Course Description:
The nervous system is a complex arrangement of the nerve cells and tissues. It regulates the body responses to external and internal stimuli. The peripheral nervous system is responsible for the transfer of information between the motor and sensory neurons and their effectors in both directions. Injuries to the peripheral nervous system often result in significant deterioration of the regular activities. Many of the peripheral nerve injuries in the upper extremity are often a result of traction injury to the brachial plexus. Such injuries are commonly associated with altered shoulder postures and functional imbalance in the arm, forearm and hand due to pain in the related nerves and muscles. Brachial plexus neuropathy is one of the commonly noted upper extremity pain syndromes. The involvement of the peripheral neuropathies and cervical spine pathologies can complicate the diagnosis of brachial plexus neuropathy.
Most of the nerve injuries are believed to arise due to influence of the physical factors that alter the mechanical abilities of the nerve fibers. Nerve mobilization has been projected as an efficient therapy to treat the pathologies of the nervous system. It is essential to know about the basics of the nervous system, the neuropathology, the transmission of pain and movement dysfunction before initiating nerve mobilization procedure. The movements of the nerves or nerve fibers can result in changes in the internal nerve physiology by altering the neural tension. Neural mobilization aims at relieving such changes in the nerve physiology to relieve the symptoms of pain and restriction of mobility. It is also vital to have a clear idea about the principles, guidelines, precautions and contraindications of nerve mobilization for better utilization of this procedure.
Course objectives:
- Implement techniques of Upper Limb Tension Testing (ULTT ) to rule out proximal pathology from hand symptoms
- Apply nerve gliding and muscle re-education, in the treatment of common upper quadrant problems
- Design a home exercise program for the client with upper quadrant problems
- Describe the common entrapment sites and pain mechanisms in the cervical spine, shoulder, wrist and hand
- Identify the most common anatomical sites of upper extremity compression
- Examine the neural system continuum and its relationship to musculoskeletal problems using Upper Limb Tension Testing (ULTT) to rule out proximal pathology from hand symptoms
- Demonstrate upper limb tension tests with a bias toward the median, ulnar and radial nerves
- Use proven techniques including neural milking, muscle stripping, nerve sliding and nerve tensioning to safely and effectively treat the median, ulnar and radial nerves
Target Audience:
- Physical Therapists
- Physical Therapy Assistants
- Occupational Therapists
- Occupational Therapy Assistants
- Doctors of Chiropractic
To purchase the online exam and e-book, simply hit the "click to proceed" button above. This option allows you to print your certificate instantly after passing the exam. (A score of 70% is required to pass the exam.)
To buy the paperback version from Amazon click below.
Nerve Mobilization of the Upper Extremity: A Review of Current Research |
Table of Contents
| Chapter 1: Anatomy and Physiology of the Nerves (estimated reading time = 30 minutes) |
|
| Introduction |
|
| Importance of proper evaluation |
|
| Anatomy and physiology of the nerves |
|
| Neurodynamics |
|
| Common causes of reduced nerve gliding |
|
| Pain Responses and Definitions |
|
| Nerve Injuries Classification |
|
| Chapter 2: Evaluation Using Neural Tension Tests(estimated reading time = 30 minutes) |
|
| Slump Test |
|
| Upper Limb Tension Test |
|
| Signs and Symptoms |
|
| Chapter 3: The Three Main Nerves of the Upper Extremity (estimated reading time = 30 minutes) |
|
| Median Nerve |
|
| Ulnar nerve |
|
| Radial nerve |
|
| Chapter 4: Exercises to improve nerve gliding (estimated reading time = 30 minutes) |
|
| Median Nerve Exercises |
|
| Ulnar Nerve Exercises |
|
| Radial Nerve Exercises |
|
| Chapter 5: Treatment Techniques (estimated reading time = 45 minutes) |
|
| Stage I Symptom Control |
|
| Behavior modification |
|
| Workplace modification |
|
| Postural awareness |
|
| Stage II Restorative Procedures |
|
| Soft tissue mobilization/ Muscle Stripping |
|
| Joint mobilization |
|
| Deep massage and stretch |
|
| Neural Milking |
|
| Stretch Tight Muscles |
|
| Stage III Rehabilitative Processes |
|
| Chapter 6: Current Research and Concluding Remarks (estimated reading time = 15 minutes) |
|
To purchase the online exam and e-book, simply hit the "click to proceed" button above. This option allows you to print your certificate instantly after passing the exam. (A score of 70% is required to pass the exam.)
To buy the paperback version from Amazon click below.
Nerve Mobilization of the Upper Extremity: A Review of Current Research |
Needs Assessment (Based on AOTA manual)
Rehabsurge is NOT an AOTA accredited continuing education provider
Nerve Mobilization of the Upper Extremity
Category 1: DOMAIN
- Areas of Occupation
- Activities of Daily Living (ADL)
- Social Participation
- Client Factors
- Body Structures
Category 2: PROCESS
- Evaluation
- Analysis of occupational performance
- Intervention
- Develop intervention plan & approaches (create/promote, establish/restore, maintain, modify, prevent)
- Implementation of intervention (therapeutic use of self, therapeutic use of occupations/activities, consultation process, education process, advocacy)
- Review of intervention
- Health & wellness
- Prevention
- Research outcomes Contemporary Issues and Trends
- Evidence-based practice
Target Audience:
- Physical Therapists
- Physical Therapy Assistants
- Occupational Therapists
- Occupational Therapy Assistants
- Doctors of Chiropractic
To purchase the online exam and e-book, simply hit the "click to proceed" button above. This option allows you to print your certificate instantly after passing the exam. (A score of 70% is required to pass the exam.)
To buy the paperback version from Amazon click below.
Nerve Mobilization of the Upper Extremity: A Review of Current Research |
About the Author
Caroline Joy Co, PT, DPT, CHT, CSFA, is a licensed physical therapist and certified hand therapist whose clinical experience includes acute, subacute, home health and outpatient settings. Her background includes Community Based Therapy designed to assist people with disabilities access therapy in their communities using predominantly local resources. She is the President and CEO of PTSponsor.com, an online resource for U.S. hospitals and clinics that seek to sponsor and hire foreign-trained physical therapists. She specializes in hand therapy through an integrated approach that includes education, counsel and exercise. She is also certified in functional assessment for work hardening and work conditioning.
She is also the President of Rehabsurge, Inc. Rehabsurge, Inc. is a continuing education company and a contracting agency. Her past affiliations include Long Beach Medical Center, Horizon Health and Subacute Center, and Grandell Therapy and Nursing Center. She was a professional speaker for Summit Professional Education, Cross Country Education and Dogwood Institute for Hand therapy courses; myofascial release and nerve mobilization courses; and coding, billing, documentation and ethics. She received her transitional doctorate from A.T. Still University and her BS in Physical Therapy from University of the Philippines- College of Allied Medical Professions. She is licensed in California, Nevada and New York. |
Terms
Rehabsurge, Inc.’s mission is to support health care and education professionals to continue their educational and professional development. Rehabsurge is committed to identifying, promoting, and implementing innovative continuing education activity which can increase and impart professional knowledge and skills through books, audiobooks or digital e-books based on sound scientific and clinically derived research. The first Rehabsurge continuing education book was published in July 2009. As a sponsor of Continuing Education (CE) seminars and workshops we enable professionals to enhance their skills, pursue professional interests and redefine their specialties within their respective disciplines while earning CEUs, CE credits or Contact Hours. Offerings include CE books, audiobooks and digital e-books focused on the latest treatment and assessment approaches, as well as discussions of alternative and state-of-the art therapies.
Rehabsurge, Inc. exists to provide the latest treatment and assessment approaches to the practicing clinician. The basic proposition of our business is simple, solid, and timeless. When we bring the latest knowledge and skill to our clients, then we successfully nurture and protect our brand- Rehabsurge, Inc. That is the key to fulfilling our ultimate obligation to provide consistently attractive books, audiobooks and digital e-books.
DISABILITY POLICY:
Rehabsurge, Inc. seeks to ensure that all students have access to its activities. To that end, it is committed to providing support services and assistance required for equal access for learners with disabilities. Rehabsurge, Inc. has a firm commitment to meeting the guidelines of the Americans with Disabilities Act and Section 504 of the Rehabilitation Act of 1973. Rehabsurge, Inc. will provide support services and assistance for students with disabilities, including reasonable accommodations, modifications, and appropriate services to all learners with documented disabilities.
Full Disclosure
To comply with professional boards/associations standards, all planners, speakers and reviewers involved in the development of continuing education content are required to disclose their relevant financial relationships. An individual has a relevant financial relationship if he or she has a financial relationship in any amount, occurring in the last 12 months with a commercial interest whose products or services are discussed in their presentation content over which the individual has control. Relevant financial relationships must be disclosed to the audience.
As part of its accreditation with boards/associations, Rehabsurge, Inc. is required to resolve any reported conflicts of interest prior to the educational activity. The presentation will be scientifically balanced and free of commercial bias or influence.
To comply with professional boards/associations standards:
I declare that I or my family do not have any financial relationship in any amount, occurring in the last 12 months with a commercial interest whose products or services are discussed in my presentation. Additionally, all Planners involved do not have any financial relationship.
Caroline Joy Co, PT, DPT, CHT, CSFA |
Accreditation
Physical Therapists/Assistants : Alabama, Alaska, Arkansas, California, Colorado, Hawaii, Indiana, Maine, Massachusetts, Michigan, New York, Rhode Island, South Dakota, Utah, Vermont, Wyoming
Occupational Therapists/Assistants : Ohio
Doctors of Chiropractic : Iowa, Nebraska, New Jersey |
Course Description:
The nervous system is a complex arrangement of the nerve cells and tissues. It regulates the body responses to external and internal stimuli. The peripheral nervous system is responsible for the transfer of information between the motor and sensory neurons and their effectors in both directions. Injuries to the peripheral nervous system often result in significant deterioration of the regular activities. Many of the peripheral nerve injuries in the upper extremity are often a result of traction injury to the brachial plexus. Such injuries are commonly associated with altered shoulder postures and functional imbalance in the arm, forearm and hand due to pain in the related nerves and muscles. Brachial plexus neuropathy is one of the commonly noted upper extremity pain syndromes. The involvement of the peripheral neuropathies and cervical spine pathologies can complicate the diagnosis of brachial plexus neuropathy.
Most of the nerve injuries are believed to arise due to influence of the physical factors that alter the mechanical abilities of the nerve fibers. Nerve mobilization has been projected as an efficient therapy to treat the pathologies of the nervous system. It is essential to know about the basics of the nervous system, the neuropathology, the transmission of pain and movement dysfunction before initiating nerve mobilization procedure. The movements of the nerves or nerve fibers can result in changes in the internal nerve physiology by altering the neural tension. Neural mobilization aims at relieving such changes in the nerve physiology to relieve the symptoms of pain and restriction of mobility. It is also vital to have a clear idea about the principles, guidelines, precautions and contraindications of nerve mobilization for better utilization of this procedure.
Course objectives:
- Implement techniques of Upper Limb Tension Testing (ULTT ) to rule out proximal pathology from hand symptoms
- Apply nerve gliding and muscle re-education, in the treatment of common upper quadrant problems
- Design a home exercise program for the client with upper quadrant problems
- Describe the common entrapment sites and pain mechanisms in the cervical spine, shoulder, wrist and hand
- Identify the most common anatomical sites of upper extremity compression
- Examine the neural system continuum and its relationship to musculoskeletal problems using Upper Limb Tension Testing (ULTT) to rule out proximal pathology from hand symptoms
- Demonstrate upper limb tension tests with a bias toward the median, ulnar and radial nerves
- Use proven techniques including neural milking, muscle stripping, nerve sliding and nerve tensioning to safely and effectively treat the median, ulnar and radial nerves
Target Audience:
- Physical Therapists
- Physical Therapy Assistants
- Occupational Therapists
- Occupational Therapy Assistants
- Doctors of Chiropractic
Table of Contents
| Chapter 1: Anatomy and Physiology of the Nerves (estimated reading time = 30 minutes) |
|
| Introduction |
|
| Importance of proper evaluation |
|
| Anatomy and physiology of the nerves |
|
| Neurodynamics |
|
| Common causes of reduced nerve gliding |
|
| Pain Responses and Definitions |
|
| Nerve Injuries Classification |
|
| Chapter 2: Evaluation Using Neural Tension Tests(estimated reading time = 30 minutes) |
|
| Slump Test |
|
| Upper Limb Tension Test |
|
| Signs and Symptoms |
|
| Chapter 3: The Three Main Nerves of the Upper Extremity (estimated reading time = 30 minutes) |
|
| Median Nerve |
|
| Ulnar nerve |
|
| Radial nerve |
|
| Chapter 4: Exercises to improve nerve gliding (estimated reading time = 30 minutes) |
|
| Median Nerve Exercises |
|
| Ulnar Nerve Exercises |
|
| Radial Nerve Exercises |
|
| Chapter 5: Treatment Techniques (estimated reading time = 45 minutes) |
|
| Stage I Symptom Control |
|
| Behavior modification |
|
| Workplace modification |
|
| Postural awareness |
|
| Stage II Restorative Procedures |
|
| Soft tissue mobilization/ Muscle Stripping |
|
| Joint mobilization |
|
| Deep massage and stretch |
|
| Neural Milking |
|
| Stretch Tight Muscles |
|
| Stage III Rehabilitative Processes |
|
| Chapter 6: Current Research and Concluding Remarks (estimated reading time = 15 minutes) |
|
Needs Assessment (Based on AOTA manual)
Rehabsurge is NOT an AOTA accredited continuing education provider
Nerve Mobilization of the Upper Extremity
Category 1: DOMAIN
- Areas of Occupation
- Activities of Daily Living (ADL)
- Social Participation
- Client Factors
- Body Structures
Category 2: PROCESS
- Evaluation
- Analysis of occupational performance
- Intervention
- Develop intervention plan & approaches (create/promote, establish/restore, maintain, modify, prevent)
- Implementation of intervention (therapeutic use of self, therapeutic use of occupations/activities, consultation process, education process, advocacy)
- Review of intervention
- Health & wellness
- Prevention
- Research outcomes Contemporary Issues and Trends
- Evidence-based practice
Target Audience:
- Physical Therapists
- Physical Therapy Assistants
- Occupational Therapists
- Occupational Therapy Assistants
- Doctors of Chiropractic
About the Author
Caroline Joy Co, PT, DPT, CHT, CSFA, is a licensed physical therapist and certified hand therapist whose clinical experience includes acute, subacute, home health and outpatient settings. Her background includes Community Based Therapy designed to assist people with disabilities access therapy in their communities using predominantly local resources. She is the President and CEO of PTSponsor.com, an online resource for U.S. hospitals and clinics that seek to sponsor and hire foreign-trained physical therapists. She specializes in hand therapy through an integrated approach that includes education, counsel and exercise. She is also certified in functional assessment for work hardening and work conditioning.
She is also the President of Rehabsurge, Inc. Rehabsurge, Inc. is a continuing education company and a contracting agency. Her past affiliations include Long Beach Medical Center, Horizon Health and Subacute Center, and Grandell Therapy and Nursing Center. She was a professional speaker for Summit Professional Education, Cross Country Education and Dogwood Institute for Hand therapy courses; myofascial release and nerve mobilization courses; and coding, billing, documentation and ethics. She received her transitional doctorate from A.T. Still University and her BS in Physical Therapy from University of the Philippines- College of Allied Medical Professions. She is licensed in California, Nevada and New York.
Terms
Rehabsurge, Inc.’s mission is to support health care and education professionals to continue their educational and professional development. Rehabsurge is committed to identifying, promoting, and implementing innovative continuing education activity which can increase and impart professional knowledge and skills through books, audiobooks or digital e-books based on sound scientific and clinically derived research. The first Rehabsurge continuing education book was published in July 2009. As a sponsor of Continuing Education (CE) seminars and workshops we enable professionals to enhance their skills, pursue professional interests and redefine their specialties within their respective disciplines while earning CEUs, CE credits or Contact Hours. Offerings include CE books, audiobooks and digital e-books focused on the latest treatment and assessment approaches, as well as discussions of alternative and state-of-the art therapies.
Rehabsurge, Inc. exists to provide the latest treatment and assessment approaches to the practicing clinician. The basic proposition of our business is simple, solid, and timeless. When we bring the latest knowledge and skill to our clients, then we successfully nurture and protect our brand- Rehabsurge, Inc. That is the key to fulfilling our ultimate obligation to provide consistently attractive books, audiobooks and digital e-books.
DISABILITY POLICY:
Rehabsurge, Inc. seeks to ensure that all students have access to its activities. To that end, it is committed to providing support services and assistance required for equal access for learners with disabilities. Rehabsurge, Inc. has a firm commitment to meeting the guidelines of the Americans with Disabilities Act and Section 504 of the Rehabilitation Act of 1973. Rehabsurge, Inc. will provide support services and assistance for students with disabilities, including reasonable accommodations, modifications, and appropriate services to all learners with documented disabilities.
Full Disclosure
To comply with professional boards/associations standards, all planners, speakers and reviewers involved in the development of continuing education content are required to disclose their relevant financial relationships. An individual has a relevant financial relationship if he or she has a financial relationship in any amount, occurring in the last 12 months with a commercial interest whose products or services are discussed in their presentation content over which the individual has control. Relevant financial relationships must be disclosed to the audience.
As part of its accreditation with boards/associations, Rehabsurge, Inc. is required to resolve any reported conflicts of interest prior to the educational activity. The presentation will be scientifically balanced and free of commercial bias or influence.
To comply with professional boards/associations standards:
I declare that I or my family do not have any financial relationship in any amount, occurring in the last 12 months with a commercial interest whose products or services are discussed in my presentation. Additionally, all Planners involved do not have any financial relationship.
Caroline Joy Co, PT, DPT, CHT, CSFA
Accreditation
Physical Therapists/Assistants : Alabama, Alaska, Arkansas, California, Colorado, Hawaii, Indiana, Maine, Massachusetts, Michigan, New York, Rhode Island, South Dakota, Utah, Vermont, Wyoming
Occupational Therapists/Assistants : Ohio
Doctors of Chiropractic : Iowa, Nebraska, New Jersey |
|