Instructional Concurrent Session VI

Date/Time: Sat, October 15, 2022 3:15 PM to 4:15 PM

Brachial Plexus Irritation Associated with Scapular Pathomechanics and Instability

Description:

A one-hour dive into the importance of considering the influence of scapular instability on brachial plexus irritation. This course will briefly review the nomenclature, organization and anatomy of the brachial plexus. An opening case will highlight the value of understanding shoulder muscular anatomy and its potential influence on neurologic presentation and pathology. The body of the presentation will detail normal and abnormal scapula position, the relationship to brachial plexus irritation sites, and present treatment methods to correct abnormal scapula positions and alleviate and/or prevent brachial plexus irritation.

Objective(s):

  • Review nomenclature, organization and anatomy of the brachial plexus.
  • Present case study to introduce the value of understanding shoulder muscular anatomy and its potential influence on neurologic presentation and pathology.
  • Review nomenclature and definitions associated with brachial plexus irritation, scapular pathomechanics and scapular instability.
  • Review of normal and abnormal scapula position.
  • Present probable brachial plexus irritation sites as consequence of abnormal scapula position.
  • Present treatment methods to correct abnormal scapula positions in an effort to alleviate and/or prevent brachial plexus irritation.

Challenges and Opportunities in Correctional Settings

Description:

The provision of healthcare for individuals who are wards of a governing body and who have limited rights has always been a sensitive topic of discussion. Prisons are an example of one such entity. Prisons today are responsible for merging community standards of healthcare with the custody level requirements of that particular setting. This is not easy but yet it’s required by law and a necessary humane endeavor. There are multifarious factors inmate to correctional settings that pose unique challenges to the delivery of healthcare. Rehabilitation of the hand and upper limb is no exception. Addressing these challenges has been rewarding both personally and professionally. This presentation serves to highlight the outstanding work and leadership provided by the orthopedic medical staff within the Federal Bureau of Prisons (BOP), how various factors unique to custody settings are addressed, and to highlight ideas about how to mitigate hand and upper limb rehabilitation challenges faced by individuals entering local, state, or federal legal systems.

Objective(s):

  • Identify the landmark legal decision that significantly impacted the delivery of healthcare for incarcerated individuals and the three basic rights secured for them through this U.S. Supreme Court ruling.
  • Discuss three challenges to the delivery of hand and upper limb rehabilitation in a custody setting and identify three ways that the BOP orthopedic medical staff has met these challenges with creative opportunities.
  • Identify three current efforts to improve the knowledge base and skill sets of BOP healthcare providers to effectively perform hand and upper limb assessments and rehabilitation interventions within all 122 BOP facilities.

Intentional Mentoring: Putting Knowledge, Tools, and Desire into Practice

Description:

How does a student or new graduate become a CHT? Opportunity, learning, and practice can pave the way, but how we gain the knowledge of our profession can impact skill development and practical implementation. Mentoring is a vital part of developing competence in the early learner on the path toward CHT achievement. Furthermore, mentoring is critical for building the next generation of leaders in the field of hand therapy. This presentation will define how successful mentoring requires the critical elements of: Understanding levels of knowledge; Knowing how to implement a mentoring program; Leveraging available tools and resources.

Objective(s):

  • Participants will understand how to become a mentor: 1. Desire for simultaneous learning and teaching 2. Development of Emotional Intelligence 3. Making time and space a priority 4. Engaging employer support
  • Participants will be able to define four levels of knowledge and how to craft learning expectations based on those knowledge levels: 1. Factual Knowledge 2. Procedural Knowledge 3. Conceptual Knowledge 4. Metacognitive Knowledge
  • Participants will understand four fundamental components of mentoring: 1. Establishing a learning environment 2. Defining a mentoring process (ASHT / HTCC tools) 3. Assessing knowledge (HTCC Self Assessment tool) 4. Teaching at the correct level of learning and readiness

Restoring Essential Functions of the Wrist

Description:

This session will focus on a comprehensive approach to restoring wrist motion and function following injury or surgery. The focus of this session will be on intervention strategies based on evidence on wrist movement and stability requirements to restore patients ability to perform ADL and improve rehabilitation outcomes

Objective(s):

  • Verbalize understanding of movement patterns essential for ADL function.
  • Articulate strategies to facilitate and restore wrist proprioception after injury.
  • Demonstrate understanding of wrist “functions” and order of progression based on tissue healing.