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Advanced Clinical Reasoning for Pediatric Upper Extremity Conditions

Rehab Education

Objectives

At the end of the course, the attendee will be able to: Identify one of the systems that may be contributing to the primary limiting factor for a patient diagnosed with sports/overuse injury Demonstrate 2 soft tissue mobilization techniques that would be appropriate for a patient diagnosed with orthopedic upper extremity trauma Demonstrate 2 movement strategies to help gain distal motion in a patient diagnosed with cerebral palsy List 2 treatment techniques that would be appropriate to utilize for a patient with camptodactyly. Given a case scenario, choose 3 treatment modalities to address persistent pain in a pediatric patient Identify 3 elbow issues that might interfere with gaining full motion after an elbow injury or fracture Identify a secondary problem and develop a treatment plan for a patient diagnosed with brachial plexus injury

Agenda

Day One 7:30-8:00 Registration/Continental Breakfast 8:00-10:30 Advanced clinical reasoning concept introduction: evaluation basics, systems identification & primary limiting factors (130 min lecture & 20 min. lab practice: Developmental ramifications) 10:30 - 10:35 Break 10:30-12:30 Anatomy/biomechanics of the upper extremity & composite movement patterns (85 min lecture & 20 min lab practice: Facilitation of simple composite movements) 12:30-1:30 Lunch on your own 1:30 - 2:30 Analyzing and advanced treatment for orthopedic trauma to the upper extremity (50 min lecture and 1 case scenario) 2:30-3:30 Analyzing and advanced treatment for soft tissue and scar restrictions (45 min lecture & 15 min demo and lab practice: Instrument assisted soft tissue mobilization) 3:30-3:45 Break 3:45 - 5:00 Analyzing distal hand conditions (50 min lecture & 10 min for 1 case scenario: identification of systems and limiting factors) Day Two 7:30 - 8:00 Breakfast and Networking 8:00-9:30 Analyzing and advanced treatment for neuromuscular upper extremity conditions (90 min lecture) 9:30-10:45 Analyzing and advanced treatment for persistent pain and CRPS (complex regional pain syndrome) (65 min lecture & 10 min lab practice of pain management techniques) 10:45-11:00 Break 11:00-12:15 Analyzing sports injury/overuse conditions (55 min lecture & 20 min lab practice: Core assessment, kinetic chain & facilitation of complex composite movements) 12:50 - 1:50 Lunch 1:50 -2:30 Advanced clinical reasoning solidification (75 min small group discussion of 3 case scenarios) 2:30-3:00 Post-test game-show style quiz. Complete evaluation forms

Description

The treatment of upper extremity pediatric conditions can be complex and challenging for therapists. Analyzing these conditions requires a good knowledge of development, anatomy and biomechanics to understand the underlying problems. In order to help the therapist plan and focus treatment, this course will outline a clinical problem solving framework that includes identifying the systems involved (skin, fascia, muscle, tendon, nerve, bone), defining the primary limiting factor(s), noting the developmental ramifications and addressing the resulting functional deficits.
Instructors will show how to use this framework to analyze, problem solve and plan treatment for various pediatric upper extremity diagnoses including distal hand conditions, orthopedic upper extremity trauma, neuromuscular involvement, sports injuries/overuse injuries and persistent pain/complex regional pain syndrome. Attendees will learn soft tissue treatment techniques, proximal handling techniques to gain distal motion, postural/core strength assessment & treatment, neuro-mobilization techniques, CRPS treatment techniques, and discuss appropriate use of casting/orthoses.
The course will use break out sessions, lab practice time, small group discussions of sample cases and quiz-show style questions and answers to facilitate new clinical reasoning skills for the attendees.

Date And Locations
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