Course Description
The Hemiplegic Upper Extremity course has been
revised based on current research in constraint
induced therapies and electrical stimulation.
Although different perspectives are used to
decrease the debilitating effects of hemiplegia,
the goal remains the same - functional outcomes
that best benefit the patient upon return
to his/her environment.
Therapists know and research verifies that
the hemiplegic upper extremity (HUE) displays
the most impairment after CVA and demonstrates
the least return for functional activity.
The healthcare environment continues to evolve.
Clients are now entering the post acute rehabilitation
phase at a lower functional level. Adjunctive
therapies such as taping; EMG activated electrical
stimulation; and subsensory electrical stimulation
with high volt are being used for the return
of motor function in the hemiplegic upper
extremity. Therapists must now educate the
patient as well as caregivers to use alternative
modes of therapeutic interventions at home
due to earlier discharges from all phases
of rehabilitation.
This course will provide a review of anatomy
and functional kinesiology; in terms of movement
analysis, utilize a neuro-developmental treatment
approach for therapeutic intervention; provide
an over view of plasticity, shoulder hand
syndrome (CRSP I), botox injections, and constraint
induced movement therapy. Research examples
of adjunctive therapies to promote hemiplegic
upper extremity function will be presented.
Course Level (As
defined by the APTA): Intermediate - Assumes that participants have a general
familiarity with topic (the upper extremity).
The focus is on increased understanding and
application of information (neurological impairment
and neurorehabilitation strategies).
Participants
Occupational and Certified Occupational Therapist Assistants; Physical Therapists & Physical Therapist Assistants
Course Objectives
After completing this course, the participant
will be able to:
- Describe & palpate anatomical structures
of the shoulder girdle & upper extremity.
- Explain how postural alignment affects
upper extremity function through movement
analysis.
- Articulate the concepts involved in plasticity,
shoulder hand syndrome (CRSP I), and constraint
induced movement therapy.
- Formulate reasons from the basic principles
of electrical stimulation and justify use
for:
- decreasing edema
- reducing subluxation
- promoting muscle activity via subsensory
stimulation
- Analyze different movement patterns of
the upper extremity as it relates to functional
tasks.
- Develop a repertoire of treatment strategies
for the HUE.
- Determine the most appropriate positioning
and shoulder support based on HUE impairment.
Continuing Education Units
A certificate of attendance will be issued
denoting fifteen (15) contact (clock) hours
or 1.5 CEUs of continuing education. The contact hours or CEUs will vary in each state according to licensure boards, state associations, or sponsoring entities.
| Day One |
|
|
| 8:00 am - 8:15 am |
|
Introductions & Pre-test |
| 8:15 am - 9:45 am |
|
Anatomy & Kinesiology |
| 9:45 am - 10:00 am |
|
Break |
| 10:00 am – 11:00 am |
|
Kinesiology Continued |
| 11:00 am – 12:00 noon |
|
Topics in Neurology
|
| |
|
I. |
Plasticity: Process of Recovery
in the CNS |
| |
|
II. |
Constraint Induced Movement Therapy |
| |
|
III. |
Shoulder Hand Syndrome |
| 12:00 noon - 1:00 pm |
|
Lunch on your own |
| 1:00 pm - 1:45 pm |
|
Clinical Assessment
|
| 1:45 pm - 2:30 pm |
|
Palpations |
| 2:30 pm - 2:45 pm |
|
Break |
| 2:45 pm – 3:45 pm |
|
Subluxations |
| 3:45 pm - 4:30 pm |
|
Shoulder Girdle Taping Lecture |
| 4:30 pm - 5:15 pm |
|
Shoulder Girdle Taping Lab |
| |
|
|
| Day Two |
|
|
| 8:00 am - 8:45 am |
|
Electrical Stimulation:
Edema Reduction & EMG Activated Movement |
| 8:45 am - 9:45 am |
|
Electrical Stimulation:
The Evolution of Subsensory Stimulation
Does it Promote Functional Muscle Movement? |
| 9:45 am - 10:00 am |
|
Break |
| 10:00 am – 11:00 noon |
|
Electrical Stimulation:
Will it Reduce Subluxations? |
| 11:00 am - 12 noon |
|
Adjunctive Therapies: Botox
Injections |
| 12:00 noon - 1:00 pm |
|
Lunch on your own |
| 1:00 pm - 1:45 pm |
|
Neuro-Developmental Treatment
Interventions |
| 1:45 pm - 2:30 pm |
|
Lab Practice |
| 2:30 pm - 2:45 pm |
|
Break |
| 2:45 pm - 3:15 pm |
|
Case Study Group Discussions |
| 3:15 pm - 4:00 pm |
|
Upper Extremity Positioning
& Supports |
| 4:00 pm - 4:45 pm |
|
Movement Analysis Lab –
Case Study Group Presentations |
| 4:45 pm - 5:00 pm |
|
Questions & Answers; Post-test
Course Evaluation; Door
Prize |
For this Course, Please:
- (Females) wear a
halter or bathing suit top to expose the trunk & UE for lab sessions.
- Review the following or bring a resource:
muscles of the trunk & upper extremity
- Bring scissors, Cover-Roll Stretch or similar under cover tape, a roll of rigid tape (eg Leukotape P), elastic tape (kinesio-tape), skin protectorant and tape adhesive removal if you want to practice taping skills
- Bring an electrical stimulation unit and four (4) electrodes if you want to practice
electrode placement
|
