Mirror Therapy: Retrain the Brain to Alter Pain and Improve Movement and Function

Mirror Therapy is an emerging therapeutic strategy for treating patients with pain and impaired movement. It integrates established principles of neuromuscular reeducation with supporting evidence in the neuroscience of pain and neuroplasticity.  Mirror therapy is a component of Graded Motor Imagery [GMI] which consists of laterality training, imagery and mirror therapy. This lecture will present a model to understand the role of the brain and ways to use a “top-down” treatment program to treat the changes that occur in the brain. This lecture is appropriate for therapists treating orthopedic as well as neurological consequences of injury.

This 1 day course consists of lectures, lab and review of individual case studies. Therapeutic intervention will be discussed at length that helps the change in the brain or cortical reorganization. At the completion of this course the student will have developed skills to take back to the clinic for immediate utilization.

During hands-on lab sessions, course instructor(s) will evaluate each participant’s techniques/skills learned to determine proficiency for course completion. 

At the end of the course each participant will be given a course evaluation and a self reflective questionnaire.

Course Objectives:

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

  • Identify 2 components of Mirror Therapy (MT) and 3 components of Graded Motor Imagery (GMI)
  • Identify 5 practical applications of Mirror Therapy and GMIP for 2 orthopedic (Phantom Limb Pain, Complex Regional Pain Syndrome) and 2 neurologic (CVA, Traumatic Brain Injury) patient populations
  • Explain 2 brain changes that occur with Mirror Therapy and GMI
  • Recognize 3 pain mechanisms that occur with either Orthopedic or Neurologic diagnoses
  • Demonstrate 2 components of Mirror Therapy and 3 components of Graded Motor Imagery techniques
  • Identify the appropriate treatment technique (MT or GMI) for a specific neurologic or orthopedic diagnoses through the use of case studies

CE Credits

8 contact hours

This course is accepted by many professional credentialing organizations and state professional regulatory boards. Rules and regulations change frequently without notification, and apply differently to live and online courses. Please check with your state board to confirm accuracy of this list and acceptance of contact hours. 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.

 

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 8 contact hours.

California OT Board: This course and instructor have been approved by the CA Board of OT for 6.5 contact hours of post-professional education in the advanced practice area of Hand Therapy. Approval #22-H15.

FL State Occupational Therapy Board: Rehab Education, LLC is recognized as an approved provider for general Live CE courses.

Illinois State Board of Physical Therapy: Approved CE Sponsor by Illinois State Board of Physical Therapy, Division of Professional Regulations, Approval #216.000227. (Course must be taken prior to 09-30-2020)

New Jersey State Board of Physical Therapy Examiners: This course has been approved by the New Jersey State Board of Physical Therapy Examiners for 8 continuing education credits, Approval #1801-19. (Course must be taken between 02-1-2018 and 01-31-2020).

NY State Physical Therapy Board: Rehab Education, LLC is recognized as an approved provider of PT and PTA continuing education by the NY State Education Department Board of Physical Therapy. (Course must be taken prior to 05-10-2022)

American Occupational Therapy Association (AOTA) Approved Provider #6177: See states that currently recognize AOTA Approved Providers for OT

Federation of State Boards of Physical Therapy (FSBPT): Federation of State Boards of Physical Therapy (FSBPT) / ProCert has awarded certification in the amount of 7 Continuing Competence Units (CCUs) to this activity. Approved CCUs are a unit of relative value of an activity based on its evaluation against a rigorous and comprehensive set of standards representing the quality of an activity. The CCU determination is a valuation applying many factors including, but not limited to, duration of the activity. No conclusion should be drawn that CCUs correlate to course hours. (Course must be taken between 09-2-2017 and 09-1-2019) Click Here to view the state physical therapy boards that currently accept the Federation of State Boards of Physical Therapy (FSBPT) certification.

  • AOTA Approval States

    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
    New York
    North Carolina
    North Dakota
    Ohio
    Oregon
    Oklahoma
    Pennsylvania
    Rhode Island
    South Carolina
    Tennessee
    Texas
    Vermont
    Virginia

    *Disclaimer: Rehab Education LLC provides this list for your convenience. At the time of listing, the following state boards accept courses by virtue of approval by other organizations. It is the responsibility of the participant registering for a course to check with their state board to confirm rules and regulations regarding acceptance of contact hours for live and online courses.

    The following PT Boards accept courses approved by other state PT boards or APTA state associations*:

    Georgia
    Kentucky
    Montana
    North Carolina
    Oregon
    Virginia

    The following PT Boards accept courses approved by other APTA state associations*:

    Arizona
    Florida
    Indiana
    Mississippi
    Missouri
    Rhode Island
    Utah
    Vermont
    Wisconsin

    The following PT Boards accept courses provided by AOTA approved providers*:

    Arizona
    District of Columbia
    Rhode Island

    HELPFUL LINKS:
    *NBCOT…National Board for Certification of Occupational Therapy (view PDU requirements)

    +HTCC… Hand Therapy Certification Commission  (view recertification requirements)
    Hand Therapy Certification Commission (HTCC): This course is accepted by HTCC towards re-certification.

    State PT Boards
    State OT Boards

Agenda

7:30 – 8:00 Registration
8:00 – 9:30 Understanding cortical reorganization of the brain
9:30 – 10:30 What are Mirror Therapy and Graded Motor Imagery?
10:30 – 10:45 Break
10:45 – 12:00 Centralization of pain and its consequences
12:00 – 1:00 Lunch Break
1:00 – 2:00 Clinical Application of Mirror Therapy
2:00-3:00 Lab: Clinical Case Reviews and Patient Care
3:00 – 3:15 Break
3:15 – 4:30 Lab: Continuation of Clinical Case Reviews and Patient Care
4:30 – 5:30 Designing a home program and protocols for home use

Instructors:

Susan W. Stralka, PT, DPT, MS

is a licensed physical therapist with many years of experience treating both musculoskeletal and neurovascular consequences of injury. She graduated from    University of Tennessee Health Science Center (UTHSC) and earned a Master’s Degree and a Doctorate in Physical Therapy from there. She has a strong clinical background in treating neurogenic and musculoskeletal consequences of injury. Susan has presented nationally and internationally.  

In March 2013 Dr. Stralka lectured in New Delhi, India at the International Federation Society of Hand Therapist (IFSHT) and in September 2013 was the keynote speaker at the Brazilian Society of Hand Therapist in Goiania, Brazil.   In  2013 and  again in 2014, she spent time in Sweden evaluating and treating  post op nerve injuries working a long side of Dr. Birgitta Rosen and  many hand surgeons at the Department of Hand Surgery , Malmo Sweden. Dr. Stralka recently spoke at the 38th annual ASHT meeting held in Denver October 2015. and in October 2016 in Buenos Aires, Argentina at the International Federation Society  for  Hand Therapist and Hand surgeons.  (IFSHT and IFSHS). Susan has written numerous articles and chapters on a wide variety of topics in the upper extremity and pain management.

Dr. Stralka has received numerous honors  throughout her career and recently  in 2012  was the recipient of the  Dorothy B. Kaufmann Lectureship given by Philadelphia Hand Rehabilitation Foundation.

Classes taught by Susan W. Stralka: