Instructional Concurrent Session V
Introduction to Hand Teletherapy: The Benefits Reach Beyond our Grasp
This proposed session will introduce the concept of teletherapy with orthopedic UE injury patients. The course will instruct the audience members on an introductory level. Advances in technology now allow healthcare providers to provide care anytime and anywhere. As hand therapists, we need to embrace this movement and use it as a way to promote our profession. Teletherapy can allow certified hand therapists reach patients in rural communities or in locations with limited hand therapists. Teletherapy can eliminate noncompliance or drop out rates due to location, money, time, weather, convenience,etc. Communication between the patient, physician, and therapist can improve functional outcomes; and the experienced hand therapist can mentor a recent graduate assisting a complicated hand injury from miles away. This course will discuss the role of the hand therapist in teletherapy, the advantages and disadvantages of using teletherapy for patients with UE injuries. In addition, the audience will be able to discuss orthopedic injuries both appropriate and inappropriate for this delivery model. As well as, watch a short video of a teletherapy session.
- The learner will be able to describe the role of the Certified Hand Therapist in a teletherapy setting
- The learner will be able to discuss the advantages and disadvantages of using teletherapy for UE injuries
- The learner will be able to discuss orthopedic injuries both appropriate or inappropriate for the teletherapy delivery model
Management of Dupuytren’s Contracture From Start to Finish: A Collaborative Effort Between Physician and Therapist
This course will provide an in-depth overview, from start to finish, of the management and treatment of Dupuytren’s contracture – both from the viewpoint of a hand surgeon and a hand therapist. Hand surgeon Dr Cassie Root will discuss the different medical interventions available to patients– operative and non-operative. She will then explain her rationale for selecting which options may be most appropriate for a particular patient based on their presentation. Hand therapist Katriona Buhler will then follow by examining the different options for therapeutic treatment. A discussion behind the logic for selection from various interventions (based off of how the referring surgeon has chosen to treat) will be examined. Evidence-based practice, orthosis fabrication selection, timelines, and exercises will be reviewed. The collaborative communication between hand surgeon and hand therapist will be highlighted as this is an essential component of optimal patient care.
- Attendees will learn about the different ways physicians can manage Dupuytren’s and be able to understand why they might choose certain interventions over others.
- Attendees will learn about the different ways a therapist can manage post-medical treatment of Dupuytren’s and be able to determine an appropriate intervention to choose for each patient.
- Attendees will learn about the joint communication between hand surgeon and hand therapist regarding management of Dupuytren’s in order to enhance discussions with their own local hand surgeons to maximize satisfaction of their patient’s outcomes.
Orthosis Fabrication for the Injured Athlete
Course will cover fabrication of orthoses for the injured athlete including orthoses that can be worn during return to sport. Diagnoses to be covered include: mallet injuries, UCL/RCL injuries of the thumb, pulley injuries, phalanx and metacarpal fractures and TFCC injuries. Moderate to advanced clinician experience.
- Learners will be able to interpret clinical findings to select the appropriate orthosis for the individual.
- Learner will describe process for collaboration with physician, patient and patient's sports staff to reach best solution for the patient.
- Learner will analyze key characterisics of orthotic material for fabrication of sports specific orthoses
Rehabilitation of Flexor Tendons: What We Know & Where We Can Go
An intermediate course reviewing tendon anatomy, physiology and healing time frames after flexor tendon injury of the hand. This course will review all tendon zones, the history of their rehabilitation, what the current evidence for rehabilitation is, and where research is now taking us. There will be an in-depth look at flexor tendon rehabilitation in zone 2 including new research being conducted for the use of a relative motion splint in place of a dorsal blocking splint. Splinting videos and rehabilitation pearls will be discussed as well as trying to answer the $1,000,000 patient question- "how can I speed up my recovery"?
- Identify the rehabilitation protocols associated with each zone and the evidence behind using each protocol
- Explain rationale for when to progress the patient through each flexor tendon protocol
- Design a treatment algorithm for a flexor tendon repair in zone two based on current research
- Identify functional roadblocks associated with occupational performance that may hinder rehabilitation