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Osteoporosis Management - Remote Course - November 6-7, 2021

Pacific Time - Day 1: 8:00am - 3:30pm / Day 2: 8:00am - 3:30pm

  • Description

  • Schedule

  • Objectives

  • Remote Course Info

  • Instructor

  • Discounts

Price: $425
Experience Level: Beginner
Contact Hours: 15

At some point during their careers, almost all PTs and OTs will work with patients who have Osteoporosis or low bone mass. According to the National Osteoporosis Foundation, about 54 million Americans have Osteoporosis or low bone mass (osteopenia) which places them at risk for fragility fractures. Studies suggest that approximately one in two women and one in four men over the age of 50 will sustain such fractures. Osteoporosis also occurs in those under 50-adults, teenagers, and even children.

As therapists, we work with many different types of diagnoses. Osteoporosis may be present as a secondary diagnosis or undiagnosed. Prescribing the wrong exercises can, at the very least, be ineffective and at worst cause more harm. How do we ensure that we are screening for osteoporosis and creating a program that is safe, effective, and meets the needs of each patient?

This two day interactive course includes lecture and lab activities along with case studies. Participants will leave with an understanding of the scope of the problems, specific tests for evaluating patients, appropriate safe exercises and dosing, basic nutrition, and ideas for marketing your Osteoporosis program. Evidence based research, along with critical thinking will provide an understanding of the unique challenges of the osteoporotic population.

You will have the opportunity to experience Osteoporosis-safe exercises in your own body and learn visual imagery techniques. This provides your patients with optimal alignment and reduces compensatory strategies which put them at risk for future fractures. You will be able to explain the various tests for osteoporosis to your patients and provide them with education and a safety checklist when going to the gym or other fitness programs after therapy.

This course is designed for immediate application on Monday morning.




Recorded video lectures to be viewed in-full prior to the course:

1. Laying the Foundation for Management of the Osteoporosis Patient - (59 mins)

2. The Physical Therapy Management of the Osteoporosis Patient and Why We have SO MUCH To Offer (67 mins)

Day One:

8:00 Welcome and review Pre-Read. Alignment
8:30 Sitting 
8:45 Lab 1: Evaluation Procedures
10:00 Break 
10:15 Lab 2: Exercises: Supine.  Breakout rooms
11:45 Lab 3: Exercises: Resistance Band 
12:15 Lunch
1:00 Lab 4: Posture, Balance, Gait- Visual Imagery
2:00 Lab 5: Exercises: Prone and Side-lying.  Breakout rooms
3:00 Q & A 
3:30 Adjourn






 Day Two:

8:00 Homework Discussion, Review Day 1
8:30 Medication / 4 Groups / Patient Examples
9:00 Spinomed Orthosis, LiV vibration
9:45 Break
10:00 Lab 6: Exercises: Vertical.  Breakout rooms 
10:45 Marketing Ideas / Referral Sources / Reimbursement
11:15 Lab 7: ADLs
11:45 Nutrition
12:00 Lunch
12:30 Sleep Hygiene / Relaxation
1:00 Lab 8: Advanced Exercises: Life after Therapy
2:00 Lab 9: Case Reports. Breakout rooms
3:00 Discussion/ Q&A
3:30 Adjourn


The student should be able to:

1. Identify the following in regards to osteoporosis:

    1. Epidemiology
    2. 3 first signs
    3. 3 risk factors
    4. Pathology

2. List 3 valid, reliable measures as a part of a thorough evaluation process of the Osteoporosis patient.

3. Explain a reason why an intervention for better bone health according to clinical conditions is more effective than with DXA scan or T-score alone.

4. Identify 2 lifestyle choices or life events that can impact one’s posture more profoundly than normal aging. 

5. Be able to design a 6 week osteoporosis safe program incorporating all of the following:

  1. Postural correction
  2. Falls prevention
  3. 2 recommendations on how to reduce the risk of compression fracture

6. Compare and contrast the management of an osteoporosis patient with a compression fracture versus a non-compression fracture.

7. Explain the importance of optimal nutrition for better bone health

8. Be able to instruct patients in body mechanics and ADLs using:

  1. Optimal spinal alignment
  2. Hip hinging
  3. Perch posture
  4. Foot press

9. List at least 3 marketing strategies to promote your own osteoporosis program.

10. Identify at least 3 clinical concepts created from current research regarding management of the osteoporosis patient.

11. Explain how to modify (step up or step down) a program based on patient presentation.

12. Describe at least 2 safe avenues of exercise for a patient after discharge from physical therapy.

13. Be able to explain the action of anti-resorptive and anabolic medications for treatment of osteoporosis.

14. Describe the 2 types of mechanical forces which are effective in developing or maintaining bone strength

Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.


Important thing to note:

- Our policy for applying for continuing education credit for remote courses differs from that of our in-person and satellite lab courses. Read the specific language of the policy here. Depending on the state in which you practice, you may need to submit your own application to your state board or approving body should you wish that it be approved for continuing education credit in your state.

- To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/

- We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). Please make a note of this and set your calendar accordingly.

- A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.

- Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses

Deb Gulbrandson, PT, DPT

Deb Gulbretson

Dr. Gulbrandson has been a physical therapist for over 42 years with experience in acute care, home health, pediatrics, geriatrics, sports medicine, and consulting to business and industry. She has owned a private practice for over 26 years and recently merged with a health care system to devote more time to teaching and checking off her Bucket List of visiting every national park in the country. She’s currently at 26 out of 59. She and her husband, Gil, an orthotist own Gulbrandson Orthotics in Cary, IL. Dr. Gulbrandson frequently presents community talks on topics related to Osteoporosis and safe ways to develop Core Strength. A graduate of Indiana University with a BS in Physical Therapy, she received her DPT in 2011 from Evidence in Motion. She is a member of the APTA Geriatric and Private Practice Sections and was a member of the Editorial Board for 9 years. She currently serves on the Annual Conference Committee for PPS. She received her certification in Pilates from Polestar Pilates in 2005, is a Certified Osteoporosis Exercise Specialist using the Meeks Method, and has her CEEAA (Certified Exercise Expert for the Aging Adult) through the Geriatric Section of the APTA.

Frank J Ciuba DPT, MS

Frank Ciuba

Dr. Ciuba is the owner of H/S Therapy Associates and graduated from Temple University with a Masters degree in Physical Therapy in 1992. Dr. Ciuba received his Doctorate in Physical Therapy from Temple University in December 2004. Recently Dr. Ciuba obtained his Level 3 Titleist Performance Institute (TPI) Golf Fitness Instructor certification. Dr. Ciuba is now able to perform biomechanical evaluations of golfers and prescribe an appropriate, objective researched exercise program. Dr. Ciuba collaborates regularly with local golf professionals regarding swing mechanics.

Dr. Ciuba has also become a Certified Osteoporosis Exercise Specialist using the Meeks Method which was designed by Sara Meeks, PT to combat the effects of Osteoporosis without taking medication. The program focuses on improving strength, mobility, posture and balance and teaching patients proper bending mechanics for the ultimate goal of reducing the risk of a compression fracture.

Dr. Ciuba is currently a member of the American Physical Therapy Association (APTA), and Pennsylvania Physical Therapy Association (PPTA). Dr. Ciuba routinely speaks in the community regarding physical therapy intervention for the rehabilitation of musculoskeletal injuries. Dr. Ciuba currently resides in Harleysville, PA, with his wife Suzanne, their two daughters and son.


Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

Multi-Course Discount

This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

Group Discount

This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.

Student Discount

This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.


To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

First-Time Registrant Discount

This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).

To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)

Referral Credit/Discount

Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".

Guest Blogger Credit/Discount

Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".