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Interdisciplinary Integration

       

Course Schedule

Date Location Speaker Time Register
April 14, 2010 Lincoln, NE Foot Integration - Paul Coffin, DPM, Curt Johnson, PT & Ron Hruska, MPA, PT 8:00am to 5:00pm Register
April 14-17, 2010 Lincoln, NE ALL FOUR DAYS 8:00am to 5:00pm Register
April 15, 2010 Lincoln, NE Dental Integration - Dr. Mike Hoefs, DDS 8:00am to 5:00pm Register
April 16, 2010 Lincoln, NE Vision Vestibular Integration - Dr. Bob Edwards, OD & Ron Hruska, MPA, PT 8:00am to 5:00pm Register
April 17, 2010 Lincoln, NE Rest Integration - J. Paul Rutledge, MD, Neuropsychiatrist, Ron Hruska, MPA, PT, & Julie Hereford, DPT 8:00am to 5:00pm Register

Course Tuition

  • Early Registration Fee: $795
  • Late Registration Fee: $825

Daily Registration Rates

  • Early Registration Fee (four weeks prior to course date): $220 per day
  • Late Registration Fee (within four weeks of course date): $250 per day

Course Description

Our Interdisciplinary Integration course is offered for health professionals of all disciplines. No prerequisite PRI courses are needed and daily registration is available. This course will offer recommendations on how to manage patients who are limited in successful outcomes through intra-discipline treatment only. Influences of the feet, cranium and the autonomic nervous system; vision and the vestibular system; and rest and management of sleep disorders; on each other and on the practitioner’s examination and intervention will be outlined. PRI tests and techniques will be used to help implement this interdisciplinary integrative intervention. 

Day One:  Foot Integration
Curt Johnson, PT, Ron Hruska, MPA, PT, Paul Coffin, DPM

  • Course Description
    This one-day course is designed to help clinicians understand the biomechanical reasoning and functional purpose for foot orthotic fabrication. Emphasis will be placed on integrating non-compressible, flexible orthotics into a Postural Restoration Institute (PRI) dynamic, symmetry oriented program. Footwear, complex verses simple lower extremity biomechanical pattern as related to the AIC and PEC patient, functional hallux limitus and plantar fascitis will be discussed. The clinician will gain an appreciation for when to use PRI orthotics, when to refer, and what other interdisciplinary integration may be necessary.
  • Learning Objectives
    1.  Identify those requiring orthotics through basic assessment of lower extremity biomechanics, gait patterns and foot position.
    2.  Recognize relationships of common neuromuscular patterns seen with lower extremity function and foot function.
    3.  Become familiar with orthotics, footwear and the PRI approach to integrate management of the mal-aligned and mal-positioned lower extremity.
  • Course Agenda
    8-9 - Update on Influences on Gait and Foot Mechanics from Left AIC, Right BC and Right TMCC Patterns (Hruska)
    9-10 - Anatomical and Myokinematic Overview of the Foot (Johnson)
    10-10:15 - Break
    10:15-11:15 - Introduction to the Left AIC Patterned Foot; Pelvis Influence on the Left AIC Foot and Vice Versa; Triplanar Discussion of Skeletal and Muscular Characteristics of Each Foot During Midstance, Push Off and Heel Strike (Johnson)
    11:15-12 - Biomechanical Influences on Gait and the Lumbar-Pelvic-Femoral-Tibial Complex From the Ground Up (Coffin)
    12-1 - Lunch (on your own)
    1-3 - Panel Discussion (Johnson, Coffin, Hruska)
    3-3:15 - Break
    3-4:15 - Outcome Reviews: Case Studies and Video Analysis (Johnson, Coffin, Hruska)
    4:15-5 - Shoe Selection (Thomsen)


Day Two:  Dental Integration
Mike Hoefs, DDS, FAACP, FADI (Moderated by Ron Hruska, MPA, PT)

  • Course Description
    This one day course will introduce clinicians to craniofacial pain, temporomandibular disorders (TMD), and their relationship to the rest of the musculoskeletal system.  We will explore the concepts of cranial osteopathy, internal derangements of the temporal mandibular joint (TMJ) and their relationship to postural restoration.  Participants will gain an understanding of treatment modalities that address these dysfunctions and the integration with other disciplines.  Case studies will be shown to demonstrate this treatment philosophy and coordination of treatment.
  • Learning Objectives
    1.  Understand the symptoms of craniofacial pain and the anatomical structures involved.
    2.  Identify patients with craniofacial pain symptoms.
    3.  Understand the relationship of craniofacial pain to posture.
    4.  Have a better understanding of sleep disordered breathing /compromised airways and their relationship to posture, orthodontics and pain.
    5.  Be able to integrate PRI techniques with dentists trained in the treatment of craniofacial pain, sleep disordered breathing and cranial osteopathy.


Day Three:  Vision Vestibular Integration
Dr. Bob Edwards, OD & Ron Hruska, MPA, PT

  • Course Description
    This one-day course centers around the influences of vision on the vestibular system, compensatory patterns of the head, neck and trunk, and typical optokinetic function associated with limited or restricted cranial cervical and thoracic biomechanics. Accommodative binocular movement disorders, myopia, hyperopia, heterophoria and visual midline shift patterns will be discussed and related to clinical postural adaptative challenges and specific neuromuscular patterns and positions. When to integrate optometric, physical or occupational therapy, dentistry or podiatry and why those considerations should be made will be presented and discussed by clinicians who have experienced positive collaborative outcomes.
  • Learning Objectives
    1.  Recognize the vision-vestibular influences on postural restoration application and effort.
    2.  Gain a better appreciation for and understanding of the vision process and the bihemispheric implication.
    3.  Design a postural inhibition and isolation program that includes the integration of appropriate neuro-optometric and Postural Restoration Institute (PRI) treatment objectives.
    4.  Distinguish postural vs. vision adaptation patterns of dizziness, imbalance and respiratory asymmetry.


Day Four:  Rest Integration
J. Paul Rutledge, MD, Neuropsychiatrist, Ron Hruska, MPA, PT, Julie Hereford, PT, MS(R), PhD, DPT & Michael Hoefs, DDS, FAACP, FADI

  • Course Description
    This session will review sleep architecture and sleep hygiene.  An overview of polysomnography (sleep readings) will be discussed to allow the clinician to understand these findings and how they relate to the rehabilitation client.  The importance of NREM (non-rapid eye movement) sleep stages on motor function and motor processing and learning will be discussed.  Neurohormonal events particular to specific sleep stages will be presented.  Pharmaceutical management and the use of mechanical devices including CPAP for treatment of disordered sleep will be discussed briefly, but will not be the primary aim of this session.  The mechanics of respiration, including upper airway function, as it occurs in normal sleep and disordered sleep will be presented.  This will include a discussion of the influence of movement patterns that may be adopted to establish and maintain a patent airway during sleep, especially in disordered sleep.  A discussion of both obstructive sleep apnea and central apnea will be included.  Dental sleep medicine and intervention, including the reasoning for and use of mandibular advancement devices will be covered.  Methods of screening for sleep dysfunction in the clinical setting and guidelines for when to recommend additional evaluation will be covered.  Recommendations for inter-disciplinary collaboration (including pulmonology, behavioral medicine, dentistry and rehabilitation) with the individual with disorderd sleep will be discussed.
  • Learning Objectives
    1.  Recognize physical and psychosocial indications of an individual with disordered sleep.
    2.  Understand the systemic and long-term consequences of disordered sleep.
    3.  Understand the differences between obstructive and central sleep apnea and the contributing factors of each.
    4.  Understand how sleep influences motor learning.
    5.  Recognize postural and respiratory mechanics and patterns that influence airway management during sleep.
    6.  Describe methods of intervention that may improve airway management during sleep.
    7.  Outline when and what PRI techniques to use in establishing and promoting good sleep position, sleep hygiene and retro-cranial alignment.
  • Course Agenda
    8-10 - Basic Science of Sleep
    10-10:15 - Break
    10:15-12 - Evaluation of Sleep and Sleep Disorders
    12-1 - Lunch (on your own)
    1-1:45 - Sleep Patterns
    1:45-2:45 - Sleep Rehabilitation
    2:45-3 - Break
    3-4 - Mandible Advancement
          Appliance as an Obstructive Sleep Apnea (OSA) Treatment Option
    4-5 - PRI Autogenic Inhibition and Positioning Technique Recommendations