conference brochure
Transcription
conference brochure
CONFERENCE BROCHURE Plan now to join NDTA as we connect in Connecticut this fall. Lighthouse photo: © Kraig Anderson (www.lighthousefriends.com) Join NDTA as we Connect in Connecticut! NDTA™ is especially pleased to present our 2006 Annual Conference, “Muscles in Action.” You will find this to be an extraordinary experience! Illustrious speakers. Four productive days of education. Exciting interaction with suppliers. Invaluable exchanges with your colleagues. All this, together with fun and inspiration too… The 2006 Conference promises to be filled with illuminating sessions that will broaden your understanding of science and research while expanding your knowledge of clinical interventions. We have brought together leading researchers and clinicians who offer seventeen distinctive sessions along with the expanded programs being presented by Dr. Richard Lieber and Dr. Donald Neumann. During the conference you will find numerous opportunities to renew acquaintances, meet new colleagues and connect with industry partners and the leadership of NDTA. New this year as part of the Exhibitor Showcase is the “Grazin’ Thru the Hall” luncheon. Hear about “NDTA Focus 2007” during lunch on Friday and be sure to join us as we honor Judith Bierman at the Saturday Award of Excellence presentation. Plan now for some “fun & fundraising” at this year’s auction. We are looking to you for support in funding research to meet the challenges facing NDT. As a dedicated professional, you face the challenge of finding the time and resources to leave work behind and invest in your professional growth. We appreciate your participation and believe the value you receive by attending the NDTA 2006 Conference will meet or exceed your expectations. We look forward to seeing you there! Therese McDermott, MHS, CCC-SLP • NDTA President Lois Bly, MA, PT • Conference Co-Chair Carol Nunez Parker, OTR • Conference Co-Chair The Westin Stamford One First Stamford Place Stamford, CT 06902 (203) 967-2222 www.westin.com/stamford Uniquely designed and comfortably appointed, the Westin Stamford is ideally situated in coastal Connecticut. The luxurious guest rooms are furnished with Westin’s signature Heavenly Bed and Heavenly Bath. All feature two dualline phones, high-speed Internet access, large work space, and refreshment center with complimentary coffee and tea. To enhance your stay, the hotel offers 24-hour room service, on-site Westin Workout health club, outdoor tennis and indoor heated pool with Jacuzzi. At the Westin Stamford, contemporary elegance blends in harmony with comfort and practicality. The Area Restaurant offers all-day gourmet dining while the Area Lounge offers a tranquil garden-view setting for lighter fare and evening cocktails. Complimentary self-parking is available for NDTA guests. The Westin also offers complimentary shuttle service to the many shops and restaurants of Stamford Town Center, just minutes away. The Westin Stamford is offering NDTA guests special rates of $149, single/double occupancy, plus tax. NDTA recommends that you make your reservations early. Reservations will be available until our group of rooms has sold out, which may be earlier than the cut-off date of September 1, 2006. D E S T I N AT I O N : S TA M F O R D AN INVITATION ABOUT NDTA N D TA 2 0 0 6 C O N F E R E N C E • M U S C L E S I N A C T I O N • O C T O B E R 5 - 8 , 2 0 0 6 NDTA™ is a nonprofit organization that strives to further develop and promote the theory and principles of Neuro-Developmental Treatment (NDT). NDTA, 1540 S. Coast Hwy, Ste 203 Laguna Beach, CA 92651 • Phone (800) 869-9295 Fax (949) 376-3456 • www.ndta.org STAMFORD, CONNECTICUT Boasting its ranking as the “fifth safest city in the country,” Stamford is a great place to live, work and meet. A vibrant downtown offers first-class theater and performing arts, a vertical mall, and over 75 restaurants and pubs in a four-block area. Not enough action? Board the Metro-North train for New York City and arrive in just under an hour. The Westin Stamford is conveniently located off I-95 and just a quarter of a mile from the train station to New York City. Airports serving the area include: JFK International Airport (50 minutes), LaGuardia International Airport (45 minutes) Westchester Airport (20 minutes). GETTING THERE: From JFK or LaGuardia International Airports NDTA has made very special arrangements with Prime Time Connecticut Airport Shuttle to provide a substantial discount for your ground transportation between either of these airports and the Westin Stamford Hotel. Note: To receive the discounted rate of $42 each way, you must book online by October 4th through the link at www.ndta.org. From Westchester Airport: DLC Car Service maintains a taxi desk in the Westchester Airport. Taxi service to the Westin Stamford is $45 one way, plus tip. Driving Directions Go to www.westin.com/stamford By Train See www.mta.info N D TA 2 0 0 6 A N N U A L C O N F E R E N C E Registration Desk Opens Daily at 7:00 a.m. MUSCLES IN ACTION • CONFERENCE PROGRAM WEDNESDAY, OCTOBER 4, 2006 8:00 a.m. – 5:00 p.m. PRE-CONFERENCE PROGRAMS • Putting Pieces Together: A Blend of Sensory Integration and NDT Kimberly Barthel, OTR and Mary Hallway, OTR/L • The Team Approach to Assessment and Treatment of the Baby Lois Bly, MA, PT; Madonna Nash, OTR/L; Therese McDermott, MHS, CCC-SLP/L • With Better Rockers, We Can Roll Kathleen Ganley, PhD, PT; Lauren Beeler, PT, PCS; Beth Fisher, PhD, PT • Gravity: The Enemy of the Hemiplegic UE Cathy Runyan, OTR/L THURSDAY, OCTOBER 5TH, 2006 MORNING GENERAL SESSIONS 8:00 a.m. – 8:30 a.m. President’s Welcome THURSDAY, OCTOBER 5, 2006 (continued) 4:30 p.m. – 6:00 p.m. AFTERNOON BREAKOUT SESSIONS • Clinical Decision Making Before and After Botox and Baclofen: An NDT Perspective Linda Kliebhan, PT SATURDAY, OCTOBER 7TH, 2006 8:00 a.m. – 12:00 p.m. Morning General Session • A Kinesiologic Review of Muscle and Joint Interactions, continued Donald A. Neumann, PhD, PT • FES, continued Gad Alon, PhD, PT 9:30 a.m. – 10:00 a.m. Refreshment Break • Linking TheraTogs With NDT Marlenne Burt, MS, PT 12:00 p.m. – 1:45 p.m. Award of Excellence Luncheon FRIDAY, OCTOBER 6TH, 2006 8:00 a.m. – 12:00 p.m. Morning General Session • A Kinesiologic Review of Muscle and Joint Interactions: A Guide to Understanding Normal and Abnormal Movement Donald A. Neumann, PhD, PT 2:00 p.m. – 5:30 p.m. AFTERNOON BREAKOUT SESSIONS • Facilitation of the Lower Extremities for Upper Extremity Function Gail Ritchie, OTR/L 9:30 a.m. – 10:30 a.m. Exhibitor Showcase & Morning Refreshment Break 8:30 a.m. – 10:00 a.m. Human Musculoskeletal Design Richard L. Lieber, PhD 12:00 p.m. – 1:00 p.m. Connect in Connecticut Networking Luncheon 10:30 a.m. – 12:30 p.m. Structural & Functional Changes in Muscle Secondary to Chronic Spasticity Richard L. Lieber, PhD 1:00 p.m. – 5:30 p.m. AFTERNOON BREAKOUT SESSIONS • Muscle Synergies in Daily Life: Focus on the Upper Extremity Madonna Nash, OTR/L 12:30 p.m. – 2:30 p.m. Exhibit Hall Opening & Lunch 2:30 p.m. – 3:30 p.m. AFTERNOON BREAKOUT SESSIONS • Overview of the Use of Botulinum Toxin Type A and Intrathecal Baclofen Therapy Tonya Johnson, PhD (Allergan) and Cara Talty, PT (Medtronic) • Functional Electrical Stimulation (FES) in the Management of Upper Limb and Locomotor Deficits of Adult Stroke Survivors Gad Alon, PhD, PT • Bridging the Gap: Improving Functional Mobility through Proximal Stability Jane Styer-Acevedo, PT • Support: The Overlooked Function of the Upper Extremity Cathy Hazzard, MBA, B.Sc, PT and Karen Brunton, B.Sc, PT • The Acquisition of Speech Motor Control in Children with Cerebral Palsy: Coordination of Respiratory, Laryngeal, Velopharyngeal and Oral-Motor Subsystems Carol A. Boliek, PhD • TheraTogs Live-In Orthotic Systems: Rationale Derived from the Sciences Beverly Cusick, PT, MS, COF/BOC 2:30 p.m. – 3:30 p.m. Exhibitor Showcase & Afternoon Refreshment Break 3:30 p.m. – 4:30 p.m. Exhibitor Showcase & Break 5:30 – 7:30 pm Exhibitor Showcase, Reception, Fundraising Auction, Staffed Poster Session • Pediatric Gait Treatment: Connecting the Abdominals to the Legs Kacy Hertz, PT • Lower Extremity Intervention: Making the Connection Beth Fisher, PhD, PT • Breathe, Breathe, Breathe! Activating the Rib Cage & Respiratory Musculature Rona Alexander, PhD, CCC-SLP, BRS-S 3:30 p.m. – 4:00 p.m. Afternoon Refreshment Break SUNDAY, OCTOBER 8TH 8:00 a.m. – 9:45 a.m. Roundtable Discussion Breakfast Session Moderated by Faculty 10:15 a.m. – 12:00 p.m. Wrap-Up Panel Session Panelists to include: Rona Alexander, Lauren Beeler, Madonna Nash, Cathy Hazzard Visit www.ndta.org for conference updates as they become available. NDTA™ 800-869-9295 info@ndta.org SESSION DESCRIPTIONS N D TA 2 0 0 6 C O N F E R E N C E • M U S C L E S I N A C T I O N • O C T O B E R 5 - 8 , 2 0 0 6 THURSDAY GENERAL SESSIONS Human Musculoskeletal Design Richard L. Lieber, PhD 8:30 a.m. – 10:00 a.m. Dr. Rick Lieber is the Founding Director of the “National Institute of Skeletal Muscle Research (NSMRC)” at U.C. San Diego which leverages muscle biology knowledge to solve clinical problems. Among his many publications is the textbook, Skeletal Muscle Structure, Function and Plasticity. In this session, Dr. Lieber will present the basic properties of muscles, joints and tendons and then show how these are integrated in order to create a functional joint. He will also discuss the clinical and surgical significance of this design. Objectives: • Understand the basic structural properties of skeletal muscle fibers and whole skeletal muscles • Understand the basic biomechanical properties of human tendons • Understand basic joint kinematics • Distinguish the way in which muscle, tendon and joint properties interact to produce a functional torque motor • Provide clinical examples of the design of various torque motors of the upper and lower extremity • Realize the adaptive capacity of torque motors, especially in response to clinical modalities Structural and Functional Changes in Muscle Secondary to Chronic Spasticity Richard L. Lieber, PhD 10:30 a.m. – 12:30 p.m. Dr. Rick Lieber will discuss the response of skeletal muscle to upper motor neuron lesion, both in general and as specifically related to Cerebral Palsy. He will illustrate experimental methods that can be applied to human subjects as well as biopsy specimens. Finally, he will suggest the clinical implications of these structural changes. Objectives: • Describe the changes in muscle fiber type and contractile properties after upper motor neuron lesion • Become familiar with the evidence in the literature for muscle changes secondary to spasticity • Understand passive joint mechanical and passive muscle mechanical properties • Define the intracellular and extracellular adaptations in skeletal muscle secondary to spasticity • Suggest rational treatment of spastic skeletal muscle based on the experimentally-measured properties • THURSDAY AFTERNOON CONCURRENT SESSIONS TRACK A Functional Electrical Stimulation (FES) in the Management of Upper Limb and Locomotor Deficits of Adult Stroke Survivors Gad Alon, PhD, PT 2:30 p.m. – 3:30 p.m. & 4:30 p.m. – 6:00 p.m. Dr. Gad Alon will provide an evidencebased foundation for the use of electrical stimulation in combination with task-specific training of the sensory-motor systems to manage the body’s various physical impairments and functional deficits following damage to the CNS. He will present selected clinical cases for a “Grand Round” discussion of how to maximize recovery of upper limb function and recovery of locomotion ability of patients that survived CVA. Dr. Alon will also share the latest clinical research findings that support the use of FES in stroke rehabilitation. Objectives: • Differentiate and select the appropriate training paradigms from those presented • Discuss the major electrophysiological and clinical advantages and limitations of using FES in stroke rehabilitation • Determine why, how and when a stroke survivor is a candidate for FES training TRACK B TheraTogs Live-In Orthotic Systems: Rationale Derived from the Sciences Beverly Cusick, PT, MS (with Marlenne Burt, PT, MS) 2:30 p.m. – 3:30 p.m. Beverly Cusick will review the principles of and precautions pertaining to skeletal modeling mechanisms. She will include a discussion of Bly’s components of antigravity motor skill acquisition and Sahrmann’s muscle balance theory. Learn how these concepts are applied to the use of TheraTogs orthotic undergarment and strapping systems as well as the limitations of the TheraTogs systems. Objectives: • Discuss modeling influences of movements and gait patterns (normal and compensatory) on bone structure and joint alignment in the torso and lower extremities • Describe how TheraTogs strapping systems can implement the skeletal modeling mechanisms • Explain the precautions against threatening • • • joint integrity with TheraTogs strapping systems for older children and adults Acknowledge the contribution of normal antigravity extension in the neck, trunk and hips to the achievement of postural integrity and efficient motor skills and apply this principle to the design of a TheraTogs strapping plan Differentiate between muscle dominance and muscle strength in an imbalance muscle force couple Explain the functional and motor learning significance of dominant/shortened musculature Describe the influences of muscle dominance on neighboring joint stability and on the other components of the involved functional force couple and apply these insights to TheraTogs strapping applications as priorities Linking TheraTogs With NDT Marlenne Burt, PT, MS (with Beverly Cusick, PT, MS) 4:30 p.m. – 6:00 p.m. Marlenne Burt will review case presentations that relate the findings of a comprehensive evaluation to the decision-making process for selecting TheraTogs strapping systems. She will illustrate principles of NDT as they apply to TheraTogs system designs and goals. Objectives: • Suggest TheraTogs strapping applications designed to carry over NDT objectives of optimizing joint and postural alignment for presented cases • Relate TheraTogs strapping applications to the following NDT principles: » Providing graded input to enhance body awareness and perceptual-motor interpretation » Enhancing eccentric control and timing of motor responses » Encouraging effective use of the base of support to facilitate initiation and sequencing in movement » Enhancing anticipatory components of posture by recruitment of postural synergists and/or antagonists » Providing precision of therapeutic handling » Allowing functional and meaningful activities to be practiced and repeated as a component of motor learning » Encouraging the client to move freely in self-initiated activities N D TA 2 0 0 5 C O N F E R E N C E • T H E W E S T I N S TA M F O R D • S TA M F O R D , C O N N E C T I C U T TRACK C An Overview of the Use of Botulinum Toxin Type A and Intrathecal Baclofen Therapy Tonya Johnson, PharmD (Allergan) Cara Talty, PT (Medtronic) 2:30 p.m. – 3:30 p.m. Dr. Tonya Johnson will review adult spasticity and cervical dystonia and some common clinical patterns of spasticity. She will also discuss the pharmacological mechanism of the action and use of Botulinum Toxin Type A in spasticity and cervical distonia. Objectives: • Utilize key elements of the NDT Enablement Classification of Health and Disability for assessing children prior to tone management interventions to determine appropriate functional outcomes • Plan effective treatment protocols following tone-management interventions utilizing NDT therapeutic handling, equipment and home programming • Modify treatment planning based on longterm considerations for tone management Objectives: • Identify various spasticity and cervical dystonia clinical presentations and treatment options for these conditions • Discuss the mechanism of action of botulinum toxins and the key differences between the botulinum toxin serotypes • Understand the role of Botulinum Toxin Type A in spasticity and cervical dystonia FRIDAY & SATURDAY GENERAL SESSIONS Cara Talty will discuss Medtronic’s Intrathecal Therapy as indicated for the management of severe spasticity of spinal and cerebral origin. She will provide a therapy overview with a special focus on patient selection, screening, and post-implant rehabilitation to maximize therapy outcomes. Objectives: • Define spasticity, related anatomy and the current understanding of the patho-physiology of spasticity • Describe the benefits and detriments of spasticity and how they relate to goal setting • Describe the patient examination and evaluation, including the use of appropriate outcome measures and related rehabilitation interventions • Discuss the role of the interdisciplinary team in the assessment, screening test, post-implantation and follow-up rehabilitation as it relates to ITB Therapy Clinical Decision Making Before and After Botox and Baclofen: An NDT Perspective Linda Kliebhan, PT 4:30 p.m. – 6:00 p.m. Linda Kliebhan will focus on aspects of clinical decision-making before and after tone management interventions such as Botox injections and Baclofen pumps. She will address treatment planning that includes setting appropriate functional outcomes and determining frequency of treatment. Through video-case presentations, Linda will also cover NDT treatment strategies post-Botox or Baclofen including: direct intervention, equipment, homeprogramming and long-term considerations. A Kinesiologic Review of Muscle and Joint Interactions: A Guide to Understanding Normal and Abnormal Movement Donald A. Neumann PT, PhD Friday 8:00 a.m. – 9:30 a.m. and 10:30 a.m. – 12:00 p.m. Focus on Upper Extremity & Trunk Saturday 8:00 a.m. – 9:30 a.m. and 10:00 a.m. – 12:00 p.m. Focus on Lower Extremity & Trunk Dr. Don Neumann is a full professor in the Physical Therapy Department at Marquette University where his primary areas of teaching include kinesiology, anatomy and spinal cord injury rehabilitation. He has received numerous national awards from the American Physical Therapy Association, has presented over 200 seminars in clinical kinesiology and related topics, has published extensively and is the author of Kinesiology of the Musculoskeletal System: Foundations for Physical Rehabilitation. Dr. Neumann brings his expertise based on years of clinical experience combined with extensive knowledge of anatomy and kinesiology to this special conference program. Over the course of two morning sessions, Dr. Neumann will provide an overview of essential kinesiologic principles that focus primarily on the mechanical interactions between the many muscle and joint systems throughout the body. He will integrate abundant clinical examples of pathokinesiology into these sessions. His lectures will be enhanced by the use of instructional videos and hundreds of original kinesiologic illustrations. Each illustration clearly describes the anatomic and mechanical basis for joint movement, providing a foundation for understanding many evaluation and treatment approaches used in physical rehabilitation settings. Objectives: • Describe the multiple articular links and arthrokinematics at selected joints throughout the extremities • Cite causes of joint dysfunction due to abnormal muscle action and faulty arthrokinematics, such as glenohumeral impingement, abnormal tracking of the patella, etc. • Cite examples where weakness of proximal muscles affects more distal functions, such as the effect of weakness of the serratus anterior on the shoulder, wrist extensor muscles on grasp, abdominal muscles on hip flexion, etc. • Describe how muscles produce stability at many regions of the body, such as the rotator cuff at the shoulder, the multifidus and abdominals at the trunk, etc. • Describe the role of connective tissues in transferring forces across joints or regions of the body, such as the interosseous membrane of the forearm, or the articular cartilage at the hip • Explain the biomechanical basis for the action of selected muscles, incorporating concepts of muscle moment arm, muscle line-of-force relative to an axis of rotation, and muscle cross sectional area • Show how muscles operate during both proximal-on-distal and distal-on-proximal segment kinematics, such as the external rotators of the hip, or quadriceps at the hip and knee • Describe the classic examples of muscle interactions and “force couples” that occur during important actions such as opening and closing of the hand, posterior tilting the pelvis, or upwardly rotating the scapula • Explain how injury to a peripheral nerve can lead to muscle imbalance and subsequent deformity, such as the “claw hand” following with ulnar nerve lesion, or varus deformity of the foot following peroneal nerve injury • Describe how abnormal alignment of a joint can affect the stress on local tissues, as well as alter the overall biomechanics of a region, such as that which occurs with thoracic kyphosis, excessive femoral anteversion, hip or knee flexion contracture, equines deformity at the ankle, etc. • Describe selected muscle actions and joint functions at varying points of the walking cycle • Cite the essential biomechanics required to achieve a joint’s close-packed (stable) position, such as full knee extension, full dorsiflexion of the ankle, etc. • Explain factors that create large and potentially damaging compression forces at joints, such as the hip or patellofemoral joint • Explain how the position of one joint can affect the stability or posture of another, for example the ankle affecting the knee, cervical posture affecting the suboccipital joings, temporomandibular joint, etc. SESSION DESCRIPTIONS N D TA 2 0 0 6 C O N F E R E N C E • M U S C L E S I N A C T I O N • O C T O B E R 5 - 8 , 2 0 0 6 FRIDAY AFTERNOON CONCURRENT SESSIONS 1:00 p.m. – 2:30 p.m. & 3:30 p.m. – 5:30 p.m. TRACK A Muscle Synergies in Daily Life: Focus on the Upper Extremity Madonna Nash, OTR/L Madonna Nash will focus on the typical impairments in the upper extremity for children with motor involvement and how to treat them from an NDT, functional kinesiological approach. Task analysis will serve as a basis for identification of impairments and participation restrictions. Madonna will provide facilitation techniques and movement activities designed to treat functional limitations. She will also present adjuncts or adaptations that support functional outcomes. Objectives: • Utilizing a task analysis approach, identify the necessary synergies for specific functional limitations • Identify primary impairments that interfere with functional limitations during specific tasks • Link treatment strategies to specific primary impairments • Understand how to utilize adjuncts to support functional outcomes and participation TRACK B Bridging the Gap: Improving Functional Mobility through Proximal Stability Jane Styer-Acevedo, PT Jane Styer-Acevedo combines lecture, experiential learning, slide, and videotape presentations in this workshop. The session is designed for the therapist who treats, or desires to treat, children with neurologic impairments who present with functional and mobility limitations that are best treated by addressing the trunk and the upper extremities as well as the lower limbs. Jane will focus on: assessment for identification of primary and secondary impairments, assessment of the postural system and its impact on mobility, and the use of the trunk and upper limbs to attain functional mobility. Observational skills for assessment, setting priorities for intervention, and intervention strategies will be presented for one or more children. Objectives: • Identify the essential neuromuscular, musculoskeletal and postural elements necessary to enable functional mobility for a child • Identify key elements of the trunk and upper limbs that impact the successful achievement of functional mobility in a child • Identify the missing elements for children with mobility limitations • Set outcomes, plan treatment and identify and sequence strategies to optimize strengths and minimize the barriers to mobility • Determine at least 3 treatment strategies geared towards treatment of the trunk to optimize functional mobility, including the use of the lower limbs • Determine at least 3 treatment strategies for use of the upper limbs in gaining functional mobility TRACK C Support: The Overlooked Function of the Upper Extremity Strategies for Analysis and Development of Upper Extremity Function Cathy Hazzard, PT and Karen Brunton, PT Cathy Hazzard and Karen Brunton will explore the intricate relationship between trunk and shoulder girdle alignment and movement, and the importance of these coordinated movements to upper extremity (UE) function. These relationships will be examined with regards to use of the limb in active support during functional tasks in various postures and through transitions. The emphasis of this session will be on management of the low tone upper extremity. The presenters will also discuss the impact of intervention on secondary impairments. The NDT Enablement Model of Health and Disability framework and terminology will be used throughout the workshop. The session will include analysis of movement, an opportunity for hands-on practice of facilitation skills, and use of video clips to demonstrate application to assessment and treatment of the upper extremity of individuals following stroke or brain injury. Enhance your knowledge of the impact of thoracic and rib cage alignment and movement on upper extremity function, as well as the impact of scapulothoracic alignment and movement on the upper extremity. Facilitate your ability to develop management strategies promoting the recovery of upper extremity function, specifically as it relates to use of the limb for active support post-stroke or brain injury. Objectives: • State the biomechanical relationship of the thorax, rib cage and scapula to the humerus when the limb is in support • Identify common impairments in the trunk and the UE that interfere with function in individuals following stroke or brain injury • Demonstrate and describe a sequence for assessing shoulder girdle movements and humeral movements in relationship to trunk movements • Demonstrate the use of handling strategies to facilitate motor control in the hemiparetic upper extremity, in particular scapula control in coordination with trunk and use of the limb for active support in a variety or postures during functional activities • State the influence of abnormal biomechanical alignment of the trunk and shoulder girdle on secondary problems frequently seen in the upper extremities of individuals following stroke or brain injury (shoulder subluxation, pain, edema) • Discuss ways to write goals that measure change in impairments in the support function of the UE TRACK D The Acquisition of Speech Motor Control in Children With Cerebral Palsy: Coordination of Respiratory, Laryngeal, Velopharyngeal and Oral-Motor Subsystems Carol A. Boliek, PhD Dr. Carol Boliek is the Director of the Pediatric Speech Physiology Laboratory at the University of Alberta. Her primary research interests are related to motor skill acquisition, refinement and adaptation for speech. In the first part of this session, Dr. Boliek will address anatomical and physiological development of the speech mechanism in typically developing children and those who have cerebral palsy. She will next present evidence for best practice and its translation to treatment of speech in children with cerebral palsy. Finally, Dr. Boliek will present current research on neuroplasticity, neuroprotection and the future potential for crossdisciplinary approaches to overall treatment of cerebral palsy. Objectives: • Understand the developing speech mechanism in children with and without cerebral palsy • Identify the issues involved in treating speech in children with cerebral palsy • Integrate the information provided in this session to other subsystems such as postural control and movement • Be aware of the current state of research, current findings and future research aims related to speech motor control in children with cerebral palsy N D TA 2 0 0 5 C O N F E R E N C E • T H E W E S T I N S TA M F O R D • S TA M F O R D , C O N N E C T I C U T SATURDAY AFTERNOON CONCURRENT SESSIONS 2:00 p.m. – 3:30 p.m. & 4:00 p.m. – 5:30 p.m. TRACK A Facilitation of the Lower Extremities for Upper Extremity Function Gail Ritchie, OTR/L The shoulder girdle complex is an elaborate system that relies on the postural control and mobility of the spine, ribcage, pelvis and lower extremities. When there is balance within the musculoskeletal system, functional use of the upper extremities is obtainable. Gail Ritchie will explore the influence of the pelvis and lower extremities as they relate to upper extremity function. She will present a video-taped treatment session to illustrate the relationship between pelvic and lower extremity alignment and control, and upper extremity function. She will identify critical impairments in the lower extremities and offer specific treatment strategies that address these critical impairments in order to improve upper extremity functional skills. Objectives: • Describe the relationship of pelvic movement and the resulting impact on the shoulder girdle complex • Identify lower extremity factors that influence musculoskeletal alignment of the trunk and upper body • Identify critical impairments of the pelvis and lower extremities, and their limiting effects on the shoulder girdle and upper extremities • Formulate specific treatment strategies for the lower extremities to gain mobility and postural stability of the shoulder girdle complex and upper extremities TRACK B Pediatric Gait Treatment: Connecting the Abdominals to the Legs! Strategies to Improve Function Kacy Hertz, PT Kacy Hertz will “connect the abdominals to the lower extremity” by addressing the function and dysfunction of the gait cycle in a child with cerebral palsy. She will address development and how it relates to gait, the use of the NDTA enablement model of assessment, biomechanical assessment tools, and treatment and use of adjuncts for carry-over out of the therapy environment. She will illustrate the didactic information through a video case presentation. Objectives: • Become familiar with basic gait terminology and gait cycle • Use the disablement model to assess gait problems • Discuss how development relates to gait • Identify assessment tools for the lower extremity • Discover treatment strategies • Describe the use of adjuncts for follow-up at home or school TRACK C Lower Extremity Intervention: Making the Connections Beth Fisher, PhD, PT Maximizing recovery of the hemi paretic lower extremity in individuals with stroke involves more than muscles specific to lower extremity movement. In this session, Dr. Beth Fisher will explore the research that implicates the importance of segments far removed from the leg for optimizing LE function and recovery in a variety of tasks and activities. She will utilize patient cases to apply the research presented for an active learning session/module. Objectives: • Describe the relationship between the trunk and limbs in postural control • Identify common impairments in the trunk and LE that interfere with function in individuals following stroke or brain injury • Demonstrate the use of strategies to facilitate motor control in the hemiparetic lower extremity in coordination with the trunk in a variety of postures during functional activities • State research related to task specific activities involving lower extremity movements in individuals following stroke or brain injury TRACK D Breathe! Breathe! Breathe! Activating the Rib Cage and Respiratory Musculature Rona Alexander, Phd, CCC-SLP, BRS-S Dr. Rona Alexander will focus on rib cage and respiratory musculature activity and the incorporation of strategies into treatment which improve rib cage and respiratory function in children with neuromotor involvement. She will provide a brief review of significant anatomical/kinesiological and developmental characteristics of typical and atypical rib cage and respiratory musculature activity. Explore treatment strategies directed toward improving rib cage activity through group movement lab experiences. Objectives: • Identify significant anatomical and kinesi- ological characteristics of typical and atypical rib cage and respiratory musculature activity • Discuss significant developmental characteristics of typical and atypical rib cage and respiratory musculature activity • Demonstrate a minimum of two strategies for improving rib cage and respiratory musculature activity which can be incorporated into treatment for children with neuromotor involvement and respiratory coordination problems SUNDAY CLOSING SESSIONS Each of the Sunday morning sessions has been designed to provide you with an integrative experience to allow you to apply what you have learned when you return to your work setting. In different formats, both the Roundtable Session and the Panel Presentation will address your questions and the “how to” of putting the knowledge you have acquired into action. Breakfast Roundtable Discussion Session Steve Anderson, PT – Moderator 8:00 a.m. – 9:45 a.m. Eager to talk about “muscles in action?” Join us for this unique opportunity to discuss the insights you’ve garnered throughout the conference. This informal roundtable breakfast discussion session is the perfect setting for you to be able to share information and ask questions of your peers. Each table will be moderated by a faculty member and/or NDTA Instructor who will facilitate the conversation. Panel Discussion Steve Anderson, PT – Moderator Panelists to include: Rona Alexander, Lauren Beeler, Cathy Hazzard & Madonna Nash 10:15 a.m. – 12:00 p.m. During this final conference session, you will have the opportunity to address the key concepts that have emerged over the past few days. Come prepared to ask your questions of this diverse and expert panel of NDTA Instructors. PRE-CONFERENCE PROGRAMS N D TA 2 0 0 6 C O N F E R E N C E • M U S C L E S I N A C T I O N • O C T O B E R 5 - 8 , 2 0 0 6 WEDNESDAY, OCTOBER 4, 2006 8:00 a.m. – 5:00 p.m. A separate registration fee of $195 is required for each of these full-day specialty courses. Continental breakfast, refreshment breaks and all course materials are included. The schedule allows for a lunch break from 12:00 p.m. – 1:00 p.m. Lunch is not provided. WITH BETTER ROCKERS WE CAN ROLL: CLINICAL TOOLS TO ENHANCE GAIT Kathleen Ganley, PhD, PT (Morning General Session) Lauren Beeler, PT, PCS (Afternoon Pediatrics Session) Beth Fisher, PhD, PT (Afternoon Adult-Hemi Session) The potential of the central nervous system to develop/recover following significant injury is well established. There is growing evidence that therapeutic interventions aimed at recovery versus compensation may be critical for such neural repair. A thorough understanding of critical events of typical gait and their functional significance coupled with refined observational skills serve as the building blocks for clinicians to form clinical hypotheses relating functional limitations to underlying impairments and compensatory strategies. Using NDT-based interventions, therapists may be able to more specifically and efficiently affect locomotor performance in persons with central nervous system impairments. This intermediate level course is designed to build upon a working knowledge of typical and atypical gait as well as NDT handling skills. Participants should have a working knowledge of gait, including gait cycle, kinematics muscle activity and biomechanics. Objectives: • Apply course information on the kinematics and kinetics of typical gait in identifying and describing gait deviations in persons with central nervous system pathology • Develop clinical hypotheses relating functional limitations in gait to underlying impairments and/or compensatory movement patterns • Integrate course information and NDT based handling skills for the development of techniques aimed at improving gait and gait-related functions in persons with central nervous system pathologies • Evaluate patient videos demonstrating treatment of gait-related functional limitations in an adult with post-stroke hemiparesis and a child with cerebral palsy PUTTING PIECES TOGETHER: A BLEND OF SENSORY INTEGRATION AND NDT Kimberly Barthel, OTR and Mary Hallway, OTR/L This full-day workshop will integrate the concepts of sensory integration with NDT. In the treatment of children with cerebral palsy, sensory impairments are often prevalent in their accompaniment of functional movement problems. This course will focus on the identification of the sensory impairments in the child with neuromotor problems and how these deficits can impact functional performance in all areas. You will realize the importance of addressing sensory processing issues in meeting the child’s functional goals. Objectives: • Describe the role of sensory systems in posture and movement; motor control and motor learning theories • Identify sensory processing impairments in children with neuromotor problems and their relationship to functional activity limitations • Evaluate arousal and regulation states as a preparation for learning to move • Identify sensory issues in a child with cerebral palsy through case study and video analysis • Develop an understanding of techniques to calm, orient, organize and activate for function • Develop an appreciation of the application of NDT and SI treatment strategies for children with cerebral palsy through case study and video analysis THE TEAM APPROACH TO ASSESSMENT AND TREATMENT OF THE BABY Lois Bly, MA, PT; Therese McDermott, MHS, CCC-SLP; Madonna Nash, OTR/L In this workshop, videotapes will be used to introduce several different babies with different primary impairments. After identifying the impairments and distinguishing the primary impairments, you will have the opportunity to practice several discipline specific treatment strategies with dolls. This course will illustrate the importance of multidisciplinary treatment – OT, PT and Speech. SPECIAL REQUIREMENT: You must bring a flexible doll, approximately 24 inches long to participate in this program. MonAmie Therapy Dolls are being made available to course participants. These Therapy Dolls are made with special moveable joints in proper proportion and a unique ankle joint that allows proper motion. Contact Anne at monamiedolls@yahoo.com to place your order. ORDER EARLY! Dolls will be shipped to the conference site and available when you sign-in that morning. Objectives: • Identify system impairments in babies with varied presentation • Prioritize impairments and distinguish primary impairment • Identify secondary conditions/impairments • Develop treatment ideas to address primary impairments in a multi-disciplinary approach GRAVITY IS THE ENEMY OF THE HEMIPLEGIC UPPER EXTREMITY! Understanding the Influences of Gravity on the Hemiplegic UE during Reach Cathy Runyan, OTR/L When using the Neuro-Developmental Treatment approach (NDT), the therapist is required to provide clients with hemiplegia the most effective interventions to increase active use of their involved upper extremity. The use of weightbearing is an effective method for placing demand on the involved UE for active support; however, clients who demonstrate potential for reach of the UE must also be able to work against gravity. Through the use of lecture, functional examples and self-experiences, you will increase your understanding of how the biomechanics of the shoulder complex are influenced by hemiplegia. You will also increase your appreciation of the effects of gravity on the hemiplegic upper extremity. Via hands-on, you will have the opportunity to practice the appropriate methodologies to increase reach for individuals with hemiplegia. Through the use of a video case presentation, you will see the application of the methodologies required to decrease the influences of gravity resulting in increased reach of the client’s hemiplegic UE. You will also be provided with examples of individualized functional outcomes for clients with similar impairments. Objectives: • Identify the position of the scapula in all ranges of reach • List three concepts used to develop methodologies for increasing reach for clients with hemiplegia • Use hands-on effectively to increase active use of the scapular upward rotators and shoulder flexors in high range reach • Use hands-on effectively to increase active use of the scapular upward rotators and elbow extensors in a pre-reach position • Individualize functional outcomes for an adult client with similar impairments EXHIBIT HALL EVENTS N D TA 2 0 0 6 C O N F E R E N C E • T H E W E S T I N S TA M F O R D • S TA M F O R D , C O N N E C T I C U T The exhibit hall is the setting for many of the exciting events happening in this year’s conference. Prize drawings, book signings, the auction, reception, opening day luncheon, staffed poster sessions, networking opportunities and, of course, the Exhibitor Showcas—all take place here. You won’t want to miss any of these opportunities to shop, socialize, take a break, have some fun and, maybe even win a prize. EXHIBITOR SHOWCASE The NDTA Conference, as always, features our Exhibitor Showcase as an integral and important part of the conference program. Our exhibitors understand the needs of therapists, so they are here prepared to offer the best products and services available in the marketplace today. Meet knowledgeable suppliers who are determined to help you make the right purchasing decisions. THURSDAY, OCTOBER 5 • 12:30 p.m. – 2:30 p.m. Exhibit Hall Opening & “Grazin’ Thru the Hall Lunch • 3:30 p.m. – 4:30 p.m. Exhibitor Showcase & Refreshment Break, Prize Drawings FRIDAY, OCTOBER 6 • 9:30 a.m. – 10:30 a.m. Exhibitor Showcase & Refreshment Break • 2:30 p.m. – 3:30 p.m. Exhibitor Showcase & Refreshment Break, Prize Drawings • 5:30 p.m. – 7:30 p.m. Exhibitor Showcase & Reception Auction & Staffed Poster Session “GRAZIN’ THRU THE HALL” Thursday: 12:30 p.m. – 2:30 p.m. Free Lunch, courtesy of our Exhibitors, is available on Thursday on the exposition floor. “Graze” as you make your way through the hall visiting the exhibitors who will be offering food selections at their booths. You’ll find a variety of choices to suit your taste and have time to interact with our vendors besides. NDTA 2006 AUCTION: Format Friday: 5:30 p.m. – 7:30 p.m. Fun & Fundraising is what our annual auction is all about. Held during the evening reception, the funds from this event are used to support the critical research efforts needed to ensure the continued viability of NDT in the therapeutic community. We are counting on you and asking you to come prepared to participate in this worthy cause. For the first time, NDTA will be holding a combination Live & Silent Auction, with our own Paul Myers as auctioneer. Some surprising big ticket items will be auctioned off live and a variety of other goodies will be available for your silent auction bid. Make a donation to the auction by contacting NDTA headquarters or bring your items directly to the conference. We welcome all contributions: gift items, artwork, collectibles, gift baskets, products and services—anything from your grandmother’s favorite pitcher to a mini-vacation in your time-share. Watch for announcements of auction items and don’t forget to bid! BOOK SIGNINGS Meet authors whose work is on display, including Janet Howle and Rick Lieber. The authors will be in the exhibit hall to autograph their books and discuss them with you. A signing schedule will be posted at the conference. CONFERENCE EVENTS SPECIAL LUNCH EVENTS We invite you to join us for these two special functions being featured at this year’s conference. Tickets to the Awards Luncheon are included as part of your conference registration. Friday lunch tickets are available for $14, including tax and gratuity. NOTE: Both of these are ticketed events. You must sign-up in advance! CONNECT IN CONNECTICUT Friday: 12:00 p.m. – 1:00 p.m. You don’t want to miss this networking opportunity that promises to be a highlight of the 2006 conference! Socialize with your colleagues, conference faculty, NDTA Instructors and association leadership in an informal atmosphere as you enjoy a nutritious salad and dessert especially prepared by the Westin chef. Meet those involved with the business of your association and find out what NDTA is up to in the “Focus 2007” presentation. Discover how you can get the most out of your NDTA membership and learn how you can make a difference. Event Ticket Required: $14 inclusive in advance. $17 onsite, subject to availability AWARD OF EXCELLENCE LUNCHEON Saturday: 12:00 p.m. – 1:45 p.m. Please join us in congratulating Judith Bierman, PT-CI, as the recipient of the NDTA 2006 Award of Excellence. This award, the highest that NDTA bestows on an individual, will be presented to Judi during the very special Saturday luncheon event. We are especially pleased to honor Judi for her extraordinary contribution of time, energy and commitment to NDTA. Event Ticket Required: Included in Registration Fee. You must sign-up in advance. Advance tickets to Awards Luncheon Only: $42 N D TA 2 0 0 6 C O N F E R E N C E • M U S C L E S I N A C T I O N • O C T O B E R 5 - 8 , 2 0 0 6 GENERAL INFORMATION CONFERENCE REGISTRATION Your registration fee includes admission to the educational sessions and exhibit hall events along with the program book containing materials from all the sessions. Continental breakfasts and the Sunday breakfast buffet, the Friday reception as well as lunches on Thursday and Saturday are also included. Daily registrations are available for those able to attend only one day of the conference and include materials and events taking place on that day only. BREAKOUT SESSIONS Please review the session descriptions in this brochure to make your selection from the various concurrent sessions being offered each afternoon. We recommend you register early to ensure your place in the track of your choice. RECOMMENDED DRESS We suggest informal attire and recommend bringing a jacket or sweater, as meeting room temperatures and personal comfort levels vary widely. The temperature in Stamford typically ranges from a high of 65˚ to a low of 42˚ in October. SPECIAL ASSISTANCE NDTA staff will be glad to help you with any special needs (i.e. physical, dietary, etc.) Please indicate your request for assistance on the registration form. CONFERENCE FACULTY GUEST FACULTY Gad Alon, Ph.D., PT Associate Professor, University of Maryland Carol A. Boliek, Ph.D. Associate Professor Department of Speech Pathology & Audiology, University of Alberta Marlenne G. Burt, PT, MS Miami Children’s Hospital Beverly Cusick, PT, MS, COF Associate Professor, Rocky Mountain University President: Progressive Gaitways Beth Fisher, Ph.D., PT Research Assistant Professor Director: Neurologic PT Residency Program, University of Southern California Kathleen Ganley, Ph.D., PT Associate Professor, Northern Arizona University Tonya Johnson, Pharm.D Allergan, Inc – Medical Affairs Richard A. Lieber, Ph.D. Professor, University of California San Diego VA Healthcare System, San Diego Donald A. Neumann, PT, Ph.D. Professor – Physical Therapy Department, Marquette University Cara Talty, PT Medtronic NDTA INSTRUCTORS/COORDINATOR INSTRUCTORS (CI) Jane Styer-Acevedo, PT-CI Rona Alexander, Ph.D., CCC-SLP-CI, BRS-S GUESTS As a conference participant you may be inviting your spouse/significant other, friend, colleague, or an adult child over 18 to join you as a guest. Guests have the opportunity to attend the Friday night reception and the Saturday awards luncheon. Guest Registration Fee Required: $100 Kimberly Barthel, OTR Lauren Miller Beeler, PT-CI, PCS Lois Bly, MA, PT-CI Karen Brunton, PT-CI, B.SC Mary Hallway, OTR/L Cathy Hazzard, PT-CI, MBA, B.Sc. Kacy Hertz, PT-CI CONTINUING EDUCATION CREDITS Continuing Education Units have been applied for and will be available to Physical Therapists, Occupational Therapists and Speech-Language Pathologists for attendance at this conference. Further information will be available on the conference site at www.ndta.org as CEUs are granted by the various accrediting agencies. Linda A. Kliebhan, PT-CI Therese McDermott, MHS, CCC-SLP/L Madonna Nash, OTR/L Gail Ritchie, OTR/L Cathy Runyan, OTR/L – CI NDTA, 1540 S. Coast Hwy, Ste 203 Laguna Beach, CA 92651 Phone (800) 869-9295 • Fax (949) 376-3456 • www.ndta.org N D TA 2 0 0 6 C O N F E R E N C E • T H E W E S T I N S TA M F O R D • S TA M F O R D , C O N N E C T I C U T NDTA 2006 CONFERENCE REGISTRATION Please register today at www.ndta.org or return this form with full payment to: Neuro-Developmental Treatment Association 1540 S. Coast Hwy, Suite 203 • Laguna Beach, CA 92651 • (800) 869-9295 • Fax (949) 376-3456 ATTENDEE INFORMATION First Name ____________________________________ Last Name ____________________________________________________ Member # ____________ Discipline: PT Company Name OT SLP Other ___________ Specialty: Pediatrics Adult Hemi ______________________________________________________________________________________________ Address ______________________________________________________________________________________________________ City, State, Zip ________________________________________________________________________________________________ Telephone Number ( E-mail Address ) ____________________________________ Fax ( ) ____________________________________ ______________________________________ Web site ________________________________________________ In case of Emergency call: ______________________________ Phone # ________________________________________________ NDTA 2006 CONFERENCE REGISTRATION: Description: On or before 8/25/06 (Please complete one registration form per person.) After 8/25/06 Onsite Amount CONFERNCE REGISTRATION NDTA Member: . . . . . . . . . . . . . . . . . . . . . . . . . $495.00 . . . . . . . . . . . $595.00 . . . . . . $645.00 . . . . . . . $ NDTA Non-Member: . . . . . . . . . . . . . . . . . . . . . $595.00 . . . . . . . . . . . $695.00 . . . . . . $745.00 . . . . . . . $ Student Registration (full-time) . . . . . . . . . . . . . . . $245.00 . . . . . . . . . . . $245.00 . . . . . . . . n/a . . . . . . . . . $ Daily Registration (1 day only) . . . . . . . . . . . . . . $200.00 . . . . . . . . . . . $200.00. . . . . . $200.00* . . . . . . . $ Indicate Day: ____________________ Amount Pre-Conference Course Registration (Select only one) With Better Rockers We Can Roll . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $195.00 Putting Pieces Together . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $195.00 Team Approach to Assessment & Treatment of the Baby . . . . . . . . . . . . . . $195.00 Gravity Is the Enemy of the Hemiplegic UE . . . . . . . . . . . . . . . . . . . . . . . $195.00 ________ ________ ________ ________ *Space permitting ....................$ ....................$ ....................$ ....................$ ________ ________ ________ ________ Amount Ticketed Events (Select All You Will Attend) Connect In Connecticut Luncheon (Thursday) . . . . . . . . . . . . . . . . . . $ 14.00 . . . . . . . . . . . . . . . . . . . . $ Reception & Auction (Friday) . . . . . . . . . . . . . . . . . . . . . . . . . . . . Included . . . . . . . . . . . . . . . . . . . . $ Award of Excellence Luncheon (Saturday) . . . . . . . . . . . . . . . . . . . . Included . . . . . . . . . . . . . . . . . . . . $ Roundtable Breakfast Session (Sunday) . . . . . . . . . . . . . . . . . . . . . . Included . . . . . . . . . . . . . . . . . . . . $ Guest Registration for: _____________________________________ . . . $100.00 . . . . . . . . . . . . . . . . . . . . $ ________ ________ ________ ________ ________ name of guest TOTAL . . . . . $ ________ Concurrent Session Sign-up (Required) Refer to the brochure descriptions to select the afternoon sessions you will attend. Please choose carefully as it may not be possible to exchange your selection later. PAY M E N T INFO Track A Thursday Afternoon . . . . . ______ . . . . Friday Afternoon. . . . . . . ______ . . . . Saturday Afternoon . . . . . ______ . . . . Track B Track C Track D . ______ . . . . . ______ . . . . . . N/A . ______ . . . . . ______ . . . . . ______ . ______ . . . . . ______ . . . . . ______ I have special needs, including dietary. Please contact me. NDTA 2006 PAYMENT INFORMATION: Check. Make Check Payable to NDTA: Check# ______________ Amount Paid $ ____________ Visa MasterCard American Express Credit Card# _____________________________________________________________________________ Exp. Date ___________ Authorized Signature (required) _____________________________________________________________ Date ________________ CANCELLATION POLICY: Full refund, less a $50 administrative fee, will be granted only if written cancellation notice is received by NDTA on or before August 18, 2006. No refund will be made for no-shows. R e g i s t e r o n l i n e a t w w w. n d t a . o r g Register Today for NDTA 2006! Muscles in Action. If you are a Physical Therapist, Occupational Therapist, Speech-Language Pathologist, Academic, Student or other professional interested in the NDT approach to therapy, you won’t want to miss this conference! • Three-and-a-half-days of Focused Educational Sessions • Distinguished Faculty of Renowned Researchers & Clinicians • Four Separate Pre-Conference Programs • Exhibitor Showcase • Special Events Including The Auction, Reception & Awards Luncheon • An Abundance Of Social & Networking Opportunities N D TA 2 0 0 6 C O N F E R E N C E • T H E W E S T I N S TA M F O R D • S TA M F O R D , C O N N E C T I C U T 1540 S. Coast Hwy, Ste 203 Laguna Beach, CA 92651