Archive: CSM 2012: Hand Rehabilitation Programming

  • This is archived programming for CSM 2012. See current programming.

    Browse Hand Rehabilitation sessions by day. Return to the main topic menu.

    Wednesday, February 8 | Thursday, February 9 | Friday, February 10 | Saturday, February 11 

    * Should you choose to preselect sessions during the registration process, please be advised that preselection is not a guarantee of a seat. Attendees are asked to preselect to better determine room size and all efforts will be made to accommodate sessions in the largest rooms possible. All attendees are encouraged to show up to sessions early. Attendees are also encouraged to select alternative sessions in the event their first choice is full. 

    Wednesday, February 8 (Preconference)

    Neurodynamic Examination and Intervention for Individuals With Upper-Extremity Dysfunction

    Time: 8:00 am-5:30 pm (See Program for Room)

    Speakers: Paul Mintken, PT, DPT, OCS, FAAOMPT, Louie Puentedura, PT, DPT, OCS, FAAOMPT, Adriaan Louw, PT, MAppSc

    Level: Multiple Level

    Preconference Pricing: Standard 

    CEUs: 0.8 (8 contact hours/CCUs)

    Manual therapy involves the selective examination and evaluation of the effects of movement, position, and activities on the signs and symptoms of a neuromusculoskeletal disorder. We have found that it is useful to think of the mechanics of the body's moving parts in terms of components comprising a chassis (skeletal framework), articulations (joints and supporting ligaments), motors (muscles and tendons), and electrical wiring (nervous system). Each of the components that make up the neuromusculoskeletal system plays an important and interdependent role in its overall health and function. The term 'neurodynamics' refers to the mechanics and physiology of the nervous system within the musculoskeletal system and how these systems relate to each other. It allows for the consideration of movement-related neurophysiologic changes, as well as the neuronal dynamics that is postulated to occur in the central nervous system during physical and mental activity. A key tenet of this definition is that the nervous system is capable of movement and stretch, and that there is a 'normal' response (as well as abnormal) of the nervous system to movement. This course will provide an evidence-based approach to examining and treating the nervous system based on basic science, clinical research, and expert opinion.

    Upon completion of this course, you'll be able to:

    • Discuss the role of neurodynamics in upper-quarter musculoskeletal pain syndromes.
    • Determine what neurodynamic impairments may contribute to the patient's primary complaint.
    • Identify current best evidence for the incorporation of neurodynamic interventions for treating upper-quarter dysfunction.
    • Develop evaluation and treatment strategies for patients with upper-quarter dysfunction.
    • Analyze the current evidence relative to the effective delivery of neurodynamic interventions.

    Thursday, February 9

    Screening for Medical Problems in the Upper Extremity

    Time: 8:00 am-10:00 am (See Program for Room)

    Speaker: Catherine C. Goodman, PT, MBA, CBP

    Level: Multiple Level

    Physical therapists must be able to identify signs and symptoms of systemic disease that can mimic integumentary, neuromuscular, or musculoskeletal dysfunction evaluated and treated within their scope of practice. Pneumonia, complications of pacemakers, liver disease, kidney stones, ectopic pregnancy, and myocardial ischemia are only a few examples of problems and systemic diseases that can cause shoulder or upper-extremity signs or symptoms. A screening model proposed by Goodman and Snyder will be presented for use by PTs in all practice settings, including hand therapy. Screening for referral begins with the patient/client history and includes assessment of the presenting pain pattern and possible associated signs and symptoms. Information gathered is combined with results from the objective evaluation in making a treatment-versus-referral decision. Knowing the risk factors for various illnesses, diseases, and conditions will help the physical therapist decide when to screen for specific problems. Recognizing red flag histories, signs, and symptoms will also alert the PT to ask the patient additional questions. The speakers will offer clues to screening and tips for physician referral.

    Upon completion of this course, you'll be able to:

    • Identify signs and symptoms of systemic origin affecting the upper extremity/upper quadrant.
    • Recognize the referred pain patterns originating from visceral organs.
    • Use the 5-step screening model for referral.
    • Name the 5 elements of a 5-minute screening test.

    The Road to Becoming a Certified Hand Therapist (CHT)

    Time: 10:30 am-12:30 pm (See Program for Room)

    (Joint Program: Private Practice)

    Speakers: Elizabeth M. Byrne, PT, MPT, OCS, CHT, ATC, Wen-Yau Yen, PT, DPT

    Level: Basic

    This course is designed to educate physical therapists on the steps needed to become a certified hand therapist (CHT) and the various ways to meet these requirements, including education, skill development, competencies, HTCC exam qualifications, and domains covered on the exam.

    Upon completion of this course, you'll be able to:

    • Appreciate the benefits of being a CHT.
    • Discuss the education requirements as well as options to obtain this education.
    • Explain how to document clinical experience and ways to accomplish it .
    • Describe the necessary skills/competencies and how to develop them.
    • List HTCC exam qualifications, specifics, and domains/areas covered on the exam.
    • Identify various resources to help prepare for the HTCC exam.

    Psychosocial Aspects of Wound Healing

    Time: 3:30 pm-5:30 pm (See Program for Room)

    (Joint Program: Clinical Electrophysiology and Wound Management)

    Speaker: Renee Cordrey, PT, MSPT, MPH, CWS

    Level: Multiple Level

    People who experience chronic wounds face challenges for weeks, months, or even years until the wound closes. The connections between psycho-emotional health and chronic wound healing are just beginning to be understood. Stress, depression, and anxiety all have been associated with slower chronic wound healing. Other factors such as the availability of healthy affordable food, accessibility of transportation to care providers, and safe places to exercise may make adherence to a plan or providing appropriate self-care easier or more challenging. And, although wound care clinicians are accustomed to working with large, necrotic, malodorous wounds, these activities are outside the experiences of our patients and their caregivers, making changing even a simple dressing on a small, clean wound difficult to perform. Additionally, individuals with chronic wounds often face social isolation, which can be dangerous to health. This session will explore the issues of psychological and emotional health, including the epidemiology of the problems, the mechanisms connecting the mind to the body, how to assess these facets of our patients' lives, and what we can do to address these concerns.

    Upon completion of this course, you'll be able to:

    • Explain how psychological and emotional health can affect the wound healing process.
    • Assess the psychosocial domain of their patients.
    • Describe 3 challenges that individuals living with chronic wounds and their caregivers face.

    Friday, February 10

    Ouch! My Lateral Elbow Hurts

    Time: 8:00 am-10:00 am (See Program for Room)

    Speaker: Jane M. Fedorczyk, PT, PhD, CHT, ATC

    Level: Multiple Level

    This session provides information on the PT's management of tennis elbow. It includes a review of the relevant upper extremity anatomy including tendon tissue structure and emphasizes a clinical reasoning approach supported by current evidence in the literature for examination, evaluation, diagnosis, prognosis, and plan of care for non-operative management. Current concepts of histopathological findings in tendinopathies will be presented along with the implications for rehabilitation.

    Upon completion of this course, you'll be able to:

    • Describe the pathological changes associated with tendinopathies of the elbow.
    • Apply appropriate clinical examination procedures to identify tendon condition, determine prognosis, and evaluate treatment outcomes in tendinopathies of the elbow.
    • Integrate current best practice to develop a plan of care for patients with tendinopathies of the elbow.

    Complex Regional Pain: The Brain and Pain

    Time: 3:30 pm-5:30 pm (See Program for Room)

    Speakers: Adriaan Louw, PT, M.App.Sc, Louie Puentedura, PT, DPT, OCS, FAAOMPT

    Level: Intermediate

    Complex regional pain syndrome (CRPS) is a very challenging and poorly understood condition PTs face. CRPS is associated with significant changes in the CNS as well as the homeostatic system. This session updates PTs on the latest research into the development of CRPS, including its pathobiology; contributing factors of CRPS; diagnostic criteria for CRPS; and its clinical presentation. The session also discusses current best-evidence approaches for managing patients with CRPS, including graded motor imagery techniques such as laterality and mirror therapy in combination with neuroscience education.

    Upon completion of this course, you'll be able to:

    • Explain the pathobiology of the development of CRPS.
    • Recognize the current criteria for the diagnoses of CRPS.
    • Identify bio-psycho-social factors associated with the development of CRPS.
    • Determine the latest evidence-based approaches for managing patients with CRPS.
    • Apply the information from the session to clinical practice.

    Saturday, February 11

    Graded Motor Imagery

    Time: 8:00 am-10:00 am (See Program for Room)

    Speakers: Adriaan Louw, PT, MAppSc

    Level: Basic

    This course is intimately related to all aspects of physical therapy that deal with patients experiencing pain. Physical therapy treatments aimed at restoring movement can be greatly enhanced with the application of an evidence-based approach of graded motor imagery not only in the chronic phase, but early in the rehabilitation phase. There is a growing body of evidence that, in patients with central sensitization, the brain reorganizes body parts and in essence the recognition of body parts. The advent of brain-mapping techniques, such as functional magnetic resonance imaging (fMRI), have provided scientists (and clinicians) with evidence of neuroplastic changes that occur within hours of injury. This 3-hour session aims to introduce physical therapists to the latest information on the mapping of pain in the brain, along with strategies to changes these faulty maps in the brain. The process of graded motor imagery is a sequence of strategies that includes laterality restoration (identifying left and right side of the body), motor imagery, and the use of mirror boxes to help restore body maps in the brain. Evidence for the use of graded motor imagery has been established by brain-mapping studies as well as randomized controlled trials, especially for complex regional pain syndrome (CRPS) and phantom limb pain.

    Upon completion of this course, you'll be able to:

    • Discuss the neuroplasticity changes in the brain in patients with pain.
    • Recognize that patients with pain have distorted body images in the brain.
    • Recognize the evidence for using graded motor imagery to alter pain and dysfunction in patients with pain.
    • Use a series of graded motor imagery techniques in your clinical practice.
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