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OPTA 2016 Annual ConferenceMarch 12, 2016HOlidAy inn POrTlAnd AirPOrT

Join us for an exciting weekend of education and networking with your colleagues from across the region. You won’t want to miss it!

SATURDAY, MARCH 12, 20168:00 – 8:30 AM

Registration, Continental Breakfast, Exhibits & Poster Presentation

8:30 – 9:30 AM

Opening Keynote – 1 CE Hour Choosing to Change the World

Presented by Michael bowers, aPta chief executive officerThe APTA has established the vision for the profession of “transforming society by optimizing movement to improve the human experience.” Physical therapists and physical therapist assistants change the world every day in their interactions with those in their care. Collectively, the impact of the profession is profound. In this talk, we will explore how individual physical therapy professionals can prepare themselves for greater leadership and service, how collectively we can embody the vision, and how through collaborative action transformation can occur. We will consider how to embody the vision for the profession to transform society, from individual interaction and relationship, to effective advocacy.

9:30 – 10:00 AM Break, Exhibits & Poster Presentations

10:00 – 11:00 AMBreakout Sessions A (Please Choose One) – 1 CE Hour

A1 Stop Taking Deep Breaths. Crucial Concepts for Valuable Breath Instructions. Presented by david dePPeler, Pt, dsc

Over breathing is more prevalent in our society than once thought. This presentation will include modules ranging from a history of the importance of breathing to recognizing what a good breath looks like to demonstrating ways to breath correctly. The presentation will also cover the Nijmegen Questionnaire and a Self-Evaluation of Breathing Questionnaire.

A2 The Evaluation and Management of Temporomandibular Disorders (TND): Part 1 – An Introduction to Pathoanatomy, Kinematics, and Region Specific Pain Science

Presented by stePhen M. shaffer, Pt, scd, faaoMPtThis session will review clinically relevant highlights pertaining to the temporomandibular joint and associated disorders. Content areas will include basic anatomy, pathoanatomy, arthro- and osteokinematics, and region specific pain science. There will be an emphasis on research informed content whenever possible with a focus on clinically relevant information. By the end of this session, participants should be sufficiently aware of the material to facilitate an improved understanding of the evaluation, diagnosis, and conservative management of temporomandibular disorders (TMD).

Oregon Physical Therapy Association2016 Annual Conference

Saturday, March 12, 2016 • Holiday Inn Portland Airport • Portland, Oregon

Conference Schedule & Course descriptions*

Conference Color Key

TrACK COlOr

Reimbursement, Research, Reasoning & General Topics

Ortho Upper

Ortho Lower

Pediatrics

A3 Returning Runners To Training: Coaching Implications For Therapists Beyond The 10% Rule – Part 1

Presented by daniel b. love, Pt, dPtRunning injuries are among the most common sports injuries seen in Physical Therapy. In a classic review article, van Gent et al. demonstrated a 19.4 to 79.3% incidence of lower extremity running injuries. Most of these injuries are soft tissue in nature and can be treated in Physical Therapy with a successful return to training. Much research and continuing education focuses on the evaluation and treatment of runners and has been successful in helping many therapists become comfortable in working with this population. Presentation to include: epidemiology/etiology review of running injuries, basic running anatomy and physiology review, brief history of running coaching philosophies, sample running plans for 5k to marathon distances.

A4 Resistance Exercise Training For Children Of All Abilities Presented by barbara Johnson, Pt, MsPh, Phd

The objectives of the presentation are to increase awareness of resistive exercise training in pediatric physical therapy, to increase knowledge of guidelines for resistive exercise training for children, to describe expected outcomes, and provide an example of translation of knowledge to clinical practice.

11:00 – 11:15 AM Break

11:15 AM – 12:15 PMBreakout Sessions B (Please Choose One) – 1 CE Hour

B1 Clinical Reasoning For Physical Therapists Presented by cindy Zablotny, Pt, dPt, ncs Marcey Keefer hutchison, Pt, dPt, scs, atc, cMP

This session is designed for the therapist who is interested in integrating the principles of clinical reasoning into their everyday practice. The presentation takes participants from theory to practice addressing the physical therapist from entry level practitioner to advanced clinician. The presentation begins by examining the cognitive and affective traits that are necessary for clinical reasoning. The dual process theory of cognition is explored as a means of reconciling analytic and nonanalytic thinking. This area of the presentation broaches the difficult topics of heuristics and pattern recognition and how reliance on these affective strategies can result in diagnostic and procedural error. Analytic modes of reasoning are paralleled and proposed as methods of reasoning which rely on logic and analysis to minimize error. Self-reflection is discussed and placed within the framework of the American Physical Therapy Association’s patient management model of care as well as the ICF. Participants engage in small group discussion and write their own self-reflection script to be used as a prompt for future clinical reasoning. Cognitive dispositions (bias) is examined and clinical examples highlight various forms of bias. Case-based reasoning is designed to help participants understand when bias is occurring and resulting in diagnostic and other procedural errors. The culmination of the presentation places theory and practice into the arena of advanced clinical decision making with case studies to coalesce the topics which have been explored.

B2 The Evaluation and Management of Temporomandibular Disorders (TND): Part 2 – Conservative, Musculoskeletal Examination, Diagnosis, and Management Techniques

Presented by stePhen M. shaffer, Pt, scd, faaoMPtThis presentation will review clinically relevant highlights pertaining to conservative, musculoskeletal examination, diagnosis, and management techniques pertaining to the temporomandibular joint and associated disorders. This will involve the presentation of a template that can be utilized to guide both examination and management for those clinicians not currently comfortable or confident doing so as well as a review of relevant diagnostic criteria. There will be an emphasis placed on peer-reviewed content whenever possible with a focus on clinically-relevant information. By the end of this session, participants should be knowledgeable in how to perform basic examination, management techniques for temporomandibular disorders, and begin the process of incorporating this skill set into their clinical practice.

B3 Returning Runners To Training: Coaching Implications For Therapists Beyond The 10% Rule – Part 2

Presented by daniel b. love, Pt, dPtReturning to full training is often the final goal of most runners; however, runners often do not receive guidance from physicians, therapists, or coaches on how to return to running to optimize recovery, prevent re-injury, and maximize performance. A basic understanding of traditional and modern coaching can help therapists guide their patients to a safe and timely return to running and help therapists successfully and comprehensively complete the treatment of a running population.Presentation to include: updates on injury prevention research in runners, updates on performance enhancement research in runners, basic coaching program design, Monday morning takeaways, and question and answer session.

B4 Mindfulness Toward Responsive Plan Of Care Development In Pediatric PT Presented by ryan Jacobson, Pt, dPt, Pcs

The Pediatric Section of the American Physical Therapy Association has identified dosing in pediatric PT as a priority area for advancing research, and that call to action explicitly recognizes the importance of child and family engagement. (Kolobe, et al.) Pediatric PTs have limited published evidence to guide Plan of Care (POC) development, and our systems within which we work are often a constraint with regards to the complex POC decision making required to meet a child/family’s changing needs. The purpose of this presentation is to invite and empower pediatric PTs to create more customized, responsive POCs in their own practice, toward the end of affecting positive whole-life outcomes for the children and families we serve. The session is intended to be engaging and interactive, offering opportunities for active discussion and deliberate self-reflection. The perspective offered here will challenge the attendee and presenter alike to wrestle with our perceptions and practices in light of current theory and limited evidence. Attendees will:• Consider potential determinants of meaningful whole-life outcomes for families of children with special

needs• Describe the concepts of readiness & critical periods in the context of motor control / motor learning

theory• Receive and appraise a summary table of recent evidence on pediatric PT treatment dosing• Identify one concrete action toward more customized, responsive Plan of Care development that can be

reasonably implemented immediately in their own practice

12:15 – 1:30 PM Lunch, Business Meeting & Networking

1:30 – 2:30 PMGeneral Session – 1 CE Hour

Set Up to Fail? Proving the Value of a PT in a Fee-For-Performance Industry Presented by Jerry henderson, PtIn today’s fee-for-performance healthcare environment, physical therapists are set up to fail. While primary-care doctors and physicians are increasingly being paid for the highly specified quality of their treatments, PTs are still unable to financially take advantage of the switch to value-based reimbursement models. Why? Because physical therapists do not have a way to describe and classify their work in returning people to full function, which is their core value. Instead, current diagnostic and procedural codes describe disease and injury care. In other words, the diagnostic coding system does not speak the language of PT: functional movement and improvement. Henderson, believes that the outpatient rehabilitation industry must standardize its reporting around performance-based patient tests that demonstrate true functional progress. To date, this type of data has not been embraced by the PT industry because it was not needed in an industry based in fee-for-service reimbursement models. This presentation will:• Identify the underlying problems with fee-for-service codes• Provide solutions and standards for implementing functional-based testing and outcomes reporting Guide practices to transition to

value-based reimbursement models and receive complete reimbursement for the valuable services they provide

2:30 – 3:00 PM Break & Door Prizes in Exhibit Area

3:00 – 4:00 PM Breakout Sessions C (Please Choose One) – 1 CE Hour

C1 A Pragmatic Approach to Finding, Understanding, and Applying Research to Clinical Practice Presented by eriK P. Meira, Pt, dPt, scs, cscs

The profession of physical therapy has a history of using evaluation approaches and interventions that have not been validated by research. As the profession embraces evidence-based practice, many clinicians have a difficult time wading through the sheer volume of research, differentiating between higher and lower quality research, and knowing how to apply that to their practice. Evidence and its varied levels can be manipulated to support many different biases. Experience of the provider combined with cherry-picking evidence through confirmation bias can bring the physical therapist far from the ideal of evidence-based practice. This session will address these issues while exploring the inherent nature of scientific exploration of ideas.

C2 Contemporary Strategies in Assessment and Management of Musicians with Playing Related Upper Quarter Injuries – Part 1

Presented by carlee uhrich, Pt, coMtThe purpose of this two-part workshop introduction is to educate clinicians and students about playing related musculoskeletal disorders as they relate to the cervical spine, shoulder and thoracic outlet. Musicians sustain high rates of injuries compared to individuals who work in other industries that involve repetitive movements over long periods of time. They often do not seek medical attention, and when they do, they have a low rate of symptom resolution. Clinicians who work with musicians should be aware of specific demands related to practice and performance in the same way sports medicine therapists have knowledge of the specific demands of sport. This session focuses on string instrumentalists, as they have the highest rate of documented injuries. Students will learn to recognize risk factors, including both intrinsic and extrinsic, and how these risk factors can be minimized when possible. Each instrument has specific postural demands and these demands may lead to dysfunction and/or injury. Instruction will include practice with observation and evaluation techniques related to musicians’ upper quadrant motor control, both with the instrument as well as away from the instrument. The student will learn how to develop appropriate interventions, including self-management techniques and exercises to address specific deficits.

C3 Lower Quarter Functional and Return To Sport Testing: Advancing Beyond Hop Testing Presented by nicholas hagen, Pt, dPt, scs, cscs, usa-w1

Recent data has shown hop testing and isokinetic testing continue to serve as gold standards in lower quarter return to sport analysis. However, poor rates of return to play associated with injury recurrence have shown there is more to determining readiness for a safe return to sport. The purpose of this educational session is to familiarize the clinician with an array of lower quarter functional testing activities that go beyond the classic measurements for strength and power. We will review testing activities for balance, strength, power, and endurance, as well as screening tools for quality of movement. The audience will leave with a progressive criterion-based testing algorithm that assesses the complete lower quarter function of the athlete. An in-depth review of the literature with a focus on validity and reliability of current testing measures will be described.

C4 Adolescent Idiopathic Scoliosis: New Concepts in Conservative Management Presented by lisa M. flexner dPt, dMt, cscs, faaoMPt

Physical therapy has not historically been used to manage idiopathic scoliosis, and families express frustration with the classic “wait-and-see” approach. New research and approaches may help fill the gap between diagnosis and surgical intervention, as well as limiting or preventing curve progression in some patients. This talk will cover the epidemiology and pathomechanics of idiopathic scoliosis as we currently understand them. It will then explore new evidence-based approaches to management, including updates on bracing and scoliosis-specific exercise such as the Schroth method.

4:00 – 4:15 PM Break

4:15 – 5:15 PMBreakout Sessions D (Please Choose One) – 1 CE Hour

D1 Platform Presentations Moderated by sarah h. stuhr, Pt, dPt, faaoMPt

This session will give you a chance to hear local authors share platforms outlining recent cases. There will be time for questions between each speaker. This is a great opportunity to expose yourself to a different perspective on a patient case, and potentially gain a few clinical pearls from some local experts.

D2 Contemporary Strategies in Assessment and Management of Musicians with Playing Related Upper Quarter Injuries – Part 2

Presented by carlee uhrich, Pt, coMtThe purpose of this course is to educate clinicians and students about playing related musculoskeletal disorders as they relate to the cervical spine, shoulder and thoracic outlet. Musicians sustain high rates of injuries compared to individuals who work in other industries that involve repetitive movements over long periods of time. They often do not seek medical attention, and when they do, they have a low rate of symptom resolution. Clinicians who work with musicians should be aware of specific demands related to practice and performance in the same way sports medicine therapists have knowledge of the specific demands of sport.This session focuses on string instrumentalists, as they have the highest rate of documented injuries. Students will learn to recognize risk factors, including both intrinsic and extrinsic, and how these risk factors can be minimized when possible. Each instrument has specific postural demands and these demands may lead to dysfunction and/or injury. Instruction will include practice with observation and evaluation techniques related to musicians’ upper quadrant motor control, both with the instrument as well as away from the instrument. The student will learn how to develop appropriate interventions, including self-management techniques and exercises to address specific deficits.

D3 Conservative Management of Hip Pathologies Including Hip Osteoarthritis, Fai and Labral Tears with Special Focus on Patient Education in Home Manual Therapy and Therapeutic Exercise

Presented by tony rocKlin Pt, dPt, coMtThere are millions of individuals suffering from some amount of pain and personal disability related to hip osteoarthritis, FAI and labral tears. The dramatic increase in prevalence is related to increasing obesity rates, aging of our populations and improved diagnostic capabilities. The majority of individuals with hip OA who see an orthopedic surgeon are told that they have a problem, but they are not yet bad enough for hip replacement. There is no cure so relatively few individuals are referred to physical therapy for treatment. We know that we are not treating the arthritis but the secondary effects of the arthritis in which there are a variety of treatments that have been proven effective to keep people moving with less pain until they are ready for surgery. In addition, many individuals who have been diagnosed with FAI and/or labral tears are not able to have arthroscopic surgery because they are just outside the window being a certain age and having some amount of osteoarthritis. Surgeons know that performing arthroscopic surgery on these individuals can lead to abnormal increase in degenerative changes prematurely resulting in THR. To make matters worse, even if the patient is a candidate for surgery, with the rising numbers of patients who need surgery combined with the shortage of orthopedic surgeons, there are tens of thousands of patients in the queue for months. Based on recent literature, there are millions of individuals who are either not eligible for surgery or are 6+ years away from surgical intervention. There is no cure for these pathologies and during the delay from diagnosis to surgery, they are becoming inactive, worsening in their orthopedic condition and increasing their risk for co-morbidities related to inactivity such as heart disease, obesity, cancer, diabetes, depression and addiction. New advances in physical therapy have been proven effective for improving mobility, functional outcomes and pain reductions. Due to insurance limitations and expenses, patients cannot have ongoing physical therapy in the long term. They need to learn new and effective ways to perform independent home manual therapy and therapeutic exercise without the assistance of another person. This session will focus on educating physical therapists on new and modern methods for Conservative Management of Hip Pathologies including Hip Osteoarthritis, FAI and Labral Tears with special focus on Patient Education in Home Manual Therapy and Therapeutic Exercise.

D4 Applying The Clinical Practice Guideline For Torticollis To The Evaluation And Treatment Of Children With Congenital Muscular Torticollis

Presented by erin boMPiani, Pt, dPt, Pcs and crystal bridges, Pt, dPtClinical practice guidelines (CPGs) are becoming commonly used documents to help inform clinicians’ about best practice based on available evidence. They can help optimize care by serving as a framework for clinical decision making while supporting best practice. The APTA is supporting the development of CPGs as part of its strategic plan. This presentation will discuss methods for developing and using CPGs. The speakers will identify evidence-based evaluation and treatment strategies for children diagnosed with congenital muscular torticollis using the APTA Section on Pediatrics clinical practice guideline, Physical Therapy Management of Congenital Muscular Torticollis. Current evidence since the development of the guideline will also be discussed. This presentation will: • Review the incidence and etiology of congenital muscular torticollis (CMT) • Define clinical practice guidelines (CPG) and discuss their importance to clinical practice • Explain the methods used for developing CPGs for the APTA’s Section on Pediatrics • Describe the methods that clinicians use for how to implement the Section on Pediatrics CPG for the

evaluation and treatment of children with CMT• Review research that has been published since the development of the guideline • Discuss the importance of early identification and early referral of infants with CMT and how the CPG

might be useful in providing education to referring health care providers

5:15 PM Conference Concludes *Conference schedule/program is subject to change

GenerAl COnferenCe infOrMATiOnConference LocationHoliday Inn Portland Airport8439 NE Columbia BlvdPortland, OR 97220503.256.5000

COnferenCe lOdGinGTo make reservations, call the Holiday Inn Portland Airport directly at 503.256.5000. Rates vary based on availability plus state and local taxes. Check-in time is 3:00 pm. Check-out time is Noon. Please check with the Holiday Inn Portland Airport for their cancellation and early check in policies.

reGiSTrATiOn infOrMATiOnYour Conference registration includes: Education sessions, electronic handout materials, exhibits, continental breakfast, lunch, breaks, and an early bird discount option.

Space is limited. Early registration is encouraged. In the event that room space becomes filled to capacity, some registrants will not be able to be accommodated and will be notified. Registrations will be accepted on a first-come, first-served basis.

THree eASy wAyS TO reGiSTer:Online through our website at www.opta.org. Payment can be made with credit card.

Fax your completed registration form with credit card payment to: 503.253.9172

Mail your completed registration form with check or credit card payment to: OPTA, 147 SE 102nd Ave., Portland, OR 97216

CAnCellATiOn POliCyCancellations received on or before March 4, 2016 will receive a full refund minus a $50 administrative fee. Cancellations received after March 4, 2016 will receive a 50% refund of their total fees. No shows and same-day cancellations will not receive a refund.

SPeAKer HAndOuT infOrMATiOnIn an effort to minimize paper waste, session handouts (as provided by the speakers) will be available online at www.opta.org approximately one week prior to the conference. Registered attendees will be emailed information on how to access them.

COnTinuinG eduCATiOn CrediTSOPTA CE courses and hours may be accepted by the Oregon Physical Therapy Licensing Board. A course completion certificate will be issued to registrants upon completion of the course. Oregon licensed therapists and assistants should consult Division 35 of the licensing board’s administrative rules for CE requirements and note that there is no pre-certification of continuing education by the Oregon Physical Therapy Licensing Board.

OPTA BuSineSS MeeTinGThe OPTA business meeting will be held during the lunch on Saturday, March 12, 2016. Individuals who wish only to attend the business meeting (and not have lunch) can do so by signing in at the business meeting door and sitting in the reserved area. If you wish to attend only the business meeting and lunch, please register in advance.

exHiBiTSThe exhibit area will be open Saturday, March 12 from 8:00 am – 3:00 pm. Please take advantage of the opportunity to visit with vendors during the exhibit hours and learn more about the products and services they offer. Door prize drawings will take place during the 2:30 pm break.

OPTA SPOnSOrSThanks to our OPTA Gold Package Sponsors• Clinicient • PT on Call• Gatti Law • Therapeutic Associates, Inc.• PT NorthwestThanks to our OPTA Silver Package Sponsor• Therapists Unlimited

QueSTiOnS? Contact OPTA at 503.262.9247 or tollfree at 877.452.4919 or at info@opta.org

GeneRAl ConfeRenCe InfoRMATIon

www.opta.org

PRSRT STDUS POSTAGE

PAIDPERMIT #3664

PORTLAND, OR147 SE 102nd Ave.Portland, OR 97216

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Please provide the following information to register: (For additional registrants, please photocopy this form.)❏ Mr. ❏ Ms. ❏ Mrs. ❏ Dr.

First Name:__________________________________Last Name:_______________________________Designations: ___________________________________

Badge First Name (if different): _________________________________________________________________________________________________________

Company/Work Facility: _______________________________________________________________________________________________________________

APTA Membership Number: _______________________________________________Oregon License Number: _____________________________________

Mailing Address: ______________________________________________________________________________________________________________________

City: ____________________________________________________________________________________________ State: ___________ Zip: _______________

Business Phone: ______________________________________ Fax: ________________________________________ Email: _____________________________

Special needs:If you have any special requirements (i.e., vegetarian diet, food allergies, handicap access, etc.) that would necessitate advance planning on our part, please let us know here: _________________________________________________________

Liability Waiver: By registering for this conference, you waive all liability to OPTA for any injury that may occur during this conference.

2016 OPTA Annual Conference Registration Form

Registration InformationTo completely register for the OPTA Conference it is necessary to also fill out all of the steps below to process your registration.

Step 1 – Select Your Registration CategoryEarly Bird discounted rates end after February 19. Registration includes the courses, continental breakfast, lunch, and breaks.

*Member category eligibility includes any APTA member whether in Oregon or any other state.**Members who currently serve on either an OPTA committee or the board receive this discounted rate.†Early registration rates end after February 19.

Saturday lunch and Business Meeting Only registration

Please register here if you wish to attend only the lunch on Saturday and none of the educational sessions.

❏ $35 per Person

Name(s): _______________________________________________________________________________________

TOTAl AMOunT due $___________

COnferenCe reGiSTrATiOnnOnMeMBerS registration fee

Early† Regular

❏ PT $269 $309

❏ PTA $179 $219

❏ Student $89 $129

❏ Other Healthcare $269 $309 Professional

COnferenCe reGiSTrATiOnMeMBerS registration fee

Early† Regular

❏ PT Member* $199 $239

❏ PTA Member* $129 $169

❏ Student Member* $49 $69

❏ Service Member** $179 $219

— over —

Step 3 – Payment❏ Check made payable to OPTA or ❏ Visa ❏ MasterCard ❏ AMEX ❏ Discover

If paying by credit card, please complete the following:

Card Number: _________________________________________________ Expiration Date: _______________________Amount Authorized: _______________

Cardholder’s Name: ____________________________________________ Cardholder’s Signature: _________________________________________________

Credit Card Billing Address: ____________________________________ City: ________________________________State: ____________ Zip: ____________

Due to credit card security policies we cannot accept registrations over the phone or via email. Please mail or fax in your completed registration form with payment or register online at www.opta.org.

Email Address to Send Credit Card Receipt to: ____________________________________________________________________________________________

Step 2 – Select Your Breakout SessionsPlease check your breakout session choices for the conference.

Saturday, March 1210:00 – 11:00 AM❏ A1. Stop Taking Deep Breaths. Crucial Concepts for Valuable Breath Instructions.❏ A2. The Evaluation and Management of Temporomandibular Disorders (TND): Part 1 - An Introduction to Pathoanatomy,

Kinematics, and Region Specific Pain Science❏ A3. Returning Runners To Training: Coaching Implications For Therapists Beyond The 10% Rule - Part 1❏ A4. Resistance Exercise Training For Children Of All Abilities

11:15 AM – 12:15 PM❏ B1. Clinical Reasoning For Physical Therapists❏ B2. The Evaluation and Management of Temporomandibular Disorders (TND): Part 2 - Conservative, Musculoskeletal Examination,

Diagnosis, and Management Techniques❏ B3. Returning Runners To Training: Coaching Implications For Therapists Beyond The 10% Rule - Part 2❏ B4. Mindfulness Toward Responsive Plan Of Care Development In Pediatric PT

3:00 – 4:00 PM❏ C1. A Pragmatic Approach to Finding, Understanding, and Applying Research to Clinical Practice❏ C2. Contemporary Strategies in Assessment and Management of Musicians with Playing Related Upper Quarter Injuries - Part 1❏ C3. Lower Quarter Functional and Return To Sport Testing: Advancing Beyond Hop Testing❏ C4. Adolescent Idiopathic Scoliosis: New Concepts in Conservative Management

4:15– 5:15 PM❏ D1. Platform Presentations❏ D2. Contemporary Strategies in Assessment and Management of Musicians with Playing Related Upper Quarter Injuries - Part 2❏ D3. Conservative Management of Hip Pathologies Including Hip Osteoarthritis, Fai and Labral Tears with Special Focus on Patient

Education in Home Manual Therapy and Therapeutic Exercise❏ D4. Applying The Clinical Practice Guideline For Torticollis To The Evaluation And Treatment Of Children With Congenital Muscular

Torticollis

Fax to 503.253.9172 — Mail to: OPTA • 147 SE 102nd Ave. • Portland, OR 97216