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Flexor and Extensor Tendon Repairs of the Upper Extremity: Current Concepts in Rehabilitation and Splinting

Gold Standard Seminars

Objectives

Perform a patient-centered evaluation Describe anatomical and biomechanical principles that form the framework of post-operative extensor and flexor tendon evaluation and treatment. Explain how biomechanical dysfunction of the hand can create occupational impairment. Identify indications and contraindications for functional use, therapeutic interventions and protocols for post-operative flexor or extensor tendon repair Explain evidenced-based special tests and identify current research and upcoming trends in tendon repair rehabilitation Ascertain appropriate orthotic device with a basic understanding of how to fabricate them for flexor and extensor tendon repairs.

Target Audience

Occupational Therapists Physical Therapists Occupational Therapy Assistants Physical Therapy Assistants Physicians Physicians Assistants Nurse Practitioners Chiropractors

Confirmation Notes

This course offers 0.6 AOTA CEUs. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA This course offers 6.0 contact hours of category A, formal courses with direct upper extremity content for OT or PT towards the Certified Hand Therapists (CHT) recertification. ? This course is pre-approved by The Oklahoma State Board of Medical Licensure & Supervision for Physical Therapists for 6.0 total hours (approval #201913998) ? This course meets the American Physical Therapy Association (APTA) Standards of Quality for Continuing Education Offerings (BOD G11-03-22-69). Please save your course certificate and outline to submit for CE credit to your state and/or local licensing board. ? For other professions, this course counts as 6.0 contact hours of professional development. Please save your certificate and course outline to submit to your national, state or local agency for continuing educating credit.

Description

Rehabilitation of tendon repairs remains the most challenging diagnosis that hand therapists treat with an abundance of different protocols and orthoses to choose from. Many clinics default to protocols that were established in the 1970’s and 1980’s and have not been updated to what the research now dictates is a better way to treat this population. This course is designed around the most recent evidence in surgical intervention and rehabilitation of flexor and extensor tendons. During the morning session the course will cover extensor tendon anatomy and physiology, history and current evidence of extensor tendon repairs and rehabilitation. A video session for fabrication of a resting hand orthosis for extensor tendon repairs as well as a Relative Motion Extension Splint (RMES) will be viewed. The afternoon session will cover flexor tendon anatomy and physiology, history and current evidence of flexor tendon repairs and rehabilitation. In addition, emerging evidence in flexor tendon repairs including “Proof-of-Concept” will be discussed. During a second video session, participants will have the opportunity to learn how to fabricate a Relative Motion Flexion Splint (RMFS) and discuss tips for dorsal blocking orthoses. Understanding the various approaches to tendon repair rehabilitation is complex and challenging. This course will present the most recent and highest levels of evidence, including clinical pearls for digital nerve involvement, PIPJ contractures, scar management, and cortical re-patterning. Following this one day course, learners will confidently rehabilitate the most challenging of tendon repairs. The educational level of this course is intermediate.

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