Management of Upper Extremity Stiff Joints

Intermediate level course is designed to enhance the understanding of the impact of joint stiffness on functioning of the elbow, wrist, and hand. This comprehensive course provides an analytical approach to the rehabilitation of upper extremity stiff joints.

Lecture includes animation and video-clips of cadaver dissection, surgery, pathomechanics, and treatment to enhance the learning experience.

Program subject to change. 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. This course content is not intended for use by any participants outside the scope of their license or regulation.

Course Objectives:

Upon completion of course, therapist will:

  • identify the anatomical structures of the joint
  • demonstrate the physiology of motion and causes of joint stiffness
  • describe physiology of the muscle and muscle contractures leading to stiffness
  • describe various stages of wound healing and it’s effect on joint stiffness
  • demonstrate the principles of splinting and CPM
  • effectively manage stiff hand, wrist and elbow by using the above knowledge

CE Credits

14 contact hours

BOC Skill Level: Advanced

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 14 contact hours of post-professional education in the advanced practice area of hand therapy. Approval #22-H4.

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 contact hours.

Maryland State Board of Physical Therapy Examiners: Approved by the Maryland State Board of Physical Therapy Examiners for 1.4 CEUs. (Course must be taken between 04-26-2019 and 04-25-2023)

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)

Board of Certification, Inc (BOC) Approved Provider #P8271: Rehab Education, LLC is approved by the Board of Certification, Inc. to provide continuing education to Certified Athletic Trainers. This program is eligible for a maximum of 14 Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program.

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: 8:00am to 5:00pm

Day 2: 8:00am to 4:00pm

Agenda Day 1:

8:00 – 9:00 Joint Structures
9:00 – 10:00 AM Muscle Physiology
10:00 – 10:15 AM Coffee Break
10:15 – 11:00 AM Normal Joint Motion
11:00 – 12:00 PM Wound Healing
12:00 – 1:00 PM Lunch Break
1:00 – 3:00 PM Management of Stiff Elbow
3:00 – 3:15 PM Coffee Break
3:15 – 5:00 PM Management of Stiff Wrist

Agenda Day 2

8:00 – 10:00 Management of Stiff Wrist
10:00 – 10:15 AM Coffee Break
10:15 – 12:00 PM Complex Mutilating Injuries
12:00 – 1:00 PM Lunch Break
1:00 – 2:00 PM Complex Regional Pain Syndrome
2:00 – 3:00 PM Concept of Joint Mobilization
3:00 – 3:15 PM Coffee Break
3:15 – 4:00 PM Clinical Application of CPM in Upper Extremity, Post-course assessment


Shrikant J. Chinchalkar OTR, CHT

Shrikant-J-Chinchalkaris a hand therapist with over 40 years of clinical experience in treating upper extremity conditions and over 30 years of teaching experience. He designed and developed Hand Therapy programs at four major teaching centers in Canada. He conducted many instructional courses on upper extremity rehabilitation in over 20 countries in the world and has won many awards for his presentations. He has over 250 presentations to his credit.

He was awarded the “Dr. Paul Brand Award of Excellence” by the American Society of Hand Therapists (ASHT), “Award of Leadership” by the Canadian Association of Occupational Therapists (CAOT), “Award of Excellence” by the Sisters of St. Joseph’s Hospital, “Best Educator” by the  Western University and the “Lifetime Membership Award” by the Canadian Society of Hand Therapists. He authored five book chapters and has published 27 papers and 15 abstracts in numerous peer-reviewed journals related to Upper Extremity Surgery and Therapy.

Classes taught by Shrikant J. Chinchalkar :