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1. Identify key components for evaluation and indications for proper treatment and planning for patients with progressive neurological diseases
2. Discuss physiological changes in movement disorders to effectively implement successful rehab programming for these individuals
3. Implement sensorimotor integration as a global approach to balance and postural adjustments
4. Utilize assessment tools using balance strategy concepts and advanced balance techniques
5. Identify and understand the difference between upper and lower motor neuron changes with these diseases
6. Learn to utilize skills assessment and treatment skills in neurological, musculoskeletal, and orthopedic areas to improve function

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 Fallproof^TM 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

Shelly Denes, PT, CFPS, C/NDT, CGCP, is an expert in fall prevention and neuro-rehab with more than 25 years of experience treating patients with hemiplegia, neuromuscular disorder, TBI, and SCI. She has a special interest in Covid-19 ‘Long Haulers’, advanced technology and provides consulting through her company, Denes Physical Therapy Consulting, LLC. She has had extensive involvement with neuroprosthetic devices, lower extremity orthotics, and exoskeletons especially at the Rehab Institute of Michigan.

Shelly presents nationally at seminars on fall prevention and geriatric rehabilitation. She is a graduate of University of Michigan’s PT program and holds certifications in Neurodevelopmental Treatment for Adult Hemiplegia (NDT) done ta The Rehab Institute of Chicago, is a certified Fall Prevention Specialist and a certified Geriatric Care Professional. Speaker Disclosures:
Financial: Michel Janet (Shelly) Denes is the owner of Denes Physical Therapy Consulting LLC. She is a consultant with Experts in Therapy LLC and previously with NewGait™. She receives a speaking honorarium from Motivations, Inc. Michel Janet (Shelly) Denes receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Michel Janet (Shelly) Denes is an advisory board member for Evergreen Certifications.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 4/4/2021
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.1 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.1 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.0 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.3 contact hours.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Other Professions
This self-study activity qualifies for 6.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

• Physical Therapists
• Physical Therapist Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Nursing Home Administrators
• Nurse Practitioners
• Rehab Nurses