New Directions for Understanding Whiplash- Have We Been Driving in the Wrong Lane? & Evidence-Based Solutions for Improving Cervical Spine Health and Function
Sponsored by:
www.ric.org/education
Feb 28 & March1, 2013 March 2-3, 2013 Rehabilitation Institute of Chicago 345 East Superior Street Chicago, IL 60611
Department of Physical Medicine & Rehabilitation
New Directions for Understanding Whiplash- Have We Been Driving in the Wrong Lane? Evidence-Based Solutions for Improving Cervical Spine Health and Function THE BEST REHABILITATION HOSPITAL… MEANS THE BEST REHABILITATION EDUCATION.
The Rehabilitation Institute of Chicago (RIC) is ranked the “Best Rehabilitation Hospital in
America,” in part because it fully integrates research, clinical care, and education through the
Continuing Education (CE) programs offered by the RIC Academy.
The RIC Academy CE programs help you keep abreast of changes in your field. The curriculum
is grounded in evidence-based practice when appropriate as well as based on the collective
clinical experience of our staff. RIC Academy courses are taught by interdisciplinary teams of
recognized specialists from RIC and visiting experts from across the country and around the
world.
One of the top Physical Therapy & Human Movement Sciences programs in the country known for its superb professional and post-professional education and federally funded research programs...
Ranked among the top 10 U.S. physical therapy schools by U.S. News & World since its
inception and the number 2 PT department in the US in NIH research funding, NU-PTHMS has
garnered a global reputation for:
Excellence in training the next generation of leaders in physical therapy practice and
research through our professional and post-professional education programs.
Training new researchers in the field of movement and rehabilitation sciences (MRS).
Development and implementation of technology-supported therapeutic interventions.
Advances in rehabilitation science including the quantification of movement disorders
and clinical outcomes.
COURSE DESCRIPTION New Directions for Understanding Whiplash- Have We Been Driving in the Wrong Lane?
It is necessary to gain an insight into the mechanisms underlying the pain, physical and
psychological impairments for the differential diagnosis and appropriate management of a
patient’s neck pain and disability following whiplash injury. This course will present the
research findings from the Neuromuscular Imaging Research Laboratory at Northwestern
University, Department of Physical Therapy and Human Movement Sciences and the new
directions that are emanating from recent and ongoing basic science and clinical research efforts.
This research is looking into the assessment, accurate sub-group classification and management
of patients with neck pain; key areas being the mechanistic basis for pain, physical and
psychological impairment in the musculoskeletal system in cases of traumatic whiplash. Several
measurements have been developed towards quantifying/classifying impairments in the pain,
sensory-motor, postural control and sympathetic nervous systems as well as psychosocial
features of neck-related disorders. The course will also explore innovative management options
for mediating the expression of pain in both whiplash and other common neuromusculoskeletal
conditions. COURSE DESCRIPTION Evidence-Based Solutions for Improving Cervical Spine Health and Function
This two day course will provide participants with the latest multidisciplinary research into
cervical spine disorders emanating from a distinguished international panel of basic science and
clinician researchers. The emphasis in this course is placed on the application of translational
research to leading edge clinical practice. The format will consist of lectures, panel discussions
and question and answer. Specific topics include subgrouping patients with neck pain,
measuring the experience of pain, and psychosocial factors, exercise prescription and medical
management in neck pain.
WHO SHOULD ATTEND
Physical Therapists, Physical Therapist Assistants, Physiatrists, Orthopedic/Neurological
Surgeons, Family Practice/Internists, Emergency Medicine Physicians, Physician Assistants,
Residents, Occupational Therapists, Occupational Therapy Assistants, Athletic Trainers,
Nurses, Chiropractors, and individuals treating or researching cervical spine pain. COURSE OBJECTIVES
Upon completion of the New Directions for Understanding Whiplash course, participants will be
able to:
Provide an overview of soft tissue injury associated with whiplash-associated disorder
Characterize the primary prognostic and diagnostic factors related to Whiplash Associated
Disorders (WAD)
Identify the primary clinical and radiographic findings that determine best management
decisions for WAD
Integrate current best evidence into effective assessment, sub-group classification and
management of the patient with acute and chronic WAD as well as other frequently
encountered neuromusculoskeletal conditions.
Upon completion of the Evidence-Based Solutions for Improving Cervical Spine Health and
Function course, participants will be able to:
Discuss the relevant biomechanics of the cervical spine in injury prevention and mechanisms
underlying the genesis and maintenance of pain. Review risk factors that could influence the maintenance and recurrence of neck pain. Devise an informed assessment, characterization and subsequent management
strategy for the patient with neck pain.
Integrate the influence of health care services and the economic impact of multidisciplinary
services for the patient with neck pain.
Discuss the influence of subgrouping in the patient with cervical spine and upper limb
pathology. Review patient education and counseling schemas for the patient with neck spine pain. COURSE CHAIRS
Ellen Casey, MD
Assistant Professor of Physical Medicine and Rehabilitation, Northwestern University, Feinberg
School of Medicine. Co-Director of the Women’s Sports Medicine Program and attending
physician at the Spine and Sports Rehabilitation Center at the Rehabilitation Institute of Chicago
Julius P.A. Dewald PT, PhD
Professor and Chair, Physical Therapy & Human Movement Sciences; Professor Biomedical
Engineering; Physical Medicine & Rehabilitation; Feinberg School of Medicine,. Northwestern
University
James Elliott, PT, PhD
Senior Research Fellow in the School of Health and Réhabilitation Sciences UQ and a tenure-
track Assistant Professor, Department of Physical Therapy and Human Movement Sciences;
Feinberg School of Medicine, Northwestern University.
Melissa C Kolski, PT, OCS, Dip.MDT
Physical therapist, Spine and Sports Rehabilitation Center; External program manager,
Rehabilitation Institute of Chicago
GUEST FACULTY
Linda Carroll, PhD
Professor of epidemiology in the Department of Public Health Sciences, School of Public Health,
University of Alberta; Associated Research Scientist, Alberta Centre for Injury Control and
Research, University of Alberta; Adjunct Professor, Canadian Memorial College of Chiropractic.
Toronto, Ontario; and Adjunct Scientist, Institute for Work & Health, Toronto, Ontario.
John Childs, PT, PhD
Director of Musculoskeletal Research, 81st Medical Group, Keesler Air Force Base, Biloxi, MS;
Associate Professor, U.S. Army-Baylor University Doctoral Program in Physical Therapy, San
Antonio, TX; Founder/Partner, Evidence in Motion and Texas Physical Therapy Specialists, San
Antonio, TX
Gwendolen Jull PT, PhD, FACP
Professor of Physiotherapy, NHMRC CCRE Spinal Pain, Injury and Health, School of Health
and Rehabilitation Sciences, The University of Queensland, Australia.
Samuel A. McLean MD, MPH
Research Vice Chair in the Department of Anesthesiology and attending physician in the
Department of Emergency Medicine, University of North Carolina at Chapel Hill.
Helen Owens PT, DPT Founder and owner of Orthopedic Physical Therapy Services, LLC
Guest lecturer Physical Therapy Program, Rosalind Franklin University of Medicine and Science
Daniel Pinto, PT, PhD
Assistant Professor, Department of Physical Therapy and Human Movement Sciences; Feinberg
School of Medicine, Northwestern University
Josh Rittenberg, MD Attending Physician, Department of Physical Medicine and Rehabilitation, Kaiser Permanente
East Bay Medical Center, Oakland, CA. Senior faculty member with the International Spine
Intervention Society (ISIS) and vice chair of the ISIS Education Committee.
Ashley Smith, PT, PhD(c)
Clinical Specialist - Musculoskeletal Physiotherapy (Calgary, Canada); PhD (candidate):
University of Queensland, Brisbane, Australia
David Walton PT, PhD
Assistant Professor, School of Physical Therapy, Western University Canada; Associate Scientist,
Lawson Health Research Institute, London Ontario; Chair, Canadian Physiotherapy Association
Pain Science Division
Beth Winkelstein, PhD
Professor, Department of Bioengineering in the School of Engineering and Applied Sciences and
Professor, Department of Neurosurgery, Perelman School of Medicine, University of
Pennsylvania, Philadelphia, Pennsylvania.
FACULTY FROM THE REHABILITATION INSTITUTE OF CHICAGO AND NORTHWESTERN UNIVERSITY
R. Norman Harden, MD
Director of the Center for Pain Studies, founder Chronic Pain Care Center at the Rehabilitation
Institute of Chicago; Associate Professor, Physical Medicine and Rehabilitation, Northwestern
University. Past president of the Midwest Pain Society.
Wellington Hsu, MD
Assistant Professor, Dept of Orthopaedic Surgery; Dept of Neurological Surgery, Northwestern
University, Feinberg School of Medicine; Spine Fellowship Director; Director of the Professional
Athlete's Spine Initiative, which compiles data on athletes who undergo treatment for spinal
conditions. Director of the Laboratory for Regenerative Technologies.
Annie O’Connor, PT, OCS, Cert. MDT
Corporate Director Musculoskeletal Practice, Rehabilitation Institute of Chicago.
Joel M. Press, MD
Director and Founder, Spine and Sports Rehabilitation Center, Rehabilitation Institute of
Chicago; Professor, Department of Physical Medicine and Rehabilitation, Northwestern
University, Feinberg School of Medicine New Directions for Understanding Whiplash- Have We Been Driving in the Wrong Lane? Course facilitated by James Elliott, PT, PhD THURSDAY, February 28, 2013
9:00 am Registration 645 North Michigan Avenue Suite 700 Chicago, Illinois 60611
Northwestern University Physical Therapy and Human Movement Sciences
9:30 Lecture- Update on What is Whiplash?
10:30 12:00
Physiology of pain Julius P.A. Dewald PT, PhD Updates on muscular/physical/psychological impairments. Identification of patients likely to recover and those likely to transition from acute to chronic symptoms.
1:00 Lunch
2:00 3:00 3:15
Pathoanatomy and Pathophysiology of whiplash Updates on Motor control deficits in the cervical spine. Break Concepts in Cervical Motor Assessment
5:00pm Adjourn New Directions for Understanding Whiplash- Have We Been Driving in the Wrong Lane? FRIDAY, March 1, 2013 7:30 am Northwestern University Physical Therapy and Human Movement 645 North Michigan Avenue Suite 700 Chicago, Illinois 60611 8:00 Lecture/ Practical Session Assessment & retraining of motor control, postural control including kinesthetic defiticits, balance and eye movement control Case presentations and outcomes
10:15 Break 10:30 Continued 12:00pm Lunch (on your own) 1:00 Axioscapular and Sensorimotor Assessment 2:15 Break 2:30 Innovative strategies in managing pain Julius P.A. Dewald PT, PhD 3:45 Bringing it all together, case studies and the use of functional outcome measures 5:15pm Adjourn Evidence-Based Solutions for Improving Cervical Spine Health and Function Saturday, March 2, 2013 7:30AM Continental Breakfast Robert H. Lurie Medical Research Center Hughes Auditorium, Lurie 1-129 303 E. Superior Street Chicago, IL 60611 8:00 Keynote: How does the evidence inform exercise prescription to improve
cervical spine health and function? Gwendolen Jull, PT, PhD, FACP 9:00 Chronic Whiplash Symptoms: Can we reverse the ‘irreversible?’ Ashley Smith PT, PhD(c), FCAMPT, cGIMS 9:45 Break 10:00 Subgrouping Patients With Neck Pain: A Research Update John Childs, PT, PhD 10:45 The value of rehabilitation for neck pain: Is the jui¢e worth the squeeze? Daniel Pinto, PT, PhD 11:30 Panel Discussion: Jull, Smith, Childs, Pinto Moderator: James Elliott PT, PhD 12:00 Lunch 1:15 Recognizing craniomandiblar dysfunction in the cervical spine patient Helen Owens, PT, DPT
2:00 Measuring the experience of neck pain for prognosis and treatment decisions
Dave Walton PT, PhD 2:45 Break 3:00 What about psychosocial factors in WAD recovery: what are their
implications for intervention? Linda Carroll PhD 3:45 From the organization to the clinician: putting evidence based medicine
into practice Annie O’ Connor, PT, OCS, Cert MDT 4:30 Panel: Owens, Walton, Carroll, O’Connor Moderator: Julius P.A. Dewald PT, PhD 5:00 Adjourn Sunday, March 3, 2013 7:30 am Continental Breakfast Hughes Auditorium, Lurie 1-129 303 E. Superior Street 8:00 The influence of stress response systems on the development of persistent neck pain after motor vehicle collision Sam McLean, MD, MPH 8:45 From Protons to Progression of Exercise for the patient with neck pain – Can MRI applications translate to improved Health and Function? James Elliott, PT, PhD 9:30 Break 9:45 Neck Pain Mechanisms: Insights for Prevention & Treatment Beth Winkelstein, PhD 10:30 Headache. Who will benefit from improved cervical spine health and function? Gwendolen Jull, PT, PhD, FACP 11:15 Panel Discussion: McLean, Elliott, Winkelstein, Jull Moderator: Ellen Casey, MD 11:45 Break 12:00 Cervical Spine Injections: Indications and Efficacy Joshua Rittenberg, MD 12:30 Drug and non-drug interventions for cervical pain
R. Norman Harden, MD
1:00 Surgical indications for degenerative cervical spine disorders
Wellington Hsu, MD 1:30 Panel Discussion: Rittenberg, Harden, Hsu Moderator: Joel Press, MD 2:00 Adjourn TUITION
To qualify for group discount rates (you do not have to be from the same facility), students
must mail, fax, or enter online the group’s registrations together.
Number of Students Tuition
Single $450 Whiplash Cervical Symposium
2 to 4 $425
5 or more $415
Both Courses combined $795
LOCATION
The program will be held at the Rehabilitation Institute of Chicago, 345 East Superior Street,
Chicago, Illinois. The conference site is wheelchair accessible. Accessible materials, sign
language interpretation and personal assistance are available with at least 45-days advance
notice. HOUSING
Rooms have been reserved at the Avenue Crowne Plaza Chicago Hotel, 160 East Huron
Street, Chicago, Illinois
The Avenue Crowne Plaza Chicago Hotel is located 1½ blocks from RIC. Please contact their
reservations department from 9:00 am until 5:00 pm at (312) 787-2900 and indicate that you
are attending this course in order to receive the corporate rate of $109 for a Deluxe King
(single or double occupancy), $129 for two queen beds in the room, plus 16.4% tax. The daily
rate for parking at the Avenue is $49.00/day. The cut-off date for room reservations is Tuesday,
February 5, 2013.
The room block could reach its maximum before the above cut-off dates. Rooms and rates
revert to a space-available basis after the room block has reached its maximum or after the
cut-off date
REFUND POLICY
All cancellations must be in writing. Refunds less a 20% administrative charge will be given
until Thursday, February 21, 2013. RIC reserves the right to cancel or change any programs
for due cause. Cancellation of a program by RIC will result in a full refund of tuition. RIC is
not responsible for the refund of travel or hotel expenses under any circumstance. IMPORTANT REGISTRATION INFORMATION
Registrations will be taken in the order in which tuition checks or credit card information is
received. We highly encourage you to register online as these are processed more quickly than
mailed or faxed registrations. Full tuition must accompany the registration form in order to
confirm a place in this course. Until you receive your confirmation letter, you are not officially
registered for the course. For online registrations you will receive email confirmation within one
week of the date you registered. For registrations received by standard mail or fax, the
confirmation may take up to 3 weeks after we receive your registrations. If you do not receive
confirmation within this time period, please call 312-238-6042.
Do not make airline reservations that have cancellation penalties until we confirm your
registration. However, you should make hotel reservations as soon as possible.
One week prior to the course only internet registrations and faxed registrations that
include an email will be accepted. Please note that the course could reach its maximum
enrollment before this time.
CONTINUING EDUCATION CREDIT
New Directions for Understanding Whiplash Accreditation Statement
The Northwestern University Feinberg School of Medicine is accredited by the Accreditation
Council for Continuing Medical Education to provide continuing medical education for
physicians.
Credit Designation Statement
The Northwestern University Feinberg School of Medicine designates this live activity for a
maximum of 14 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit
commensurate with the extent of their participation in the activity.
Evidence-Based Solutions for Improving Cervical Spine Health and Function Accreditation Statement
The Northwestern University Feinberg School of Medicine is accredited by the Accreditation
Council for Continuing Medical Education to provide continuing medical education for
physicians.
Credit Designation Statement
The Northwestern University Feinberg School of Medicine designates this live activity for a
maximum of 13 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit
commensurate with the extent of their participation in the activity.
Physical Therapy
New Directions for Understanding Whiplash has been approved by the Illinois Physical Therapy
Board for 14.00 Contact Hours. Evidence-Based Solutions for Improving Cervical Spine Health and
Function has been approved by the Illinois Physical Therapy Board for 12.50 Contact Hours. Both
combined courses have been approved for 26.50 Contact Hours Approval #216-000069
Occupational Therapy
The Rehabilitation Institute of Chicago
is an approved provider for the
American Occupational Therapy Association to
offer continuing education in occupational therapy. This advanced level program The New
Directions for Understanding Whiplash activity is being offered for 1.4 CEUs or 14.0 contact hours.
The advanced level program Evidence-Based Solutions for Improving Cervical Spine Health and
Function activity is being offered for 1.275 CEUs or 12.75 contact hours. The assignment of
AOTA CEUs does not imply endorsement of specific course content, products, or clinical
procedures by AOTA.
Nursing
The Rehabilitation Institute of Chicago Academy is an approved provider of continuing
nursing education by the Illinois Nurses Association, an accredited approver by the
American Nurses Credentialing Center’s Commission on Accreditation.
This CNE activity is being offered for 26.75 contact hour(s) for the 2, 2 day courses.
The New Directions for Understanding Whiplash activity is being offered for 14.00 Contact Hours.
The Evidence-Based Solutions for Improving Cervical Spine Health and Function activity is being
offered for 12.75 Contact Hours.
Athletic Trainers
Rehabilitation Institute of Chicago is recognized by the Board of Certification, Inc. to offer
continuing education for Certified Athletic Trainers. 14.0 Contact hours for New Directions
and 12.75 CEUs for Evidence-Based Solutions will be awarded.
REGISTRATION ONLINE at www.ric.org/education or clip and return this form with payment
New Directions for Understanding Whiplash- Have We Been Driving in the Wrong Lane February 28 - March 1, 2013 Evidence-Based Solutions for Improving Cervical Spine Health and Function March 2-3,2013 Group Discount Policy To qualify for group discount rates (you do not have to be from the same facility), students must mail,
fax, or enter online the group’s registrations together. Group members cannot receive the discounted
rate if the registrations are received separately.
Single Registration Tuition: $450 Whiplash Cervical Symposium 2 to 4 Tuition per registrant: $425 5 or more Tuition per registrant: $415 Whiplash &Cervical Symposium $795 Make check payable to: REHABILITATION INSTITUTE OF CHICAGO Mail to: RIC Academy 345 E. Superior Street, Suite 1641 Chicago, Illinois 60611
Please TYPE or PRINT your name and professional initials (PT) as you would like them to appear on your continuing education certificate. Name First Name Last Name
Home Phone ( ) Prof. Initials Home Address City State Zip Organization/Facility Work Address City State Zip Work Phone ( ) Fax ( ) Position E-mail Send me information about other CE Courses Do not send me information
(We encourage you to use email – it allows us to respond much faster to your registration. Thank You)
Please note: registration will not be processed without full payment.
Method of Payment: Check enclosed Credit Card Credit Card Users Must Complete the Following Information: 1) Personal Credit Card Corporate Credit Card 2) MasterCard VISA
Credit Card # _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _
Expiration Date _ _ /_ _
Name on Card Billing Address City State Zip Cardholder’s Signature Credit card registrations may be faxed to: 312-238-4451. If you fax your registration, do not send another registration by mail. For official use # CC MK201302 D A ROL DL RIC Academy Wesley M. & Suzanne S. Dixon Education and Training Center 345 East Superior Street, Suite 1641 Chicago, Illinois 60611
An Academic Affiliate of Northwestern University Feinberg School of Medicine
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