Innovative Treatments for the Hand, Wrist, and Elbow

Tambra Marik, OT/L, OTD, CHT

Online Course

Includes all course content in digital format

Prerequisites Required
6 hours - Provided by Summit Professional Education

Item: physi-ONDEMANDPHWETM1

Description

The elbow, forearm, and wrist comprise the lower half of a biological erector set. Together they can perform extremely gentle and precise actions such as writing a letter, painting a picture, threading a needle, or playing a violin. When patients suffer an injury to the hand, wrist or elbow, getting the right treatment is extremely important. And, for those who suffer chronic, painful conditions, proper care is critical in relieving discomfort, restoring function and mobility, and most of all, improving your patient's quality of life.

This interactive, lab-based workshop will advance participant proficiency beyond traditional intervention techniques towards contemporary, innovative, and effective treatment strategies. The interventions introduced in this course will emphasize evidence, occupational, and technological-based practice for common upper extremity conditions. Participants will leave the course with a diverse and augmented skill set which enhances their expertise in patient care. Participants and their clients will benefit from the therapeutic dividends gained from elastic taping, manual techniques, pattern fabrication for basic hand orthoses, cognitive training, exercises, and utilization of technology to complement traditional therapy interventions. This course is designed to have immediate clinical application for orthopedic and neurological conditions of the upper extremity.

Highlights

  • Learn clinical examination and provocative testing techniques for the hand, wrist, and elbow
  • Live practice sessions on wrist, forearm, and elbow mobilization, graded motor imagery, and exercise progressions
  • Taping techniques for efficient rehabilitation of the hemiplegic upper extremity
  • Orthopedic and neurological techniques to maximize ROM and/or protection
  • Innovative treatment techniques to improve functional performance and ADLs in rehabilitation of the upper extremity
  • Effectively use patient outcome measures required by Medicare and other insurers for reimbursement
  • Video demonstration for fabrication of ulnar wrist support

Learning Objectives

  1. Identify basic movement patterns, anatomy and biomechanics of the upper extremity.
  2. Outline patient-centered outcomes that are Medicare recognized to detect true functional change.
  3. Demonstrate hands-on upper extremity clinical tests.
  4. Design a resting hand orthosis pattern after gaining the knowledge for appropriate patient fabrication.
  5. Recognize three applications for immobilization orthoses.
  6. Appropriately integrate joint mobilization, taping techniques, sensoriomotor concepts and exercise into rehabilitation programs.
  7. Formulate graded motor imagery programs for patients with musculoskeletal conditions and strokes.

Course Content

Innovative Treatments for the Hand, Wrist, and Elbow
SCORM Package
Next Steps
Module
  1. Upper Extremity (UE) Rehabilitation Interventions from Start to Finish
    1. Essential evaluation measures
      1. Medicare approved upper extremity patient- centered and standardized outcome measures
      2. Clinical diagnostic testing with anatomical landmark identification
    2. Fundamental concepts for effective rehabilitation progressions from acute to mature healing phases in surgical and conservative management
      1. Basic taping theoretical constructs
      2. Brain training for the upper extremity rehabilitation
      3. Incorporating distal to proximal movement conceptsfor successful return to function
  2. Treatment Strategies for Common Orthopedic andNeurological Upper Extremity Conditions
    1. Taping Lab: Carpal instability, thumb CMC OA, De Quervains, carpal tunnel, hand & digit edema - Taping for common hand disorders
    2. Design a resting hand orthosis pattern
    3. Hands-on lab
  3. Joint Mobilization to Improve Functional Range of Motion
    1. Occupation-based strategies to complement mobilization techniques
    2. Mobilization Lab: Wrist and forearm mobilization techniques
    3. Hands-on lab
  4. Graded Motor Imagery Applications to Musculoskeletal Disorders and Stroke Clients
    1. Graded motor imagery lab: Laterality, imagery, mirror box
    2. Hands-on lab
  5. Elbow Rehabilitation Interventions from Start to Finish
    1. Functional anatomy and biomechanics
    2. Why do we incorporate proximal strengthening?
    3. Mobilization lab: Elbow and forearm mobilizations with review of exercise concepts, posture considerations, and sports/activity specific training
    4. Hands-on lab
    5. Taping lab: Elbow lateral and medial epicondylosis
    6. Exercise lab: Combining elbow exercises with functionalmovement
  6. Using Technology to Improve Outcomes
    1. Technology tips to benefit practitioners and patients
  7. Wrap Up Question and Answer Session
    1. Case studies time permitting
Tambra Marik, OT/L, OTD, CHT, is a content expert, with more than 18 years of clinical experience in an outpatient rehabilitation setting. Dr. Marik is the director of the hand therapy elective track at Rocky Mountain University's occupational therapy post-professional doctorate school. Dr. Marik specializes in assessment and effective treatment strategies for upper extremity rehabilitation, emphasizing evidence-based and occupation-based interventions. She is an experienced program developer who has instructed thousands of students and therapists on rehabilitation techniques for the upper extremity. Dr. Marik believes in knowledge through education and research. She shares her knowledge by teaching and writing book and journal publications. She has worked with the American Association of Occupational Therapy on an evidence-based review of shoulder and elbow interventions. She holds degrees in occupational therapy from University of Puget Sound in WA and the Rocky Mountain University of Health Care Professionals.

DISCLOSURES

FINANCIAL: Tambra Marik is compensated by Summit as an Instructor.

NONFINANCIAL: Tambra Marik has no non-financial relationships to disclose.

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