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1. Analyze clinical implications for various patient populations
2. Describe the function of the diaphragm as it relates to posture, muscular relations, and stability of the spine
3. Evaluate musculoskeletal issues in respiratory dysfunction
4. Compare sympathetic vs. parasympathetic responses in neuromuscular control
5. Articulate pathologies related to less than optimal respiratory function
6. Demonstrate effective techniques to alter respiratory patterns and trunk core stability
7. Educate patients about breathing pattern disorders and empower them to be more involved in recovery and maintenance of their issues

Clinical Observations & Implications

• Evidence-based practice and clinical observation
• Clinical implications for patient populations
• Chronic low back and SI joint pain
• Scoliosis and trunk weakness in the elderly
• Chronic hip and lateral knee pain
• Chronic cervical pain and headaches
• Shoulder impingement
• Thoracic outlet syndrome
• Fibromyalgia
• Balance and gait deviations
• Athletic performance
• Case histories — Could this be your patient?
• Chronic pain
• Marathon runner/triathlete
• Chronic low back and neck pain

Anatomy

• Respiratory and thoracic anatomy/biomechanics
• Thoracic anatomy
• Rib anatomy
• Thoracic biomechanics
• CT junction biomechanics
• TL junction biomechanics
  • Trunk musculature
    • Core-inner group
    • Outer group
    • Posterior oblique
    • Deep longitudinal
    • Anterior
    • Lateral
    • Psoas/hamstring integration
    • Scalenes, SCM, C spine muscles
  • Muscles of inspiration
  • Muscles of expiration
• Mechanics of respiration
• Normal breathing-mechanical effects
• Physiology of respiration
• Lung volumes
• Lung perfusion
• Hyperventilation/alkalosis
• Fascial integration
• Thorocolumbar fascia
• Lateral femoral fascia/IT band
• Abdominal fascia
• Cervical/UE and Pelvis/LE biomechanical relationships

Neuromuscular Control

• Central nervous system on muscle tone and movement
• Sympathetic and parasympathetic responses

Lab Demonstration

• Evaluation and treatment techniques
• Evaluation of posture as it relates to respiratory function, UE, pelvis and lumbar function

• Mechanics of respiration
• Diaphragmatic, lateral costal, sternal, apical breathing
• Diaphragm position
• Seated arm raise
• Seated trunk rotation
• Standing torque
• Muscle function testing
• Supine active SLR
• Prone active SLR and active arm raise
• TA, multifidus, and pelvic floor function
• Posterior oblique system
• Anterior oblique system
• Lateral system
• Rib position and mobility testing and active mobilizations
• Length testing and lengthening techniques
• Core facilitation entry training program
• Case histories evaluations, treatments, and outcomes

Theory & Evidence-Based Practice

• Suboptimal breathing patterns
• Over-inflation
• Upper chest breathing
• Diaphragm and thoracic restrictions effects on the lumbar spine/hips/LE, C spine and UE- trunk rotation, or lack of trunk rotation effects
• Posture and flawed load transference
• Trunk stability and the diaphragm/core/incontinence
• Hypertonicity/over activation of the superficial trunk muscle
• Chronic low back and SI joint pain with poor control
• Scoliosis and trunk weakness in the elderly
• Chronic hip and lateral knee pain
• Chronic cervical pain and headaches
• Shoulder impingement issues
• Thoracic outlet syndrome
• Fibromyalgia
• Balance and gait deviations
• Athletic performance
• Respiratory alkalosis/hyperventilation and the consequences
• Chronic fatigue, fibromyalgia, chronic pain

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-397-0180 for more details.

Listed below are the continuing education credit(s) currently available for this self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.3 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Arkansas Physical Therapists, Physical Therapist Assistants: This educational offering has been approved by the Arkansas State Board Of Physical Therapy for 6.0 contact hours for Physical Therapists.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.25 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

Kansas Physical Therapists, Physical Therapist Assistants: This self-study educational offering has been approved by the Kansas Physical Therapy Association for 6.0 hours (Approval #CEUL007371) for Physical Therapists and Physical Therapy Assistants.

Physical Therapists, Physical Therapist Assistants - Kentucky:

Louisiana Physical Therapists, Physical Therapist Assistants: This self-study educational offering has been approved by the Louisiana Physical Therapy Board for 3 Clinical contact hours for Physical Therapists and Physical Therapy Assistants.

Maryland Physical Therapists, Physical Therapist Assistants: This self-study course has been approved by the Maryland State Board of Physical Therapy Examiners for 0.6 CEUs.

Minnesota Physical Therapists, Physical Therapist Assistants: This self-study educational offering has been approved by the Minnesota Board of Physical Therapy for 3.25 hours of continuing education hours, category 1, (Approval #) for Physical Therapists.

New Jersey Physical Therapists, Physical Therapist Assistants: This educational offering has been approved for 6.0 continuing education credits by the New Jersey Board of Physical Therapy Examiners for Physical Therapists and Physical Therapy Assistants (Approval # 2016-484).

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.6 contact hours.

North Carolina Physical Therapists, Physical Therapist Assistants: PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 6.0 continuing education hours.

Ohio Physical Therapists, Physical Therapist Assistants: This educational offering has been approved for 6.25 CEUs by the Ohio Physical Therapy Association for Physical Therapists and Physical Therapy Assistants (Approval #16S2403).

Pennsylvania Physical Therapists, Physical Therapist Assistants: This educational offering has been approved by the Pennsylvania State Board of Physical Therapy for a total of 6.0 contact hours of which 0 hours have been approved for Direct Access. PA Board Approval #PTCE010404.

Tennessee Physical Therapists, Physical Therapist Assistants: This educational offering has been approved by the Tennessee Physical Therapy Association for .6.0 CEUs (6.0 Contact Hours) TPTA Approval number 2016-263 for Class I Continuing Education Competency Requirement for Physical Therapists and Physical Therapy Assistants.

West Virginia Physical Therapists, Physical Therapist Assistants: This educational offering has been approved by the West Virginia Board of Physical Therapy for 6.0 Continuing Education hours (CCE-R16-11). Approval of this course does not necessarily imply that the WV Board of Physical Therapy supports the views of the presenter or sponsor.

Oklahoma Physical Therapists, Physical Therapist Assistants: This educational offering has been approved by the Board of Medical Licensure & Supervision State of Oklahoma for 6.0 hours for Physical Therapists.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.25 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Physical Therapists, Physical Therapist Assistants, Occupational Therapists, Occupational Therapy Assistants, Athletic Trainers, Licensed Massage Therapists, Rehab Nurses, Respiratory Therapists, Kinesiologists, Chiropractors,