementia, mental health, continence management, fall management, seating and positioning etc. She is an authorized Foundations course trainer with Dementia Care Specialists.

Kathy Hostetler, OT/L, has been providing and managing therapy services with the Geriatric population for 30+ years. For the past 6 years, Kathy has functioned in the role of Clinical Specialist with Aegis Therapies in Virginia, SC and NC providing education and mentorship to OT, PT, and SLP staff in skilled nursing facilities. Most recently, Kathy presented at the Leading Age Conference in SC on the topic of Wellness and Designing Failure Free Programming for residents with Cognitive Decline.

Educational Credit: 3 Hours (0.3 CEUs)

 

Course Description:
To discuss the proper use of rehabilitation aides in the aquatic environment and how they assist in safety and treatment of patients. There will be videos of the type of assistance rehabilitation aides or adaptive aquatic specialists can provide in aquatic therapy programs. Patient populations discussed by presenters will include neurologic-based diagnoses, that include spinal cord injury and traumatic brain injury, and post-orthopedic surgical patients, across the lifespan.

Learning Objectives:

  • Identify the proper identification and training of rehabilitation aides to assist in the aquatic environment.
  • Identify competencies of rehabilitation aides/adaptive aquatic specialists and aquatic therapists.
  • Identify and describe treatment interventions for specific patient populations including but not limited to people with developmental disabilities, neurologic and orthopedic diagnoses
Speakers: Erik Schlegel has been an Adaptive Aquatic Specialist for the Kennedy Krieger Institute in Baltimore, Maryland since 2009. He holds a Bachelor’s Degree in Liberal Arts from Washington and Jefferson College and is pursuing a career in nursing. Erik has 20 years of lifeguarding experience, 13 years as a Certified Pool Operator, and three years as a Lifeguard Instructor.

Lisa Warwick-Arndt, PTA, B.S. has been a physical therapist assistant with the Kennedy Krieger Institute since 2009. She received her Physical Therapist Assistant, A.A.S. degree from Anne Arundel Community College in 2009, her Bachelors in Public Health from American Public University in 2018, and is pursuing a Masters in Public Health from American Public University. She received a pediatric certificate from the Aquatic Therapy and Rehabilitation Institute, 2012. Her clinical interests include gait mechanics/orthotics, and aquatics. She presented a poster at the Academy of Spinal Cord Injury Professionals Conference in 2013 on functional mobility and aquatics.

Educational Credit: 4 Hours (0.4 CEUs)

 

Learn the importance of early mobility and activity in the intensive care unit to improve patient outcomes. Evidence suggests that early mobility in the ICU has shown to have positive outcomes in terms of reducing ICU and hospital length of stay, early weaning off mechanical ventilation, prevent delirium and improve functional status. However, early mobility is not only physical therapist’s responsibility; other disciplines play a vital role in implementing and sustaining early mobility and activity program. This course will review the evidence on the importance of early mobility program, overcoming barriers and challenges in implementing an early mobility program. Additionally, this course will also discuss the roles of multidisciplinary team members in the ICU setting to improve patient outcomes.

Learning Objectives:
After completion of this course, participants will be able to:
• Review current evidence supporting early mobility and activity in the ICU
• Discuss the barriers, challenges and strategies to implement early mobility and activity in the ICU
• Review the commonly used tools to assess physical function in the ICU
• Describe the roles of multidisciplinary team members to improve patient outcomes

Speakers: Sowmya Kumble, PT, MPT, NCS is currently working as Clinical Resource Analyst at Johns Hopkins Hospital. She is a Board Certified Neurological Specialist and has been practicing as a PT for almost 18 years. She graduated from Manipal College of Allied Health Sciences, India with Bachelor of Physiotherapy and Master of Physiotherapy in Adult and Pediatric Neurosciences. Her primary area of clinical interest is patients with neurological diagnoses, specifically, stroke. She has been part of the early mobility work group in the Neuro ICU at Johns Hopkins since 2014. She is a coinvestigator in multiple QI and clinical research projects at Johns Hopkins Hospital. She has published her work in both Rehab and non-PT medical journals. In addition, she is the Director of the Johns Hopkins and University of Delaware Neurologic PT residency program. Additionally, she is the subject matter expert and develops education and training material for Activity & Mobility Promotion (AMP) program for the hospitalized patients both internal and external to Johns Hopkins.

Kelly Broussard graduated from Wake Forest University in 2015 with a Bachelor’s of Science in Health and Exercise Science and Minor in Biology, and attended Drexel University thereafter to earn her Doctorate in Physical Therapy in 2018. She began her physical therapy career in acute care at Johns Hopkins Hospital in August 2018, working primarily in the Medical Intensive Care Unit as a member of the rehabilitation team. She also serves as a liaison for aspiring Internal Medicine students who are interested in better understanding the role of therapy in acute care, coordinating shadow experiences to facilitate improved awareness of and interactions with therapy professions. As a former athlete and student athletic trainer, she her incorporates her motivated and determined spirit into patient care, in order to optimize patient participation and progress in therapy.

Jacklyn Curtz graduated from Gannon University with her master’s degree in occupational therapy in 2018. She has been practicing occupational therapy for one and a half years primarily in the medical intensive care unit and adult care medicine units. Ms. Curtz has also been involved in coordinating an interdisciplinary project addressing cognitive stimulation and cognitive rehabilitation in the medical intensive care unit. Her thesis highlighted spirituality in healthcare and explored occupational therapists’ role in addressing spirituality in practice. Her other area of interests include geriatrics, medically complex cases, holistic care and multidisciplinary intervention.

Kourtney Murphy SLP is an acute care speech-language pathologist at Johns Hopkins Hospital. She graduated with her Maters in Science at Towson University in 2012. She now primarily work with patients on the neurology and stroke service. She has an interest in dysphagia and aphasia rehabilitation.

 Educational Credit: 4 Hours (0.4 CEUs)

 

Course Description
This course will discuss anatomical and biomechanical issues related to shoulder labral pathology. Common mechanisms of injury and pathology related to functional impairments of patients with labral injuries will be examined. Imaging, non-surgical rehabilitation and when to refer to an Orthopaedic surgeon will be presented as well as surgical procedures for labral pathology. We will further discuss appropriate evidence-based post operative progressions to assist patients in their recovery.

Learning Objectives:
After completion of this course, participants will be able to:
1. Understand the anatomical and biomechanical concepts in relationship to labral shoulder evaluation and treatment.
2. Determine appropriate tests and measures to assess shoulder labral pathology and the associated impairments and functional limitations.
3. Appropriately interpret clinical examination findings of the shoulder using evidence-based clinical reasoning.
4. Understand the role of imaging in a patient with shoulder labral pathology.
5. Develop evidence-based strategies to manage non-operative labral pathology.
6. Differentiate between anterior and posterior instability and describe patient reported symptoms as well as typical injury patterns for each direction of shoulder instability.
7. Describe the patient population that is most appropriate for non-operative management of shoulder instability and implement an evidence-based rehabilitation program.
8. Identify the criteria for operative management and demonstrate an understanding of the surgical techniques, possible complications, postoperative precautions, and rehabilitation goals shoulder instability.
9. Describe the recommendations and differences for returning a patient,surgical and nonsurgical, to prior level of function, occupation, and sport for shoulder instability.
10. Describe evidence-based rehabilitation guidelines following shoulder labral surgery.
11. Illustrate with case studies an appropriate rehabilitation program based on an understanding of the bony and soft tissue healing time and appropriate progression for patients with labral repair procedure.
12. Understand the postoperative precautions associated with shoulder labral surgery.

Speakers: Dr. Melissa Lodhi, PT, ScD, MEd, OCS, ATC currently is employed with the military population, working with Active duty, Retirees and Dependent population. She received her Doctorate of Science in Physical Therapy from the Texas Tech University Health Sciences Center in 2013. She also received dual degrees of Masters in Education 1997 and Masters in Physical Therapy 2002 from Old Dominion University and the University of St. Augustine for Health Sciences prospectively. Dr. Lodhi continues to support further clinical education by continuing her role as a faculty instructor for International Academy of Orthopedic Medicine (IAOM-US) as well a Residency Mentor in their Orthopedic Residency program. She implements several Memorandums with local universities and colleges in the advancement of Clinical Education and Excellence. While on Active Duty, Dr. Lodhi served as a Navy Physical Therapist at various commands as well as and deployed on the USS Eisenhower as Battle Group Physical Therapist and continues to serve in US Navy Reserves. She pursues other endeavors for patient care to include research/case studies for advance clinical reasoning education and development for Orthopedic Residents.

John-Paul Rue, M.D., is a fellowship-trained Board Certified orthopedic sports medicine surgeon, specializing in arthroscopic repair of sports-related injuries, including complex knee and shoulder reconstructions with Orthopedics and Joint Replacement. His primary focus is treating injuries of the knee, shoulder and elbow, from ACL tears, meniscus and cartilage injuries to shoulder instability and rotator cuff injuries. 
Educational Credit: 4 Hours (0.4 CEUs)

Course Description
This introductory course is designed for clinicians with an interest in gaining knowledge regarding the use of diagnostic ultrasound. During this course, participants will gain a basic understanding of the terminology, nomenclature and instrumentation of ultrasonography, as well as the normal appearance of common musculoskeletal structures of interest to physical therapists. Participants will also become familiar with the appearance of common musculoskeletal pathologies that can be seen with ultrasound imaging, and finally they will have the opportunity to utilize ultrasound with hands-on experience to gain a better appreciation for the potential uses and limitations of this technology in patient care. During this introductory course, specific cases and demos across various body regions and structures, including the upper and lower extremity will be utilized to provide the learner with experience and knowledge for common applications of this technology to patient care.

Learning Objectives:
After completion of this course, participants will be able to:

  • Understand basic concepts of ultrasound image acquisition and instrumentation including common vocabulary terms used to facilitate communication with other medical professionals.
  • Describe the normal appearance of anatomical structures in both static and dynamic imaging situations in order to assist in clinical treatment.
  • Comprehend common errors made with ultrasound technology (e.g. anisotropy) that are important to image interpretation.
  • Identify common and potential uses of musculoskeletal ultrasound imaging in physical therapy clinical practice.
  • Describe the appearance of common musculoskeletal pathologies on ultrasound imaging.
  • Utilize hands-on application of ultrasound imaging to apply the didactic knowledge gained in lecture to musculoskeletal structures.
Speakers: Christa Nelson, PT, DPT, PhD is an assistant professor in the Department of Physical Therapy and Rehabilitation Science at The University of Maryland, Baltimore (UMB). She is a graduate of the dual DPT/PhD (engineering) program at Northwestern University in Chicago, IL, obtaining her DPT in 2010 and her PhD in Biomedical Engineering in 2015. After graduation from physical therapy school, Dr. Nelson worked at The Rehabilitation Institute of Chicago in both the inpatient and outpatient rehabilitation settings, treating patients with a wide variety of conditions, including both orthopedic and neurological conditions, amputations, and various gait and balance disorders. Her primary research interest is in the adaptation of the musculoskeletal system after injury, and she completed her doctoral work investigating the adaptation of muscle fascicle length in the upper extremity in individuals with chronic hemiparetic stroke using novel ultrasound methods. She has presented her work at a number of national and international conferences, including APTA CSM, World Congress of Biomechanics, Biomedical Engineering Society, and International Society of Biomechanics in the areas of biomechanics, muscle adaptation, and implications for rehabilitation and function. Dr. Nelson’s primary teaching responsibilities within the UMB curriculum are in the areas of biomechanics, gait, movement science, and evidence-based practice. She is a board-certified orthopaedic clinical specialist (OCS) since June 2017 and treats on a part-time at University of Maryland Orthopaedics at Camden Yards.

Odessa Addison, PT, DPT, PhD is an assistant professor in the Department of Physical Therapy and Rehabilitation science at the University of Maryland, Baltimore. She is also a Research Health Scientist at the Baltimore VA. She received her DPT degree from the University of Utah in 2005 and went on to practice at the University of Utah Hospital in both inpatient and outpatient rehabilitation with a focus on the rehabilitation of older adults with balance and mobility disorders. In 2012 she received a PhD in Rehabilitation Science from the University of Utah and then completed a NIA T32 post-doctoral fellowship at the University of Maryland from 2012-2015. Her primary research focus is in improving muscle and mobility function through exercise and lifestyle in older adults with co-morbid conditions. She has presented her work at both national and international conferences including APTA CSM, International Conference of Frailty and Sarcopenia Research, and IAGG. She is currently funded by both the VA and the NIH in research examining the relationship of muscle quality/composition to balance and mobility function in older adults.

Educational Credit: 4 Hours (0.4 CEUs)