Functional Neuroanatomy and Physiology: everything you once knew and wish to reaffirm for your practice; Chemo Brain: what, why, and how to help

Audience: SLP and OT
Course level: Introductory/Intermediate
Date: September 27-28, 2014
Check in time: Saturday check in time: 7:30-8 am
Class time: Saturday: 8-4:30 pm  Sunday: 8-1 pm (The times indicated may change slightly)  Will be determined
Location: Fairview Southdale Hospital.  6401 France avenue S.  Edina, MN 55435

Course Fee: $295

Contact Hours: 9.75

This course will be submitted for ASHA registration and at this time has not yet been registered with ASHA. These hours can be submitted for MN licensure.

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Jerry Hoepner, PhD, CCC-SLP,
is an assistant professor at the University of Wisconsin, Eau Claire. After working clinically for several years, he earned his PhD from the University of Wisconsin, Madison, in Communication Sciences and Disorders department including neuroanatomy and physiology, acquired language disorders, acquired cognitive disorders, dysphagia, and counseling.He completed his doctorate in communicative sciences and disorders at UW with an emphases in neuroscience and traumatic brain injury rehabilitation.  

 In addition, Dr. Hoepner provides clinical supervision for individuals with adult neurogenic disorders. His research focuses on partner assessment and training for individuals with traumatic brain injury, aphasia, and corticobasal degeneration. Dr. Hoepner has co-facilitated the Chippewa Valley Aphasia Group, traumatic brain injury groups, and Aphasia Camp since their inceptions. He speaks on the topics of cognitive rehabilitation in traumatic brain injury and facilitating positive cognitive and behavioral routines. Prior to earning his PhD, Dr. Hoepner worked extensively in acute care and rehabilitation as a speech-language pathologist. Much of that time was spent at the Mayo Clinic Hospital in Eau Claire, WI, on the interdisciplinary neuroscience team. 

Course Description
The first day of this course will review functional neuroanatomy and physiology. The primary focus will be on speech, swallowing, cognition and language functions. However, there will be an overview of neurophysiology and motor pathways. Note that my expertise is in motor and sensory pathways for speech, respiration, and swallowing functions. This excludes detailed descriptions of pathways for upper extremity motor functions. Attendees will review basic neurophysiology, including mechanisms of ion exchange and depolarization, neurotransmission, mechanisms of excitotoxicity, and pathologies of neurotransmission. We will review basic motor pathways, including the anterior and lateral corticospinal tracts; somatosensory pathways, including the anterolateral and medial lemniscal pathways; cranial nerve functions; reflexes and neuromodulation of reflexes; and characteristics of upper and lower motor neuron damage. We will review internal brainstem functions such as arousal; thalamic functions, cerebellar, and basal ganglia functions; and cortical language and cognitive functions. While the focus will be on normal functions, we will use cases to discuss the impact of pathologies on each of the previous structures.

The second day of the course will discuss chemo brain and related dysfunctions. This segment will describe the etiology and consequences of chemo brain, as well as describing intervention approaches. Cases will be used to establish typical impairments and potential management approaches.


  •  Attendees will identify the process of ion exchange involved in neuron signaling.
  • Attendees will identify the steps of neurotransmission and potential pathologies.
  • Attendees will be able to define excitotoxicity and identify at least two examples of how it impacts their patients.
  • Attendees will be able to identify the anatomy and functions of major motor pathways (anterior corticospinal tract and lateral corticospinal tract).
  • Attendees will be able to identify the anatomy and functions of major sensory pathways (anterolateral and medial lemniscal pathways).
  • Attendees will be able to identify basic cranial nerve functions.
  • Attendees will identify components of a reflex arc, the process of neuromodulation, and characteristics of motor neuron damage.
  • Attendees will describe the structures of the reticular activating system and effects of damage to the internal brainstem.
  • Attendees will describe the functions of the extrapyramidal system in refining movement.
  • Attendees will describe the functions of the thalamus, cerebellum, and basal ganglia.
  • Attendees will identify cortical substrates responsible for various cognitive and language functions.
  • Attendees will be able to describe potential etiologies and consequences of chemo brain.
  • Attendees will identify potential approaches to the management of patients with chemo brain.

September 27th
8-8:30 am                   Registration/Continental Breakfast
8:30-10 am                 Neurophysiology
10-10:15 am              Break
10:15-12 pm              Motor and sensory pathways; Pyramidal and Extrapyramidal motor systems
12-1 pm                      Lunch
1-2 pm                        Brainstem functions (cranial nerves and internal brainstem)
2-2:15 pm                  Break
2:15-4:30                   Thalamus, Cerebellum, and Basal Ganglia; Role of cortical structures in language and cognition

September 28th
8:30-10 am                Etiology and consequences of chemo brain
10-10:15 am              Break
10:15-12 pm              Management of chemo brain and related disorders

This course is eligible for American Occupational Therapy Association (AOTA) Approved Provider credit. The assignment of AOTA CEUs does not imply endorsement of specific course content, products or clinical procedures by AOTA.


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