Image of Stroke Rehab for Patients who “Push”: Management Strategies for a Uniq
Digital Seminar

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


Faculty:
Michelle Green
Duration:
Full Day
Format:
Audio and Video
Copyright :
Nov 07, 2018
Product Code:
POS020694
Media Type:
Digital Seminar


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 recording will show you how to address the root causes of pusher syndrome.

This lab-intensive, recording 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 to 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


**

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test 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. 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 cepesi@pesi.com 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.  

The planning committee and staff who controlled the content of this activity have no relevant financial relationships to disclose. For speaker disclosures, please see speaker bios.


Occupational Therapists & Occupational Therapy Assistants

AOTA

PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. This self-study course qualifies for 6.0 self-study contact hours or .6 CEUs in the Category of Domain of OT and Occupational Therapy Process. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate. 


Arizona Occupational Therapists & Occupational Therapy Assistants

CE credit is available. This self-study course consists of 6.0​ 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 6.0 self-study continuing education credits.

CE Broker


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 & 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.


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.


Kentucky Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 6.0 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 7.2 contact hours.


North Carolina Physical Therapists & Physical Therapist Assistants

PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216-000071. 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 6.0 continuing education hours.


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 6.0 clock hours of instruction that is applicable for 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.


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 6.0 clock hours of continuing education instruction.


Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This course consists of 6.0 continued competency credit hours for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (1)(c) states that type 1 continued competency credits can be earned by attending courses that are directly related to the clinical practice of physical therapy and have been approved by local, state, or federal government agencies. 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.


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.



Handouts

Faculty

Michelle Green's Profile

Michelle Green Related seminars and products: 7

PT, DPT, C-NDT, NCS


Michelle Green, PT, DPT, C-NDT, NCS, is an expert in stroke rehabilitation, with over 20 years of experience helping countless patients recover from neurological conditions. Her background in NDT, Pilates, and yoga has influenced her assessment and treatment approach, providing her with enhanced insight into movement assessment and guided movement re-education.

Dr. Green travels nationally to present seminars on stroke rehabilitation, and she is known for her dynamic, hands-on teaching style. She earned her Doctorate in Physical Therapy from University of North Carolina Chapel Hill, and she teaches as an assistant professor in the DPT program at Campbell University. Her additional interests include education and learning, impairment-based treatment across the lifespan, and application of mind-body practices for improving mental and physical health.​

Speaker Disclosures:

Financial: Michelle Green is an assistant professor at Campbell University. She receives a speaking honorarium from PESI, Inc.  

Non-financial: Michelle Green is a member of the American Physical Therapy Association; and the North Carolina Physical Therapy Association.


Additional Info

Program Information

Access for Self-Study (Non-Interactive) Access never expires for this product.

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

Target Audience

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

Reviews

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Overall:      4.9

Total Reviews: 83

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