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Professional Resources & Education

Neuro-IFRAH® Certification Course in the Treatment and Management of Adults with Hemiplegia from a Stroke or Brain Injury

A Neuro-IFRAH® Organization Approved Course that includes basic to advanced concepts of the Neuro-Integrative Functional Rehabilitation And Habilitation approach (Neuro-IFRAH®) by Waleed Al-Oboudi


Mary Linder, OTR/L

Certified Neuro-IFRAH Instructor®, Neuro-IFRAH Specialist®

Megan Warr, OTR/L

Certified Neuro-IFRAH Instructor, Neuro-IFRAH Specialist®

Part One: Saturday, July 29, 2017 – Friday, August 4, 2017
Part Two: Saturday, September 9 – Friday, September 15, 2017

Location/Presented by:

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

Sponsored by: The Neuro-IFRAH® Organization In collaboration with TIRR Memorial Hermann

Course Description

This 98 Hour certification course is specifically designed for occupational and physical therapists who work with adults with hemiplegia from a stroke or brain injury. The main emphasis in this course is on assessment and management in functional activities to develop excellence in maximizing functional outcomes throughout the continuum of care. This course utilizes an integrative whole person approach with emphasis on restoring function and making it functional for a return to independent living and the resumption / assumption of life roles. Challenges encountered by therapists in meeting their patient’s needs throughout the continuum of care, are addressed throughout the course. The course consists of lecture, laboratory practice, demonstrations and patient treatment. Individual attention by the instructors will be provided to enhance participant’s observation, handling and problem solving skills. This course includes the practical application of current basic to advanced concepts sequenced in a creative manner to help all participants meet the course objectives as well as their individual objectives. Upon successful completion of the course, participants will be Neuro- IFRAH Certified®.

Learning Objectives / Outcomes

Upon completion of this course participants will be able to:

  1. Identify the impact of the stroke / brain injury on the patient's life roles and the functional limitations interfering with his/her ability to resume / assume those roles.
  2. Identify the primary & secondary impairments (movement & otherwise) underlying the functional limitations in various postures including function in upright posture.
  3. Select functional activities that will assess the patient's functional limitations and underlying impairments in various postures including function in upright posture.
  4. Identify concepts related to musculoskeletal biomechanics and function of the trunk, upper extremities, lower extremities, head/neck and overall body coordination.
  5. Differentiate between normal and abnormal movement throughout the body in various postures and transitions in functional activities including activities in upright posture.
  6. Identify concepts related to the impact of whole body alignment and control, as well as other mobility and control variables on respiration.
  7. Identify missing components/processes necessary for interaction with the environment, effective learning and generalization of skills / carry over.
  8. Develop a comprehensive treatment plan that will include preparation of mobility and control and facilitation of normal movement during functional activities in all postures, and ideas for carry over.
  9. Develop strategies to facilitate the patients, increase awareness of the rehab process, improved self image and confidence, adaptation and planning / pacing skills.
  10. Apply management strategies to help patients obtain missing components of movement throughout the body that are interfering with functioning at a higher level in all postures including function in upright posture.
  11. Modify management strategies effectively based on the patient's response to maximize use of more normal and efficient movement patterns in functional activities.
  12. Integrate concepts related to normal movement, musculoskeletal biomechanics and function, sensory, cognitive, communicative, perceptual- motor and emotional considerations into activities of daily living and other functional activities.

Upon successful completion of the course, participants will be Neuro-IFRAH Certified®.

Recommended Reading: “Back to the Summit” by Sen. Omer Rains

Instructor Information

Mary LinderMary Linder, OTR/L, Neuro-IFRAH Instructor® and Neuro-IFRAH Specialist®

Mary Linder, OTR/L, Neuro-IFRAH Instructor® and Neuro-IFRAH Specialist® received her degree in Occupational Therapy from the University of Tennessee in 1994. Mary is an instructor for introductory and intermediate courses as well as introductory course for nurses, the 98 contact hour certification course and the Advanced Upper Extremity Course. Mary works in inpatient rehabilitation and outpatient. She has served as team lead and Director of Clinical Services over inpatient and outpatient PT, OT and ST. She has specialized in the treatment of adults with stroke and brain injury since 1999 and continues to be mentored by Waleed Al-Oboudi, MOT, OTR, author of the Neuro –IFRAH®. She became a clinical educator with Healthsouth in 2001. Mary finished the Neuro-IFRAH Instructor® Training Program in August 2004. She was issued her Neuro-IFRAH specialist® certificate in July 2006. She currently works at HEALTHSOUTH Rehabilitation Hospital per diem and treats private patients. Financial Conflicts/Disclosures: Paid instructors for Neuro IFRAH ® Certification Course.

Conflicts of Interest Disclosures

  • Financial: Paid instructors for Neuro IFRAH ® Certification Course. NeuroIFRAH® Instructor
  • Non-financial: None reported

Megan WarrMegan Warr OTR/L, Neuro-IFRAH Instructor®,Neuro-IFRAH Specialist®

Megan Warr OTR/L, Neuro-IFRAH Instructor®,Neuro-IFRAH Specialist®. Megan received her degree in Occupational Therapy from the University of Tennessee in 1992. Megan has worked throughout the continuum of care in Acute/Trauma ICU, Inpatient Rehabilitation, Out Patient, Skilled Care and Home Health. She has specialized in the treatment of adults with stroke and brain injury since 1995. Megan has been mentored by Waleed Al-Oboudi,MOT,OTR author of the Neuro -IFRAH® approach since 1996. She became a clinical educator in 1999 with Healthsouth where she began teaching Introductory and Intermediate courses. Megan finished the Neuro-IFRAH Instructor® training Program in August of 2004. She was issued her Neuro-IFRAH specialist® certificate in July of 2006. She currently has a private practice and works PRN in Inpatient Rehabilitation for Healthsouth. Megan has taught throughout the United States as well as Internationally. Megan is an instructor for the introductory and intermediate courses, the 98 contact hour certification course and the Advanced Upper Extremity Course

Conflicts of Interest Disclosures

  • Financial: Paid instructor for this Neuro IFRAH ® Certification Course. NeuroIFRAH® Instructor. Neuro IFRAH®Products.
  • Non-financial: None reported

Participant Requirements: Licensed Occupational or Physical Therapists, Licensed Occupational or Physical Therapy Assistants. (Interested Physicians, Speech Pathologists, Registered Nurses and Recreational Therapists please contact the sponsor for other courses or special permission for attending parts or this entire course).

Day One

Day One 8:00 am – 5:00 pm all day. All other Days: 8:30 am to 5:00 pm all day The course schedule will be from 8:30 a.m. to 5:00 p.m. every day, with the exception of day one. On the first day, please arrive by 8:00 a.m. to allow time for registration. A snack will be provided around 10:00 a.m. and around 3:00 p.m. daily. You will be given a one hour time frame for lunch. There are restaurants within walking and driving distance of the Texas Medical Center; however during the weekday you may want to plan on packing a lunch or utilizing the TIRR cafeteria to avoid parking fees.

Assessment of Learning Objectives: Attendance, class & lab participation, application, successful skill demonstration, application of feedback information, and completion of course evaluation form.

Continuing Education Credits:Course participants must complete any & all formal assessments, procedures, and criteria required for credit or certification. As per Memorial Hermann policy, participants must attend the entire course in order to receive CEUs and course certificate, no partial credits will be given.

OT Approved CE
Accredited Provider
The assignment of Texas PT CCU's does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE.

OT: CE Provided thru NEURO IFRAH Organization. Successful completion of this course will result in up to 1.4 CEU’s and/or 14 contact hours with the AOTA. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products or clinical procedures by the AOTA.

PT: TPTA CCUs are being applied for through the Memorial Hermann Health System. MHHS is TPTA Approved Provider of continuing education. Upon successful application, this activity is anticipated to meet the continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas for 98 CCUs.

Instructional Level: Intermediate

Registration and Information

Food: Lunch will be provided Saturday and Sunday only. Morning and afternoon snacks will be provided each day. Lunch will be on your own Monday - Friday. There is a cafeteria on site of the hospital if you prefer.

Parking: Garage 6 (next door to TIRR Memorial Hermann); $12 per day.


All fees will be refunded except for a $50 administrative charge if written notice of withdrawal is received 14 days prior to course start date to refunds will be granted after this date. 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. Sponsor has the right to replace advertised Instructor with another Neuro-IFRAH Instructor® without penalty. In the event of a cancelation, participants will be notified via email and contact phone number submitted in the registration.

Conflicts of Interest and Disclosure

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.


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.


All fields required. Email to

Employees must use their Memorial Hermann email and complete the Memorial Hermann certification agreement with their Management team to receive employee tuition for the course. In the event of a course cancellation, participants will be notified via email & contact phone number on the registration form below. Complete registration form and reservation fee are due to reserve your place in the course. Registration fee includes: Access to course materials, snacks and lunch.

Questions: Contact Education Administrative Assistant Srikanth Challuri @713-797-7432 or email