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Digital Seminar

Connect the Dots Between POTS: The Role of Rehab


Speaker:
Shelly Denes, PT, C/NDT, CFPS, CGCP
Duration:
2 Hours 04 Minutes
Format:
Audio and Video
Copyright:
Jun 18, 2024
Product Code:
POS065504
Media Type:
Digital Seminar

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Description

Frequently missed, misunderstood, and misdiagnosed – POTS is not only “real”,  it’s posing life altering  challenges for the patients it affects. We will expose common misconceptions surrounding the Postural Orthostatic Tachycardia Syndrome and acquire essential screening and assessment tools to recognize the symptoms in real time. You’ll be equipped with evidence-based and tailored interventions to manage dysautonomia, fatigue, stress, and anxiety, ensuring lasting impacts on your patients’ function and quality of life.  
Through this training, you’ll explore POTS through the lens of rehabilitation and learn to integrate awareness of POTS symptoms, assessment and intervention into your treatment plan. Discover: 

  • How the immune system works and then is out of kilter with POTS
  • Learn what dysautonomia is and how can we manage it
  • Address how stress and anxiety play a crucial role in management of this syndrome

Walk away with enhanced clinical reasoning, tools to improve treatment outcomes and lifelong health benefits for a long-lasting impact on your patients' health and your own professional and personal well-being.
 

Credit

Handouts/Brochure

Speaker

Shelly Denes, PT, C/NDT, CFPS, CGCP's Profile

Shelly Denes, PT, C/NDT, CFPS, CGCP Related seminars and products


Shelly Denes, PT, C/NDT, CFPS, CGCP, is an expert in fall prevention and neuro-rehab with more than 30 years of experience treating patients with hemiplegia, neurological diseases, neuromuscular disorders, TBI, and SCI. She has a special interest in Long COVID, autoimmunity and the impact of chronic inflammation and sleep deprivation in rehab. She has been involved extensively with neuroprosthetic devices, lower extremity orthotics, and exoskeleton devices at the Rehab Institute of Michigan. Mrs. Denes travels nationally to present seminars on fall prevention, Long COVID and geriatric rehabilitation. Additionally, her expertise has been presented through expert witness work and consulting both nationally and locally. She also sits on the State of Michigan Fall Prevention Coalition committee. Shelly Denes is a graduate of University of Michigan’s PT program, and she earned her certification in Neurodevelopmental Treatment for Adult Hemiplegia (NDT) at the Rehab Institute of Chicago. She helped create the certifications for ‘Fall Prevention Specialist’ and ‘Geriatric Care Professional’ with Evergreen Certifications, holds these two certifications and sits on their advisory board.

 

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. She serves on the Fall Prevention Coalition Committee at Michigan Department of Health and Human Services.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Questions?

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Objectives

  1. Summarize the clinical features of POTS, specifically as it applies to the immune system.
  2.  Recognize the symptoms of POTS and how to address these in all rehab settings as it relates to function and community engagement.
  3. Differentiate, accommodate, and treat the rehabilitation challenges of POTS with functional goals that are purposeful.

Outline

POTS and DYSAUTONOMIA 

  • Postural Orthostasis
  • Non-orthostatic problems
  • Tachycardia
  • A form of dysautonomia
  • In “Fight and Flight” Crisis
  • Many of the bodily functions may go awry
  • Misdiagnosis

CIINICAL PRESENTATION – NO TWO PEOPLE PRESENT THE SAME 

  • Massive fatigue
  • Light and Sound sensitivity 
  • Tingling
  • Temperature intolerance
  • G-I problems
  • Headaches
  • Cannot tolerate standing for long periods of time
  • Changes in sleep habits
  • Sweats
  • Dizziness
  • SOB

PATHOPHYSIOLOGICAL MECHANISM OF POTS 

  • Understanding the Autonomic Nervous System
    • Sympathetic 
    • Parasympathetic
  • Vasomotor dysfunction
  • Central Sympathetic Activation (compensation)
  • Accepting a Resetting the Autonomic Nervous System
  • Understanding the Ups and Downs of POTS
  • Recognizing the triggers for POTS episodes
  • Hitting the Wall

HOW TO HELP YOUR PATIENT MANAGE THIS SYNDROME 

  • Appropriate interventions at the appropriate time
  • Mindfulness
  • Breath Control
  • Involve all the senses
  • Reduce stressors
  • Start in gravity neutral position – supine
  • Work through the continuum
  • Address the emotional response
  • Equipment (Compression socks, abdominal binders and more)
  • Vagus Nerve treatment 
  • Management of this syndrome with or without COVID-19

CASE STUDIES 
 

Target Audience

  • Athletic trainers
  • Chiropractors
  • Exercise Physiologists
  • Nurse Practitioners
  • Nurses, Occupational Therapists
  • Occupational therapy assistants
  • Physical Therapists
  • Physical therapy assistants
  • Physician Assistants, Physicians
  • Strength and Conditioning Coaches
  • Other Rehabilitation and Fitness Professionals

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