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WORKSHOP OBJECTIVES

Participants will:
1.) Apply The Meeks Method 12 point management program to your patient population.
2.) Learn a specialized evaluation of osteoporosis/osteopenia patients.
3.) Apply the "Patterns of Postural Change" to exercise prescription to halt and/or reverse poor postural patterns from birth to the frail elderly.
4.) Understand normal bone health, osteopenia and osteoporosis and will recognize people at risk for low bone mass and skeletal fragility at ALL ages.
5.) Learn specific treatment guidelines and a progression of exercise intervention that is S.A.F.E. and effective for all levels of care.
6.) Apply activity analysis/body mechanics/ergonomics to BADL's and IADL's.
7.) Be familiar with a protocol for the management of Acute Vertebral Compression Fractures.
8.)Understand guidelines for safe and unsafe activities and advise patients on their exercise programs at the gym, aerobics classes, senior classes, Pilates, yoga, aquatic therapy, T'ai Chi, etc. 

WORKSHOP OUTLINE

DAY 1    8:00 - 5:00

Registration: 7:30-8:00 AM

8:00 – 12:00  
Introduction to Osteoporosis
What is Osteoporosis?
The Meeks Method 12 Point Management Program
Epidemiology/Pathology/Bone Morphology/Anatomy
Peak Bone Growth

Who is affected?

Risk Factors – Pre-Assessment Form
     o Non-Modifiable
     o Diseases and Conditions
     o Medications
     o Risk for Fractures at any age
First signs
Bone Mineral Density/DEXA scan
     o T Score , Z score
     o Significance To Bone Strength and Implications For Fracture Risk

Fracture Prevention
     o Common Fracture Sites
           Hip Fractures
           Vertebral Compression Fractures  
               o Contraindicated/Cautionary Movement

Metabolism / Bone Remodeling
     o Bone Quality and Quantity
     o Cortical vs. Trabecular Bone
     o Role of Activity In Bone Health

Optimal Bone Building through the life span- Childhood to Elderly
     o Role of activity in bone health
     o Weight Bearing Exercise-  What it is and is not
BREAK

Contraindicated/Cautionary Movement during Occupational Performance, ADL/IADL
Patterns of Postural Change©
     o Normal Posture
     o A lifespan of posture –Know the perils
     o Adverse effects of habitual occupational performance 
Restriction , Substitution, Weakness and Other Influences

Postural Correction / Standing Alignment
     o “Alphabet Soup” of  the Body- Practicum
     o Standing Body Alignment – Practicum
     o Core Activation – Practicum

Seating Awareness 
     o Postural Effect On Spinal Load
     o Seated Alignment/Dynamic Seated Alignment
     o Modifications for improved postural support – wheel chairs, baby carriers
     o Sit- to- Stand- to- Sit - Practicum

Bed Positioning
     o Positioning for optimal spinal alignment
     o Side Lying considerations
     o Comorbidities 
     o Methods to get into and out of bed safely - Demonstration/Practicum

Body Mechanics/Work Station Ergonomics Applied to ADL/IADL
     o Principles of Body Mechanics
     o Computer and Activity Workstations - all daily occupations
     o Activity Analysis during occupational performance
     o Habitual Patterns of Movement – changing a habit
     o Key problem areas  that affect optimal alignment    

12:00 - 1:00 PM   LUNCH – On your own

1:00-5:00
Occupational Performance -5 ADL Workstations – Practicum with partner 
     o Counter/dish washer/laundry
     o Adaptive aides
     o Two-stage Lift
     o Vacuum/sweep/rake
     o Bed Transfer/Log Roll/ Positioning
Observations and Activity Analysis during Occupational Performance
How was your Occupational Performance?

Environmental Modifications
     o  Establishing new movement habits 

Vertebral Compression Fracture
     o Protocol for Acute Compression Fracture Management
     o Bracing

UN-Loaded/Decompression Position  
     o Initial Posture Exercises – Demonstration
     o Positioning - head,  arms, legs
     o Getting to the Floor safely - Log Roll

Site Specific Exercises - Practicum with and without partners
     o Supine Exercises
               Positioning and first 4 exercises- Practicum in Groups of 2 therapists
               Guided site specific exercises - Practicum- Individually
               Breathing Techniques
               Core Muscle Awareness and Activation
Pelvic Floor, “Girdle” Muscle Activation
Wrap Up                                                                                                                                                                                                           

DAY 2   8:00-5:00

7:30 - 8:00 - Networking
8:00 am – 12:00 pm 
Re- Cap  -  Homework – Changed habit 
                 Questions       
                 S.A.F.E. Movement  Key Concepts 
Functional Patterns of Occupational Performance 
 o Assessment/ Activity analysis
 o Habit formation
 o Facilitating Change  in Habitual Patterns of Movement
 o Activity Analysis
 o Optimum Movement Patterning -  establishing new movement habits

Evaluating the Osteoporosis Patient
     o Pre-Assessment
     o Osteoporosis Patient Assessment
     o Measurable Goals
     o Functional Outcome Measures
BREAK
     o Postural Alignment Assessment - groups of 2 – REEDCO Practicum
     o Discussion

Balance and Fall Prevention
 o Normal Ageing and Components of Balance
 o Fall Prevention Strategies
 o Balance Exercises- Practicum

LUNCH  12:00-1:00

Perspectives in Gait Training and Postural Correction 
    o Walking – Practicum
Optimal Bone Building 

     o Nutrition for Optimum Bone Health
     o Pharmaceutical Intervention/Consequences 
BREAK

Advanced Strengthening Exercises  Practicum
     o Resistance Band - Scapular Stabilization Exercises – foam roll 
     o Abdominal core strengthening - foam roll
     o Prone Exercises

Free Weight Exercises, Gym Guidelines and Other Activities

Putting it together - Case Studies - In-patient / Out-patient

 

Wrap up/Questions 
Course evaluation form/certificates