A Hands-on CE Workshop Series!

To register, click on the date & location that fits your schedule.

7:30 AM – 8:00 AM Registration & Breakfast
8:00 AM – 4:30 PM CE Activity

Target Audience

The initiative is intended for neurologists, physiatrists, orthopedic surgeons, nurse practitioners, physician assistants, nurses, and physical and occupational therapists

Improve your ability to identify muscle groups, explore treatment for spasticity and movement disorders, engage in multidisciplinary care, and participate in hands-on opportunities with two unique, profession-specific tracks.


  • Ultrasound guidance demonstrations and scanning workshops
  • Injection training with models
  • Toxin handling: dosing, dilution, draw-up, and beyond
  • Patient injection demonstrations with ultrasound demonstrations
  • Hands-on injection training


  • Functional and gross muscle anatomy, featuring cadaver videos
  • Video case studies on post-chemodenervation therapy and individualizing care
  • Video and hands-on demonstration of casting, splinting, and other techniques
  • Patient injection demonstrations

Program Overview

The IMPACT™ Initiative Annual Workshop Series (IMproving Patient Assessment and Chemodenervation Treatment) will provide an interactive and comprehensive opportunity to improve your knowledge, confidence, and proficiency in essential aspects of spasticity and movement disorder management. This workshop aims to enhance patient outcomes from chemodenervation procedures by improving participants’ ability to recognize clinical patterns, identify muscle targets, and perform procedures confidently and skillfully, including using ultrasound guidance in these procedures.

This initiative will feature two specific tracks tailored to the unique educational needs of doctors/NPs/PAs and PTs/OTs. Our doctors/NP/PA track focuses on ultrasound use, injection demonstrations, and hands-one injection training. The PT/OT track will explore clinical and gross anatomy, considering implications for treatment utilizing cadaver videos, review chemodenervation principles, and feature video demonstrations of splinting and casting.

All participants will have the opportunity to explore strategies for multidisciplinary care and will participate in the expert-led patient injection demonstrations of ultrasound-guided chemodenervation procedures.

For full agenda and track-specific learning objectives, please visit www.impact-smd.com/agenda.


It is the policy of AKH Inc. to ensure independence, balance, objectivity, scientific rigor, and integrity in all of its continuing education activities. The author must disclose to the participants any significant relationships with ineligible companies whose products or devices may be mentioned in the activity or with the commercial supporter of this continuing education activity. Identified conflicts of interest are mitigated by AKH prior to accreditation of the activity. AKH planners and reviewers have no relevant financial relationships to disclose.

Criteria for Success

Certificates of completion will be awarded based on the participant’s attendance and submission of the activity evaluation/claim credit form. You must participate in the entire activity to receive credit. There is no fee to participate in this activity. If you have questions about this activity, please contact AKH Inc. at tbrignoni@akhcme.com.

Credit provided by AKH Inc., Advancing Knowledge in Healthcare
In support of improving patient care, this activity has been planned and implemented by AKH Inc., Advancing Knowledge in Healthcare and Catalyst Medical Education, LLC. AKH Inc., Advancing Knowledge in Healthcare is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.


AKH Inc., Advancing Knowledge in Healthcare designates this live activity for a maximum of 8.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Physician Assistants

AKH Inc., Advancing Knowledge in Healthcare has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 8.0 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.

Nurse Practitioners

This activity has been planned and implemented in accordance with the Accreditation Standards of the American Association of Nurse Practitioners (AANP) through the joint providership of AKH Inc., Advancing Knowledge in Healthcare and Catalyst Medical Education, LLC. AKH Inc., Advancing Knowledge in Healthcare is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 030803.
This activity is approved for 8.0 contact hour(s) (which includes 0.0 hour(s) of pharmacology).


8.0 ANCC contact hours

Occupational Therapy – credit applied for specific sessionPhysical Therapy – credit applied for specific session

location specificregistrations, Provider Information

This program is jointly provided by AKH Inc., Advancing Knowledge in Healthcare and Catalyst Medical Education, LLC

Commercial Support

This activity is supported by educational grants from AbbVie Inc, Ipsen Biopharmaceuticals, Inc, and Merz Therapeutics

This activity is supported by in-kind support contributions from AbbVie Inc., Innovative RP Inc., Ipsen Biopharmaceuticals, Inc., Merz Therapeutics, and Terason.

Please see workshop registration pages for location specific support. 


This course is designed solely to provide the healthcare professional with information to assist in his/her practice and professional development and is not to be considered a diagnostic tool to replace professional advice or treatment. The course serves as a general guide to the healthcare professional, and therefore, cannot be considered as giving legal, nursing, medical, or other professional advice in specific cases. AKH Inc. specifically disclaim responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through participant’s misunderstanding of the content.

Disclosure of Unlabeled Use and Investigational Product

This educational activity may include discussion of uses of agents that are investigational and/or unapproved by the FDA. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Event Faculty

Activity Co-Chairs

Katharine E. Alter, MD

Pediatric/Adult Physiatrist
Mount Washington Pediatric Hospital
Clinical Assistant Professor, Pediatrics, Physical Medicine Rehabilitation
AT Still University
Mesa, Arizona

David Simpson, MD, FAAN

Professor of Neurology
Icahn School of Medicine
Director, Neuromuscular Disease Division
Director, Clinical Neurophysiology Laboratories
Director, Neuro-AIDS Program
Mount Sinai
New York, NY


Gemayaret Alvarez, MD

Assistant Professor
Medical Director, Brain Injury Medicine Service (LRC)
Brain Injury Medicine Fellowship Program Director
Department of Physical Medicine & Rehabilitation
University of Miami Miller School of Medicine
Miami, FL

Laxman Bahroo, DO, FAAN

Vice Chair for Finance
Director; Neurology Residency Program
Director; Botulinum Toxin Clinic
Associate Professor of Neurology
Movement Disorders Division
Department of Neurology
Medstar Georgetown University Hospital
Washington, DC

Matthew J. Caraher PT, DPT, NCS 
Board Certified Neurologic Clinical Specialist
Program Director
University of Miami Hospital; Miller School of Medicine
Miami, FL 

Cynthia Comella, MD

Department of Neurological Sciences
Rush University Medical Center
Chicago, IL

Sherry A. Downie, PhD

Professor Emerita
Department of Physical Medicine & Rehabilitation
Albert Einstein College of Medicine
Bronx, NY

Yeva M. Fernandez, MD

Clinical Assistant Professor of Neurology
Hackensack Meridian School of Medicine
Hackensack Meridian Jersey Shore Medical Center
Neptune, NJ

Jaskiran Ghuman, DO

Assistant Professor
Brain Injury Medicine
Physical Medicine & Rehabilitation
Mount Sinai Medical Center
Department of Rehabilitation and Human Performance
New York, NY

Deborah Humpl, OTR/L, BCP

Clinical Specialist Occupational Therapist
Children’s Hospital of Philadelphia
Philadelphia, PA

Cindy B. Ivanhoe, MD

Clinical Professor, Physical Medicine and Rehabilitation
McGovern Medical School
The University of Texas Health Science Center at Houston
Director, SPASM
Spasticity and Associated Syndromes of Movement
TIRR-Memorial Hermann
Houston, Texas

Barbara I. Karp, MD

Program Director, Early Phase Pain Investigation Clinical Network
Division of Clinical Research
National Institute of Neurological Disorder and Stroke
National Institutes of Health
Bethesda, Maryland

Heakyung Kim, MD

Professor & Chair
Kimberly-Clark Distinguished Chair in Mobility Research
Physical Medicine & Rehabilitation
UT Southwestern Medical Center
Dallas, Texas

Katie A. Kompoliti, MD

Professor, Department of Neurological Sciences
Rush University Medical Center
Movement Disorders Fellowship Director
Educational Director, Section of Movement Disorders
Chicago, IL

Rebecca Leonard, PT, Ph.D. DPT, PCS

Early Intervention Associates
Rockville, MD

Zoltan Mari, MD

Ruvo Family Chair & Director for Parkinson Disease & Movement Disorders
Cleveland Clinic Lou Ruvo Center for Brain Health
Las Vegas, NV

Henry Moore, MD

Assistant Professor of Clinical Neurology
Director of Movement Disorders at Palm Beach County
Co-Director of Neurology Clinic at UHealth Boca Raton
Division of Parkinson’s disease and Movement Disorders
University of Miami – Miller School of Medicine
Miami, FL

Stephen Nichols, MD

Senior Attending Physician, Rehabilitation Services
Mt Washington Pediatric Hospital
Baltimore, MD

Ana-Marie Rojas, MD

Attending, Pediatric Rehabilitation Medicine
Co-Medical Director, Computerized Motion Analysis Center
Pediatric Fellowship Program Director
Assistant Professor of PM&R
Northwestern University Feinberg School of Medicine
Chicago, IL

Laura Wiggs, PT, NCS, CBIS
Harris Health Systems
Rehab Without Walls
Houston, TX

Ann Zerfas, PT, DPT, CBIS
Board Certified Neurologic Clinical Specialist
RUSH Physical Therapy | Staff Therapist (LPAC)
Chicago, IL