Clinical Assessment of the Adult Neurologic Foot & Ankle. Course CANCELED. New TENTATIVE DATE: May 28th in Columbia, SC. Details to follow! Fabricating a Dynamic AFO for the Adult Neurologic Foot. Course CANCELED New TENTATIVE DATE: June 18th in Colum March 31, 2009

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Clinical Assessment of the Adult Neurologic Foot & Ankle. Implications for the Use of the Dynamic Ankle Foot Orthosis
Course Description
Traditionally, solid ankle foot orthoses have a full flat footplate, non-accommodating to the arches of the foot, inflexible at the toes and a long shaft up the leg preventing anterior & posterior translation of the tibia (fibula) required for forward progression of the body around the ankle. The dynamic ankle foot orthosis (dynamic-AFO) is a concept developed by Nancy Hylton to decrease spasticity and to facilitate postural and balance reactions in the upright position. What makes the AFO dynamic is that it accommodates and allows for graded stable movement that occurs in hind-, mid-, and forefoot from heel strike to toe off.
This course will explain the components of the dynamic-AFO, research to support its use, and provide techniques for clinical assessment as an indicator to use the dynamic-AFO. Therapeutic interventions will be demonstrated to improve hemiplegic gait as well as to prepare the foot for the dynamic-AFO in the adult neurologic population.
Course Level (As defined by the APTA): Intermediate Assumes that participants have a general familiarity with topic (ankle foot orthoses). The focus is on increased understanding and application of information (dynamic-AFO).Participants: Physical Therapists and Physical Therapist Assistants
Participants: Physical Therapists and Physical Therapist Assistants

Course Objectives

After completing this course, the participant will be able to:
1. Define and explain the purpose of the dynamic-AFO.
2. Describe the components of the dynamic-AFO.
3. Articulate research supporting the use of dynamic-AFOs to improve hemiplegic gait.
4. Demonstrate clinical assessment techniques for the neurologic foot.
5. Create treatment interventions based on impairments of the neurologic foot and leg.
6. Develop the appropriate physical therapy terminology to effectively communicate suitable bracing interventions for the neurologic foot and leg with the orthotist.
Continuing Education Units
A certificate of attendance will be issued denoting four (4) contact (clock) hours.

Schedule

4:30 pm - 5:00 pm Registration & Dinner
5:00 pm - 5:10 pmCourse Objectives & Pre-test
5:10 pm - 5:40 pmThe dynamic-AFO
5:40 pm - 6:00 pm Research
6:00 pm - 6:30 pm Foot Anatomy & Kinesiology
6:30 pm - 7:30 pmClinical Assessments
7:30 pm - 7:45 pmBreak
7:45 pm - 8:20 pmDocumentation
8:20 pm - 9:00 pm Treatment Interventions
9:00 pm - 9:15 pmQuestions Post-test
9:15 pmDoor Prize
Bring a resource with pictures of leg and foot anatomy

Fabricating a Dynamic AFO for the Adult Neurologic Foot
Using Focused Rigidity Casting Techniques
Course Description
In order for the foot to accept weight in stance phase, it must be rigid at heel strike, mobile at loading response to allow the transmission of forces through the midfoot and rigid again at push off for propulsion. Patients with neurologic impairment are unable to get efficient weight acceptance due to muscle weakness, inadequate range of motion, abnormal tone or spasticity. Research indicated that in inpatient rehab The largest percentage of time in physical therapy sessions was spent on gait activities (Jette, et al., Physical Therapy, 2005; 85(3): 238-248, p. 241). AFOs are not issued in inpatient rehab due to the costs and interim interventions such as stabilizing the foot with an ace bandage are not adequate. Facilities do not have access to pre-fabricated AFOs or electrical stimulation units now being used as walking aides to replace AFOs. Focused rigidity casting is widely used in the orthopedic population and can be applied to the neurologic population. This course will provide insight on the use of focused rigidity casting to fabricate AFOs and serial casts for the lower extremity. Demonstrations will be provided for AFOs, a resting foot drop splint, and a serial cast.
Course Level (As defined by the APTA): Intermediate Assumes that participants have a general familiarity with topic (ankle foot orthoses & serial casting). The focus is on increased understanding and application of focused rigidity casting techniques.

Participants: Physical Therapists and Physical Therapist Assistants
Course Objectives
After completing this course, the participant will be able to:
1. Define and explain what is focused rigidity casting.
2. Describe materials used to make a focused rigidity cast.
3. Differentiate the techniques of focused rigidity casting used on a patient with lower extremity neurological impairment.
4. Articulate the difference between R1 and R2 range of motion.
5. Develop an algorithm to determine whether a patient would benefit from serial casting versus a resting foot drop splint or an AFO.
6. Develop the appropriate physical therapy terminology to effectively communicate suitable bracing interventions for the neurologic foot and leg with the orthotist.
Continuing Education Units
A certificate of attendance will be issued denoting four (4) contact (clock) hours.
Schedule
4:30 pm - 5:00 pmRegistration & Dinner
5:00 pm - 5:10 pmCourse Objectives & Pre-test
5:10 pm - 5:30 pmWhat is Focused Rigidity Casting?
5:30 pm - 6:00 pm Characteristics of a Low Tone FootVersus a High Tone Foot &Dont Forget a Spastic Foot.
6:00 pm - 6:40 pm Demonstration: Casting for a Low Tone Floppy Foot
6:40 pm - 7:20 pm Demonstration: Casting for a Foot With Spastic Equinovarus
7:20 pm - 7:35 pmBreak
7:35 pm - 8:05 pmDemonstration: Resting Foot Drop Splint
8:05 pm - 8:20 pmSerial Casting: Theoretical Implications
8:20 pm - 9:00 pm Demonstration: Serial Casting
9:00 pm - 9:15 pmQuestions Post-test
9:15 pmDoor Prize

Speaker for Both Courses
Jennifaye V. Greene, PT, MS, NCS is a graduate of the University of Miami (Florida) with a Master of Science degree in Physical Therapy. Jennifaye has 19 years of clinical experience focused in neurorehabilitation, which includes acute care, acute and subacute rehab, outpatient, day rehab, and home health. She has presented numerous continuing education courses on adult neurologic assessment and treatment intervention for brain injury and stroke. She became board certified as a clinical specialist in neurology by the American Board of Physical Therapy Specialties (ABPTS) of the American Physical Therapy Association (APTA) in 1995 and recertified in 2004. The ABPTS appointed Jennifaye to the Specialization Academy of Content Experts to serve a two-year term which included writing and editing items for the neurology specialist certification examination. Jennifaye is also a Credentialed Clinical Instructor by the Clinical Instructor Education Board of the APTA. She has taught at Physical Therapy and Physical Therapy Assistant Programs in Georgia and South Carolina.
Jennifayes special interests and extensive clinical background include gait analysis and training; ankle foot orthosis design to improve gait; splinting/casting of the lower extremity for the neurologic patient; and neuro-developmental treatment (NDT). She has completed eight NDT courses beyond the Neuro-Developmental Training Three Week Adult Hemiplegia Course in addition to Beverly Cusicks Casts & Splints. Jennifaye has worked with astute orthotists at a variety of rehabilitation facilities including the Shepherd Center in Atlanta, GA perfecting her ability to design AFOs based on neuromuscular and gait impairments. Jennifaye has continued her relationship with the Shepherd Center by providing clinical training & education for the Occupational & Physical Therapists on the Acquired Brain Injury Unit. She is a member of the APTA, Neurology Section of the APTA, South Carolina Chapter of the American Physical Therapy Association, the Physical Therapy Association of Georgia, and the Neuro-Developmental Treatment Association. Please visit website www.jvbneuropt.com for continuing education course descriptions and sponsorship information.


Organized by Palmetto Health Richland
Palmetto Health Richland will be the host site for the Columbia based courses.
jvb physical therapy services, inc. is a therapist-owned practice by Jennifaye V. Greene, PT, MS, NCS providing primarily neurologic physical therapy & one or two-day continuing education courses in neurorehabilitation. It is her goal to provide quality, cost effective educational courses including "facility based courses" allowing attendance by more staff at a reduced rate.

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Ticket Info:  Clinical Assessment of the Adult Neurologic Foot & Fabricating a Dynamic AFO for the Adult Neurologic Foot, $140.00

Official Website: http://jvbneuropt-upcoming.eventbrite.com