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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.

Workshop Content

  • Biomechanical requirements and movements components in the upper quadrant including the thoracic spine and ribcage. 
  • Analysis of movement components for functional tasks in the UE. 
  • Discussion of the arm-leg connection. 
  • Assessment and identification of common impairments contributing to activity limitations in the upper quadrant in individuals with neurological conditions. 
  • Problem solving of treatment intervention strategies to enhance control and efficient functioning in the upper extremity. 

Workshop Objectives

At the completion of this workshop, the participant will be able to: 

  1. Identify normal movement components of the UE. 
  2. Discuss biomechanics of the UE. 
  3. Analyze atypical patterns of the UE which interfere with function. 
  4. Identify the relationship between missing components of movement and the compensatory strategies developed by adults with stroke and brain injury. 
  5. Synthesize information to develop appropriate intervention strategies for persons with neurological dysfunction as related to the UE. 
  6. Structure appropriate intervention strategies based on discussions during the workshop and from patient demonstrations. 

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. 

NDT Upper Extremity Workshop

  1. Stable cardiovascular system  
  2. Stable, supported respiratory function if necessary  
  3. 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

Inpatient rehabilitation

Schedule

 

Sunday 

Breaks will be scheduled mid-morning and mid-afternoon daily. 

0900-0930 

Workshop Introduction – Discussion  

0930-1015 

The Framework Reviews – ICF & the Intervention Session Triad 

1030-1145 

1145-1230 

Jump starting the Arm – what to do and where to start 

The Shoulder Girdle – anatomy and kinesiology review 

1230-1330 

Lunch  

1330-1445 

Lab: SG anatomy cont’d 

1500-1645

1645-1700 

Activating the arm – handling options in support, in various postures and in many ranges 

Questions 

 

 

Monday 

 

0900-1045 

Impairment identification – video cases to develop a specific system impairment list 

1100-1230 

Patient Demonstration & Discussion #1  

1230-1330 

Lunch 

1330-1445 

Lab – Actively stretching and re-aligning the proximal SG and arm joints/tissues  

1500-1630 

Modified Chain Activities – what are they and using this concept to treat and progress the UE 

1630-1700 

Questions and Problem Solving 

 

 

Tuesday 

 

0900-1045 

Reach – what is it and how to progress towards it 

1100-1230 

Patient Demonstration & Discussion #2 

1230-1330 

Lunch 

1330-1500 

Managing Gravity 

1515-1630 

Lab – Developing Distal Function 

1630-1700 

Final questions and workshop wrap-up