Managing the Lower Functioning Individual

NDT Workshop in the Management of Adults with Stroke, Brain Injury and Other Neuromotor Disorders

This one-day workshop will explore current NDT principles and handling skills to promote recovery in an individual post-stroke or brain injury who is lower functioning.  As therapists we often struggle to determine where to start and how to progress an individual who requires more assistance. This workshop will include progression strategies in sitting, standing, and early gait. We will explore how to involve a second person (assist x 2) when working with the lower functioning individual. The workshop will provide participants with additional skills to enhance consistency in patient care and contribute to the overall team rehabilitation efforts of achieving functional outcomes for patients.

Objectives:

Upon completion of this workshop the participants will be able to:

• Understand current literature and apply this within the NDT Clinical Practice Model to treat the individual with neurological impairments
• Explore treatment strategies (assist of one and two) to address impairments within functional activities including activities in sitting, standing and early gait
• Demonstrate basic handling skills to enhance patient’s movement as related to his/her functional goals during sitting, standing and walking

Instructor: Karen Guha, PT, CIDN, C/NDT, NDTA™ Coordinator Instructor

Karen is a physiotherapist at Grand River Hospital and Back Works Spinal & Sports Rehabilitation. She received her Physical Therapy degree from the University of Toronto in 1996 and became NDT trained in 1999. Karen became a NDTA™ PT Instructor in 2007, a NDTA™ Coordinator Instructor in 2011, and a NDTA™ Advanced Course Instructor in 2014. She has over 25 years experience working with adults with neurological impairments in acute, rehabilitation and outpatient settings. Karen has taught NDT courses throughout North America and internationally.

Format: Workshop format will include a short lecture and then practical hands-on lab sessions for the remainder of the day.  During lab sessions, participants will have the opportunity to analyze typical movement and practice handling skills on their fellow participants. Participants will have the opportunity to problem solve how these handling skills will be modified and progressed to promote functional improvements when treating the individual who is lower functioning.

Workshop Hours:  The workshop will run from 8:30am-3:30pm

Requirements:  Participants must be a Physical Therapist, Occupational Therapist, Therapy Assistant or Registered Kinesiologist who work with individuals who have suffered from stroke, brain injury or other neuromotor disorders.

Agenda:

8:30-8:45am: Introduction

8:45-9:45am: Where to begin and why

9:45-10:00am: Break *Food & snacks will be provided

10:00-10:30am: Analyzing movement – Get the right set up

10:30-11:30am: Principles of Intervention: Trunk facilitation, incorporating the UE and activities in sitting -including using a second person to assist

11:30am-12:00pm: Principles of Intervention: Progressing to standing

12:00-12:45pm: Lunch *Food & snacks will be provided

12:45-1:30pm: Principles of Intervention: Sit to stand – exploring the role of the second person

1:30-2:15pm: Principles of Intervention: Standing activities - using a second person to assist

2:15-3:15pm: Principles of Intervention: Early gait – gait training with assist of two

3:15-3:30pm: Wrap Up

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