Full Course Description
Neuroplasticity for Orthopedic Recovery and Pain Relief: How Injury Changes the Brain and How You Can Help Rewire It
- Assess the multilayer approach using neuroanatomy and brain function related to injuries.
- Analyze the relationship between orthopedic trauma and brain dysfunction.
- Differentiate approaches to changing low and high tone qualities.
- Evaluate central nervous system dysfunction, and why practice makes pathways, and how to increase compliance in home programs.
- Evaluate tremors, eye alignment and nystagmus.
- Appraise and appreciate the importance of positive treatment sessions and verbal cues.
- Evaluate strategies to incorporate techniques into home programs for patients and caregivers.
Improve Your Clinical Reasoning
Upgrade Your Clinical Assessment
- Central nervous system: the driver of ALL function
- Brain development
- Chronic pain: the nervous system remembers
- Feedback loops - pain is circular
Integrate Neuroplasticity into Your Therapy Program
- Neurological screens for injuries
- Identifying neurological challenges
- Primitive reflex patterns and the power of vision
- Sensory motor development
- Vision and hearing related deficits
- Sensation changes and reintegration
Design Effective Treatment Plans: Treat the Symptom, the Cause and Neurological Changes
- Practice Makes NEW Pathways
- Polyvagal theory: Fight, Flight and Freeze
- Trauma memory related to therapy sessions
- Crucial component: sensory stimulation
- Smooth movement tremors and distraction
- Changing low and high tone qualities
- Challenge equates to change
- Bracing: to be or not to be
Expand Your Reach: Incorporate Vision
- Where to rewire the brain
- Use it or lose it
- Recruitment and retraining
- Use the lobes next door
- Before/after videos of sensory stimulation
- Beware of learned non-use
Taking it Home: Patients and Caregivers
- The link between vision and balance and sensation
- Implications for neurological disorders:
- 3D vision impairments – depth perception and safety
- Practical strategies for vision on the move!
- PT phone home – game changing HEP strategies to increase compliance
- Repetition and novelty are key
- Simple and effective activities to send home
- Explaining complex concepts to patients
- MVA with TBI
- Fall with knee injury and acute pain
- Low back pain – disc herniation with acute unrelenting pain
- Neurological signs post fall
- TKA acute pain and edema with resolution of pain and edema 2 treatments
- Anoxic injury – signs, symptoms and solutions
Neuroplasticity & Proprioception Roles in Fall Risk Reduction
- Analyze the framework for postural control (somatosensory input) and its impact on reducing fall risk.
- Determine the best options to screen, assess and intervene with somatosensory deficits.
- Assess the scientific impact of exercise on neuroplasticity and neuroprotection.
Framework for Posture Control
- Somatosensory input and impact on reducing fall risk
- What is proprioception?
- Light touch and vibration
- Vision and vestibular impacts
Screen, Assess and Intervene
- CDC’s STEADI initiative
- Romberg Test
- Treatments and interventions to improve proprioception
- Case study: significant proprioceptive deficits
- Drivers of neuroplastic changes
- Behavior and its impact on rehab
- 10 principles of neuroplasticity
Science behind Exercise
- Impact on neuroplasticity and neuroprotection
- Evidence based programs
- Appropriate exercise RX for older adults
- Exercise and balance recommendation
Neuroplasticity & the Physiology of Stress: A Mindfulness Perspective
- Analyze the physiology of stress and articulate why our body’s natural response to the demands of the modern world results in a predisposition toward increased stress and anxiety.
- Evaluate current literature on the mechanisms by which mindfulness and meditation can relieve stress, regulate emotions, improve attention, and reduce self-referential thought.
- Analyze the concept of neuroplasticity and evaluate the latest research validating how mindfulness meditation can change the structure and function of our brains in response to environmental experience.
Increased Stress and Anxiety in the Modern World
- Physiology of stress: evolution for survival, not happiness
- Inherent negativity bias: amygdala
- Emergency response system, and why it never gets a rest
- Pitfalls of self-referential thought
- Gaining an experience of your own mind – experiential
Mechanisms of stress relief: mindfulness and meditation
- Powerful antidote: current research
- How much meditation is enough?
- Functional MRI: benefits are dose dependent
- Rapid recovery from stress: the hallmark of resilience
- Cultivate the skills of self-awareness and emotional regulation
Brain Remodeling: The Science of Neuroplasticity
- Change the structure and function of the brain in response to environmental experience
- Telomeres, meditation and the science of epigenetics
- 12 easy ways to cut stress during your workday
Ethics in Therapy: Protecting Me, My Clients, & My Profession
- Demonstrate the purpose of a code of ethics and the difference between ethics and law
- Assess each ethical principle in the code, the standard of conduct, and the application of each principle through case studies
- Demonstrate the steps for reporting an ethics complaint, a licensing concern, or a compliance concern
Purpose of a Code of Ethics
- Two-fold purpose
- Free-standing guide
- Purpose of a “code”
- Law versus ethics
- State Law
- Administrative rule
- Is the code Law in your state?
- Identify each principle
- Standards of conduct
- Application of each principle through case studies
Steps for Reporting
- Compliance reporting (entity, corporation)
- Actual compliance reporting example
- Confidentiality vs anonymity
- License reporting (individual)
- Ethics reporting (association)
Documentation Success: The 5 Best Platforms for Simplifying the Process & Maximizing Revenue
- Demonstrate knowledge of how payers review documentation, who reviews documentation, and the general process of review.
- Assess the three documentation areas most commonly reviewed including good and bad examples in all three areas.
- Analyze the five platforms required for successful documentation and how the platforms address the commonly reviewed areas.
- Complete actual documentation examples with common therapeutic interventions utilizing the platforms.
Why Reviews Happen
- Purpose of RAC and documentation review
- General process of review
- Identify red flags
- Rends (OP- Medicare B, In-patient – Medicare A, HH)
Most Commonly Reviewed
- Top three areas
- Qualified clinician
- Skilled level of care
- Medical necessity
- Appeals process: what to do if a review is requested
- Requirements of a “maintenance program”
Five Platforms of Successful Documentation
- Underutilized terminology
- Trap phrases to avoid
- Address commonly reviewed areas
- Case studies:
- Joint mob
- Gait ther-ex
- Transfer training