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presented by Tymar Fields, MOTR/L, CHT
Financial: Tymar Fields receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.
Nonfinancial: Tymar Fields has no competing nonfinancial interests or relationships with regard to the content presented in this course.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
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Tymar Fields, MOTR/L, CHT
Tymar is a pediatric occupational therapist and certified hand therapist. Professionally, she is inspired by new ideas and creative problem-solving and has a passion for learning. She began her occupational therapy career in 2008 at a nonprofit level 1 trauma hospital. In this role, she worked with children and adults in the inpatient and outpatient…
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1. Brachial Plexus Birth Injury
Chapter 1 introduces anatomy of the brachial plexus and shoulder muscles and includes descriptions of typical clinical presentations. Special attention is given to the impact of weakness patterns on the development of the glenohumeral joint and resultant loss of function. This chapter also includes a review of the critical timelines that require a referral to a BPBI specialty clinic and/or provider.
2. Evaluating a Toddler and Young Child With a Brachial Plexus Birth Injury
Chapter 2 describes a comprehensive evaluation of a toddler and young child with a BPBI. This chapter includes specific instruction on therapeutic use of self and engaging with toddlers through play. This chapter also includes instruction on obtaining pertinent history and performing an occupational and developmental assessment, range of motion assessment, and sensory assessment. The use of the Active Movement Scale, modified Mallet scale, Assisting Hand Assessment, and goal attainment scaling are also discussed.
3. Interventions for Toddlers and Young Children With a Brachial Plexus Birth Injury
Chapter 3 is an instructional review of interventions to facilitate early childhood development and functional arm use. Interventions include range of motion, positioning for play and strengthening, facilitation techniques, bimanual skills, therapeutic taping, and using a motor learning approach for skill acquisition. Special attention is given to therapeutic use of self, parent coaching, and home program design.
4. Orthoses, Surgery, and Care of the Family
Chapter 4 reviews the most common surgical interventions for toddlers and young children with a BPBI, including postoperative care after nerve transfer, Botox injections, and shoulder tendon transfers. A comprehensive review of common orthoses used, including indications for use and basic design principles, is provided. This chapter concludes with special considerations and care for the family.
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