Aquatic Therapy _ Rehab by yaofenji


									    Aquatic Therapy & Rehab

                                  i n s t i t u t e

ATRI Newsletter                        SPRING 2012                  Volume 5 Issue 1

      2012 International Aquatic Therapy Symposium
                 June 26-30 • Sanibel, FL
              See for detailed information in February

  In This Issue…
  PLAceS & DATeS
  2012 international symposium           1
  2012 national Conferences              2
  AtRi exam                              2         Thanks for joining the ATRI family.
  Professional Development Days          4         We’re looking forward to an excellent
                                                   year with you. Let us know if there’s any
  Volunteers needed                      3         way we can help you as you help others.
  AtRi/Jalkanen scholarships             4         Here’s a quote for you on hope, which
  new Online ed Courses                  4
  Featured Course - Aqua stretch™        5
                                                   every patient and therapist needs:
  Founder of Biscup spine                6
  Featured Facility                      7
                                                   “Hope is important because it can make
  Gloves and/or Paddles                  8
                                                   the present moment less difficult to bear.
  MISceLLANeouS                                    If we believe that tomorrow will be better,
  AtRi on Facebook                       2         we can bear a hardship today.”
                                                                        thich nhat Hanh
  AtRi eList                             3
  One Great Reason to Join the eList     6
  newly Certified                        7

                      ATRI 866-462-2874 • •
    February 9-12 • Washington, DC                             April 12-15 • Chicago, IL
    Aquastretch specialty Certificate Program                  Aquastretch specialty Certificate Program
    Pediatric specialty Certificate Program                    BackHab Certification
    Ai Chi Certification                                       Functional Gait and Balance
    Aquatic Rehab for the Multiplicity of trauma               interventions for Common Hip Diagnoses
    the Heavy Concept: neuromuscular Retraining
      for Orthopedic issues                                    Pre-Conference Courses:
                                                               intro to Aquatic therapy and Rehab
    Pre-Conference Courses:                                    Advanced Lumbar stabilization
    intro to Aquatic therapy and Rehab                         intro to Aquastretch
    Advanced Lumbar stabilization
    Low Back Pain Dysfunction

                        See for detailed information
                  ATRI Certification Exam offered in DC and Chicago
                                  offered online Anytime!
   Featured Specialty Certificate Program at each site, plus PLENTY of General Education

   The ATRI Certification Exam
          is offered at the conference sites listed below:
   sunday, February 12 - Washington, DC (Fairfax, VA)
                 12:30 pm Registration - exam begins at 1:00 pm
   sunday, April 15 - Chicago, IL (Rosemont, IL)
                 12:30 pm Registration - exam begins at 1:00 pm
   saturday, June 30 - Sanibel, FL
                 8:30 am Registration - exam begins at 9:00 am
   sunday, september 23 - Las Vegas, NV (Henderson, NV)
                 12:30 pm Registration - exam begins at 1:00 pm
   sunday, October 21 - Washington, DC (Fairfax, VA)
                 12:30 pm Registration - exam begins at 1:00 pm
   sunday, november 18 - Chicago, IL (Rosemont, IL)
                  12:30 pm Registration - exam begins at 1:00 pm

   It is also offered online so you can conveniently take the exam anytime.

           FACEbook ATRI has an open Group on Facebook. If you want to check it out, go to
  oR just go to facebook and type
           in Aquatic Therapy & Rehab Institute.

AtRi newsletter   sPRinG 2012                              2                                        Volume 5 issue 1
      Volunteers are always needed for the National conferences and Symposium.

     V    olunteers pay a reduced registration fee in exchange for work hours. this includes: atten-
          dance in courses, continuing education credits and the sit-down luncheon. AtRi members
     will receive preference in filling positions. All other applications are accepted on a first come,
     first serve basis. if you are interested in volunteering in one of the Pre-Conference Courses see
     the “Pre-Conference Course Volunteer Opportunity” information on the website. Pre-Confer-
     ence courses are a separate volunteer opportunity and fee.

     National Aquatic Therapy conference Volunteer Duties
     We have two different types of positions available: Course Monitor (CM) and equipment/
     speaker Assistant (esA).

     typical tasks of the Course Monitor and the equipment/speaker Assistant volunteers include
     checking and operating audio-visual equipment, monitoring attendance in courses, and some
     assistance in moving pool equipment. You are often able to fully participate in the course in
     which you are assigned. However, you lose the flexibility in which courses you attend because
     we set your work schedule for you.

     We prepare you for your job by sending you information in advance, and by holding a meet-
     ing for all volunteers. this meeting is MAnDAtORY.

     When the volunteer positions are available, the link is on the website directly under the link for
     the corresponding conference.

    ATRI eList – It’s FRee!
    Join the eList – it’s FREE! Not only do we have great discussions but there’s a Special ev-
    ery week just for eListers. Here is a sample of what’s going to be on special the following

    January 30 – Fitness Learning Systems (inexpensive continuing ed)
    February 6 – AquaJogger products at half-price
    February 13 – ATRI “First Week Special” for the International Symposium
    February 20 – Dr. Mary Wykle’s latest work for the military
    February 27 – ATRI Faculty Member Laurie Denomme will be offering something excellent
    March 5 – Nekdoodle
    March 12 – Julia Fettig will be offering a special on her Aquatic Myofascial Release DVD
    March 19 – Terri Mitchell will be offering a special on Continuing Education

    To join the eList go to and click on eList and follow the directions. It’s free.
    You can unsubscribe anytime the same way.

AtRi newsletter   sPRinG 2012                        3                                       Volume 5 issue 1
      2012 Spring Professional Development Days
                       See for detailed information
     February 18-19 • Miami, FL                         March 10-11 • Tucson, AZ
     Pediatric specialty Certificate Program            Aquastretch specialty Certificate Program
     intro to Aquatic therapy and Rehab                 intro to Aquatic therapy and Rehab
     Ai Chi Certification                               Ai Chi Certification

     February 25-26 • Palo Alto, CA                     March 17-18 • boston, MA
     Aquastretch specialty Certificate Program          Aquastretch specialty Certificate Program
     intro to Aquatic therapy and Rehab                 intro to Aquatic therapy and Rehab
     BackHab Certification                              BackHab Certification

     March 3-4 • birmingham, AL                         March 24-25 • Dallas, TX
     Aquastretch specialty Certificate Program          Aquastretch specialty Certificate Program
     intro to Aquatic therapy and Rehab                 intro to Aquatic therapy and Rehab
     BackHab Certification                              Aquatic Rehab for the Multiplicity of trauma

                                                        New online ed courses!!
  ATRI / Jalkanen Foundation Scholarships               this past Fall, AtRi added five new Online ed courses
    Available for Spring Conferences & Symposium        and additional courses will be released shortly. During
                                                        the “AtRi 12 Days of Christmas” special, members were
  The Aquatic Therapy & Rehab Institute (ATRI)          able to take advantage of ‘special pricing’ on all of the
  and the Jalkanen Foundation have full and             Online ed courses but one of the new courses that held
  partial scholarships for education in aquatic         particular interest was sue Grosse’s “Brain Gym in the
  therapy or rehab.                                     Pool”. since we are all familiar with “Brain Gym”, it is
                                                        only natural that it should be brought to the water!!
  Scholarships are given to aquatic therapy prac-
  titioners who, for some reason, would not be          Participating in this course will help you to:
  able to attain needed continuing education or         • Develop mental fitness through therapeutic aquatics.
  stay in the field of aquatic therapy and reha-        • expand the concept of “brain gym” activities to
  bilitation. This may be due to special needs,           water-based implementation.
  being single parents, having experienced              • Acquire techniques for enhancing your clients’ cog-
  physical or emotional trauma, or other special          nitive processing, as well as memory.
  situations.                                           • Facilitate therapeutic intervention by engaging your
                                                          clients’ mental potential.
  The scholarships will help practitioners get          • improve focus, on-task participation, engagement,
  education so they can continue to serve others.         and self-evaluation of your clients.
  Scholarships given by the Jalkanen Foundation
  (a non-profit charitable organization) for ATRI       While these activities are appropriate for all adults, if
  events are matched by ATRI.                           you are working with seniors, individuals with trau-
                                                        matic brain injury, stroke, dementia, and/or Alzheimer’s
  Go to       disease this workshop is for you. now you can make
  htm and scroll to the bottom for the applica-         brain gym activities part of any aquatic program.
                                                        Don’t forget the survey at the end of the course! Your
                                                        responses and suggestions are important!
AtRi newsletter   sPRinG 2012                       4                                           Volume 5 issue 1
                                   Featured Course
                   2627 – AquaStretch™ Specialty Certificate Program
                     Intermediate / Pool Workshop / 3-Day Program

                                                  COURSE DESCRIPTION
                                                  AquaStretch™ is considered a breakthrough in pain management
                                                  and aquatic therapy. It helps to quickly restore flexibility lost due to
  Friday-sunday, February 10-12
                                                  accidents or surgeries; significantly and immediately reduces chronic
  15.0 credit hours equal to 15.0 CECs/1.5 CEUs
                                                  pain or pain with movement; creates profound relaxation that helps
  Faculty: Beth scalone, Pt, DPt, OCs
                                                  to improve function, quality of life, and sleep and therefore overall
           terri Mitchell, PtA, AtRiC
                                                  ability to heal. Integrative exercise programs will be presented to
                                                  maximize the benefits of the AquaStretch™ technique. The partici-
                                                  pant will be presented with the tools to apply appropriate documen-
  saturday-sunday, February 25-26
                                                  tation and application of this modality in their particular aquatic
  15.0 credit hours equal to 15.0 CECs/1.5 CEUs
                                                  therapy setting.
  Faculty: Beth scalone, Pt, DPt, OCs
           Laurie Denomme, B.Kinesiology
                                                  This course presents the foundations and applications of AquaS-
                                                  tretch™, a new form of individual and facilitated aquatic exercise that
                                                  has been successful in treating various patient populations includ-
  saturday-sunday, March 3-4
                                                  ing those suffering from chronic pain to elite athletes. AquaStretch™
  15.0 credit hours equal to 15.0 CECs/1.5 CEUs
                                                  theoretically breaks down fascial adhesions utilizing a combination of
  Faculty: terri Mitchell, PtA, AtRiC
                                                  the facilitator/therapist’s manual pressure and the client/ patient’s ac-
                                                  tive movement. AquaStretch™ method can be utilized as a wellness
  TuCSoN, AZ
                                                  program or specifically applied as a skilled aquatic therapy technique.
  saturday-sunday, March 10-11
  15.0 credit hours equal to 15.0 CECs/1.5 CEUs
                                                  This certificate course will cover the basic wellness applications and
  Faculty: Beth scalone, Pt, DPt, OCs
                                                  progressions and provide an introduction to the advanced therapy
                                                  concepts through case study presentations. Topics include starting
  boSToN, MA
                                                  positions and grips, how to safely apply stretch resistance using 5-15
  saturday-sunday, March 17-18
                                                  pound weights to the body in 3-5 foot depth water and understand-
  15.0 credit hours equal to 15.0 CECs/1.5 CEUs
                                                  ing intuitive movement.
  Faculty: terri Mitchell, PtA, AtRiC
           Lexie Cox, MPt, AtRiC
                                                  COURSE OBJECTIVES
  DALLAS, TX                                      Upon completion of this course the participant will be able to:
  saturday-sunday, March 24-25                    1) Explain the basic AquaStretch™ theories including, restoration
  15.0 credit hours equal to 15.0 CECs/1.5 CEUs      of movement, stretch resistance, fascial adhesions and intuitive
  Faculty: Donna Adler, BA, AtRiC                    movement.
           Mary Wykle, PhD, AtRiC                 2) Safely progress a client through the eleven basic starting positions
                                                     and grips within the AquaStretch™ wellness program.
  CHICAGo, IL                                     3) Effectively cue and perform the basic AquaStretch™ procedure.
  Friday-sunday, April 13-15                      4) Determine appropriate water depth and equipment usage includ-
  15.0 credit hours equal to 15.0 CECs/1.5 CEUs      ing safe application and removal of weights.
  Faculty: Beth scalone, Pt, DPt, OCs             5) Describe appropriate level of documentation for various aquatic
           Connie Jasinskas, Msc                     therapy settings
           Donna Adler, BA, AtRiC                 6) Describe the benefits of the AquaStretch™ techniques for various
           Lexie Cox, MPt, AtRiC                     patient populations
                                                  7) Design an independent client/ patient home program to maxi-
                                                     mize benefits achieved with AquaStretch™

AtRi newsletter   sPRinG 2012                          5                                                Volume 5 issue 1
    one Great Reason to Join the ATRI eList
    Here’s just one response to a question about pain patches in the pool:

    Patches are not watertight usually. Not only might the patch contents leach into the water, which
    would not be a huge problem, except for the wearer whose dosage is therefore reduced. A worse
    situation might occur during warm water immersion, when the water temperature increases the
    medication uptake suddenly, and the patient can inadvertently overdose. I had this situation occur
    when one of my patients was lawn-mowing on a very warm day, and was found unconscious in her
    yard. Fortunately, she survived because of a very smart EMT who administered a narcotic blocker.

    Pain patches should NOT be used in the pool. If the patient is on a daily patch, use the therapy for
    the change time, taking off the patch before pool entry, and replacing after the shower following.

    Bruce Becker, MD

    It’s FREE to get this kind of information. Go to and click on ‘eList or bulletin
    board’ in the left column … then just follow the directions.

                    Aquatic Therapy Symposium Keynoter
                         is Founder of Biscup Spine
                                      Robert S. Biscup, M.S., D.O., F.A.O.A.O.
Dr. Robert Biscup, M.S., D.O., F.A.O.A.O., is a board-certified orthopedic surgeon, practicing for more than 25 years. His
developments in major reconstructive, previously failed, and minimally invasive spine surgeries, including laser microsurgery
and micro-decompression laminaplasty, have earned him international recognition as a pioneer in the field of spine care and
spinal surgery. Dr. Biscup has traveled extensively throughout the United States and Europe, lecturing and demonstrating the
surgical techniques, instrumentation and implants he helped to develop.

Appointed to the prestigious Cleveland Clinic in 1997, Dr. Biscup was on staff in the neurological surgery and orthopedic
surgery departments. He also served as director of the Regional Spine Care Program and chairman of the Cleveland Clinic
Florida Spine Institute. He is a fellow of the American Osteopathic Academy of Orthopedics (for which he previously served
as president) and has won several awards, including the Patient Advocacy Award from the American Academy of Pain Manage-
ment; the Outstanding Educator Award from Cleveland Clinic’s Orthopaedic Residency Training Program; and two Medal of
Merit Awards from the Ohio University College of Osteopathic Medicine. Dr. Biscup currently is the senior examiner for the
American Osteopathic Board of Orthopedic Surgery and remains an active member of the American Osteopathic Association,
American Medical Association and the North American Spine Society. He formerly served as the orthopedic consultant for the
Cleveland Indians and as a clinical professor in orthopedic surgery at the Ohio University College of Osteopathic Medicine.

A cum laude graduate from Hiram College with a Bachelor of Arts degree and Departmental Honors in Chemistry, Dr. Biscup
also earned a Master’s of Science in Health Sciences Education at Case Western Reserve University and completed his medical
degree at the Ohio University College of Osteopathic Medicine.

AtRi newsletter   sPRinG 2012                                6                                              Volume 5 issue 1
                  Congratulations to our new ATRI Certified!
                                                     Aashka Raval                          stephanie Johnson
                                                    Jessica Rogers                              tara Marsh
                                                  Deborah Webb                              Karen senseney
                                                  Mary Kim Rossini                            sharon steele
          Jane Anderson                           Wendy Jorjorian                            Richard Vicory
         shauna McGing                             Laurie Glymph                               Justine Baez
       Bonnie Garcia-Meitin                          Carlye Felten                          Mary Rosenberg
          teresa sawyer                               Lisa Dennis                           Jonathan shade
          Lea schneider                          Ronee st. Germain                           Ladan Hakima
                                                                                    Miami, FL 33176-2197
        stephanie Lempke                            Rita simmons                                Linda Cota
                                                                                    8940 North Kendall Drive, Suite 102E
                                                                                    Baptist Hospital Medical Arts Building
            Jenna Bush                                sheryl Cox                            Allison Matunas
       samantha Anderson                             sharon Criss                                Larry Jaffe
         Megan Richards                                Julie Fehr                            Deborah Dixon
            Lisa Layton                               Aline scott                          Amanda seymore
           Gregory Beier                             ellen Broach                                Mary Flair
          Kierstin Olson                           Cindy summer                                Marti Badila
       Roberta Breidenbach                        Deanna Johnson                               Kelly Hogen
          Weston Boven                             Felecia Fischell                          Megan Barrett
            susan Cox                             susan McKnight                            Jennifer Johnson
          Jana McDaniel                              John Belcher                           natalie Kennedy
         Denise nykamp                             Joseph Corriea                           Casey Anderson
          Laura sanders                           Renee Gossman                               Dorian Chinn

                                 C ALENDAR OF C OURSES
                           A Featured ATRI Host Facility:
                  Baptist Hospital Medical Arts Building, Miami, FL

Baptist Hospital Outpatient Rehabilitation offers an individualized and interdisciplinary treatment approach to
adults and children with a variety of diagnoses. As part of our unique treatment approach, we offer the latest
techniques in aquatic therapy. the properties of buoyancy, turbulence, heat and relaxation offered by water
enable one not only to move with greater freedom, but may also make it possible to execute movement which
would be impossible on land. Baptist provides skilled aquatic therapy for orthopedic and neurological patient,
adult group exercise classes, and swimming lessons for children with special needs in our 15 X 30 therapeutic
indoor heated pool.

Miami Baptist Hospital is hosting AtRi’s Professional Development Days weekend February 18 and 19 featuring
Intro to Aquatic Therapy, Ai Chi Certification and Pediatric Specialty Certificate Program. For more information or to
register see our website or email

AtRi newsletter    sPRinG 2012                             7                                                Volume 5 issue 1
                                 Gloves and/or Paddles
We polled aquatic therapy practitioners to see what they thought     to document progress, because you start with open vents and
of gloves or paddles.                                                work up to closed.

Gloves range from the bathing suit material (nylon lycra)            feATuReS you DISlIke
weight to the neoprene. Two different types of paddles are           Just like bathing suit, the Wave Webs from Hydrofit and H2O
mentioned. Hand paddles (like those used for swimming) and           Wear tend to wear out quickly.
the hand-held fitness paddles (with opening and closing vents to     Sometimes too big for children’s hands.
vary resistance). The hand-paddles were one of our responders        Hard to hold handles of paddles. Some people need shoulder
overall favorite piece of aquatic therapy equipment.                 strengthening, but do not have a very good grip.
                                                                     Inability to have multi directional resistance.
Here are some comments that can help you with your practice:         Start looking sad soon. Velcro disintegrates.

                                                                     moDIfICATIonS you’ve mADe To Them
TyPeS of ClIenTS you uSe Them WITh                                   My only client that has arthritis in her thumbs splits the seem
I started off with no gloves, but over time found that the H2O       of the Wave Webs and sews in a small piece of elastic so that
Wear gloves with thumb holes could be used by everyone.              she can get them on & off easier.
children and adults with autism and a variety of special needs       For the paddles that look like yellow wings (AquaFins) I just
UE strengthening for post-surgical (rotator cuff repair), neu-       have pts hold them, rather than tie them around the wrists.
rologic (stroke or brain injury), general conditioning. Also to      Just the Velcro repairs.
add resistance for core trunk work.
All types - upper body strengthening, to improve posture, to
work on balance.                                                     exeRCISe(S) you uSe Them foR
Any LBP, U/E’s strengthening, core stabilization, coordina-          I do mostly deep water work and my ladies/gentlemen love
tion, and balance.                                                   the added resistance. I also use them with my water walkers/
                                                                     shallow water clients.
ReASon you uSe Them                                                  Swimming laps, moving arms back/forth, up/down, side/side
Resistance in all directions (vs one direction for a buoyant         Shoulder all planes, diagonals
tool)                                                                Armswing; Shoulder abd/add & Horiz Abd/ Add & IR/ER
Extra resistance                                                     with walking or standing, Shoulder flex/ext, elbow flex/ext.
Sensory input to increase body awareness and propriocep-             Water walking, shoulder abd/add, flex./ext. circ., deep water
tive input. The resistance adds a component making patients          circuit, BRRM (Bad Ragaz)
more aware of their arms and hands. I usually have them
swim 1 lap with them on and then take them off. They are             BeST SouRCe you’ve founD foR Them
able to perform much better when I take them off. I’m trying         • H2O Wear & Hydro Fit (especially for larger hands)
to create muscle memory with them on.                                • Keifer gloves and Speedo hand paddles(most kids like to
I like to use gloves for upper body resistance, especially with        gloves better)
walking. I also like to use the paddles for upper body resis-        • Sprint for the paddles (best if we order 12+), Kiefer for
tance during seated noodle exercises or balance exercises with         gloves.
the patient standing with their feet apart, progressing to feet      • Paddles – HYPERLINK “” www.
together and then to standing on one foot.                   
Works for any LBP , U/E’s strengthening, core stabilization,
coordination, or balance needs.                                      GeneRAl CommenTS:
                                                                     Can you wash them in the machine? I have always let them
feATuReS you lIke                                                    air dry, but they seem to totally retain a chlorine smell even
I like the H2O Wear with thumb holes. They are versatile             after I hand-wash them out. Answer: Yes.
enough so that if you want less resistance, you just take your
thumb out. The clients are able to grasp other equipment or          One woman’s reasons to use them: They seem to protect her
adjust flotation belts, etc. when thumbs are “available.”            hands, and she has gained more upper body strength from
Easy to put on/hard for kids to take them off!                       using them. She had a hard time doing one exercise but after
The ability to increase levels from 1-5 on the paddles               some practice with the gloves she is able to do the exercise.
Adjustment for paddles is a great way for pt to see and for us

AtRi newsletter    sPRinG 2012                                     8 Continued on next page...                    Volume 5 issue 1
Gloves and/or Paddles continued...

I attempted to use Gloves with an Arthritis Foundation             I am a PT, so do rehabilitation of people who are injured. I
Aquatic Class and found that it was up to individual prefer-       don’t use gloves much-not enough resistance and a pain to
ence but most would not use them because they do not feel a        get on.
difference in resistance.
When I treat one-on-one I found the Paddles great to add           I have used two different kinds of paddles in my Back in Ac-
resistance, and I was better able to monitor correct position-     tion class - a trunk stability class. Fitness Paddles have vents
ing in the water and progressions.                                 ( all across the surface so you got a easy
                                                                   flowing resistance, the other paddles are breaststroke half
Both gloves and paddles are great to add resistance. I use         paddles. Pros - they don’t snag or mildew like the gloves; one
paddles to add resistance to UE exs. for all type of pts. I        size adjusts to all hand sizes; surgical tubing is cheap and easy
encourage gloves during full water ex class.                       to replace on half-paddles; from a therapy standpoint: they
                                                                   really help develop core stability, they are a great visual cue
Paddles with the adjustable vents allow adjustment of resis-       for PNF patterns, and of course develop strength and im-
tance in the same session.                                         prove ROM, a nice progression for balance activities. Cons:
Gloves offer the same resistance, only way to vary resistance is   can’t do shoulder flexion without losing them (at least the
to change Fabric of Glove.                                         two paddles I’ve used), way too hard on a post surgical shoul-
My experience with gloves and paddles is largely based on          der, wrist, or elbow; can only use for short duration, and have
senior populations. Personally, I prefer gloves since they al-     to constantly cue client not to hyperextend elbows. My line of
low participants to hold onto other equipment, like noodles.       thinking is the smaller the paddle, the greater the value unless
They are easily transported (which is why I take them on the       training or rehabbing an extremely fit athlete with a healthy
road when teaching in resorts or community pools) and they         shoulder girdle.
can be purchased based upon personal fit and desired resis-
tance. The downside to them is they are difficult to remove.       Interesting trend: women like gloves better; men like paddles.
Therefore, I don’t use them for arthritic populations.
                                                                   Thank you to the following for sharing your expertise:
Paddles are good for robust individuals who have relatively
                                                                   Jen Knott, CTRS
good bicep/tricep muscle parity and no problem gripping
                                                                   Susan McKnight
(gripping makes them prohibitive for arthritis). Athletic
cross-training applications for racquet sports, golf and crew      Corrine Dutto, MPT, OCS
can be beneficial. Swinging movements and arm-presses are          Felicia Fischell ATRIC
the primary exercises.                                             Jane Ranieri, AEA
                                                                   Tami Tubell, PT
When I work out in the pool I wear my gloves to swim laps          Kristine Olivotti, MPT
and also in Aqua-Zoomba. I find the additional resistance          Sylvia Aizpurviete, M.Ed.
good for improving muscle parity and adding more power/
                                                                   Pat Austin
effort to my time spent.

Wonderboards, burdenko boards and Kick boards –
in our next issue!

See you then.

AtRi newsletter    sPRinG 2012        ATRI 866-462-2874 9• •                          Volume 5 issue 1

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