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10:30 – 12:30 pm
Promoting Health and Fitness For Obese Adults Via Group Exercise Formats
Speakers: Susan Deusinger and Tamara Burlis
DESCRIPTION: The prevalence of obesity across all segments of American society has become one of the most significant public health challenges of the twenty-first century. The burden imposed by obesity on health, functional independence, quality of life and even longevity should serve as a catalyst for action by all health professionals. Physical therapists must be prepared to address obesity as a primary diagnosis as well as a secondary condition that undoubtedly affects the outcomes for any patient presenting for intervention by PT. Specific strategies must be developed to promote lasting new physical activity and exercise habits in individuals who have been traditionally sedentary. This interactive session will focus on developing group approaches that promote improved movement and function and that are motivating and fun for obese adults. Participants will collaborate on planning creative approaches that promote long term adherence and translation of new lifestyle commitments. Case studies will be utilized to reinforce concepts.
12:30PM – 2:30 pm
Cardiovascular and Pulmonary Research Update-The Year (2008) in Review.
Speaker: Lawrence Cahalin
DESCRIPTION: An interactive review of cardiovascular and pulmonary research published in 2008 which has clinical implications for physical therapy examination and management. The review will focus on the methods and results of the reviewed literature to facilitate a better understanding of the results as presented by the original authors in their tables and figures.
2:30PM – 4:00PM
The 2009 Linda Crane Memorial Lecture Award “The Patient Puzzle: Piecing it Together”
Speaker: Mary Massery
DESCRIPTION: When the APTA achieves its 2020 vision, physical therapists will be autonomous practitioners and the practitioners of choice for motor impairments. As a profession, are we ready to take on the diagnostic role? The speaker will present the diagnostic puzzle, composed of many pieces, each being important to the full patient picture. She will incorporate the obvious “pieces”: the musculoskeletal and neuromuscular systems, but she will challenge therapists to add the less obvious “pieces” to every motor evaluation and examination: the cardiovascular/pulmonary, integument/fascial, and internal organs systems, in order to discriminate between the cause and the consequence of the impairment. She will argue that the cardiovascular/pulmonary system is the thread that ties the puzzle together and should be an integral part of every motor assessment from the head down to the toes.
8:00 – 11:00 am; 1:00 – 3:00 pm
Cardiovascular and Pulmonary Research Platform Presentations
Moderator: Christine Wilson
8:00 – 10:00 am
Using case studies to understand the usefulness of cardiovascular and pulmonary diagnostic imaging. Speaker: Julie Starr
DESCRIPTION: The most often used cardiovascular studies are EKG exercise tests, pharmacologic stress tests, radionuclide studies (thallium and sestamibi), and resting and stress echocardiography. These tests basically look at the functioning of the myocardium. What is the difference between these tests? Is one a better test than another? What are the sensitivities and specificities of these tests? Does underlying pathology make a difference?
The most often used pulmonary studies are exercise tests using ventilatory measurements and endpoints, pulmonary function tests, and 6 minute walk tests. These tests look at a variety of variables. What is the best use of these tests? What do I do with this information?
This presentation will use a variety of cardiovascular and pulmonary case studies to highlight the importance of and the differences between cardiovascular and pulmonary diagnostic imaging and functional assessment tests and measures.
1:00 – 3:00 pm
An Overview of Objective Measures for the Cardiovascular and Pulmonary Patient
Speakers: Kristin Lefebvre, Kim Herbertson, Aliah Keirsey, Terri A. Anderson, and Heather N. Wnorowski.
DESCRIPTION: Currently, many physical therapists use nonspecific quality of life objective assessments, such as the SF-36, as measures of patient progress and response to physical therapy intervention. However, there are many objective measures available to specifically measure clinically significant differences among individuals with cardiovascular conditions such as peripheral vascular disease, heart failure, coronary artery disease and respiratory disease. The focus of this presentation is to provide an overview of quality of life objective measures specific to cardiovascular and pulmonary patient. The overview for each assessment tool will include instructions for test performance, an indication of the time it takes to perform each test, the intended population, the significant findings, the minimal clinically important difference (MCID), the reliability, validity and internal consistency and suggested uses in the clinic. The outline for this presentation is based on Research Corner: Revisiting Outcomes Assessment by Susan Scherer (2007) from the Cardiopulmonary Physical Therapy Journal.
The following tools will be discussed and analyzed during this presentation:
Ankle Brachial Index
Walking Impairment Questionnaire
Edinburgh Claudication Questionnaire
The University of California: San Diego Shortness of Breath Questionnaire
The Saint George's Respiratory Questionnaire
The Chronic Respiratory Disease Questionnaire
The Minnesota Living with Heart Failure Questionnaire
The Kansas City Cardiomyopathy Questionnaire
The Seattle Angina Questionnaire
The Heart Surgery Symptoms Survey
8:00 – 11:00 am
Fitness/Aerobic Endurance Testing: a Case Based Approach
Speaker: Steve Tepper
DESCRIPTION: Fitness or aerobic endurance is correlated with longevity, reduced risk of many diseases and disorders, and functional independence. Submaximal testing of patient/clients reveals peak fitness or aerobic capacity level. Other submaximal tests reveal the patient/clients performance as compared to other individuals. Endurance tests of 1- or ½ mile walk tests, six minute walk test, shuttle test and others will be covered. Usefulness for each of the tests will be covered in a patient/client case based approach. Cases to be covered will include: 1) a young obese client with low back pain and a strong family history of cardiovascular disease, 2) a patient in end stage chronic heart failure, 3) a patient with cystic fibrosis, & 4) an older (89 years old when tested) client who wishes to improve her fitness.
1:00 – 5:00 pm
The Diffuse Effects of Diabetes From the Cellular to the Population Level: Implications for Physical Therapists
Speakers: Michael Mueller, Jennifer Brach, Todd Cade, Rhea Cohn, David Sinacore, Lisa Stehno-Bittle
DESCRIPTION: This session will complement the Special Series on Diabetes published in PTJ in late 2008/early 2009. Diabetes is acknowledged as an epidemic in the United States and has profound health implications. The content of this session will provide background to help physical therapists understand how diabetes affects every cell type and system in the body. Basic pathophysiology of the disease will be presented along with specific evidence-based practice approaches to help physical therapists effectively manage their patients with diabetes.