Is shoulder pain or pain as a result of spasticity a contraindication for CIMT?
Answer
Yes. You certainly want to assess a client’s pain at all times. Because of the repetitive nature of CIMT, it might be a contraindication for someone with shoulder pain. As we all know with a stroke or compromised shoulder due to a neurological incident, pain is not gain, and we want to be very mindful. In the EXCITE trial, that was one of the qualifiers, that a person did not exhibit any pain or had minimal pain. The protocol could be altered so that they would be allowed rest periods or the activity modified to increase participation. You would definitely want to monitor and accommodate for it as able.
Veronica T. Rowe, PhD, OTR/L, CBIST
Dr. Veronica Rowe has over 24 years of experience as an occupational therapist, she has worked in various areas of adult and geriatric care including acute care, inpatient and outpatient rehabilitation, long term care, burns, hands, and psychiatric care, all areas with an emphasis in neurological disorders. Prior to her work in academia, she spent her career in St. Louis, Missouri at St. Anthony’s Medical Center; Baltimore, Maryland at Johns Hopkins Bayview; and Atlanta, Georgia at Emory University. She served as a project coordinator for numerous research studies at Emory University involving rehabilitation therapies for the neurologically compromised upper extremity, including constraint induced movement therapy, mental imagery, and use of robotic devices. She has collaborated on several research studies involving task-specific training and neurorehabilitation assessment measures with the University of Southern California. She is the author of numerous peer-reviewed articles, and has presented nationally, internationally, and virtually for a wide variety of audiences. She is also a Certified Brain Injury Specialist Trainer. She has over 13 years of experience teaching in occupational therapy at the University of Central Arkansas and Georgia State University. She currently teaches and mentors research and neurological rehabilitation courses in occupational therapy.
Related Courses
1https://www.occupationaltherapy.com/ot-ceus/course/administering-fugl-meyer-assessment-for-6289Administering The Fugl-Meyer Assessment For The Upper ExtremityThe Fugl-Meyer Assessment for the Upper Extremity (FMA-UE) is widely used as the gold standard in stroke research. Therapists will learn how to administer this standardized neurorehabilitation assessment of motor impairment for the hemiparetic arm and hand through detailed instructions and video demonstrations.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comAdministering The Fugl-Meyer Assessment For The Upper ExtremityThe Fugl-Meyer Assessment for the Upper Extremity (FMA-UE) is widely used as the gold standard in stroke research. Therapists will learn how to administer this standardized neurorehabilitation assessment of motor impairment for the hemiparetic arm and hand through detailed instructions and video demonstrations.6289OnlinePT60M
The Fugl-Meyer Assessment for the Upper Extremity (FMA-UE) is widely used as the gold standard in stroke research. Therapists will learn how to administer this standardized neurorehabilitation assessment of motor impairment for the hemiparetic arm and hand through detailed instructions and video demonstrations.
2https://www.occupationaltherapy.com/ot-ceus/course/translating-and-implementing-motor-learning-5015Translating and Implementing Motor Learning Approaches for NeurorehabilitationThis webinar will review current evidence-based practice of motor learning approaches that address underlying client factors that may influence occupational performance due to a neurological event. Emphasis will be placed on the knowledge translation and implementation of treatment components within Task Oriented/Specific Training, Constraint Induced Movement Therapy, and the Cognitive Orientation of Occupational Performance along with ways to improve motivation and adherence to treatments.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comTranslating and Implementing Motor Learning Approaches for NeurorehabilitationThis webinar will review current evidence-based practice of motor learning approaches that address underlying client factors that may influence occupational performance due to a neurological event. Emphasis will be placed on the knowledge translation and implementation of treatment components within Task Oriented/Specific Training, Constraint Induced Movement Therapy, and the Cognitive Orientation of Occupational Performance along with ways to improve motivation and adherence to treatments.5015OnlinePT60M
'specific examples in each category would be helpful - esp if pertain to my line of work; acute care'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, 01664; CE Broker/1.0 Home Study, General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-817606; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Rehabilitation
This webinar will review current evidence-based practice of motor learning approaches that address underlying client factors that may influence occupational performance due to a neurological event. Emphasis will be placed on the knowledge translation and implementation of treatment components within Task Oriented/Specific Training, Constraint Induced Movement Therapy, and the Cognitive Orientation of Occupational Performance along with ways to improve motivation and adherence to treatments.
3https://www.occupationaltherapy.com/ot-ceus/course/reducing-opioid-use-role-therapy-9544Reducing Opioid Use: The Role of Therapy in Managing PainUnderstanding and addressing chronic pain before it is treated pharmacologically may be an important first step in addressing opioid misuse. By attending this course, therapists will gain a better understanding of the scope of opioid use and abuse as well as the role that therapists can play in identifying and addressing addiction and pain.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comReducing Opioid Use: The Role of Therapy in Managing PainUnderstanding and addressing chronic pain before it is treated pharmacologically may be an important first step in addressing opioid misuse. By attending this course, therapists will gain a better understanding of the scope of opioid use and abuse as well as the role that therapists can play in identifying and addressing addiction and pain.9544OnlinePT120M
AOTA/0.2 Intermediate, OT Service Delivery, Foundational Knowledge, 04536; CE Broker/2.0 General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-913176; IACET/0.2; NBCOT PDUs/2.5 Intermediate, Rehabilitation
Understanding and addressing chronic pain before it is treated pharmacologically may be an important first step in addressing opioid misuse. By attending this course, therapists will gain a better understanding of the scope of opioid use and abuse as well as the role that therapists can play in identifying and addressing addiction and pain.
4https://www.occupationaltherapy.com/ot-ceus/course/complex-regional-pain-syndrome-functional-5823Complex Regional Pain Syndrome: Functional, Biomechanical, And Psychosocial InterventionsFunctional, biomechanical, and psychosocial interventions for complex regional pain syndrome (CRPS) will be discussed in this course using case studies and best practices to help clients improve function.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comComplex Regional Pain Syndrome: Functional, Biomechanical, And Psychosocial InterventionsFunctional, biomechanical, and psychosocial interventions for complex regional pain syndrome (CRPS) will be discussed in this course using case studies and best practices to help clients improve function.5823OnlinePT60M
'speaker was knowledgeable and gave good examples with two case studies'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, 05968; CE Broker/1.0 General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-989046; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Rehabilitation
Functional, biomechanical, and psychosocial interventions for complex regional pain syndrome (CRPS) will be discussed in this course using case studies and best practices to help clients improve function.
5https://www.occupationaltherapy.com/ot-ceus/course/joint-hypermobility-syndromes-assessment-and-5376Joint Hypermobility Syndromes: Assessment and InterventionThis course will cover upper extremity assessment and treatment strategies for the pediatric/young adult population affected by joint hypermobility syndromes. The treatment focuses on both orthopedic strategies along with adaptive methods for these individuals.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comJoint Hypermobility Syndromes: Assessment and InterventionThis course will cover upper extremity assessment and treatment strategies for the pediatric/young adult population affected by joint hypermobility syndromes. The treatment focuses on both orthopedic strategies along with adaptive methods for these individuals.5376OnlinePT60M
'I appreciated the presenter's expertise and her ability to present course information concisely'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, 03594; CE Broker/1.0 General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-894959; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Rehabilitation
This course will cover upper extremity assessment and treatment strategies for the pediatric/young adult population affected by joint hypermobility syndromes. The treatment focuses on both orthopedic strategies along with adaptive methods for these individuals.