COVID 19 Long-haulers: potential long-term physical problems

Audience: PT, PTA, OT, COTA, SLP
Course Level: Introductory
Course Date: October 14, 2021
Live Virtual Time: Check in time 4:45 pm-5:00 pm CST
Course time: 5:00 pm-7:30 pm CST
Format: LIVE interactive online course (via Zoom)
Contact hours: 2.5 contact hours
Course Fee: $79.00
Course intended to be completed in full. No partial credit will be granted for this course.

PT/PTA: The course will be submitted to the MN Board of PT for approval.
ASHA CEU: .25 ASHA CEUs
OT/OTA: You will receive a certificate of course completion with total CE contact hours. M HEALTH
Fairview is no longer an approved provider through AOTA and has never been for distance learning.
You may still submit the hours towards your licensure and receive a certificate of completion with all
information to submit.
For additional information about CE requirements for license,
please see MN Statute 148.6443: https://www.revisor.mn.gov/statutes/cite/148.6443

Cancellation Policy:  Cancellation Fee will apply
Group Discounts: There will be no group discounts for this course

Course description:
Current projections show that up to 10 million US survivors of symptomatic COVID will become long-haulers, potentially showing a myriad of symptoms that persist for weeks and months after recovery.  These patients will likely need PT, OT and/or ST to maximize their recoveries, making it imperative that therapists seek a deeper understanding on how COVID infects the body, what organs may be potentially injured long-term, and how that may translate to physical deficits.  This webinar will focus on symptomatic COVID survivors across the lifespan who are medically stable, but surprisingly not returning quickly to their pre-morbid health status and/or pre-morbid activity levels.  The speaker will present up to minute research on the likely causes of the long-haulers’ conditions, identify the multi-organ involvement that may occur, and present a multi-system approach to identify short-term and potential long-term physical problems.  The speaker will present a contextual model of postural control (soda-pop can model) to assist therapists in analyzing potential problems of long-haulers’ trajectory of recovery such as balance, weakness and fatigue.  A detailed long-hauler case will be presented.  Robust interactive discussions will ensue as all clinicians seek to become more competent in anticipating and treating the needs of COVID long-hauler survivors.  
* References available upon request

Instructor:
Dr. Massery received her BS in Physical Therapy from Northwestern University in 1977, her DPT from
the University of the Pacific in 2004 and her DSc from Rocky Mountain University in 2011. Her
publications and interests focus on linking motor behaviors to breathing and/or postural mechanics in
both pediatric and adult patient populations. Dr. Massery has been invited to give over 900 professional
presentations in all 50 US states and in 18 countries worldwide, including more than 100 presentations
for the American Physical Therapy Association. Mary’s research pioneered the concept of managing
trunk pressures as a new way to visualize core stabilization. She has delivered keynote and major
addresses on topics such as cystic fibrosis and posture, pectus excavatum (chest deformities),
connections between posture & breathing, and PNF (proprioceptive neuromuscular facilitation).
Mary has received national awards from the APTA, including its highest clinical award, The Florence
Kendall Practice Award, honoring “one’s outstanding and enduring contributions to the practice of
physical therapy." She has been honored as Outstanding Alumnus of the Year by each of her 3
universities. She was also awarded Northwestern University’s Alumnae Research Achievement Award.
Mary continues to maintain a private practice in Chicago, specializing in breathing and postural
dysfunction.
Disclosure: Mary receives a honoraria for speaking and teaching on this topic form Fairview Rehabilitation Services  
Non-Financial disclosure: Mary has no financial relationships to disclose

 

OBJECTIVES: Upon completion of this course, participants will be able to:
• Present an overview of COVID-19 and up to the minute research on long-haulers to project how the disease might adversely affect physical function in the post-acute phase
• Describe the framework of multi-system differential diagnosis of COVID long-haulers ( aka Chronic COVID Syndrome ( CCS) or Post Acute Sequalae of SARS-C0V-2(PASC) ), to determine possible underlying causes of persistent physical problems.
• Suggest early and late rehabilitation ideas looking at multi-system reactions to the virus: cardiopulmonary, musculoskeletal, neuromuscular, integumentary, internal organs.
• Suggest intervention strategies to improve breathing and postural control efficiency for COVID survivors who have residual pulmonary problems and fatigue

AGENDA:
4:45-5:00 Check in

5:00-6:30 Lecture

  • COVID-19 pathophysiology, up to the minute research on COVID long-hauler sequalae
  • Identify potential long-term physical impairments and present a multi-system approach to assessing and prioritizing COVID long-hauler problems

6:30-7:30 Lecture

  • Case: Young adult COVID-19 long-hauler
  • Robust interactive discussions encouraged regarding management of long-hauler cases stressing an immediate need to find clinical consensus while research progresses to give additional answers

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