Linking Functional Exercise & Dynamic Integration for Improved Outcomes
PTs, PTA, OTs & COTAs
When working with our elderly population, we have much to do in a limited period of time. This course will help you maximize your time and improve your outcomes through exercise prescription and neuromuscular facilitation techniques that are more contemporary, informative and functionally relevant. Gain refreshing new perspectives on progressive transfer training, balance and postural improvement, gait and stairs facilitation, skin protection and bending ergonomics. Content features Dynamic Integrative Movement principles, and specific movement control exercise (SMCE), providing creative and innovative new ways of improving functional movement and independence in your patients. You will experientially explore Optimal Movement Patterns and contrast with common dysfunctional patterns, then learn to utilize cutting-edge teaching strategies and concepts to progressively facilitate specific motor skill acquisition. Use these Optimal Movement Strategies with orthopedic surgeries or injuries, neurological or general health conditions, degenerative musculo-skeletal complaints and the “weak and wobbly”; applicable in a hospital, SNF, home health or when working with the active elderly in an out-patient setting.
Course Objectives: By the completion of this course, the participant will be able to:
- List three key differences between Static Integration and Dynamic Integration movement models and exercise principles.
- Explain the concept and the importance of “Teaching to the Test”—linking therapeutic activities and exercise to Medicare guidelines to reconcile payer requirements with a patient-first practice model.
- Define Global and Differentiated movement patterns and give two examples each from lower extremities, upper extremities and spine.
- List and explain a key characteristic and a key benefit of Specific Motor Control Exercise; Pattern Specificity and Pattern Recognition.
- In prescribing exercise for seniors, list one benefit each for the following teaching techniques; reciprocating movements, application of constraints, change of venue and the goldilocks principle.
- Demonstrate Language and Manual Cueing specific to a senior population throughout the course through partner observation and partner practice.
Course Outline: Lab sessions include experiential movement, partner observations, facilitation techniques, modifications, discussion of clinical relevance and documentation considerations.
- 8:00-9:30—Introduce Concepts. Elderly Specific Interventions
- The Medicare Challenge: Documenting Requirements & Treating Effectively
- Multi-Tasking: Teaching to the Test & Providing Appropriate Care
- The Unconscious Nature of Habitual Movement and Posture
- Principles of Dynamic Integration & Global and Differentiated Patterns
- 9:40-12:00—Lab I: Horizontal Movement Patterns
- Training the Hips to Move the Pelvis: Supine and Side-Lie
- Integrating Upper and Lower Body
- Link to Functional Context: Rolling, Bed Mobility and Skin Care
- 1:00-3:00—Lab II: Sitting Movement Patterns
- AP Balance Reactions: Hip Flexor/Extensor Training and Trunk Control
- L/R Balance Reactions: Early Pelvic Force Training and Rib Mobility
- Reciprocating Differentiated Movements: Re-calibrating Neutral
- Link to Functional Context: Sitting Posture, Breathing, Reaching and Skin Care
- 3:10-5:00—Lab III: Transitional Movements
- Transferring Weight to Feet: Back Extension and Hip Flexion
- Transitioning Sit to Stand: Hip Extension with Stable Back
- Grounding Themes: Legs Control the Pelvis & Pelvis Guides the Torso
- Link to Function: Sitting and Standing Posture, Bending, Transfers
- 8:00-9:30—Lab IV: Standing Weight-Shift and Turning
- Transferring Weight L/R and Front/Back: Intermediate Pelvic Force Couples
- Trunk Control and Balance Reactions: Integrating Upper & Lower Body
- Change of Venue and Application of Constraints
- Link to Function: Balance/Fall Prevention, Hip & Knee Stressors, Chores
- 9:40-12:00—Lab V: Stepping Movements
- Single Leg Stance and Stepping: Facilitating 3D Hip Competence
- Diagonal Bending and the Texas Two-Step: Advanced Pelvic Force Couples
- Link to Function: Balance/Fall Prevention, Floor Transfers, Gait/Stairs/Curbs
- 1:00-3:00—Lab VI: Upper Extremity Themes
- Upper Extremity Internal and External Rotation Patterns
- Integrating Arms & Shoulder Girdles with Torso: Getting Ribs Involved
- Link to Function: Balance/Fall Prevention, Reaching/Lifting/Carrying
- 3:15-5:00—Lab VII: Continued UE Themes and Wrap Up
- Upper Extremity IR/ER Patterns—Fine Tuning Progressions
- Review of Principles & Overview of Teaching Strategies