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Introduction to Improving Function
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Jan Davis introduces the concepts of care that provides the foundation for this video course. Occupational therapists and physical therapists can optimize the potential for functional gains utilizing five treatment principles.
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Improving Awareness During Bedrest
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This video describes the therapeutic benefits of the patient’s environment, proper bed positioning and supporting the upper extremity during rest. Therapists can impact functional gains before the first treatment session begins.
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Improving Upper Extremity Function & Awareness
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Motor learning theory supports utilizing the involved upper extremity into everyday tasks. Jan Davis demonstrates three distinct methods to incorporate a nonfunctional upper extremity into ADLs and IADLS.
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Examples of Guiding, Weightbearing & Bilateral Use
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Jan Davis demonstrates a task-oriented, problem-solving approach to a simple activity that can be used in any treatment setting: SNF, inpatient or outpatient rehab, acute care or home health.
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Functional Treatment in Standing
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Safety is key in standing with stroke survivors during functional tasks. Jan Davis shows specific handling skills and how to provide a safe environment. Safety belts are used as needed by the patient or required by the facility.
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Standing with Fearful Patients During Function
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The standing tolerance of fearful patients often improves within the context of enriched environments. Determine why the patient is fearful, provide a secure environment and then facilitate motor control during tasks in standing.
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Home Exercise Program
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This video provides great visual examples of an upper extremity Home Exercise Program for stroke survivors. This seven-part program can help maintain ROM and prevent contractures of the upper extremity.
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Summary & Closing: Improving Function & Awareness
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Jan Davis summarizes the importance of using functional activities to improve function and awareness in stroke survivors.
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Introduction to Preventing Shoulder Pain
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Most painful shoulders can be prevented if those working with stroke survivors are better informed and better trained. Jan Davis introduces three stroke survivors and the proper handling methods used to prevent shoulder pain.
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Evaluations & Observations
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Observation is key in determining problem areas related to hemiplegic shoulder pain. Jan Davis begins her evaluation of a stroke survivor. Observe asymmetry of the scapula, shoulder and trunk.
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Scapular Mobilization: Elevation
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Tightness of the muscles acting on the scapula can be a source of shoulder pain in stroke survivors. Safe and pain free mobilization of the scapula begins with elevation. Observe Jan Davis demonstrate clear and effective step-by-step handling methods
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