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Meeks Method for Osteoporosis

Herman & Wallace Pelvic Rehabilitation Institute

Objectives

Upon completion of this program, participants will be able to:
1. Demonstrate Sit-To-Stand-To-Sit and articulate why independence in this activity is important.
2. Articulate two first signs, two non-modifiable and two modifiable risk factors for Osteoporosis.
3. State two reasons why the interventions for normal bone, osteopenia and osteoporosis would be essentially the same but how they might differ according to the patient’s clinical condition.
4. List three safe, valid and reliable tests to include in an assessment procedure for persons with known or suspected osteoporosis or low bone mass.
5. List three reasons why people may have severe postural change as, but not necessarily because, they age.
6. List five site-specific strengthening, flexibility, balance and/or gait training exercises based on preventing, arresting and/or reversing the Patterns of Postural Change in The Meeks Method.
7. Name the first principle of management of osteoporosis and compression fracture used in The Meeks Method.
8. Demonstrate two movements which would increase safety in ADL’s for patients with osteoporosis or other back pathology.
9. Name three therapeutic modalities that can be used to augment the exercise program of the patient with osteoporosis.

Target Audience

This course is targeted to physical therapists, physical therapist assistants, occupational therapists, certified occupational therapist assistants, other medical and degreed exercise professionals, as well as Yoga and Pilates teachers.

Confirmation Notes

What to bring:
1 yoga/exercise mat
1 bath towel
2 hand towels
1 washcloth
Please wear lab clothes.

Agenda

Day One:
7:30 Registration 8:00 MODULE 1 - Introduction to The Meeks Method (Lecture-Lab): Introductions/Introductory Information and Course Materials, Anatomy as it Pertains to Bone Health, Exercises: Perch Posture, Sit-To-Stand-To-Sit 9:15 MODULE 2 - Laying the Foundation (Lecture-Lab): PowerPoint Presentation alternating with exercise and movement, EXERCISES: Hip Hinge with Dowel, Body Arc, Scapular Retraction, Compensatory Movement Patterns, Umbrella Breath, CASE REPORT: Patient with severe condition with successful treatment program 10:15 Break 10:30 Definitions, Epidemiology, Pathology, Consequences of Osteoporosis, Discussion of Osteoporosis in Children/Child Development Problems, Reading of Bone Density Reports 12:30 Lunch 1:30 MODULE 3 - Gait-Posture-Balance (Lab): Introduction of Habitual and Non-Habitual Movement Patterns, Discussions of Walking Poles, Shoes, Walkers and other Assistive Devices 2:30 MODULE 4 - Management Guidelines (Lecture - Lab): Guidelines for 4 groups of patients diagnosed with osteoporosis: Chart of Care for Vertebral Compression Fracture Management, Bracing with the Spinomed Orthosis (PP), Use of Low Intensity Vibration to Augment Exercise, Management of Acute Compression Fractures, 2 Case Reports on Postural Improvement 3:15 Break 3:30 MODULE 5 - Site-Specific Exercise (Lab): Demonstration of positioning and first 4 exercises—The Re-Alignment Routine. Guidelines for severely involved and frail patients, Demo of transferring to and from floor, Practice of positioning and instruction in The Re-Alignment Routine in groups of two, presentation/practice of supine site-specific exercises including resistance band, Participants exercise independently Including breathing and relaxation 5:30 Adjourn

Day Two:
8:00 MODULE 6 - Patient Pre-Assessment and Assessment (Lecture-Lab): Identification of patients at risk for Osteoporosis and Fracture, Assessment with reliable, valid and safe tools for osteoporosis, Doing the REEDCO Posture Score Test 10:00 Break 10:15 MODULE 7 - Site-Specific Exercise (Lab): Strengthening/Balancing with Foam Roller, Demo Site-Specific Exercises—Supine,Prone, Bridging, Side-Lying Leg Lift 12:30 Lunch 1:30 MODULE 8A - Exercise Guidelines: Chronological Protocol, CASE REPORTS of 14 patients with Postural Correction and Successful Management with The Meeks Method (Lecture) 2:00 Module 9 - Wall Exercises (Lab) 2:15 MODULE 8B - Exercise Guidelines (Lecture): Nachemson Studies Slides; Senior Class Guidelines, Effects of Treatment; 16 Guidelines for Exercise, CASE REPORTS on 4 Patients 3:00 MODULE 10 - Activities of Daily Living (Lab) 3:30 Break 3:45 MODULE 11 - Exercise Demos (Demo):Arm Press, Straight Leg Raise with Stretching Strap and Dowel 4:15 MODULE 12 - Gym and Fitness (Lecture – Lab) 5:00 Module 13 - Wrap Up (Lecture-Q&A-Group Discussion) Final Questions, Guidelines, Discussions, Evaluations 5:30 Adjourn

Description

This two day course, developed by Sara Meeks, presents an innovative, effective, S.A.F.E. (Skeletally Appropriate For Everyone), site-specific comprehensive program for management of patients with osteoporosis, osteopenia, and postural problems. The program is also useful for spinal stenosis and back pain. The course includes a complete patient assessment, site-specific exercise program, postural correction, balance, and gait training. In addition, body mechanics during activities of daily living, use of foam rollers for balance and core strengthening, scapular stabilization exercises with resistance bands, information on use of treatment modalities as they pertain to osteoporosis, and guidelines for advanced exercises (e.g., in the gym, Yoga, Pilates etc.) are included.

Date And Locations
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