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Professional Resources & Education

Advancing Clinical Practice in Neurodegenerative Disease Rehabilitation 2017

TIRR Faculty:

Anna de Joya, PT, DSc, NCS
Carolyn DaSilva, PT, DSc, NCS
Heather Smith, MA, CCC-SLP

Guest Faculty:

Claire MacAdams, PT, NCS

Invited Physician Panel:

George Hutton, MD
Caroline Bodenheimer, MD
Maya Scheiss, MD
Allison Boyle, MD


Course Date:

November 04, 2017


7:30 Registration
8:00-5:00pm Lecture


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

Class size:

Limited to 40 attendees


Pending post. Handouts will be posted as made available from speakers; handouts are electronic for course attendees to download or print in advance for use as desired. Password required. Attendees will be emailed a password as the handouts become available.

Target Audience

PT, PTA, OT, OTA, SLP Clinicians looking to advance their clinical expertise when working with Neurodegenerative Disorders and Rehabilitation.


The focus of this course is to present evidence from which therapists can develop a clinical framework to effectively manage patients with neurodegenerative disease, including Parkinson’s Disease, Multiple Sclerosis, Huntington’s Disease, Amyotrophic Lateral Sclerosis, Post-Polio Syndrome, Guillian Barre Syndrome, among others. Topics will include the role of the physical therapist, pathophysiology of different neurodegenerative diseases, application of the principles of neuroplasticity and motor learning, and clinical decision making as they apply to best physical therapy practice. In addition, treatment approaches related to impairments, activity limitations and participation restrictions will be addressed. The course format will include lecture-based presentation and active dialogue through the use of case studies and group discussions.

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

  • Describe the role of the physical therapist in the management of patients with neurodegenerative disease.
  • Describe the pathophysiologic changes in the neurologic system and the correlating clinical presentation.
  • Critically appraise and integrate the current evidence on best physical therapy practice based on principles of neuroplasticity and motor learning.
  • Analyze and apply recommended standardized outcome measures for the different neurodegenerative diseases.
  • Develop and apply a clinical decision making framework implementing the domains of the ICF model based on presented information.

Assessment of Learning Objectives: Course evaluation.

Speaker Information

TIRR Faculty Information

Anna DeJoya

Anna de Joya, PT, DSc, NCS is the Specialty Rehabilitation program manager at TIRR Memorial Hermann. She received her Doctor of Science in Physical Therapy at the University of Alabama at Birmingham in 2012. She is board certified by the American Physical Therapy Association (APTA) as a Neurologic Clinical Specialist since 2008. Anna has been treating patients across the continuum since 1996. Her current role includes coordinating, evaluating and developing the growth of TIRR Memorial Hermann and the Memorial Hermann Rehabilitation Network specialty rehabilitation program. She develops, assesses and coordinates the clinical and educational components of the cancer rehabilitation program. Anna has a variety of experience in teaching both in the clinical setting, academic setting and in the community, including state and national conferences.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with TIRR Memorial Hermann; TIRR Rehab Innovations Grant recipient 2012 (inactive)
  • Non-financial: Chair, Practice Committee, APTA Neurology Section; Course Content Coordinator, Acute Stroke Course for the APTA Neurology Section; Nominating Committee Member, TPTA; Practice Committee Member, TPTA

Carolyn Da Silvia

Carolyn P Da Silva, PT, DSc, NCS is a professor in the School of Physical Therapy at Texas Woman's University in Houston, Texas. She earned her entry-level masters in physical therapy at Texas Woman's University and her Doctor of Science in physical therapy from the University of Alabama at Birmingham. She is a neurologic clinical specialist and works clinically at TIRR Memorial Hermann Rehabilitation and Research out-patient polio clinic and at Memorial Hermann Hospital – Texas Medical Center in the in-patient rehabilitation unit. Her clinical and research primary interests are with people with post-polio syndrome and stroke and issues related to aging with disability.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationships with TIRR and TWU; paid speaker.
  • Non-financial: TIRR Residency Advisory Council

Heather Smith

Heather M. Smith, MA, CCC/SLP is currently a senior speech language pathologist at the TIRR Memorial Hermann Outpatient Rehabilitation Clinic at Memorial City. She is one of the lead therapists providing mentoring, guidance, and collaboration with other speech language pathologists across the sites. Heather has 13 years of experience as speech language pathologist and has an extensive background in the evaluation and treatment of patients with Parkinson’s disease and Movement Disorders across the continuum of care. She is certified in Lee Silverman Voice Treatment (LSVT)-LOUD and is proficient in Modified Barium Swallow Studies, McNeil Dysphagia Treatment, Flexible Fiberoptic Nasoendoscopy among others.

Speaker Disclosures & Conflicts of Interest:

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

Invited Faculty Information

Claire MacAdam

Claire MacAdam, PT, NCS is a physical therapist and has served as the Clinic Coordinator for the ALSA certified ALS Center at Baylor College of Medicine in Houston, TX since 2005. Claire also coordinates the research projects for the Neuromuscular Disease Center at Baylor. Claire earned her B.S. in PT in 1982 from the University of South Alabama and has spent her career working with patients with neurological disorders, specifically neuromuscular and neurodegenerative disorders. Claire has been a Neurologic Certified Specialist through the American Board of Physical Therapy Specialties since 1994. In addition to her work with the Neuromuscular Disease Center, Claire also serves as the Director of Clinical Operations for the Department of Neurology at Baylor College of Medicine.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with Baylor College of Medicine; paid speaker
  • Non-financial: None reported
Maya Scheiss

Maya Scheiss, MD is Tenured Professor of Neurology at the University of Texas-Houston School of Medicine and Vice Chair of the department. In 2001, she established UT MOVE as its Clinical Director. Currently, she serves as Clinical Director of the Movement Disorders clinic and Director of the Movement Disorders Fellowship Training Program for UT Health Science Center. Her hospital appointments include Hermann Memorial, LBJ- Harris County Hospital, TIRR Memorial Hermann, and Methodist in Houston.

Dr. Schiess completed the MD program at the University of New Mexico, followed by a residency in Neurology at The University of Texas Health Science Center Southwestern in Dallas, where she also completed a research fellowship in neurophysiology and pharmacology.

Dr. Schiess was honored as recipient of The Adriana Blood Endowed Chair in Neurology. She has served as co- or principal-investigator for multiple studies and currently her central research endeavors are focused on identifying the pathophysiology of Parkinson disease, identifying reliable biomarkers early in the disease process, and in developing effective neuroprotective therapies. Among her other areas of ongoing research are the role of deep brain stimulation on cognitive function and slowing disease progression, the role of neuropeptides and cytokines in neurodegeneration and the development of classification criteria for subtypes of Parkinson disease.

Dr. Schiess is on the Editorial Board for Archives of Neurology. Some of her recent publications are as co-author of the chapter "Rehabilitation of persons with Parkinson's disease and other movement disorders", in Rehabilitation Medicine: Principles and Practice,2005; Dissociating Cognitive Deficits involved in voluntary eye movement dysfunctions in Parkinson’s disease patients, Neuropsychologia, 2006; Consensus Panel Recommendations for the Use of Intrathecal Baclofen Therapy in Post-Stroke Spastic Hypertonia, Topics in Stroke Rehabilitation, 2006; Levodopa slows prosaccades and improves antisaccades : An eye movement study in Parkinson’s Disease, Journal of Neurology, Neurosurgery and Psychiatry, 2007; “Serum Uric Acid and Parkinson Disease: Potential Biomarker for Nigrostriatal Failure” Archives of Neurology, 2008.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Dr Scheiss has an employment relationship with UT Health Medical School and UT MOVE. She is the Principle Investigator for several active studies: Allogeneic Stem Cell therapy for Neurodegenerative Diseases, Co-PI Erin Furr- Stimming; A Multicenter study on the Effectiveness of Isradipine on Early PD” PSG and NIH, a Sponsored study; Minority Recruitment in Steady PD III Statistical methods for clinical trials with multivariate longitudinal outcomes; and Device Registry Product Surveillance Registry.
  • Non-financial: Dr. Scheiss has a consultant or advisory board relationship with HAPS.
George Hutton

George J. Hutton, MD is Associate Professor, Baylor College of Medicine Department of Neurology in Houston, Texas. He is recipient of the Linda and John Griffin Endowed Professorship in Multiple Sclerosis.

Dr. Hutton received his medical degree from Vanderbilt University Medical School. He completed his internal medicine internship and neurology residency at Baylor College of Medicine. He then completed a fellowship in Multiple Sclerosis at Baylor College of Medicine.

He serves on the Board of Trustees of the National Multiple Sclerosis Society and is a top fundraiser in the MS150, having been recently inducted into the fundraising hall of fame. He is past Chairman of the Regional Clinical Advisory Committee of the NMSS. He is Medical Director and Director of Clinical Research of the Maxine Mesinger Multiple Sclerosis Comprehensive Care Center of Baylor College of Medicine. He also directs the Multiple Sclerosis Clinic at Harris Health.

Dr. Hutton’s clinical and research interests include novel therapeutic approaches in Multiple Sclerosis, including hematopoietic stem cell transplantation.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Consultant or Advisory Relationship with Genetech, Genzyme; Employment relationship with Baylor College of Medicine. Dr. Hutton receives Research Funding from Biogen Idec, Novartis, MedImmune, Hoffman-LaRoche, and Opexa Therapeutics
  • Non-financial: None reported
Carol Bodenheimer

Carol Bodenheimer, MD is board certified in both Physical Medicine And Rehabilitation and Electrodiagnostic Medicine. She has a subspecialty certification in Spinal Cord Injury Medicine. She provides a broad range of treatments for Spasticty Management. She is also an Assistant Professor in the Department of Physical Medicine and Rehabilitation at Baylor College of Medicine.

Prior to joining the SCI team at the Veterans Affairs Medical Center in Houston, Dr. Bodenheimer was President of the Medical Staff at Memorial Hermann |TIRR. While at TIRR, she was the medical director of the Specialty Rehabilitation Program which provided rehabilitative services for individuals with neurological and neuromuscular disorders such as multiple sclerosis, Parkinson’s disease and post-polio syndrome. She also worked extensively with both the brain injury and spinal cord injury programs at TIRR. Dr. Bodenheimer received her medical degree from Temple University School of Medicine, completed her internship in internal medicine at Pennsylvania Hospital, and her residency in Physical Medicine and Rehabilitation at Temple University Hospital and Moss Rehab Hospital. She has held hospital appointments on the medical staff at Johns Hopkins Hospital in Baltimore and was a clinical assistant professor in the Department of Physical Medicine and Rehabilitation at the University of Pennsylvania, School of Medicine in Philadelphia and a member of the medical staff at Veterans Affairs Medical Center. She was the staff physician for the SCI clinic at the Philadelphia VAMC, a spoke to the VISN 3 SCI centers.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Assistant Professor in the Department of Physical Medicine and Rehabilitation at Baylor College of Medicine. Employment relationship with Veterans Affairs Medical Center in Houston.
  • Non-financial: None reported
Allison Boyle

Allison Boyle, MD is an Assistant Professor in the Department of Neurology for UT Health McGovern Medical School. She earned her medical degree from University of Texas Health Science Center in Houston along with her Internship in Internal Medicine, her Residency in Neurology, and her Fellowship in Movement Disorders.

Speaker Disclosures & Conflicts of Interest:

  • Financial: None reported
  • 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.

Saturday, November 04, 2017

TimeTopic & Activity
7:30 - 8:00 amRegistration & Refreshments
8:00 - 8:30 am


  • Current rehabilitation needs
  • Role of Multidisciplinary Team
8:30 - 10:00 am
  • Pathophysiology
  • Neuroscience concepts
  • Prevention of Secondary Complications
  • Pain Management
10:00 - 10:15 amBreak
10:15 - 11:30 am

Rehabilitation Considerations

  • Clinical Decision Making and Outcome Measures
  • Equipment Considerations: Functional Mobility DME, Augmentative Communication
11:30 - 12:15 pm
  • Role of Exercise
  • Community Wellness & Resources
12:15-1:00 pm

Light Lunch provided or TIRR Cafeteria available

1:00-2:45 pm

Physician & Therapy Expert Panel

  • Submitted discussion questions requested
2:45-3:00 pmBreak
3:00-4:30 pm

Case Study / Problem Solving Team Approach

  • DME
  • Caregiver Burden
  • End of Life
  • Aging together with a disability
  • OP to Home health to..Transition of care
4:30-5:00 pm

Resiliency & reflection

  • Patient, Caregivers, Rehabilitation Professionals

Instructional Methods Used: Lecture, Panel & Discussion



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.

  • AOTA CEUs: 0.75
  • AOTA Classification Code: Occupational Therapy Process - Intervention
  • AOTA Instructional Level: Intermediate
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 for: 7.75 CCUs

TPTA 2017

SLP: Memorial Hermann Health System is an ASHA Approved Provider of continuing education- provider ID ABAF. The assignment of ASHA CEU’s does not imply endorsement of specific course content, products, or clinical procedures from ASHA.

  • ASHA CEUs: 0.75
  • ASHA Classification Code: 3030


This course is offered for 0.75 ASHA CEUs
(Intermediate Level, Professional Area).

Target Audience: OT/OTA, PT/PTA, SLP


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.

Course closes on: October 30,2017 @4pm

Class Size is limited to 40

MHHS employees must register with their MHHS email to receive the employee benefit.
Any questions, please contact:

Cancellation policy: 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. We ask that you please reserve the surface lot directly in front of TIRR for patients and their visitors.

Accommodations:All participants in Memorial Hermann Continuing Education Courses are entitled to an accessible, accommodating, and supportive teaching and learning environment.


Registration for this course is now closed.