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Evaluation and treatment of Wrist & Hand tendon repairs WITH aPRIL o’cONNELL otr/l, cht, acsm

DATE : Jan. 25th, 2019

Location : Los Angeles, CA

CEUS / PDUS : 6.5 (pending)

Cost : $375

Level of Instruction : Intermediate

What’s Included ? - Course, Course Handouts, Catered Breakfast, Catered Lunch, Networking Happy Hour post course.

About the Course :

Rehabilitation of tendon repairs remains the most challenging diagnosis that hand therapists treat with an abundance of different protocols and orthoses to choose from. Many clinics default to protocols that were established in the 1970’s and 1980’s and have not been updated to what the research now dictates is a better way to treat this population. This course is designed around the most recent evidence in surgical intervention and rehabilitation of flexor and extensor tendons.

During the morning session the course will cover extensor tendon anatomy and physiology, history and current evidence of extensor tendon repairs and rehabilitation. A video session for fabrication of a resting hand orthosis for extensor tendon repairs as well as a Relative Motion Extension Splint (RMES) will be viewed. The afternoon session will cover flexor tendon anatomy and physiology, history and current evidence of flexor tendon repairs and rehabilitation. In addition, emerging evidence in flexor tendon repairs including “Proof-of-Concept” will be discussed. During a second video session, participants will have the opportunity to learn how to fabricate a Relative Motion Flexion Splint (RMFS) and discuss tips for dorsal blocking orthoses. Understanding the various approaches to tendon repair rehabilitation is complex and challenging. This course will present the most recent and highest levels of evidence, including clinical pearls for digital nerve involvement, PIPJ contractures, scar management, and cortical re-patterning. Following this one day course, learners will confidently rehabilitate the most challenging of tendon repairs. The educational level of this course is intermediate.

Course Outline (8:30 AM - 5 PM)

Anatomy & physiology of the extensor tendons

  • History and current evidence of extensor tendon repairs and rehabilitation

  • Review of splinting principles and evidence for utilization

  • Splinting "How to" videos

  • Anatomy & physiology of the flexor tendons

  • History and current evidence of flexor tendon repairs and rehabilitation

  • Dealing with the stiff PIPJ

  • New emerging evidence for rehabilitation of flexor tendon repairs "Proof-of-concept"

  • Splinting "How to" videos

About the Instructor :

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April O’Connell, OTR/L, CHT, ACSM is the Clinical Specialist in the Hand and Upper Extremity Therapy Department at NYU Langone Health and has been practicing for 15 years. She earned her Occupational Therapy degree at Boston University, is a Certified Hand Therapist and is certified by the American Council of Sports Medicine (ACSM) as a Clinical Exercise Specialist. She has lectured to orthopedic surgeons and therapists nationally and internationally in current concepts of orthopedic rehabilitation of the upper extremity. Some of her most recent lectures include being a guest speaker for Dr. Radio on Sirius Satellite on topics for rehabilitation of the hand and upper extremity as well as injuries to the overhead athlete. In addition, she has presented on Flexor Tendon Repair Advancement at AAOS in 2015 and was later asked to speak at ASSH national conference in 2016 and ASHT in 2017. She recently presented her latest research at ASHT National Conference on flexor tendon rehabilitation in 2019. She also lectures at Touro College in NY on various topics including tendon injuries, splinting, and research. April is a founding member of the NYU Langone Golf and Pitching Labs.