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1. Assess the evidence for integrating Tai Chi, yoga, meditation, breath work and Feldenkrais into clinical practice.
2. Display the ability to apply 4 Tai Chi forms, 2 Restorative yoga poses, meditation, and 2
3. Feldenkrais Awareness Through Movement lessons to promote productive aging.
4. Describe how yoga, Tai Chi, meditation and Feldenkrais can be integrated with physical and occupational therapy practice to promote productive aging.
5. Devise integrative fall prevention programs for medical, community and home settings.
6. Document integrative techniques in the medical record and bill for reimbursement.

Normal Aging Changes

• Why is the Older Adult Body Different?

Core Concepts for Treatment

• Mindfulness
• Impact of Habits on Health and Function
• The Weber-Fechner Principle: The Clinical Application of Ease vs. Effort
• Kinematic Chain
• Structural vs. Functional Movement
• Neural Plasticity

Tai Chi Quan

• Techniques
  • Standing Stake
  • Pelvic Rib Connection
  • Sword Hand
  • Cloud Hands
• Structural and Functional Benefits
• Application to Treatment
  • Fall Prevention
  • Improve Balance and Gait
  • Improve Posture
  • Osteoporosis
  • Chronic Pain
  • Cardiopulmonary
  • Incontinence
  • Improved Function
• Case Study Highlighting Integration into Treatment

Restorative Yoga

• Techniques
  • Supported Recline Pose
  • Mountain Brook
  • Bound Angles Poses
  • Child Poses
• Structural and Functional Benefits
• Application to Treatment
  • Neurological
  • Orthopedic
  • Cardiopulmonary
  • Chronic Pain
  • COPD
  • Anxiety

Chair Yoga

• Chair Yoga Postures
• Structural and Functional Application
• Application to Treatment

Meditation

• Psychophysiology
• Meditative Techniques
• Walking Meditation
• Application to Treatment
  • Fall Prevention
  • Stress Management
  • Improved Cognition
  • Breath and Function
• Case Study Highlighting Evaluation and Integration into Treatment
• Alexander Technique
  • Effective Postural Cues for Elders

Breath

• Common Breath Holding Patterns
• Components of Efficient Breathing
• Importance of Breathing for Functional Outcomes
• Techniques to Promote Efficient Breathing
• Evaluation and Integration into Treatment

Feldenkrais

• Overview of the Feldenkrais Method
• Strategic Concepts which can be Applied to Conventional Treatment
• Awareness Through Movement
• Application to Treatment
  • Postural Control
  • Reaching
  • Bending
  • Transfers

Putting the Pieces Together

• Developing an Integrative Approach for Individual and Group Practice
• Case Presentation Highlighting Rationale and Integration into Treatment

Reimbursement

• How to Document Integrative Techniques in the Medical Record
• Reimbursement Criteria for Integrative Techniques

Bill Gallagher is the director of East West Rehabilitation Institute, a Master Clinician in Integrative Rehab at Mount Sinai Medical Center, and an Instructor in Clinical Physical Therapy at Columbia University. Bill Gallagher has developed a uniquely integrative approach to maximize comfort and function. By integrating the physical therapy traditions of the East (Tai Chi, Qigong, Yoga) with somatic therapies of the West (Conventional Therapeutic Exercise, Feldenkrais, Alexander, Pilates, Osteopathy), Mr. Gallagher helps his clients maximize function and minimize pain. Through meditation instruction, guided imagery, biofeedback and other disciplines that work with the Mind & Body, clients are further empowered to optimize function and comfort while reducing suffering. Bill sees a broad spectrum of clients in his practice including people with severe disabilities and elite performers. In addition to traditional 1:1 sessions, Bill teaches specialized group programs for people with pulmonary issues, spinal cord injury, brain injury, chronic pain, breast cancer survivors, and elders at risk of falling. His work has been published in Topics in Geriatric Rehabilitation, Occupational Therapy Practice, Advance for Physical Therapists, Advance for Occupational Therapists and Tai Chi magazine. He has also written a chapter for a physical therapy text, Complementary Therapies for Physical Therapy: A Clinical Decision-Making Approach, on integrating Tai Chi & Qigong with conventional physical therapy for psychological, cardiac and arthritic conditions. Bill is recognized as an authority on Integrative/Mind-Body/Complementary rehabilitation and shares his expertise with practicing rehab clinicians at the national level and at several physical therapy doctoral programs as well.

Speaker Disclosures:

Financial: William Gallagher is the Director of East West Rehabilitation Institute; Master Clinician at Mount Sinai Medical Center; and Instructor in Clinical Physical Therapy at Columbia University. He receives a speaking honorarium from PESI, Inc.

Non-Financial: William Gallagher has no relevant nonfinancial relationship to disclose.

Richard Sabel is the Education Director of East West Rehab and a Clinical Assistant Professor at SUNY Downstate's Occupational Therapy Program. For many years, he's successfully integrated occupational therapy and somatic practices of the East and West, into a distinctive approach to help clients reengage in meaningful occupations.

This integrated practice evolved from his personal experience. After 20 years of back pain, Richard discovered the benefits of Yoga, Tai Chi, mindfulness, breath work and the Feldenkrais Method. These practices, along with his therapist training, were instrumental in his ability to resume activities abandoned years ago. Richard brought these ideas into his occupational therapy practice and the response was overwhelmingly positive - clients reported less pain and started to make impressive functional gains. Richard's personal experience and the response of his clients have fostered the continued exploration and growth of an integrated therapeutic practice.

He teaches this approach at several occupational and physical therapy programs and divides his clinical time between private and community practice. Richard received a 3-year grant from the Balm foundation to offer his Easy Does It fall prevention/wellness program at 2 senior centers in New York City. Easy Does It has also been adapted for people with movement disorders such as Parkinson's disease and dystonia. Richard has been a guest on local cable television and Doctor Radio to discuss this phenomenal integrative approach. He regularly presents at professional conferences and has published a variety of articles reflecting his expertise in both physical and occupational therapy literature.

Speaker Disclosures:

Financial: Richard Sabel is the Education Director for East West Rehabilitation Institute. He receives a speaking honorarium from PESI, Inc.

Non-Financial: Richard Sabel has no relevant nonfinancial relationship to disclose.

For U.S. and Canadian customers, a CE test is available for $9.99 USD per participant. International CE rates may vary; please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion may be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 3/13/2018
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.3 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.25 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.6 contact hours.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, and other Mental Health Professionals