Introduction to the NEURO-IFRAH® Approach in the Treatment and Management of Adults with Hemiplegia from a Stroke or Brain Injury

This two day course is designed to provide participants with an introduction to the Neuro-IFRAH® principles of management and a practical application of these principles to increase function. Participants will be able to apply the information learned in a variety of treatment settings including acute care, inpatient and outpatient rehabilitation, home care, and skilled nursing facilities.

This course will consist of interactive lecture and hands on lab. Lab sessions will emphasize the development of patient handling skills through working with other participants. Information will be shared by lecture, lab and possibly using video or other visual aids.

Upon successful completion of the course, participants will be Neuro-IFRAH Trained®.

Program subject to change. During hands-on lab sessions, course instructor(s) will evaluate each participant’s techniques/skills learned to determine proficiency for course completion. This course content is not intended for use by any participants outside the scope of their license or regulation.

Course Objectives:

Upon completion of the course participants will be able to:

  • Identify the basic principles of management of the Neuro-IFRAH® approach.
  • Identify handling guidelines related to the Neuro-IFRAH® approach.
  • Identify concepts related to the framework for normal movement.
  • Differentiate between normal and abnormal movement in function.
  • Identify the missing components of movement that are interfering with patients’ abilities to function at a higher level.
  • Apply handling techniques to help attain the missing components of movement that are interfering with functioning at higher levels.
  • Integrate concepts related to normal movement, principles of management, handling guidelines, and handling techniques into ADLs and other functional activities.

Upon successful completion of the course, participant will be Neuro-IFRAH Trained®.

CE Credits

14 contact hours

This course is accepted by many professional credentialing organizations and state professional regulatory boards. Rules and regulations change frequently without notification, and apply differently to live and online courses. Please check with your state board to confirm accuracy of this list and acceptance of contact hours. 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.


Arkansas State Board of Physical Therapy: This course has been approved by the Arkansas State Board of Physical Therapy for 14 contact hours.

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 14 contact hours.

California Speech-Language Pathology and Audiology Board: The Speech-Language Pathology and Audiology Board of California recognizes Rehab Education, LLC as an approved Continuing Professional Development Provider (PDP). Approval #PDP 416. (Course must be taken between 03-6-2019 and 03-31-2021)

Idaho Occupational Therapy Board: Approved by the Idaho Occupational Therapy Board. Approval #4082

Idaho Physical Therapy Board: This course has been approved by the Idaho Physical Therapy Board. Approval #4083.

NY State Physical Therapy Board: Rehab Education, LLC is recognized as an approved provider of PT and PTA continuing education by the NY State Education Department Board of Physical Therapy. (Course must be taken prior to 05-10-2022)

American Occupational Therapy Association (AOTA) Approved Provider #6177: See states that currently recognize AOTA Approved Providers for OT

  • AOTA Approval States

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

    District of Columbia
    New Hampshire
    New Mexico
    New York
    North Carolina
    North Dakota
    Rhode Island
    South Carolina
    South Dakota

    *Disclaimer: Rehab Education LLC provides this list for your convenience. At the time of listing, the following state boards accept courses by virtue of approval by other organizations. It is the responsibility of the participant registering for a course to check with their state board to confirm rules and regulations regarding acceptance of contact hours for live and online courses.

    The following PT Boards accept courses approved by other state PT boards or APTA state associations*:

    North Carolina

    The following PT Boards accept courses approved by other APTA state associations*:

    Rhode Island

    The following PT Boards accept courses provided by AOTA approved providers*:

    District of Columbia
    Rhode Island

    *NBCOT…National Board for Certification of Occupational Therapy (view PDU requirements)

    +HTCC… Hand Therapy Certification Commission  (view recertification requirements)
    Hand Therapy Certification Commission (HTCC): This course is accepted by HTCC towards re-certification.

    State PT Boards
    State OT Boards


Day 1

8:00 – 8:30 Registration
8:30 – 10:00  Introductions/Background lecture/ Neuro-IFRAH® Key Concepts
10:00 – 10: 15 Break
10:15 – 12:00 Background lecture/ Neuro-IFRAH® Framework
12:00 – 1:00 Lunch on your own
1:00 – 3:00 LAB:  Trunk assessment in functional Activities.  Problem solving sequences 1,2,3., Guidelines for Facilitation, Facilitation of Trunk Movements
3:00 – 3:15 Break
3:15 – 5:00 LAB:  Generalization of Skill for Trunk Movements, Guidelines for Stretching, Increasing mobility in the Trunk

 Day 2

8:30 – 10:00 LAB:  Review of facilitation of trunk movements.  Guidelines for Stretching/mobilization.  Increasing mobility in the trunk. Facilitation of Assymetrical Scooting, Lower Extremity Movement Analysis
10:00 – 10: 15  Break
10:15 – 12:00 Lab: Facilitation of Sit to Stand and Stand to Sit
12:00 – 1:00 Lunch on your own
1:00 – 3:00 LAB:    Guidelines for Transfers and Facilitation of Transfers
3:00 – 3:15 Break
3:15 – 5:00 Tools to assist the therapist, Discussion on Orthotics and Wrap UP


Mary Linder, OTR/L, Neuro-IFRAH Instructor®

Mary Linder, OTR/L, Neuro-IFRAH Instructor®received her degree in Occupational Therapy from the University of Tennessee in 1994. Mary works in inpatient rehabilitation and outpatient. She has served as team lead and Director of Clinical Services over inpatient and outpatient PT, OT and ST. She has specialized in the treatment of adults with stroke and brain injury since 1999 and continues to be mentored by Waleed Al-Oboudi, MOT, OTR, author of the Neuro-IFRAH®. She became a clinical educator with Healthsouth in 2001.

Mary finished the Neuro-IFRAH Instructor® Training Program in August 2004. She was issued her Neuro-IFRAH specialist® certificate in July 2006. Mary is an instructor for introductory and intermediate courses as well as introductory course for nurses, the 98 contact hour certification course and the Advanced Upper Extremity Course. She currently works at HEALTHSOUTH Rehabilitation Hospital per diem and treats private patients.

Classes taught by Mary Linder: