Facilitate, Force, and Function: Stroke Recovery for UE
and LE Applied (Recorded Webinar)
Presented by Mike Studer
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Nonfinancial: Mike Studer has no competing nonfinancial interests or relationships with regard to the content presented in this course.
This course is a recording of a previously hosted live webinar event. Polling and question submission features are not available for this recording. Format and structure may differ from those of standard MedBridge courses.
While we as rehabilitation professionals know that the techniques to facilitate movement in a flaccid upper extremity and lower extremity are similar, we may not know how to improve each as movement emerges. Can you name three ways to “force” movement and drive neuroplasticity in motor control or sensory recovery? What principles and applications do we have evidence for when it comes to rehabilitating automized UE and LE skilled movement (movement that is accomplished without thinking)? Are these techniques different for UE and LE recovery? This webinar will address these critical questions and more to help you build your expertise in post-stroke recovery.
Meet your instructor
Mike Studer
Dr. Mike Studer has been a PT since 1991. He has been board certified in neurologic PT since 1995 and has been a private practice owner since 2005. Dr. Studer has been an invited speaker covering 50 states, 10 countries, and 4 continents, speaking on topics such as cognition and psychology in rehabilitation, aging, stroke,…
Chapters & learning objectives
1. Neuroplasticity in Recovery From Stroke: Mechanisms, Timelines, and Prognosticators
In this chapter, we will learn the physiology behind the heterogeneity of stroke and the mechanisms of neuroplasticity. Additionally, clinicians will learn clinical prognostic predictors and timelines in recovery to help them individualize care.
2. The Return From Severe Weakness: Direct (Hemiplegia) and Indirect (Disuse) in the UE
In this chapter, we will look at "find," "facilitate," and "function" as they relate to rehabilitation of the upper extremity, describing current evidence and how to apply it. We will discuss redeveloping skill and automaticity, forcing sensory development, using technology to assist in recovery, and recovering from learned nonuse and disuse atrophy.
3. The Return From Severe Weakness: Direct (Hemiplegia) and Indirect (Disuse) in the LE
In this chapter, we will look at "find," "facilitate," and "function" as they relate to rehabilitation of the lower extremity, describing current evidence and how to apply it. We will discuss redeveloping skill and automaticity, forcing sensory development, using technology to assist in recovery, and recovering from learned nonuse and disuse atrophy.
4. Engaging Our Patients to Optimize Outcomes
In this chapter, attendees will learn how to apply the OPTIMAL theory of motor learning and be exposed to behavioral economics literature. With each of these, attendees will learn how to maximize their rehabilitative time with PwS.
5. Managing Spasticity and Tone in Persons With Stroke
In this chapter, we will define and contrast spasticity and tone and will identify the contemporary applications to address each clinically.
6. Recreating Automaticity: Using Dual Tasks to Solidify Gains in PwS
In this chapter, we will define dual-tasking and demonstrate how to use this approach to help PwS reautomatize their movement to be tolerant of distractions successfully.
7. Question and Answer Session
In this chapter, Mike Studer will go over questions submitted during the recorded webinar.