Linked: Breathing and Postural Control
Date: 7/27/2013 - 7/28/2013
Speaker(s): Mary Massery, PT, DPT, DSc
Continuing Education Unit Hours: 14
This course will challenge therapists to make a paradigm shift and acknowledge the entire trunk as an integralcomponent of normal postural control and movement strategies from the vocal folds on top, to the diaphragm in the middle, to the pelvic floor on the bottom. Through the use of a "soda pop can" model and novel research, the speaker will demonstrate how every muscle of the trunk has a simultaneous role in postural control andrespiration.These muscles finely regulate intra-thoracic and intra-abdominal pressures in order to meet the constantly fluctuating, yet simultaneous demands of postural control, respiration, and internal organ function.This concept provides the cornerstone for the speaker's multi-system approach to evaluating and treating movement dysfunction. In-depth lab sessions are focused on breathing assessment and retraining skills which can be immediately incorporated into clinical practice. Patient cases (pediatric and adult) will be
presented throughout the course to reinforce theoretical concepts.
1. State how the mechanics of breathing and postural control are interactive and inter-dependent components of normal movement strategies.
2. State how the vocal folds, diaphragm, and the pelvic floor are related to each other for breathing, postural control, upper- and lower-extremity function as well as their relationship to their obvious roles in talking, breathing and continence.
3. Describe the multiple, simultaneous roles of the diaphragm as related to breathing, postural control, gastroesophageal reflux, constipation, and venous return.
4. Integrate the pulmonary system into a multi-system physical and physiologic evaluation approach to motor impairments from a wide range of conditions such as shoulder injuries, chronic pain, limited endurance, balance impairments, etc.
5. Apply theoretical concepts to multiple clinical cases.
6. Demonstrate your ability to visually assess breathing patterns for patients in a variety of postures (standing, sitting, supine, sidelying, etc.).
7. Demonstrate the ability to change a breathing pattern through optimal positioning, ventilatory strategies, and manual techniques and state when it would be appropriate for your caseload.
Audience: OT, COTA, PT, PTA, SLP
Speaker: Mary Massery, PT, DPT, DSc
Dr. Massery received her BS in Physical Therapy from Northwestern University in 1977,
her DPT from the University of the Pacific in 2004 and her DSc from Rocky Mountain
University in 2011. Her publications and interests focus on linking motor behaviors to
breathing and/or postural mechanics in both pediatric and adult patient populations.
Dr. Massery has been invited to give over 700 professional presentations in 48 US states,
9 Canadian provinces, and 11 countries worldwide.
Jewish Hospital Rudd Heart and Lung Conference Center
201 Abraham Flexner Way
Louisville, KY 40202
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