Rehabilitation Management for the Wrist and Hand

Course Outline

This two-day intermediate level course focuses on current surgical procedures and therapeutic management for disorders of the wrist, hand and upper extremity. Post-operative complications and rehabilitation protocols for flexor and extensor tendon injuries, arthritis, compartment syndromes and compression neuropathies are discussed in detail. Special emphasis is placed on the evaluation of the cervical spine and shoulder complex in order for the therapist to better manage cumulative trauma, compression neuropathies and peripheral nerve injuries. Wound management and infections are discussed to assist the therapist in determining an appropriate treatment plan and progression. The impact of pharmaceuticals and nutritional supplementation on healing time of injuries is also reviewed; this will enhance the clinician’s ability to incorporate the findings into their rehabilitation program.

This in-depth presentation prepares the medical professional to identify effective rehabilitation procedures for safe therapeutic management for positive functional outcomes. This course is enhanced with the use of surgical and anatomical images and is designed for therapists with basic to intermediate knowledge of wrist and hand anatomy and terminology.


Course Objectives

• Describe the detailed aspects of the anatomy and biomechanics of the wrist and hand.
• Integrate knowledge of anatomy and current surgical procedures to develop comprehensive therapeutic rehabilitation programs.
• Utilize current treatment methods for traditional diagnoses into the rehabilitation program.
• Incorporate the information of healing times for specific tendon injuries to develop an appropriate rehabilitationprogram.
• Understand the rationale for treatment protocols for a variety of disorders such as peripheral nerve injuries, flexor and extensor tendon injuries, tendon transfers, rods, arthritis and compression neuropathies.
• Identify precautions and contraindications of certain treatments and surgical procedures prior to initiating the rehabilitation plan.
• Perform several provocative tests and/or differential diagnostic procedures.
• Understand the impact of various pharmaceuticals on the healing process, pain management and therapeutic treatment progression.

Schedule of instruction

  Day One   Day Two
7:30 8:00 Registration 8:00 9:00 Hand Fractures
8:00 8:30 Anatomy Overview   • Hand fractures and articular injuries
8:30 10:00 Wounds/Infection and Burn Management   • Current trends in mobilizing the stiff hand
  • General principles   - Surgical options
  • Classification   - Treatment protocols
  • Treatment protocols/surgical options 9:00 9:15 Break
  • Therapeutic intervention 9:15 11:00 The Shoulder
  • Complications and contraindications   • Anatomy
10:00 10:15 Break   • Common shoulder problems
10:15 12:00 Flexor & Extensor Tendon Injuries   • Evaluating the shoulder complex
  • Anatomy 11:00 12:00 Lunch (on your own)
  • Surgical options 12:00 1:00 Tendonitis/Cumulative Trauma
(Lecture/Lab)
  • Treatment protocols for specific zones   • Anatomy
  • Two stage tendon repair
   • Upper quadrant screen
  • Splinting   • Compression sites
  • Current trend discussion   • Provocative testing/surgical options
  • Complications   • Treatment/surgical options
12:00 1:00 Lunch (on your own)   • Therapeutic interventions
1:00 3:15 Arthritis 1:00 2:00 Management of Peripheral Nerve Injuries
  • Osteoarthritis vs. rheumatoid   • Anatomy
  • Anatomy   • Upper quadrant screen
  • Therapeutic interventions and splinting   • Compression sites
  • Joint protection/energy
conservation 		  • Provocative testing/differential diagnosis (Lab)
  • Surgical options and joint replacement   • Treatment/surgical options
3:15 3:30 Break   • Therapeutic interventions
3:30 4:30 Nutrition/Pharmaceutical
Overview		 2:00 2:15 Break
  • Vitamins & minerals 2:15 3:30 Peripheral Nerve Injuries Continued
  • OTCs 3:30 4:00 Review/Questions
  • NSAIDS    
  • Medication use in the clinic    
  • Ethical issues    
4:30 6:00 The Wrist    
  • Biomechanics    
  • Common injuries/disorders    
  • Treatment protocols    
  • Surgical options    

Downloads

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Course Brochure for Rehabilitation Management for the Wrist and Hand

Scheduled Dates and Locations

 

North American Seminars Courses for physical therapy and occupational therapy

 

Course Instructor
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Roberta Cascone, MS, OTR/L, CHT, is a certified hand therapist with 18 years of both clinical and administrative experience in the field of hand rehabilitation. She currently owns Back On Course, a private clinic where her focus is on the prevention and management of golf related injuries and sport specific performance enhancement. She has been an adjunct faculty member of Quinnipiac University’s department of occupational therapy for over ten years, lecturing extensively in the area of orthopedics. Roberta received the first “Outstanding Adjunct Faculty Award” from Quinnipiac University in 1996.
Roberta has also presented on a variety of upper extremity topics ranging from biomechanics and ergonomics to peripheral nerve injuries and wounds. She has observed over 100 upper extremity surgeries ranging from tendon repairs, transfers and staged reconstruction to joint replacements and replantation. She works closely with orthopedic, plastic surgeons and neurosurgeons in the pre and post-operative management of the upper extremity. Her passion is progressive, innovative splinting of the difficult hand, acute trauma/wounds and peripheral nerve injuries. Roberta’s masters in nutrition allows her to take a uniquely holistic approach to healing and wellness, and her diverse background enables Roberta to have an eclectic approach to treatment.
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