Course 6

Geriatric/Orthopedics

BONNY SUE O’HARE, Instructor introduction

Graduated from McGill University in Canada with a degree in Physical Therapy.

Pro Motion Physiotherapy

Clinical physiotherapist and head of practice, Ontario Society of Physiotherapists, Field Appraisers and Clinical tutor. Conducted at the University of Toronto Osteo

Circuit Building Better Bones Exercise and Education Program Scientific research and clinical work, and in many international journals such as Osteoporos Int. Published several papers. For many years, Bonny

The promotion of physical therapy and rehabilitation for osteoporosis has been invited due to its special contribution in clinical and academic fields.

He gave a speech at the Osteoporosis Conference in various parts of the world.

Course description

This two-day, 13 hour lecture and lab course is designed to prepare the participant to conduct an evidence-based assessment of an osteoporosis or osteopenic patient/client with the goal of designing an evidence based, individualized and progressive exercise program to decrease fall and fracture risk.

The introductory lecture describes relevant research on physical activity and aging and the medical management of osteoporosis. Emphasis throughout the course is placed on developing an evidence-based foundation of management of the total patient/client that includes relevant medical history, fracture status, clinical and functional status, and presence of co-morbidities, confidence and/or pain that may affect their exercise ability. Lab assessment sessions include measurements of postural assessment, clinical status and physical performance. Lab exercise sessions include demonstrations of exercises designed to improve posture, promote bone building, maximize function and decrease fall and fracture risk. Patient case studies will be used to assist the therapist in designing comprehensive exercise and education programs.

This course has been designed for the participant to immediately apply the information to their clinical setting.

Course schedule

9:00 Morning Session: Current Research in the Management of Osteoporosis

1. Welcome & Introduction
2. Osteoporosis: Facts, Statistics, Fracture Risk Assessment, BMD
3. Medication, Calcium & Vitamin D
4. Current Trends in Medical Management
5. The Role of the Physiotherapist
6. Case Studies -Introduction

10:30 – 10:45 Break

1. Osteoporosis & Men
2. The younger “typical” patient
3. Vertebral Fracture: Differential Diagnosis
4. Vertebral Fracture Management
5. Fall prevention
6. Osteoporosis & Exercise: Blending Research and Practice

12:30 Lunch

1:30 – Afternoon Session: Osteo-Circuit^TM Assessment

1. Osteo-Circuit^TM Questionnaire
2. Osteo-Circuit^TM Physiotherapy Assessment: Policies & Procedures and Clinical Practice

3:00 – 3:15 Break

1. Osteo-Circuit^TM Physical Performance Measures: Policies & Procedures and Clinical Practice
2. Osteo-Circuit^TM Reassessment
3. Osteo-Circuit^TM Forms: Assessment, Reassessment, Program Progression
4. Doctor’s Reporting Form Software
5. Case Studies -Group Work

Expected Completion: 5:00pm

8:30 Morning Session: Osteo-Circuit^TM Exercise Program: Practical Lab

1. Osteo-Alignment Exercises
2. Osteo-Spinal Strengthening Exercises
3. Osteo-Postural Exercises
4. Osteo-Core Exercises

10:30 – 10:45 Break

1. Osteo-Balance Exercises (Static, Dynamic, Single Task, Dual Task and Cognitive)
2. Osteo-Education
3. Osteo-Mechanics (Safer Body Movements)
4. Yoga & Pilates: What is safe, not safe and what needs to be adapted
5. Adapted Tai Chi Exercises
6. Incorporating Exercise and Activity into Daily Living
7. Osteoporosis exercise & education for private treatments or group classes: What to consider
8. Case Studies- Group Work

12:30 Lunch

1:15: Afternoon Session:

1. Osteoporosis and Exercise: Treat to Target
2. Adherence to Exercise
3. Osteo-Circuit™ Exercise Pictures, Explanations and Patient Logs
4. Case Studies – Group Presentations
5. Case Studies – Osteo-Circuit
6. Group Exercise Class
7. The Osteo-Circuit Network
8. Clinical Pearls