Effective Rehab Strategies for Progressive Neurological Disorders
Digital Seminar

Effective Rehab Strategies for Progressive Neurological Disorders


Faculty:
Michel (Shelly) Janet Denes
Duration:
6 Hours 10 Minutes
Format:
Audio and Video
Copyright :
Apr 04, 2018
Product Code:
POS020761
Media Type:
Digital Seminar


Description

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)

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 mental health professionals.  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 professions standards


Nurses - California (Self-Study)

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 13305 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 (Self-Study)

CE Broker

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

** Florida Participants Only: To automatically be reported to CE Broker, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com. You will need to provide the full title of the activity, speaker name, date of live broadcast, your name and your license number in the email.


Nurses - Iowa (Self-Study)

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 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.


Nurses/Nurse Practitioners/Clinical Nurse Specialists - ANCC (Self-Study)

PESI, Inc. is accredited as a  provider of continuing nursing education by the American Nurses Credentialing Center’s  Commission on Accreditation.

Nurses completing these self-study materials will earn 6.1 contact hours. Expires: 04/04/2021.


Occupational Therapists & Occupational Therapy Assistants (Self-Study)

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. Expires: 04/04/2020.


Occupational Therapists & Occupational Therapy Assistants - Florida (Self-Study)

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number BAP #77. This course qualifies for 6.1 self-study continuing education credits.

** Florida Participants Only: To automatically be reported to CE Broker, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com to have your Florida credits reported to CE Broker. You will need to provide the full title of the activity, speaker name, date of live broadcast, your name and your license number in the email.


Physical Therapists & Physical Therapist Assistants (Self-Study)

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 & Physical Therapist Assistants - California (Self-Study)

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 - Illinois (Self-Study)

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 & Physical Therapist Assistants - New York (Self-Study)

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.


Physical Therapists & Physical Therapist Assistants - Texas (Self-Study)

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.


Θ Other Professions (Self-Study)

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

Michel (Shelly) Janet Denes Related seminars and products: 1

PT, C/NDT


Michel Janet (Shelly) Denes, PT, C/NDT, maintains a current clinical practice at the Rehab Institute of Michigan, where she works with patients with multiple diagnoses including hemiplegia, neuromuscular disease, neuromuscular disorder, Traumatic Brain Injury and Spinal Cord Injuries. She has worked actively in various aspects of rehab for more than 25 years. She has a special interest and experience in advanced technology and strategies for complex clinical cases. She has been involved extensively with many advanced technologies including FES cycling, FES Neuroprosthetic devices, and innovative lower extremity orthotics to get patients moving again. Shelly has also been involved with the exoskeleton robotics for gait and gait training with patients with neurological injuries and other disabilities. Past professional experiences include insights gained while working in the inpatient, rehab, outpatient and the SCI recovery settings.

Shelly graduated from The University of Michigan in Physical Therapy and has a certification in Neurodevelopmental Treatment (NDT) in Adult Hemiplegia, completed at the Rehab Institute of Chicago. She has shared her insights with practicing professionals at seminars held across the country, at the annual Michigan Physical Therapy Association meetings and through adjunct university work. Additionally, Shelly's expertise has been presented through expert witness work, both nationally and locally.

Speaker Disclosures:

Financial: Michel Janet (Shelly) Denes has an employment relationship with the Center for Spinal Cord Injury Recovery. She receives a speaking honorarium from PESI, Inc.

Nonfinancial: Michel Janet (Shelly) Denes has no relevant nonfinancial relationship to disclose.

 


Objectives

  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

Outline

SPECIFIC NEUROLOGICAL ASSESSMENT TOOLS

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

GAIT ASSESSMENT & TRAINING: THE SIXTH VITAL SIGN

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

NEWER REHABILIATION TECHNOLOGY

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

SPECIALITY MUSCULO-SKELETAL INTERVENTIONS

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

EFFECTIVE NEUROLOGICAL TREATMENT TECHNIQUES

  • 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)

ADDITIONAL TREATMENT CONSIDERATIONS

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

PARKINSON’S DISEASE

  • 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

MULTIPLE SCLEROSIS/TRANSVERSE MYELITIS

  • 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

GUILLAIN-BARRÉ SYNDROME

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

AMYOTROPHIC LATERAL SCLEROSIS (ALS)

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

PUTTING IT ALL TOGETHER 

  • 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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