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If You Can’t Breathe, You Can’t Function:
Integrating Cardiopulmonary
and Postural Control Strategies
in the Pediatric Population
(19 Contact Hours)
Course Description:
This course will challenge the clinician to make a paradigm shift by acknowledging the importance of
the cardiopulmonary system as an integral component of normal postural control for children. Every
muscle of the trunk has a simultaneous role in postural control and respiration. This is the
cornerstone for the multisystem approach that the speaker will demonstrate for evaluating and
treating movement dysfunction and for recognizing the physiologic causes or consequences that may
accompany motor dysfunctions. The speaker will show participants how to effectively pair ventilatory
strategies and therapeutic techniques with specific movements to establish the pulmonary system
as an asset rather than a liability for their patients, regardless of whether their original diagnoses
were physiologic or physical. Promoting competence in clinical skills relating to the evaluation and
treatment of the trunk and respiratory system will be a focus. Emphasis of the presentation will be on
developing and applying practical clinical solutions for the pediatric population.

Who Should Attend: This conference is designed for physical therapists, physicians, respiratory
therapists, physical therapy assistants, occupational therapists, speech and language pathologists,
and certified occupational therapy assistants.

Course Objectives:

At the conclusion of Day 1, participants should be able to:
  • State how the mechanics of breathing and postural control are interactive and interdependent
    components of normal movement strategies.
  • Contrast normal musculoskeletal development of the chest in infants and the concurrent
    motor skill acquisition to that observed in patients with impaired trunk function.
  • Position patients for optimal cardiopulmonary function (physiological and biomechanical) with
    simple equipment.
  • Optimize patient function by integrating appropriate ventilatory strategies with all movements
    from low level activities to athletic endeavors.
  • Apply theoretical concepts to multiple clinical cases.

At the conclusion of Days 2 & 3, participants should be able to:
  • Integrate the cardiopulmonary system into a multisystem physical and physiologic evaluation
    approach to motor dysfunction.
  • Identify numerous different breathing patterns and evaluate their efficiency for use while
    moving, talking and eating. Evaluate breath support and postural control needs for verbal
    communication and perform therapeutic techniques to improve respiratory and/or trunk
    muscle support.
  • Design an airway clearance program targeted to a patient’s particular need using the
    principles of mobilization, expectoration and management. Demonstrate multiple airway
    clearance techniques and state when each would be applicable.
  • Participate in a live patient demonstration (if a patient is able to participate on that day) and
    suggest possible evaluation and treatment ideas.
  • Demonstrate the use of thoracic cage/spine exercises and techniques to enhance rib cage
    and thoracic spine mobility and/or pulmonary function and state how this could lead to
    improved physical participation and health.
  • Demonstrate pulmonary therapeutic exercise techniques geared toward modifying inefficient
    breathing patterns and state when each would be applicable.
  • Demonstrate the integration of a multisystem approach to patient’s motor deficits by
    designing an individual evaluation and intervention program for specific clinical problems and
    share the findings with the class.

Schedule (19 Contact Hours)

Thursday January 14, 2010
  • -8:00-8:30 Registration
  • -8:30-10:30 Breathing and Posture: A Multi-System Event!
  • -10:30-10:45 Break
  • -10:45-12:00 Normal and Abnormal Chest Wall Development and Function
  • -12:00-1:00 Lunch
  • -1:00-3:00 What Can You Do in 90 Seconds or Less that has a Profound and Lasting Effect?
    Positioning Strategies
  • -3:00-3:15 Break
  • -3:15-4:30 Integrating Systems Effectively: Movement Strategies
  • -4:30-5:00 Case Study

Friday January 15, 2010
  • -8:30-9: 15 Finding the Problem: Pulmonary Assessment from a Multi-System Perspective
  • -9:15-10:00 Lab 1: Chest Assessment– Focus on Breathing Patterns and Musculoskeletal
    Alignment
  • -10:00-10:15 Break
  • -10:15-11:30 Lab 1: continued
  • -11:30-12:30 Lunch
  • -12:30-1:30 Lab 2: Enhancing Phonation Skills through Improved Breath Support
  • -1:30-2:30 Airway Clearance– From Sherlock to Solution
  • -2:30-2:45 Break
  • -2:45-4:00 Lab 3: Airway Clearance
  • -4:00-5:00 Patient Demonstration
Saturday January 16, 2010
  • -8:30-10:00 Lab 4: Thoracic Complex: Mobility Exercises and Techniques
  • -10:00-10:15 Break
  • -10:15-11:15 Lab 4:continued
  • -11:15-12:00 Lab 5: Facilitating Efficient Breathing Patterns and Building Endurance
  • -12:00-1:00 Lunch
  • -1:00-2:00 Lab 5: continued
  • -2:00-3:00 Lab 6: Group

About the Presenter: Dr. Massery received her BS in Physical Therapy from Northwestern University,
her DPT degree from the University of the Pacific and is currently a Doctorate of Science student at
Rocky Mountain University. Mary has given over 500 professional presentations, nationally and
internationally, on topics relating to ventilation impairments in children and adult populations, and
has published her work in numerous journals and textbooks. In addition, Mary has a private practice,
teaches in the physical therapy curriculum at several universities, conducts clinical research,
consults at numerous Chicago area hospitals, schools and clinics, and conducts yearlong
multidiscipline pulmonary mentorship programs. In 2002, Mary received the American Physical
Therapy Association’s highest clinical award: The Florence Kendall Practice Award, awarded for
"outstanding and enduring contributions to the practice of physical therapy". In 2004, she was the
invited international speaker at the Royal Society of Medicine’s Cystic Fibrosis conference in London,
England, and in 2005, she was the keynote speaker for the Australian/Asian International
Date:
January 14-15-16,
2010
Agenda:
Day 1: 8 am - 5 pm
Day 2: 8:30 am - 5 pm
Day 3: 8:30 am - 3 pm
Location: TBA
Registration Fee: $550.00