Movement Disorders Treatments & Services
CNI provides a full range of diagnostic, treatment and rehabilitation services as well as a variety of clinical research trials for movement disorders
Deep Brain Stimulation
CNI works with William McK. & Marcia N. Thompson Restorative Neurosurgery Program to offer deep brain stimulation (DBS) therapy. The ThompsonCenter has the longest and most extensive experience performing DBS in the RockyMountain region.
Through CNI, DBS therapy is offered frequently to patients with disabling symptoms of Parkinson’s disease, tremor and dystonia. We hold a monthly multidisciplinary rehabilitation clinic where all prospective DBS patients are carefully evaluated prior to surgery. All patients also undergo pre-operative cognitive assessment. Each team member meets individually with the patient and family and then the team gathers as a whole to discuss treatment and post-operative care.
Botulinum Toxin Injections
Botulinum toxin injections are effective in patients with dystonia, spasticity, and certain types of tremor. The toxin reduces the strength of muscle contractions, which can cause abnormal movement and pain for those suffering from these disorders. Injections are performed daily at CNI by Dr. Kumar along with Dr. Karen Theriot.
- Huntington’s Disease Clinic – Multidisciplinary Huntington’s disease clinics are held once or twice per month for patients with symptoms of Huntington’s disease. Our Huntington’s disease team includes neurology (Dr. Kumar), psychology (Dr. Diana S. Bowling), genetic counseling (Kristi Marky), social work assistance (Kristi Shaffer), patient education, and physical, speech and occupational therapies. The center offers care to patients at all stages of the disease and genetic counseling and testing to family members at risk of HD.
- Spasticity – Patients with severe spasticity are seen in a collaborative manner by Dr. Kumar, Dr. Theriot, and the CNI NeuroHealth Center. A holistic care plan is developed and may include oral medications, botulinum toxin injections, homebound or outpatient physical therapy and occupational therapy, intrathecal baclofen pump implantation, and bracing or splinting.
CNI is involved in many clinical research studies for Parkinson’s and Huntington’s diseases. We are a research center for both the Parkinson Study Group and Huntington Study Group, making us a destination of choice for many patients with PD and HD.
Cognitive and Behavioral Evaluations
CNI provides comprehensive neuropsychological testing and treatment of individuals with cognitive and/or behavioral problems related to their movement disorder.
CNI provides outpatient physical, occupational and speech therapy services delivered under one roof by neuro-trained therapists. The NeuroHealth Center offers a number of therapies and clinics for patients with movement disorders, including those struggling with gait problems, fine motor control, voice and swallowing problems, stiffness, and visual difficulties.
Education & Outreach
Patient education starts at the initial consultation with personalized information regarding the particular condition. Many patients and families receive an individualized education session. Additionally, CNI regularly hosts well-attended patient education biannual symposia on Parkinson’s and Huntington’s diseases.
CNI is equally committed to medical education. The team regularly holds educational presentations for physicians and allied health care professionals on state-of-the-art care. These presentations are held throughout Colorado and the Rocky Mountain region.
Rehabilitation & Social Work Assistance
Many CNI movement disorders patients benefit from rehabilitation services at the CNI NeuroHealth Center, located only a few steps away from our office. The CNI NeuroHealth Center is an outpatient neuro-rehabilitation clinic offering speech, occupational and physical therapy services. Patients include those in need of rehabilitation therapy as as result of Parkinson’s disease, Huntington’s disease, stroke, multiple sclerosis, traumatic brain injury, peripheral neuropathy, brain tumors, gait abnormalities, progressive supranuclear palsy, and many other conditions. All services are delivered in one location, optimizing convenience and resources.
Dedicated to helping patients achieve their highest level of function, the CNI NeuroHealth Center emphasizes a team approach, wellness education and community reintegration. With a team of highly-trained therapists, the center participates in monthly clinics, research, and professional training in the area of neurological rehabilitation. Patients from across the Rocky Mountain region are referred to the CNI NeuroHealth Center for top-quality rehabilitation therapy.
Comprehensive services and resources at the CNI NeuroHealth Center include:
- Physical, occupational and speech therapy by qualified therapists.
- Services for patients with Medicare, most major insurance plans, and private pay.
- Services to medically uninsured and underinsured patients through the generous support of our donors.
- Social work services to evaluate current benefits, identify additional services available in the community and connect the client with these services.
- Special programs and equipment, including LSVT Loud training for individuals with Parkinson’s Disease, Vital Stim training for swallowing disorders, LiteGait partial body weight support for individuals learning to walk and working on balance.
- Scholarship assistance for neuro-optometry, neuropsychological and driving evaluations and the purchase of small durable medical equipment.
- Education on disease processes as part of therapy treatment.
- Multidisciplinary clinics with CNI physicians including Vision, Spasticity/Movement Disorders and Huntington’s disease.
- Specialized seating and equipment evaluations.
- Team communication and case management.