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Professional Resources & Education

Advancing Clinical Practice in Neurodegenerative Disease Rehabilitation 2017

TIRR Faculty:

Anna de Joya, PT, DSc, NCS
Carolyn DaSilva, PT, DSc, NCS
Heather Smith

Guest Faculty:

Claire MacAdams, PT, NCS

Invited Physician Panel:

George Hutton, MD
Caroline Bodenheimer, MD



Course Date: November 04,2017

Time: 7:30 Registration, 8:00-5:00pm lecture


TIRR Memorial Hermann
Research Conference Center 2nd floor
1333 Moursund, Houston, Tx 77030

Class size: Limited to 40 attendees

Handouts: Pending post. Handouts will be posted as made available from speakers; handouts are electronic for course attendees to download or print in advance for use as desired. Password required. Attendees will be emailed a password as the handouts become available.

Target Audience

PT, PTA, OT, OTA, SLP Clinicians looking to advance their clinical expertise when working with Neurodegenerative Disorders and Rehabilitation.


The focus of this course is to present evidence from which therapists can develop a clinical framework to effectively manage patients with neurodegenerative disease, including Parkinson’s Disease, Multiple Sclerosis, Huntington’s Disease, Amyotrophic Lateral Sclerosis, Post-Polio Syndrome, Guillian Barre Syndrome, among others. Topics will include the role of the physical therapist, pathophysiology of different neurodegenerative diseases, application of the principles of neuroplasticity and motor learning, and clinical decision making as they apply to best physical therapy practice. In addition, treatment approaches related to impairments, activity limitations and participation restrictions will be addressed. The course format will include lecture-based presentation and active dialogue through the use of case studies and group discussions.

Learning Objectives: Upon completion of this course, participants will be able to:

  • Describe the role of the physical therapist in the management of patients with neurodegenerative disease.
  • Describe the pathophysiologic changes in the neurologic system and the correlating clinical presentation.
  • Critically appraise and integrate the current evidence on best physical therapy practice based on principles of neuroplasticity and motor learning.
  • Analyze and apply recommended standardized outcome measures for the different neurodegenerative diseases.
  • Develop and apply a clinical decision making framework implementing the domains of the ICF model based on presented information.

Assessment of Learning Objectives: Course evaluation.

Speaker Information

TIRR Faculty Information

Anna DeJoya

Anna de Joya, PT, DSc, NCS is the Specialty Rehabilitation program manager at TIRR Memorial Hermann. She received her Doctor of Science in Physical Therapy 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 across the continuum since 1996. Her current role includes coordinating, evaluating and developing the growth of TIRR Memorial Hermann and the Memorial Hermann Rehabilitation Network specialty rehabilitation program. She develops, assesses and coordinates the clinical and educational components of the cancer rehabilitation program. Anna has a variety of experience in teaching both in the clinical setting, academic setting and in the community, including state and national conferences.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with TIRR Memorial Hermann; TIRR Rehab Innovations Grant recipient 2012 (inactive)
  • Non-financial: Chair, Practice Committee, APTA Neurology Section; Course Content Coordinator, Acute Stroke Course for the APTA Neurology Section; Nominating Committee Member, TPTA; Practice Committee Member, TPTA

Carolyn Da Silvia

Carolyn P Da Silva, PT, DSc, NCS is a professor in the School of Physical Therapy at Texas Woman's University in Houston, Texas. She earned her entry-level masters in physical therapy at Texas Woman's University and her Doctor of Science in physical therapy from the University of Alabama at Birmingham. She is a neurologic clinical specialist and works clinically at TIRR Memorial Hermann Rehabilitation and Research out-patient polio clinic and at Memorial Hermann Hospital – Texas Medical Center in the in-patient rehabilitation unit. Her clinical and research primary interests are with people with post-polio syndrome and stroke and issues related to aging with disability.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationships with TIRR and TWU; paid speaker.
  • Non-financial: TIRR Residency Advisory Council

Invited Faculty Information

Claire MacAdam

Claire MacAdam, PT, NCS is a physical therapist and has served as the Clinic Coordinator for the ALSA certified ALS Center at Baylor College of Medicine in Houston, TX since 2005. Claire also coordinates the research projects for the Neuromuscular Disease Center at Baylor. Claire earned her B.S. in PT in 1982 from the University of South Alabama and has spent her career working with patients with neurological disorders, specifically neuromuscular and neurodegenerative disorders. Claire has been a Neurologic Certified Specialist through the American Board of Physical Therapy Specialties since 1994. In addition to her work with the Neuromuscular Disease Center, Claire also serves as the Director of Clinical Operations for the Department of Neurology at Baylor College of Medicine.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with Baylor College of Medicine; paid speaker
  • Non-financial: None reported

Speaker Disclosures & Conflicts of Interest:
Policy & Procedures exist whereby all speakers must disclose any relationships which may cause a conflict of interest. Any relevant financial and non-financial relationships will be disclosed via speaker agreement, written notification after agreement, and prior to presentation.

Saturday, September 17, 2016

TimeTopic & Activity
7:30 - 8:00 amRegistration & Refreshments
8:00 - 8:30 am


  • Current rehabilitation needs
  • Role of Multidisciplinary Team
8:30 - 10:00 am
  • Pathophysiology
  • Neuroscience concepts
  • Prevention of Secondary Complications
  • Pain Management
10:00 - 10:15 amBreak
10:15 - 11:30 am

Rehabilitation Considerations

  • Clinical Decision Making and Outcome Measures
  • Equipment Considerations: Functional Mobility DME, Augmentative Communication
11:30 - 12:15 pm
  • Role of Exercise
  • Community Wellness & Resources
12:15-1:00 pm

Light Lunch provided or TIRR Cafeteria available

1:00-2:45 pm

Physician & Therapy Expert Panel

  • Submitted discussion questions requested
2:45-3:00 pmBreak
3:00-4:30 pm

Case Study / Problem Solving Team Approach

  • DME
  • Caregiver Burden
  • End of Life
  • Aging together with a disability
  • OP to Home health to..Transition of care
4:30-5:00 pm

Resiliency & reflection

  • Patient, Caregivers, Rehabilitation Professionals

Instructional Methods Used: Lecture, Panel & Discussion



Application pending with TIRR Memorial Hermann Education Provider Program for: AOTA CEU, TPTA CCU, and ASHA CEU Participants MUST ATTEND the entire course in order to receive CEUs/CCUs and course certificate.

No partial credits will be given.

Target Audience:OT/OTA,PT/PTA,SLP


Course closes on: October 30,2017 @4pm

Class Size is limited to 40

MHHS employees must register with their MHHS email to receive the employee benefit.
Any questions, please contact:

Cancellation policy: Refunds will be granted if cancellation notice is received in writing no later than 14 calendar days prior to the course start date to If you register and do not attend, or do not fulfill the requirements of the class, your course fee will not be refunded. Cancellation of the event by TIRR Memorial Hermann will result in a full refund of monies received. TIRR Memorial Hermann is not responsible for the refund of travel or hotel expenses under any circumstances. TIRR Memorial Hermann reserves the right to cancel or change any programs for due cause. In the event of a cancelation, participants will be notified via email and contact phone number submitted in the registration.

Parking: Please refer to for information on parking. The closest parking is available in Garage 6 and is next to TIRR Memorial Hermann Hospital. We ask that you please reserve the surface lot directly in front of TIRR for patients and their visitors.

Accommodations:All participants in Memorial Hermann Continuing Education Courses are entitled to an accessible, accommodating, and supportive teaching and learning environment.