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Entrapment Neuropathies of the Upper Extremity: Emerging Strategies to Decrease Pain, Increase Range of Motion, & Improve Function

Diagnosis and Treatment of Upper Extremity Neuropathies It is often difficult to identify all structures causing upper extremity pain and dysfunction. Therapists must determine the source of the problem to provide the most effective treatment for the client. For many therapists, treating the peripheral symptoms is much easier than identifying and treating central sensitization – a condition of the nervous system that is associated with the development and maintenance of persistent symptoms. But what if there was a way to design a treatment program to assess and treat both peripheral symptoms and central sensitization?
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Information

Faculty:
Susan Stralka
Duration:
5 Hours 21 Minutes
Format:
Audio and Video
Copyright:
Apr 12, 2017

Description

Diagnosis and Treatment of Upper Extremity Neuropathies

It is often difficult to identify all structures causing upper extremity pain and dysfunction. Therapists must determine the source of the problem to provide the most effective treatment for the client. For many therapists, treating the peripheral symptoms is much easier than identifying and treating central sensitization – a condition of the nervous system that is associated with the development and maintenance of persistent symptoms. But what if there was a way to design a treatment program to assess and treat both peripheral symptoms and central sensitization?

This course provides the tools to do just that. Walk away with emerging, evidence-based assessment and treatment strategies for disorders of the upper extremity, from the cervical spine to the hand. To decipher whether entrapment neuropathies are at play, you’ll learn about and gain hands-on experience with using the Upper Limb Neurodynamic Testing (ULNT) and Scratch Collapse Test during lab. You will also gain 4 ways to identify central sensitization and 5 alternative, evidence-based approaches to calm the nervous system. Using mirror therapy, graded motor imagery, nerve and myofascial gliding, and muscle re-education, help your clients recover from debilitating pain and improve functionality as well as their quality of life.

Handouts

Outline

ANATOMY AND PHYSIOLOGY
  • The relationship of neurovascular and musculoskeletal problems—joints, ligaments, bone, muscle, and nerve
  • Movement in the nervous system
DIFFERENTIAL DIAGNOSIS OF THE UPPER QUADRANT—NECK, SHOULDER, WRIST, AND HAND
  • Degenerative cervical dysfunction
  • Symptom identification
  • Proximal vs. distal symptoms
    • Cervical radiculopathy
    • Shoulder pathology
    • Tenosynovitis
UNDERSTANDING OF CONNECTIVE TISSUE, NEURAL RELATIONSHIP, AND MUSCLE IMBALANCE
  • Pathophysiology of neural tissue
  • Consequences of muscle imbalance
IDENTIFICATION OF NERVE COMPRESSION SITES
  • Upper Limb Neurodynamics Testing (ULNT) and Scratch Collapse Test
  • Classification of nerve compression injuries

DEMONSTRATION AND LAB—UPPER LIMB TENSION TESTING (ULTT)

TREATMENT STRATEGIES:
MOVEMENT-BASED MANAGEMENT

  • Nerve gliding
  • Muscle re-education
  • Mirror Therapy and Graded Motor Imagery
  • Ergonomic strategies
HOME EXERCISE PROGRAM

Faculty

Susan Stralka, PT, MS, DPT, Related seminars and products: 1


SUSAN STRALKA, PT, MS, DPT, is a Licensed Physical Therapist with over 30 years of experience, many of which involved treating both musculoskeletal and neurovascular consequences of injury. She obtained her Physical Therapy degrees, including her Master of Science and Doctor of Physical Therapy degrees, from The University of Tennessee Health Science Center (UTHSC) in Memphis, Tennessee. She also acts as an occasional guest lecturer at UTHSC, for the Department of Physical Therapy. Dr. Stralka remains a consultant to the Mays and Schnapp Pain Clinic in Memphis, treating all types of acute and chronic pain dysfunctions. She has a strong clinical background in orthopedics and manual therapy, and has presented nationally and internationally on a wide variety of orthopedic subjects.

Dr. Stralka and two of her colleagues wrote the first exam for the Orthopedic Specialty Certification through the American Board of Physical Therapy Specialties. She has many publications to her credit and her most recent publications are "Graded Motor Imagery" in the Journal of Hand Therapy, 2011, and "Thoracic Outlet Syndrome" in the book entitled Neck and Arm Pain Syndromes, 2011. She is a member of the American Physical Therapy Association, as well as a member of the Orthopedics, Neurology, Research, and Hand Sections of the APTA. In addition, Dr. Stralka is the recipient of the Dr. Arthur Nelson Honorary Lectureship Award for lectures on Complex Regional Pain Syndrome and was the co-recipient of the Rose Excellence in Research Award in 1996.