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Pre-Congress Workshop I :
INTRODUCTION TO MOVEMENT SYSTEM IMPAIRMENT SYNDROMES OF THE SHOULDER AND CERVICAL SPINE
Date: November 23rd – 24th, 2023
Place: Grand Richmond Hotel, Nonthaburi, Thailand
Instructor: Maiko Morotani, PT, DPT, OCS
The Movement System Impairment (MSI) syndromes were developed by Shirley Sahrmann, PT, PhD and her colleagues. The pre-congress workshop provides you the information of MSI of the shoulder and cervical spine. The identification of faulty alignment, non-optimal movement patterns, and impaired muscle activation through systematic examination of the shoulder and cervical spine will be covered.
Objectives:
By participating in this 2-day introductory course, participants will learn the following:
- How impaired alignment and movement can lead to musculoskeletal pain problems (kinesiopathologic model)
- Basic kinesiology of the scapula and humerus
- Muscle functions around shoulder girdle in 3 main groups
- Commonly seen scapular / humeral / cervical spine movement system impairments
- Associations of shoulder impairments with the cervical spine
- Systematic examination of the shoulder and cervical spine
- Pain-eliminating tests instead of pain-reproducing tests
- Contributing factors to each of the scapular / humeral / cervical spine syndromes
- How to prescribe corrective exercises
- Most importantly, how to incorporate MSI Syndrome (diagnosis) to correct patients’ everyday activities
Schedule:
Day 1: November 23rd, 2023 (Thursday)
| Time | |
| 9 am – 10:30 am | Introductory lecture of MSI Syndromes and Kinesiopathologic Model |
| 10:30 am – 11 am | Scapular kinematics and UQ Muscles review |
| 11 am – 11:15 am | —Break— |
| 11:15 am – 12:45 pm | MSI Syndromes of Scapula |
| 12:45 pm – 1:45 pm | —Lunch— |
| 1:45 pm – 3:30 pm | MSI Syndromes of Humerus |
| 3:30 pm – 3:45 pm | —Break— |
| 3:45 pm – 5 pm | Demonstration of shoulder examination and HEP |
Day 2: November 24th, 2023 (Friday)
| Time | |
| 9 am – 9:45 am | LAB: standing alignment, shoulder flexion, shoulder ER |
| 9:45 am – 10:30 am | LAB: supine shoulder flexion, shoulder ER, shoulder IR, pec minor length, posterior deltoid length |
| 10:30 am – 10:45 am | —Break— |
| 10:45 am – 11:30 am | LAB: prone shoulder ER, shoulder IR, lower and middle trapezius performance |
| 11:30 am – 12:15 pm | LAB: quadruped alignment, rock back, unilateral shoulder flexion |
| 12:15 pm – 1:15 pm | —Lunch— |
| 1:15 pm – 2:30 pm | MSI Syndromes of Cervical Spine |
| 2:30 pm – 3 pm | LAB: unilateral shoulder flexion, seated cervical flexion / extension / rotation, supine deep cervical flexors performance |
| 3 pm – 3:15 pm | —Break— |
| 3:15 pm – 4:30 pm | Demonstration of shoulder or cervical examination and HEP |
| 4:30 pm – 5 pm | Q&A, discussion, and summary |
Pre-Congress Workshop III :
INTEGRATING LIFESTYLE MEDICINE WITHIN DAILY PHYSICAL THERAPY PRACTICE FOR SUPERIOR TREATMENT OUTCOMES
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Date: November 24th, 2023
Place: Online session
Instructor:
Elizabeth Dean, PhD, PT
Professor Emeritus, Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Canada, and Private Practitioner, Vancouver, Canada
Alice YM Jones, PhD, PT, FACP
Honorary Professor, School of Health and Rehabilitation Sciences, University of Queensland, Queensland, Australia
Description:
This workshop is designed to provide physical therapists and potentially team members the evidence and foundation for their practicing lifestyle medicine within their daily practices. The content is based on findings from several Physical Therapy Summits of Global Health and leading World Health Organization health commission reports. Lifestyle-related diseases are the leading cause of death in Asian countries and around the world. These conditions include ischemic heart disease, cancer, smoking-related conditions, hypertension, stroke, diabetes, and Alzheimer’s disease. As the leading established non-invasive health care profession (that historically has exploited non-drug and non-surgical interventions) and based on substantial evidence, physical therapists are uniquely qualified to prevent and at times reverse (‘cure’), as well as manage these lethal diseases. Given that today most people including children have one or more risk factors or manifestations of one or more lifestyle-related conditions, this workshop enables the practitioner to ‘add value’ to their clinical outcomes through risk factor modification and prescribing a lifelong health plan, in turn, maximizing conventional physical therapy outcomes. The workshop includes risk factor self-assessment of the participants as a learning tool, and prescription of a lifelong health plan. The effect size of risk factor modification is presented for smoking cessation, nutritional education, weight loss, physical activity recommendations, and stress reduction and sleep recommendations. Assessment and intervention based on ‘readiness to change’ health behavior and the evidence for the efficacy of ‘brief advice’ are presented. The social and cultural determinants of health and their implications for the lifelong health plan are addressed. Although physical therapy has lagged in terms of responding to 21st century needs and is in danger of having other less well qualified groups attempt to respond to this century’s epidemiological trends, the profession clearly has the opportunity to assume a leadership role related to the leading causes of morbidity and mortality irrespective of a patient’s presenting problems. The Asian food guide for example needs to be revisited to align its recommendations with the evidence, rather than their contributing to the pandemic of non-communicable disease. The Asian physical therapy community could lead the way forward within their countries and region, and serve as an example to other countries around the world.
Purpose:
To enable practitioners to be knowledgeable with respect to epidemiological trends related to health and mortality, implications for evidence-based practice and the translation of related knowledge/evidence to improve their patient outcomes; and to practice at the highest level possible commensurate with 21st century needs in Asian countries.
Pre-reading and Workshop format:
Pre-reading and reference material will be circulated prior to the workshop. Powerpoint presentation will be used throughout. Pairs and small group participation are shown as Case Studies or Discussion Points. Participation and questions will be encouraged throughout the workshop.
Intended Audience:
All physical therapists practicing in the 21st century irrespective of clinical area, and students intending to practice at maximal capacity this century. Other health professionals who are team members with physical therapists are encouraged to attend.
Content and Skills to be learned:
In this workshop, participants will learn:
Contemporary definition of physical therapy and the need to change our collective mindset – the need to bridge the gap between what we are eminently well qualified to do, and societal need in the context of managing the needs of each and every patient
Definition of health and lifestyle medicine
Interception of lifestyle medicine and contemporary physical therapist practice
Major findings of World Health Organization global health reports with special attention to countries in Asia, the Lancet EAT Commission, and the Physical Therapy Summits on Global Health and how they inform contemporary physical therapist practice
Risk factor assessment: how to do it and how risk factor assessment data can be used as outcome measures (self-assessment and clinical cases) with special reference to the modified Health Improvement Card
Practice implications and strategies for improving physical therapy outcomes with lifestyle medicine practices
Proven strategies for health and lifestyle behavior change including Prochaska’s Model of readiness to change, the 5 A’s, the 5 R’s and SMART-EE
Evidence to support how healthy lifestyles strengthen immunity and ward off infections such as SARS-CoV-2 responsible for the COVID-19 pandemic
Professional marketing strategies to improve the public and political awareness as a solution to Asia’s leading health care priorities
Leadership strategies for physical therapists needed in Asia to maximize the health of the Asian people in the 21st century
Topical outline:
08.30 – 08.45 | Introduction and overview of workshop objectives |
08.45 – 09.30 | FOUNDATION AND EVIDENCE FOR LIFESTYLE MEDICINE COMPETENCIES PRACTICED BY PHYSICAL THERAPISTS |
09.30 – 10.15 | Definition of health, and morbidity and mortality in Asian countries and their socioeconomic burdens |
10.15 – 10.35 | —BREAK— |
10.35 – 11.35 | LIFESTYLE MEDICINE COMPETENCIES FOR PHYSICAL THERAPISTS |
11.35 – 12.30 | Risk factor assessment and evaluation: Overview of contemporary tools |
12.30 – 13.00 | —LUNCH— |
13.00 – 14.00 | Lifelong Health Plan: Design and evaluation |
14.00 – 14.45 | Case studies/Discussion |
14.45 – 15.05 | —BREAK— |
15.05 – 15.40 | MOBILIZING PHYSICAL THERAPY LEADERSHIP IN RELATION TO LIFESTYLE MEDICINE COMPETENCIES |
15.40 – 16.15 | Leadership strategies needed for physical therapists to be a primary gatekeeper in health care in in the 21st century |
16.15 – 16.30 | Review and Wrap-up |