presented by Kristin Valdes
Sensorimotor deficits can impair function and may be present in individuals with hand and wrist conditions. Researchers have reported sensorimotor deficits exist in patients with common upper extremity conditions such as carpal tunnel syndrome, distal radius fracture, and complex regional pain syndrome (CRPS). To combat these conditions, many types of interventions can be incorporated into practice to enhance proprioception input and restore hand and wrist function. This course will provide the rehabilitation professional with the tools needed to understand the complex sensorimotor dysfunction of the upper extremity and to assess sensorimotor dysfunction and implement proprioception activities into their practice. Join Dr. Kris Valdes as she prepares you to approach sensorimotor and proprioception in the upper extremity through a comprehensive lecture, detailed motion graphics, and interactive demonstrations.
Kristin Valdes, OTD, OT, CHT, is the owner and Director of Hand Works Therapy in Sarasota, Florida. She is an associate professor at Gannon University. She has been in private practice for over twenty years and specializes in the treatment and rehabilitation of the upper extremity. Her clinical expertise includes treatment of the hand, wrist, and elbow, shoulder, splinting, and arthritis. Dr. Valdes has published articles in the Journal of Hand Therapy, Hand Magazine, Journal of Manipulative and Physiological Therapeutics, and The Journal of Physical Therapy Science. She serves as a member of the Board of the American Society of Hand Therapists and American Association of Hand Surgery. Dr. Valdes has published chapters on hand, elbow, and shoulder fractures and dislocations in Advanced Concepts of Hand Pathology and Surgery. She is an assistant editor of the Journal of Hand Therapy. Dr. Valdes received her OTD degree with a specialization in hand rehabilitation from Rocky Mountain University of Health Care Professions in Provo, Utah. Dr Valdes is member of the Guatemala Healing Hands Medical Mission.
The sensorimotor system is defined as a component of the motor control system and is used to describe the physiologic integration of the neurosensory and neuromuscular processes responsible for providing the body with coordination and dynamic stability. Proprioception input can help to restore normal motion and enhance performance after injury. In this chapter, you will delve into the sensorimotor system including extensive demonstrations to truly understand the impact of this system on injury and rehabilitation.
Understanding the components of sensorimotor dysfunction and proprioception deficits will improve clinical skills necessary to understand implications for rehabilitation. Sensorimotor and proprioception assessment of the hand and wrist can include a number of evaluation strategies including joint position sense, sensory discrimination tests, and other measures used to measure acuity. Conclude this lecture with several demonstrations and the ability to quantify deficits to measure the success of interventions.
Sensorimotor and proprioception training educates patients through the application of sensorimotor activities to better attend to sensory cues. This enables the brain to generate more appropriate motor commands, educate the patient to interpret sensory information correctly, and promote sensorimotor control of the hand and wrist. This lecture includes a demonstration and introduction to exercises prescribed during non-operative or postoperative rehabilitation and injury prevention programs meant to enhance neuromuscular control.
The thumb and hand represent an intricate array of ligaments, receptors, and nerve endings. In this chapter, evidence based treatments are recommended including conscious neuromuscular training to promote dynamic joint stability. Observed actions, mirror therapy, motor imagery, taping, and thumb exercises are recommended.
This final chapter provides two interactive exercise demonstrations for the thumb and hand. Understanding the components of sensorimotor dysfunction and proprioception interventions in the thumb and hand will improve clinical skills necessary to understand implications for rehabilitation of your clients.