Physicourses Neurology

Vestibular Rehab & Balance Training

Karen Hogan-Curran, PT, DPT

According to the Vestibular Disorders Association, over 90 million Americans age 17 and older, have experienced a dizziness or balance problem at some point in their lives. Almost 8 million people in the US have a problem with balance that has lasted over 3 months and 2.5 million report a chronic dizziness problem. With the large amount of baby boomers entering "retirement age", there is increased concern about falling. Most people over the age of 70 report some problem with dizziness and balance and balance-related falls account for more than one-half of the accidental deaths in the elderly. In addition, individuals with a diagnosed vestibular problem who also exhibit symptoms have an incidence of falling that is 12 times that of the general population. Overall, the cost of medical care for patients with balance disorders exceeds $1 billion per year in the US. Getting effective treatment is frequently complicated by the challenge of diagnosing the specific source of the problem and finding clinicians with the knowledge and experience to treat these problems.This interactive workshop will cover the anatomy, physiology and function of the vestibular system and the vestibular system's important role in balance and mobility. It is designed to give therapists and clinicians basic essential information needed to assess and treat uncomplicated vestibular dysfunction as well as incidence, diagnosis and treatment of balance related disorders. Attendees will learn the various types of...

Symptom-Based Evaluation & Management of Concussion

Join us in the discussion about management of concussion with a focus on assessment, treatment, and return to play, using a symptom-based model evaluating musculoskeletal, vestibulo-ocular, autonomic, cognitive and psychological systems. Learn how to identify factors that may predispose individuals to prolonged recovery and how to mitigate those risks in your patients.

Orthopedic Core Curriculum - Neurological Screen: Upper and Lower Quarter

This course is part of the Orthopedic Core Curriculum for rehabilitation professionals. The focus of this module is neurological screening for upper and lower quarter. You will learn: critical thinking during subjective examination of the patient; planning an effective objective examination; identification, assessment and risk factors for various body regions; reg flags and when medical referral to a physician is needed; differential diagnosis creation; development of a plan of care using a case-based approach; creation of collaborative goals that are achievable and meaningful to the patient.

FREE COURSE- Pain Neuroscience, What's the Buzz About by EIM

Pain Neuroscience Education 1.5 Hour: Teaching People About Pain by EIM

Pain is complex and new paradigms of pain, i.e., neuromatrix, nerve sensitivity, endocrine and immune responses to pain and neuroplasticity has opened various exciting nonpharmacological options in the treatment of pain. One such approach is altering what patients think and believe about their pain. It is well established that patients often have faulty beliefs regarding pain, which in turn may increase fear, catastrophization, pain and disability. The paradox is that patients are interested in pain; especially how pain works. Growing evidence supports that teaching patients more about the neurophysiology and biology of pain allows for decreased pain, increased movement and function, various decreased psychometric measurements, and higher compliance with therapy. This lecture, based on the latest neuroscience view of pain, aims to help healthcare providers update their knowledge of pain. Furthermore, the lecture will expose healthcare providers to a newly designed pain neuroscience education language used in various research projects and clinical practice with the aim to help patients achieve success. This session is a must for all healthcare providers dealing with people.in pain.

Manual Therapy of the Nervous System II by EIM

It has been stated that peripheral neuropathic pain may be one of the most challenging pain conditions seen in clinical practice, let alone suffered by a patient. In recent years there has been an explosion in the research associated with peripheral neuropathic pain. This presentation will for the most part focus on the latest thoughts associated with peripheral neuropathic pain including altered ion channel expression, double crush, the altered blood supply to the nervous system, retrograde depolarization of axons, the dorsal root ganglion, and pathways into central sensitization. Modern pain science has viewed peripheral neuropathic pain from a pharmacological perspective; however, an understanding of the latest science warrants a movement and cognitive-based approach along with pharmacology to help ease the pain experience. Upon developing a greater understanding of neuropathic pain, this course will help clinicians categorize pain mechanisms to further drive physical examinations, clinical reasoning and treatments. In light of the growing evidence for the use of neurodynamics as a test and treatment, the latest evidence for neurodynamics will be discussed. This course will also feature an important clinical how to of teaching patients about their pain, pain neuroscience education, which has shown to ease pain, decrease disability, and improve neurodynamic tests. Finally, the presentation asks clinicians to step back and view neurodynamics and peripheral neuropathic pain f...

Pain Neuroscience Education 4 Hours: Teaching People About Pain by EIM

Pain is complex and new paradigms of pain, i.e., neuromatrix, nerve sensitivity, endocrine and immune responses to pain and neuroplasticity has opened various exciting nonpharmacological options in the treatment of pain. One such approach is altering what patients think and believe about their pain. It is well established that patients often have faulty beliefs regarding pain, which in turn may increase fear, catastrophization, pain and disability. The paradox is that patients are interested in pain; especially how pain works. Growing evidence supports that teaching patients more about the neurophysiology and biology of pain allows for decreased pain, increased movement and function, various decreased psychometric measurements, and higher compliance with therapy. This lecture, based on the latest neuroscience view of pain, aims to help healthcare providers update their knowledge of pain. Furthermore, the lecture will expose healthcare providers to a newly designed pain neuroscience education language used in various research projects and clinical practice with the aim to help patients achieve success. This session is a must for all healthcare providers dealing with people.in pain.

Manual Therapy for the Nervous System Part 1 by EIM

Neurodynamics is the physical ability of the nervous system allowing it to move, slide, glide and accommodate human movement and function. Compared to more traditional manual therapy models focusing on joints and muscles, neurodynamics is new and vitally important in restoring normal movement and function. To understand the physical movement of nerves, neuroscience knowledge is explored to understand how pain works from a neurobiological and neurophysiological perspective.

Return to School and Sport Considerations for Concussion Rehabilitation

Lenore Herget, DPT, SCS, MEd, CSCS

Too often, a patient is seen after sustaining a concussion and given little to no guidance with regards to how to effectively and safely return to school and sport without excessive symptom provocation. These patients frequently show symptoms well beyond the typical timeline, as they have missed out on proper rehabilitation opportunities and potentially have developed secondary signs and symptoms related to prolonged removal from school and sport, such as psychosocial dysfunction and deconditioning. Rehabilitative clinicians now are involved with these patient's care from diagnosis to full recovery. This course will briefly address the multi-system involvement, not limited to oculomotor, vestibular, orthopaedic and cardiovascular, in the assessment and rehabilitation of the concussed athlete. The complexity of how each of these systems contributes to impairments and functional limitations will be reviewed. The most up to date research on evidence-based assessment tools will be presented as well as best practice tools for rehabilitation. This workshop will arm the clinician with tips to minimize symptoms in each domain to allow the student to return to school related activities earlier and minimize days lost from school. Additionally, the clinician will understand the importance of and instruction of a step wise progression of exercises from each individual system involved, to functional progressions of exercises, to eventual sport specific and non-contact sport related skills...

Hypermobility Spectrum Disorders

Catherine Lewan, PT, DPT

Historically, hypermobility has been underdiagnosed in children and adults, resulting in decreased efficacy of treatment, functional limitation and disability that can be frustrating for both patients and clinicians who do not have the specific tools necessary for identification and management of hypermobility spectrum disorders (HSD.) It is estimated that 20% or more of the population is hypermobile, which is associated with musculoskeletal injury, proprioceptive deficits, and persistent pain; neurological anomalies and neuroimmune upregulation; visceral and cardiovascular dysfunction; gastrointestinal distress and decreased quality of life and functional capacity. Rehab specialists who take this intermediate-level workshop will be able to identify hypermobility spectrum disorders and associated comorbidities and initiate treatment strategies critical to improving functional outcomes. Participants will benefit from didactic learning as well as case studies and practicum that will be immediately applicable to a variety of patient populations and settings.Highlights Current terminology and diagnostic criteria for hypermobility spectrum disorders based on the 2017International Consortium Classification Effective strategies for improving functional outcomes in hypermobile patients