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2011
-2012 Physical Therapy Series |
September 2011 - May
2012 |
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Presented by: Program of Physical Therapy and UW-La Crosse Department of Health Professions in partnership with: UW-La Crosse Continuing Education and Extension |
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Intensity in Geriatric PT: Determining the Dosage
May 5, 2012
8 a.m.-5 p.m. each day | 2006 Health Science Center, UW-La Crosse
$185 includes course materials, lunch and refreshments | ($155,
UW-L Physical Therapy alumni)
8 contact hours
Printable Handout (16 page PDF)
To delineate the importance of appropriate therapeutic exercise prescription of and intensity for community dwelling elderly and to define the capacity to improve from the appropriate level of intensity. A primary tenet that will be resolved is the difficulty in establishing the "dosage" or intensity for each area of intervention, for each patient. With geriatric patients, especially the frail elderly, therapists often "underdose" therapeutic interventions. This may result in a missed opportunity to: 1) help the patient make early, observable gains that would reinforce their own self efficacy; 2) keep a patient safe or functionally independent; or 3) prove to a referral source or payor that physical therapy (PT) can make a difference with this population. The primary areas that will be discussed are resistance training, endurance training, gait speed, and dual task tolerance. Appropriate outcome measures for each area will be presented. Theoretical framework for the necessity of intensive training will be given, as well as the evidence-based guidelines for prescription for proper dosage. Specific ideas for intervention will be given through video case studies.
Learning Objectives
- Understand the necessity for proper dosage of therapeutic intervention for geriatric individuals
- Be able to apply and individualize the proper level of intensity for resistance exercises
- Prescribe and accurately measure endurance training tailored to the patient’s need and function as indicated by the ICF model.
- Learn optimal parameters and treatment for improvements in gait speed
- Understand and apply the principles of dual task training for functional carryover into daily life
Instructor:
Mike Studer, PT, MHS, NCS, CEEAA, received his physical therapy degree from the University of Missouri-Columbia in 1991. He received his post-professional MHS degree in physical therapy with neurologic emphasis from the University of Indianapolis. He is the current vice-president of the Neurology Section of the APTA and has been boardcertified as a Clinical Specialist in Neurologic Physical Therapy since 1995. He is a fulltime practicing clinician in an outpatient setting - Northwest Rehabilitation Associates, in Salem, Ore., where he specializes in working with neurologically impaired clients. Studer has presented courses on cognitive processing in mobility and ADLs since 1995 and has published articles on the subject as well. He has been a guest lecturer at several universities and national meetings on the topics of motor control, motor learning, cognitive impairment and case management. He is the American Physical Therapy Association 2011 Neurology Section Clinician of the Year.
