


Multisystem Interactions and Modulatory Interventions
Explore metabolic and neurorehabilitation strategies in autonomic care. This 25-hour course teaches exertion training, spinal reflex rehab, and cerebellar-limbic integration for dysautonomia.
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Course Description
This 25-hour advanced module—Part 5 of the Carrick Institute's Dysautonomia series—focuses on the intersection of metabolic function, neurorehabilitation, and autonomic regulation. Clinicians will explore how exertion, deconditioning, and metabolic capacity influence autonomic disorders. The course provides functional strategies for training and monitoring autonomic integrity through spinal reflexes, medullary systems, pontine integration, and cerebellar regulation. Special emphasis is placed on the limbic system, prefrontal cortex, and sensorimotor systems in shaping treatment outcomes.
What you’ll learn:
- Understand the role of metabolic capacity and exertion in autonomic rehabilitation.
- Differentiate between deconditioning and pathological autonomic dysfunction.
- Apply neurorehabilitation strategies targeting spinal, brainstem, cerebellar, and limbic circuits.
- Monitor autonomic integrity during treatment using functional models and control systems.
Components
Educational Syllabus
- Principles of Autonomic Rehabilitation
- Review the goals and objectives of autonomic rehabilitation
- Understand functional limitations associated with dysautonomia
- Explore evidence-informed rehabilitation frameworks
- Develop patient-centered management strategies
- Postural Orthostatic Tachycardia Syndrome (POTS)
- Examine the pathophysiology and clinical presentation of POTS
- Identify common triggers and aggravating factors
- Understand functional impairments associated with orthostatic intolerance
- Develop comprehensive management plans for POTS patients
- Fluid, Sodium, and Volume Expansion Strategies
- Understand the role of hydration in autonomic regulation
- Review sodium supplementation and volume expansion protocols
- Explore water bolus therapy and orthostatic support strategies
- Monitor patient response to fluid and sodium interventions
- Physical Countermaneuvers and Compression Therapies
- Apply physical counterpressure maneuvers for symptom management
- Evaluate the effectiveness of compression garments
- Understand abdominal and lower extremity compression strategies
- Integrate non-pharmacologic interventions into rehabilitation programs
- Exercise Prescription for Dysautonomia
- Design graduated exercise programs for autonomic disorders
- Utilize recumbent and non-upright exercise strategies
- Implement endurance and resistance training protocols
- Progress exercise interventions based on patient tolerance and outcomes
- Cardiovascular Assessment Techniques
- Perform jugular venous pressure evaluation and interpretation
- Assess venous return and cardiovascular volume status
- Differentiate normal and abnormal cardiovascular findings
- Integrate cardiovascular assessments into clinical decision-making
- Passive Leg Raise and Volume Responsiveness Testing
- Understand the physiological basis of passive leg raise testing
- Perform and interpret passive leg raise assessments
- Evaluate preload responsiveness and circulatory reserve
- Apply findings to patient management and rehabilitation planning
- Management of Syncope and Orthostatic Hypotension
- Identify mechanisms underlying syncope and orthostatic hypotension
- Implement non-pharmacologic treatment strategies
- Develop prevention plans for recurrent syncopal episodes
- Educate patients on trigger avoidance and symptom recognition
- Pharmacologic Considerations in Dysautonomia
- Review commonly utilized medications for autonomic disorders
- Understand indications, mechanisms, and limitations of pharmacologic therapies
- Evaluate medication effects on rehabilitation outcomes
- Coordinate pharmacologic and non-pharmacologic management approaches
- Integrated Clinical Application and Case Management
- Analyze complex autonomic rehabilitation cases
- Develop individualized treatment plans using multimodal approaches
- Integrate examination findings with rehabilitation strategies
- Apply clinical reasoning to improve patient function and quality of life
Venue, Hotels & Schedule
Also includes


Multisystem Interactions and Modulatory Interventions
Explore metabolic and neurorehabilitation strategies in autonomic care. This 25-hour course teaches exertion training, spinal reflex rehab, and cerebellar-limbic integration for dysautonomia.
$
$
(
$
The Carrick Institute team is ready to assist with enrollment, CE approval, or program planning. Email visit our CE Portal or Contact Us directly.
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