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Digital Seminar

2-Day: Stroke Rehab Certificate: How to Maximize Functional Recovery


Speaker:
Mike Studer, PT, DPT, MHS, NCS, CEEAA, CWT, CSST, CBFP, CSRP, FAPTA
Duration:
11 Hours 57 Minutes
Format:
Audio and Video
Copyright:
Nov 06, 2023
Product Code:
POS065162
Media Type:
Digital Seminar


Description

After suffering a stroke, many emerge feeling trapped in a body that no longer works and fear the life they knew is gone. Furthermore, standard treatment strategies end with persistent long-term deficits and very basic gross motor skills at best. Your patient does not have to accept this fate and with the correct skillset, neither should you. Stroke rehabilitation does not have to be an either/or scenario – patients do not have to choose between walking or the ability to regain use of their arm!

While you may know techniques to facilitate movement in a flaccid UE and LE are similar:

  • Do you know how to improve each individually as movement emerges?
  • Are you able to easily identify methods to “force” movement and drive neuroplasticity in motor control and sensory recovery?
  • Can we re-create automatic movement (without thinking)?

Don’t miss this opportunity to get answers to these questions and leave with a groundbreaking evidence-based skillset to achieve life changing results for your patients!

You are working with a 68-year-old patient 2 weeks after a stroke who is demonstrating minimal wrist and finger extension + sensory impairment in their affected arm. Can you help this person achieve full use of their arm to dress, carry items while walking, open doors and turn on faucets? After this course – your response should be a resounding…”Yes!”

Unfulfilled rehabilitation potential is one of the greatest losses a stroke patient may face. Don’t miss your opportunity to learn the skills needed to completely redefine what is possible for quality of life after a stroke.

Credits

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.



* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.


* Credit Note - ---

Earn up to 11.75 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 11.75 contact hours. Expires: 11/03/2025.


California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 11.5 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 11.5 self-study contact hours.

CE Broker


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 11.75 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Occupational Therapists & Occupational Therapy Assistants

 

PESI, Inc.  is an AOTA Approved Provider of professional development. Course approval ID# 05865. This Distance Learning-Independent is offered at 1.175  CEUs Intermediate, OT Service Delivery. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

 


Arizona Occupational Therapists & Occupational Therapy Assistants

CE credit is available. This self-study course consists of 11.5​ continuing education clock hours for Arizona OTs and OTAs. The Arizona Board of Occupational Therapy Examiners (R4-43-203) confirms acceptance of continuing education programs relevant to occupational therapy that are approved by the American Occupational Therapy Association (AOTA).


Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 11.5 self-study continuing education credits.

CE Broker


Alaska Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 11.75 continuing education credit hours for Alaska Physical Therapists. The Board Rule 12 AAC 54.420 confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers.


Arizona Physical Therapists & Physical Therapist Assistants

CE credit is available. The Arizona State Board of Physical Therapy recognizes continuing competence activities that have been approved by any state PT association or national medical/health care association (e.g., AOTA, ASHA). This self-study activity consists of 11.75 clock hours of instruction applicable for physical therapists.


California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 11.75 continuing competency hours.


Physical Therapists & Physical Therapist Assistants

This self-study course consists of 11.75 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.


Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 11.5 CE credit hours.


Kentucky Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 11.75 continuing education credit hours for Kentucky Physical Therapists. The rule under 201 KAR 22:045, Section 2, (2)(a) states that category 1 continued competency credits can be earned from providers approved by another physical therapy licensing agency. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.

 


New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 14.3 contact hours.


North Carolina Physical Therapists & Physical Therapist Assistants

PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 11.5 continuing education hours.


Oklahoma Physical Therapists, Physical Therapist Assistants

CE credit is available. This asynchronous activity consists of 11.75 continuing education credit hours for Oklahoma Physical Therapists. Oklahoma Administrative Code 435:20-9-3.1 confirms acceptance of continuing education programs offered by providers approved by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Pennsylvania Physical Therapists and Assistants

The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 11.75 clock hours of instruction that is applicable for physical therapists.


Texas Physical Therapists & Physical Therapist Assistants

This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2406032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. Instructional Level: Intermediate. This activity will provide 11.75 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.


Utah Physical Therapists And Physical Therapist Assistants

This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 11.75 clock hours of continuing education instruction.


Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 11.75 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This self-study course consists of 11.75 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy. 


Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME such as PESI. Physician assistants may receive a maximum of 11.5 hours for completing this self-study program. This activity was originally recorded on 11/06/2023. It was last reviewed on 07/08/2022 and is valid until 07/08/2025

 

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 11.5 AMA PRA Category 1 Credit(s)™.


Physicians

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 11.5 AMA PRA Category 1 Credit(s)™. This activity was originally recorded on 11/06/2023. It was last reviewed on 07/08/2022 and is valid until 07/08/2025.

 

Physicians should only claim credit commensurate with the extent of their participation in the activity. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.


Other Professions

This self-study activity qualifies for 11.75 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Mike Studer, PT, DPT, MHS, NCS, CEEAA, CWT, CSST, CBFP, CSRP, FAPTA's Profile

Mike Studer, PT, DPT, MHS, NCS, CEEAA, CWT, CSST, CBFP, CSRP, FAPTA Related seminars and products


Mike Studer, PT, DPT, MHS, NCS, CEEAA, CWT, CSST, CBFP, CSRP, FAPTA, has been a PT since 1991, a board certified in neurologic PT in 1995, and a private practice owner since 2005. Dr. Studer has been an invited speaker covering 50 states, 10 countries, and 4 continents speaking on topics ranging from cognition and psychology in rehabilitation, aging, stroke, motor learning, motivation in rehabilitation, balance, dizziness, neuropathy and Parkinson Disease. Dr. Studer is a co-founder and co-owner of Spark Rehabilitation and Wellness in Bend, OR. He is an adjunct professor at Touro University in Las Vegas, and in the recent past led Oregon State University’s DPT coursework on motor control. Mike serves in a guest-lecture capacity at several other DPT programs and assists the national network of neurologic PT residencies known as Neuroconsortium in their Parkinson Disease programming as well. In 2011, Mike was recognized as Clinician of the Year in the Neurologic and (in 2014) the Geriatric Academies of the APTA. He received the highest honor available in PT in 2020, being distinguished as a Catherine Worthingham Fellow of the APTA in 2020, joining a group of under 300 persons at the time for the history of the profession. Mike’s professional honors additionally reflect his service at the state and national level including service as the Vice President of the Academy of Neurologic PT and also the Mercedes Weiss award for service to the Oregon chapter of APTA. He holds a trademark in dual task rehabilitation and has a patent pending on the same. Over his career, Mike has presented courses in all 50 states, 4 continents and 10 countries. He has authored over 35 articles, 6 book chapters, and routinely has clinical research projects in affiliation with one of many universities. He is a consultant to Major League Baseball on the motor control of pitching and hitting. As a very fun and lighthearted note, Mike is the four time and current WR holder for the fastest underwater treadmill marathon, a mark that was set most recently in January 2022.

 

Speaker Disclosures:
Financial: Mike Studer is the co-founding member and co-owner of Spark Rehabilitation and Wellness and has an employment relationship with Touro University. He receives a speaking honorarium from SMARTFit. Mike Studer receives a speaking honorarium, recording royalties, and a consulting fee from PESI, Inc. All relevant financial relationships with ineligible organizations have been mitigated.
Non-financial: Mike Studer is a member of the American Physical Therapy Association, the Vestibular Disorders Association, and the Oregon Physical Therapy Association. He serves on the advisory board of Rehab Management and ADVANCE.


Additional Info

Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Access for Self-Study (Non-Interactive)

Access never expires for this product.


Objectives

  1. Analyze objective assessment data to gauge prognosis, treatment timeline and progression.
  2. Propose 3 techniques to successfully facilitate motion in the flaccid UE.
  3. Propose 3 techniques to successfully facilitate motion in the flaccid LE.
  4. Propose 3 applications of forced use therapy for UE sensory and motor recovery.
  5. Propose 3 applications of forced use therapy for LE motor recovery.
  6. Investigate evidence-based applications for post stroke gait training to achieve independent community ambulation.
  7. Demonstrate how to use dual task interference to promote automaticity in recovery of mobility.
  8. Demonstrate how to use dual task interference to promote automaticity in recovery of ADLs.
  9. Demonstrate effective documentation to support the use of dual task interference and demonstrate progress in divided attention. 
  10. Discriminate spasticity vs tone, the functional implications, and the best evidence in management of each.
  11. Identify multidisciplinary coordination opportunities for incorporation of dual task interference to achieve team goals and patient outcomes. 
  12. Identify objective interventions to rehabilitate impulse control with relevance for safety in mobility, MRADLs, ADLs, communication, and IADLs. 
  13. Differentiate the 4 main modalities of distractions in clinical and real-world dual task (DT) applications.
  14. Analyze the three guiding principles of DT training.
  15. Investigate the physiology of attention and DT in normal, rehabilitative, and impaired conditions.

Outline

Neurophysiology of Stroke: How the Principles of Neuroplasticity and Motor Learning Work Together 

  • Mechanisms of neuroplasticity- why and how the brain reorganizes 
  • Recovery of motor control vs. compensations 
  • How the brain uses habituation, adaptation and compensations for functionality 
  • Therapeutic applications for introducing constraints, incentives and avoidances in neuroplasticity 
  • Understand the difference in ischemic and hemorrhagic stroke – and how that impacts rehab. 
  • When should rehab start? When can intensity start?  When is someone “neurologically ready”? 
  • How your interventions promote change 

Improve Prognosis After a Stroke: Personalize Care by Presentation, Person & Performance 

  • Debunk the myths of stroke: UE vs. LE; timing; and “where gains come from” 
  • Balance the elements challenge, gamification, success and failure to maximize neuroplasticity for each patient 
  • Apply autonomy as a catalyst for patient engagement 
  • Prime reward centers for possible success – beliefs are more important than we ever realized 
  • Shift to external, goal focused feedback to increase retention for motor skills 
  • Spasticity vs tone: differences, precursors and the treatments for each 
  • Goal action coupling – and how this can deepen patient engagement  

Promote Return and Choice in the Affected UE: Improve Best Practices for Recovery 

  • Time spent, time expectations and reptations are largely under-dosed for UE 
  • Why you may want to focus on the hand first instead of the shoulder 
  • Integrate tasks that force sensory information and motor contribution 
  • Induce neuroplasticity with graded motor imagery: L/R discrimination and mirror therapy 
  • Utilize bilateral challenges to increase mirror neuron benefit, intensity, gamification, accountability and functionality 
  • Forced use applications for UE 
  • Applications in overtraining: HIIT, error-enhanced learning and amplifying error 
  • Add a dual task to increase intensity and attention 

Promote Return of Function and Symmetry in the LE, Gait & Balance 

  • Forced use applications for LE 
  • HIIT and High intensity gait training 
    • What is HIIT, what isn’t, and why we use it... 
  • Tools for assisted functional recovery: weight bearing tasks in function: transfers, ADL, standing 
  • Defining improved gait... Independence, efficiency, quality, distance, speed? 
  • Novel clinical applications: motivational and exercise attributes 

Patient Engagement: Facilitate Compliance, Intensity and Attendance 

  • Apply the principles of behavioral economics to movement: confirmation bias, nudge, gamification, familiarity bias, and loss aversion 
  • Self-efficacy is malleable and may be the most powerful variable across all severities of stroke 
  • Utilize the physiological tools of behavioral economics to apply nudge, gamification, and choice architecture  
  • Understand the dynamic balance of autonomy in treatment 
  • Fear: overcome with habituation, desensitization, reward cycle replacement, self-efficacy and wins.  

The Future of Stroke Rehab: Progress in Technology and Science 

  • Robotics 
  • Virtual reality (VR) and Brain computer interfacing (BCI) 
  • Transcranial magnetic stimulation (TMS) 
  • HIIT, HIGT, task-specific circuit training, and early mobilization (acute care) 
  • The resurgence of comprehensive outpatient rehabilitation facilities (CORFs) 

Cognitive Rehabilitation: Dual Task Tolerance, Function, Impulse Control, Affect & Awareness  

  • Recognize the most common sequelae of cognitive, affective, and attentional impairments sustained in stroke 
  • How to constrain attentional resources to improve tolerance, function, and awareness 
  • 4 simple ways to enhance awareness and maximize attention 

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Speech and Language Pathologists
  • Strength and Conditioning Specialists
  • Nurses
  • Nurse Practitioners
  • Physician Assistants
  • Physicians

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