An Introduction to the Integrated Systems Model for the Complex Patient in Honolulu, HI (May 18-19, 2019)

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An Introduction to the Integrated Systems Model for the Complex Patient in Honolulu, HI (May 18-19, 2019)

Regular Price: $449.00

Special Price $399.00

Availability: In stock

15 hours

Presented by: Diane Lee

Date: May 18 - 19, 2019

Location:  Honolulu, HI (Shriners Hospital for Children) - presented by HAPTA in conjunction with Northeast Seminars.
HAPTA Hawaii Chapter APTA

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Regular Price: $449.00

Special Price $399.00

Availability: In stock.

Regular Price: $449.00

Special Price $399.00

Description

Understanding the relationship between, and within, body regions and systems (neural, articular, myofascial, visceral etc.) and the consequences of impaired function of one region/system on another is complex. Many health practitioners specialize in body regions, and/or systems and treatment is often based on the practitioner’s training and experience. However, this reductionistic approach may not be optimal in that each body region is not only an integrated system within itself (i.e. comprised of many differentiated yet linked parts (Siegel 2010)) but is also integrated, and interdependent, as part of the whole body/person.  No studies have correlated persistent pain anywhere in the body to a consistent impairment. Therefore, in persistent pain conditions such as low back pain, metatarsalgia, TMD, headache etc., understanding what body region and system should be treated requires an individual clinical reasoning approach. The Integrated Systems Model (ISM - Lee & Lee 2011, Lee 2015) is an evidence-informed, clinical reasoning approach that embraces, and enhances, the concepts of the regional interdependence model (Sueki et al 2013).  

This 2-day course will introduce the participant to ISM and provide a structured clinical reasoning model for understanding where to focus treatment for those with multiple impairments and persistent pain. Where is the criminal and who is the victim?

Details


Run Time: 2 Days - 15 hours

CE: 15 Hours

Course Evaluation: Yes

Certificate of Completion: Yes

Workbook: Yes

Course Approvals/Certifications: 

  • Certificate of attendance is provided for Continuing Education (CE) credits
  • All Northeast Seminars live and online seminars held in the State of Hawaii are approved by the Hawaii State Physical Therapy Board for continuing education through reciprocity with the New York State Educational Board. 
  • Pending approval with the ILPTA
  • New York State Education Department State Board for Physical Therapists and Physical Therapy Assistants recognizes this course for Continuing Education for 15 CE Hours

 

Outline

Day One Outline - Upper Body

  1. Introduction to regional interdependence and the Integrated Systems Model
    1. Brief history of evolution
    2. Current research status
    3. Relationship of RI to structural/biomechanical models and contemporary theories of motor adaptation to pain

  2. How to use deductive and interpretive clinical reasoning to facilitate better predictions of relationship between impaired regions 
    1. Find the findings in a task that has meaning to the patient’s goal
    2. Correct the regional finding (i.e. alignment, biomechanics and/or provide control – depending on what the finding is)
    3. Assess the impact of this correction on
      1. The performance of another body region previously noted to be impaired
      2. The patient's experience of performing the task
        1. Change in symptoms (pain, tension, 'jamming' etc.)
        2. Change in performance (effort, ease of breath, etc.)

  3. Demonstration/practical for positional testing and corrections of the following:
    1. Thoracic rings 2 - 10 – alignment and biomechanics correction for sagittal and/or transverse plane motion
    2. Shoulder girdle (clavicle and scapula)
    3. Cervical segmental/cranium
    4. Glenohumeral

  4. Practical application to chosen task. Groups of 3. One student in each group will choose one of the following tasks for evaluation.  Each group will have 3 tasks to evaluate.
    1. Head/neck/upper thorax flexion
    2. Head/neck/upper thorax extension
    3. Head/neck/upper thorax rotation (left or right)
    4. Shoulder elevation (open chain) through flexion or abduction
    5. Weight bearing on arm (as in plank)

  5. For each task the other two students are required to:
    1. Find the ‘regions’ or segments performing sub-optimally for the chosen task and be able to explain why they feel the performance is sub-optimal
    2. Correct each region and note the impact of this correction on other sites of impairment from the cranium (as a unit) to the thorax (10th thoracic ring) to the shoulder
    3. Determine primary regions which require further assessment to determine treatment intervention required
      1. What would that assessment involve and how do the findings so far impact further tests chosen

  6. Presentation of clinical cases back to the group with Q & A.

  7. Adverse neurodynamics and multiple sites of regional impairments in the upper quadrant


Day One Outline - Lower Body

  1. Demonstration/practical to review corrections if the following have not been previously covered
    1. Pelvis/SIJ
    2. Hip
    3. Knee
    4. Foot/ankle

  2. Practical application to chosen task. Groups of 3. One student in each group will choose one of the following tasks for evaluation.  Each group will have 3 tasks to evaluate.
    1. Standing posture - everyone
    2. Squat
    3. Single leg stand
    4. Double leg toe rise

  3. For each task the other two students are required to:
    1. Find the ‘regions’ or segments performing sub-optimally for the chosen task and be able to explain why they feel the performance is sub-optimal
    2. Correct each region and note the impact of this correction on other sites of impairment from the pelvis to the foot
    3. Determine primary regions which require further assessment to determine treatment intervention required – compare the best correction in the lower body to that of the upper body to determine the final best place to begin treatment
      1. What would that assessment involve and how do the findings so far impact further tests chosen

  4. Presentation of clinical cases back to the group with Q & A.

  5. Adverse neurodynamics and multiple sites of regional impairments in the lower quadrant
    1. How to differentiate when the alignment of the body is creating adverse neurodynamics or when adverse neurodynamics is creating sub-optimal alignment


Learning Goals

Learning Goals coming soon...

Behavioral Objectives

Behavioral Objectives coming soon.

Additional Information

Additional Information

Instructor(s) Diane Lee
ProCert 15 CCUs
Continuing Education State(s) Alaska, Arizona, Arkansas, California, Colorado, Delaware, District of Columbia, Georgia, Hawaii, Idaho, Illinois, Indiana, Kansas, Kentucky, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, North Carolina, North Dakota, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Virginia, Wisconsin, Wyoming, Puerto Rico
Details

May 18-19, 2019 - (Saturday-Sunday)

Early Bird Price:  Pay only $399.00 when you register by April 18th, 2019 - (Full Price $449.00)
APTA Member Rate:  $395.00

Registration 8:00am, 8:30am - 5:30pm (both days) - (13 hours total)

Location

Location:
Shriners Hospital for Children
Conference Center - Main Conference Room
1310 Punahou St, 
Honolulu, HI  96826
#808-941-4466

Hotel Suggestions nearby;
1)  Ala Moana Hotel, 410 Atkinson Drive, Honolulu, HI  9681 - #808-944-6839
2)  Waikiki Marina Resort at the Ilikai, 1777 Ala Moana Blvd, Honolulu, HI  96815 - #808-955-7644
3)  Prince Waikiki, 100 Holomoana St., Honolulu, HI  96815 - #808-956-1111
4)  Aqua Palms, 1850 Ala Moana Blvd, Honolulu, HI  96815 - #808-947-7256

Certifications
  • All Northeast Seminars live and online seminars held in the State of Hawaii are approved by the Hawaii State Physical Therapy Board for continuing education through reciprocity with the New York State Educational Board. 
  • NYSED approved for 15 hours of CE for PTs and PTAs
  • Pending approval with the ILPTA
Additional Info
  • Seminar includes coffee breaks and handouts. Lunch is not included. 
  • Course related products (if any) will be available at the course, however, in a limited quantity.
  • Certificates of Attendance will be given to all participants and may be used for those who need C.E.U. verification and credits. 
  • Participants will be required to sign a Release of Liability prior to the commencement of this seminar.
  • Location, Instructor, Dates and Cost of seminar are subject to change.
  • For group rate accommodations, please call hotel directly and be sure to mention Northeast Seminars. A limited number of rooms are reserved for participants, when available, on a first-come, first-served basis. Within 30 days of the course, rooms and/or rates may no longer be available. If course is to be held at a facility, Northeast only provides suggested hotels nearby for room accommodations.



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