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Workshop: The Upper Extremity – A Guide to Accurate Assessment & Treatment of the Upper Extremity in Stroke

October 20, 2017 @ 8:00 am - October 21, 2017 @ 5:00 pm

The Upper Extremity – A Guide to Accurate Assessment & Treatment of the Upper Extremity in Stroke

Date: October 20th – 21st, 2017

Where: West Parry Sound Health Centre (6 Albert Street, Perry Sound ON, P2A 3A4 (705) 746-4540 x 1302)

Cost: Early Bird/Student Pricing (By September 15th) – $300.00

Cost: After Early Bird (Sept 16th – October 15th) – $350.00

**Registration is limited**

Registration Form: Upper extremity course flyer

Objective: This hands-on workshop will promote an understanding of the importance of correct assessment, enhance skills and explore treatment approaches to correct imbalance and instability in the upper extremity. The workshop consists of lectures, labs,

Focus: Assessment of individuals following neurological insult with movement disorders in the shoulder girdle,
arm and hand, such as paresis or paralysis, trouble accessing movements, coordination issues and fine
motor difficulties.


• Promote understanding of the importance of correct assessment,
• Examine the most common imbalances seen following neurogenic movement disorders
• Review some assessment approaches
• Explore treatment approaches to correct imbalance and instability in the upper extremity caused by malalignment.
• Enhance hands on skills

A major barrier to effective treatment of the upper extremity in neurology is unprecise or inaccurate
assessment of the cause of the problem being addressed. To reduce an impairment or movement
dysfunction, it is important to identify the specific cause of the problem. We will revisit the clinical
assumptions made historically and examine alternate explanations for our clinical observations. It is no
longer sufficient to explain postural imbalances and stereotyped postures and movement by stating that
the abnormalities are caused by flaccidity or spasticity.
Ideas for correcting these imbalances and asymmetries will be presented including use of slides.
Alignment problems will be discussed along with suggestions for treatment.
Questions and discussion will be encouraged within the time confines.
Clinical experiences over the past 30 years will be shared with you, including the use of assessments and
strategies which can not necessarily be found in published research. The approach is influenced by
motor learning and control and a variety of Bobath-based therapies including IBITA, NDT, NER2, some
ideas of Waleed Al Oboudi (NEURO-INFRAH), as well as approaches developed over the years. You will
be able to take these suggestions which found to be effective with many patients, try them and decide for
yourselves how these fit in with the evidence based approaches discussed to see how they enhance the
results you obtain with your patients.

Instructor: Anna Greenblatt OTReg (Ont)          agreenblattot@gmail.com

Anna Greenblatt has practiced occupational therapy for over 40 years, primarily in the area of neurological rehabilitation, including stroke and pain impairments. She has advanced training in Bobath-based treatment including NDT, Bobath, NER21, including gross and fine motor rehabilitation of the upper extremity/hand. She is an expert level myofascial release (John Barnes) practitioner, and is trained in Constraint Induced Movement Therapy (CIMT, Taub: Upper and Lower Extremity). She is a certified practitioner in Myndmove, Saebo and Bioness.  Anna’s primary area of expertise is in neurological movement disorders. Her approach to rehabilitation of these disorders is multidimensional including but not limited to Bobath-based and orthopaedic and osteopathically-based (mainly myofascial release and cranial therapy) approaches, motor learning and motor control, as well as techniques developed over many decades of practice, taking into consideration perceptual and cognitive issues to move towards an increase in function. This multidimensional approach includes handling skills (neurological and osteopathically based), hands-off functional activities, electrical stimulation, functional splints, and CIMT. Her approach to pain is largely through the use of myofascial release and cranial therapy, as well as strain counter strain, muscle energy and micro-current point stimulation (MPS) and orthopedic manual therapies.
The challenge of regaining function in the upper extremity and hand after a neurological insult is of particular interest to her and one of her areas of expertise. Anna is a contributing author in the book Livre NER21 : Approche thérapeutique neuro-environnementale après une lésion cérébrale / Michèle H. Gerber et Coll. / Edition De Boeck/Solal , 2014 with a chapter titled Integrating Myofascial Release and Bobath-based Approaches in the Treatment of the Upper Extremity & Hand in Neurology.


October 20, 2017 @ 8:00 am
October 21, 2017 @ 5:00 pm