Michel (Shelly) Denes – Neurological Considerations in Fall Risk – PESI

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Speaker: Shelly Denes, PT, CFPS, C/NDT, CGCP

Duration: 2 Hours

Format: Audio and Video

Copyright: Sep 15, 2021  

Media Type: Digital Seminar

Description

Falls are NOT inevitable, even in individuals with neurologic diseases such as Parkinson’s Disease and Multiple Sclerosis – rehab professionals may have a direct impact on this reality. Early intervention is key to improved outcomes. We will investigate new models and the neurobiology of pathological fatigue as it relates to Parkinson’s Disease and Multiple Sclerosis. Furthermore, the science behind neuroplasticity, proprioception, muscle tone and balance will be analyzed to reduce fall risk in this population.  

• Discover somatosensory components of movement and the impact on fall risk 
• Understand neurological disease and its progression regarding balance, fatigue and proprioception 
• Integrate neuroplasticity principles in screening, assessment, and interventions 

Leave this course with comprehensive screening and assessment tools, greater knowledge of effective interventions, and awareness of how to utilize neuroplasticity principles with neurological diagnoses.   

Speaker

Shelly Denes, PT, CFPS, C/NDT, CGCP

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 disorders, TBI, and SCI. She has a special interest in COVID-19 ‘Long Haulers’ and advanced technology. She had been involved extensively with neuroprosthetic devices, lower extremity orthotics, and exoskeletons at the Rehab Institute of Michigan.

Ms. Denes travels nationally to present seminars on fall prevention and geriatric rehabilitation. Additionally, her expertise has been presented through expert witness work, both nationally and locally. Ms. Denes is a graduate of University of Michigan’s PT program, and she earned her certification in Neurodevelopmental Treatment for Adult Hemiplegia (NDT) at The Rehab Institute of Chicago. She helped create the certifications of ‘Fall Prevention Specialist’ and a ‘Geriatric Care Professional’ with Evergreen Certifications and sits on their advisory board.

Speaker Disclosures:

Financial: Michel Janet (Shelly) Denes is the owner of Denes Physical Therapy Consulting LLC. She is a consultant with NewGait™ and Experts in Therapy LLC. Michel Janet (Shelly) Denes receives a speaking honorarium and recording royalties from PESI, Inc. All relevant financial relationships with ineligible organizations have been mitigated.

Non-financial: Michel Janet (Shelly) Denes is an advisory board member for Evergreen Certifications.

Objectives

1. Employ comprehensive assessments to identify issues with balance, visual-spatial functioning, proprioception and fatigue.
2. Assess available interventions to guide appropriate utilization for safely restoring balance, mobility, and function in patients with varied origins of fall risk.
3. Integrate multiple approaches and exercise programs for superior outcomes in individuals with neurological disease and increased fall risk.
4. Appraise the role of neuroplasticity and BDNF in fall risk in individuals with neurological diseases.

Outline

Comprehensive assessments strategies

• Identify issues with balance, visual-spatial functioning, proprioception and fatigue 
• Review the CDC – STEADI INITIATIVE for fall prevention 

Interventions  

• Appropriate utilization for safety and results 
• Methods to restore balance, mobility, and function 
• Advanced interventions for fall prevention 
• Neuro-motor function from the sensory and motor systems 

Program Design

• Integrate multiple approaches and exercise programs for superior outcomes in individuals with neurological disease 
• Review the literature regarding interventions 

Neuroplasticity

• Role of neuroplasticity and BDNF in fall risk 
• Introduce most recent literature about neuroplasticity and BDNF 
• Application for decreased fall risk  

Target Audience

• Physical Therapists
• Physical Therapy Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Athletic Trainers
• Chiropractors

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