Course Information

Description

     This course uses a case-based format to educate physical therapists about when and how to apply high-intensity training (HIT) for a patient with walking and non-walking rehabilitation goals during inpatient and outpatient rehabilitation. Two sessions are included in the course. The first session will focus on the patient’s participation in outpatient rehabilitation where HIT was the only intervention performed. The patient’s assessment of biomechanical deficits, prioritization of subsequent interventions and their associated progression will be provided. During the subsequent session, the content will focus on the same individual’s inpatient rehabilitation where 51% of sessions focused on HIT, while other sessions focused on other treatments such as transfers and upper extremity strengthening. This session will focus on the barriers/facilitators to regularly performing HIT and the associated clinical decision-making required to balance the short-term goal of discharging home with the long-term goals of maximizing functional mobility. Both sessions will incorporate information from research and discussions about how to apply the evidence in clinical practice.


Objectives

At the conclusion of this course, the learner will be able to:

  1. Predict ambulation potential at one year following traumatic spinal cord injury using a published clinical prediction rule.
  2. Describe at least two relevant physical interventions for a given patient with biomechanical deficits in gait.
  3. Summarize the evidence regarding the role of task-specificity in improving locomotor function following acute onset neurologic injury.

2.75 hours of learning

includes

  • Course

    Two 45-minute sessions and post-course quiz questions.

  • Independent Study

    Review Lotter et al, 2020 and answer questions.

Course curriculum

  • 1

    Course Overview

    • Course Description and Objectives
  • 2

    Online Course

    • Part 1 - Chronic Phase & Outpatient Rehabilitation
    • Part 1 Knowledge Checks - Chronic Phase & Outpatient Rehabilitation
    • Part 2 - Subacute Phase & Inpatient Rehabilitation
    • Part 2 Knowlege Checks - Subacute Phase & Inpatient Rehabilitation
  • 3

    Independent Study

    • Independent Study Instructions
    • Lotter, 2020 Independent Study
  • 4

    Feedback Survey

    • Feedback Survey

Instructors

Chris Henderson is an Assistant Research Professor within the Indiana University School of Medicine’s Department of Physical Medicine and Rehabilitation and the Director of Innovation for the Institute for Knowledge Translation. He has his PhD in Biomechanics and Movement Science, Doctorate of Physical Therapy, and Masters of Mechanical Engineering from the University of Delaware. He has also completed a Neurologic Physical Therapy Residency jointly supported by the Clement J Zablocki Veterans Affairs Hospital and Marquette University.  Dr. Henderson’s work is focused on optimizing the rehabilitation of individuals following acute onset neurologic injuries and translating evidence-based interventions into routine neurologic physical therapy practice. Dr. Henderson has co-authored publications on the topic of stroke and spinal cord rehabilitation and presented on the topic at both regional and national conferences and is actively involved in DOD and R01 grants.

Crissy (Christina) Voigtmann is a Board-Certified Specialist in Neurologic Physical Therapy.  She received her Doctorate of Physical Therapy degree from the University of St. Augustine for Health Sciences in 2014. Currently, Dr. Voigtmann works as a Research Physical Therapist in the Locomotor Recovery Lab at the Rehabilitation Hospital of Indiana. Previously, she served as the locomotor clinical specialist at Orlando Health Institute for Advanced Rehabilitation where her specialties included direct patient care, research and program development for patients with stroke, brain injury, and spinal cord injury.  Dr. Voigtmann is a certified clinical instructor and was adjunct faculty for the University of Central Florida College of Health Professions and Sciences and the neurologic physical therapy residency program with UCF and Orlando Health. Dr. Voigtmann received the Florida Physical Therapy Association’s award for Clinical Excellence in 2020.

Continuing Education Information

Approved by the Indiana Physical Therapy Association

This course has been approved for 2.75 continuing education hours by the Indiana Physical Therapy Association (approval 006987887C2527). Course participants should consult with their state physical therapy association to understand the requirements for continuing education approval. If necessary, participants are responsible for transferring these hours to their state.