Pre-Conference Concurrent Sessions
Finger Orthoses: Relative Motion and More
This session will introduce the concept of clinical evaluation for motor imbalance including intrinsic weakness, boutonniere deformity, swan neck deformity and mallet deformity. The use of the Relative Motion Theory as described by Dr. Wendall Merritt and Dr. Julianne Howell OTR CHT will be presented with the rationale for use with various clinical indications. Orthotics fabrication lab will focus on clinical decision making and hands-on demonstration/fabrication of the relative motion orthoses. Additionally, clinical options for finger orthoses will be demonstrated/fabricated to manage other intrinsic motor imbalance diagnoses.
- Describe the concepts and assessment for intrinsic and extrinsic motor function.
- Apply clinical reasoning to decide on optimal choice of various orthotic designs as per evaluated motor dysfunction.
- Successfully fabricate Relative Motion style orthoses for multiple digits and various digit orthoses for intrinsic muscle motor dysfunction.
Hands on Orthotics – Orthoses to Facilitate Wrist Stability
The ASHT education division presents a Hands on Orthotics course supporting information about wrist stability presented in the conference. Orthoses will include a midcarpal instability orthosis, a dart throwers orthosis, and an orthosis to improve DRUJ stability.
- Learner will identify proper positioning of the wrist to decrease symptoms with mid carpal instability and fabricate orthosis to maintain this position.
- Learner will fabricate orthosis to decrease symptoms assoicated with DRUJ instability.
- Learner will recognize appropriate positioning for dart thrower's plane orthosis.
- Learner will be able to educate patients on appropriate exercises and functional use of wrist when recommended a midcarpal instability orthosis, DRUJ orthosis, and DTM orthosis.
Moving Beyond Nerve Mobilization and into Neurodynamics – It’s Not Just a Nomenclature Change!
Recent evidence is supporting the need to move from Nerve Mobilization and Tension concepts to Neurodynamics. This is not simply a nomenclature change, it represents a shift from previous thought processes to more informed clinical reasoning. This course is designed to take the clinician through the basic sciences of understanding peripheral nerves system (PNS) movement and physiology (“Neurodynamics”) utilizing in vivo techniques not previous available. This understanding will establish the clinical reasoning shift in the Examination, Evaluation and Treatment Interventions of those patients presenting with PNS mechanical and physiological changes that play a role in Neurogenic and Neuropathic Pain. The term mobilization connotates a thought process of tension. The purpose of this conference is to assist the clinician in assimilation of these changes through multiple media of lecture, video and hands on laboratory to experience first hand altering their clinical reasoning process in the management of our patients experiencing symptoms related to their nervous system. This requires the clinician to surrender the provocation techniques of old and gain an appreciation of neurodynamic principles. The intent is to provide the evidence for the therapist to consider a safer approach to the management of patients experiencing Neurogenic of Neuropathic Symptoms.
- Describe and assist in the interpretation of the results of the 5 component Neurodynamic Examination.
- Discuss the evidence that supports the concept of Neurodynamics and its level of Success in the treatment process and the short comings of the present level of evidence.
- Afford the participants first hand experience in these techniques that will permit the clinician to begin immediate utilization by identifying the appropriate patient and treatment approach.
Reckoning with the Wrist: Selected Topics in Wrist Rehabilitation
Essential to the therapist’s management of the injured wrist is a thorough grasp of wrist anatomy and biomechanics; an awareness of the myriad of problems and conditions that can occur as well as their signs and symptoms; a systematic wrist examination correlating the findings with the mechanism of injury or onset leading to a differential diagnosis; and an understanding of current concepts in management. This program will include a detailed review of wrist anatomy, biomechanics and pathomechanics; a hands-on lab detailing palpation and provocative testing of the wrist; and a discussion of selected wrist problems and their management with implications for therapy and orthotic intervention. Conditions to be discussed include scapho-lunate dissociation; palmar midcarpal instability; TFCC and ulnar wrist conditions; and distal radius fractures.
- Participants will acquire knowledge of the anatomy and biomechanics of the injured wrist
- Participants will be able to describe the signs and symptoms of common wrist injuries and conditions
- Participants will be able to perform the provocative tests commonly used in the diagnosis of various patterns of wrist instability
- Participants will be able to describe the indications and approaches to orthotic intervention for selected wrist conditions.