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Environmental Influences on Rehabilitation Outcomes

Environmental Influences on Rehabilitation Outcomes

Environmental Influences on Rehabilitation Outcomes

This course includes
1:55:30 of Course Material (View)
Lifetime access after purchase
Certificate of completion


Welcome to Elective 2 of the Integrative Lifestyle Medicine (ILM) Certificate by Dr. Ginger Garner. In this course, you will learn about the environmental influences on rehabilitation outcomes, including tobacco cessation and other toxic exposures.

Substance abuse may yield a greater impact on rehabilitation as the single biggest preventable risk factor for disease, beyond that even of diet and physical activity.

Of our patients who smoke, the World Health Organization reports that half of them will die. Smokers also impact those around them, with 1.2 million deaths attributed to second-hand smoke. 
According to research, smoking leads to suboptimal physical therapy treatment outcomes in all four physical therapy and rehabilitation practice areas: musculoskeletal, neuromuscular, cardiovascular/pulmonary, and integumentary health. This reinforces the need for the implementation and effective application of evidence-based smoking interventions within physical therapy and rehabilitation practice and education.

And yet, research also reveals that only a small minority of physical therapists employ, and physical therapy schools include, tobacco cessation counseling (TCC) education. The literature posits that TCC education is consistent with professional values espoused by physical therapists, which can be useful for occupational therapy as well, and this course will cover the public health guidelines for TCC, and also tackle other common substance abuse issues, including discussion of the risks and benefits of steroid injection practices in orthopaedic practice and a review of environmental toxins and how they impact our practice, outcomes, and health and functioning. 


Learning Objectives

There are two parts to this online course. The learning objectives for each part of the course are listed below.

In Part 1, you will:

  1. Describe the adverse impact of tobacco use and other substance abuse (including steroid injections).
  2. Describe the adverse impact of environmental pollutant exposure.
  3. List the major endocrine disruptors supported in the evidence base to cause adverse health effects.
  4. Summarize the 5 A’s approach for tobacco and other substance abuse cessation.
  5. Review the USPHS Tobacco Cessation Guidelines.
  6. Discuss basic interventions to assist tobacco and substance abuse cessation. 


In Part 2, you will:

  1. Discuss the importance of using a multidisciplinary team approach in tobacco and substance abuse cessation.
  2. Describe basic approaches to behavioral and pharmacology therapies in tobacco and substance abuse cessation.
  3. List resources available to help with cessation.
  4. Review the major diagnostic criteria for differential diagnosis of substance abuse disorders.
  5. Cite evidence-based screening tools for substance abuse.
  6. Summarize simple interventions for cessation assistance.
  7. List the parameters for when to refer to specialists. 


Who is this Online Course for?

The Integrative Lifestyle Medicine (ILM) Certificate is for physiotherapists/physical therapists, occupational therapists, athletic trainers, and related professions.


About The Integrative Lifestyle Medicine Certificate

You can choose to purchase individual modules or purchase the entire course track. When you click 'Buy Course' you will be given the option to purchase all 6 courses at a discount.

It is recommended to take all modules of the Integrative Lifestyle Medicine certificate in the order they are laid out in the course track.

It is required to take all modules to receive your certificate and you are only eligible to receive CEUs if you take all modules. CEUs are not awarded for individual modules, but rather for completing the entire course certificate.

You can view the entire certificate program by clicking here.

The instructors
Dr. Ginger Garner

Dr. Ginger Garner PT, DPT, ATC/L is a clinician, author, educator, and longtime advocate for improving access to physical therapy services, especially pelvic health.

She is the founder and CEO of Living Well Institute, which has been training and certifying healthcare providers in Integrative Medical Therapeutic Yoga & Lifestyle Medicine since 2000. She also owns Garner Pelvic Health in Greensboro NC, which offers digital and in-person care.

Ginger is the author of multiple books and book chapters, published in several languages. She has presented at over 20 conferences worldwide and has reached an audience across 6 continents, teaching on a range of topics impacting the pelvic girdle, respiratory diaphragm, and the voice (which she calls the 3D or Three Diaphragm approach).

Ginger is an active member of APTA, serving as the Legislative Chair for APTA North Carolina, a Congressional Key Contact for APTA Private Practice, and in the Academy of Pelvic Health on the Prenatal and 4th Trimester Task Force. Ginger lives in Greensboro, NC and is a mom of four – three sons and the family rescue Lab, Scout Finch. Visit Ginger at the links above, on Instagram and YouTube.

Course Material included in this course
  • Environmental Elective 1
  • Handouts
  • Smoking & Vaping
  • Corticosteroid Injections
  • Other Common Substance Abuses
  • Environmental Health and You
  • Toxins
  • Guidelines & Interventions
  • Feedback
  • Environmental Elective 2
  • Handouts
  • Team Approach
  • Behavioral & Pharmacology Therapies
  • Resources & Diagnostic Criterea
  • Screening
  • Intervention & Referral
  • Program Review
  • Feedback
  • Environmental Case Study
  • Handouts
  • Smoking Cessation Case Study
  • Environ POST-TEST
  • Feedback
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