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Hemiplegic Shoulder Part 3: Interventions for Motor Learning

presented by J.J. Mowder-Tinney, PT, PhD, NCS, C/NDT, CSRS, CEEAA

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Financial— J.J. Mowder-Tinney receives compensation from MedBridge for the production of this course. There are no other relevant financial relationships. Nonfinancial— J.J. Mowder-Tinney 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: 69 Minutes; Learning Assessment Time: 28 Minutes

Individuals who have had a stroke commonly have upper extremity involvement. Many times, the presentation of a hemiplegic shoulder can directly impact a person's function. It is critical to incorporate motor learning strategies into each intervention design. This course will provide multiple ways to facilitate outcomes for someone with increased tone, with a heavy emphasis on utilizing the latest motor learning strategies.

Meet Your Instructor

J.J. Mowder-Tinney, PT, PhD, NCS, C/NDT, CSRS, CEEAA

J.J. Mowder-Tinney received her BS in psychology from the University of Colorado Boulder and her MS in physical therapy from the University of Miami in Florida. She completed her doctorate in physical therapy at Nova Southeastern University. She has almost 25 years of experience in a multitude of clinical settings, and the majority of her…

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Chapters & Learning Objectives

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1. Interventions for Higher Tone Utilizing Open- and Closed-Chain Positions

This chapter will emphasize the importance of being specific with your activity choice and speed of movement to make any task-specific activity as relevant as possible. Options for integrating weight-bearing activities to increase isolated movement will be demonstrated. In addition, a progression to performing open-chain activities will be shown, along with progressing to open-chain reaching.

2. Motivating Learning Strategies for the Upper Extremity

This chapter will focus on the impact of motivational strategies when working with the upper extremity. Identifying the person's interests and top-priority goals can be the key ingredient and will be demonstrated.

3. Motor Learning: Intensity and Attention

This chapter will provide multiple specific examples of how to increase the intensity when working with the upper extremity. Options for using external focus and adjusting attention for improved movement will be demonstrated.

4. Analysis of Movement and Functional Training

This chapter will put everything together. Starting with observation, you will have the opportunity to practice analyzing the movement of the upper extremity to identify the key impairments to determine why the patient moves that way, and to hypothesize the design of your intervention, incorporating both parts 2 and 3 of this series.

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