Spinal Cord Injury: Rehab Solutions for Successful Functional Outcomes

Course Outline

This two-day course is designed to provide intermediate and progressive concepts to the rehabilitation therapist involved in the care of the spinal cord-injured patient. The focus of discussion in this course is on current treatment approaches related to spinal cord rehabilitation. Special emphasis is placed on complications that arise from spinal injury such as: spasticity, autonomic dysreflexia, skin and soft tissue issues, respiratory dysfunction, bowel and bladder dysfunction, orthostatic hypotension, DVT , heterotopic ossification, osteoporosis and fractures. Specific evaluation and treatment techniques are presented in this interactive lecture/lab format. Laboratory sessions will prepare the clinician with evaluation and handling techniques, wheelchair positioning and fitting. Participants will learn state of the art information to enhance their understanding of the treatment environment for the spinal cord population. Goal setting, therapeutic interventions, DC planning and projected outcomes are thoroughly discussed. This course explores both conventional and high-tech methods of achieving the best possible outcome and assists the clinician in facilitating critical thinking when developing treatment programs..


Course Objectives


• Review the anatomy and physiology of the spinal cord and related central connections.

• Discuss mechanisms of injury and acute management as related to therapeutic intervention.

• Discuss common areas of intervention related to spinal cord injury and the importance of patient/family education.

• Identify key components to the therapy evaluation and indications for treatment planning.

• Discuss goal-setting and therapy techniques as they relate to various functional levels of injury.

• Practice evaluation and patient handling techniques.

• Discuss key issues related to discharge planning and long-term care issues.

• Discuss and apply the principles of seating, positioning, and functional mobility.

• Explore environmental access options.

• Discuss funding issues as they relate to procurement of DME and long-term care services.

 

Schedule of instruction

  Day One   Day Two
7:30 8:00 Registration 7:00 9:45 Seating and Positioning
8:00 8:20 Introduction   • The seating evaluation
  • Objectives   • Manual vs. power
  • Demographics   • Deformity prevention and
management
8:20 9:00 Anatomy and Physiology Review   • Configuring the chair for function
9:00 10:00 The Injury   • Power drive controls
  • Mechanism of injury   • Environmental access
  • Spinal shock 9:45 10:00 Break
  • Acute therapy intervention 10:00 12:00 Handling and Evaluation Lab
10:00 10:15 Break   • Bed mobility, transfers
10:15 12:00 Secondary Injury Mechanisms   • Gait training
  • Spasticity   • Seated posture evaluation and measurements for wheelchair prescription
  • Autonomic dysreflexia 12:00 1:00 Lunch (on your own)
  • Skin and soft tissue issues 1:00 2:00 DC Planning
  • Respiratory dysfunction   • OP Therapy
  • Bowel and bladder dysfunction   • Caregiver instruction and training
  • Orthostatic hypotension   • Assistive technology favorites for
  • DVT   - Self care, homecare,
  • Heterotopic ossification   - Mobility within the home, EADLs
  • Osteoporosis and fracture   - Driving
  • Temperature regulation
   - Fitness/ wellness
  • Syringomyelia 2:00 3:00 Handling Lab continued
  • Nutrition   • Seating and positioning lab
  • Patient education and counseling   - Measurements
12:00 1:00 Lunch (on your own)   - The mat assessment
1:00 3:15 Initial Evaluation: Lecture/Lab   - Key Measurements
  • Functional vs. structural levels   • Gait Lab
  • Complete vs. incomplete diagnosis   - Coming to standing
  • Paraplegic vs. quadriplegic   - Gait patterns and progressions
  • The modified manual muscle test   - Learning to fall and return to stand
  • The sensory evaluation 3:00 3:15 Break
  • Measurement tools (ASIA , FIM, etc.) 3:15 4:00 Case Studies/Post-test
3:15 3:30 Break   • Discuss evaluation and treatment plans
3:30 5:30 Expected Outcomes and Goal Setting:   • Setting realistic goals
  •Quad Mobility Techniques 4:00 4:30 Review and Questions
  - Bed mobility wheelchair mobility    
  - transfer training    
  •Para Mobility Techniques    
  - Bed mobility    
  - Wheelchair mobility    
  - Transfers    
  - Gait training (conventional and augmentative    

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 Spinal Cord Injury: Rehab Solutions for Successful Functional Outcomes

Scheduled Dates and Locations

Start DateEnd DateLocation - **Click to Map It**TuitionHrsHotel
Jan 31, 09Feb 01, 09Methodist Dallas Medical Center, Dallas, TX$399.0016.00View Hotels
Feb 28, 09Mar 01, 09Legacy Emanuel Hospital, Portland, OR$399.0016.00View Hotels
May 16, 09May 17, 09Alamance Regional Medical Center, Burlington, NC$399.0016.00View Hotels
Jun 13, 09Jun 14, 09Sunrise Hospital Medical Center, Las Vegas, NV$399.0015.00View Hotels

 

North American Seminars Courses for physical therapy and occupational therapy

 

Course Instructor
North American Seminars Course Icon  

Selina Morgan, P.T., A.T.P., graduated from Texas A&M University with a B.S. in health education in 1984, and the University of Texas Health Science Center in Dallas, School of Physical Therapy in 1986. She is actively involved in the physical rehabilitation of neurologically compromised patients with special interest in spinal cord injury, and assistive technology. She has held offices in: The National Spinal Cord Injury Association-South Texas Chapter, the adhoc committee to improve handicap accessibility in San Antonio, and the access planning committee of the Alamo Dome.

Selina first gained teaching experience through her faculty position at the Texas Tech School of Physical Therapy in 1995. She continues to teach in areas of spinal cord injury, seating/mobility and assistive technology at the University of Texas Health and Science Center (schools of PT and OT) and the Army/Navy Baylor School of Physical Therapy at Fort Sam Houston.

Selina has received credentials through RESNA as an assistive technology practitioner since 2003.
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