Instructional Concurrent Session VI
Assessment and Rehabilitation Methods of Wrist Sensorimotor Impairment
Proper wrist function depends on an intact sensorimotor (SM) control system. The wrist SM control system encompasses complex neural pathways that are necessary to regulate normal wrist active range of motion and neuromuscular stability for daily upper extremity function. This session intends to review the SM control system organization and neuroanatomical pathways relative to the wrist joint. The active wrist joint position sense (JPS) test, which is considered a clinically meaningful assessment method for wrist SM control impairment, will be discussed. The currently known psychometric properties (i.e., reliability, responsiveness) of this emerging test will be presented. Great emphasis will be directed to rehabilitation strategies towards restoring wrist joint conscious and unconscious proprioceptive senses following various types of wrist trauma (e.g., carpal instabilities, wrist fractures) based on currently best available evidence. The relationship between pain and SM control deficit following wrist trauma will be discussed. Select cases will be utilized to allow attending hand therapists develop a clinical competency on treating patients with distinct wrist proprioceptive impairments that require the implementation and proper progression of specific SM rehabilitation strategies (e.g., pain control techniques, open- versus closed-chain active ROM methods, dart throwing motion, and neuromuscular re-training for dynamic joint stability).
- To describe the SM control system organization and its contribution to wrist joint dynamic stability
- To discuss how to assess wrist SM control impairment via conducting the active wrist JPS test
- To acquire clinical knowledge on developing rehabilitation programs for patients with various types of wrist instability
Dynamic Stability of the Painful Thumb: Evidence Informed Intervention
Thumb pain and instability due to injury or pathology impacts participation in daily living. Optimal therapeutic outcomes are achieved by thorough evaluation and innovative interventions. This course will guide the participant through an understanding of the unique anatomy of the thumb, including the proprioceptive contributions of the ligaments and muscles which forms the basis to comprehend and apply a dynamic stability conservative management program. This program will discuss the use of the stability exercises for postoperative thumb intervention. Participants will learn to administer individualized evaluation and evidence-informed interventions including manual techniques, neuromuscular re-education, orthotic intervention and patient education to achieve a pain-free, stable and functional thumb.
- Understand the detailed functional anatomy and patho-anatomy of the arthritic or injured thumb to apply to therapeutic intervention of the thumb
- Administer individualized evaluation and innovative, evidence-based interventions; including manual techniques, neuromuscular re-education, joint protection patient education and effects of orthotic intervention
- Improve outcomes by empowering persons to achieve and maintain a pain-free, stable and strong thumb for optimal participation in all aspects of daily living
Orthosis Fabrication with Neoprene
Expand your options when making orthoses by adding the use of Neoprene material to your tool box. Neoprene can be used to immobilize, protect, align, support and/or mobilize a body part. Creative and strategic strapping allows versatility and comfort to most custom orthoses. No sewing machine, irons or seam tape necessary.
- Describe the characteristics and benefits of using Neoprene as an option for orthotic intervention of the upper extremity.
- Demonstrate cutting the neoprene material, applying rivets, hook and loop in order to fabricate a variety of upper extremity strapping systems.
- Fabricate several orthoses using Neoprene alone and Neoprene combined with traditional materials for stabilization of the 1st CMC joint.
- Actively participate in case studies which will offer the clinician an opportunity to fabricate several unique orthoses using techniques learned combined with clinical reasoning and creative design
- Use the reimbursement information recommended as a resource for proper documentation and coding of Neoprene orthoses.
Treat the Pain and The Cause of the Pain! Integrating New Concepts in Hand Therapy – Taping, IASTM and Cupping
Learn some new concepts to treat patients without pain, correct chronic and acute conditions and improve outcomes. This a fast and exciting course with multiple lab opportunities to tape and treat the upper limb. You will learn effective assessments and applications for treating tendonitis and pain, and how to assess the body from the concept of muscle imbalance. Tendonitis is a large proportion of out treatment population but sometimes we can only get it 75% better. This course is an advanced concept course focusing on looking at the body from a perspective of muscle imbalance and alignment. We can effectively treat tendonitis and pain conditions including finger, wrist, thumb and elbow by looking at the body in a different way. What muscles are under-functioning and what are over-functioning? The course will include current manual joint mobilization for the elbow, wrist and fingers as well as IASTM and Cupping. Learn how to tape the finger to eliminate pain with ROM, correct dequervains, treat tennis elbow and remove wrist pain with weight-bearing. Video evidence, as well as current research, will support the course content.
- Demonstrate a basic understanding of muscle imbalance
- Learn basic taping application for joint alignment
- Discuss how alignment and joint positioning contributes ot pain in the upper extremity
- Become aware of IASTM and Cupping concepts and how it can be incorporated in to Hand Therapy
- Understand the concept of fascial limitations and how it influences movement.