Unlocking the Brain after Stroke: Keys to Rewiring for Recovery

Fast Facts:

Skill Level: Begiiner to Intermediate

Live Rehabed Workshop Live Course

Who Should Attend:

  • Occupational Therapists
  • Physical Therapists
  • Occupational Therapy Assistants
  • Physical Therapy Assistants
  • other Stroke Rehab Professionals

Locations:

Nov 17 - Nov 18, 2012
Englewood, NJ

Designed to take the complexity and guesswork out of planning treatment, this seminar provides the philosophical and theoretical background needed to provide a seamless implementation of evidenced-based treatment strategies for stroke recovery. These treatment strategies will be viewed from the perspective that neuroplasticity (“brain rewiring”) drives all motor learning after stroke.

This course will detail the effective, eminently understandable and easily reimbursable modified constraint induced therapy (mCIT) and review the storied history of constraint therapies within the broader context of inducement of neuroplastic change.

This seminar is presented by a researcher who has co-authored over 60 peer-reviewed articles and abstracts on promising techniques for stroke rehabilitation, and has written the best selling book on stroke recovery in the world. By focusing on cortical plasticity at the foundation of post stroke recovery, this seminar will will reveal a paradigm shift that impacts on every post stroke sequelae. Included will be a discussion of how to utilize the cortical plasticity inherent in every stroke survivor as a foundation for treating poststroke deficits from spasticity to impaired motor control to sensation recovery. Core concepts such as the use of repetitive practice, optimal duration and intensity of interventions, learned nonuse, and forced use will be discussed. This seminar reveals a simpler and more elegant conceptualization of treatment strategies aimed at post stroke recovery.

Appropriate stroke-specific measures of progress will also be reviewed.

Expect a unique and unfiltered perspective on the cutting edge of stroke rehabilitation research.

 

 

 

 

 

 

 Course Objectives:

Upon completion of course, therapist will:

  • Understand basic strategies for maximizing outcomes with the unequivocal bedrock of recovery from stroke—neuroplasticity.
  • Understand the theory and evidence supporting cortical plasticity as a substrate for post stroke recovery.
  • Describe proven neuroplasticity-driving stroke recovery options
  • Describe forced use therapies including “classic” constraint induced movement therapy and it’s modification
  • Promote recovery using the reimbursable and clinically practical modified constraint induced therapy (mCIT
  • Effectively interface leading-edge stroke rehabilitation research in a way that is both simple and free of charge while eliminating guesswork when choosing from the wide array of emerging treatment options.
  • Learn strategies to seamlessly incorporate stroke-specific evidence-based practice
  • Understand the clinical significance and basic application of electrical stimulation in post-stroke rehabilitation
  • Describe the theoretical basis for treatment options that incorporate bilateral training
  • Utilize a reliable and valid stroke-specific outcome measures that provide a nuanced perspective of recovery from stroke
  • Discern what is and what is not clinically effective for post-stroke spasticity reduction
  • Understand the neuroplastic model of post stroke recovery of sensation and proprioception
  • Understand the efficacy (positive, negative or equivocal) of interventions used in rehabilitation for reduction of spasticity
  • Learn the theory behind reduction of spasticity restoring executive control by the brain over spastic muscles
  • Understand the theoretical basis of non-pharmacological, non-surgical reduction of spasticity

CE Credits

12 contact hours

Accepted by many professional credentialing organizations and state professional regulatory boards. Check with your state board/credentialing agency to verify. Certificate of attendance will be issued to all participants upon completion of the course and may be used for CEU verification of credits. CE Credits vary by state. Please check with your state board/certifying agency to confirm conversion of contact hours to CE. See links below.

Physical Therapy Board of California: The Physical Therapy Board of California recognizes Rehab Education, LLC as an approval agency to approve providers offering continuing competency courses for CA licensed PTs and PTAs. This course is approved for 12 contact hours.

Illinois State Board of Physical Therapy: Approved CE Sponsor by Illinois State Board of Physical Therapy, Division of Professional Regulations, #216.000227 for courses completed by 09-30-2012.

North Carolina Board of Physical Therapy Examiners: This course has been approved by virtue of Illinois CE Provider Approval #216.000227 for 12 contact hours. (Course must be completed by 09-30-2012)

NY State Physical Therapy Board: Rehab Education, LLC is recognized as an approved of PT and PTA continuing education by the NY State Education Department's Board of Physical Therapy provider for courses completed by 05-13-2013.

AOTA Approved Provider #6177. These states currently recognize AOTA Approved Providers for OT continuing education either in regulatory language or by formal written communication to AOTA:

Alaska
Arkansas
Delaware
District of Columbia
Illinois
Indiana
Kentucky
Louisiana
Maryland
Minnesota
Mississippi
Missouri
Montana
Nevada
New Hampshire
Ohio
Oregon
Oklahoma
Rhode Island
South Carolina
Tennessee
Texas
Vermont
Virginia

*NBCOT...National Board for Certification of Occupational Therapy (view PDU requirements)
+HTCC... Hand Therapy Certification Commission  (view recertification requirements)

State PT Boards
State OT Boards

 

Agenda:

Day 1: 8:00 am - 3:30pm. Registration begins at 7:30 am.

Day 2: 8:00 am - 3:30 pm

Agenda Day 1

7:30 - 8:00 Registration
8:00 - 9:45 Neuroplasticity I: Neuroplasticity Made Simple
  • The future of stroke rehab: new perspectives and new tools
  • Neuroplasticity demystified
  • A historical perspective on neuroplasticity
  • Rules for driving neuroplastic change
  • Neuroplasticity: Direct Implications of Neuroplasticity On Stroke
  • The importance of neuroplasticity after stroke
  • Reactivating salvageable neurons after stroke
9:45 - 10:00 Break
10:00 - 11:00 Electrical Stimulation: The Neuroplastic Model and Beyond
  • Devices and evidence for driving cortical change
  • A review of e-stim for:
    • -Reestablishing movement, cortical control
    • -Reduction of subluxation
    • -Retain soft tissue length
    • -Electrical stimulation of the extensors
    • -Electrical stimulation of the flexors
    • -Electromyography based electrical stimulation
11:00 - 12:00 Bilateral Training Strategies for the Affected Arm and Leg
  • The evidence for cortical rewiring in bilateral training
  • Bilateral arm training with rhythmic auditory cuing (BATRAC)
  • Mirror therapy
  • Rhythmic sensory auditory stimulation in the upper and lower extremities.
  • The usage of rhythmicity, and immediate feedback and bilateral training for the lower extremity
12:00 - 1:00 Lunch
1:00 - 2:00 Spasticity and the Neuroplastic Model: Measurement, Management, and a New Vision of Spasticity Reduction
  • What works and what does not: a critical review
  • Understanding spasticity: the first step in reduction
  • Spasticity management and therapeutic strategies
  • Spasticity measurement that can be done clinically
  • A new perspective on tone reduction: start with the brain
2:00 - 2:15 Break
2:15 - 3:15 What the future holds: A review of emerging concepts in stroke recovery-specific research
3:15 - 3:30 Review and Wrap-Up

 

Agenda Day 2

8:00 - 10:00 Modified Constraint Induced Therapy (mCIT)
  • Research and proof of efficacy: A historical perspective
  • The history of constraint induced and forced use therapies
  • An evidence based review of constraint induced therapy
  • Understanding learned non-use
  • Modified constraint induced therapy: a reimbursable alternative
  • Choosing the “right candidate” for mCIT therapy
  • Implementing a structured mCIT program
  • Reimbursement for mCIT
10:00 - 10:15 Break
10:15 - 12:00 Lower Extremity CIT (LE CIT): The Basics
  • A Review Of Protocols
  • Clinical implementation of LE CIT
  • A review of specific exercises used in LE CIT
  • Measuring LE recovery
    • Pre ambulatory (LE Fugl-Meyer)
    • Using walking speed to measure recovery
12:00 - 1:00 Lunch
1:00 - 2:00 The Brunnström Fugl-Meyer (BFM)
  • Measuring recovery with this “gold standard” stroke-specific outcome measure
  • BFM as a “poor man’s” MRI: measuring neuroplastic change
  • A review and demonstration of the UE BFM, the gold standard stroke-specific outcome measure
  • BFM: class practice
  • A review of the LE BFM
2:00 - 2:30 Evidence-Based Stroke Recovery
  • The research–based therapist as the ultimate stroke recovery tool
  • How rehabilitation research establishes efficacy
  • When and why clinical experience trumps the available evidence
  • Easy and seamless ways to an evidence-based practice
  • Tricks for easy access to stroke-specific rehabilitation research
2:30 - 3:15 Tools for recovery of sensation and proprioception
  • Prevalence of sensation loss after stroke
  • Passive and active sensory recovery strategies
  • Using technology to reestablish sensation
3:15 - 3:30 Review, post-test and Wrap-Up

 

Peter G. Levine BA, PTA is the author of the bestselling book on stroke recovery, Stronger After Stroke (Demos Medical) and is the director of SynapsTogether, LLC. For more than a decade Peter has been involved in stroke-specific clinical research. He started his career in research as a Research Associate in the Human Performance & Motion Analysis Laboratory at the Kessler Institute for Rehabilitation. In 2002 became the Co-Director of the Neuromotor Recovery and Rehabilitation Laboratory (NMRRL), Department of Rehabilitation Sciences at the University of Cincinnati's College of Allied Health Sciences. He continues as a research consultant for NMRRL and has recently launched SynapsTogether, LLC dedicated to finding and reporting on the best systems for driving cortical plasticity. Pete has co-authored more than 60 peer-reviewed journal articles and abstracts, writes a monthly column on stroke recovery in Advance for Physical Therapists and is an ad hoc reviewer for Archives of Physical Medicine and Rehabilitation, and Stroke.

Tuition

Note: Early Bird rates are in effect if your application is postmarked four weeks or more prior to registration.Early Bird RateLate Registration Rate
Unlocking the Brain after Stroke: Keys to Rewiring for Recovery$409$464

Dates & Locations

Nov 17 - Nov 18, 2012:Englewood, NJ
 View directions and hotels

Please note:
Live courses require a minimum number of participants to operate. You will receive a written confirmation when minimum is met. Do not purchase non-refundable travel until you receive official written confirmation.

INTERESTED IN HOSTING? PLEASE CALL 845-368-2458 OR E-MAIL info@RehabEd.com


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