2018 Fall Conference

Friday, November 2, 2018 – 8:30 a.m. to 5:30 p.m.  (7.5 Contact Hours)
Saturday, November 3, 2018 – 8:30 a.m. to 5:30 p.m.   (7.5 Contact Hours)
Sunday, November 4, 2018, 8:30 a.m. to 3:00 p.m.   (5.5 Contact Hours)

If you have any questions about registration, please contact us at (800) 554-5569 or by email at info@hapta.org.


EARLY BIRD RATES – Until July 3   | REGULAR RATES – July 1 to October 26
Member Type One-Day Course Three-Day Course   |   One-Day Course Three-Day Course
PTs – APTA Member $225 $595   | $325 $695
PTAs – APTA Member $180 $475   | $280 $575
OTs – APTA Member $225 $595   | $325 $695
OTAs – APTA Member $180 $475   | $280 $575
Non-Members $315 $835   | $415 $935

Integrating Cardiopulmonary and Postural Control Strategies in the Pediatric and Adult Populations

1-day, Friday only  =  7.5 hours
3-days, Friday, Saturday, Sunday  =  20.5 hours

PTs, PTAs, OTs and OTAs

This course will challenge the practitioner to make a paradigm shift: connecting breathing mechanics and postural control with management of trunk pressures. Through her model of postural control (Soda Pop Can Model), the speaker will link breathing mechanics with motor and physiologic behaviors (a multi-system perspective). She will present novel research demonstrating the role of vocal folds as postural stabilizers, extending the concept of “core stability” from the vocal folds on the top of the trunk to the pelvic floor on the bottom.  Numerous interventions will be presented that use positioning and ventilatory strategies to optimize motor performance. Neuromotor breathing retraining techniques and manual assistive cough techniques will be the focus of treatment labs. Multiple patient cases will be presented throughout the course. The emphasis of the course will be on developing practical, quick clinical solutions for pediatric and adult patients in all practice settings.

Friday – DAY ONE
8:00  |  Registration opens
8:30 – 10:30  |  LECTURE   Breathing and posture: Part 1 – Pressure control (Soda Pop Model)
10:30 – 10:45  |  Morning break
10:45 – 12:00  |  LECTURE   Breathing and posture: Part 2 – The diaphragm
12:00 – 1:00  |  Lunch on your own
1:00 – 2:00  | LECTURE Breathing and posture: Part 3 – The vocal folds
2:30 – 2:45  |  Afternoon break
2:45 – 4:00  |  MINI LAB  Positioning strategies: What can you do in 90 seconds or less that has a profound and lasting effect?
4:00 – 5:30  |  MINI LAB  Ventilatory or movement strategies: Integrating neuromuscular, musculoskeletal, respiratory and sensory systems
5:30  |  Course concludes for the day

Saturday – DAY TWO
8:00  |  Registration opens
8:30 – 10:00  |  LECTURE/DEMONSTRATION  Chest assessment:  Focus on musculoskeletal alignment and breathing patterns
10:00 – 10:15  |  Morning break
10:15 – 12:00  |  LAB  Assessing breathing patterns and postural implications
12:00 – 1:00  |  Lunch on your own
1:00 – 1:30  | LAB  Chest assessment (continued)
1:30 – 2:30  | LAB  Facilitating efficient breathing patterns and endurance training: Neuromotor techniques for diaphragm, chest and other breathing patterns
2:30 – 2:45  |  Afternoon break
2:45 – 4:45  |  LAB  Facilitating breathing patterns (continued)
4:45 – 5:30  |  PATIENT DEMONSTRATION  If possible
5:30  |  Course concludes for the day

Sunday – DAY THREE
8:00  |  Registration opens
8:30 – 9:30  |  LECTURE/DISCUSSION Recap patient demo using “Find the Problem” Chart
9:30 – 10:15  |  LECTURE  Airway clearance: From Sherlock to solution
10:15 – 10:30  |  Morning break
10:30 – 12:00  |  LAB  Airway clearance: Focus on manual assistive cough techniques
12:00 – 1:30  |  HAPTA Chapter Meeting (lunch provided)
1:30 – 2:15  | MINI-LAB  Brief introduction to musculoskeletal restrictions of thoracic spine / rib cage that impair breathing mechanics (or vice versa)
2:15 – 3:15  | LAB  Enhancing breath support for phonation
3:15 – 3:30  |  Afternoon break
3:30 – 4:00  |  LAB  Group problem solving: Putting it all together
4:00  |  Course concludes

At the conclusion of Day 1, participants should be able to:

  1. Describe how trunk pressures link breathing and postural control using the Soda Pop Can Model.
  2. Describe the multiple, simultaneous roles of the diaphragm as related to breathing, postural control, gastroesophageal reflux, constipation, and venous return.
  3. Demonstrate the role of the vocal folds in normal postural stability responses (balance) and make the case for using speaking valves for patients with tracheostomies.
  4. Contrast normal infant chest wall development to those with impaired breathing mechanics.
  5. Position patients for optimal physiological and biomechanical support of breathing with simple equipment (towels, pillows, etc.).
  6. Use a ventilatory strategy algorithm presented in class to optimally match breathing with movements from bed mobility to athletic endeavors.

At the conclusion of Days 2-3, participants should be able to:

  1. Perform a multi-system (physical and physiologic) evaluation of motor impairments.
  2. Identify the variations of “normal” breathing patterns and discuss the efficiencies/inefficiencies for individual patient conditions.
  3. Evaluate need for, and demonstrate, appropriate neuromotor retraining techniques for patients with ineffective breathing/postural control strategies (health or participation deficits).
  4. Participate in a live patient demonstration (if a patient is available) and suggest possible evaluation and treatment ideas based on the course material.
  5. Design a targeted airway clearance program using the principles of mobilization, expectoration and oral management.
  6. Demonstrate airway clearance techniques, with a heavy emphasis on manual assistive cough techniques, and apply an airway clearance algorithm to specific patients.
  7. Identify thoracic cage/spine restrictions as they pertain to breathing mechanics and postural control (a very brief introduction musculoskeletal issues).
  8. Evaluate need for, and demonstrate, neuromotor retraining techniques to improve breath support for voicing.
  9. Suggest means for incorporating the course material into therapy activities in your clinical setting immediately.

Dr. Mary Massery received her BS in Physical Therapy from Northwestern University in 1977, her DPT from the University of the Pacific in 2004 and her DSc from Rocky Mountain University in 2011. Her publications and interests focus on linking motor behaviors to breathing and/or postural mechanics in both pediatric and adult patient populations.

HAPTA Conf Page Headshot

Dr. Massery has been invited to give over 900 professional presentations in 50 US states, 9 Canadian provinces, and 15 countries worldwide, including more than 100 presentations for the American Physical Therapy Association, and a full-day post-conference program at the World Congress of Physical Therapy in Singapore. Mary has delivered keynote and major addresses on topics such as cystic fibrosis and posture, neuropulmonary deficits, pectus excavatum (chest deformities), and connections between posture and breathing.

Dr. Massery has received national awards from the APTA, including its highest clinical award, The Florence Kendall Practice Award, honoring “one’s outstanding and enduring contributions to the practice of physical therapy.” She has been honored as Outstanding Alumnus of the Year by each of her three alma maters. And in 2016, she was awarded Northwestern University’s Alumnae Research Achievement Award. Dr. Massery continues to maintain a private practice in Chicago, specializing in breathing and postural dysfunction.

Shriner’s Hospital For Children
1310 Punahou St
Honolulu, HI 96826
(808) 941-4466

Please note, parking at Shriner’s on Friday of the course will be extremely limited as the hospital will be open for business and parking is reserved for patients. We suggest you plan to park offsite for Friday. There may be parking available across the street at the Kapiolani Medical Center or at other parking lots and garages nearby. There will be free parking available at Shriner’s on Saturday and Sunday.

Unfortunately, HAPTA will not have a group rate at any local hotels for this course. However, there are a lot of hotel options available on the island especially in the Waikiki area which is 1-3 miles away and a 10-20 minute drive from the Hospital, depending on traffic.

All APTA members are eligible for discounted member rates, regardless of chapter membership. You must be a member in good standing as of the date of the conference to be eligible for all member rates. Registrants who have a membership expiration date prior to the conference must provide proof of membership before the conference begins or they will be subject to paying the nonmember rate. New APTA members who do not yet have a member number must submit a copy of their membership application form or emailed confirmation to receive the member rate. OTs  and OTAs may register for courses at the member rate only if proof of AOTA membership accompanies their registration form or is received via email to info@hapta.org prior to the conference OTs and OTAs who do not provide proof of membership prior to the conference will be subject to paying the nonmember rate.

To cancel, email HAPTA at info@hapta.org or call (800) 554-5569 x13. Cancellations received by October 4, 2018  will receive a full refund minus a $25 cancellation fee. Cancellations received between October 5 and October 26, 2018 will receive a 50% refund. There will be no refunds after October 26, 2018. Unless there is a waiting list for the course, substitutions will be accepted at no charge until October 26, 2018. All substitutions must be for the same member type and rate and are at the discretion of HAPTA staff. No substitutions will be accepted after October 26, 2018 or if the course has a waiting list.

In the unlikely event that HAPTA must cancel this conference, HAPTA will provide a refund of registrations fees. HAPTA will not be responsible for additional costs, such as travel incurred by registrants.

The 2018 HAPTA Fall Conference course is sponsored by HAPTA. Pursuant to HRS section 461J-10.13, physical therapist continuing competence units must be obtained from a provider or agency approved by the Hawaii Board of Physical Therapy. The Hawaii Chapter of the American Physical Therapy (“HAPTA”) is a board-approved provider of continuing competence units and certifies that this course is applicable to the physical therapy scope of practice in the state of Hawaii. PTs and PTAs from other states who wish to attend this course must contact their licensing board to determine if the course meets the continuing competence rules and guidelines for their state and/or licensing board. OTs and OTAS from any state who wish to attend this course must contact their licensing board to determine if the course meets the continuing competence rules and guidelines for their state and/or licensing board.

If you have any questions about this conference, please contact Nicole Kinney, HAPTA Executive Director, at nicole@hapta.org or (800) 554-5569 x13.

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