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Full Course Description

Navigating Neurobehavioral Rehabilitation
Understanding Behavior Change and Deficits through Brain Region Impact

The nexus linking neuroanatomy and behavior is a complex relationship, difficult for any clinician to grasp.

Lacking a fundamental understanding of neurobehavioral changes and deficits in patients following a stroke or traumatic brain injury can quickly derail any treatment plan.

Watch Jerome Quellier, a clinical specialist in traumatic brain injury and communications disorders, who has over 25 years of clinical expertise. With a career long focus on the intricacies of neurology, Jerome’s passion and acumen is unmatched.

Discover how you can predict dysfunction and intuitively develop a foundation for assessment and treatment, all before the patients first visit.

In this comprehensive training, you’ll discover intermediate level neurophysiology linked to cognitive-linguistic function and behavioral management. Including expert guidance to:

  • Practical solutions to avoid escalation, mitigate neurological sensitivity, improve sensory processing, and more!
  • Practice at the forefront of neurobehavioral rehab with strategies to rewire the brain.
  • Enhance functional outcomes with newfound knowledge of neurotransmission and communication centers.
  • Leap into new learning for speech, perception, spatial recognition, and processing.
  • Anticipate dysfunction, predict behavioral change, and accelerate treatment pathways leading to enhanced function, occupation, and quality of life.

Purchase today and separate yourself from other clinicians as a change maker in neurobehavioral rehabilitation!

Program Information

Objectives

  1. Categorize the anatomy and function of lobes of the brain as they apply to neuro-behavioral control.  
  2. Evaluate the neurophysiology of memory and the impact of fear/anger on new learning and memory.   
  3. Examine the functional impact of both traumatic and nontraumatic injuries on cognitive centers within the brain to improve participation in physical activity.  
  4. Develop communication between neurotransmitters and the relevant communication system in the brain to improve function.  
  5. Evaluate the optic system and lesion locations that affect engagement, attention, and accuracy in therapy.  
  6. Utilize neuroanatomy-based interventions to de-escalate stress for patients and caretakers.

Outline

NEUROANATOMY AND THE IMPACT ON COGNITIVE PROCESSING

  • Neuronal anatomy
  • Brain wiring: Association, projection, and commissural fiber tracts
  • Brain lobes locations and ties to cognitive processes
  • Cerebellum and impact upon cognition
  • Case Study 1: Jacob’s anxiety and how pacing the halls became therapeutic

 
OPTIC SYSTEM AND VISUAL PERCEPTION

  • Optic constructs, anterior-posterior fiber tracts
  • Visual cortices and unique roles in visual processing and execution of IADL’s
  • Effect of tumors, shear injuries, CVA lesions upon visual perception
  • Case study 2: Why can’t my patient just see the whole worksheet like I do?
  • Group Exercise: Review of vision diagnostics by discipline (PT/OT/SLP)

 
HOW NEUROTRANSMITTERS DRIVE THE BUS

  • Internal communication systems within the brain
  • Dopamine pathways and effects on cognition and reward systems
  • Serotonin pathways and mood modulations

 
EXECUTIVE FUNCTIONS OF THE FRONTAL LOBE

  • The Cognitive Pyramid and moving patients upward
  • Skull anatomy and effects of shear injury
  • Shear injury as it affects anxiety and behavioral health
  • Therapy implications for PT/OT/SLP
  • Group Exercise: Review of executive function diagnostics by discipline (PT/OT/SLP)
  • Impact of executive functions such a planning, organization, and problem solving for participation and performance of meaningful ADL’s

 
COMMUNICATION AND THE LEFT HEMISPHERIC FUNCTIONS

  • Broca’s vs. Wernike’s areas
  • Function of the arcuate fasciculus upon communication

 
SPATIAL PROCESSING AND THE RIGHT HEMISPHERIC FUNCTIONS

  • Neurophysiology vs neuropathology, understanding patients’ nonverbal challenges
  • Inferential language and social cognition
  • Recognize social deficits and impact on community independence
  • A sense of time and spatial organization revealed

 
THE HIDDEN PROCESSORS-THALAMIC INFLUENCES

  • Auditory pathways and neuroanatomy
  • Thalamic engagement on sensory information
  • Modulation of sleep and vigilance

 
MEMORY: HOW THE HIPPOCAMPUS AND THE AMYGDALA PARTNER

  • Memory processes
  • Memory types: Right vs left hippocampal functions
  • Hypoxia and anoxia upon memory function
  • Sleep and memory consolidation, effect of exercise on memory structures
  • Amygdala’s influence upon fear-based learning and hijacking executive control
  • Case study 3: Nile’s hypoxia and long-term rehab outcomes

  
RECOVERY FROM ACCELERATION/ DECELERATION INJURIES: DIFFUSE AXONAL INJURY (DAI)

  • Microanatomical features of DAI
  • CTE: Chronic Traumatic Encephalopathy
  • Where medications have failed

 
AGITATION MANAGEMENT STRATEGIES

  • Review how working knowledge of the Rancho Los Amigos levels and practitioner tips can avoid confrontation
  • Learn trick of the trade for avoiding escalation
  • Structure therapy sessions to mitigate escalation and improve engagement in interventions
  • Identify underlying causes of escalation to reduce impact on daily living and QOL
  • Confabulation and denial—addressing the elephant in the room

 
ENRICHING PATIENT AND CLINCIAN RELATIONSHIPS

  • The science behind mediations and mindfulness
  • Reigning in the runaway situation

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Speech-Language Pathologists
  • Certified Brain Injury Specialists
  • Recreational Therapists
  • Nurses
  • Nurse Practitioners

Copyright : 06/28/2024

Co-Morbidities in Stroke Rehab: Pathophysiology, Treatment, and Pharmacological Management

As the ageing population continues to contribute to rising admissions in rehabilitation facilities, healthcare professionals must be well-equipped to handle the complexities of stroke and its common co-morbidities. This program addresses a crucial gap by tailoring the content specifically to the needs of healthcare workers in rehab settings. By offering a holistic approach to stroke rehabilitation, hypertension, hyperlipidemia, smoking cessation, and diabetes, we empower you to make a lasting impact on patient well-being and promote improved patient outcomes.  

  • Roles and Goals in Rehabilitation Settings: Explore the unique roles of healthcare professionals, including PTs, OTs, nurses, and more, within rehabilitation facilities. Learn how to identify and align rehabilitation goals to enhance patient outcomes effectively. 
  • Pathophysiology and Management of Stroke: Gain a deep understanding of stroke pathophysiology, diagnosis, and treatment options. Acquire the skills to provide holistic care and evidence-based interventions for stroke patients. 
  • Managing Co-Morbidities: Delve into the management of common co-morbidities such as diabetes, hypertension, and hyperlipidemia in stroke rehabilitation settings. Learn about pharmacological management, treatment modalities, and specialized care for diabetic emergencies. 
  • Smoking Cessation Strategies: Develop effective strategies for promoting smoking cessation among stroke patients. Master the art of accurate conversations and small interventions that can lead to significant positive impacts on patient health. 

By equipping you with an integrated understanding of stroke, its co-morbidities, and evidence-based interventions, this training empowers you to be the catalyst for transformative recoveries, enabling you to provide elevated care and drive remarkable improvements in patient outcomes after stroke. 
 

Program Information

Objectives

  1. Summarize the divisions of the nervous system and explain the components of a neurological exam, demonstrating a clear understanding of the foundational concepts in neurology relevant to stroke and rehabilitation. 
  2. Define stroke, differentiate between the various types of strokes, and identify risk factors associated with stroke.  
  3. Discuss acute stroke care, outlining nursing interventions and highlighting the crucial steps involved in providing immediate care to stroke patients.  
  4. Critically identify and explain standard treatment guidelines for stroke within rehabilitation facilities.

Outline

Stroke Pathophysiology and Management  

  • Definitions and pathophysiology of stroke  
  • Types of strokes 
  • Diagnosis of stroke 
  • Treatment for stroke 
    • Pharmacological 
    • Rehabilitation objectives 
  • Goals for stroke treatment 
    • Care of stroke in rehab settings 

Hypertension  

  • Pathophysiology review 
  • Causes of hypertension and relationship with stroke 
  • Treatment modalities 
  • Pharmacological management of hypertension 
  • Goals for hypertensive management in rehab settings 

Hyperlipidemia 

  • Pathophysiology review 
  • Relationship of hyperlipidemia and stroke 
  • Treatment modalities 
  • Pharmacological management of hyperlipidemia 
  • Goals for hyperlipidemia management in rehab settings 

Smoking cessation 

  • SBIRT 
  • Strategies for smoking cessation 

Diabetes Management 

  • Pathophysiology review 
  • Types of diabetes 
  • Treatment modalities 
  • Pharmacological management of diabetes 
  • Diabetic emergencies in rehab settings 
  • Goals for diabetes management in rehab settings 

Resources for patients in rehab facilities

Target Audience

  • Nurses
  • Nurse Practitioners
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Physical therapists
  • Physical Therapist Assistants
  • Other Healthcare Professionals

Copyright : 08/15/2023

Connecting Brain to Body: Early Functional Rehab for Neurological Trauma

Patients who have experienced a stroke, brain injury, or related neurologic event are in a sensitive position in the acute stage of recovery and healing. Doing too much can produce life altering implications, and doing too little can delay recovery and create further barriers in achieving functional independence. Getting the balance right is critical. Join Dr. Benjamin White and discover the latest evidence on early mobilization following a neurological event. Review important Clinical Practice Guidelines and safety considerations when working with this patient population. Unlock effective interventions to enhance neuroplasticity, gait training, balance, coordination, and much more!

Program Information

Objectives

  1. Demonstrate proficiency in managing safety and adequate intensity post stroke in the Intensive Care Unit.
  2. Foster an environment breeding neuroplasticity and early mobilization post stroke within the Intensive Care Unit.
  3. Employ treatment interventions to optimize balance and coordination, reduce fall risk, and enhance return to functional independence and activities of daily living.

Outline

Early Mobilization

  • Stroke
    • Hemorrhagic
    • Ischemic
    • Early Mobilization Clinical Practice Guidelines
  • Early Mobility and Intensive Care
    • Gait, balance and coordination training
    • Range of motion and managing spasticity
  • Enhancing Functional Independence
    • Evidence-based Medicine
    • Safety considerations
      • Line Management
      • Vitals
      • Exercise and positional changes on cerebral hemodynamics
  • Integrating Neuroplasticity
    • Clinical assessment and screening
    • Dual task training to improve: visual-spatial functioning, proprioception and fatigue
    • Implementation and treatment interventions
  • Neurological Impairments
    • Neglect
    • Pushing
    • Fear
    • Anxiety
    • Emotional Resistance

Target Audience

  • Physical Therapists
  • Physical Therapy Assistants
  • Occupational Therapists
  • Occupational Therapist Assistants
  • Speech Language Pathologists
  • Critical Care Nurses
  • Nurse Practitioners
  • Physician Assistants

Copyright : 07/18/2023

2-Day Intensive Stroke Rehab and Gait Training: Reimagining Motor Control, Motor Learning, and Neuroplasticity

It’s the most daunting challenge you are ever going to face in clinical practice… Dealing with the brain and body connection has complexities that research is still unfolding.

But don’t worry… With 19+ years of experience, and Neuro Developmental Treatment Certification, Dr. Jonathan Henderson, DPT, comes equipped with top-tier stoke rehab expertise to prepare you with up-to-date interventions assured to treat your stroke patients in ways you couldn’t before.

Loaded with creative, relative, and evidence-based approaches to master neuroplastic change and motor learning. In this training you’ll develop the confidence to create a comprehensive, patient-centered stroke rehab program that is certain to improve overall client physical function and fitness with information on:

  • Gait training
  • Fall risk prevention
  • Sensory processing
  • Neuroplasticity
  • Spasticity and tone
  • Pushers Syndrome
  • Spatial neglect
  • Visual changes
  • Challenging behaviors
  • Motor learning tools
  • Cognitive exercises
  • Dual task training
  • Goal planning
  • And more!

And that’s not all! This training is guaranteed to increase reimbursement and decrease hospital readmission rates with improved assessments tools to streamline clinical reasoning, appropriate goal setting, and applicable outcome measures.

It’s time to reimagine stroke rehab and gait training with a fresh perspective. Purchase today and discover the perfect blend of neuroplasticity and impairment-based interventions so you can completely redefine functional recovery after a stroke!

Program Information

Objectives

  1. Identify most common types of strokes and impairments seen  
  2. Describe the anatomy and science driving functional motor recovery after stroke.  
  3. Utilize motor control, motor learning, and neuroplasticity interventions to improve functional outcomes. 
  4. Choose effective evaluation and assessment techniques to determine functional performance.  
  5. Identify common limitations of treatment intervention options.  
  6. Choose task-specific goals for each patient based on functional impairments.
  7. Utilize motor learning strategies to drive recovery of upper limb function.  
  8. Utilize contextual factors and gait training principles to address functional mobility.
  9. Determine the best recommendations on spasticity for symptom management.
  10. Utilize brain-based activities to improve visual motor performance.  
  11. Distinguish the most optimal recommendations to promote physical fitness for stroke survivors.  
  12. Identify best practices in stroke treatment.  
  13. Determine criteria for clinical documentation and proper goal setting. 
  14. Choose outcome measures to capture change and identify fall risk.

Outline

Brain Anatomy and Cerebrovascular Accident

  • Prevalence and types of stroke
  • Etiology and Pathophysiology
  • Incidence/Epidemiology
  • Anatomy and cerebral blood flow

Common Impairments and Essential Treatments

  • Sensory and coordination
  • Visual changes
  • Synergies and motor recovery
  • Weakness and reflexes
  • Muscle tone and flaccidity
  • Perception and cognition
  • Neglect
  • Pusher Syndrome
  • Emotional status
  • Postural control and balance

Critical Principles of Management

  • Understanding hypertonicity and spasticity
  • Range of motion limitations
  • Force production

Reimagine Recovery After a Stroke

  • Motor recovery and motor learning
  • Neuroplasticity
  • Movement deficits
  • Atypical movement
  • Compensatory movements

Enhance Funcational Outcome Measures

  • Berg Balance Scale
  • Timed Up and Go
  • Falls Efficacy Scale
  • Four Square Step Test
  • Five Times Sit to Stand
  • Clinical practice guidelines

Individualized Goal Setting and Documentation

  • Keeping patient’s goals in mind
  • Key terms to maximize reimbursement
  • Showing patient progress through documentation

Results Driven Treatment Interventions

  • Importance of frequency, intensity, type, and time
  • Motor function strategies
  • Proprioceptive Neuromuscular Facilitation
  • Neuro-developmental treatment
  • Constraint Induced Movement Therapy
  • Task-specific training
  • Facilitation and stretching
  • Upper and lower extremities
  • Gait and balance training
  • Modalities
  • Technological advances

Novel Case Studies

  • Clinical reasoning
  • Postural control
  • Balance training
  • Handling to facilitate motor function/response
  • Handling to inhibit undesired responses
  • Virtual treatment interventions
  • Gait training
  • Task-specific training

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants

Copyright : 02/19/2024

Stay Advanced: Stroke Rehabilitation for Severe Hemiplegia

One of the most daunting tasks in stroke rehabilitation is restoring any degree of function in a flaccid limb. In this challenging push-the-limits course, advance your capacity to help patients who appear to have a poor rehabilitation prognosis. Learn to create that initial spark to show potential and hope.  If you struggle with a clear approach for involuntary muscle activity (tone, spasticity) or the lack thereof, as with flaccidity - this course is for you! Discover how to help motor control emerge from where there may seem to be limited hope in the wrist, fingers, and throughout the lower extremity. 

  • Build confidence in your accuracy of determining treatment prognosis 
  • Facilitate a return from weakness whether from hemiplegia or disuse  
  • Unique evidence-based techniques for functional gains in both the upper and lower extremities  

Learn to offer the help and results your patients are desperately seeking to regain the function they fear is lost for good.  

Program Information

Objectives

  1. Construct 3 techniques to facilitate motion in the flaccid UE and LE.
  2. Discriminate between and appraise spasticity vs tone, as well as the functional implications and best evidence for management of each.
  3. Propose 3 prognostic signs for persons with stroke-induced weakness.

Outline

Introduction 

  • Severe stroke mechanisms 
  • Timelines and prognostic guidelines 
  • Neuroplasticity 
Interventions 
  • 3 techniques to successfully facilitate motion in the flaccid UE  
  • Spasticity vs tone 
Functional Implications 
  • Return from severe weakness – direct (hemiplegia) and indirect (disuse)  
  • Evidence-based management in the UE 
  • Evidence-based management in the LE 

Target Audience

  • Physical Therapists
  • Physical Therapy Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Speech-Language Pathologists
  • Athletic Trainers
  • Chiropractors

Copyright : 08/23/2021

Complications From Stroke Demystified: Shoulder, Pusher, and Neglect

In this session, practitioners should expect to have their beliefs about these complications of stroke challenged, reinforced, and informed. They should be ready to view the evidence in shoulder complications and learn about the efficacy of slings, modalities, and neuromuscular re-education. Clinicians should be prepared to analyze the evidence in pusher syndrome regarding the use of mirrors, visual cues, allowing errors, and progressing treatment. In addition, clinicians should be ready to consume a review of the literature on body and environmental neglect, with specific considerations regarding visual aids, forced-use, and task-specific training.  

This course will go WELL beyond a review of evidence in all three of these conditions. Attendees should expect that Dr. Studer will translate the evidence through video and case examples, for optimal application in the clinic.  

Program Information

Objectives

  1. Analyze the evidence and interventions for optimal care of the person with stroke that is experiencing complications in the affected shoulder.  
  2. Analyze the evidence and interventions for optimal care of the person with stroke that is experiencing pusher syndrome. 
  3. Analyze the evidence and interventions for optimal care of the person with environmental and body neglect, post stroke. 

Outline

Introduction, course objectives, timeline, disclosures  

Common Complications After Stroke: The hemiplegic shoulder  

  • In this section, we will address: Pain, subluxation, and flaccidity in the hemiplegic shoulder 

 

Common Syndromes with Stroke: Pusher Syndrome 

  • In this section, we will cover the presentations, examination, treatment and progression for pusher syndrome 

 

Common Presentations from Stroke: Body and environmental neglect 

  • In this section, we will address the various forms of neglect syndromes, the neurophysiology, examination, treatment and progression 

 

Question and answer session 

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Speech and Language Pathologists
  • Strength and Conditioning Specialists
  • Nurses
  • Nurse Practitioners
  • Physician Assistants
  • Physicians

Copyright : 07/10/2023

Stroke and Aphasia: Breaking Down Barriers to Access Mental Health Services

Persons with aphasia and other post-stroke impairments often experience diminished quality of life and depression. Unfortunately, there is evidence to suggest that they are not receiving adequate care in these areas.

Speech-language Pathologists have reported that quality of life is seldom assessed in persons with aphasia (PWAs) using valid/reliable measures, and it is not known if or how SLPs are screening for depression.

The training will discuss the utilization of quality of life and depression screening tools for post-stroke patients in conjunction with counseling, strategies for reducing avoidance behaviors, and referral recommendations for the SLP.

Program Information

Objectives

  1. Employ quality of life and depression screening tools for post-stroke patients.
  2. Investigate counseling skills and limitations as they apply to SLPs.
  3. Evaluate strategies to overcome avoidance behaviors that decrease the likelihood of receiving mental health services in patients with aphasia.

Outline

Impairments Following Stroke: Impact on Quality of Life and Depression

  • Stroke aphasia and quality of life
  • Stroke aphasia and major depressive disorder
  • Internal risk factors of post-stroke depression

Quality of Life and Depression Screening Tools: Purpose, Administration, Scoring and Interpretation

  • Stroke and Aphasia Quality of Life Scale-39 Generic
  • Geriatric Depression Scale
  • Stroke Aphasic Depression Questionnaire

Counseling and Counseling Skills

  • Counseling role of the SLP
  • Limits of counseling by the rehabilitation professional
  • When and how to refer to a behavioral health professional
  • Barriers to counseling and possible strategies and solutions

Target Audience

  • Speech-Language Pathologists

Copyright : 11/20/2020

Brain and Body Connections: How to Utilize Neural Connections for Optimal Function

Move beyond the status quo of treating neurologic dysfunction as we explore bi-directional neural networks and physiological rhythms of brain and body communication. We will discuss therapeutic approaches to aid in pain relief and sensorimotor integration for better patient outcomes. Discover how to integrate interoception, the subconscious and conscious mind as it relates to our relationship with self and trauma. We will provide an illustrated guide to some of the cranial nerves and current research on how to utilize these rapidly responding pathways for neuroprotective health and self-regulation practices.

Program Information

Objectives

  1. Appraise neural networks and physiological rhythms in brain and body communication. 
  2. Investigate current research on sight, sound and smell to stimulate the nervous system for superior patient outcomes.  
  3. Investigate the conscious and subconscious mind in relation to toxic stress and the effects on the body including the performance of ADL and occupational tasks.  
  4. Demonstrate how to help patients develop interoception and apply techniques for self-regulation and resilience. 

Outline

Integrating neurology in any practice setting to promote function

  • Assessment of neurological and physiological function 
    • The brain and body connections 
    • Heart, gut and brain  
    • Circadian rhythm 
  • Top-down and bottom-up pathways 
    • Autonomic nervous system regulation 
    • Multi-sensory stimulation 
    • Pain modulation 
    • Best neuroprotective exercises 
  • Revealing the subconscious mind and interoception 
    • Stress, trauma and fear 
    • Self-dialogue and authority 

Modern approach to cranial nerves 

  • Illustrated locations and functions 
    • Smell 
    • Infections, blood brain barrier, neural inflammation 
    • Essential oils for wellness  
  • Sight 
    • Safety or danger 
    • Meditative focus: broad vs narrow 
  • Sound, balance and coordination 
    • Brain waves 
    • Music, binaural and monaural beats

Target Audience

  • Physical Therapists
  • Physical Therapy Assistants
  • Occupational Therapists
  • Occupational Therapist Assistants
  • Chiropractors
  • Exercise Physiologists
  • Strength and Conditioning Coaches
  • Athletic Trainers

Copyright : 10/26/2023