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Digital Seminar

Effective Rehab Strategies for Progressive Neurological Disorders


Faculty:
MICHEL (SHELLY) JANET DENES, PT, C/NDT
Duration:
6 Hours 10 Minutes
Format:
Audio and Video
Copyright:
Apr 04, 2018
Product Code:
WDS020761
Brochure Code:
PTNEDI2
Media Type:
Digital Seminar
Access:
Never expires.

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Description

This informative and interactive recording, led by veteran Physical Therapist Shelly Denes, presents the etiology of specific neurological diseases, how the diseases progress, and effective goals and therapeutic interventions at the various stages of each disease. You will practice specific therapeutic interventions that Shelly has honed during her more than 40 years as a PT to help progress patients, promote functional independence throughout disease progression, and tackle problems that may surface during regression periods or complications of a disease. You will be taught the pathophysiology, signs, and symptoms of the various neurological disorders to develop effective individualized treatment interventions including some of the cutting-edge treatments coming our way.

Explore new treatment strategies for:

  • Parkinson’s disease
  • Multiple sclerosis
  • Transverse myelitis
  • Guillain-Barré Syndrome
  • Amyotrophic lateral sclerosis (ALS)

Credits


Occupational Therapists, Occupational Therapy Assistants

is an AOTA Approved Provider of continuing education. This course is offered for 0.6 AOTA CEU(s). The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. AOTA Educational level Intermediate, Category 1: Domain of OT, 2: Occupational Therapy Process.


Occupational Therapists, Occupational Therapy Assistants - Florida

is an approved provider #50-466 with the Florida Department of Health Board of Occupational Therapy Practice. This course is approved for 6 contact hour(s) for Occupational Therapist and Occupational Therapy Assistants.


Other Professions

This educational offering qualifies for 6 continuing education hour(s) as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements. 


Physical Therapists, Physical Therapist Assistants - Illinois

is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #:216.000309. This course qualifies for 6 CE Credit Hour(s).


Physical Therapists, Physical Therapist Assistants

This educational offering consists of 6 clock hour(s) of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this offering and contact your state board or organization to determine specific filing requirements.


Physical Therapists, Physical Therapist Assistants - New York

is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider for physical therapy and physical therapist assistant continuing education. This seminar is awarded 7.2 contact hour(s).


Physical Therapists, Physical Therapist Assistants - North Carolina

NCBPTE approval by virtue of approval by The New York State Education Department, Office of the Professions, State Board for Physical Therapy licensure board or state APTA chapter Approval good through 8/31/2021. This course qualifies for 6 continuing education hours. 



Handouts

Faculty

MICHEL (SHELLY) JANET DENES, PT, C/NDT Related seminars and products


MICHEL JANET (SHELLY) DENES, PT, C/NDT, maintains a current part-time clinical practice at the Rehab Institute of Michigan, where she works with patients who have multiple diagnoses, including spinal cord injuries, hemiplegia, neuromuscular disease, neuromuscular disorders, and traumatic brain injury. She has worked actively in various rehab settings for more than 25 years. Ms. Denes has a special interest and experience in using advanced technology, and strategies for complex clinical cases. She has been involved extensively with many advanced technologies, including FES cycling, FES Neuroprosthetic devices, and innovative lower extremity orthotics to get patients moving again. She has also been involved with exoskeleton robotics for gait and gait training with patients who have neurological injuries and other disabilities.

 

Ms. Denes graduated from the University of Michigan with a degree in Physical Therapy and completed her certification in Neurodevelopmental Treatment (NDT) in Adult Hemiplegia at the Rehab Institute of Chicago. She has shared her insights with practicing professionals at seminars held nationally, at the annual Michigan Physical Therapy Association meetings, and through adjunct faculty work at Wayne State University. She is also contracted periodically for expert witness work.

 

Disclosure:

Financial: Michel Janet Denes maintains a private practice, and she is a consultant with Experts in Therapy, LLC and NewGait. She receives a speaking honorarium and product royalties from PESI, Inc. Her relevant relationship with an ineligible organization has been mitigated.

Non-financial: Michel Janet Denes is a member of the advisory board of Evergreen Certifications and a committee leader for the Rehabilitation Institute of Michigan.


Target Audience

Physical Therapists, Physical Therapist Assistants, Occupational Therapists, Occupational Therapy Assistants, Nursing Home Administrators, Nurse Practitioners, Rehab Nurses

Objectives

  1. Identify key components for evaluation and indications for proper treatment and planning for patients with progressive neurological diseases
  2. Discuss physiological changes in movement disorders to effectively implement successful rehab programming for these individuals
  3. Implement sensorimotor integration as a global approach to balance and postural adjustments
  4. Utilize assessment tools using balance strategy concepts and advanced balance techniques
  5. Identify and understand the difference between upper and lower motor neuron changes with these diseases
  6. Learn to utilize skills assessment and treatment skills in neurological, musculoskeletal, and orthopedic areas to improve function

Outline

SPECIFIC NEUROLOGICAL ASSESSMENT TOOLS (45 minutes)

  • Modified Ashworth Scale
  • Sensorimotor testing
    • Gaze stabilization
    • Vestibulo-Ocular Reflex (VOR)
    • Proprioception testing
    • Romberg testing

GAIT ASSESSMENT & TRAINING: THE SIXTH VITAL SIGN (30 minutes)

  • Abnormal Gait/Falls
    • Gait strategies for “fallers”
    • Outcome Measures
      • Gait speed
  • Advanced Gait Training and Skills
    • Fall Recovery
    • Barefoot Gait skills

NEWER REHABILIATION TECHNOLOGY (30 minutes) 

  • Functional Electrical Stimulation Devices
    • Foot drop
    • Grasp and release
  • Exoskeltons/Robotics for gait
  • Orthotics for complicated cases
    • Toe-off/push-off AFOs

SPECIALITY MUSCULO-SKELETAL INTERVENTIONS (15 minutes)

  • Soft Tissue/Friction/Deep Massage/Skin Rolling
  • Cold Therapy and Ice
  • Mobilization

EFFECTIVE NEUROLOGICAL TREATMENT TECHNIQUES (60 minutes)

  • Tone management
  • Advanced ADLs
  • UE apraxia and coordination interventions
  • Fatigue management and energy conservation
  • Gaze Stabilization Strategies
  • Neuropathic Pain Management
  • Posture, alignment, and coordination
  • NDT (Neurodevelopmental Treatment)

ADDITIONAL TREATMENT CONSIDERATIONS (15 minutes)

  • The FallproofTM Balance & Mobility Program
  • Aquatic therapy
  • Targeted botox

PARKINSON’S DISEASE (45 minutes) 

  • Altered sensory perception and activation
  • Difficulty with changing strategies and dividing attention
  • Tremors, rigidity, posture changes
  • Decreased coordination and gait issues
  • Improving akinesia and bradykinesia
  • Rehab Treatment Planning
    • Safe exercise treatment programs
    • Balance
    • Speed and amplitude movement
    • Whole body and large movement exercises

MULTIPLE SCLEROSIS/TRANSVERSE MYELITIS (45 minutes) 

  • Elevated core body temp
  • Affective disorders and staging
  • Neuropathies, weakness, and tone changes
  • Balance, tremors, and coordination issue
  • Invisible symptoms
  • Weighted vests to address ataxia
  • Endurance and energy management
  • Rehab interventions & realistic goal setting

GUILLAIN-BARRÉ SYNDROME (30 minutes)

  • Miller Fisher syndrome
  • Chronic inflammatory demyelinating polyneuropathy
  • Multifocal motor neuropathy
  • Address pain issues
  • Long term effects

AMYOTROPHIC LATERAL SCLEROSIS (ALS) (30 minutes)

  • Upper vs. lower motor neuron
  • Bulbar
  • Respiratory
  • Physical changes in patient
  • Address goals realistically and treat wisely

PUTTIN IT ALL TOGETHER (15 minutes)

  • Patient and family education
  • Make the rehab fit your patients!
  • Solutions for reimbursement challenges

Reviews

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Overall:      4.1

Total Reviews: 19

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