Instructional Concurrent Session III

Date/Time: Fri, October 14, 2022 5:30 PM to 6:30 PM

All Things TFCC

Description:

Injuries to the triangular fibrocartilage complex (TFCC) pose a unique rehabilitation challenge due to its intricate anatomy and biomechanics, and the limited body of research on specific therapeutic interventions. This course aims to describe the TFCC and its anatomy as it relates to rehabilitation considerations after conservative and surgical treatments of TFCC injuries with and without distal radioulnar joint (DRUJ) instability. Based on an understanding of anatomy, biomechanics and principles of tissue healing, TFCC rehabilitation, immobilization and exercise guidelines will be described. Some knowledge and understanding of TFCC anatomy and mechanics may be helpful but any therapist working in a setting treating chronic ulnar wrist pain or managing patients after TFCC surgery will find this course beneficial.

Objective(s):

  • Participants will be able to discuss the role of the TFCC and describe the anatomy and biomechanics of this complex structure.
  • Participants will be able to evaluate for TFCC injury, performing provocative tests and interpreting subjective and objective information.
  • Participants will be able to describe therapeutic treatment guidelines, including orthosis management and specific treatment activities for conservative and postoperative TFCC management.

Mysteries of the Mano Muscles

Description:

This interactive session provides a unique, guided tour of the surface anatomy of extrinsic tendons and intrinsic muscles, helping you to identify key bony landmarks and musculo-tendinous structures in your own hand and the hands of your clients. Participants will be given access to an online polling tool (Mentimeter) to optimize engagement and learning. Anatomical variations such as missing or multiple tendons will be examined. Images of dissected specimens will be shown to help visualize what lies under the skin. Fascinating and little-known facts will be presented, such as: the variable attachment and presence of extensor pollicis brevis; the variable position of extensor indicis tendon; the attachment of palmaris longus to adductor pollicis brevis and much more. We will examine the role of the sagittal bands and the phenomenon of subluxing extensor digitorum tendons. Do you have Linburg-Comstock Anomaly? Find out in this session. Learn how the lumbricals can affect recovery from carpal tunnel syndrome. This session will get under your skin to give you an important understanding of hand anatomy to apply in your clinical practice.

This session is geared to all audience levels. Even the therapist with advanced anatomical knowledge will experience some ah-ha moments.

Objective(s):

  • Be able to identify variations in muscle and tendon presence, locations and attachments.
  • Be able to identify the surface anatomy of muscles and tendons of the hand and how to activate muscles to view them.
  • Be able to apply knowledge of anatomical variations in clinical practice.

Own Your Bounce: Taking Action to Overcome Stress, Fatigue, and Burnout to Improve the Therapeutic Alliance

Description:

The landscape of our world has changed significantly. The changes have impacted emotions, interpersonal relationships, intrapersonal skills, and stress levels that ultimately can lead to burnout. Throughout the course of our lives, we have developed coping strategies along the way- the good, the bad and the ugly. Life experiences will shape our responses to stress. How we respond to stressors will either help us navigate through or cause us to get stuck in the stress cycle. This course will identify and discuss strategies and tools to navigate the stress cycle, the importance of life balance, effective intrapersonal skills, and therapeutic use of self to improve the therapeutic alliance The Therapeutic Alliance refers to a sense of collaboration, warmth, and support with agreed upon goals and interventions and an affective bond between the patient and therapist. Studies have shown one of the greatest predictors of outcomes is the Therapeutic Alliance. We will discuss the utility of our own neurobiology and how certain actions can lead to resiliency, reduced burnout, and improved work satisfaction and ultimately better patient outcomes.

Objective(s):

  • The participants will be able to Identify signs, symptoms and contributing factors of burnout.
  • The participants will become familiar with the basic neurobiology behind emotions and response to stressors that may lead to getting stuck in the stress cycle or create resiliency.
  • The participants will be able to identify 7 effective strategies to complete the stress cycle.
  • The participants will be able to identify ways they can to develop a therapeutic alliance with clients to reduce the effects of burn out.

Pearls and Pitfalls for Treating Hand Trauma in Children and Adolescents

Description:

Children and adolescents who sustained trauma in the upper extremity benefit from a coordinated plan of care to maximize their recovery. This session will impart knowledge to clinicians who are not practicing in a pediatric facility to strengthen their practice in providing pediatric specific care to children and adolescents with traumatic hand conditions. Case study examples will be used to illustrate a collaborative approach for developing individualized treatment plans, focusing on high yield pearls and pitfalls unique to child and adolescent care. Presenters will highlight fracture care concerns inherent in pediatric clients and how to recognize signs of sequelae following a fracture and common interventions to address them. Presenters will also discuss developmentally appropriate approaches for children with soft tissue injuries, such as flexor tendon injuries. Furthermore, children’s recovery may be impacted by personal and/or environmental factors. Presenters will discuss common concerns which can arise in delivering care to children who have sustained upper extremity trauma and ways therapists can identify and address these concerns to enhance the child’s recovery and return to their prior level of function.

Objective(s):

  • Participants will understand aspects of upper extremity fracture care which are unique to the pediatric client and how to identify signs of sequelae which can arise.
  • Participants will be able to develop a unified approach to surgical and therapeutic treatment planning for pediatric soft tissue injuries, such as flexor tendon injuries.
  • Participants will understand how to maximize pediatric hand client’s recovery through a holistic approach addressing personal and environmental factors that impact recovery.