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Neurologic Upper Extremity Part 2: Adjunctive Treatment Strategies for Moderate to Severe Impairment

presented by Heather T. Peters, PhD (cand.), MOT, OTR/L

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Target Audience:

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Disclosure Statement:

Financial— Heather T. Peters receives compensation from MedBridge for the production of this course. She was previously a consultant for the company Myomo which has products featured in this course.

Nonfinancial— No relevant nonfinancial relationship exists.

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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Accreditation Check:
Deficits in upper extremity function are among the most common and devastating impairments, spanning virtually every neurologic diagnosis. As clinicians, we have more evidence than ever at our disposal describing the optimal treatment strategies for addressing neurologic upper extremity impairment. However, there are still therapies used routinely in the clinic that are outdated or not supported by current research, which may prevent our patients from maximizing their recovery. As such, it is of critical importance to share evidence-based treatment strategies, based on the scientific principles of neuroplasticity and motor learning, with clinicians across the country in order to maximize UE outcomes and quality of life for our patients. This course is designed to provide a rationale for and description of evidence-based treatment approaches as well as assessments that can be incorporated into clinical practice in a variety of neurologic diagnoses. This course will also provide recommendations for approaches based on impairment level so that our therapy sessions can be tailored to the skillset of each individual patient in order to maximize outcomes.

CHTs, when submitting this for recertification through HTCC, this course can be used for CAT B (hand therapy courses < 3 hours in length); however, if this course certificate is submitted with the following course certificates listed below (or any combination totaling 3 hours or more), they can be submitted under CAT A (hand therapy courses > 3 hours in length).
  • Neurologic Upper Extremity Part 1: Assessment and Treatment of the Minimally Impaired Upper Extremity (1.5 hours)
  • Neurologic Upper Extremity Part 2: Adjunctive Treatment Strategies for Moderate to Severe Impairment (1.5 hours)


    • Meet Your Instructor

    Heather T. Peters, PhD (cand.), MOT, OTR/L

    Heather is an occupational therapist and PhD candidate in the School of Health and Rehabilitation Sciences at Ohio State University. Currently working in the B.R.A.I.N. lab as a graduate research associate, she is primarily interested in developing and testing interventions that improve motor function and quality of life in stroke survivors. Specifically, her primary research…

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    Chapters & Learning Objectives

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    1. Intro and Principles

    This chapter will define neuroplasticity and learned non-use. It will describe the importance of neuroplasticity and reptitive, task-specific training to neurologic UE treatment.

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    2. Electrical Stimulation (E-stim)

    This chapter will cover the different kinds of electrical stimulation. The rationale and components of electrical stimulation in neurorehabilitation will be described.

    3. UE Robotics and Myoelectric Technology

    This chapter explains the rationale and components of portable upper extremity robotics. The rationale and benefits of the Myomo myoelectric brace will be discussed.

    More Courses in this Series

    Neurologic Upper Extremity Part 1: Assessment and Treatment of the Minimally Impaired UE

    Presented by Heather T. Peters, PhD (cand.), MOT, OTR/L

    Neurologic Upper Extremity Part 1: Assessment and Treatment of the Minimally Impaired UE

    Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
    Deficits in upper extremity function are among the most common and devastating impairments, spanning virtually every neurologic diagnosis. As clinicians, we have more evidence than ever at our disposal describing the optimal treatment strategies for addressing neurologic upper extremity impairment. However, there are still therapies used routinely in the clinic that are outdated or not supported by current research, which may prevent our patients from maximizing their recovery. As such, it is of critical importance to share evidence-based treatment strategies, based on the scientific principles of neuroplasticity and motor learning, with clinicians across the country in order to maximize UE outcomes and quality of life for our patients. This course is designed to provide a rationale for and description of evidence-based treatment approaches as well as assessments that can be incorporated into clinical practice in a variety of neurologic diagnoses. This course will also provide recommendations for approaches based on impairment level so that our therapy sessions can be tailored to the skillset of each individual patient in order to maximize outcomes.

    CHTs, when submitting this for recertification through HTCC, this course can be used for CAT B (hand therapy courses < 3 hours in length); however, if this course certificate is submitted with the following course certificates listed below, they can be submitted under CAT A (hand therapy courses > 3 hours in length).
  • Neurologic Upper Extremity Part 1: Assessment and Treatment of the Minimally Impaired Upper Extremity (1.5 hours)
  • Neurologic Upper Extremity Part 2: Adjunctive Treatment Strategies for Moderate to Severe Impairment (1.5 hours)


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