April 26-27, 2024
Rosemont, IL
This two-day course is an intensive, hands-on program that will elevate the attendee’s knowledge and skills in the evaluation and management of spasticity and other forms of muscle overactivity. Strategies to differentiate and identify patterns of presentation and different focal and regional interventions that include neurolytic agents, neurotoxins and intrathecal medications will be discussed. World class faculty will guide small groups during hands-on training sessions. Upon completion of this course, attendees should be capable of planning and executing these procedures with a higher degree of confidence and efficiency.
Directors and Faculty
(SUBJECT TO CHANGE)
Directors
Alberto Esquenazi, MD, FAAPMR and Michael F. Saulino, MD, PhD, FAAPMR
Faculty
Kristin E. Caldera, DO
Reza Farid, MD
Shivani Gupta, DO
Ryan C. Hafner, MD
Kimberly Heckert, MD
Daniel Moon, MD, MS
Marilyn S. Pacheco, MD
Mary E. Russell, DO, MS
Monica Verduzco-Gutierrez, MD
Learning Objectives
At the completion of this course, participants will be able to:
- Identify and apply interventional techniques for management of upper and lower extremity spasticity patterns
- Utilize ultrasound, EMG and electrical stimulation guidance to perform focal chemodenervation techniques
- Identify and apply interventional techniques for management of spasticity with intrathecal baclofen therapy
- Describe various imaging techniques to troubleshoot intrathecal delivery systems
AAPM&R COVID-19 Code of Conduct for In-Person Meetings and Events
The American Academy of Physical Medicine and Rehabilitation (AAPM&R) is committed to safeguarding the health and well-being of its community, and strongly encourages staying up-to-date with COVID vaccinations and supports in-door masking.
As a community of medical professionals, the Academy expects attendees at all Academy-hosted in-person meetings, gatherings and events to be considerate and respectful of each other’s health and well-being.
Specifically, attendees are asked to comply with the following:
- If you have tested positive for COVID in the past 10 days or have any symptoms that could be caused by COVID, please stay home*
- If you have been exposed to COVID-10 in the past 10 days, even if you are not experiencing any symptoms, please take a PCR and/or rapid test(s) to confirm a negative result before attending the event. While at the event, please wear a mask for the period of 10 days since exposure and re-test on day six (6) after exposure. If positive on the re-test on day six (6), even if asymptomatic, please do not attend the event.
*If you have had symptoms for three (3) or more days and have two negative COVID tests at least 48 hours apart after symptom onset, you may attend but should mask while symptomatic. Please re-test on day six (6) of symptom onset. If positive on the re-test on day six (6), even if asymptomatic, please do not attend the event.
AAPM&R reserves the right to implement additional masking or testing protocols at any time based on ongoing monitoring of the environment and federal and/or local recommendations. Any such modifications will be effective immediately upon public posting and proactively communicated to attendees.
Agenda
(SUBJECT TO CHANGE)
Friday, April 26
7:00am – 8:00am Registration / Breakfast Available
8:00am – 8:15am Welcome and Introduction
8:15am – 8:45am Incidence and Presentation Based on Diagnosis
8:45am – 9:15am Focal Interventional Treatment Considerations
9:15am – 9:45am Case-based Discussion: Diplegic Cerebral Palsy Leading to Lower
Extremity Neurolysis
9:45am – 10:15am Case-based Discussion: Hemiplegic Stroke Leading to Upper Extremity
Chemodenervation
10:15am – 10:30am Break
10:30am – 11:00am Case-based Discussion: Paraplegic Spinal Cord Injury Leading to
Intrathecal Baclofen Therapy
11:00am – 11:45pm Case-based Discussion: Quadriparetic Multiple Sclerosis Leading to
Intrathecal Baclofen Disruption
11:45am – 12:00pm Review of Morning
12:00pm – 1:00pm Lunch
1:00pm – 2:00pm Hands-On Skills Training: Session 1
2:00pm – 3:00pm Hands-On Skills Training: Session 2
3:00pm – 3:15pm Break
3:15pm – 4:15pm Hands-On Skills Training: Session 3
4:15pm – 5:15pm Hands-On Skills Training: Session 4
Saturday, April 27
7:15am – 8:00am Breakfast Available
8:00am – 9:00am Hands-On Skills Training: Session 5
9:00am – 10:00am Hands-On Skills Training: Session 6
10:00am – 10:15am Break
10:15am – 11:15am Hands-On Skills Training: Session 7
11:15am – 12:15pm Hands-On Skills Training: Session 8
12:15pm – 1:00pm Lunch
1:00pm – 3:00pm Focused Skills Training Sessions
3:00pm – 3:15pm Break
3:15pm – 5:15pm Focused Skills Training Sessions
5:15pm Adjourn
Hands-on Skills Training Sessions
Friday afternoon and Saturday morning will focus on:
- Pump refill with visual / palpation techniques as well as drug preparation
- Pump basic and advanced programming
- Catheter port access with visual / palpation techniques
- Lumbar puncture on a simulation model
- Ultrasound guidance for reservoir and catheter access port
- Radiographic review of pump troubleshooting techniques
- Upper and lower limb muscle identification focusing on commonly encountered patterns with simulated injections on simulation models
- Ultrasound guidance for upper and lower limb muscle and nerve localization
- Upper and lower limb nerve localization with electrical stimulation
Focused Skills Training
Saturday afternoon will feature a focused training sessions covering unusual chemodenervation and neurolytic techniques when severe deformities are present (toxin dilution and volume adjustment to optimize effect, motor point vs nerve block, individual finger flexor fascicles, and importance of toe flexors on gait improvement) and cervical dystonia treatment with ultrasound guided muscle identification and simulated injections.
Agenda Breakdown
- Up to 15.25 AMA PRA Category 1 Credits™ — MOC approved!
- 6 dynamic lectures and case-based discussions
- 11 hours of hands-on, diagnostic and interventional procedures
Accreditation:
The American Academy of Physical Medicine and Rehabilitation is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation of Credit:
The American Academy of Physical Medicine and Rehabilitation (AAPM&R) designates this live activity for a maximum of 15.25 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
This course has been approved by the American Board of Physical Medicine and Rehabilitation (ABPMR) for a maximum of 15.50 Maintenance of Certification® (MOC®) Part II Self-Assessment credits. Attendees must actively participate and complete a self-evaluation at the conclusion of the course to earn MOC Part II credit.
Hotel Information
Hilton Rosemont/Chicago O'Hare
5550 N River Rd, Rosemont, IL 60018
Air Travel
As an option, air travel reservations may be made by calling TruTravel Solutions, the official travel partner for AAPM&R.
Jennifer Schaller
Direct line: 312-224-7048
Email: jennifer@tru-trav.com
Saira Flores
Direct line: 312-224-8365
Email: saira@tru-trav.com
TruTravel Solutions hours are Monday – Friday. 8:30 am-5 pm (Central Time). TruTravel Solutions charges a $25 per ticket transaction fee.
Course Check-In
Course check-in will be on April 26, 2024, from 7-8 am where course badges will be provided.
Meals
Breakfast items and lunch will be served on both days of the course.
Attire
Attendees are encouraged to dress comfortably. Scrubs are not required.
Cancellation and Change Policy
All cancellations for the Interventional Spasticity Management Applications must be submitted in writing via email to education@aapmr.org or via mail postmarked by March 15, 2024 to:
American Academy of Physical Medicine and Rehabilitation
Attention: Education Department
9700 W. Bryn Mawr Avenue, Suite 200
Rosemont, IL 60018
We look forward to your participation! Please contact education@aapmr.org with any questions.
Registration
This course is Step 2 of the STEP Interventional Spasticity Certificate Program. To attend the course you must register for the full STEP program. A la carte registration for this course is not available. Click here to view program details and to register for the STEP program.