| Oak Tree PT Newsletter
||Volume 2, #2 |
WE ARE BACK AFTER A THREE-MONTH HIATUS. WE HOPE THAT YOU HAD A HEALTHY, PRODUCTIVE, AND PROFITABLE FEBRUARY, MARCH AND
APRIL. AS YOU WILL SEE IN THIS MONTH'S NEWSLETTER, OAK TREE PT HAS HAD AN EXCITING FIRST QUARTER THIS YEAR. WE ARE GLAD TO
BE BACK TO SHARE ALL THE NEWS AND CURRENT RESEARCH TOPICS WITH YOU.
The Oak Tree PT Newsletter presents information that is in some way related to physical therapy and health- related issues. We hope that
you find it interesting, informative, topical, and timely.
We would like your feedback on any of the topics presented here, and on any topics that you would like to see addressed
in the future. Please feel free to send in questions that are relevant to our focus, and we will try to answer as many as
we can in our "Readers' Forum"
WORKING IN FEDERAL FACILITIES|
Federal agencies like the Department of Veterans Affairs (VA), for example, can decide whether therapists working in their hospital facilities need to be licensed and meet the minimum
education and training required by the State. The VA currently utilizes Physical Therapy Assistants who are unlicensed and
who received all of their education and training for the position while working on the job.
According to Ann Tyminski
(TYMINSKA@dhmh.state.md.us), Executive Director of the Board of Physical Therapy Examiners of Maryland, "the VA facility is a Federal facility and not subject to State laws." As such, "The State would not have any opinion as
to how the PTA practiced within the VA facility." This holds true for all standards set by the State, including licensing,
minimum levels of education, supervision by a Physical Therapist, standards for documentation, etc. Ms. Tyminski cautions
that unlicensed therapists working in Federal facilities "may not 'moonlight' as PTAs in Maryland outside of a Federal facility".
within the VA state that all newly advertised positions will be open only to licensed therapists. However, unlicensed therapists
who currently are working in VA facilities will have their jobs protected as "grandfathered" positions.
It is unknown
what the policies are at other Federal facilities regarding Standards of Practice for therapists. All Federal facilities are
free to develop their own standards without regard to the policies set forth by the State licensing boards. It is believed,
however, that most facilities will try to uphold standards that are commonly accepted by the State boards.
|HEALTH & FITNESS
Regular Yoga practice may improve pulmonary
function according to an abstract presented at APTA's CSM 2004 in Nashville, TN. The authors of the case study found a 9% increase in vital capacity after a 10-week, 6 day/week program involving 5 yoga poses (asanas) and two yoga breathing
exercises (pranayama). Other positive indicators included increased thoracic expansion and flexibility, suggesting that a
moderately intensive yoga program could help those with compromised pulmonary reserve.
EDITOR'S NOTE: THESE NEXT TWO SUBMISSIONS COULD NOT BE PUBLISHED IN APRIL (even if we had published an April
issue); YOU WOULD HAVE THOUGHT THAT WE MADE THEM UP AS AN APRIL FOOLS PRANK. WE ARE QUOTING THESE TONGUE-IN- CHEEK ARTICLES
DIRECTLY FROM THE WACKY FOLKS AT THE BRITISH MEDICAL JOURNAL. BE COMFORTED IN THE KNOWLEDGE THAT YOUR PHYSICIAN/SURGEON DOES INDEED HAVE A SENSE OF HUMOR, AND CAN BE VERY ENTERTAINING.
"Facial transplantation should not be performed until more research is done on the procedure and the risks that go
with it" caution "an expert group of surgeons" from the Royal College of Surgeons of England as reported in the November 22, 2003 BMJ.
The surgeons' concerns about the procedure, which is also called "composite tissue allotransplantation", reportedly
are as follows:
1. Excessive media harrassment of the world's first such patient and the patient's family.
Possible psychological impact of the surgery.
3. Long-term effects of immunosuppression.
4. The ethics of facial
5. Surgeons' inability to obtain acceptable and valid consent from patients because the procedure
remains highly experimental.
6. The probability of intense "suffering of those patients who might be tempted by the
prospect of facial transplantation".
There is an apalling lack of randomised controlled trials (RCT's) studying
the effectiveness of parachute use as an intervention "in preventing major trauma related to gravitational challenge",
according to two writers at the BMJ. The authors reportedly attempted to perform a meta-analysis of RCT's showing the
effects of using a parachute during a free fall. The Oak Tree PT editors can only quote BMJ's "Introduction" and "Conclusions" word-for- word", and encourage our readers to go to the BMJ website and read the whole article, along with the invited responses.
The parachute is used in recreational, voluntary sector, and military settings to reduce the risk of orthopaedic, head, and
soft tissue injury after gravitational challenge, typically in the context of jumping from an aircraft. The perception that
parachutes are a successful intervention is based largely on anecdotal evidence. Observational data have shown that their
use is associated with morbitity and mortality, due to both failure of the intervention and iatrogenic complications. In addition,
"natural history" studies of free fall indicate that failure to take or deploy a parachute does not inevitably result in an
"As with many interventions intended to prevent ill health, the effectiveness
of parachutes has not been subjected to rigorous evaluation by using randomised controlled trials. Advocates of evidence based
medicine hace criticised the adoption of interventions evaluated by using only observational data. We think that everyone
might benefit if the most radical protagonists of evidence based medicine organised and participated in a double blind, randomised,
placebo controlled, crossover trial of the parachute."
HEALTH AWARENESS IN MAY
FOR LINKS TO MORE INFORMATION ABOUT
ANY OF THE FOLLOWING OBSERVANCES, GO
NATIONAL HEALTH INFORMATION CENTER WEBSITE.
Asthma and Allergy Awareness Month
Better Hearing and Speech Month
Better Sleep Month
Clean Air Month
Healthy Vision Month
Hepatitis Awareness Month
Lyme Disease Awareness Month
Mental Health Month
Arthritis Month and Annual Arthritis Walk
National Bike Month
National Digestive Diseases Awareness Month
High Blood Pressure Education Month
National Neurofibromatosis Month
National Osteoporosis Awareness and Prevention
National Physical Fitness and Sports Month
National Sight-Saving Month: Ultraviolet Awareness Month
Stroke Awareness Month
National Teen Pregnancy Prevention Month
National Trauma Awareness Month
Older Americans Month
Cancer Awareness Month
Tuberous Sclerosis Awareness Month
2 - 8 Brain Tumor Action Week
2 - 8 Children's Mental Health
2 - 8 National Mental Health Counseling Week
2 - 8 North American Occupational Safety and Health Week
4 Childhood Depression Awareness Day
5 National Anxiety Disorders Screening Day
8 Cornelia de Lange Syndrome
(CdLS) Awareness Day
9 - 15 National Women's Health Week
10 - 16 Food Allergy Awareness Week
10 - 16 National Stuttering
10 National Women's Check-up Day
11 - 17 National Alcohol-and Other Drug-Related Birth Defects Week
International Chronic Fatigue Syndrome Awareness Day
16 - 22 National Emergency Medical Services Week
16 - 22 National
Running and Fitness Week
18 HIV Vaccine Awareness Day
23 - 29 Older Americans' Mental Health Week
24 - 31 Buckle
Up America! Week
24 National Schizophrenia Awareness Day
25 National Missing Children's Day
26 National Senior Health
and Fitness Day
31 World "No Tobacco" Day
This spot features answers to questions
and/or news of interest from our readers. Send your physical therapy-related questions, comments, and current therapy/health
topics we can share to: firstname.lastname@example.org.
If we answer your question in this column, we will send you an Oak Tree PT ergonomic pen. Please be sure to include your mailing address, to be used strictly for mailing the pen only, and no other
I will also be happy to publish in this Readers' Forum any original, relevant, well-written articles
submitted by readers. Just forward your material to:
**Editor's note: This month we feature news from Katie Glaser-LeClere, MSPT, owner of Safe Home
Pediatric Physical Therapy, LLC.
PHYSICAL THERAPIST OFFERS FREE EQUIPMENT FOR CHILDREN WITH DISABILITIES
Safe Home Pediatric Physical Therapy has launched the Adaptive Equipment Exchange program to locate free loaner durable medical equipment for children who have
physical disabilities. The program is designed to provide interim solutions for families of disabled children so that the
children can receive continuity of care while long- term arrangements are made.
The Adaptive Equipment Exchange obtains
items through public and private sources, and is constantly seeking contributions of unused equipment. For more information,
or to donate to the Adaptive Equipment Exchange, please contact:
Katie Glaser-LeClere, MSPT
Safe Home Pediatric
Physical Therapy, LLC
(301) 807-9955 voice
(443) 247-0690 fax
Safe Home Pediatric Physical Therapy
Katie has also published a directory of regional special needs summer camps on her website. The directory includes more than 50 camps in the Mid-Atlantic region
that embrace and accommodate children with mild to severe disabilities.
These programs typically offer experienced
professional support, low staff-to-camper ratio, and wheelchair accessibility. They often include activities that teach children
to manage their disabilities and network with peers. Some programs are free to those who qualify, and many offer "camperships".
The directory is available online at www.sa fehomept.com/camps.php.
Katie Glaser-LeClere is a Physical Therapist and founder of Safe Home Pediatric Physical Therapy, providing PT to children and adolescents in the home and community. Safe Home's service areas include Frederick, Montgomery,
Carroll, and Howard Counties in Maryland. Outpatient sites are located in Rockville and Frederick, and insurance is accepted.
|T'AI CHI DETAILED
WHAT THE STUDENTS
SAY ABOUT THE SEMINAR:
"Good practical work" Eric Chamberlain, Science Teacher -- Manchester,
"The instructor was delightfully enthusiastic about topic & stuck to it" Mary Ann Smith, O.T.R./L --
"Jon excellent one-on-one correcting movement" Trudy Goldstein, PT -- Boston, MA
made excellent application & reference to Geriatric population" Maraen Fisher, O.T.R./L -- Burlington, MA
instruction & good amount of material" Patrick McDonagh, PT -- Brockton, MA
"Content of course was excellent
& helpful for Home Care population" Helen Estes, R.P.T. -- Brockton, MA
"Instructor great. Overall very
interesting, informative & fair. Thank you :-)" Heather Bernier, PT -- Bristol, RI
"Instructor was excellent
-- course/content interesting & valuable" Ellen Tragar, PT -- Bristol, RI
"Very enjoyable -- I liked the
labs -- practical hands-on approach -- made me want to find out more on this subject for myself" Mona Kelleher, O.T.R./L
-- Bristol, RI
RECENT E- MAIL:
I've already begun
to use some of the concepts with a few of my patients. They seem to have a little difficulty with it at first, like the LE
isometrics in sitting, but with some perserverence, it clicks. Really cool stuff! I'm also using it with my Mom, she needs
a knee replacement and if adapted to non WBing it works very well.
Thanks for the video, can't wait to share it with
the PT's in the office."
Nancy Montgomery, PT -- Groton, MA
Improving Balance and Decreasing Fall Risk Using T'ai Chi
one-day seminar for Therapists and other Professionals working with patients who are at risk for falls
According to the most recent statistics from the Center for Disease Control (CDC), falls are the primary reason for accidental
deaths, the 5th leading cause of death for Americans age 65 and older. In that age group, 30 percent of community dwelling
elders and 50 percent of nursing home residents fall each year. The research literature supports T'ai Chi as the best balance exercise for elderly people at risk for falls. This interactive
seminar will provide you with all the tools and skills you will need to begin a T'ai Chi balance program as soon as you return
to the clinic. You will also learn creative techniques for engaging patients who are withdrawn and reluctant to participate
in other forms of therapy. After practicing each exercise during this one-day seminar, you will leave with a clear understanding
of how to progress your patients through the sequence of T'ai Chi exercises toward higher function with decreased fall risk.
Finally, you will learn how to include T'ai Chi in the multidisciplinary Care Plan, and how to document the therapy sessions
for maximum reimbursement from Medicare Parts A and B and all other types of insurance plans. This course is designed to be participatory and fun, and after initiating the program in your own clinical setting, you will
be pleasantly surprised to find your patients looking forward to their next T'ai Chi session with you.
· Understand how Eastern and Western approaches to balance differ
· Learn postural corrections
that have an immediate effect on balance
· Use kinesthetic imagery to improve cognitive, emotional and physical function
Demonstrate movement strategies that maintain balance control
· Practice T'ai Chi exercises in sitting and standing that
strengthen lower extremity and postural control muscles, increase range of motion and improve balance
· The three common
mistakes in stance that decrease balance and reaction times
· Reprogramming neuromuscular responses using kinesthetic imagery
The tan tien: The key to controlled and centered movement
· Tailoring the T'ai Chi exercise progressions to individual
· Incorporating T'ai Chi in the Care Plan and documentation for reimbursement
Who Should Attend
· Occupational Therapists
· Recreation Therapists
· Restorative Team members
· Clinical Managers
· Athletic Trainers
· Anyone involved in the care
of someone who has issues with decreased balance
About the Speaker
Jon Ruttenberg holds a Masters
Degree in Physical Therapy from Boston University, and he is a Certified Ergonomic Assessment Specialist. He has trained patients
in T'ai Chi principles while working as a Physical Therapist in a variety of settings, including nursing homes, retirement
communities, hospitals, sports medicine clinics, outpatient clinics and occupational medicine. Mr. Ruttenberg has taught therapists
and other health care professionals how to design T'ai Chi balance programs in seminars sponsored by various health care facilities
and by ADVANCE Magazine. He is the owner of Oak Tree PT, which is a private practice specializing in orthopedics, balance
and ergonomic assessment and consulting for various industries. Mr. Ruttenberg is a speaker with experience, energy and enthusiasm
for one of the most practical and exciting seminars you will attend this year.
IT'S A BOY!
Ephraim Yitzchak Ruttenberg
Born: April 8, 2004
6 lbs. 15 oz.
Ephraim was the second son of Joseph, and the
name means "Fruitful". Yitzchak was the son of Abraham, and the name means "He will laugh". Ephraim Yitzchak Ruttenberg seems
to be an intelligent, funny, healthy, and content boy. He looks just like his older brother and sister.
JOIN OAK TREE PT's JON RUTTENBERG
IN FULL- DAY SEMINARS LEARNING:
BALANCE AND DECREASING FALL RISK USING T'AI CHI: Techniques Yielding Dramatic Results- -A Day of Participation
Cross Country Seminars:
1645 Murfreesboro Road, Suite J
Nashville, TN 37217
Phone #: (800) email@example.com May 18, 2004: Duluth, MN
Best Western Edgewater West
2211 London Rd.
19, 2004: Minneapolis, MN
Holiday Inn I-35 Airport
1201 W. 94th St..
20, 2004: Chicago, IL
Clarion Barcelo O'Hare
5615 N. Cumberland Ave.
8, 2004: San Antonio, TX
Adam's Mark Riverwalk
111 Pecan St. E.
San Antonio, TX 78205
9, 2004: Austin, TX
Holiday Inn Austin South Airport
3401 S. I-35
Austin, TX 78741
10, 2004: Houston, TX
Crowne Plaza Medical Center
6701 S. Main St.
Houston, TX 77030
22, 2004: Jackson, MS
400 Greymont Ave.
Jackson, MS 39202
(601) 969-2141June 23,
2004: Baton Rouge, LA
Sheraton Convention Center
102 France St.
Baton Rouge, LA 70802
24, 2004: New Orleans, LA
Crowne Plaza Astor
739 Canal St.
New Orleans, LA 70130
$179.00 *(Early: $169)
**2 to 4: $159.00 *(Early: $149 ea.)
**5 or more: $139.00 *(Early: $129 ea.)
received seven days prior to seminar date.
**Price per person when registering at the same time.TIME:
AM to 3:30 PMApprovals for this Course:
Cross Country University is a Preferred Provider of professional
continuing education with the National Association of Boards of Examiners of Long Term Care Administrators (NAB) and has approved
this program for the number of clock hours listed under their sponsor agreement with NAB/NCERS. This program is approved for
6 continuing education clock hours Approval #2422004-17191-6. State licensure boards, however, have final authority on the
acceptance of individual courses. 7.2 contact hours for nurses are awarded. Cross Country University, the Education and Training
Division of Cross Country Inc., is accredited as a provider of continuing education nursing education by the American Nurses
Credentialing Center's Commission on Accreditation. Cross Country University is approved by the California Board of Registered
Nursing, Provider #CEP 13345, for 7.2 contact hours. Cross Country University is an approved provider with the Iowa Board
Of Nursing, approved provider #328. This course is offered for 7.2 contact hours. Cross Country University Provider #P3097
is recognized by the NATA Board of Certification, Inc. to offer continuing education for certified athletic trainers. This
course is offered for 6 CEUs.
Care Resources, Inc.
Continuing Education Department
1026 Cromwell Bridge Road
Baltimore, MD 21286-3308
(888) 613-2275 toll-free
(410) 583-9670 firstname.lastname@example.orgOctober 21, 2004: Baltimore, MD
8:30 am--4:30 pm $145; $155 Late Registration (Late fee applies
for registrations received at Care 21 days or less before the course)
.6 CEUs, 6 contact hours
Save 20% on fitness and therapy products by logging on to
and using Oak Tree PT's discount code: 10877.
$1.00 of every order from TherapyZone is donated to the "TherapyZone Foundation for Children's Fitness". The Foundation
provides fitness products and education to underserved preschools around the U.S. If you know of a non-profit day care or
childcare program that may qualify, please contact us at
Oak Tree PT.
The TherapyZone founders were the motivators behind the recently published Guidelines for Early Childhood Movement called
"Active Start" by the National Association of Sport and Physical Education (NASPE). The Guidelines state all children ages
3-5 require 1 hour of structured movement or exercise every day to fully develop their strength, balance, coordination, and
endurance. These activities can include walking and other types of structured play utilizing their muscles in repetitive patterns
in a fun, non-competitive manner. For more information on the Foundation, link to their website from
TherapyZone's home page.
THE FOLLOWING LOGOS ARE LINKS TO THOSE SITES:
voice: (410) 218-4172