The way I like to think about it, without getting too technical, is to think about the affected side of the brain as being bullied by the unaffected side. The unaffected side increases the activation because the affected side is damaged and has decreased activation. The unaffected side starts to take over some control of the affected side, and what that looks like clinically is the affected arm and hand are weaker and do not function as well. Meanwhile, the unaffected arm and hand get stronger contributing to that learned non-use phenomenon. If we do bilateral activities, are we clinically using both arms and hands equally? By doing that, are we stimulating the unaffected side, the bully of the brain? Or is it better to do a unilateral task so that you can try to increase activation of the affected side? There is a lot of discussion. I do not know the right answer to that right now. A big controversy is that most of our everyday tasks require both hands and both arms to use. Is it really feasible and realistic to just use one hand? Hope that explained it well enough.
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/electrical-stimulation-for-recovery-function-3840Electrical Stimulation for Recovery of Function in NeurorehabilitationThis course will describe the different mechanisms of action for electrical stimulation to restore function in patients with neurological dysfunction. Using case studies and best evidence, participants will learn how to design and execute interventions with electrical stimulation useful in neurorehabiliation.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comElectrical Stimulation for Recovery of Function in NeurorehabilitationThis course will describe the different mechanisms of action for electrical stimulation to restore function in patients with neurological dysfunction. Using case studies and best evidence, participants will learn how to design and execute interventions with electrical stimulation useful in neurorehabiliation.3840OnlinePT60M
AOTA/0.1 Intermediate, OT Service Delivery; 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 #20-669888; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Rehabilitation
This course will describe the different mechanisms of action for electrical stimulation to restore function in patients with neurological dysfunction. Using case studies and best evidence, participants will learn how to design and execute interventions with electrical stimulation useful in neurorehabiliation.
4https://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
'Teacher was knowledgeable and able to get through topic with good flow'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.
5https://www.occupationaltherapy.com/ot-ceus/course/disability-inclusion-what-healthcare-providers-5632Disability Inclusion: What Healthcare Providers Need To KnowAs a person with a disability and an occupational therapist, I have a unique perspective of living in two worlds. In this course, I will share my personal experience and things I wish healthcare providers knew and understood about living with a disability.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comDisability Inclusion: What Healthcare Providers Need To KnowAs a person with a disability and an occupational therapist, I have a unique perspective of living in two worlds. In this course, I will share my personal experience and things I wish healthcare providers knew and understood about living with a disability.5632OnlinePT60M
'The presenter is so engaging and not only provided good examples and so much insight into her experiences living with a disability, but identifies many areas that need to be considered for disability inclusion'Read Reviews
AOTA/0.1 Introductory, Foundational Knowledge, 04786; 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 #20-923997; IACET/0.1; NBCOT PDUs/1.25 Beginner, Education And/or Research
As a person with a disability and an occupational therapist, I have a unique perspective of living in two worlds. In this course, I will share my personal experience and things I wish healthcare providers knew and understood about living with a disability.