Neuro-Oncological Rehab

Head to Toe

Contact Hours: 5

Seminar Description:

This course is designed for therapists who want a more complete understanding of neuro-oncological processes and how they affect clinical decisions in rehabilitation. Content will explore rehabilitation implications surrounding the assessment and treatment of brain and spine tumors and the neurotoxic effects one may experience undergoing chemotherapy
Neuroanatomy and tumor histology will be reviewed with the intent to describe how these factors influence prognosis and treatment. Discussions are based on peer-reviewed literature and delivered in a case study format. Participants are required to reflect on their current knowledge and become active learners by engaging in a case study.
Information and handouts are provided on reducing fall risk in those diagnosed with nervous system tumors or chemotherapy-induced peripheral neuropathy. At the end of the course participants will have a framework in which to help make important clinical decisions. They will have a better understanding of how to assess, intervene and ultimately help those who are experiencing complex, often distressing, diagnoses.

Course Objectives

Upon completion, participants will be able to:

  1. Describe neuroanatomy, tumor histology and how they influence spinal cord and brain tumor categorization.
  2. Discuss etiology, presentation and progression of CIPN (chemotherapy-induced peripheral neuropathy).
  3. List characteristic neurological deficits and their presentation prior to diagnosis of nervous system lesions.
  4. Describe how the primary cancer diagnosis may affect rehabilitation interventions and goals for someone with metastatic spine and brain lesions.
  5. Provide a summary of medical, surgical, and radiological treatment for nervous system tumors and how the secondary effects of these interventions can be remediated.
  6. Highlight factors that may affect rehabilitation potential and ambulatory function.
  7. Provide evidence-based examination of and interventions for individuals affected by neuro-oncological conditions.
  8. Describe functional scales used within the neurosurgical literature to describe outcome.

Course Outline

Introduction and pre-Test: 15 min

Foundations: 41 min

Brain Tumors: 32 min

Spinal Tumors: 35 min

Metastatic Disease: 40 min

CIPN: The Toes 38 min

Patient with CIPN Case Study Testing: 70 min

  • Intro
  • Unilateral plantarflexion strength
  • Bilateral plantarflexion strength
  • Four stage balance
  • Walk & talk
  • 2 Min Step
  • mCtsib
  • Power training

Wrap up: 8 min

Post-test, Course Eval & Certificate: 15 min

Faculty

Earllaine Croarkin

MPT, NCS

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