Chapter 25: Upper Extremity Problems in Clients with Central Nervous System Dysfunction

This chapter addresses the evaluation and treatment of patients who are recovering from hand surgery or commonly encountered neurological disorders that affect the upper extremities: Post-Polio Syndrome, Cerebral Vascular Accidents, Multiple Sclerosis, Parkinson’s disease, and essential tremor.  Pathology, indications for surgery and operative techniques are reviewed in detail with an explanation of the most common post-operative complications.

Photographs illustrate pre- and post-operative hands at different stages of recovery and splinting options. Review of hand therapy treatment includes: wound care, scar and edema management, exercise and splinting.  Clinical reasoning considerations are provided regarding progression of various therapy treatments and splinting.

Highlighted throughout the chapter are:

• clinical pearls, precautions and concerns
• “what to say to clients”
• “tips from the field”

(Fundamentals of Hand Therapy by Cooper: "Upper Extremity Problems in Clients with Central Nervous System Dysfunction" by Michelle Abrams, MS, OTR/L , copyright 2007)

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Program subject to change. Participants are cautioned to apply new information and skills within the scope of state licensure law.

 

 Course Objectives:

Upon completion of this course, participants will be able to:

• describe the different etiologies for Post-Polio Syndrome, Cerebral Vascular Accidents, Multiple Sclerosis, Parkinson’s disease, and Essential Tremor
• describe the pathology, diagnosis and operative treatment for Post polio Syndrome, Cerebral Vascular Accidents, Multiple Sclerosis, Parkinson’s disease, and essential tremor
• identify indications for surgery and surgical techniques
• describe potential complications from surgery
• describe post-op therapy treatment including: wound care, scar and edema management, exercise and splinting

CE Credits

2 contact hours

Regulations for self-study courses vary by state and profession. If you are taking this course for CE credits required for licensure, please contact your licensing board to confirm acceptance of this online course prior to registering. Courses must be relevant to your field of practice.

Accepted by many professional credentialing organizations and state professional regulatory boards. Check with your state board/credentialing agency to verify. Certificate of attendance will be issued to all participants upon completion of the course and may be used for CEU verification of credits. CE Credits vary by state. Please check with your state board/certifying agency to confirm conversion of contact hours to CE. See links below.

Arkansas State Board of Physical Therapy: This course has been approved by the Arkansas State Board of Physical Therapy for 2 contact hours.

Physical Therapy Board of California: The Physical Therapy Board of California recognizes Rehab Education, LLC as an approval agency to approve providers offering continuing competency courses for CA licensed PTs and PTAs. This course is approved for 2 contact hours.

Illinois State Board of Physical Therapy: Approved CE Sponsor by Illinois State Board of Physical Therapy, Division of Professional Regulations, #216.000227 for courses completed by 09-30-2012.

North Carolina Board of Physical Therapy Examiners: This course has been approved by virtue of Illinois CE Provider Approval #216.000227 for 2 contact hours. (Course must be completed by 09-30-2012).

NY State Physical Therapy Board: Rehab Education, LLC is recognized as an approved provider for courses completed by 05-13-2013 of PT and PTA continuing education by the NY State Education Department's Board of Physical Therapy.

AOTA Approved Provider #6177. These states currently recognize AOTA Approved Providers for OT continuing education either in regulatory language or by formal written communication to AOTA:

Alaska Arkansas Delaware District of Columbia Illinois Indiana Kentucky Louisiana Maryland Minnesota Mississippi Missouri

Montana Nevada New Hampshire Ohio Oregon Oklahoma Rhode Island South Carolina Tennessee Texas Vermont Virginia

*NBCOT...National Board for Certification of Occupational Therapy (view PDU requirements)
+HTCC... Hand Therapy Certification Commission  (view recertification requirements)

State PT Boards
State OT Boards

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Reading Material & Exam	Introductory special $30.00 Regular $38.00
Exam Only	Introductory special $20.00 Regular $30.00

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Regulations for self-study courses vary by state and profession. If you are taking this course for CE credits required for licensure, please contact your licensing board to confirm acceptance of this online course prior to registering. Courses must be relevant to your field of practice.