Instructional Concurrent Session III
Comprehensive Trigger Finger/Thumb Management: More Options, Better Outcomes
Description:
This course will describe the anatomy, pathology and evidence-informed conservative management of trigger finger and thumb (digital stenosing tenosynovitis). The presenter will also address complications of surgical management and treatment of this symptom constellation. Therapy best practice includes a strategic and complete evaluation. Treatment includes activity analysis and ergonomic modification, orthosis management, edema management, application of physical agent modalities, soft tissue approaches, stage appropriate exercise and patient education. The presenter will discuss and demonstrate innovative orthosis management approaches.
While therapist frequently address this diagnosis both pre-and post-operatively, the gamut of treatment rationale is not widely understood and options are not widely practiced. The author has gleaned this fact after working in and visiting hand clinics both in the US and internationally, as well as reviewing the literature on conservative management.
Effective conservative management has demonstrated the ability to resolve symptoms in 75% of digits presenting with this diagnosis. More informed hand therapy practice will serve to decrease the necessity of injections and surgery with their inherent risks of infection and complications. Improved outcomes will encourage hand health colleagues (surgeons, rheumatologists, general practitioners, PAs) to refer to hand therapists for effective management of this pathology.
Objective(s):
Partiicpant will be able to describe the three main mechanisms of finger/thumb triggering.
Participant will describe at least 3 orthoses to decrease the inflammation causing finger/thumb triggering.
Participant will be able to apply specific exercises with critical timing to help prevent fingrt/thumb triggering from recurring.
Speaker(s):
Making Sense of the Complex Wrist: Understanding Carpal Kinematics
Description:
Learning carpal kinematics can be daunting. This intermediate level course will demystify and clarify it and send you away with the tools to understand instability between, and within carpal rows.
Objective(s):
Participants will be able to explain the role of the Lunate in VISI and DISI Carpal Instability Dissociative.
Participants will be able to identify and describe carpal row movements during movement and dysfunciton with Carpal Instability Non-Dissociative.
Participants will accurately identify the muscles that support stability of the scaphoid and those that support the triquetrium.
Speaker(s):
Review of Flexor Tendon Injuries, Repairs and Rehabilitation
Description:
We will discuss the types of flexor tendon injuries, discuss relevant anatomy, methods of fixation, challenges in fixation and discuss the rehabilitation of these injuries.
Objective(s):
Describe the zones of flexor tendon injuries.
Describe the factors affecting tendon repair strength.
Discuss the various rehabilitation protocols for zone 2 flexor tendon repairs.
Speaker(s):
Through the Looking Glass: Graded Motor Imagery in Upper Extremity Rehabilitation
Description:
Physical and Occupational Therapists specializing in upper extremity diagnoses encounter a variety of pathologies and traumatic injuries that result in substantial loss of function and profoundly impact quality of life. The associated loss of neurological pathways to an involved limb has proven to be problematic and challenging regarding optimal rehabilitation outcomes. Using graded motor imagery approaches including mirror box therapy in conjunction with standard rehabilitative strategies has shown to be highly effective in patients who present with limited return of function and expedite functional return to those identified early. In this session, the concept of graded motor imagery is reviewed and applications in commonly encountered but challenging conditions are discussed. In addition, conditions not often considered for this treatment approach, such as limb replantation, are presented. Strategies using these techniques are demonstrated. Participants have the opportunity to practice techniques during the session.
Objective(s):
Upon completion of this course, the leaner will be able to describe general graded motor imagery concepts, theories, and treatment applications in hand therapy practice.
Upon completion of this course, the leaner will be able to apply treatment strategies combining graded motor imagery with traditional interventions for for optimal therapeutic outcomes.
Upon completion of this course, the leaner will be able to explain the application of graded motor imagery as a key component in rehabilitation for challenging conditions to all stakeholdersincluding physicians, case managers, caregivers, and patients.
Treatment of Distal Radius Fractures
Description:
Orthopaedic surgeon discussing Distal radius fractures. Including personal cases from a level 1 trauma center in San Antonio. The basics of treatment and fixation. Postoperative therapy management. Expected outcomes. Pearls and pitfalls
Objective(s):
Understand the Anatomy of Distal Radius fractures.
Describe the treatment and fixation of distal radius fractures.
Be able to discuss with patients expected outcomes