Advanced Rehab Seminar Courses have been designed for Hand Therapists, Occupational/ Physical Therapists and Athletic trainers who are involved in the rehabilitation of upper extremity injuries
PRACTICAL APPLICATION OF MODALITIES FOR THE UPPER QUADRANT (PAM CERTIFIED)
This is a hands-on course that covers the essentials of modalities necessary to treat the shoulder, elbow and the hand complex. It is specifically designed for the practicing upper extremity specialist/ certified hand therapist to think critically and apply clinical reasoning in the application of physical agent modalities to correctly treat the upper extremity with modalities to achieve optimal clinical results. It covers the basic physical, physiologic and therapeutic principles of each modality and relates these to the clinical decision-making process involved in treating patients with various and complex UE disorders. Following a discussion of the basic science and principles behind the application of each modality will be a laboratory portion of the course. The lab portion of the course will consist of practical hands-on application of the modalities to the management of upper extremity disorders, including relevant case studies that will help hone clinical reasoning skill in the application of the specific modality to treat a specific diagnosis.
Fluidotherapy
US how it works
Describe the physical and physiologic principles in the therapeutic application of modalities for the management of upper extremity disorders.
Discuss the effects of the modalities on clinical problems, including: pain, swelling, inflammation, muscle atrophy, ROM or wound healing for the Shoulder, Elbow Wrist and Hand
Demonstrate clinical reasoning in the selection and safe, effective application of modalities to pathologies of the upper extremity.
Demonstrate safe and effective application of each modality to representative cases
KEY SPEAKERS:
Charles Costello, P.T., PhD, C.H.T.
COURSE DURATION:
4 Days
30 Hours Contact Session for PAM (Part 1: 16 hrs, Part 2: 14 hrs)
COURSE SCHEDULE
DAY 1
Minutes
7:30
Pre test / registration
30
8:00
Physical agents in occupational therapy
Theory
240
8:30
Physical principles of electricity and electric currents
9:30
Therapeutic electric currents – nomenclature & characteristics
10:30
Electro-physiology of excitable tissues – nerves & muscles stimulation
12:00
Lunch
1:00
Lab: Electrotherapy equipment, currents and parameters
Understanding Electrical stimulation, its principles and electrotherapeutic currents
60
2:30
Principles of pain control with electrotherapy
60
3:30
Lab: pain control with electrotherapy – TENS, interferential, Hyperstimulation analgesia, H-wave
Electrical stimulation of muscles innervated in management of upper extremity disorders
90
Electrotherapy for pain management in the upper limb Use of TENS and its application:
Different applications for localized Vs. radiating pain in the UE
Interferential and Pre-modulated currents.
H-wave basics
5:00
Q & A
30
510
DAY 2
Neuromuscular Electric Stimulation
8:00
Principles & therapeutic applications of electrical stimulation of muscle – innervated & denervated
Use of NMES on disused shoulder and other musculature, to increase strength.
150
10:30
Lab: Electrical stimulation of muscle with clinical scenarios: Learn the motor points to activate certain muscles / groups.
Use of NMES to increase ROM.
90
Use of NMES on to increase strength in wrist and hand strength and to prevent adhesions, to allow for pull through of the tendons (FDP/ FDS FPL, EPL etc). Case Studies: Learn the various settings to activate different muscle tendon units in the UE for improving scapular control, to increasing strength in the RTC. From triceps activation to extensor recruitment in wrist drop. Or to initiate tendon pull through to prevent adhesions, or in cases of ulnar nerve palsy enhancing intrinsic function.
12:00
Lunch
1:00
Biofeedback
90
Monophasic & micro current applications
Monophasic applications for wound healing, edema & inflammation, Hivolt under water; iontophoresis
2:30
Lab: Biofeedback
120
Monophasic & micro current applications
4:30
Q and A
30
480
DAY 3
8:00
Physical principles of heat and heat transfer
Conduction convection theories
30
9:00
Inflammation & healing
Learn the principles of superficial thermal agents
Heat & cold (hot packs, paraffin, fluidotherapy; cold pack, ice massage, contrast baths, vasopneumatic devices) Practical application: The best modality for the case at hand using evidence based research, clinical expertise: When to use it, which one & how to use it to increase ROM, or reduce swelling (with Wrap/ elevation) etc
90
2:30
Therapeutic diathermies – shortwave & ultrasound
Understanding principles of SWD, US and phonophoresis
120
Application of US to improve ROM, manage scar and adhesions, tendonitis in different regions of the Upper extremity
Anti Inflammatory modalities: for Tendonitis: Phonophoresis; Pulsed US, SWD;
4:30
Q & A
Case studies, problem solving cases with thermal modalities
30
450
DAY 4
8:00
Light Therapy
Physical and physiological effects ofLaser & LEDs
120
Physiological effects & therapeutic applications of Laser & LEDs
10:00AM
Lab: US & Light applications
Application of US to improve ROM, manage scar and adhesions, tendonitis in different regions of the Upper extremity
120
Application of LLLT
12:00
Lunch
1:00
Clinical pharmacology:
Pharmacological agents used with phonophoresis and Iontophoresis
30
1:30
Integration of physical agents with other therapeutic & purposeful interventions.
