Presented by:  J. Paul Rutledge, MD, Dr. Julie Hereford, PT, DPT  and Mark Murray, MS, LPC

SATURDAY, October 8th and Saturday, November 5th
 
LOCATION:  Mother of Good Counsel Home, 6825 Natural Bridge Road, St. Louis, MO 63121
 
COURSE DESCRIPTION:
 This session will review sleep architecture and sleep hygiene. An overview of polysomnography (sleep readings) will be discussed to allow the clinician to understand these findings and how they relate to the rehabilitation client.  The importance of NREM (non-rapid eye movement) sleep stages on motor function and motor processing and learning will be discussed.
 Neurohormonal events particular to specific sleep stages will be presented. Pharmaceutical management and the use of mechanical devices including CPAP for treatment of disordered sleep will be discussed briefly, but will not be the primary aim of this session.  The mechanics of respiration, including upper airway function, as it occurs in normal sleep and disordered sleep will be presented.  This will include a discussion of the influence of
movement patterns that may be adopted to establish and maintain a patent airway during sleep, especially in disordered sleep.  A discussion of both obstructive sleep apnea and central apnea will be included.
 Dental sleep medicine and intervention, including the reasoning for and use of mandibular advancement devices will be covered.  Methods of screening for sleep dysfunction in the clinical setting and guidelines for when to recommend additional evaluation will be covered.  Recommendations for inter-disciplinary collaboration (including pulmonology, behavioral medicine, dentistry and rehabilitation) with the individual with disorderd sleep will be discussed.
 
COURSE OBJECTIVES
Participants will:
• Recognize physical and psychosocial indications of an individual with disordered sleep.
• Understand the systemic and long-term consequences of disordered sleep.
• Understand the differences between obstructive and central sleep apnea and the contributing factors of each.
• Understand how sleep influences motor learning.
• Recognize postural and respiratory mechanics and patterns that influence airway management during sleep.
• Describe methods of intervention that may improve airway management during sleep.
• Outline when and what techniques to use in establishing and promoting good sleep position, sleep hygiene and retro-cranial alignment.
 
AGENDA
Saturday:
8:00 – 4:00

• Basic Science of Sleep
• Evaluation of Sleep and Sleep Disorders
• Sleep Patterns
• Sleep Rehabilitation
• Mandible Advancement
        Appliance as an Obstructive Sleep Apnea (OSA) Treatment Option
• Autogenic Inhibition and Positioning Technique Recommendations

 WHO SHOULD ATTEND
Physical and Occupational Therapists; Physical Therapist Assistants; Athletic Trainers; Dentists
 
TUITION: $175 (4 or more weeks prior to course)  $190 (less than 4 weeks prior to course)
Discounts for multiple class registration.
 
Registration includes course outline, 100+ page course manual and continental breakfast.

CONTINUING EDUCATION UNITS:  8 contact hours
 
CANCELLATION POLICY:  Written request for full refund must be made 21 days prior to the course.  After this, a refund less a $50 administration fee will be refunded only if your seat is filled.
 
COURSE LOCATION: Mother of Good Counsel Home, 6825 Natural Bridge Road, St. Louis, MO 63121.  
 
CLASS SIZE:  40 participants
 
For more information call (314) 647-4880 or email info@coreservices.org

Course registration Form