Kinetic Chain Concepts for Upper Extremity Conditions

Kinetic Chain ConceptsThis advanced course takes the participants through a paradigm shift in how they look at common UE conditions. Through lecture and lab, it will review current evidence & challenge clinical reasoning related to treatment of UE conditions. The course will expand evaluation & treatment skills using sound anatomical & kinesiological principles. Difficult concepts regarding the kinetic chain are broken down and made clear. This course is designed for the experienced therapist.

During hands-on lab sessions, course instructor(s) will evaluate each participant’s techniques/skills learned to determine proficiency for course completion. Post test at end of course will assess your new knowledge.

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

Course Objectives:


By the end of the seminar the participant will be able to

  • list 2 key elements of the “kinetic link model” for patients diagnosed with upper extremity conditions.
  • identify 5 descriptors that help predict patterns of muscle recruitment for patients diagnosed with upper extremity conditions.
  • state 3 factors that contribute to dysfunctional movement patterns for patients diagnosed with upper extremity conditions.
  • describe the musculoskeletal impact on the UE when presented with a structural feature of the arms, neck or torso for patients diagnosed with upper extremity conditions.
  • identify at least 4 upper quadrant muscle length tests for patients diagnosed with upper extremity conditions.
  • identify at least 6 scapular dysfunctions for patients diagnosed with upper extremity conditions.
  • identify 3 muscle re-education strategies to help normalize scapular movement for patients diagnosed with upper extremity conditions.
  • design an upper extremity exercise that challenges the trunk in 3 planes for patients diagnosed with upper extremity conditions.

CE Credits

14.5 contact hours
This course is accepted by many professional credentialing organizations and state professional regulatory boards. Rules and regulations change frequently without notification, and apply differently to live and online courses. Please check with your state board to confirm accuracy of this list and acceptance of contact hours. 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.


California OT Board: This course and instructor have been approved by the CA Board of OT for 8 contact hours of post-professional education in the advanced practice area of hand therapy. Approval #22-H12.

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 14.5 contact hours.

NY State Physical Therapy Board: Rehab Education, LLC is recognized as an approved provider of PT and PTA continuing education by the NY State Education Department Board of Physical Therapy. (Course must be taken prior to 05-10-2022)

American Occupational Therapy Association (AOTA) Approved Provider #6177: See states that currently recognize AOTA Approved Providers for OT

  • AOTA Approval States

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

    District of Columbia
    New Hampshire
    New Mexico
    New York
    North Carolina
    North Dakota
    Rhode Island
    South Carolina
    South Dakota

    *Disclaimer: Rehab Education LLC provides this list for your convenience. At the time of listing, the following state boards accept courses by virtue of approval by other organizations. It is the responsibility of the participant registering for a course to check with their state board to confirm rules and regulations regarding acceptance of contact hours for live and online courses.

    The following PT Boards accept courses approved by other state PT boards or APTA state associations*:

    North Carolina

    The following PT Boards accept courses approved by other APTA state associations*:

    Rhode Island

    The following PT Boards accept courses provided by AOTA approved providers*:

    District of Columbia
    Rhode Island

    *NBCOT…National Board for Certification of Occupational Therapy (view PDU requirements)

    +HTCC… Hand Therapy Certification Commission  (view recertification requirements)
    Hand Therapy Certification Commission (HTCC): This course is accepted by HTCC towards re-certification.

    State PT Boards
    State OT Boards

Day 1:.

8:00 Introduction & Course ObjectivesKinetic Chain Concepts Lecture
8:45 Common UE Diagnosis & Therapy Care
9:30 Functional Anatomy & Demonstration
10:00 Break
10:15 Postural Impact Lab
11:00 Evaluation Lecture
11:45 Question & Answer from A.M.
12:00 Lunch
1:00 Posture & Alignment Lab & Discussion-Observation
1:45 Posture & Alignment Lab & Discussion-Palpation
2:30 Movement Analysis Lecture
3:00 Movement Analysis Lab & Discussion
4:00 Proximal & Remote Dysfunction Impacting UE Conditions
5:00 Question & Answer from P.M.
5:30 Adjourn

Day 2:

8:00 Review Day 1, Game Plan Day 2
8:15 Compensation Lab & Discussion (Limited Mobility Impact)
9:15 Compensation Lab & Discussion (Resistive Activity Impact)
10:15 Break
10:30 Treatment Considerations
11:00 Taping Lab
12:00 Lunch
1:00 Muscle Re-education Lecture
1:30 Muscle Re-education Lab
2:30 Kinetic Chain Based Exercise Lab
3:15 Documentation Suggestions
3:30 Summary, Q & A, Final Thoughts, Post-course assessment
4:00 Adjourn


Marc Allen, OTR/L, CHT

has been in practice as an Occupational Therapist since graduating from the University of Missouri-Columbia in 1982. He received his Certification in Hand Therapy. in 1993. Throughout his career, upper extremity rehabilitation has always been an area of practice and passion. Marc serves on the advisory board for the Southwest Missouri Regional Arthritis Center. He has also served in the past on A.S.H.T. sub-committees to develop clinical guidelines. Marc has taught several hand therapy related courses since 1990, two of which were co-developed and taught with two hand surgeons that he works closely with. Marc enjoys teaching hand therapy related courses, making the learning experience both exciting and practical.

Classes taught by Marc Allen: