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SCI Part 2: Early Rehabilitation Considerations

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

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Disclosure Statement:

Financial— J.J. Mowder-Tinney receives compensation from MedBridge for the production of this course. There are no other relevant financial relationships. 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.

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: 48 Minutes; Learning Assessment Time: 47 Minutes

Identifying optimal intervention strategies for patients with spinal cord injury can be very challenging for clinicians. Some of the most concerning and frustrating aspects can be when patients are limited by respiratory complications, decreased sitting tolerance, skin issues, and range-of-motion deficits. In addition, limitations seen with shoulder pain can have significant impact on the functional abilities of these patients. These restrictions can be seen early on in acute care and for many years post injury. Having specific strategies to address these challenges is a priority. In this course, J.J. Mowder-Tinney guides clinicians through a practical approach to the above issues for individuals recovering from spinal cord injury. This course involves demonstrations with real patients who have cervical- and thoracic-level injuries to illustrate interventions that will optimize the independence of patients. This course is appropriate for PTs, PTAs, OTs, OTAs, and nursing, and can be utilized in any patient setting.

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. Sitting Tolerance and Respiratory Management

Describe key aspects of early rehabilitation for people with spinal cord injury. This chapter emphasizes the need and process for a comprehensive assessment of the respiratory system. This system is commonly overlooked and must be addressed with all patients at any level and in any setting.

2. Pressure Relief and Skin Management

Describe and assist in assessing the optimal pressure-relief technique for each patient. Aspects of body type, level of injury, and type of chair will assist in choosing from the various options available.

3. Passive Range of Motion and Strengthening Priorities in Acute Care

Compare and contrast priority range-of-motion needs for people with varying levels of injury. Identify the immediate impact of a loss of range of motion on functional outcomes.

4. Shoulder Pain and Injury in People With Spinal Cord Injury

Describe the common causes of shoulder pain. Review the assessment of shoulder pain and evidence-based assessment tools to assess for shoulder pain.

5. Providing Optimal Recommendations for Shoulder Pain

Design an optimal strengthening program to address/prevent shoulder pain. This will include evidence-based support for optimal strengthening, as well as environmental adjustments that can be used for best outcomes.

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