Over Susannah Susannah is a Manual and Pelvic Floor physiotherapist and a certified Gunn IMS practitioner. Susannah obtained her BSc (Hons) PT degree in 1997 from the University of Manchester, UK. Susannah completed her Diploma of Advanced Manual and Manipulative Therapy in 2001 and is a Fellow of the Canadian Academy of Manipulative Therapists. Susannah worked with pregnant and postpartum women exclusively for 10 years at a BC Women’s Hospital and currently works in private practice and at the Centre for Pelvic Pain and Endometriosis at BC Women’s Health Centre in Vancouver, BC. Her caseload includes chronic pelvic pain, peri-partum issues, pelvic floor dysfunction and orthopedics with a focus in pelvic girdle pain and dysfunction. She has been a guest lecturer for Obstetrics component on numerous occasions at the School of Rehabilitation at the University of British Columbia and co-teaches post graduate Rost Therapy pelvic girdle pain management courses with colleague Cecile Röst. Presentation topic: Chronic Pelvic Pain in the Female Patient: Neuro-musculoskeletal considerations Chronic pelvic pain is a prevalent condition that can greatly affect the quality of life of many women. Physiotherapy screening and management is an important part of an interdisciplinary management approach to help identify and address orthopedic issues that may be contributing or driving the pelvic pain problem. In Susannah’s clinical experience, women with chronic pelvic pain are often not referred to physiotherapy and the focus of their care may be exclusively gynecological. We will discuss how physicians and physiotherapists can work together to help improve function and the quality of life of these women. Practical Session The session will focus on clinical treatment skills for management of pelvic girdle pain within a chronic pelvic pain context. We will focus on management of pelvic girdle dysfunction, lumbo-pelvic muscle imbalance and detrimental movement patterns, body mechanics and postures.
Harry von Piekartz
Spreker
Over Harry Name Prof Dr. Harry von Piekartz University of Applied Science Osnabruck (Germany) Department Physiotherapy and Rehabilitation Science Senior Teacher International Maitland Teacher association(IMTA) Neuro Orhopeadic Institute(NOI) and Cranial Facial Therapy Academy(CRAFTA) Adress Concress communication Clinic for manual therapy and applied pain science Tel: +3154129400 E-mail : hvonpiekartz@gmail.com Stobbenkamp 10 , 7631 CP Ootmarsum The Netherlands Titel Workshop Klinische differentiaal diagnose van de craniomandibulare en – cervicale Regio. Tijdens deze workshop vindt een introductie plaats van de pijnmechanismen en hun klinische presentaties. Aan de hand enkele voorbeelden wordt het klinische patroon van (extra)trigeminale pijn verduidelijkt en een basis gelegd voor de manuele differentiaal diagnostische test craniomandibular vs cervicaal. Vervolgens wordt middels verschillende (functionele) differentietesten en voorbeelden voorstellen gedaan voor the manueel therapeutische behandeling en verdere management strategieën . 40-50 % van de Workshop wordt gevuld met praktische vaardigheden. Lecture 14 Juni 2013 Name Prof . Harry J.M von Piekartz. University of Applied Science Osnabrück. Department of Physical Therapy and Rehabilitation science President of the Craniofacial Therapy Academy (CRAFTA®) Private practice in manual therapy and applied pain science , Ootmarsum, The Netherlands TitelAn overview of the evidence for identifying and treating cranio-mandibular and trigeminal neural dysfunctionLearning objectives of this lecture • Understanding the influence of the orofacial region on the craniocervical region • Overview of potential pathobiological mechanisms of this overlap • Implications of this knowledge for the clinical practice Summary Cervical Headache (CeH), Temporomandibular Dysfunction (TMD), Tension Headache (TTH), Trigeminal Neuralgia(TN) are diagnosis mainly based on a combination of well defined signs and symptoms in the head and face region. In the literature many etiologies and associations (like anatomical, biomechanical, functional, neurogenic and pathobiological) have been made. Based on clinical research it is known that (long term) nociception from the craniocervical region may influence the orofacial region and vice versa. However, the exact understanding of the underlying pathophysiology is lacking. Accordingly, a mechanism-based classification could not be defined. The aim of this session is to give a brief overview of the main (clinical) studies done in the field of neuromusculoskeletal treatment in the orofacial region influencing the craniocervical region. Based on this knowledge further suggestions are given for assessment and interventions. Implication/conclusions Pathobiological mechanisms related to (long term) CeH overlap with signs and symptoms coming from the orofacial region and vice versa. This may indicate an integrative neuromusculoskeletal assessment and intervention of both regions. Keywords orofacial – craniocervical- overlap Literature Von Piekartz H, Lüdtke K. Effect of treatment of temporomandibular disorders (TMD) in patients with cervicogenic headache: a single-blind, randomized controlled study. Cranio. 2011 Jan;29(1):43-56. Von Piekartz H. Hall T. Treatment to address temporomandibular joint dysfunction in addition to usual care improves cervicogenic headache and cervical mobility. Submitted in Manual Therapy. Von Piekartz H, Ballenberger N, De La Rouche R, Paris A.Influence of different upper cervical positions on EMG activity of the masticatory muscles. Accepted in JMPT. La Rouche, Paris A, Mannheimer J, von Piekartz H, Canero J. Sympathetic and hypoalgesic effects of upper cervical mobilization in patients with cervico-craniofacial pain. Accepted in Autonomic science. Name: Harry J.M von Piekartz, The Netherlands CV Option1 Harry is a clinical expert in neuromusceloskeletal assessment and treatment in the orofacial-cervical region working in his own practice in the Netherlands. He is a professor for physical therapy at the University of Applied Science of Osnabrück (Germany) and teacher for the Internationale Maitland Teacher Association (IMTA) and Neuro orhopeadic Institute(NOI). He is president of the Cranio Facial Therapy Academy(CRAFTA), study leader of the MSc in Musculoskeletal Therapy Education in Osnabrück (Germany) and has a fellowship of the International College of Craniomandibular Orthopedics (ICCMO). Harry is an international lecturer, wrote several articles and two books about this domain, which were published in three languages. His researcher interests are in the field of (chronic) orofacial pain, NMS assessment and treatment of children. CV (option 2) i. Name and Country of origin: Harry von Piekartz , The Netherlands ii. Academic Credentials : BSc,MSc in Physical Therapy, PhD in Movement and Rehabilitation scienc iii Positions/Appointments; a. Professor of physical therapy in the University of Applied Science of Osnabrück (Germany) b. International teacher for theInternational Maitland Teacher Association (IMTA) and Neuro Orthopaedic Institute (NOI) c. President of the Cranial Facial Therapy Academy (CRAFTA) d. Fellow of the International College of Craniomandibular Orthopedics (ICCMO- Germany) e. Study leader of the MSc in Musculoskeletal Therapy Education in Osnabrück(Germany) iii. Teaching/Presentations: International lecturer in manual therapy education and pain science. Lectures on congresses for physical -,speech therapist and dentists. iv. Publications:several articles ,chapters and two books in three languages about field of orofacial pains en musculoskeletal therapy v. Research Information: Interested in (Chronic orofacial)pain and neuromusculoskeletal assessment and treatment in Children an musicians vi. Professional Practice: Clinical expert in assessment and treatment in the orofacial-cervical region working in an own practice in the Netherlands vii. Membership /Honours National Member of the Dutch Association of Physiotherapy (NVFT) Member of the Dutch Association of Manual Therapy (NVMT) Member of the Dutch Association of Physical Therapy and Dentistry Member of the Dutch association of Gnathology and Prothetic Dentistry (NVGPT) Member of the Dutch Association of Pain (NVP) International Member of the International Association of the Study of Pain (IASP) Member (Fellow) of the International College of Craniomandibular Orthopedics (ICCMO-D) Member of the Craniofacial Therapy Academy (CRAFTA) Member of the International Maitland Teacher Association (IMTA) Member and teacher of the Neuro Orthopaedic Institute (NOI)
Beate Dejaco
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Over Beate Lezing Subacromiaal impingement – klemt de rotator cuff in of zit de therapeut klem? Subacromiaal impingement is, zoals we weten geen op zichzelf staande pathologie maar een syndroom, een uiting van een onderliggende klacht. Ik ga eerst in op de definitie en classificatie van impingement in het glenohumerale gewricht en bespreek aan de hand van recente literatuur de dilemma’s waar we op dit moment als fysio/manueel therapeut voor staan. Daarnaast schets ik een mogelijkheid om impingement te diagnosticeren en bespreek aan de hand van recente inzichten therapeutische mogelijkheden bij impingement. Workshop -theoretische inleiding over impingement en de daaraan ten grondslag liggende pathologiën. -algoritme voor diagnostiek impingement -behandelmogelijkheden bij primair en secundair subacromiaal impingement literatuur: . Paula M. Ludewig, PT, PhD1 Thomas M. Cook, PT, PhD2. Translations of the Humerus in Persons With Shoulder Impingement Symptoms. JOSPT 2002 2.Erik Hegedus. Which pysical examination test provide clinicians with the most value when examining the shoulder? Update of a systematic revieuw with meta-analysis of individual tests. Br J Sports Med, 2012-11-15 3. Jeremy Lewis. Subaromial impingement syndrome: a musculoskeletal condition or a clinical illusion? Physical therapy reviews 2011 4. Annelies G. Maenhout • Nele N. Mahieu • Martine De Muynck • Lieven F. De Wilde • Ann M. Cools Does adding heavy load eccentric training to rehabilitation of patients with unilateral subacromial impingement result in better outcome? A randomized, clinical trial Knee Surg Sports Traumatol Arthrosc 2012 5. Ana Isabel de la Llave- Rincon, Emilio J Puentedura, Cesar Fernandez de las Penas. Clinical presentation and manual therapy for upper quadrant musculoskeletal conditions. Journal of Manual and Manipulative Therapy, 2001-19-4 -
Rene Assink
Sprekers
Over Rene Titel lezing: Osteopathie; methode, techniek of mystiekAbstract: Leven presenteert zich in de vorm van beweging, waar beweging zich niet vrij ontplooien kan word het lichaam ziek. Osteopathie is in staat deze bewegingsbeperkingen op te sporen te behandelen en daardoor het lichaam te genezen. Osteopaten, waaronder ook J.P. Barral, vinden de oorsprong van ziektes in het bindweefsel. Gespannen Bindweefsel trekt niet alleen botten uit hun positie, beperkt organen in hun beweging, maar comprimeert ook zenuwen, bloed- en lymfevaten in hun verloop, en belemmert de doorstroming van extracellulaire vloeistof in het weefsel. Bindweefsel kan als een op zichzelf staand systeem gezien worden en als zodanig onderzocht en behandeld worden. De behandelingsmethode is het einde van de 19e eeuw door de Amerikaanse arts A.T.Still ontwikkeld. Osteopathie is een manuele diagnostische en therapeutische benadering van een disfunctie van de gewrichten en weefselmobiliteit in het algemeen, in relatie tot het voorkomen van ziektes. Het doel van de lezing is om osteopatie in een kritisch licht te plaatsen, van mogelijkheden en toepassingen.
Hans van den Berg
Spreker
Over Hans Bewegingen in de Orthopedische Manuele Therapie symposium, Leiden14 en 15 juni 2013Titel theoretische presentatie: State of the art van de anatomische en biomechanische inzichten van het Occipito-Atlanto-Axiale Complex (OAAC). Consequenties voor diagnose en behandeling bij Orthopedische Manuele Therapie Hans van den Berg, Orthopedisch Manueel Therapeut, Den Haag Abstract: Het Occipito-Atanto-Axiale Complex (OAAC) is tot op de dag van vandaag een controversieel deel van de wervelkolom voor diagnose en behandeling in de manuele therapie professie. Is het OAAC een gebied waar manueel therapeuten in de toekomst maar beter niet moeten onderzoeken of behandelen? Hoe groot dreigt het gevaar patiënten te schaden bij onderzoek/behandeling door ervaren manueeltherapeuten? Huidige anatomische en biomechanische inzichten m.b.t. tot het OAAC worden in deze lezing gepresenteerd. Tevens worden persoonlijke ervaringen uit eigen dissectie onderzoek van het OAAC besproken. Titel workshops: Orthopedische Manuele Therapie diagnose en behandeling in het Occipito-Atlanto-Axial Complex (OAAC). Hans van den Berg, Orthopedisch Manueel Therapeut, Den Haag Abstract: Een onderzoek en behandelmodel gebaseerd op biomechanica en pathologie voor het Occipito-Atlanto-Axial Complex (OAAC) worden gepresenteerd en met de deelnemers geoefend. Wat zijn de diagnostische gegevens uit het lichamelijk onderzoek van het OAAC bij verschillende dysfuncties? Wat zijn bij deze dysfuncties de consequenties voor behandeling? Curriculum vitae Hans van den Berg: 1976: Examen fysiotherapie. 1979: Examen Orthopedische Geneeskunde. 1981: Examen voleinding in de Manuele Therapie. Huidige activiteiten: Eigen praktijk voor Orthopedische Manuele Therapie in Den Haag. Consultant Arnhem en Delft Docent in Master OMT Hogeschool Utrecht. Docent in Master Musculoskeletale Revalidatie Hogeschool Arnhem Nijmegen. PhD student Erasmus Medisch Centrum Rotterdam. Reference List Hans van den Berg NAOMT Symposium juni 2013 (1) Albuquerque FC, Hu YC, Dashti SR, Abla AA, Clark JC, Alkire B et al. Craniocervical arterial dissections as sequelae of chiropractic manipulation: patterns of injury and management. J Neurosurg 2011; 115(6):1197-1205.? (2) Behari S, Jaiswal A, Srivastava A, Rajput D, Jain VK. Os odontoideum with "free-floating" atlantal arch causing C1-2 anterolisthesis and retrolisthesis with cervicomedullary compression. Indian J Orthop 2010; 44(4):417-423.? (3) Cattrysse E, Provyn S, Kool P, Clarys JP, Roy PV. Reproducibility of global three-dimensional motion during manual atlanto-axial rotation mobilization: an in vitro study. J Man Manip Ther 2010; 18(1):15-21.? (4) Cattrysse E, Provyn S, Kool P, Clarys JP, Van Roy P. Morphology and kinematics of the atlanto-axial joints and their interaction during manual cervical rotation mobilization. Man Ther 2011; 16(5):481-486.? (5) Che Mohamed SK, Abd AA. Calcification of the Alar Ligament Mimics Fracture of the Craniovertebral Junction (CVJ): An Incidental Finding from Computerised Tomography of the Cervical Spine Following Trauma. Malays J Med Sci 2009; 16(4):69-72.? (6) Crockard HA, Sett P, Geddes JF, Stevens JM, Kendall BE, Pringle JA. Damaged ligaments at the craniocervical junction presenting as an extradural tumour: a differential diagnosis in the elderly. J Neurol Neurosurg Psychiatry 1991; 54(9):817-821.? (7) Friedman MH, Weisberg J. The craniocervical connection: a retrospective analysis of 300 whiplash patients with cervical and temporomandibular disorders. Cranio 2000; 18(3):163-167.? (8) Grossi DB, Chaves TC, Goncalves MC, Moreira VC, Canonica AC, Florencio LL et al. Pressure pain threshold in the craniocervical muscles of women with episodic and chronic migraine: a controlled study. Arq Neuropsiquiatr 2011; 69(4):607-612.? (9) Hallgren RC, Cattrysse E, Zrull JM. In vitro characterization of the anterior to posterior curvature of the superior articular facets of the atlas as a function of age. Spine J 2011; 11(3):241-244.? (10) Houten JK, Kinon MD, Goodrich JT. Morquio's Syndrome and Craniocervical Instability. Pediatr Neurosurg 2011.?Ref ID: 9 (11) Ibrahim GM, Perrin RG. Traumatic craniocervical dissociation. Br J Neurosurg 2011.? (12) Knackstedt H, Krakenes J, Bansevicius D, Russell MB. Magnetic resonance imaging of craniovertebral structures: clinical significance in cervicogenic headaches. J Headache Pain 2011.? (13) Lummel N, Zeif C, Kloetzer A, Linn J, Bruckmann H, Bitterling H. Variability of morphology and signal intensity of alar ligaments in healthy volunteers using MR imaging. AJNR Am J Neuroradiol 2011; 32(1):125-130.? (14) Malcolm GP, Ransford AO, Crockard HA. Treatment of non-rheumatoid occipitocervical instability. Internal fixation with the Hartshill-Ransford loop. J Bone Joint Surg Br 1994; 76(3):357-366.? (15) Mathers KS, Schneider M, Timko M. Occult hypermobility of the craniocervical junction: a case report and review. J Orthop Sports Phys Ther 2011; 41(6):444-457.? (16) Meoded A, Singhi S, Poretti A, Eran A, Tekes A, Huisman TA. Tectorial membrane injury: frequently overlooked in pediatric traumatic head injury. AJNR Am J Neuroradiol 2011; 32(10):1806-1811.? (17) Myran R, Zwart JA, Kvistad KA, Folvik M, Lydersen S, Ro M et al. Clinical characteristics, pain, and disability in relation to alar ligament MRI findings. Spine (Phila Pa 1976 ) 2011; 36(13):E862-E867.? (18) Ogoke BA. The management of the atlanto-occipital and atlanto-axial joint pain. Pain Physician 2000; 3(3):289-293.? (19) Okazaki K. [Anatomical study of the ligaments in the occipito-atlantoaxial complex]. Nihon Seikeigeka Gakkai Zasshi 1995; 69(12):1259-1267.? (20) Osmotherly PG, Rawson OA, Rowe LJ. The relationship between dens height and alar ligament orientation: a radiologic study. J Manipulative Physiol Ther 2011; 34(3):181-187.? (21) Radcliff K, Kepler C, Reitman C, Harrop J, Vaccaro A. CT and MRI-based Diagnosis of Craniocervical Dislocations: The Role of the Occipitoatlantal Ligament. Clin Orthop Relat Res 2011.? (22) Spence MW, Shkrum MJ, Ariss A, Regan J. Craniocervical injuries in judicial hangings: an anthropologic analysis of six cases. Am J Forensic Med Pathol 1999; 20(4):309-322.? (23) Stence NV, Fenton LZ, Goldenberg NA, Armstrong-Wells J, Bernard TJ. Craniocervical arterial dissection in children: diagnosis and treatment. Curr Treat Options Neurol 2011; 13(6):636-648.? (24) Tubbs RS, Mortazavi MM, Louis RG, Loukas M, Shoja MM, Chern JJ et al. The Anterior Atlantodental Ligament: Its Anatomy and Potential Functional Significance. World Neurosurg 2011.? (25) Tubbs RS, Mortazavi MM, Loukas M, Shoja MM, Cohen-Gadol AA. The intracranial denticulate ligament: anatomical study with neurosurgical significance. J Neurosurg 2011; 114(2):454-457.? (26) Tubbs RS, Hallock JD, Radcliff V, Naftel RP, Mortazavi M, Shoja MM et al. Ligaments of the craniocervical junction. J Neurosurg Spine 2011; 14(6):697-709.? (27) Tubbs RS, Mortazavi MM, Loukas M, D'Antoni AV, Shoja MM, Chern JJ et al. Anatomical study of the third occipital nerve and its potential role in occipital headache/neck pain following midline dissections of the craniocervical junction. J Neurosurg Spine 2011; 15(1):71-75.? (28) Van Wyk L, Jull G, Vicenzino B, Greaves M, O'Leary S. A comparison of craniocervical and cervicothoracic muscle strength in healthy individuals. J Appl Biomech 2010; 26(4):400-406.? (29) Zivkovic V, Nikolic S, Strajina V, Babic D, Djonic D, Djuric M. Pontomedullary lacerations and concomitant head and neck injuries: their underlying mechanism. A prospective autopsy study. Forensic Sci Med Pathol 2011.?