This evidence-based, experiential, active and participatory 1.5-hour webinar will focus on the management of the long-term, chronically-ill, physically-frail, or pre-frail, cognitively-intact patient. The presentation will include adapted exercise and movement suggestions for patients who are being seen by rehabilitation personnel in ICU, Acute Care, Home Care, Nursing Home, Skilled Nursing and Long-Term Care Facilities such as burn and organ transplant units as well as Out-Patient where physical frailty in the patient population can also be encountered. These patients frequently exhibit several co-morbidities (e.g., COPD, osteoporosis, burns, organ transplants, cardio-pulmonary and neurological conditions) that may influence movement and exercise prescription. Some of these conditions may have conflicting treatment options (e.g., spinal stenosis vs osteoporosis) and some diagnoses may take precedence over others (e.g., COPD and breathing difficulties vs functional exercise).
Emphasis is placed on innovative techniques for strengthening of the core muscles: Diaphragm and other Breathing Muscles, Lower Abdominals, Pelvic Floor and Back Extensors and other “Fountain-of-Youth Muscles” such as the Gluteus Maximus and Medius.
Products to augment an exercise program will be introduced. Included are:
- The Spinomed IV spinal orthosis, which has been shown in research to strengthen the back extensors and abdominals, increase vital capacity, and relieve back pain, and can be used as an active, functional option for bracing.
- The Independence (Sit-To-Stand) Chair to improve this most functional of daily movements.
Included will be updated research evidence on physical frailty and osteoporosis and a successfully implemented protocol for the management of the patient with an acute spinal compression fracture. With an emphasis on alignment and safety, participants will learn to move from and for the bones in perch posture, sit-to-stand-to-sit and other movements.
In addition, participants will be introduced to:
- The Meeks Method breathing exercises that can be adapted even for critically-ill patients;
- The Re-Alignment Routine,™ a set of four (4) exercises that can be adapted for all populations and which gives a safe, stable and functional foundation in preparation for a more advanced exercise program;
- Exercise prescription in positions from least to most spinal compression.
- Discuss the conditions of physical frailty and osteoporosis as they pertain to patient populations which are being seen by rehab personnel in their own practices.
- Articulate the guidelines for management of the patient with acute spinal compression fracture.
- Discuss the principles of modification of an exercise program and specific exercises including breath and The Re-Alignment Routine to meet the needs of the individual patient including patients with conflicting diagnoses (e.g., spinal stenosis).
- Demonstrate movement from and for the bones which is designed to increase safety and strengthening of the bony structure of the body.
- Articulate the importance of optimal body alignment as it pertains to the effect of muscle contraction and weight-bearing forces in therapeutic exercise.
- Demonstrate Perch Posture, Safe Sit-To-Stand-To-Sit, 2 Visual Images for Postural Correction, Beginning Weight-Shifting Exercises for Balance, and 2 Different Visual Images for Improvement in Gait.
- Plan a beginning therapeutic exercise program for the physically frail or pre-frail patient and revise it as necessary using the principles of The Meeks’ Method.
- Demonstrate elements of improved body mechanics during ADL’s.
- Be able to discuss reasons for bracing with the Spinomed IV Spinal Orthosis and use of the Sit-To-Stand Independence Chair.
- Articulate the principles of movement and discuss progression of the program to next levels of care.
INTRODUCTION TO THE MEEKS METHOD
- Patterns of Postural Change
- Anatomy From and For The Bones
ADAPTATION OF MOVEMENT AND EXERCISES
- Re-Alignment Routine—Supine Isometric Strengthening
COMPRESSION FRACTURE INFORMATION AND MANAGEMENT
OUT OF BED AND INTO LIFE
- Postural Correction
- Exercise Classes
- Habitual vs non-Habitual Movement
WINDUP & QUESTIONS
- Sara Meeks, PT, MS, GCS, KYT
Sara Meeks PT, MS, GCS, KYT, a physical therapist with 55 years clinical experience and a certified Kripalu Yoga Teacher since 1984, has spent the past 33 years specializing in the unique management implications of persons with low bone mass, scoliosis, spinal stenosis, chronic back pain and postural dysfunction. She is an international presenter and the owner of SARA MEEKS SEMINARS which is dedicated to the education of health professionals on the management of bone health with a focus on the spine and hip. Sara is the author of two books, has presented at many State APTA Conferences, and has been a presenter at both Annual Conference and CSM. She is the founder of the Special Interest Group on Bone Health and a recipient of the APTA Section on Geriatrics Award for Excellence in Clinical Practice. Moving over into more mentoring, writing and, with two colleagues now instructing her Level 1 seminar, Sara will now be focusing on teaching more advanced seminars for health, exercise and Yoga professionals. With her stated mission of creating safety in movement for persons with low bone mass and other spinal pathology and diagnosed with osteoporosis herself, she brings energy, enthusiasm, and humor into her highly-interactive seminars and webinars.
CE Approval provided through Therapy Network Seminars:
PT CEU: *AK,AL,*AR,*AZ,CO,CT,*DC,*DE,GA,HI,IA,ID,*IN,*KS,*KY,MA,ME,MI,*MO,*MS,MT,*NC,ND,NE,NH, NY,OH,OR,*RI,*SC,SD,TN,TX,*UT,VA,WA,*WI, VI,VT,WY;
*Approved “by virtue”
NY-NYSED Approved Provider for PT/PTAs 10/14/2014 – 10/14/2018
TX-TPTA Accredited Provider. This activity is provided by the TX Board of PT Examiners Accredited Provider and meets continuing competence requirements for PT and PTA licensure renewal in TX.
OT CE Approval provided through Therapy Network Seminars:
AK, AL, AR, AZ, CA, CO, CT, DC, DE, GA, FL, HI, *IA, ID, IL, IN, *KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, *NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VI, VT, WA, WI, WV, WY
*Satisfies NBCOT Requirements only.
AOTA Approved Provider # 3073. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
BOC Board of Certification, Inc. Approved Provider # P-2563