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presented by Mike Studer, PT, DPT, MHS, NCS, CEEAA, CWT, CSST, CBFP, CSRP, FAPTA
Financial— Mike Studer receives compensation from MedBridge for the production of this course. There are no other relevant financial relationships. Nonfinancial— No relevant nonfinancial relationship exists.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
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Mike Studer, PT, DPT, MHS, NCS, CEEAA, CWT, CSST, CBFP, CSRP, FAPTA
Mike Studer, PT, DPT, MHS, NCS, CEEAA, CWT, CSST, CBFP, CSRP, FAPTA, has been a PT since 1991. He has been board certified in neurologic PT since 1995 and has been a private practice owner since 2005. Dr. Studer has been an invited speaker covering 50 states, 10 countries, and 4 continents, speaking on topics…
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1. Why Should I Distract My Patients? The Case for Dual Tasking
This introductory chapter provides the functional case for dual task relevance in post-stroke recovery for PT, OT, and SLP.
2. The Physiology of Attention and Dual Task Management
This chapter defines attention and dual tasking. It also identifies locations and networking in the brain for normal and post-stroke considerations, dual task, and answers questions about how the brain processes distracting environments and/or the load of a secondary simultaneous task.
3. Evidence-Based Learning in Normal and Post-Stroke
In an effort to best understand the neurologic mechanisms of learning after stroke, this chapter reviews normal learning and the neuroplastic opportunities in recovery.
4. Functional Relevance of Dual Task Tolerance After Stroke
This chapter offers perspective on all of the various functions that are impacted by dual task intolerance after stroke, from walking and beyond. Considerations and applications in the multidisciplinary team goals of PT, OT, and SLP are included.
5. Dual Task Testing After Stroke
In this chapter, the participant is exposed to the current evidence and future clinical directions of dual task testing, as related to stroke recovery in terms of both gait and balance rehabilitation.
6. Dual Task Training for Distraction Tolerance in the Home and Community
Many patients recovering from stroke cannot tolerate distractions. This chapter reviews training dual task tolerance of distractions for safe and efficient function, despite the presence of distracting environments or secondary tasks.
7. Dual Task Training to Promote Automaticity After Stroke
Training dual task has the potential to facilitate improved automaticity of pre-stroke procedural memories. This chapter includes an extensive review of interventions (with complimentary suggestions of documentation), focused on achieving this goal in gait, ADLs, IADLs, swallowing, communication, and community mobility.
8. Documentation, Technological Advances, and Compensations for Non-Responders
Skilled therapy must have a justification with measures, goals, and outcomes. Dual task training is no different. This chapter additionally highlights some of the technological advances in virtual reality and body worn sensors. Finally, compensation is the route for some patients who are either too severely impaired or have lesions, in particular to learning centers, preventing them from being able to benefit from dual task training. In this section, we will review how to help these individuals still function optimally, despite these limitations.
9. Q&A
This is a viewer submitted question and answer session, which will be facilitated by Mike Studer.
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