Fabricating-Dorsal-Volar-Wrist-sThis intermediate level, one-day program establishes knowledge in the selection and fabrication of appropriate orthoses (splints) in the treatment of patients with hand and upper extremity fractures.  Protocols for upper extremity fractures and related surgical repairs which require the use of an orthosis will be reviewed, along with current literature. 

Through demonstration and strong emphasis on skill-building lab sessions, you will master the art of fabricating 6 custom low-temperature thermoplastic orthoses (splints) for UE fractures, and selecting pre-fabricated options for humeral fractures, and pronation/supination. Gain practical experience handling a variety of low-temperature thermoplastics and understand how to choose appropriate material based on molding properties, anatomy and desired function. 

During the hands-on lab sessions, the course instructor will evaluate each orthosis fabricated to determine proficiency of 3/5 correct using 5 variables as listed in the objectives. Each participant will also evaluate and score completed orthoses. A post-test at the end of the course is used to evaluate new knowledge. At the end of the course each participant will be given a course evaluation and a self reflective questionnaire.


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

Course Objectives:

At the completion of this course, the participant will be able to:

  • Identify 3 anatomical considerations of the hand when fabricating a thumb (spica) immobilization orthosis for patients with a post-surgical hand condition
  • Identify 2 mechanical principles of immobilization orthoses used for treating patients with orthopedic or post-surgical hand conditions
  • Identify 3 precautions for immobilization orthoses used for patients with orthopedic or post-surgical hand conditions
  • Identify 2 mechanical principles of mobilization orthoses used in treating patients with orthopedic or post-surgical hand conditions
  • Identify 3 precautions for mobilization orthoses used for patients with orthopedic or post-surgical hand conditions
  • Identify 2 clinical applications for each orthosis fabricated for patients with orthopedic or post-surgical hand conditions
  • Identify the wearing schedule and 2 methods of care for 3 of the orthoses fabricated in class for patients with orthopedic or post-surgical hand conditions
  • Demonstrate 2 out of the 6 characteristics of thermoplastics during material handling
  • Identify 1 appropriate material for 3 of the orthoses fabricated in class for patients with orthopedic or post-surgical hand conditions.
  • Critique each orthosis for correct fit by utilizing 5 factors: forearm/hand length, edge flares/smooth, width of forearm or hand, boney prominence pressure, strapping
  • Correctly modify any orthosis for proper fit
  • Create, from the beginning of the design process to the culmination of the orthotic fabrication, 6 low temperature thermoplastic orthoses for the patients with orthopedic or post-surgical hand conditions
  • Given a case scenario, the participant will choose the correct orthosis including orthotic materials and force (static, dynamic or static progressive) for an orthopedic patient with a finger fracture
  • Identify the correct name for an elbow wrist immobilization orthosis using the ASHT Orthosis Classification System.

CE Credits

8 contact hours

BOC Level: Essential

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.


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 8 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

7:30 – 8:00 Registration
8:00 – 10:00 Lecture: ASHT Nomenclature, Reimbursement, Literature Review
Lecture: Orthotic Materials; Force: static, dynamic, static-progressive
10:00 – 10:15 Break
10:15 – 12:00 Orthoses Lab: Wrist Extension Immobilization (Bi-Valve);
Wrist Extension, Thumb (Spica) Immobilization
12:00 – 1:00 Lunch
1:00 – 2:00 Lecture: Humeral Fracture
Pre-Fab Orthosis Lab: Humeral Fracture; Pronation/Supination
Orthosis Lab: Elbow Wrist Immobilization (Radial Bar)
3:00 – 3:15 Break
3:15 – 5:15 Orthoses Lab: MC Immobilization (Fracture) Orthosis;
MP, PIP, DIP (Total) Finger Flexion Mobilization:
DIP Immobilization (Mallet)
5:15 – 5:30 Q. & A,. Post test, Course Evaluation

marc_allenMarc 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.

More classes taught by Marc Allen:


Noelle M. Austin MS, PT, CHT is a graduate of Quinnipiac University with a Bachelor’s of Science in Physical Therapy and later obtained her Master’s degree at the University of Connecticut with a special focus on Allied Health Education. She obtained her CHT in 1996. Noelle has been teaching the art and science of orthotic fabrication for nearly 20 years. In addition to conducting both national and private workshops, Noelle has been involved in product development and training of sales representatives for Patterson Medical (Sammons Preston). She has written a regular column on Orthotic Fabrication in Patterson Medical’s publication Rehab Insider. She has presented multiple pre-conference workshops at Annual ASHT meetings as well as various State Chapter Annual meetings on the topic of orthotic fabrication. She owns CJ Education and Consulting, LLC that offers consulting services related to splint product development.

Noelle is currently employed as a Hand Therapist at Ortho Virginia; she previously worked for 17 years at ProPT in Hamden, CT. She also has teaching experience through her lectures at various colleges including the Physical Therapy Program at Lynchburg College in Virginia and Sacred Heart University in Connecticut, presenting lectures/labs on the topics of hand anatomy/kinesiology, examination/intervention and orthotic fabrication. She is also an active member of the American Society of Hand Therapists.

Noelle is co-author and co-editor of the book: Orthotic Intervention for the Hand and Upper Extremity: Splinting Principles and Process published by Lippincott Williams and Wilkins, 2003/2013. In addition, she wrote the chapter ‘Wrist and Hand Complex’ in the 4th/5th/6th edition of Joint Structure and Function: A Comprehensive Analysis (Levangie and Norkin) published by FA Davis in 2005/2011/2016. She also authored ‘Orthotics in the Management of Hand Dysfunction’ in the 2nd and 3rd edition of Orthotics and Prosthetics in Rehabilitation (Lusardi and Nielsen) published by Elsevier 2007/2012.

More Classes taught by Noelle Austin:

Fisher_Debbie-sDebbie Fisher, MS, OTR, CHT graduated from Washington University and has specialized in hands for the past 16 years.   In addition to being an OT / CHT, she has advanced training in ergonomics, handwriting, yoga, LSVT, dry needling, & magic (from her husband who is a world renowned magician).  Debbie has been published for her and her husband’s work with Magic Therapy and has been invited to lecture for the International Society of Hand Therapist, Project Magic, Texas Society of Hand Therapist, Alaska Occupational Therapy Association, Montana Occupational Therapy Association, and Texas Occupational Therapy Association, American Society of Hand Therapist as well as several companies and schools. Debbie currently lectures around the country on innovative treatments for the upper extremity, Saebo, and custom splinting.

More classes taught by Debbie Fisher:

Mary_Nordlie-sMary Nordlie, MS, OTR/L, CHT has been an OT for 40+ years and a CHT since 1992. Her hand and splinting experiences have included working at Level One Trauma Hospitals, private Hand Surgeon clinics, independent Hand Therapy clinics and currently at a large medical center as a Hand Therapist.

Her teaching experiences include international lectures /workshops in Egypt and Saudi Arabia, teaching at local colleges, various professional societies including the American Association for Hand Surgery (AAHS) and mentoring countless OT students.

RECOR, Carol-sCarol Recor, OTR/L, CHT received her Occupational Therapy Degree from Colorado State University, and received her Certification in Hand Therapy in 1991.   Carol has extensive experience in custom orthosis fabrication.  She first developed her skills while working in a Level I trauma center and burn unit.  Since that time, she has worked at several outpatient hand clinics, and is currently a Clinical Specialist for the University of Washington Medical Center.   She lectures locally, nationally, and internationally, including lectures at ASSH and AAHS annual meetings.  She is co-author of the Hand Therapy chapter in “Principles of Hand Surgery and Therapy”.  Her areas of interest include complex hand and upper extremity trauma, wound care, and education of therapists, Hand Fellows, Residents and Surgeons.

Karen_Schultz-sKaren C. Schultz, MS OTR CHT FAOTA, received her Master’s in OT from California State University San Jose. She became an ASHT active member in 1983 and a Certified Hand Therapist in 1991. Karen was elected in 1992 as a Fellow of the American Occupational Therapy Association for her special contributions to Occupational Therapy. She was an ASHT board member and a Journal of Hand Therapy editorial board member. She is senior consulting hand therapist of KSHULS (Karen Schultz Hand and Upper Limb Strategies), her education/workshop/consulting company and president of UE TECH a design and distribution company of products for hand rehabilitation. She works clinically at University of Colorado. Karen has lectured and published on topics including upper limb anatomy, evaluation, orthoses, work programs and cumulative trauma disorders.


Note: Early Bird rates are in effect if your application is postmarked four weeks or more prior to registration.Early Bird RateLate Registration Rate
Orthotic Solutions for Upper Extremity Fractures$299.00$329.00

Dates & Locations

There are currently no scheduled workshops at this time.

Please note: 
Live courses require a minimum number of participants to operate. You will receive a written confirmation when minimum is met. Do not purchase non-refundable travel until you receive official written confirmation. Please see our cancellation policy here.