Get Your CEUs
Current Evidence-Based Protocols in Stroke Rehabilitation

Profession: Physical Therapists/Assistants,Occupational Therapists/Assistants,Doctors of Chiropractic
Topic: Clinical
CEU: 1.1 unit
Contact Hours: 11 hours

States Approved:
- Physical Therapists/Assistants : California, Colorado, Hawaii, Indiana, Maine, Massachusetts, Michigan, Nevada, New York, Rhode Island, South Dakota, Utah, Vermont, Wyoming
- Occupational Therapists/Assistants : Ohio
- Doctors of Chiropractic : Iowa, Nebraska, New Jersey

Skill Level: Beginner


 

Buy now $ 110.00

Click to Proceed
 
 

Course Description

This book was developed to help facilities put in place a stroke rehabilitation protocol that is evidence-based, designed to achieve maximum functionality, and aimed at improving patient quality of life. This book will guide clinicians in determining the best interventions for their patients, better stratifying stroke patients, reducing readmission, and optimizing healthcare utilization.

The primary goals of rehabilitation are to prevent complications, minimize impairments, maximize function, and prevent stroke recurrence. Early assessment and intervention are critical to optimize rehabilitation. Standardized evaluations and valid assessment tools are essential to develop a comprehensive treatment plan. Evidence-based interventions should be based on functional goals. In stroke rehabilitation, a number of restorative therapies currently exist, and others are in various stages of development. Approaches aimed at improving arm motor function include constraint-induced movement therapy, antispasticity medications, exercise, functional electrical stimulation, robotic therapy, and virtual reality training.

A review of randomized controlled trials indicates restorative therapies improve function when compared to no treatment. Superiority of one type of therapy over another cannot be distinguished; therefore, a specific choice of therapy is difficult to justify as the singular most important treatment. 

Emerging evidence suggests that rehabilitation may be useful in brain restoration and in stroke therapy patients, and information is slowly becoming available describing the precise nature of interventions provided by rehabilitation therapists. Identifying interventions that can improve motor function remains a priority. This book will provide an overview of the current understanding of modern rehabilitation therapies and their effects on plasticity and recovery of motor function in stroke. The book concludes with a description of how the patient and the patient’s family members are essential members of the rehabilitation team. Patient and family involvement are described in detail.

Course Objectives

1. Identify the cause of cerebrovascular accident;

2. Choose the best assessment tool and outcome measure based on the side of stroke, time elapsed since the stroke, age of the patient, and current ambulatory status;

3. Implement evidence-based interventions, whether conventional or advanced, that would help promote functional recovery and independence in patients with stroke;

4. Create treatment programs that would include balance retraining with robotics, virtual reality training, and other device-based therapies;

5. Review other restorative therapies to improve cognition, including mental practice and non-invasive brain stimulation; and

6. Educate stroke patients and caregivers on the value of active participation in the rehabilitation process.


Chapter 1: Cerebrovascular Accident
What Causes Stroke? 
Ischemia/Reperfusion Injury 
Brain Plasticity 
Spontaneous Behavioral Recovery after Stroke 
Molecular and Physiological Events Underlying Spontaneous Recovery after Stroke 
Stroke Complications 
Stroke Rehabilitation: Is It Effective? 
Recommendations
Chapter 2: Outcome Measures
Assessment Tools for Stroke
Action Research Arm Test (ARAT)
Barthel Index
Beck Depression Inventory (BDI)
Behavioral Inattention Test (BIT)
Berg Balance Scale (BBS)
Box and Block Test (BBT)
Canadian Neurological Scale (CNS)
Canadian Occupational Performance Measure (COPM)
Chedoke Arm and Hand Activity Inventory (CAHAI)
Chedoke-McMaster Stroke Assessment Scale (CMSA)
Clinical Outcome Variables (COVS)
Clock Drawing Test (CDT)
EuroQol Quality of Life Scale (EQ-5D)
Frenchay Activities Index (FAI)
Frenchay Aphasia Screening Test (FAST)
Functional Ambulation Categories (FAC)
Functional Independence Measure (FIM)
Fugl-Meyer Assessment (FMA) of Motor Recovery after Stroke
General Health Questionnaire-28 (GHQ-28)
Geriatric Depression Scale (GDS)
Hospital Anxiety and Depression Scale (HADS)
Line Bisection Test (LBT)
London Handicap Scale (LHS)
Medical Outcomes Study Short Form 36 (SF-36)
Mini-Mental State Examination (MMSE)
Modified Ashworth Scale (MAS)
Modified Rankin Handicap Scale (MRS)
Montreal Cognitive Assessment (MoCA)
Motor Assessment Scale (MAS)
Motor-free Visual Perception Test (MVPT)
National Institutes of Health Stroke Scale (NIHSS)
Nine-hole Peg Test (NHPT)
Nottingham Health Profile (NHP)
Orpington Prognostic Scale (OPS)
Reintegration to Normal Living Index (RNLI)
Rivermead Mobility Index (RMI)
Stroke-Adapted Sickness Impact Profile (SA)
Stroke Impact Scale (SIS)
Stroke Specific Quality of Life Scale (SSQOL)
Stroke Therapy Assessment of Movement (STREAM)
Timed “Up & Go” Test (TUG)
Wolf Motor Function Test (WMFT)
Recommendations
Neurological Impairment Scales
Cognitive Scales
Language Scales
Depression Scales
Basic and Instrumental Activities of Daily Living Scales
Chapter 3: Rehabilitation Interventions
Bobath Concept/Neurodevelopmental Therapy
Brunnstrom Movement Therapy
Motor Relearning
Neurodevelopmental Therapy for Motor Retraining
Proprioceptive Neuromuscular Facilitation (PNF)
Adaptive Equipment
Work Conditioning
Patient/Family Education
Dysphagia Treatment
Recovery of Communication
Spasticity Control
Motor Strengthening
Cognitive Training
Mirror Therapy
Constraint-Induced Movement Therapy
Combined Botulinum Toxin Type A and Modified constraint-induced movement therapy in Upper-Limb Spasticity
Botulinum Toxin Type A for Gait
Thermal Stimulation
Approaches to Reducing Visual Neglect
Somatosensory Stimulation
Manual Therapy
Chapter 4: Improving Balance and Proprioception
Understanding Balance Deficits in Stroke
Gait Deviations and Causes
Initial Contact (Early Stance)
Late Stance
Swing
Gait Analysis using Microsoft Kinect
Limb-Loading
Partial Body Weight Support for Treadmill Training
Robotic-Assisted Gait Training
Whole Body Vibration for Balance and Motor Control
Local Vibration
Virtual Reality Training for Balance and Gait
Wii Fit® Balance Training
Space Balance 3D Training
Ramp Gait Training with PNF for Dynamic Balance
Perturbation Training for Balance
Aquatic Therapy for Balance
Hippotherapy
Horseback Riding Simulation
Chapter 5: Therapeutic Modalities
Functional Electrical Stimulation or Neuromuscular Electrical Stimulation
Brain-computer interface-based functional electrical stimulation
Biofeedback
Transcutaneous Electrical Stimulation (TENS)
Somatosensory Electrical Stimulation
Repetitive Task Practice and Robotic Therapy
Non-Invasive Brain Stimulation
Virtual Reality Training on Brain Activity
X-Box Microsoft Kinect and Gaming Technology
Chapter 6: Conclusion
Patient and Family/Caregiver Involvement
Time Window for Restorative Therapies

Accreditation

CA sealPhysical Therapists/Assistants : Arkansas, California, Colorado, Hawaii, Indiana, Maine, Massachusetts, Michigan, New York, Rhode Island, South Dakota, Utah, Vermont, Wyoming

Physical Therapists, Physical Therapist Assistants: New York: Rehabsurge, Inc. is recognized by the New York State Education Department’s State Board for Physical Therapy as an approved provider for physical therapy and physical therapist assistant continuing education. This seminar is awarded 15 contact hours.

Physical Therapists, Physical Therapist Assistants: California: The Physical Therapy Board of California recognizes Rehabsurge, Inc. as an Approval Agency to Approve Providers of Continuing Competency Courses in California for Physical Therapists and Physical Therapy Assistants. This course is approved for 11 CEs/Contact Hours.

Pricing Information

Self Study Physical Book Only (through Amazon.com): $60

Exam Only (through Rehabsurge.com or by mail): $50

Self Study E-Book and Exam(through Rehabsurge.com): $110

 

download icon