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Professional Resources & Education

Comprehensive Rehabilitation Techniques for Persons with Limb Loss

TIRR Speakers:

Danielle H. Melton, MD
Kristine Higgins, PT
Kristin Reeves, MSPT
Erin Henry, OTR, MOT
Karen Moreno, OT
Carla Stevens, OT

Guest Speakers:

Jon Holmes, PT, CP
Earl Fogler, CP

Open to: PT/ PTA and OT/OTA

Course Date: Saturday, February 10, 2018

Time: Registration at 7:30, Course from 8:00-5:30 pm

Location:

TIRR Memorial Hermann
1333 Moursund, Houston, TX 77030
2nd floor Research Conference Center
http://tirr.memorialhermann.org/locations/tirr-memorial-hermann-rehab-hospital/

Class size: Limited to 40 attendees

Required Pre-requisites:

  1. Physical Medicine and Rehabilitation Board Review 3rd edition Sara Cuccurullo, MD; From Chapter 6, Prosthetics and Orthotics by Uustal, MD, Edgardo Baerga, MD, and Kacklyn Joki, MD pages 471-518.
    • Lower Limb: Gait, p 471-474; Prosthetics, p. 490-518
    • Upper Limb: Upper limb amputation levels and prosthetics p. 478-490
  2. Review and Know K Levels: Download PDF

Target Audience

PT, PTA, OT, OTA clinicians looking to advance their clinical expertise pathological gait and orthotics when working with those with a neurologic injury or illness.

Description

This day-long seminar will educate participants on medical concerns, therapy treatment approaches, team planning, prosthetic information, and collaboration across the rehabilitation team for those with an amputation. This will include medical and rehabilitation considerations for pre-amputation, acute post-surgical, pre-prosthetic, and prosthetics.

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

  • Discuss how medical complications affect long term prosthetic use and patient outcomes
  • List considerations when seeking education and peer resources for those with an limb loss
  • Categorize prosthetic candidates and equate them with K- levels for functional outcomes and prosthetic component
  • Understand lower extremity prosthetic components and illustrate how to maximize gait
  • Understand upper extremity prosthetic components and illustrate how to maximize function
  • Explain how a team approach is effectively implemented across a spectrum of care
  • Apply appropriate outcome measures for patients with limb loss

Assessment of Learning Objectives: Course evaluation, Instructor reviewed lab demonstrations.

Speaker Information

TIRR Speaker Information

Danielle Melton 2015

Danielle H. Melton, MD
Associate Professor, Department of Orthopedic Surgery, UT Health Medical School
Medical Director of TIRR Memorial Hermann Limb Loss Program (Amputee, Prosthetics and Orthotics)

Dr. Melton is board certified in Physical Medicine and Rehabilitation and Associate Professor in the Department of Orthopedic Surgery at The McGovern Medical School at UTHealth. She is the Medical Director of the Limb Loss (Amputee) Program at TIRR Memorial Herman ("TIRR"), internationally recognized as one of the leading rehabilitation programs. Dr. Melton received her undergraduate degree in Mechanical Engineering from Louisiana State University and completed medical school and residency at Baylor College of Medicine.

Dr. Melton specializes in the rehabilitation of Orthopedic Trauma patients with an emphasis on non-surgical management of patients with limb salvage and amputation encompassing pre-prosthetic or bracing management, prosthetic design and prescription, rehabilitation and pain management. She is an affiliated physician at TIRR where she evaluates patients in the acute setting and follows them long-term to provide comprehensive continuity of care.

Dr. Melton serves as chairmen for the University of Texas-Houston Continuing Medical Education Committee, on the advisory board for Baylor College of Medicine (BCM) Orthotics and Prosthetics program, Scientific Medical Advisory Committee of the Amputee Coalition championing Medicare Physician Documentation and Limb Loss Prevention Task Force to create an Amputee Model Systems. She also serves on the board for Rehabilitation Services Volunteer Program as Amputee Director providing under and non-resourced patients with limb loss much needed equipment, prosthetics and therapy. Her research involves novel approaches to treating phantom limb pain and neuromas, limb salvage with Major Extremity Trauma Research Consortium (METRC) and innovations in prosthetic components.

Dr. Melton has been elected by her peers to “Best Doctors in America” since 2009; “America’s Top Physicians” since 2010, a selection by the Consumer’s Research Council of America. She has been listed among “Texas Super Doctors Rising Stars 2013” peer recognized in professional achievement and Houston’s Top Doctors 2014, Texas SuperDocs 2014 and International Physician Leaders of the World in 2015.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with Baylor College of Medicine and Ossur Americas. She receives remuneration from Medical Life care Planning, LLC.
  • Non-financial: Dr. Melton has previous leadership roles with Amputee Coalition, SciMAC Chairman; She receives research funding from METRC US Arm Medical Research, CDC. She has a consultant position with OPERF.
Kristine Higgins

Kristine Higgins, PT, MS, NCS
Kristine Higgins (Ms. Higgins) received her Master’s degree in Physical Therapy from the University of Connecticut, CT in 2008. She has treated a wide variety of clients with diverse neurological conditions at TIRR Memorial Hermann Adult and Pediatric Outpatient Rehabilitation for 7 years. She has a specific passion for working with patients with amputations, Parkinson’s disease, and spinal cord injury. Ms. Higgins obtained certification in Neurologic Physical Therapy by the American Board of Physical Therapy Specialties (ABPTS) in 2010. She currently serves the role as primary outpatient mentor for the TIRR’s Neurologic Physical Therapy Residency program, a post-professional residency program for physical therapists in neurology. For the past 4 years she has served as the facility lead for treatment of clients with amputation and provide on-site education for new employees and students with the focus of pre-prosthetic intervention, prosthetic gait training, and high level prosthetic skills training. Ms. Higgins also participates as a guest lecturer and lab instructor for amputee pre-gait training and amputee gait training curriculum at The University of Texas Medical Branch (UTMB) Galveston. She became an LSVT BIG Certified Clinician in 2013, implementing evidence based interventional therapy program for patients with Parkinson’s disease and other neurological disorders.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment by TIRR Memorial Hermann
  • Non-financial: none reported
Kristin Reeves 150x200

Kristin Reeves, MSPT
Kristin Reeves is a physical therapist who received her Bachelor of Science in Health from Texas A&M University and her Master of Science from Texas Women's University in Houston. She specializes in lower limb loss rehabilitation and has been a licensed therapist for 20 years. Kristin was previously an inpatient therapist at TIRR Memorial Hermann Hospital specializing in spinal cord rehabilitation. She then transitioned to the Coordinator of Amputee Services for the past 15 years. In that capacity she coordinates, treats and oversees the clinic that has approximately 1500 visits/year. She also treats patients with amputations in an outpatient setting two days per week. Her background includes clinical as well as teaching experience with a history of teaching at UTMB- Galveston, TWU- Houston, Pima Institute, and most recently at the APTA convention in Salt Lake City, UT.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment Relationship with TIRR Memorial Hermann
  • Non-financial: None reported
Erin Henry

Erin Henry, OTR, MOT
Erin Henry, OTR, MOT earned her Masters of Occupational Therapy from Texas Women's University (TWU) in 1997. She worked at Quentin Mease for 2 years before joining the Spinal Cord Injury (SCI) Team here at TIRR almost 17 years ago. Her primary specialty is treating high cervical ventilator dependent patients, seating and mobility, and UE Amputee programs. She has developed many groups here at TIRR including SCI Functional Group for high tetras to address UE, hand, or mouthstick skills. She is one of the group leaders for the Community Reintegration Program (CRP) for patients returning to the community for the first time post injury. For several years, Erin taught the Bowel, Bladder, Skin, and Sexuality patient education classes at TIRR. She routinely mentors new staff and participates in the student fieldwork education here at TIRR. Her passion is treating the SCI population and thinking outside the box with difficult patient issues.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment Relationship with TIRR Memorial Hermann
  • Non-financial: None reported
No Photo- Hotwheels

Karen Moreno, MS,OTR, CLT
Karen Moreno received her Master’s degree in Occupational Therapy from the University of Texas Medical Branch in 2015. She specializes in upper limb loss rehabilitation at TIRR Memorial Hermann ("TIRR") and is a Certified Lymphedema Therapist. She was previously working on the spinal cord injury team with TIRR in addition to upper limb loss rehabilitation. Karen works with a variety of patients ranging from unilateral partial hand limb loss to the multiple limb loss patient, focusing on pre-prosthetic and prosthetic training for a comprehensive and holistic approach to regaining functional independence. Karen is a U.S. armed forces veteran having served in the United States Marine Corps for 6 years.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment Relationship with TIRR Memorial Hermann
  • Non-financial: None reported
No Photo- Hotwheels

Carla Stevens, OTR/L, MOT
Carla Stevens, OTR/L graduated in 1997 from Florida State University with a Bachelor's in Science in Nutrition. She graduated in 2000 from the University of St. Augustine with a Master’s Degree in OT. After graduation, she moved to Baton Rouge, LA, where she began her career in pediatrics. In 2001 Carla completed the 3 week NDT training in the treatment of adults with hemiplegia and found her passion in working with adults with varying neurologic conditions. She transitioned to an inpatient rehabilitation setting, and later to a day neuro program where she assisted in the development of an upper extremity limb loss outpatient program and pre-driving assessments. Carla has worked in a variety of clinical settings with her main focus being on neurological impairments, limb loss and specialty rehabilitation. She is currently a senior therapist on the Spinal Cord Injury/Specialty Rehabilitation team at TIRR, providing education and mentorship to both students and new staff. In her free time, Carla and her husband enjoy keeping up with all the activities their 3 kids are involved in: soccer, swim, dance, youth group, and many more!

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment Relationship with TIRR Memorial Hermann
  • Non-financial: None

Guest Speakers

John Holmes

Jon B. Holmes, PT, CP
Jon B. Holmes PT, CP: After graduating from P.T. school in 1979, Jon Holmes went to work as a physical therapist at Hermann Hospital specializing in Orthopedics. As the Senior P.T., he chose to help amputees with their rehabilitation. Jon graduated from Northwestern's Prosthetic program in June of 1984. He continued to work at Hermann part time while a full time employee of Muilenburg Prosthetics for 5 more years. He was a loyal employee at Muilenburg Prosthetics for 22 years and the last 8 years served as the Clinical Director. In 2006 Jon established Holmes Prosthetic Center. His unique training and experience led him to be a specialist in Lower Limb prosthetic devices, Multiple Limb amputees, and challenging cases. He has worked as a consultant to the TIRR Amputee clinic for the last 20 years and The Shriner's Hospital for over 20 years.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Owner of Holmes Prosthetic Center, Consultant TIRR Amputee clinic for the last 20 years and The Shriner's Hospital for over 20 years.
  • Non-financial: Jon is currently on Faculty at Baylor College of Medicine in the PM+R Department, Texas Woman's University School of Physical Therapy, and University of Texas Medical Branch School of Physical Therapy and is a member of the Advisory committee for Baylor's Orthotic and Prosthetic.
Earl Fogler 150x200

Earl E. Fogler, CP, LP
Earl’s interest in prosthetics started in 1959 when he became a Below the Knee amputee at the age of 7. He was involved in a bombing at his elementary school. He is a 3rd generation Houstonian. He and his wife Anne have been married for 40 years. They have 2 married sons and 6 grandchildren. Earl enjoys anything that involves tools, screens, knobs, electricity, wifi, motors, wood or metal.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with Baylor College of Medicine
  • 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.

 

Education

Participants must attend the entire course in order to receive CEU’s/CCU’s and course certificate. No partial credits will be given.

Instructional Level: Intermediate

OT Approved CE

OT: Memorial Hermann Health System is an AOTA Approved Provider of continuing education. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures from AOTA.

Instructional Level: Intermediate

AOTA CEU: 0.85

AOTA CEU: Pending
AOTA Classification Code: Occupational Therapy Process-Intervention.
No partial credits will be given.

TPTA 2017

PT: Memorial Hermann Health System is TPTA Approved Provider of continuing education. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. This course meets continuing competence requirements for Physical Therapists and Physical Therapy Assistants licensure renewal in Texas.

Instructional Level: Intermediate

TPTA CCUs: 8.75
No partial credits will be given.
Participants must attend the entire course in order to receive CEU’s/CCU’s and course certificate. No partial credits will be given.

Registration

Course MHHS AttendeeNon-MHHS Employee
Any Course Day 1$75$175
Any 2 day course $150$325
Register for any 3 or more courses at the same timeReceive a $75 discountReceive a $75 discount
Register for all 8 courses at the same time (*other discounts no longer apply)Receive a $150 discount for registering for all 8 classes. Total price when registering for all 8 classes, with discount applied, is $825.Receive a $250 discount when registering for all 8 classes. Total Price when registering for all 8 classes, with discount applied, is $1900.

Discounts applied when you register for 3 course or more, or when you register for all 8 courses.
Discounts automatically applied as courses are selected on registration.

MHHS employees must register with their MHHS email to receive the employee benefit.

Any questions, please contact: ContinuingEducationRegistration@memorialhermann.org.

*Registration closes Monday, Feb 05, 2018 @ 4pm

Cancellations: Refunds will be granted if cancellation notice is received in writing no later than 14 calendar days prior to the course start date to ContinuingEducationRegistration@memorialhermann.org. 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 and Memorial Hermann Health System are 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: Nearby parking is available in Garage 6; next to TIRR Memorial Hermann. Please refer to www.texasmedicalcenter.org for additional parking information.
TIRR Memorial Hermann
1333 Moursund, Houston, TX 77030
2nd floor Research Conference Center


Registration for this course is now closed.