Instructional Concurrent Session V
A Multidisciplinary Approach to Treating Pediatric Hand and Wrist Trauma
Description:
This course will discuss the mechanism of injury and clinical presentation of common hand and wrist injuries in the pediatric patient population. It will include recommendations for surgical and non-operative management of these conditions and tailored age-appropriate rehabilitative treatment plans.
Objective(s):
Be able to identify and describe common hand and wrist injuries seen in the pediatric patient population.
Be able to discuss operative and non-operative treatment plans for pediatric hand and wrist injuries.
Develop age-appropriate rehabilitative treatment plans to optimize pediatric patient functional status following hand and wrist injuries.
Connecting Fun to Function: Using Magic and other Creative Treatments to Maximize Outcomes
Description:
The job of a therapist is never easy, especially in settings with limited resources such as tele rehab and home health. Trying to find inexpensive and innovative methods that keep clients focused and excited about therapy can be a challenge. Regardless of age, patient interest and participation are vital to the rehab process. Salient and “skilled dependent” treatments can not only help improve participation with exercises, but can be the key to maximizing physical performance, cortical plasticity, and ultimately function. Participants will learn how magic and juggling, and other creative treatments can be invaluable tools to enhance gross/fine motor skills, range of motion, balance, sensory-motor, communication skills, cognition, proprioception, etc. These techniques can be integrated with little to no added expense and in any treatment setting for many different age groups. Whether you are a PT, OT, this course provides a brief introduction to “out of the box” therapeutic interventions that can easily be incorporated in most treatment settings. You can enhance patient outcomes while putting the FUN back into function!
Objective(s):
List common impairments seen in a hand therapy setting and outcome goals that can be addressed by using magic and juggling.
Demonstrate specific manipulations that can be engaging and motivating to the client and improve ROM, dexterity, and strength.
Discuss specific case scenarios that have been used in hand therapy that demonstrate effective functional outcomes
Speaker(s):
Distal Phalanx Injuries: Small Structures/Big Problems
Description:
This course looks at the variety of distal phalanx injuries, complications, and both surgical and conservative treatment options. It begins with detailed review of the anatomy and structures at the distal phalanx to include the nailbed. The classifications of distal phalanx amputations are discussed followed by the indications for various grafting techniques and subsequent orthosis, treatments, and wound care. We then move on to the classifications of P3 fractures with a detailed overview of conservative vs surgical interventions and subsequent protocols/guidelines for each. We look at CRPP vs ORIF and review rehabilitation guidelines to include immobilization timeframes and early range of motion considerations. This talk concludes with a comprehensive look at mallet injuries to include anatomy review, mechanism of injury, and conservative vs surgical managment. A step by step fabrication is detailed in photo slides for both a removable and non removable custom orthosis with instruction for 6-8 week managment protocol. In each topic of discussion, we look at possible complications and therapeutic interventions.
Objective(s):
To recognize complications of fingertip injuries and select appropriate treatment.
To identify types of P3 fractures and determine best practice orthosis and protocol.
To be able to select appropriate therapeutic exercise and orthosis to facilitate functional DIP AROM.
Speaker(s):
Relative Motion Orthosis (RMO) - Less pain and Real Gain
Description:
The Relative Motion Orthosis (RMO) is a versatile orthosis that can be utilized for more than extensor tendon repairs. Functional use and finger ROM can be achieved through mechanical advantage that allows for greater soft tissue performance with less pain. In this presentation, participants will learn about ways to utilize the RMO for various pathologies. A review of case studies and tips on fabrication will be included.
Objective(s):
Participants will be able to identify patients that would benefit from an RMO.
Participants will be able to identify 2 ways to utilize the RMO for reducing pain levels and improving outcomes.
Participants will be able to identify various ways to fabricate an RMO.
Speaker(s):
Sensorimotor Evaluation and Interventions for the wrist and hand: Evidence update
Description:
Sensorimotor deficits can impair function and may be present in individuals with hand and wrist conditions. Researchers have reported sensorimotor deficits exist in patients with common upper extremity conditions such as carpal tunnel syndrome, distal radius fracture, and complex regional pain syndrome (CRPS). To combat these conditions, many types of interventions can be incorporated into practice to enhance proprioception input and restore hand and wrist function. This course will provide the rehabilitation professional with the tools needed to understand the complex sensorimotor dysfunction of the upper extremity and to assess sensorimotor dysfunction and implement proprioception activities into their practice based on the latest evidence.
Objective(s):
Evaluate proprioception deficits in patients that have sustained hand and wrist injuries using the correct techniques and determine best practice for providing interventions to address the impairments.
Understand the components of proprioception and their implications for practice with specific patients.
Assess proprioceptive and sensorimotor dysfunction of the hand and wrist quantitatively using optimal joint positioning.