Course Title:
A novel and practical clinical application to induce functional improvement 

This course will reveal a novel and intense clinical approach built specifically for persons that are 6 months or more in recovery post
cerebrovascular accident (CVA); with Multiple Sclerosis (MS), with Parkinson’s Disease (PD) after brain injury or surgery (from concussion to TBI, to tumor). This approach includes Interventions that are designed and built directly from evidence and are adapted with consideration for the unique attributes of changes in the body and brain months and years after CVA/brain injury and with disease-onset for years. Additionally, this application will reveal the incorporation of recent advances in motivation, motor learning, and practice - displaying all through videotape case study demonstration. Attendees will be engaged in a thought-provoking presentation that challenges previous misconceptions about the timeline of recovery and potential for improvement years after CVA and the potential to recover with MS, PD, concussion in the elderly, etc. This presentation builds on recent evidence of high-intensity interval training, procedural memory training, circuit training, task-specific overtraining, motor learning, OPTIMAL, behavioral economics in rehabilitation, forced use, and many more across mobility, communication, cognition, and ADL applications. This course provides the learner from all practice points with tools to rehabilitate clients regardless of equipment and technological availability. 
 1.       Identify physiologic changes that occur in many individuals months and years post CVA, brain injury, and with PD. 

2.       Apply recent evidence in motor learning and motivation to maximize the recovery for clients in chronic stroke rehabilitation.

3.       Apply recent evidence in practice structure and feedback to maximize the recovery for clients after brain lesion/injury.

4.       Debunk rehabilitation myths about recovery dependence on timing and technology ineffective rehabilitative outcomes in those with brain injury, degenerative disease, or stroke.

Session Outline: 

·  Introduction to the physiologic and morphologic changes in chronic stroke recovery, degenerative disease, concussion, 

   and brain injury

·  Evidence in chronic stroke rehabilitation to date: UE vs LE - successes, limitations, and opportunities

·  Novel clinical application in neurorehabilitation: motivational and exercise attributes incorporating behavioral 

   economics, motor learning, attention, and task structure

·  Novel clinical application in neuroplasticity: practice structure and feedback attributes

·  Case studies in chronic stroke, PD, MS, TBI recovery. Videotape application for use all points in the continuum of care

·  Questions and summary


About the Instructors:

He has been a PT since 1991, and practices in Oregon. He is board-certified in neurologic PT in 1995, recognized as Clinician of the Year in the Neurologic and Geriatric Academies of the APTA, and received Fellowship in the APTA in 2020.

Mike was awarded the Clinical Excellence or clinician of the year award by the Academy of Neurologic PT in 2011 and received the same distinction from the Academy of Geriatric PT in 2014.

 He holds both a patent and a trademark in dual-task rehabilitation. Over his career, Mike has authored over 30 journal articles, 6 book chapters, and presents internationally on aging, stroke, motor learning, motivation in rehabilitation, cognition, balance, dizziness, and Parkinson’s Disease. 



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