This introductory course has revolutionized the way therapists treat patients by assessing the body’s core, from vocal cords to the pelvic floor. Assessment of breathing patterns and maladaptive core stabilization strategies will guide treatment. Participates will leave this course learning numerous interventions to improve functional outcomes in patients.
- CEU DETAILS
Day one attendance is required to be able to participate in Days 2-3.
This 3 day course, developed by Mary Massery, will challenge the practitioner to make a paradigm shift: connecting breathing mechanics and postural control with management of trunk pressures. Through Mary Massery’s model of postural control (Soda Pop Can Model), the speaker (a certified faculty member of Mary Massery Physical Therapy), will link breathing mechanics with motor and physiologic behaviors (a multi-system perspective). She will present novel research demonstrating the role of vocal folds as postural stabilizers, extending the concept of “core stability” from the vocal folds on the top of the trunk to the pelvic floor on the bottom. Numerous interventions will be presented that use positioning and ventilatory strategies to optimize motor performance. Neuromotor breathing retraining techniques and manual assistive cough techniques will be the focus of treatment labs. Multiple patient cases will be presented throughout the course. The emphasis of the course will be on developing practical, quick clinical solutions for pediatric and adult patients in all practice settings.
At the conclusion of Day 1, participants should be able to:
1. Describe how trunk pressures link breathing and postural control using the Soda Pop Can Model.
2. Describe the multiple, simultaneous roles of the diaphragm as related to breathing, postural control, gastroesophageal reflux, constipation, and venous return.
3. Demonstrate the role of the vocal folds in normal postural stability responses (balance) and make the case for using speaking valves for patients with tracheostomies.
4. Contrast normal infant chest wall development to those with impaired breathing mechanics.
5. Position patients for optimal physiological and biomechanical support of breathing with simple equipment (towels, pillows, etc.).
6. Use a ventilatory strategy algorithm presented in class to optimally match breathing with movements from bed mobility to athletic endeavors.
At the conclusion of Days 2- 3, participants should be able to:
7. Perform a multi-system (physical and physiologic) evaluation of motor impairments.
8.Identify the variations of “normal” breathing patterns and discuss the efficiencies/inefficiencies for individual patient conditions.
9. Evaluate need for, and demonstrate, appropriate neuromotor retraining techniques for patients with ineffective breathing/postural control strategies (health or participation deficits).
10. Participate in a live patient demonstration (if a patient is available) and suggest possible evaluation and treatment ideas based on the course material.
11. Design a targeted airway clearance program using the principles of mobilization, expectoration and oral management.
12. Demonstrate airway clearance techniques, with a heavy emphasis on manual assistive cough techniques, and apply an airway clearance algorithm to specific patients.
13. Identify thoracic cage/spine restrictions as they pertain to breathing mechanics and postural control (a very brief introduction musculoskeletal issues).
14. Evaluate need for, and demonstrate, neuromotor retraining techniques to improve breath support for voicing.
15. Suggest means for incorporating the course material into therapy activities in your clinical setting immediately
Nechama Karman received her MSPT from Columbia University in 1994, her Advanced MS in orthopedic PT from Touro College in 1998, and she has completed all coursework toward a PhD in Health Sciences at Seton Hall University. She has held academic appointments at Hunter College and NYIT. Nechama is chief clinical educator at Mobility Research, providing pediatric and adult trainings, introductory and advanced seminars, webinars, and clinical support for LiteGait in the USA and internationally. She is a primary instructor in LiteGait’s “train the trainer” program. She treats patients with complex neurological conditions and/or complex pelvic conditions.
Nechama had served as a teaching assistant for each of Mary Massery’s courses for over a decade before starting a 2-year faculty apprenticeship in 2014. She became Mary’s first certified faculty member in June of 2016! One of Nechama’s proudest “Mary Massery” moments occurred when she treated a man suffering from prostatectomy-related incontinence using Mary’s approach. She taught him to transfer without incontinence for the first time in 9 months - all in under 15 minutes! She is passionate about helping other therapists learn these important concepts.
Nechama works closely with Mary Massery at Massery PT
"I loved this course! Nechama is passionate and knowledgeable. The experience she shared is so valuable. Great examples to help remember context! I will definitely recommend to friends and colleagues." -PT
"Nechama is very knowledgeable and easy to listen to. Great info on anatomy and physiology in relation to postural control. Definitely new outlook on things! The course booklet is very thorough. References are amazing! Slides and case study photos extremely helpful." -PT
Horizon High School
71-77 Okner Parkway
Livingston, NJ 07039
This course meets the criteria for 20.5 contact hours.
Approved provider of continuing education by the American Occupational Therapy Association #3043, for 20.5 contact hours - Intermediate Level Occupational Therapy Process: assessment, intervention. The assignment of AOTA CEUs does not imply endorsement of specific course content, products or clinical procedures by AOTA
NBCOT professional development provider- 20.5 PDUs
This course is offered for up to 2.05 ASHA CEUs for (Intermediate level, Professional area).