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Walk This Way: Lower Extremity Spasticity Assessment and Management

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

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Disclosure Statement:

Financial: Stephen Page receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Stephen Page has no competing non-financial 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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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 course, 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. Lower Extremity Spasticity Basics – What Is It, How Common Is It, and What Does It Look Like?

This chapter 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 Extremity

This chapter will introduce the learner to the Modified Ashworth Scale, explaining its rationale, measurement features, what it is measuring, and use in order to ascertain spasticity in the lower extremity.

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

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

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