Instructional Concurrent Session I
BIOTENSEGRITY, CRPS AND NEURAL TENSION- The things we have never considered!
Description:
CRPS is a very complex diagnosis with a lot of variability, however there are multiple factors that are not discussed or considered during the treatment of this diagnosis.
The body is made up of 6 physiologicall layers and while we only look at muscle and joint relationships we are missing a very important part- the SKIN and FASICAL network throughout the body.
The Vascular, Neural and Lymphatic systems are continuous, and should be considered highly influential in these most complex of cases.
This class will present concepts and treatment applications never seen or discussed related to pain and movement dysfunction diagnoses. It will provide information on identify other factors and new treatment concepts to assist this patient population
Objective(s):
Participants will leave with an new appreciation of whole body connections related to this topic and at least 3 tips and trick related to treatment to reduce pain.
Target areas will be highlighted for treatment of CRPS/ Movement disorders including tremors and dystopia and the participants will have an improved understanding of the influence of compression sites in the UE that will influence pain.
Participants will learn to look closer and examine the skin and skin directions. The skin provides all the clues to treating pain patients and the first part is identifying impairments and tensions.
Speaker(s):
Guideline Focused Care for Lateral Elbow Tendinopathy: Implementing Best Evidence
Description:
This educational session will provide an overview of evidence-based management of individuals who present with lateral elbow tendinopathy (LET). The purpose of this session is to highlight important topics included in the recently published Lateral Elbow Tendinopathy Clinical Practice Guideline (2022). Topics include information about the clinical course of the condition including risk factors for the development and/or persistence of LET, symptom classification, and the examination process. Most importantly, it will provide an evidence-based approach for the development and implementation of interventions based on the most up-to-date available evidence. The classification of LET symptomatology will serve as the basis for establishing the plan of care. Optimal strategies of care will be provided for symptom modulation, restoration of joint and soft tissue mobility, and restoring load capacity in persons with LET.
Objective(s):
Understand the current evidence related to the examination and management of individuals with lateral elbow tendinopathy.
Describe the risk factors for development and persistence of lateral elbow tendinopathy.
Create an evidence-informed plan of care for individuals with lateral elbow tendinopathy.
Pain Mechanisms: How to Choose the Right Treatment for the Right Patient
Description:
Chronic pain has a significant impact on quality of life, the overall health of our patients, and the cost to our healthcare system. Approximately 25% of the hand therapy patients (n=6721 from 1/1/2022-3/1/2023) in our organization have chronic pain defined by International Association for the Study of Pain (IASP) as "pain that persists or recurs for over 3 months." Pain is complex and can be difficult to treat. According to an article in the Journal of Hand Therapy in 2020 by Stern and Howe, hand therapists are aware of pain neuroscience but need more training to understand how to treat pain. There are different ways to organize thoughts and treatment approaches when encountering patients with chronic pain. This course will include an introduction to pain mechanisms and offer a framework to assist in treatment selection for hand therapy patients with complex pain presentations to improve outcomes. We will use case studies to illustrate how this information can be relevant and applicable in clinical practice.
Objective(s):
Identify chronic pain, describe its revelant characteristics, and discuss its impact on clinical outcomes in the hand therapy population.
Identify and describe the three main pain mechanisms (nociceptive, neuropathic, and nociplastic) as defined by IASP and discuss how these pain types may proportionately present within a hand therapy population, using a pie graph format.
Describe 1-2 possible treatment strategies for each primary pain mechanism (nociceptive, neuropathic, and nociplastic) as defined by the IASP.
The Evolution of the Center for the Intrepid: Providing Resilience for the Military Amputee
Description:
This session is designed in three parts and will serve as an introduction to military medicine as well as an upper extremity amputation rehab update. The first segment will provide the history, vision, and mission of the Center for the Intrepid (CFI), a state of the art multidisciplinary outpatient rehabilitation center at Brooke Army Medical Center in San Antonio, Texas. The second segment will delve into the unique considerations in the treatment of the military upper extremity amputee. Included in this discussion will be treatments, prosthetic advancements, and research outcomes that were a direct result of work done at the CFI. The third segment will discuss the evolution of the CFI to its current mission. Time will be allotted for questions and answers.
Objective(s):
Describe how the Center for the Intrepid was funded, built, and presented to the United States Army Medical Department.
Discuss the unique rehabilitation considerations of the military upper extremity amputee.
Identify the ongoing research efforts at the CFI in which upper extremity patients participate.
What Effect Does a Distal Flexor Digitorum Profundus Laceration and Repair Have on the Associated Lumbrical(s)?
Description:
This two-hour presentation will discuss the potential of a spectrum of pradoxical extension following distal flexor digitorum profundus tendon injuries. It will outline the normal and pathological anatomy surrounding flexor digitorum profundus tendon injuries and the complications that are associated with achieving full active digital flexion and extension.
Objective(s):
Outline the modulating and proprioceptive role of the lumbrical muscle in relation to the flexor digitorum profundus muscle.
Define and outline the etiology of paradoxical extension.
Describe the normal relationship between the flexor digitorum profundus tendon and the lumbrical muscle.