289: How Not To Abandon The Hemiplegic Arm In Every Treatment Session With Dr. Melissa Kimmerling, EdD, MOT, OTR/L
I Love Neuro27 Okt 2025

289: How Not To Abandon The Hemiplegic Arm In Every Treatment Session With Dr. Melissa Kimmerling, EdD, MOT, OTR/L

How well are you incorporating the hemiparetic arm of your client into every treatment technique? Do you know when to use remediation vs compensation techniques? Let's talk about it! On today's episode host Erin Gallardo, PT, DPT, NCS and Dr. Melissa Kimmerling, EdD, MOT, OTR/L dive into strategies for upper extremity recovery, focusing on patients with limited arm function after neurological injuries. Dr. Kimmerling, an occupational therapy expert, shares invaluable insights into helping patients maximize their arm's potential, even when movement is minimal.

The discussion centers on the critical concept of not abandoning the affected arm, but instead finding creative ways to integrate it into daily activities. Dr. Kimmerling emphasizes that recovery isn't an all-or-nothing process. Even a dependent arm can play a meaningful role in functional tasks. Key strategies include proper positioning, weight-bearing techniques, and incorporating the arm into bilateral activities. Mental imagery and mirror therapy emerge as powerful tools for maintaining neural pathways and sensory awareness. The experts stress the importance of helping patients feel independent, even if their movement looks different from before.

The conversation highlights the delicate balance between remediation (working to restore function) and compensation (finding alternative ways to complete tasks). Dr. Kimmerling shares personal experiences and clinical insights, reminding listeners that participation is always the ultimate goal - even if it's messy or imperfect.

FUEL upper extremity levels

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324: When Robots "Make Mistakes" To Help You Heal: Error Augmentation In Neuro Rehab With BioXtreme

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323: Before We Left for Phoenix: Our World Parkinson Congress 2026 Preview

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322: Find Work-Life Balance With Alignment, Not Productivity Tools

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321: How To Use AI Tools To Get Time Back Even When You're Not Techy With Shanté "Movement Maestro" Cofield, PT, DPT, OCS

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320: AI Documentation As A Game-Changer For Neuro Rehab: How-To

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319: How And Why You Should Train Neuro Clients In More Positions With Dr. JJ Mowder-Tinney, PT, PhD, NCS

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In this episode, hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS and JJ Mowder-Tinney, PT, PhD, NCS discuss the critical but under-addressed role of transitional movements in neurolo...

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318: Using RTM With Neuro Clients For Increased Revenue, Motivation, And Data Metrics To Justify Therapy

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317: Maximize Progress In Neuro Rehab Using Rhythmic Auditory Stimulation With MedRhythms

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