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Getting a Grip on Upper Extremity Spasticity Assessment and Management

presented by Stephen Page, PhD, MS, OTR/L, FAHA, FACRM, FAOTA

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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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Spasticity is frequently exhibited after stroke, spinal cord injury, traumatic brain injury, and a number of other upper motor neuron disorders. Yet, despite its high prevalence and widely appreciated impact on valued activities, spasticity remains one of the most difficult to treat and poorly-understood neurological impairments. In this seminar, you will learn evidence-based spasticity assessment and treatment strategies, as well as why spasticity occurs, how it differs from other impairments, and when in the recovery trajectory spasticity typically occurs.

Meet Your Instructor

Stephen Page, PhD, MS, OTR/L, FAHA, FACRM, FAOTA

Dr. Page’s team develops and tests approaches that increase function and independence after stroke and other neurologic diseases. He has held uninterrupted extramural funding to support his rehabilitative trials for over 15 years, and has produced many "firsts" in neurorehabilitation, developing and showing efficacy of mental practice, portable robotics, modified constraint-induced therapy, functional electrical stimulation,…

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Chapters & Learning Objectives

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1. Spasticity Basics – What is It, How Common is It, What Does it Look Like, and Why Does it Happen?

This portion of the course will provide an operational definition of spasticity and briefly discuss its prevalence and functional effects, the joints where it is most likely to be exhibited, and the underlying neurophysiology.

2. Spasticity Measurement in the Lower and Upper Extremities

This portion of the course will introduce the user to the Modified Ashworth scale, explaining its rationale, measurement features, what it is measuring, and use in order to ascertain spasticity in the upper and lower extremities.

3. Spasticity Treatments – What Our Colleagues Do; What We Can Do

This section of the course will identify and describe the rationale and application of commonly used medical and therapy approaches to manage spasticity. Emphasis will be placed on the rationale and application of treatments and techniques that can be applied by therapists.

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