About NORA2021

The NORA annual conference is a premier event for eye care and other health care professionals who provide rehabilitative services to individuals who have suffered a traumatic brain injury. This year’s program offers up to 14 COPE-approved CE credits with presentations by key opinion leaders in optometry and other specialties.

The Clinical Skills Program offers three different levels which run concurrently and cannot be taken simultaneously. These presentations will only be offered live online. See the agenda for course descriptions and schedules.

Four additional COPE approved presentations will be presented live on Saturday, October 16 and will be available On Demand through the end of 2021. Additionally, two non-COPE presentations by NORA fellowship candidates will also be available.

Registration Information

Active NORA Professional and Allied Professional members receive discounted pricing.

Students currently enrolled in a certified college of optometry, allied health profession, education, and rehabilitation program or in an optometric residency or a fellowship program can attend the conference for a reduced fee.

If you are not a NORA member or if your membership has expired and you wish to renew, please visit the NORA web site.

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NORA2021 Course List

Download Printable Course Schedule

Day 1: Thursday, October 14th, 2021

FOUNDATIONS OF NEURO OPTOMETRIC REHABILITATION (Previously Clinical Skills 1) Introduction to Neuro Optometric Rehabilitation: Vision Screening and Interventions for Allied Therapy Professionals Xenia Larin Andrzejewski, PT Katy Coleman, OTR/L Melissa Zarn, OD, FAAO Location: Virtual Room 1 Thursday, October 14, 2021 Day 1, Part 1: 9:30am ET - 12:30pm ET (3 hours) Day 1, Part 2: 1:30pm ET - 3:30pm ET (2 hours) ** This course is only being presented Live Online, it will not be available On Demand. After attending this course on Thursday, participants will join the Neuro Optometric Interventions and Prescribing, Day 2 session on Friday. Overview: This course will provide a foundational understanding of the role of neuro-optometric rehabilitation for vision disorders associated with concussion, stroke and other neurological syndromes. We will cover basic awareness of patients’ vision, screening for visual complications of neurologic impairment and injury, and therapeutic interventions to improve patient responses to other therapies.

NEURO OPTOMETRIC INTERVENTIONS AND PRESCRIBING DeAnn Fitzgerald, OD Becky Moran, MSc (OT) Shannon McGuire, BHSc PTP Thursday, October 14, 2021 Day 1, Part 1: 9:30am ET - 12:30pm ET (3 Credit Hours, COPE ID Live: 74265-FV) Day 1, Part 2: 1:30pm ET - 3:30pm ET (2 Credit Hours, COPE ID Live: 74266-FV) Location: Virtual Room 2 ** This course is only being presented Live Online, it will not be available On Demand. Overview: An introduction to neuro-anatomy and neuro-physiology in relation to traumatic brain injury rehabilitative care, with a specific focus on the principles and application of Neuro-Optometric Rehabilitation, including strategies and practices on lenses, prisms, etc. with vestibular and proprioception dynamic movement. Day 1 topics covered include: A basic understanding of the concept of and requirements for normal, efficient movement and the role of vision in movement, including the ability to assess gait and balance. The benefits of and strategies for working with a multi-disciplinary team including an understanding of the roles and skill set of Occupational and Physical Therapists. An understanding of structure vs. functional vision aspects: spatial & focal visual processing and their impact on normal function including posture, balance, gait, and cognition. The different aspects of cognitive performance and some assessment and treatment strategies. The role of the vestibular system, Benign Paroxysmal Positional Vertigo (BPPV) and some practical treatment strategies for vestibular dysfunction. Participants will be able to recognize and assess common visual deficits of acquired brain injury seen after a neurological injury such as: Post Trauma Vision Syndrome (PTVS) and Visual Midline Shift Syndrome/(VMSS) and understand their impact on visual performance as well as posture, balance, gait, and cognition. Participants will be able to incorporate treatment strategies such as prism and binasal occlusion to treat Post Trauma Vision Syndrome and Visual Midline Shift Syndrome in individuals with neurological dysfunction. They will also learn how to incorporate movement and balance strategies into their practice.

EXTENDED CONCEPTS IN NEURO-OPTOMETRIC REHABILITATION (Formerly known as Advanced Clinical Skills Course) BUILDING A HOSPITAL-BASED NEURO-OPTOMETRIC PRACTICE Marsha Benshir, OD, FNORA Location: Virtual Room 3 Thursday, October 14, 2021 Day 1, Part 1: 9:30am ET - 12:30pm ET (3 Credit Hours, COPE ID Live: 74205-PM) Day 1, Part 2: 1:30pm ET - 3:30pm ET (2 Credit Hours, COPE ID Live: 74206-PM) ** This course is only being presented Live Online, it will not be available On Demand. Overview: Neuro-optometrists are in high demand at rehabilitation hospitals. Hospital practice is challenging and can establish the neuro-optometrist as the expert in their community, building a strong rapport with physicians and other rehabilitation professionals. Hospital based practice is also ideal for optometrists who wish to retire from full time private practice but want to use their expertise and experience part-time providing specialized patient care. This course is a How-To for experienced optometrists who want to transition to providing hospital based care. We will cover the range from start-up to follow-up, including establishing the practice, bedside testing, implementation of Neuro-Optometric Rehabilitation, charting and communication, and follow up strategies. Completion of NORA levels 1 and 2 is highly recommended.

Day 2: Friday, October 15th, 2021

FOUNDATIONS OF NEURO OPTOMETRIC REHABILITATION (Formerly Clinical Skills 1) NEURO OPTOMETRIC INTERVENTIONS AND PRESCRIBING DeAnn Fitzgerald, OD Becky Moran, MSc (OT) Shannon McGuire, BHSc PTP Location: Virtual Room 1 Friday, October 15, 2021 Day 2, Part 1: 9:30am ET - 12:30pm ET (3 Credit Hours, COPE ID Live: 74267-FV) Day 2, Part 2: 1:30pm ET - 3:30pm ET (2 Credit Hours, COPE ID Live: 74268-FV) ** This course is only being presented Live Online. It will not be available on Demand. ** This Day 2 course is also for attendees of Thursday’s “Introduction to Neuro Optometric Rehabilitation: Vision Screening and Interventions for Allied Therapy Professionals.” Overview: During Day 2: Participants will learn the latest research on assessment and management of concussion. They will understand the different symptom clusters seen in this population and have practical strategies for how to manage them. Participants will be given strategies to help in the process of providing excellent care for patients with neurological conditions including: concussion, TBI, stroke and neurodegenerative disease (Parkinson’s, dementia, etc.).

CLINICAL APPLICATIONS OF NEURO OPTOMETRIC REHABILITATION (Formerly Clinical Skills 2) Cathy Stern, OD, FCSO, FCOVD, FNORA Location: Virtual Room 2 Friday, October 15, 2021 Part 1: 9:30am ET - 12:30pm ET (3 Credit Hours, COPE ID Live: 74211-FV) Part 2: 1:30pm ET - 3:30pm ET (2 Credit Hours, COPE ID Live: 74212-FV) ** This course is only being presented Live Online, it will not be available On Demand. Overview: This course will expand your ability to implement treatment for patients who present with neurologically based vision challenges. A series of case studies including the patient’s history, initial evaluation, diagnosis, treatment plan and therapy program will be reviewed. You will leave feeling more proficient and confident with beginning or continuing to treat those who will benefit from Neuro-Optometric Rehabilitation.

EXTENDED CONCEPTS IN NEURO-OPTOMETRIC REHABILITATION (Formerly known as Advanced Clinical Skills Course) BUILDING A HOSPITAL-BASED NEURO-OPTOMETRIC PRACTICE Marsha Benshir, OD, FNORA Location: Virtual Room 3 Friday, October 15, 2021 Day 2, Part 1: 9:30am ET - 12:30pm ET (3 Credit Hours, COPE ID Live: 74207-FV) Day 2, Part 2: 1:30pm ET - 3:30pm ET (2 Credit Hours, COPE ID Live: 74208-FV) ** This course is only being presented Live Online, it will not be available On Demand. Overview: *** A continuation of the Day 1 Course: Neuro-optometrists are in high demand at rehabilitation hospitals. Hospital practice is challenging and can establish the neuro-optometrist as the expert in their community, building a strong rapport with physicians and other rehabilitation professionals. Hospital based practice is also ideal for optometrists who wish to retire from full time private practice but want to use their expertise and experience part-time providing specialized patient care. This course is a How-To for experienced optometrists who want to transition to providing hospital based care. We will cover the range from start-up to follow-up, including establishing the practice, bedside testing, implementation of Neuro-Optometric Rehabilitation, charting and communication, and follow up strategies. Completion of NORA levels 1 and 2 is highly recommended.

Day 3: Saturday, October 16th, 2021

THE NEUROLOGY OF THE BI-MODAL VISUAL PROCESS COMPROMISED BY CONCUSSION William V. Padula OD SFNAP FAAO FNORA Saturday, October 16, 2021 10:00am ET - 11:00am ET (1 Credit Hour, Live: 74093-FV ; Enduring: 74344-FV) Location: Virtual Room 1 Following a concussion, vision symptoms of blur, visual fatigue, inability to tolerate busy moving environments, photophobia, headaches, loss of comprehension, difficulty with balance, are often experienced. Persons with these symptoms frequently are evaluated and have 20/20 acuity, no loss of visual field, ocular paresis nor abnormality of ocular health. This Symposia will review the neurology of the visual process and how neurological compromise of the visual process produces characteristics and symptoms of binocular dysfunction. The neurology of visual processing will be studied to understand how compromise of visual processing causes symptoms and specific binocular dysfunction characteristics such as, convergence insufficiency, oculomotor dysfunction, accommodative insufficiency as well as having an effect on balance and posture. Treatment protocol to affect the neurology of the visual processing dysfunction that is evidenced-based will be discussed.

THE CEREBRAL SPINAL FLUID SYSTEM Larry B. Wallace, O.D., Ph.D. Saturday, October 16, 2021 11:15am ET - 12:15pm ET (1 Credit Hour, Live COPE ID:72336-NO; Enduring COPE ID: 74345-NO) Location: Virtual Room 1 This course will introduce the cerebral spinal fluid system and how it pertains to neuro-optometric rehabilitation and phototherapy following stasis to the system from brain injuries. Topics covered include anatomy of the spinal system, the production and flow of cerebral spinal fluid. How stasis occurs, it's clinical significance on visual functions, and therapeutic approaches to restoring circulation including optometric photo therapy.

DIAGNOSING AND TREATING PROPRIOCEPTIVE DYSFUNCTION SYNDROME (PDS) Orlando Alves da Silva, MD Saturday, October 16, 2021 12:30pm ET - 1:15pm ET (0.5 Credit Hours, Live: 74115-FV ; Enduring: 74342-FV) Location: Virtual Room 1 Dr. Da Silva will introduce useful protocols to determine the presence of Proprioceptive Dysfunction Syndrome, which is present in up to 15% of the population and has debilitating symptoms like dizziness, disorientation, difficulty learning and reading, and problems with coordination. He will also show the use of Active Prisms and Postural Reprogramming to treat vision and postural imbalances, neck dizziness, muscle pain, vestibular migraines, and learning difficulties caused by proprioceptive disorders.

VISION PERFORMANCE IN ACTION Joshua Watt, OD, FCOVD Saturday, October 16, 2021 1:45pm ET - 2:45pm ET (1 Credit Hour, Live: 74220-FV ; Enduring: 74346-FV) Location: Virtual Room 1 Visual performance is vision in action and is necessary in every stage and aspect of life. This presentation will highlight the fact that normal visual ability is not enough for superior athletic performance, but athletic performance does not directly connect to academic or work life. Learning to question, evaluate, and treat visual issues can have a significant impact on an individual’s life that can often be missed. Case examples from youth and amateur athletes, first responders, and weekend warriors will be utilized to show how sports, academic, and work performance may be related but are not always directly successfully connected. Insights gained from this lecture will provide participants with the understanding of the prevalence of compensated visual issues.

EFFICACY OF NEURO-OPTOMETRIC REHABILITATION THERAPY ON THE VISUAL CONSEQUENCES OF ACQUIRED BRAIN INJURY: AN INTERNATIONAL PERSPECTIVE Niall McCormack, BSc(Hon), FCOVD-I, FACBO Friday, October 15, 2021 4:00pm ET Location: Virtual Room 1

NEURO-OPTOMETRIC VISION REHABILITATION AFTER PONTINE CAVERNOMA: A MULTI-DISCIPLANARY CASE STUDY Stanley Tien, BSc(Hon), FCOVD-I, FCSO, FACBO Saturday, October 16, 2021 8:45am - 9:45am ET Location: Virtual Room 1

Speakers

	Xenia Larin Andrzejewski, PT holds a Master's in Physical Therapy from Florida International University and has a diverse clinical background, with over 15 years of experience as a Physical Therapist and Rehab Professional. Highlights of her career include working with U.S Armed Forces and Military Families providing concussion and vestibular care and being part of the team that established the 1st traumatic brain injury clinic in an overseas medical treatment facility for US forces in Germany. Additionally, she has worked with weekend warriors, elite athletes, pediatric and geriatric populations in outpatient clinics and Sports Rehab. Mrs. Larin Andrzejewski has also worked in different settings to include Skilled Nursing, Home Health, and School-based physical therapy providing rehab services and expertise to multidisciplinary teams. She has recently been providing telehealth Physical therapy being at the forefront of recent world, business, and rehab trends in offering digital and telehealth services to vulnerable populations.
	Marsha Benshir, OD, FNORA has an interest in vision and learning that came from her early experience in special education. She is a neuro-optometrist with a private practice in New Market, Maryland. She is on staff at Adventist Rehabilitation Hospital in Rockville, Maryland, MedStar National Rehabilitation Hospital in Washington, DC, and Western Maryland Hospital Center in Hagerstown, Maryland, providing diagnostic evaluations and prescribing treatment programs for vision disorders related to stroke, brain injury and neuro-degenerative disorders. Dr. Benshir has consulted with the audiology department at Walter Reed Army Medical Center, the Institute for Disabilities Research and Training, Western Pennsylvania School for the Deaf, and Ivymount School. She is a Fellow of the Neuro-Optometric Rehabilitation Association. In addition to her office and hospital practices, she provides pro-bono services for wounded warriors, teaches doctors and therapists about vision rehabilitation, and develops new therapy procedures.
	Kathryn Coleman, OTR/L is a Neuro-IFRAH certified Occupational Therapist at Encompass Health Rehabilitation Hospital of Memphis Tennessee. She received a BFA in Dance from The University of Memphis and a Master of Occupational Therapy from Texas Women’s University in Dallas Texas. At Encompass Health, Katy works as a preceptor to OT staff and host to OT and SCO students. Katy is fortunate to have the opportunity to collaborate with Southern College of Optometry in order to achieve the best possible outcomes for the individuals she serves on a daily basis.
	DeAnn Fitzgerald, OD is Vice President of the Neuro-Optometric Rehabilitation Association (NORA), an inter-disciplinary group of professionals dedicated to providing patients who have physical or cognitive disabilities as a result of an acquired brain injury with a complete ocular health evaluation and optimum visual rehabilitation education and services to improve their quality of life. Dr. Fitzgerald has been providing eye care to eastern Iowa since graduating from Pacific University School of Optometry in 1984. She runs a busy primary care clinic where she diagnoses and treats ocular disease and evaluates patients with brain injury. In 2007, she opened a multi-disciplinary clinic, Cedar Rapids Vision in Motion, which provides low vision services and vision skills rehabilitation, with an emphasis on vestibular and visual skills. She then launched her sports vision and concussion clinic, Active Evolution Studio. Dr. Fitzgerald has a special interest in sports vision performance and concussion. She attended Luther College in Decorah, Iowa where she played softball and basketball. At Pacific University, she went to the NCAA softball nationals two years in a row. She taught pitching and batting clinics and was umpire in chief of softball tournaments for high school students. Dr. Fitzgerald also played semi-professional softball in the 1980’s. She has helped facilitate over 17,000 baseline testings for concussion in Cedar Rapids and the surrounding communities.
	Niall McCormack, BA, FCOVD, FACBO works as an optometrist in private practice as well as a paediatric optometrist in his local hospital in Hastings, New Zealand. He also provides optometric services to his local prison. He graduated from Manchester University in 1987 and is a fellow of ACBO and COVD-I. In 2017 he founded the charity Eye Care for Africa providing eye care to the countries of East Africa.
	Shannon McGuire, BHSc PTP graduated from McMaster University in 1996 and is a physiotherapist on the Outpatient Acquired Brain Injury Program at Parkwood Institute. Shannon is also Clinical Associate Professor for the Faculty of Health Sciences School of Physiotherapy at the University of Western Ontario and does her best to leverage student placement and practicums to help innovate and do unfunded clinical research and program evaluation. She has spent the majority of her career working in rehabilitation with clients with neurological injuries including acquired brain injury and spinal cord injury and has particular interest in recovery of walking and balance, the role of the vision system in rehabilitation as well as managing individuals with persistent symptoms after mild traumatic brain injury. Shannon was instrumental in the initiation and development of NeuroTrauma Rehab’s Locomotor Training Program at Parkwood Institute and the development of an innovative circuit training program for mild TBI patients called BrainEx 90. When the pandemic stopped the ability to provide BrainEx 90 in person she developed and successfully implemented a virtual version of the program. Shannon has been a member of the Neuro-Optometric Rehabilitation Association’s Board of Directors and continues to teach workshops at their annual conference. She has presented at national and international conferences and in 2012 started a business teaching Concussion Management Workshops to help health care professionals with assessment and treatment of this complicated patient group. One of her professional highlights was taking her family on tour while she was presenting about concussion management in Thailand, Australia and New Zealand
	Becky Moran, MSc (OT) has been working as an Occupational Therapist since 2006, and is currently working in the Acquired Brain Injury Outpatient Department of Parkwood Institute in London, Ontario. Becky has OT experience in a variety of settings during her working career including: adult mental health, hand therapy, stroke rehabilitation, and brain injury; and is a recurrent guest lecturer at the Western University School of Occupational Therapy. She has developed clinical expertise in mild brain injury (mTBI)/concussion management. She has a passion for educating patients about pacing and planning activities in their day, and providing strategies for alternative ways to complete tasks to improve success.
	William V. Padula OD SFNAP FAAO FNORA is a graduate of Pennsylvania College of Optometry at Salus University of Health Sciences. He is a Fellow of the American Academy of Optometry, the Neuro-Optometric Rehabilitation Association International (NORA), and the National Academy of Practice. Dr. Padula completed a fellowship at the Gesell Institute where he was also Director of Vision Research. He was the founding Chairman of the Low Vision Section for the American Optometric Association, and the founding President of NORA. Dr. Padula was appointed the National Consultant in Low Vision Services for the American Foundation for the Blind. He is the Past Chairperson of the National Academy of Practice in Optometry, and served as Treasurer of the National Academy of Practice (NAP) of which he has been honored as Senior Fellow. Dr. Padula founded the first low vision clinic at the Zhongshan Eye Research Hospital in Guangzhou, People’s Republic of China, which was named in his honor. He lectures and consults internationally. Dr. Padula has authored numerous publications including three books and he is the primary author of a chapter on vision in Brain Injury Medicine. Dr. Padula has recently been awarded the Most Innovative Rehabilitation Technology Award from the American Congress of Rehabilitative Medicine (ACRM) for 2021for his patented invention NeurOpTrek. He has been awarded ten U.S. patents for instruments related to vision. Dr. Padula is on staff at both The Rehabilitation Hospital of Connecticut and Gaylord Hospital in Connecticut, and he Director of the Padula Institute of Vision Rehabilitation in Guilford, Connecticut. He was honored to be chosen Connecticut Optometrist of the Year in 2009 by his colleagues in the Connecticut Association of Optometrists. As a researcher, Dr. Padula has discovered Post Trauma Vision Syndrome (PTVS) and Visual Midline Shift Syndrome (VMSS) affecting persons with neurological events. He is actively involved in research for Lyme related disease and has discovered visual biomarkers that will potentially serve for early detection and diagnosis.
	Orlando Alves da Silva, MD was Head of the Strabismus and Orthoptics at the largest University Hospital in Portugal, Santa Maria in Lisbon, between 1977 and 2005. In 1977 he embarked on clinical research which led him to pioneer the simple, inexpensive, non-invasive protocols for the diagnosis, classification and treatment of the Postural Deficiency Syndrome (PDS) and Active Prisms. Dr. Orlando Alves da Silva is the pioneer of the diagnosis, classification and treatment of PDS with Active Prisms. He will be sharing clinical cases to illustrate the variety, diversity, intensity and chronicity of symptoms experienced by patients before diagnosis. The PDS treatment protocols pioneered by Dr Orlando Alves da Silva will be presented along with the successful treatment of thousands of patients globally over the last four decades.
	Cathy Stern, OD, FCOVD, FCSO, FNORA is a behavioral, developmental and neuro optometrist near Boston. Her practice is devoted solely to vision rehabilitation, vision therapy, and myopia control. She is the current Research Director and a Trustee of the College of Syntonic Optometry (CSO) and coordinates the Neuro Optometric Rehabilitation Association (NORA) Level II Curriculum course. She also teaches about the use of assistive technology and is involved with optometric innovation. Dr. Stern teaches courses in the USA, Europe and Asia to bring behavioral optometry to optometrists everywhere. She believes the eye and vision are key players in prevention, enhancement and rehabilitation for lifelong success.
	Stanley Tien, BSc(Hon), FCOVD-I, FCSO, FACBO began his optical interest with a Diploma of Dispensing Optician (FBDO). Due to his interest in this field, he further studied and completed his Bachelor of Science (Hons) in Optometry, from University of Wales (Cardiff, United Kingdom). While Mr. Tien was at the University he became interested in Neuro-Developmental and Behavioural Optometry. He is Board Certified in Vision Development and Vision Therapy by the International College of Optometrists in Vision Development, FCOVD (located in the US) and by the Australasian College of Behavioural Optometry, FACBO. He also a fellow of college of syntonic (FCSO). He has his Master’s Degree in Clinical Optometry and Vision Therapy. His advanced training uniquely enables him to serve children and adults, especially those with complex visual disorders. He is now working at a solely vision therapy practice in Kuala Lumpur.
	Larry B. Wallace, OD, PhD, is a Doctor of Optometry and has a Ph.D. in Ocular Phototherapy. He has practiced for over 40 years in Ithaca, N.Y . He was founding member and served as President of the International Light Association. He has served as President for 14 years for the College of Syntonic Optometry, an organization dedicated to education and research in the field of light and color therapy. He has been the Director of Education for The College of Syntonic optometry creating the curriculum and arranging the speakers for the Annual Conference on Light and Vision for over 30 years. He has invented and patented the first micro-current device to treat eye disease in the Unites States. He participated in clinical trials and helped design protocols for treating macular degeneration and retinitis pigmentosa. He has published numerous articles and research on phototherapy. He has conducted and published number of studies involving neurology and light therapies. Dr Wallace has lectured and taught countless workshops around the world in the field of phototherapy and rehabilitative optometry. He is also a certified low vision specialist in New York, and offers alternative care for eye disease. He has worked extensively in the field of optometric neuro-rehabilitation, postural restoration , and treatment of head trauma and brain injury. He currently practices in an integrative clinic working closely with physical therapists and neuro-rehabilitative optometric therapy
	Joshua Watt, OD, FCOVD is the clinical director of Impact Vision Therapy, a multi-location referral-based vision therapy specialty practice. Dr. Watt specializes in learning related vision therapy, neuro-optometric rehabilitation, and sports vision training. He works with a lot of everyday athletes to help them achieve their best. After dealing with years of struggles due to his own visual deficits, he knows how important a good functioning visual system is to performance. He currently serves as the Chair of the American Optometric Association Sports and Performance Vision Committee. He is a graduate of Brigham Young University and Southern College of Optometry.
	Melissa Zarn, OD, FAAO is an Assistant Professor at Southern College of Optometry (SCO). She graduated from the Illinois College of Optometry in 2009 and completed residency training in Vision Therapy and Pediatrics in 2010. Dr. Zarn spent 12 months working at the Landstuhl Regional Medical Center Traumatic Brain Injury (TBI) clinic. She, along with a dedicated vision therapy technician, established optometry and vision therapy services in the new TBI clinic. She provided primary optometric care and vision therapy services to Army, Air Force, Marine, and Navy service members both during and following deployment. As a provider in the TBI clinic, she worked closely with other members of the rehabilitation team including Physical and Occupation Therapy, Psychology, Speech and Language Pathology, and Neurology. Dr. Zarn also consulted on patients with military optometrists throughout the U.S. Army European Medical Command.

Sponsors

Diamond
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Platinum
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