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Continuing Education for Rehabilitation Professionals

It’s Not Just About the Hand

Lecture Name

It’s Not Just About the Hand     $149.75

This lecture is part of the following course:
Neurodynamics of the Upper Extremity: Evaluation and Treatment Strategies


In this exciting, five-hour course, the clinician will learn ways to evaluate proximal problems that may result in distal symptoms. These evaluation strategies will help determine if the symptoms are distal, or if there is a complex of upper quadrant problems, as in neck, shoulder, postural or scapular dysfunction. This course will describe the neural continuum, as well as special tests to determine what nerve structure is involved. Emphasis will be placed on understanding and performing upper extremity neurodynamic testing. The student will also be exposed to incorporating both clinical and home treatment strategies.

Note: This course provides conceptual preparation to seek additional training, and does not provide you a mentored hands-on skills session. Please seek additional experience, with a mentor, to perform hands-on skills.Exploring Hand Therapy

This presentation was originally produced by Exploring Hand Therapy.

Continuing education credits

  • This course is acceptable for credit in most states for PTs and PTAs. To see the full list of courses approved for continuing education in your state, visit our courses page and filter for "Physical Therapist" or "Physical Therapist Assistant" and your state of licensure.
  • AOTA: This program is offered for 0.50 CEUs, Intermediate Level, Occupational Therapy Process: Evaluation and Intervention.

    EDUCATA is an approved provider of continuing education courses by the American Occupational Therapy Association (AOTA). The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA or indicate AOTA approval of a certification or other professional recognition.

  • NBCOT: 6.25 PDU (Course includes assessment component.)

Note: Post-test must be passed with a score of 80% or more in order to receive certificate of completion.

Contact Hours: 5.00


Difficulty: Intermediate

Goals & Objectives:

At the completion of this lecture, the learner will be able to:

  1. Understand the mechanics and physiology of the nervous system, which is essential for movement of the upper extremity, and neuroanatomy and neurodynamics, as they relate to neural gliding in the upper extremity.
  2. Describe the neural continuum, as well as ways to test the continuum in the upper extremity.
  3. Differentiate between existing and new neural tissues.
  4. Perform techniques by utilizing sliders or tensioners to create movement.
  5. Identify anatomical and palpable areas in the upper extremity in order to determine the course of the nerve.
  6. Explain the characteristics of pain mechanisms:
    1. Nociceptive pain
    2. Peripherally-evoked neurogenic systems
    3. Central sensitizations
  7. Identify the relationship of neuromusculoskeletal dysfunction in the upper extremity.
  8. Carry out both subjective and physical neurodynamic tests in the upper extremity.
    1. Describe pain syndrome.
    2. Delineate the relationship between pain and myofascial trigger points.
    3. Identify points of neural movement limitations.
  9. Review the relationship of neurovascular and musculoskeletal dysfunction in order to develop a treatment strategy.
  10. Evaluate subjective and physical examinations in order to determine an appropriate treatment program for home use.


The professor of this course has NOT endorsed or received any compensation from the manufacturers or distributors of any of the materials discussed in this presentation.

Financial: Dr. Stralka is the owner of Allied Health Therapeutic Solutions, a physical therapy clinic in Germantown, Tennessee, and a paid consultant to several Memphis-area clinics. She has also served as a guest lecturer in physical therapy and clinical intructor of orthopedics at the University of Tennessee Health Science Center, and a clinical instructor of physical therapy at the University of Mississippi. She receives compensation from EDUCATA and Exploring Hand Therapy as the professor of this course.

Nonfinancial: Dr. Stralka has done research and written articles about ruptures of the proximal biceps tendon, post-traumatic hand edema, repetitive stress injuries, spinal cord injuries, thoracic outlet syndrome, regional pain syndrome, management of hand and wrist pain at the worksite, and graded motor imagery.

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