Instructional Concurrent Session III
Application of Objective Strength Measurements for Individualized Client Metrics
In today's healthcare environment it is imperative to demonstrate efficacy of treatment interventions to clients, providers, and third party payers. While current therapist practice is dominated by subjective manual muscle testing, dynamometry is objective and sensitive in demonstrating subtle strength differences. Clinical dynamometry provides quantitative data on a continuous scale to more precisely diagnose and document neuromuscular impairments. In addition, isometric dynamometric measurements of the upper extremity should be used as the basis for performing a clinical fatigue test and therapeutic exercises dosing. Client engagement in the rehabilitation process is key to successful outcomes, attendance, satisfaction, and adherence to the plan of care. Using dynamometry to provide objective feedback to the client is a means of quantifying progress. Even small progress can be measured and serves as a motivator. As clients become more savvy consumers of healthcare and choices of therapy providers abound, clients are seeking individualized metrics and tracking. At this time, use of hand-held dynamometry sets a practitioner apart from the crowd.
- Identify 2 reasons for using hand-held dynamometry in addition to manual muscle testing.
- Apply principles of standardization in client and provider position and posture for hand-held dynamometry tests.
- Describe the application of objective strength assessment as an individualized client metric for motivation and engagement.
- Measure strength using a hand-held dynamometer to examine the force ration of one agonist/antagonist relationship.
Illuminating the Nuances of Carpal Tunnel Syndrome: Advanced Concepts in Prevention and Rehabilitation for the Experienced Therapist
Carpal tunnel syndrome: a simple, easy-to-treat diagnosis, right? This course will reveal why it may not be as straightforward as you may think. Using a combination of case examples, research data, published evidence, and live demonstrations this advanced course will look beyond the surface with sonographic imaging to provide the experienced therapist with a deeper appreciation of the complexity involved in carpal tunnel syndrome. The frequency and pathological impact of anatomical anomalies (bifurcated nerves, persistent median arteries, aberrant muscles) will be pictured and discussed. Dynamic sonography will be used to demonstrate how the tendons and nerve move and interact within the carpal tunnel during use of the hand and fingers, including: radial-ulnar, palmar-dorsal, and longitudinal gliding movements. Published evidence, research data, and live imaging will show that there are numerous ways in which the nerve becomes entrapped across different individuals. Implications for the use of imaging to empower patients through education and visualization of the cause of their symptoms will be discussed. Participants will engage in conversation regarding how differentiating causes of entrapment within each client using imaging could inform the development of individualized preventive/habilitative/rehabilitative interventions and/or work practices that reduce the occurrence of entrapment to promote wellness and recovery.
- Describe complex anatomical characteristics of the carpal tunnel (e.g., anatomical variants), the dynamic interactions that occur among carpal tunnel structures during functional activities, and the relationship of these factors to the entrapment of the median nerve.
- Identify techniques for the use of sonographic imaging to differentially assess anatomical characteristics, dynamic movements, tissue health, and other factors contributing to symptoms in order to advance the provision of targeted and individualized interventions for the prevention and rehabilitation of carpal tunnel syndrome.
- Discuss ways in which imaging can be used for patient education to improve understanding and embodiment of their symptoms, thereby empowering patients to engage in health-promoting practices related to carpal tunnel syndrome.
Pediatric Hand Traumas/Injuries – “The Perfect Storm”
Therapists will discuss age appropriate therapeutic strategies including splinting, home exercise programs, ADL strategies/equipment, and importance of psychosocial wellbeing of children born with a hand difference. Therapists will share child friendly toys/activities to encourage increased ROM, strength, FMC, and function. Physician will discuss timing and appropriateness of hand surgery for children born with congenital hand differences.
- Describe age appropriate therapeutic strategies used to treat children with a hand injury or trauma.
- Describe appropriate splinting interventions for children who have sustained a hand injury or trauma.
- Discuss the importance of tissue healing in children as compared to adults.
- Discuss appropriate timing for surgery of children who have sustained an injury or trauma.
Traditional and Creative Ideas for Marketing/Branding Hand Therapy
The course will offer education on the fundamentals of marketing. Strategies for attracting and retaining referral sources will be reviewed. Attendees will receive traditional and creative ideas to place in their toolbox for marketing to physicians, PA’s, NP’s and the general public. They will also gain a greater understanding of how they can impact “branding” the specialty of hand therapy (HT).
- Learn traditional and present–day avenues for marketing through use of infographics, video and social media.
- Learn the difference between advertising and promoting HT and the value of each one.
- Understand the fundamentals of marketing to physicians, PA’s, NP’s and learn the most effective ways to attract and retain referral sources.
- Learn the value of the terms “frequency and reach” and how to implement these into a marketing program.
- Understand the importance and impact that each hand therapist (HT) can make in branding the specialty of HT!
Writing Grants and Securing Funding: A Grant Writer’s Workshop - Sponsored by American Hand Therapy Foundation
This course will help both clinicians and academicians who are interested in getting started in funded research projects. The speakers will provide an overview of opportunities available from the American Hand Therapy Foundation and discuss the requirements for each. Participants will have an opportunity to hear from experienced grant writers in how to construct a proposal that includes relevant information required during the review process. Speakers will discuss constructing a budget that is consistent with the grant description. The application for the Evelyn Mackin Travel Award for educating others in the area of hand therapy will also be discussed.
- Describe the different parts of the grant proposal
- Determine information required for each component of the proposal
- Develop a budget that is within guidelines of the grant opportunities that are available.
- Demonstrate adequate psychometric properties of the instruments being utilized
- Write a proposal that would be adequate for submission for the American Hand Therapy Foundation