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Express

FALL 2008 - Volume 5, Issue 2

Hiring the Best Candidate Post-Offer Testing

In This Issue:

Medical Treatment and Rehabilitation of the Lumbar Spine in the Industrial Athlete

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Letter from the Editor: Beth Healy, VP of Marketing/Occupational Health

Corporate Office: 205 W. Wacker Dr., Ste. 1080 Chicago, IL 60606

"Coming together is a beginning. Keeping together is progress. Working together is success." - Henry Ford

Welcome to the fall edition of the Accelerated Express. It has been said that "A championship team is a team of champions." (Author Unknown). This spring, Accelerated announced its merger with OccuSport Physical Therapy in Chicago. This strengthens and expands our team of champions (see page 4 for details) and created the largest physical therapist owned outpatient rehabilitation practice in the nation. On the Accelerated team, we're all united in one common goal: to provide the best possible care and customer service for our patients and referral sources. In this issue, we feature the Accelerated Mentoring Program. This unique and distinct program places Accelerated at the clinical forefront and ensures achievement of excellent outcomes. Under the direction of Sarah Jensen, PT, Vice President of Clinical Operations, the exclusive Accelerated Mentoring Program offers a Manual Certification Program for our therapists (see page 11 for details). We also hear how members of our industrial rehabilitation team are working with large employers such as Dominick's Finer Foods to prevent injuries through Accelerated's Post Offer Program (see page 8 for details). Teamwork is paramount to our success and to the success of our patients and employees. As physicians, employers, adjusters and case managers, you too are an extension of our team, so please let me know how we can best work together to help you achieve your goals. As summer comes to an end, may you all enjoy the changing colors of the fall.

"Autumn, the year's last, loveliest smile". -- William Cullen Bryant

Beth M. Healy, VP of Marketing/Occupational Health [email protected] or 847-997-5121

In this issue: 3 4 5 6 7 8 9 10 11 *** Rehabilitation of the Lumbar Spine Special Announcement and Grand Openings Accelerated Success Stories Guest Article: Treatment Considerations for Low Back Pain Testing Before Hiring May Be in Company's Best Interest Fit the Job to the Employee: Post-Offer Testing Facility in Focus: Accelerated Rehabilitation Centers - Novi, MI Accelerated News Accelerated Rehabilitation Centers' Mentoring Program Insert: Accelerated Rehabilitation Centers Locations

Fo r i n f o r m a t i o n o n ov e r 1 3 0 A c c e l e r a t e d Re h a b i l i t a t i o n C e n t e r s

1 - 877 - 97 - R E H A B o r w w w. a c c e l e r a t e d r e h a b . c o m

Rehabilitation of the Lumbar Spine

By Tom Gonzales, PT, MPT, OCS Accelerated Rehabilitation Centers

Low back pain (LBP) is one of the most common conditions physicians and physical therapists treat, accounting for approximately 15 million physician office visits per year in the United States. In addition, LBP is the number one reason for workers' compensation claims in the U.S. and Canada. In addition to the societal costs, LBP has significant negative effects on the patients' abilities to function at work and to perform their activities of daily living. The percentage of adults at risk for developing LBP is estimated to be between 60 and 90%. Of those who develop acute LBP, 30% will develop chronic LBP. At the acute, subacute and chronic stages, selecting the best intervention helps prevent the condition from progressing to the next stage. As clinicians, we must strive to provide the most effective treatment interventions based on evidence-based clinical practice guidelines (EBCPG). Following these guidelines helps patients return to their previous levels of function, allowing them to regain their family and work roles. When this happens, everyone benefits--patients, their employers and society. The Philadelphia Panel on Evidence-Based Clinical Practice Guidelines on Selected Rehabilitation Interventions for Low Back Pain synthesized evidence from randomized controlled studies and observational studies in order to determine the most effective rehabilitation interventions for the management of LBP. The studies examined the effects on acute (<4 weeks), subacute (4-12 weeks) and chronic (>12 weeks) patients. The Panel also formed an expert group consisting of several physicians associations and the American Physical Therapy Association to review and comment on the EBCPGs. The Acute Phase In the acute phase, instructing patients to continue their normal activities was more effective than bed rest. It resulted in 49% fewer sick days, 10% better functional status on the Oswestry, and 5% lower pain levels. This study excluded patients with disk involvement. The authors also reported that a separate review revealed that there is no difference between 2 days and 7 days of bed rest. These findings are of paramount importance for clinicians who initially evaluate a patient with LBP. Another study demonstrated that during the acute phase the best short term results were obtained with physical therapy.

Studies also confirm that lumbar mobilization treatment has an immediate effect on pain level. The Agency for Health Care Policy Research recommended low stress aerobic exercise within the first week of acute LBP. The Subacute Phase In the subacute phase, the Panel found that therapeutic exercises twice per week for 4 weeks had clinically important benefits on pain relief, functional status, and the patient-assessed global condition. Patients with neurological or radicular pain were excluded from this study. While a large variety of exercises were found to be effective, in reality, physical therapists only select exercises that specifically address patients' physical deficits and/or reduce their symptoms. The Chronic Phase In the chronic phase, the Panel found that therapeutic exercises were again found to be clinically beneficial to pain relief and functional status. Stabilization exercises were also found to be effective for decreasing symptoms and reducing the need for recurrent physical therapy intervention. Motor control exercise and spinal manipulative exercise have been shown to be more effective than general exercises.When compared to a pain-centered approach, a function-centered approach to rehabilitation has been shown to significantly increase the average number of work days during the year following injury. The main focus of a rehabilitation program in all phases should be exercise, manual therapy, and returning patients to normal activity. There is strong evidence showing that these interventions improve pain levels, function, and return to work.

Tom Gonzales is a graduate of the University of Michigan, having received his Master's degree in Physical Therapy in 1995. He has extensive expertise in the areas of outpatient orthopedic rehabilitation and manual therapy. He has worked for Accelerated Rehabilitation Centers for 9 years, 8 as a facility manager. In 2006, he achieved the Orthopaedic Clinical Specialist credential indicating that he is a Board Certified Clinical Specialist in Orthopaedic Physical Therapy. He is currently the Facility Manager at Accelerated Rehabilitation Centers' Commerce Township, MI site. Page

Two Great Teams....One Perfect Fit

We are excited to announce that Accelerated Rehabilitation Centers has partnered with OccuSport Physical Therapy in the Chicago area to create the largest physical therapist owned and managed practice in the nation. We now offer over 70 rehabilitation centers in the Chicago/ Northwest Indiana area and 130 centers in the Midwest. Accelerated and OccuSport, who have long shared the same philosophy of "Patients First," will work as one to meet our patients' rehabilitation needs. This will allow Accelerated and OccuSport to have a shared clinical learning environment, continue our strong commitment to customer service, and offer the personalized, hands-on treatment approach that our patients value.

Accelerated Rehabilitation Centers Joins Forces with OccuSport Physical Therapy

Accelerated Rehabilitation Centers and OccuSport Physical Therapy will be directed by management teams that will include leaders from both organizations who are well-respected in industrial rehabilitation and sports medicine. "We are quite excited to be able to bring together these two teams in the Chicago area to better meet the needs of our patients and referring physicians, employers and case managers," said Beth Healy, VP of Marketing/Occupational Health.

For more information or to schedule an appointment, contact 1-877-97-REHAB.

We're Growing at an Accelerated Pace!

Accelerated Rehabilitation Centers is proud to announce the opening of our newest rehabilitation centers!

Cedar Falls 1710 W. 1st St., Suite D Cedar Falls, IA T: 319-273-8988 Iowa City 503 Westbury Dr., Ste. 3 Iowa City, IA 52245 T: 319-337-4325

Illinois

Lansing 17045 Torrence Ave., Unit 300 Lansing, IL 60438 T: 708-418-3580 Yorkville 332 E. Veterans Pkwy. Yorkville, IL 60560 T: 630-553-2051 Crystal Lake 360 Station Dr., Ste. 250 Crystal Lake, IL 60014 T: 815-356-1750

Michigan

Novi 42450 Twelve Mile Rd., Ste. 300 Novi, MI 48377 T: 248-305-3080 Howell 1485 N. Michigan Ave., Ste. 100 Howell, MI 48843 T: 517-545-5880

Indiana

La Porte 824 Lincolnway La Porte, IN 46350 T: 219-324-7200 Schererville 5510 W. Lincoln Hwy. Schererville, IN 46375 T: 219-865-1436

Iowa

Clive @7 Flags 2100 NW 100th St. Clive, IA 50325 T: 515-331-0986

Accelerated Express - FALL 2008

Accelerated Rehabilitation Centers

Success Stories

South Loop I've been motivated with exceptional results in one week. These results are due to the professional standards from your entire staff. God bless everyone at your south loop facility. It's allowing us to refurbish and rejuvenate our lives. Oak Brook Terrace I have been receiving treatment for a bulging disc. I have completed eight sessions and have made substantial improvement. I would like to commend Abby and Amanda on their knowledge and professional expertise. 221 N. LaSalle (North Loop) I just finished six weeks of physical therapy and I had to tell Accelerated what a great staff they have. They treat everyone with respect and professionalism and are incredibly friendly. Working with this group really kept me motivated and on track for recovery. Chatham Evila has made my therapy experience one I shall never forget. She helped me look forward to my therapy sessions. She was caring and outgoing. My knee feels brand new and I really appreciate everything she did for me. Chatham My experience at this facility was great. All of my goals were met and Toya is very good at her job. The commitment she showed in returning my broken wrist back to 100% was just what this patient needed. Accelerated should be proud to have someone like Toya on their team. Bloomingdale Tina, my therapist, helped me enjoy my experience at Accelerated and I always looked forward to going. She was so nice, friendly, professional and provided me with excellent care. After treatment, I felt great. Olympia Fields I had terrific relief from my pain, thanks to Terry and Bonnie. The facility was pleasant to visit, quiet and clean, which was very important to me as a patient. I would recommend Terry and Bonnie as therapist to all my friends. Olympia Fields I am very happy with the care I have received at Accelerated. My therapist Amy is very knowledgeable and her prescribed exercises and treatment alleviated the pain in my back and down my leg. Bonnie is thorough and often anticipated my needs before I asked. I am very grateful for the excellent care I received. 8 S. Michigan (East Loop) Kevin is a great communicator. He explained my treatment and really encouraged me to keep as physically active as possible. I could really see the progress I was making and he educated me to be able to continue on my own. Great therapist. 8 S. Michigan (East Loop) Therapists were knowledgeable and dedicated to find the root of my problem. Good facility with a convenient location. Marie really worked with me to accommodate my schedule. I would definitely recommend this facility others. Naperville My therapist's tremendous knowledge, ability, guidance, and encouragement resulted in great gains for myself and my knees. I have just completed my physical therapy and I can hardly believe the progress that we have achieved. I have immense gratitude and admiration for Premila's skills. Naperville I wanted to commend your organization and your excellent staff. Premila was a real pleasure to work with. She did a very thorough evaluation and prescribed excellent recovery methods. She paid close attention to form and body mechanics. She taught me a great deal about how to prevent future injury. Bourbonnais I was amazed at how quickly physical therapy fixed my problem of vertigo. Jarek was friendly and professional. He really helped me get my life back. I would definitely come back if I ever had to. Bourbonnais Amy really takes an interest in her patients and she is so encouraging. She is a dedicated worker who anticipates the next task without having to be reminded. In addition, she is tireless. I rarely saw her "take a break" and really marveled at her energy. If you have a success story that you would like to share, e-mail or fax it to Kim Rosenlund at [email protected] or fax 708-658-1579.

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Treatment Considerations for Low Back Pain

Jeff S. Pierce, DO

Low back pain (LBP) is common enough that it has become one of the leading causes of missed workdays in the U.S. It is also associated with significant costs such as decreased work productivity, lost income, limited daily function, as well as the expenses of medical and rehabilitative care. In fact, it is estimated that LBP costs the U.S. at least $50 billion a year. As a result, the importance of a healthy back and its care cannot be overemphasized. A comprehensive treatment approach to LBP is critical if we are going to make a difference in this problem's prevalence. Step 1: History and Physical The first step in treating patients with LBP is collecting a complete patient history and conducting a physical. This allows our therapists to work on primary and secondary diagnoses. For example, a left L5 radiculopathy from a HNP and secondary SI joint pain versus a possible greater trochanter bursitis or myofascitis. All of these diagnoses need to be addressed for successful outcomes. Step 2: X-Rays and Other Imaging After having a proper diagnosis, the physician looks toward an accurate, objective and cost-effective testing work-up. Typically, we will obtain x-rays with 4 to 6 views, often ordering flexion and extension views in an effort to determine instability. With more involved cases, further imaging, such as MRI testing, is considered. MRI is also commonly used to confirm proper diagnosis. Bone scans are ordered for possible fractures or certain boney diseases. In cases that have true metal or pacemakers, or when looking for more boney definitions for specific diagnoses such as fractures and stenosis, we will use CT scan. MRI mylogram imaging is also utilized for a more detailed view of cord compression. In some situations, we consider EMG/ Nerve Conduction Velocity (NCV) testing. This testing is being ordered more frequently by primary care doctors in order to obtain objective testing as well as to confirm diagnoses and to gauge our treatment decisions. For example, patients demonstrating a grossly abnormal EMG/NCV may be candidates for early surgical intervention; whereas patients with normal or mildly abnormal test results would be more likely to continue in an aggressive rehabilitation program. Step 3: The Team Approach A coordinated team approach is definitely the most important factor affecting outcome success when treating LBP. A patient's "team" should consist of his/her physician, the physical therapist and the patient. It's worth noting that since a patient's lack of commitment to the program greatly increases his/her chances of failure, the patient is really the most important member of the team. Everyone--the physician (as the team leader), the Accelerated Express - FALL 2008 therapist and the patient-- must be on the same treatment page and share a similar philosophy in order to maintain confidence in the treatment program and to have the benefit of true success. When this happens, the success rate is much higher. Statistics show that 15 to 20% of LBP patients need surgery sooner than later and that 15 to 20% will need minimal treatment secondary to a simple diagnosis of sprain/strain. With 60 to 70% of LBP patients, a very detailed program is needed. In these cases, the physician's role as a solid team leader is especially crucial since the development of such a program must start with the physician who has a complete understanding of spine injuries. He/She should be able to coordinate an aggressive multi-dimensional team approach with a complete work-up. In addition, the physician should be able to communicate effectively with the treating therapist to alter/upgrade the treatment program as the patient progresses. The physician should also be able to make timely referrals (i.e., to a qualified surgeon) and to perform invasive procedures (i.e., caudal epidurals or selective nerve blocks) when needed. Education and Medication Also essential to successful treatment outcomes is patient education. From day one, the patient should understand what is expected of him/her. The patient should have a written home exercise program as well as an understanding of how to avoid LBP and how to self-treat. Medication often plays an important role in the treatment of LBP. Anti-inflammatory drugs (i.e., Motrin, Naprosyn, Celebrex), as well as medication which targets nerve pain (i.e., Lyrica, Cymbalta), muscle relaxers and pain pills are sometimes needed to complement the treatment. From time to time, home devices such as home traction and/or TENS unit are also required to assist treatment. Physical therapy should consist of an aggressive approach with manual techniques. Resistance exercises are applied when the patient is nearly pain-free with full range of motion. For more information on treatment considerations for low back pain, contact Dr. Jeff Pierce at 248-680-9000.

Dr. Pierce is the Medical Director of the Michigan Sports & Spine Center. He specializes in a comprehensive treatment program for spine and musculoskeletal/joint injuries including sports & occupational problems. His extensive training as a PMR physician has enhanced his ability to evaluate and create individualized, injury-specific rehabilitation programs. He has created through research and clinical experience, an aggressive, non-surgical comprehensive spine care program. The goal of the program is for patients to return to their optimal lifestyles. Michigan Governor Jennifer Granholm recently reappointed Dr. Pierce to his third term on the Governor's Council on Physical Fitness, Health and Sports. He also leads the task force designated to create the prescription for fitness for the state of Michigan. Dr. Pierce is currently the team physician for college teams and consults for many professional teams and athletes. He authors a column in Hockey Weekly, "Ask the Doctor", which has educated and advised the hockey community for over 3 years. He is known throughout the entertainment community as "Doc Rock" for treating entertainers who perform at local venues.

Testing Before Hiring May Be in Company's Best Interest

John E McConnell, DO, DABA, DABIME, DAAPM, DAOBEM Advocate Occupational Health Services

Pre-employment testing has become an increasingly important component of the hiring process for many businesses. Testing covers a spectrum of examination metrics such as basic patient history, physical exam, blood testing, x-rays, and dynamic physical assessments by a physical therapist. Even though testing can add to the expense of hiring a new employee, in the long run, it can save the company money by resulting in less risky hiring. In addition, pre-employment testing can: * Determine safe, proper placement of employees inside the company. For example, a job requiring frequent heavy lifting requires from the employee a higher level of physical fitness. Employees who cannot safely perform their work tasks pose a risk to themselves, co-workers, and to the company. In these cases, even before new hires arrive at the workplace, thorough pre-employment exams can determine the applicants' abilities to carry out their job responsibilities. * Help prevent future liability by identifying employees whose present health conditions put them at increased risk for future problems. This information can help find a "safe" match in the workplace for these new hires. * Provide a data baseline to qualify legitimate injuries and disqualify post-injuries of employees who may be "working the system." A recorded history of previous conditions can help determine whether the "new injury" is new, or just an exacerbation of a pre-existing condition. If employment candidates fail to acknowledge pre-existing medical conditions or histories, then they may be subject to termination for misrepresentation. If a company is considering pre-employment testing, here are recommended criteria for various types of hires: * Physical exam: Every new employee * Dynamic lift screening: New hires who are frequently lifting/ bending * Blood testing: Workers who are exposed to chemical agents * X-rays: Lumbosacral exam for employees who are lifting/bending * Chest x-rays: Employees who are exposed to dust or other pulmonary irritants

For more information on employment testing, visit www.eeoc.gov/policy/docs/factemployment_procedures.html.

Dr. McConnell is the Site Medical Director of the Melrose Park Center for Advocate Occupational Health located at 1983 N. Mannheim Rd, Melrose Park, IL 60160. Phone: 708-531-1400. Hours: Monday-Friday 24 hrs, Saturday 9:00 a.m. - 5:00 p.m. Opens Monday 7:30 a.m. Closes Friday 12:00 Midnight.

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Fit the Job to the Employee: Post-Offer Testing

Cindy Rega,PT,MS,CEAS

Human resource managers and front line supervisors are frequently faced with new employees who are unable to perform the rigors of their new jobs. As a result, these employers often question whether or not the new hires ever possessed the physical strength and stamina required to do the job. Equally important, there may be concern about previous injuries that may have affected job performance. These are two important issues that perhaps could have been addressed during the hiring process. With this in mind, employers like Lake County, Eagle Express, and the Dominick's Finer Foods Distribution Center (for seasonal hires) have utilized Post-Offer Functional Screens in order to ensure that newly hired employees can safely perform the job tasks specific to their positions. These screens may reduce the employers' workers' compensation costs. "The functional screen is a very useful tool to determine if a potential employee is physically able to handle the demands of the job, " said Ron Wolterink, Manager of workers' compensation for Eagle Express. "We also use the screening tool to determine whether an employee who has been on Family Medical Leave is ready to return to work." It is important when developing a Post-Offer Functional Screen to consider the functional job description or job analysis. The testing parameters should mirror the essential job functions in terms of loads/forces, heights, frequencies, distances, etc. There is also added credibility to the screen when there is incumbent testing that substantiates the functional parameters. After the occupational or physical therapist complete the ergonomic job analysis, the company representative and rehabilitation provider sign off on the final draft of the screen as part of their verification process. Employers are reminded that all candidates for a specific job who are offered a "conditional offer of hire" must be tested. An individual cannot be singled out because of a "perceived deficit." In evaluating the efficacy of the Post-Offer Functional Screen, generally the employer should witness an 8-11% failure rate, with the exception of jobs that require greater physical demand like firefighters, paramedics and police officers. Certainly, self-termination (when candidates realize that a job isn't for them) also plays an important role in narrowing the employee selection process Since Dominick's Distribution Center experienced a 13% failure rate for seasonal hires in 2007 and saved thousands of dollars, Manager Mike Leitner was eager to continue testing in 2008. Debra Levin, Risk Control Supervisor agreed, "We think we got good value for our investment in this screening. We hired 35 people as seasonal employees and no one got injured. We knew from the start that they had the capacity to perform the work." Chief Patrick Firman, of the Lake County Correctional Facility, has also been pleased with the screening process which has had a 23% average failure rate over 2 years. For more information on Accelerated's Post-Offer Functional Screens, contact Cindy Rega or Beth Healy at 312-640-0329.

Centralized Scheduling

To make an appointment at any Accelerated Rehabilitation Centers call

Accelerated Express - FALL 2008

Centralized Scheduling 1-877-97-REHAB or visit www.acceleratedrehab.com

Facility in Focus: Novi, MI

Accelerated Rehabilitation Centers in Novi, Michigan has joined our 10 other locations in Michigan. The center is directly accessible from the I-96/696/275/M-5 Interchange, and is conveniently located to many Oakland County and eastern Livingston County residents. Since the grand opening in April 2008, Babitha Jacob, physical therapist and Facility Manager, has been working with patients from Novi and the surrounding communities. Babitha has been practicing physical therapy for over six years. She received her bachelor's degree in physical therapy in 2000 from Mangalore University. She also completed the residency program in Manual Therapy credentialed by the American Physical Therapy Association. She specializes in manual physical therapy, and treats a wide variety of orthopedic and work-related injuries. An important feature of her care is functional, one-on-one treatment that is individualized for each patient, which is the hallmark of Accelerated's patient care. 42450 W. 12 Mile Road, Suite 300 Novi, MI 48377 (248) 305-3080

Novi, Michigan

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Save the Dates

C E U S e m i nars for Case M anagers, Adjusters and Employe r s

Implications of Psychosocial Issues in Return to Work

October 24, 2008

Time: Location: 8:00 a.m. - 12:00 p.m. DoubleTree Hotel 1909 Spring Rd. Oakbrook, IL 60523 Nancy DeJesus at [email protected] (by October 17, 2008) Time: Location:

Surgical Spine Symposium

November 18, 2008

8:30 a.m. - 1:00 p.m. Rush University Medical Center Professional Building (Elevator 1) Neurosurgery Academic Offices 1725 W. Harrison St., Ste. 1115 Chicago, IL 60612 312-942-5000 Nancy DeJesus at [email protected] (by November 11th)

RSVP:

RSVP:

For more information on these seminars please visit www. acceleratedrehab.com

Accelerated Rehabilitation Centers and Your Community

For many years, Accelerated Rehabilitation Centers has been committed to giving back to the community and promoting education, fitness, and youth leadership. Organizations that have benefited from our corporate giving program include: Governors State University, Girls in the Game, Chicago Hope Academy, Cornerstone Academy, METROsquash, HighSight, Umoja Student Development Corporation and the Provident Foundation. This summer, Accelerated Rehabilitation Centers partnered with the Chicago Fire Department to support the United Negro College Fund benefit at the Cubs Rooftop Event on May 16th. Chicago Fire Department Commissioner Raymond Orozco joined sponsors on this beautiful, sunny day to watch the Chicago Cubs beat the Arizona Diamondbacks. A good time was had by all for a very worthy cause! .

Aquatic Therapy Available

For more information on the Accelerated Aquatic Therapy Program call Centralized Scheduling -8--REHAB

Accelerated Rehabilitation Centers'

Mentoring Program

The Accelerated Rehabilitation Centers' Mentoring Program was created to help grow and nurture the personal and professional development of our employees under the guidance of their more clinically experienced, Accelerated colleagues. We are excited to announce that earlier this year Accelerated Rehabilitation Center's Mentoring Program began offering a Manual Certification Program to its employees. The benefits of the Accelerated Mentoring Program include: Access to a network of therapists with specialized experience Enhancement of therapist performance Affirmation of skills Increased job satisfaction Decreased turnover Growth, development and excellence maintained in the profession Opportunity to debate and discuss specific professional issues Professional and leadership development

This program was designed to contribute to the development as well as to the clinical and professional growth of our therapists. In addition, the Program creates a circle of clinicians who, once certified, will be able to mentor other Accelerated clinicians. This unique and distinct program will keep Accelerated at the clinical forefront and help us achieve the best possible outcomes for our patients. Jim Meadows, PT, the lead instructor, has an extensive manual therapy background. He has lectured both nationally and internationally on manual therapy and differential diagnosis. Mr. Meadows is affiliated with the NAIOMT and owns his own consulting firm. We are excited to offer this exclusive program to Accelerated therapists and to have an opportunity to reward clinicians for the time and efforts they have devoted to their practice. Through coaching and mentoring, we hope to contribute to their success and to play an active role in their career development. Our goal is to help them exceed their own and our expectations! For more information, contact Sarah Jensen at [email protected]

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205 W. Wacker Dr., Ste. 1080 Chicago, IL 60606 Phone: 312-640-0329 Fax: 312-640-0407 Email: [email protected]

For information on over 130 Accelerated Rehabilitation Centers:

1-877-97-REHAB or www.acceleratedrehab.com

In This Issue:

Express

Fall 2008 - Volume 5, Issue 2

Medical Treatment and Rehabilitation of the Lumbar Spine in the Industrial Athlete

Hiring the Best Candidate Post-Offer Testing

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