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Professional Resources & Education

Spasticity Assessment: It’s More Than Just an MAS Score!

Speakers

Manish N. Shah, MD
Cori Ponter, PT, MPT, NCS
Christy Hill, PT

Course Date:

Saturday, December 01, 2018

Time:

Registration - 7:30 a.m., Class 8 a.m. - 4:45 p.m.

Location:

TIRR Memorial Hermann Hospital
Research Building 2nd floor Conference Room for Didactic and 3rd floor Gym for Lab
1333 Moursund
Houston, TX 77030

Open to:

TIRR MHHS Employees only: Occupational Therapy Professionals & Physical Therapy Professionals.

Handouts:

Will be made available to the attendees for printing, or electronic use the week prior to the course.

Parking:

Please refer to http://www.texasmedicalcenter.org/ for information on parking. The closest parking is Garage 6 for $12 per visit and is next to TIRR Memorial Hermann Hospital.

Class Size:

Limited to 20 attendees.

Overview

Description

The course will focus on the different types of muscle over activity that are often grouped together as “spasticity,” and through lecture and labs, will teach various assessment scales and treatment options that are available.

Learning Objectives/Outcomes:

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

  1. Identify and differentiate types of muscle over activity and their clinical presentations
  2. Discuss the pathophysiology and origins of spastic muscle over activity
  3. Identify and differentiate various assessment tools used in assessing spasticity
  4. Perform an impairment-based assessment of a patient with spasticity, correctly utilizing the Modified Ashworth Scale, the Modified Tardieu scale, and active range of motion measurements
  5. Discuss various treatment options for adult and pediatric patients with spasticity

Assessment of Learning Objectives:

Attendance, class participation, lab participation, completion of course evaluation form.

Speaker Information

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.

Dr. Manish Shah MD

Manish Shah MD

Dr. Shah is Assistant Professor of Pediatric Neurosurgery at the University of Texas Medical School at Houston. He received his undergraduate degree in Physics from Princeton University, his medical degree from Vanderbilt University in Nashville, TN, and completed his neurosurgery residency training at Washington University/Barnes-Jewish Hospital in St. Louis, MO. After residency, he completed fellowship training in pediatric neurosurgery at Washington University/St. Louis Children’s Hospital in St. Louis, MO under the tutelage of world-renown pediatric neurosurgeon, Professor Tae Sung Park. During his neurosurgical training, he completed an NIH T32 sponsored clinical, translational, and basic science research fellowship in Neurological Surgery, Radiology and Functional Neuroimaging under Professor Marcus Raichle. He also had additional training as a Specialist Registrar in Neurological Surgery at Beaumont Hospital in Dublin, Ireland under Professor Ciaran Bolger, an expert in spine surgery.

Conflicts of Interest/Disclosures:

  • Financial: Memorial Hermann Health System and University of Texas Medical School at Houston employment relationships
  • Non-financial: None reported

Cori Ponter

Cori Ponter, PT, MPT, NCS, CBIS

Corina Ponter, PT, MPT, NCS, CBIS is a 2002 graduate of Emory University in Atlanta, Georgia. She worked at The Institute for Rehabilitation and Research (TIRR) in the Houston Medical Center on the Brain Injury and Stroke Team from 2004 until 2014, where she held many leadership roles, one being physical therapy clinical coordinator for the BI Team. Currently, Cori is the Therapy Services Manager for TIRR Memorial Hermann Greater Heights. In 2008, she received her Neuro-Integrative Functional Rehabilitation and Habilitation (Neuro-IFRAH) certification for treatment of adults with hemiplegia from a stroke or brain injury, and received her Neurological Certified Specialization (NCS) in 2011. She has participated in outpatient spasticity clinic, spasticity-related research studies, does ongoing program development, teaches continuing education for spasticity assessment and treatment, and mentors therapy staff members.

Conflicts of Interest/Disclosures:

  • Financial: None reported
  • Non-financial: None reported

No Photo

Christy Hill, PT

Christine “Christy” Hill, PT is currently working as Coordinator of the Texas Comprehensive Spasticity Center affiliated with UT Physicians a part of UT Health and McGovern Medical School. Christy is responsible for coordinating the multi-disciplinary spasticity clinic seeing pediatric through adult patients. In this role she is responsible for program development, assessment/treatment of spasticity patients with the team, outcome implementation and tracking, coordination of care for pre and post-surgical rehab, and is research coordinator for the Cerebral Palsy Research Network-UT Health site. Christy completed her PT degree at Daemen College in Williamsville, NY in 1997 and completed her NDT certification in 2012. Christy started her career in inpatient rehabilitation with the adult brain injury population and has worked in inpatient rehabilitation, outpatient, acute and home care with primary experience with children and adults with neurologic deficits with special interest in treating children with Cerebral Palsy. After moving to Texas with her husband and 3 children in 2010, Christy opened her private practice in 2011 treating adults and children while working part time at TIRR Kirby Glen, then ECI before transitioning to the TCSC. Christy is an active volunteer with the Yellow Rose Community of Girl Scouts and volunteers as a clinician with RSVP.

Conflicts of Interest/Disclosures:

  • Financial: UT Health and McGovern Medical School employment relationship; Private Practitioner and Owner of Primarily PT LLC
  • Non-financial: APTA Member

Saturday, December 01, 2018

TimeTopic & Activity
7:30 - 8:00Registration
8:00 – 8:15Introduction - Corina Ponter, PT
8:15 – 10:15Pathophysicology of spasticity and clinical presentation - Manish N. Shah, MD
10:15 - 10:30Break
10:30 – 12:30Scales utilized in the assessment of spasticity and appropriate documentation – Corina Ponter
12:30 – 1:15Lunch
1:15 – 3:00Labs: practice among participants, as well as patient volunteers as able
3:00 – 3:15Break
3:15 – 4:15

Treatment Options

4:15 – 4:30Q & A
4:30 – 4:45Feedback forms, sign out, certificates

Instructional Methods Used: Lecture and Lab

Assessment of Learning Objectives: Attendance, class participation, lab participation, completion of course evaluation form.

 

Education

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

OT: Memorial Hermann Health System is an AOTA Approved Provider of continuing education. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products, or clinical procedures from AOTA. No partial credits will be given.

AOTA CEUs: 0.7
AOTA: Contact Hours 7.25
AOTA Classification Code: Occupational Therapy Process - Intervention
AOTA Instructional Level: Advanced

OT Participants MUST ATTEND ENTIRE COURSE in order to receive CEUs / CCUs and course certificate. No partial credits will be given.

OT Approved CE

PT: Memorial Hermann Health System is TPTA Approved Provider of continuing education. This course meets continuing competence requirements (CCUs) for physical therapist and physical therapist assistant licensure renewal in Texas. No partial credits will be given.

TPTA CCUs: 7

PT Participants MUST ATTEND ENTIRE COURSE in order to receive CEUs / CCUs and course certificate. No partial credits will be given.

TPTA 2017

Registration

Clothing: Please wear clothing appropriate to participate in lab portion of class, which involves spasticity assessment. Bring a sweater if you get cold easily.

Food: Lunch with a drink will be provided.  A cafeteria is available on campus as well.

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

Cancellation Fee: Refunds, minus 25% administrative fee, will be granted if cancellation notice is received in writing according to the stated cancellation policy below.

Cancellation Policy: If you register and do not attend, or do not fulfill the requirements of the class, your course and all other associated fees will not be refunded. All cancellations must be in writing 14 days prior to the course start date to ContinuingEducationRegistration@memorialhermann.org.Refunds will not be granted past this date.

Cancellation of the event by TIRR Memorial Hermann will result in a full refund of monies received.

Cancellation by the Sponsor/Instructor will result in a full refund of the tuition. Sponsor/Instructor is not responsible for additional expenses incurred by registrants.

TIRR Memorial Hermann reserves the right to cancel or change any programs for due cause. Cancellation of the event by TIRR Memorial Hermann will result in a full registration refund of monies received. TIRR Memorial Hermann is not responsible for the refund of travel or hotel expenses under any circumstances. In the event of a course cancellation, participants will be notified via email & contact phone number on the registration form below. Please fill out all information in registration form.

Assistance: All participants in Memorial Hermann Continuing Education Courses are entitled to an accessible, accommodating, and supportive teaching and learning environment. Please email or note on registration any specific needs we can work to assist you with.

Complaints: Complaints of faculty and participants are handled with dignity and respect by the course coordinator and/or Director of Rehabilitation with resolution of the complaint communicated to all involved parties. All participants in Memorial Hermann Continuing Education Courses are entitled to an accessible, accommodating, and supportive teaching and learning environment.

Questions: Contact at (713) 797-7432 or email ContinuingEducationRegistration@memorialhermann.org.