Michelle Green – Stroke Rehab for Patients who “Push”: Management Strategies for a Unique Patient Population

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Archive : Michelle Green – Stroke Rehab for Patients who “Push”: Management Strategies for a Unique Patient Population Digital Download
Delivery : Digital Download Immediately

Michelle Green, Professor
Duration: One Whole Day
Audio and video formats are available.
Copyright: November 7th, 2018

During stroke recovery, pushing behavior poses significant obstacles. Patients who push are frequently low-level, require extensive help, have significant safety issues, and do not respond to standard therapy measures. This video will teach you how to treat the underlying causes of pusher syndrome.

This lab-intensive video will teach you how to apply evidence-based therapy activities and progressions to address the fundamental causes of pusher syndrome. Learn how to assess and treat the limiting impairments of pusher patients using the ICF model and neuroplasticity principles to choose the correct intervention at the right time and maximize treatment outcomes.

In addition, relevant evaluation instruments and functional performance assessments will be used to practice therapy concepts in any setting. This course will provide you with approaches that you can use with other patients who have comparable impairments such as problems with midline, retropulsion, trunk malalignments, postural control deficits, and gait dysfunction, making it an excellent investment. This exciting training will propel your therapies to new heights!

Handouts

Stroke Rehabilitation for Patients Who “Push” (19.06 MB)

Outline 126 Pages Available After Purchase

THE ICF MODEL AND ITS ROLE IN EVALUATION AND TREATMENT

Clinical thinking is guided by ICF Models.
ICF definitions and examples at various levels
Assessment, prognosis, and treatment planning are all linked.

“PUSHING” PATHOPHYSIOLOGY

The vestibular system’s function
Lesions’ location in relation to “pushing”
“Pushing” and thalamic lesions
The Function of Gravidity Systems
Best assistance for the incidence of “pushing”

PUSHERS’ COMMON CHARACTERISTICS

Alignment flaws (trunk, head, pelvis, femur)
Movement disorder
Deficits in the middle
Other (sensory loss, sight, neglect, cognitive) (sensory loss, visual, neglect, cognition)

TOOLS FOR EVALUATION

Testing for the existence of “Pushing”
Outcome metrics
The role of upper and lower trunk evaluation

HYPOTHESIS DRIVE APPROACH, TASK-ANALYSIS

Why should you utilize this paradigm for clinical reasoning?
What is the structure?
How it informs task assessment and treatment decisions
How to Carry Out a Task Analysis
Neuroplasticity and treatment selection
Theories of motor control and motor learning on setup and progression

TREATMENT PLANNED FOR SUCCESS (REDUCE RISK, IMPROVE SAFETY, IMPROVE OUTCOMES)

Choosing a Treatment Position
Align the patient for the optimum outcomes.
Muscles should be activated in a coordinated sequence to replicate functioning demands.
Functional rehabilitation
Compensation or Recuperation?

TREATMENT FOR THE “PUSHER” AT THE LOW, MID, AND HIGH LEVELS

Each level’s primary characteristic
Beginning and progression
Considerations for functional re-education
Treatment using items, adjuncts, and equipment
Faculty

PT, DPT, C-NDT, NCS Michelle Green Seminars and items related to: 7

Michelle Green, PT, DPT, C-NDT, NCS, is a stroke rehabilitation specialist with over 20 years of expertise with people recovering from neurological diseases. Her training in NDT, Pilates, and yoga has informed her evaluation and treatment methods, giving her a better understanding of movement assessment and guided movement re-education.

Dr. Green travels around the country to offer stroke rehabilitation seminars, and she is recognized for her energetic, hands-on teaching style. She received her Doctorate in Physical Therapy from the University of North Carolina Chapel Hill and now works as an assistant professor in Campbell University’s DPT department. Her other areas of interest include education and learning, impairment-based therapy throughout the lifetime, and the use of mind-body activities to improve mental and physical health. ​

Disclosures for Speakers:

Michelle Green is a financial assistant professor at Campbell University. PESI, Inc. pays her a speaking honorarium.

Michelle Green belongs to the American Physical Therapy Association and the North Carolina Physical Therapy Association.

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