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Kim Kobata, PT, NCS

Kim Kobata, PT, NCS

Physical Therapist, Swedish Multiple Sclerosis Center

Kim Kobata is an outpatient physical therapist. She has special clinical interest in neurological conditions, musculoskeletal rehabilitation (in the setting of neurologic disorders), orthotics and balance disorders. Kim likes to evaluate each person’s condition and how their neuromuscular disorder has contributed to weakness, decreased ROM, spasticity, changes in posture and or compensatory movement patterns. She then develops an individualized exercise program to optimize each patient’s wellness. Treatments also incorporate the individual’s goals, education and training to increase body awareness and improve movement patterns.

Blog Posts by Kim Kobata, PT, NCS

Constraint induced movement therapy in MS may be equally effective as in stroke

Constraint induced movement therapy (CIMT), formerly called “forced use” is a treatment for impaired function of an upper extremity. It has been established as an effective evidence-based form of treatment for rehab of impaired upper extremity (UE) function for post stroke hemiparesis. The core features of CIMT are massed practice (high repetitions) and to overcome learned non-use thru behavior modification. The typical training protocol involves a 2 week period of physical restraint of the less-involved side (90% of the waking hours) and intensive training (3 hours/day) focused on movement patterns of the involved hand and arm. The physical restraint is usually a padded mitt, sling or glove thereby restricting stronger arm use.
At a recent ECTRIMS/RIMS meeting, this form of therapy was presented as being equally effective in

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