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Professional Resources & Education

Team Approach to Comprehensive Limb Loss Rehabilitation

Occupational & Physical Therapy Practitioners


Kristin Reeves, MSPT; Susanne Stanley, OTR/ L, MOT, CLT; Kacee Pavelka, Medical Assistant; Jon B. Holmes, PT, CP; Earl Eldon Fogler, CP, LP; Marie Beirne, PT, DPT

Friday & Saturday, September 18 & 19, 2015
Registration 7:30 am, Course begins 8:00 am


Texas Woman's University
Institute of Health Sciences -Houston Center
6700 Fannin St.
Houston, TX 77030

Course Description

This 2 day 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 prosthetic.

The seminar will have didactic and lab components, discussing the whole person treatment needs from a team approach. This will involve a PM&R physician, physical therapist, occupational therapist, prosthetic consultants, and a community peer educator. The laboratory component will allow participants to gain hands on knowledge related to prosthetics and rehabilitation treatment interventions for either upper extremity or lower extremity needs.

Learning Objectives / Outcomes

Upon completion of this course participants will be able to:

  1. Compare and contrast 2 key points related to the history of amputations and the current state of affairs related to amputees
  2. Explain 3 medical concerns and/or co-morbidities associated with pre and post-amputation
  3. Discuss how medical complications affect long term prosthetic use and patient outcomes
  4. List 4 specialties commonly referred to related to amputee needs
  5. List 4 considerations when seeking education and peer resources for those with an amputation
  6. Categorize prosthetic candidates and equate them with K- levels for functional outcomes and prosthetic componentry
  7. Understand lower extremity prosthetic components and how to maximize gait
  8. Understand upper extremity prosthetic components and how to maximize function
  9. Identify how a team approach is effectively implemented across a spectrum of care

Assessment of Learning Objectives: Discussion, lab participation, question / answer, course evaluation

Speaker Information

Danielle MeltonDanielle H. Melton, MD

  • Assistant Professor, The University of Texas Medical School at Houston, Department of Orthopedics, Rehabilitation for Salvaged Limbs, Amputations and Neuromuscular Disorders.
  • Director of the Amputee and Orthotics and Prosthetics Program at TIRR Memorial Hermann.

Dr. Melton is an Assistant Professor with the University of Texas Medical School at Houston and the Director of Amputee & Orthotics and Prosthetics Program at TIRR Memorial Hermann, where she specializes in the care of people with amputations, encompassing pre-prosthetic management, prosthetic design and prescription, and rehabilitation. She also specializes in bracing and orthotics for patients with peripheral nerve injuries and spasticity due to strokes, traumatic brain injuries, spinal cord injuries and other neuromuscular disorders such as spina bifida, Parkinsonism and cerebral palsy.

Dr. Melton is an affiliated physician at TIRR Memorial Hermann and Memorial Hermann-Texas Medical Center. In the acute setting she evaluates and treats patients both before and after amputations, coordinating care between the surgeon and rehabilitation team. Her patients are followed long-term at the TIRR Memorial Hermann Outpatient Medical Clinic to provide comprehensive continuity of care.

Prior to becoming a physician, Dr. Melton graduated from Louisiana State University with a bachelor's in mechanical engineering in 1993 and worked as an engineer until deciding to study medicine. She received her medical degree from Baylor College of Medicine in 2002, where she later completed specialized residency training in Physical Medicine and Rehabilitation in 2006. She is board certified by the American Board of Physical Medicine and Rehabilitation.

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 Consumers' Research Council of America, “Texas Super Doctors Rising Stars 2013” for high peer recognition and professional achievement, and most recently listed as a “Texas SuperDocs” for 2014. She currently serves as the Chairman of the Scientific Medical Advisory Committee for the Amputee Coalition, the leading non-profit international organization promoting quality of life and care for the amputee, where she is recognized as a leader in the field.

Conflicts of Interest Disclosures

Financial: Ossur Americas. Other Remuneration: Medical Life Care Planning, LLC. Non-financial: Amputee Coalition, SciMAC Chairman, OPERF.

Kristen ReevesKristin 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.

Conflicts of Interest Disclosures

Financial: None. Other Remuneration: TIRR Memorial Hermann employee. Non-financial: None.

Suzanne StanleySusanne Stanley is an Occupational Therapist with 12 years of experience. Prior to coming to TIRR Memorial Hermann in the summer of 2014, she worked at MD Anderson with oncology patients, with a specialty in lymphedema. Her specialty throughout her career has been hand therapy as well as various orthopedic diagnoses. For 4 years, she worked with the military and treated active duty soldiers with a specialty in burns and limb loss/polytrauma. She is passionate about helping patients increase their independence and getting back to the activities they love.

Conflicts of Interest Disclosures

Financial: None. Other Remuneration: TIRR Memorial Hermann Employee. Non-financial: None.

Kacee Pavelka is a Medical Assistant specializing in working in a clinical setting for persons with amputations. She is a personal interest as she sustained an upper extremity amputation a few years ago. Since that time, she has finished medical assistant school and developed the Houston Amputee Alliance group that assists patients providing resources, emotional support as well as physical activities. Kacee is recently trained with the Amputee Coalition in the peer training program so that she can train others to assist people with new amputations.

Conflicts of Interest Disclosures

Financial: None. Other Remuneration: UT employee. Non-financial: Amputee Coalition Peer Trainer.

Jon HolmesJon B. Holmes P.T., C.P.: 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.

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 program.

Conflicts of Interest Disclosures

Financial: None. Other Remuneration: Holmes Prosthetic Center. Non-financial: None.

Earl FoglerEarl Eldon Fogler: Earl became interested in prosthetics starting in 1959 when he became a Below the Knee Amputee at the age of 7, after he was involved in a bombing at his elementary school. Currently, Earl works at Baylor College of Medicine as an instructor and lab coordinator for Orthotics and Prosthetics Master's Level Program in the School of Allied Health. Earl has a history of working for Muilenburg Prosthetics as a Senior Prosthetist (1974 - 2013). He currently has his own consulting business, Fogler Solutions. Earl is certified in Prosthetics by the American Board for Certification in Orthotics and Prosthetics since 1978, and licensed in Prosthetics by the State of Texas.

Conflicts of Interest Disclosures

Financial: None. Other Remuneration: Consulting business, Fogler Solutions. Non-financial: Baylor College of Medicine Employee.

Marie Beirne graduated in 2002 from University of St. Augustine, FL with a Doctorate in Physical Therapy, and returned to New York. She started working At Burke Rehabilitation Hospital in White Plains, NY. Burke is a 150 bed acute rehabilitation hospital that has been in existence since 1915. At Burke she treated patients who have suffered a stroke, spinal cord injury, brain injury, amputation, joint replacement, complicated fracture, arthritis, cardiac and pulmonary disease, and neurological disorders. During her tenure at Burke, Marie helped to develop the out-patient FES bike program, and revitalized the Fitness Challenge Program. While working at Burke, Marie Beirne volunteered with many different community organizations including the Annual Wheelchair Games, Think First Program, The Amputee Support Group, Spinal Cord Connection, Annual COPD Day, Stroke Awareness Day, 2011 World Police and Fire Games, NYC Achilles Track Club and many more. Marie Beirne has given several guest lectures at New York Medical College, Mercy College, PT / PTA Programs. Also several community in-services for various groups and community centers in both Westchester, and Bronx NY on Prevention of Falls Within the House, Prevention of Back injury, and What exactly is a Physical Therapist to Girl Scouts on their career day. Marie recently moved to Houston, Texas, and started working at TIRR in 2012 on the Spinal Cord/ Specialty Rehab inpatient team.

Conflicts of Interest Disclosures

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.

Friday, September 18, 2015

TimeTopic & Activity
7:30 - 8:00amRegistration
8:00 - 9:30 amIntroduction & Overview, History & Current State of Affairs; Medical Concerns
9:30 - 9:45 amBreak
9:45 - 11:15 amMedical Concerns, Team Approach
11:15 am - 12:15 pmEducation and Peer Support
12:15 pm - 1:00 pmLunch (Provided)
1:00 - 2:00 pmUpper Extremity Components for Prosthetics
2:00 - 3:30 pmUpper Extremity Therapeutic Interventions for Below Elbow Amputees
3:30 - 3:45 pmBreak
3:45 - 5:15 pmUpper Extremity Therapeutic Interventions for Above Elbow Amputees

Saturday, September 19, 2015

TimeTopic & Activity
7:30 - 8:00amRegistration
8:00 - 9:00 amLower Extremity Prosthetic Components for Below Knee Amputee
9:00 - 10:00 amLower Extremity Therapeutic Interventions for Below Knee Amputee
10:00 - 10:15 amBreak
10:15 - 11:15 amLower Extremity Prosthetic Components for Above Knee Amputee
11:15 am - 12:15 pmLower Extremity Therapeutic Interventions for Above Knee Amputee
12:15 - 1:00 pmLunch (Provided)
1:00 - 2:30 pmUpper Extremity Therapeutic Interventions for Below Elbow Amputees
2:30 - 2:45 pmBreak
2:45 - 4:15 pmLab 2 Choice: Lower Extremity Lab or Upper Extremity Lab
4:15 - 4:30 pmCourse Feedback forms & Certificates

Instructional Methods Used: Lecture, lab, group discussion, question/answer.

Participants must attend the entire course in order to receive CEU's/CCU's 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.

Instructional Level: Intermediate

OT: Memorial Hermann Health System is an AOTA Approved Provider of continuing education. This course is offered for 1.5 AOTA CEU's. The assignment of AOTA CEU's does not imply endorsement of specific course content, products, or clinical procedures from AOTA.

AOTA Classification Code: Occupational Therapy Process- Intervention.

PT: Memorial Hermann Health System is TPTA Approved Provider of continuing education. This course meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas for 15 CCUs.


Registration ends September 15, 2015

Complete registration form and payment are required to reserve your place in the course. Registration fee includes: Course Materials & lunch. $250 - Standard Rate; $125 - MHHS Employee Rate. MHHS employees must register with their MHHS emails to receive discount. Any questions, please contact


Refunds, less a 50% charge, will be granted if cancellation notice is received in writing no later than September 1, 2015 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.

Other Information

Photos may be taken at this course, which may appear on MHHS social media, publications or other marketing needs.


Please refer to TWU Campus for driving information and parking. Parking services from The Methodist Parking building, right next to TWU campus. TWU does not have its own parking bldg. Public parking spaces are located from 4th floor up, and are marked, entrance to parking from Main Street or from Holcombe - in front of the new branch of Bank of America building .

Hotel Accommodations

A block of rooms has been reserved until September 05, 2015, at the Wyndham Houston Hotel & Suites Medical Center based on availability. Reservations: (713) 577-1235 or 1-866-781-2832 (toll free) or follow the link:

Wyndham Event Page
Reference code: TIRR Amputee Center

RoomSingle RateDouble RateTriple RateQuad Rate
Deluxe Suite with Kitchenette$99$99$99$99


Contact Celine Mathews @(713) 799-5002 or email