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Live Webcast

Stroke Rehab for Patients who “Push”: Management Strategies for a Unique Patient Population


Faculty:
Michelle Green, PT, DPT, c-NDT, NCS,
Duration:
7 Hours 30 Minutes
Format:
Audio and Video
Product Code:
VLW020694
Brochure Code:
PLW20563
Media Type:
Live Webcast
Access:
Access for 90 day(s) after program date.

Dates


Description

Pushing behavior presents serious challenges during stroke rehabilitation. Patients who push are often low level, need a lot of assistance, have considerable safety concerns, and do not respond to typical treatment interventions. This seminar will show you how to address the root causes of pusher syndrome.

This lab-intensive, 6-hour seminar will show you how to address the root causes of pusher syndrome with evidence-based treatment activities and progressions. Learn how to assess and address the limiting impairments of pusher patients, utilizing the ICF model and principles of neuroplasticity to select the right intervention at the right time and maximize treatment outcomes. Additionally, appropriate assessment tools and functional performance tests will be practiced in order to apply treatment ideas in any environment. You will come away with techniques applicable to other patients who present with similar impairments such as difficulty with midline, retropulsion, trunk malalignments, postural control deficits, and gait dysfunction, making this course a great investment! This dynamic course will take your treatments to the next level!

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, .


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 6.0 contact hour(s) for Occupational Therapist and Occupational Therapy Assistants.


Other Professions

This educational offering qualifies for 6.0 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 6.0 CE Credit Hour(s).


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 6.0 continuing education hours. 



Handouts

Faculty

Michelle Green, PT, DPT, c-NDT, NCS, Related seminars and products


Michelle Green, PT, DPT, c-NDT, NCS is a licensed physical therapist who has worked with neurologically involved patients within in-patient rehab settings for nearly 20 years. She received her Master's in PT form Ithaca College and her DPT from University of North Carolina at Chapel Hill. She has an extensive background in application of NDT to contemporary practice and focuses her coursework on treatment development following the framework of the ICF Model. Using her extensive knowledge and experience working in rehab and physical fitness, she has been a sought-after lecturer, presenting seminars on topics such as Stroke Rehab, Pusher Syndrome, Geriatric Strength Training, Developing Functional Core Stability, and Pilates and Yoga for Rehab Professionals. These courses attract the attention of both physical and occupational therapists alike, as Ms. Green couples evidence-based treatment models with a dynamic, engaging style to rejuvenate and inspire rehab professionals in their respective fields.


Additional Info

Program Information

Access Period for Live Webcast For live CE credit, you must watch the live webcast in its entirety at its scheduled time. You will have access for 90 days after the program for review.
Webcast Schedule Please note: There will be a lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion.

Target Audience

Physical Therapists, Physical Therapist Assistants, Occupational Therapy, Occupational Therapy Assistants, Exercise Physiologists , Physicians, Insurance reviewers

Objectives

  1. Discuss current literature regarding suggested pathology of “pusher syndrome”
  2. Recognize and list common characteristics and functional presentation of a patient who “pushes”
  3. Develop a skill set for understanding normal movement as well as executing task analysis for assessments of impairments limitations
  4. Discuss the criteria critical in categorizing the “pusher” patient as a low, mid, or high-level “pusher”
  5. Identify appropriate treatment interventions for the low, mid, and high-level “pusher” patient to specifically improve noted activity limitations
  6. Practice supporting and positioning techniques that enhance safely for the clinician and patient
  7. Strategize progressions of interventions to reduce impairments and lessen activity limitations to maximize participation for each patient with “pusher syndrome”

Outline

ICF MODEL AND ROLE IN ASSESSMENT AND TREATMENT

  • ICF Models guide to clinical reasoning
  • Levels of ICF definitions and examples
  • Correlation with assessment, prognosis and treatment planning

PATHOPHYSIOLOGY OF “PUSHING”

  • Role of vestibular system
  • Localization of lesions correlating with “pushing”
  • Thalamic lesions and “pushing”
  • Role of graviceptive systems
  • Best support for occurrence of “pushing”

COMMON CHARACTERISTICS OF “PUSHERS”

  • Alignment faults (trunk, head, pelvis, femur)
  • Movement dysfunction
  • Midline deficits
  • Other (sensory loss, visual, neglect, cognition)

ASSESSMENT TOOLS

  • Tests to confirm presence of “Pushing”
  • Outcome measures
  • Role of upper and lower trunk assessment

TASK-ANALYSIS, HYPOTHESIS DRIVE APPROACH

  • Why use this framework for clinical reasoning
  • What is the framework
  • How it guides tasks assessment and guides treatment choices
  • How to execute a task analysis
  • Neuroplasticity and directing treatment choices
  • Motor control and motor learning theories on set-up and progression

TREATMENT SET-UP FOR SUCCESS (REDUCE RISK, IMPROVE SAFETY, IMPROVE OUTCOMES)

  • Choosing a position for treatment
  • Align patient for best results
  • Activate muscles in coordinated sequenced fashion to mimic functional demands
  • Rehabilitation of function
  • Compensation or Recovery?

TREATMENT FOR THE LOW, MID AND HIGH-LEVEL “PUSHER”

  • Primary characteristic for each level
  • Starting point and progression
  • Functional re-education considerations
  • Use of objects, adjunct, and equipment in treatment

Reviews

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4
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1

Overall:      4.8

Total Reviews: 15

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs

We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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