Michelle Mioduszewski – PESI – Visual Rehab After Neurological Events: Seeing the World Through New Eyes

Feeling lost in determining a treatment plan with a neurological client? Have you asked yourself:

• What is the best evidence-based therapy protocol?
• How do you know if you are facing a field loss or a neglect?
• How do you determine visual function when your client is confused?
• Is this a vision or cognitive impairment?

Michelle has been in that fog and come out the other side with wonderful, functional, and cost-conscious options to show and share. She sustains that therapy should be specific to the client’s challenge and that requires an astute awareness of the impairment. This insight comes from clear assessments that are revealed in this course, along with functional treatment interventions to ensure successful therapy sessions. Michelle shares anecdotes and case studies that highlight how the protocols can be put in to practice. These stories assist in enlightening the inexperienced therapist and commiserating with the experienced therapist. The course content is largely interactive and offers numerous lab sessions proving the engaging experience that therapists crave!

Speaker

Michelle Mioduszewski, MS, OTR/L

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 maintains a private practice. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Michelle Mioduszewski is a member of Consortium of MS Centers and the National MS Society Board Member for the Clinical Healthcare Advisory Committee.

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

Visual Rehab Following A Neurological Event

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

Diagnosis: Visual Acuity & Visual Fixation

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

Diagnosis: Ocular Motor Alignment & Depth Perception

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

Diagnosis: Visual Field Cut

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

Diagnosis: Hemi-Spatial Neglect & Pusher Syndrome/Midline Orientation Shift

• 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

Documentation & Advocacy For Coverage

• 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
• PhysiciansCommonly Asked Questions:
  1. Business Model Innovation: Acknowledge the reality of a legitimate enterprise! Our approach involves the coordination of a collective purchase, in which the costs are shared among the participants. We utilize this cash to acquire renowned courses from sale pages and make them accessible to individuals with restricted financial resources. Our clients appreciate the affordability and accessibility we provide, despite the authors’ concerns.
  2. Visual Rehab After Neurological Events: Seeing the World Through New Eyes Course
  • There are no scheduled coaching calls or sessions with the author.
  • Access to the author’s private Facebook group or web portal is not permitted.
  • No access to the author’s private membership forum.
  • There is no direct email support available from the author or their team.