Upper Motor Neuron Lesions and Prolonged Ankle Stretching

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CEU Course Description

A normal functional ankle joint is a key factor for a successful gait, and muscle stretching approaches are of the most commonly used interventions in rehabilitation.  The goals of this CEU course are to review findings from studies on “prolonged” stretching approaches in patients with upper motor neuron (UMN) lesions including stroke, spinal cord injuries, and traumatic brain injuries, and investigate the compatible features of successful stretching regimens in terms of reducing spasticity, improving the Active Range of Motion (AROM), Passive Range of Motion (PROM), and gait training of spastic patients with UMN lesions.

CEU Course Objectives

1.  Name the two most remarkable results associated with upper motor neuron lesions such as stroke, spinal cord injury, and traumatic brain injuries.

2.  Explain how stretching can help prevent complications following UMN lesions.

3.  Identify what is considered the most desired outcomes in rehabilitation in general and specifically after using stretching.

4.  Describe when electromyography studies have shown that the reflex-mediated increase in muscle tone reaches its maximum, after which the eventual increased resistance to passive stretch is proposed to be due to intrinsic changes of the muscles.

CEU Course Syllabus

Spasticity Overview	0.33 Contact Hours
Prolonged Stretching Research Review	0.33 Contact Hours
Stretching Intervention Discussion	0.34 Contact Hours

Total = 1 Contact Hour

Instructional level:  Intermediate

Course Date: 2019-02-01

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