Orthopedic Considerations for the Post-Stroke Upper Extremity
Presented by Lisa Juckett
Meet your instructor
Lisa Juckett
Lisa Juckett has served as a clinical instructor at The Ohio State University in the Occupational Therapy Division since 2011. She has extensive clinical experience in the inpatient rehabilitation and skilled nursing settings. Her position as an inpatient clinician led her to collaborate with researchers at The Ohio State…
Chapters & learning objectives
1. Upper Extremity Anatomy
This chapter will review the neurological mechanisms behind upper extremity impairment after stroke. Additionally, this chapter will review key neuromusculoskeletal structures of the UE to provide clinicians with a strong anatomy foundation.
2. Shoulder Pain Post-Stroke
This chapter will address select orthopedic considerations for addressing shoulder pain after stroke. Content will focus on capsular contractures, supraspinatus impingement, and complex regional pain syndrome (CRPS) to provide practitioners with evidence-based treatment strategies.
3. Shoulder Subluxation
This chapter will review the mechanisms that influence shoulder subluxation in the neurological upper extremity. Shoulder subluxation pathology will be reviewed, and intervention suggestions will highlight evidence-based strategies to improve glenohumeral integrity.
4. Posture Imbalances
This chapter will highlight the importance of postural stability as it relates to the neurological upper extremity. Key components of this chapter include discussions of musculoskeletal imbalance, the connection between posture and the upper extremity, and strategies to improve posture in the stroke population.
5. Orthoses and other treatments
This chapter will present evidence for orthosis use among the stroke population. Additionally, this chapter will introduce adjunct treatments to be used in a multidisciplinary setting, such as the inpatient rehabilitation setting. This presentation will conclude by emphasizing the importance of patient and family education for upper extremity management.
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