Dr. Dimitrios-Kostopoulos, P.T., Ph.D., D.Sc.
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Manual Therapy Horizons - November 2008
 
An Official Publication of Hands-On Seminars


RESEARCH STUDIES

Q & A

MEET OUR STAFF

DATES & LOCATIONS

SPECIAL PROMOTION


Dear Colleagues and Course Participants:

Welcome to the November 2008 edition of Manual Therapy Horizons the official newsletter of Hands-On Seminars.

At this point the presidential elections are over and it will be very important for everyone to stay involved by continued pressing upon the essential issues of our profession. Medicare, insurance reimbursement, high co-pays, POPTS etc

At the same time therapists must continue expanding their field of knowledge and expertise. Hands-On Seminars offers a wide variety of programs helping therapists achieve greater skills that can lead to enhanced career opportunities.

Doctorate in Physical Therapy (DPT degree) with Manual Therapy Electives
In conjunction with Hands-On Seminars (HOS), Rocky Mountain University of Health Professions (RMUoHP) is offering the transitional Doctor of Physical Therapy (DPT) degree with manual therapy electives. RMUoHP’s limited-residency model allows students to balance professional, personal, and academic commitments. For this program, students complete two semesters of coursework, each of which includes a one-week instructional module at our Provo, Utah campus. All coursework is completed from the student’s home community. Significant discounts are offered to HOS students who have completed some or all of HOS courses. For additional information please visit our web site: www.handsonseminars.com 
Application Deadline for next session is: December 12, 2008


FREE Manual Therapy Course to benefit APTA’s PT-PAC
Hands-On Seminars in an effort to increase awareness about Manual Therapy is proud to present this FREE Manual Therapy Seminar with immediate Clinical Applications.

CLINICAL ROUNDS WITH DR. KOSTOPOULOS

Manual Therapy expert Dr. Dimitrios Kostopoulos, PT, PhD, DSc will tour several cities around the country disseminating very important and clinically applicable Manual Therapy techniques for the most common clinical scenarios that therapists face daily. Instead of a tuition for this seminar Dr Kostopoulos and Hands-On Seminars, encourage course participants to visit APTA's PT-PAC donation site and make a voluntary donation of their choice to the American Physical Therapy Association. Donation to the APTA is not a requirement for attendance and course participants may donate only if they choose so.

Dr. Kostopoulos will visit:

Nov 23, 2008 - New York, NY
Dec 13, 2008 – Orlando, FL
Mar 15, 2009 - Astoria, NY
Mar 21, 2009 – Houston, TX

For detailed course information and to Register in this FREE Manual Therapy course Click Here


NEW Seminar Schedule for 2009 announced
Hands-On Seminars announced our 2009 schedule. Click here for details


HOLIDAY REBATES FOR COURSES & MCMT PROGRAM
To celebrate the holiday season, Hands-On Seminars announces its holiday rebate program that includes the deepest discounts that we have ever offered:

Register now for any 2 courses and receive a $100 rebate off the full seminar price*.

Register now for the MCMT program and receive a $250 rebate off the discounted price*.

*
Rebates are not combined with other offers or discounts. Above discounts effective November 15, 2008 to January 15, 2008. New registrations only.


Hands-On Seminars on FACEBOOK
Hands-On Seminars made last month its Facebook debut. Join the group by following this link. Click Here To Join

On another note keep sending your clinical comments and questions at: hos@handsonpt.org 

Feel free to forward the newsletter to any other colleagues and friends.

All the best,

Dimitrios Kostopoulos, PT, PhD, DSc
Konstantine Rizopoulos, PT, FABS
Founders Hands-On Seminars

1-888-767-5003
www.handsonseminars.com

Research Studies


EVIDENCE BASED PHYSICAL THERAPY
 
The purpose of this column of the newsletter is to provide you with either a research article or a review of research pertinent to the area of manual therapy. We will select articles that are friendly to read.

Kostopoulos D, Nelson A, Ingber R, Larkin R: “The Effects of Ischemic Compression and Passive Stretching on Spontaneous Electrical Activity and Pain Perception on Myofascial Trigger Points in the Upper Trapezius Muscle” Journal of Musculoskeletal Pain, 2008, 16(4), 267-279

Abstract

Objectives: Investigate the effects of ischemic compression [IC] technique and passive stretching [PS] in isolation and in combination on the reduction of spontaneous electrical activity [SEA] and perceived pain in TrPs located in the upper trapezius muscle.

Methods: Ninety participants with TrPs in the upper trapezius muscle were randomly assigned to three treatment groups: IC, PS, and IC + PS. Trigger point compression was applied on the TrP for three applications of 60 seconds each, followed by 30-second rest period. Passive stretching was applied for three 45-second applications, with 30-second rest intervals. All patients received the same amount of therapy.

Results: Significant decreases were found in pain perception and on SEA for all study participants. The IC + PS group evidenced greater declines in pain perception and SEA when compared to the IC and PS groups.

Conclusion: Because of ethical considerations, a control group design was not possible, limiting the robustness of the findings. Although each technique significantly reduced pain perception and SEA, the combination of IC and PS was superior, apparently because of the complementary nature of the therapeutic interventions.
 

Q & A


CLINICAL ROUNDS:

“I find rather challenging treating patients with TMJ dysfunction. Sometimes, braces provided by dentists make the pain worse. Do you offer any suggestions?”
Vicky M.- Forest Hills, NY

ANSWER:

Provided that there is no severe joint problem both myofascial trigger point therapy techniques as well as mobilization techniques can be very helpful. Make sure that you properly assess the opening and closing both in terms of degree of opening as well as any deviations present. You need to restore proper opening, usually 3 finger-breadths, correct deviations and relieve pain. From a myofascial dysfunction point of view useful muscles to treat are: masseter, temporalis, medial and lateral pterygoids and of course sternocleidomastoid. Mobilization techniques aiming in correcting any deviations should be applied. Relevant HOS courses that cover these approaches are: PT-1 and PT-MCMT
 
 

Instructor Of The Month


Each month we showcase one of the instructors of Hands-On Seminars. In this issue we would like to introduce
Joy Davala, MPT, MCMT

Joy Davala, MPT, MCMT Joy is a faculty member of the HOS team of professionals and a clinical director for Southern Delaware Sports Care & Rehabilitation, concentrating in orthopedics.

She has worked with people of all ages including athletes ranging from club to professional.

She has experience with aquatic, chronic pain and spinal dysfunctions. She is a graduate of the University of Maryland Eastern Shore and has received her MCMT from HOS and was certified as an instructor. She enjoys teaching Manual Therapy techniques and offering her integrative approach to course participants. Joy is also a clinical instructor for PT and PTA students.

Joy thank you for a great job. Keep it up!

 

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I wanted to let you know, how much I appreciated attending PT01 with Dr. Kostopoulos. The clarity, organization and positive way in which he presented the material, helped me to understand it completely. The lab session and lecture part given by Christine, was great! Her knowlege and hands on experience, encouraged me to perform the lab sessions with confidence. Because of such a positive learning experience, I registered for the rest of the seminar series. Thank you again for a great seminar, looking forward to PT2, PT3, PT4, PT5.
Sincerely, Toni Mercogliano, PT

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