Mary Massery's LINKED: Breathing & Postural Control, Part-2: A Pediatric and Adult Lab Course - In Person taught by Vincent Leddy, PT, DPT,

Nov 11, Friday – Nov 12, Saturday 8:00am – 5:30pm

Cost: Early Bird: $385 thru September 30, 2022 Regular Rate: $ 415
Register Online

Live In-Person Lecture & Lab 

Mary Massery’s - LINKED: Breathing & Postural Control, Part-2: A Pediatric and Adult Lab Course  

Taught by Vincent Leddy, PT, DPT, PCS


Part -2 : Hands-On Labs, In-Person 

November 11 - 12, 2022    Friday & Saturday

TIME ZONE: Pacific Time USA


CREDIT:  13 Education Hours (1.3 CEUs)

COST:     $385 USD  - Early Bird thru September 30, 2022   

                $415 USD - Regular Rate


Good Samaritan Hospital - Gordon Education Center 
401 15th AVE SE 
 Puyallup, WA 98372

Prerequisite:  Part-1 

Attendance of any of these courses (in past 24 months) qualifies as a pre-req

  • “Day-1 of MM’s 3-Day Breathing Course”
  • “Linked: Breathing and Postural Control – Part 1” in-person or webinar
  • “Breathing, Talking and Postural Control … school-based therapy”

“LINKED Part-2” builds upon the foundational information presented in “LINKED Part-1”.  This course, developed by Mary Massery, proposes a new definition of “core stability;” redefining it as the dynamic control of trunk pressures to optimize postural stability (balance).  Dr. Massery’s novel “soda pop can model” links breathing mechanics to postural control using multi-system interactions.  In Part-2, the focus shifts to assessing “normal” breathing patterns and learning neuromotor breathing retraining techniques and manual assistive cough techniques during hands-on labs.  Multiple clinical cases will be used to cement the concepts, as will a live patient demonstration (if available).  The course is applicable for any pediatric or adult patient (or therapist) who breathes!

OBJECTIVES:  Upon completion of this course participants will be able to:

  1. Use a multi-system approach to evaluating motor impairments.
  2. Identify the variations of “normal” breathing patterns and discuss the efficiencies/inefficiencies for individual patient conditions.
  3. Evaluate need for, and demonstrate, appropriate neuromotor retraining techniques for patients with ineffective breathing/postural control strategies (health or participation deficits).
  4. Participate in a live patient demonstration (if a patient is available) and suggest possible evaluation and treatment ideas based on the course material.
  5. Design a targeted airway clearance program using the principles of mobilization, expectoration and oral management. 
  6. Demonstrate airway clearance techniques, with an emphasis on manual assistive cough techniques, and apply an airway clearance algorithm to specific patient conditions.
  7. Identify thoracic cage/spine restrictions as they pertain to breathing mechanics and postural control (a very brief introduction of chest wall restrictions).  
  8. Evaluate the need for, and demonstrate, neuromotor retraining techniques to improve breath support for voicing and postural control (eccentrics).  
  9. Suggest immediate ways to incorporate the concepts into therapy activities in your clinical setting.

Friday, November 11, 2022 (8 Contact Hours) Pacific Standard Time Zone 
8 – 8:30 am
           Discussion - Review, synthesis, and Q&A
8:30 - 9:45 am        Lecture/Demo - Chest assessment:  Focus on musculoskeletal alignment and breathing patterns 
9:45 - 10 am           Break
10 – 11:30 am        Lab - Assessing breathing patterns and postural implications
11:30 – 12:30 pm   Lunch Break/On your own
12:30 - 1:15 pm     Lecture - Airway clearance: From Sherlock to solution
1:15 - 2:15 pm       Lab - Facilitating efficient breathing patterns and endurance training: Neuromotor techniques for diaphragm, chest and other breathing patterns
2:15 – 2:30 pm      Break    
2:30 – 4 pm           Lab - Facilitating breathing patterns (continued)
4 – 4:30 pm           Lecture/Demo - Brief introduction to rib cage and trunk musculoskeletal restrictions associated with breathing difficulties – Quick Screening!
4:30 – 5:30 pm      Demo - Patient demonstration (if possible)

Saturday November 12, 2022 (5 Contact Hours) Pacific Standard Time Zone 
8 – 8:30 am           Discussion - Class starts: Recap, Pearls, sleep homework, Q&A
8:30 – 10 am         Lecture/Discussion - Differential diagnosis (patient demo): “Find the Problem”
10 – 10:15 am       Break
10:15 – 11:30 am   Lab - Airway clearance lab: Focus on manual assistive cough techniques
11:30 – 12:15 pm   Lunch Break/On your own 
12:15 – 1:30 pm     Lab - Eccentric trunk control: using voice for postural control and vice versa
1:30 – 2 pm            Discussion/Homework - Homework: Putting it all together  
                               Course wrap up


Dr. Leddy completed his BS in Physical Therapy in the Netherlands in 1988, his DPT at Rocky Mountain University in 2017, and his APTA certification as a Pediatric Clinical Specialist in 2018.  He has worked for the past 30 years with children and adults with developmental disabilities.  In 2016 he developed the "Now What?" peer project, a resource for young adults with cerebral palsy to collaborate with adult mentors with CP.  
Vincent loves teaching!  He has been a clinical instructor with DPT students and a teaching assistant at continuing education courses for over 20 years, adding richness and versatility to his practice.  He has completed all of Mary’s courses, and in 2018 began a 2-year invited apprenticeship to become a Massery faculty member. 
Vincent's proudest "Mary Massery moment" was applying skills he learned from Dr. Massery to improve the breathing patterns of an adolescent with idiopathic scoliosis, reducing his pain and increasing his participation.

Live In-Person Lecture with Vincent Leddy

CREDIT:  13 Education Hours (1.3 CEUs)

COST: $385 USD - Early Bird thru September 30, 2022 


Good Samaritan Hospital - Gordon Education Center 
401 15th AVE SE 
 Puyallup, WA 98372


Normajean Friend - Education Program Assistant

[email protected]


Full refund of the course registration fee, less $75 administration fee, will be granted upon receipt of written request post marked 21 days prior to date of class.

Location Details

Good Samaritan Hospital, Gordon Education Center (Within Hospital)-
Puyallup, WA 98372

Contact Details

[email protected]

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