A Systematic Approach to Examination, Diagnosis and Manual Therapy of the Elbow - Fairview Health Services
 
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A Systematic Approach to Examination, Diagnosis and Manual Therapy of the Elbow

Fairview Rehabilitation Services is a course sponsor for the International Academy of ORTHOPEDIC MEDICINE (IAOM)
Audience: PT, PTA, OT, COTA, ATC
Course Level: Advanced
Date: Saturday and Sunday, February 8-9, 2014
Check in time: Saturday: 7:30-8 a.m.
Class time: Saturday: 8-6:30 pm
                       Sunday: 8-3 pm
Location: St. Catherine University: PT Lab E560
601 25th avenue S
Minneapolis, MN 55454

Contact hours: 15.0

Course fee: $520.00. If there are 2-4 people coming from the same facility (outside of Fairview), you will receive a 5% discount.  Will have to register at the same time to receive this discount.
NON-FAIRVIEW THERAPIST: Call IAOM  at 866-426-6101 and they will  take your registration over the phone.

Register for this course (Fairview Employees only)

Speakers:
John E. Cain, OTR, CHT, COMT
graduated from the University of Wisconsin, Milwaukee in 2001. He became a Certified Leduc Trained Lymphedema Therapist in 2004, a Certified Hand Therapist in 2007 and earned his COMT in 2010. Currently, John works with the Lakeshore Medical Clinic in Milwaukee where he specializes in upper extremity orthopaedic injuries and lymphedema patients. John has been an assisting instructor for the Hand and Upper Extremity Track with the IAOM-US since 2010.

Ann Porretto-Loehrke, PT, DPT, CHT, COMT graduated from Marquette University in 1994. She became a Certified Hand Therapist in 2002 and completed IAOM-US certification for the upper quadrant in 2003. In 2007, Ann completed a post-professional doctorate of physical therapy (DPT) degree with a specialty in hand and upper quarter rehabilitation from Drexel University in Philadelphia, PA. Ann is the therapy manager at the Hand to Shoulder Center of Wisconsin, located in Appleton, Wisconsin. www.handtoshoulderwisconsin.com She has previously served as an item writer for the Hand Therapy Certification Commission and been a member of the Examination Committee. Ann is one of the creators and lead instructors of the Hand and Upper Extremity Track. She has presented at ASHT annual conferences, Wisconsin Hand Experience, Canadian Hand Conferences, Philadelphia Hand Conference, and Teton Hand Conference.

Mirka Normand, OTR, MA, CHT, COMT, graduated with a Bachelor of Science in Occupational Therapy from Laval University in Quebec, Canada, 1991. She attended the Hand Therapy Fellowship program of Texas Women’s University and Baylor College of Medicine in 1999 and obtained her hand therapy certification (CHT) that same year. She completed her Advanced Master’s degree in Occupational Therapy with Hand Therapy Specialty in 2003 at Texas Women’s University. In 2006, she achieved the IAOM-US Manual Therapy Certification for the upper quadrant (COMT). She is one of the creators and lead instructors of the IAOM-US Hand and Upper Extremity Track. Mirka currently works as Therapy Supervisor for one of Meriter Hospital outpatient clinics in Madison, WI which provides general orthopedic care, as well as return to work & hand therapy services.

Course Description
This course will address

  • surface anatomy: bony landmarks of the elbow; flexor and extensor origin; path of median, radial, & ulnar nerves about the elbow
  • joint specific techniques to address elbow and forearm stiffness
  • elbow pain: medial epicondylitis; cubital tunnel (screen for TOS--especially with cubital tunnel!); testing for instability
  • elbow pain: lateral epicondylitis; hyper/hypomobility at the HRJ; radial tunnel syndrome
  • neural flossing techniques for the median, radial, and ulnar nerves about the elbow

Objectives
After completion of this course, the participant will be able to:
1. Perform a systematic clinical examination at the elbow to determine the pain-generator

2. Demonstrate how to provide joint mobilization techniques for limitations at the humeroulnar, humeroradial and proximal radio-ulnar joint

3. Understand key concepts regarding rehabilitation for elbow instability

4. Demonstrate manual techniques to address soft tissue disorders about the medial, anterior, and lateral elbow

5. Perform provocative tests to identify nerve compressions at the elbow and forearm and treatment to address the following syndromes: cubital tunnel, pronator syndrome, radial tunnel, and Wartenberg's syndrome

Agenda
DAY 1
8:00 – 8:15 am                          Introductions: Instructors and Course Participants
8:15 –10:30 am                         Anatomy and Pathoanatomy of the Elbow Lecture
10:30 –10:45 am                       BREAK
10:45 –11:45 am                       Bony & Soft Tissue Surface Anatomy of the Medial & Lateral Elbow Lab
11:45 – 12:30 pm                      History (Who, What, Where, When, To What Extent?) Lecture
12:30 – 1:30 pm                        LUNCH
1:30 – 2:30 pm                          Basic Clinical Examination (BCE) of the Elbow Lecture/Lab
2:30 – 3:15 pm                          Interpretation of Examination Findings & Extra Tests Lecture/Lab
3:15 – 3:30 pm                          BREAK
3:30 – 4:30 pm                          Addressing Capsular Pattern at the Elbow: Joint-Specific Techniques to Improve Extension
                                                     at the Humeroulnar Joint (HUJ) & Humeroradial Joint (HRJ) Lab
4:30 – 5:00 pm                          Joint-Specific Techniques to Improve Elbow Flexion at the HUJ Lab
5:00 – 5:15 pm                          BREAK
5:15 – 6:30 pm                          Elbow Stability: Simple & Complex Dislocations Proximal Radioulnar Joint (PRUJ)
                                                     Techniques to Improve Forearm Rotation Lecture/Lab

Day 2
8:00 –10:15 am                       Lateral Elbow Pain: Differentiation between Joint vs. Soft Tissue with Treatment
                                                    Proposal and Neural Flossing for Radial Tunnel Lecture/Lab
10:15 –10:45 am                     BREAK
10:45 –12:30 pm                     Medial Elbow Pain: Cubital Tunnel Syndrome with Trends in Surgical and Post-Operative
                                                    Management Including Neural Flossing Lecture/Lab
12:30 – 1:00 pm                       LUNCH
1:00 – 2:00 pm                         Anterior Elbow Pain: Soft Tissue Issues with Trends in Surgical Fixation and Post-Operative
                                                    Management of Distal Biceps Repairs; Pronator Syndrome with Neural Flossing Lecture/Lab
2:00 – 2:45 pm                        Case Studies: Tying Together Concepts Presented with Evaluation and Treatment Lecture
2:45 – 3:00 pm                        Questions & Closing Remarks

 
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