New Directions for Understanding Whiplash- Have We Been Driving in the Wrong Lane? & Evidence-Based Solutions for Improving Cervical Spine Health and Function

Sponsored by:

www.ric.org/education

Feb 28 & March1, 2013 March 2-3, 2013 Rehabilitation Institute of Chicago 345 East Superior Street Chicago, IL 60611

Department of Physical Medicine & Rehabilitation

New Directions for Understanding Whiplash- Have We Been Driving in the Wrong Lane? Evidence-Based Solutions for Improving Cervical Spine Health and Function THE BEST REHABILITATION HOSPITAL… MEANS THE BEST REHABILITATION EDUCATION.

The Rehabilitation Institute of Chicago (RIC) is ranked the “Best Rehabilitation Hospital in

America,” in part because it fully integrates research, clinical care, and education through the

Continuing Education (CE) programs offered by the RIC Academy.

The RIC Academy CE programs help you keep abreast of changes in your field. The curriculum

is grounded in evidence-based practice when appropriate as well as based on the collective

clinical experience of our staff. RIC Academy courses are taught by interdisciplinary teams of

recognized specialists from RIC and visiting experts from across the country and around the

world.

One of the top Physical Therapy & Human Movement Sciences programs in the country known for its superb professional and post-professional education and federally funded research programs...

Ranked among the top 10 U.S. physical therapy schools by U.S. News & World since its

inception and the number 2 PT department in the US in NIH research funding, NU-PTHMS has

garnered a global reputation for:

Excellence in training the next generation of leaders in physical therapy practice and

research through our professional and post-professional education programs.

Training new researchers in the field of movement and rehabilitation sciences (MRS).

Development and implementation of technology-supported therapeutic interventions.

Advances in rehabilitation science including the quantification of movement disorders

and clinical outcomes.

COURSE DESCRIPTION New Directions for Understanding Whiplash- Have We Been Driving in the Wrong Lane?

It is necessary to gain an insight into the mechanisms underlying the pain, physical and

psychological impairments for the differential diagnosis and appropriate management of a

patient’s neck pain and disability following whiplash injury. This course will present the

research findings from the Neuromuscular Imaging Research Laboratory at Northwestern

University, Department of Physical Therapy and Human Movement Sciences and the new

directions that are emanating from recent and ongoing basic science and clinical research efforts.

This research is looking into the assessment, accurate sub-group classification and management

of patients with neck pain; key areas being the mechanistic basis for pain, physical and

psychological impairment in the musculoskeletal system in cases of traumatic whiplash. Several

measurements have been developed towards quantifying/classifying impairments in the pain,

sensory-motor, postural control and sympathetic nervous systems as well as psychosocial

features of neck-related disorders. The course will also explore innovative management options

for mediating the expression of pain in both whiplash and other common neuromusculoskeletal

conditions. COURSE DESCRIPTION Evidence-Based Solutions for Improving Cervical Spine Health and Function

This two day course will provide participants with the latest multidisciplinary research into

cervical spine disorders emanating from a distinguished international panel of basic science and

clinician researchers. The emphasis in this course is placed on the application of translational

research to leading edge clinical practice. The format will consist of lectures, panel discussions

and question and answer. Specific topics include subgrouping patients with neck pain,

measuring the experience of pain, and psychosocial factors, exercise prescription and medical

management in neck pain.

WHO SHOULD ATTEND

Physical Therapists, Physical Therapist Assistants, Physiatrists, Orthopedic/Neurological

Surgeons, Family Practice/Internists, Emergency Medicine Physicians, Physician Assistants,

Residents, Occupational Therapists, Occupational Therapy Assistants, Athletic Trainers,

Nurses, Chiropractors, and individuals treating or researching cervical spine pain. COURSE OBJECTIVES

Upon completion of the New Directions for Understanding Whiplash course, participants will be

able to:

Provide an overview of soft tissue injury associated with whiplash-associated disorder

Characterize the primary prognostic and diagnostic factors related to Whiplash Associated

Disorders (WAD)

Identify the primary clinical and radiographic findings that determine best management

decisions for WAD

Integrate current best evidence into effective assessment, sub-group classification and

management of the patient with acute and chronic WAD as well as other frequently

encountered neuromusculoskeletal conditions.

Upon completion of the Evidence-Based Solutions for Improving Cervical Spine Health and

Function course, participants will be able to:

Discuss the relevant biomechanics of the cervical spine in injury prevention and mechanisms

underlying the genesis and maintenance of pain. Review risk factors that could influence the maintenance and recurrence of neck pain. Devise an informed assessment, characterization and subsequent management

strategy for the patient with neck pain.

Integrate the influence of health care services and the economic impact of multidisciplinary

services for the patient with neck pain.

Discuss the influence of subgrouping in the patient with cervical spine and upper limb

pathology. Review patient education and counseling schemas for the patient with neck spine pain. COURSE CHAIRS

Ellen Casey, MD

Assistant Professor of Physical Medicine and Rehabilitation, Northwestern University, Feinberg

School of Medicine. Co-Director of the Women’s Sports Medicine Program and attending

physician at the Spine and Sports Rehabilitation Center at the Rehabilitation Institute of Chicago

Julius P.A. Dewald PT, PhD

Professor and Chair, Physical Therapy & Human Movement Sciences; Professor Biomedical

Engineering; Physical Medicine & Rehabilitation; Feinberg School of Medicine,. Northwestern

University

James Elliott, PT, PhD

Senior Research Fellow in the School of Health and Réhabilitation Sciences UQ and a tenure-

track Assistant Professor, Department of Physical Therapy and Human Movement Sciences;

Feinberg School of Medicine, Northwestern University.

Melissa C Kolski, PT, OCS, Dip.MDT

Physical therapist, Spine and Sports Rehabilitation Center; External program manager,

Rehabilitation Institute of Chicago

GUEST FACULTY

Linda Carroll, PhD

Professor of epidemiology in the Department of Public Health Sciences, School of Public Health,

University of Alberta; Associated Research Scientist, Alberta Centre for Injury Control and

Research, University of Alberta; Adjunct Professor, Canadian Memorial College of Chiropractic.

Toronto, Ontario; and Adjunct Scientist, Institute for Work & Health, Toronto, Ontario.

John Childs, PT, PhD

Director of Musculoskeletal Research, 81st Medical Group, Keesler Air Force Base, Biloxi, MS;

Associate Professor, U.S. Army-Baylor University Doctoral Program in Physical Therapy, San

Antonio, TX; Founder/Partner, Evidence in Motion and Texas Physical Therapy Specialists, San

Antonio, TX

Gwendolen Jull PT, PhD, FACP

Professor of Physiotherapy, NHMRC CCRE Spinal Pain, Injury and Health, School of Health

and Rehabilitation Sciences, The University of Queensland, Australia.

Samuel A. McLean MD, MPH

Research Vice Chair in the Department of Anesthesiology and attending physician in the

Department of Emergency Medicine, University of North Carolina at Chapel Hill.

Helen Owens PT, DPT Founder and owner of Orthopedic Physical Therapy Services, LLC

Guest lecturer Physical Therapy Program, Rosalind Franklin University of Medicine and Science

Daniel Pinto, PT, PhD

Assistant Professor, Department of Physical Therapy and Human Movement Sciences; Feinberg

School of Medicine, Northwestern University

Josh Rittenberg, MD Attending Physician, Department of Physical Medicine and Rehabilitation, Kaiser Permanente

East Bay Medical Center, Oakland, CA. Senior faculty member with the International Spine

Intervention Society (ISIS) and vice chair of the ISIS Education Committee.

Ashley Smith, PT, PhD(c)

Clinical Specialist - Musculoskeletal Physiotherapy (Calgary, Canada); PhD (candidate):

University of Queensland, Brisbane, Australia

David Walton PT, PhD

Assistant Professor, School of Physical Therapy, Western University Canada; Associate Scientist,

Lawson Health Research Institute, London Ontario; Chair, Canadian Physiotherapy Association

Pain Science Division

Beth Winkelstein, PhD

Professor, Department of Bioengineering in the School of Engineering and Applied Sciences and

Professor, Department of Neurosurgery, Perelman School of Medicine, University of

Pennsylvania, Philadelphia, Pennsylvania.

FACULTY FROM THE REHABILITATION INSTITUTE OF CHICAGO AND NORTHWESTERN UNIVERSITY

R. Norman Harden, MD

Director of the Center for Pain Studies, founder Chronic Pain Care Center at the Rehabilitation

Institute of Chicago; Associate Professor, Physical Medicine and Rehabilitation, Northwestern

University. Past president of the Midwest Pain Society.

Wellington Hsu, MD

Assistant Professor, Dept of Orthopaedic Surgery; Dept of Neurological Surgery, Northwestern

University, Feinberg School of Medicine; Spine Fellowship Director; Director of the Professional

Athlete's Spine Initiative, which compiles data on athletes who undergo treatment for spinal

conditions. Director of the Laboratory for Regenerative Technologies.

Annie O’Connor, PT, OCS, Cert. MDT

Corporate Director Musculoskeletal Practice, Rehabilitation Institute of Chicago.

Joel M. Press, MD

Director and Founder, Spine and Sports Rehabilitation Center, Rehabilitation Institute of

Chicago; Professor, Department of Physical Medicine and Rehabilitation, Northwestern

University, Feinberg School of Medicine New Directions for Understanding Whiplash- Have We Been Driving in the Wrong Lane? Course facilitated by James Elliott, PT, PhD THURSDAY, February 28, 2013

9:00 am Registration 645 North Michigan Avenue Suite 700 Chicago, Illinois 60611

Northwestern University Physical Therapy and Human Movement Sciences

9:30 Lecture- Update on What is Whiplash?

10:30 12:00

Physiology of pain Julius P.A. Dewald PT, PhD Updates on muscular/physical/psychological impairments. Identification of patients likely to recover and those likely to transition from acute to chronic symptoms.

1:00 Lunch

2:00 3:00 3:15

Pathoanatomy and Pathophysiology of whiplash Updates on Motor control deficits in the cervical spine. Break Concepts in Cervical Motor Assessment

5:00pm Adjourn New Directions for Understanding Whiplash- Have We Been Driving in the Wrong Lane? FRIDAY, March 1, 2013 7:30 am Northwestern University Physical Therapy and Human Movement 645 North Michigan Avenue Suite 700 Chicago, Illinois 60611 8:00 Lecture/ Practical Session Assessment & retraining of motor control, postural control including kinesthetic defiticits, balance and eye movement control Case presentations and outcomes

10:15 Break 10:30 Continued 12:00pm Lunch (on your own) 1:00 Axioscapular and Sensorimotor Assessment 2:15 Break 2:30 Innovative strategies in managing pain Julius P.A. Dewald PT, PhD 3:45 Bringing it all together, case studies and the use of functional outcome measures 5:15pm Adjourn Evidence-Based Solutions for Improving Cervical Spine Health and Function Saturday, March 2, 2013 7:30AM Continental Breakfast Robert H. Lurie Medical Research Center Hughes Auditorium, Lurie 1-129 303 E. Superior Street Chicago, IL 60611 8:00 Keynote: How does the evidence inform exercise prescription to improve

cervical spine health and function? Gwendolen Jull, PT, PhD, FACP 9:00 Chronic Whiplash Symptoms: Can we reverse the ‘irreversible?’ Ashley Smith PT, PhD(c), FCAMPT, cGIMS 9:45 Break 10:00 Subgrouping Patients With Neck Pain: A Research Update John Childs, PT, PhD 10:45 The value of rehabilitation for neck pain: Is the jui¢e worth the squeeze? Daniel Pinto, PT, PhD 11:30 Panel Discussion: Jull, Smith, Childs, Pinto Moderator: James Elliott PT, PhD 12:00 Lunch 1:15 Recognizing craniomandiblar dysfunction in the cervical spine patient Helen Owens, PT, DPT

2:00 Measuring the experience of neck pain for prognosis and treatment decisions

Dave Walton PT, PhD 2:45 Break 3:00 What about psychosocial factors in WAD recovery: what are their

implications for intervention? Linda Carroll PhD 3:45 From the organization to the clinician: putting evidence based medicine

into practice Annie O’ Connor, PT, OCS, Cert MDT 4:30 Panel: Owens, Walton, Carroll, O’Connor Moderator: Julius P.A. Dewald PT, PhD 5:00 Adjourn Sunday, March 3, 2013 7:30 am Continental Breakfast Hughes Auditorium, Lurie 1-129 303 E. Superior Street 8:00 The influence of stress response systems on the development of persistent neck pain after motor vehicle collision Sam McLean, MD, MPH 8:45 From Protons to Progression of Exercise for the patient with neck pain – Can MRI applications translate to improved Health and Function? James Elliott, PT, PhD 9:30 Break 9:45 Neck Pain Mechanisms: Insights for Prevention & Treatment Beth Winkelstein, PhD 10:30 Headache. Who will benefit from improved cervical spine health and function? Gwendolen Jull, PT, PhD, FACP 11:15 Panel Discussion: McLean, Elliott, Winkelstein, Jull Moderator: Ellen Casey, MD 11:45 Break 12:00 Cervical Spine Injections: Indications and Efficacy Joshua Rittenberg, MD 12:30 Drug and non-drug interventions for cervical pain

R. Norman Harden, MD

1:00 Surgical indications for degenerative cervical spine disorders

Wellington Hsu, MD 1:30 Panel Discussion: Rittenberg, Harden, Hsu Moderator: Joel Press, MD 2:00 Adjourn TUITION

To qualify for group discount rates (you do not have to be from the same facility), students

must mail, fax, or enter online the group’s registrations together.

Number of Students Tuition

Single $450 Whiplash Cervical Symposium

2 to 4 $425

5 or more $415

Both Courses combined $795

LOCATION

The program will be held at the Rehabilitation Institute of Chicago, 345 East Superior Street,

Chicago, Illinois. The conference site is wheelchair accessible. Accessible materials, sign

language interpretation and personal assistance are available with at least 45-days advance

notice. HOUSING

Rooms have been reserved at the Avenue Crowne Plaza Chicago Hotel, 160 East Huron

Street, Chicago, Illinois

The Avenue Crowne Plaza Chicago Hotel is located 1½ blocks from RIC. Please contact their

reservations department from 9:00 am until 5:00 pm at (312) 787-2900 and indicate that you

are attending this course in order to receive the corporate rate of $109 for a Deluxe King

(single or double occupancy), $129 for two queen beds in the room, plus 16.4% tax. The daily

rate for parking at the Avenue is $49.00/day. The cut-off date for room reservations is Tuesday,

February 5, 2013.

The room block could reach its maximum before the above cut-off dates. Rooms and rates

revert to a space-available basis after the room block has reached its maximum or after the

cut-off date

REFUND POLICY

All cancellations must be in writing. Refunds less a 20% administrative charge will be given

until Thursday, February 21, 2013. RIC reserves the right to cancel or change any programs

for due cause. Cancellation of a program by RIC will result in a full refund of tuition. RIC is

not responsible for the refund of travel or hotel expenses under any circumstance. IMPORTANT REGISTRATION INFORMATION

Registrations will be taken in the order in which tuition checks or credit card information is

received. We highly encourage you to register online as these are processed more quickly than

mailed or faxed registrations. Full tuition must accompany the registration form in order to

confirm a place in this course. Until you receive your confirmation letter, you are not officially

registered for the course. For online registrations you will receive email confirmation within one

week of the date you registered. For registrations received by standard mail or fax, the

confirmation may take up to 3 weeks after we receive your registrations. If you do not receive

confirmation within this time period, please call 312-238-6042.

Do not make airline reservations that have cancellation penalties until we confirm your

registration. However, you should make hotel reservations as soon as possible.

One week prior to the course only internet registrations and faxed registrations that

include an email will be accepted. Please note that the course could reach its maximum

enrollment before this time.

CONTINUING EDUCATION CREDIT

New Directions for Understanding Whiplash Accreditation Statement

The Northwestern University Feinberg School of Medicine is accredited by the Accreditation

Council for Continuing Medical Education to provide continuing medical education for

physicians.

Credit Designation Statement

The Northwestern University Feinberg School of Medicine designates this live activity for a

maximum of 14 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit

commensurate with the extent of their participation in the activity.

Evidence-Based Solutions for Improving Cervical Spine Health and Function Accreditation Statement

The Northwestern University Feinberg School of Medicine is accredited by the Accreditation

Council for Continuing Medical Education to provide continuing medical education for

physicians.

Credit Designation Statement

The Northwestern University Feinberg School of Medicine designates this live activity for a

maximum of 13 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit

commensurate with the extent of their participation in the activity.

Physical Therapy

New Directions for Understanding Whiplash has been approved by the Illinois Physical Therapy

Board for 14.00 Contact Hours. Evidence-Based Solutions for Improving Cervical Spine Health and

Function has been approved by the Illinois Physical Therapy Board for 12.50 Contact Hours. Both

combined courses have been approved for 26.50 Contact Hours Approval #216-000069

Occupational Therapy

The Rehabilitation Institute of Chicago

is an approved provider for the

American Occupational Therapy Association to

offer continuing education in occupational therapy. This advanced level program The New

Directions for Understanding Whiplash activity is being offered for 1.4 CEUs or 14.0 contact hours.

The advanced level program Evidence-Based Solutions for Improving Cervical Spine Health and

Function activity is being offered for 1.275 CEUs or 12.75 contact hours. The assignment of

AOTA CEUs does not imply endorsement of specific course content, products, or clinical

procedures by AOTA.

Nursing

The Rehabilitation Institute of Chicago Academy is an approved provider of continuing

nursing education by the Illinois Nurses Association, an accredited approver by the

American Nurses Credentialing Center’s Commission on Accreditation.

This CNE activity is being offered for 26.75 contact hour(s) for the 2, 2 day courses.

The New Directions for Understanding Whiplash activity is being offered for 14.00 Contact Hours.

The Evidence-Based Solutions for Improving Cervical Spine Health and Function activity is being

offered for 12.75 Contact Hours.

Athletic Trainers

Rehabilitation Institute of Chicago is recognized by the Board of Certification, Inc. to offer

continuing education for Certified Athletic Trainers. 14.0 Contact hours for New Directions

and 12.75 CEUs for Evidence-Based Solutions will be awarded.

REGISTRATION ONLINE at www.ric.org/education or clip and return this form with payment

New Directions for Understanding Whiplash- Have We Been Driving in the Wrong Lane February 28 - March 1, 2013 Evidence-Based Solutions for Improving Cervical Spine Health and Function March 2-3,2013 Group Discount Policy To qualify for group discount rates (you do not have to be from the same facility), students must mail,

fax, or enter online the group’s registrations together. Group members cannot receive the discounted

rate if the registrations are received separately.

Single Registration Tuition: $450 Whiplash Cervical Symposium 2 to 4 Tuition per registrant: $425 5 or more Tuition per registrant: $415 Whiplash &Cervical Symposium $795 Make check payable to: REHABILITATION INSTITUTE OF CHICAGO Mail to: RIC Academy 345 E. Superior Street, Suite 1641 Chicago, Illinois 60611

Please TYPE or PRINT your name and professional initials (PT) as you would like them to appear on your continuing education certificate. Name First Name Last Name

Home Phone ( ) Prof. Initials Home Address City State Zip Organization/Facility Work Address City State Zip Work Phone ( ) Fax ( ) Position E-mail Send me information about other CE Courses Do not send me information

(We encourage you to use email – it allows us to respond much faster to your registration. Thank You)

Please note: registration will not be processed without full payment.

Method of Payment: Check enclosed Credit Card Credit Card Users Must Complete the Following Information: 1) Personal Credit Card Corporate Credit Card 2) MasterCard VISA

Credit Card # _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _

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Name on Card Billing Address City State Zip Cardholder’s Signature Credit card registrations may be faxed to: 312-238-4451. If you fax your registration, do not send another registration by mail. For official use # CC MK201302 D A ROL DL RIC Academy Wesley M. & Suzanne S. Dixon Education and Training Center 345 East Superior Street, Suite 1641 Chicago, Illinois 60611

An Academic Affiliate of Northwestern University Feinberg School of Medicine