Distal Radius Fracture: Late-Stage Rehabilitation

presented by Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT

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Financial: Ann Porretto-Loehrke receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Nonfinancial: Ann Porretto-Loehrke is an instructor for the International Academy of Orthopedic Medicine–US.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Video Runtime: 70 Minutes; Learning Assessment Time: 46 Minutes

Distal radius fracture is one of the most common diagnoses treated in the hand therapy clinic. Once the patient is cleared to perform passive range of motion, treatment can begin to address the joint-related limitations as well as proprioception and eventually strength deficits that can limit the patient from returning to normal daily activities. This course is designed to guide occupational and physical therapists in the interventions for late-stage treatment of distal radius fractures using an evidence-supported approach. Gain insight on how manual therapy techniques, proprioceptive training, and strengthening can maximize your patient's occupational performance. Note: this course is a follow-up to Distal Radius Fracture: Early-Stage Rehabilitation.

This course is part of our CHT Prep Program. Learn more about the full prep program here: MedBridge CHT Prep Program

Meet Your Instructor

Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT

Ann Porretto-Loehrke is a skilled clinician with a passion for teaching and clinical treatment of upper extremity disorders. She serves as the clinical development coordinator at the Hand to Shoulder Center in Appleton, Wisconsin. Ann is a Certified Hand Therapist (CHT) and a Certified Orthopedic Manual Therapist (COMT) for treatment of the upper quadrant through…

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1. Management of Wrist Stiffness

This chapter covers identification and treatment techniques for specific limitations at the midcarpal and radiocarpal joints, as well as soft-tissue restrictions that can inhibit recovery. These impairments are commonly seen following distal radius fracture. Once the patient is cleared for passive motion, addressing these restrictions can expedite patient recovery.

2. Proprioception and Strengthening

Proprioception and strengthening are intimately connected and are critically important to resuming functional loading for the wrist. This chapter covers treatment techniques for progression with proprioceptive training and strengthening to maximize your patient’s functional outcome.

3. Expected Outcomes

This chapter introduces the framework for evaluating your patient’s outcome through pain, range of motion, and grip strength. This chapter also reviews the current literature for what to expect from surgical intervention following distal radius fracture.

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