Assessing and Treating the Weaker Upper Extremity Post-Stroke
Saturday and Sunday August 13-14, 2016
Presenter: Debbie Rand, BOT, MSc, PhD
Contact Hours: 14/1.4 AOTA CEU's
Registration: $375 prior to July 25, 2016 and $430 on or after July 26, 2016
Who should attend?: This 2 day course is appropriate for occupational therapists, occupational therapy assistants, physical therapists, and physical therapy assistants working with pediatric, adult, and geriatric TBI and CVA. All levels of experience are welcome as are all areas of practice including acute care, inpatient and outpatient rehab, transitional care, long term care, and home health.
This course is a single AOTA Approved course. “The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.”
While the majority of clients regain their ability to walk post stroke, most have a non-functional upper extremity. This workshop will review the different impairments that hinder the recovery of the upper extremity post-stroke such as motor weakness, the (painful) hemiplegic shoulder, spasticity and sensory impairments. The workshop will combine evidence-based practice literature with hands-on clinical practice focusing on treatment of the weaker upper extremity. The integration of these techniques will enhance the stroke client's ability to move and use their upper extremity.
· Identify the underlying impairments which hinder the recovery of the upper extremity.
· List two examples of resources available to easily access evidence-based research to answer clinically-based questions.
· Recognize different therapeutic techniques that can be applied to elicit active movement of the "paralyzed" upper extremity.
· List 3 different therapeutic approaches that can be applied to enhance functional use of the weaker upper extremity: Motor Relearning approach (Carr and Shepherd), the task-specific approach, Constraint Induced Movement Therapy, Virtual Reality for rehabilitation, sensory treatment approaches based on Dannenbaum, Yekutial and Carey.
· Discuss how to "fine tune" the treatment in terms of up and down grading the demands and techniques for adapting the therapeutic goals for each client.
Who Should Attend?
This 2 day course is appropriate for occupational therapists, occupational therapy assistants, physical therapists, and physical therapy assistants working with pediatric, adult, and geriatric TBI and CVA. All levels of experience and areas of practice are welcome including acute care, inpatient and outpatient rehab, transitional care, long term care, and home health.
Lectures, demonstrations, case studies and video presentations.
8:00-8:30 Course outline, learning objectives and Introductions
8:30-9:00 Intro + Evidence Based Practice
9:00-10:15 Identifying and understanding key concepts related to the upper extremity
10:30-12:30 Continued - Identifying and understanding key concepts related to the upper extremity
13:30-15:00 Assessment of the upper extremity – Lab
15:15-16:30 Treatment of the upper extremity
8:00-9:00 Treatment of the upper extremity
9:00-10:00 Handling techniques - UE Lab
10:15-12:30 UE approaches – what is effective?
13:30- 14:30 Sensory deficits
14:45-16:30 Assessing and treatment – Case studies – group discussions and practical work
Presenter: Debbie Rand, BOT, MSc, PhD
Dr. Debbie Rand is a senior lecturer in the Department of Occupational Therapy at Tel-Aviv University, Israel. Her PhD focused on the use of virtual reality as a tool for improving the upper extremity and executive functions deficits of individuals with stroke. During her post-doctoral studies at UBC she researched the recovery and the amount of use of the weak upper extremity post-stroke. Dr. Rand's research has been published in over twenty-five articles, all on the topic of stroke rehabilitation. Dr. Rand is also an experienced clinician with more than 16 years of clinical work as an OT specializing in treatment of the weaker upper extremity and executive functions in individuals post-stroke. Dr. Rand's workshops focusing on the rehabilitation of the upper extremity post-stroke have been presented numerous times in Israel and BC, Canada. PTNW is very excited to bring Dr. Rand "South of the Border" for her presentation in Washington State!
What Prior BC Participants Said:
o All the treatments were very useful and practical; (recognize) the importance of assessing and treating sensation from the beginning.
o This course will definitely change my practice!
o Very well organized, the instructor was a wonderful speaker (very engaging), good mix of lecture/discussion/hands-on. Overall, very happy with this experience!
o Very knowledgeable instructor with clinical and research experience. Amazing course!
o Content was even more than I hoped for. Truly fantastic instructor – I am so thrilled I came.