On-Demand Webinar – Mirror Therapy and Graded Motor Imagery: An Introduction to Retraining the Brain

On-Demand Webinar: What do you do when you think you have effectively treated a patient and they come back in two weeks with the same symptoms? As clinicians, we see patients who are fearful of moving or resist moving their injured extremity; they continue to have pain after the tissue has healed and they aren’t improving with our treatment of peripheral symptoms. What can we do to help them? Recent neuroscientific evidence has determined that these patients may have central sensitization or brain changes that inhibits them from moving and continues the dysfunctional pain cycle. We can address these problems by understanding the brain changes that occur with central sensitization and developing a top-down treatment program. Research shows that using mirror therapy and graded motor imagery can cause the brain to reorganize.

This webinar will introduce innovative and exciting treatment techniques and methods. Learn how to overcome treatment obstacles by improving the patient’s ability to immediately be an active participant in their rehab program.
At the completion of this webinar, the participant will have a basic understanding of the concepts and techniques of mirror therapy and graded motor imagery to incorporate into treatment programs. Those interested in gaining a more comprehensive understanding and hands-on practice with these techniques can register for Susan W. Stralka, PT, MS, DPT’s live CE seminar on Mirror Therapy: Retrain the Brain to Alter Pain and Improve Movement and Function.

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Program subject to change. This course content is not intended for use by any participants outside the scope of their license or regulation.

Course Objectives:

After completing this module, participants will be able to:

  • Understand both peripheral treatment and central treatment for both musculoskeletal and neurological consequences of injury.
  • Identify 2 cortical changes that occur because of persistent pain
  • Identify the practical applications of mirror therapy and graded motor imagery.
  • Recognize 2 theories on the evidence that reveals that mirror therapy is effective in improving movement during persistent pain.
  • Recognize 3 home strategies for clinical and use of mirror therapy and graded motor imagery.

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.

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 post-test 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 2 contact hours.

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)

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:

  • 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:

    District of Columbia
    New Hampshire
    New Mexico
    New York
    North Carolina
    North Dakota
    Rhode Island
    South Carolina
    South Dakota

    *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*:

    North Carolina

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

    Rhode Island

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

    District of Columbia
    Rhode Island

    *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


25 Min. Understanding brain changes for treatment of peripheral and central symptoms
15 Min. Clinical indication for mirror therapy and graded motor imagery
30 Min. How to use mirror therapy and graded motor
15 Min. Why use mirror therapy and graded motor imagery
15 Min. Utilization of mirror therapy and graded motor imagery with specific patients
15 Min. Developing home strategies for patient treatment and compliance
5 Min. Q and A


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: