INSTRUCTIONAL COURSE DETAIL

MON, 26 OCT: 1:00 PM – 5:00 PM

SPEAKERS

Pamela Rogers Bosch, PT, DPT, PhD;
Stephanie A. Combs-Miller, PT, PhD, NCS;
Kristine K. Miller, PT, PhD;
Marsha Neville, OT;
Veronica T. Rowe, MS, OTR/L;
Kay Wing, PT, DPT, NCS, GCS

DIAGNOSIS

Stroke

FOCUS

Clinical Practice

DESCRIPTION

Adults with stroke-related impairments present a challenge to clinicians, who struggle with selecting interventions that meet the constraints of care delivery yet enhance function. Physical activity level is low for stroke survivors, which further impedes function. Integrating stroke patients into community programs that promote physical activity and enhance function is essential. This seminar will present novel interventions that can enhance patient function through meaningful engagement in clinic, home or community settings, and will guide clinicians in continuing a patient’s rehabilitation in the home and community setting. Both clinical interventions and community programs for people with stroke-induced impairments will be discussed.

ABSTRACT BODY

In many instances, the process and outcomes associated with care transitions and targeted outcomes for stroke survivors is ineffective. Unfortunately, many clinicans do not possess the necessary knowledge and skills to advocate and facilitate care transitions resulting in high quality outcomes for stroke survivors, families and the healthcare delivery systems. Determining the best setting for the patient requires a through understanding of rehabilitation services, the essential aspects of care delivery and evaluation of pivotal evidence-based outcomes. Rehabilitation encompasses a process, practice, and philosophy of care and is not simply a care setting. In order to improve performance, coordination of care across the healthcare system is critical. The purpose of this four hour educational program is to increase essential knowledge and skills required to optimize the effective care transitions and determination of the most appropriate care outcomes of stroke survivors and their families. Evidence-based transitions of care models and practices will be discussed along with opportunities to apply this knowledge to participants’ practice settings.

LEARNING OBJECTIVES

Describe the value of increased physical activity for people after a stroke.
Apply principles of neuroplasticy and health promotion to novel interventions that help to optimize function for people living with stroke-induced impairments.
Identify possible community collaborations to promote physical activity for people after a stroke.

INTENDED TARGET AUDIENCE

Primarily neurorehabilitation researchers, physicians, occupational therapists, physical therapists,recreational therapists. However, this would be informative for other rehabilitation specialists, such as neuropsychologists, social workers and speech pathologists.

COURSE OUTLINE

High Intensity Interval Treadmill Training. Pamela R. Bosch, PT, DPT, PhD. 0 – 45 min: This section will provide an introduction and discussion of the value of increased physical activity and specific aerobic training after stroke. Data on a model of high intensity interval treadmill training will be presented.

Community-based Mobility Training. Stephanie Combs-Miller, PT, PhD, NCS. 50 – 95 min: This section will describe a community-based mobility training program. Information on barriers to and motivators for community participation, and critical training parameters, such as dose, active engagement, meaningfulness, and the environment will be discussed. Novel concepts for community-based mobility training will be introduced.

Home-based Upper Extremity Task Specific Training: Marsha Neville Smith, PhD, OT/L and Veronica Rowe, MS, OTR. 100 – 145: This section will discuss outcome measures of UE function and task specific treatment interventions used in a home based program. Principles of experience dependent neuroplasticy and task analysis will be applied to methods of translating scientific evidence into practice.

A Model for Collaborative, Community-based Yoga After Stroke. Kristine Kay Miller, PT, PhD. 150 – 195: This section will discuss the feasibility of implementing an adapted group yoga program for people with stroke in a community-based setting. Community partners for this novel project include an academic institution, a local YMCA and therapists from local rehabilitation program.

Intensive Rehabilitation in a Community Clinic. Kay Wing, PT, DPT, NCS, GCS. 200 – 245: A model of intensive rehabilitation in a community clinic will be presented, with an emphasis on addressing walking speed and its relation to home and community function. The discussion will include the realities of implementing the model and getting reimbursed for services rendered.

BIO SKETCHES

Pamela R. Bosch, PT, DPT, PhD

Pamela R. Bosch, PT, DPT, PhD is an Associate Professor in the Department of Physical Therapy and Athletic Training at Northern Arizona University. Dr. Bosch has a PhD in Exercise Physiology, and has over 30 years of experience in neurologic physical therapy. Dr. Bosch has presented nationally and internationally on stroke rehabilitation, and has published in the areas of stroke rehabilitation and the physiological and metabolic responses to various therapeutic interventions.

Stephanie Combs-Miller, PT, PhD, NCS is an Associate Professor at the Krannert School of Physical Therapy, University of Indianapolis. Dr. Combs-Miller has a PhD in Interdisciplinary Health Science and is a board-certified clinical specialist in neurologic physical therapy. Dr. Combs-Miller has published over 20 articles in the areas of rehabilitation for persons with stroke and Parkinson’s disease and has over 40 presentations at international and national scientific conferences.

Kristine Miller, PT, PhD is a physical therapist with over 20 years clinical experience treating patients with neurological pathology. Dr. Miller is currently an assistant professor in the Physical Therapy Department at Indiana University where she maintains an active research program related to post-stroke motor outcomes and post-rehabilitation community-based exercise programs.

Marsha Neville is an Associate Professor in the School of Occupational Therapy at Texas Woman’s University, Dallas campus. Dr. Neville earned her B.S. in Occupational Therapy from Eastern Michigan University and Ph.D. in Cognition and Neuroscience from University of Texas at Dallas. Dr. Neville has over 35 years of clinical experience in adult rehabilitation and continues her clinical practice part-time with a focus on persons with acquired brain injuries. Her record of publication and presentations explores factors impacting occupational participation of persons with strokes. Her current research focuses on transitioning to home from the hospital and incorporating task specific training in home programs.

Veronica T. Rowe, MS, OTR/L has 18 years of experience as an OT. She is a candidate for PhD at Texas Woman’s University and is a clinical instructor and researcher at the University of Central Arkansas. She has a history of publication and presentations related to measurement and treatment of upper extremity recovery following a stroke. Her past experience as an OT project coordinator for numerous research studies at Emory University involving rehab for the neurologically impaired upper extremity was the foundation for you exploration of a model of practice translating evidence on task specific training into a home based therapy program.

Kay Wing, PT, DPT, NCS, GCS is the owner of Southwest Advanced Neurological Rehabilitation (SWAN Rehab), an outpatient rehabilitation facility specializing in the treatment of stroke, traumatic brain injury, and other neurological diseases. Dr. Wing has instructed courses in neuro rehabilitation, mobility training, and PNF workshops throughout the United States and internationally for many years. Dr. Wing is the recipient of the Section on Administration Outstanding Service Award, the Arizona Physical Therapy Association Outstanding Physical Therapist of the year award, the Neurology Section Award for Clinical Excellence in Neurology, and the Henry O and Florence P Kendall Practice Award.