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Exploring the Essential Features of “Functional Neurology: Harness the Power of Technology and Neuroplasticity to Reach Goals Faster than Traditional Rehab – Laura Davis & Ramona von Leden”
The nervous system. It is the most powerful and transformative tool we have to help people heal from trauma and reach their highest level of performance.
But did you know that, depending on the neurological inputs, we can positively (or negatively) influence the direction of neuroplastic change?â
Watch neurology experts, Ramona von Leden, PhD and Laura Davis, DPT, to explore how you can move past plateaus and regain function with chronic neurological conditions using todayâs latest technology in electrical stimulation.
- Precisely identify overactive or underactive brain areas Â
- Engage the nervous system with specific functional movements to get patients stronger, fasterÂ
- Improve outcomes at every stage of rehab and fitnessÂ
Neuroplastic change does take time, but when you incorporate the nervous system alongside functional movement techniques, you can help patients achieve their functional goals much quicker than in traditional rehab! Take the first step in enhancing recovery, boosting performance, and optimizing health as you learn about this novel approach that is changing the way we approach neuroplasticity.
Relieve pain â Increase ROM â Heal Faster â Increase blood flow â Prevent atrophy â Decrease spasms
Speaker
Laura Davis, DPT
Laura Davis, DPT (NeuFit Neurological Populations Specialist)
As an athlete growing up, Lauraâs original interest in the field grew out of her experience in physical therapy rehabbing her own sports injuries, and always thought that this is the direction she would take with her career. She earned her BS from Pennsylvania State University and her Doctor of Physical Therapy from Washington University of St. Louis, and it is throughout this schooling and clinical work that she found her true passion was actually in helping those with acute and chronic neurological injuries. She has spent most of her career working in trauma ICUs and inpatient and outpatient neurological rehab facilities and thus has been able to help patients along the entire spectrum â from day one of sitting up in bed to months and years later helping patients return to their daily and recreational activities. As NeuFitâs Neurological Population Specialist, she has grown the neuro program both at the NeuFit Headquarters Clinic in Austin and also remotely, writing programs for individuals who have the Neubie at home. She has put the NeuFit Method and Neubie device to practice with hundreds of patients with neurological impairments, from those with traumatic brain injuries, to spinal cord injuries, to MS, to those with rarer diagnoses, and finds it so rewarding to be able to help those with both acute and chronic injuries overcome plateaus and reach functional goals they never thought to be possible. She continues to explore new methods, techniques, and unique applications of the Neubie daily in order to better her patient outcomes and believes the possibilities are endless.
Speaker Disclosures:
Financial: Laura Davis is the founder of Bounce Back Fitness, LLC and has an employment relationship with Neufit. She receives a speaking honorarium from PESI, Inc.
Non-financial: Laura Davis has no relevant financial relationships.
Ramona von Leden, PhD
Ramona von Leden PhD (NeuFit Director of Research and Clinical Education)
Ramona has dedicated her career to investigating novel approaches to working with the nervous system to improve recovery from injury and disease. She earned her BS in Psychology from Brown University, her PhD in Neuroscience from the Uniformed Services University of the Health Sciences and completed a postdoctoral fellowship at the University of Texas at Austinâs Dell Medical School. She has been awarded two National Research Service Awards from the National Institute of Neurological Disorders and Stroke. She has published her original research on identification of novel targets from treating neurotrauma and neuroinflammation in peer-reviewed scientific journals. She has given invited lectures to a variety of audiences, including the US Army and the Society for Neuroscience, and has spoken about neurotrauma as the guest on several podcasts. She has worked to increase awareness about neurological health as an organizer for National Brain Awareness Week and UT Austinâs Explore UT Day and has served on training and education committees for the National Neurotrauma Society. As NeuFitâs Director of Research and Clinical Education, Ramona uses her extensive background in neurology and neuroscience to oversee and develop NeuFitâs research and continuing education programs. She is passionate about furthering research on the use of non-invasive methods like neuromuscular electrical stimulation to improve a variety of conditions and expanding practitionerâs skill sets to enhance patient outcomes.
Speaker Disclosures:
Financial: Ramona von Leden has an employment relationship with NeuFit. She receives a speaking honorarium and recording royalties from PESI, Inc.
Non-financial: Ramona von Leden has no relevant non-financial relationships.
Objectives
- Evaluate the integral concepts of functional neurologyÂ
- Investigate the foundations of neuroplasticity to inform the clinicianâs choice of treatment interventionsÂ
- Assess alternative approaches for rehabilitation to create neuroplastic changesÂ
- Apply functional neurology and neuroplasticity techniques into your treatment plan to improve clinical outcomes. Â
- Analyze the efficacy of using DC current in a clinical setting.
Outline
Functional Neurology and the Neurological Approach to Injury/Health
- Approach all issues from the nervous system first perspectiveÂ
- Create sensory afferent inputs to the brain that will improve motor outputsÂ
- Balance, proprioception, visual sensory information Â
Nervous System Feedback Loop: Why Should Rehab Focus Here?
- Internal and external inputs, transmission, decision process & outputÂ
- Most rehab work is focused on output and conscious processesÂ
- Focus on inputs to create new, improved outputsÂ
- The role of pain as an outputÂ
- Change outputs into performance like strength, power, endurance, flexibilityÂ
Implement a Functional Neurology Approach & Improve Function from the Inside Out
- ANS function (sympathetic and parasympathetic)Â
- Decrease protective responses Â
- Structure vs function: enhance the overall repair processÂ
Tapping into Neuroplasticity to Improve Rehab Outcomes
- Support and stimulationÂ
- Proven Strategies
- Physical TherapyÂ
- Visuomotor TrainingÂ
- Constraint TherapyÂ
- RoboticsÂ
- Novel Strategy: Electrical stimulation for muscle, tissue, nerve activation and blood flowÂ
- Differences in NMES: Direct Current (DC) vs Alternating Current (AC)Â
Neurological Approaches: Combine NMES and Functional Rehab for Improved Outcomes
- Sensory inputs to improve outputsÂ
- Intentional therapeutic exercises to improve deficitsÂ
- Scanning/Mapping processÂ
- Differences in frequenciesÂ
- DC & Neuro PT = âmore bang for your buckâÂ
- Targeted treatment approaches for specific impairments
- Spasticity Â
- Weakness Â
- Balance/Vestibular Â
- Gait/Functional Activities Â
- Examples of outcomes:
- Pt with TBI- got off of spasticity medsÂ
- Pt with MS – went from wheelchair/recliner to walkingÂ
- Pt with acute Stroke – went from dependent with transfers to walking with a cane in two months Â
- Tips for billing and documentationÂ
Target Audience
- Physical Therapists
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