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FNOR 4: Integrative, (Functional Neuro-Orthopedic) Approach to Rehabilitation of Complex, Multi-System Injury

 

In this Course You will...

  • Learn to see beyond the "only the most visible and painful" consequences of bodily injury to the changes in the CNS (that commonly remain untreated).
  • Learn a rational, evidence-based approach to assessment and rehabilitation of concussion (mTBI).
  • Learn to use intentional combinations of physical activities (incl. therapeutic exercise) to affect specific brain regions/networks.
  • Efficiently conduct a physical assessment to detect and assess physical (orthopedic) and nervous system issues. 
  • Expand your knowledge and "clinical toolbox" with useful applications in neuromodulation to affect the CNS of clients in pain (incl. headache & migraine).   

BACKGROUND:

“Rehabilitating the Injured Nervous System requires more than just moving or exercising the body in different ways, more than just improving the functional range of a joint and more than just demonstrating an improvement in strength or the adoption of a new pattern of movement. The CNS expresses subtle indicators of change (both adverse and favorable), through subtle changes in movement, cognition, behavior, perception and autonomic cues, throughout the rehabilitation process that must be recognized by the rehabilitation specialist in order to appropriately consistently drive favorable, positive, neuroplastic adaptations.” (George, 2015)
  It is the view of the FNOR team that the conventional division between orthopedics and neurology has prevented the recognition that bodily injury is near always associated with nervous system "injury" (i.e. if not overt damage or involvement of neural tissue then at least characteristic changes in nervous system function) that potentially deepens and complicates full and optimal rehabilitation.  
This is also true of the behavioral (emotional and cognitive) aspects of traumatic injury, which also converge at the CNS to contribute to the individual's unique experience of their injury. 
Fortunately, we have arrived at a point in time where technology and progress in the field has afforded us with the opportunity to detect, measure, track and address the adverse nervous system changes associated with bodily injury. 

COURSE DESCRIPTION:

  Following the first three, regionally focused courses in fundamentals, FNOR 4 is a demanding, hands-on instructional environment that presents to the learner the full integrative, neuroscience-driven nature of the FNOR rehabilitation approach.

  FNOR 4, the final course in the FNOR series deals with the CNS components of bodily injury as well as common CNS presentations frequently occurring in association with bodily trauma such as mTBI and concussion. 

  This course is a series of intensive, hands-on labs. The benefits of this system are not only applicable in the area of orthopedic rehabilitation but also to the benefit of neurologically compromised patients (e.g. stroke).

WHO IS THE PROGRAM INTENDED FOR?

(Licensed Professional (and current students) in the following professions are welcome to attend: DPT, PT, MD, DC, DO, RN, MSN)

This highly practical program was developed in a multi-center, high-volume, multi-practitioner, orthopedic, physical therapy environment. It was initially intended for physical therapists (physiotherapists) with the intention to improve outcomes in severe lower back pain and treatment-resistant, post-surgical spine pain presentations.

Since then, this program has been opened to rehabilitation and pain specialists from multiple fields including physiatrists & physicians (M.D. & D.O.), chiropractors (D.C.), nurses (RN & MSN) and supportive staff associated with each of these professions.

The program will likely be highly valuable for any rehabilitation specialist seeking to update their rehabilitation system as well as for recent grads seeking to learn a proven framework from which to launch their own successful rehabilitation program.   Practitioners proficient in many contemporary approaches to lower back pain will likely find the FNOR approach very flexible and compatible with their current clinical approach.  

THIS PROGRAM WILL LIKELY HELP YOU TO SERVE PEOPLE WHO HAVE NOT FOUND HELP ELSEWHERE...

CNS dysfunction often goes undiagnosed and/or unmanaged.  In the Orthopedic setting, this state may only be appreciated as "that stubborn patient" that isn't responding well or not responding completely to typical programming... perhaps their pain is uncharacteristically stubborn... or their weakness persists despite apparently, technically successful surgery.   Perhaps its that patient who has "that weird symptom" that only turns up "at certain times for no reason".  Often, these enigmatic presentations are being driven by undetected and untreated CNS issues.

In the Context of Treating Multi-System Injury and CNS disorders (e.g. concussion), this program is intended to make you more: 

  • Efficient (Giving you a solid "place to start" and "path to follow" in every case).  The "FNOR Therapy Matrix" continues to serve you as a guide for addressing each functional capacity and each dimension of nervous system function.

  • Effective: You will notice that your clinical approach will drastically "speed up" (efficiency) and deliver more consistent results (effectiveness). 

  • Confident:  Demystify CNS issues associated with body (and head) injury, making these cases less intimidating.

  • "Well-rounded" (integrative) & Professional: Allowing you to interface easily with other professionals, approaches and philosophies. 

TOPICS COVERED IN THIS COURSE

  • Current, Evidenced-based Management of mTBI / Concussion (in the role of the rehabilitation specialist).

  • Novel applications in adaptive priming for CNS rehabilitation.  
  • Integrative Techniques in Pain Modulation (incl. novel "FNOR applications"; applications in neuromodulation; and integrative, behavioral applications.)

  • Mastering the "FNOR Clinical Screen" (an efficient approach to multi-system assessment that guides rational and efficient rehab programming.
  • Relevant Autonomic and Vestibular Diagnostics (with associated rehabilitative procedures)
  • FNOR approach to Movement and Motor Adaptation in Rehabilitation. 

QUESTIONS:

  • Are you actually going to teach anything practical?
    • We are only going to teach practical material!  In fact we might say that we are only going to teach what is essential!  The material in this course is not only practical but in our opinion equips the attendee with the capacity to provide a much needed service to a population much in need of this type of care (i.e. care of a rehabilitation specialist trained to move through each dimension of the individuals unique injury pattern.) 

TUITION:

  • The base rate for this course (as with each of the 3-day, 25 hour, FNOR modules) is $1,250 (US).  An early bird registration rate of $1050 is offered for registrations made 60 days ahead.

 

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    Course Cancellation Policy

    All Cancellations must be made within 60 days from the date of purchase to be eligible for a refund. Cancellations made less 30 calendar days prior to the course start date will not receive a full refund. All cancellations made less than 30 days prior to the course start date will be refunded, minus a $350 cancellation fee. Cancellations made within 10 days of a course are not eligible for a refund but fees already paid may be applied as a credit to a future, FNOR course, within 12 calendar months of the course that is being canceled (minus a $350 cancellation fee).  Online Courses are subject to cancellation policies on a case-by-case basis (i.e. cancellation policies for online courses will be stated at the point of registration.)  Please note that travel arrangements should not be made until confirmation that registration in a course has been received and approved to avoid change fees. While every reasonable effort is made to hold courses as advertised, FNOR reserves the right to make changes to any course, including changing instructors or course site and canceling any course date to accommodate for unexpected occurrences. Upon registration for a course, course registrants assume all responsibility and agree to hold FNOR and its course sponsors harmless for any expenses that might be incurred for changes in travel arrangements resulting from any course changes or unexpected events.Course Cancellation Policy:

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    Course Cancellation Policy

    All Cancellations must be made within 60 days from the date of purchase to be eligible for a refund. Cancellations made less 30 calendar days prior to the course start date will not receive a full refund. All cancellations made less than 30 days prior to the course start date will be refunded, minus a $350 cancellation fee. Cancellations made within 10 days of a course are not eligible for a refund but fees already paid may be applied as a credit to a future, FNOR course, within 12 calendar months of the course that is being canceled (minus a $350 cancellation fee).  Online Courses are subject to cancellation policies on a case-by-case basis (i.e. cancellation policies for online courses will be stated at the point of registration.)  Please note that travel arrangements should not be made until confirmation that registration in a course has been received and approved to avoid change fees. While every reasonable effort is made to hold courses as advertised, FNOR reserves the right to make changes to any course, including changing instructors or course site and canceling any course date to accommodate for unexpected occurrences. Upon registration for a course, course registrants assume all responsibility and agree to hold FNOR and its course sponsors harmless for any expenses that might be incurred for changes in travel arrangements resulting from any course changes or unexpected events.Course Cancellation Policy:

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