Chapter 23: Preventing and Treating Stiffness

This chapter provides an overview of the essential information needed to prevent or minimize residual stiffness of the wrist and hand, enabling the therapist to analyze the causes of stiffness and prioritize the focus of a comprehensive treatment plan. A detailed chart provides an overview of treatment highlights and splinting options for  various tissue limitations. Numerous photographs illustrate splinting options for the wrist and hand. A comprehensive and detailed case study is provided.

 

Highlights include:

• evaluation and treatment tips for joint tightness, intrinsic tightness, extrinsic tightness, web space contractures, and wrist limitations
• strategies for the prevention of joint tightness, intrinsic tightness, extrinsic tightness, web space contractures, and wrist limitations
• guidelines for prioritizing your treatment
• overview of various types of splints, their components and wearing schedule
• clinical pearls that assist clinical reasoning
• precautions and concerns
• tips on communicating with the doctor and patient/family
• one comprehensive case study

(Fundamentals of Hand Therapy by Cooper: "Preventing and Treating Stiffness" by Barbara Haines BS, OTR, CHT and Cynthia Cooper, MFA, MA, OTR/L, CHT, copyright 2007)

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Program subject to change. Participants are cautioned to apply new information and skills within the scope of state licensure law.

 

 Course Objectives:

Upon completion of this course, participants will be able to:

• describe the different tissue specific causes of stiffness in the wrist and hand
• identify evaluation, treatment and prevention techniques specific to each tissue limitation
• identify different methods to prioritize treatment focus related to tissue limitations
• identify the 3 types of end-feel found in the wrist and fingers
• understand the effect on tissue from dynamic or static progressive splinting
• identify appropriate splints for specific tissue limitations
• identify basic splinting design guidelines for the base, outriggers, and use of traction
• describe techniques for evaluating the fit of your splint
• describe basic principles of splint wearing schedules
• identify strategies for effective communication with the patient, doctor and family

CE Credits

1 contact hour

Regulations for self-study courses vary by state and profession. If you are taking this course for CE credits required for licensure, please contact your licensing board to confirm acceptance of this online course prior to registering. Courses must be relevant to your field of practice.

Accepted by many professional credentialing organizations and state professional regulatory boards. Check with your state board/credentialing agency to verify. Certificate of attendance will be issued to all participants upon completion of the course and may be used for CEU verification of credits. CE Credits vary by state. Please check with your state board/certifying agency to confirm conversion of contact hours to CE. See links below.

Arkansas State Board of Physical Therapy: This course has been approved by the Arkansas State Board of Physical Therapy for 1 contact hour.

Physical Therapy Board of California: The Physical Therapy Board of California recognizes Rehab Education, LLC as an approval agency to approve providers offering continuing competency courses for CA licensed PTs and PTAs. This course is approved for 1 contact hour.

Illinois State Board of Physical Therapy: Approved CE Sponsor by Illinois State Board of Physical Therapy, Division of Professional Regulations, #216.000227 for courses completed by 09-30-2014.

North Carolina Board of Physical Therapy Examiners: This course has been approved by virtue of Illinois CE Provider Approval #216.000227 for 1 contact hour. (Course must be completed by 09-30-2014)

NY State Physical Therapy Board: Rehab Education, LLC is recognized as an approved provider for courses completed by 05-10-2016 of PT and PTA continuing education by the NY State Education Department Board of Physical Therapy.

AOTA Approved Provider #6177. These states currently recognize AOTA Approved Providers for OT continuing education either in regulatory language or by formal written communication to AOTA:

Alaska Arkansas Delaware District of Columbia Illinois Indiana Kentucky Louisiana Maryland Minnesota Mississippi Missouri Montana

Nevada New Hampshire New York North Carolina Ohio Oregon Oklahoma Rhode Island South Carolina Tennessee Texas Vermont Virginia

The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

*NBCOT...National Board for Certification of Occupational Therapy (view PDU requirements)
+HTCC... Hand Therapy Certification Commission  (view recertification requirements)

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Regulations for self-study courses vary by state and profession. If you are taking this course for CE credits required for licensure, please contact your licensing board to confirm acceptance of this online course prior to registering. Courses must be relevant to your field of practice.