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Effective Rehab Strategies for Progressive Neurological Disorders

This informative and interactive recording, led by veteran Physical Therapist Shelly Denes, presents the etiology of specific neurological diseases, how th...
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Information

Faculty:
Michel (Shelly) Denes
Duration:
6 Hours 10 Minutes
Format:
Audio and Video
Copyright:
Apr 04, 2018

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)

Handouts

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

Faculty

Effective Rehab Strategies for Progressive Neurological Disorders

Michel (Shelly) Denes, PT, CFPS, C/NDT Related seminars and products: 10


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.