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Contracture Management for the Neurological Patient

presented by Andrea Ecsedy, PT, DPT, NCS

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Disclosure Statement:

Financial: Andrea Ecsedy receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Nonfinancial: Andrea Ecsedy 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.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 54 Minutes; Learning Assessment Time: 34 Minutes

This course will review recent evidence in the area of contracture management. A summary of the history of contracture management will be presented--where we have been and where we are now. Evidence in support of specific interventions will be discussed to include stretching, dynamic splinting, serial casting, and other modalities. Evidence of the effectiveness of these interventions in changing joint mobility, pain, and levels of activity will also be reviewed.

Meet Your Instructor

Andrea Ecsedy, PT, DPT, NCS

Andrea Ecsedy, PT, DPT, NCS, currently works for SavaSeniorCare Consulting, LLC, as the national director of evidence-based practice. Dr. Ecsedy has 33 years of clinical experience and has been a board-certified neurological clinical specialist for 25 years. Her clinical focus has been in the areas of balance and vestibular dysfunction, stroke, Parkinson's disease, and spinal…

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Chapters & Learning Objectives

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1. History and Etiology

In this chapter, the roots of contracture management philosophy will be covered, as well as present-day thinking and how we arrived where we are today.

2. Review of the Evidence

The evidence supporting stretching as an intervention for contracture management will be presented. The rationale behind developing a contracture management plan for a neurological patient with this evidence in mind will also be incorporated. The discussion will include diagnostic-specific recommendations based on the evidence presented.

3. Other Options for Treatment

This chapter will discuss other interventions to address contractures. Topic areas will include serial casting, dynamic splinting, modalities, and surgery.

4. So Now What? How To Treat

In this chapter, research in support of contracture prevention techniques, as well as their effectiveness and feasibility, will be presented. The chapter will include a discussion of how to review and appraise conflicting evidence, and what routes practicing clinicians can take when the research does not give the answer we are looking for.

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