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Myles Quiben

PT, PhD, DPT, MS, GCS, NCS

Myles Quiben, PT, PhD, DPT, MS, is a professor and chair of the department of physical therapy at the University of North Texas Health Science Center, teaching clinical medicine and cardiopulmonary, geriatric, and neurologic physical therapy. She is a board-certified clinical specialist in both neurologic and geriatric physical therapy (NCS, GCS) by the American Board of Physical Therapy Specialties.

She obtained her DPT and PhD in physical therapy from the University of Central Arkansas and completed her fellowship in geriatric research at UT Health San Antonio, obtaining an MS in clinical investigation. Her clinical experience has spanned varied settings, including acute care, outpatient care, inpatient rehabilitation, and cardiac rehab.

She is nationally active, serving as a clinical instructor trainer for the Academy of Geriatric Physical Therapy, the Texas Physical Therapy Association, the Texas Geriatrics Society, and the American Physical Therapy Association. She is a fellow of the Education Leadership Institute, the National Academies of Practice, and the Texas Physical Therapy Association. She has presented nationally and internationally on aging, neurologic and geriatric differential diagnosis, interprofessional education, and therapeutic exercise. Her research interests are in movement and functional outcomes, health, wellness and prevention in older adults, simulation, interprofessional education, and frailty.

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Geriatric Neurological Exam and Differential Diagnosis

Presented by Myles Quiben, PT, PhD, DPT, MS, GCS, NCS

Geriatric Neurological Exam and Differential Diagnosis

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 47 Minutes, Learning Assessments: 36 Minutes

In the older adult, a thorough examination is critical to determine the nature of the presenting symptoms. Age-related changes, combined with other determinants of health and the presence of multimorbidities, complicate the evaluation process, particularly for older adults presenting with neurologic symptoms. This course will present a comprehensive overview of differential diagnosis and clinical decision-making for the physical therapist providing care for geriatric patients across multiple neurologic diagnoses. Typical age-related changes in the neurologic system will be reviewed and distinguished from neurologic signs and symptoms related to neurological pathology.

Discussion combined with demonstration will take the clinician through strategies for medical screening, upper and lower quarter screening, and movement observation for individuals with neurologic deficits. Neurological examination strategies, including discussion of common activity limitations and impairments based on the ICF Disablement Model, will be discussed. Contributions of the history and physical examination findings, the social determinants of health, and the movement system to the clinical decision-making process will be evaluated to determine if neurologic presentation is within the physical therapist's scope of practice or requires referral/communication to another healthcare professional.

The course is designed for beginner to intermediate clinicians to hone their screening and clinical decision-making skills specific to the care of individuals with neurologic deficits in multiple clinical settings, including home health, outpatient, hospital-based, and rehabilitation.

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Geriatric Differential Diagnosis

Presented by Myles Quiben, PT, PhD, DPT, MS, GCS, NCS

Geriatric Differential Diagnosis

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 79 Minutes, Learning Assessments: 36 Minutes

The dynamic and complex nature of aging comes with typical age-related anatomical and physiological changes, in addition to possible multimorbidity and disability. This course explores the challenges of differential diagnosis in the midst of age-related changes and multimorbidities and presents a framework for clinical decision-making for physical therapy for the older adult. The strategies presented in this course are essential for examining and developing a plan of care for older adults with complex diagnoses, pain, orthopedic dysfunctions, neurologic deficits, multimorbidities, and general debility. The course will provide a comprehensive overview of differential diagnosis, examination principles, and clinical decision-making for the physical therapist caring for older adults across multiple system impairments in varied clinical settings, such as rehabilitation, hospital, primary care, home health, outpatient, and inpatient settings. It includes discussion of the International Classification of Functioning, Disability and Health (ICF) model as a framework for physical therapist practice. Discussion combined with ample demonstration sessions will take the clinician through strategies for medical screening, upper and lower quarter screening, movement screening, and comprehensive and specific system screening.

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