Orthopedic Myofascial Certificate: Solutions for Pain, Posture & Mobility

Credit

Planning Committee Disclosure - No relevant relationships

All 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 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.

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* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. 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 cepesi@pesi.com or 800-844-8260 before the event.

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

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Chiropractors

PESI is recognized by the PACE program of the Federation of Chiropractic Licensing Boards. This online course consists of 14.0 clock hours of continuing education instruction. Approval #.

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 question if they would like their participation submitted to PACE.

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Florida Massage Therapists

PESI, Inc. is approved by the Florida Board of Massage Therapy as a continuing education Approved Provider. Provider #50-399. This course is offered for 11.75 self-study CE hours.

*Please note: this course was not designed to meet requirements for the "relevant to and focused on massage therapy techniques, skills or protocols" category by distance learning. 

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Occupational Therapists & Occupational Therapy Assistants

 

PESI, Inc.  is an AOTA Approved Provider of professional development. Course approval ID# 05245. This Distance Learning-Independent is offered at 1.175  CEUs Intermediate, OT Service Delivery. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

 

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Arizona Occupational Therapists & Occupational Therapy Assistants

CE credit is available. This self-study course consists of 11.5​ 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).

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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 11.5 self-study continuing education credits.

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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 11.75 continuing competency hours.

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Physical Therapists & Physical Therapist Assistants

This self-study course consists of 11.75 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.

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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 11.5 CE credit hours.

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Kentucky Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 11.75 continuing education credit hours for Kentucky Physical Therapists. The rule under 201 KAR 22:045, Section 2, (2)(a) states that category 1 continued competency credits can be earned from providers approved by another physical therapy licensing agency. 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.

 

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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 11.8 contact hours.

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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 11.5 continuing education hours.

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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 11.75 clock hours of instruction that is applicable for physical therapists.

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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 11.75 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.

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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 11.75 clock hours of continuing education instruction.

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Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 11.75 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.

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Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This self-study course consists of 11.75 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. 

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Other Professions

This self-study activity qualifies for 11.75 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.

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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, hypnosis, 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 hypnotherapist in private practice at Educise® in New Hampshire. www.educise.com.

 

Speaker Disclosures:
Financial: Theresa Schmidt has employment relationships with Educise and Home CEU Connection.com. She receives a speaking honorarium and a consulting fee from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Theresa Schmidt is a member of APTA and AMTA. She has no relevant non-financial relationships.

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Additional Info

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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