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 people who are being seen 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 and Fitness Facilities where physical frailty in the general population can also be encountered. These people will likely exhibit several co-morbidities (e.g., COPD, osteoporosis, burns, organ transplants, cardio-pulmonary and neurological conditions, joint replacements, back surgeries and pathology) that may influence movement 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 [emphysema] and other breathing difficulties vs functional exercise).
Emphasis is placed on innovative techniques for strengthening of the core muscles: Diaphragm and other Breathing Muscles including the Transverse Thoracis, Abdominals, Pelvic Floor and Back Extensors and other “Fountain-of-Youth Muscles” such as Gluteus Maximus and Medius for hip and pelvic stability.
Products to augment an exercise program will be introduced. Included are:
- Spinomed IV Spinal Orthosis,
- Low Intensity Vibration, and
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 will be presented. 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 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, and
- Exercise prescription in positions from least to most spinal compression.
At the end of the webinar, participants will be able to:
- Discuss the conditions of physical frailty and osteoporosis as they pertain to patient populations who are being seen by all movement personnel.
- Do and instruct patients in isolated, segmental breathing exercises.
- Articulate the guidelines for management of the person with acute spinal compression fracture.
- Discuss the principles of modification of an exercise program and specific exercises for better body alignment to meet the needs of the individual including patients with conflicting diagnoses.
- Articulate the importance of optimal body alignment as it pertains to the effect of muscle contraction and weight-bearing forces in therapeutic exercise.
- Demonstrate movement from and for the bones which is designed to increase safety and strengthening of the bony structure of the body.
- 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, use of Low Intensity Vibration and Exerstriders.
- 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 Core Strengthening
- Other Spinal Pathology
- 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, a physical therapist with 58 years clinical experience and a certified Kripalu Yoga Teacher since 1984, has spent the last 36 years specializing in the management of people with low bone mass, scoliosis, spinal stenosis, chronic back pain and postural problems.
- is an international presenter and the owner of SARA MEEKS SEMINARS which is dedicated to the education of health and exercise professionals on the management of bone health with a focus on the spine and hip,
- is the author of two books,
- has presented at many State APTA Conferences, and has been a presenter at both Annual Conference and CSM,
- is the founder of the Special Interest Group on Bone Health of the Academy of Geriatric Physical Therapy and a recipient of the Section Award for Excellence in Clinical Practice.
- is a co-developer of Osteoporosis Canada’s BoneFit program for Osteoporosis.
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. With her stated mission of creating safety and therapeutic intent in movement for people 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.
Contact Hours: 1.5
CE Approval provided through Therapy Network Seminars:
CLICK HERE to view state CEU approvals