Sandra Artzberger MS OTR CHT CLT is both a clinician and lecturer in the fields of hand therapy, upper and lower extremity edema and lymphedema treatment. If you are interested in finding out information regarding description of courses, up coming dates, course locations, how to contact sponsoring groups, or a professional speakers biography check the following material. For further information Sandra can be reached at the following e-mail address: artzberger@nconnect.net .
Course Title and Description:
Manual Edema Mobilization for sub-acute upper extremity edema reduction
Hand therapists are often frustrated with post acute edema that continues to return in spite of their best efforts. This edema presents as viscous, thick, and very slow to “rebound” from being pitted. Edema that is “Thick” and “Slow to Rebound” from being pitted indicates an over loaded, compromised, congested lymphatic system. If the lymphatic system is specifically and proximally activated, “persistent edema” quickly and permanently reduces. This Manual Edema Mobilization course enables participants to be successful in reducing sub acute and chronic edema not only because they learn and have extensive practice time using the MEM manual techniques, but also because of the strong background information provided on the anatomy of the lymphatic and venous systems. Combining this vascular anatomical knowledge, information on deciphering types of edema, extensive practice of the MEM manual techniques-including Pump Points, compression techniques, and establishing the very critical patient self management treatment programs, participants are enabled to use critical thinking skills and integrate MEM with other treatment modalities in time limited treatment schedules. Because of the extensive lab. time and case study presentation, participants feel confident to immediately apply techniques in a clinical setting. MEM addresses over-whelmed intact “normal” nodes and lymphatics as found with sub-acute post trauma/surgery “persistent” edema and sub-acute and chronic post stroke hand edema. The technique is not appropriate for post cancer lymphedema or primary lymphedema.
NEW TO THE 2006 – 07 MEM COURSES:
Technique length has been shortened and sequencing slightly change based on input of from therapists who have been getting excellent outcomes in the last 10 years and keeping within customary treatment schedule lengths.
More emphasis on how to modify MEM treatment programs to meet specific diagnostic needs
New MEM techniques included to reduce sub acute shoulder edema
More emphasis on recognizing and treating proximal “non visible” edema
Treatment techniques coordinate with two current research studies in process (USA and Denmark)
More emphasis on appropriate integration of adjunctive therapy methods such as edema reduction taping
Learning Objectives:
Participants will be able to:
discuss the anatomy and physiology of the lymphatic system
describe the rationale and how to specifically mobilize the lymphatic system for edema reduction
list the various types and stages of edema and describe ways to treat them
practice Manual Edema Mobilization and compression techniques for orthopedic, sub-acute post surgical hand/arm edema and stroke hand/arm edema management
describe problem-solving techniques in relation to complications of edema management (wound healing stages, infections, etc.)
describe edema evaluation and documentation methods
become proficient in application of MEM “Pump Point” stimulation
feel competent in choosing and applying both the short and long version of MEM
See comments from February Australian course by doing a Google search for Sandra Artzberger and it is listed/entitled: Course Report: manual edema mobilizing on Feb 24th-25th
MEM and Lymphedema Treatment Courses Schedule for Fall 2007 and Spring 2008 in the United States:
September 8th-12th 2007
Five day Comprehensive Lymphedema/Venous Edema Certification Course
Kentucky---Private for in-house group
Instructor: Sandy Artzberger MS OTR CHT CLT
September 22nd-23rd 2007
MEM for the Upper Extremity
Location: Columbus OH
Sponsor: Ohio Health Physical Rehabilitation
Contact: Lori DeMott OTR/L CHT
Instructor: Sandy Artzberger MS OTR CHT CLT
September 24th-29th
Comprehensive Lymphedema/Venous Edema Management Certification Course
Location: Cedar Community, West Bend, WI.
Sponsors: Cedar Haven Rehabilitation Agency and the Univ. of WI. Milwaukee
Contact: Judy Panich at Panichj@UWM.edu or web page at www.chs-continuing.uwm.edu
Instructors: Sandy Artzberger MS OTR CHT CLT and Rosemary Schrauth OTR CLT CKTI
November 3rd and 4th 2007
MEM for the Lower Extremity
Location: Tulsa OK
Sponsor: Excel Therapy
Contact: Michael Siegenthaler PT, DPT
Instructor: Sandy Artzberger MS OTR CHT CLT
November 9th -th 2007
Upper Extremity Edema Blitz
Location: UWM downtown Continuing Education Campus
Sponsor: Univ. of WI. Milwaukee
Contact: Judy Panich at Panichj@UWM.edu or web page at www.chs-continuing.uwm.edu
Instructor: Sandy Artzberger
November 12th-17th 2007
Comprehensive Lymphedema/Venous Edema Management Certification Course
Location: Cedar Community, West Bend, WI.
Sponsors: Cedar Haven Rehabilitation Agency and the Univ. of WI. Milwaukee
Contact: Judy Panich at Panichj@UWM.edu or web page at www.chs-continuing.uwm.edu
Instructors: Sandy Artzberger MS OTR CHT CLT and Rosemary Schrauth OTR CLT CKTI
November 17th 2007
Basic Fundamentals of Geriatric Hand Splinting
Location: UWM downtown Continuing Education Campus
Sponsor: Univ. of WI. Milwaukee
Contact: Judy Panich at Panichj@UWM.edu or web page at www.chs-continuing.uwm.edu
Instructor: Sandy Artzberger
Lymphedema Courses Scheduled for Winter/Spring 2008
February 18th-23rd; April 14th-19th; June 2-7th 2008
Comprehensive Lymphedema/Venous Edema Management Certification Course
Location: Cedar Community, West Bend, WI.
Sponsors: Cedar Haven Rehabilitation Agency and the Univ. of WI. Milwaukee
Contact: Judy Panich at Panichj@UWM.edu or web page at www.chs-continuing.uwm.edu
Instructors: Sandy Artzberger MS OTR CHT CLT and Rosemary Schrauth OTR CLT CKT
February 22nd-23rd 2008
Edema Blitz of the Lower Extremity
Location: UWM downtown Continuing Education Campus
Sponsor: Univ. of WI. Milwaukee
Contact: Judy Panich at Panichj@UWM.edu or web page at www.chs-continuing.uwm.edu
Instructor: Sandy Artzberger MS OTR CHT CLT
April 10th to noon on the 12th 2008
Lymphedema Treatment: the next level
Location: UWM downtown Continuing Education Campus
Sponsor: Univ. of WI. Milwaukee
Contact: Judy Panich at Panichj@UWM.edu or web page at www.chs-continuing.uwm.edu
Instructors: Sandy Artzberger MS, OTR, CHT, CLT, Rosemary Schrauth OTR, CLT, CKTI rest of staff to be announced
International MEM 2007 ---- U.E. MEMCourses
March 11th-14th 2007
Sydney Australia
Sponsor: International Federation of Societies of Hand Therapy
Contact: www.hands2007.com
October 13th-14th 2007
Brisbane Australian
October 20th 21st 2007
Perth Australian
Sponsor: Australian Hand Therapy Association
Contact Person: Leanne Breen
E-mail address: simonandlee@aapt.net.au
MEM UE International and USA Instructors Endorsed by Sandy Artzberger
Denmark:
Karin Krygsand Ronhoj OTR
Work: Ergoterapien
Arhus Universitets Hospital
Arhus Sygehus
Tage Hansens Gade 2
8000 Arhus C, DK
E-mail: Work: erg03kr@as.aaa.dk
Languages: Speaks Danish and English, understands Swedish, Norwegian and a little Dutch
Corrianne Van Velze B OT; B OT (Hons); MSc OT
E-mail: vanvelze@iafrica.com
Languages: Afrikaans, Dutch, English, reasonable German
Uruguay:
Janine Hareau PhD. PT, OT,
E-mail: jhareau@chasque.net
Languages: Spanish, English
USA:
Rosemary Schrauth OTR, CLT, CKTI
E-mail: rschrauth@cedarcommunity.org
Language: English
Victoria Prigance PhD, OTR, CHT, CLT
E-mail: victoria@htcsllc.com
Course Title and Description:
Manual Edema Mobilization for the Lower Extremity
A two day course which teaches lymphatic drainage techniques (MEM style) applicable to sub acute L.E. sports injuries, post surgical hips and kness, L.E. trauma conditions, venous insufficiency induced lymphedema, and wounds.
Course Description: A 13 hour didactic and lab course teaching therapists to recognize and decongest lymphatic system overloaded caused edema. the The “persistent edema” presents as being “slow to rebound” from being pitted, and doesn’t or minimally reduces with elevation over night. This is the sub-acute edema seen with L.E. sports injuries, wounds, post surgical hips and knees, trauma, and lower extremity venous insufficiency edema that has reached a state of lymphatic overload. Once the lymphatic system is decongested and tissue waste products, etc. are removed from the area by the lymphatics; pain and swelling immediately reduce, wounds heal much faster and re-current cellulitis is significantly diminished. The course teaches how to recognize the early stages of lymphatic overloaded edema and quickly reduce it. Unique to the course is the utilization of “Pump Point Stimulation” which quickly reduces this edema.
Typical Comments from Past Participants:
“I had two patients with venous leg wounds and hard indurated tissue of the lower leg that hadn't healed in nine months. After 7 Tx. sessions using the MEM techniques the wounds were closed and healed. There has been no further incidents in six months with either patient.” PA from Milwaukee
see case study from a physical therapist at: cedarcommunity.org/outreach/professionaleducation
Learning Objectives: As a result of this course the participant will be able to:
Describe the lymphatic system and its relationship to the development of lymphostatic (exudate) edema
Discuss the five principles of how to clinically activate the lymphatic system based on available research
Determine the clinical signs that early venous insufficiency edema has become a lymphatic overloaded (exudate) edema
Competently perform the 3 basic massage techniques of MEM for the lower extremities
Appropriately integrate traditional methods of edema Tx. into an MEM program
Demonstrate ability to perform 3 lower extremity low-stretch bandaging techniques and their appropriate application in the MEM program
Write out a home self edema management program for a patient
Know the principles of skin care, garments and when to utilize pneumatic pumps as related to transudate or exudate edema
Competent in performing and applying appropriately eight “Pump Point Stimulation” techniques
For a Listing of courses for MEM of the Lower Extremity:
contact Sandy Artzberger: artzberger@nconnect.net
Course Title and Description:
Edema Blitz: for the upper and/or the lower extremities
Presenter: Sandy Artzberger MS OTR CHT CLT
Course Description: For the past seven years Rosemary and Sandy have been achieving amazing and permanent edema reduction for sub-acute edema, chronic edema, and wound edema in both the upper and lower extremities by combining Myofascial Release (MFR), Kinesio Taping®, gentle scar mobilization, and Manual Edema Mobilization (MEM) techniques. All three of these techniques specifically activate the lymphatic system in slightly different ways. Knowing how to combine these techniques for a specific pathology is one of the secrets to successful reduction. The other secrets to successful edema reduction include understanding specifically how to activate the lymphatic system and what types of edema respond to these techniques. This 15-hour course will share these three secrets of edema reduction in both a didactic and lab format. Participants will feel confident in using these techniques upon returning to their clinic. An extensive manual with detailed procedure photos will be provided for each participant.
Learning Objectives: By the end of the program, participants will be able to:
1. describe
the lymphatic system’s anatomical structures and how to
activate them for edema reduction.
2. discuss the various types of edema and specifically why MFR, MEM and Kinesio Tape® will or will not activate them.
3. list foundational concepts, applications and contraindications for each of the three techniques.
4. appropriately apply techniques learned to the clinical situation.
5. use material learned for related critical problem-solving.
Sandy Artzberger MS OTR CHT CLT will also do MEM for the L.E. or Edema Blitz (for either upper or lower extremity sub acute edema) off campus for other facilities as requested.
For information contact: Sandy at artzberger@nconnect.net
Course Title and Description:
Comprehensive Lymphedema /Venous Edema Management Certification Course.
Lymphedema Certification Course Co-Sponsored by: Cedar Haven Rehabilitation Services and the University of Wisconsin Milwaukee School of Health Sciences Continuing Education Division:
This is a 6 day upper and lower extremity lymphedema management course taught by Sandra Artzberger, Rosemary Schrauth and their lymphedema staff at Cedar Haven Rehabilitation Agency, West Bend, WI. Starting in January of “07” lymphedema courses will be presented as a Co-Sponsor with the University of Wisconsin Milwaukee School of Health Sciences Continuing Education Division. Courses will be held at Cedar Community Campus in West Bend Wisconsin. Course content, instructors, format, and course hours will be the same as in previous years.
For information contact Judy Panich at
UWM at: panichj@uwm.edu or check
the UWM website at: www.chs-continuing.uwm.edu
and then follow the links for continuing education on the left hand
side of the page.
Course dates for Fall 2007 and Spring 2008 are as follows: September 24th-29th ; Nov. 12th-16th. Courses scheduled for Spring of 2008: Feb. 18-23rd; April 14th-19th; June 2-6th.
For a brochure with details contact: Judy Panich at the College of Health Sciences, Outreach Office at: 414- 227-3123 or e-mail Judy at: panichj@uwm.edu
Artzberger, S. Manual Edema Mobilization: treatment for edema in the subacute hand. In: Hunter, Mackin, Callahan, eds. Rehabilitation of the Hand and Upper Extremity. Vol 5, St. Louis, MO, Mosby; 2002: 899-913
Artzberger, S. Edema Reduction Techniques: a biological rationale for selection. , Cooper, Cynthia ed. In Fundamentals of Hand Therapy: clinical Reasoning and treatment guidelines for common diagnoses of the upper extremity. Mosby/Elsevier; coming Sept. 2006
Internet Document from the South African Journal of Hand Therapy Dec.-July 2003 entitled: Hand Manual Edema Mobilization: overview of a new concept. Found by doing a Google search for manual edema mobilization, article listed as e-doc interactive (usually one of the first three listings)
Internet course for credit. Edema Classifications and Their Relationship to Manual Edema Mobilization. Course found on: OnlineCE.com
Manual Edema Mobilization and Lymphedema Patient Self Management Cards (computer cards) 2007 from VHIkits.com
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Sandra is available to do seminars for hospitals and rehab agencies. If interested, please contact her at artzberger@nconnect.net
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