Wrist Secrets Part 1

Description

*University & multi-center Licensure available upon request; all courses single user only
*5.0 NBCOT® PDUs
*Watch on your idevices, smart phones, tablets and MORE
Domain of OT, Occupational Therapy Process,

The wrist is commonly encountered in the clinic both directly and indirectly. To provide the highest quality of care for patients with wrist dysfunction thorough knowledge is needed. This interactive movie course is designed to provide you with a comprehensive understanding of the wrist evaluation and treatment. The therapist will learn the pertinent anatomy and biomechanics as it applies to evaluation and treatment. Emphasis will be on proper interpretation of special tests, manual therapy, connective tissue healing and treatment techniques. Mixed level learning course – Instructional Methods include PowerPoint presentation, lecture, and video to enhance understanding. Upon successful completion of the examination (80%) your certificate will be sent via email. Mixed level course

Objectives

• Review pertinent osteology, mycology and neurology of the wrist
• Describe the TFCC
• Discuss joint arthrokinematics of the wrist
• Review connective tissue healing and it’s impact on decision making in treatment
• Review visco-elastic properties of connective tissue as it relates to splinting the wrist joint
• Become familiar with special examination tests of the wrist and their proper interpretation
•  Review therapeutic techniques at the wrist
• View manual therapy of the wrist including mobilization
• Review the arthrokinematics of the wrist joint in making correct decisions regarding wrist mobilization
• Introduce the most common fractures and avascular necrosis problems at the wrist
• Describe the various instabilities at the wrist;CID,CIND,DISI,VISI
• Review the more common wrist diagnosis in the context of the course contents ” pulling it all together”

Outline

1. Anatomy
2. Osteology
   1. distal radius
      1. facets
      2. inclination/tilt
      3. ulnar notch
      4. styloid process
   2. distal ulna
      1. styloid process
      2. ulnar head
   3. carpals
      1. proximal row
      2. distal row
   4. metacarpals
3. Capsule and ligaments
   1. capsule
   2. transverse carpal ligament
   3. extrinsic ligaments
      1. dorsal radiocarpal ligament
      2. radial collateral ligament
      3. palmer radiocarpal ligaments
      4. ulnocarpal complex
   4. intrinsic ligaments
      1. lunitriquetral
         1. scapholunate
         2. scaphotrapezial
4. Myology
   1. extrinsics
      1. extensors
      2. flexor
   2. intrinsics
      1. lumbricles
      2. interossei
      3. thenar
      4. hypothenar
   3. extensor retinaculum
5. Neurology
   1. peripheral nerves
      1. radial
         1. median
         2. ulnar
      2. nerve roots
         1. C5-T1
6. Vascular
7. Triangular fibrocartilage complex
   1. Articular disc
   2. Meniscus homolog
8. Biomechanics
9. Arthrokinematics
   1. convex/concave
   2. central column
   3. axis
10. DRUJ
    1. kinematics
11. Radiocarpal joint
    1. kinematics
12. Midcarpal joint
    1. kinematics
13. CMC
    1. Kinematics
14. Connective tissue constraints
15. Therapeutic Management
16. Examination
    1. Grip strength
       1. Rapid exchange
       2. Five position grip test
    2. Sensation
       1. Semmes Weinstein
    3. Finklesteins
    4. Scaphoid shift test
    5. Shuck test
    6. Ballottment test
    7. TFCC load test
    8. Carpal compression
    9. Phalens test
    10. Tinels
17. Connective tissue healing
    1. Acute phase
    2. Proliferative phase
    3. Remodeling phase
18. Scar management
19. Therapeutic exercise
    1. Tendon gliding
20. Stretching
    1. Intrinsics
    2. Finger flexors
    3. Wrist flexors
    4. Wrist extensors
21. Resistive exercises
    1. Manual resistive
    2. Closed chain
    3. Functional
22. Mobilization
    1. Joint play
    2. Radiocarpal
    3. Midcarpal
23. Splinting
24. Modalities
    1. US
    2. Iontophoresis
25. Wrist Injuries
26. Fractures
    1. Scaphoid
    2. Lunate
    3. Distal radius
       1. Colles
       2. Smith
       3. Bartons
27. Instabilities
    1. CID
    2. CIND
       1. DISI
    3. VISI
       1. Lunate dislocation/perilunate instability
       2. Translocation of carpus
       3. DRUJ instability
28. SLAC
29. Kienbocks
    1. Preissers
30. TFCC
31. Carpal tunnel
32. deQuervains