Education Resources Blog

Focus on Home Exercise Programs


Great piece from distinguished ERI faculty member:

Jacqueline Grimenstein, PT, C/NDT, Jackie Grimenstein - ERI

As a working mother of 4 kids I always dreaded homework.  My husband and I would get home from work, do afterschool activities or carpools, make dinner and then deal with homework.  I found so much of homework to be more about getting it done that actually learning something from it or reinforcing a skill.  I keep this in mind as I design home programs and activities for the children I treat.  How meaningful are those activities and just what am I trying to have the child accomplish through them. 

Over my 40 plus years as a PT I have given this a lot of thought and try to focus on what does the child actually need for my next session.  Because isn’t that what home programs are for.  Along those same lines I find I need to match what is needed with something the child will practice and be willing to participate in.  When my children were going up I wanted them each to play the piano, but no one really wanted play the piano so every night was a struggle to get them to sit at the piano and practice.  I remember being in the kitchen and yelling into the family room that I did not hear any music coming from that piano.

So I have found the challenge to be what motivates the children we treat and how do we get them to be actively engaged and practice the skills they need.  The purpose of the home exercise program should be to build in repetitions of the components they need to advance a skill. So what is fun?  Finding those activities that the child actually likes to do is often the key to getting them to willingly do their home program.  Of course this then requires investigation and innovation on our part to tailor the activities to that child. 

Which brings us to, whose home program is this – mom’s or the child’s.  Many times when the child comes in for a therapy session and I ask how the child made out with the home program; mom answers she didn’t have time for them to do it.  Once the child is able to follow directions, if the program is meaningful and fun then it should not be a struggle.  So I start digging into what does the child like.  Is it sports, playing video games, imaginative play or something in the arts field?  Taking that interest can I build an exercise program around something that relates to that interest?  When doing an arts project can I build in some weight shifts and squats by placing objects at different levels.  For video games can they play an active game that requires them to move rather than just sit or can they sit on a dynamic surface to make their base more active. I try to find people they admire in their desired area of interest and look at what type of physical activities or work out program that person does.  Children are surprised to find that people in the arts field and even the video game world need to work out to have the posture and stamina to perform.   I have found that giving the child activities that work into play time to be more successful that setting them apart as a separate activity.  I may recommend the child do their home program during TV commercials.  These are timed to about 15-30 seconds per commercial and about two and a half minutes for a set.  It is amazing how many repetitions of an activity can get done in this time frame.

Having spent the majority of my career treating children with severe disabilities presents challenges in that the child often cannot do activities independently.  Helping the family find what is meaningful to them and what works in their time schedule become a separate challenge.  Parents often need guidance as to what skills the child can accomplish to assist with everyday activities such as transfers and ADL’s.  Being able to assist with the everyday becomes vital for the future as the child grows and parents age.  I have found that once parents understand why and what of programs they generally become your partner and willingly work toward the goal outside the therapy session.

The longer you stay in the therapy field the better perspective you have on what it to come in the future of the children we treat.  I have had the pleasure of following several children across the lifespan and have developed an appreciation of components of movement that are needed to have the child develop to prevent future issues with misalignment, pain and even decreased respiration.  Therapy is every day, all day to build in enough motor learning to get and keep functional patterns and skills. But first we have to get it so the child can use it every day and that only happens with consistent practice in hopefully a fun and meaningful program.

Being an NDT instructor and therapist has enhanced my assessment and creativity skills.  As I teach and encounter so many therapists we talk about the children we treat and problem solve how to get to the next level or sometimes even where to start.  But regardless if we are just starting to develop a skill or trying to refine an existing one, practice is essential and working with them to figure out how to build in practice while having fun is one of the things I enjoy the most. 

Don’t miss these great opportunities to learn from Jackie

Taping to Improve Alignment, Strength and Function in Children
March 23-24, 2018 Cedar Knolls, NJ
September 15-16, 2018 Washington, DC
November 2-3, 2018 – Indianapolis, IN

Utilizing NDT in Pediatric Practice
April 14-15, 2018 Minneapolis, MN
September 29-30, 2018 Pueblo, CO

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Play Your Cards Right- Become a trauma-informed care “ACE” Therapist!


Guest Blogger: Emily Zeman

We need to presume the clients we serve have a history of traumatic stress and exercise “universal precautions” by creating systems of care that are trauma-informed.” (Hodas, 2005).

Did you know:

47.9% of children report one or more adverse childhood experience (ACE), or a traumatic event, at some point in their lifetime, as well as over 60% of adults seeking health care services!

If we are to fully serve children or adult clients, using a trauma-informed care (TIC) approach should be our default. This is not (as commonly thought) a socioeconomic issue as it can and does affect people at every economic level/race/religion, etc.

First, what is trauma?

Trauma includes a sense of fear, helplessness, or horror after exposure to a psychologically distressing event where the person has inadequate internal or external resources to cope with an external threat. There are many adverse experiences that could lead to trauma such as:

  • abuse (physical, emotional, sexual)
  • neglect (physical, emotional)
  • parent substance abuse or mental illness
  • socioeconomic hardship
  • family member incarceration, divorce, the death of a loved one
  • witnessing domestic violence or a natural disaster.

To utilize our holistic skill set in delivering client-centered care, therapists want to consider a full client history, and upon finding out about traumatic event(s), engage in these following actions from a trauma-informed approach:

  • Realize the prevalence of trauma (develop screening measures, form community partnerships, and take a good client history!)
  • Recognize how trauma affects all individuals involved with the client, program, organization or system
  • Respond by putting this knowledge into everyday practice, including developing thorough outcome measurement management systems

Core Principles of a Trauma-Informed System of Care:

  • Safety – ensuring physical and emotional safety, by conducting yourself with non-threatening body presentation and calm voice
  • Trustworthiness – maintaining appropriate boundaries while building rapport, and making tasks clear
  • Choice – prioritizing client’s meaningful choices and control (people want choices and options; for people who have had control taken away, having small choices makes a big difference)
  • Collaboration– maximizing collaboration by encouraging clients to connect with their friends and family for support while providing evidence-based (EBP) interventions
  • Stay curious
  • Offer hope

Health professionals are considered mandated reporters. Always report suspected abuse and follow the protocols at your site.   

How do you assess trauma and/or modify your treatments as you become informed about a trauma? Please offer us your thoughts!

Resources:

https://www.cdc.gov/violenceprevention/acestudy/index.html

Centers for Disease Control and Prevention. (2017, April 4). Essentials for childhood framework: Steps to create safe, stable, nurturing relationships and environments for all children. Retrieved from: https://www.cdc.gov/violenceprevention/childmaltreatment /essentials.html

  1. SAMHSA.for definitions of trauma and trauma-informed care; (n.d.) SAMHSAfor prevalence figures.

The National Child Traumatic Stress Network (n.d.) Types of traumatic stress. Retrieved from: http://www.nctsn.org/trauma-types

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New Online CEU Course for Athletic Trainers


BOC ERI

Announcing our new Online Course:
POST CONCUSSION SYNDROME SERIES: A Four Part Series

Course Speaker:Christina Finn 

This dynamic series will help clinicians apply the latest research on diagnosis and management of concussion and post concussion syndrome. Focus is on the latest relevant assessment and treatment strategies for adults and children with prolonged visual, vestibular and sensory complaints as a result of concussion. Clinicians will learn effective treatment strategies to improve visual skills, balance and sensory integration for optimal return to school, work, and sports. Participants will engage in lab and interactive clinical problem solving via group case analysis and discussion.
The new online series, will help athletic trainers, physical therapists, occupational therapists, speech language pathologists, assistants, neuropsychologists, and vocational rehab specialists improve functional outcomes for their patients and clients, of all ages, who suffer from post-concussion syndrome.

Four Dynamic Online Sessions Recorded live:
Recorded live, this online series includes advanced, in-depth training, case discussion, and lab practice.

The team at Education Resources is also excited to announce the launch of our 

Post Concussion Syndrome – Therapeutic Strategies
Discussion Group

Education Resources offers Category A CEUs for Athletic Trainers for both live and online programs. This continued participation in the BOC Approved Provider Program means that athletic trainers can participate in our courses and receive CEUs.

We offer live courses on concussion management, vestibular and balance issues, taping, TBI, and other outpatient and rehab diagnoses.
Please click here for a listing of our relevant courses

If you are an athletic trainer we want to hear from you!

Please call or e-mail us to request a particular topic and/or location for a course.

Join our Mailing List to receive relevant approved courses coming to your area

 

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NEW NDT Course from Renowned Speaker Jackie Grimenstein


Jackie Grimenstein has been one of ERI’s long time respected Faculty Members, and we are thrilled to be able to offer you her NEW course:

Jackie Grimenstein - ERIUtilizing NDT in Pediatric Practice

April 14-15, 2018 – Coon Rapids, MN
September 29-30, 2018 – Pueblo, CO

Begin your journey into the world of NDT or expand your current knowledge with this course that will enhance your knowledge to the benefits of using NDT to treat the child with neurologic impairments and other pediatric disorders across the lifespan.  We will discuss the importance of practice of movement patterns and importance of integrating into daily activities utilizing fun and practical activities.  Facilitation strategies for improved movement patterns and how to look at all aspects of the child to assess the primary area to address in treatment will be presented utilizing didactic, video and hands on lab format.  Comfortable clothing for movement labs is recommended.  This course is designed for the physical therapist, occupational therapist or speech & language pathologist. This course is very attractive to clinicians who seek a better understanding of the NDT practice model and the use of handling and facilitation to enhance function. Course material will focus on basic concepts of theory, assessment and treatment of the child with cerebral palsy and disorders of the neuro-motor system. The course will include extensive lab sessions and case studies to reinforce didactic information.

The continuing education hours obtained at this course qualify toward NDTA re-certification.

Jackie  is a member of NDTA where she is a PT instructor. She has spent her career treating children with neurological impairments with an emphasis on children
with severe disabilities. She has practiced in a wide variety of settings including rehab, the NICU and over 30 years within school settings. She was a founding steering committee member of the International Pediatric Rehab Collaborative (IPRC) that assisted with the re-standardization the WeeFim and a member of their Outcomes and Best Practices committee. She is on the Board of Directors for NDTA as well as the conference planning committee, the Centers of Excellence committee, the Instructor Group Executive Committee and writes for the NDTA Network. 

Join our mailing list here to learn more

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NEW course for Pediatric Therapists – Ataxia, Autism and NDT


ERI is happy to announce that we are adding a new course to our extensive library of courses for the pediatric therapist. Designed and presented by our distinguished faculty member Gail Ritchie with new Faculty member Brenda Lindsay.

Ataxia, Autism, NDTAtaxia, Autism and NDT

This 2-day intensive workshop focuses on treating the child diagnosed with ataxia, or autism spectrum disorders. This course is relevant to Physical and Occupational Therapists, Speech Language Pathologists and their assistants, working with children of all ages that are diagnosed with neuromuscular movement disorders or autism spectrum disorders. Current research is finding that pediatric cerebellar dysfunction presents as complex involvement affecting sensory-motor, affective, communicative and cognitive function.  Course content will cover various examples of how children with these impairments might present during familial, academic or community participation.

Treatment principles will focus on the posture and movement system impairments and contextual factors that affect balance, posture and mobility of children with cerebellar involvement.  Video presentations will be used to identify subtle motoric qualities that are indicative of cerebellar dysfunction.  It is recommended that participants have knowledge of contemporary NDT terminology and treatment principles to maximize potential benefit from this course.

Don’t miss this opportunity:

April 7-8, 2018 – Hartford, CT
Please click here for full course information, to download a brochure or to register.

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SPEAKER SPOTLIGHT – Michelle Anderson Haas


ERI Faculty - Miki Anderson Haas

We are so thrilled to welcome Miki Anderson Haas PT, DPT as a new ERI faculty member. She has a passion for treating and educating others on her approach to treating the all-encompassing multi-trauma patient population, and we are excited to share this passion with our ERI community of therapists working in acute care, the ICU and with critically ill patients.

She received her Masters and subsequent Doctoral Degree in Physical Therapy from the University of North Carolina at Chapel Hill.  She is a practicing physical therapist in Acute Care with over 10+ years experience at a Level I Trauma Center with the majority of her time spent in the ICU setting.  Serving as the Lead Therapist of Critical Care Medicine for 8 years, she has dedicated her career to program development and education of not only therapists, but also the entire multi-professional team involved with patients who are or have been critically ill.  She assisted in the development and implementation of two specialized hospital teams with a strong focus on coordination and optimization of care that have achieved improved outcomes for patients who are critically ill.  She has experience teaching about the role of PT and OT in the intensive care units to audiences at the national, state, and local levels, while also assisted in teaching the acute care curriculum at the University of North Carolina at Chapel Hill for 10+ years. 

ERI is excited to bring you to Miki’s dynamic course – NEW for 2018: 

Critically Thinking Through the Critically Ill 
April 7-8, 2018 – CentraState Medical Center , Monroe, NJ
June 15-16, 2018 – Osceola Regional Medical Center, Kissimmee, FL
September 28-29, 2018 – Summa Health, Akron, OH
November 2-3, 2108 – TBA

Please click on the link above for detailed course information, to download a brochure and to register.

Join our ERI Community

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ERI Offers New Post-Concussion Syndrome Online CEU Course


Post Concussion Syndrome Online CEU Course

 

We are extremely thrilled to bring you the latest in our series of online courses.

The new online series, launching in January 2018, will help physical therapists, occupational therapists, speech language pathologists, assistants, athletic trainers, neuropsychologists, and vocational rehab specialists improve functional outcomes for their patients and clients, of all ages, who suffer from post-concussion syndrome.

For more information and CEU details or to register please visit:
Post Concussion Online Series
or call the office at 800-487-6530.

Researcher, post-concussion syndrome expert, and clinician Christina Finn MS, OTR/L teaches the series through case studies, demonstrations, extensive directed lab practice, and lecture.

“This was an excellent course based on current research and evidence based practice. Great information presented in a clear, concise manner. I would definitely recommend this course for anyone working with concussion patients/clients.”-A. Crawford, SLP

Course topics include:

  • The Concussion Crisis: Diagnosis and Management
  • Concussion: Impact on Visual/Vestibular/Sensory Systems and Overview of Treatment
  • Strategies and Techniques for Transitioning back to School, Work and Sports
  • Visual and Vestibular Impairments: Evaluation and Intervention Tools

There is a national awareness about the growing number of people suffering from post-concussion syndrome and the growing impact it has on function. This online series provides an in-depth collaborative approach for physical therapists, occupational therapists, speech language pathologists, their assistants, and athletic trainers to support clients and patients diagnosed with post-concussion syndrome. In addition to learning tools and strategies for their respective discipline, all course participants will learn how to intervene in unique circumstances, learn how to support return to school, play and work in accordance with national guidelines, and learn how to guide parents.

Healthcare professionals may access the series for an entire year to hone their skills and sharpen their decision-making at their convenience. Participants will receive downloadable handouts and may earn seven continuing education hours upon completing the series.

Christina Finn - ERI Faculty MemberChristina Finn MS, OTR/L graduated from the University of Scranton in 2004 with a Master’s Degree in Occupational Therapy and is currently an assistant professor of occupational therapy at the New York Institute of Technology in Westbury, NY where she teaches classes in physical rehabilitation and motor learning. Prior to attaining a full-time faculty position, Christina worked at the Rusk Institute of Rehabilitation Medicine at NYU Medical Center in New York City for 10 years. She has advanced training in vision therapy and holds a certification in adult vestibular rehabilitation. Christina has experience in all areas of rehabilitation across the spectrum of care, including acute care, inpatient, and outpatient rehabilitation. She lectures nationally and has developed competencies for training staff in management of concussion/mild traumatic brain injury and for management of visual perceptual deficits.

Celebrating 30 years of life-changing learning, ERI provides courses that remind you why you became a therapist. And why you love what you do. Learn skills you’ll use right away, through hands-on learning, both live and online, it’s about improving outcomes – by improving patient care. We strive to be your Preferred Provider – your go-to source for all of your continuing education needs.

Any questions: info@educationresourcesinc.com

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Looking for CEU Courses in Texas in 2018? ERI offers Quality Education by Renowned Faculty


Let Us Help You Education Resources inc CEU courses in Texas
Grow Professionally!

EDUCATION RESOURCES is committed to ensuring class participants learn effective techniques and critical problem solving skills that can be immediately applied to the work setting.

Improve Outcomes by Improving Patient Care

Education Resources provides continuing education that can truly make a difference for Physical Therapists, Physical Therapist Assistants, Occupational Therapists, Occupational Therapists assistants, and Speech Language Pathologists and their patients.

Our distinguished and world renowned faculty are leaders in their field, and provide clinically relevant, evidence based, dynamic and engaging CEU courses.

Please click here for a listing of evidence based courses coming to Texas in 2018

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How Physical Therapists Select Continuing Competency Activities


Post submitted by Barbara Goldfarb, MS, PT Vice President ERI

Yes, that is the question we wanted to find out from you! What topics do you want to learn more about? How do you choose what courses and the type of courses you go to?

Do you prefer live or on-line courses?

As luck would have it, the fsbpt (Federation of State Boards of Physical Therapy) recently did a survey which they just published, giving us some answers.
http://portal.criticalimpact.com/newsletter/newslettercontentshow1.cfm?contentid=178111&id=16471

Most participants in this study preferred live (weekend) courses to gain either minimal or advanced competencies, followed closely by online or on-demand courses. They rated both as being very effective in maintaining minimal or achieving advance competence.

That made us very pleased as we try to give you the choice of learning via either modality. Our live courses give you the chance to network, share treatment ideas with colleagues, and talk directly to the instructor. Many are designed to be small, with hands-on learning and clinical problem solving.

Our on-line courses are very different from the “cookie cutter” one or two-hour courses you typically see. They are filmed “live” and give you the feeling of being in the room, which is a far cry from the “death by PowerPoint” courses offered elsewhere.  From gaining acute care skills, to learning the latest guidelines for concussion, these online courses can be viewed conveniently from your home or at work (lunchtime popcorn anyone?)

The fsbpt survey also asked PTs and PTAs how they choose topics. No surprises here…people choose to pursue topics that they are personally interested in or that help them gain a professional or personal goal, rather than a licensure requirement or employer mandated topic.

This is a wonderful confirmation that PTs and PTAs are professionally motivated to pursue continuing competencies whether or not their particular state requires CEUs for re-licensure. We suspected as much, but now we know it for sure!

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HAPPY NEW YEAR – Holiday Coupon Extended to January 3rd 2018


2018 CEUs

HAPPY NEW YEAR!
From Education Resources

To give you a little more time in choosing those valuable CEUs we have extended our deadline for our Holiday Coupon

Wishing our Community of Therapists
Peace Happiness and Joy for the upcoming year
We would like to offer a $50 discount toward any conference fee
Register now through January 3rd 2018
Apply code: HOLIDAYS2017

Let Education Resources help you fulfill your professional development and continuing education requirements with our comprehensive selection of dynamic courses in 2017.

Including many NEW courses and distinguished faculty members 

Not to be used in combination with other discounts or course credits. Non-Transferable. Only one discount may be used per conference. Must be applied at time of registration, not for conferences previously registered for. Not for online courses

You can register online, call the office or fax in your registration.
Just mention the code! 

Please call, email or visit our website with any questions 

Please click here for our full listing of courses

Thank you
 Mandy

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