Course Introduction 12th Annual Brain Injury Rehabilitation Conference March 10-11, 2017 Hilton San Diego Resort & Spa Visit www.scripps.org/braininjurycme for conference updates! Course Overview The 12th Annual Brain Injury Rehabilitation Conference is designed to provide a clear Describeing of the need for multidisciplinary strategies in the management of patients with brain injuries. A renowned faculty of interdisciplinary specialists will present the latest in research and outcomes from a variety of medical perspectives. Topics include interventions and management for medical and physical rehabilitation as well as cognitive, emotional, and social problems common to brain injury patients. A strong emphasis on the need for increased quality, efficiency, and value will be a consistent theme throughout the course as we continue our quest for excellence in brain injury treatment and rehabilitation. Target Audience Physicians Nurses Physician Assistants Physical Therapists Occupational Therapists Speech-Language Pathologists Social Workers and Case Manager Others involved in the care of patients with brain injuries Educational Objectives After attending this activity, participants should be able to: Describe the epidemiology of brain injury and its resultant impairments, disability, and psychosocial impact. 2. Integrate new developments in science and medicine into practice 3. Utilize multidisciplinary strategies for the management of psychological and behavioral problems common to brain injury including behavior management. 4. Identify neurophysiological mechanisms involved in brain plasticity and their potential application to improving practice and service provision across rehabilitation disciplines. 5. Discuss the life long, post-acute rehabilitation needs of individuals with traumatic brain injuries and the importance of developing long term care plans. 6. Review the latest rehabilitative and assistive technology tools for individuals with traumatic brain injuries. 7. Examine the latest advances in neuroimaging 8. Identify current robotic technologies in the role of brain injury rehabilitation. 9. Evaluate cutting-edge neurosurgical interventions 10. Discuss the unique needs and approaches for pediatric brain injury rehabilitation. 11. Improve quality of life for brain injury survivors and their caregivers by connecting them with community resources. 12. Create networking opportunities and build partnerships with key brain injury researchers, clinicians, and prevention professionals. Agenda Friday, March 10, 2017 7:30 a.m. Registration, View Posters & Exhibits 8 a.m. Welcome & Introductions 8:15 a.m. Skull Based Surgery Sanjay Ghosh, MD 1. Describe of the anatomy of the skull base. 2. Identify unique treatment challenges of the skull base. 3. Identify to disorders of the skull base. 9 a.m. Metabolic Changes in Mild Traumatic Brain Injury (Objective 1,2,3,6,11) Vishal Bansal, MD 2. Integrate new developments in science and medicine into practice 3. Utilize multidisciplinary strategies for the management of psychological and behavioral problems common to brain injury 4. Review the latest rehabilitative and assistive technology tools for individuals with traumatic brain injuries. 5. Improve quality of life for brain injury survivors and their caregivers by connecting them with community resources. 9:45 a.m. Break, View Posters & Exhibits 10:15 a.m. Cancer Neuro Rehabilitation (Objective 1,2) Michael Lobatz, MD
2. Integrate new developments in science and medicine into practice for brain injury rehabilitation as it relates to oncology patients. 10:45 a.m. Keynote - Chronic Traumatic Encephalopathy: What We Think We Know and What We Need to Know Next 1. Describe the neuropathological changes of CTE. 2. Describe the clinical presentation of CTE. 3. Summarize current research on the diagnosis of CTE during life. 11:30 a.m. Post Trauma Dizziness (Objective 1,2,6,7,8,11) 2. Integrate new developments in science and medicine into practice 3. Review the latest rehabilitative and assistive technology tools for individuals with traumatic brain injuries. 4. Examine the latest advances in neuroimaging 5. Identify current robotic technologies in the role of brain injury rehabilitation. 6. Improve quality of life for brain injury survivors and their caregivers by connecting them with community resources. Noon Sleep Medicine & Traumatic Brain Injury Michael Zupancic, MD 1. Describe of sleep physiology (overview) and the importance of sleep. 2. Recognize changes in sleep that occur after TBI. 3. Recognize common sleep disorders associated with TBI and their consequences. 12:30 p.m. Lunch 1:45 p.m. Workshops (choose one, all provided via mobile app and conference website) Vertigo Workshop (Objective 1,2,6,7,8,11,12) 1. Describe the epidemiology of brain injury and its resultant impairments, disability, and psychosocial impact. 2. Integrate new developments in science and medicine into practice for brain injury rehabilitation. 3. Review the latest rehabilitative and assistive technology tools for individuals with traumatic brain injuries. 4. Examine the latest advances in neuroimaging 5. Identify current robotic technologies in the role of brain injury rehabilitation. 6. Improve quality of life for brain injury survivors and their caregivers by connecting them with community resources. 7. Create networking opportunities and build partnerships with key brain injury researchers, clinicians, and prevention professionals. Cognitive Effects of Cancer and it's Treatment in the Elderly 1. Describe the cognitive correlates of cancer in the elderly. 2. Summarize current research on the cognitive effects of chemotherapy. Seizure 101 for Therapists (Objective 2,3,5,11,12) Bilal Choudry, MD 1. Integrate new developments in science and medicine into practice 2. Utilize multidisciplinary strategies for the management of psychological and behavioral problems common to brain injury 3. Discuss the life long, post-acute rehabilitation needs of individuals with traumatic brain injuries and the importance of developing long term care plans. 4. Improve quality of life for brain injury survivors and their caregivers by connecting them with community resources. 5. Create networking opportunities and build partnerships with key brain injury researchers, clinicians, and prevention professionals. Post-Acute Brain Injury: Cognitive Fatigue Kate Koschei, MS, OTR/L Megan Robbins, OTR/L 1. Educate others regarding cognitive fatigue and the cognitive fatigue scale. 2. Recognize symptoms of cognitive fatigue. 3. Utilize skills to empower others to manage their cognitive fatigue during functional activities.
3. Describe the impact of cancer and its treatment on neurodegeneration, such as Alzheimer's disease. Survivor Panel 1. Describe the experience of survivors transition from inpatient setting to community setting. 2. Identify the long term needs of brain injury survivors and their caregivers. 3. Recognize and utilize tools and strategies to address these needs. 2:45 p.m. Break, View Posters & Exhibits 3:15 p.m. Workshops (choose one, all provided via mobile app and conference website) Vertigo Workshop (Objective 1,2,6,7,8,11,12) 1. Describe the epidemiology of brain injury and its resultant impairments, disability, and psychosocial impact. 2. Integrate new developments in science and medicine into practice for brain injury rehabilitation. 3. Review the latest rehabilitative and assistive technology tools for individuals with traumatic brain injuries. 4. Examine the latest advances in neuroimaging 5. Identify current robotic technologies in the role of brain injury rehabilitation. 6. Improve quality of life for brain injury survivors and their caregivers by connecting them with community resources. 7. Create networking opportunities and build partnerships with key brain injury researchers, clinicians, and prevention professionals. Cognitive Effects of Cancer and it's Treatment in the Elderly 1. Describe the cognitive correlates of cancer in the elderly. 2. Summarize current research on the cognitive effects of chemotherapy. 3. Describe the impact of cancer and its treatment on neurodegeneration, such as Alzheimer's disease. Seizure 101 for Therapists (Objective 2,3,5,11,12) Bilal Choudry, MD 1. Integrate new developments in science and medicine into practice 2. Utilize multidisciplinary strategies for the management of psychological and behavioral problems common to brain injury 3. Discuss the life long, post-acute rehabilitation needs of individuals with traumatic brain injuries and the importance of developing long term care plans. 4. Improve quality of life for brain injury survivors and their caregivers by connecting them with community resources. 5. Create networking opportunities and build partnerships with key brain injury researchers, clinicians, and prevention professionals. Post-Acute Brain Injury: Cognitive Fatigue Kate Koschei, MS, OTR/L Megan Robbins, OTR/L Objectives Provided by Speaker: 1. Educate others regarding cognitive fatigue and the cognitive fatigue scale. 2. Recognize symptoms of cognitive fatigue. 3. Utilize skills to empower others to manage their cognitive fatigue during functional activities. Survivor Panel 1. Describe the experience of survivors transition from inpatient setting to community setting. 2. Identify the long term needs of brain injury survivors and their caregivers. 3. Recognize and utilize tools and strategies to address these needs. 4:15 p.m. Transition from Workshops to General Session
4:30 p.m. The Role of the Clinical Psychologist for Inpatient Rehabilitation (Objectives, 3, 5, 11) Sheldon Z. Kramer, PhD Bruce Baxley, PhD 1. Utilize multidisciplinary strategies for the management of psychological and behavioral problems common to brain injury 2. Discuss the life long, post-acute rehabilitation needs of individuals with traumatic brain injuries and the importance of developing long term care plans. 3. Improve quality of life for brain injury survivors and their caregivers by connecting them with community resources. 5:30 p.m. Adjournment Saturday, March 11, 2017 7:00 a.m. Registration, View Posters & Exhibits 7:45 a.m. Welcome & Introductions 8 a.m. Thomas J. Chippendale, MD Memorial Lecture Mindfulness, Compassion, and Emotion: Observations from the Interface of Science, Teaching, and Practice Erika Rosenberg, PhD 1. Identify the concepts of mindfulness and compassion and how it can be cultivated with practice. 2. Describe how developing mindfulness and compassion can influence emotional experience and be utilized to cultivate more emotional balance. 3. Describe how scientific research informs these questions and its applications to living with brain trauma. 9 a.m. Case Presentation on the Emotional Aspects of Traumatic Brain Injury Jay Rosen, PhD Robert Neborsky, MD Jay Rosenberg, MD 1. Describe of the emotional sequelae of TBI. 2. Identify ways of activating the pre-frontal cortex. 3. Describe how patients can take an active role in their own treatment 9:45 a.m. Break, View Posters & Exhibits 10 a.m. Interpretation of Neuropsychology Results for Therapists Lori Haase-Alasantro, PhD 1. Describe components of a neuropsychological examination. 2. Describe the basics of demographically corrected norms. 3. Interpret neuropsychology results through integrated interpretation. 10:30 a.m. Vision Problems After TBI Carl Hillier, MD 1. Describe the underlying neurology of the visual system. 2. Identify the common visual problems after TBI. 3. Identify the uncommon visual problems after TBI. 11:15 a.m. Management of Spasticity & Splinting for Physicians & Therapists Harish Hosalkar, MD Jack Schim, MD 1. Identify the various mechanisms in which musculoskeletal deformities occur in Spasticity and identify those that are most common. 2. Describe the assessment and evaluation of these deformities from an orthopedic perspective. 3. Describe how surgical management applies to the improvement of positioning, function and ambulation. Noon Neuro Restoration (Objectives 2,4,6,8,9,11) Justin Brown, MD 1. Integrate new developments in science and medicine into practice 2. Identify neurophysiological mechanisms involved in brain plasticity and their potential application to improving practice and service provision across rehabilitation disciplines. 3. Describe the latest rehabilitative and assistive technology tools for individuals with traumatic brain injuries. 4. Identify current robotic technologies in the role of brain injury rehabilitation.
12:30 p.m. Lunch 5. Evaluate cutting-edge neurosurgical interventions 6. Improve quality of life for brain injury survivors and their caregivers by connecting them with community resources. 1:45 p.m. Workshops (choose one, all provided via mobile app and conference website) Treatment for the Visual Problems Following TBI Carl Hillier, OD, FCOVD 1. Identify lens and clinical treatments options for treating homonymous hemianopsia 2. Identify and experience the yoked prism options for treating visually induced balance disorders 3. Identify and experience the use of Fresnel Prism and Selective Occlusion to treat sudden onset diplopia Pediatric Brain Injury Jeffrey Max, MBBCh (MD) 1. Describe the range of new-onset psychiatric disorders that occur after pediatric traumatic 2. Identify the risk factors for new-onset psychiatric disorders after pediatric traumatic 3. Describe common treatments for pre-injury and for new-onset psychiatric disorders in children with traumatic Post-Acute Brain Injury: Returning to Athletics Suzanne Carr, DPT Rebecca Askew, MPT 1. Describe potential risks/barriers for return to athletics post-acute 2. Describe the benefits of various therapeutic approaches as precursors to return to athletics 3. Identify various community resources to facilitate ongoing athletic/recreational participation post-acute Post-Acute Brain Injury: Returning to Intimacy 1. Describe the effects of brain injury on intimacy and sexuality. 2. Identify any personal biases regarding sexuality that may interfere with an effective communication. 3. Identify effectively communication strategies regarding intimacy and sexuality with patients and/or partner, clinicians and physicians. 2:45 p.m. Break, View Posters & Exhibits 3:15 p.m. Workshops (choose one, all provided via mobile app and conference website) Treatment for the Visual Problems Following TBI Carl Hillier, OD, FCOVD 4. Identify lens and clinical treatments options for treating homonymous hemianopsia 5. Identify and experience the yoked prism options for treating visually induced balance disorders 6. Identify and experience the use of Fresnel Prism and Selective Occlusion to treat sudden onset diplopia Pediatric Brain Injury Jeffrey Max, MBBCh (MD) 4. Describe the range of new-onset psychiatric disorders that occur after pediatric traumatic 5. Identify the risk factors for new-onset psychiatric disorders after pediatric traumatic 6. Describe common treatments for pre-injury and for new-onset psychiatric disorders in children with traumatic Post-Acute Brain Injury: Returning to Athletics Suzanne Carr, DPT Rebecca Askew, MPT 4. Describe potential risks/barriers for return to athletics post-acute 5. Describe the benefits of various therapeutic approaches as precursors to return to athletics 6. Describe various community resources to facilitate ongoing athletic/recreational participation post-acute Post-Acute Brain Injury: Returning to Intimacy 1. Describe the effects of brain injury on intimacy and sexuality. 2. Identify any personal biases regarding sexuality that may interfere with an effective communication. 3. Identify effectively communication strategies regarding intimacy and sexuality with patients and/or partner, clinicians and physicians. 4:15 p.m. Transition from Workshops to General Session
4:30 p.m. Closing Keynote Jacob Green, MPA 1. Identify and clarify their role in the patient s experience as healthcare provider and healer 2. Implement new strategies and skills to pass on to their patients 3. Describe tools for patient use to assist in a smoother rehabilitation journey 5:15 p.m. Final Adjournment Topics, times and speakers are subject to change Faculty Course Directors Michael A. Lobatz, MD Medical Director, Neuroscience Clinical Care Line Scripps Health Medical Director, Scripps Rehabilitation Center Chief Medical Officer Jessica J. Martinez, OTR/L, HTC, PAM Supervisor Rehabilitation Therapies Brain Injury Day Treatment Program Care Manager Guest Faculty Rebecca Askew, PT, MPT, NCS Physical Therapist Vishal Bansal, MD Medical Director, Trauma Services Scripps Mercy San Diego Bruce Baxley, PhD Justin Brown, MD University of California, San Diego Health San Diego Suzanne Carr, DPT Lead, Rehab Therapy Bilal Choudry, MD Scripps Health Sanjay Ghosh, MD Senta Clinic Jacob Green, MPA Speaker Tustin, California Lori Haase-Alasantro, PhD Assistant Clinical Professor, Department of Psychiatry The Neurology Center of Southern California Carl Hillier, OD, FCOVD Centers for Vision Care Harish Hosalkar, MD, FACS, FAAOS Medical Director Center for Hip Preservation & Children's Orthopedics The Hosalkar Institute for Joint Preservation & Injury Care Kate Koschei, MS, OTR/L Occupational Therapist Sheldon Kramer, PhD Jeffrey Max, MBBCh (MD) Professor in Residence, Psychiatry University of California, San Diego - Pediatrics Robert Neborsky, MD President Clinical Professor of Psychiatry Southern California Society for ISTDP Rehabilitation Counselor Scripps Rehabilitation Center Senta Clinic Megan Robbins, OTR/L Occupational Therapist Jay Rosen, PhD Assistant Clinical Professor, Voluntary Department of Psychiatry The Neurology Center University of California, San Diego Erika Rosenberg, PhD Consulting Scientist, Center for Mind and Brain University of California, Davis Davis, California Jay Rosenberg, MD The Neurology Center Jack Schim, MD Professor of Neurology, Neurosurgery, and Anatomy & Neurobiology Director, Clinical Core, BU Alzheimer s Disease and CTE Center Boston University, School of Medicine Boston, Massachusetts Michael Zupancic, MD The Neurology Center Scripps Health San Diego, CA