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TIRR Vision 2013

Spasticity Assessment

It’s More Than Just an MAS Score!

Medical Faculty: Cindy B. Ivanhoe, MD.
Therapy Faculty: Cori Ponter, PT, MPT, NCS

Open to: TIRR MHHS Occupational Therapy Professionals & Physical Therapy Professionals
Date: Saturday, May 9, 2015
Registration – 7:30 am, Class 8:00 am – 5:30 pm
Location: TIRR Memorial Hermann, Research Building 2nd floor Conference Room, 1333 Moursund, Houston, TX. 77030

Speaker Information

Cindy B. Ivanhoe, MD,, is Chief Medical Office of Mentis Neurorehabilitation and a longstanding admitting physician to the Brain Injury and Stroke Program at The Institute for Rehabilitation and Research (TIRR), having been director of that program from 1996-2006 and co-director of the program from 1993-1996.

Dr. Ivanhoe is an Associate Professor of Physical Medicine and Rehabilitation at Baylor College of Medicine and The University of Texas-Houston. In addition to her clinical commitments, Dr. Ivanhoe remains a strong advocate for person’s suffering from Acquired Brain Injuries and Neurological Illness, having lobbied at the national level for issues affecting patient care and testifying before a congressional subcommittee on Traumatic Brain Injury.

Dr. Ivanhoe has published in many textbooks related to brain injury rehabilitation, including Brain Injury Medicine and has been a speaker in venues ranging from the Pro Football Hall of Fame, to cerebral palsy conferences in New Zealand.

Dr. Ivanhoe served on Task Forces of the American Academy of Physical Medicine and Rehabilitation, including Mild Traumatic Brain Injury (“Concussion”), Spasticity and now the Quality, Practice, Policy and Research (QPPR) Committee. She was recently invited to assist the Academy of Physical Medicine and Rehabilitation in the preparation of study materials for the board certification She is a member of advisory boards and speaker bureaus for companies involved with medications and devices used in the treatment of spasticity and other movement disorders. Dr. Ivanhoe is on the Medical Advisory Board of the Houston Area Parkinson's Society and formally, the educational committee of “We Move”. Dr. Ivanhoe was recently elected to the Board of Directors of the International Neurotoxin Association.

Dr. Ivanhoe received the Elizabeth and Sidney Licht Award for the Paper Presenting Potential Significance and Empirical and Theoretical Contributions to Rehabilitation Medicine. This was presented by the American Congress of Rehabilitation Medicine in Washington, D.C., on October 4, 2007, for her paper on “Intrathecal Baclofen in Post Stroke Spasticity.” Dr. Ivanhoe has also received the Roy H. Cullen Quality of Life Award, presented by the Houston Area Parkinson's Society, and the R. Edward Carter, Jr., M.D. Clinical Achievement Award for Continuing Contributions and Accomplishments presented by Baylor College of Medicine-University of Texas Houston Physical Medicine and Rehabilitation Alliance in 2004 and 2001. The Brain Injury Association of Texas awarded her the Professional Contribution Award in 2000, and the Lifetime Achievement Award in 2002. She was awarded the Fulbright and Jaworski award for Education by Baylor College of Medicine in 2014.

Corina Ponter, PT, MPT, NCS, CBIS is a 2002 graduate of Emory University in Atlanta, Georgia. She has worked at The Institute for Rehabilitation and Research (TIRR) on the Brain Injury and Stroke Team since 2004 and is currently the physical therapy clinical coordinator for the team. 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, does ongoing program development, and mentors physical therapy staff members.

OT: Memorial Hermann Health System is an AOTA Approved Provider of continuing education- provider # 8105. This course is offered for 0.8 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- Evaluation and Intervention.

PT: Memorial Hermann Health System is TPTA Approved Provider of continuing education. This activity meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas for 8.0 CCUs.

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.

Instructional Level: Advanced 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.
Target Audience: TIRR MHHS Occupational Therapy Professionals & Physical Therapy Professionals
Instructional Methods Used: Lecture and Lab.

Learning Objectives/Outcomes:

  • Identify and differentiate types of muscle over activity and their clinical presentations
  • Discuss the pathophysiology and origins of spastic muscle over activity
  • Identify and differentiate various assessment tools used in assessing spasticity
  • 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
  • Identify and discuss at least three different activity-based or participation-based outcome measures to utilize in the functional assessment of subjects with various levels of spasticity
  • Discuss the findings of the patient evaluation and determine the possible functional implications of that assessment

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

Program Schedule:

8:00 - 8:15 amIntroduction: Corina Ponter, PT
8:15 - 10:15 amDifferent types of muscle over activity, including clinical presentations and pathophysiology - Gerard Francisco, MD or Cindy Ivanhoe, MD
10:15 - 10:30 amBreak
10:30 - 12:00 pmScales utilized in the assessment of spasticity and appropriate documentation – Corina Ponter, PT
12:00 - 12:30 pmLunch provided
12:30 - 4:00 pm(15 minute break included) Labs
4:00 - 4:45 pmPutting it all together – What Does It All Mean? Corina Ponter, PT
4:45 - 5:00 pmQ & A

Class Size:

Registration is limited to 20 participants; Registration now open!


Please wear clothing appropriate to participate in lab portion of class. Bring a sweater if you get cold easily.


Lunch with a drink will be provided. Bring a drink bottle for the day if you like, a water fountain is nearby. Soda machines near the cafeteria. Limited cafeteria hours on the weekend.


Please refer to 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 policy:

All cancellations must be in writing 14 calendar days prior to the course start date to 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. 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.

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. Ivanhoe and Dr. Francisco have both served on multiple advisory boards and had have participated in paid and unpaid research activities involving spasticity management medications, treatment interventions, and device trials.


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. Employees must use their Memorial Hermann email to receive employee price for the course. In the event of a course cancellation, participants will be notified via email & contact phone number on the registration form

Required $25 refundable, reservation fee. This course is free to TIRR Memorial Hermann Employees with a $25.00 refundable, reservation fee. Complete registration form and reservation fee are due to reserve your place in the course. Registration fee will be returned to you at the end of the course with your completed course certificate. If you register and do not fully attend, your reservations fee will not be refunded. Registration fee includes: Course materials and lunch.

Registration for this course is closed.