Visual Rehab After Neurological Events

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Handouts/Brochure

Speaker

Michelle Mioduszewski, MS, OTR/L Related seminars and products

Niagara Therapy, LLC

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Michelle Mioduszewski, MS, OTR/L, has been practicing occupational therapy in acute, inpatient rehabilitation, and outpatient settings throughout her career. Visual rehabilitation following neurological events has been an area of focus. Michelle owns and operates Niagara Therapy, LLC, a team-oriented practice based in Erie, PA that offers OT, PT, and SLP to adults and children with neurological concerns. She also consults for legal, education, and professional situations.

Michelle is the AOTA Administration and Management Chairperson for the Rehabilitation and Disability Special Interest Section, National MS Society Board of Trustees, and is a National MS Society Partner in Care Designation. She was trained in NDT and Neuro-IFRAH (NDTC), Bioness Certified, REO Certified, SAEBO Certified, and specialized in vision and cognitive rehabilitation. A published writer by AOTA Press, she also teaches on topics such as IASTM, Neuro-Rehab/Neuro-Handling, vision, cognition, spasticity, ergonomics and complex wheelchair evaluations.

Speaker Disclosures:
Financial: Michelle Mioduszewski is the owner of Niagara Therapy, LLC and Niagara Therapy Professional Services, LLC. She is a book reviewer for Slack. Michelle also receives a speaking honorarium and recording royalties from PESI, Inc. Michelle Mioduszewski has no relevant financial relationships with ineligible organizations.
Non-financial: Michelle Mioduszewski is a member of AOTA/POTA and the Consortium of MS Centers. She is a POTA representative to Trialliance Group and also serves on the National Multiple Sclerosis Association Board of Trustees. She is part of the National MS Society, serving as an MS Ambassador and a member of their Clinical Healthcare Advisory Committee.

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Objectives

1. Articulate an understanding of vision-based rehabilitation and the rehabilitation process.
2. Articulate the description of ocular motor skill impairment, visual field loss, visual spatial inattention and midline syndrome.
3. Demonstrate competent assessment of ocular motor skills, visual field loss, visual spatial inattention and midline syndrome.
4. Distinguish the difference between field impairment and neglect.
5. Prescribe treatment interventions for ocular motor skills, visual field loss, visual spatial inattention and midline syndrome.
6. Demonstrate effective documentation of assessment and intervention to justify skilled services.

Outline

• Red flags
• Sequence of action
• When should you refer?
• Relationship of eye/brain anatomy to perception/processing

• Screening methods
• Treatment and compensation strategies
• Visual fixation for the low functioning client
• Advanced technology options

• Determine the diagnosis
• Cover/uncover test
• Assessment, demonstration & lab practice
• Establish treatment protocols

• Anatomical review of the visual pathway
• Determine the diagnosis
• Assessment, demonstration & lab practice
• Peripheral test
• Confrontation test
• Establish treatment protocols

• Determine the diagnosis
• Differentiate between cut and neglect
• Why is left neglect more common than right?
• Assessment, demonstration & lab practice
• Simultaneous stimulus test
• Pencil and paper screeners
• Neuro handling principles
• Positioning strategies to rehabilitate
• Establish treatment protocols for neglect

• Objective data to incorporate
• Demonstrating improvement
• Develop goals for justification

Target Audience

• Occupational Therapists
• Certified Occupational Therapy Assistants
• Physical Therapists
• Physical Therapist Assistants
• Speech-Language Pathologists
• Nurse Practitioners
• Physician Assistants
• Nurses
• Physicians

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