APTA Neurology Section: Clinical Decision Making as a Foundation for Expert Practice

Date: 9/15/2012 - 9/16/2012
Time: 8:00am Speaker(s): Lois Hedman, PT, MS , Cindy Zablotny, PT, DPT, MS, NCS, Jennifer Khan, PT, DPT, NCS
Continuing Education Unit Hours: 15

For More Information

Event Contact(s):
Rebecca Richmond, MPH, CPH
Rehab Continuing Education Coordinator
Phone: 502-582-7673


Novices develop clinical competence and evolve into expert practitioners by making decisions that involve the complementary processes of systematic analysis and intuition. This 2-day course was developed with the overall objective of strengthening skills for all therapists seeking to advance their neurologic physical therapist practice. Participants will utilize current frameworks for clinical decision making to assist them in analyzing neurologic patient cases in the areas of balance and falls, brain injury, Guillain-Barre syndrome, Parkinson’s disease, spinal cord injury,stroke, and vestibular dysfunction. Participants will apply current evidence and clinical guidelines in making patient management decisions particularly in the areas of evaluation, prognosis, and intervention. Given both the breadth and the depth of the course, participation may assist the physical therapist interested in sitting for the Neurologic Clinical Specialist exam.


1. Complete a self-evaluation of preparedness for advanced neurologic physical therapist
practice and describe strategies for individual professional growth;
2. Systematically apply clinical decision-making frameworks to neurologic physical therapist
practice including examination, screening for referral, evaluation, diagnosis, prognosis, and
intervention (including treatment progression);
3. Develop focused clinical questions for seeking evidence to support clinical decisions;
4. Accurately apply current evidence and clinical practice guidelines, in combination with patient
values, to optimize prognostic and intervention decisions in a variety of neurologic patient
5. Discuss “take-home messages” for elevating practice that can be implemented in the clinical




8:00 Course Objectives & Pillars of Evidence
8:15 Developing Expertise
9:15 Framework Overview: Exploring Models
10:00 Break
10:15 Framework Overview (cont.)
11:00 Finding Evidence With Focused Clinical Questions
12:00 Lunch (on your own)
1:00 Bringing It Together for Practice: Application to a Patient
Case - Complex, Multi-System Balance Dysfunction
2:30 Break
2:45 Case Application (cont.)
4:30 Questions & Discussion
5:00 Adjourn
8:00 Concurrent Case Process & Outcome Expectations
8:15 Concurrent Case Session #1: CVA, Vestibular, SCI
10:15 Break
10:30 Concurrent Case Session #2: BI, Vestibular, GBS
12:00 Lunch (on your own)
1:00 Concurrent Case Session #3: CVA, PD
2:30 Break
2:45 Pulling It all Together & the Importance of Reflection
4:15 Take-Home Messages
4:30 Questions & Discussion
5:00 Adjourn


Lois D. Hedman, PT, MS, is an assistant professor in the Department of
Physical Therapy and Human Movement Sciences, Feinberg School of
Medicine, Northwestern University in Chicago, IL. She was instrumental in
developing a motor control framework that is the basis for clinical
management of patients with neurological dysfunction. She coordinates the
clinical neurological curriculum at Northwestern. In 2008 she received the
Distinguished Educator in Physical Therapy Award from the Education Section
of APTA.

Cindy Zablotny, PT, DPT, MS, NCS, is an associate professor in the Ithaca
College Department of Physical Therapy. She worked for 12 years in
neurorehabilitation at Rancho Los Amigos Medical Center and currently
continues her practice within Unity Health System in Rochester, New York. An
active member of the Neurology Section, Dr. Zablotny has served as a chair of
the Neurologic Clinical Specialist Committee, contributing to expertise
development and advanced neurologic physical therapist practice.

Jennifer H. Kahn, PT, DPT, NCS, is an instructor at Northwestern University,
Department of Physical Therapy and Human Movement Sciences with an
emphasis on teaching in the neurologic physical therapy course sequences.
Dr. Kahn has over 10 years of clinical experience working with patients with
neurological dysfunction at the Rehabilitation Institute of Chicago, where she
continues to see patients. She received her Neurological Clinical Specialist in
2007 and is not active in the Specialization Academy of content Experts as a
Clinical Context Expert. Dr. Kahn’s research experience has primarily focused
on the recovery of locomotion following stroke or spinal cord injury. She is an
instructor of the Neurology Section’s regional course “Clinical Decision
Making”. Dr. Kahn received her Master’s (2000) and Doctor of Physical Therapy
(2002) degrees from Northwestern University


Below are 5 articles and 1 web-based tutorial which your course
coordinators would like you to complete PRIOR to the course. The
Phys Ther and JNPT articles are available in full text, free of
charge, at http://journals.lww.com/jnpt and http://ptjournal.apta.org

Schenkman M, Deutsch JE, Gill-Body KM. An integrated
framework for decision making in neurologic physical therapist
practice. Phys Ther. 2006;86:1681-1702.

Jensen GM, Gwyer J, Shepard KF, Hack LM. Expert practice
in physical Therapy. Phys Ther. 2000;80:28-43.

Wainwright SF, Shepard KF, Harman LB, Stephens J.
Novice and Experienced Physical Therapist Clinicians: A
Comparison of How Reflection is Used to Inform the Clinical
Decision-Making Process. Phys Ther. 2010; 90: 75-88.

Fell DW. Progressing therapeutic intervention in patients with
neuromuscular disorders: A framework to assist clinical decision
making. JNPT. 2004;28(1):35-46.

Sullivan KJ, Hershberg J, Howard R, Fisher BE. Neurologic
differential diagnosis for physical therapy. JNPT. 2004:28(4):162-

 PICO tutorial "Using Evidence Based Medicine" at:http://

Hotels located near Jewish Hospital Rudd Heart and Lung Center:

SpringHill Suites Louisville Downtown
132 E Jefferson
Louisville, Kentucky 40202
Phone: 1-502-569-7373
Web: http://www.marriott.com/hotels/fact-sheet/travel/sdfsd-springhill-suites-louisville-downtown/

Courtyard Louisville Downtown
100 South Second Street
Louisville, Kentucky
Phone: 1-502-562-0200
Web: http://www.marriott.com/hotels/fact-sheet/travel/sdfdt-courtyard-louisville-downtown/

Hampton Inn Louisville Downtown Hotel
101 East Jefferson Street
Louisville, KY 40202
Phone: (502) 585-2200
Web: http://www.hamptoninndowntownlouisville.com/


Jewish Hospital

Rudd Heart and Lung Center
201 Abraham Flexner Way
Louisville, KY 40202
Get Driving Directions

Event Pricing

Registration $425.00



© 2013 KentuckyOne Health
200 Abraham Flexner Way•Louisville, KY•40202

Last Updated: 7/16/2014