Restoring Voluntary Grasping Function After Stroke or Spinal Cord Injury Using Functional Electrical Stimulation IC25
DAY Sunday 14 April 19
TIME 9:00 AM – 1:00 PM
FORMAT 4-hours Instructional course, Hands-on Workshop
ROOM LOCATION to be determined
TOPIC AREAS Neuroplasticity (includes neuroscience), Technology, Cross-Cutting, Clinical Practice, Spinal Cord, Stroke
CAREER LEVEL Intermediate
WHO SHOULD ATTEND
Physical Therapists, Occupational Therapists, Hand Therapists, Bio- medical Engineers, Physiatrists
Upper limb rehabilitation strategies for individuals with spinal cord injury (SCI) and stroke have evolved greatly over the last few decades. Amongst these strategies, functional electrical stimulation (FES) approaches have been widely recognized as the most promising. FES is a methodology that uses bursts of short electrical pulses to generate muscle contraction. If these electrical pulses are applied to motor nerves they can elicit action potentials that propagate along the axons towards the target muscle. To date, two FES-based approaches for improving upper limb function in individuals with SCI have emerged. One approach proposes the use of FES as a permanent orthotic device that patients have to use all the time to grasp and release objects. In this application, the FES systems for grasping are better known as neuroprostheses for grasping. The second approach has emerged relatively recently, and it proposes the use of FES as a short-term therapeutic intervention with an objective to help the damaged central nervous system relearn how to execute the grasping function voluntarily. More specifically, after the therapy is completed and the FES system is permanently removed, the patients are able to grasp and release objects on their own, that is, without the help of FES device. In its first embodiment, FES technology is used as a permanent orthosis; in its second embodiment, it is used as a therapeutic tool. Our team over the past 20+ years has used a multi channel surface FES system to retrain various functions in individuals with spinal cord injury and stroke, and the results are compelling. The aim of this workshop is to illustrate the application of FES therapy for retraining upper extremity function, in particular reaching and grasping, in individuals with stoke and spinal cord injury. In this workshop we will provided a brief overview of stimulation parameters, identification of patients appropriate for FES applications, indications and contraindications to FES, the results of various RCT’s with stroke and SCI subjects. We will demonstrate the use of various reaching and grasping stimulation protocols for upper extremity functional retraining using a fully programmable surface multi channel functional electrical stimulator. This will be followed by an interactive “hands on” session.
Upon completion of the course, participants should be able to:
- Neuroplasticity (includes neuroscience)
- Clinical Practice
CME/CEUS 4 Hours
ACRM Training Institute registration includes CME/CEUs for the following disciplines:
- Case Managers (CCMC)
- Disability Management Specialists (CDMS)
- Healthcare Executives (ACHE)
- Nurses (ANCC)
- Occupational Therapists (AOTA)
- Physical Therapists (FSBPT-24 states)
- Physicians (ACCME-CME)
- Psychologists (APA Division 22)
- Rehabilitation Counselors (CRCC)
- Social Workers (NASW)
- Speech Therapists (ASHA)
4 hours of live instruction, continuing education credit processing, access to presentation slides (if provided by presenters), NON-ACRM members receive introductory 6- month membership
Early Bird rate $49 for members and $99 for non-members
We encourage you to register early
Limited space available
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