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Entrapment Neuropathies of the Upper Extremity: Emerging Strategies to Decrease Pain, Increase Range of Motion, & Improve Function

Susan Stralka, PT, MS, DPT
5 Hours 21 Minutes
Apr 12, 2017
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DVD - Also available: Digital Seminar


Diagnosis and Treatment of Upper Extremity Neuropathies

It is often difficult to identify all structures causing upper extremity pain and dysfunction. Therapists must determine the source of the problem to provide the most effective treatment for the client. For many therapists, treating the peripheral symptoms is much easier than identifying and treating central sensitization – a condition of the nervous system that is associated with the development and maintenance of persistent symptoms. But what if there was a way to design a treatment program to assess and treat both peripheral symptoms and central sensitization?

This course provides the tools to do just that. Walk away with emerging, evidence-based assessment and treatment strategies for disorders of the upper extremity, from the cervical spine to the hand. To decipher whether entrapment neuropathies are at play, you’ll learn about and gain hands-on experience with using the Upper Limb Neurodynamic Testing (ULNT) and Scratch Collapse Test during lab. You will also gain 4 ways to identify central sensitization and 5 alternative, evidence-based approaches to calm the nervous system. Using mirror therapy, graded motor imagery, nerve and myofascial gliding, and muscle re-education, help your clients recover from debilitating pain and improve functionality as well as their quality of life.


* Credit Note - ****

Save time and money off other submission methods – purchase & take the CE test online for $29.99. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before completion.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  For Planning Committee disclosures, please statement above.  For speaker disclosures, please see the faculty biography.  For speaker disclosures, please see the faculty biography.

Occupational Therapists - Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 5.3 self-study continuing education credits.

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Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 5.25 continuing competency hours.

Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 5.25 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 5.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 5.0 CE credit hours.

Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 6.4 contact hours.

Other Professions

This self-study activity qualifies for 5.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Susan Stralka, PT, MS, DPT Related seminars and products

SUSAN STRALKA, PT, MS, DPT, is a Licensed Physical Therapist with over 30 years of experience, many of which involved treating both musculoskeletal and neurovascular consequences of injury. She obtained her Physical Therapy degrees, including her Master of Science and Doctor of Physical Therapy degrees, from The University of Tennessee Health Science Center (UTHSC) in Memphis, Tennessee. She also acts as an occasional guest lecturer at UTHSC, for the Department of Physical Therapy. Dr. Stralka remains a consultant to the Mays and Schnapp Pain Clinic in Memphis, treating all types of acute and chronic pain dysfunctions. She has a strong clinical background in orthopedics and manual therapy, and has presented nationally and internationally on a wide variety of orthopedic subjects.

Dr. Stralka and two of her colleagues wrote the first exam for the Orthopedic Specialty Certification through the American Board of Physical Therapy Specialties. She has many publications to her credit and her most recent publications are "Graded Motor Imagery" in the Journal of Hand Therapy, 2011, and "Thoracic Outlet Syndrome" in the book entitled Neck and Arm Pain Syndromes, 2011. She is a member of the American Physical Therapy Association, as well as a member of the Orthopedics, Neurology, Research, and Hand Sections of the APTA. In addition, Dr. Stralka is the recipient of the Dr. Arthur Nelson Honorary Lectureship Award for lectures on Complex Regional Pain Syndrome and was the co-recipient of the Rose Excellence in Research Award in 1996.

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  1. Explore the relationship of the neural system continuum and musculoskeletal problems
  2. Discover differential diagnosis procedures to use for problem solving and successful treatment of upper quadrant pain and dysfunction
  3. Examine Upper Limb Neurodynamic Testing (ULNT) and Scratch Collapse Test to rule in nerve pathologies including double crush
  4. Define pain mechanisms and ways to identify central sensitization
  5. Develop a sequential exercise program starting with addressing the symptoms
  6. Utilize mirror therapy and graded motor imagery along with the biopsychosocial approach to improve outcomes


  • The relationship of neurovascular and musculoskeletal problems—joints, ligaments, bone, muscle, and nerve
  • Movement in the nervous system
  • Degenerative cervical dysfunction
  • Symptom identification
  • Proximal vs. distal symptoms
    • Cervical radiculopathy
    • Shoulder pathology
    • Tenosynovitis
  • Pathophysiology of neural tissue
  • Consequences of muscle imbalance
  • Upper Limb Neurodynamics Testing (ULNT) and Scratch Collapse Test
  • Classification of nerve compression injuries



  • Nerve gliding
  • Muscle re-education
  • Mirror Therapy and Graded Motor Imagery
  • Ergonomic strategies

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Athletic Trainers, Massage Therapists
  • Certified Strength and Conditioning Specialists
  • Personal Trainers
  • Coaches


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