Fundamentals of Medical Exercise Therapy

MET Seminars

Format(s):   Live Seminars
Discipline(s):   Physical Therapy / Occupational Therapy / Athletic Training
Contact Hours:   15
Registration Fee:   $450.00

Objectives

Upon completion of this course the student will:
· Define 7 guiding principles of the MET-odology.
· Identify the 3 contributing factors to clinical best practice.
· List 3 factors for optimal patient improvement.
· Describe 3 tactics for creating patient buy-in.
· Develop 1 treatment plan to achieve meaningful improvements in 4 outcome domains
· Apply the 4 training principles to therapeutic exercise prescription.
· Distinguish clinical muscular fatigue from muscle endurance and exhaustion.
· Operate a hand-held dynamometer (HHD) in 1 biomechanical examination.
· Execute Clinical Fatigue Tests (CFT) in 2 clinical scenarios.
· Recognize 3 dosing zones to achieve an appropriate physiological response.
· Interpret the results of a HHD test for the initial resistance for a CFT.
· Interpret the results of the CFT to appropriately dose 2 therapeutic exercises.
· Design 1 precision therapeutic exercise prescription.

Target Audience

PT, PTA, OT, OTA, AT, MD, DO, DC

Confirmation Notes

15 hours approved by FSBPT ProCert, BOC, and Indiana Occupational Therapy Association

Agenda

DAY 1 – 8:00 AM Registration 8:15 AM M.E.T background, Pre-course reading discussion 8:30 AM The METhodology 9:30 AM Clinical Scenarios 10:30 AM Break 10:45 AM Integration of training principles in therapeutic exercise dosing and design 12:45 PM Lunch 1:30 PM Clinical Fatigue Test (CFT) 2:30 PM Dose and physiological response 3:30 PM Break 3:45 PM Dosing guidelines 5:30 PM Adjourn
DAY 2 – 7:45 AM Check-in 8:00 AM Handheld dynamometry to facilitate the CFT 10:00 AM Break 10:15 AM Integration of biomechanical factors in therapeutic exercise design and dosing 12:15 PM Lunch 1:00 PM Functional integration in therapeutic exercises design and dosing 2:00 PM Case studies and theoretical post-course interaction 4:00 PM Adjourn

Description

Therapeutic exercise is now clearly recognized as the cornerstone of interventions for musculoskeletal care. Unfortunately, a method to optimal and precisely dose each exercise is not universally practiced. Well-intentioned clinicians often rely on guesswork to determine the starting and progression parameters for therapeutic exercises. This is problematic in that lack of progress due to under-dosing, injury due to overdosing; or nocebo due to ineffective dosing can result. Further, guesswork does not reflect the skill or expertise of rehabilitation professionals.
It is time for a reset. We must translate evidence-based rehabilitation into daily clinical practice to ensure that all clients receive adequate, intense, and progressive exercise rehabilitation.
Course Overview
This 2-day course presents a step-by-step approach for precision therapeutic exercise dosing. To help therapists build clinical reasoning skills in exercise prescription, therapeutic exercise design, dosing and delivery are taught with an emphasis on the “why” and “how” rather than on specific exercises. As hands-on professions, practical lab components using real clinical scenarios are mixed with interactive discussion-based lectures for skills that can be applied right away in the clinic.
Therapeutic exercise dosing starts with the skillset to perform valid and reliable hand-held dynamometric measurements. Hand-held dynamometry is presented as a comprehensive framework for initial assessment, biomechanical evaluation and the starting point for precision exercise dosing. The skillset is practiced and mastered to be administered efficiently and effectively in daily clinical practice.
To achieve optimal outcomes, we urge clinicians to move beyond symptom moderation alone This course focuses on delivering meaningful improvements for clients in 4 outcome domains: symptom moderation; impairment correction; subjective functional performance; and objective functional performance. Further, we teach a systematic structure of inter- and intra-treatment session progression to achieve outcomes at three levels: normalization, optimization and performance.
Background

Medical Exercise Therapy is the clinical component of our MET-odology, which is a framework for clinical best rehabilitation in daily practice within a value based delivery system to obtain optimal improvement. The concepts taught in our clinical courses are the contemporary development of medical exercise therapy concepts introduced by Oddvar Holten. Interestingly, the concepts of medical exercise therapy are being validated by the latest pain neuro-science research. Belgian manual physical therapist Leo Wouters further developed the dosing strategies for clinical practice. With research performed at Andrews University, Berrien Springs MI, USA, we advanced the clinical framework with the latest scientific evidence and incorporated operational, organizational and implementation components which all together we call the MET-odology.