Range of motion (ROM) limitations are associated with many of the conditions commonly seen in rehab, including stroke, multiple sclerosis, and osteoarthritis. A critical part of effective restoration of ROM is being able to identify what factors/issues are responsible for limiting ROM. These may include pain, edema, joint capsule tightness, articular surface damage, muscle shortness, and spasticity. This course focuses on the specific use of physical agent modalities to facilitate restoration of range of motion, especially when used in conjunction with other typical rehab interventions. Several demonstration videos are presented in this course to help participants integrate new information into clinical practice.
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- Sources of ROM loss
- Acute injury stages of inflammation
- Physiological effects of tissue cooling
- Electrotherapeutic agents and edema
- Fibroblastic Phase of Tissue Healing and PAMS
- Maturation Phase of Tissue Healing and PAMS
- Define spasticity
- Outline common spasticity patterns in the upper and lower extremities
- Outline evidence to support use of TENS to treat spasticity
- Outline how joint contractures develop
- List the distinguishing elements of joint contracture as source of decreased ROM
- Describe use of PAMs for minimizing joint contracture
- Describe physiology of pain
- Define and describe peripheral and central sensitization
- Outline 2 major theories of pain
- Outline use of PAMs to manage pain
- Describe joint damage with osteoarthritis
- Outline use of modalities to facilitate effectiveness of joint mobilizations and muscle stretching
- Discuss muscle shortening and agonist-antagonist imbalance as sources of loss of ROM
Course Goals & Objectives:
This course is intended to instruct the professional physical agent modalities in clinical practice for facilitating restoration of range of motion.
- List the stages of the inflammatory process initiated by acute injury
- Identify the main physiological/cellular events that occur in each stage of healing
- Identify the use of PAMs to manage edema
- Recognize common spasticity patterns in the upper and lower extremities
- Identify use of TENS for treating spasticity
- Identify the use of PAMs to address joint contractures
- Define and describe nociceptors and sensitization
- List the main elements of the Gate Control and Neuromatrix theories of Pain
- Identify evidence in support of PAMs for pain management
- Identify use of PAMs for joint mobilizations and muscle stretching
"Seminar-On-Demand" course are streamed on your web browser if the online version if purchased. Our SODs are optimized for the most current versions of Safari, Google Chrome or Mozilla Firefox. A current version of Adobe Flashplayer is also required when viewing on a desktop or laptop computer. All SOD courses are mobile ready.
Contact Hours: 4 contact hours in length (check your state’s approval status in the state specific course catalog for your profession).
Target Audience: Physical Therapist, Physical Therapist Assistant, Occupational Therapist, Occupational Therapist Assistant
Instructional Level: Intermediate
Criteria for Completion: Criteria for Completion: A score of 70% or more is considered passing. Scores of less than 70% indicate a failure to understand the material and the test will need to be taken again until a passing score has been achieved
Financial – Lorie Schleck is employed by Interim Home Care and receives a salary. She receives payment from HomeCEU for the presentation of this course.
Nonfinancial - no relevant nonfinancial relationship exists.
Content Disclosure: This course does not focus solely on any specific product or service