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Digital Seminar

Is Bone Health a Missing Link In Oncology Rehab?


Speaker:
Payal Sahni, PT, MPT, DPT
Duration:
2 Hours
Format:
Audio and Video
Copyright:
Feb 15, 2024
Product Code:
POS065455
Media Type:
Digital Seminar


Description

Patients undergoing cancer treatments experience a myriad of physical impairments affecting their quality of life. Oncological rehabilitation has become an integral part of ongoing therapies for these patients and has been the key to improving survivorship. However, accelerated bone loss, which survivors experience as a side-effect of cancer treatments, is mostly overlooked. Since continued loss of bone is a silent process, its first clinical implication is often a fracture. By this time, the window of preventive care has passed and the patient is left with additional impairments and sometimes, chronic pain leading to a further decline in quality of life.  In addition to using therapeutic techniques to reverse physical impairments, strategies to improve bone health can greatly enhance the treatments and prevent debilitating fractures. This lecture will provide the clinicians with the knowledge of evidence based therapeutic exercises and nutrition for bone health, ready to be incorporated into onco-rehabilitation programs. The clinicians will learn this preventive program development based on FIIT principle and the use of applicable outcome measures to note progress.  

Credit

Planning Committee Disclosure - Relevant relationships

Mitch Hauschildt receives a speaking honorarium from RockTape USA, Trigger Point, and TRX. He is a content contributor for Titan Nutrition. All relevant financial relationships with an ineligible company have been mitigated.
 
Dr. Danny Porcelli is an independent contractor presenter with RockTape USA. His relevant financial relationship with an ineligible company has been mitigated.
 
 
All other members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the remaining committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.


* Credit Note - ---

Earn up to 2.0 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 


Occupational Therapists - Occupational Therapists & Occupational Therapy Assistants

 

PESI, Inc.  is an AOTA Approved Provider of professional development. Course approval ID# 08808. This Distance Learning-Independent is offered at .2  CEUs Intermediate, OT Service Delivery. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

Full attendance at this Distance Learning-Independent activity qualifies for 2.0 contact hours.

 


Occupational Therapists - Arizona Occupational Therapists & Occupational Therapy Assistants

CE credit is available. This self-study course consists of 2.0​ continuing education clock hours for Arizona OTs and OTAs. The Arizona Board of Occupational Therapy Examiners (R4-43-203) confirms acceptance of continuing education programs relevant to occupational therapy that are approved by the American Occupational Therapy Association (AOTA).


Occupational Therapists - Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 2.0 self-study continuing education credits.

CE Broker


Physical Therapists - Alaska Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 2.0 continuing education credit hours for Alaska Physical Therapists. The Board Rule 12 AAC 54.420 confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers.


Physical Therapists - Arizona Physical Therapists & Physical Therapist Assistants

CE credit is available. The Arizona State Board of Physical Therapy recognizes continuing competence activities that have been approved by any state PT association or national medical/health care association (e.g., AOTA, ASHA). This self-study activity consists of 2.0 clock hours of instruction applicable for physical therapists.


Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 2.0 continuing competency hours.


Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 2.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.


Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 2.0 CE credit hours.


Physical Therapists - Kentucky Physical Therapists, Physical Therapist Assistants

This self-study course consists of 2.0 continuing education credit hours. For Kentucky licensees, according to 201 KAR 22:045, this self-study educational offering may be applied toward Category 2 continued competency requirements.  Please review the regulation to determine eligibility. 


Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 2.4 contact hours.


Physical Therapists - North Carolina Physical Therapists & Physical Therapist Assistants

PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 2.0 continuing education hours.


Physical Therapists - Oklahoma Physical Therapists, Physical Therapist Assistants

CE credit is available. This asynchronous activity consists of 2.0 continuing education credit hours for Oklahoma Physical Therapists. Oklahoma Administrative Code 435:20-9-3.1 confirms acceptance of continuing education programs offered by providers approved by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Pennsylvania Physical Therapists and Assistants

The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 2.0 clock hours of instruction that is applicable for physical therapists.


Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2406032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. Instructional Level: Intermediate. This activity will provide 2.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.


Physical Therapists - Utah Physical Therapists And Physical Therapist Assistants

This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 2.0 clock hours of continuing education instruction.


Physical Therapists - Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 2.0 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This self-study course consists of 2.0 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy. 


Speech-Language Pathologists & Audiologists - Speech-Language Pathologists & Audiologists

This course contains 2.0 hours of self-study continuing education. It was not offered for ASHA CEUs. Please retain your certificate of completion. If audited for ASHA Certification Maintenance, you can submit this certificate of completion at that time. For state licensure, teacher certification renewal, or other credential renewal, contact those agencies for information about your reporting responsibilities and requirements.


Speech-Language Pathologists & Audiologists - California Speech-Language Pathologists & Audiologists

PESI, Inc. is an approved provider with the California Speech-Language Pathology and Audiology Board, #PDP 319. This course meets the qualifications for 2.0 hours of self-study continuing professional development credit for Speech-Language Pathologists or Audiologists, as required by the California Speech-Language Pathology and Audiology Board.


Speech-Language Pathologists & Audiologists - Florida Board of Speech-Language Pathology and Audiology

PESI, Inc. is an approved provider with the Florida Board of Speech-Language Pathology and Audiology. Provider Number: 50-399. This self-study course qualifies for 2.0 continuing education credits. 


Speech-Language Pathologists & Audiologists - Kansas Speech-Language Pathologists

Approved for 2.0 self-study continuing education clock hours for Kansas licensed Speech-Language Pathologists by the Kansas Department for Aging and Disability Services.


Chiropractors - Chiropractors

PESI is recognized by the PACE program of the Federation of Chiropractic Licensing Boards. This online course consists of 2.0 CE hours of instruction in the following subjects: Biomechanics (0.4 hours) Corrective/Therapeutic Exercise (0.4 hours) Evidence-Based Outcomes (0.4 hours)Pain Management (0.4 hours) Wellness/Supportive Care (0.4 hours). Approval #065455/021524. 

 

For a list of boards that accept PACE courses, please visit this website: https://pacex.fclb.org/pages/BoardRequirements.php

 

**Please note that Chiropractors and/or Chiropractor Assistants must complete the post-test and evaluation and answer yes to the PACE Chiropractor evaluation question if they would like their participation submitted to PACE.


Athletic Trainers - Athletic Trainers

PESI, Inc. is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. This self-study program has been approved for a maximum of 2.0 hours of Category A continuing education.


Other Professions

This self-study activity qualifies for 2.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Payal Sahni, PT, MPT, DPT's Profile

Payal Sahni, PT, MPT, DPT Related seminars and products


Payal Sahni, PT, MPT, DPT has been practicing physical therapy for over twenty years with an emphasis in orthopedics. She graduated with her master's in physical therapy in 2000 and completed her transitional DPT in 2012. She is currently practicing as a senior PT at Helen Hayes Hospital in Haverstraw, NY. Dr. Sahni is a Maitland trained certified manual therapist with additional training in IASTM and BFR. Her clinical practice emphasizes her special interests in osteoporosis and TMJ dysfunction.

Payal is a strong proponent of prevention and wellness for health. She has designed various wellness programs including osteoporosis and aquatic wellness, in addition to ergonomics programs for employee health. Dr. Sahni regularly lectures on osteoporosis and serves as the program coordinator of the New York State Osteoporosis Prevention and Education Program through the NYS Department of Health. She has published prior studies on osteoporosis and continues with ongoing research.

Speaker Disclosures:
Financial: Payal Sahni has an employment relationship with Ivy Rehab Network and is a guest lecturer at Mercy College. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Payal Sahni has no relevant non-financial relationships.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Objectives

  1. Build a foundation of bone maturation & metabolism physiology. 
  2. Learn about the effects of cancer therapies on bone at cellular level. 
  3. Identify functional impairments related to low bone mass in a cancer patient.  
  4. Construct a rehabilitation program to improve bone health in a cancer patient. 

 

Outline

How Bone Changes Across the Lifespan 

  • Review of bone structure, bone cells, development of skeleton, peak bone mass from birth to maturity 
  • Factors affecting bone metabolism 
  • Physiology of bone maturation and metabolism 

 

Cancer and bone density  

  • Epidemiology of cancer related osteoporosis 
  • American Society of Clinical Oncology BMD recommendations  
  • Preventive care and fracture risk  

 

How do cancer treatments affect bone density 

  • Bone mineral density testing 
  • Vertebral Fracture Assessment 
  • Fracture Risk Assessment Tool (FRAX) 
  • Blood bone markers 
  • Radiofrequency Echographic Multi Spectrometry (REMS) 

 

Constructing an Evaluation of Osteoporosis 

  • Risk factor assessment  
  • Demonstration of a posture evaluation 
  • Functional assessment and osteoporosis 
  • Outcome measures 

 

Build Bone, Build Strength, Reduce Falls and Fractures: Constructing a Rehabilitation Program  

  • Exercise program design based on FIIT principle 
  • Progression of exercise intensity for a cancer patient  
  • Body mechanics  
  • Exercises Precautions 
  • Contraindications  

 

Role of Nutrition & Supplementation 

  • Calcium and vit D RDA, estimation of intake, sources 
  • Dairy = friend or foe? Plant-based sources of calcium 
  • Supplements - type, how much, how to pick a supplement 
  • Absorption of calcium supplements 

 

Case Studies (optional):  

  • Case studies will be presented in accordance with HIPPA.  

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists 
  • Occupational Therapist Assistants 
  • Athletic trainers
  • Personal trainers

Reviews

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