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

This introductory to intermediate-level course is designed for physical and occupational therapists treating children with neurological challenges who are acquiring functional skills in vertical and preparing for or acquiring gait. The contemporary framework of NDT will be presented as it relates to assessment and intervention for the acquisition of skills in vertical. Experiential labs will be performed with peers in the course and used to facilitate stability and mobility through movement transitions and to learn handling techniques for the treatment of functional tasks typically done in vertical. Assessment and treatment demonstrations will be used to demonstrate treatment and handling techniques on clients based in a problem-solving approach towards an identified functional goal.

Workshop Objectives

At the completion of this workshop the participants will:

Demonstrate basic skill for analyzing movement components for functional activities in standing and walking.
Analyze the components of normal gait.
Identify and assess common gait deviations of individuals with stroke and brain injury that interfere with efficient, safe ambulation.
Structure a basic treatment strategy that addresses the patient’s primary impairments interfering with efficient functioning in standing and walking.
Order and construct a variety of standing activities (i.e., turning, stair climbing, stooping or squatting) in preparation for standing and walking.
Perform options for basic handling skills to enhance efficient functioning in standing and walking.

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

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

Wednesday	Breaks will be scheduled mid-morning and mid-afternoon daily.
0900-0915	Workshop Introduction – Discussion
0915-1000 1015-1130	The Framework Reviews – ICF & the Intervention Session Triad Lecture/Lab – Review Normal Components of Normal Gait
1130-1230	Lab – Bombarding stance – Facilitation of trunk and legs in high sitting/standing activities
1230-1330	Lunch
1330-1645	Lab – Facilitation of forward walking (with a break mid-afternoon)
1645-1700	Questions

Thursday
0900-0930 0930-1045	Questions from day 1 Lab – Analysis and facilitation of backward walking
1100-1230	Patient Demonstration #1 & Discussion
1230-1330	Lunch
1330-1500	Lab – Analysis and facilitation of turning
1515-1615	Establishing objective baseline measures
1615-1700	Progression of walking, walking devices, and ankle supports – a discussion

Friday
0900-0930 0930-1045	Questions from day 2 Analysis & Facilitation of Reciprocal Stair Climbing (up)
1100-1230	Patient Demonstration #2 & Discussion
1230-1330	Lunch
1330-1515	Analysis & Facilitation of Reciprocal Stair Climbing (down)
1530-1630	Lab – Ideas for increasing speed and activating active knee flexion
1630-1700	Final questions and workshop wrap-up