presented by Deborah A. Schwartz
Using orthoses for immobilization for orthopedic conditions of the wrist and hand is an important therapeutic intervention to help support and protect the injured upper extremity. Therapists require core knowledge in a variety of common pathologies that affect the wrist and hand and are typically treated with orthoses. Therapists also need hands on practice in pattern making and fitting of specific designs of wrist and hand orthoses. Once the course is completed you will have an understanding of some common conditions of the wrist that require treatment with a wrist orthosis and a refresher on upper extremity anatomy and pathologies so you can select the appropriate orthosis for the diagnosis affecting this region.
Deborah A Schwartz is a hand therapist with over 34 years of experience as a practicing clinician. She has worked at Orfit Industries America for the past ten and a half years promoting product awareness and offering a variety of educational programming on orthotic fabrication. Debby is an active member of the American Society of Hand Therapy (ASHT) and has participated in the International Federation of Societies of Hand Therapy (IFSHT) meetings as well. She has presented on a variety of hand therapy topics at both national and international conferences and has written a number of articles for hand therapy publications, including the Journal of Hand Therapy, the British Journal of Hand Therapy, HAND, www.exploringhandtherapy.com, and OT Practice. Debby completed her Doctorate of Occupational Therapy at Rocky Mountain University of Health Professions. She presently teaches orthotic fabrication workshops for Orfit Industries America for both student Occupational Therapists and advanced clinicians. She is also an adjunct professor at the Occupational Therapy department of Touro College in New York City, where she teaches orthotic fabrication and an elective on Hand Therapy. Debby is currently writing several book chapters for hand therapy references and collaborating on a textbook of orthotic fabrication.
This chapter will cover several clinical conditions of the wrist requiring immobilization and discuss the volar wrist orthosis for these conditions. Viewers will be presented with the opportunity to watch the pattern making of a volar wrist orthosis, the preparation of the material and the molding to the patient’s arm, and then finally to see the completed orthosis. The volar wrist orthosis will be described in detail, covering the benefits of the design, the appropriate thermoplastic material selection and fabrication techniques. Additional tips and tricks will be offered in an easy to follow format.
In Chapter Two viewers will review the clinical conditions that require a dorsal wrist orthosis, and the pattern making and fitting of the orthosis. You will see the steps involved in the fabrication of a dorsal wrist orthosis and learn some tips and tricks of fabrication.
In this chapter the viewer will review the clinical conditions required for a hand-based resting hand orthosis, pattern making and fitting. You will see the steps involved in the fabrication of a hand based resting hand orthosis for the upper extremity and learn some additional tips and tricks for the process.