Are there specific characteristics that you look for when choosing candidates for either tendon transfers or FES implantation?
Answer
This usually varies by procedure. When selecting candidates for tendon transfers, we want someone who is motivated and willing to commit their full effort and time into making the procedure a success. They will often be immobilized for many weeks in a cast and need to have full time care. They need to have the support in place to make this work.
With research procedures, such as FES implantation or neuroprosthesis, the bar is set even higher as we have limited research dollars to spend. We carefully choose our candidates based on their willingness to work hard, the strength of the muscles and their response to stimulation and their overall good health. Often with spinal cord injuries there are comorbid conditions such as urinary tract infections or decubitus ulcers. We want to make sure that our candidates are not affected by these afflictions before we start our trial so that we can ensure the best outcomes possible.
Anne Bryden, OTR/L
Anne Bryden, OTR/L is an Occupational Therapist and Research Manager at Case Western Reserve University/The Cleveland FES Center. She graduated in 1991 with a Bachelors of Science in Occupational Therapy from Cleveland State University. Her responsibilities include developing and implementing assessment procedures to determine the efficacy of reconstructive procedures in people with tetraplegia, including tendon transfers and neuroprostheses. She is in collaboration with therapists internationally to develop a multi-center study to measure the impact of UE reconstructive surgery. Additionally, she has authored and co-authored journal articles related to spinal cord injury and rehabilitation.
Related Courses
1https://www.occupationaltherapy.com/ot-ceus/course/joint-hypermobility-syndromes-assessment-and-5376Joint Hypermobility Syndromes: Assessment and InterventionThis course will cover upper extremity assessment and treatment strategies for the pediatric/young adult population affected by joint hypermobility syndromes. The treatment focuses on both orthopedic strategies along with adaptive methods for these individuals.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comJoint Hypermobility Syndromes: Assessment and InterventionThis course will cover upper extremity assessment and treatment strategies for the pediatric/young adult population affected by joint hypermobility syndromes. The treatment focuses on both orthopedic strategies along with adaptive methods for these individuals.5376OnlinePT60M
'excellent application across the lifespan'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, 03594; CE Broker/1.0 General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-894959; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Rehabilitation
This course will cover upper extremity assessment and treatment strategies for the pediatric/young adult population affected by joint hypermobility syndromes. The treatment focuses on both orthopedic strategies along with adaptive methods for these individuals.
2https://www.occupationaltherapy.com/ot-ceus/course/disability-inclusion-what-healthcare-providers-5632Disability Inclusion: What Healthcare Providers Need To KnowAs a person with a disability and an occupational therapist, I have a unique perspective of living in two worlds. In this course, I will share my personal experience and things I wish healthcare providers knew and understood about living with a disability.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comDisability Inclusion: What Healthcare Providers Need To KnowAs a person with a disability and an occupational therapist, I have a unique perspective of living in two worlds. In this course, I will share my personal experience and things I wish healthcare providers knew and understood about living with a disability.5632OnlinePT60M
'I absolutely loved this course!! Thank you Kathryn for putting us in your shoes and really helping us to see what life looks like through your lens'Read Reviews
AOTA/0.1 Introductory, Foundational Knowledge, 04786; CE Broker/1.0 General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-923997; IACET/0.1; NBCOT PDUs/1.25 Beginner, Education And/or Research
As a person with a disability and an occupational therapist, I have a unique perspective of living in two worlds. In this course, I will share my personal experience and things I wish healthcare providers knew and understood about living with a disability.
3https://www.occupationaltherapy.com/ot-ceus/course/supporting-clients-with-als-presentation-6912Supporting Clients With ALS: Presentation And ManagementThis course offers an update on the most current presentation, research, medications, guidelines, and management for clients with ALS. It will also offer actual client cases and management, with a focus on the complexity of needs, adaptations, and assistive technology.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comSupporting Clients With ALS: Presentation And ManagementThis course offers an update on the most current presentation, research, medications, guidelines, and management for clients with ALS. It will also offer actual client cases and management, with a focus on the complexity of needs, adaptations, and assistive technology.6912OnlinePT120M
'I really learned a lot and will use concepts with home health'Read Reviews
AOTA/0.2 Advanced, OT Service Delivery, Foundational Knowledge, 14327; CE Broker/2.0 CE Broker #20-1342319; IACET/0.2; NBCOT PDUs/2.5 Advanced, Rehabilitation
This course offers an update on the most current presentation, research, medications, guidelines, and management for clients with ALS. It will also offer actual client cases and management, with a focus on the complexity of needs, adaptations, and assistive technology.
4https://www.occupationaltherapy.com/ot-ceus/course/supporting-clients-with-ms-presentation-6913Supporting Clients With MS: Presentation and ManagementThis course offers an update on the most current presentation, research, medications, guidelines, and management for clients with multiple sclerosis. It will also offer actual client cases and management, with a focus on the complexity of needs, adaptations, and assistive technology.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comSupporting Clients With MS: Presentation and ManagementThis course offers an update on the most current presentation, research, medications, guidelines, and management for clients with multiple sclerosis. It will also offer actual client cases and management, with a focus on the complexity of needs, adaptations, and assistive technology.6913OnlinePT120M
'Great energy of the speaker made the presentation interesting throughout'Read Reviews
AOTA/0.2 Advanced, OT Service Delivery, Foundational Knowledge, 14230; CE Broker/2.0 CE Broker #20-1342948; IACET/0.2; NBCOT PDUs/2.5 Advanced, Rehabilitation
This course offers an update on the most current presentation, research, medications, guidelines, and management for clients with multiple sclerosis. It will also offer actual client cases and management, with a focus on the complexity of needs, adaptations, and assistive technology.
5https://www.occupationaltherapy.com/ot-ceus/course/occupational-therapy-interventions-for-adults-6658Occupational Therapy Interventions For Adults With Type 2 Diabetes MellitusAn in-depth overview of diabetes mellitus, highlighting the distinctions between Type 1 and Type 2 diabetes, as well as discussing epidemiology, complications, and how occupational therapy contributes to the management of Type 2 diabetes will be discussed in this course. Participants will investigate assessment tools, strategies for lifestyle management, models for health behavior change, and educational resources at both community and global levels to aid in diabetes care and self-management.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comOccupational Therapy Interventions For Adults With Type 2 Diabetes MellitusAn in-depth overview of diabetes mellitus, highlighting the distinctions between Type 1 and Type 2 diabetes, as well as discussing epidemiology, complications, and how occupational therapy contributes to the management of Type 2 diabetes will be discussed in this course. Participants will investigate assessment tools, strategies for lifestyle management, models for health behavior change, and educational resources at both community and global levels to aid in diabetes care and self-management.6658OnlinePT60M
'Increased knowledge of the total number of people w/ the two different diagnoses'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, Foundational Knowledge, 11378; CE Broker/1.0 CE Broker #20-1287356; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Rehabilitation
An in-depth overview of diabetes mellitus, highlighting the distinctions between Type 1 and Type 2 diabetes, as well as discussing epidemiology, complications, and how occupational therapy contributes to the management of Type 2 diabetes will be discussed in this course. Participants will investigate assessment tools, strategies for lifestyle management, models for health behavior change, and educational resources at both community and global levels to aid in diabetes care and self-management.