Full Course Description
Neuro-Motor Balance Trained Professional
- Construct specific evaluations for multiple causes of loss of balance.
- Analyze results of neurological examinations and find the cause of balance disorders.
- Determine pathways and lobes of the nervous system that interfere with vision, vestibular influence during balance challenges.
- Develop specific treatment techniques for the individual patient with multiple challenges.
- Utilize TUG, Beers and multiple balance measuring tools to assess patients.
- Construct multifaceted evaluation of balance control including home environment, risk factors and state of the patient’s nervous system.
- Modify the patient’s habits in regard to nutrition and hydration and educate them in healthy self-care.
- Design safe living areas for patients with multiple health issues.
- Integrate Neuro-Motor exercises into the patient’s day.
Working with Patients with a History of Falls
Proprioception and Maintenance of Balance
- Measurable and objective evaluation tools
- Injury not reported as a fall
- Causation factors
- Vagus nerve
- Vision changes and the importance of the Vestibulo-Ocular Reflex
Neuroplasticity techniques for increasing balance
- Gravity – links to vestibular and proprioceptive systems
- Education of proprioception
- Medications & Side effects
- Sleep and CNS processing
- Vision challenges and treatments
- Central and peripheral
- Vision exercises and connections for advancing skills
Integrating Neuroplasticity for Improved Outcomes
- Rotational movements and posture importance
- Tremors and simple treatments
- The importance of enhancing BDNF (brainderived neurotrophic factor)
- “Remapping the brain” and the Sensory Homunculus
- Power Poses and Posture
2 Case studies and Further Evaluation - Multiple Sclerosis and Trendelenburg Gait
- Lobes and functions
- Links to balance and rewiring
- Cranial nerves
- Connection to the brain stem and lower brain centers
- Neuro-motor issues in Parkinson’s Disease
- Neuro-motor implications in Viral Diseases
- Finding the root cause of impairment
- Neural rewiring
- Accurately measure patient outcomes
Neuro-Motor Case Study – Multiple Sclerosis
- Evaluate MS patient with functions of the cortex and central brain structures in mind.
- Employ and understand rotational components to enhance balance during the gait cycle.
- Implement connections to understand the relationship of the thalamus and visual snow.
- Develop skills to discern differences in sight and visual memory in MS patients.
- Analyze a patient with MS with considering functions of the cortical lobes.
Integrating the Various Areas of the Brain into treatment
Targeted Techniques for MS
- Frontal Lobe
- Emotional, decision making
- Parietal Lobe
- Sensation and motor
- Importance of rotation
- Increasing appropriate proprioception
- Temporal Lobe
- Balance and hearing
- Cold packs for recognition
- Occipital Lobe
- Significance of flooring color and repetition
- Brain Stem
- Breathing, BP, temperature regulation
- Cranial nerve stimulation
- Sensations to body
- Rotational patterns
Neuro-Motor Case Study – Trendelenburg
- Analyze results of observational gait especially using the ‘Timed Up and Go’ testing as the basic starting point.
- Develop specific treatment techniques for the individual patient with a Trendelenburg Gait.
- Integrate Neuro-Motor exercises with considerations for proprioception and fatigue.
- Definition and Etiology of the Trendelenburg Sign and Gait
- Examples of this in walking and running
- Discussion about the Gluteus Medius musculature and the Obliques and Quadratus Lumborum regarding this gait deviation
- Use of the ‘Timed Up and Go’ Test as a basic starting point for observation of gait in adults
- Prescription Exercises
- Interventions with Rotation
- The role of proprioception
- The impact of fatigue on proprioception
POST-COVID-19 'Long Haulers' Acute and Chronic Effects: Evaluation and Treatment | Self-Study
They are your peers. Your family. Your friends. Your patients. And now, many weeks after diagnosis, they still feel like they’re running at 60%.
Technically speaking, they’ve recovered from COVID-19, yet the symptoms still linger – sometimes for over 100 days. This group is now known as the “long haulers”.
Whether you work in a hospital, long- term care, skilled care or home health, this course will provide a pathway toward rehabilitation and recovery. With 89 years combined experience, Karen Pryor PhD, PT, DPT, ND, CH, CFPS and Shelly Denes PT, CFPS, C/NDT will provide a framework to:
- Create a multi-system evaluation
- Reset the autonomic nervous system and
- Successfully treat post-COVID patients
They’ll show you how to immediately apply these strategies in your work. With their tried and true techniques, you will feel confident in your ability to help this growing population recover quickly and resume their normal lifestyle.
- Determine neurological, musculoskeletal and organ system challenges during the evaluation process.
- Determine cytokine storms and how it relates to multi-organ failure and coagulation.
- Investigate post-viral autonomic dysregulation and how to rewire with neuroplasticity techniques.
- Differentiate, accommodate, and treat rehabilitation challenges such as brain fog with poor memory of home program, tachycardia, POTS, and immune system challenges.
- Investigate autonomic symptoms of night sweats, temperature dysregulation, gastroparesis, peripheral vasoconstriction.
- Appraise anxiety levels and discuss changes in the emotional environment of the patient.
- Justify proning in patients to increase oxygen saturation levels.
- Appraise nervous system involvement HPA axis – hypothalamic-pituitary-adrenal dysregulation related to COVID-19 and how simple therapy techniques can assist with re-regulation.
Post-Acute COVID Syndrome
- Define ‘Long Haulers’ and why they are called that?
- Symptoms and Emergency Warning Signs
- The Hyper Immune response that causes more problems than it solves
- The Inflammatory Response seen in this disease
- COVID-19 can induce a cytokine storm
Addressing the Long-Term Symptoms in Long Haulers
- Profound fatigue
- Brain Fog
- Gait and Balance issues
- Brain Fog
- Memory Loss
POTS: Retrain the ANS
- New continuum for getting out of bed or standing
- Compression socks
- Increase plasma volume
- Abdominal binder
- Benefits of supine positioning
- Incorporating neuroplasticity techniques
Targeted Interventions for Long Hauler Challenges
- Nasal breathing
- Strategies to address POTS
- Reduce fall risk
- Case Study
- Home Tips