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Digital Seminar

Effective Rehab Strategies for Progressive Neurological Disorders

Shelly Denes, PT, CFPS, C/NDT, CGCP
6 Hours 10 Minutes
Audio and Video
Apr 04, 2018
Product Code:
Media Type:
Digital Seminar


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 learn 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)


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. 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 or 800-844-8260 before the event.

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

Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 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.

Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

CE Broker

Nurses - 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 6.1 self-study contact hours. Please email 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 - 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 6.1 self-study continuing education credits.

CE Broker

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 6.0 continuing competency hours.

Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.0 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.

Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 6.0 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.

Physical Therapists - 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 6.0 CE credit hours.

Physical Therapists - 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 7.3 contact hours.

Other Professions

This self-study activity qualifies for 6.0 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.



Shelly Denes, PT, CFPS, C/NDT, CGCP's Profile

Shelly Denes, PT, CFPS, C/NDT, CGCP Related seminars and products

Shelly Denes, PT, CFPS, C/NDT, CGCP, is an expert in fall prevention and neuro-rehab with more than 25 years of experience treating patients with hemiplegia, neuromuscular disorders, TBI, and SCI. She has a special interest in COVID-19 ‘Long Haulers’ and advanced technology. She had been involved extensively with neuroprosthetic devices, lower extremity orthotics, and exoskeletons at the Rehab Institute of Michigan.

Ms. Denes travels nationally to present seminars on fall prevention and geriatric rehabilitation. Additionally, her expertise has been presented through expert witness work, both nationally and locally. Ms. Denes is a graduate of University of Michigan’s PT program, and she earned her certification in Neurodevelopmental Treatment for Adult Hemiplegia (NDT) at The Rehab Institute of Chicago. She helped create the certifications of ‘Fall Prevention Specialist’ and a ‘Geriatric Care Professional’ with Evergreen Certifications and sits on their advisory board.


Speaker Disclosures:
Financial: Michel Janet (Shelly) Denes is the owner of Denes Physical Therapy Consulting LLC. She is a consultant with Experts in Therapy LLC and previously with NewGait™. She receives a speaking honorarium from Motivations, Inc. Michel Janet (Shelly) Denes receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Michel Janet (Shelly) Denes is an advisory board member for Evergreen Certifications.

Additional Info


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  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



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


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


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


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


  • 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)


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


  • 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


  • 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


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


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


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

Target Audience

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


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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
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