REGISTER BY MAIL  Check the Workshop You Will Attend:  Augusta, GA - July 11, 2014  Savannah, GA - July 12, 2014  Jacksonville, FL - July 13, 2014 Kinesiology Taping Receipts Sent Via Email - Please Print Clearly! ATTENTION: Copy as needed for each attendee or print additional forms at www.summit-education.com EMAIL OR PHONE # REQUIRED! Name*____________________________________________________ Email*___________________________________________________________ Profession/Job Title* ______________________________________________ Organization_____________________________________________________ Address2 _______________________________________________________ City*_____________________________State*_______ Zip*_______________ Easy Registration! EARLY $179 | Single Person $169 | 2-4 People $149 | 5+ People 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 REGULAR $199 | Single Person $189 | 2-4 People $169 | 5+ People Summit Professional Education PO Box 908 Franklin, TN 37065 EMAIL OR PHONE # REQUIRED! Phone*_____________________________________Ext._________________ (MM) (YY) (YRS) CE Renewal Date _________ / _________ License Cycle Length ____________ Premium Kinesiology Tape Provided! Pricing* All prices are per person *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*___________________________________________________ The Therapist’s Toolbox™ Live Workshop Series  Charleston, SC - July 25, 2014  Myrtle Beach, SC - July 26, 2014  Wilmington, NC - July 27, 2014 Kinesiology Taping, Manual Therapy & NeuroMuscular Re-Activation PRSRT STD U.S. POSTAGE PAID NASHVILLE, TN PERMIT NO. 508 Payment Required For Registration Combining Evidence-Based Approaches for Optimal Outcomes Check, credit card or PO# MUST accompany registration form. PRIORITY CODE: Price ____________ X Quantity ___________ = Total __________________  Check enclosed, payable to Summit Professional Education  PO#: __________________ (PO FORM required for registration)  VISA  MC  Amex  Discover Cardholder’s Name: ______________________________________________ Presented by Michael Blubaugh, MSPT, CPT, a twenty year veteran in the fields of sports rehabilitation, outpatient orthopedics, lymphology, and sports performance training. He received his Manual Therapy Certification from the University of St. Augustine, is a certified ACE personal trainer, and an IGNITE360 certified performance trainer. Card #:__________________________________________________________ Exp. Date: _______________________ 3 Digit CSC/CVC: _________________ PTAPMB.0714.1 PLEASE RETURN ENTIRE PANEL Benefits to Attending Workshop Dates Premium Kinesiology Tape Provided! • Review evidence-based treatments and effective methodology that result in improved functional outcomes The Therapist’s Toolbox™ Live Workshop Series Kinesiology Taping, Manual Therapy & NeuroMuscular Re-Activation Combining Evidence-Based Approaches for Optimal Outcomes Workshop Dates Augusta, GA July 11, 2014 Savannah, GA July 12, 2014 Jacksonville, FL July 13, 2014 Charleston, SC July 25, 2014 Myrtle Beach, SC July 26, 2014 Presented by Michael Blubaugh, MSPT, CPT, a twenty year veteran in the fields of sports rehabilitation, outpatient orthopedics, lymphology, and sports performance training. He received his Manual Therapy Certification from the University of St. Augustine, is a certified ACE personal trainer, and an IGNITE360 certified performance trainer. Benefits to Attending • Gain skills to supplement and support kinesiology taping strategies with manual therapy and neuro-muscular re-activation techniques • Review evidence-based treatments and effective methodology that result in improved functional outcomes • Practice with hands-on labs for upper and lower quadrants • Learn about documentation methods to accurately justify treatment and patient progress Wilmington, NC July 27, 2014  800-433-9570 l Online at www.summit-education.com • Examine and master methods that test, treat, and retest to modify modalities to achieve optimal outcomes • Gain skills to supplement and support kinesiology taping strategies with manual therapy and neuro-muscular re-activation techniques Augusta, GA July 11, 2014 Savannah, GA • Practice with hands-on labs for upper and lower quadrants July 12, 2014 • Learn about documentation methods to accurately justify treatment and patient progress Jacksonville, FL • Examine and master methods that test, treat, and retest to modify modalities to achieve optimal outcomes PTs & PTAs OTs & OTAs Athletic Trainers Strength & Conditioning Coaches Athletic Performance Trainers REGISTER SCAN HERE QR Help? www.tinyurl.com/qrhelp Charleston, SC July 25, 2014 Who Should Attend ;; ;; ;; ;; ;; July 13, 2014 ;; ;; ;; ;; Personal Trainers Certified Hand Therapists Kinesiotherapists Massage Therapists www.summit-education.com or call 800-433-9570 Myrtle Beach, SC July 26, 2014 Wilmington, NC July 27, 2014 Kinesiology Taping, Manual Therapy & NeuroMuscular Re-Activation Dates & Locations Augusta, GA July 11, 2014 Doubletree Hotel 2651 Perimeter Pkwy Augusta, GA 30909 (706) 855-8100 Savannah, GA July 12, 2014 Hilton Garden Inn Midtown 5711 Abercorn Street Savannah, GA 31405 (912) 652-9300 Jacksonville, FL July 13, 2014 Hilton Garden Inn Airport 13503 Ranch Rd Jacksonville, FL 32218 (904) 421-2700 Charleston, SC July 25, 2014 Courtyard Charleston Waterfront 35 Lockwood Drive Charleston, SC 29401 (843) 722-7229 Myrtle Beach, SC July 26, 2014 Sheraton Myrtle Beach Convention Center Hotel 2101 North Oak Street Myrtle Beach, SC 29577 (843) 918-5000 With a hands-on format, this workshop will empower you to bridge the gap between having the tools and applying them in effective combinations to make a difference in a patient’s life while improving outcomes and management of complex clinical pathologies and dysfunctions. Using interactive case-studies, this lab-intensive workshop will guide you through effective treatment strategies using a combination of manual therapy, therapeutic taping, and neuromuscular reactivation techniques that can be used on orthopedic, geriatric, neurological, and sports medicine patients. This one-day workshop focuses on the most effective taping and proper billing practices to ensure that you are not only able to achieve superior clinical outcomes with your patients but are also able to receive full reimbursement for the services rendered. A test-treat-retest methodology is practiced so that immediate effects of treatments can be modified as needed for optimal effectiveness, and after completing the workshop, you will be able to immediately implement the strategies you learned for immediate positive outcomes. About Your Program Instructor With more than 20 years in the fields of sports rehabilitation, outpatient orthopedics, lymphology, and sports performance training, Michael Blubaugh, MSPT, CPT is a highly experienced manual physical therapist, rehab clinician and performance trainer. Mr. Blubaugh serves on the advisory boards of Imitative Learning Systems, Well Spring Medical and Concord Physical Therapy and has taught more than 100 workshops across the U.S. He is coowner of Right Ready Sports Performance and Conditioning, which trains and rehabilitates athletes of all age groups across a wide variety of sports. Mr. Blubaugh received advanced training and specialization in manual therapy and massage therapy from the University of St. Augustine and is an Embelx nationally certified massage therapist, a certified lymphatic therapist and has extensive experience in the field of edema management and lymphoma. In addition to being a certified ACE personal trainer, a youth speed and agility training specialist with the International Youth Conditioning Association and a certified Ignition360 trainer through the IMG Sports Performance Academies, Mr. Blubaugh earned a BS in science education as well as a MS in physical therapy from the University of Kansas. Learning Objectives 1. Display competency of manual therapy treatments of common impairments of upper, lower quadrant and spinal column. 2. Distinguish which brands of tape would be most appropriate for certain populations. 3. List indications and contraindications to therapeutic taping. 4. Demonstrate competency of the use of kinesiology taping treatments of common impairments in upper, lower quadrant and spinal column. 5. Explain why combined manual therapy, therapeutic taping and neuro-muscular reactivation results in superior clinical functional outcomes. 6. Describe how neuro-muscular reactivation techniques differ from traditional therapeutic exercises used in the rehabilitation process. 7. Utilize correct billing procedures for accurate reimbursement of taping modalities. 8. Implement manual therapy, taping strategies and muscle reactivation techniques that can be used the next clinical day to provide superior pain management and improved functional outcomes. Wilmington, NC July 27, 2014 Courtyard by Marriott 151 Van Campen Blvd Wilmington, NC 28403 (910) 395-8224 Workshop Outline Continuing Education Credit I. The Combined Use of Manual Therapy, Therapeutic Taping and Muscle Reactivation. »» Evolution of taping »» Different brands of tape: Which work best for whom »» Why combined treatment methods are superior to traditional methods »» Evidence supporting the use of taping »» Evidence supporting the use of manual therapy »» Taping for edema including ankle, hand edema/arm »» Use of taping for scars and fascia restrictions »» How using manual therapy and taping creates improved pain management and improved functional outcomes. Occupational Therapists - Summit Professional Education is an AOTA Approved Provider of continuing education - provider #5873. This course 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. FL: Summit Professional Education is approved by the Florida Board of Occupational Therapy Practice as a continuing education provider - #50-8381, 6.0 hours. GA: This seminar 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 seminar is offered for 6.0 hours. II. Detecting Dysfunctions in the Kinetic Chain »» Movement screening »» How to detect warning signs of dysfunction »» Why detection and prevention of pain and dysfunctions are more important than treatment after the fact. »» Why pain is not necessarily a good indicator of dysfunction III. Ankle/Knee/Hip »» Anatomy and mechanics »» Evaluation and treatment: Live case study »» Positional muscle testing and muscle reactivation of the lower extremity »» Taping for Achilles tendonitis, plantar fasciitis, dropped foot, sprained ankle »» Taping for common hip dysfunctions including total knee and total hip. »» Taping for knee instability »» Taping for patella-femoral pain »» Reactivation techniques for achieving terminal knee extension »» Neuro-taping for gait dysfunctions IV. Shoulder Complex »» Anatomy and mechanics: The four joints of the shoulder »» Evaluation and treatment of the shoulder complex »» Assessment of the shoulder and mobilization of the four joints »» Common dysfunctions of the shoulder and how to treat them »» Manual therapy for keystone dysfunctions »» Taping corrections for common shoulder dysfunctions associated with rotator cuff pain and faulty shoulder mechanics »» Taping for shoulder subluxations »» Neuromuscular reactivation for shoulder positional weakness »» Manual therapy, taping and muscle re-activation for postural dysfunction V. Postural Assessment and Taping: »» Evaluation and treatment: Live case study »» Taping for forward head and rounded shoulder posture »» Postural bracing using kinesiology taping R EXTENSIVE LABS : With taping, exercise, and manual treatment techniques. Premium Kinesiology Tape Provided! Bring a pillow, pair of scissors and towel. Dress comfortably; appropriate for lab (shorts and loose - fitting top or tank top) so that skin can be exposed. We will be practicing treatment as well as practicing with kinesiology tape. 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. REGISTRATION, CONFIRMATION & CERTIFICATES Confirmations of registration will be sent via email. A copy of your registration confirmation will serve as Workshop Schedule Your instructor will break for 15 minutes in the morning and afternoon at appropriate times. 7:30am – Registration & Breakfast 8:00am – Workshop Begins 11:30am - 12:30pm – Lunch On Your Own 3:30pm – Workshop Adjourns 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: 20-2064736 Physical Therapists - FL: This course has been approved by the Florida Physical Therapy Association for 7.0 CEH, approval #CE140422631. 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. 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. 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 6.0 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. FL: Summit Professional Education is approved by the Florida Board of Athletic Trainers as a continuing education provider - #50-8381, 6.0 hours. Hand Therapists - This course offers 4.0 contact hours of Category A, Formal Courses in Upper Quarter Therapy and 2.0 contact hours each of Category C, Formal Courses with General OT or PT Content, hand therapy education. Kinesiotherapists - This course has been approved by the Continuing Competency Board for Kinesiotherapy as meeting the professional development requirements of the Council on Professional Standards for Kinesiotherapy (COPS-KT), 6.0 contact hours (0.6 CEUs). Massage Therapists - Summit Professional Education is approved by the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) as a continuing education Approved Provider, Provider Organization #152. This course is offered for 6.0 contact (CE) hours. 100% attendance is required for a certificate of completion to be issued, no variable credit is given. State licensure boards have final authority on the acceptance of individual courses. FL: Summit Professional Education is approved by the Florida Board of Massage Therapy as a continuing education provider - #50-8381, 6.0 hours. Strength and Conditioning Coaches – This course has been approved by the National Strength and Conditioning Association Certification Commission for Certified Strength and Conditioning Specialist (NSCA-CSCS) for 0.6 CEU or 6.0 contact hours of continuing education, provider #I1059. Personal Trainers - This course has been approved by the National Strength and Conditioning Association Certification Commission for Certified Personal Trainer (NSCA-CPT) for 0.6 CEU or 6.0 contact hours of continuing education, provider #I1059. 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 event contains intermediate level content. SATISFACTORY COMPLETION 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. DISCLOSURES: Guidelines exist whereby all speakers must disclose any relevant relationships. Michael Blubaugh is compensated by Summit as an instructor. He has no non-financial relationships to disclose. Have continuing education credit questions? Please email our CE Department at [email protected] for the latest approval status. 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. 800-433-9570 | www.summit-education.com