CPTA Sponsored Continuing Education 2016 - 2017 Calendar · · 2016-11-16Download the form at: ....

CPTA Sponsored Continuing Education 2016 - 2017 Calendar

For more information and to register, please visit our website www.ccapta.org.

December 3-4 Movement System Impairment Syndromes of the Cervical Spine and Shoulder Location: San Diego State University, San Diego Presenter: Shirley Sahrmann, PT, PhD January 21-22 Credentialed Clinical Instructor Program Location: San Mateo Medical Center, San Mateo Trainer: Marijean Piorkowski, PT, DPT July 7-9 If You Can’t Breathe, You Can’t Function: Integrating Cardiopulmonary and Postural Control Strategies in the Pediatric and Adult Populations Location: Saddleback Memorial Medical Center, Laguna Hills Presenter: Mary Massery, PT, DPT, DSc September 16-17 CPTA Annual Conference Location: San Diego

Special Interest Groups

NETWORK WITH OTHER PTS AND PTAS IN

YOUR SPECIALTY AREA BY JOINING ONE OF

OUR SPECIAL INTEREST GROUPS TODAY

Cal i fo rn i a Or thoped i c

Manua l Phys i ca l The rapy

(COMPTSIG)

CA Ped i a t r i c Phys i ca l

The rapy

(CAPEDSIG)

CA P r iva t e P r ac t i c e Group

(CPPSIG)

CA Pediatric Physical Therapy SIG serves the profession as a vehicle for the development and promotion of pediatric physical therapy in the state of California. There are issues unique to the practice of pediatric physical therapy and a group is needed to represent the pediatric practitioners in the state.

CA Private Practice Group was formed to provide its

members the leadership and support necessary to deliver a level

of clinical practice consistent with the state of the art physical

therapy practice, consumer demand, legal constraints, and

APTA and California constraints.

Visit our website to get involved today!

1990 Del Paso Road

Sacramento, CA 95834 (800) 743-2782 (916) 929-2782

www.ccapta.org

CA Orthopedic Manual Physical Therapy SIG furthers the profession of physical therapy by serving as a vehicle for the development of orthopedic manual physical therapy among educational institutions and clinical practitioners, particularly those who act as preceptors to students on clinical rotations.

w w w. c c a p t a . o r g • w w w. m o v e c a l i f o r n i a . o r g • 8 0 0 -74 3 -2 7 8 2

Quality Education Services and Practice Support• Sixty Percent Discount on CPTA Sponsored Courses• CPTA Professional Consulting Services• Online Education Courses at a Discount Provided

through EDUCATA and Medbridge• Centers of Excellence Practice Resource Manual• CEU Certificate Storage

Representation and Advocacy• A Unified Voice• Advocacy on Payment and Practice Issues• Annual Legislative Day

YOUR MEMBERSHIP DOLLARS AT WORK!Below are just a few examples of CPTA’s work on your behalf to build your profession.

Practice Marketing• Google and Facebook Ads• Southwest Magazine Ads• Bart and Bus Ads• Web MD Ads• Radio Ads in English and Spanish• Targeted Mobile Ads• Dedicated Staff Available Monday – Friday

to Help You Reach Your Professional Goals

Vendor Products and Discounts• Discounts on Services from Farmers Insurance Workers’ Comp, North Star

Resource Group Disability Insurance, Think Safe AED, HotelStorm and More

Do We Have to Spell It Out for You? If we want health care consumers—and sometimes even our colleagues—to recognize the various types of expertise we’ve worked so hard to achieve, then, yes, we do need to spell out for them our advanced certifications and honors. This is the idea behind the 2016 House of Delegates motion RC 4-16, which amends the policy “Consumer

Protection Through Licensure of Physical Therapists and Physical Therapist Assistants” (HOD P06-14-08-18) with changes to APTA’s preferred format for including regulatory designations and credentials after an individual’s name. These changes were adopted to better convey to society the types of physical therapist services that exist and that physical therapists and physical therapist assistants are qualified and educated in their chosen profession. Here is some immediate guidance, while APTA staff develop a more structured implementation strategy and member resources on this issue (as charged in the companion motion RC 5-16, which calls for an educational campaign to membership regarding use of regulatory designations and credentials).

Under the amended policy “Consumer Protection Through Licensure of Physical Therapists and Physical

Therapist Assistants,” APTA will formally support the use and order of the following abbreviations after the name of a physical therapist or physical therapist assistant:

1. PT or PTA (the regulatory designation) 2. Highest earned physical therapy-related degree (such as DPT or MPT) 3. Other regulatory designations (solely those assigned by a state governing body, not by a

nongovernment organization) 4. Other earned academic degree(s)

Any additional credentials or certifications, when appropriate to include, are to be spelled out either below the individual’s name (as for business cards or listings of names) or elsewhere in a narrative (as for articles or press releases that mention an individual). An exception allows for “Catherine Worthingham Fellow of the American Physical Therapy Association” to either be spelled out or abbreviated as “FAPTA” when included below the individual’s name or in a narrative. You can find the draft motion language, which is current as of the close of the 2016 House, in the Post-House Packet on the APTA Hub (login to http://communities.apta.org/), within the House of Delegates Community and under Motions, House Reports, and Background Papers. Final language will be reflected in the 2016 House minutes, which will be available by late August.

http://communities.apta.org/

Advance Your Clinical

Practice

Centers of Excellence Practice Resource Manual

By establishing a set of quality practice indicators, physical therapy clinics are provided standards of excellence for measuring performance. In addition, the program provides clinics with the necessary resources and guidance to become quality providers of physical therapy services.

To ensure best practice patterns and continuous quality improvement, physical therapy practices in California are encouraged to participate in CPTA’s peer-review process. By exceeding quality standards, physical therapy practices will be able to promote themselves as meeting the highest principles of practice excellence endorsed by the CPTA and the profession of physical therapy.

California Physical Therapy Association | 1990 Del Paso Road | Sacramento, CA 95834 | (916) 929-2782 | www.ccapta.org

The Centers of Excellence Practice Resource Manual and Recognition program offers comprehensive resources designed to meet the needs of all physical therapists in every clinical setting.

BENEFITS OVERVIEW

« Provider Payment Resources« Ethics and Law Resources« Administrative/Operation

Resources« Standards for Practice

Excellence« Federal & Regulatory

Resources

« HIPAA Resources« Functional Outcome Tools« Internet Resources« Full-year subscription to the

Practice Excellence Resource Manual

« Personalize the manual to meet your needs

CPTA’s Centers of Excellence Practice Resource Manual and Recognition program was designed to enhance and promote quality physical therapy practice.

THREE SIMPLE WAYS TO PURCHASE

Call CPTA at (800) 743-2782, or

Fax the completed form below to (916) 646-5960, or

Mail completed form to California Physical Therapy Association (CPTA), 1990 Del Paso Road, Sacramento, CA 95834

Customized ToMeet Your

Needs

CPTA Centers of Excellence Practice Resource ManualADVANCE YOUR CLINICAL PRACTICE

Name (Required) Member Number (If Applicable)

Address

City/State Zip Code

Phone ( ) Fax ( )

Email (Required)

PURCHASE FEE

This fee includes one:

¡ Hard Copy Manual

¡ CD-ROM

¡ *Renewal* Hard Copy Manual

¡ *Renewal* CD-ROM

(Customized to meet your needs)

No refunds provided

¡ Check (payable to California Physical Therapy Association)

¡ VISA ¡ MasterCard ¡ American Express ¡ Discover

Cardholder’s name (print)

Card Number / / /

Exp. Date CVV#

Signature

¡ $215 for CPTA Members (Includes Tax/S&H)

¡ $60 for Subscription Renewal (Includes Tax/S&H)

¡ $335 for Non-CPTA Members (Includes Tax/S&H)

¡ $160 for Subscription Renewal (Includes Tax/S&H)

FOR CPTA USE

Received R1

RJ M/NM

Paid $ Due $

Ck#/CC Auth

Confirm Sent

BE SURE TO INCLUDE ALL INFORMATION REQUESTED BELOW:

Please type or print legibly all information below.

ALL FOR ONE LOW PRICE!

Download the form at: www.ccapta.org

THE SERVICES

The CPTA PCS Program services include:

• Review of documentation of patient services or charting;

• Review of billing practices;

• Review of staffing and supervision practices;

• Assisting with compliance with federal programs, e.g. Medicare;

• Review of payer contracts;

• Review of charging methodologies or fee schedules; and

• An administrative services overview including an assessment of how effectively the physical therapist manages his/her practice considering human resources management, accounting and business protocols.

California Physical Therapy Association | 1990 Del Paso Road | Sacramento, CA 95834 | (916) 929-2782 | www.ccapta.org

CPTA PROFESSIONAL CONSULTING SERVICES

Providing You with the Tools You Need for an Effective PracticePractice and payment issues are often time consuming and difficult to resolve. The California Physical Therapy Association (CPTA) Professional Consulting Services (PCS) can help!

The CPTA PCS Program provides members with flexibly designed, cost-effective services for those who experience practice and payment issues daily.

THE FEES

The fees for the CPTA PCS Program Services are:

• Initial two-hour phone/email consultation – $250.

• Services provided in excess of the initial two hours – $100 per hour.

• Onsite consultation services – $175 per hour plus travel expenses. (These services are charged separately and are not considered part of the initial two-hour consultation.)

• Online training – $175 per hour.

THE PROCESS

Place a call to CPTA to assess your needs. If it’s determined you will require more than one hour of time, CPTA’s PCS Program is the resource for you.

After signing a non-disclosure and liability agreement, you will:

• Be referred to a content expert.

• Be provided up to two hours of service, which includes direct communication, review of records and a report, if requested.

• Have the option to retain extended services on a ‘per hour’ basis at the fee level described above.

Note: PCS services do not include legal consultations.

Rancho Observational Gait Analysis: Maximizing Outcomes for Individuals With Neurologic Impairment

November 19‐20, 2016 Sacramento, CA

Speakers: Kelley Kubota, PT, MS, NCS, CBIS and Walter Weiss, PT, MPT, NCS, KEMG

Day 1 8:00 ‐ 8:30 Registration 8:30 ‐ 9:00 Course Overview and Objectives 9:00 ‐ 11:00 Setting the Standard: Review of Normal Gait and Introduction to the Rancho Gait App for Smartphone/Tablet 11:00 ‐ 11:15 Break 11:15 ‐ 12:15 Understanding the Pathologic Ankle and Knee 12:15 ‐ 1:15 Lunch 1:15 ‐ 2:00 Understanding the Pathologic Ankle and Knee (continued) 2:00 ‐ 3:30 Understanding the Pathologic Hip/Pelvis and The Big Picture: Examining the body as a whole 3:30 ‐ 3:45 Break 3:45 ‐ 5:00 Patient Demo Lab 1: Gait Analysis 1 and 2 with Patient Participants 5:00 ‐ 5:15 Questions/Wrap‐Up from Day 1 Day 2 8:00 ‐ 8:30 Sign‐in 8:30 ‐ 10:00 Extended Posture Gait and Potential Interventions 10:00 ‐ 10:15 Break 10:15 ‐ 12:00 The Rancho R.O.A.D.M.A.P. (Algorithm for Orthotic Decision‐Making) including Technologic Advancements in Trial Orthoses (M.O.P.S.: Modular Orthosis Prescription System) 12:00 ‐ 1:00 Lunch 1:00 ‐ 2:00 Flexed Posture Gait and Potential Interventions (Including Application of Orthoses and/or Electrical Stimulation) 2:00 ‐ 2:15 Break 2:15 ‐ 3:45 Patient Demo Lab 2: Clinical Application and Problem‐Solving Utilizing the Rancho R.O.A.D.M.A.P. and Patient Participants 3:45 ‐ 4:15 Wrap‐Up/Questions/Discussion

1

Rancho Observational Gait Analysis:Maximizing Gait Outcomes through Targeted

Interventions for Individuals with Neurologic Impairments

Kelley Kubota, PT, MS, NCS, CBISWalt Weiss, MPT, NCS, KEMG

Rancho Los Amigos National Rehabilitation Center

UC Davis Medical CenterSacramento, CaliforniaNovember 19-20, 2016

Overview

• Introductions

• Course Description and Objectives

• Outline

Rancho Observational Gait Analysis

This gait series is a fine time to make new friends, learn facts of

clinical significance, develop skills of observation, and gain a

foundation of knowledge for the future.

Problem Solving Approach

• Problem identification

• Cause identification

• Treatment

Rancho Observational Gait Analysis: November 19 - 20, 2016 Normal Gait

This material is the property of K. Kubota and W. Weiss and the Physical Therapy Department of Rancho Los Amigos National Rehabilitation Center and should not be

copied or otherwise used without express written permission of the authors.

2

Stance

GAIT CYCLE

Swing

ISw

SwingStance

TSt TSwMStLRIC PSw MSw

Initial Contact

Loading Response

Mid-Stance




3

Terminal Stance

Pre-Swing

Initial Swing

Mid-Swing

Terminal Swing

Functional Tasks

• Weight Acceptance

• Single Limb Support

• Swing Limb Advancement




4

Weight AcceptanceWeight Acceptance

Accomplishments:

• Forward progression

• Stability

• Shock absorption

Single Limb SupportSingle Limb Support

Accomplishments:

• Stability

• Forward progression

Swing Limb AdvancementSwing Limb Advancement

Accomplishments:

• Foot clearance

• Limb advancement




5

ISw

SwingStance

TSt TSwMStLRIC PSw MSw

Single LimbSupport

WeightAcceptance

Swing LimbAdvancement

Normal Gait Video

Reference Limb

IC/LR

MSt

TSt

PSw

ISw

MSw

TSw

Contralateral Limb

• Range of Motion

• Torque Demand

• Muscle Activity

• Functional Significance

Joint Description

Ankle




6

Initial Contact

• 0°

Initial Contact

• 0°

• TA, Long Toe Ext

Loading Response

• 5° PF




7

Loading Response

• 5° PF

• Pre-tibials

Mid-Stance

• 5° DF

Mid-Stance

• 5° DF

• Soleus, Gastroc

Terminal Stance

• 10° DF

- with 30° MTP Ext




8

Terminal Stance

• 10° DF

- with 30° MTP Ext

• Soleus, Gastroc

Pre-Swing

• 15° PF -60° MTP ext

• Pre-tibials initiate

Initial Swing

• 5° PF

• Pre-tibials

Mid-Swing

• 0° DF

• Pre-tibials




9

Terminal Swing

• 0° DF

• Pre-tibials Subtalar Joint

Body Weight

Floor Contact

Initial Contact

5° Eversion Unlocks the Midtarsal Joint

Loading Response

Reduced Eversion Increases Stability of the Midtarsal Joint

Terminal Stance

Ankle and Subtalar Joint Video




10

Knee

Initial Contact

• 5° flex




11

Initial Contact

• 5° flex

• Quads, HS

Loading Response

• 15° flex

Loading Response

• 15° flex

• Quads, HS

Mid-Stance

• 5° flex




12

Mid-Stance

• 5° flex

Terminal Stance

• 5° flex

Terminal Stance

• 5° flex

Pre-Swing

• 40° flex

• Gracilis, rectus

Initial Swing

• 60° flex

• Short head, sartorius, gracilis




13

Mid-Swing

• 25° flex

• Biceps-short head

Terminal Swing

• 5° flex

• Quads, hams

Normal Knee Video

Hipand Pelvis

Initial Contact

• 20° hip flex

• 5° fwd rotation




14

Initial Contact

• 20° hip flex


• Hip extensors

Loading Response• 20° hip flex


Loading Response• 20° hip flex


• Hip ext, hip abd

Mid-Stance

• 0°

• neutral pelvis




15

Mid-Stance

• 0°

• neutral pelvis

• Hip abd

Terminal Stance• 20° app hyperext

• 5° bkwd rotation

Terminal Stance• 20° app hyperext


• Ant. fibers TFL

Pre-Swing

• 10° apparent hyperextension


• Add longus, rectus femoris




16

Initial Swing

• 15° hip flex


• Hip flexors

Mid-Swing

• 25° hip flex

• neutral pelvis

• HS activity begins

Terminal Swing

• 20° flex


• HS, hip ext/abd

Normal Hip / Pelvis Video




17

Gait Card Exercise

Terminal Stance

Pelvis•

Hip•

Knee•

Ankle•

Components of Step Length

Terminal Swing

•

•

•

Critical Events

↓Task Accomplishments

↓Functional Tasks

Initial Contact

• Heel first contact

Loading Response• Hip stability

• Controlled knee flexion and ankle plantar flexion




18

Mid-Stance

• Controlled tibial advancement

Terminal Stance

• Controlled ankle dorsiflexion to 10°

• Trailing limb

• Heel rise

Pre-Swing• Passive knee flexion to 40°

• Ankle plantar flexion

Initial Swing

• 15 °hip flexion

• 60°knee flexion

Mid-Swing

• Hip flexion to 25°

• Dorsiflexion to neutral

Terminal Swing

• Knee extension to 5°




19

Problem Solving Approach

• Problem identification

• Cause identification

• Treatment

Problem Identification

• Identify deviations

• Determine significant deviations

Identify Deviations




20

DetermineSignificant Deviations

(Major Problems)

Cause Identification

• Relate to normal

• Consider all possible causes

Causes

• Motor control

• ROM

• Sensation

• Pain

Consider

• Diagnosis

• Other phases

• Evaluation results

Treatment

• Direct treatment to cause

• Assess effectiveness

Problem-Solving Case Study

• Reference Limb – R LE

• Observe Ankle - Mid Swing

• Identify noticeable deviations




21

Problem Identification

• Identify deviations

• Determine significant deviations

Swing Limb Advancement

Task Accomplishments:

• Foot clearance

• Limb advancement

Mid-Swing

• Hip flexion to 25°

• Dorsiflexion to neutral

Cause Identification

• Relate to normal

• Consider all possible causes

Causes

• Motor control

• ROM

• Sensation

• Pain




22

Consider

• Diagnosis

• Other phases

• Evaluation results

Treatment

• Direct treatment to cause

• Assess effectiveness

Rancho Gait App

RanchoGait App

• “Normal” = first in series

- Interactive tool for learning / review

• Menu of choices

• Rancho R.O.A.D.M.A.P.

RanchoGait App

• Normal

• Pathologic Gait

• MOPS Brace

• Rancho R.O.A.D.M.A.P.

App Demonstration:iPhone (iPad)




23

RanchoGait App

• Significant advancement

• End User Accessibility

• Digital Age

• Info at fingertips

Pathologic Gait

Demonstration Future Developments

• MOPS trial brace

• R.O.A.D.M.A.P.

• Comparison R.O.A.D.M.A.P. recs

vs. definitive brace




24

ACKNOWLEDGMENTS

Some contents of this report were developed under a grant from the Department of Education, NIDRR grant number H133G100268. However, those contents do not necessarily represent the policy of the Department of Education, and you should not assume endorsement by the Federal Government.

Rancho Los Amigos Physical Therapy Department

Jacquelin Perry, MD

Pathokinesiology Laboratory Carlos Williams

Rehabilitation Engineering Center Diego RodriguezSomboon Maneekobkunwong

Orthotics Department Darrell Clark, Shelly Taji




CPTA Sponsored Continuing Education 2016 - 2017 Calendar · · 2016-11-16Download the form at: ....

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