Exercise Prescription: Testing and Interventions for the Complex Patient
June 3 & 4, 2010
15 Contact Hours
Shoreline Conference Center
Greater Seattle, WA Area
Presenter: Steven Tepper, PT, PhD
Description: Endurance...how do you know if your patient is safe to climb the stairs, walk across the room, or jog around the block? Is your exercise program effectively increasing your patient's endurance? Join your colleagues in the examination, selection, and administration of specific tests and measures for patients/clients with endurance impairment. Emphasis will be on differentiating the cause of endurance impairment. A case-based approach will be used to demonstrate the scientific basis of tests used in a variety of physical therapy settings to measure endurance across the continuum. Additional examination and interventions relevant to the cases will be discussed. A lab will enable participants to perform different tests of endurance, vascular insufficiency, pulmonary function, and body mass index.
Upon completion of this course, you will be able to:
· Differentiate probable cause and mechanism for endurance impairments
· Review (and perform some of the) methods to examine endurance and other relevant impairments
· Select the appropriate endurance test for the cases presented
· Realize the importance of physiological monitoring of patients while at rest and during exercises
· Differentiate when exercise/activity might be contraindicated
· Differentiate the signs/symptoms that would cause you to limit exercise/activity
· Prescribe appropriate exercise training programs for the given cases
· Explain the evidence revealed in the literature for endurance training
Schedule:
Day 1
7:30 – 8:00 Registration
8:00 am Endurance: Factors Effecting & Differential Diagnosis
10:30 am Break
10:45 am Contraindications and Termination Points of Exercise
11:45 am Lunch (on your own)
12:45 pm How Much Exercise Is Necessary
1:45 pm Break
2:00 pm Basic Endurance Tests Often Used by PTs
4:45 pm Benefits of Routine Aerobic Training
5:45 pm Review/Discussion
Day 2
8:00 Perform Endurance Tests, Body Mass Index, & ABI
10:45 Break
11:00 Examine Results From Tests
Noon Lunch (on your own)
1:00 pm Case Studies
2:45 pm Break
3:00 pm Case Studies (continued)
4:00- pm Wrap-up With Your Questions
5:00 pm Adjourn
Required Equipment/Clothing:
(participants' responsibility)
Please come prepared for laboratory (shorts and t-shirts and sports bras for women) and for air-conditioned environments throughout the day (bring warm-up or workout clothes). At the most, you will be asked to walk/jog one mile.
Presenter - Steven H. Tepper, PT, PhD
Dr. Tepper directs the transitional DPT program at University of Montana. He is an adjunct professor with the University of Delaware, University of Maryland, George Washington University, University of Northern Arizona, Daemen College, Utica College, The Ohio State University and other programs. Dr. Tepper is also the President of Rehab Essentials, Inc. Dr. Tepper received his BS in Physical Therapy and a PhD in Experimental Pathology from the University of Maryland. He taught at University of Maryland for 12 years and then spent 13 years Shenandoah University where he was a professor and Director of the entry-level and transitional-DPT programs. His fields of experience include an interest in endurance testing, differential diagnosis of endurance impairments, and the effects exercise training has on disease or the prevention of disease. He has authored several chapters and peer reviewed journal articles on various topics. His professional highlights include President of the Cardiovascular and Pulmonary Section of the APTA, Task Force Member on Clinical Practice Guidelines III for the APTA, recipient of the Cardiopulmonary Sections Linda Crane Merit Award, University of Maryland Alumnus of the Year 2003, and Robert C. Bartlett Award for Innovation in Fundraising from the Foundation for Physical Therapy, 2005. Dr. Tepper has a passion for teaching.
Precourse Readings:
Please
read the following articles prior to attending the class:
Bibliography
Please
read the following articles prior to attending the class:
Noonan V, Dean E: Submaximal exercise testing: clinical
application and interpretation. Phys
Ther 2000 Aug;80(8):782-807
http://www.ptjournal.org/PTJournal/August2000/v80n8p782.cfm
Physical activity and public
health. A recommendation from the Centers for Disease Control and Prevention
and the American College of Sports Medicine.
http://circ.ahajournals.org/cgi/reprint/CIRCULATIONAHA.107.185649
Epstein RM. Mindful Practice. JAMA
1999 Sep 1;282(9):833-9 http://www.uvamindfulnesscenter.org/docs/MBSR%20Article%20-%20Mindful%20Practice%20by%20Epstein.pdf
Recommended Readings:
Racett SB, Deusinger SS, and Deusinger RH. Obesity: Overview of Prevalence,
Etiology and Treatment. Phys Ther, 2003;83:276-288 http://www.ptjournal.org/PTJournal/Mar2003/v83n3p276.cfm.
Aldrich D, Hunt D. When can the
patient with deep venous thrombosis begin to ambulate. Phys Ther 2004;84:268-273.
Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA,
Nathan DM; Diabetes Prevention Program Research Group. Reduction in the
incidence of type 2 diabetes with lifestyle intervention or metformin.
N
Engl J Med. 2002 Feb 7;346(6):393-403.
Riddle DL, Hillner BE, Wells PS,
Johnson RE, Hoffman HJ, Zuelzer WA Diagnosis of lower-extremity deep vein
thrombosis in outpatients with musculoskeletal disorders: a national survey study
of physical therapists. Phys Ther. 2004 Aug;84(8):717-28.
Riddle DL, Wells PS. Diagnosis of
lower-extremity deep vein thrombosis in outpatients. Phys Ther. 2004
Aug;84(8):729-35.
Course Fee: $425.00
Group Discount: Groups of 3, take $15 off each registration. Groups of 5 or more, take $30 off each registration. Groups must submit one registration form per person. Groups must send or fax registration forms in as a group.
To Request a brochure, call 360-379-6994.
Fax: 360-379-5271
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