Arm and Hand Rehabilitation After Stroke: From Physiology to Participation
Section: Academy of Hand and Upper Extremity PT
Co-Section: Academy of Neurologic PT
Session Code: HR-2A-4390
Date: Friday, January 25, 2019
Time: 8:00 AM - 10:00 AM
Location: Marriott Marquis
Room: Liberty Salon L

Speaker(s):   Susan Duff, PT, EdD, OT/L, CHT
  Valerie Hill, PhD, OTR/L
  Shailesh Kantak, PT, PhD
  Gregory T. Thielman, EdD, MSPT, ATC, CSRS

Session Type: Educational Sessions
Session Level: Intermediate

The IV STEP conference, Summer 2016, highlighted the need for rehabilitation to span the continuum of care from promoting brain plasticity to improving participation after neurologic injury. Application of this continuum to arm and hand rehabilitation is complex to navigate as multi-dimensional, yet targeted, intervention strategies are needed at different stages of recovery. This symposium will provide a comprehensive overview of the current understanding of biological and behavioral bases for the recovery of arm and hand function after stroke. At the basic science level, the symposium will focus on an understanding of time- and experience-dependent plasticity needed to harness the biological processes that implement and predict behavioral recovery. Active ingredients that prevent complications, augment functional capacity, enhance skilled motor performance and motivation to synergistically improve functional performance will be outlined. Importantly, we will highlight contemporary evidence that suggests the lack of changes in functional recovery, despite comprehensive therapeutic intervention. Finally, we will discuss behaviorally-informed strategies to enhance participation following upper extremity rehabilitation.

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

1. Identify at least two mechanisms of, and strategies to promote plasticity time- and experience-dependent plasticity that foster arm and hand motor recovery.

2. Analyze compensatory strategies and their impact on function.

3. Apply principles and evidence-based strategies to improve functional capacity and promote skill acquisition.

4. Assess behavioral theory and psychosocial factors associated with behavioral change that may be necessary to improve participation.

CEU: 0.2

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