Annual Conference

Course Description
Concussion evaluation and treatment is a rapidly evolving field that is commonly misunderstood. Outdated information and principles plague the multiple disciplines that may work with those suffering from concussion. The aim of this presentation is to educate listeners
on updated best practice recommendations and provide a framework for making informed and
objective return to sport decisions for athletes post-concussion.

Learning Objective
Lecture & lab delivered in an effective, efficient manner to assess and treat post-concussive symptoms in coordination with other professionals in the health care system.

Course Outline

1. Intro
2. Pathophysiology
3. Current evaluation recommendations
4. Current treatment recommendations
5. Case study/examples
6. Debunking myths
7. Conclusion

Course Structure

• Lecture
• Lab (treatment tables not needed)

Speaker(s) Information

Paula McCorkle DPT, OCS, CSCS
Therapist, Rehab 2 Perform

Paula was born and raised in Leechburg, PA and played volleyball, basketball and softball throughout her high school career. She continued on to play volleyball at Allegheny College in Meadville, PA, where she received her B.S. in Biology. After receiving her B.S., she transitioned to the University of Pittsburgh, PA to achieve her doctorate in physical therapy.

While in physical therapy school, Paula completed a wide variety of clinical rotations and was most interested in outpatient orthopedics and sports rehabilitation settings. However, she also completed a rotation in vestibular and concussion rehabilitation and has developed a concurrent passion for returning athletes post-concussion back to the court or field both safely and efficiently.

Paula is a Certified Strength and Conditioning Specialist through the National Strength and Conditioning Association and worked as a personal trainer throughout her time at Pitt. She also competes in powerlifting. Using her knowledge in both strength training and rehab, Paula worked to transition clients from outpatient physical therapy settings to full-body strength training and fitness programs. She is passionate about working with athletes of all ages reduce their risk of further re-injury and help them return back to their activities stronger and more confident than ever before.

Paula has spoken previously for various R2P Academy offerings both in-person and virtually, as well as been involved with our Sports Residency Program at Rehab 2 Perform. She also coaches for Maryland Elite Volleyball Club.

Chris Serrao DPT, CSCS

This course will be held via Zoom and is 3 hours. We will have a designated classroom if you would like to participate on site at HCC.

As this is shorter than the original 3 hours, attendees of this course can select from one of the other courses to access on demand post conference, or you may take the implicit bias course approved for license renewal  We apologize for the change.

Post-exertional malaise (PEM) or post-exertional symptom exacerbation (PESE) refers to a constellation of signs and symptoms, including profound fatigue, which is functionally disabling. The functional disability, as well as the individual symptoms of PEM/PESE, may be a reason patients present to physical therapy clinics. The underlying physiology of PEM/PESE indicates an abnormal recovery response to activity. Inappropriately prescribing exercise for someone with PEM/PESE may worsen the condition. This characteristic makes PEM/PESE important for physical therapists to recognize and act accordingly.

This presentation will discuss the recognition, underlying physiology, and clinical management of PEM/PESE. Webinar participants will acquire new knowledge and skills applicable for people with Post COVID-19 Condition (Long Covid) and myalgic encephalomyelitis (ME), which will be applicable on the next clinic day.

Learning Objective
By the end of this session, the learner will be able to:
* Apply physiological data from current systems-level physiology data to understand PEM/PESE
* Interpret evidence related to chronotropic intolerance as a basis for activity pacing programs in Long Covid and myalgic encephalomyelitis
* Design an activity pacing program based on biometric data from common wearable sensors
* Develop an individualized phased model of rehabilitation to people with Long COVID and myalgic encephalomyelitis, including activity pacing programs based on biometric data.

Course Outline 
10 minutes – Course Introduction
20 minutes – PEM/PESE Symptom Screening
20 minutes – Physiology of PEM/PESE
20 minutes – Energy System First Aid
20 minutes – Getting Started with Heart Rate Biofeedback
20 minutes – Adjunctive Approaches to Support Metabolism and Circulation
10 minutes – Questions & Answers

The afternoon session will involve small group activity

Speaker: Todd Davenport PT, DPT, MPH, Board Certified Clinical Specialist in Orthopaedic Physical Therapy

Dr. Todd Davenport serves as tenured full Professor in the Department of Physical Therapy in the Thomas J. Long School of Pharmacy and Health Sciences at the University of the Pacific in Stockton, California, where he teaches in and directs the Doctor of Physical Therapy (DPT) program. Dr. Davenport is a graduate of the University of Southern California’s DPT and Orthopaedic Physical Therapy Residency programs. He is a past clinical research fellow at the Warren G. Magnusson Clinical Center at the National Institutes of Health in Bethesda, Maryland, where his work included construction and validation of function-based physical capacity tests for patients with chronic fatiguing illnesses. Dr. Davenport is a graduate of the Master of Public Health program at the Berkeley campus of the University of California.

Dr. Davenport’s clinical and research interests, as a physical therapist, broadly have included the effect of iatrogenic loading on the neuromusculoskeletal system in health and pathology. His main focus involves outcomes research and evidence synthesis in orthopedic and sports physical therapy. Dr. Davenport is interested in best practices for myalgic encephalomyelitis/chronic fatigue syndrome, epidemiology of chronic noncommunicable diseases, and program planning and evaluation as they relate to the prevention of injuries and chronic diseases. Dr. Davenport has authored articles describing clinical reasoning processes for the symptom-based diagnosis of pathology by physical therapists in order to determine the appropriateness of physical therapy and guide intervention. Dr. Davenport is an International Editorial Review Board Member of the Journal of Orthopaedic and Sports Physical Therapy, as well as a reviewer for several journals in the fields of rehabilitation and rheumatology. Dr. Davenport is the recipient of several distinguished service, teaching, and research publication awards. In addition to his academic and service work, Dr. Davenport practices at the Kaiser Permanente Stockton Medical Office.

Following ACL surgery, athletes and other individuals endure lengthy rehabilitation periods in order to return to their sport. While surgery is widely performed and is generally successful, there exist gaps in our knowledge and perhaps capacity to achieve a consistent outcome. This is evidenced by the overwhelming evidence demonstrating a high incidence of contralateral ACL tear or recurrence if quadriceps strength is not restored . Recent evidence has demonstrated that while there are certainly changes to one’s neurophysiology following ACL injury and reconstruction that may impair return to play, there are also morphological adaptations of skeletal muscle that clinicians should consider and have a means of intervention. Implementing BFR may comprise a portion of this elusive solution. This talk will identify the physiologic targets of concern and describe how BFR might contribute to solving the larger problem.

Learning Objective
How can Blood Flow Restriction Exercise be used in the rehabilitation of post-operative ACL care. This is a lecture only course.

Course Outline / Timed Agenda

1.  Intro: Incidence of ACL injury and impact to teams / athletes; Barriers / limitations to rehab; Recent advances
2. Physiologic Responses to ACL Injury
   Injury; Reconstruction; Rehabilitation
3. Personalized Blood Flow Restriction: History, Safety, Methods, Relevant pathways involved in muscle growth / repair / strength increase
   State of the Science on BFR use in ACL rehab
4. Application: Exercise prescription, Acute Case presentation, Late Phase Case presentation
5. Conclusion

Speaker: Zach Baker DPT, SCS
Chief Clinical Officer, Rehab 2 Perform

Zach was born and raised in Westminster, MD and continues to reside in Carroll County today. He earned his B.S. in Exercise Science from Salisbury University and went on to obtain his Doctorate in Physical Therapy from the University of Maryland-Baltimore. At UMB, he was awarded the Robert P. Gordes Award, given to the individual showing excellence in outpatient orthopedics and sports medicine in their graduating class. As part of his education, he spent time in Phoenix, AZ at the Fischer Institute, a world-class training facility and rehabilitation center for elite athletes. He is also a Certified Strength and Conditioning Specialist through the NSCA.

As a three-sport athlete at South Carroll High School, a series of injuries including two ACL tears and labral and rotator cuff tears to each shoulder sparked his interest in the human body and the sports medicine field. These personal experiences have led to his special interests in knee and shoulder rehabilitation, as he has pioneered our ACL injury prevention and post-op rehab programs at R2P.

Speaker: Jamie Schindler DPT, SCS
Director of Education, Rehab 2 Perform

Jamie was born and raised in southern Anne Arundel county. She became interested in physical therapy as a high school student and went on to pursue a degree in kinesiology from the University of Maryland, College Park. Directly after receiving her B.S., she transitioned to pursue her doctorate in physical therapy from the University of Maryland Baltimore.

During physical therapy school, Jamie experienced a wide variety of clinical settings but continued to have a special interest in outpatient orthopedics and sports. Since graduation, she has been working in the outpatient orthopedics field and has a special interest in working with athletes and active individuals of all ages.

Now a Board Certified Sports Physical Therapist, Jamie is also a Certified Strength and Conditioning Specialist and enjoys utilizing this knowledge along with her own training background to enhance patient performance to meet their individual goals, whether that’s returning to work or getting back on the field. Outside of the office, Jamie enjoys staying active, spending time at the beach, and cheering on the Baltimore sports teams.

This class is 1 hour longer than the other courses and there is not an additional charge for the extra credit hour.

This class is designed to enhance your understanding of the ANS and its influence on the upper digestive tract. We as manual therapists can support the function of the digestive system through VM techniques, giving input via the vagus nerve and the fascial connective tissues of the organs. Lecture on anatomy and physiology of the upper digestive system will comprise 30% of our time, allowing 70% for student participation and practice! The most effective use of hands-on practice can be obtained if we can share one massage table among seated groups of 2-3 students. ore sports teams.

Learning Objectives:

• 1st hr. Lecture: ANS anatomy and it’s innervation of the digestive track. Manual Practice: Hand perception of the motility of ANS plexus on the body; assess if the ANS is in an hyperactive state.
• 2nd-3rd hr. Lecture: Anatomy/physiology of the esophagus-stomach and it’s vagus nerve innervation. Manual Practice: draw outline of stomach; assess the mobility of stomach; apply manual technique for areas of stomach restrictions in supine and seated
• 3rd hr. Lecture: Anatomy/physiology of liver and it’s innervation. Manual Practice: draw outline of liver; assess mobility of liver; apply manual technique for liver lift in seated position.

For the Lab
Please dress so as to easily expose the abdomen. Anatomy info can be easily accessed via your devices! Class size is limited according to room size, with a cut-off at 40 students.

Speaker:
Lori Dowiak PT received a BS from the University of Pittsburgh, in physical therapy. She has extensive training in orthopedic and manual therapies through continuing education programs. As owner of Bloomfield Therapy, she provides manual therapies for all age groups; she also acts as both a presenter and teaching assistant for IAHE.