NON-PROFIT ORGANIZATION U.S. POSTAGE Don’t miss out on the latest happenings... Remember to contact us with your change of address! P A I D Utica, N.Y. Permit No. 566 How to Contact Us Address: The McKenzie Institute USA 600 E. Genesee St., Suite 124 Syracuse, NY 13202-2132 Phone: 315-471-7612 800-635-8380 Fax: 315-471-7636 Internet: http://www.mckenziemdt.org Board of Directors 2001 McKenzie Institute International Conference Ted Dreisinger MS, Ph.D. Chairman Preventive Care, Jefferson City, MO Credentialed & Diplomaed Alert! Watch your mail for our survey seeking your critical feedback on better serving your needs as well as the development of the Certification Renewal process currently in development! Dan Kelley PT, Dip.MDT Vice Chairman St. Louis P. T. & Sports Medicine St. Louis, MO MEMBERSHIP-Join today! Maryann Winters CPA Treasurer, Partner, Baasch, Winters & Breen, P.C. Syracuse, NY Patrick Pedro Attorney Secretary Partner, Bond, Schoeneck & King, LLP, Syracuse, NY Robert Colley MS Syracuse University Continuing Education, Syracuse, NY Ron Donelson MD, Dip.MDT Hanover, NH Elaine Gilman PT, Dip.MDT St. Petersburg, FL Dana Greene PT, Dip.MDT Summit Physical Therapy Syracuse, NY Carol Harnett MS The Hartford Insurance Co. Simsbury, CT Steven L. Heffner DC Laurel Health System Wellsboro, PA Stacey A. Lyon Executive Director McKenzie Institute USA Aug 17-19, 2001 The Westin Hotel Take advantage of BIG savings with the U.S./ Canadian exchange rate! The conference program is nearly complete with a clinical smorgasbord of timely topics and talent. And...for information about the host city of Ottawa visit their web site at www.tourottawa.org. Mark your calendars now and watch for more details in our next issue! Registration brochures will mail in early 2001. Stay up on the latest in research and get discounts on course tuition, products, US conferences, marketing assistance to certified McKenzie clinicians and more -only $125 a year ($145 outside the US and $65 student rate.) Publication deadlines for submissions: Journal Vol. 9, #1 Vol. 9, #2 Vol. 9, #3 Vol. 9, #4 Copy 1/15/01 4/1/01 7/1/01 10/1/01 Mailing 2/15/01 5/1/01 8/1/01 11/1/01 Spineline Vol. 5, #1 Vol. 5, #2 Vol. 5, #3 Vol. 5, #4 Copy 12/15/00 3/15/01 6/15/01 9/15/01 Mailing 1/15/01 4/15/01 7/15/01 10/15/01 Volume 4; Number 4 • Fall 2000 line The Newsletter of the McKenzie Institute USA A Word From Administration It is not always easy to understand change, or typical growing pains within organizations. Arnold Bennett once said, “Any change, even a change for the better, is always accompanied by drawbacks and discomforts.” This is perhaps my best explanation for transitions that have occurred within the Institute, and certainly those that have precipitated a well-respected colleague moving on. As of December 31, 2000, another such transition will be occurring. The International Diploma Program currently running in Coon Rapids, MN will cease at that venue. Due to unsuccessful negotiations with Novacare to renew the contract to house the program, the MII Board of Trustees with recommendation from the International Advisory Council regrettably determined that the program could not remain operational without a contract in place. The good news is the Diploma Program will not cease to exist. Details will be forthcoming in due course from The McKenzie Institute International (MII) on a new location for the residential program. In addition, MII had already been considering additional options of alternative deliveries of the Diploma Program with a goal to help facilitate educating as many who are interested in attaining the Diploma as possible. With the favorable results from a survey of Diplomates and Credentialed clinicians worldwide last year, the MII Board of Trustees in consultation with the Advisory Council and Director of Education, are in the active development of a Clinical Mentoring program. It will be designed as shorter segments over a longer period of time incorporating distance education models and several locations worldwide are being considered to run the new structure. Currently negotiations are well underway for a venue in San Diego to commence the mentoring diploma program in 2001. The drawback with the transition, but certainly prudent for personal reasons, is David Poulter’s decision to remain in Minnesota. Thus, he is no longer assuming the position as Diploma Tutor. Rather than thinking we are losing someone special, because we certainly are, let us appreciate what an enormous gift of time and knowledge that David Poulter has bestowed the Institute in his near decade of service with us. On behalf of the US Board, faculty and branch, I know that I speak for many students who have had the extraordinary opportunity to work with such a brilliant individual -- words of gratitude and praise are limitless, and to David, our very best wishes for every success in the next phase of his journey. With the holiday season approaching, it is always a time to appreciate the abundance of gifts that surround us. Thanks to all of you who remain steadfast in your work with the Institute and support of the McKenzie Method. I wish you Peace and Joy, Stacey A. Lyon Executive Director You never stop learning. Now available from McKenzie Institute, USA: The McKenzie Method - Clinical Assistant: The Lumbar Spine. This interactive CD-ROM offers everything you need to become, or to continue as, an effective McKenzie therapist! It’s an invaluable tool in learning and perfecting your skills in the McKenzie Approach. Some highlights of The Clinical Assistant include: • Explanation of McKenzie concepts • Description of evaluative techniques • Definition of McKenzie diagnosis syndromes • Treatment techniques with descriptions, uses and video demonstrations • Guided diagnostic tool • Patient-specific treatment progressions • Virtual patients This powerful computer-based clinical assistant includes three separate sections that you will find extremely beneficial in learning and using the McKenzie Approach to Examining and Treating patients with Low Back Pain. They are: 1. Approach to Evaluation and Treatment. This section provides general background information, describes mechanisms that cause low back pain, defines Postural, Dysfunction, and Derangement syndromes, and provides a review of the examination and treatment procedures that have been described and perfected by Robin McKenzie. This section can be used in conjunction with The Lumbar Spine text as a reference tool. 2. Assisted Diagnosis and Trouble-Shooting. This diagnostic and treatment assistant will guide you to an appropriate mechanical diagnosis for your patient and subsequently lead you through a treatment progression. The Treatment/Progression of Forces is a step-by-step treatment and re-assessment process that is designed to assist in simple treatment progressions. 3. Patient Simulator. Improve your diagnostic skills with the patient simulator, which allows you to examine a “computer patient” and generate a diagnosis with or without help from the computer. You will review such things as the patient’s work and leisure activities, history of back pain, and range of motion. You are then given the opportunity to test your knowledge based on the patient’s responses. If needed, you may “Ask Robin” how to interpret responses to further enhance your learning. If you have completed at least Part A of the McKenzie Method of Mechanical Diagnosis and Therapy, you won’t want to pass up this great opportunity! This fully interactive CD-ROM is available to you now for only $69.00. Plus, if you’re a member of the MIUSA, you’ll receive an additional 10% discount. Call the MIUSA to order or for more information. “Greatness is not in where we stand, but in what direction we are moving. We must sail sometimes with the wind and sometimes against it - but sail we must and not drift, nor lie at anchor.” -- Oliver Wendell Holmes Clinical Corner By David Poulter PT, BSc., MCSP, Dip.MDT CHANGE “Nothing endures but change.” -Heraclitus In the last Clinical Corner, I alluded to the ever changing face of the health system, and the need to embrace our changing role in patient care. In my experience, people fear change. Change is something that should be embraced not feared. I would like to recommend a delightful little book on change called, Who Moved My Cheese! The essence of the book is about embracing change. The basic messages from this book can be applied to your clinical work, and may even help you understand the principles of mechanical diagnosis and therapy more clearly. Understanding the underlying principles, which define mechanical diagnosis and therapy, will allow you and your patients to adapt to changes. Understanding the principles is understanding WHY you do something, not WHAT you do. Quality Assessment Effects McKenzie Outcome Tool Over the past three years, MIUSA has developed, in concert with Drs. Ron Donelson and Ted Dreisinger, a clinical outcome tool with the acronym METHODS (McKenzie Evaluation, Therapeutic, & Outcomes Data System). This was the result of two converging needs within the conservative spine community. At large, there are increasing pressures by third party payers for practices to justify the clinical efficacy of their work. On a more McKenzie specific level, clinicians have been requesting a way to streamline their practices and to find a way to provide the payers objective data with which to discriminate the McKenzie Method from other physical therapy approaches. This same data, in aggregate from many clinical practices, is of great value in presenting outcomes of McKenzie care to the research and guidelines communities as well. The METHODS system involved patients/clinicians filling out paperwork (on bubble sheet forms), and faxing it to MIUSA for data entry in an MS Access-driven database. The data would then generate individual patient and clinic summary reports to serve the clinical needs of the patient and clinician. Things change often (WHATS), principles rarely change (WHYS). “Real empowerment comes from having both the principles and the practices understood and applied at all levels of the organisation. Practices are the �what to do’s,’ specific applications that fit specific circumstances. Principles are the �why to do’s,’ the elements upon which applications or practices are built. Without understanding the principles of a given task, people become incapacitated when the situation changes and different practices are required to be successful. When training people, we often teach skills and practices, the specific �how to’ of a given task. But when we teach practices without principles, we tend to make people dependent on us or others for further instruction and direction.” This extract from Stephen Covey’s book Principle Centered Leadership is as applicable to mechanical diagnosis and self treatment as it is to the business world. One of the key principles of mechanical diagnosis and therapy is the self treatment concept. I would encourage you all to reflect on what you consider “self treatment” to mean. I coined the phrase whilst teaching, “Give them power, that’s how it is meant to be.” For me, this is the essence of self treatment -empowerment. One of the biggest changes that I encourage you to try to make is your educational role and style with your patients. Do your patients understand the principles, or do they only understand the �what to do’s’? For example, do they know what to do to effect their condition, or do they know why they do the things and how to adapt them? Learning to effectively empower your patients can be one of the biggest changes you may face as a clinician. Don’t fear change -embrace it. 1 2 Who Moved My Cheese. An amazing way to deal with change in your work and life. Spencer Johnson MD, 1999. Principle Centered Leadership. Stephen Covey, Simon and Schuster, New York, 1990. This will be my last contribution to Clinical Corner. I am experiencing some changes in my own life and will be moving on to find new “Cheese.” I hope that my comments and advice over the past few years have in some small way helped your patients. After all, that’s the most important principle. Best wishes, David Poulter A series of iterations to a beta version were made over time, and the response from clinicians has been somewhat disappointing, but has centered around the concern that the system simply has “too much paper…” Web technology has been moving toward the forefront of data acquisition systems on a more global level – and the Institute has not missed this growth. Indeed, the current METHODS tool was designed with the deliberate thought in mind that it would be a �bridge’ tool until the technology arrived to allow it to be done electronically. However, this technology has moved much faster than anticipated at the inception of this project. As a result, in consultation with The McKenzie Institute International, the MIUSA Executive Committee has decided to suspend the METHODS project. We can all appreciate the need to have an economically delivered solution that is user-friendly within the clinic using the best technology available. For those of you who have helped and provided us with invaluable input, we say a heartfelt Thank you. None of this process has, or will go to waste. Your past efforts remain valuable as we progress toward an even better product. We simply don’t want you to invest in a system that may be replaced in a few short months. The MIUSA is still committed to providing clinicians with a viable objective outcomes program. We appreciate both your patience and support in this endeavor. “All things change, yet nothing is extinguished … there is nothing in the whole world which is permanent. Everything flows onwards, and all things are brought into being with a changing nature. The ages themselves glide by in constant movement … for still waters will never reach the sea.” -- Ovid, Roman Poet Holiday Gift Ideas McKenzie Certified Therapists Great Gift Ideas! For your staff or co-workers... even friends and family. McKenzie Method polo shirts! New lighter weight, but still that quality 100% cotton ($25.00 plus s/h). Industry is talking about the OSHA Ergonomic Standard. Who are they talking to? Future Industrial Technologies’ (F.I.T.) nationwide and a Canadian team of over 1,000 physical therapists and chiropractors who are also certified BACKSAFE™ and SITTINGSAFE™ Injury Prevention Consultants. AND with those cooler nights, try our long sleeved McKenzie Method denim shirt on for size ($30.00 plus s/h)! Certification in the McKenzie Method can help. Andrea Katz, PT, Cert.MDT (Richmond, VA) concurs. “Therapists who utilize the McKenzie Method are always talking about” if only we could get people to sit right, lift correctly, etc. we wouldn’t see so many severely debilitating injuries coming into our clinics. “Becoming an injury prevention consultant for industry seemed like a great opportunity to use my knowledge as a therapist in another avenue directly related to my field. The BACKSAFE/SITTINGSAFE injury prevention philosophy is a perfect match with the McKenzie philosophy.” Can Benefit from OSHA Standard Also, our McKenzie Method 3-ring Binders (1 1/2") are available for ($10.00 plus s/h). Perfect for cataloging your member Journals or issues of Spineline! Call to order now! “Real education should educate us out of self into something far finer; into a selflessness which links us with all humanity.” - Lady Nancy Astor Changes in store for 2001 Courses Audit (retake) Fees will increase to 50% of tuition Part A=$282.50 Part B=$217.50 Part C=$247.50 Part D=$299.50 Exams Retake Fees will increase to Whole=$250 Written=$200 Performance=$50 Web Site A whole new facelift! Easier navigation, worldwide branch information, and our new features will eventually include Abstract Database for members, online registration, and much more! Overview Program - now available on Powerpoint “I have a really good understanding of the spine and what causes back injuries,” said Andrea. “Being both McKenzie certified and also a certified BACKSAFE™ and SITTINGSAFE™ Injury Prevention Consultant gives you confidence because you know that you know your stuff and that translates to credibility with both my patients and the Work-related musculoskeletal employees at companies we train. My patients benefit from my newfound training in biome- disorders ( WMSDs) are a $9 chanics and ergonomics. I knew these areas billion problem for industry were important, but I didn’t have all the -- Dennis Downing answers. Now I know what to tell them in the President of F.I.T. prevention area.” When asked if she sees the trend continuing, Andrea added, “I think with the direction things are going with OSHA, and the growing cost of treating back injuries, it will expand. Large companies are starting to search for alternatives to managing the injury after it happens. Dupont has the best safety program in the country and they are utilizing BACKSAFE. My patients tell me the injury prevention training I give them really works, that it’s effective and helps them a lot. This makes me feel I can be even more effective as a therapist.” According to Dennis Downing, President of F.I.T., “Work-related musculoskeletal disorders (WMSDs) are a $9 billion problem for industry that is being targeted by OSHA and is forcing companies to look for solutions. The question out there right now is, which solution is going to get real results in preventing injuries to employees and protect their quality of life, save companies money and be in compliance with the new ergonomics standard.” Is there something that the physical therapy community and McKenzie certified practitioners can do to help? “Emphatically YES!” says Downing. “Certified McKenzie therapists already have the base of knowledge that facilitates making them the best injury prevention consultants around when armed with the right program that can get consistent, sustainable results.” Future Industrial Technologies, Inc. (F.I.T.) and BACKSAFE/SITTINGSAFE, based in Santa Barbara, California, has been delivering injury prevention training since 1992 in 47 states in the U.S. and in Canada. For more information, call 1-800-775-2225. “The ultimate measure of a man is not where he stands in moments of comfort, but where he stands at times of challenge and controversy.” - Martin Luther King, Jr.
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