Due to recent medical advances the survival rates from major medical events such as cardiac arrest, respiratory arrest and drug overdose have grown considerably. However, survival of the initial event does not always come without consequences, one of which may include hypoxic-ischemic brain injury (HI-BI). It is estimated that 30-60% of survivors of HI-BI will have persistent neurological, cognitive and behavioral problems (Anderson 2010). The impairments and functional consequences associated with this injury can be challenging for physiotherapists to manage. Often the constellation of symptoms from this injury may be difficult to tease out or prioritize how to treat. This presentation will utilize case examples to highlight the presentation of several movement disorders, including ataxia, myoclonus, dystonia, and post-hypoxic parkinsonism. We will provide a framework for clinicians to diagnose these movement systems and help prioritize treatment while utilizing the best available evidence. Through case examples we will address the importance of a transdisciplinary model to optimize outcomes.
Kimberly Miczak, PT, MSPT, NCS is a physical therapist in the Drucker Brain Injury Center as well as the Program Coordinator of the Neurologic Physical Therapy Residency Program at MossRehab in Elkins Park, PA. Ms. Miczak earned a Master’s degree in Physical Therapy from Ithaca College in 2002 and has a Board Certification in Neurologic Physical Therapy. In addition to being a member of the Academy of Neurologic Physical Therapy, she is a member of the Academy of Physical Therapy Education.
Carolyn Tassini, PT, DPT, NCS, CBIS is board certified in neurologic physical therapy is the Rehab Supervisor at Bancroft NeuroRehab, an outpatient and residential neurologic rehab facility. After graduating from Thomas Jefferson University in 2002, she worked in acute care at Massachusetts General Hospital until 2006 when she left to complete her Neurologic Residency at MossRehab, outside of Philadelphia, PA. She was board certified in neurologic physical therapy in 2007 and was recertified in 2017.