Rehab Strategies for Patients With Chronic Conditions

Andy McCormick PT, DPT, GCS, OCS

Rehab Strategies for Patients With Chronic Conditions

CE Information


Course Brochure

Contains CE information for additional professionals

Course Highlights

  • Expand your understanding of the causes, symptoms, and pathophysiology of heart failure, COPD, DM, and hypertension
  • Pharmacological considerations and how to recognize possible adverse side effects and interactions that could be impacting your patient'sability to maximize functional independence
  • Create practical, effective evidence-based therapeutic solutions for medically complex patients and how to effectively progress these patients to improve functional outcomes
  • Safely progress patients with respiratory issues using the best plan of care in order to manage and motivate your patients to achieve their maximum level of function
  • Acquire critical information regarding lab values including normal ranges and how to recognize the effects an abnormal lab value may have on therapeutic interventions
  • Hands-on labs for breathing interventions to promote appropriate air flow and decrease substitution patterns

Additional Info

Medically complex patients are becoming more common in rehabilitation and are omnipresent even in the simplest patient diagnoses. According to the CDC, CHF affects as many as 5.7 million Americans and about half die within 5 years of being diagnosed. As many as 11 million people in America have COPD which is the third leading cause of death in the US. According to the CDC, 75 million Americans have high blood pressure which greatly increases risk for heart attack and stroke. Many of these patients are relegated to "low level" status because of "poor endurance" or tolerance for activity and given incomplete rehabilitation. Impairment or system-based thinking frequently leads to misinterpretation of test results and leads to inefficient interventions.

This hands-on, one-day workshop will equip the participant with effective, evidence-based techniques and concepts to successfully address the common issues found in medically complex patients that are often overlooked or misinterpreted. In addition, the participant will learn how the entire upper quarter impacts breathing capacity and be able to improve gross airflow which will lead to improved functional capacity. Participants will leave this course with significantly increased confidence in putting their hands on medically complex patients knowing that these patients can indeedbenefit from exercise and manual therapy approaches and be successful the very next day.

  1. Classify patients with chronic conditions, prevalence,pharmacological considerations and the therapist's role in improving functional status.
  2. Select the appropriate outcome measures to determine baseline function and show improvement, including appropriate documentation of performance and expectations.
  3. Recognize common breathing substitution patterns and effectively improve these patterns to increase functional endurance.
  4. Utilize alternative treatments for common pathologies associated with the medically complex patient to improve balance and mobility.
  5. Implement effective soft-tissue and joint mobilizationtechniques with confidence across a wide spectrum of patients and complaints.
  6. Incorporate appropriate corrective exercise to maintain improved airflow changes gained through manual therapy.
  1. Properly Understanding and Managing Patients withChronic Conditions
    • Prevalence
    • History and leading questions
      • Fear and anxiety
    • Outcome measures
      • Shortness of breath
      • Physical performance
    • Plan of care considerations
    • The role of the therapist
    • Complexity of this patient population
  2. Chronic Conditions: COPD, Diabetes, Heart Failure, andHypertension
    • Pathophysiology and prevalence
    • Patient evaluation
    • Common medications used
    • Common lab values you should know
    • Effective therapeutic interventions
    • Multiple chronic conditions
  3. Selecting the Most Effective Special Tests and Measures to Perform an Accurate Physical Examination
    • Breathing and capacity
    • Accessory movements
    • Soft-tissue anatomy points
    • Joint hypomobility and hypermobility assessment
    • Cardiovascular assessment
    • Local and global endurance
    • Sensation and proprioception
    • Edema assessment and management
    • Blood work
    • Special testing: "Aerobic" assessment and orthostatic hypotension
    • Hands-On Lab
  4. Therapeutic and Manual Solutions for Respiratory Issues
    • Assessment and differentiation
      • Accessory movements
    • Self-mobilization
    • Soft tissue techniques
    • Abdominal breathing
    • Hands-On Lab
  5. Therapeutic Exercise Solutions to Improve Mobility andIndependence
    • PNF applications
    • Scapulothoracic stability
    • Core strength
    • Muscle performance
    • Motor control
    • Fatigue
    • Nutrition
    • Hands-On Lab
  6. Motivation and Adherence Programs to ImproveCompliance and Improve Outcomes
    • Common barriers
    • Self-management
    • Caregiver support
    • Documentation

Andy McCormick PT, DPT, GCS, OCS, a licensed physical therapist with over 700 hours in manual therapy coursework from Norwegian, Canadian and Australian perspectives. In addition to being a physical therapist he is also an exercise physiologist with a Master's in Exercise Physiology and a minor in Biomechanics. Dr. McCormick has over 20 years of clinical experience in acute care, sub-acute rehab, SNF, outpatient and home settings treating patients from age 10 to 103 including high school, collegiate level and professional athletes. He is Board Certified in both Geriatric and Orthopedic Physical Therapy and is one of less than 50 therapists with this dual certification in the United States. Dr. McCormick was certified in 1993 as a Certified Strength and Conditioning Specialist with the NSCA and a former instructor for the AAAI/ISMA.Dr. McCormick has successfully integrated advanced manual therapy techniques in acute and sub-acute settings to provide significant improvements for patients beyond traditional therapy. He is certified as an Advanced Clinical Instructor through the APTA and was the recipient of the "Clinical Instructor of the Year" Award from Tennessee State University Physical Therapy Program in 2014 as well as winning the "Clinical Instructor of the Year" from the Tennessee Physical Therapy Association in 2018. Dr. McCormick is also a member of APTA, AAOMPT and the NSCA.


FINANCIAL: Andy McCormick is compensated by Summit as an instructor.

NONFINANCIAL: Andy McCormick has no non-financial relationships to disclose.

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Content Level: Intermediate

ASHA CE Information

ASHA Continuing Education

Summit Professional Education

Intermediate Level

ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products or clinical procedures.

SATISFACTORY COMPLETION: Participants must register, pay tuition fee, sign in with a mobile device via scanning electronic QR code at workshop location, attend the entire workshop, complete an electronic evaluation, as well as any other required state-specific supplements (if applicable) and sign out with a mobile device via scanning electronic QR code in order to receive a certificate of completion. Participants not fulfilling these requirements will not receive a certificate. Failure to sign in or out and complete a course evaluation will result in forfeiture of credit for the entire workshop. No exceptions will be made. Partial credit is not available.

Scope of Practice: Workshop content is not intended for use by participants outside of the regulatory scope of practice of their license(s). You are responsible for knowing what lies within and without your professional scope of practice.

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With that as our foundation, we are proud to now offer Online Continuing Education courses that we believe set a new standard of high quality. Leveraging our exceptional teaching faculty that delivers thousands of live workshops each year (with an average customer satisfaction rating of 4.7 out of 5.0), we have now invested in creating the same exceptional Online course experience.

We deliver Online courses that are both high quality and easy to use:

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Our Online platform is state of the art

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On-Demand: What to Expect

We want to make sure that you are 100% comfortable with what you are purchasing, so this is a rundown of the experience you should expect.

Here's what you can expect from our media player:

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Links in the top right hand corner

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Continuing Education Credit FAQs

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Online course completions are reported to ASHA following the below schedule:

  • Completions dated 1/1 - 3/31 will be reported to ASHA no later than 5/15
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Summit offers CE Broker reporting on behalf of FL PTs, OTs, SLPs and ATCs as well as for AL OTs, OH SLPs, SC PTs, OTs and SLPs. Licensees in states/professions outside of these listed should self-report at using the information provided on the certificate of completion. More information can be found here.

Online Course Content FAQs

Is an outline of the course content available before or during viewing?

You can see a course outline on the Product page under the Course Outline tab. After purchase, the course outline is also provided on the media player for watching the course.

How do I access the course manual?

Once you have purchased the course, there is a tab at the bottom of the media player where you can download the manual to save or print for your personal use.

Manual is located in the "Resources" tab

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Most of our courses have hands-on lab content, varying from minimal to significant. By looking at the Course Outline tab on the Product page, you can see how intensive the labs are for each course. During the lab section, we have invested heavily in providing very strong video content (i.e. very tight camera angles) so you can learn along with the live attendees. Depending on the course, you may want to simulate the activities that are presented in the course (which will be noted in the "Before You Start" section of the media player).

Where can I find who is teaching the course and his/her professional credentials?

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Online Video Experience

How long is the course?

Courses range in length from 1-6 hours. You can see the exact length of the course by visiting the course Product page.

Will I need any special materials to take the course?

After purchasing, the any special materials or specific advice is listed at the bottom of the "Course Info" tab.

Can I fast-forward or rewind through the online course?

Yes. For your convenience, you may fast-forward or rewind while watching the course. However, please note you will be required to certify you have watched the entire course to obtain CE credit.

Are there breaks? Can I press pause while watching the course?

There are no formal breaks in the video content. However, there is a pause feature to allow taking breaks at your own convenience.

Can I complete the course over several days? How much time do I have to finish the course?

Yes, you can always press pause or stop to take a break at your own convenience. Also, if you leave the course, please note where you left so you can pick up where you last finished. However, please remember you need to finish the course and pass your post course test within 30 days (non-subscribers) or before your subscription ends (subscribers).

Is the online course interactive? Will I be able to ask questions during the course?

The video that you will be watching is a recorded version of a live workshop. The video captures Instructor answers to participant questions, but there is no opportunity for you to ask questions with the instructor, real time. If you do have questions for the instructor, most instructors have their email address at the end of their presentations.

Am I able to re-watch the online courses even after I have completed the post course test and received my certificate?

Once you purchase the online workshop, you have 30 days to view the workshop as many times as you want as well as to review the manual (if you choose not to download while taking the course). For subscribers, your access is unlimited while your subscription is active.

Can I get a refund if I don't like the course?

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Test & Certificate

Will I need to take a post course test? Why?

Yes, you are required to successfully pass the post course test to obtain CE credits and certification. This is required by our licensing boards for online courses.

What is the post course test like, what is a passing score, and how many times can I take it?

Post course tests consist of True/False and/or multiple choice questions. You will be able to retake the post course test as many time as necessary to receive a passing grade. A passing "grade" is 75% or higher for general content, 80% or higher for certain state specific workshops, like ethics, jurisprudence, and laws and rules courses. You will be able to retake the post course test as many times as necessary to receive a passing grade.

When will I receive my credits and certificate?

Once you complete your course evaluation and online test, you will be able to immediately download your certificate and request CE Broker or ASHA Reporting (if applicable).

Technical FAQs

What browsers and Operating system do I need to run for this to work properly?

The following are the supported browsers and Operating Systems for the media player to work properly:

  • Internet Explorer 11 or Microsoft Edge 44+ for Windows 10
  • Google Chrome 75.0+ for Windows, Mac OSX, or Linux
  • Mozilla Firefox 70.0+ for Windows, Mac OSX, or Linux
  • Safari 12.0+ for Mac OSX 10.13 and above

Will the media player work on both a Mac and PC?

Yes, the online courses will play on both a Mac and PC. The following are the supported browsers and Operating Systems for the media player to work properly:

  • Internet Explorer 11 or Microsoft Edge 44+ for Windows 10
  • Google Chrome 75.0+ for Windows, Mac OSX, or Linux
  • Mozilla Firefox 70.0+ for Windows, Mac OSX, or Linux
  • Safari 12.0+ for Mac OSX 10.13 and above

Can the workshops be played on my phone?

Yes! You are able to watch the workshops on your phone. Here are the technical requirements to ensure it works properly:

  • Safari on iOS 13+
  • Safari on iPadOS 13+
  • Chrome on Android 9.0+
  • Any running Android 9.0+

Are the videos downloadable or streaming?

All of the videos stream from the media player.

How does the streaming video work?

Live streaming video is content sent in compressed form over the Internet and displayed by the viewer in real time. With streaming video or streaming media, a Web user does not have to wait to download a file to play it. Instead, the media is sent in a continuous stream of data and is played as it arrives.

Will I experience any occasional buffering or freezing of the video?

Because of our streaming video approach, this rarely happens. If it does, it's typically because of customer internet access quality issues and we will provide troubleshooting tips as well as telephone support from our help desk.

Do you provide technical support?

Our help desk is available to assist you by phone Monday through Friday, 6AM to 6PM at (800) 433-9570.

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