Optimizing Functional Outcomes in the Stroke Survivor OT/PT Registrations only
PT
OT
Course Level:
Intermediate
Course Type:
In-person
March 21–22, 2026
Check-In Time: 3/21/2026 7:30:00 AM
Course Time(s): Saturday, March 21st, 2026 Check in time: 7:30AM-8:00AM Course time: 8:00AM-5:15PM Sunday, March 22, 2026 Course time: 8:00AM-4:45PM
Course Location:
Contact Hours: 15.0
Course Completion:
Course intended to be completed in full.
Instructor: Laura Wiggs, PT, NCS, CBIS
Instructor Bio:
Laura Wiggs, PT, NCS, CBIS graduated from Texas Christian University with a Bachelor of Science degree in Kinesiological Studies. She earned a Bachelor of Science degree in physical therapy from UTMB in 1991. In 2000, she earned her certification as a neurological clinical specialist.
She is also a Certified Brain Injury Specialist by the Academy of Certified Brain Injury Specialist.
Laura has specialized in the treatment of individuals with brain injury and stroke for the past 27 years. She has treated individuals throughout the continuum of brain injury and stroke from the neuro intensive care unit to community based re-entry. She has published numerous articles on the topic of
hypertonia, and has presented both nationally and internationally on this topic. In addition, she has presented at numerous national and international conferences on topics in brain injury.
Laura is a guest lecturer for the UTMB PT program, and is on faculty with the Harris Health System PT Neurological residency program.
Financial Disclosure:
Laura Wiggs receives an honorarium from North American Seminars for this course.
Non‑financial Disclosure:
Non-financial, Ms. Wiggs has no–nonfinancial relationships to disclose
Upon completion of this course, the participant should be able to:
- Summarize neuroanatomical lesions and subsequent deficits.
- Explain cognitive, behavioral, vision, and language deficits post stroke.
- Develop strategies for assessing and treating cognitive, behavioral, vision, and language deficits for improved outcomes throughout the continuum.
- Explain the impact of comorbidities on outcome and therapy planning.
- Define a transdisciplinary approach and describe ways to develop this in your treatment setting.
- Define motor learning and identify how to achieve better outcomes by using a motor learning approach.
- Define spasticity, dystonia, and spastic dystonia, and identify the best medical and therapy interventions for management.
- Delineate key movements to analyze, interpretation of the movement observed, and how to set up treatment strategies for improved outcomes.
- Determine causes of fatigue in the stroke population and treatment strategies to diminish the impact of fatigue on function.
- Explain the pain generators that contribute to hemiplegic shoulder pain and perform basic treatment techniques for management.
- Discuss the most current evidence-based information on upper and lower extremity orthotics for the stroke population.
- Summarize keys to achieving community ambulation and community integration.
- Develop home programs for continued progress, not just maintenance.
- Perform therapeutic techniques to enhance functional outcomes for the post stroke patient.
7:30 – 8:00 Registration
8:00 – 9:00 Stroke syndromes
· Incidence of stroke and most common causes
· Review of circulation
· Review of stroke syndromes
· Latest research on diagnosing stroke—AHA/ASA recommendations
9:00 – 10:00 Early mobilization and pharmacological interventions
· Literature review—AHA/ASA recommendations
· Treatment ideas for the ICU and neuro floor
· Oral care
10:00 –10:15 Break
10:15 – 10:45 Stroke behaviors and cognitive deficits
· Impulsivity, decreased initiation, executive dysfunction
· Strategies for working with patients exhibiting these behaviors
· Memory deficits
· Attention deficits
· Cognitive processing speed
· Strategies for working with patients exhibiting cognitive deficits
10:45 – 11:00 Language deficits and vision deficits
· Strategies for working with patients with language deficits
· Identifying possible visual deficits
· Impact of visual deficits on function
· Strategies for visual deficits
11:00 – 11:30 Comorbidities: Impact on Outcome and Treatment
Planning
· Most common: HTN and DM
· Cardiac
· Hematological disorders
· Dementias, neuropathies
· Substance abuse
· Depression and anxiety
· Musculoskeletal issues
11:30 – 12:00 Normal aging vs. stroke changes
· Musculoskeletal
· Cognition
· Vision, hearing, swallowing
· Bladder
12:00 – 1:00 Lunch
1:00 – 1:30 Fatigue in the Stroke Population
· Causes
· Strategies for managing fatigue across the continuum
1:30 – 1:45 Neuroplasticity
·Latest research
·Treatment ideas
1:45 – 2:00 Motor Learning
· Basic Principles
· Applying motor learning for best outcomes
2:00 – 2:45 Cerebellar Stroke
· Difficulty with initial diagnosis
· Cerebellar affective syndrome
· Errorless learning
· Treatment ideas
· Case presentations
2:45 – 3:00 Break
3:00 – 3:15 Pusher Syndrome
· Treatment ideas
3:15 – 3:30 Gagenhalten / Paratonia
· Treatment ideas
3:30 – 5:15 Home Programs Across the Continuum
· Memory aides
· Tracking devices
· Activity level vs exercise
· Ideas for adaptive /assistive devices
· Review of literature
Day 2-Sunday
8:00 – 10:00 Hypertonicity
· Defining spasticity, dystonia, and spastic dystonia
· Assessment of hypertonicity
· Medical management of hypertonicity: neurotoxin, ITB,
cryoneurolysis, oral medications, and orthopedic interventions.
· Updates on the latest research
· Case presentations
· Therapy Interventions for hypertonicity
10:00 – 10:15 Break
10:15 – 12:00 Gait from physiological to community ambulatory
· Review of current evidence-based research
· Treatment techniques to improve gait
· Orthotics Fear of falling
· Case Studies
12:00– 1:00 Lunch
1:00 – 2:00 Lab – lower extremity mobilizations, exercises, gait
2:00 – 3:00 Management of the hemiplegic upper extremity
· Treatment strategies for managing subluxation, adhesive
capsulitis, and referred pain
· Treatment strategies for the forearm, wrist, and hand
· Review of current literature
· Orthotics for the upper extremity
3:00 – 3:15 Break
3:15 – 4:30 Lab: Hemiplegic upper extremity treatment techniques
Mobilizations
· Home Programs for upper extremity
4:30 – 4:45 Conclusion – Q&A
Contact Information
M Health Fairview Rehab Services Continuing Education Department
Email: rehabce@fairview.org
Phone: 612-672-5607
