Health Care Reality Forum

Tuesday, April 14, 2009
7:00am – 12:00pm
Nampa Civic Center
311 Third Street South
Nampa, ID

n71703043800_6947am – 9:30am – Breakfast & Keynote Speaker, Coach Chris Peterson – Boise State Football Coach

Coach Petersen will share his personal experience
about the impact comprehensive medical care
had on his son’s ability to heal.

9:30am – Noon – Health Care Education Series

$25 includes breakfast and event


Ed Dahlberg
CEO of St. Luke’s Health System
Joe Messmer
CEO of Mercy Medical Center
Doug Dammrose, MD
Blue Cross of Idaho – Chief Medical Officer
John Stellmon
President of Regence BlueShield of Idaho
Tom Patterson, MD
Saltzer Medical Group – Immunization Coalition
Senator John McGee
Senate Health and Welfare Committee
Dee Sarton – Idaho’s News Channel 7


Misconceptions of “The Core”

Core strengthening, training, and stabilization have become popular terms in exercise discussion.  However, they are often misused or referred to incorrectly.  Core exercises are often thought of as exercises of abdominal muscles (crunches, etc), or back muscles (lat pulls, rows, roman chair, etc.).  Although these are great for strengthening certain muscles of the trunk, they are not true core exercises.  Core muscles are not the abdominals, back extensors, or “prime movers” of the spine.  They are much smaller and more specific “stabilizers” of the spine.  Their responsibility is to control the vertebral movement, not initiate it.  These muscles reduce the amount of shear force at each vertebral level and give the spine balance and control.  They consist of the transverse abdominus, multifidus, pelvic floor muscles, and many of the smaller muscles that link each vertebrae together.  Training these muscles is not only essential for spine rehabilitation, but for functional training and activities of daily living. 


To truly work the core stabilizers, one must first learn to fire them volitionally, and once that is mastered they must be trained in an unstable environment.  This can be accomplished through a great deal of therapeutic ball use and balance oriented training to stimulate these muscles to centrally control the spine.  The improved functioning of the core muscles will result in “prime mover” strength being enhanced, more efficient, and the spine becoming more protected.


Therefore, understanding the use of the term “Core” is very important in understanding how spine rehabilitation progresses.  SLIERS therapists understand the core and are committed to correctly training and rehabilitating spine patients for the rigors of working and activities of daily living.  



Lymphedema: Exercise Guidelines

Exercise is a vital part of a Lymphedema Treatment program.  The lymphatic system and circulatory systems are greatly affected by active muscle contraction, which helps assist transport of lymph and blood supplies to tissues and organs.

  • Exercise only with the limb in a compression garment or wrap.
  • Include Deep Abdominal Breathing before and after every exercise program.
  • Do not wear tight restricting clothing (eg.  Bra straps, tight underwear, etc.
  • Perform exercise in a slow, controlled manner.  If any exercise causes pain, decrease number of repetitions or do not perform that particular exercise.
  • Alternate each contraction of the muscle with equal time of full relaxation.
  • Progress exercises slowly as to avoid soreness.
  • After exercising, rest and elevate the limb for 15 to 20 minutes.
  • You should rest 20-30 minutes between Manual Lymph Drainage Massage and exercising.

Sonja M. Maul PT, CLT-LANA

National Board Certified Lymphedema Therapist

St. Luke’s*Idaho Elks Rehabilitation Services (SLIERS)

Boise, Idaho 




Parenting Class- Sensory Integration Education Training

Presented by Kavita Patil, MOTR/L and Krystal Butgereit, MSOTR/L, St. Luke’s ♦ Idaho Elks Pediatric Rehabilitation Services


Date: Thursday, April 2nd

Time: 7-8:30 p.m.

Location: St. Luke’s Meridian, lower level conference rooms

Registration Deadline: Friday, March 27th


During this in-service we will discuss what Sensory Integration is, how and why it is used, and how it can be functionally used in the home and school environments.  We will learn through lecture, open discussion, and hands on application. 


Childcare is provided, spots are limited


To sign up, please call Jasmynn at 489-5880