Pediatric Hand Therapy and Orthotic Intervention (Splinting) for Musculoskeletal Conditions

pediatric-handPediatric patients are different from adult patients and can pose many challenges. This specialized hands-on two-day course will be a valuable learning opportunity for a pediatric therapist who is challenged by the orthopedic issues that arise when treating musculoskeletal conditions and for hand therapists who treat adults and are challenged when faced with a pediatric patient. Participants will learn strategies to successfully meet these challenges and understand approaches for evaluating, treating, and providing orthoses (splints) and home programs for the pediatric patient with musculoskeletal conditions.  

Attendees will gain knowledge and skill through lecture with questions & answers, demonstrations, orthotic fabrication labs, and case scenarios with group analysis and discussion focusing on planning treatment, therapy ideas, orthoses recommendations, and goals setting. The information will be presented with support from evidence-based information regarding normal hand development, evaluation, and therapeutic and orthotic intervention. Attendees will successfully create and design 9 orthoses (splints).

Course includes review of:

  • normal hand skill development from birth to 5 years
  • most common pediatric outcomes measures and evaluation tools for orthopedic conditions
  • developmental and functional issues for children with musculoskeletal conditions
  • identification of specific orthotic intervention for children with musculoskeletal conditions
  • pre-surgical and post-surgical intervention strategies for commonly treated pediatric musculoskeletal, neuromuscular and rheumatologic conditions.
  • overview of orthotic intervention principles and techniques specifically for pediatric patients
  • decision making skills for therapy intervention, home program and orthotic intervention
  • methods to encourage cooperation during fabrication with pediatric patients
  • methods to enhance compliance with use of the orthoses with pediatric patients
  • review of available prefabricated orthoses for pediatric patients

During the hands-on lab sessions, the course instructor will evaluate 9 orthosis fabricated by the participant to determine proficiency of 100% correct using 3 variables. Each participant will also evaluate and score completed orthoses. A post-test at the end of the course is used to evaluate new knowledge. The written post test is used primarily as a review of the course content and is not subject to a proficiency standard. At the end of the course each participant will be given a course evaluation and a self reflective questionnaire.


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

 Course Objectives:

Upon completion, participant will be able to::

  • Identify 3 unique aspects of hand therapy for pediatric patients with musculoskeletal conditions.
  • Identify the appropriate age norms for 3 specific developmental skills below the age of 5 years that affect hand skill development
  • List 3 pediatric evaluation tools that are standardized for use on pediatric patients with upper extremity conditions.
  • Choose 2 treatment techniques that would be appropriate to utilize after surgery for a pediatric patient with one of the following conditions: brachial plexus palsy, upper extremity trauma, congenital hand conditions, neuromuscular disorders, and rheumatologic conditions
  • Identify 3 ways to improve compliance and wear time with orthotic intervention for a pediatric patient with musculoskeletal conditions
  • Compare two differences in treatment of flexor tendon repair of the hand for pediatric patients vs. adult patients.
  • Adapt 3 common items found in the home or clinic into treatment or home program ideas for improving motion or function of the upper extremity
  • Create 9 orthoses, from beginning of the design process to the finalization of the orthotic fabrication, correctly utilizing all of the orthotic mechanical principles.
  • Critique each fabricated orthosis for correct fit by utilizing 3 factors: freedom of distal joints, 3 points of pressure, appropriate application of straps.
  • Propose 3 appropriate therapy goals and treatment strategies for the pediatric patient with neuromuscular condition described in the scenario.

CE Credits

15.5 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 15.5 contact hours of post-professional education in the advanced practice area of hand therapy. Approval #22-H17.

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 15.5 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)

PA State Board of Physical Therapy: Per PA rules and regulations, Pennsylvania Board of Physical Therapy now recognizes as approved any course certified by FSBPT’s ProCert or approved by another state PT Board, or approved by the APTA and its components which includes the state chapters, regional chapters, and sections.

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

Federation of State Boards of Physical Therapy (FSBPT): Federation of State Boards of Physical Therapy (FSBPT): Federation of State Boards of Physical Therapy (FSBPT) / ProCert has awarded certification in the amount of 14 Continuing Competence Units (CCUs) to this activity. Approved CCUs are a unit of relative value of an activity based on its evaluation against a rigorous and comprehensive set of standards representing the quality of an activity. The CCU determination is a valuation applying many factors including, but not limited to, duration of the activity. No conclusion should be drawn that CCUs correlate to course hours. (Course must be taken between 04-21-2016 and 04-20-2021) Please check with your state physical therapy board to determine if they currently accept the Federation of State Boards of Physical Therapy (FSBPT) certification.

  • 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 One

7:30-8:00 Registration/Continental Breakfast
8:00-8:30 Unique Aspects of Pediatric Hand Therapy
8:30-9:00 Normal Hand Development
9:00-10:00 Pediatric Hand Evaluation
10:00-10:15 Break
10:15-11:15 : Treatment for Brachial Plexus Palsy
Lab: Demonstration and fabrication of supination orthosis
11:15-12:15 Pediatric Trauma-fractures, tendon injuries, etc.
12:15-1:15 Lunch
1:15-1:45 Lab: Creative Ideas for therapy and Home Program
1:45-3:30 Treating Children with Congenital Hand Differences:
Radial Ray Deficiencies, Hypoplastic Thumbs, Camptodactyly, Syndactyly,
Trigger Fingers/thumbs, Thumb-in-palm Deformities,  Arthrogryposis
3:00-3:45 Break
3:45-5:00 UE Management of Child with Neuromuscular Disorders
Lab: Demonstration and fabrication of foam orthosis
5:00-5:30 Treatment of Pediatric Rheumatological Conditions, Introduction of case scenarios

Day Two

7:45 – 8:00 Continental Breakfast
8:00-9:15 Group discussion and presentation of case scenarios
9:15-10:30 Pediatric orthotic intervention
Fabrication principles
Pediatric orthotic intervention techniques
Review of prefabricated pediatric orthoses
10:30-10:45 Break
10:45-11:15 Lab: Demonstration and fabrication of web space opening orthosis
11:15-12:00 Lab: Demonstration and fabrication of PIP extension orthosis
12:00-12:15 Lab: Demonstration and fabrication of PIP extension cast
12:15-1:15 Lunch
1:15 -2:15 Lab: Demonstration and fabrication of foam hand dorsal orthosis
2:15-3:15 Lab: Demonstration and fabrication of hand piece used for “convertible” orthosis
3:15-3:30 Break
3:30-4:30 Lab: Demonstration and fabrication of dorsal wrist orthosis
4:30-4:45 Lab: Completion of “convertible” orthosis with straps/decorations
4:45-5:00 Written post-test and course evaluation


Jill Peck-Murray, MOT, OTR/L, CHT

 jill-peck-murray is a pediatric hand therapist. She worked as an occupational therapist/hand therapist at Rady Children’s Hospital in San Diego, CA from 1982 through 2017. During these 35 years, she gained expertise with special skills in creative splinting/orthotic intervention and developed the hand therapy program for the hospital.

She is currently devoting her time to sharing her knowledge with the therapy community by teaching continuing education courses. She has been teaching Pediatric oriented CE courses nationwide through Rehab Education, LLC since 2007.

Jill has authored numerous journal articles, chapters on pediatric splinting/orthotic intervention in “Orthotic Intervention for the Hand and Upper Extremity” and “Foundations for Pediatric Occupational Therapy”.  She has also co-authored a book entitled “101 Creative Therapy Ideas.

She has presented at annual conferences for professional organizations  (AOTA, ASHT and OTAC).  She is currently the President of the San Diego Hand Special Interest Group.

Classes taught by Jill Peck-Murray:

Catherine Brooks, MPH, OTR, CHT

has been practicing as an Occupational Therapist since 1989. With a career started in New York City at Hospital for Special Surgery, Catherine has extensive experience with pediatric orthopedics, developmental pediatrics and, specifically, Cerebral Palsy. Catherine has presented several research projects and taught instructional courses at peer –reviewed meetings including AAOS, AACPDM and ASSH. Catherine completed the 8 week pediatric NDT (Neurodevelopmental Training) course in 1996 and qualified as a CHT in 1998, bringing together her interests in both pediatric and Upper Extremity rehabilitation. Now based in Southern California, Catherine has worked in adults and pediatrics at UCSD, Children’s Hospital of San Diego and Kaiser Permanente.

Classes taught by Catherine Brooks: