In Person Course Curriculum and Descriptions
This in-person class is two full 8-hour days and includes lectures, partner labs, and live children’s demonstrations. TASES Level 1, in-person, is an introductory course that focuses on using functional electrical stimulation for children diagnosed with cerebral palsy (CP) levels I-V, neuromuscular disorders, and other neuromotor disorders. This course includes training for lower and upper quarter interventions and serves as an introduction to using electric stimulation (ES) as a modality.
Day one focuses on learning basic concepts of ES and how it affects children with neuromotor and neuromuscular disorders. It also teaches about the muscles affecting both the upper and lower quadrants. The class aims to teach the basic use of the e-stim unit and the NMES unit, including settings, muscle selection, and specific muscle stimulation during tasks. Day one focuses on the lower quarter musculature. Evidence-based clinical discussions on the symptomatic management of CP, foot orthosis evaluation, and the impact of orthoses on gait and arm swing, as well as clinical assessments of the child’s posture, alignment, and function across physical therapy (PT) and occupational therapy (OT) disciplines, are included. Discussions of basic motor learning concepts are also incorporated. First-day labs include practicing TASES on several muscles, such as the gastrocnemius, soleus, and gluteus maximus.
The second day of this class builds on the TASES evaluation and covers additional treatment ideas, specifically for the upper quarter. We use electric stimulation on the latissimus dorsi, forearm musculature, biceps, supinator, wrist extensors, finger flexors, and thumb activation. Day two also includes a lab with practice and use of the unit to median and ulnar nerves, and the hand switch for task-specific activation, with a focus on timing. Finally, we provide instructions on using TASES for gait and introduce basic concepts and applications of TASES for pelvic musculature, focusing on the hamstrings and adductors for sitting and standing balance.
The TASES workshops have been organized as a series with a specific order and curriculum flow. Therapists who complete this TASES Level 1 class may proceed to take TASES Level 2.
- Evaluate a child for the use of TASES as an intervention.
- Create a treatment plan using TASES as the primary intervention, based on the patient’s problems and the patient’s and family’s goals.
- Administer electrical stimulation intervention using the appropriate settings, parameters, muscle selection, motor points, and switch timing according to the desired outcomes.
- Apply clinical decision-making principles to the indications, precautions, and contraindications of electrical stimulation, as well as the current literature.
- Set up tasks for TASES treatment that promote good alignment, posture, and movement patterns.
- Identify the appropriate muscles based on evaluation findings and patient goals and tasks.
- Evaluate a child for the use of TASES as an intervention.
- Create a treatment plan using TASES as the primary intervention based on the PT problems and patient and family goals.
- Implement electrical stimulation intervention with appropriate settings, parameters, muscle selection, motor points, and switch timing according to desired outcomes.
- Apply clinical decision-making principles within the indications, precautions, and contraindications of electrical stimulation and current literature.
- Set up appropriate tasks for TASES treatment with good alignment, posture, and movement patterns.
- According to evaluation findings, patient goals, and tasks, understand which muscles to choose.
- Understand the best applications for core weakness, scoliosis, and trunk deformities.
- Understand the best applications for shoulder issues, including faulty glenohumeral rhythm and subluxation.
- Appreciate using TASES during gait on a deeper level, focusing on specific gait deviation correction.
Online Course Curriculum and Descriptions
Task-Specific Electric Stimulation for the Lower Quarter and Task-Specific Electric Stimulation for the Upper Quarter are both two-day Level 1 courses that focus on using functional electrical stimulation for children diagnosed with cerebral palsy (CP) level I-V and children with other neuromotor and neuromuscular disorders. The courses focus on the lower and upper quarters, respectively, introducing electric stimulation (ES) as a modality and utilizing the Continuum neuromuscular electrical stimulation (NMES) unit. These courses may be combined and taken simultaneously.
Day 1 is attended by both Upper and Lower Quarter students together. Day one focuses on learning concepts of ES and how it affects children, and teaches about the muscles affecting both upper and lower quadrants. The class aims to teach NMES unit settings and use, as well as muscle selection and muscular stimulation during a task. Evidence-based clinical discussions on the symptomatic management of CP, as well as video and photo-based evaluation and data collection guidelines, are incorporated into the curriculum. Foot orthosis evaluation is included, addressing the effect of orthoses on gait and arm swing, as well as the importance of clinical assessment across physical therapy (PT) and occupational therapy (OT) disciplines. First-day labs include practicing TASES on several muscles, such as the triceps, extensor carpi radialis, gastrocnemius, and gluteus maximus.
Day 2 of TASES for the Upper Quarter further elaborates on the application of TASES specifically for the upper quarter. The course includes a case presentation and specific techniques for application of TASES to latissimus dorsi, biceps, supinator, wrist extensors, finger flexors, and thumb activation. Day two also includes a lab with practice and use of the unit for multiple nerves and muscles, as well as incorporating the hand switch for task-specific activation with a focus on timing.
Day 2 of TASES for the Lower Quarter further elaborates on the TASES application specifically for the lower quarter. It includes lectures on the Latissimus dorsi, gluteus maximus, gastrocnemius-soleus, and peroneal muscles, as well as their functional roles in biomechanical tasks. A lecture on solid vs. hinged AFOs and a review of some basic gait principles are included within the class. The lab includes the practice of NMES use in the stance phase, swing phase, and a switch in gait for timed applications during gait training in the clinic. Further elaboration of TASES to the calf muscles, with a separate application for soleus and medial gastrocnemius, is practiced.
- The students will assess/evaluate the child’s current presentation and identify the PT problems that will benefit from using TASES.
- The students will identify which muscles are best targeted using TASES for intervention in the lower quarter.
- The students will apply all principles of TASES, competently use the units, understand manipulation of all the parameters, and plan an effective and appropriate treatment plan to address the child’s PT problems.
- The students will be competent in using the unit during TASES treatment of the child in sitting and standing, and during gait with the switch for one muscle at a time.
- The students will understand the precautions and benefits that the NMES units can provide.
- The students will learn to evaluate ankle and foot orthoses for fit, alignment, mobility, and function.
- The students will learn how to use TASES on muscles during gait training to help gait quality, posture, and prevent contractures, and be able to locate motor points.
- The students will understand typical gait phases and deviations, and which muscle/muscles are responsible for that deviation.
- The students will understand how to properly use the unit with the hand switch during standing tasks and gait training for the timing of tasks.
- The students will assess/evaluate the child’s current presentation and identify the PT problems that will benefit from using TASES on the pelvis..
- Based on the evaluation findings, the students will identify which muscles are best targeted using TASES for intervention in the pelvis.
- Students will be familiar with using the SATCo to assess trunk control.
- The students will apply all principles of TASES, competently use the units, understand manipulation of all the parameters, and plan an effective and appropriate treatment plan to address the child’s PT problems.
- The students understand and apply TASES treatment in sitting, standing, and during gait with the switch for more than one muscle at a time.
- The students will assess/evaluate the child’s current presentation and identify the PT problems that will benefit from using TASES on the trunk.
- Based on the evaluation findings, the students will identify which muscles are best targeted using TASES for intervention in the trunk.
- Students will be familiar with the assessment and diagnosis of scoliosis.
- Students will be able to use oblique activation for core activation, breath support, and rib cage alignment.
- The students will apply all principles of TASES, competently use the units, understand manipulation of all the parameters, and plan an effective and appropriate treatment plan to address the child’s PT problems.
- The students understand and apply TASES treatment in various positions, including sitting, standing, and other developmental positions such as quadruped and tall kneeling.
- Students will apply TASES to the shoulder girdle for stabilization and improved glenohumeral rhythm.
TASES for Gait is a 3-day course. We spend two sessions diving deep into typical and atypical gait patterns, evaluation and treatment of gait deviations, and the application of TASES for the correction of common gait problems. We meet again 6-8 weeks later to present student cases and demonstrate through the submission of videos and a practicum mastery of TASES for gait.
CEU Approval
Dynamic Solutions is recognized by the New York State Education Department’s State Board for Physical Therapy as an approved PT/PTA continuing education sponsor. Courses approved by other state boards in the following jurisdictions are likely accepted for licensure credit based on state regulations. AL | AK | AR | CO | CT | DE | GA | HI | ID | IN | IA | KS | KY | ME | MA | MI | MO | MT | NE | NH | NC | ND | OR | PA | RI | SC | SD | TN | UT | VT | VA | VI | WA | WI | WY
Please contact your state licensing board to confirm the currency and accuracy of this information. If you have a specific question about CEU approval for any of these courses in your state, please direct your inquiry to info@redefinehealthed.com
The following states are not pre-approved: AZ, CA, DC, LA, IL, MD, MN, MS, NM, NV, NJ, OH, TX, and WV. Participants licensed in states not pre-approved may file for individual approval; please direct your inquiry to info@redefinehealthed.com.
