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Manual Therapy Techniques to Address Stiffness for the Wrist

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

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Disclosure Statement:

Financial— Ann Porretto-Loehrke receives compensation from MedBridge for the production of this course. There are no other relevant financial relationships. Nonfinancial— No relevant nonfinancial relationship exists.

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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Distal radius fractures are a common diagnosis that hand therapists treat. Often times, these patients end up with significant loss of motion. Sharpen your skills with joint specific techniques to address stiffness at the radiocarpal and midcarpal joints through reviewing the arthrokinematics of the wrist as well as surface anatomy to know exactly where to place your hands. Develop an understanding of how the trapezoid-on-scaphoid articulation guides motion of the midcarpal joint in the dart-throwers plane and learn joint-specific techniques to address limitations in this region. These manual therapy techniques will be covered in a step-by-step fashion for both the radiocarpal and midcarpal joints to use immediately in the clinic.

Meet Your Instructor

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

Ann Porretto-Loehrke is a skilled clinician and dynamic instructor. She is the therapy manager of a large department at the Hand to Shoulder Center. Ann is a Certified Hand Therapist (CHT) and a Certified Orthopedic Manual Therapist (COMT) for treatment of the upper quadrant through the International Academy of Orthopedic Medicine (IAOM). She has extensive…

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Chapters & Learning Objectives

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1. Carpal Anatomy and Arthrokinematics of the Wrist

This chapter covers the specific bony anatomy of the wrist to provide a foundation for understanding the arthrokinematics of radiocarpal and midcarpal joint motion.

2. Bony Surface Anatomy of the Wrist

Knowing exactly where to place your hands when performing manual therapy techniques for the wrist is critical. This chapter covers the bony surface anatomy of the dorsal and volar aspect of the wrist to gain an appreciation of where these structures lie below the skin.

3. Joint Mobilization Techniques for the Wrist

Through lecture and demonstration, this chapter covers testing for a capsular pattern of the wrist as well as joint-specific testing of the radiocarpal and midcarpal joints. Joint-specific mobilization techniques will be presented to address a capsular pattern at the wrist. Manual therapy techniques will be covered in a step-by-step fashion to improve mobility at both the radiocarpal and midcarpal joints.

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