The Active Female Throughout the Lifespan: Clinical Updates in Sports Medicine and Women's Health

Transcription

1 The Active Female Throughout the Lifespan: Clinical Updates in Sports Medicine and Women's Health POST-CONFERENCE WORKSHOPS: Physical Examination of the Pelvis and Pelvic Floor / Musculoskeletal Ultrasound & Practical Applications for the Musculoskeletal Healthcare Provider of the Active Female: Translating Course Content into Action on Monday Morning Sponsored by: Academy Wesley M. & Suzanne S. Dixon Education and Training Center and Department of Physical Medicine & Rehabilitation May 8-10, 2014 Rehabilitation Institute of Chicago 345 East Superior Street Chicago, IL60611 Rehabilitation Institute of Chicago has been ranked Best Rehabilitation Hospital in America" every year since 1991 by U.S. News & World Report.

2 The Active Female Throughout the Lifespan: Clinical Updates in Sports Medicine and Women's Health THE BEST REHABILITATION HOSPITAL MEANS THE BEST REHABILITATION EDUCATION. The Rehabilitation Institute of Chicago (RIC) is ranked the Best Rehabilitation Hospital in America, in part because it fully integrates research, clinical care, and education, through the Continuing Education (CE) programs offer by the RIC Academy. The RIC Academy CE programs help you keep abreast of changes in you r field. The curriculum is grounded in evidence-based practice when appropriate as well as based on the collective clinical experience of our staff. RIC Academy courses are taught by interdisciplinary teams of recognized specialists from RIC and visiting experts from across the country and around the world. COURSE DESCRIPTION This course will focus on addressing sports medicine and health care issues surrounding women across their lifespan from adolescence into adulthood and retirement. The course will address concepts surrounding musculoskeletal gender differences in rehabilitation and progressive changes during pregnancy and postpartum that may affect participation in activity and exercise. Lastly, health care issues throughout the female lifespan will be discussed, such as psychological considerations, pelvic floor dysfunction/ prolapse, immunology, and bone health. Interactive workshops will cover key areas to address the examination and treatment of injuries in female athletes, hip/spine connection, peripartum pelvic girdle dysfunction and diastasis recti abdominus, and musculoskeletal considerations during labor and delivery. WHO SHOULD ATTEND Physiatrists, Family Practice physicians, General Medicine internists, Obstetricians/ Gynecologists, Sports Medicine physicians, and Gastroenterologists; Nurse practitioners, Nurses; Physical Therapists, Physical Therapist Assistants; Athletic Trainers, Chiropractors, Certified Occupational Therapy Assistants, and Occupational Therapists. COURSE OBJECTIVES Upon completion of the conference, participants will be able to: Identify anatomical and biomechanical risk factors for knee injury in the female athlete. Outline critical sex differences in the mechanism and treatment of injuries to the anterior cruciate ligament (ACL). Discuss the hip-spine syndrome; provide an update on the current research in this area, and how its relationship plays a role in the treatment of the active female. Recognize the interrelationship between nutrition, reproductive function, and bone health (The Female Athlete Triad) in the active female.

3 Review up-to-date research related to activity during pregnancy as well as pregnancy-related pelvic pain. Discuss the impact of biomechanical changes related to pregnancy and postpartum on maternal activity and function. Describe current trends in the surgical and non-surgical management for pelvic floor dysfunction and pelvic organ prolapse. Recognize issues impacting the participation of disabled women in activity and sports. Discuss rehabilitation management of special populations in women s health rehabilitation, including bone health. Outline psychological issues facing women across the lifespan with regards to musculoskeletal or women s health conditions. POST CONFERENCE OBJECTIVES Upon completion of the post-conference workshops, participants will be able to: Track 1 Women s Health Describe clinical anatomy of the female external bony pelvis, pelvic floor musculature, and abdominal musculature. Review the biomechanical changes that occur in the trunk and pelvis musculoskeletal system during pregnancy and postpartum. Perform an external and internal physical examination of the pelvic floor muscles. Assess and measure Diastasis Recti Abdominus. Review and visualize the action of the pelvic floor and abdominal muscles with realtime musculoskeletal ultrasound. Track 2 Musculoskeletal Discuss a variety of musculoskeletal patient cases and apply principles of musculoskeletal practice for optimal evidence based care Review concepts surrounding return to running and bone health in the premenopausal female Describe appropriate exercise prescription and participation in the pregnant female Differentiate discipline specific concepts for energy and nutrition management, imaging and rehabilitation in separate interdisciplinary patient cases FACULTY FROM THE REHABILITATION INSTITUTE OF CHICAGO AND NORTHWESTERN UNIVERSITY Suzanne Aceron Badillo, PT, WCS Clinical Program Director, RIC, Women s Health Rehabilitation Program. Suzanne is a board certified clinical specialist in women s health physical therapy. Her clinical and research interests include pelvic floor dysfunction, pelvic pain, obstetric musculoskeletal dysfunction, and osteoporosis and she lectures nationally and locally on these topics.

4 Cheri Blauwet, MD Sports Medicine Fellow at the Rehabilitation Institute of Chicago/Northwestern University Feinberg School of Medicine. Dr. Blauwet is a former Paralympic athlete in the sport of wheelchair racing, competing for the United States Team in three Paralypmic Games (Sydney '00, Athens '04, Beijing '08) and bringing home a total of seven Paralympic medals. A twotime winner of both the Boston and New York City Marathons, she has been nominated for the ESPY Award, the Laureus World Sports Award, and Women's Sports Foundation Athlete of the Year. She is a member of the International Paralympic Committee Medical Commission and serves on the Board of Directors for the United States Anti-Doping Agency (USADA). Ellen Casey, MD Assistant Professor of Physical Medicine and Rehabilitation, Northwestern University, Feinberg School of Medicine. Co-Director of the Women s Sports Medicine Program and attending physician at the Spine and Sports Rehabilitation Center at the Rehabilitation Institute of Chicago. Dr. Casey s clinical interest is injury prevention in the active female with a focus on stress fractures and the female athlete triad. She has been awarded a National Institutes of Health (NIH) K12 grant to investigate the role of sex hormones in the neuromuscular control of the knee in the active female. Christi Christian, PT, DPT, WCS Women s Health Physical therapist, RIC, Spine and Sports Rehabilitation Center. Christi received her BS from the University of Michigan and is a graduate of Finch University of Health Sciences/The Chicago Medical School. She has been practicing for 9 years and has been specializing in the treatment of women s health diagnoses for the past 7 years. Christi has played a role in teaching post-graduate continuing education on the topic of pregnancy and low back/pelvic girdle pain. Her interests are in the treatment of low back and pelvic pain during pregnancy, incontinence, and pelvic pain. Danielle Duley, PT Women s Health Physical Therapist, RIC, Outpatient Orthopedics Jackie K. Gollan, PhD Associate Professor, Department of Psychiatry and Behavioral Sciences; Director, Stress and Depression Laboratory (SAD lab), Asher Center for the Study and Treatment of Depressive Disorders, Northwestern University Feinberg School of Medicine Currently, she directs an affective science laboratory with PhD graduate students and provides clinical services for patients seeking care through Northwestern Memorial Faculty Foundation. Her research aims to identify predictors of treatment response, using behavioral activation approaches. Current research projects focus on motivational substrates of emotion in depression and anxiety, identifying neural bases of affective reactivity and neurocognition in women across the lifespan, and testing novel behavioral treatments for depression. Such work has led to identifying predictors of recovery using Behavioral Activation for depression, and the development of a novel approach for acute inpatient psychiatric units and measurement of inpatient behavioral avoidance, now used at Northwestern Memorial Hospital and at other medical centers in the US.

5 Allison J Hahr, MD Assistant Professor in Medicine-Endocrinology, Northwestern University Feinberg School of Medicine. Director, Bone Health and Osteoporosis Program Division of Endocrinology, Metabolism and Molecular Medicine Northwestern University Feinberg School of Medicine Jennifer Sergeant Hungate, PT, DPT, WCS, MS RIC Women s Health Program, RIC-NMFF Integrated Pelvic Health Program in Chicago. She received her Certificate of Achievement in Pelvic Physical Therapy (CAPP- Pelvic ) from the American Physical Therapy Association (APTA) Section on Women s Health and is a board certified clinical specialist in women s health physical therapy. Jennifer serves on the board for the Section on Women s Health of the APTA in the role of Director of Practice assisting membership in practice, reimbursement, payment and federal issues. She has assisted in teaching courses for the Section as well as within RIC. Jennifer s practice areas address the needs of women related to bladder and bowel dysfunction as well as pelvic pain. Her special interest is the management of prenatal and postpartum pelvic floor dysfunction. Christina Hynes, MD Assistant Professor, Department of Physical Medicine and Rehabilitation, Northwestern University, Feinberg School of Medicine. Women s Health physiatrist, RIC. Dr. Hynes specializes in physical medicine and rehabilitation with an emphasis on women s health rehabilitation, lymphedema management and general musculoskeletal conditions. Dr. Hynes has co-authored a book chapter on low back pain in pregnancy and is currently conducting research on pelvic pain and dysfunction. Kimberly Kenton, MD, MS Professor of Obstetrics/Gynecology and Urology, Division Chief of Female Pelvic Medicine & Reconstructive Surgery, Northwestern University, Feinberg School of Medicine.Dr Kenton is a nationally recognized leader in surgical education, developing innovative surgery and research educational curricula, and serving as a member of the ACGME Obstetrics & Gynecology Residency Review Committee. Dr. Kenton also possesses substantial expertise in clinical research. She earned a Master of Science in Clinical Research Design and Statistical Analysis at the University of Michigan, Ann Arbor and served as PI on multiple NIH grants, including a recent comparative effectiveness trial of laparoscopic versus robotic sacrocolpopexy. Additionally, Dr. Kenton has special training and expertise in neurophysiologic testing of the pelvic floor, including needle EMG and sensory nerve testing. She is also a member of the ABOG/ABU Division of Female Pelvic Medicine & Reconstructive Surgery. Melissa Kolski, PT, OCS, Dip MDT Education Program Manager, RIC Academy, Orthopedic Physical Therapist at Spine and Sport Rehabilitation Center at RIC Cynthia LaBella, MD Medical Director, Institute for Sports Medicine, Ann & Robert H. Lurie Children s Hospital of Chicago, Pediatric Sports Medicine Specialist, Associate Professor of Pediatrics, Feinberg

6 School of Medicine. Dr. LaBella has served as team physician for high school, college, elite, and professional teams. She is currently the team physician for DeLaSalle high school, Moody Bible Institute, and the United States Rhythmic Gymnastics team. She serves on the executive committee of the American Academy of Pediatrics Council on Sports Medicine and Fitness (COSMF), as the COSMF policy coordinator, and on the sports medicine advisory committees for the Illinois High School Association and the YMCA of the USA. Her research efforts focus on identification of risk factors for injury in youth sports and development of strategies for prevention. She has won two awards for her 2006 research demonstrating that a coach-led neuromuscular warm-up reduces knee and ankle injuries in girls soccer and basketball at Chicago Public High Schools. Katrina Malhotra, PT, DPT Women s Health Physical Therapist, RIC, Outpatient Orthopedics Kristen Mandujano PT, MSPT Women s Health Physical Therapist, RIC, Outpatient Orthopedics Alan Peaceman, MD Professor of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, and Chief, Division of Maternal-Fetal Medicine at Northwestern Memorial Hospital.. Monica Rho, MD Assistant Professor of Physical Medicine and Rehabilitation, Northwestern University, Feinberg School of Medicine. Co-Director of the Women s Sports Medicine Program and attending physician at the Spine and Sports Rehabilitation Center at the Rehabilitation Institute of Chicago. Dr. Rho s clinical interest is in the conservative management of hip deformities. She has recently been awarded a National Institutes of Health (NIH) K12 grant to investigate the neuromuscular control of femoroacetabular impingement. Krista Van Der Laan, PT, DPT, OCS Musculoskeletal Clinical Practice Leader, RIC. Assistant Director of Clinical Education, Northwestern University. Women s Health Physical Therapist Lauren Welles, MPT, DPT, CLT Clinical Manager, Spine and Sport Rehabilitation Center at RIC. Women s Health Physical Therapist Nicole Wysocki, MD Assistant Professor, Department of Physical Medicine and Rehabilitation, Northwestern University, Feinberg School of Medicine. Women s Health physiatrist, RIC. GUEST FACULTY Sindhura Bandi, MD Assistant Professor, Allergy/Immunology, Rush University Medical Center; Division of Immunology/Microbiology, Section of Allergy/Immunology

7 Colleen M. Fitzgerald, MD, MS Associate Professor, Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Loyola University Medical Center, Medical Director Loyola Chronic Pelvic Pain Program.Dr. Fitzgerald s areas of clinical expertise and research include pregnancy-related pelvic girdle pain, chronic pelvic pain, pelvic floor myofascial pain and dysfunction, and pelvic rehabilitation. Colleen is also a Co-Chair for the 2013 International World Congress on Low Back and Pelvic Pain. Christopher M. Powers, PT, PhD, FAPTA Associate Professor in the Division of Biokinesiology and Physical Therapy and Co-Director of the Musculoskeletal Biomechanics Laboratory at the University of Southern California. Dr. Powers' research and teaching interests relate to the biomechanical aspects of human movement. More specifically, his research focuses on how altered kinematics, kinetics, and muscular actions contribute to lower extremity injury. He is particularly interested in the pathomechanics underlying knee and patellofemoral joint dysfunction. Dr. Powers is an active researcher, and has published over 120 peer-reviewed articles. He frequently lectures both nationally and internationally on topics related to lower limb biomechanics and the pathomechanics of orthopaedic disorders. Heidi Prather, DO Dr. Prather received her undergraduate degree from Drury College medical degree from the University of Health Sciences College of Osteopathic Medicine and completed a Physical Medicine and Rehabilitation residency at Northwestern University Medical School. Her subspecialty board certifications include Sports Medicine and Pain Medicine. She is currently Professor and Chief of Section for Physical Medicine and Rehabilitation in the department of Orthopaedic Surgery at Washington University Medical School. She serves in national leadership roles as the 2 nd Vice-President of the North American Spine Society, Senior Editor for PM&R Journal, and section editor for SpineLine. She is the past- President of the Physiatric Association of Spine Sports and Rehabilitation. Dr. Prather serves as the cofounder and director of the Sports Medicine Fellowship in Physical Medicine and Rehabilitation and director of the Orthopedic Spine Center at the university. Her teaching responsibility includes medical students, residents, and fellows and has received seven resident teaching awards. Other awards include the Rosenthal Award from the American Academy of PM&R, the 2008 Distinguished Clinician award for Washington University School of Medicine, Clinical teacher of the year 2011 Washington University School of Medicine, and listed in Best Doctors in St. Louis yearly beginning in Dr. Prather has authored peer-reviewed articles, review articles, and book chapters on topics related to the musculoskeletal medicine and rehabilitation. Her clinical interests include the conservative management of musculoskeletal conditions with a special interest in gender differences, prearthritic hip disorders and their relationship to pelvic girdle and lumbar spine disorders. Monique Ryan MS, RD, CSSD, LDN, HFS, CLT Monique has over 25 years of sports nutrition experience. Ms. Ryan is a Certified Specialist in Sports Dietetics, and is the founder of Personal Nutrition Designs, LLC based in Evanston, IL.

8 She is the sports dietitian for Team Type 1, a professional cycling team. She was a member of the Performance Enhancement Team for the USA triathlon, USA Women s Road Cycling and USA Synchronized Swimming Teams for the 2004 Athens Olympics. She also consulted for several seasons with the Timex Multisport Team, the Chicago Fire of MLS, and the Saturn Cycling Team. Ms. Ryan is the author of four nutrition books for athletes competing at all levels. The most recent is the Third edition of Sports Nutrition for Endurance Athletes, as well as Performance Nutrition for Team Sports. She has authored more than 175 published articles for magazines such as VeloNews, Inside Triathlon, Outside, Oxygen, and Men s Journal. Renae Smith-Ray, PhD Research Scientist at the Institute for Health Research and Policy (IHRP), Adjunct Lecturer in Community Health Sciences within the School of Public Health at the University of Illinois at Chicago (UIC). Dr. Smith-Ray's areas of expertise in public health are in gerontology, health promotion, and cognition and her research interests include health promotion interventions for older adults and factors that influence the translation and dissemination of health promotion programs. Dr. Smith-Ray has experience working on health behavior change research interventions targeting physical activity and cognitive health. She has been PI on two pilot randomized trials testing the viability of a computer-based cognitive training intervention to improve balance and reduce falls among older adults. Dr. Smith-Ray is a member of the research team that has developed and tested Fit and Strong!, an evidencebased physical activity / behavior change program for older adults with lower extremity osteoarthritis. Her primary appointment is within the Center for Research on Health and Aging within the Institute for Health Research and Policy at UIC. Linda Van Dillen, PT, PhD Professor of Physical Therapy and Orthopaedic Surgery at Washington University School of Medicine. Associate Director of Musculoskeletal Research in the Program in Physical Therapy. Dr Van Dillen s research interests are in the understanding of the interaction of sensory-motor, psychosocial and activity/work demand factors to the development and course of musculoskeletal pain problems, in particular, mechanical low back pain. She is also interested in how these factors contribute to activity and participation limitations. Her research uses both clinical and laboratory-based methods. She has been a recipient of federal and non-federal funds for her research work in the area of low back pain, as well as other musculoskeletal pain conditions. She has served as a consultant to the Barnes-Jewish Hospital Outpatient Rehabilitation Service and as a consultant to the Program for the Advancement of the UAW-Ford On-Site Rehabilitation Centers in collaboration with faculty at Johns Hopkins University. Her research has been published in a range of rehabilitation, orthopaedic and spine-related peer reviewed journals. She has served on a number of scientific review panels, including the Scientific Review Committee for the Foundation for Physical Therapy and the National Institutes of Health. Dr. Van Dillen has been an invited speaker at several national and international scientific meetings, most recently at the Spinal Control Symposium at the University of Queensland and at the 8 th International World Congress on Low Back and Pelvic Pain. Carole S. Vetter, MD

9 Associate Professor Orthopaedic Surgery, Medical College of Wisconsin; Division of Sport Medicine Program Director, Orthopaedic Surgery; Residency Medical Director, Froedtert and the Medical College Sports Medicine Center AGENDA Thursday May 8, :30am Registration 1 st floor lobby Rehabilitation Institute of Chicago Continental Breakfast Lobby, RIC Academy (16 th floor) Rehabilitation Institute of Chicago 7:55 Welcome and Opening Remarks 8:00 Introduction/Musculoskeletal Changes across the Female Lifespan Ellen Casey, MD 8:15 Implications of Gender in the Risk of Anterior Cruciate Ligament (ACL) Injury Ellen Casey, MD 9:00 Pathomechanics of the lower extremity: Proximal influences Christopher M. Powers, PT, PhD, FAPTA 10:15 Break 10:30 Gender Differences for ACL surgery Carole S. Vetter, MD 11:00 Panel: Casey, Powers, Vetter Moderator: Maria Reese, MD 11:30 Gender Considerations in the Hip-Spine Connection Heidi Prather, DO 12:00pm Lunch 1:00 Demystifying the Hip: A Current Understanding of Hip Motion Monica Rho, MD 1:30 Influence of Hip Movement on Low Back Pain Symptoms and Lumbar Spine Movements Linda Van Dillen, PT, PhD 2:15 Connecting the Dots: The Approach to Hip-Spine Disorders in Clinic Heidi Prather, DO 2:45 Panel: Van Dillen, Prather, Rho Moderator: Joel Press, MD

10 3:00 Break 3:15 Pick 1 Workshop A: Functional movement evaluation using video analysis Christopher M. Powers, PT, PhD, FAPTA Workshop B: Hip Spine Connection Linda Van Dillen, PT, PhD & Heidi Prather, DO Workshop C: Development and Implementation of a Neuromuscular Training Program to Reduce sports-related Injuries in Chicago public schools Cynthia LaBella, MD 4:15 Pick 1 Workshop A: Functional movement evaluation using video analysis Christopher M. Powers, PT, PhD, FAPTA Workshop B: Hip Spine Connection Linda Van Dillen, PT, PhD & Heidi Prather, DO Workshop C: Development and Implementation of a Neuromuscular Training Program to Reduce sports-related Injuries in Chicago public schools Cynthia LaBella, MD 5:15pm Conclusion Day 1 Friday, May 9, :30am Continental Breakfast Lobby, RIC Academy (16 th floor) Rehabilitation Institute of Chicago 8:00 Impact of activity /exercise (or lack thereof) on maternal and fetal health Alan Peaceman, MD 8:45 Pelvic girdle pain and pelvic floor muscle dysfunction in pregnancy Colleen Fitzgerald, MD 9:30 Is back pain normal during pregnancy? A team approach to successful diagnosis and treatment Christina Hynes, MD & Suzanne Aceron Badillo, PT, WCS 10:30 Panel: Fitzgerald, Badillo, Hynes 10:45 Break 11:00 Pick 1: Workshop A: Peripartum Pelvic Girdle and Diastasis Recti Abdominus Testing Workshop B: Musculoskeletal Considerations in Labor & Delivery Positioning Workshop C: Exercise Prescription in the pregnant female : from sedentary to elite

11 12:00 Lunch (on your own) 1:00 Pick 1: Workshop A: Peripartum Pelvic Girdle and Diastasis Recti Abdominus Testing Workshop B: Musculoskeletal Considerations in Labor & Delivery Positioning Workshop C: Exercise Prescription in the pregnant female : from sedentary to elite 2:00 pm Post partum pelvic floor remodeling Jennifer Hungate, PT, DPT, WCS, MS 2:45 Pelvic floor disorders in the active woman Kimberly Kenton, MD, MS 3:30 Break 3:45 Women's emotional health across the lifespan Jackie K. Gollan, PhD 4:30 "Don't Dis her Ability: Considerations for women with disabilities in exercise and sport Cheri Blauwet, MD 5:15pm Conclusion Day 2 Saturday, May 10, :30 am Continental Breakfast Lobby, RIC Academy (16 th floor) Rehabilitation Institute of Chicago 8:00 The female athlete triad Ellen Casey, MD 8:45 Bone health over the lifespan Allison Hahr, MD 9:30 Rehabilitation for Osteoporosis Nicole Wysocki, MD 10:15 Panel : Casey, Hahr, Wysocki 10:30 Impact of obesity and exercise on women with asthma over a lifetime Sindhura Bandi, MD 11:15 Promoting physical activity and cognitive training to maintain balance into old age Renae Smith-Ray, PhD 12:00pm Conclusion of the course

12 POST-CONFERENCE WORKSHOP TRACK 1 Physical Examination of the Pelvis and Pelvic Floor/Musculoskeletal Ultrasound for Physicians, Nurse Practitioners and Allied Health Professionals The core muscles are key in providing functional trunk stability, continence, and proper respiratory function. During pregnancy and postpartum, the core undergoes dramatic changes and trauma that can affect a woman s function. This workshop will explore the anatomical and biomechanical changes that occur in these core muscles in women during the peripartum period. Interactive labs will include instruction on the basic abdominal and internal/external pelvic floor muscle examination with live female models and an introduction to the use of musculoskeletal real-time ultrasound to visualize these key core muscle groups. Saturday, May 10, 2014 Space is limited due to hands on nature & live models 1:00 pm Registration for Post-conference Workshop 1 st Floor Lobby Rehabilitation Institute of Chicago 1:30 Anatomy of the Pelvic Floor and Abdominals for Examination and Biomechanical Changes during Pregnancy & Postpartum Colleen M. Fitzgerald, MD 2:30 Physical Examination Procedures of the Pelvic Floor and Abdominals in the Peripartum Period Suzanne Badillo, PT, WCS 3:15 Break 3:30 Physical Examination of the Pelvic Floor and Diastasis Recti Abdominis (DRA): External and Internal (Vaginal) Examination Lab with Live Models Colleen M. Fitzgerald, MD & Suzanne Badillo, PT, WCS 5:00 Assessment of Pelvic Floor Muscle and Abdominal Muscle Function with Musculoskeletal Real-Time Ultrasound: Lab Colleen M. Fitzgerald, MD & Suzanne Badillo, PT, WCS 5:45 pm Conclusion of Post-conference workshop POST-CONFERENCE WORKSHOP TRACK 2 Practical Applications for the Musculoskeletal Healthcare Provider of the Active Female: Translating Course Content into Action on Monday Morning Based on the concepts provided throughout the course, we will be reviewing three cases of females at different points of their lifespan and going through the details of how to comprehensively manage their case as a specialized Women s health musculoskeletal provider. Topics will include: creating the infrastructure for a Women s Health and Sports Medicine Program; ordering and interpreting radiographic studies (DXA, x-rays, and MRIs); techniques for nutritional and metabolic assessment; and utilization of medications for

13 musculoskeletal disorders in pregnancy. The following cases will be discussed in a multidisciplinary format: 1:00pm Registration 1:30 Case 1: Stress fracture in a high school runner Case 2: Severe hip pain in a pregnant female Case 3: Back pain in a post-menopausal breast cancer survivor 5:45pm Conclusion of Post-conference workshop Number of Students Tuition Single (Full conference & workshop) $800 Conference ONLY $625 Post-Conference Workshop ONLY $190 LOCATION The program will be held at the Rehabilitation Institute of Chicago. The conference site is wheelchair accessible. Accessible materials, sign language interpretation and personal assistance are available with at least 45-days advance notice. HOUSING Rooms have been reserved at the Hyatt Chicago Magnificent Mile, 633 North St. Clair, Chicago, Illinois. The Hyatt Chicago is located 2½ blocks from RIC. Please contact their reservation agent from 9:00 am until 5:00 pm at (888) and ask for the RIC Course: The Active Female in order to receive the corporate rate of $159 for a Deluxe King (single or double occupancy) or a Queen-Queen (two queen beds single or double occupancy) plus 16.4% tax. The daily rate for parking at the Hyatt Chicago is $54.00/day. The cut-off date for room reservations is April 10, The room block could reach its maximum before the above cur-off date. Rooms and rates revert to a space-available basis after the room block has reached its maximum or after the cut-off date. REFUND POLICY All cancellations must be in writing. Refunds less a 20% administrative charge will be given until May 01, RIC reserves the right to cancel or change any programs for due cause. Cancellation of a program by RIC will result in a full refund of tuition. RIC is not responsible for the refund of travel or hotel expenses under any circumstance. IMPORTANT REGISTRATION INFORMATION Registrations will be taken in the order in which tuition checks or credit card information is received. We highly encourage you to register online as these are processed more quickly than mailed or faxed registrations. Full Tuition must accompany the registration form in order to confirm a place in this course. Until you receive your confirmation letter you are not officially

14 registered for the course. For online registrations you will receive confirmation within one week of the date you registered. For registrations received by standard mail or fax the confirmation may take up to 3 weeks after we receive your registrations. If you do not receive confirmation within this time period, please call Do not make airline reservations that have cancellation penalties until we confirm your registration. However, you should make hotel reservations as soon as possible. One week prior to the course only internet registrations and faxed registrations that include an will be accepted. Please note that the course could reach its maximum enrollment before this time. CONTINUING EDUCATION CREDIT Accreditation Statement The Northwestern University Feinberg School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Credit Designation Statement The Northwestern University Feinberg School of Medicine designates this live activity for a maximum of 24 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. (The main conference is worth 19.5 credits. Workshop Track 1 and Track 2 is worth 4.5 credits) Physical Therapy This course has been approved by the Illinois Physical Therapy Board for Contact Hours. Approval # Post-conference workshop approved for 4.0 Contact hours Approval # Total course approved for contact hours. Occupational Therapy The Rehabilitation Institute of Chicago is an approved provider for the American Occupational Therapy Association to offer continuing education in occupational therapy. This intermediate level program awards occupational therapists CEUs or contact hours. Post-conference workshop approved for.425ceus or 4.25 Contact hours. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Nursing The Rehabilitation Institute of Chicago (OH-362, 8/29/2014) is an approved provider of continuing nursing education by the Ohio Nurses Association(OBN ), an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This CNE activity is being offered for 4.00 contact hours for post-conference workshop.

15 This CNE activity is being offered for contact hours for the three day course. Athletic Training The Rehabilitation Institute of Chicago is recognized by the Board of Certification, Inc. to offer continuing education for BOC Certified Athletic Trainers. This program has been approved for a maximum of hours of Category A continuing education. BOC Certified Athletic Trainers are responsible for claiming only those hours actually spent participating in the continuing education activity. BOC Approved Provider Number: P794. Post conference for Track 2= 4.0 hours

16 REGISTRATION ONLINE at or clip and return this form with payment The Active Female Throughout the Lifespan: Clinical Updates in Sports Medicine and Women's Health & POST-CONFERENCE WORKSHOPS May 8-10, 2014 Single Registration Full Conference: $625 Post-Conference Workshop $ 190 PICK 1 Physical Examination of the Pelvis and Pelvic Floor Practical Applications for the Musculoskeletal Healthcare Provider Full Conference + Post Conference Workshop: $800 Day 1 Lab Select 2 Workshops from Day 1 Lab Workshop A: Functional movement evaluation using video analysis Workshop B: Hip-Spine connection Workshop C: Neuromuscular re-education program Day 2 Lab Select 2 Workshops from Day 2 Lab Workshop A: Peripartum pelvic girdle and Diastasis Recti Abdominus testing Workshop B: Musculoskeletal considerations in labor & delivery positioning Workshop C: Exercise prescription in the pregnant female : from sedentary to elite Make check payable to: REHABILITATION INSTITUTE OF CHICAGO Mail to: RIC Academy 345 E. Superior Street, Suite 1641 Chicago, Illinois Please TYPE or PRINT your name and professional initials (OT, PT) as you would like them to appear on your continuing education certificate. Name First Name Last Name Home Phone ( ) Prof. Initials Home Address City State Zip Organization/Facility Work Address City State Zip

17 Work Phone ( ) Fax ( ) Position (We encourage you to use it allows us to respond much faster to your registration. Thank you) Please note: registration will not be processed without full payment. Method of Payment: Check enclosed Credit Card Credit Card Users Must Complete the Following Information: MasterCard VISA Credit Card # Expiration Date / Name on Card Billing Address City State Zip Cardholder s Signature Credit card registrations may be faxed to: If you fax your registration, do not send another registration by mail. For official use # CC MK D A LMS DL RIC Academy Wesley M. & Suzanne S. Dixon Education and Training Center 345 East Superior Street, Suite 1641 Chicago, Illinois An Academic Affiliate of Northwestern University Feinberg School of Medicine