2020 October UE Institute – Osteoarthritis & Rheumatoid Arthritis Orthosis Design

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Presenter:
Kim Kraft, PT, DPT, CHT

Learning Objectives:
At the end of the presentation, participants will be able to:

  1. Identify four purposes for orthoses
  2. Differentiate between pathology of OA versus RA
  3. Identify two patterns of thumb deformity related to arthritis
  4. Select rationale for wrist immobilizers in treatment of lateral elbow tendinopathy.
  5. Recognize pro/con rationale determining choice of custom rigid versus neoprene orthoses as a treatment choice for thumb CMC OA

Duration:   One hour

CE Credit:  1 continuing education hour, or 0.1 CEU

Required Readings:
The required readings for this course are:

Beasley, J. (2014). Arthritis. In C. Cooper (Ed.), Fundamentals of Hand Therapy (2nd ed., pp. 457-478). St. Louis, MO: Elsevier Mosby.

Skirven, T. M., Osterman, A. L., Fedorczyk, J. M., & Amadio, P. C. (Eds.). (2011). Rehabilitation of the Hand and Upper Extremity (6th ed.). Philadelphia, PA: Elsevier Mosby.

    Video 105-3 CMC arthroplasty (Badia, 2007)

    Video 103-1 CMC splint (Biese, 2010)

    Video 103-2 Resting pan (Biese, 2010)

Pitts, D. G., & Fess, E. E. (2014). Orthoses: Essential Concepts. In C. Cooper (Ed.), Fundamentals of Hand Therapy (2nd ed., pp. 103-114). St. Louis, MO: Elsevier Mosby

Additional resources: 

HOO courses https://www.asht.org/education/courses/hands-orthotics

ASHT CMC Course  https://www.asht.org/education/cmc-arthroplasty-post-op-expectations-eva...

Garg, R., Adamson, G. J., Dawson, P. A., Shankwiler, J. A., & Pink, M. M. (2010). A prospective randomized study comparing a forearm strap brace versus a wrist splint for the treatment of lateral epicondylitis. Journal of Shoulder and Elbow Surgery, 19(4), 508-512.

Sillem, H., Backman, C. L., Miller, W. C., & Li, L. C. (2011). Comparison of two carpometacarpal stabilizing splints for individuals with thumb osteoarthritis. Journal of Hand Therapy, 24(3), 216-226.