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Upper Extremity Strategies Along the Post-Stroke Recovery Continuum

presented by Dorian Rose, PT, PhD

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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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This course is part of our NCS Prep-Program. Learn more about the full prep-program here: MedBridge NCS Prep-Program.

Functional recovery of the upper extremity is a frequent challenge for those with post-stroke hemiparesis, with residual UE impairment occurring in 70% to 80% of our clients. These deficits can prevent ADL independence and lead to decreased quality of life. The degree of arm recovery varies widely and clinicians need to be equipped to provide appropriate therapeutic intervention across the continuum of recovery, from those with little to no movement to those with mild coordination deficits. This course will present current rehabilitation approaches across the broad spectrum of upper extremity recovery seen in individuals post-stroke.

Meet Your Instructor

Dorian Rose, PT, PhD

Dorian Rose, PhD, PT holds a dual appointment as a Research Assistant Professor in the Department of Physical Therapy at the University of Florida and a Research Health Scientist at the Malcom Randall VA Medical Center in Gainesville, FL. Dr. Rose’s interests as a researcher, educator, and clinician are in adult neurorehabilitation. In addition to…

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Chapters & Learning Objectives

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1. Care and Intervention for the Flaccid Upper Extremity

Participants will be presented with treatment approaches for the post-stroke upper extremity with little to no movement. Risk factors for shoulder pain will be discussed as well as appropriate range of motion and positioning techniques for this population.

2. Intervention Strategies for the Not Yet Functional Upper Extremity

This chapter will present treatment approaches for the post-stroke upper extremity that presents with proximal movement, but which the patient considers “non-functional” secondary to lack of distal control.

3. Designing Task-Oriented Functional Task Practice

This chapter will present treatment approaches for the post-stroke upper extremity that has regained movement but remains slow and poorly coordinated in daily living skills. Keys to developing skill in these patients, as well as the development of an independent practice program, will be presented.

More Courses in this Series

Predicting Recovery and Setting Appropriate Upper Extremity Goals Post-Stroke

Presented by Dorian Rose, PT, PhD

Predicting Recovery and Setting Appropriate Upper Extremity Goals Post-Stroke

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course is part of our NCS Prep-Program. Learn more about the full prep-program here: MedBridge NCS Prep-Program.

While regaining walking ability following stroke is common, functional recovery of the upper extremity presents a more frequent challenge for those with post-stroke hemiparesis. Residual UE impairment in 70% to 80% of our clients leads to difficulties in ADLs and engagement in community life. The degree of arm recovery varies widely and clinicians need to be equipped to educate their patients and caregivers regarding prognosis and the underlying mechanisms of the heterogeneity observed in recovery of the upper extremity. This course will provide tools for clinicians to make evidence-based predictions of arm recovery for best utilization of treatment resources and goal-setting.

View full course details

Using Neuroplasticity Principles to Guide Therapeutic Intervention Post-Stroke

Presented by Dorian Rose, PT, PhD

Using Neuroplasticity Principles to Guide Therapeutic Intervention Post-Stroke

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course is part of our NCS Prep-Program. Learn more about the full prep-program here: MedBridge NCS Prep-Program.

This course will use current principles of neuroplasticity as a framework to present therapeutic exercise and functional mobility training strategies for the rehabilitation of individuals post-stroke. Application of principles of repetition, progression, forced use, specificity of practice, and salience will be presented. Additionally, this course will translate evidence from clinical trials to intervention strategies for those post-stroke to ensure appropriate functional challenge and progression to optimize recovery.

View full course details

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