Evidence-Based Solutions for Improving Cervical Spine Health and Function

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1 New Directions for Understanding Whiplash- Have We Been Driving in the Wrong Lane? & Evidence-Based Solutions for Improving Cervical Spine Health and Function Sponsored by: Department of Physical Medicine & Rehabilitation Feb 28 & March1, 2013 March 2-3, 2013 Rehabilitation Institute of Chicago 345 East Superior Street Chicago, IL 60611

2 New Directions for Understanding Whiplash- Have We Been Driving in the Wrong Lane? Evidence-Based Solutions for Improving Cervical Spine Health and Function 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 offered by the RIC Academy. The RIC Academy CE programs help you keep abreast of changes in your 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. One of the top Physical Therapy & Human Movement Sciences programs in the country known for its superb professional and post-professional education and federally funded research programs... Ranked among the top 10 U.S. physical therapy schools by U.S. News & World since its inception and the number 2 PT department in the US in NIH research funding, NU-PTHMS has garnered a global reputation for: Excellence in training the next generation of leaders in physical therapy practice and research through our professional and post-professional education programs. Training new researchers in the field of movement and rehabilitation sciences (MRS). Development and implementation of technology-supported therapeutic interventions. Advances in rehabilitation science including the quantification of movement disorders and clinical outcomes. COURSE DESCRIPTION New Directions for Understanding Whiplash- Have We Been Driving in the Wrong Lane? It is necessary to gain an insight into the mechanisms underlying the pain, physical and psychological impairments for the differential diagnosis and appropriate management of a patient s neck pain and disability following whiplash injury. This course will present the research findings from the Neuromuscular Imaging Research Laboratory at Northwestern University, Department of Physical Therapy and Human Movement Sciences and the new directions that are emanating from recent and ongoing basic science and clinical research efforts. This research is looking into the assessment, accurate sub-group classification and management of patients with neck pain; key areas being the mechanistic basis for pain, physical and psychological impairment in the musculoskeletal system in cases of traumatic whiplash. Several measurements have been developed towards quantifying/classifying impairments in the pain,

3 sensory-motor, postural control and sympathetic nervous systems as well as psychosocial features of neck-related disorders. The course will also explore innovative management options for mediating the expression of pain in both whiplash and other common neuromusculoskeletal conditions. COURSE DESCRIPTION Evidence-Based Solutions for Improving Cervical Spine Health and Function This two day course will provide participants with the latest multidisciplinary research into cervical spine disorders emanating from a distinguished international panel of basic science and clinician researchers. The emphasis in this course is placed on the application of translational research to leading edge clinical practice. The format will consist of lectures, panel discussions and question and answer. Specific topics include subgrouping patients with neck pain, measuring the experience of pain, and psychosocial factors, exercise prescription and medical management in neck pain. WHO SHOULD ATTEND Physical Therapists, Physical Therapist Assistants, Physiatrists, Orthopedic/Neurological Surgeons, Family Practice/Internists, Emergency Medicine Physicians, Physician Assistants, Residents, Occupational Therapists, Occupational Therapy Assistants, Athletic Trainers, Nurses, Chiropractors, and individuals treating or researching cervical spine pain. COURSE OBJECTIVES Upon completion of the New Directions for Understanding Whiplash course, participants will be able to: Provide an overview of soft tissue injury associated with whiplash-associated disorder Characterize the primary prognostic and diagnostic factors related to Whiplash Associated Disorders (WAD) Identify the primary clinical and radiographic findings that determine best management decisions for WAD Integrate current best evidence into effective assessment, sub-group classification and management of the patient with acute and chronic WAD as well as other frequently encountered neuromusculoskeletal conditions. Upon completion of the Evidence-Based Solutions for Improving Cervical Spine Health and Function course, participants will be able to: Discuss the relevant biomechanics of the cervical spine in injury prevention and mechanisms underlying the genesis and maintenance of pain. Review risk factors that could influence the maintenance and recurrence of neck pain. Devise an informed assessment, characterization and subsequent management strategy for the patient with neck pain. Integrate the influence of health care services and the economic impact of multidisciplinary

4 services for the patient with neck pain. Discuss the influence of subgrouping in the patient with cervical spine and upper limb pathology. Review patient education and counseling schemas for the patient with neck spine pain. COURSE CHAIRS 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 Julius P.A. Dewald PT, PhD Professor and Chair, Physical Therapy & Human Movement Sciences; Professor Biomedical Engineering; Physical Medicine & Rehabilitation; Feinberg School of Medicine,. Northwestern University James Elliott, PT, PhD Senior Research Fellow in the School of Health and Réhabilitation Sciences UQ and a tenuretrack Assistant Professor, Department of Physical Therapy and Human Movement Sciences; Feinberg School of Medicine, Northwestern University. Melissa C Kolski, PT, OCS, Dip.MDT Physical therapist, Spine and Sports Rehabilitation Center; External program manager, Rehabilitation Institute of Chicago GUEST FACULTY Linda Carroll, PhD Professor of epidemiology in the Department of Public Health Sciences, School of Public Health, University of Alberta; Associated Research Scientist, Alberta Centre for Injury Control and Research, University of Alberta; Adjunct Professor, Canadian Memorial College of Chiropractic. Toronto, Ontario; and Adjunct Scientist, Institute for Work & Health, Toronto, Ontario. John Childs, PT, PhD Director of Musculoskeletal Research, 81st Medical Group, Keesler Air Force Base, Biloxi, MS; Associate Professor, U.S. Army-Baylor University Doctoral Program in Physical Therapy, San Antonio, TX; Founder/Partner, Evidence in Motion and Texas Physical Therapy Specialists, San Antonio, TX Gwendolen Jull PT, PhD, FACP Professor of Physiotherapy, NHMRC CCRE Spinal Pain, Injury and Health, School of Health and Rehabilitation Sciences, The University of Queensland, Australia. Samuel A. McLean MD, MPH

5 Research Vice Chair in the Department of Anesthesiology and attending physician in the Department of Emergency Medicine, University of North Carolina at Chapel Hill. Helen Owens PT, DPT Founder and owner of Orthopedic Physical Therapy Services, LLC Guest lecturer Physical Therapy Program, Rosalind Franklin University of Medicine and Science Daniel Pinto, PT, PhD Assistant Professor, Department of Physical Therapy and Human Movement Sciences; Feinberg School of Medicine, Northwestern University Josh Rittenberg, MD Attending Physician, Department of Physical Medicine and Rehabilitation, Kaiser Permanente East Bay Medical Center, Oakland, CA. Senior faculty member with the International Spine Intervention Society (ISIS) and vice chair of the ISIS Education Committee. Ashley Smith, PT, PhD(c) Clinical Specialist - Musculoskeletal Physiotherapy (Calgary, Canada); PhD (candidate): University of Queensland, Brisbane, Australia David Walton PT, PhD Assistant Professor, School of Physical Therapy, Western University Canada; Associate Scientist, Lawson Health Research Institute, London Ontario; Chair, Canadian Physiotherapy Association Pain Science Division Beth Winkelstein, PhD Professor, Department of Bioengineering in the School of Engineering and Applied Sciences and Professor, Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. FACULTY FROM THE REHABILITATION INSTITUTE OF CHICAGO AND NORTHWESTERN UNIVERSITY R. Norman Harden, MD Director of the Center for Pain Studies, founder Chronic Pain Care Center at the Rehabilitation Institute of Chicago; Associate Professor, Physical Medicine and Rehabilitation, Northwestern University. Past president of the Midwest Pain Society. Wellington Hsu, MD Assistant Professor, Dept of Orthopaedic Surgery; Dept of Neurological Surgery, Northwestern University, Feinberg School of Medicine; Spine Fellowship Director; Director of the Professional Athlete's Spine Initiative, which compiles data on athletes who undergo treatment for spinal conditions. Director of the Laboratory for Regenerative Technologies. Annie O Connor, PT, OCS, Cert. MDT

6 Corporate Director Musculoskeletal Practice, Rehabilitation Institute of Chicago. Joel M. Press, MD Director and Founder, Spine and Sports Rehabilitation Center, Rehabilitation Institute of Chicago; Professor, Department of Physical Medicine and Rehabilitation, Northwestern University, Feinberg School of Medicine New Directions for Understanding Whiplash- Have We Been Driving in the Wrong Lane? Course facilitated by James Elliott, PT, PhD THURSDAY, February 28, :00 am Registration 645 North Michigan Avenue Suite 700 Chicago, Illinois Northwestern University Physical Therapy and Human Movement Sciences 9:30 Lecture- Update on What is Whiplash? 10:30 12:00 Physiology of pain Julius P.A. Dewald PT, PhD Updates on muscular/physical/psychological impairments. Identification of patients likely to recover and those likely to transition from acute to chronic symptoms. 1:00 Lunch 2:00 3:00 3:15 5:00pm Pathoanatomy and Pathophysiology of whiplash Updates on Motor control deficits in the cervical spine. Break Concepts in Cervical Motor Assessment Adjourn New Directions for Understanding Whiplash- Have We Been Driving in the Wrong Lane? FRIDAY, March 1, :30 am Northwestern University Physical Therapy and Human Movement 645 North Michigan Avenue Suite 700 Chicago, Illinois :00 Lecture/ Practical Session Assessment & retraining of motor control, postural control including kinesthetic defiticits, balance and eye movement control Case presentations and outcomes

7 10:15 Break 10:30 Continued 12:00pm Lunch (on your own) 1:00 Axioscapular and Sensorimotor Assessment 2:15 Break 2:30 Innovative strategies in managing pain Julius P.A. Dewald PT, PhD 3:45 Bringing it all together, case studies and the use of functional outcome measures 5:15pm Adjourn Evidence-Based Solutions for Improving Cervical Spine Health and Function Saturday, March 2, :30AM Continental Breakfast Robert H. Lurie Medical Research Center Hughes Auditorium, Lurie E. Superior Street Chicago, IL :00 Keynote: How does the evidence inform exercise prescription to improve cervical spine health and function? Gwendolen Jull, PT, PhD, FACP 9:00 Chronic Whiplash Symptoms: Can we reverse the irreversible? Ashley Smith PT, PhD(c), FCAMPT, cgims 9:45 Break 10:00 Subgrouping Patients With Neck Pain: A Research Update John Childs, PT, PhD 10:45 The value of rehabilitation for neck pain: Is the jui e worth the squeeze? Daniel Pinto, PT, PhD 11:30 Panel Discussion: Jull, Smith, Childs, Pinto Moderator: James Elliott PT, PhD 12:00 Lunch 1:15 Recognizing craniomandiblar dysfunction in the cervical spine patient Helen Owens, PT, DPT

8 2:00 Measuring the experience of neck pain for prognosis and treatment decisions Dave Walton PT, PhD 2:45 Break 3:00 What about psychosocial factors in WAD recovery: what are their implications for intervention? Linda Carroll PhD 3:45 From the organization to the clinician: putting evidence based medicine into practice Annie O Connor, PT, OCS, Cert MDT 4:30 Panel: Owens, Walton, Carroll, O Connor Moderator: Julius P.A. Dewald PT, PhD 5:00 Adjourn Sunday, March 3, :30 am Continental Breakfast Hughes Auditorium, Lurie E. Superior Street 8:00 The influence of stress response systems on the development of persistent neck pain after motor vehicle collision Sam McLean, MD, MPH 8:45 From Protons to Progression of Exercise for the patient with neck pain Can MRI applications translate to improved Health and Function? James Elliott, PT, PhD 9:30 Break 9:45 Neck Pain Mechanisms: Insights for Prevention & Treatment Beth Winkelstein, PhD 10:30 Headache. Who will benefit from improved cervical spine health and function? Gwendolen Jull, PT, PhD, FACP 11:15 Panel Discussion: McLean, Elliott, Winkelstein, Jull Moderator: Ellen Casey, MD 11:45 Break 12:00 Cervical Spine Injections: Indications and Efficacy Joshua Rittenberg, MD 12:30 Drug and non-drug interventions for cervical pain R. Norman Harden, MD

9 1:00 Surgical indications for degenerative cervical spine disorders Wellington Hsu, MD 1:30 Panel Discussion: Rittenberg, Harden, Hsu Moderator: Joel Press, MD 2:00 Adjourn TUITION To qualify for group discount rates (you do not have to be from the same facility), students must mail, fax, or enter online the group s registrations together. Number of Students Tuition Single $450 Whiplash Cervical Symposium 2 to 4 $425 5 or more $415 Both Courses combined $795 LOCATION The program will be held at the Rehabilitation Institute of Chicago, 345 East Superior Street, Chicago, Illinois. 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 Avenue Crowne Plaza Chicago Hotel, 160 East Huron Street, Chicago, Illinois The Avenue Crowne Plaza Chicago Hotel is located 1½ blocks from RIC. Please contact their reservations department from 9:00 am until 5:00 pm at (312) and indicate that you are attending this course in order to receive the corporate rate of $109 for a Deluxe King (single or double occupancy), $129 for two queen beds in the room, plus 16.4% tax. The daily rate for parking at the Avenue is $49.00/day. The cut-off date for room reservations is Tuesday, February 5, The room block could reach its maximum before the above cut-off dates. 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

10 until Thursday, February 21, 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 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 New Directions for Understanding Whiplash 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 14 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. Evidence-Based Solutions for Improving Cervical Spine Health and Function 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 13 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity.

11 Physical Therapy New Directions for Understanding Whiplash has been approved by the Illinois Physical Therapy Board for Contact Hours. Evidence-Based Solutions for Improving Cervical Spine Health and Function has been approved by the Illinois Physical Therapy Board for Contact Hours. Both combined courses have been approved for Contact Hours Approval # 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 advanced level program The New Directions for Understanding Whiplash activity is being offered for 1.4 CEUs or 14.0 contact hours. The advanced level program Evidence-Based Solutions for Improving Cervical Spine Health and Function activity is being offered for CEUs or 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 Academy is an approved provider of continuing nursing education by the Illinois Nurses Association, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. This CNE activity is being offered for contact hour(s) for the 2, 2 day courses. The New Directions for Understanding Whiplash activity is being offered for Contact Hours. The Evidence-Based Solutions for Improving Cervical Spine Health and Function activity is being offered for Contact Hours. Athletic Trainers Rehabilitation Institute of Chicago is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers Contact hours for New Directions and CEUs for Evidence-Based Solutions will be awarded.

12 REGISTRATION ONLINE at or clip and return this form with payment New Directions for Understanding Whiplash- Have We Been Driving in the Wrong Lane February 28 - March 1, 2013 Evidence-Based Solutions for Improving Cervical Spine Health and Function March 2-3,2013 Group Discount Policy To qualify for group discount rates (you do not have to be from the same facility), students must mail, fax, or enter online the group s registrations together. Group members cannot receive the discounted rate if the registrations are received separately. Single Registration Tuition: $450 Whiplash Cervical Symposium 2 to 4 Tuition per registrant: $425 5 or more Tuition per registrant: $415 Whiplash &Cervical Symposium $795 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 (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 Work Phone ( ) Fax ( ) Position Send me information about other CE Courses Do not send me information (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.

13 Method of Payment: Check enclosed Credit Card Credit Card Users Must Complete the Following Information: 1) Personal Credit Card Corporate Credit Card 2) 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 ROL 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

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