Inside...2 • Early PT in ICU3 • Patellofemoral Pain 5 • Program Changes5 • Virtual Rehab

Go to www.apta.org/CSM to learn more!

Don’t Miss!• Wake up with the Foundation for

Physical Therapy Networking Coffee Tasting, 6:30 am–8:30 am, Artist Foyer.

• APTA’s Ask-a-Librarian series begins at 11:00 am with “Better Searching in 2 Hours or Less” and ends with the 3:00 pm session “Evidence-Based Searching for the Busy Physical Therapist,” both in Hall G, Product Demo Theater, Booth #2707.

• You say you want a strong profession? Join PT-PAC at the Beatles’-themed Revolution Lounge, 9:00 pm–

midnight. You can buy tickets at the PT-PAC booth in the Exhibit Hall.• Discover a disruptive path to the profes-

sion’s future when Leslie Portney, PT, DPT, PhD, FAPTA, presents the Pauline Cerasoli Lecture, 3:00 pm–5:00 pm in Murano 3205.

• Student and alumni receptions happen on Tuesday and Wednesday evenings. Check your CSM program guide under Additional Activities, or the CSM mobile app for a list of receptions and their times and locations.

›› see page 4

DAILY NEWS WEDNESDAY, FEBRUARY 5, 2014

›› see page 6

By Don Tepper

Everyone has the potential to lead, John Lowman, PT, PhD, CCS, told attendees

at the Recognition Ceremony for Clinical Specialists of the American Board of Physical Therapy Special-ties (ABPTS) at CSM 2014 on Feb-ruary 3. Further, he said, everone in attendance has a responsibility to lead. Lowman, the immediate past chair of ABPTS, spoke on “Improving the Human Experience Through Heroic Leadership.”

Lowman began by describing traits that other researchers and authors have identified as vital to leadership. From Daniel Goleman, author of Emotional Intelligence, he cited the following emotional intelligence skills:• Self-awareness: Knowing your

values, strengths, and weak-nesses

• Self-regulation: Being able to con-trol and redirect your emotions

PTs Have Potential—and Obligation—To Lead, Keynote Speaker Lowman Says

John Lowman addresses the Recogni-tion Ceremony for Clinical Specialists.

• Social Skills: Managing rela-tionships

• Empathy: Considering the feel-ings of others

• Motivation: Being driven for the sake of achievement

Lowman then described the findings of leadership expert Jim Collins, author of Good to Great. Collins found that truly great com-panies have what he called “level 5 leaders.” While they all had the nec-essary management skills—knowl-edge, the ability to work effectively as a team member, and a clear and compelling vision—they also had a combination of personal humility and professional will.

From a yet another book—Heroic Leadership by Chris Lowney about the origin and evolution of the Jesuits—Lowman identified the traits of self-awareness, heroism, and love. Lowman said heroism is similar to Goleman’s “motivation”

By Deb Nerud Vernon, BS, MA, EMTP

Lorimer Moseley, PhD, FACP, and David Butler, PT, EdD, gave attendees a new out-

look in thinking about pain dur-ing Monday’s Education Section session “Fifteen Years of Explain-ing Pain: Where Are We Now and Where Are We Going?”

“Often we think that once a person is suffering we should try to teach them to live with their pain,” began Moseley. “Saying that pain is unavoidable is biologically corrupt. Nociception is not nec-essary to feel pain; our brain is actually the determining factor in how much pain we associate with an event.”

Moseley equated how the brain recognizes pain to vision. Just as

Linking Pain to Processes In Brain Is Key to Treatment

our brain can alter what we see in an optical illusion, our brain evaluates the degree of threat to our body tissue to determine pain. “Our brain must have cred-ible evidence that our body is in danger in order to produce pain,” Moseley said.

Brain cells fire in unison to represent pain. “When you throw beliefs, knowledge, logic, other sen-sory cues, and social context into the mix, you anticipate a conse-quence,” Moseley said. “The brain determines that something is dan-gerous and launches modulation of the dorsal horn in the spinal cord. The brain floods the spinal cord with neuro transmitters.”

“Explaining pain to the patient Dianne Jewell, PT, DPT, PhD, CCS, presents the Linda Crane Lecture, Tuesday afternoon. Full story to follow in Thursday’s issue.

Go to www.apta.org/CSM to learn more!

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Active physical therapy students once again began to track their

swimming, biking, running, and other fitness activities for the sake of physical therapy research. On February 1, the Foundation for Physical Ther-apy launched its second annual Log ‘N Blog, introduced last year and led by students from the University of Pittsburgh.

This year the Foundation has opened up the competition allowing anyone to form a team, including PT and PTA programs at universities, corporations, clinics, sections, and chapters, and any member of the general public. After joining or forming a team, participants are encour-aged to compete with the other teams to raise awareness about the importance of maintaining a healthy lifestyle.

A $10 registration fee for each individual directly supports the Foundation’s mission of funding physical therapy research.

Some new features have been

Foundation Launches Second Annual Log ’N Blog

incorporated into the website, including the ability to track physical activity by the minute and hour, a commenting feature on the home page and individual pages of the site, and the option to backlog activities to the begin-ning of the 2014 competition. The fitness category can be used for tracking physical activity in addition to biking, running, or swimming such as walking, yoga, hiking, water aerobics, gardening, and tennis.

The Foundation hopes to engage participants nationwide in promoting physical activity and raising funds for physical therapy research. This year’s effort will run through July 31, 2014. Top performers of the competition will each receive a special certificate and recogni-tion by the Foundation for their participation.

Drop by the Foundation’s booth #355 during CSM to speak with student coordina-tors, or learn more by visit-ing LogNBlog4PT.org.

By Don Tepper

Early-onset physical therapy benefits patients in in-tensive care units (ICUs),

according to Dale Needham, MD, PhD. Needham, the medical di-rector of the critical care physical medicine and rehabilitation pro-

gram at Johns Hopkins University, spoke Tuesday at the Cardiovascu-lar and Pulmonary Section’s ses-sion “Physical Therapy in the ICU: The Past, Present, and Future.”

Needham called for a new ap-proach to the ICU—one that does not confine patients to beds. Quoting another ICU physician,

Needham read, “When we started our ICU in 1964, patients who required mechanical ventilation were awake and alert and often sitting in a chair. When I make rounds in critical care units these days … I see … paralyzed, sedated patients, lying without motion, ap-pearing to be dead, except for the monitors that tell me otherwise. Patients … cannot even maintain muscular tone, and muscle atro-phy begins.”

Citing another observer of the ICU, Needham continued, “After ICU care the patient is discharged to the ward, where he/she experi-ences impaired cognition; diffi-culty dressing, eating, and rising from bed; shortness of breath; and fatigue. A prolonged stay in a rehab center may be necessary.”

Needham said that various studies address the benefits and safety of early-onset physical therapy for patients who are hos-pitalized. Studies show that early activity in the ICU is safe for pa-

Patients in ICU Can Safely Get out of Bed, Research Shows2 WEDNESDAY, FEBRUARY 5, 2014 • LAS VEGASCSM Daily News

tients, he said.However, the next question is

whether early activity in the ICU is beneficial. Needham cited sev-eral studies that indicated that early mobility was associated with greater survivorship and reduced readmissions. Other studies dem-onstrated the rapid loss of patient muscle mass in the ICU and the benefits of both physical activity and of patient discharge from the ICU. For example, 1 study found an 18% loss of body mass in ICU patients, most of which involved muscle mass loss. Even when body mass is restored, much of the new mass is fat, rather than muscle.

In another study, a meta-anal-ysis, an average of 19 minutes of physical therapy a day reduced a patient’s stay in the ICU by 1 day and a stay in a rehabilitation facil-ity by 4 days.

Needham said that incorpora-tion of physical therapy in the ICU

›› see page 6

Aquatic rehabilitation is just one of the many product categories offered by the more than 400 companies in the CSM 2014 Exhibit Hall.

Go to www.apta.org/CSM to learn more!

WEDNESDAYThe Orthopaedic Section is offering some great programming today, to include sessions sponsored by our Performing Arts Special Interest Group, as well as our Foot & Ankle Special Interest Group! Following our programming, please be sure to attend these events as well:

3:00 PM – 4:00 PMRose Excellence in Research Award Platform Presentation

4:00 PM – 5:30 PMOrthopaedic Section Membership Meeting

6:30 PM – 7:30 PMOrthopaedic Section Meet & Greet ReceptionIt’s our 40th Anniversary! We’ll begin the evening recognizing the Orthopaedic Section past Presidents along with a cake cutting ceremony. Following the cake cutting, you’ll enjoy cocktails and hors d’oeuvres while networking with your friends and colleagues. The Orthopaedic Section Awards Ceremony will follow…

7:30 PM – 9:00 PMOrthopaedic Section Awards CeremonyJoin us as we recognize the individuals receiving Orthopaedic Section and JOSPT awards.

By Troy Elliott

For patellofemoral pain (PFP) researchers, agreeing some-times means agreeing to

disagree about issues as varied as the role of the hip versus the foot or whether vastus medilias obliquus (VMO) weakness is a cause or ef-fect of PFP. These were among the issues addressed in a lively session at the February 4 Section on Research session that was part debate and part presentation of consensus statements from the Third International Patellofemoral Pain Research Retreat.

“We still don’t really completely understand the mechanics behind [PFP],” said session moderator Irene S. Davis, PT, PhD. That fact was what helped to drive the cre-ation of a biennial research retreat that has been bringing together over 50 researchers from 10 coun-tries to discuss the latest research on PFP, the condition that has

Panel Agrees to Disagree on Patellofemoral Pain

Vegas Watch Catch up on some of the

topics of conversation here at CSM with our video dispatch-es: www.apta.org/CSM/Video.

become the most common overuse injury of the knee. The latest re-treat was held in Vancouver, British Columbia, September 18-21, 2013.

Participants in the retreat pro-duced consensus statements on the source of pain; the causes of pain, increased joint reaction forces, and decreased contact area; pathology; and the reasons for elevated stress in individuals with PFP.

According to speaker Christo-pher M. Powers, PT, PhD, FACSM, FAPTA, while consensus could be reached on some elements, other is-sues are still being looked into. One such issue involves the relationship between structure and biometrics, particularly the role the femur could play in the process. “Is it the train falling off the tracks,” he asked, “or is the track leaving the train?”

The retreat also produced con-sensus about where there wasn’t consensus, a point made clear to session attendees by way of panel debates interspersed through the

presentation. The real discussions began after a presentation from Brian Noehren, PT, PhD, about the retreat’s review of research around PFP and distal elements. Noehren outlined the research discussed at the retreat, which included relatively new studies on the role of the trunk and what he dubbed “the great debate” around the role of the hip versus foot in contribut-ing to PFP. Powers argued for the importance of the hip and femur, while Davis suggested that the foot and motor control play major roles as well.

Research was applied to prac-tice when Lori Bolgla, PT, PhD, MAcc, ATC, discussed treatment approaches to PFP. According to Bolgla, the best interventions are multimodal approaches that in-volve hip and knee strengthening, movement feedback, and the use of foot orthoses. Isolated taping without other interventions and the use of physical agents have not

CSM Daily News 3WEDNESDAY, FEBRUARY 5, 2014 • LAS VEGAS

proven effective, said Bolgla. What does seem to work, she said, are hip-strengthening exercises.

Panelists found less to debate around this treatment approach, and generally agreed that physical therapists (PTs) need to apply care-ful clinical judgment when address-ing PFP to create individualized ap-proaches. Davis warned, however, that this clinical judgment also needs to be extended to a realistic assessment of long-term benefits. “We as clinicians overestimate our success,” she said. Davis recom-mended that PTs request follow-up visits at 6 months and more. “I think we’re going to find that we’re not doing as well,” she stated.

4 WEDNESDAY, FEBRUARY 5, 2014 • LAS VEGASCSM Daily News

Go to www.apta.org/CSM to learn more!

THE EVIDENCE YOU NEED, WHEN YOU NEED IT.

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CSM Daily News is published February 4, 5, and 6 onsite, and 1 time following the conference, by the American Physical Ther-apy Association (APTA) and produced by CustomNews Inc. Contributing editors and writ-ers are Deb Nerud Vernon, BS, MA, EMT-P, CustomNews Inc; Tim Mercer, CustomNews Inc; Don Tepper, APTA; Troy Elliott, APTA; and Lois Douthitt, APTA. Photographer is David Braun, David Braun Photography.

DAILY NEWS WEDNESDAY, FEBRUARY 5, 2014

and Collins’ “professional will” and is the key to what he called “heroic leadership.” Those demonstrating heroic leadership “imagine a bet-ter future”—similar to the US Air Force slogan “Aim High.”

Although some people may seem to be born with heroic leadership abilities, Lowman insisted that leadership can be learned, even later in life. Some may find respon-sibility thrust upon them. However,

Heroic leadership also is devel-oped through making wise choices, Lowman said. He explained, “To grow into your role as a great leader, you have to make choices. More and more of those choices you make are about not choosing you but rather choosing others, choos-ing the cause; less about ego and more about serving others. When you consistently choose to be the servant, as opposed to choosing yourself, you have developed the necessary humility to be … a heroic leader.”

He said that heroic leadership will be necessary for APTA’s vision to become reality, “Leadership is not a lab coat you can take off at the end of the day,” he said.

Addressing those in attendance, Lowman concluded, “You are lead-ers. Maybe not a heroic leader yet, but I think that is what you are called to be. I believe that not lead-ing is not an option … . For those of you who are here tonight being recognized as newly certified clinical specialists, I hope you realize that you are those ‘to whom much has been given.’ And now, more will be demanded of you.”

Lowman›› from page 1

Lowman continued, “There are those, perhaps like many of you, who have grown into a leader over time. You were timid at first, but you worked hard and studied hard. You did the best you could to pro-vide compassionate, high-quality care. In doing so, more patients sought your services. Your col-leagues began soliciting your advice about patient care. Students gave you glowing reviews as a CI. The examples could go on and on, but I hope you are starting to see yourself in these examples.”

The audience listens to John Lowman, PT, PhD, CCS, at the Recognition Ceremony for Clinical Specialists during the ABPTS opening ceremony.

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Changes and CorrectionsPlease note the following change to the printed onsite pro-

gram. For the most up-to-date information on session changes, download the CSM 2014 mobile app!

February 5The Geriatrics Section’s “Support Payment Tests for Aging

Adults” (GR 2A 5567) has been canceled; the session was sched-uled at 8:00 am. February 6

Federal Physical Therapy’s “Trigger Point Dry Needling: Is This Intramuscular Manual Therapy Technique Beneficial for All?” has been canceled; the session was scheduled for 8:00 am–10:00 am.

Go to www.apta.org/CSM to learn more!

WEDNESDAY, FEBRUARY 5, 2014 • LAS VEGAS CSM Daily News 5

›› see page 7

By Don Tepper

Virtual reality-based reha-bilitation has resulted in “significant increases in

function” in service members fol-lowing traumatic brain injury, am-putation, and severe limb trauma. That was the take-home message from a Federal Physical Therapy Section panel presentation “Vir-tual Reality-Based Rehabilitation for Injured Service Members” on Tuesday.

Christopher Rábago, PT, PhD, began by defining virtual reality (VR) as “a simulation of a real world environment that is generated through computer software and is experienced by the user through a human-machine interface.” Rábago, with the DoD-Extremity Trauma and Amputation Center of Excellence (EACE), identified 3 types of simulation:

Constructive simulations. People and equipment do not nor-mally interact. Instead, computers

or natural settings are defined with parameters to reconstruct or construct a series of events. Ex-amples include biomechanical gait simulation and modeling.

Live simulations. People in-teract with equipment, other people, or both while performing activities in settings that simu-late where they would operate. Examples include field exercises during military training.

Virtual simulations. People interact with equipment, other people, or both in a computer-controlled environment. Examples include driving and flight simula-tors and video games.

He also mentioned the devel-opment of a fourth simulation, typically called “serious games,” focused on training.

Rábago explained that VR in military rehabilitation centers may range from low-cost off-the shelf systems such as the Wii and Microsoft Kinect to high-end systems such as Computer Assisted

Rehabilitation Environment (CAREN) and Fire Arms Training Simulator (FATS).

Alison Pruziner, PT, DPT, ATC, described in greater detail the clinical applications of VR. Pruziner is with EACE and the Military Advanced Training Center at Walter Reed National Military Medical Center.

The clinical applications include posture and balance training, gait training, cognitive rehabilitation, and community reintegration. “Virtual reality is very useful in helping with transitions—for instance, getting on an escalator or off a moving walkway. Inclines,

Virtual Reality-Based Rehabilitation Successful for Service Members

Pain›› from page 1

Go to www.apta.org/CSM to learn more!

Resource Central Has All Your Essential APTA Products and Publications

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6 WEDNESDAY, FEBRUARY 5, 2014 • LAS VEGASCSM Daily News

is as good an intervention as we have and better than most. Pain does not exist in your nervous sys-tem, pain exists in your conscious-ness,” said Moseley.

Since the evaluative system de-termines whether pain will be pro-duced or not, physical therapists (PTs) need to be aware that what their clinic looks like can influ-ence their patient’s pain level. “If your clinic looks professional, with diplomas on the wall, the brain will determine that this is a good place that can heal me,” suggested Moseley. “The better you connect with your patient, the better the patient will do.”

Butler supported Moseley’s thoughts by saying that science pours out stories, but “it’s how we translate that to our patients that is the important part.”

Butler said the PT needs to be an educationalist. “To improve pain literacy you need to translate knowledge into appropriate narra-tive, bring it down to the patient.

You may need to alter the narra-tive to target the misconception the patient has.”

Butler told the audience that conceptual change is both a pro-cess and an outcome. Patients may come to the PT with many levels of misconception. In the first level, patients may be missing bits of in-formation. “This is relatively easy to fix, by just filling in the gaps in knowledge,” said Butler.

The next level is the “single grain” level. “The patient may say things like ‘It’s just old age.’ The PT needs to be explicit and present the alternative data and let the patient process this.”

At the “sandcastle level” there are multiple grains held together in a flawed mental model. “The patient thinks ‘I have pain, there-fore I am damaged.’ PTs need to be humble with these patients and need take this thinking grain-by-grain and break down the ele-ments,” said Butler.

The last level is when beliefs and misconceptions are at a paradigm level; these might be religious or cultural in nature.

“At this level we need to take them through a series of emergent processes. The brain goes through a phenomenon of elaboration. It makes connections to what it knows,” said Butler.

Butler suggested asking pa-tients where they are getting their information. If they base their knowledge on the Internet, PTs might offer that “the images on Google are scary, but those are a really extreme case.”

Butler suggested using meta-phors in therapy to help change occur, but he cautioned that meta-phors containing scary words should be used sparingly. “Meta-phors are as much a product of

the disease as they are part of the healing process,” he said.

Metaphors offered by the pa-tient should be addressed and re-butted. “‘My knee is a rusty hinge’ is language to come back to. Do not replace a metaphor with another metaphor,” Butler recommended. “Answer, ‘that’s okay; we’ll put a bit of oil on that hinge.’” Other met-aphors the PT may hear include: “I’m falling apart at the seams,” “I’m at a crossroads,” and “It feels like pins and needles.”

Butler also suggested looking at the operational diagnosis and softening the language. “Say ‘put the recovering arm up,’ not ‘put the bad arm up.’”

should be both part of a culture change in the ICU and part of a quality improvement model. He added that inclusion of physical therapy as well as occupational therapy in the ICU can be jus-tified using a financial model. Although there are costs to pro-gram implementation, benefits arise from reduction in length of stay, per-day cost savings, and number of readmissions.

He offered 14 tips for success in persuading hospital adminis-trators to incorporate physical therapy earlier in the ICU pro-cess and to maintain it.

Addressing the future, Need-ham called for a hospital with no beds. He said that current practices tether patients to beds, essentially making them prison-ers of their beds. Currently, he

conceded, there is a lack of a viable alternative to the bed. He called for the development of a new “healing platform and the design of equipment to support movement.” The current focus on bed care, Needham said, reinforces the “sickness model. The design is telling visitors to ‘keep the patient in bed.’ And visitors communicate this back to the patient.”

Needham proposed the follow-ing ideas for moving away from “bed-centricity”:• Recognize that environment

affects mobility and a “sick-ness model.”

• Move away from “Rolls Royce” beds focused on bed rest.

• Design healing platforms and equipment for mobilizing the patient in the ICU.

• Think about continuous versus episodic movement.

ICU›› from page 2

The Exhibit Hall was a busy place Tuesday afternoon. Join your fellow attend-ees today from 9:30 am to 5:30 pm, with unopposed hours from 1 to 3 p.m.

CSM Daily News 7WEDNESDAY, FEBRUARY 5, 2014 • LAS VEGAS CSM Daily News 7WEDNESDAY, FEBRUARY 5, 2014 • LAS VEGAS

Find out how achieving board certifi cation can enhance your career in physical therapy.

Visit our Web site at www.abpts.org. Or phone 800/999-2782, ext 8520.

Visit us at Booth 571

Choosing to become a physical therapist was, no doubt, one of the most important decisions you ever made. Now’s the time to consider a very important next step in your career —becoming a board-certifi ed specialist in physical therapy.

Certifi ed specialists are PTs like you who have built on a broad base of professional education and experience to develop advanced knowledge and skills in a particular area of practice. You achieve certifi cation by demonstrating competence in specialized knowledge and advanced clinical profi ciency. Certifi cation is available in the areas of Cardiovascular and Pulmonary (CCS), Clinical Electrophysiologic (ECS), Geriatric (GCS), Neurologic (NCS), Orthopaedics (OCS), Pediatric (PCS), Sports (SCS), and Women’s Health (WCS).

Maximize Your PT PotentialBecome a Certifi ed Specialist

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n An Increased Sense of Personal Achievement and Self-Confi dence

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n Accurate Indication of Their Knowledge and Skill in Their Area of Specialty Practice

Go to www.apta.org/CSM to learn more!

CSM 2014 is employing a session code system to better track the educa-

tional sessions offered in Las Ve-gas. Each session is identified by a 2-letter section abbreviation, followed by a number indicating the day of the session, a letter indicating the time, and a 4-digit code unique to that session. A guide follows.

SectionsAcute Care ...............................AC Aquatic Physical Therapy ......AQ Cardiovascular and Pulmonary .....................CP Clinical Electrophysiology and Wound Management ....CE Education .................................ED Federal Physical Therapy ......FD Geriatrics .................................GR Hand Rehabilitation .............. HR

Health Policy and Administration .....................HPHome Health ..........................HH Neurology ................................ NE Oncology .................................. ONOrthopaedic .............................OR Pediatrics .................................PDPrivate Practice ....................... PPResearch ...................................RESports Physical Therapy ........ SPWomen’s Health .................... WH

Education SessionsDay 1: Tuesday, Feb 4 ................ 1Day 2: Wednesday, Feb 5 ........... 2Day 3: Thursday, Feb 6 .............. 3

Time BlocksBlock 1: 8:00 am–10:00 am .......ABlock 2: 11:00 am–1:00 pm .......BBlock 3: 3:00 pm–5:00 pm .........C

New Codes Help Identify and Track Sessions

such as low-grade hills, can be difficult with someone with a prosthesis because it’s between a strategy for walking and one for hill climbing.”

She also reported on the results of novel VR-based assessment and treatment interventions for multiple patient populations. Finally, she discussed the transferability of VR-based findings to non-VR environments, and to low-cost accessible VR systems.

Kim Gottshall, PT, DPT, then addressed vestibular and traumatic brain injury (TBI) rehabilitation for injured service members. Gottshall is with EACE and the Comprehensive Combat and Complex Casualty Care (C5), at the Navy Medical Center in San Diego.

Gottshall described research that compared the effectiveness of CAREN vestibular physical therapy (VPT) with traditional physical therapy (TVPT) for vestibular patients with mild TBI. Evaluations were performed pre-intervention, 3-week mid-intervention, and 6 week post- intervention. Tests involved were the Sensory Organization Test, Activity Specific Balance Confidence Score, Dizziness Handicap Inventory, Functional Gait Assessment, and Visual Acuity.

Both TVPT and CAREN VPT groups improved after 6 weeks of training. There were, however differences. The CAREN group showed rapid improvement in functional gait analysis, which researchers said may have reflected the treadmill training in 3 of the 4 exercise scenarios.

Rábago closed the session by discussing the transferability of VR-based findings to non-VR environments or to low-cost accessible VR systems. He said, “VR interventions fill gaps in and positively supplement conventional rehabilitation programs … VR-based rehabilitation tools are accessible to clinicians and can be customized to promote functional interactions with realistic, challenging environments while maintaining full safeties and controls.”

Virtual›› from page 5

Thursday, May 15, 2014*Complimentary Session 3:30pM–5:30pM

Lacking Resources to Implement the DidacticPortion of an Orthopaedic Residency Pro-gram? The Section’s “Curriculum in a Can”Can be the Answer You are Looking For!Speakers:��Joseph�M.�Donnelly,�PT,�DHS,OCS;�Aimee�Klein,�PT,�DPT,�DSc,�OCS** This session will be offered to the first 50 attendees who would like to attend.

Opening Reception & Keynotepresentation: 6:00 pM – 9:00 pM

Skills to Succeed in a Changing HealthCare EnvironmentSpeaker:��Alan�Jette,�PT,�PhD,�FAPTA

Friday, May 16, 2014Daily Schedule: 8:00AM–5:00pM

General Session: 8:00AM–10:00AM

The Movement System Impairment, ManualTherapy and Biopsychosocial Approach toNeck Pain: Are Similarities and DifferencesComplementary or Competitive?Speakers:��James�Elliott,�PT,�PhD;�ShirleySahrmann,�PT,�PhD,�FAPTA;�Patricia�M.Zorn,�PT,�MAppSci�(MT),�FAAOMPT;�and(pre-recorded presentation)�Gwendolen�Jull,Dip�Phty,�Grad�Dip�Manip�Ther,�M�Phty,PhD,�FACP�

Concurrent Breakout Sessions:**�On�Friday�and�Saturday,�four�concurrentbreakout�sessions�will�be�offered.�The�regis-trant�will�attend�three�out�of�four�break�outsessions�following�the�morning�general�ses-sion,�based�on�order�of�preference�indicatedon�the�registra�tion�form.�Note:�space�is�lim-ited,�and�therefore�the�attendee’s�breakoutsession�assignments�will�be�given�on�a�first-come,�first-serve�basis.

Session 1: Towards a Neurob-eye-ologicalUnderstanding of Traumatic Neck DisordersSpeakers:��James�Elliott,�PT,�PhD;�Janet�Helminski,�PT,�PhD

Session 2: Neck Pain: The Examinationand Treatment of Neck Pain using an Inte-gration of the Movement System Impair-ment Approach and Manual Therapy

Speakers:��Shirley�Sahrmann,�PT,�PhD,FAPTA;�Patricia�M.�Zorn,�PT,�MAppSci�(MT),�FAAOMPT

Session 3: Mind Matters: Integrating Neu-ral Mechanisms into Pain ManagementSpeaker:��Kathleen�Sluka,�PT,�PhD,�FAPTA

Session 4: Integrating Movement System Im-pairments and Manual Therapy in Assess-ment and Treatment of the Cervical SpineSpeakers:��Kenneth�A.�Olson�PT,�DHSc,OCS,�FAAOMPT;�Michael�Wong,�PT,�DPT,OCS,�FAAOMPT�

Saturday, May 17, 2014Daily Schedule: 8:00AM–5:00pM

General Session: 8:00AM–10:00AM

Using Movement System Diagnoses VersusPathoanatomic Diagnoses in Everyday Clin-ical Decision MakingSpeakers:��Marshall�LeMoine,�PT,�DPT,OCS;�Paula�Ludewig,�PT,�PhD

Concurrent Breakout Sessions:Session 5: Triangles of Treatment for Masticatory Muscle PainSpeakers:��Steve�Kraus,�PT,�OCS,�MTC,�CCTT

Session 6: Examination and Treatment ofMovement System Impairments of SelectedConditions of the Hand and ElbowSpeaker:��Cheryl�Caldwell,�PT,�DPT,�CHT

Session 7: Integration of Biomechanics and Movement Classifications in ShoulderRehabilitationSpeakers:��Paula�Ludewig,�PT,�PhD;�ShirleySahrmann,�PT,�PhD,�FAPTA�

Session 8: Integrating Movement System Im-pairments and Manual Therapy in Assess-ment and Treatment of Shoulder DysfunctionSpeakers:��Marshall�LeMoine,�PT,�DPT,OCS;�Michael�Wong,�PT,�DPT,�OCS,FAAOMPT�

This�meeting�will�be�held�at�the�beautiful�HyattRegency�St.�Louis�at�the�Arch�Hotel.��Visit�ourweb�site�at:https://www.orthopt.org/content/c/-orthopaedic_section_2014_annual_meeting�forfull�details�regarding�this�exciting�meeting,�to�book�your�guestroom,�and�to�register.�

May 15–17, 2014The Triangle of Treatment:Integrating Movement System Impairments, Manual Therapy and theBiopsychosocial Approachin the Treatment of theUpper Quarter

Dedicated to Advanced OrthopaedicPractice for Physical TherapistsThe�first�Annual�Orthopaedic�Section�Meeting�in�Orlando�was�a�resounding�success�and�we�are�excited�to�present�oursecond�Annual�Orthopaedic�Section�Meetingin�St.�Louis,�Missouri.��This�is�a�unique�2-day�meeting�focusing�on�the�latest�clinicalstrategies�in�the�clinical�management�of�theupper�quarter.��The�format�will�include�lecture�and�laboratory�experiences�with�outstanding�speakers�who�are�experts�in�their�fields�and�leaders�in�clinical�research.The�breakout�lab�sessions�are�small�in�size�to�allow�for�hands-on�instruction�and�feed-back�from�the�presenters�and�lab�assistants.The�general�sessions�will�consist�of�a�panel�of�speakers�who�will�discuss�how�to�integrate�physical�therapy�treatments�to�achieve�the�best�outcomes�for�patientswith�Upper�Quarter�dysfunctions.��Attendees�will�have�the�ability�to�chooseamong�multiple�breakout�sessions�during�both�days�of�the�conference.�We hope to see you at the Arch!

Additional Questions?Call�toll�free:�800-444-3982�x�2030��orvisit�our�web�site�at:�www.orthopt.org

Program Information

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