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Professional Resources & Education

Comprehensive Rehabilitation Techniques for Persons with Limb Loss

TIRR Faculty:

Danielle H. Melton, MD
Kristine Higgins, PT
Kristin Reeves, MSPT
Susanne Stanley, OTR/L, MOT, CLT

Guest Speakers:

Jon Holmes, PT, CP
Earl Fogler, CP, LP

Open to: PT/ PTA and OT/OTA

Course Date: Saturday, November 12, 2016

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


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

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


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 how to maximize gait
  • Understand upper extremity prosthetic components and how to maximize function
  • Identify how a team approach is effectively implemented across a spectrum of care
  • Identify appropriate outcome measures for patients with limb loss

Assessment of Learning Objectives: Course evaluation, Pre and post test questions, Instructor reviewed lab demonstrations.

Speaker Information

TIRR Faculty Information

Danielle Melton 2015

Danielle H. Melton, MD
Assistant Professor, The University of Texas Medical School at Houston, Department of Orthopedics, Rehabilitation for Salvaged Limbs, Amputations and Neuromuscular Disorders.

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.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with Baylor College of Medicine, TIRR Memorial Hermann and Ossur Americas. She receives remuneration from Medical Life care Planning, LLC.
  • Non-financial: Dr. Melton has a 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 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 assists as guest lecture 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 relationship with 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
Susanne Stanley

Susanne Stanely, OTR/L, MOT, CLT
Susanne 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.

Speaker Disclosures & Conflicts of Interest:

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

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 my 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.



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:Memorial Hermann Health System is an AOTA Approved Provider of continuing education. This course is offered for 0.875 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: Professional Issues-Contemporary Issues and Trends

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 8.75 CCUs.

OT Approved CE
TPTA 2015


Course MHHS AttendeeNon-MHHS Employee
Any Course Day 1$75$175
Any 2 day course $150$300
Register for any 3 or more courses at the same timeReceive a $75 discountReceive a $100 discount
Register for all 8 courses at the same time (*discount no longer applies)Receive a $150 discount for registering for all 8 classes. Total price when registering for all 8 classes, with discount applied, is $750.Receive a $250 discount when registering for all 8 classes. Total Price when registering for all 8 classes, with discount applied, is $1650.

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.

Class Size: Registration is open to 40 participants.

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

Any questions, please contact:

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 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.

Registration for this event is now closed.