September 28, 2013 to September 29, 2013
SPONSORED BY BELLIN HEALTH AND WPTA NORTHEAST DISTRICT:
Management of Upper Extremity Neurological Problems Using NDT
Monica Diamond, MS, PT
September 28 – 29, 2013 11.25 Contact Hours
$299 for WPTA members (membership verification required at time of registration. Please contact Heidi Johnson directly at 920-430-4750 x4425), $345 for nonmembers
For more information, visit www.bellin.org and select “Appointments & Registrations”, then “Therapy and Sports Medicine Continuing Education Series”. You may also contact Heidi Johnson, PT, at hjkrau@bellin.org or call
920-430-4750, x4425
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Monica Diamond, MS, PT, is an active Neuro-Developmental Treatment Association Coordinator Instructor and International Bobath Instructors Training Association (IBITA) member with over 25 years’ experience teaching basic and advanced Neuro-Developmental Treatment Association approved courses in managing the adult patient using the Neuro-Developmental Treatment approach. She has over 30 years’ experience treating adults with neurological diagnoses and continues her clinical practice at Sacred Heart Rehabilitation Institute / Columbia St. Mary’s in Milwaukee, WI. Monica received her bachelors and masters degrees from the University of Wisconsin – Madison. She holds adjunct faculty appointments and teaches Neuro-Developmental Treatment at several universities. She has completed clinical research and has presented at APTA, Neuro-Developmental Treatment Association and WCPT national and international conferences. In addition to her teaching, Monica is an active member of the Neuro-Developmental Treatment Association Instructors’ Group and contributed to the writing of the Neuro-Developmental Treatment book entitled: Neuro-Developmental Treatment Approach: Theoretical Foundations and Principles of Clinical Practice (authored by Janet M. Howle in collaboration with the Neuro-Developmental Treatment Association Theory Committee).
Course Description: The goal of this weekend workshop is to challenge participants to improve their clinical management of the upper extremity functional limitations and underlying impairments of individuals with a diagnosis of stroke or other neurological pathology. Various upper extremity challenges will be discussed within a problem-solving framework. Labs will allow time for participants to learn and practice hands-on treatment strategies for specific problems in patients with various challenges and at various levels of function. Application of these concepts to the evaluation and treatment of an actual patient will be demonstrated, with participants actively involved in the problem-solving process. This course is approved through the WPTA. Primary Audience: PT, PTA, OT, COTA.
Course Objectives:
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Participants will explore the following questions, learn to use NDT problem solving to find answers, and improve their skill in applying what they’ve learned in these areas to the direct “hands-on” treatment of patients.
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Why are the pelvic girdle and trunk important in re-educating upper extremity function? What critical components should be addressed? How do the pelvic girdle, trunk and shoulder girdle interact?
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What elements of trunk, shoulder girdle and upper extremity alignment are most critical during treatment? How can I decide what to persist with, and what leave until later?
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Why do some patients have shoulder pain? What causes it and how can it be alleviated? What is the cause of subluxation and what should be done about it? What is the relationship between pain and subluxation?
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What elements are critical in using weight-bearing activities for reeducation of the upper extremity? How do these activities help the patient regain functional use of the upper extremity?
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What are the most important things to address in treatment with the individual:
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with no movement?
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with limited movement and lots of substitution and compensation?
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with lots of movement but strong movement patterns?
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At each of these levels, what function can be expected / encouraged / facilitated?
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How can effective carryover be achieved at different levels of patient recovery? What is necessary to achieve function, not just movement?
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How can adjuncts such as splints, slings, taping, electrical stim, etc. be used effectively within the context of NDT Problem-solving to enhance treatment of the Upper Extremity?
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How can NDT be used to design treatment plans that provide:
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specific and functional information necessary for effective documentation
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effective integration between disciplines without duplication of services
Management of Upper Extremity Neurological Problems Using NDT
Schedule
SATURDAY
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7:45 AM Registration
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8:00 NDT Update: Merging Theory, Evidence, and Clinical Practice
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Using the NDT Model of Clinical Problem Solving
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Justifying Treatment Decisions
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9:30 Break
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9:45 Upper Extremity: Key Concepts and Critical Issues
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What Goes Wrong? – Analysis of Problems that Limit UE Function
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Postural Control: An Essential Component for Arm Function
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10:45 Upper Extremity: Problems and Treatment Strategies – LAB
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Assessment and Re-Education of Optimal Scapula and Gleno-Humeral Mobility and Timing
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Integration of the Arm with the Head and Trunk
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12:00 Lunch
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1:00 Patient Demonstration / Problem Solving Session
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2:00 Discussion of Patient Demo: Determining Key Problems and Designing Effective
Treatment
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2:30 Break
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2:45 Upper Extremity: Problems and Treatment Strategies – LAB
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Assessing Atypical Tone and its Causes
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Subluxations and Interventions
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Causes / Treatment of Shoulder Pain
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Upper Extremity: Problems and Treatment Strategies – LAB
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Treatment Strategies in Weight-Bearing and Non-Weight-Bearing:
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What to do: How and When to Use Specific Strategies
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What’s Critical? Determining Effectiveness
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Progression of Treatment
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Treating the Arm to improve Function in Standing and Gait
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Enhancing Distal Control
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5:00 Adjourn
SUNDAY
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8:00 Facilitation during ADL's and Function:
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Assessment, Problem-Solving, and Treatment Strategies for Facilitation during Function
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Suggestions for Optimal Patient Involvement
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Designing HEP’s that Make a Difference
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Differentiating OT and PT Functional Goals and Treatment Planning In Relation to the UE
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Documenting UE Progress and Improved Function
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9:00 Upper Extremity: Problems and Treatment Strategies – LAB,
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Treatment Strategies in Weight-Bearing and Non-Weight-Bearing: What to do: How and When to Use Specific Strategies
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What’s Critical? Determining Effectiveness
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Progression of Treatment
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Treating the Arm to improve Function in Standing and Gait
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Enhancing Distal Control
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10:15 Break
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Use of Adjuncts to Enhance Goal Achievement – Using NDT Problem Solving to Make Decisions re: Use of Splints, Slings, Electrical Stimulation, Taping, etc.
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Addressing Complex UE Issues
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10:30 Problem-Solving Related to Specific Problems
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11:30 Prioritizing and Focusing: Short Term and Long Range Considerations
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Noon Conclusion
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