To the Referring Physician

A family doctor, rehabilitation physician, other specialist, or specialist nurse can refer a patient to HNRK for treatment with a digital referral.

Please inform our inpatient treatment reception about the referral by calling +372 4725 404 or emailing registratuur@hnrk.ee to register it.

The patient’s personal identification code is required for registration. If the referral is not registered, we will not have information about the referral.

HNRK does not provide cardiological or psychiatric rehabilitation.

Operationally important information for the department that we ask to be included in the referral (not a basis for refusal):

When did the patient fall ill?
Has the patient received rehabilitation before?
How does the patient move? Does he/she use any assistive devices for this?
Does the patient have dysphagia or food intolerance?
Has a specific diet been prescribed? 
Does the patient require isolation due to carrying resistant bacteria? 
Does the patient have a speech disorder or difficulty understanding speech?
Does the patient require constant supervision due to pronounced dementia or aggression? 
Does the patient have bedsores or other wounds?  
Does the patient have a stoma? 
Does the patient use any assistive device requiring special knowledge or conditions? (e.g., respiratory aids that produce noise) 
Are co-morbidities controlled with treatment?

Workshop Content

Principles of NDT

Basic clinical implications of Recovery of function and Motor Learning research

Components of normal movement in functional activities

Discussion of typical patient impairments

Practice of treatment handling skills

Demonstrations of patient treatment

Workshop Objectives

At the completion of this workshop the participants will:

Describe the basic principles and concepts of the NDT practice model.

Recognize what’s possible for recovery based on research in the fields of Plasticity, Motor Learning, and Constraint Induced Movement Theory (CIMT), and how to ‘set-up’ this recovery in our rehabilitation environments.

Demonstrate skill for analyzing movement components in simple functional activities, including early gait and basic support functions of the UE.

Recognize major impairments that interfere with function in the adult client post stroke or BI.

Demonstrate basic options for handling skills to enhance efficient functioning.

Describe the critical elements of a successful intervention session based in the Participation and Activity domains of the ICF (International Classification of Function and Disability)

Instructor

Cathy Hazzard (B.Sc.P.T, C/NDT, MBA) is a PT with over 36 years’ experience working with adults with varied neurological diagnoses. Her clinical background also includes experience and continuing education courses in manual therapy and orthopaedics. She obtained an MBA in 1993 while continuing to work as a PT.

She has been an NDTA™ Coordinator Instructor in Adult Courses since 1998 and has taught introductory, certificate, and advanced level NDT courses extensively throughout North America and internationally. Cathy practiced in Calgary, Alberta, Canada for over 20 years in the acute, rehabilitation and outpatient phases of care. She is now working in private practice on Vancouver Island, British Columbia.

Cathy has been an invited speaker at the NDTA™’s annual conferences in 2004, 2005, 2006, 2010, 2014, 2015, 2016, 2022, and 2025. She served as the Chair of the NDTA™’s Instructor Group from 2002 – 2005 and a member of the Board of Directors of NDTA™ from 2003 – 2007 and 2018 – 2023. She has written 2 articles for the Neurosciences Division’s journal, Synapse, of the Canadian Physiotherapy Association and numerous articles for the NDTA™’s Network. She is one of 5 editors for the NDTA book – NDT in Action, 2016.

Introductory Workshop in the Contemporary Model of NDT for Individuals post Stroke and Brain Injury An Interdisciplinary Approach

Stable cardiovascular system  
Stable, supported respiratory function if necessary  
Ability to participate in active activities for at least 3 hours a day.

When processing referrals, we follow HNRK’s patient queue management procedure. The duration of inpatient rehabilitation depends on the rules and indications specified in the Health Insurance Fund’s list of healthcare services. The full list of healthcare services can be found here: https://tervisekassa.ee/partnerile/raviasutusele/tervishoiuteenuste-loetelu

Schedule

Monday	Breaks will be scheduled mid-morning and mid-afternoon daily.
0900-0930	Introductions
0930-1230	Lecture: Recovery of Function: Plasticity; Exploring what’s possible (with a break mid-morning)
1230-1330	Lunch
1330-1415	Using the ICF as an Assessment Framework
1415-1445	The Intervention Triad – making choices in assessment and intervention session to maximize outcomes
1500-1700	Lab: Setting the stage for maximizing recovery; the ‘set-up’ with Normal Movement Exploration

Tuesday
0900-0930	Questions and discussion from day 1
0930-1230	Lab Session: Handling in early functional tasks and transitions (with a mid-morning break)
1230-1330	Lunch
1330-1515	Lab Session: Handling cont’d
1530-1700	Patient Demonstration & Discussion #1

Wednesday
0900-0930	Questions and discussion from day 2
0930-1015	Lab Session: Handling cont’d
1030-1230	Hypothesizing impairments from clinical observations in functional tasks – getting to the ‘zig’ that causes the ‘zag’
1230-1330	Lunch
1330-1530	Brainstorming Intervention Strategies based on Impairments
1545-1700	Brainstorming Intervention Strategies (cont’d)

Thursday
0900-0930	Questions and discussion from day 3
0930-1030	The Upper Extremity – where to begin and an overview
1045-1230	Shoulder Girdle (SG) assessment & facilitation
1230-1330	Lunch
1330-1515	Shoulder Girdle cont’d
1530-1700	Patient Demonstration & Discussion #2

Friday
0900-0930	Questions and discussion from day 4
0930-1045	Normal components of gait – key concepts
1100-1230	Lab Session: Facilitating Gait
1230-1330	Lunch
1330-1500	Lab Session: Gait (cont’d)
1515-1630	Final Questions and Course wrap-up