Rehabilitation Strategies for Neuromuscular & Neurodegenerative Disorders – Michel Janet (Shelly) Denes

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• The latest in clinical treatment guidelines for multiple sclerosis, transverse myelitis and Parkinson’s disease
• Assessment tools for measuring gait, fall risk, and mobility
• Developing effective treatment plans based on individual patient’s disease progression
• Best practice techniques to keep both patient and caregiver safe

Attend this course and get the latest management strategies for neuromuscular and neurodegenerative disorders. This program will give you the most up-to-date clinical practice guidelines for the most common and complex neuromuscular conditions that you will encounter in the rehab setting including multiple sclerosis, transverse myelitis and Parkinson’s disease. Special strategies will be discussed for patients with Alzheimer’s disease who are in need of rehabilitation management. Slowing deterioration and preserving independence and mobility is the key to treatment planning and this program will fill your clinical toolbox with the latest on overcoming the challenges of pathological changes and physical progression and how to get the most information out of a patient assessment, as well as developing treatment plans to best fit the patient and their disease progression.

You will leave this seminar with tools to…

• Improve safe gait and tone management
• Best practices for education of both patient and family
• Assess for caregiver stress and know how to intervene
• Perfect documentation for optimal reimbursement and to comply with Medicare changes

These strategies and interventions are immediately applicable to your practice and promote better functional outcomes for your patients with neuromuscular and neurodegenerative disorders.

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OUTLINE

Multiple Sclerosis

• Rehab Challenges Due to Clinical Changes
  • Elevated Core Body Temp
  • Medications
  • Affective Disorders
  • Invisible Symptoms
• Assessment Techniques
  • Trunk Control
  • Motor Control, Muscle Imbalance, and
  • Muscle Tone
  • Transfers and Functional Mobility
  • ROM
  • Fall Risk
  • Gait
  • Neurological Function
  • Rehab Interventions and Goal Setting
• Balance Strategies
  • Ankle
  • Hip
  • Stepping
• Endurance and Energy Management

Transverse Myelitis

• Rehab Challenges Due to Clinical Changes
  • Numbness and Weakness
  • Spasticity
  • Tremors, Lack of Coordination and Unsteady Gait
  • Pain
  • Neuropathies in Transverse Myelitis
• Assessment Techniques
  • Trunk Control
  • Motor Control, Muscle Imbalance, and Muscle Tone
  • Transfers and Functional Mobility
  • ROM
  • Fall Risk
  • Gait
  • Neurological Function
  • Musculoskeletal Assessment
  • Pain Assessment
• Rehab Treatment Planning
• Acute Phase
  • Functional Skills, Mobility and Gait
  • Secondary Complications of Immobility
  • Fitting for Orthotics
• Chronic Phase
  • Functional Skills, Mobility and Gait
  • Seating and Wheelchair Positioning
  • Strength and Endurance with Aeorbic Conditioning
  • Tone and Pain Management

Parkinson’s Disease

• Rehab Challenges Due to Clinical Changes
  • Tremors
  • Akinesia and Bradykinesia
  • Posture Changes
  • Increasing Rigidity
  • Decreased Coordination and Increasingly Unsteady Gait
• Assessment Techniques
  • Trunk Control
  • Motor Control, Muscle Imbalance, and Muscle Tone Evaluation
  • Transfers and Functional Mobility
  • ROM
  • Fall Risk
  • Gait
  • Neurological Function
  • Musculoskeletal Assessment
  • Pain Assessment
• Rehab Treatment
  • Safe Exercise Treatment Programs
    • Balance
    • Speed and Amplitude in Movement
    • Signs of Akinesia and Bradykinesia
• Rehab Goals
  • • Slow Deterioration
    • Improve Overall Mobility and Gait Skills
    • Fall Prevention
    • Establish an Effective Home Exercise Program
  • Whole Body Movements

Special Considerations with Alzheimer’s Disease

• Visual Verbal and Tactile Cues
• Mirroring
• Task Breakdown
• Safety
• Home Program and Education for a Therapeutic Environment
• Adaptive Equipment and Assistive Devices
• Teaching Body Mechanics to Caregivers

Family and Caregiver Care

• Case Management and Social Work Consults
• Home Health Considerations
• Community Support
• Assessing for Caregiver Stress and When to Refer
• Caregiver Safety

Reimbursement Challenges

• Effective Documentation
• Appropriate Patient Outcomes
• Medicare Specifics

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OBJECTIVES

1. Identify key components for evaluation and indications for proper treatment and planning for patients with multiple sclerosis, transverse myelitis and Parkinson’s disease
2. Identify key components for evaluation and program development for patients with Alzheimer’s disease and their caregivers
3. Describe the physiological changes in movement disorders to effectively implement successful rehab programming for individuals
4. Compare the difference between upper motor neuron and lower motor neuron changes that may present in this population
5. Create effective rehab techniques for improving motor control, posture, and balance in patients with movement disorders
6. Utilize assessment and program development tools using the balance strategy concepts and other advanced balance techniques
7. Implement effective treatments for tone management based on spasticity and muscle tone changes

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