The focus of this one-day seminar is to discuss current views and research on the immediate and long-term functional consequences of mild brain injury [acquired or traumatic] across the continuum of care. By highlighting the perspectives of both orthopedic and neurologic specialists, attendees will be able to maximize the outcomes of patients with mild TBI and concussion. The purpose of the course is for physical therapists and physical therapist assistants to join together with researchers and specialists in the field of brain injury recovery to engage in a clinically pertinent conversation of best practice options that clinicians encounter in their daily practice.
By the end of the course, participants will:
1. Discuss how concepts of measurement are applicable in the assessment and care of patients with TBI.
2. Reflect on current practice and identify solutions to barriers/challenges in the utilization of outcome measures for patients with TBI.
3. Improve effectiveness in the selection and utilization of outcome measures in clinical practice.
4. Use the anatomy and physiology of the visual, vestibular, and cervical systems to guide examination and intervention of patients post mTBI and concussion.
5. Describe the common neurologic presentation including symptomology and functional limitations in adolescents and adults post mTBI and concussion; including differentially diagnosing some common causes of dizziness.
6. Describe and demonstrate examination techniques to appropriately identify visual, vestibular, and cervical dysfunction.
7. Draw upon the latest research and guidelines to effectively integrate evidence based practice into the clinical management of patients post mTBI and concussion.
8. Apply advanced clinical skills in interventional progression and comprehensive management of visual, vestibular, and cervical dysfunction.
9. Define and identify causes of decreased endurance vs. fatigue.
10. Review and appraise the evidence regarding fatigue after brain injury and stroke.
11. Apply knowledge of fatigue and endurance for appropriate assessment and treatment planning.
12. Define "Community Re-Entry" vs. “Community Mobility” for people recovering from an acquired brain injury and list the most frequent limiting factors which inhibit patients from achieving this feat and level of independence.
13. Define "Dual-Tasking" in regards to people recovering from an acquired brain injury and list the most frequent limiting factors which inhibit patients from mastering this skill.
14. Evaluate current literature and discuss clinical anecdotes that support the importance of incorporating community mobility and dual-task activities into physical therapy treatments of those recovering from acquired brain injuries.
15. Analyze the outcome measures used in the literature and clinic in order to determine the efficacy of incorporating community mobility and dual-task activities in physical therapy treatments of those recovering from acquired brain injuries.
16. Discuss how physical therapists can incorporate community mobility and dual-task activities into their daily treatments in order to improve a patient's ability to best achieve community re-entry.
17. Understand the pathophysiology of concussion.
18. Be able to identify factors leading to delayed recovery after concussion.
19. Be able to understand the role of MDs and PTs in the rehabilitation of a patient post-concussion.
David A. Braunreiter, MD, CAQSM
Dr. Braunreiter is a primary care sports medicine physician in Sugar Land, part of the Houston Methodist Orthopedic & Sports Medicine group. His board certification includes both family practice and sports medicine, allowing him to provide both medical and orthopedic care for his patients.
Dr. Braunreiter graduated Magna Cum Laude with and Honors Bachelor of Science in biology from Marquette University in 1988. He then obtained his medical degree from the Medical College of Wisconsin in 1992. In 1995, he completed his family medicine residency in St. Louis, and graduated from fellowship in sports medicine in 1996 from the Cleveland Clinic in Cleveland, Ohio.
Prior to arriving in Houston in 1999, Dr. Braunreiter served as the team physician for Beloit College, the Beloit Snappers Minor League Baseball Club, numerous high schools in southern Wisconsin, and as the medical director for the St. Louis Marathon in 1994. During his time in Houston, Dr. Braunreiter has served as a team physician for the Houston Texans, University of Houston, Houston Baptist University, the World Wrestling Entertainment organization, the Houston Aeros Hockey Club, and Clements and Terry High Schools in Fort Bend County, medical care for the Houston Marathon and medical director of the Sugar Land Marathon.
Currently, Dr. Braunreiter is the medical physician for the Houston Dynamo Major League Soccer club and serves on the league Concussion Protocol Committee, helping devise the management strategy for concussions in professional soccer. He is also the team physician and sports medicine program developer for St. John XXIII College Preparatory School in Katy
He carries the following academic titles: Primary Care Sports Medicine Fellowship Director at Houston Methodist Orthopedics & Sports Medicine (affiliated with Houston Methodist Hospital), Assistant Professor of Family Medicine at Weill Cornell Medical College and Assistant Professor of Clinical Family Medicine at Houston Methodist Institute for Academic Medicine, and is a certified physician for ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing).
Dr. Braunreiter has been a member of the American College of Sports Medicine since 1994 and the American Medical Society for Sports Medicine since 1996. He is currently the director for the Houston Methodist Sugar Land Primary Care Sports Medicine Fellowship, since 2013, and has served as a fellowship director for two other programs in his career.
His current interests in sports medicine are broad. He has a specific interest in the management of concussion injuries. He strives to be a provider of care for the active individual both to prevent injury and illness and to direct safe and effective “return to play”. He is passionate about the education of medical students, residents, fellows, and physical and occupational therapists in the provision of care for the active individual.
Michael Furtado, PT, DPT, NCS
Michael Furtado, PT, DPT, NCS is an Assistant Professor in the Physical Therapy Department at the University of Texas Medical Branch in Galveston, Texas. Michael is a 2006 graduate from the University of Connecticut with a Master of Science in Physical Therapy. He went on to complete the requirements for the transitional Doctorate of Physical Therapy degree from Boston University. Michael has exclusively practiced in treating patients with neurological dysfunction across the spectrum of care (acute care to outpatient) in the TIRR Memorial Hermann system. While there, Michael led the development and management of special programs related to balance and vestibular rehabilitation in veterans of warfare and the sports population who experience traumatic head injury. He received his Board Certification in Neurologic Physical Therapy from the American Physical Therapy Association in 2009. He also completed the Vestibular Rehabilitation Competency Based course led by Dr. Susan Herdman in 2008. Michael has been active in the dissemination of content related to vestibular and concussion rehabilitation from the local to national level, and is a part of the APTA’s Advanced Vestibular Rehabilitation faculty led by Dr Sue Whitney, and a task force nationally developing a concussion certification course. At UTMB, Michael teaches in the entry level DPT and bridge PTA to DPT programs, leading classes primarily in Neuroscience, Prosthetics, and Vestibular Rehabilitation. He is also core faculty in several neurologic, orthopedic, and sports residency programs in the Houston area and through Neurorecovery Training Institute. His research interests lie in the development of balance outcome measures in the realm of dual tasking and he is currently in the process of disseminating work in this area of practice management for individuals with traumatic head injury for publication.
Anna de Joya, PT, DSc, NCS
Anna Lisa de Joya, PT, DSc, NCS is the Program Manager for the TIRR Memorial Hermann Specialty Rehab Program. Anna received her Doctor of Science in Physical Therapy degree at the University of Alabama at Birmingham in 2012. She is board certified by the American Physical Therapy Association (APTA) as a Neurologic Clinical Specialist since 2008. Anna has been treating patients with neurologic dysfunction across the continuum of care since 1996. Anna was appointed as co-chair of the TBI EDGE Task Force by the APTA Neurology Section in 2011. She is currently part of an expert panel to provide guidance in the development of a Clinical Practice Guideline of outcome measures for use across all patients with neurologic conditions, funded by the APTA. She is also the lead clinician of the inpatient rehab outcome measures task force at TIRR Memorial Hermann.
Ben Renfrow, PT, DPT, OCS, FAAOMPT
Ben serves as program coordinator for both the orthopedic residency program at Houston Methodist Sugar Land and the Institute for Athlete Regeneration (a sports and orthopedic manual therapy fellowship program). He is a graduate of the Houston Methodist Sugar Land Orthopedic residency program and is a Fellow of the American Academy of Orthopedic Manual Physical Therapists. He directs the spine module lecture and laboratory components for both the residency and fellowship programs. Ben is passionate about educating various athletic organizations on injury prevention. He is an enthusiast of manual therapy and takes pride in being a movement impairment specialist. He is a member of the APTA Orthopedic and Sports sections, TPTA, and AAOMPT.
Lauren Cox, PT, DPT, NCS, CBIS
Lauren Cox, PT, DPT, NCS, CBIS has been a licensed physical therapist for 8 years. She received her Board Certification in Neurological Physical Therapy in 2013 and her Certified Brain Injury Specialist certification in 2010. Lauren has practiced in the post-acute brain injury setting for the past 6 years.
Todd Maguire, PTA, CBIS
Todd Maguire, PTA, CBIS has been a licensed physical therapist assistant for 19 years, and obtained his Certified Brain Injury Specialist in 2010. He has experience working with spinal cord injury and brain injury patients, but has worked solely in brain injury rehabilitation for the last 14 years. He has given numerous presentations to PM&R residents and DPT students, as well as taught a continuing education course for Physical and Occupational therapists on spasticity and serial casting.
Katherine Jones, PT, MS, NCS, CBIS
Katherine Jones, PT, MS, NCS, CBIS has been a licensed physical therapist for 11 years. She received her Board Certification in Neurologic Physical Therapy in 2006 and her Certified Brain Injury Specialist certification in 2013. She has practiced almost exclusively in the area of neurological rehabilitation across the continuum of care, including the past four years in post-acute brain injury rehabilitation. She has been an APTA Certified Clinical Instructor for 10 years and assists with mentorship in the Harris Health Neurologic Physical Therapy Residency.
Laura Wiggs, PT, NCS, CBIS
Laura Wiggs, PT, NCS, CBIS has been a licensed physical therapist for 24 years. She is a Neurologic Certified Specialist and has practiced almost exclusively in the field of Brain Injury and Stroke rehabilitation. Laura is faculty in the Harris Health Neurologic Physical Therapy Residency. She has taught many continuing education courses for rehabilitation professionals in the areas of hypertonicity management and brain injury rehabilitation.
Joanna Berry, PTA, CBIS
Joanna Berry PTA, CBIS has been a licensed physical therapist assistant for 3 years. She received her Certified Brain Injury Specialist certification in 2013. She has practiced almost exclusively in the field of Brain Injury and Stroke rehabilitation and is currently a physical therapist assistant at Mentis Neuro Rehabilitation.
Jeremy Bourgeois, PT, DPT
Jeremy Bourgeois is a graduate of University of Texas Medical Branch for his entry-level education receiving a doctorate in Physical Therapy. He has been an active participant in clinical research as both a student and clinician with an emphasis on the postural control deficits after traumatic brain injury. Jeremy has presented his research at the local, state, and national level; and was recognized for the Best Poster Presentation in 2013 by the TPTA. Jeremy pursued advanced training in treating patients with neurologic deficits and graduated from the TIRR Memorial Hermann Neurologic Physical Therapy Residency Program. He has participated in educational opportunities throughout the greater Houston area specific to neurologic deficits post TBI. After completing his residency, Jeremy continues to pursue his research in patients post TBI and advanced clinical expertise.
|7:30- 8:00 am
|| Registration and Breakfast
| 8-8:15 am
| 8:15-9:15 am
|| Applying the Principles of Outcome Measurement:
Recommendations from the TBI Edge Task Force
| Anna de Joya, PT, DSc, NCS
| 9:15-10:00 am
|| Diagnosis and Management of Vestibular and Visual Dysfunction in TBI
|| Jeremy Bourgeois, PT, DPT
| 10-10:15 am
| 10:15-11:15 am
|| Fighting the Battle of Fatigue
|| Katherine Jones, PT, MS, NCS, CBIS;
Laura Wiggs, PT, NCS, CBIS;
Joanna Berry, PTA, CBIS
| 11:15-12:15 pm
|| Dual-Tasking: Bridging the Gap Between the Clinic and the Community
|| Lauren Cox, PT, DPT, NCS, CBIS;
Todd Maguire, PTA, CBIS
| 12:15-1:15 pm
| 1:15-3:15 pm
|| Keynote Speakers
|| David Braunreiter, MD, CAQSM;
Michael Furtado, PT, DPT, NCS
| 3:15-3:30 pm
| 3:30-4:15 pm
|| Diagnosis and Management of Cervical Dysfunction in Concussion
|| Ben Renfrow, PT, DPT, OCS, FAAOMPT
| 4:15-4:45 pm
|| Panel Discussion
| 4:45-5:00 pm
|| Closing Remarks & Course evaluations
This course is approved for 7.25 CCUs.