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Treatment for Atypical Breathing: Positioning & Mobilization

presented by Deanna M. Wanzek

Accreditation Check:

This course will cover the treatment of atypical breathing patterns utilizing several strategies. Positioning relative to breathing will be explained. The impact of gravity will be discussed relative to the treatment of atypical breathing. Several techniques utilizing towel rolls, movement, and manual techniques will be presented and demonstrated. These techniques will primarily involve mobilization of the rib cage.

Meet Your Instructor

  • Deanna M. Wanzek, PT, PCS, CKTI, CLT

    Deanna M. Wanzek, PT, PCS, CKTI, CLT, graduated from the Mayo Foundation School of Physical Therapy in 1974. Although she has specialized in pediatrics for the past forty years, she does treat across the life span. DeDe utilizes a holistic approach to evaluation and treatment. She incorporates myofascial release, muscle energy, and other complementary skills. She is certified in the use of the Universal Exercise Unit/TheraSuit Method and teaches in the Pediatrics course at St. Catherine University in St. Paul, Minnesota. She is recognized by the Kinesio Taping Association as a Certified Instructor and was named Instructor of the Year for 2007. She has presented several times at the Kinesio Tape Symposium, which is a yearly event. She is also a Certified Lymphatic Therapist and APTA board-certified Pediatric Clinical Specialist, and she currently serves as item writer for the Pediatric Clinical Specialist test. She was the 2017 recipient of the Henry O. and Florence P. Kendall award presented by the American Physical Therapy Association. DeDe feels truly blessed to be able to go to work every day doing something she loves and then is rewarded with patient/client successes (a child learning to creep or walk, a patient being pain free). Through the years, DeDe has held several leadership roles. She co-founded the Special Children Center in Hudson, Wisconsin. In conjunction with that endeavor, she served as an employer, supervisor, and program developer. She also has served as interim executive director twice for St Croix Therapy in Hudson, Wisconsin. More recently, DeDe has been employed Foundations Therapy in Menomonie, WI, a private practice serving the pediatric population. Her role includes evaluation, direct treatment, and supervision of a physical therapy assistant. She currently is employed by the Redwood Falls Hospital in Redwood Falls, Minnesota.
    Acknowledgement
    DeDe feels humbled and blessed to be the recipient of the Henry and Florence Kendall Award. DeDe would like to dedicate this award to her late husband Fred, who so lovingly provided her with the support necessary to work long hours and be away from home to teach. Included in that dedication are her three children, who served as the best mentors any peds therapist could ask for. Thanks to her parents who encouraged and supported higher education. DeDe would like to thank her colleagues and clients for always providing her with daily challenges that made her dig deeper and discover better ways to do things. Thanks to all the parents who entrusted their children to her for treatment. Very special thanks to Patti Oetter, occupational therapist, who helped launch her pediatric career and taught her the art of observation before action. DeDe would like to acknowledge those who worked so hard on the award nomination. DeDe would also like to thank the American Physical Therapy Association for all their support to the hard working therapists who are busy treating clients every day.

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Chapters & Learning Objectives

Download Learning Objectives
  1. Treatment Techniques Using Voice and Positioning

    1. Treatment Techniques Using Voice and Positioning

    This chapter will present techniques utilizing voicing and positioning. These techniques will discuss how to use gravity to assist or resist chest expansion.

  2. Mobilization of the Rib Cage Using a Towel Roll

    2. Mobilization of the Rib Cage Using a Towel Roll

    This chapter will present techniques to mobilize the rib cage. The importance of how to construct the towel roll will be discussed relative to the impairment. Specific placement of the towel roll relative to the impairment will also be explained.

  3. Mobilization of the Rib Cage Using Movement Techniques

    3. Mobilization of the Rib Cage Using Movement Techniques

    This chapter will present techniques that are applicable across the life span. The techniques include hands-on techniques as well as self-initiated techniques. The impairment relative to the technique presented will also be explained.

  4. Mobilization of the Rib Cage Using Manual Techniques

    4. Mobilization of the Rib Cage Using Manual Techniques

    This chapter will present manual techniques for mobilization of the individual rib segments, massage of the intercostal muscles, and mobilization of the quadratus lumborum. The impairment relative to the technique presented will also be explained. Precautions relative to each technique will also be discussed.