Wednesday, May 24, 2017 - Pre-Conference Course

Pre-Conference Course: Improving your Odds on Effective Pain Management

AM Sessions: “Heads or Tails” - Increasing your chances in those challenging cases

• Discuss common lumosacral spine sources of buttock pain
• Discuss common bone and joint sources of buttock pain
• Discuss common soft tissue sources of buttock pain
• List other non-musculoskeletal sources of buttock pain

• Identify the link between non-resolving low back and/or hip pain and underlying pelvic muscle dysfunction
• Summarize the risk factors for pelvic muscle dysfunction
• Assess when it is appropriate to refer a patient to pelvic physiotherapy

• Review the pathophysiology behind muscle cramps and prevalence across disease and physiological states
• Learn an approach to the patient with muscle cramps, including a rational approach to the investigations required
• Describe the challenges in treatment of muscle cramps and a become familiar with common pharmacological and non-pharmacological options

• Describe a case-based approach to review common clinical scenarios surrounding the management of patients with muscle cramps

PM Sessions: “Growing your odds of winning” with your pain strategies

• Summarize principles of platelet rich plasma therapy
• Discuss indications and controversies of use in musculoskeletal conditions
• Discuss physician role and patient expectations regarding treatment outcomes

Radiofrequency Ablation - Focusing on Outcomes

Speaker: Mike Golfed

Objectives: By the end of this session, participants will be able to:

• Describe historical perspective of radiofrequency methods in managing chronic pain
• Estimate pre-treatement probablity of positive outcomes
• Systematize evidence of efficacy

• Analyze the current medical evidence for use of PRP in musculoskeletal conditions
• Identify the appropriate patients for a trial of platelet rich plasma therapy
• Describe protocols of common US guided platelet rich plasma injections

Radio Frequency Ablation: Who, By Whom and In What Conditions
Speaker: Mike Golfed

Objectives: By the end of this session, participants will be able to:

• identify appropriate candidates for radiofrequency ablation
• analyse results of diagnostic injections and radiofrequency ablation
• distinguish between different methods

Annual Meeting

• Mini Putt Golf

Thursday, May 25, 2017: Muscle, Fat and Exercise

International SIG - Roles and guidance for rehabilitation efforts in the humanitarian field
Speakers: Drs. Colleen O'Connell, Sivakumar Gulasingam and Nabila Soomro

Objectives: By the end of this session, participants will be able to:

• Describe the World Health Organizations technical standards for foreign medical teams including rehabilitation services
• Reflect on the experiences of building physical medicine and rehabilitation services in Pakistan
• Determine priority activities for members of the International special interest group

• Review history of types of exercise and impact on cerebral palsy
• Discuss impact of exercise on aging with cerebral palsy
• Reflect on guidelines for physical activity in Cerebral palsy

• Administer the Functional Inventory Table (Apportionment)
• Describe the Principles of use
• Incorporate the Principles into a report
• Describe clinical examples of the importance of distinction (benefits paid out)

Education SIG
Program Evaluation
Speakers: Denyse Richardson, MD, FRCPC and Nancy DUdek, MD, FRCPC

• Learn the scientific basis of acupuncture.
• Identify the value of acupuncture for pain control, stroke rehabilitation, spinal disease, and traumatic brain injury.
• Describe the mechanisms of action and evidential support with respect to acupuncture for the aforementioned conditions.

• Described the dismotility syndrome paradigm as a way to enhance reduction of fracture risk
• Identify component conditions to consider in the dismotility syndrome
• Appreciate approaches to implementing dismotility syndrome into clinical care

• Identify the various components of Motivational Interviewing
• Identify when to use Motivational Interviewing in practice
• List the resources for additional training in Motivational Interviewing

• Apply a comprehensive approach for the assessment of fall risk
• Identify the components of postural control and how each may be evaluated
• Demonstrate a bedside assessment of reactive postural control

• Review the OI cases across Canada
• Discuss and help develop a standardized assessment protocol for OI
• Discuss and help develop a registry for OI in Canada
• Discuss the implantation of OI in Canada

TBI SIG

Speaker: Paul Comper

• Describe innovative clinical and research activities and priorities among Canadian SCI physiatrists
• Identify current practices related to monitoring cough effectiveness and use of airway clearance strategies for individuals with neuromuscular disease and spinal cord injuries
• Identify existing barriers to implementation of Canadian Thoracic Society Home Mechanical Ventilation guideline recommendations and potential strategies to mitigate these barriers

• Discuss important considerations during contract negotiations.
• Describe job search strategies during and after residency training.
• Compare factors that may impact career choices after residency.

• Review recent advances in nerve transfer surgery and importance of rehabilitation.
• Highlight neuroplasticity, rehabilitation and the post-operative recovery in both nerve injury and SCI.

Friday, May 26, 2017: Improving your Management and Leadership Skills

• Medical Marijuana – Keith Sequeira
  Objectives: By the end of this session, participants will be able to:
  • Understand pros and cons to medicinal marijuana prescription.
  • Describe the various marijuana options and when to consider each.
  • Describe pearls to consider with marijuana prescription.
• Assisted Dying – Monica Branigan
• Orthotics – Nancy Dudek
  Objectives: By the end of this session, participants will be able to:
  • Describe innovative designs for proximal unloading AFOs
  • Describe swing and stance phase control for knee orthoses
  • Describe the advantages of an Energy Storage and Return AFO
• Statins and Myopathy – Steve Baker

• evaluate the current state of 3Dprinting in prosthetics
• compare current ICRC prosthetic design and fabrication processes with 3Dprinting
• appreciate current capabilities and challenges of prosthetics and 3Dprinting

• explain how feedback promotes learning and behavioural change
• outline various approaches to providing feedback
• discuss the importance of an educational alliance

• Video and Brief Talk
• Small Group Activities based upon scenarios
• Discussion of what was learned

• Perform an audit gap analysis to assess their current practice
• Apply basic quality improvement tools to improve their practice

• Relate the commonly utilized cutpoint to define vitamin D inadequacy
• Formulate an approach to defining vitamin D status based upon assay variability
• Indicate physiologically plausible outcomes related to vitamin D inadequacy

Saturday, May 27, 2017

Lunch/Awards
Comparison of US and Canadian Health Care Systems – What can we learn and what should we be thankful for?
Speaker: Larry Robinson

In a spirit of recognition for achievement, contribution, and character, the CAPM&R introduces the 2017 Award of Merit Recipient - Dr. Cathy Craven

Please join us to hear Dr. Craven share invaluable reflections and stories from her career.

At the end of the session, participants will be able to:

• Distinguish valuable mentors
• Demonstrate your CAPMR organizational commitment through networking activities
• Schedule time of “out of the blur”
• Synthesize unique challenges for the field and  opportunities to advance care
• Exemplify the passion for our field evident in  Award of Merit Winners

• Discuss common etiologies of post-stroke shoulder pain
• Explore evidence based managment of more common etiologies
• Identify opportunities for interventional management

• Intro to Sonotomy and Basic Injections
• Adhesive Capsulitis
• Calcific Tendonitis
• Suprascapular Nerve Lesioning

SIG Chairs Meeting

Agenda

1. Review the role of the SIG in future Scientific Meetings,
2. Recommendations on improving communication between Leads and “current” Scientific Planning Committee,
3. Meet with Planning Committee Members for Yukon, 2018 CAPMR Scientific Meeting,
4. New Chair SIG Sub-committee

The role of the Chair SIG Sub-committee is to: Liaise with CAPMR Executive, SIG Leads and Scientific Planning Committee.

• Dinner
• Family Feud – East Coast vs. West Coast Physiatrists – Ida Cavaliere