2017 Baltimore Hand Therapy Review Course
Friday, October 6, 2017 - Sunday, October 8, 2017
Curtis National Hand Center @ MedStar Union Memorial Hospital - Baltimore, MD
Day 1: Pre:Course: Foundational Science of the Upper Extremity: An Anatomy and Kinesiology Review
Days 2 and 3: Comprehensive Survey of Hand Therapy Review Course
Day 1 Description
Friday, October 6 (Pre-course)
Foundational Science of the Upper Extremity: An Anatomy and Kinesiology Review
A working knowledge of the anatomy and kinesiology of the upper extremity provides a solid foundation for therapeutic evaluation and intervention. Using classroom and cadaver lab prosection projected into a lecture hall, this pre-course will review the anatomy and biomechanics of each joint, examine the brachial plexus and innervation patterns of the arm and hand, and allow for guided prosection using upper quarter cadaveric specimens. The prosection will have a live feed into the lecture hall with a facilitator to allow attendees to have interaction with instructors. During the second two days of the course, prosected cadaver specimens will be available in a rotating format at lunch breaks to allow for additional hands on learning. Each attendee will be allowed one thirty-minute session in the cadaver lab either the second or third day of the course.
Day 1 Objectives
At the conclusion of this activity, participants will be able to:
- Create an individual learning plan to address three identified areas of weakness inhand therapy topics.
- Explain interaction between boney anatomy, static and dynamic stabilizers, and proprioceptive reflexes necessary to allow pain free range of motion and force transmission across the following joints: digits, thumb, wrist, elbow, and shoulder.
Friday, October 6, 2017
| Time | Anatomical Sessions | Faculty |
| 7:30-8:00am | Registration and Continental Breakfast | |
| 8:00-8:05am | Introduction | |
| 8:05-9:35am | Anatomy and Kinesiology of the Elbow and Shoulder | Romina Astifidis, PT, CHT |
| 9:35-11:05am | Anatomy and Kinesiology of the Forearm and Wrist | Paige Kurtz, MS, OTR/L, CHT |
| 11:05-11:20am | Coffee Break | |
| 11:20am-12:50pm | Anatomy and Kinesiology of the Hand | Jane Fedorczyk, PT, PhD, CHT |
| 12:50-1:30pm | Lunch | |
| 1:30-3:00pm | Brachial Plexus and Innervation of the Upper Extremity | Keith Segalman, MD |
| 3:00-3:15pm | Snack Break | |
| 3:15-5:15pm | Guided Cadaver Dissection and Review of Anatomy | Rebecca Saunders, PT, CHT; Kenneth Means, MD; Rachel Pigott, MPH, OTR/L, CHT |
Days 2 and 3 Description
Saturday, October 7 and Sunday, October 8
Comprehensive Survey of Hand Therapy Review Course
This course is designed to provide a comprehensive review of the evaluation and intervention processes pursued for typical diagnoses in upper extremity rehabilitation. Advanced clinicians will describe fundamental concepts, clinical reasoning, and evidence to provide a multi-faceted approach to the hand therapy process. Adjunctive methods for intervention will be analyzed as a means to facilitate outcomes and expert panels will be offered throughout the weekend to allow a high level of attendee-faculty interaction via case discussion. Each attendee will have a total of 30 minutes in the cadaver lab either on Saturday or Sunday. Each lab will have 10 attendees in each lab and 5 attendees to each cadaver. Groups will spend time reviewing each prosection and answering study questions with an instructor (one instructor per prosection).
Days 2 and 3 Objectives
At the conclusion of this activity, participants will be able to:
- Design appropriate treatment plans for patients with four common upper extremity peripheral nerve diagnoses including ulnar neuropathy, median neuropathy, and radial neuropathy and upper brachial plexus injuries.
- Create custom treatment plans for patients with three discrete levels of crush or blast injuries: Finger level, wrist level, distal forearm level injury.
- Justify clinical application of three physical agents for patients with upper extremity diagnoses.
- Determine how to modify hand therapy protocols for the following conditions: hand fractures (phalangeal, metacarpal), wrist fractures (carpal or distal radius), and tendon injuries (flexor or extensor injuries).
- Discuss three discrete patterns of wrist instability using patient history, symptoms, diagnostic testing, and clinical special testing.
- Propose an appropriate treatment plan including orthosis and safe exercise progression for 90% of patients with Triangular Fibrocartilage Complex injuries and ulnar wrist pain.
- Design a custom program considering post-operative limitations for each patient after arthroplasties, including one each of the following procedures: shoulder reverse or traditional arthroplasty, elbow total arthroplasty, wrist total arthroplasty, thumb carpometacarpophalangeal interposition arthroplasty and index, middle, ring, and small digits metacarpophalangeal and proximal interphalangeal arthroplasty.
- Identify two appropriate rehabilitation goals and three interventions to promote post-operative healing and recovery of function in the spectrum of three conditions of rotator cuff injury (tendinitis, tendinosis, and rotator cuff tear), and two instability conditions of the shoulder (traumatic unidirectional and atraumatic multidirectional).
Saturday, October 7, 2017
| Time | Topic | Faculty |
| 7:30-8:00am | Registration & Continental Breakfast | |
| 8:00-8:15am | Introduction | Rachel Pigott, MPH, OTR/L, CHt |
| 8:15-8:45am | Principles of Soft Tissue Healing | Jane Fedorczyk, PT, PhD, CHT |
| 8:45-9:45am | Upper Extremity Evaluation | Paige Kurtz, MS, OTR/L, CHT |
| 9:45-10:00am | Coffee Break | |
| 10:00-11:00am | Wrist Biomechanics and Instabilities | Rachel Pigott, MPH, OTR/L, CHT |
| 11:00am-11:30pm | Ulnar Sided Wrist Pain and Salvage Procedures | Rachel Pigott, MPH, OTR/L, CHT |
| 11:30-1:00pm | Lunch Cadaver lab - rotating every thirty minutes |
Rebecca Saunders, PT, CHT Romina Astifidis, PT, CHT Paige Kurtz, MS, OTR/L, CHT Rachel Pigott, MPH, OTR/L, CHT Jane Fedorczyk, PT, PhD, CHT |
| 1:00-2:00pm | Elbow Diagnoses and Treatment | Jane Fedorczyk, PT, PhD, CHT |
| 2:00-3:00pm | Peripheral Nerve Injuries | Jane Fedorczyk, PT, PhD, CHT |
| 3:00-3:15pm | Snack Break | |
| 3:15-4:15pm | Wrist, Hand, and Thumb Fractures | Rebecca Saunders, PT, CHT |
| 4:15-5:15pm | Arthritis and Joint Reconstruction of the Hand | Paige Kurtz, MS, OTR/L, CHT |
| 5:15-5:45pm | Review Questions | Moderator: Rachel Pigott, MPH, OTR/L, CHT |
Sunday, October 8, 2017
| Time | Topic | Faculty |
| 7:30-8:00am | Registration and Continental Breakfast | |
| 8:00-9:00am | Flexor Tendon Rehabilitation | Romina Astifidis, PT, CHT |
| 9:00-10:00am | Extensor Tendon Rehabilitation | Rebecca Saunders, PT, CHT |
| 10:00-10:15am | Coffee Break | |
| 10:15-11:15am | Tendon Transfers | Brocha Stern, MOT, OTR/L, CHT |
| 11:15-11:45am | Ligamentous Injuries of the Hand and Tendinitis | Rachel Pigott, MPH, OTR/L, CHT |
| 11:45am-1:15pm | Lunch Cadaver lab - rotating every thirty minutes |
Rebecca Saunders, PT, CHT Romina Astifidis, PT, CHT Paige Kurtz, MS, OTR/L, CHT Rachel Pigott, MPH, OTR/L, CHT Jane Fedorczyk, PT, PhD, CHT |
| 1:15-2:45pm | The Use of Physical Agents in Hand Therapy | Jane Fedorczyk, PT, PhD, CHT |
| 2:45-3:00pm | Break | |
| 3:00-4:00pm | Management of Traumatic Hand Injuries | Paige Kurtz, MS, OTR/L, CHT |
| 4:00-5:30pm | Shoulder Diagnoses and Treatment | Romina Astififidis, PT, CHT |