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Since 1991 (408) 268-3691 |
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Part I
Introduction to NDT:
Achieving
Functional Outcomes
Part II
Getting Results Faster:
Managing the Hemiplegic UE
From an NDT Perspective
Part II
Getting Results Faster:
Using NDT to Increase
Challenge of the LE's and to Improve Gait
 |
™ |
Part III
Applying the RPSF™:
A Step-by-Step Framework for Assessing Potential and Individualizing
Functional Outcomes Using the Principles of NDT
Part IV
Applying the RPSF™:
Manual Cues for Accessing Missing Components of Movement with Intensive
Focus on the Trunk Using the Principles of NDT
Part V
Applying the RPSF™:
Manual Cues for Accessing Missing Components of Movement with Intensive
Focus on the UE and on Gait Using the Principles of NDT
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Tier-C
RPSF™
Certification |
Part VI
Applying the RPSF™:
Implementing Client Interventions Using the Principles of NDT
|
NDTA Approved
Certificate Course |
NDT/Bobath Certificate Course in the
Management and
Treatment of Adults with Hemiplegia
All courses
apply toward
NDTA re-certification
"Awesome class, awesome instructors! I learned so
much. This is the first continuing ed course I have taken where I walk
away and feel the money was worth spending. Thank you for the info and
energy." "I felt the material
presented was the perfect amount for me. It helped me see the big
picture with normal movement and how to help achieve it. The course
challenged me without overwhelming me. I loved this course! Your warm
personality made it easier to learn."
"Very well organized, instructive and
interactive. This course has helped me gain a better knowledge of how to
implement NDT when working with patients who have hemiplegia."
"Yes, the instructor did a very smooth job. Other
courses lost me with multiple speakers, uneven presentations, unclear
objectives. You were great, inviting, motivating, moved things right
along. Never a dull moment. I enjoyed your comments on goal focused
treatment. Our clinic has been focusing on this for the last 5 - 6
years. The idea of not needing all those little boxes on an eval threw
me. It took me a couple of hours to accept. It will be interesting to
share the ideas with co-workers. I think they will agree."
"The instructor has an excellent, engaging and
humorous personality. She made the material ALIVE!"
"I enjoyed this course. This sheds light on the
usefulness of therapy. Looking forward to taking the three-week course.
The instructors were knowledgeable and enthusiastic reminding me that I
can make a difference. It's good to be reminded of that every so
often."
"I feel like I have
direction and meaning to take back and incorporate into treatment."
"I enjoyed this course immensely. I found that
enough time was allowed for each area and I can't wait to take another
course."
"Great class - good job of covering and following
the course outline. Good time with lab work (demo - practice -
questions) and patient treatment sessions. Great humor and rapport
between instructors and among participants."
"This was an excellent course. I was only
partially sold on NDT before this course and now I can't wait to take
the next two courses on the UE and the three-week course."
"It gave me a good
foundation for treatment of stroke patients. I now have the tools for
analyzing what the patient's problems are and how I can assist with
these problems. Now I have the knowledge to make my treatment plan more
effective."
"I can incorporate this information to help my
patients work more in midline, possibly get them independent in
dressing, bathing. I can also help them get more awareness of the
affected side."
"Exceeded my expectations. It tied together
information I learned in school, through my internship with an NDT
certified CI , and made the information and techniques applicable to my
patients."
"Very valuable, wonderful instructors that focus
on the positive things we are doing with patients. Very motivating. I
have never been this focused and alert for five 8-hour days in a class
situation. Thanks so much."
"Patient treatments were great. Loved the
instructors. Great constructive feedback, not over-bearing. Would
definitely recommend this course to colleagues. Thank you for making
this information accessible."
"I really appreciated the hands-on and
hand-over-hand demonstrations."
"The instructor was
a very thorough and interesting presenter who kept my interest. I really
liked watching the videos and it helped me to see how you apply the
approach to patients."
"Thank you very much! The course was very
beneficial; hopefully to my patients. I can't wait to try what I've
learned."
"The course helped
me understand the importance of facilitating "correctly" and
incorporating this with functional activities thus making more sense for
the patients."
"I found most beneficial the general concepts of
how to use facilitation techniques and the very useful applications
demonstrated and practiced. The lab practice was extremely
valuable."
"The instructor did a wonderful job of keeping
the course interesting, useful and fun. I also appreciated that you
listened to the participants and made no question a "dumb
question". Also, I feel a little less burned out in a time that is
becoming challenging for therapists."
"You guys were
great! Well presented material, concise; you make good use of time
available - great role models for OT/PT. Fun class; you all have a
wonderful sense of humor. And, especially, thanks for sharing your
earlier experiences as therapists and your ongoing evolution. Thanks for
helping to build a new foundation from which I too can evolve-
successfully!"
"I will recognize that even as a per diem
therapist, I can have influence over a person's (patient's) ability to
perform a functional activity in a more normal manner."
"I will incorporate this information into my
situation. Now I have more ideas of functional activities to perform
during treatment. I'll use facilitation techniques I have learned to
make my patient a more active participant. I will look at what is
happening at the pelvis first before trying to fix distal body parts and
I will write more functional and meaningful goals."
"The course was interesting and fun and the
instructors were very knowledgeable. I would certainly recommend this
course to my colleagues."
"I will look at our patients in a different
light. I feel that I will be able to help those patients that we had
given up on at our facility and be better able to serve our future CVA
patients."
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Recovering Function™
Recovering Function for Adults with Hemiplegia
Using the Principles of NDT
America's Largest Provider of Adult Hemiplegia
Neuro-Developmental Treatment (NDT)
Courses
for
Occupational and Physical Therapists
Please e-mail us at info@recoveringfunction.com
if you have questions about courses or schedules, or if you would like to
be notified when new courses are available.
Print a
registration form or download a
registration form PDF if you are ready to register now,
or register by phone at (408) 268-3691 from 9-6 Pacific Time.
Download the brochure PDF
if you would like to view or print pages from our course brochure.
|

All Recovering Function Courses
Include
Extensive "Hands-on"
These participants are learning from Cathy Runyan (Active, NDTA
Inc. Coordinator Instructor) how to access components of movement of the trunk by
handling. Cathy is providing a "hand over hand"
experience for them so they can learn how to facilitate
lateral lumbar flexion and lumbar extension in a medial and anterior direction. Lateral lumbar
flexion is a component of movement of the trunk and is required
for symmetry and for improved trunk and limb control during
functional activities.
The ability to handle your patient specific to
the component of movement that is missing, provides you with a
very effective way to access options in movement for your
patients.
|

Once increased control of the trunk is achieved,
the limbs on the involved right side can be facilitated to
actively support using a surface. These participants are now
learning how to handle the right side to encourage functional use
of the right upper and lower extremity in combination with
improving trunk control. They are learning how to facilitate the
involved right side to increase strength and range of motion,
increase sustained control, increase proprioception (decreasing
neglect), and increase function and balance. This ability to
actively use the right side will increase their patient's
independence during functional activities. |
"Cathy, after one day back at work, all I can say is “WOW!” Katherine
and I returned to a nearly exclusive CVA caseload, which is very
uncommon in our facility, but perfect timing! We were absolutely
stunned at the results we were able to accomplish in an hour with each
of our patients today using the techniques taught to us this past
weekend! It was so exciting to see patients activating trunk muscles
and triceps, etc., that were previously inactive and to see their faces
light up with their new found muscle activity. We worked with one 89
year old woman today who has had an occipital stroke and is currently
weaning off the ventilator. Upon initially sitting her at the edge of
the bed she was in such posterior pelvic tilt that she couldn’t reach
forward at all. After 50 minutes, she was able to achieve an anterior
pelvic tilt and weight shift forward sufficiently to reach her hairbrush
when placed 25 inches away – UNBELIEVABLE! Two other patients achieved
a neutral pelvic tilt and went from max assist for balance at the edge
of the bed to contact guard assist by the end of the treatment while
maintaining weight bearing and tricep activation on the affected arm!
You have made believers of us and we are so grateful for the new found
knowledge and ability to individualize treatment plans for our patients
and help maximize their potential during their time at our facility.
Thank you, thank you, thank you!"
Built upon
the core principles of NDT
the RPSF™ is a step by step framework
of
problem-solving strategies and manual cues
for assessing potential and individualizing functional outcomes
when implementing interventions for adult clients with hemiplegia
|
Recovering Function Tiered NDT Curriculum |
Recovering Function’s tiered Neuro-Developmental
Treatment (NDT) curriculum allows you to develop skills at your own pace
by progressively alternating each tier’s course work with the
application of learned skills on the job. In addition, by registering
therapists for specific tiers, your rehabilitation team can achieve its
target skills profile of introductory, advanced, and certified skills
and establish a peer mentoring structure that is both effective and cost
efficient. You can choose either pay as you go or package
discount registration, and you can manage travel costs by choosing
course locations from a list of nationwide offerings.

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Individuals |
Teams |
|
To support the demonstration of competency required
for clinical ladders, occupational and physical therapists who have
completed Tier-C and passed Recovering Function’s certification
examination for therapists will receive a certificate from
Recovering Function bearing RPSFCCM
in NDT (RPSF certified in Neuro-Developmental Treatment).
Occupational and physical therapist assistants who have completed
Tier-C and passed Recovering Function’s certification examination
for assistants will receive a certificate from Recovering Function
bearing RPSFCACM in NDT (RPSF
certified assistant in Neuro-Developmental Treatment). |
Rehabilitation teams applying for stroke
certification can request a certificate from Recovering Function
that authenticates the team’s Tier-I, Tier-A, and Tier-C course
completions for both therapists and therapist assistants.
Recovering Function recommends a target team skills
profile of at least 50/30/20 % (Tier-I, Tier-A, Tier-C) for both
therapists and therapist assistants on rehabilitation teams working
with adult clients with hemiplegia to maintain an effective peer
mentoring structure.
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|
Frequently Asked Questions |
|
Q. |
How did Recovering Function's
tiered NDT curriculum evolve? |
| A. |
Recovering Function has offered
a full range of NDT courses since 1991. Therapists and therapist
assistants attending these courses requested tests of competency
and credentialing from Recovering Function to help them
demonstrate their competency for clinical ladders. Similarly,
team leaders requested team credentialing from Recovering
Function to help them demonstrate team competency whey applying
for stroke certification. They also requested a curriculum
architecture that would allow them to achieve their team's
target skills profile of introductory, advanced, and certified
skills; to establish an effective and cost efficient peer
mentoring structure; and to complete course work at their own
pace. Recovering Function's tiered NDT curriculum addresses
these requests. |
|
Q. |
Can I attend each part of each tier
anytime/anywhere it is offered, and can I register and pay for
each part as I go? |
| A. |
Yes. Each part must be completed
in prerequisite order. Each part has individual pricing. |
|
Q. |
Are there discounts if I register
for multiple parts, or if my facility registers multiple
therapists for the same parts? |
| A. |
Yes. You must register for the
parts at the same time, but may choose any course
dates/locations; see package
discounts. |
|
Q. |
Must I complete both Part II's
before taking Part III? |
| A. |
No. Either Part II satisfies the
prerequisite for Part III. |
|
Q. |
Which part results in RPSFC or RPSFCA? |
| A. |
RPSFC and RPSFCA are specifically associated with the
successful completion of Tier-C and its certification exam. |
|
Q. |
If I complete
Recovering Function's
NDTA approved course, can I also pursue RPSFC? |
| A. |
Yes. The NDTA approved course
satisfies the prerequisites for Part III (therapists who
successfully complete Recovering Function's NDTA approved course
receive a certificate from the NDTA. Tier-I, Tier-A, and Tier-C
courses issue certificates from Recovering Function and are not
affiliated with the NDTA. However, Tier-I, Tier-A, and Tier-C
courses are taught by active, NDTA instructors and therefore also apply
toward NDTA re-certification). |
|
Q. |
Is there a difference in
expectations for therapists and therapist assistants when being
evaluated for RPSFC and RPSFCA? |
| A. |
Yes. Consistent with
professional roles, therapists carry higher requirements for
assessment. |
|
Q. |
After receiving my RPSFC or RPSFCA,
how can I stay current? |
| A. |
The instructors continuously
update the curriculum by integrating new research from the
neurosciences, bio-kinesiology, motor learning, and motor
control into each course. Recovering Function recommends 30
hours of Tier course work each three years to stay current and
to experience new client interventions. |
|
Course Schedule
Introduction
to NDT (Part I): Achieving Functional Outcomes for Adults with Hemiplegia
Using the Principles of NDT
Cathy Runyan, OTR/L, Active, Certified NDTA Inc. OT Coordinator Instructor |
|
and |
|
Getting Results Faster
(Part II): Managing the Hemiplegic UE from an NDT Perspective
Cathy Runyan, OTR/L, Active Certified NDTA Inc. Coordinator Instructor
offered simultaneously with
(choose one)
Getting Results Faster
(Part II): Using NDT to Increase
Challenge of the LE's and to Improve Gait
Peggy Miller, PT, or Bonnie
Jenkins-Close, PT Active Certified NDTA Inc. Instructors |
|
Register for Part I and either Part II (UE or
LE)
of this four day course at the same time
to receive the listed package price
( Part II is a continuation of Part I, and has Part
I as its prerequisite )
Recovering Function certificates for Part I and Part II
are 15
contact hours each (30 for the two part package)
Be sure to also see the
facility
group packages
available for these courses! |
Durham, NC
Durham Regional Hospital
February 16 -17, 2012 (Part I) $375
February 18 -19, 2012 (Part II) $375
(prerequisite Part I)
Part I and II package price: $650
Hilton Inn room rate $119 guaranteed until 1/16/12 (919) 383-8033
Register now.
|
Indianapolis, IN
(Noblesville)
Riverview Hospital
February 2012
For additional information about this offering call 408-268-3691
or download the
course flyer .
Hampton Inn room rate $89 guaranteed until 2/17/12 (317) 913-0300
Register now.
|
Bronx, NY
Kings Harbor Multicare Center
March 1 -2, 2012 (Part I) $375
March 3 -4, 2012 (Part II) $375
(prerequisite Part I)
Part I and II package price: $650
Ramada Inn room rate $119 guaranteed until 2/24/12 (718) 862-2000
Register now.
|
San Antonio, TX
Baptist Health System
March 15 -16, 2012 (Part I) $375
March 17 -18, 2012 (Part II) $375
(prerequisite Part I)
Part I and II package price: $650
Marriott room rate $85 guaranteed until 2/22/12 (210) 614-7100
Register now.
|
Atlanta, GA
Shepherd Center
March 22 -23, 2012 (Part I) $375
March 24 -25, 2012 (Part II) $375
(prerequisite Part I)
Part I and II package price: $650
Holiday Inn room rate $79 guaranteed until 3/1/12 (404) 262-7880
Register now.
|
Baltimore, MD
Kernan Hospital
April 12 -13, 2012 (Part I) $375
April 14 -15, 2012 (Part II) $375
(prerequisite Part I)
Part I and II package price: $650
Best Western room rate $79 guaranteed until 4/1/12 (410) 265-1400
Register now.
|
West Orange, NJ
Kessler Institute for Rehabilitation
April 19 -20, 2012 (Part I) $375
April 21 -22, 2012 (Part II) $375
(prerequisite Part I)
Part I and II package price: $650
Best Western room rate $117 guaranteed until 4/3/12 (973) 731-5300
Register now.
|
Chicago, IL
(Berwyn)
MacNeal Hospital
April 26 -27, 2012 (Part I) $375
April 28 -29, 2012 (Part II) $375
(prerequisite Part I)
Part I and II package price: $650
Holiday Inn room rate $129 guaranteed until 4/11/12 (708) 458-0202
Register now.
|
Philadelphia, PA
(Malvern)
Bryn Mawr Rehabilitation Hospital
May 17 -18, 2012 (Part I) $375
May 19 -20, 2012 (Part II) $375
(prerequisite Part I)
Part I and II package price: $650
Holiday Inn room rate $92 guaranteed until 4/16/12 (610) 651-0400
Register now.
|
Los Angeles, CA
Huntington Hospital
June 21 -22, 2012 (Part I) $375
June 23 -24, 2012 (Part II) $375
(prerequisite Part I)
Part I and II package price: $650
Holiday Inn room rate $99 guaranteed until 6/6/12 (626) 792-1363
Register now.
|
Kansas City, MO (Lakewood)
Truman Medical Center
July 12 -13, 2012 (Part I) $375
July 14 -15, 2012 (Part II) $375
(prerequisite Part I)
Part I and II package price: $650
Hampton Inn room rate $84 guaranteed until 6/11/12 (816) 347-8600
Register now.
|
Houston, TX (Pasadena)
Bayshore Medical Center
September 8 -9, 2012 (Part I) $375
September 10 -11, 2012 (Part II) $375
(prerequisite Part I)
Part I and II package price: $650
Holiday Inn room rate $119 guaranteed until 8/24/12 (281) 479-9888
Register now.
|
Pittsburgh, PA
UPMC Passavant
September 13 -14, 2012 (Part I) $375
September 15 -16, 2012 (Part II) $375
(prerequisite Part I)
Part I and II package price: $650
Holiday Inn room rate $89 guaranteed until 8/9/12 (412) 366-5200
Register now.
|
Detroit, MI (Royal Oak)
William Beaumont Hospital
September 21 -22, 2012 (Part I) $375
September 23 -24, 2012 (Part II) $375
(prerequisite Part I)
Part I and II package price: $650
Holiday Inn room rate $115 guaranteed until 9/6/12 (248) 642-6200
Register now.
|
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Additional locations to be announced soon.
|
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Back to top of page
|
Applying the
RPSF™ (Part III): A Step-by-Step Framework
for Assessing Potential and Individualizing Functional Outcomes
Using the Principles of NDT
Cathy Runyan, OTR/L, Active, Certified NDTA Inc. OT Coordinator Instructor |
|
and |
Applying the RPSF™
(Part IV):
Manual Cues for Accessing Missing Components of Movement with
Intensive Focus on the Trunk Using the Principles of NDT
Cathy Runyan, OTR/L, Active, Certified NDTA Inc. OT Coordinator Instructor |
|
Register for Part III and Part IV
of this four day course at the same time
to receive the listed package price
( Part IV is a continuation of Part III, and has
Part III as its prerequisite )
Recovering Function certificates for Part III and Part IV
are 15
contact hours each (30 for the two part package)
Be sure to also see the
facility
group packages
available for these courses! |
Chicago, IL
(Berwyn)
MacNeal Hospital
February 23 - 24, 2012 (Part III) $375
(prerequisite Part II or RF 3-week course)
February 25 - 26, 2012 (Part IV) $375
(prerequisite Part III)
Part III and IV package price: $650
Holiday Inn room rate $129 guaranteed until 2/8/12 (708) 458-0202
Register now.
|
Atlanta, GA
Shepherd Center
June 28 - 29, 2012 (Part III) $375
(prerequisite Part II or RF 3-week course)
June 30 - July 1, 2012 (Part IV) $375
(prerequisite Part III)
Part III and IV package price: $650
Holiday Inn room rate $79 guaranteed until 6/6/12 (404) 262-7880
Register now.
|
San Diego, CA
Sharp Grossmont Hospital
July 19 - 20, 2012 (Part III) $375
(prerequisite Part II or RF 3-week course)
July 21 - 22, 2012 (Part IV) $375
(prerequisite Part III)
Part III and IV package price: $650
Holiday Inn room rate $80 guaranteed until 6/27/12 (619) 466-0200
Register now.
|
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Back to top of page
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Applying the RPSF™
(Part V):
Manual Cues for Accessing Missing Components of Movement with
Intensive Focus on the UE and on Gait Using the Principles of NDT
Cathy Runyan, OTR/L, Peggy Miller, PT Active, Certified NDTA Inc. Instructors |
|
Recovering Function certificates for Part V
are 30 contact hours
Be sure to also see the facility
group packages
available for this course!
|
|
San Jose, CA
Regional Medical Center
January 19 - 22, 2012 (Part V) $650
(prerequisite Part IV)
Valley Park room rate $79 guaranteed until 1/1/12 (408) 293-5000
Register now.
|
|
Back to top of page
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Applying the RPSF™
(Part VI):
Implementing Client Interventions Using the Principles of NDT
Cathy Runyan, OTR/L, Peggy Miller, PT Active, Certified NDTA Inc. Instructors |
|
Recovering Function certificates for Part VI
are
38 contact hours
|
|
San Jose, CA
August 15 - 19, 2012 (Part VI) $750
(prerequisite Part V)
Valley Park room rate $79 guaranteed until 7/22/11 (408) 293-5000
Register now.
|
|
Back to top of page
|
|
NDT/Bobath
Certificate Course in the
Management and Treatment of Adults wityh Hemiplegia
Cathy Runyan, OTR/L, Peggy Miller, PT Active, Certified NDTA Inc. Instructors |
|
NDTA certificates for this course
are 110 contact
hours
|
San Jose, CA
August 3 - 11, 2012 (session 1)
November 30 - December 8, 2012 (session 2)
Call about our special pricing
for this course!
Save with our lodging assistance for this course. Phone (408)
268-3691 for details.
Apply now.
|
|
Back to top of page |
Course Descriptions
| Introduction
to NDT (Part I): Achieving Functional Outcomes for Adults with Hemiplegia
Using the Principles of NDT
|
"Very
well organized and presented, great content and very applicable,
great treatment ideas. I will treat patients much more effectively
thanks to this course. I also have a very different view of NDT
compared to before. I will definitely take another course from
you."
Course Description:
This two day, “hands-on” course is designed for those who would
benefit from a more in-depth understanding of the principles of
NDT. Through the use of client videos you will be able to identify
how each system influences motor control and understand the
impairments in each system that impede your clients’ abilities to
recover function. Your clinical reasoning will be improved through
an understanding of neuroplasticity, resulting in your ability to
select methodologies that match the etiology of CVA. Through
self-experience labs you will learn how components of movement of
the trunk influence each other, and understand how they influence
the involved UE for active support and reach, the involved LE for
the stance and swing phases of gait, as well as subluxation of the
humerus. You will learn to provide effective interventions for
your acute clients who are unable to control a symmetrical posture
in sitting due to impairments causing poor head and trunk control.
You will also learn what to expect and what to do when your
clients attempt the transition from sit to stand. You will be
provided with treatment ideas for achieving functional outcomes
for your clients, including increased safety and independence.
Using “hands-on”, you will learn how to access components of
movement of the trunk and LE’s required for a symmetrical sit to
stand, stand to sit, and for transfers. Facilitation of bed
mobility will be demonstrated. You will gain an increased
appreciation of the effect NDT can have on your clients’ recovery
of function. You will also be provided with examples of
documentation for achievable, reimbursable, discipline specific
functional outcomes using NDT.
Learning Outcomes: Upon completion of
the course, you will be able to:
- Use the principles of
NDT to provide your clients with opportunities for use of
effective movement strategies to achieve functional outcomes
-
Identify how impairments in each system impede your clients’
abilities to recover function
-
Demonstrate an understanding of neuroplasticity and be able to
select methodologies that match the etiology of CVA
-
Identify the components of movement of the trunk and understand
how these components influence the involved UE and LE
- Use
effective interventions for your acute clients whose impairments
cause poor head and trunk control in sitting
- Use
treatment ideas to achieve functional outcomes, including
increased safety and independence
- Use
manual cues to access components of movement of the trunk and LE
required for symmetrical sit to stand, stand to sit, and for
transfers
- Use
examples to document achievable, reimbursable, discipline
specific functional outcomes for use in all systems including a
managed care environment, PPS and Medicare
| Prerequisite |
None |
| Intended Audience |
OTR's, COTA's, PT's, PTA's
working with adults with hemiplegia. |
| Contact Hours |
15 |
| Course Hours |
Registration 7:30 a.m.
Day one 8:00-5:30
Day two 8:00-5:00 |
| Register now. |
|
|
|
Back to top of page
| Getting Results Faster
(Part II): Managing
the Hemiplegic UE from an NDT Perspective |
"This
was a great course which incorporated function instead of what is
the OT role vs. PT role. I will definitely be attending further
courses to increase my knowledge base to help facilitate those
patients which I had previously felt had no potential."
Course Description:
This two
day, “hands-on” course with emphasis on the UE will provide you
with an increased understanding of how hemiplegia alters the
normal bio-mechanics of the shoulder and hand. You will learn how
to use the principles of the NDT approach to increase active
support and functional reach of the involved UE. Through
self-experience labs you will understand how the trunk and lower
extremities influence active support and reach of the UE. Using
“hands-on”, you will learn how to facilitate the involved UE for
active support and increase ROM of the scapula and humerus to
decrease subluxation and pain of the involved shoulder. You will
also learn how to manage the involved hand and be given ideas for
ways to adapt a surface, increasing use of the hand in support and
reach. You will learn how to increase ROM of the hand and wrist
for decreased pain in weight bearing, improved fine motor control,
and remediation of edema. You will also learn how to increase ROM
around the pelvis and understand its relationship to the scapula.
You will be provided with treatment ideas for increasing
functional use of the involved UE. You will understand how the principles of the
approach and manual cues are used to increase functional use of
the involved UE. You will also be provided with examples of home
exercise programs. Use of orthotics will be discussed. As a result
of the clinical reasoning learned in this course, you will be able
to identify the impairments causing your clients’ functional
activity limitations related to the involved UE and get results
faster. You will also be provided with examples of documentation
for achievable, reimbursable, discipline specific functional
outcomes using NDT. Learning Outcomes: Upon completion of the course, you will be
able to:
-
Understand how the normal bio-mechanics of the shoulder are
altered by hemiplegia
-
Use the
principles of NDT to increase active support and reach of the
involved UE
-
Understand how the trunk and lower extremities influence
functional use of the involved UE
-
Increase use of the involved UE for active support to achieve
functional outcomes
-
Increase ROM of the scapula and humerus to decrease
subluxation and pain of the involved shoulder
-
Increase ROM of the hand and wrist to increase weight bearing,
improve fine motor control, and remediate edema
-
Increase ROM of the pelvis to increase functional use of the
involved UE
-
Use
examples of home exercise programs to increase functional use
of the involved UE, and decrease pain and edema
-
Use
orthotics for the hand, wrist and shoulder appropriate to the
client’s potential for recovery
-
Understand how impairments resulting from hemiplegia influence
the client’s functional use of the UE
-
Use
examples to document achievable, reimbursable, discipline
specific functional outcomes for use in all systems including
a managed care environment, PPS and Medicare
| Prerequisite |
Part I |
| Intended Audience |
OTR's, COTA's, PT's, PTA's working with adults with hemiplegia. |
| Contact Hours |
15 |
| Course Hours |
Registration 7:30 a.m.
Day one 8:00-5:30
Day two 8:00-5:00 |
| Register now. |
|
|
|
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| Getting
Results Faster (Part II): Using NDT to Increase Challenge of the LE's and to
Improve Gait |
"I
will look at our patients in a different light. I feel that I will
be able to help those patients that we had given up on at our
facility and be better able to serve our future CVA
patients."
Course Description:
This two
day, “hands-on” course with emphasis on increasing challenge for
the lower extremities to improve gait will provide you with an
increased understanding of how hemiplegia interferes with the
normal gait cycles of stance and swing. You will learn how to use
the principles of the NDT approach to increase functional use of
the involved LE for standing and ambulation. Through
self-experience labs you will understand how the lower extremities
are influenced by the components of movement of the trunk. Using
“hands-on”, you will learn how to facilitate the trunk and
involved LE for mid-stance alignment and use effective weight
shift in preparation for the swing phase of gait. You will also
learn how to increase ROM of the involved foot and ankle and be
given concepts for use of orthotics for the involved foot during
stance and swing. You will also learn how to increase ROM around
the pelvis and hip. You will be provided with treatment ideas for
increasing functional use of the involved LE and for incorporating
use of the UE during gait. You will understand how the principles of the
approach and manual cues are used to increase functional use of
the involved LE. You will also be provided with examples of home
exercise programs. As a result of the clinical reasoning learned
in this course, you will be able to identify the impairments
causing your clients’ functional activity limitations related to
the involved LE and get results faster. You will also be provided
with examples of documentation for achievable, reimbursable,
discipline specific functional outcomes using NDT.
Learning Outcomes: Upon completion of
the course, you will be able to:
-
Understand how the normal gait cycles are altered by
hemiplegia
-
Use the
principles of NDT to improve stance and swing of the involved
LE
-
Understand how the trunk influences use of the LE’s in upright
postures in sitting and standing
-
Increase use of the involved LE for mid-stance alignment and
use effective weight shift in preparation for the swing phase
of gait
-
Increase ROM of the involved foot and ankle for stance and
swing
-
Increase ROM of the pelvis to increase functional use of the
involved LE
-
Use
examples of home exercise programs to increase functional use
of the involved LE for standing in gait
-
Use
orthotics for the foot and ankle appropriate to the client’s
potential for recovery
-
Understand how impairments resulting from hemiplegia influence
functional use of the LE
-
Use
examples to document achievable, reimbursable, discipline
specific functional outcomes for use in all systems including
a managed care environment, PPS and Medicare
| Prerequisite |
Part I |
| Intended Audience |
PT's, PTA's, OTR's, COTA's working with adults with hemiplegia. |
| Contact Hours |
15 |
| Course Hours |
Registration 7:30 a.m.
Day one 8:00-5:30
Day two 8:00-5:00 |
| Register now. |
|
|
|
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|
Applying the RPSF™ (Part III): A
Step-By-Step Framework for Assessing Potential and
Individualizing Functional Outcomes Using the Principles of
NDT |
Course Description:
This two
day, “hands-on” course provides you with a step by step framework
of problem-solving strategies and manual cues for assessing
potential and individualizing functional outcomes for your adult
clients with hemiplegia using the principles of NDT (Runyan
Problem Solving Framework™). You will learn how to use a framework for
movement analysis (Runyan Movement Analysis Framework™) to assess
your clients’ ineffective movement strategies, missing components
of movement, and impairments for the trunk and involved
extremities during functional activities. In self-experience labs
you will use the RMAF™ to analyze functional activities and be
able to identify the core elements of movement required for each
activity. You will be provided with numerous examples of how to
change features of the environment to increase your clients’
motivation and interest, increase or decrease challenge for
movement, and provide feedback for encouraging use of effective
movement strategies. You will also learn how to use functional
activities and features of the environment to develop pretests and
posttests to demonstrate your clients’ increased functional
activity abilities as a result of your skilled interventions. You
will learn how to develop discipline specific skilled intervention
goals for your adult clients with hemiplegia. Through the use of
self-experience labs you will learn the factors that influence
movement and understand how they can be used to develop a logical
progression of challenge designed to progress toward the skilled
intervention goal. You will learn how to use the RFSF™ to develop
treatment ideas and discipline specific, individualized functional
outcomes to help your clients realize their potential for recovery
of function. You will learn how to individualize expectations for
practice in order to increase retention and carryover when
instructing clients for home exercise programs. You will also
learn how to document achievable, reimbursable, discipline
specific, skilled intervention goals and individualized functional
outcomes and correlate them to the Functional Independence Measure
(FIM).
Learning Outcomes: Upon completion of
the course, you will be able to:
| Prerequisite |
Part II |
| Intended Audience |
OTR's, PT's, COTA's, PTA's working with adults with
hemiplegia. |
| Contact Hours |
15 |
| Course Hours |
Registration 7:30 a.m.
Day one 8:00-5:30
Day two 8:00-5:00 |
| Register now. |
|
|
|
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|
Applying the RPSF™ (Part IV):
Manual Cues for Accessing Missing Components of Movement
with Intensive Focus on the Trunk Using the Principles of
NDT |
Course Description:
This two
day, “hands-on” course provides you with the manual cues required
to access missing components of movement of the trunk for your
adult clients with hemiplegia. In each lab you will learn how to
use these manual cues to assess underlying impairments, increase
use of appropriate muscle activity, and increase ROM for each body
segment of the trunk (including the pelvis and lumbar spine,
thoracic spine and ribs, scapula and clavicle, and the sternum and
true ribs). You will also be provided with the soft tissue
stretches for the components of movement of the trunk, as well as
guidelines for when they should be used. You will learn how to use
the RPSF™ to develop treatment ideas and achievable, reimbursable,
discipline specific functional outcomes related to each component
of movement of the trunk. You will learn how to use manual cues to
provide opportunities for your clients to use more effective
movement strategies for postural control in sitting and standing,
and for the transitions of supine to sit and sit to supine, both
toward the involved side and toward the less involved side. You
will learn to use features of the environment related to use of
components of movement of the trunk during functional activities.
You will learn how to individualize expectations for practice of
use of components of movement of the trunk in order to increase
retention and carryover when instructing clients for home exercise
programs. You will also learn how to document achievable,
reimbursable, discipline specific, skilled intervention goals and
individualized functional outcomes related to components of
movement of the trunk and correlate them to the Functional
Independence Measure (FIM).
Learning Outcomes: Upon completion of
the course, you will be able to:
-
Use the
RPSF™ to assess underlying impairments and access missing
components of movement of the trunk, using the principles of NDT
-
Use the
soft tissue stretches for the components of movement of the
trunk, as well as understand when to use them
-
Use the
RPSF™ to develop treatment ideas and achievable, reimbursable,
discipline specific, individualized functional outcomes related
to each component of movement of the trunk
-
Use
manual cues to facilitate active use and increased ROM for
lumbar extension, lumbar flexion and lateral lumbar flexion
-
Use
manual cues to facilitate active use and increased ROM for
thoracic extension, thoracic flexion, and rotation of the
thoracic spine, including alignment and movement of the rib cage
-
Use
manual cues to facilitate active use and increased ROM for
scapular elevation, depression, abduction and adduction
-
Use
manual cues to facilitate the ability to control postures in
sitting and standing
-
Use
manual cues to facilitate transitions of supine to sit and sit
to supine, to both the involved side and less involved side
-
Use
features of the environment to encourage use of effective
movement strategies related to use of the components of movement
of the trunk during functional activities
-
Individualize expectations for practice of use of components of
movement of the trunk in order to increase retention and
carryover when instructing for a home exercise program
-
Document
achievable, reimbursable, discipline specific, skilled
intervention goals and individualized functional outcomes
related to the trunk and correlate them to the FIM
| Prerequisite |
Part III |
| Intended Audience |
OTR's, PT's, COTA's, PTA's working with adults with
hemiplegia. |
| Contact Hours |
15 |
| Course Hours |
Registration 7:30 a.m.
Day one 8:00-5:30
Day two 8:00-5:00 |
| Register now. |
|
|
|
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|
Applying the RPSF™ (Part V):
Manual Cues for Accessing Missing Components of Movement
with Intensive Focus on the UE and on Gait Using the
Principles of NDT |
Course Description:
This four
day, “hands-on” course provides you with the manual cues required
to access missing components of movement of the involved UE for
reach, support, and fine motor control, and of the involved LE for
functional gait for your adult clients with hemiplegia. You will
learn how to use these manual cues to assess underlying
impairments, increase use of appropriate muscle activity, and
increase ROM for each body segment of the involved UE and LE. You
will learn how to use the RPSF™ to develop treatment ideas and
achievable, reimbursable, discipline specific functional outcomes
related to each component of movement of the UE and LE. Each lab
will have a discipline specific emphasis that allows the client to
benefit not only from a holistic, team approach but also from the
specific expertise afforded by each discipline. You will learn how
to use manual cues to increase pain free shoulder flexion for
anterior and up reach requiring at least 120°. You will learn how
to use manual cues to increase co-activity of the trunk with the
active use and strength of the hip extensors, abductors and knee
extensors required for mid-stance alignment in standing and
functional gait. You will learn how to use manual cues to increase
pain free finger and wrist extension as well as to increase ROM
for ankle dorsiflexion, promoting increased use of the involved UE
and LE for active support. You will learn how to use manual cues
to facilitate fine motor control, and both the stance and swing
phases of gait when ascending and descending stairs, stepping,
turning, and negotiating curbs. You will learn how to use features
of the environment related to use of the components of movement of
the UE and LE during functional activities. You will also learn
how to individualize expectations for practice of use of
components of movement of the UE and LE in order to increase
retention and carryover when instructing clients for home exercise
programs as well as to individualize the use of orthotics, and
assistive devices for walking. You will also learn how to document
achievable, reimbursable, discipline specific, skilled
intervention goals and individualized functional outcomes related
to components of movement of the UE and LE and correlate them to
the Functional Independence Measure (FIM).
Learning Outcomes: Upon completion of
the course, you will be able to:
-
Use the
RPSF™ to assess underlying impairments and access missing
components of movement of the involved UE and LE, using the
principles of NDT
-
Use the
RPSF™ to develop treatment ideas and achievable, reimbursable,
discipline specific, individualized functional outcomes related
to the involved UE and LE
-
Use
manual cues to increase pain free ROM requiring at least 120° of
shoulder flexion for functional anterior and up reach
-
Use
manual cues to increase active use and strength of the involved
LE in mid-stance alignment in standing
-
Use
manual cues to increase ROM of the wrist, hand, ankle, and foot,
and to facilitate fine motor control and the swing phase of gait
-
Use
features of the environment to encourage use of effective
movement strategies related to use of the components of movement
of the UE and LE during functional activities
-
Individualize expectations for practice of use of components of
movement of the UE and LE in order to increase retention and
carryover when instructing for a home exercise program
-
Individualize use of orthotics and assistive walking devices for
effective management of the involved UE and LE
-
Document
achievable, reimbursable, discipline specific, skilled
intervention goals and individualized functional outcomes
related to the involved UE and LE and correlate them to the FIM
| Prerequisite |
Part IV |
| Intended Audience |
OTR's, PT's, COTA's, PTA's working with adults with
hemiplegia. |
| Contact Hours |
30 |
| Course Hours |
Registration 7:30 a.m.
Each day 8:00-5:30
Last day 8:00-4:30 |
| Register now. |
|
|
|
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|
Applying the RPSF™ (Part VI):
Implementing Client Interventions Using the
Principles of NDT |
"My
Husband had a stroke in February last year. For months
after the stroke he was still using a wheelchair to get around. We
participated in our first course with Recovering Function in July. During the course, you told him that he had potential to
use his paralyzed left side. You gave him so much hope! You showed
him he had movement in his left side and taught him how to better
use it when transferring from the wheelchair.
In the Recovering Function course in August, you helped him
walk using his left side. Since then, he has had NDT therapy on a
consistent basis. I want you to know that this morning, he got up
from his recliner and walked to the bathroom by himself using a
cane.
We had planned to build a wheelchair accessible house because
of his disability. After we saw what he could do in your courses,
we changed our plans. We are going to Canada this summer and the
plans to build a wheelchair accessible house are on hold,
hopefully indefinitely. My husband still wants to ride his bike
and to golf again. Now we have no reason to tell him he
can't."
Course Description:
This five day, "hands-on", client treatment course provides you
with the opportunity to apply the RPSF™ during interventions with
adult clients with hemiplegia using the principles of NDT. You
will examine, assess, and treat each client, progressing from the
initial interview to the achievement of individualized functional
outcomes while receiving feedback from your instructor. You will
develop pretests and posttests that allow you to verify and
document the new functional activity abilities acquired by your
clients as the result of your skilled intervention. You will use
features of a functionally rich environment to examine your
clients’ functional activity abilities and functional activity
limitations according to the FIM categories from an NDT
perspective. You will use manual cues to assess your clients’
underlying impairments while accessing missing components of
movement to promote the use of more effective movement strategies.
You will develop discipline specific, skilled intervention goals
and functional activities for your clients, and use features of
the environment to develop progressive ranges of challenge leading
to those goals. You will use the RPSF™ to develop and document
achievable, reimbursable, discipline specific, individualized
functional outcomes for your clients, as well as to individualize
home exercise programs that will promote retention and carryover.
Learning Outcomes: Upon successful completion you will be able to
demonstrate the following when applying the RPSF™
during interventions with adult clients with hemiplegia:
-
Demonstrate the ability to design pretests and posttests that
validate new functional activity abilities acquired by your
clients as the result of your skilled intervention
-
Demonstrate the ability to use features of the environment to
examine your clients' functional activity abilities and
functional activity limitations according the the categories of
the FIM from and NDT perspective
-
Demonstrate the ability to use manual cues to assess your
clients' underlying impairments while accessing missing
components of movement to promote the use of more effective
movement strategies
-
Demonstrate the ability to develop discipline specific, skilled
intervention goals and functional activities leading to those
goals
-
Demonstrate the ability to use features of the environment to
develop progressive ranges of challenge leading to skilled
intervention goals
-
Demonstrate the ability to develop achievable, reimbursable,
discipline specific, individualized functional outcomes for your
clients
-
Demonstrate the ability to derive individualized, functional
outcomes for your clients using the core elements of movement of
the RMAF™
-
Demonstrate the ability to individualize expectations for your
clients when developing home exercise programs
-
Demonstrate the ability to document daily progress toward
achievable, reimbursable, discipline specific, individualized
functional outcomes and correlate them to the FIM from and NDT
perspective
| Prerequisite |
Part V |
| Intended Audience |
OTR's, PT's, COTA's, PTA's working with adults with
hemiplegia. |
| Contact Hours |
38 |
| Course Hours |
Registration 7:30 a.m.
Each day 8:00-5:30
Last day 8:00-4:30 |
| Register now. |
|
|
|
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| NDT/Bobath Certificate Course in the
Management and Treatment
of Adults with Hemiplegia |
Note: Certificates and credentialing for Recovering
Function's NDTA approved course are issued
by the NDTA.
Apply now.
Course Description: This three-week, client treatment
course is offered to Occupational and Physical Therapists and
Speech Pathologists who are working with adult clients with
hemiplegia. Through the use of lecture, demonstration, "hands-on"
practice labs and client interventions you will gain significant
skills for working with the adult client with hemiplegia using the
NDT treatment approach. You will learn the principles of the
approach as applied to adult clients with hemiplegia, and you will
learn how to integrate the concepts of motor control and motor
learning used in this approach into your client treatments. You
will be provided with methodologies for assessing your clients'
impairments in multiple systems and you will better understand how
these impairments cause their functional limitations. You will
assess impairments interfering with postural control and movement,
and you will practice handling for facilitating movement during
activities carried out in contexts that are meaningful to the
client. You will learn to manage the adult client with hemiplegia
both from a discipline specific perspective and from a team
perspective. The information you learn will be applicable to all
settings including the acute hospital. rehabilitation center,
skilled nursing facility, outpatient clinic, and the home
environment.
Learning Outcomes: Upon successful completion you
will be able to demonstrate the following during interventions
with adult clients with hemiplegia:
- Demonstrate an understanding of the NDT principles as originated by Mrs. Berta Bobath.
- Demonstrate an understanding of the concepts of motor
control and motor learning as they apply to adult clients with
hemiplegia
- Demonstrate the ability to assess impairments in multiple
systems that are causing functional limitations
- Demonstrate the ability to use handling to facilitate
postural control and movement during activities that are
meaningful to the client
- Demonstrate application of the NDT approach to the
management of adult clients with hemiplegia both from a
discipline specific perspective and a team perspective.
Participant Requirements:
- Graduation from a four year degree curriculum.
- A minimum of one year of clinical experience with adults
clients with hemiplegia.
- Participants should be presently working with adult clients
with hemiplegia and returning to a similar caseload.
Application Process
- Contact Recovering Function to receive an application form
or print one now .
Please state which course dates you prefer.
- This course has limited enrollment and fills quickly.
Qualified applicants are accepted on a first come basis. You will receive an acceptance letter if
qualified and a participant agreement that must be signed and returned with
your course deposit. Full tuition for the course will be due no later than two
months prior to the start date of the course in which you are
enrolled.
| Prerequisite |
See participant requirements
above. |
| Intended Audience |
OTR's, PT's and Speech Pathologists |
| Contact Hours |
110 |
| Course Hours |
Registration 8:00 a.m.
Each day 8:30-5:00
Last day 8:30-4:00 |
| Apply now. |
|
|
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Facility Group Packages
"This
is the best continuing ed course I have taken in 5 years. I will be able
to use this approach with my patients. Prior to this course, I felt fairly
lost in working with patients with hemiplegia, but now I feel like I have
many options to use. The instructor demonstrated such passion for her work
which makes her so enjoyable and easy to listen to and learn from."
|
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For therapists working at the same location for the
same employer and registering for
both parts at the same time (therapists must register at the same
time, but may choose different course dates):
| Group of 3 or more: |
$15 additional discount each therapist
(facility saves $45 or more) |
| Register now. |
|
|
|
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For therapists working at the same location for the
same employer and registering for
both parts at the same time (therapists must register at the same
time, but may choose different course dates):
| Group of 3 or more: |
$15 additional discount each therapist
(facility saves $45 or more) |
| Register now. |
|
|
|
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For therapists working at the same location for the same employer
and registering for this course
at the same time (therapists must register at the same time, but may
choose different course dates):
| Group of 3 or more: |
$15 discount each therapist (facility saves
$45 or more) |
| Register now. |
|
|
|
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Public,
On-site NDT Courses
Get free registrations for yourself and your
colleagues when hosting public, on-site courses.
To have someone contact you by phone to discuss on-site hosting,
send a note with your name and phone number to
info@recoveringfunction.com.
|
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Private,
Customized On-site NDT Courses
The instructors can customize private, on-site courses for your
staff. They will work with you to select exactly the content your
staff needs.
Available formats include "hands-on" labs, live patient
demonstrations, consultations, patient treatment, videotapes and
lecture. To have someone contact you by phone to discuss private, customized
on-site courses, send a note with your name and phone number to info@recoveringfunction.com.
|
|
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Bay Area On-site NDT In-services
For facilities in the San Francisco Bay Area, the instructors can
customize private, on-site, evening in-services for your staff.
Available formats include "hands-on" labs, live patient
demonstrations, consultations, patient treatment, videos and
lecture. To have someone contact you by phone to discuss private, customized
on-site in-services, send a note with your name and phone number to info@recoveringfunction.com.
|
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Achieve
functional outcomes for your patients who have hemiplegia.
The
instructors’ successes using the NDT (Bobath) approach demonstrate
that adult clients with hemiplegia have potential to use effective
movement strategies to achieve individualized functional outcomes.
They work diligently to incorporate new research from the
neurosciences into each course so that you will better understand
your clients’ potential for recovery of function. Research in the
neurosciences shows that changes in the CNS occur based on what is
practiced (neuroplasticity). When your clients are given the
opportunity to practice the use of effective movement strategies
requiring the involved side, they have the opportunity to change the lesioned side of the brain and to achieve individualized functional
outcomes.
The
instructors also continue to update the NDT (Bobath) approach by
integrating information about advances in the field of
bio-kinesiology. They will help you use bio-mechanical laws to
identify the components of movement required for the use of effective
movement strategies, and use manual cues for accessing them. When
you access the components of movements required for effective
movement strategies, your clients will achieve individualized
functional outcomes.
The
instructors also continually integrate information about practice
and feedback from the fields of motor control and motor learning.
Practice and feedback are essential for promoting retention and
carryover for the use of effective movement strategies for adult clients
with hemiplegia. The instructors will provide you with examples of
scheduling practice and using features of the environment to
increase your clients’ retention and carryover.
The
instructors will improve your problem-solving strategies for
examination, assessment, and treatment. They will demonstrate
strategies for examining your clients’ life roles, support systems,
medical condition, as well as features of the environment for
accurate determination of functional activity limitations. They will
demonstrate strategies for assessing your clients’ underlying
impairments in each system by assessing their use of ineffective
movement strategies and missing components of movement. They will
demonstrate strategies for achieving skilled intervention goals and
individualized functional outcomes for your clients via treatment
activities implemented according to a logical progression of
challenge, as well as strategies for improving retention and
carryover.
The
instructors will demonstrate procedures for documenting the need for
skilled intervention as well as the reimbursable, individualized
functional outcomes achieved, in formats understandable by all
reviewers including Medicare, managed care, and private insurers.
As a result
of the extensive “hands-on” practice and individual instructor
feedback provided in these courses, you will know what to expect and
what to do with your adult clients with hemiplegia. You will acquire
practical, efficient problem-solving strategies, manual cues, and
documentation procedures that you use can use immediately in any
environment (including the acute hospital, rehab center, skilled
nursing facility, outpatient clinic, and the home), getting results
faster, and making your organization more cost effective.
The
instructors have dedicated their professional careers to the NDT (Bobath)
approach when working with adult clients with hemiplegia. They want
to provide you with a learning experience that will help your adult
clients with hemiplegia achieve their full potential for recovery. |
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About
Recovering Function
Recovering
Function is dedicated to the education of Occupational and Physical
Therapists and Speech Pathologists who are working with adult
clients with hemiplegia. Recovering Function has offered NDT (Bobath)
courses since 1991, providing therapists with practical treatment
ideas based on the NDT approach.
Recovering
Function instructors are all certified by the NDTA, Inc. and
consistently provide state-of-the-art education. The instructors
are actively treating clients and are current in the advances made
in the fields of neuroscience, motor control and motor learning and
in the understanding of bio-mechanical laws influencing components
of movement. Combined, they offer decades of experience with adult
clients with hemiplegia and have worked in every setting including
the acute hospital, rehab center, skilled nursing facility,
outpatient clinic, and the home. They have taught courses together
for many years and have worked together clinically, offering a
cohesive presentation of the material. The emphasis in their
teaching is on “getting results faster” for your clients while
providing you with the highest quality of instruction.
The
“hands-on” courses offered by Recovering Function provide you with
problem-solving strategies and manual cues based on the principles
of NDT for your adult clients with hemiplegia. You will also learn
how to write achievable, reimbursable, discipline specific
individualized functional outcomes for all systems including
Medicare, managed care, and private insurers. Recovering Function’s
competency courses in San Jose offer you the unique experience of
working with clients in a functional, practical environment while
receiving feedback from the instructors.
It is
exciting when you realize the results that can be gained for your
adult clients with hemiplegia through the use of problem-solving
strategies and manual cues using the NDT approach! It is our hope
that you will be able to join us for a great learning experience.
The Instructors...
Cathy Runyan,
OTR, is an Active, Certified NDTA, Inc. Coordinator Instructor. She
is recognized nationally as an expert in the treatment of adult
clients with hemiplegia. Cathy is the only OT Coordinator Instructor in
the United States to be qualified by the NDTA, to administer the NDT
Three-Week Certificate Courses for adults with hemiplegia. She has
over 25 years experience treating adult clients with hemiplegia in
various settings including the acute hospital, rehab center, skilled
nursing facility, outpatient clinic, and the home. She is also a
guest lecturer at San Jose State University, and has authored for a
university textbook. Cathy has taught many introductory and advanced
courses and the NDTA, Inc. (Bobath) Approved NDT Three-Week
Certificate Course throughout the United States.
Bonnie
Jenkins-Close, PT, is an Active, Certified NDTA, Inc. Coordinator
Instructor. She has over 25 years experience treating adult clients
with hemiplegia in various settings including the acute hospital,
rehab center, and outpatient clinic. Her treatment emphasis is
combining the principles of NDT with orthomechanics. She is
currently practicing in Northern California. Bonnie has taught
numerous introductory and advanced courses and the NDTA, Inc. (Bobath)
Approved NDT Three-Week Certificate Course throughout the United
States.
Peggy Miller,
PT, is an Active, Certified NDTA, Inc. PT Instructor. She has over
25 years experience treating adult clients with hemiplegia in
various settings including the acute hospital, rehab center,
outpatient clinic, and the home. She is currently practicing in
Northern California. Peggy has taught many introductory and advanced
courses and the NDTA, Inc. (Bobath) Approved NDT Three-Week
Certificate Course throughout the United States.
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outcomes for your patients who have hempilegia Learn
more about Recovering Function.

Stella
experienced the onset of hemiplegia on the left side one week before
this treatment session. She was an independent homemaker. She drove a
car and was active in the community. Stella cannot control the posture
of extension for the time it takes for her to put on lipstick. This is a
measurable, functional outcome understood by everyone. Cathy is
working to access the components of lumbar and thoracic extension which
are opposite to her tendencies in movement. Stella will have an
opportunity to practice these components of trunk movement that she
cannot access without Cathy's help while participating in the
activity of grooming, something that is functional and meaningful to
her. 
If
your patient could push into his/her involved side and lift off to pick
up a shirt from a surface, would you be working on balance? Of course
you would, right in the context of a functional activity. You would be
assessing balance and having influence over it at the same time, getting
to results faster. Cathy is working to increase active use of
Gary's left side by handling his left leg and arm to facilitate
increased extension. The objective is for Gary to actively use his left
side to increase his balance, safety and independence in functional
activities.
 Bill
experienced the onset of left hemiplegia several months before he
attended this course. Prior to this course, he had been encouraged to
use his strong side to compensate for lack of use of his left side. He
has severe perceptual problems and pushes into his left side. Bill now
has to relearn how to use his left side. Diane Pacholski, PT (NDT Instructor) is teaching the participants how to
facilitate Bill’s left side for active use while ambulating. Diane is
helping the participants learn that it is essential to deactivate the
right side while increasing use of his left involved side. Using the
environment helps Bill restructure his mid-line orientation and
encourages thoracic extension. With increased thoracic extension and
with the pelvis more toward neutral in all planes, the participant is
now able to increase extension in Bill’s left lower extremity. Hip and
knee extension of the left leg is required to achieve terminal stance, a
sub-phase of gait. 
Bonnie
Jenkins-Close, PT (NDTA Inc. Active Certified Instructor) is working with this participant to give her more ideas for
giving Joe, who has hemiplegia on the left side, a more optimal chance
to use his left side. Bonnie is teaching the participant how to
increase co-activity of his trunk with improved alignment of the pelvis
and upper trunk. The participant is also learning how to increase
weightshift forward and onto Joe's right leg, facilitating him to use
more selective hip and knee flexion of his left leg in preparation for
the swing phase of gait.
 Bonnie
is helping the participants understand the
importance of preparing the patient for increased challenge. The
participants are learning how to increase demand for extension of Meem’s
left leg. They are also working to make sure her left hip abductors and
external rotators are actively holding to increase stability.
 The
participants have worked to increase active use of Meem's left leg. Now
Bonnie is helping them to increase challenge for Meem by working with
her on the stairs for reciprocal stair climbing.
Peggy Miller, PT (NDTA, Inc. Active Certified
Instructor) is presenting the importance of increasing use of the
involved side by handling while using the environment to encourage use
of the desired component of movement. Peggy is helping the participants
understand that if their patient lacked use of thoracic extension, they
would need to have their patient sit on a higher surface to encourage
the pelvis toward neutral and to encourage the legs to activate. The
participants are also learning how to handle their patients for thoracic
extension. Peggy wants the participants to understand that the
functional activity of turning on a light can be used to encourage
thoracic extension.
Diane, who is 36 years old, experienced the
onset of right hemiplegia. Peggy is helping the participant facilitate
Diane’ s right hand so that it stays open and pushes onto the cabinet
in the kitchen. Diane’s scapula and humerus must be approximated while
her triceps are facilitated to push. Once Diane is actively pushing, as
a result of handling by the participant, Diane will be expected to keep
her right hand on the surface, while participating in a light meal
preparation activity.
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