Presentations and DownloadsKeynotesThursday ScheduleFriday Schedule
Directions and Accommodations

Continuing Education Unit InformationCancellation Policy
You may register in person at the Earle Brown Center on Thursday or Friday

Presentation Links

This page contains presentation handouts and/or slide shows that will be presented in each session and have been submitted to the Minnesota Brain Injury Alliance by the presenter(s). Each link will open the document in a new window. While a majority of the links are PowerPoints, some may be Word, Acrobat or other file formats. File format and size are posted following the links.

Thursday Conference Schedule

8 - 9 a.m. - Registration and Exhibits Open

Exhibits are open daily 8 a.m. to 3:30 p.m.

8:45 - 9 a.m. - Opening Remarks

9 - 10:30 a.m. - Keynote Address

Measurement in Chronic TBI: The Importance of Developing Patient-Centered Measures for Self-reported Outcomes to Improve Long-Term Symptom Tracking and ManagementShannon Juengst
Shannon Juengst, PhD, CRC, Assistant Professor, UT Southwestern Medical Center

Measurement and long-term tracking of emotional, cognitive, and behavioral symptoms is critical for effective symptom management in chronic TBI. Current challenges to long-term measurement and tracking of these symptoms include feasibility and availability of the necessary resources and uncertainty about the validity of self-reported measures. Potential solutions to these challenges include developing more efficient and proactive symptom monitoring approaches, leveraging the rapidly growing use of smartphones, and ensuring validity through patient-centered development and rigorous testing of self-reported measures. Specific studies will be presented as exemplars for these potential solutions.

Shannon Juengst is a Certified Rehabilitation Counselor and Assistant Professor in the Department of Physical Medicine and Rehabilitation at the University of Texas Southwestern Medical Center, with a secondary appointment in the Department of Rehabilitation Counseling. Dr. Juengst has over 15 years of research experience in the field of brain injury rehabilitation, focusing on developing evidence-based measurement and interventions for behavioral and emotional outcomes after TBI, applying innovative telehealth methods to improve long-term tracking, and investigating biopsychosocial relationships after TBI. Actively involved in the TBI Model Systems since 2012, she is currently applying her telehealth expertise to the North Texas TBI Model Systems site-specific project and is also the Principal Investigator for the North Texas TBI Model Systems module project examining the feasibility of delivering Problem Solving Training to care partners of patients with TBI during the inpatient rehabilitation stay. Her primary research interest is developing and employing patient-centered measurement tools to track behavioral, cognitive, and emotional symptoms long-term after injury, to better identify and treat these symptoms and minimize their impact on the quality of life of individuals with TBI and their care partners.

File: pdf - 7.8 MB

10:30 - 11 a.m. - Break and Exhibits Open

11 a.m. - 12 p.m. - Breakout Sessions I

  1. Addressing the Needs of Individuals with TBI and their Care Partners During the Transition from Hospital to Home Through Problem-Solving Training
    Shannon Juengst, PhD, CRC, Assistant Professor, UT Southwestern Medical Center
    Many care partners feel underprepared after discharge to manage unanticipated problems. Training care partners in a simple and systematic problem-solving strategy may better prepare them to manage later problems that at first seem overwhelming. This session will present preliminary results from a randomized controlled trial of Problem Solving Training versus a consumer-developed Educational Workbook for Care Partners of adults with TBI, delivered during the inpatient rehabilitation stay, for reducing caregiver burden and emotional distress.

    File: pdf - 4.4 MB

  2. Conivaptan for Reduction of Cerebral Edema in ICH
    Jesse J. Corry, MD, Physician, Allina Health Care – John Nasseff Neuroscience Specialty Clinic
    Cerebral edema complicates brain injury, producing neurologic deterioration through inflammation and elevated intracerebral pressure. Wide variability exists in its management, with available therapies not improving outcome. United Hospital has completed enrollment in a Phase I study of a novel therapy for cerebral edema in ICH and reports their safety findings.

    File: PowerPoint - 3.5 MB

  3. I Loved What I Was Doing and Now What?
    Stacy Shamblott, CTRS, SHARE (Sports, Health, Activity, Recreation and Exercise) Program Coordinator, Courage Kenny Rehabilitation Institute
    Learn about the SHARE (Sports, Health, Activity, Recreation and Exercise) program, part of Courage Kenny Rehabilitation Institute. Stacy will provide resources for ways to look at SHARE in a different way. Learn how to maximize quality of life for people of all ages and all abilities through fun. Attendees will be able to identify leisure and recreation choices where you give people options and meet them where they are at to give them an opportunity to participate.

    File: pdf - 6.5 MB

  4. A Fresh Look at Youth Sports Concussion Policy in Minnesota
    Dr. Francis X. Shen, Associate Professor, University of Minnesota Law School; Sydney Diekmann, University of Minnesota Neuroscience Department
    In 2011 Minnesota enacted a youth sports concussion law. This presentation will present findings from a two-year study evaluating the implementation of that law in the context of youth sports in Minnesota. The study, which involved collaborators from across the state and was supported by a University of Minnesota Grand Challenges grant, synthesized information and data across a broad and diverse range of Minnesotan communities to identify trends and challenges in concussion management, and recommendations to improve Minnesota’s concussion policy.

    File: pdf - 3.1 MB

  5. Using Neuropsychological Testing Results as a Tool in Building Effective Supports
    Kathy Nesheim-Larson, MSW, CBIT, Director of Brain Injury and Specialty Support Services, REM Minnesota
    In serving individuals with brain injury we often find ourselves at a loss in understanding their cognitive strengths and challenges. Many arrive at Home and Community Based Services with little or no background information having been moved from many programs over the years. Neuropsychological evaluations are a vital tool in better understanding the individual and providing valuable information to direct programming and staff interactions. This presentation will outline how to use this tool to develop effective services and foster a strong working relationship.

    File: pdf - 727 k

  6. Virtual Reality in the Treatment of Upper Extremity Function in Acute TBI Rehabilitation
    Lindsay Marth, MA, OTR/L, BCPR; Ben Barrett, MA, OTR/L; David J. Lawler, MA, OTR/L, Occupational Therapists, Minneapolis VA Health Care System
    Occupational therapy (OT) for individuals with traumatic brain injury (TBI) involves task practice of activities of daily living. Current virtual reality (VR) use in OT is limited to 2D games. Our group will discuss using VR environments that integrate OT with a greater variety of visual, auditory and haptic feedback.

    File: pdf - 10.1 MB

12 - 1 p.m. - Lunch

1 - 2 p.m. - Breakout Session II

  1. Exercise After Brain Injury: Evidence and Recommendations
    Diane Schretzman Mortimer, MD, MSN, FAAPMR, Minneapolis VA Health Care System; Matthew Allen Puderbaugh, DO, Resident, U of M Department of PM&R; Beth Wittry, PT, DPT, Neurologic Physical Therapy Resident, Minneapolis VA Health Care System
    Abundant evidence demonstrates positive effects of exercise on brain health and function before a brain injury. This presentation will cover how exercise after brain injury also has significant benefits and should be strongly recommended. Presenters will cover how appropriate, individualized regimens account for common potential post-injury problems such as motor, sensory and cognitive dysfunction.

    File: PowerPoint - 1.1 MB

  2. Embracing the Journey: Moving Forward After Brain Injury
    Amy Zellmer, Advocate, Faces of TBI
    Traumatic brain injury survivor and award-winning author, Amy Zellmer, will share with you her journey through the murky waters of TBI. She will enlighten you with humor and grace on the seriousness of brain injury and concussion, and the life lessons that come with it. Join Amy as she shares her story of recovery, and provides you with ways to help support a loved one dealing with this invisible injury. She will give you insight into a life that even doctors don't fully understand.

    File: pdf - 13.1 MB

  3. We Love to Count!
    Mark Kinde, MPH, Health Program Manager Senior, Injury and Violence Prevention Section Manager; Jon Roesler, MS, Injury Epidemiologist Supervisor, Minnesota Department of Health
    How many? How severe? How long? Using newly available data sets (emergency medical services data and data from the All Payer Claims Database), new estimates of the numbers of brain injury occurring each year in Minnesota are now available. These numbers will help educators and service providers plan and prepare to meet the needs of people with brain injuries statewide. Please join Jon Roesler and Mark Kinde, two MDH epidemiologists, as they redefine the epidemiology of brain injury in Minnesota and the implications for public health practice and service delivery.

  4. What's Out There for Adults Who Would Like to Improve Their Academic Skills?
    Sheila Brandes, CBIS, Teacher, Robbinsdale Adult Academic Program; Rochelle Anderson, Stroke Survivor
    This presentation will give you an overview of the Robbinsdale Adult Academic Program Classes for Stroke and Brain Injury Survivors. These free classes help adults regain academic skills such as reading, writing, and math that were lost due to stroke or brain injury. They also help individuals make connections and improve confidence within a supportive environment. One of our current students will also give her perspective on life with aphasia.

    File: pdf - 81.1 MB

  5. Adding Insult to Injury: When Stroke and Other Brain Injury Occur Together
    Mandi Counters, MSN, FNP-BC, RN, CNRN, SCRN, Neurology Nurse Practitioner/Stroke Coordinator, Fairview Southdale Hospital
    This course will identify long term consequences of brain injury versus stroke. It will also discuss the impact of stroke and brain injury in combination and how other illnesses complicate the already injured brain’s ability to recover.

    File: PowerPoint - 1.8 MB

  6. Addressing Professional Burnout/Compassion Fatigue While Working with Persons with Brain Injury
    Robert L. Karol, PhD, LP, ABPP-RP, CBIST, President, Karol Neuropsychological Services and Consulting
    This talk will address burnout and compassion fatigue among staff working with persons with brain injury. It will describe the multi-factorial nature of burnout and compassion fatigue and the top ten reasons for them. The presentation will then review concrete steps to be taken to cope.

    File: pdf - 730 k

2 - 2:30 p.m. - Break

2:30 - 3:45 p.m. - Plenary Session

Hiking to the Top of Mt. TBIHolly Kostrzewski
Holly Kostrzewski, MPH
At the age of 18, Holly Kostrewski's path forever changed when she sustained a traumatic brain injury as the result of a motor vehicle crash. During her ongoing recovery process, Holly faced significant challenges including a seizure disorder, learning disabilities, sleep, depression, and anxiety issues. She also had to learn how to be successful in college and as a working professional with a brain injury. In this session, Holly will discuss the challenges, highs and lows of living with a brain injury and how she went from being barely able to walk a few feet while dragging her right leg behind her to hiking through the woods nearly 20 years later.

Friday Conference Schedule

8 - 9 a.m. - Registration and Exhibits Open

Exhibits are open daily 8 a.m. to 3:30 p.m.

8:45 - 9 a.m. - Opening Remarks

9 - 10:30 a.m. - Keynote Address

Poor Sleep After Pediatric Brain Injury: Symptom and Contributor to Other SymptomsDean Beebe
Dr. Dean Beebe, Ph.D, ABPP, Professor of Pediatrics UC College of Medicine and Director of the Neuropsychology Program at Cincinnati Children's Hospital Medical Center

Sleep disruption is common in the early stages after brain injury, and difficulties with sleep duration, regularity, and quality can persist for months or even years. Sleep is often ignored in treatment plans, or patients and their families inadvertently adopt society's dismissive or hostile attitude towards sleep. However, there is clear evidence that inadequate sleep can seriously hamper thinking, mood, and quality of life – creating problems that can be confused with or compound those from brain injury. In this talk, Dr. Beebe will share that evidence and make the case for routinely addressing sleep in the daily lives of individuals after brain injuries.

Dean Beebe is a Professor of Pediatrics in the University of Cincinnati College of Medicine and Director of the Neuropsychology Program at Cincinnati Children's Hospital Medical Center. Board-certified in clinical neuropsychology and in pediatric neuropsychology, his clinical work specializes in the evaluation and care of children who have neurological conditions or other medical conditions that affect the brain. His research focuses on the consequences of sleep disorders and inadequate sleep on the thinking skills, learning, mood, dietary intake, physical activity, and driving skills in youth. He works closely with other investigators examining the impact of sleep changes on the health of youth following concussions and chronic health conditions. That work has been supported by the NIH, Canadian Institutes of Health Research, American Diabetes Association, State of Ohio, and multiple private foundations. He serves on the Board of Directors for the American Academy of Clinical Neuropsychology, the Advisory Board of Start School Later, Inc., and committees of the AACN and the American Board of Clinical Neuropsychology. Dr. Beebe is an associate editor of the Journal of Pediatric Psychology, and is on the editorial boards for Child Neuropsychology, SLEEP, and Behavioral Sleep Medicine.

File: PowerPoint - 6.9 MB

10:30 - 11 a.m. - Break and Exhibits Open

11 a.m. - 12 p.m. - Breakout Session I

  1. Behavioral Sleep Strategies After Pediatric Brain Injuries
    Dr. Dean Beebe, Ph.D, ABPP, Professor of Pediatrics UC College of Medicine and Director of the Neuropsychology Program at Cincinnati Children's Hospital Medical Center
    While some sleep problems are hard to treat, many can be addressed. This breakout session will focus on non-drug-based behavioral strategies for improving sleep, focused on those that fit with sleep science. This session will allow for smaller-group conversation about sleep, its importance, and strategies for improving lives through better sleep.

    File: PowerPoint - 4.9 MB

  2. Moving Beyond Return to Play: Emerging Science for Return to Learn Following Concussion
    Katy H. O'Brien, PhD, CCC-SLP Assistant Professor, University of Georgia
    This presentation will describe current literature around Return To Learn after concussion in secondary and postsecondary settings. Included will be current research findings from a study of college students' experiences, detailing wide variation in care and the challenge of relying on students to understand and advocate for their learning needs.

    File: pdf - 9.1 MB

  3. Expanding Robotic-Assisted Gait Training Into the Clinic: Use, Frequency, and Additional Considerations for Use of This Technology as an Intervention
    Jennifer Steele, PT, DPT, NCS, Physical Therapist; Kate Brown, PT, DPT, NCS, Physical Therapist, Allina Health – Courage Kenny Rehabilitation Institute (United Hospital)
    The topic of robotics-assisted gait training has been increasing in popularity. Use of robotics for clinical advancements of gait should be a consideration for use. This session will discuss various considerations and uses within the clinical setting in relation to the brain injury and stroke populations.

    File: PowerPoint - 3.7 MB

  4. Public Policy Updates
    Jeff Nachbar, Public Policy Director, Minnesota Brain Injury Alliance
    Legislative activities can be difficult to track but can greatly impact the brain injury community. Join this session for a political update on current policy efforts at both the State and National level. The status of the 2019 Legislative Session and current issues in the US Congress will be discussed as they pertain to the priorities of the Alliance's advocacy efforts.

  5. Non-Invasive Brain Stimulation As an Intervention for Traumatic Brain Injury
    Dr. Casey S. Gilmore, Research Scientist, Defense and Veterans Brain Injury Center, Minneapolis VA Medical Center; Dr. Tasha M. Nienow, PhD, LP, Staff Psychologist, Minneapolis VA Medical Center, Assistant Professor of Psychiatry, U of M Medical Center
    This session will cover transcranial direct current stimulation (tDCS), a non-invasive technique for affecting brain plasticity. tDCS has been shown to be an effective intervention for enhancing brain activity and cognition. tDCS is a promising rehabilitative intervention to improve the cognitive and behavioral effects of TBI.

    File: pdf - 2.6 MB

  6. How Cool is a Pool
    Kathy Braaten, PT, DPT, CEEAA, CLT, Physical Therapist, CKRI Stillwater
    This presentation is for healthcare professionals, clients, exercise enthusiasts, and those who just want to know how cool is a pool. The session will discuss basic pool benefits from buoyance to intensity training and research on various pathologies as well as identify the pool as medically necessary. Slides will provide examples of independent workouts, classes and various levels of skilled care in a pool setting. Come explore the pool as an adjunct to any therapy, treatment and fun for all pool-goers alike.

12 - 1 p.m. - Lunch

1 - 2 p.m. - Breakout Session II

  1. Transcranial Magnetic Stimulation for Veterans with Depression and Traumatic Brain Injury
    C. Sophia Albott, MD, MA, Assistant Professor, University of Minnesota Medical School
    Depression is present in as many as 50 percent of individuals with TBI. Unfortunately, many individuals with comorbid TBI and depression are resistant to traditional antidepressant medications. This presentation will review evidence suggesting efficacy of transcranial magnetic stimulation for the treatment of depression in veterans with comorbid TBI.

  2. De-escalation of Behavioral Dyscontrol Episodes After Acquired Brain Injury
    Robert L. Karol, PhD, LP, ABPP-RP, CBIST, President, Karol Neuropsychological Services and Consulting
    This talk will address how staff should prepare to address episodes of behavioral dyscontrol. It will cover preparing steps ahead of time and how to respond during an episode. Goals for staff during an episode will be discussed as well as team responses.

    File: pdf - 537 k

  3. Brain Injury! The Gift That Keeps on Giving!
    Jacquelyn Miller, retired, OTR and Disability Management Specialist, Brain Injury Survivor
    Jacquelyn Miller shares a rare 360 degree perspective as an Occupational Therapist, Disability Management Specialist (retired) and a brain injury survivor. She discusses rebuilding self-worth and self-identity; understanding constant changes in medications, symptoms, and daily abilities; accommodating loved ones and obligations while juggling daily life; and the various stereotypes that are handed out to her sub-group. She discusses the need to Stop, Look, and Listen to others as this may very well be where you find yourself.

  4. Mild Traumatic Brain Injury: Symptom-Focused Treatment of Persisting Post-Concussive Symptoms
    Matthew R. Powell, PhD, Neuropsychologist, Mayo Clinic
    Mild traumatic brain injury, or concussion, gained significant media attention over the last several years in part due to connection with sport injuries. While the vast majority of individuals experience a swift recovery following single concussive injuries, a minority experience persisting symptoms. We will discuss the pathophysiology and typical recovery following mild brain injury, predisposing and perpetuating factors related to post concussive syndrome, and symptom focused rehabilitation that may assist with managing symptoms.

    File: PowerPoint - 1 MB

  5. Grace Notes: Advancing Spiritual Wellbeing for Clients with Acquired Brain Injury
    Peggy Thompson, MFA, BCC, Chaplain, Courage Kenny Rehabilitation Institute Golden Valley; Jennifer La Rue
    After brain injury people often turn to faith to address loss and meaning. Because there are no evidence based interventions that address their spiritual concerns, we developed Grace Notes, a spirituality curriculum. This presentation will include findings from a recently completed feasibility study, conducted at Courage Kenny Rehabilitation Institute, in which Grace Notes was provided to adults with acute brain injury.

    File: pdf - 10.1 MB

  6. Encounters With The Hidden Voice
    Lisa Lounsbury, MA, LMFT, ATR-BC, Executive Director, Art Lab Rx
    Images tell a story. In art therapy, the subconscious comes forward to illustrate emotional themes that have been hidden under the surface, unspoken. Come learn how these concepts become creations that clients can use to make meaning of their circumstances and move forward on their healing journey.

    File: pdf - 8.8 MB

2 - 2:30 p.m. - Break

2:30 - 3:45 p.m. - Plenary Session

Putting One Foot In Front Of The Other, A Journey with FTDNancy Carlson
Nancy Carlson, Author

Nancy Carlson shares her creative journey as a care giver for her husband Barry who suffered from Frontotemporal Dementia (FTD). Through art, writing and a great deal of hiking, Nancy found her way back from sadness, financial crises and the loss of her companion. Nancy talks about how putting one foot in front of the other literally took her on the path of healing and to a new life she never imagined.

Nancy Carlson has written and illustrated more than 60 children's books since 1979. Her most recent book is titled SOMETIMES YOU BARF, published in 2014. Here is what the Publishers Weekly review said about Nancy's book titled I LIKE ME!: "The foundation of a healthy self-image, the cornerstone of a happy and successful life, is what Carlson's work is all about." In late fall 2012, Nancy heard two words from a neurologist that would rock the happy life she had created with her husband Barry McCool. Those words were frontotemporal dementia (FTD). So the journey with FTD began! What does an author and illustrator do when the family has no health insurance, is one rent check away from being homeless, has a husband swearing at her all day long and the IRS breathing down her back? She keeps creating! Nancy continued to do books, but she also created a blog called "Putting One Foot In Front of the Other." Nancy is working on a graphic style memoir about her husband's FTD Journey.


Presentations and DownloadsKeynotesThursday ScheduleFriday Schedule
Directions and Accommodations

Continuing Education Unit InformationCancellation Policy
You may register in person at the Earle Brown Center on Thursday or Friday