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Hemiplegic Shoulder Part 1: Assessment

presented by J.J. Mowder-Tinney, PT, PhD, NCS, C/NDT, CSRS, CEEAA

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Disclosure Statement:

Financial— J.J. Mowder-Tinney receives compensation from MedBridge for the production of this course. There are no other relevant financial relationships. Nonfinancial— J.J. Mowder-Tinney has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Video Runtime: 79 Minutes; Learning Assessment Time: 29 Minutes

Individuals who have had a stroke commonly have upper extremity involvement. Many times, the presentation of a hemiplegic shoulder can directly impact a person's function. It is critical to perform a comprehensive assessment to accurately identify the priority issues limiting function or causing pain. This course will address the critical aspects of providing a comprehensive assessment of a person with a hemiplegic shoulder using an easy-to-implement process.

Meet Your Instructor

J.J. Mowder-Tinney, PT, PhD, NCS, C/NDT, CSRS, CEEAA

Dr. J.J. Mowder-Tinney holds a bachelor of science degree in psychology from the University of Colorado Boulder, a master of science in physical therapy from the University of Miami, and a doctorate in physical therapy from Nova Southeastern University. With nearly three decades of diverse clinical experience, her expertise primarily focuses on assisting individuals with…

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Chapters & Learning Objectives

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1. Shoulder Anatomy

The foundation to being able to appropriately assess and treat your patient requires a clear understanding of the anatomy of the shoulder and strong observation skills. This chapter will take a step back and help you identify the appropriate muscles that are working when moving the upper extremity in order to identify the limitations in a person with a hemiplegic shoulder.

2. Observation, Pain, and Subluxation

This chapter will review a detailed assessment of shoulder pain, allowing you to determine your priorities when treating. The use of your observation skills, along with recommendations from the literature, will help you identify the cause of the shoulder pain as well as the presentation of a subluxation.

3. Passive Range of Motion of the Scapula and Upper Extremity

This chapter will practice assessing the position of the scapula and the impact of its movement on shoulder function. A focus will be on the review of the priority passive range of motion (PROM) needs for the patient to prevent injury.

4. Tone, Isolated Movement, and Sensation

This chapter will finish assessing impairments by looking at options for assessing tone as well as trying to identify isolated movements using different tools. A general discussion regarding the impact of sensory impairments will also be reviewed.

5. Standardized Outcome Measures

A review of a variety of commonly used and recommended standardized outcome measures for your clinical setting and patient acuity will be addressed. Considerations for the focus of the test along with the amount of time to complete will be considered. In addition, the learner will utilize aspects of the tests for external cues and motivation.

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