Mary Massery's: I SURVIVED, NOW WHAT? Treating the musculoskeletal consequences of maturing with a chronic health condition

Date: Friday-Sunday, August 19th-21st, 2022
Check in time all days: 7:30-8:00 am 
Course time: Friday & Saturday: 8-5:30 pm , Sunday: 8-1:30 pm 
Audience: PT, PTA, OT, COTA
Course Level: Advanced
St. Catherine DPT and PTA therapy programs is host site for this course. 
Location: St. Catherine University, Mendel Hall
2004 Randolph Avenue, St. Paul, MN 55105
Lab Rooms: 211 & 213
Contact Hours: 21 contact hours
Course Fee: $600
Course intended to be completed in full.  If you need to arrive late or leave early the CE department must be notified before course takes place for contact hours to be adjusted.
 
PT/PTA partial credit:  Hours for partial credit attended will be adjusted on your course certificate and MN board of Approval number removed.  You may still be able to submit the hours attended towards your professional license, but course will be approved as attending in full. ( submitting credits through the MN Board of PT does not guarantee full credits will be approved)
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 will receive a certificate of completion which you may use towards your professional license)
You may still submit the hours towards your licensure and receive a certificate of completion with all information provided to submit. 
M HEALTH Fairview is not  an approved provider through AOTA. For additional information about CE requirements for license, please see MN Statute 148.6443: https://www.revisor.mn.gov/statutes/cite/148.6443
MN statutes 143.6443, subdivision SUBD.2 “Standards for determining the qualified education activities” will continue to be utilized in determining appropriate OT related CE courses.  You should be able to submit these credits towards your licensure.
Cancellation Policy:  Cancellation Fee will apply
Group Discounts:
If two people from the same organization register for a course, each person will receive a 10% discount. three or more registered will receive a 15% discount. Please email or call ahead of time with the names of the people who will be registering as a group, [email protected] or 612-672-5607.
For Group discounts:  USE CODE rehab10 for 10% discount and rehab15 for 15% discount for group. 
 
Speaker Biography:
Nechama Karman, PT, MS, PCS, Certified Faculty of Mary Massery
Nechama received her MSPT from Columbia University in 1994, her Advanced MS in orthopedic PT from Touro College in 1998 and has completed her Health Sciences PhD coursework at Seton Hall University.  Nechama is an APTA board-certified pediatric clinical specialist and the chief clinical educator at Mobility Research for LiteGait nationally and internationally. In addition, Nechama owns a private practice in NYC focusing on complex neurological conditions and complex pelvic conditions.
Nechama has completed two invited Massery faculty apprenticeships.  In 2016, she became Mary’s first certified faculty member for the “Breathing” course.  And in 2019, she was the first certified faculty for Mary’s “I Survived” musculoskeletal course.  Two huge accomplishments!
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.
Financial Disclosure:  Nechama receives an honorarium for teaching and speaking on this topic.  She has no non-financial relationships to disclose. 
 
Course Summary:
Children with medical problems and/or physical disabilities are surviving to adulthood.  Adults with chronic health conditions are living longer.  As these patients “survive” their health conditions, atypical breathing patterns and atypical postural control strategies often develop and cause repetitive stress on the musculoskeletal system.  The consequences can be chronic pain, inefficient motor plans, and/or physical dysfunction, all which limit health and participation.  Current research supports this paradigm, showing a higher incidence of chronic pain and decreased quality of life among children and adults with long-term health conditions.  The focus of this course is on identifying, treating, anticipating/preventing common consequential spinal and rib cage restrictions: thoracic kyphosis, scoliosis, pectus deformities, rib flares, asymmetries, tightness, etc.  These musculoskeletal restrictions can limit breathing (health) and/or shoulder, trunk, and hip/pelvis mobility (participation).  Labs present manual therapy techniques (soft tissue techniques, joint mobilizations) and neuromotor re-education techniques.  While Dr. Massery’s primary focus is on pediatrics and young adults, the material is pertinent across the whole lifespan. 

 

Objectives:
At the conclusion of this course, participants should be able to:
  1. Describe the relationship between chronic health conditions (pediatric & adult), atypical motor plans for breathing and/or postural stability, and the development of secondary musculoskeletal deficits.
  2. Screen for musculoskeletal abnormalities, inadequate core stabilization strategies and compensatory breathing patterns that may contribute to the abnormal alignment of the rib cage, trunk and/or spine secondary to pediatric and adult chronic health conditions.
  3. Develop and demonstrate musculoskeletal mobilization and soft tissue techniques of the rib cage, trunk and spine to correct or minimize these deformities.
  4. Develop subsequent treatment plans for neuromuscular retraining that is focused on simultaneously optimizing breathing, core stabilization and postural development across the lifespan to minimize long-term secondary postural impairments.
Agenda: (Times and Agenda subject to change)
 
Day 1  (8.0 contact hours) FRIDAY
Focus: Breathing mechanics and mid-trunk assessment of alignment and function
7:30-8:00AM Registration
8:00-9:45AM Overview of course topics   
Lecture: Adverse postural development related to maturing around a chronic health condition                    
9:45-10:00AM Break
10:00-11:30PM Lecture/Lab: Breathing: I don't have a clue how to evaluate breathing...Well, now you will! (musculoskeletal support for posture and respiration)
11:30-12:30PM Lunch ( on your own)
12:30-1:30PM Lab: Core muscles: Assessing mid trunk control: diaphragm, intercostals & abdominals
1:30-2:45PM Lecture/Lab: Assessing breathing patterns and postural relationships
2:45-3:00PM Break
3:00-3:45PM Lab: Breathing Measurements, wrap up
3:45-5:30PM Lab: Rib cage, shoulders, trunk, pelvis: musculoskeletal assessments and interventions: Screening functional trunk mobility in stance: ribs, spine, shoulders
 
Day 2 (8.0 contact hours) SATURDAY
Focus:  The rib cage:  assessment and treatment of consequential problems
7:30-8:00AM Check in time
8:00-9:00AM Review, synthesis, and Q&A
Lecture: Matthew case study: Long term management of spine, posture, and breath support
9:00-10:00AM Lab: Detailed trunk mobility screening in sidelying
10:00-10:15AM Break
10:15-12:00PM Lab: Rib mobilization& soft tissue techniques
12:00-1:00PM Lunch ( on your own)
1:00-1:45PM Lecture: Trent case study: scars and restricted fascia
1:45-3:00PM Lab: Quadratus lumborum & other manual techniques
3:00-3:15PM Break
3:15-4:30PM Lab: Trunk/postural control: Therapeutic exercises
4:30-5:30PM Demo: Patient demonstration, evaluation
 
Day 3 (5.0 contact hours) SUNDAY (no formal lunch)
Focus:  The thoracic spine: assessment and treatment of consequential problems
7:30-8:00AM Check in time
8:00-9:45AM Review synthesis and Q&A
Lecture: The Spine
9:45-10:00AM Break
10:00-11:30AM Lab: Thoracic spine mobilizations
11:30-12 PM Break
12:00-1:30PM Lab: Thoracic spine mobilization & dynamic neuromotor re-education techniques
                        Lecture: Kristy case study: Long term consequences of survival