Instructional Concurrent Session V
Current Concepts: Lateral Epicondylalgia
Description:
Lateral epicondylalgia is a common pathology, but achieving a successful outcome is not as easy as the diagnosis. This session will examine current concepts in the treatment of lateral epicondylalgia to assure that therapists are best able to specifically employ successful interventions in a practical, tolerant, and effective impairment-based treatment system. This session includes a thorough discussion of exercise prescription: using goal-oriented knowledge to help choose the type of muscle contraction, the dosage, and frequency of the intervention. The objective progression of the exercise prescription will be based on patient presentation, irritability, and exercise response. Furthermore, this session will examine the trending research over the past two decades which has demonstrated that lateral epicondylalgia is not an isolated pathology, there is a role of regional interdependence -- appreciating systemic neurological changes and the influence of cervicothoracic spine -- in the presentation of lateral epicondylalgia. This session will conclude with research-supported interventions including manual therapy, mobilization with movement, taping, blood flow restriction, and dry needling techniques and a patient case. Introduction: 1. ) Prevalence of Lateral Epicondylalgia 2.) Anatomy 3.) Differential Diagnosis 4.) Histological Pathology and Tissue Healing 5.) Regional Interdependence 6.) Biomechanical and Ergonomic Assessment 7.) Exercise Prescription 8.) Specificity of exercise and dose (frequency, intensity, contraction type) 9.) Holten Curve 10.) Cook Protocol 11.) Blood Flow Restriction 12.) Additional Interventions 13.) Manual Therapy 14.) Elbow and Wrist Specific 15.) Cervical and Thoracic Specific 16.) Dry Needling 17.) Taping 18.) Patient Case
Objective(s):
- Based on a patient’s lateral epicondylalgia irritability and sensitivity, attendees will be able to objectively choose a specific exercise intervention and dosage.
- Attendees will be able to describe the concept of regional interdependence and its contribution to lateral epicondylalgia.
- Attendees will be able to discuss interventions that can be used in the treatment of lateral epicondylalgia such as manual therapy, mobilization with movement, taping, blood flow restriction, dry needling.
Going That Extra Mile: Designing Treatments for Upper Limb Amputees
Description:
This course will teach therapists how to further develop their treatment plans for patients with upper limb loss with a holistic focus on return to participation versus just learning how to use a prosthesis in different tasks.
Current prosthetic rehab protocols use a three stage approach, but often fall short of expanding the personal/cultural relevance, temporal, and social aspects of training, nor do they expand on factors in tasks that cannot be controlled. Designed for the intermediate level therapist, this course will focus on how to design a treatment program with treatment ideas, home program design, and case studies to help therapists take their patients further toward reintegration in their lives.
Objective(s):
- Develop treatment plans to return patients with upper limb loss to participation in desired ADLs.
- Choose interventions to improve prosthesis integration into daily activities.
- Problem solve challenges in return to participation.
Speaker(s):
Introduction to Dry Needling (Lecture, No Lab)
Description:
This session will detail how dry needling effects soft tissue by creating lesions which activate remodeling both locally and systemically. A review of the most current evidence of the effectiveness of dry needling for upper quadrant conditions will be presented. Please note: this is a lecture with no lab.
Objective(s):
- Participants will discuss current evidence concerning the effectiveness of dry needling for upper quadrant dysfunction.
- Participants will locate trigger points and targeted areas of tissue dysfunction.
Thumbs up: Assessment and Treatment of Thumb Hypoplasia
Description:
The thumb is the most important digit in prehensile function. Opposition function and thumb position play a key role in developmental prehension and classification of power and precision grasps (Napier's classification). This interactive lecture-based session will use demonstrations and experiential learning to provide an in-depth look at the assessment and treatment of thumb hypoplasia. An overview of structural deficiencies of thumb hypoplasia including anatomy, clinical presentation, and Blauth's classification will be provided. Attendees will learn and participate in a clinical examination of the thumb to assess structural deficiencies in thumb hypoplasia. Key prehension patterns used to assess candidacy for reconstructive procedures of the thumb will be reviewed. An update on outcome measures used to evaluate thumb function pre- and post- thumb reconstruction will be provided. Case-based presentation of evaluation and rehabilitation of thumb function after index-finger pollicization for toddler, school-age, and adolescent patients will be discussed.
Objective(s):
- Describe the common congenital hand conditions with thumb involvement that are referred to occupational therapists working in a paediatric hand and upper limb clinic and identify the important role of the thumb in the stages of prehension development and in precision and power grasps (Napier's classification). This foundational knowledge will be used to describe and discuss the key prehension patterns used to assess candidacy for thumb reconstructive procedures in young children with thumb hypoplasia.
- Describe the structural deficiencies of thumb hypoplasia including detailed anatomy, clinical presentation, and Blauth's classification; and discuss, and conduct a clinical examination of the thumb to assess structural deficiencies in thumb hypoplasia.
- Discuss evaluation and rehabilitation for index-finger pollicization from post-op to 12 weeks and describe outcome measures used to evaluate upper limb function after thumb reconstructive procedures.