Traditionally, rehabilitation of the wrist has been a persistent challenge to the therapist charged with the management of these difficult pathologies. Options for conservative management have been limited to concentric exercises and wrist orthotic management. Current research indicates that proprioceptive rehabilitation principles regularly applied to knee and ankle conditions may have valid application in the rehabilitation of wrist instabilities and resultant functional loss. This webinar will review the current research into this approach. Further, orthotic management options will be presented.
Level of Instruction: Intermediate
- Understand the basic wrist pathology that can be addressed by emerging concepts
- Attain a working knowledge of feed back and feed forward control.
- Become familiar with the terms TFCC tears, S/L disassociation, DRUJ instability and PMCI patterns.
- Exercise interventions, graded imagery taping and orthotic interventions
- Identify and present the state of evidence to support this area of practice.
- Review of wrist pathology including SLIL, TFCC DRUJ and PMCI.
- Dart Throwers motion, what is it and how does it impact wrist rehabilitation
- Proprioceptive concepts/Neurology
- Proprioceptive rehabilitation techniques
- Questions and adjourn
- Paul J. Bonzani, OTR/L, CHT, M.H.S.
Clinical Assistant Professor University of New Hampshire Dept. of Occupational Therapy.
Throughout his career he has had the fortunate opportunity to work with some of the finest hand surgeons and therapists in the country having held management positions at both The University of Vermont—Fletcher Allen Medical Center and Duke University Medical Center. Additionally he has been an adjunct instructor in both the Duke University Physical Therapy Program and the Program in Occupational Science at the University of North Carolina-Chapel Hill. Mr. Bonzani brings 22 years of clinical experience in orthopedic and industrial rehabilitation. Paul has presented nationally in the areas of biomechanics and rehabilitation of the shoulder, nerve compression syndromes, RSI/CTD management and pain syndromes. He has published on the subjects of CTD/RSI management, thumb reconstruction, management of the rheumatoid elbow, shoulder and elbow tendonopathy, hand anatomy and nerve injuries. Clinical specialties include rehabilitation of the shoulder, elbow, wrist and hand, chronic pain syndromes, TOS, nerve compression syndromes and neural dynamic disorders of the upper limb. Current research interest is pain management of ulnar sided wrist pain following distal radius fractures. Paul is a clinician, researcher, author and educator and considered to be one of the leading therapists in the care of shoulder, elbow and hand injuries in North America.
Contact Hours: 1.5