RST CE Seminars

VA PRAT 6th Virtual Grand Rounds
"Pathophysiology and Management of Spastic Hypertonia:
Current Concepts"

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Select this link to be taken to site where you can view the lecture presentations
Click here to view presentation
Recorded on August 23, 2010

Link to PDF of the Powerpoint files

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Michael C. Munin, MD

Dr. Michael Munin is a board certified in physical medicine and rehabilitation as well as electrodiagnostic medicine. He is an associate professor and Vice Chairman in the department of Physical Medicine and Rehabilitation at the University of Pittsburgh School of Medicine. Dr. Munin also holds a secondary appointment within the department of Rehabilitation Science and Technology. He has been honored with listings in both America's Top Doctors (Castle Connlley Guide) and Best Doctors in America since 2001 and 2004 respectively. He is also medical director of the University of Pittsburgh Medical Center Presbyterian Inpatient Rehabilitation Unit and outpatient Spasticity and Prosthetic Clinics.

Note: Faculty for this activity have been required to disclose all relationships with any proprietary entity producing health care goods or services, with the exemption of nonprofit or government organizations and non-healthcare related companies.

* No conflicts have been disclosed.

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Spastic hypertonia is an important clinical problem after brain and spinal cord injury or disease. In this lecture, current concepts regarding mechanisms of disease and clinical presentation from this condition will be discussed. Rehabilitation and medical treatments, including local injections with botulinum toxin, will be demonstrated. After viewing this presentation, the listener should have a solid understanding of available treatment options to help patients with this condition lessen disability from spasticity.


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Learning objectives:

Upon attending this seminar, participants will be able to:

  • identify upper and lower limb spasticity patterns;
  • describe treatment goals of spasticity management
  • describe advantages and disadvantages to occupational therapy, physical therapy and pharmacological spasticity treatments;
  • determine when spasticity management should be introduced into the rehabilitation protocol;
  • identify multimodal approaches to spasticity management, which can include: rehabilitation, oral medication, intrathecal baclofen, chemodenervation, Orthopedic surgery and neurosurgery;
  • determine when a team approach for spasticity management should be implemented.


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CEU Registration and Program Cost

0.15 Continuing Education Units (CEUs) will be awarded to individuals for attending 1.5 hours of instruction.

Cost: $59

*Instructions for processing payment to receive CEUs

To begin click on this link

Create a profile.


After creating the profile, click on:

  1. Register for CE Courses and Program
  2. Webinars
  3. Select : 6th VA-PRAT Virtual Grand Rounds: Pathophyisology and Management of Spastic Hypertonia: Current Concepts
  4. Click on method of payment
  5. Submit payment

You will receive a payment confirmation via e-mail. Please note you will only be able to access the post test and evaluation to receive CEU's if you have paid for the course.

After viewing the program:

Instructions for completing the online course evaluation.

  1. To complete the online post test and evaluation, go to the RST CE homepage at:
  2. Select the button that says post tests and evaluations.
  3. Log into the RST CE database and select post test and evaluations. (using the email address and password that you created prior to the viewing).
  4. Select and complete the course post test and evaluation.
  5. Click Submit

You will receive your CEU Certificate via emailed pdf.

The University of Pittsburgh, School of Health and Rehabilitation Sciences awards Continuing Education Units to individuals who enroll in certain educational activities. The CEU is designated to give recognition to individuals who continue their education in order to keep up-to-date in their profession. (One CEU is equivalent to 10 hours of participation in an organized continuing education activity). Each person should claim only those hours of credit that he or she actually spent in the educational activity.

The University of Pittsburgh is certifying the educational contact hours of this program and by doing so is in no way endorsing any specific content, company, or product. The information presented in this program may represent only a sample of appropriate interventions. ). Each person should claim only those hours of credit that he or she actually spent in the educational activity.


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System requirements and testing your computer

Before viewing a Web seminar, it is recommended that you test your computer and browser compatibility.

You may do so by going to system requirements and run a test presentation at:


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The University of Pittsburgh, as an educational institution and as an employer, values equality of opportunity, human dignity, and racial/ethnic and cultural diversity. Accordingly, the University prohibits and will not engage in discrimination or harassment on the basis of race, color, religion, national origin, ancestry, sex, age, marital status, familial status, sexual orientation, disability, or status as a disabled veteran or a veteran of the Vietnam era. Further, the University will continue to take affirmative steps to support and advance these values consistent with the University's mission. This policy applies to admissions, employment, access to and treatment in University programs and activities. This is a commitment made by the University and is in accordance with federal, state, and/or local laws and regulations. For information on University equal opportunity and affirmative action programs and complaint/grievance procedures, please contact: William A. Savage, Assistant to the Chancellor and Director of Affirmative Action (and Title IX and 504 Coordinator), Office of Affirmative Action, 901 William Pitt Union, University of Pittsburgh, Pittsburgh, PA 15260, 412- 648-7860

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Department of Rehabilitation Science and Technology Continuing Education, SHRS • University of Pittsburgh
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