Check the Workshop You Will Attend: Vestibular Assessment and Treatment Johnson City, TN - June 12, 2015 Asheville, NC - June 13, 2015 Receipts Sent Via Email - Please Print Clearly! ATTENTION: Copy as needed for each attendee or print additional forms at www.summit-education.com Pricing* EMAIL OR PHONE # REQUIRED! Name*____________________________________________________ Email*___________________________________________________________ Profession/Job Title* ______________________________________________ Organization_____________________________________________________ Easy Registration! All prices are per person EARLY $199 | Single Person $189 | 2-4 People $169 | 5+ People REGULAR $219 | Single Person $209 | 2-4 People $189 | 5+ People *Early registration must be received 14 days prior to workshop. GROUPS: Registrations and payment must be received together via fax or mail. You may also register online if payment is with a single credit card. Billing Address*___________________________________________________ Address2 _______________________________________________________ City*_____________________________State*_______ Zip*_______________ High Impact, Live Workshops for Continuing Education Concord, NC - June 14, 2015 Summit Professional Education PO Box 908 Franklin, TN 37065 EMAIL OR PHONE # REQUIRED! Phone*_____________________________________Ext._________________ (MM) (YY) (YRS) CE Renewal Date _________ / _________ License Cycle Length ____________ The Fundamentals of 1. Online: www.summit-education.com 2. Phone: (800) 433-9570 3. Fax: (615) 376-8233 4. Mail: Summit Professional Education PO Box 908 | Franklin, TN 37065 Vestibular Assessment and Treatment PRSRT STD U.S. POSTAGE PAID NASHVILLE, TN PERMIT NO. 989 Payment Required For Registration Check, credit card or company purchase order (PO#) MUST accompany this registration form. PRIORITY CODE: Price ____________ X Quantity ___________ = Total __________________ Effective Solutions for a Complex System Check enclosed, payable to Summit Professional Education PO#: __________________ VISA MC Amex Discover Cardholder’s Name: ______________________________________________ Card #:__________________________________________________________ GVESJL.0615.1 Exp. Date: _______________________ 3 Digit CSC/CVC: _________________ PLEASE RETURN ENTIRE PANEL Benefits to Attending • Strategies to integrate the three sensory systems of balance for improved outcomes •Hands-on labs for functional positional testing, motion sensitivity, gait assessment, and fall risk High Impact, Live Workshops for Continuing Education The Fundamentals of Vestibular Assessment and Treatment Effective Solutions for a Complex System Workshop Dates Johnson City, TN June 12, 2015 Asheville, NC June 13, 2015 Concord, NC June 14, 2015 Jeff I. Ladinsky, PT, DPT, MTC, CSCS, is a licensed physical therapist and has over twenty two years of clinical experience in treating vestibular and movement disorders and is certified in the LSVT BIG program to treat Parkinson’s disease and related movement disorders. Dr. Ladinsky is former Director of Rehabilitation Services at Highlands Regional Medical Center and is currently the Vestibular Team Leader at CORA Rehabilitation and Sports Medicine. Benefits to Attending • Strategies to integrate the three sensory systems of balance for improved outcomes • Functional measurement tools to identify which sensory system is affected by dysfunction • Hands-on labs for functional positional testing, motion sensitivity, gait assessment, and fall risk • Clinical assessment tools and case studies for treatment of posture, strength, ambulation, and dynamic balance • Manual therapy treatments for facilitation and inhibition • Effectively treat BPPV in two treatment sessions every time REGISTER www.summit-education.com or call 800-433-9570 •Functional measurement tools to identify which sensory system is affected by dysfunction • Clinical assessment tools and case studies for treatment of posture, strength, ambulation, and dynamic balance •Manual therapy treatments for facilitation and inhibition • Effectively treat BPPV in two treatment sessions every time Who Should Attend • PTs & PTAs • Activities Directors • OTs & OTAs • Acute Care Professionals • Rehab Directors • Nurses • Nursing Home Admins • Athletic Trainers • Assisted Living Admins REGISTER www.summit-education.com or call 800-433-9570 Workshop Dates Johnson City, TN June 12, 2015 Asheville, NC June 13, 2015 Concord, NC June 14, 2015 The Fundamentals of Vestibular Assessment and Treatment Effective Solutions for a Complex System Dates & Locations Johnson City, TN June 12, 2015 Doubletree Hotel 211 Mockingbird Ln Johnson City, TN 37604 (423) 929-2000 Asheville, NC June 13, 2015 Renaissance Asheville Hotel 31 Woodfin St Asheville, NC 28801 (828) 252-8211 Physical and occupational therapists have become key members of the evaluation and rehabilitation team for patients with motion intolerance or imbalance disorders. With approximately 90 million American adults having experienced some form of vestibular disorder, the management of these patients can be challenging but also be among the most rewarding experiences for clinicians. To effectively assess and treat these clients, therapists must have a solid understanding of the anatomy, structure and function of the vestibular system, and utilize evidencebased assessment, treatment and outcome measures in their treatment planning and documentation. Vestibular rehabilitation provides an effective alternative management strategy for patients living with movement and sensory selection impairments, and can significantly reduce the risk of problems related to balance, dizziness and falls. Through an integrated format of lecture, lab, case studies and open discussion, this workshop will provide therapists with the foundation and latest evidence to effectively evaluate and treat common vestibular disorders. Participants will acquire assessment tools to determine if dysfunction or faulty integration may exist within the vestibular, visual or somatosensory systems, along with treatment solutions to improve ADLs and quality of life for clients. This workshop is applicable to clinicians without vestibular experience while maintaining the interest and expanding the clinical skills of the more experienced vestibular rehabilitation clinician. Concord, NC June 14, 2015 Embassy Suites Charlotte - Concord/ Golf Resort & Spa 5400 John Q. Hammons Dr. NW Concord, NC 28027 (704) 455-8200 SCAN HERE QR Help? www.tinyurl.com/qrhelp About Your Program Instructor Jeff I. Ladinsky, PT, DPT, MTC, CSCS is a licensed physical therapist with over twenty two years of clinical experience in treating vestibular and movement disorders. He is certified in the LSVT BIG program to treat Parkinson’s disease and related movement disorders. Dr. Ladinsky is a Certified Clinical Instructor and Manual Therapist, and serves as a lecturer/laboratory instructor in entry level physical therapy and physical therapist assistant programs. Dr. Ladinsky is former Director of Rehabilitation Services at Highlands Regional Medical Center and is currently the Vestibular Team Leader and Worker’s Compensation Coordinator for CORA Rehabilitation and Sports Medicine. Dr. Ladinsky graduated from Stetson University with a Bachelor’s of Science degree, received his Masters of Science degree in Physical Therapy from the University of Miami and was awarded his Doctor of Physical Therapy from the University of St. Augustine. He is a member of the American Physical Therapy Association and has also been a platform presenter at the APTA National Conference. Workshop Outline Continuing Education Credit I. Occupational Therapists - Summit Professional Education is an AOTA Approved Provider of continuing education - provider #5873. This program is offered for 0.6 AOTA CEUs (6.0 contact hours). The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. GA: This workshop meets the requirements for Georgia State Board of Occupational Therapy amended rule 671-3-.08(5) and (10) Renewal of License, Penalties, Continuing Education Requirements. This workshop is offered for 6.0 hours. Primer on Balance, Dizziness, Falls »» What are Balance, Dizziness and Falls? »» Role of the Vestibular Rehabilitation Clinician II. Components of the Balance System »» Anatomy and Physiology »» Common Pathologies and Dysfunction »» Vision »» Somatosensory »» Vestibular III. BPPV Treatment Solutions »» Tests for Specific Diagnosis »» Detailed Treatment Options »» Documentation LAB R TREATMENT TREATMENT LAB IV. Vestibular Tests and Assessment Tools- Effective and Objective »» Sensory Organization Testing »» Fall Risk Assessment Testing »» Fundamental Ocular Testing »» Functional ADL Testing LABR EVALUATION LAB V. Techniques to Improve Balance and Reduce Fall Risk »» Adaptation, Habituation and Substitution Techniques »» Treatment Progressions Techniques »» Position, Speed, Duration, Frequency »» Effects of Positioning, Speed, Duration and Frequency 2. Differentiate the anatomy and physiology of the vestibular, ocular and somatosensory systems. 3. Utilize appropriate treatment techniques based on test results for BPPV. 4. Demonstrate the role of the vestibular system in postural control through objective testing. Activities Directors - This program has been approved by the National Certification Council for Activities Professionals (NCCAP) for 6.0 clock hours of continuing education, approval # NCCAP31447-15. Home Care, Rehabilitation and Other Professionals - This seminar qualifies for 6.0 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements. This continuing nursing education activity was approved by the Tennessee Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. These events contain intermediate level content. If available, bring a portable treatment/massage table for workshop labs. Please bring a standard bed pillow, bath towel (no beach towels) and wear loose-fitting, comfortable clothing for lab participation. 6. Determine appropriate therapeutic exercises and activities for the treatment of vestibular disorders. Join Our Faculty Summit Professional Education is currently seeking qualified professionals to develop and teach workshops nationally. Visit www.summit-education.com/instructor for more information. Participants must pay tuition fee, sign in, attend the entire seminar, complete an evaluation and sign out in order to receive a certificate of completion. Participants not fulfilling these requirements will not receive a certificate. Failure to sign in or out will result in forfeiture of credit for the entire workshop. No exceptions will be made. Partial credit is not available. WORKSHOP HANDBOOK Included with your registration you will receive a comprehensive manual compiled by the instructor. 5. Demonstrate proper usage of objective physical therapy assessment tools and tests for various vestibular and balance dysfunctions. REGISTRATION, CONFIRMATION & CERTIFICATES Confirmations of registration will be sent via email. A copy of your registration confirmation will serve as Athletic Trainers - Summit Professional Education is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. This program has been approved for a maximum of 6 hours of category A continuing education. Certified Athletic trainers are responsible for claiming only those hours actually spent participating in the continuing education activity. BOC Approved Provider Number: P3785. SATISFACTORY COMPLETION 1. Compare the three sensory systems that integrate to form the balance system. THE SUMMIT GUARANTEE Summit Professional Education is a national leader in high-quality educational products and services for today’s professional. Our seminars and training programs are designed to help professionals achieve improved performance and results in all areas. Our faculty is the “best of the best” in their fields of expertise, providing programs that really make a difference to participants. If for any reason you are not satisfied with the program, simply notify the registrar of your intent to withdraw from the program prior to the first morning break, turn in your workshop materials and receive a 100% refund or credit on a future program. Long-Term Care Administrators - Summit Professional Education is a Certified Sponsor of professional continuing education with the National Association of Long Term Care Administrator Boards (NAB) and has approved this program for 6.0 clock hours, approval # 1582014-6.00-13236-in. State licensure boards have final authority on the acceptance of individual courses. Nurses - 6.0 contact hours STUDIES R CASE LAB TREATMENT R TREATMENT LAB Learning Objectives Physical Therapists - GA: As per policy #7 (f) of the Continuing Competence Policy of the Georgia State Board of Physical Therapy a program approved by another state board qualifies for class I approval. This course has been reviewed and approved by the Arkansas Board of Physical Therapy, 6.0 hours. KY: Summit Professional Education is approved by the Kentucky Physical Therapy Association as a continuing education provider. 6.0 contact hours, (Class I) will be granted for course completion and the approved provider number is CS45-2008-KPTA. NC: As per North Carolina Board of Physical Therapy Examiners regulations if this seminar is approved by another state PT Board or APTA chapter it is accepted by the NCBPTE. This seminar has been approved by the Arkansas State Board of Physical Therapy, 6.0 hours. SC: The South Carolina Board of Physical Therapy Examiners has determined that a program approved by another state board qualifies as meeting state continuing education requirements. This course has been reviewed and approved by the Arkansas State Board of Physical Therapy, for 6.0 hours. TN: As per the General Rules Governing the Practice of Physical Therapy, Rule 1150-1-.12 of the Tennessee State Board of Physical Therapy, workshops attended by the licensee which have been approved for continuing education units (CEUs) by another state licensing board qualifies as course approval. This course has been approved by the Arkansas Board of Physical Therapy for 6.0 contact hours. VA: Summit Professional Education is approved by the Board of Certification, Inc. (BOC) to provide CEs for Athletic Trainers (NATA). According to rule 18VAC112-20-131 Subsection B-1.g of the Virginia Board of Physical Therapy this workshop can be offered to physical therapists and assistants for 6.0 Type I CEUs. DISCLOSURES: Guidelines exist whereby all speakers must disclose any relevant relationships. Jeff I. Ladinsky is compensated by Summit as an instructor. He has no non-financial relationships to disclose. Workshop Schedule Your instructor will break for 15 minutes in the morning and afternoon at appropriate times. 7:30am – Registration & Coffee 8:00am – Workshop Begins 11:30am - 12:30pm – Lunch On Your Own 3:30pm – Workshop Adjourns SCOPE OF PRACTICE: Workshop content is not intended for use by participants outside of the regulatory scope of practice of their license(s). You are responsible for knowing what lies within and without your professional scope of practice. Have continuing education credit questions? Please email our CE Department at [email protected] for the latest approval status. Some facilities may charge for parking, which is at your own expense. your receipt for fees paid at the time of registration. Walk-ins are welcome but must register onsite. Please notify us at least thirty (30) days in advance if you have special needs or require assistance. Certificates are mailed to the seminar location 5 business days in advance. If your certificate is not available the day of the seminar, please complete a certificate request onsite and a copy will be sent to you. Hotel locations must occasionally be adjusted. Please provide an email address and phone number to receive any important updates. attendee. If the cancellation is made within ten days or less, refunds will not be granted for any reason. A credit voucher will be issued that may be used toward a future seminar. Credit vouchers are transferable and do not expire. In cases of inclement weather where the seminar is conducted as scheduled, you may request a credit voucher toward a future seminar. If we must cancel or change the seminar for any reason, our liability is limited to the cost of tuition. If you register and do not attend, you are still responsible for payment. SUBSTITUTION & CANCELLATION POLICY Substitutions may be made at any time. Requests for cancellation must be received in writing by fax or mail ten (10) days prior to the seminar in order to receive a refund less a $20.00 administrative charge per canceled W-9: To download a copy, logon to www.summit-education.com/w-9 FEID Number: 47-1189590 800-433-9570 | www.summit-education.com
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