Hot Topic Talks - Policy, Payment and Pours

4/12/2019 5:30 PM - 8:00 PM

Rarely do physical therapy professionals get the chance to talk about the policies and payment issues impacting the profession. We are caught up in the whirlwind of health care change while trying our best to serve our patients. But what if there were a time and place to have that discussion where our advocacy leaders were present, and your views and opinions would be represented in their future activities. This year’s MNPTA Annual Conference has a meeting with the purpose of informing you on the issues impacting our profession with time for you to voice your opinions, and hear from others on how those issues are affecting you and your practice.

 

Topic Tables:

·         Motions for the 2018 House Of Delegates – 3 topics

·         State Government Affairs Issues

·         Federal Government Affairs Issues

·         Payment – Utilization Management

·         Payment – New Care and Payment Models

Registration

4/13/2019 7:00 AM - 7:30 AM

Registration opens at 7:00 am.

The Movement System: A New Way to Analyze and Treat Movement Dysfunction

4/13/2019 8:30 AM - 10:00 AM

The APTA's new vision “Transforming society by optimizing movement to improve the human experience"  (www.APTA.org) includes use of the movement system to approach the evaluation and treatment of movement dysfunction. Guided by this vision, the APTA proposes using the movement system (a collection of systems that interact to influence movement) as a foundational element of clinical practice, research and education. This course aims to focus on the movement system as it relates to the analysis and treatment of movement dysfunction. Faculty from across physical therapy education programs in Minnesota will present cases from across the lifespan and practice settings to highlight the application of the movement system approach to clinical practice. This course is intended to emphasize what is becoming a fundamental shift in how clinicians analyze and treat movement dysfunction. 

A Movement Approach to Examination of Shoulder Multidirectional Instability

4/13/2019 10:15 AM - 11:45 AM

Presenter: Justin Staker, PT, PhD, OCS, SCS

A  focused  course  that  will  provide  the  biomechanical  rationale  for  shoulder  multidirectional  instability  as  a  movement  disorder  physical  therapists  are  capable  of  identifying  with  a  clinical  exam.  Using  evidence  based  findings,  the  importance  of  corroborating  subjective  history  with  a  focused  physical  examination  will  be  emphasized.

 

By  the  end  of  the  course,  learners  will  be  able  to:  1)  Incorporate  key  questions  into  their  subjective  history  exam  that  aid  in  identification  of  shoulder  multidirectional  instability.  2)  Carry  out  a  focused  physical  examination  of  the  shoulder  to  identify  multidirectional  instability.  3)  Based  on  biomechanical  evidence,  interpret  the  subjective  grading  from  shoulder  instability  tests  to  aid  in  diagnosing  shoulder  multidirectional  instability.  4)  Connect  examination  of  shoulder  multidirectional  instability  to  the  movement  systems  approach  defined  by  the  APTA.

Exercise Prescription to Maximize Use-Dependent Neuroplasticity

4/13/2019 10:15 AM - 11:45 AM

Presenter: Patrick Grabowski, MPT, PhD, OCS

This presentation will review current theories of motor learning and principles of use-dependent neuroplasticity. Factors that influence plasticity will be discussed and applied to the modification of common therapeutic interventions in orthopedic and neurologic rehabilitation.

Post-Intensive Care Syndrome and the Role of Physical and Occupational Therapy

4/13/2019 10:15 AM - 11:45 AM

Presenter: Emily Bodensteiner Schmitt, MOT, OTR/L and Jessi Strikwerda, PT, DPT

According to Society of Critical Care Medicine, more than 5.7 million patients are admitted annually to intensive care units (ICUs) in the United States. In the US, more than 55,000 critically ill patients are cared for each day. Any patient with a critical illness is at risk for developing post-intensive care syndrome. According to the Society of Critical Care Medicine, post-intensive care syndrome (or PICS) is defined as “new or worsening mental health, physical and cognitive outcomes that linger past the ICU stay as post-intensive care syndrome.” PICS may also affect family members as well. Known as PICS-Family, or PICS-F, symptoms are usually mental health related including new diagnosis of anxiety, depression, post-traumatic stress disorder, or panic attacks. Preventing and treating the side effects associated with PICS is an interdisciplinary responsibility. The more professionals evaluating for warning signs and educating patients, the greater chance for connection with appropriate education and services to minimize the negative side effects of an ICU stay. The impact of an ICU stay on both patients and families is often not fully realized until one can hear the stories of survivors. We will share several taped interviews with our patients who survived a prolonged ICU stay. Although it is miraculous to survive a critical illness, patients and families may never return to the same quality of life. Overall, the purpose of this presentation is to familiarize medical professionals with the long-lasting impact a critical illness may have on the patient and family. During this presentation we will review the definition and impacts of PICS and PICS-F through review of literature and a host of case study/interviews. We will also share current movements that health systems are starting to combat PICS to improve the quality of life of all intensive care unit survivors. Lastly, we will discuss strategies for implementing PICS education into your treatment sessions with patients and patient families.

Lunch, Awards, Exhibitors and Poster Presentations

4/13/2019 11:45 AM - 1:45 AM

Take time to visit with colleagues over lunch.  Celebrate the accomplishments of your colleagues as we announce the professional awards, and outstanding students.  See who is doing what in your profession as you visit with exhibitors about their products and services.

Please indicate any dietary needs in your registration information.

Exercise Prescription, Progression, and Periodization in Sports Physical Therapy - Part 1

4/13/2019 1:45 PM - 3:15 PM

Presenter: Aaron Hellem DPT, OCS, SCS; Emily Beyer DPT, SCS; Allison Mumbleau DPT, SCS; & Paul Yerhot DPT, SCS

Strength is the foundation from which power, speed, and agility are developed. Sports physical therapists are uniquely positioned to influence these factors in athletes through therapeutic exercise—the key element of physical therapy practice to address strength. Evidence-based exercise selection and progression is a confluence of research, clinical expertise, and patient-specific factors. Periodization is the planned manipulation of training variables in order to optimize training adaptations. Periodized training is a safe method of training for older adults and individuals with pain. However, there is a paucity of research guiding the use of periodization in rehabilitation. While the novice clinician may progress exercise generally in the face of uncertainty, there are a multitude of factors to consider to maximize patient outcomes and achieve performance goals. This session will review the concepts of therapeutic exercise selection, progression, and periodization viewed through a contemporary scientific lens applying that knowledge to sports physical therapy clinical cases for optimization of performance goals.

Management of ICU Acquired Weakness throughout the Continuum of Care

4/13/2019 1:45 PM - 3:15 PM

Presenter: Amy Toonstra, PT, DPT, CCS

Current literature supports the importance of early mobility for patients with critical illness, but there is limited education regarding physical therapy management for this population. This course will provide a brief background on early mobility literature, but will primarily focus on diagnosis, outcomes assessments, and interventions for patients with ICU-acquired weakness. Education will be tied to clinical scenarios for direct application of knowledge.

Using Predicted Outcomes to Administer Evidence-Based Interventions in Cerebral Palsy

4/13/2019 1:45 PM - 3:15 PM

Presenter: Jennifer Henrickson, PT, DPT, PCS

Developmental outcomes for children with cerebral palsy can be predicted using the gross motor function classification system (GMFCS) which can help us predict which patients will benefit most from various treatment interventions. This course will briefly review how the gross motor function measure can be applied to children with cerebral palsy and what developmental outcomes are expected by GMFCS level. Using this knowledge, this course will discuss the best current evidence for treatment by GMFCS level. The course will finish with participants applying the various treatment interventions to a progressive case following a patient with cerebral palsy through the lifespan.

Exercise Prescription, Progression, and Periodization in Sports Physical Therapy - Part 2

4/13/2019 3:30 PM - 5:00 PM

Presenter: Aaron Hellem, DPT, OCS, SCS; Emily Beyer, DPT, SCS, Allison Mumbleau, and Paul Yerhot, DPT, SCS

Part 2 of two sessions, please see the description under Morning Session. We will build on concepts discussed during Part 1. Attendance of both is encouraged but not required.

Science Meets Practice: Incorporating Movement Systems Analysis Across Neurologic Conditions

4/13/2019 3:30 PM - 5:00 PM

Presenter: Michelle Peterson, PT, DPT, NCS and Staci Eischen, PT, NCS

The population with neurologic disorders typically has involvement of many of the component parts of the movement system affected simultaneously, complicating purposeful and efficient movement. This session will review APTA's vision statement and how using the movement system as the foundation for optimizing movement will enhance care for our population with neurologic disorders. The presenters will describe key aspects from the Movement Summit, emphasizing how movement analysis guides treatment. They will guide participants in applying the integrated framework to 3 patients with a neurologic condition.

Updates in Idiopathic Toe Walking Research and Treatment Recommendations

4/13/2019 3:30 PM - 5:00 PM

Presenter: Nicole Brown, DPT

Idiopathic toe walking is a prevalent diagnosis in the pediatric population. Although many of us our treating this population, there is little consensus on when to intervene, how to treat, and anticipated outcomes. Participants will understand the results of a current randomized controlled trial completed at Children’s Minnesota entitled, Carbon Fiber Two-pull Ankle Foot Orthotics Versus Serial Casting in the Treatment of Idiopathic Toe Walking with Equnius Contracture. They will identify how these results influence our clinical decision making and treatment interventions for this patient population. Participants will also learn about development of a Clinical Practice Guideline through the American Academy of Pediatrics for patients with a diagnosis of Idiopathic Toe Walking.

Celebration of Physical Therapist Assistants

4/13/2019 5:15 PM - 7:30 PM

Come rub elbows with PT's and PTA's from all over the state in a casual setting while we wish a Happy 50th Anniversary to the PTA program in Minnesota.  Have a free drink on us and enjoy spectacular hors d'oeuvres while participating in a raffle and silent auction to win exciting prizes.