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Stroke: An Evidence Based Course Impacting the under 55 year old Population

Date: March 7-8, 2020
Audience: PT, PTA, OT, COTA, ATC
Course Level: Intermediate
Check in time: 7:30 am
Course time: Saturday 8:00 am- 5:45 pm
Sunday 7:45 am-3:00 pm

Location: M Health Fairview Southdale

6401 France avenue S, Edina, MN 55435

International room

Contact Hours: 15 

Course Fee: $395.00
Cancellation Policy:  Cancellation Fee will apply
Group Discounts:
If three people from the same organization register for a course, each person will receive a 10% discount. Four or more registered will receive a 15% discount. Please email or call ahead of time with the names of the people who will be registering as a group, [email protected] or 612-672-5607.

For Group discounts:  USE CODE rehab10 for 10% discount and rehab15 for 15% discount for group.

Course Description:

In the United States, the incidence of stroke in individuals under the age of 55 continues to increase, and billable length-of-stay continues to decrease across the continuum of care. A stroke diagnosis in this the age group represents a potential for a lifetime of physical challenges in addition to a significant impact on the healthcare system.

This two-day advanced course will introduce specific evidence-based concepts and techniques to help identify the key issues that are needed to facilitate the “younger“ stroke survivor back a functional status as an active participant in their community. Most of the concepts introduced in this course, although focused on the young stroke victim, can also be applied to all stroke patients.

Critical impediments to the progression of therapy can be identified within the early stages of care when a clinician iden­tifies the region of the brain involved and its implications on cognitive, visual, language, and behavioral patterns. This specific identification of symptoms will be briefly addressed to provide the baseline for the clinician to develop appropriate progressive rehab programs.

The most complicated issues and barriers to progression in stroke rehab are often related to motor learning, fatigue, severe hemiplegic shoulder and management of hypertonicity and comorbidities. The combination of information and advanced techniques presented in this class will provide a clinical perspective on how to prioritize, treat and manage these issues for the best functional outcomes.

The hands-on laboratory sessions will provide detailed instruction on techniques for the hemiplegic shoulder, movement analysis, and gait. Case studies on neuroanatomy, comorbidities, and home program development will enhance the information with real-life application.

This presentation of evidence-based and clinical practice guidelines will form the foundation of a comprehensive program. This course puts together a template for problem-solving the more complex young stroke population and the issues they face to integrate back into their community. The treatment techniques and material presented in this course are designed to maximize current billing guidelines.

 Instructor:

Laura Wiggs, PT, NCS, CBIS graduated from Texas Christian University with a Bachelor
of Science degree in Kinesiological Studies. Sheearned a Bachelor of Science degree in physical therapy from UTMB in 1991. In 2000, she earned her certification as a neurological clinical specialist. She is also a Certified Brain Injury Specialist by the Academy of Certified Brain Injury Specialist. Laura has specialized in the treatment of individuals with brain injury and stroke for the past 27 years. She has treated individuals throughout the continuum of brain injury and stroke from the neuro intensive care unit to community based reentry.
She has published numerous articles on the topic of hypertonia, and has presented both nationally and internationally on this topic. In addition, she has presented at numerous national and international conferences on topics in brain injury. Laura is a guest lecturer for the UTMB PT program, and is on faculty with the Harris HealthSystem PT Neurological residency program.

Objectives:

Upon completion of this course participants will be able to:
• Identify neuroanatomical lesions and subsequent deficits.
• Identify cognitive, behavioral, vision, and language deficits post stroke.
• Develop strategies for assessing and treating cognitive, behavioral, vision, and language         deficits for improved outcomes throughout the continuum.
• Identify the impact of comorbidities on outcome and therapy planning.
• Define a transdisciplinary approach and describe ways to develop this in your treatment   setting.
• Define motor learning and identify how to achieve better outcomes by using a motor learning approach.
• Define spasticity, dystonia, and spastic dystonia, and identify the best medical and therapy interventions for management.
• Identify key movements to analyze, interpretation of the movement observed, and how to set up treatment strategies for improved outcomes.
• Identify causes of fatigue in the stroke population and treatment strategies to diminish the impact of fatigue on function.
• Identify the pain generators that contribute to hemiplegic shoulder pain, and perform basic treatment techniques for management.
• Discuss the most current evidence-based information on upper and lower extremity orthotics for the stroke population.
• Identify keys to achieving community ambulation and community integration.                                                                                                          

 Agenda:

7:30 8:00 Registration

8:00  8:15 Review Basic Anatomy and Circulation of Brain

                 • Incidence of stroke, most common causes

                 • Lobes and function

                 • Circulation and function

8:15  8:45    Stroke Behaviors and Cognitive Deficits

                 • Impulsivity, decreased initiation, executive dysfunction

                 • Strategies for working with patients

                   exhibiting these behaviors

                 • Memory deficits, attention deficits

                 • Cognitive processing speed

                 • Strategies for working with patients

                   Exhibiting cognitive deficits           

8:45  9:00 Language Deficits and Vision Deficits

                 • Strategies for working with patients with     language deficits

                 • Identifying possible visual deficits

                 • Impact of visual deficits on function

                 • Strategies for visual deficits

9:00  9:30 Comorbidities:  Impact on Outcome and Treatment Planning

                 • Most common:  HTN and DM

                 • Hemotological disorders

                 • Dementias, neuropathies

                 • HIV, brain tumors, dementias

                 • Substance abuse,  other comorbities

9:30  9:45    Lab: Case For Small Group ProblemSolving on Expected Outcomes Based on NeuroAnatomy                                                                        Involved and Comorbidities.

9:45  10:00  What is a Transdisciplinary Approach?

                 • Why this is important to outcomes

                 • Review of the literature

                 • Ideas about how to develop a

                   transdisciplinary team in your setting

10:00 10:15  Break

10:15 11:00  Neuroplasticity

                • Review current literature

11:00 12:00 Motor Learning

                 • Basic Principles

                 • Applying motor learning for best outcomes

12:00 12:30 Lunch (On your own)

12:30 2:30   Hypertonicity

                 • Defining spasticity, dystonia, and spastic dystonia

                 • Assessment of hypertonicity

                 • Medical management of hypertonicity: 

                   neurotoxin, ITB, and oral medications.  Upates on the latest research

                 • Case presentations, therapy interventions

2:30  2:45  break

2:45  3:30 Movement Analysis

                 • Key movements

                 • How to interpret

3:30  4:15    Movement Analysis (Lab)

4:15  5:45 Fatigue in the Stroke

                 Population 

                 • Causes

                 • Normal aging changes that are

                   exacerbated by a stroke

                 • Evidence based research

                 • Strategies for managing fatigue across the             continuum

 

Day II

7:45 9:15 Management of the Hemiplegic

                 Shoulder

                 •  Identification of the pain generator

                 •  Treatment strategies for managing

                    subluxation, adhesive capsulitis, and referred pain

                 •  Orthotics for the upper extremity

9:15 10:30   Lab for Hemiplegic Shoulder Treatment techniques

10:30  10:45  Break

10:45  11:15 Gait from Bedside to

                 Community Ambulator (Lect)

                 •  Review of current evidence based

                    research

                 •  Treatment techniques to improve gait

                 •  Orthotics

11:15  12:30  Lab: Gait

12:30  1:00 Lunch (on your own)

1:00  1:30  Successful Home Program

                 Development Across the Continuum

                 •  Consider all deficits

                 •  The importance of a team approach

                 •  How to get support system involvement

                 •  Key education for prevention of an

                    additional stroke

                 •  Productive activity is part of a home program

                 •  Community activities

1:30  1:45  Break

1:45  2:45  Lab Developing Home Programs

                 • Exercise prescription

2:45  3:00         Conclusion      

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