Orthopedic Myofascial Certificate: Solutions for Pain, Posture & Mobility

Credit

Handouts/Brochure

Speaker

Theresa A. Schmidt, PT, DPT, MS, OCS, LMT, CEAS Related seminars and products

Educise PC

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Dr. Theresa Schmidt is an orthopedic physical therapy specialist and massage therapist integrating traditional and alternative medicine with emphasis on manual therapy, precision exercise, wellness, Reiki, and mindfulness. She presented for NASA/Inomedic, Johns Hopkins, Cleveland Clinic, Vanderbilt Med, Wake Med, and professional associations. She received her doctorate at UNE and served as faculty at Touro PT Programs and CUNY Queens Colleges in NY. She is a published author, Expert Consultant, Reiki Master Instructor, and integrative clinician in private practice at Educise® in New Hampshire. Her website is www.educise.com.

 

Speaker Disclosures:
Financial: Theresa Schmidt has employment relationships with Educise PC, CEU Connection.com, and United States Department of Veterans Affairs. She receives a speaking honorarium, recording royalties, and a consulting fee from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Theresa Schmidt is a member of American Physical therapy Association, the Academy of Orthopedic Physical Therapy, and the American Massage Therapy Association.

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Objectives

1. Investigate the anatomy and function of the fascial and neuromuscular systems.
2. Analyze the evidence-based research regarding the fascial system and efficacy of soft tissue and positional interventions to improve functional mobility.
3. Perform an assessment to identify mobility restrictions, painful trigger points, (TPs) and functional impairments related to abnormal neuromuscular tension and document results.
4. Investigate the scientific mechanism for soft tissue mobilization (STM) myofascial release (MFR) and positional release (PRT) interventions.
5. Formulate indications, precautions and contraindications for soft tissue interventions.
6. Appraise appropriate outcome measures and billing codes to employ for documenting results to optimize reimbursement.
7. Differentiate between mobility impairments such as myofascial pain, scar tissue adhesions and fibromyalgia.
8. Demonstrate over ten manual therapy techniques employing manual MFR/STM, cupping instrument-assisted STM, and positional release for a variety of clinical conditions.
9. Distinguish appropriate attributes of cupping tools including cup diameter, size and rim shape, manual or mechanical, and materials to promote soft tissue mobility, increase circulation and relieve painful restrictions.
10. Differentiate cupping techniques including dry stationary and dynamic gliding cupping, exercise cupping, and acu-magnet cupping.
11. Investigate client positioning to reduce the sensitivity of selected TPs to allow spontaneous release of abnormal neuromuscular tension, reduce pain, and improve range of motion and strength.
12. Demonstrate use of manual techniques and tools as part of a plan of care to reduce pain in restricted tissues, restore flexibility, and improve strength and function.
13. Integrate manual interventions into your plan of care to manage trigger points and neuromuscular/myofascial tension, remodel scar tissue, decrease sympathetic tone, modulate pain, and promote comfort, flexibility, function and physical performance.

Outline

• Significance of the Connective Tissue and Neuromuscular Systems in Management of Restrictive 
• Mobility Impairments 
• Myofascial Release/Soft Tissue Mobilization Fundamentals for Function 
• Anatomy and Function of Fascia in Normal and Pathological Conditions 
  • Connective tissue system structure and significance  
  • Explore interrelationship of all body parts connected by fascia with a video of live fascia by expert Jean Claude Guimberteau, MD 
  • How the “release” occurs and why 
  • Importance of palpation sensitivity, grading depth of pressure, stages of release 
• Differential Diagnosis of Fascial Impairment 
  • How to Distinguish Between Myofascial Pain and Fibromyalgia 
    • Improve your problem-solving skills with challenging impairments 
    • Objective documentation of trigger points, scar tissue, mobility impairments and functional change 
• Principles and Procedures of Myofascial Release 
  • Identify fascial mobility impairments using posture and palpation exams 
  • Perform layer palpation and tri-planar mobility testing 
  • Correct pressure and timing for release 
  • Facilitate releases with integrative interventions, breathing, movement 
• Documentation Results 
  • Using functional outcomes measures effectively for insurance reimbursement  
• Identify Mobility Impairments Using Posture, Palpation, and Motion Testing  
  • Soft Tissue Mobility Assessment – How to Listen to What the Body is Saying 
    • Myofascial assessment- observation and motion testing for restrictions 
    • Learn how to palpate and assess fascial mobility, identify TPs 
    • Develop palpatory skills, proper tissue pressure, graded touch and timing 
    • General and local listening of fascial tension patterns 
  • Techniques to Remodel Fascia, Relieve Pain and Increase Functional Mobility 
    • Skin gliding and Skin rolling 
    • Cross-hand releases for spine and extremities 
    • Muscle Play release 
  • Specific and Deeper Myofascial Techniques 
    • Circular friction 
    • Elbowing, Knuckling 
    • Longitudinal stroking, Z-friction release 
• Instrument-assisted STM techniques 
• Cupping: Use of negative pressure dry cupping suction cups - Baguan 
  • Cupping history, theory, safety, indications, contraindications, precautions 
  • Tool types and selection 
    • Forces employed: pressure, size, shape of cups 
  • Static and dynamic gliding technique 
  • Cupping demo for clinical cases 
  • Scraping- use of shaped tools to remodel adhesions- Guasha 
  • Blades, rollers, balls, shaped tools to remodel fascia 
  • When to use your hands vs. instrument-assisted release 
  • Research outcomes for cupping therapy 
• Myofascial Distraction Techniques 
  • Arm and leg distraction 
  • PNF/ Muscle Energy and STM combined 
• How to Use STM on Specific Regions of The Body 
  • Respiratory diaphragm 
  • Iliopsoas 
  • Transverse fascial diaphragms 
  • TMJ Release 
  • Suboccipital Inhibition Release 
• What Does the Research Tell Us? 
  • Effectiveness of STM/MFR in clinical and lab conditions 
  • Clinical Problem-Solving for Case Studies and Discussion, Q&A 
• Trigger Point Release Fast ‘n Easy 
• Ischemic Compression and Reflex inhibition to Ease Painful Muscle Tension 
  • What do you do when clients present with painful, tense areas of consistent muscle tension? 
  • Habits that produce abnormal strain on the neuromuscular system, resulting in tight bands of abnormal muscle contraction/TPs  
  • Etiology and physiology of trigger points, assessment, imaging, research evidence 
  • Trigger point pain presentation/referral patterns 
  • What/how to document  
• Interventions to manage painful TPs 
  • Ischemic compression  
  • Reflex movement therapy  
  • Muscle energy 
• Integrative Neuromuscular Inhibition Technique (L. Chaitow, DO) 
• Case studies 
• Positional Release (Strain-Counterstrain)  
  • Application for Mobility, Strength and Function 
• Neuromuscular basis for positional release technique (PRT)/Strain-counterstrain (SCS) 
• Role of Trigger Points in Movement Impairments 
  • Etiology and physiology of TPs 
  • Assessment and Imaging 
  • Research on Effectiveness of PRT 
  • Demonstration of PRT interventions: Cervical, shoulder, lumbar, hip, knee 
• Home Program Design using PRT 
• Closing Discussion/Q&A 

Target Audience

• Athletic Trainers
• Chiropractors
• Massage Therapists
• Occupational Therapists
• Occupational Therapy Assistants
• Physical Therapists
• Physical Therapy Assistants