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Proprioceptive Rehabilitation for Clients with Stroke

Proprioceptive Rehabilitation for Clients with Stroke


By: Douglas Weiss DPT

FPTA Approved 15.5 CE’s, through 12/31/24

Target Audience: Physical Therapists and Physical Therapy Assistants


Learn how to use proprioceptive rehabilitation to improve function and promote true recovery in clients suffering from strokes and brain damage. Evidenced-based and clinically proven activities and techniques allow the therapist to restore gait and function in clients with focal neurologic damage. Reduce ataxia, restore balance, and remove dizziness with Proprioceptive Rehabilitation.


Module 1 Proprioceptive Rehabilitation Core Concepts

Introduction to defining Proprioception, balance, balance awareness and control, And the basic concepts of balance and proprioceptive rehabilitation

  • What is proprioceptive Rehabilitation? 

  • Anatomy of the proprioceptive balance system

  • Proprioception: learned or acquired? 

  • Defining balance, proprioception, and function

  • What is a balance challenge?

  • Balance: A motor function.

  • How is the skill of balance normally lost? 

  • What does proprioceptive loss look like? 

  • Proprioceptive rehabilitation defined

  • Effective Proprioceptive rehabilitation activities and exercise 

  • Peripheral balance system

  • Anatomy physiology of the inner ear and vestibular system

  • The limbic system, fear, and balance

  • Fear of falling and fall risk

  • Whole body proprioception and balance. 

  • What is balance programming?

  • How is balance improved?

  • Anxiety and balance 

  • How older adults relearn balance 

  • How does brain injury limit gait?

  • Case study: Loss of strength vs. loss of coordination

  • The role of instruction in improving balance 

  • Application of proprioceptive rehab to your client

  • The correct level of assistance in proprioceptive rehab

  • Effective treatment time for proprioceptive rehabilitation

  • Vertigo and Balance 

  •  Module 1 Quiz


Module 2 Proprioceptive Stroke Rehabilitation

Introduction on defining Strokes and how the condition affects movement and ability

  • Stroke Statistics

  • Defining Stroke

  • Types of Strokes

  • How Strokes Affect Movement

  • Walking and Strokes

  • Primary and secondary effects of a Stroke

  • Stroke effects

  • Cognitive effects of a Stroke

·      Module 2 Quiz

Module 3 Fear of Falling

Introduction on how the fear of falling affects fall risk 

  • Fear of falling can cause falls

  • How does fear of falling affect balance 

  • How anxiety affects balance

  • Module 3 Quiz – 15 mins


Module 4 Gait Analysis and Deviations

How to identify normal gait patterns vs. gait patterns that limit walking ability and increase falls

  • Normal phases of gait

  • Wide based gait pattern

  • Decreased step height

  • Decreased step length

  • Uneven step length

  • Decreased heel strike

  • Decreased weight shift

  • Hyperextension during stance

  • Antalgic gait pattern

  • Freezing

  • Dystonia 

  • Shuffling

  • How anxiety affects gait

  • Gait post stroke

  • Stroke gait analysis

  • Module 4 Quiz

Module 5 Evidenced based stroke rehabilitation

In depth review of 11 research articles that provide current evidence on how to prevent falls in older adults

  • Statistics of falls

  • Activities that reduce falls in the elderly

  • Perturbation based training for fall reduction in older adults

  • Does perturbation training prevent falls I. older adults

  • The clinical application of backwards walking training to improve walking function 

  • Examining Neuroplasticity for slip perturbation training 

  • Intense and unpredictable perturbation during gait training to improve balance abilities post stroke

  • Gait changes post stroke

  • Effects of Perturbation based balance training in sub-acute persons with stroke

  • How fear of falling can increase fall risk in older adults

  • Perturbation-based balance training for falls reduction among older adults/ Current evidence and implications for clinical practice

  • Module 5 Quiz

Module 6 Stroke Rehabilitation Activities

Comprehensive video example of all activities proven to improve individuals suffering post stroke 

  • Low level Single step 

  • Advanced single step 

  • Beginning balance challenge 

  • Beginning static challenge 

  • Beginning treadmill challenge 

  • Advanced treadmill challenge

  • Moderate Balance Challenge 

  • Turning Challenge 

  • Multitask 

  • Activities Stepping on stairs

  • Module 6 Quiz


Module 7 Proprioceptive Rehabilitation for Clients with Stroke

Comprehensive exam that covers all modules in the series. A pass rate of 80% is required to earn certificate. 

Course Materials

The 48-page Neurolastic Training Handbook details all activities discussed in the course to rapidly improve individuals suffering from post-stroke. 

Resources/Works Cited

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