Instructional Concurrent Session I
50 Tips in 50 Minutes
This fun and fast paced presentation will introduce attendees to 50 different tips, tricks and clinical pearls that can easily be integrated into all aspects daily practice from evaluation, treatment planning and progression, and orthosis fabrication. Time will be allotted following the presentation for questions or for attendees to share their own clinical pearls with the group. This presentation is intended for those at the entry to intermediate experience levels.
- Discover clinical skills and techniques that can be easily applied to meet specific upper extremity patient needs.
- Gain practical strategies that can be used during all phases of evaluation and treatment (including orthosis fabrication) of upper extremity patients.
- Share their own individual clinical pearls with other therapists to expand the hand therapy knowledge base.
Become a Detective: Teaching Patients How to Get to the Bottom of Their Overuse Pain
Many people who have been diagnosed with overuse syndromes and tendinopathies are often left wondering why it happened and how to prevent it from happening again. Overuse syndromes is a common diagnosis and therapy is only a short-term solution if patients don’t understand how to get to the bottom of what is causing the injury and how to prevent it. Participants will learn how to teach body awareness and how to rethink the way they use their bodies. Topics will include ergonomics, joint protection principles, and other strategies to help avoid overuse injuries. Special emphasis will be placed on how to teach patients proper office desk ergonomics and best practices.
- Participants will be able to recognize and understand the ways in which patients inadvertently cause overuse injuries
- Participants will be able to identify effective strategies to help patients learn body awareness and how to avoid injury
- Participants will be able to assess and provide guidance on best practices for office desk ergonomics
- Participants will be able to implement pacing and positioning strategies into their own practice when treating patients
Growing Your Research Literacy: A Closer Look at Study Design
We are all purveyors of research, whether reading evidence to support clinical practice or conducting studies of our own. Study designs range in scope and complexity, each with unique advantages and limitations. This course will detail five types of study designs, including case study/series, cohort studies, case control studies, randomized controlled trials, and systematic reviews, using examples from the hand therapy literature. The strengths and weaknesses of each design will be discussed along with exemplars of research questions and types of statistical analysis best suited to each design. This course is both for the clinician and growing researcher. It aims to enhance the clinician’s understanding of study design to facilitate deeper understanding of the evidence being used to support therapeutic intervention. For the researcher, this course characterizes options for exploring a clinical question with an eye toward choosing the best fit and maximizing available resources. The overarching goal is to increase research education, knowledge and comfort of hand therapists with a topic that can be perceived as daunting. Clear explanations of concepts in study design coupled with relatable hand therapy examples aim to grow our collective research literacy and facilitate ability to explore the evidence that informs our daily practice.
- Attendees will be able to describe 2 advantages of 5 types of study designs.
- Attendees will be able to describe 2 limitations of 5 types of study designs.
- Attendees will be able to identify 2 resources to be considered when selecting a study design.
Nutritional Support and the Hand Therapists Role
Chronic pain is commonly treated by hand therapists and is associated with functional decline, poor quality of life, mental health issues and higher healthcare utilization and costs. A large proportion of patients who experience chronic pain also have nutrition-related comorbidities such as high blood pressure, diabetes and heart disease (Brain K, Burrows T, Rollo ME et al., 2017). Nutritional intake is among the top modifiable risk factors for the global burden of disease (GBD, 2016). Furthermore, nutrition education has also been identified by those attending pain rehabilitation programs as a desirable intervention. Positive nutritional behavior change can lower the risk and/or alleviate pain in many chronic and inflammatory diseases. The APTA has included nutrition as part of the scope of PT practice, and occupational therapists are members of a team that work to enhance patients' functional independence physically and emotionally (APTA, 2017). Knowledge of nutrition is necessary for all health professionals when dealing with chronic pain syndromes, hand rehabilitation and the total person (Kris-Etherton et al., 2015). This training will explore the association between nutrition and common upper extremity chronic pain syndromes. The association between nutrition and cognitive function will also be explored, as well as the implication of nutrition consultation with regard to the therapists personal and professional scope of practice. This course is appropriate for beginner-intermediate or seasoned hand therapist.
- Define the role of systemic inflammation in those with chronic pain.
- Recognize how to screen for poor nutrition in hand therapy practice.
- Identify three ways nutrition can help alleviate chronic pain.
- Recognize the link between mood disorders, pain, and poor nutrition.