ARTICLE8: Effects of Upper Extremity Mobilization Techniques on Fine-Motor Performance in Children with Neuromotor Disorders
Presented By: W. Michael Magrun, M.S., OTR

1 Contact Hours - 0.10 CEUs - 1.00 PDUs
$15.00 per person
Course Description
Three children with neuromotor disorders were evaluated pre and post mobilization techniques for a period of 6 days. The purpose was to determine the relationship between soft tissue and joint restrictions and fine motor performance. Children with neuromotor disorders develop patterns of movement that are characterized by limitations in joint range and muscle function. These patterns are often described as abnormal or atypical patterns of movement, characterized by flexion and pronation of the wrist, pronation of the forearm with elbow flexion, and protraction of the shoulder with scapular abduction and general limitation of shoulder mobility. When there is a restriction of joint mobility and dynamic musculoskeletal function, there are corresponding changes in tissue structure and function. Fascia restrictions interfere with effective elongation and folding of tissue. They adapt to places in the body where movement is inefficient. Tissue contracts and binds down in areas of postural stress, which can profoundly affect posture and movement. These characteristics inhibit the child with neuromotor disorders to develop more dynamic function, particularly in the upper extremities and specifically hand function. Hand function that is efficient requires a complex interaction of postural factors.
Learning Outcomes
1. List the postural factors involved in fine-motor performance.
2. Describe the developmental characteristics of normal development and atypical
development related to hand function.
3. Describe the proximal and distal mobilization techniques and how the contribute
to fine-motor function.
Seminar Level
Level I Introductory/no prerequisites required.
Accepted by NBCOT for PDUs. Approved by the New York State PT Board, California PT Board, Illinois PT Board. For other State PT Board approvals click on CEU Course Approvals.
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Target Audience
Occupational, physical, speech therapists and other rehabilitation specialists. For special needs requests please contact us at
Order Options
This course is only available online.
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