Treating Balance Impairment in the Neurological Population

Course Outline

This two-day interactive course is designed to improve the skills of the clinician treating neurologically involved patients presenting with balance problems. This course integrates balance disorder research findings into the examination and treatment of individuals with neurological deficits. In-depth discussion of stroke, Parkinson’s Disease, head trauma and multiple sclerosis are covered to assist the clinician in developing a thorough understanding of the interrelationship of preexisting neurological impairments and balance disorders. The balance treatment lab will allow participants the opportunity to practice many of the techniques discussed in this course.

This course will cover: concepts of balance, postural control and motor learning, a systematic approach to evaluating balance in patients with neurological disorders, outcome measures, case study presentations, recent research correlations between balance disorders and the neurologically impaired and treatment development for increasing functional abilities. Therapists are presented with the tools necessary to apply the information immediately in the clinical setting and to develop a comprehensive evaluation process and treatment programs for increasing functional outcomes.

This course is offered to physical therapists, physical therapy assistants, occupational therapists and occupational therapy assistants.


Course Objectives

• Apply current concepts of motor learning, balance and postural control with neurological diseases such as: stroke, Parkinson’s Disease, head trauma, and multiple sclerosis.
• Understand the relationship between comorbidities and specific neurological diseases.
• Develop a thorough evaluation process to determine the functional impact of the underlying neurological deficits with balance disorders.
• Utilize appropriate outcome measures while incorporating treatment techniques supported by research into treatment plans for patients with specific neurological diseases.
• Incorporate examination of comorbidities with neurological examination.
• Incorporate treatment techniques to reduce the effects of comorbid impairments with the treatment of neurological impairments.
• Develop a balance training program to optimize motor learning for patients with underlying neurological disorders.

Schedule of instruction

  Day One   Day Two
8:00 8:30 Registration and Continental Breakfast 8:00 9:30 Interaction of Comorbidities
8:30 9:30 Concepts of Balance and Postural
Control
  • Including diabetes, orthostatic
  • Systems theory   hypotension, vestibular disorders,
  • Motor control/motor learning   vertigo/dizziness, osteoporosis,
  • Current concepts   peripheral neuropathy, vision
9:30 10:30 Evaluating Balance in Patients with Neurological Disorders   disorders (cataracts, glaucoma,
  • History   macular degeneration)
  • Strength, tone, ROM, and sensation   • Interpreting balance test results
10:30 10:45 Break   in the presence of comorbidity
10:45 12:00 Evaluation (continued)   • Treatment techniques
  • Coordination   • Case study
  • Functional mobility including gait 9:30 10:30 Balance Treatment Lab
  • Oculomotor exam   • Testing for balance deficits
12:00 1:00 Lunch (on your own)   • Treatment techniques practiced
1:00 3:30 Outcome Measures 10:30 10:45 Break
  • Berg Balance Scale 10:45 12:00 Stroke
  • Timed Up and Go   • Identification of balance
  • Tinetti   impairments and research
  • Fugl-Meyer, Barthel   • Treatment techniques and
  • Functional Reach   research
  • Walky Talky, and others   • Specific outcome measures
  • Dynamic Gait Index and other tests   • Case study
  • Demonstration of selected
measures
12:00 1:00 Lunch (on your own)
3:30 3:45 Break 1:00 1:30 Stroke (continued)
3:45 5:00 Treating Balance Deficits: General Treatment Ideas 1:30 2:45 Parkinson’s Disease
5:00 5:30 Group Case Study   • Identification of balance
      impairments and research
      • Treatment techniques and
      research
      • Specific outcome measures
      • Case study
    2:45 3:00 Break
    3:00 3:45 Multiple Sclerosis
      • Identification of balance
      impairments and research
      • Treatment techniques and
      research
      • Specific outcome measures
      • Case study
    3:45 4:30 Head Trauma
      • Identification of balance
      impairments and research
      • Treatment techniques and
      research
      • Specific outcome measures
      • Evidence based practice
      • Case study
    4:30 5:00 Putting It All Together: Group Case Studies

Downloads

Course Brochures are in Adobe PDF format. Right click and choose "Save Target As" to download brochure. If you would like to open the brochure in your browser windows, select the link.

Course Brochure for Treating Balance Impairment in the Neurological Population

Scheduled Dates and Locations

Start DateEnd DateLocation - **Click to Map It**TuitionHrsHotel
Mar 07, 09Mar 08, 09Sunrise Hospital Medical Center, Las Vegas, NV$399.0015.00View Hotels
Apr 25, 09Apr 26, 09Sharp Memorial Rehabilitation Center, San Diego, CA$399.0015.00View Hotels
May 16, 09May 17, 09St. Anthony's Medical Center, St Louis, MO$399.0015.00View Hotels
Jun 27, 09Jun 28, 09Clarian Health/Methodist Hospital, Indianpolis, IN$399.0015.00View Hotels
Aug 22, 09Aug 23, 09St. Agnes Hospital, Baltimore, MD$399.0015.00View Hotels
Nov 07, 09Nov 08, 09Elliot Hospital, Manchester, NH$399.0015.00View Hotels

 

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Course Instructor
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Linda Horn, PT, DScPT, MHS, NCS is the Research and Regulatory Compliance Coordinator at St. Agnes Hospital in Baltimore, Maryland. She has over 19 years of clinical experience in a variety of clinical settings including acute, outpatient and home care. She became a Neurologic Certified Specialist by the American Physical Therapy Association in 1993. Her primary area of expertise is in the area of balance and vestibular disorders in the adult population, particularly with the geriatric population. She has presented numerous continuing education seminars and poster presentations on these topics. Linda is also an adjunct instructor at the University of Maryland in Baltimore, where she graduated in 1984.

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