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Neurologic Hand Therapy

Enhance your skills with evaluation and treatment of the neurologically involved upper extremity!

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About this Certificate Program

Predicting outcomes, developing appropriate goals, and providing treatment strategies to address hand and upper extremity impairment following neurologic insult are critical for rehabilitation professionals working in a variety of clinical environments. This program is tailored to provide therapists with techniques to evaluate and predict recovery in the acute stage, as well as evidence-supported treatment techniques to address minimal to severe impairment for optimizing hand and upper extremity function. The Neurologic Hand Therapy Certificate prepares therapists to evaluate and treat neurologically involved upper extremity clients who present with a variety of clinical presentations. Therapists who successfully complete this 13-course program will enhance their clinical decision-making and improve the quality of care to optimize clinical outcomes.

Target Audience

Therapists (OTs, COTAs, PTs, PTAs) practicing in an acute, rehabilitation, or outpatient environment who see patients with neurologic involvement in the upper extremity. For Certified Hand Therapists (CHTs), the combination of courses for this certificate qualifies for recertification through the Hand Therapy Certification Commission (HTCC) under Category A: formal courses in upper quarter therapy, greater than 3 hours in length.

Goals & Objectives

  • Apply evidence-based prediction models to estimate recovery and formulate appropriate upper extremity rehabilitation goals.
  • Describe the clinical presentation of mild, moderate, and severe neurological involvement in the upper extremity and develop appropriate treatment plans to address each.
  • Define neuroplasticity and learned nonuse and how these play an important role in creating appropriate treatment strategies for the patient with a neurologically involved upper extremity.
  • Explain the nature of spasticity and its impact on movement, functional recovery, and the development of secondary impairments.
  • Describe the basic principles of motor learning and repetitive, task-specific training and how they apply to patients with a wide range of impairments.
  • Explain the rationale and components of modified constraint induced therapy.

What's Included in the Certificate Program

Accredited Online Courses*

19 hours of online video lectures and patient demonstrations.

Case Study Interviews

Recorded Q&A sessions between instructors and practice managers.

Interactive Learning Assessments

Case-based quizzes to evaluate and improve clinical reasoning.

Section 1: Evaluation and Outcome Prediction Post-Stroke

3 Chapters

Predicting Recovery and Setting Appropriate Upper Extremity Goals Post-Strokekeyboard_arrow_down


Understanding Recovery and Evolution of Impairments in the Arm and Handkeyboard_arrow_down

  • Recovery after a Stroke or Brain InjuryChapter 1

    This chapter will cover the process of neurological and functional recovery for persons who have acquired brain injury or stroke and their implications on the rehabilitation process. Dr. Bondoc will also explain the nature of spasticity and its impact on movement, functional recovery, and the development of secondary impairments.

  • Spasticity and Movement ImpairmentChapter 2

    This chapter will review neurophysiology of the motor unit and discuss the definition of spasticity and its impact on movement and posture of the arm and hand.

  • Sensory ImpairmentsChapter 3

    In this chapter Salvador Bondoc will review the somatosensory system and sub-modalities of somatosensation and describe pain and sensory impairments associated with the neurological UE following brain injury.

  • View full course details »

Evaluation and Outcome Assessment in the Neurological Upper Extremitykeyboard_arrow_down


Section 2: Treatment for the Minimally Involved Upper Extremity

2 Chapters

Neurologic Upper Extremity Part 1: Assessment and Treatment of the Minimally Impaired UEkeyboard_arrow_down


Evidence-Based Interventions for Mild-Moderate Impairments in the Neurological Upper Extremitykeyboard_arrow_down


Section 3: Treatment for the Severely Involved Upper Extremity

4 Chapters

Upper Extremity Strategies Along the Post-Stroke Recovery Continuumkeyboard_arrow_down


Neurologic Upper Extremity Part 2: Adjunctive Treatment Strategies for Moderate to Severe Impairmentkeyboard_arrow_down


Evidence-Based Interventions for Severe Impairments in the Neurological Upper Extremitykeyboard_arrow_down


The Hemiplegic Shoulder: Pain & Subluxationkeyboard_arrow_down


Section 4: Additional interventions

7 Chapters

Using Neuroplasticity Principles to Guide Therapeutic Intervention Post-Strokekeyboard_arrow_down


Noninvasive Brain Stimulation in Neurologic Diagnoseskeyboard_arrow_down

  • Overview of Brain Stimulation TechniquesChapter 1

    This chapter provides an overview of neuroplasticity, learned non-use, basic mechanisms of TMS, and how TMS is used for assessment and treatment. There is a brief introduction to tDCS and how to differentiate between tDCS and TMS.

  • tDCS Mechanisms and SafetyChapter 2

    This chapter summarizes the physiological basis for tDCS, including interhemispheric imbalance, long-term potentiation, and long-term depression. Mechanisms for both anodal and cathodal stimulation techniques are described, as well as the established tDCS safety guidelines.

  • Evidence for tDCSChapter 3

    This chapter covers tDCS evidence and use in various diagnoses, including neurodegenerative diseases, spinal cord injury, and stroke. tDCS evidence and use in post-stroke upper and lower extremity motor function is also discussed.

  • How to Use tDCSChapter 4

    This chapter covers the supplies needed to administer tDCS, including electrodes, electrode sponges, and machine. A demonstration shows the electrode placement for both anodal and cathodal stimulation, as well as usage of the tDCS device.

  • View full course details »

The EXCITE Stroke Trial: Comparing Early and Delayed Constraint-Induced Movement Therapy


Infusing Motor Learning Research into Neurorehabilitation Practice: A Historical Perspective with Case Exemplar from the Accelerated Skill Acquisition Program


Effect of a Task-Oriented Rehabilitation Program on Upper Extremity Recovery Following Motor Stroke: The ICARE Randomized Clinical Trial


Mental Practice: Applying Motor PRACTICE and Neuroplasticity Principles to Increase Upper Extremity Function



Dorian Rose


Salvador Bondoc


Heather T. Peters

PhD (cand.), MOT, OTR/L

CEU Approved

19 total hours* of accredited coursework.
MedBridge accredits each course individually so you can earn CEUs as you progress.

      Our clinic could not be happier with MedBridge.

Amy Lee, MPT, OCS
Physical Therapy Central

       MedBridge has allowed us to create a culture of learning that we were previously unable to attain with traditional coursework.

Zach Steele, PT, DPT, OCS
Outpatient Physical Therapy & Rehabilitation Services

    MedBridge has created a cost-effective and quality platform that is the future of online education.

Grant R. Koster, PT, ATC, FACHE
Vice President of Clinical Operations, Athletico Physical Therapy

Frequently Asked Questions

Do I get CEU credit?
Each course is individually accredited. Please check each course for your state and discipline. You can receive CEU credit after each course is completed.

When do I get my certificate?
You will receive accredited certificates of completion for each course as you complete them. Once you have completed the entire Certificate Program you will receive your certificate for the program.

*Accreditation Hours
Each course is individually accredited and exact hours will vary by state and discipline. Check each course for specific accreditation for your license.

Do I have to complete the courses in order?
It is not required that you complete the courses in order. Each Certificate Program's content is built to be completed sequentially but it is not forced to be completed this way.

How long do I have access to the Certificate Program?
You will have access to this Certificate Program for as long as you are a subscriber. Your initial subscription will last for one year from the date you purchase.

Sample Certificate

Sample Certificate

Complete this series to receive your certificate.

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Certificate Program
Earn an official certificate of completion from MedBridge.
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  • Show patient and clients your commitment to education

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