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1. Identify key components for evaluation and indications for proper treatment and planning for patients with multiple sclerosis, transverse myelitis and Parkinson’s disease
2. Identify key components for evaluation and program development for patients with Alzheimer’s disease and their caregivers
3. Describe the physiological changes in movement disorders to effectively implement successful rehab programming for individuals
4. Compare the difference between upper motor neuron and lower motor neuron changes that may present in this population
5. Create effective rehab techniques for improving motor control, posture, and balance in patients with movement disorders
6. Utilize assessment and program development tools using the balance strategy concepts and other advanced balance techniques
7. Implement effective treatments for tone management based on spasticity and muscle tone changes

Multiple Sclerosis

• Rehab Challenges Due to Clinical Changes
  • Elevated Core Body Temp
  • Medications
  • Affective Disorders
  • Invisible Symptoms
• Assessment Techniques
  • Trunk Control
  • Motor Control, Muscle Imbalance, and
  • Muscle Tone
  • Transfers and Functional Mobility
  • ROM
  • Fall Risk
  • Gait
  • Neurological Function
  • Rehab Interventions and Goal Setting
• Balance Strategies
  • Ankle
  • Hip
  • Stepping
• Endurance and Energy Management

Transverse Myelitis

• Rehab Challenges Due to Clinical Changes
  • Numbness and Weakness
  • Spasticity
  • Tremors, Lack of Coordination and Unsteady Gait
  • Pain
  • Neuropathies in Transverse Myelitis
• Assessment Techniques
  • Trunk Control
  • Motor Control, Muscle Imbalance, and Muscle Tone
  • Transfers and Functional Mobility
  • ROM
  • Fall Risk
  • Gait
  • Neurological Function
  • Musculoskeletal Assessment
  • Pain Assessment
• Rehab Treatment Planning
• Acute Phase
  • Functional Skills, Mobility and Gait
  • Secondary Complications of Immobility
  • Fitting for Orthotics
• Chronic Phase
  • Functional Skills, Mobility and Gait
  • Seating and Wheelchair Positioning
  • Strength and Endurance with Aeorbic Conditioning
  • Tone and Pain Management

Parkinson’s Disease

• Rehab Challenges Due to Clinical Changes
  • Tremors
  • Akinesia and Bradykinesia
  • Posture Changes
  • Increasing Rigidity
  • Decreased Coordination and Increasingly Unsteady Gait
• Assessment Techniques
  • Trunk Control
  • Motor Control, Muscle Imbalance, and Muscle Tone Evaluation
  • Transfers and Functional Mobility
  • ROM
  • Fall Risk
  • Gait
  • Neurological Function
  • Musculoskeletal Assessment
  • Pain Assessment
• Rehab Treatment
  • Safe Exercise Treatment Programs
    • Balance
    • Speed and Amplitude in Movement
    • Signs of Akinesia and Bradykinesia
• Rehab Goals
  • Slow Deterioration
  • Improve Overall Mobility and Gait Skills
  • Fall Prevention
  • Establish an Effective Home Exercise Program
  • Whole Body Movements

Special Considerations with Alzheimer’s Disease

• Visual Verbal and Tactile Cues
• Mirroring
• Task Breakdown
• Safety
• Home Program and Education for a Therapeutic Environment
• Adaptive Equipment and Assistive Devices
• Teaching Body Mechanics to Caregivers

Family and Caregiver Care

• Case Management and Social Work Consults
• Home Health Considerations
• Community Support
• Assessing for Caregiver Stress and When to Refer
• Caregiver Safety

Reimbursement Challenges

• Effective Documentation
• Appropriate Patient Outcomes
• Medicare Specifics

Shelly Denes, PT, CFPS, C/NDT, CGCP, is an expert in fall prevention and neuro-rehab with more than 25 years of experience treating patients with hemiplegia, neuromuscular disorder, TBI, and SCI. She has a special interest in Covid-19 ‘Long Haulers’, advanced technology and provides consulting through her company, Denes Physical Therapy Consulting, LLC. She has had extensive involvement with neuroprosthetic devices, lower extremity orthotics, and exoskeletons especially at the Rehab Institute of Michigan.

Shelly presents nationally at seminars on fall prevention and geriatric rehabilitation. She is a graduate of University of Michigan’s PT program and holds certifications in Neurodevelopmental Treatment for Adult Hemiplegia (NDT) done ta The Rehab Institute of Chicago, is a certified Fall Prevention Specialist and a certified Geriatric Care Professional. Speaker Disclosures:
Financial: Michel Janet (Shelly) Denes is the owner of Denes Physical Therapy Consulting LLC. She is a consultant with Experts in Therapy LLC and previously with NewGait™. She receives a speaking honorarium from Motivations, Inc. Michel Janet (Shelly) Denes receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Michel Janet (Shelly) Denes is an advisory board member for Evergreen Certifications.

For U.S. and Canadian customers, a CE test is available for $9.99 USD per participant. International CE rates may vary; please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion may be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 9/16/2017
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.3 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.25 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.6 contact hours.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants, and other Healthcare Professionals