A Master Clinician Demystifies MS: Steps to Rehab Success for Patients with Multiple Sclerosis

Contact Hours: 5

Seminar Description:

In this video course, you will observe Herb Karpatkin, PT, DSc, NCS, MSCS, a master clinician with over 20 years experience specializing in the treatment of persons with MS, as he examines, assesses and treats a 58-year-old woman with a history of MS whom he meets for the first time on camera. Special attention is paid to differentiating between impairments and functional limitations and the relationship between the two.

Following the evaluation, Dr. Karpatkin creates a treatment program based on the evaluative findings and then executes the treatment program in the same session as well as in a follow-up session a few days later. Symptoms addressed include fatigue, muscle weakness, dropped foot, gait, balance, and nystagmus. The benefits of exercising intermittently vs. continuously are discussed.

In the second segment of the course Dr. Karpatkin and Dr. Carole Lewis provide background information about MS,myths and facts about the disease, and a commentary and explanation of the evaluation and treatment principles that were utilized and the evidence based principles that guided Dr. Karpatkin’s clinical decision-making. This course will give you new treatment and evaluation strategies that you can use immediately with this population.

Rehabilitation therapy cannot cure Multiple Sclerosis (MS), but it can significantly improve quality of life and the management of symptoms. This is a diagnosis of tremendous variability, which too often leads to clinicians shying away from treating persons with this disease.

Course Objectives

  1. Explain the specific pathology unique to Multiple Sclerosis (MS).
  2. Perform a full neurologic evaluation on a person with MS.
  3. Describe the relationships between impairments seen in persons with MS and how they result in functional limitations specific to the disease.
  4. Analyze the findings of a neurologic examination on a person with MS and devise an appropriate treatment plan.
  5. Formulate an hypothesis to explain relationships between observed impairments and functional limitations.

Course Outline

  • Introduction and Pretest (5 min)
  • Part I Assessment – Patient Interview (25 min) – Observe Dr. Herb Karpatkin, a master clinician with over 20 years experience in the treatment of persons with MS, as he conducts a patient interview with a 58-year-old woman who has a history of MS, whom he meets for the first time on camera.
  • Part II Assessment – Physical Testing (45 min) Special attention is paid to differentiating between impairments and functional limitations and the relationship between the two. He then reviews his findings with the patient.
  • Part III Treatment Program (38 min) – Dr. Karpatkin creates a treatment program based on the evaluative findings and then executes the treatment program in the same session. Symptoms addressed include fatigue, muscle weakness, dropped foot, gait, balance, and nystagmus. The benefits of exercising intermittently vs. continuously are discussed.
  • Part IV Second Treatment Session (37 min) – Explore what and why specific treatments were chosen. Learn how to think about evidence-based practice and how to incorporate it into your daily clinical practice.
  • Parts V-VIII Commentary (145 min)

Faculty

Herb Karpatkin

PT, DSc, NCS, MSCS

Carole B. Lewis

PT, DPT, GCS, GTC,CCOEE, MPA, MSG, PhD, FAPTA

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