2-Day: Stroke Rehab Certificate: How to Maximize Functional Recovery

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Handouts/Brochure

Speaker

Mike Studer, PT, DPT, MHS, NCS, CEEAA, CWT, CSST, CBFP, CSRP, FAPTA Related seminars and products

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Mike Studer, PT, DPT, MHS, NCS, CEEAA, CWT, CSST, CBFP, CSRP, FAPTA has been a PT since 1991, board certified in neurologic PT in 1995, and a private practice owner since 2005. Dr. Studer has been an invited speaker covering all 50 states, 13 countries, and 5 continents speaking on topics ranging from cognition and psychology in rehabilitation, aging, stroke, motor learning, motivation in rehabilitation, balance, dizziness, neuropathy and Parkinson Disease. Dr. Studer was the founder and operator of Northwest Rehabilitation Associates in Oregon for 18 years and is now a co-founder and co-owner of Spark Rehabilitation and Wellness in Bend, OR. He is an adjunct professor at Touro University and additional appointment at UNLV. Dr. Studer assists the USC-led national network of neurologic PT residencies (Neuroconsortium) as well.  

In 2011, Mike was recognized as Clinician of the Year in the Neurologic and (in 2014) the Geriatric Academies of the APTA. He received the highest honor available in PT in 2020, being distinguished as a Catherine Worthingham Fellow of the APTA in 2020, joining a group of under 300 persons at the time for the history of the profession. Mike’s honors additionally reflect his service for Vice Presidency of the Academy of Neurologic PT, the Mercedes Weiss award for service to the Oregon chapter of APTA. He holds a trademark in dual task rehabilitation and has a patent pending on the same. Over his career, Mike has authored over 40 articles, 7 book chapters, and routinely has clinical research projects in affiliation with one of many universities. He is a consultant to professional athletes including Major League Baseball players, competitive divers, and some of the most prolific climbers in world history. As a very fun and lighthearted note, Mike is the four time and current WR holder for the fastest underwater treadmill marathon, a mark that was set most recently in January 2022. Most recently, Mike authored The Brain That Chooses Itself, a practical and applications-based guide to increasing both healthspan and lifespan for laypersons and medical professionals alike.  

 

Speaker Disclosures:
Financial: Mike Studer is the co-founding member and co-owner of Spark Rehabilitation and Wellness and has employment relationships with Touro University, the University of Nevada, and Post Acute Medical. He previously received a speaking honorarium from SMARTFit. Mike Studer receives a speaking honorarium, recording royalties, and a consulting fee from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Mike Studer is a member of the American Physical Therapy Association, the Vestibular Disorders Association, and the Oregon Physical Therapy Association. He serves on the advisory board of Rehab Management and ADVANCE.

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Objectives

1. Analyze objective assessment data to gauge prognosis, treatment timeline and progression.
2. Propose 3 techniques to successfully facilitate motion in the flaccid UE.
3. Propose 3 techniques to successfully facilitate motion in the flaccid LE.
4. Propose 3 applications of forced use therapy for UE sensory and motor recovery.
5. Propose 3 applications of forced use therapy for LE motor recovery.
6. Investigate evidence-based applications for post stroke gait training to achieve independent community ambulation.
7. Demonstrate how to use dual task interference to promote automaticity in recovery of mobility.
8. Demonstrate how to use dual task interference to promote automaticity in recovery of ADLs.
9. Demonstrate effective documentation to support the use of dual task interference and demonstrate progress in divided attention. 
10. Discriminate spasticity vs tone, the functional implications, and the best evidence in management of each.
11. Identify multidisciplinary coordination opportunities for incorporation of dual task interference to achieve team goals and patient outcomes. 
12. Identify objective interventions to rehabilitate impulse control with relevance for safety in mobility, MRADLs, ADLs, communication, and IADLs. 
13. Differentiate the 4 main modalities of distractions in clinical and real-world dual task (DT) applications.
14. Analyze the three guiding principles of DT training.
15. Investigate the physiology of attention and DT in normal, rehabilitative, and impaired conditions.

Outline

• Clinical decision-making impacting rehabilitation decisions
• Intensity, timing, frequency, and prognostic expectations - specific to stroke subtype

• When you have seen one stroke…you have seen one
• Personalizing care by presentation
• Personalizing care by…person
• Debunking the myths of stroke: UE v. LE; timing; and “where gains come from”.
• Spasticity vs tone: An introduction to the difference and precursor to the treatments for each

• Flaccid to “Found”
• Facilitate movement from a flaccid wrist or hand
• Found to Function
• Advance the UE from being available, to being “chosen”
• Force more recovery: CIMT and beyond –
• Techniques and tasks beyond a constraint

• Tasks and activities to facilitate movement
• Develop neuromuscular resources
• Strength, endurance, motor control, and balance
• Forced use in action for LE recovery
• Incorporate evidence-based practice

• Apply the OPTIMAL theory of motor learning
• Autonomy, enhanced expectancies, and external focus
• Behavioral economics in rehabilitation
• Identify traits of bias, decision making, and choice architecture
• Facilitate compliance, intensity, and attendance

• Robotics
• Virtual reality (VR) and Brain Computer Interfacing (BCI)
• HIIT, HIGT, task-specific circuit training, and early mobilization (acute care)
• The resurgence of comprehensive outpatient rehabilitation facilities (CORFs)

• Background
• Review of learning outcomes
• Consequences of DT intolerance, reduced impulse control, and impaired awareness in your patients

• Explaining how & why DT rehabilitation works
• Engaging your patients
• Emerging trends and current applications in screen and testing DT

• Applications in gait
• Multidisciplinary interventions
• Applications in balance, function, cognition, and fitness
• Case studies

Interventions for awareness

Interventions for impulse control

Documentation in cognitive rehabilitation post stroke: Attention, awareness, and impulse control

• Measurements and documentation tips for authorization/justification of care

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