Jim Meadows, BScPT, MCPA, FCAMT [bio]
Title: Reflex Activation of Multifidous and Other Segmental Stabilizers: An Alternative to the Slog Current Methods
Description: There are conflicting ideas regarding the use of clinical objective testing which range from vertebral artery insufficiency, perceived danger involved, to the lack of validity of the tests. This presentation will summarize the research literature about the subject, and propose how the testing can be made less risky a different approach to the interpretation of the test results that will make positive results unambiguous that is improve the specificity of the tests to almost 100%.

Erl Pettman, PT, MCSP, MCPA, FCAMT [bio]
Title: The Dynamic Pelvis: A proposed model of normal biomechanics and pathomechanics of the sacro-iliac joints

	Steve Allen, PT, OCS, COMT, FAAOMPT [bio] Title: Shoulder Examination for Instability: Evidenced Based Examination and Treatment Description: This session reviews an evidenced based examination for shoulder instability and incorporates a multidirectional model of joint and neuromuscular mobilization to maximize functional recovery with emphasis in the overhead athlete.
	Kathy Berglund, PT, MA, ATC, OCS, FAAOMPT [bio] Title: Functional Approach to Motor Control Rehabilitation of the Lumbopelvic Complex Description: Much information has been published regarding the need to re-establish motor control versus just strength following injury to the low back.  For clinics where the use of real time ultrasound is not feasible, alternative protocols for evaluation and proper sequencing of rehabilitative activities would be extremely helpful.  This short course will provide the student with inexpensive ways to assess motor control of both the lumbar spine and hip girdle.  Sequenced protocols for beginning, intermediate and advanced motor control activities will be presented. The final goal of the rehab process is for the patient to participate in a unique and original 20-30 minute program 3-4 days a week.  This program was developed based on the principles of motor control found in the literature and has been successfully implemented with chronic pain patients.  It represents a more stimulating and "fun" way to approach the rehab process and helps to increase patient compliance.
	Ken Cole, PT, COMT, FAAOMPT and Mark Looper, PT, MS, COMT, FAAOMPT [bio] Title: Hidden Link of Spondylolisthesis Description: We will discuss the current controversy of imaging, causes or proposed links to facilitated weakness, identification of weakness, outline of treatment goals, segmental core activation specific for this group, how to link segmental core to global core from early treatment and linking ankle to foot to more advanced stages.
	Bruce A. Franke Jr., PT, MSc, OCS, MTC, FAAOMPT Title: The Lumbar-Pelvic-Hip Region: Patterns of Impairments Based on Retrospective Case Reviews Description: A retrospective record review was conducted for fifty patients with chronic lumbopelvic pain.  Patients were examined to identify the underlying pathomechanics and motor system impairments and were provided a multimodal treatment to address these impairments.  Study finding indicate that patients with chronic lumbopelvic pain demonstrate a predictable pattern of impairment including: 1) pelvic unlocking predominant on the right side with altered functional movement patterns and functional frontal plane asymmetries; 2) hip PROM imbalance on side of unlocking; 3) muscle inhibition/weakness of pelvic floor, lower abdominals, transverse abdominus, hip extensors, abductors and lateral rotators on side of unlocking; 4) trunk AROM limited in back bending, contralateral side bending and ipsilateral seated rotation relative to side of unlocking; and 5) painful pelvic and/or lumbar provocation tests. The results demonstrate that patients' symptoms resolved and they avoided recurrence.  While the study does not confirm causal relationships, it provides preliminary evidence that the mechanisms and subsequent treatment are positively associated with long-term outcomes for persistent lumboplevic pain.This presentation will train participants to identify and treat these underlying impairments associated with chronic lumbopelvic pain.
	Kent Keyser, MS, PT, OCS, COMT, ATC, FFCFMT, FAAOMPT [bio] Title: Thoracolumbar Syndrome Description: Junctional areas can present with confounding elements for spine and peripheral pain complaints and yet they are often forgotten or under trained. The Thoracolumbar junction is just one of those areas, even in light of the classic work of Robert Maigne MD.  Case studies of this important but often minimally covered junction will be presented to highlight integrated evaluation/treatment strategies. Eclectic interventions allow for all therapists to care for their particular client base.
	Rajesh Khemraj, PT, COMT, FAAOMPT Title: The Sharp-Purser Test: Reckless and Dangerous or a Upper Cervical Necessity  Description: The Sharp-Purser test has been considered to be a dangerous "clunking" test of the craniovertebral region.  It also has been advocated to be the standard for testing instability of advanced rheumatoid patients.  There appears to be a lack of understanding of the mechanics and physiology of the craniovertebral region that deems the test to be dangerous.  The purpose of this class is to discuss the most current literature regarding this region and demonstrate sound testing of the craniovertebral region to effectively detect instability of the atlantoaxial joint.      The development of multiple versions and interpretations of the test has developed misunderstanding of a valuable test present in manual therapy.  With skill and techniques increasing in the world of manual therapy treatment of the craniovertebral region, the Sharp-Purser should be a standard test for instability when treating this area.   This test could decrease potential risk present when treating this region.
	Michael Lucido, PT, OCS, COMT [bio] Manual Therapist Role in the Management of Cervical Vertigo  Dizziness is a common and disabling condition that effects hundreds of thousands of people especially individuals over the age of 65 (College et al 1996). The condition has several etiologies with one being dysfunction of the upper cervical spine. This presentation looks at our role in the team approach to the managing these very difficult patients including lab time for practical experience.
	Laurie McLaughlin, PT, DSc, FCAMT, CMAG [bio] Title: Altered Breathing - Part of the Problem in Persistent Pain? Description: Breathing has both reflex and higher centre control. Pain, stress and fear are known ventilatory stimulants and are examples of unconscious higher centre input leading to altered breathing. Altering breathing impacts on respiratory chemistry, reducing CO2 levels (hypocapnia). Hypocapnia causes an increase in pH (alkaline) of bodily fluids, including blood, cerebrospinal and extracellular fluid.  This is important for our understanding of persistent pain and stress states because increased pH of body fluids is associated with a cascade of physiological events, some of which could have profound effects on the hardware of the nociception/pain systems. For example, increased pH leads to smooth muscle activation, including vascular smooth muscle. The effects induced by pH changes are not trivial - blood flow to the brain can decrease by 50%.  There are other known physiological effects of hypocapnia - sympathetic and hormonal regions of the brain are stimulated, tissue oxygenation is diminished, leading to increased cellular excitability. This workshop will present the theoretical argument that respiratory manifestations of pain and stress can contribute to chronicity, and then present an approach to clinical evaluation and management of hypocapnia including current evidence of its effects.
	Gail Molloy, PT, OCS, COMT & Fred Stoot, BMR, PT, FCAMT [bio] Title: Lower Extremity Pain in the Running Athletes Description: This course will offer a unique perspective on why athletes have persistent pain in the hip, pelvic girdle, knee or foot by evaluating the limb loading response, the unrestrained passive ligamentous compensation, the neurophysiological influence of the sensory aspects of the foot to stability as well as the pathomechanics of lower extremity during running. Clinical reasoning will, based on the sciences of anatomy and biomechanics, research evidence of pathological breakdown and research science of neurophysiologic sensory relationships to motor control.
	Kathy Stupansky, PT, DSc, OCS, FAAOMPT [bio] Title: Manual Therapy for the Aging Population with Multiple Dysfunctions and Co-Morbidities:  Cases with Lumbar stenosis, OA Knee and Parkinson's Disease Description: The Aging population has become a large part of many outpatient orthopedic physical therapy practices.  Manual therapy can be helpful in many of the common conditions that this group encounters.  This session addresses signs and symptoms of lateral stenosis of the lumbar spine, osteoarthritis of the knee and early Parkinson's Disease.  Various manual therapy techniques will be shown to help improve function with these pt types.
	Bill Temes, PT, MS, OCS, COMT, FAAOMPT [bio] Title: Utilizing Real Time Technology in Manual Therapy - Diagnosis and Treatment Description: The utilization of Real Time Ultrasound and Real Time Cineradiography is being introduced in manual physical therapy practice as a means of identifying kinematic and kinetic function/dysfunction of the spine and extremities.  This program will give a historical, current and futuristic perspective on the utilization of this equipment and provide case study demonstrations that draw from the clinical experience of the presenter with its use during the past several years.

Laurie McLaughlin, PT, DSc, FCAMT, CMAG [bio]
Title: Manips for Chicks
Description: The idea for this course came from years of watching candidates come through the manual therapy exams attempting to do manipulations while they were at an ergonomic disadvantage. Many of the manipulation courses are taught by big men who can accomplish these techniques with ease however not all manipulators are their size. As someone who is smaller in stature, I had to modify many manipulation techniques to be able to perform them in a manner that was safe not only for the patient but for me as well. This course will emphasize hands on practice of ‘ergonomically efficient’ spinal manipulation. Participants should have had some instruction in manipulation prior to taking this course.
Contact Hours: 14

Kathy Stupansky, PT, DSc, OCS, FAAOMPT [bio] & Gail Molloy, PT, OCS, COMT [bio]
Title: Extremity Manipulation
Description: This course focuses on the indications, contraindications, and techniques for high velocity, low amplitude (HVLAT) manipulation techniques applied to the peripheral joints.
Contact Hours: 16

Jim Meadows, MScPT, MCPA, FCAMT [bio]
Title: Less is More: Minimal Information in Clinical Reasoning
Description: Over the last few decades cognitive research has shown that when making complex decisions involving multiple variables the more information that is considered the less reliable are the consequences of decision-making.  While this may be counter-intuitive it is nonetheless seemingly true. In the clinic the “expert” has generally made an accurate diagnosis within a few minutes of the patient walking into the room while the neophyte requires 30-60 and as much information as possible to make an inaccurate diagnosis. This course will use case scenarios, simulated and real patients to practice using heuristics, essential illness scripts, hypothetic-deductive reasoning and other tools scientific tools in a practical manner to help the non-expert to use heuristics and other modern tools of clinical reasoning to improve their diagnoses and use the saved time to determine reveal hidden etiologies and generate and implement rational treatment plans.
Contact Hours: 8

Kent Keyser, MS, PT, OCS, COMT, ATC, FFCFMT, FAAOMPT [bio]
Title: Integrating Function: The Foam Roller Approach
Description: This one-day roller course provides participants with a whole body approach to neuromusculoskeletal evaluation and treatment. The main objective of the course is to facilitate your ability to see dysfunctions in both static and dynamic planes. Correlating functional and structural causes will be addressed via movement lessons on the rollers and interspersed with detailed anatomical lectures. Structured lab time, both with and without ethafoam rollers, will enable you to observe, evaluate, and experience efficient/inefficient movement strategies.

The main focus of the course will be directed at the spine and trunk. Part of the day will utilize multiple and various shaped rollers for (refined) comprehensive functional evaluation and treatment of extremity dysfunctions. 
Contact Hours: 8

Symposium
Early Registration (July 13th to September 1st) - $325
Regular Registration (September 2nd to October 14th) - $375
Late Registration (October 14th to November 6th) - $425

PT Student* Rate (until October 14th) note: space is limited - $199
NAIOMT Fellowship Student** (until October 14th) note: space is limited - $250
NAIOMT Level IV/COMT Certified (until October 14th) note: space is limited - $250

NAIOMT Faculty - Complementary

Pre-Symposium Courses - $450
Extremity Manipulation
Manips for Chicks

Post-Symposium - $225
Integrating Function - The Foam Roller Approach
Less is More: Minimal Information in Clinical Reasoning

*PT Students are students currently enrolled in pre-professional PT programs
(an unofficial transcript is required - please fax to: 888-257-0199)
**Active NAIOMT Fellowship Student

NAIOMT reserved a limited block of rooms at the Crowne Plaza Suites Dallas Park Central. Rooms are $89 per night (taxes and fees not included).

Our room block is limited so please make your reservations immediately.

To reserve a room in our block you can call and mention “NAI” or click the link below and go directly to the hotel reservation site to reserve your room at our special rate!

Crowne Plaza Suites Dallas Park Central
7800 Alpha Road
Dallas, TX 75240
Ph: 1-800-228-2800

Reservation website:
http://www.cpdallas.com