The Hand to Shoulder Podcast
By Hand to Shoulder Center Podcast
The Hand to Shoulder Podcast Jul 13, 2021
035: Neuromodulation Coaching with Lisa Kozden, PhD, OTR, CHT, COMT
Neuromodulation coaching is a unique treatment approach which helps to assess and categorize each patient into specific archetypes with associated neurophysiological profiles. By understanding each patient’s archetype, a clinician can create and implement more effective plans of care which address the physical, mental, and emotional health of the patient. Join us to learn more about Neuromodulation coaching and how it can help improve the occupational performance of therapy patients.
Lisa Kozden, Ph.D., OTR, CHT, COMT is an occupational therapist with 23 years of experience in treating patients with hand and upper extremity conditions. She graduated with a master’s degree in occupational therapy (MOT) in 2000 from Nova Southeastern University, became certified as a hand therapist (CHT) in 2008, and achieved certification as an orthopedic manual therapist (COMT) in 2014 by the International Academy of Orthopedic Medicine US (IAOM-US). Over the last 8 years, Lisa has been teaching full-time as a Faculty Specialist in the Occupational Therapy Department at The University of Scranton. On a part-time basis, she treats patients for a regional healthcare system in Northeastern PA and teaches continuing education courses in the International Academy of Orthopedic Medicine (IAOM)’s Upper Extremity Track. Lisa serves as a member of the Research Division for the American Society for Hand Therapists (ASHT) and has recently earned her PhD in Occupational Therapy from Nova Southeastern University. Her topic of research involves the infusion of a psychoneuroimmunology (PNI)-based program into upper extremity rehabilitation.
Here the the links to Dr. Ian Weinberg's site with more specific information on the certification course for health professionals:
https://www.neuronostic.com/?page=course_neuromodulation_accreditation
The book Lisa refers to in the podcast episode is by Babette Rothschild (2016), The Body Remembers Volume 2: Revolutionizing Trauma Treatment.
Here is the Amazon site if people want to purchase this laminated card:
https://www.amazon.com/Autonomic-Nervous-System-Table-Laminated/dp/039371280X
How to reach Lisa:
LinkedIn profile at http://linkedin.com/in/lisa-kozden-04469136
Email at Lkozden@gmail.com
034_Hand Therapy in Dubai with Blair Agero
We become accustomed to our role as a hand therapist in the clinic where we practice, often not giving a second thought to how we perform our daily duties. But what does the role of a hand therapist look like in another part of the world? Blair Agero, occupational therapist, joins us from Dubai, UAE to share what his day-to-day roles entail. Please join us for an interesting look at hand therapy practice abroad!
Blair Agero received a Bachelor of Science degree in Occupational Therapy in 1999 from the University of Perpetual Help System DALTA in Manila, then went on to receive a postgraduate certificate in Hand Therapy from the University of Derby in the UK in 2014. He also went on to receive a postgraduate diploma specializing in hand therapy from the International University of Andalucía in Seville, Spain in 2022. Blair has presented on various hand therapy topics in Dubai, London, and Vienna. He currently works as a senior hand therapist at the Mediclinic Middle East in Dubai where he focuses on treating sports-related injuries in the elbow, forearm, wrist, and hand. Blair is the co-founder of the Emirates Hand Therapy Special Interest Group and is passionate about advancing hand therapy practice in Dubai and the United Arab Emirates.
How to reach Blair:
Website: www.handtherapistblair.com
Podcast: More Than Just A Hand
Instagram: @handtherapistblairdubai
LinkedIn: Blair Agero
033: Blood Flow Restriction and How it Can Fit into Your Hand Therapy Practice with Jim Wagner, OTD, OTR/L, CHT, COMT, CPAM, CSCS
We’ve seen lots of hype about Blood Flow Restriction, or BFR in social media, but how does it work? Join us as Jim Wagner, seasoned hand therapist and powerlifter as he brings to light the physiologic benefits of BFR and how this can be incorporated into your hand therapy practice!
Jim Wagner has been practicing for 30 years with clinical experience of the UE in orthopedics. He received his post professional doctorate from Rocky Mountain University of Health in hand therapy. He’s certified in PAMs and is a Certified Strength and Conditioning Specialist (CSCS). He’s a team leader at Guthrie Hand Center in New York state and serves as an adjunct professor at both Keuka and Ithaca College OT programs. He's been involved in competitive powerlifting and bodybuilding for 35 years. He’s nationally known for instructing cupping, IASTM, orthotic fabrication, blood flow restriction and kinesiology taping. Jim has spoken at Georgia Hand Society Special Interest Group, Wisconsin Hand Experience, and many other therapy related venues. He’s published in the practice forum section of the AJOT and serves on the Education Division of the ASHT. Jim recently became a Certified Orthopedic Manual Therapist (COMT) through the International Academy of Orthopedic Medicine (IAOM-US).
How to reach Jim:
Email: jwagnercht71@gmail.com
IG handle: cht_power71
B Strong Blood Flow Restriction Training | BFR Bands | B Strong
032: Wound Care
Open wound? Don’t panic, Nora is here to help! Join us with Nora Barrett discussing how to evaluate, cleanse, dress and document all different types of wounds. Nora organizes all the products that she recommends for various types of wounds seen in a hand clinic. You will not be disappointed in the takeaways and clinic pearls after listening.
Nora Barrett OTR/L, CHT, WCC graduated from the Program in Occupational Therapy at Washington University in St. Louis in 1997. She has been a practicing occupational therapist since 1998 and a certified hand therapist since 2006. She spent her early career as an inpatient therapist at rehabilitation centers, acute care hospitals and burn units in Boston, MA and Washington, DC before focusing in outpatient hand therapy in Washington, DC, Baltimore, MD and Bend, OR. Nora joined the Hand Therapy Team at the University of Virginia Physicians Group in 2021 where she works in the Hand Center and in an outpatient hand therapy practice. She received her Wound Care Certification in 2020 and is an active member of the American Society of Hand Therapists (ASHT) and the American Association for Hand Surgery (AAHS). Nora co-authored the Wound Classification and Management Chapter in the 7th edition of Rehabilitation of the Hand and Upper Extremity textbook and the Physiology of Wound Healing & Burns Chapter in the 4th Edition of ASHT’s Test Prep for the CHT exam.
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031: Introduction to Cervical Spine for Hand Therapists with Dr. Derek Clewley PT, DPT, PhD
“The arm bone is connected to the wrist bone”….. come on now, we all know this song! Well, it’s a fact, everything is connected. Derek Clewley, DPT, PhD., not only details us through examination of an injury, he clues us in on treatment of the kinetic chain. Join us as we discuss looking proximal to the cervical spine when we are treating conservative lower arm issues such as ulnar wrist pain or lateral epicondylitis. Just imagine upping your game in the clinic treating proximally, how that will impact pain levels distally with minimal hands-on. We hope you enjoy this episode as much as we did!
Dr. Clewley is a graduate of Shenandoah University with his DPT and a PhD. from Rocky Mountain University of Health Professionals. His area of expertise and training is in orthopedics and manual physical therapy. He achieved board certification in orthopedics and is recognized as a fellow of the American Academy of Orthopaedic Manual Physical Therapists.
His PhD is primarily in research interests including dry needling, manual physical therapy, and pain sciences. Dr. Clewley has extensive experience in the development of continuing education, residency, and fellowship post-graduate training programs.
He is the associate editor of BMC Musculoskeletal Disorders and a AAOMPT Board Member.
He’s published in 44 articles and has received several Merritt Awards and Clinical Instructor of the year awards.
030: Kinesiotape with Teri Casagranda PT, CHT
Stuck on you! Have you ever used Kinesiotape before? Where did you put it and for what purpose? Did you know there’s different degrees of tension when applying the tape? Well, all these are questions you may not have thought of when using Kinesiotape. Listen up, we have all these pondering thoughts answered in this podcast. Teresa Casagrande, PT, CHT from Sturgeon Bay, WI energetically greets us to discuss various kinds of tape and purposes of each brand of tape. She details out numerous diagnoses, tension and length of time Kinesiotape should be applied. Hope you enjoy our 30th episode brought to you by Hand to Shoulder Center of Wisconsin-Appleton!
Teri Casagranda earned her Master of Science in Physical Therapy at the University of North Florida in Jacksonville and Doctor of Physical Therapy degree from Boston University. She became a Certified Hand Therapist in 2007, Certified Kinesio Taping Practitioner in 2011 and Certified Kinesio Taping Instructor in 2017. She worked at the Hand to Shoulder Center of Wisconsin from 2002 until 2013, when she moved to Sturgeon Bay and is currently employed as a Casual Call therapist for Door County Medical Center.
Karwacińska, J., Kiebzak, W., Stepanek-Finda, B., Kowalski, I. M., Protasiewicz-Fałdowska, H., Trybulski, R., & Starczyńska, M. (2012). Effectiveness of kinesio taping on hypertrophic scars, keloids and Scar Contractures. Polish Annals of Medicine, 19(1), 50–57. https://doi.org/10.1016/j.poamed.2012.04.010
Klein, H., Brockmann, R., & Assmann, A. (2015). Pain-diminishing effect of Kinesio taping in patients after sternotomy. Journal of Cardiothoracic Surgery, 10(S1). https://doi.org/10.1186/1749-8090-10-s1-a76
029: Motor Neuron Deficits with Cindy Ivy OTD, M.Ed., CHT
028: Everything Shoulder with Dr. Shawn Hennigan M.D.
Dr. Shawn Hennigan, M.D. is a board-certified orthopedic surgeon, with a subspecialty focus on shoulder and elbow surgery. As a subspecialist, he sees a large volume of problems ranging from relatively simple to very complex. He has a special interest in treatment of shoulder arthritis and rotator cuff injuries. Dr. Hennigan performs a high volume of total and reverse total shoulder replacement, rotator cuff repairs, as well as joint sparing salvage procedures for irreparable rotator cuff tears.
Dr. Hennigan joined Hand to Shoulder Center of Wisconsin in 2020, but practiced most recently in Green Bay, WI. He is originally from Philadelphia, PA where he completed medical school at Temple University. He went onto complete his orthopedic surgery residency at Rush University in Chicago, IL. After his residency, Dr. Hennigan completed his fellowship in Shoulder and Elbow Surgery at University of Pennsylvania. Since completing his training in 2020, he has chosen to focus the scope of his surgical practice to caring for patients with shoulder and elbow problems.
027: Youtube OT/PT Series - Wrist Pain Exercises with Theresa Parry OTR, CHT, COMT
026: Two Thumbs Up! Dynamic Stability of the Thumb with Virginia O'Brien, OTD, OTR/L, CHT
025: Mirror Mirror on the Wall (Mirror Box Therapy) with Miranda Materi OTD, OTR/L, CHT
Take a look in the mirror! Have you ever used mirror box therapy to help restore normal movement patterns? Join us where we reunite with Miranda Materi OTD, OTR/L, CHT from Phoenix, AZ discuss how Mirror Box Therapy can help with many different diagnoses from amputations to CRPS and even just stiffness. Miranda dives into how Mirror Box Therapy can be built at home in a “do it yourself” fashion or references where to buy a Mirror Box Kit. Please refer below for newer research articles found to support use of Mirror Box Therapy with your hand patients!
CRPS and Mirror Box
G. Lorimer Moseley, Alberto Gallace, Charles Spence,
Is mirror therapy all it is cracked up to be? Current evidence and future directions,
PAIN,Volume 138, Issue 1,2008,Pages 7-10, ISSN 0304-3959 https://doi.org/10.1016/j.pain.2008.06.026.
(https://www.sciencedirect.com/science/article/pii/S0304395908003710)
Amputees and Mirror Box
Timms, Jason, and Catherine Carus. "Mirror therapy for the alleviation of phantom limb pain following amputation: A literature review." International Journal of Therapy and Rehabilitation 22.3 (2015): 135-145.
Stroke and Mirror Box
Thieme H, Morkisch N, Mehrholz J, Pohl M, Behrens J, Borgetto B, Dohle C. Mirror therapy for improving motor function after stroke. Cochrane Database of Systematic Reviews 2018, Issue 7. Art. No.: CD008449. DOI: 10.1002/14651858.CD008449.pub3. Accessed 05 October 2022.
Hand Trauma and Mirror Box
Grünert-Plüss, Nicole, et al. "Mirror therapy in hand rehabilitation: a review of the literature, the St Gallen protocol for mirror therapy and evaluation of a case series of 52 patients." The British Journal of Hand Therapy 13.1 (2008): 4-11.
024: YouTube OT/PT Series: Elbow Tendinopathy with Andrew Walquist PT, DPT, FAFS, OCS
The internet can be a great place to go when looking for exercises or information on treating patients. We have everything at our fingertips - we are seeing more patients come to into the clinic with a self-prescribed home program they got from Youtube. Youtube can be an excellent resource for exercises and information. However, is it appropriate for everyone? Are the exercises addressing the impairments? The most important thing....is, is it patient specific? Cassie and Steve sit down with previous guest Andrew Walquist, as they discuss the most common exercises seen on Youtube for tennis and golfers elbow. They give their thoughts on these exercises and suggest what they might do or change.
023: Everything Elbow with Dr. Boyd Lumsden
Dr. Boyd C. Lumsden, M.D. is one of our very own skilled surgeons who joined Hand to Shoulder Center of Wisconsin in 2004. He is a board-certified orthopedic surgeon with a Subspecialty Certification in Surgery of the Hand. Dr. Lumsden provides complete comprehensive care to the upper extremity including the hand, wrist, elbow, and shoulder. He has a special interest in arthroscopic procedures involving the wrist, elbow, and shoulder.
Dr. Lumsden is a Missouri native who attended Southeast Missouri State University where he received his Bachelor of Science degree. He completed his medical degree from Northwestern University Medical School where he was respectfully a part of the Alpha Omega Alpha Honor Society. His orthopedic surgery residency program took him to the University of South Alabama and the University of Wisconsin Hospitals and Clinics in Madison, WI. He holds a fellowship in Hand, Upper Extremity and Microvascular Surgery from Wake Forest University Baptist Medical Center in Winston-Salem, NC. In 2003 he was the recipient of the Leonard Marmour Surgical Arthritis Foundation Award.
Boyd Lumsden, M.D. is married with two children. His outside interests include fly fishing, hunting, archery, snow skiing, and golf. He is also an active participant in many community events and holds a special association with the Mile of Music, a 4-day summer music festival in Appleton, WI.
022: Exercise Progression with Mark Gallant DPT, OCS, FAAOMPT
Do you struggle prescribing exercises? Have that one patient who is not responding to the same exercise that helps every other patient? Have you ever thought about testing a one rep max as a part of some's rehab? In this episode Ryan and Steve are joined by Mark Gallant DPT, OCS, FAAOMPT to discuss progressions, dosage, and loading for exercises. Mark gives case examples with shoulder and elbow exercise progressions in this episode.
More about this episodes guest:
Dr. Mark Gallant is a physical therapist, board-certified orthopedic specialist, Fellow of the American Academy of Manual Physical Therapist, and certified in dry needling in Richmond, VA. Mark received his Doctorate in Physical Therapy from Old Dominion in 2012 and Bachelor of Science from Virginia Tech in 2008 where he graduated summa cum laude. In 2017, Mark graduated from Evidence in Motion’s Orthopedic Residency program and passed his Orthopedic Specialist Exam. He immediately enrolled in Evidence in Motion’s manual therapy fellowship program which he completed in the fall of 2019.
In addition to owning and operating Onward Richmond, Mark serves as a teaching assistant for the Institute of Clinical Excellence (ICE), where he travels the country teaching how to better manage neck and back pain, as well as advanced manual therapy courses, such as spinal manipulation. Mark has been thoroughly trained through ICE and has a unique treatment style, combining the use of skilled hands-on techniques, as well as progressive exercise, in order to help you achieve your goals and improve your overall well-being. Outside of the clinic, you can find Mark attending live music with his wife Liz and hanging with his dog Remus.
021: Youtube OT/PT: Shoulder Pain Exercises with Andrew Walquist PT, DPT, FAFS, OCS and Chad Burnham DPT, FAFS, CSCS
Have you ever gone to the internet to look for exercises to prescribe for your patients? Have you treated somebody who has come into the clinic and already has a self prescribed home program they got from Youtube? Youtube can be an excellent resource for exercises and information. However, is it appropriate for everyone? Are the exercises addressing the impairments? Steve sits down with previous guests Andrew Walquist and Chad Burnham, as they discuss the most common exercises seen on Youtube for shoulder pain. They give their thoughts on these exercises and suggestions as to what they might do or change.
020: Care of the Conservative Shoulder with Chad Burnham DPT, FAFS, CSCS
019: Prosthetic Training with Arm Dynamics
One LIMB at a time…..have you ever worked with a patient who is in need of a prosthetic? Today, Shelly Somers, PT, DPT, CHT, ATC, CMTPT, joins the podcast in a great conversation with Jennifer Peterson, MA, PT and Patrick Prigge, CP, FAAOP(D) from Arm Dynamics in Maple Grove, MN. We discuss the process of obtaining a prosthetic for an amputee and the proper steps needed to get him or her measured, fitted and trained with a new prosthetic. Join us as we break down these steps to restore function one limb at a time.
018: Thoracic Outlet Syndrome with Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT
Our Guest, Ann Porretto-Loehrke graduated with a BS in PT from Marquette University in 1994 and a post-professional DPT from Drexel University in 2007. She became a CHT in 2002 and earned a manual therapy certification in 2003. Ann has a passion for learning and clinical teaching and has been continuing education instructor for the 16 years. From her manual therapy training, Ann uses a systematic approach to evaluating and treating her patients, which is illustrated in the “Clinical Manual Assessment of the Wrist” published in the 2016 Special Edition on the Wrist in the Journal of Hand Therapy and Chapter 55: “Therapist Management of Compression Neuropathies of the Elbow” in the most recent edition of the Rehabilitation of the Hand and Upper Extremity, published in 2021. She has been practicing at the Hand to Shoulder Center of Wisconsin for the past 20 years.
017: Dry Needling with Jan Dommerholt, PT, DPT, MPS
016: I'm Wide Awake - Flexor Tendons with Dr. Donald Lalonde
Hand to Shoulder Center sits down with Dr. Donald LaLonde from St. Petersburg, Nova Scotia, Canada where he describes the evolution of wide awake, local anesthesia, no tourniquet procedures, specific to flexor tendon repairs. Dr. LaLonde is a current practicing plastic surgeon who continues to develop new research and is an icon speaker internationally. He provides excellent clinical pearls for tendon healing and progression of tendon gliding with use of splinting. Tune in to listen to a great discussion with Dr. LaLonde. (Please excuse our audio on this specific podcast, we did our best during editing, however, Dr. LaLonde is hard to hear at times)
015: Thumb Arthritis: You down with CMC? with Mirka Normand MA, OTR, CHT, COMT
014: Tennis Elbow...What Works? with Jim Wagner, OTD, OTR/L, CHT, CPAM, CSCS
Lateral elbow pain…..ughhh… the low back pain of the upper extremity. Jim Wagner, OTD, OTR/L, CHT, CPAM, CSCS from upstate New York, sits down with the Hand to Shoulder Center to discuss his approach to the lateral elbow. Jim provides a top down approach from the neck to the hips, how movement patterns from other areas of the body can cause lateral elbow pain. Clinical pearls for evaluation, treatment and splinting techniques discussed. Jim is not only entertaining, but full of energy that will keep you engaged. We promise you will enjoy this great discussion. Click to listen about different techniques to address lateral elbow pain.
Jim Wagner has been practicing over 28 years with clinical experience of the UE in orthopedics. He received his post professional doctorate from Rocky Mountain University of Health in hand therapy. He’s certified in PAMs and is a CSCS. He’s a team leader at Guthrie Hand Center and an adjunct professor at both Keuka and Ithaca College OT programs. He's been involved in competitive powerlifting and bodybuilding for 35 years, participating in 28 competitions. He’s nationally known for instructing cupping, IASTM, orthotic fabrication, blood flow restriction and kinesiology taping. Jim has spoken at Georgia Hand Society Special Interest Group and many other therapy related venues. He’s published in the practice forum section of the AJOT and serves on the education division of the ASHT. He is listed on the docket to speak in Milwaukee for our very own Milwaukee Hand Experience in May of 2022.
013: Come Radius Along With Me. Surgical techniques and procedures involving the wrist with Jon J. Cherney, M.D.
Come take a tour with us, dissecting idiosyncrasies and procedures of the wrist! Dr. Jon Cherney, board certified hand surgeon, and Hand to Shoulder Center’s very own, anatomize wrist surgeries and recovery following. Dr. Cherney is board certified by the American Board of Orthopedic Surgery with a Subspecialty Certification in Surgery of the Hand. He specializes in arthroscopy of the wrist, elbow and shoulder and has special interest in reconstruction of areas affected by rheumatoid arthritis and osteoarthritis, nerve compression syndromes and children’s hand issues. Dr. Cherney is a Wisconsin native. He earned his Bachelor of Science degree and attended Medical School from the University of Wisconsin – Madison. He is a proud Badger fan and represents when he can! Dr. Jon Cherney joined the Hand to Shoulder Center of Wisconsin in 2001. In his spare time, he enjoys fishing, weight training, coaching youth sports, basketball, hunting and playing guitar. Tune in and enjoy the wealth of knowledge that Dr. Jon Cherney brings to the table.
012: The Radial Column of the Wrist with Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT
Ann Porretto-Loehrke graduated with a BS in PT from Marquette University in 1994 and a post-professional DPT from Drexel University in 2007. She became a CHT in 2002 and earned a manual therapy certification in 2003. Ann has a passion for learning and clinical teaching and has been continuing education instructor for the 16 years. From her manual therapy training, Ann uses a systematic approach to evaluating and treating her patients, which is illustrated in the “Clinical Manual Assessment of the Wrist” published in the 2016 Special Edition on the Wrist in the Journal of Hand Therapy and Chapter 55: “Therapist Management of Compression Neuropathies of the Elbow” in the most recent edition of the Rehabilitation of the Hand and Upper Extremity, published in 2021. She has been practicing at the Hand to Shoulder Center of Wisconsin for the past 20 years.
011: CRPS with Miranda Materi OTD, OTR/L, CHT
In this episode, we dive into everything CRPS: diagnostic types, typical patient demographic, symptoms to look out for, why it's critical to diagnose and treat early, and unique treatment approaches that are backed in evidence (and require a holistic, mind-body perspective). Miranda has a way of breaking down this complex condition to help clinicians feel educated, empowered, and equipped to treat.
010: Pitcher This...Treating Baseball Pitchers in a Hand Clinic with Dr. Garrett Bullock PT, DPT
The tenth episode of the Hand to Shoulder Podcast is all about baseball. More specifically, we talk about assessing and treating pitchers. And who's a better expert on this topic than Dr. Garrett Bullock? Not only is he a Doctor of Physical Therapy, he is also a former collegiate and professional baseball player. Dr. Bullock provides insight on ways to assess the lower extremity as a critical part of our evaluation of elbow or shoulder pain and several clinical pearls for maximizing treatment outcomes for these athletes. He encourages us to explore outside of our traditional assessment tool box, throw a curveball in our treatment plans, and strike out pain and dysfunction for good using a whole-body approach.
Dr. Garrett Bullocks Bio:
Dr. Garrett Bullock is physical therapist, quantitative epidemiologist, and former collegiate and professional baseball player. Dr Bullock is a Clarendon Scholar at the University of Oxford and holds joint appointments within the Nuffield Department of Rheumatology, Musculoskeletal Sciences and the United Kingdom Centre for Sport, Exercise, and Osteoarthritis Research Versus Arthritis. He will begin a faculty position within the Wake Forest School of Medicine beginning in July 2021, leading research in the Wake Forest Biomechanics Pitching lab. Dr Bullock is the cofounder of Aletheia, a sport analytics and data consulting company. Dr Bullock consults with the NFL, MLB, English Institute of Sport, the United States Military, and Functional Movement Systems. Dr Bullock is a recent PhD graduate in clinical epidemiology and medical statistics at the University of Oxford.
Dr Bullock’s research focus is in creating real world clinically applicable research, that has direct application to clinical decisions in sports and orthopaedic medicine. His specific research entails big data epidemiology, injury risk and risk mitigation, and life span impact of exercise and sport. He has over 60 publications.
https://d1wqtxts1xzle7.cloudfront.net/42115731/Am_J_Sports_Med_Deficits_in_Glenohumeral20160204-30232-j0v7l0-with-cover-page-v2.pdf?Expires=1626108771&Signature=PiQnAXUCn6kZjeSCc7ANeIlhvqBpmHCHuOB5OEzqM4sJDt9J9gql294r0lJDxQCDQ7SCgQ9hgmqVByQzdtiNLJ4cE6oPkvxfTo98HqwSJzs16RL6z7EnDncZY924OUa9zjKnuftckT8GsCKdD4xOMfJWo3C~fnFwIil6cCboLT1vp~tVYVp8m7c-vl1eT1qRpnZHkEVAK5Oxi-qrxV70kyhpkSaoB8arrCBvg6oAMPgcRB68KR1jU7mBgGY3YkgbGz9ph1t4nmZ6yNidrZBkX-JETUKvFiemprKHw5mkTBhUh0~RUPDmtG8a7PpI2zHonflb5a-pTPRd~9-QozZt-w__&Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA
https://www.jospt.org/doi/abs/10.2519/jospt.2020.9281
https://www.sciencedirect.com/science/article/abs/pii/S1440244020306770
009: Pain Pain Go Away...with Dr. Chad Cook, PT, PhD, MBA, FAPTA
Do you have patients you just cannot seem to get out of pain or explain the reasoning behind their pain? Dr. Chad Cook returns to take a deeper dive into the complex world of pain. In addition to his clinical research, advocating for the therapy profession, and treating patients, Dr. Cook holds a Certificate in Chronic Pain Management from McGill University. In this episode, we discuss pain types - guided by the Pain and Disability Drivers Model - which Dr. Cook helped develop. We dive into each category with Dr. Cook providing clinical examples and interventions for each. You will learn how to determine if your patient is pain adaptive or pain non-adaptive and how to approach these patients in the clinic with more confidence and skill.
Https://www.mdcalc.com/charlson-comorbidity-index-cci
https://pubmed.ncbi.nlm.nih.gov/32890946/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5633330/
008: Extensor World with Josh MacDonald MS, OTR-L, CHT
The Extensor Tendons. Located on the back of the hand, sometimes referred to as the extensor hood, the extensor mechanism, etc. It can get complicated with the different structures. Listen as Josh MacDonald MS, OTR-L, CHT from Hand Therapy Partners guides you through all you need to know.
Josh is a certified hand therapist (CHT) with extensive experience working directly with hand surgeons to help rehabilitate hand trauma surgery patients. Some of the more common conditions Josh has treated include:
- Flexor and extensor tendon injuries
- Amputation revisions
- Compartment syndrome
- Soft tissue trauma and grafting
- Digit and forearm fractures
Josh began his career specializing in pediatrics focusing on outpatient therapy, neurorehabilitation and pediatric hand therapy. In addition to caring for patients, Josh has started and managed therapy clinics and developed pediatric therapy programs for handwriting training, aquatic therapy, inpatient neurorehabilitation evaluation and inpatient therapeutic outings.
According to Josh, some of the most challenging patients have chronically stiff hands. Josh recently helped one of these patient through her recovery process. After a car accident broke most of the bones in her hand, this patient developed a severely stiff hand and fingers. She worked hard at therapy after surgery, but her progress was slow and tedious. She became understandably frustrated when she did not soon regain full motion in her injured hand. But after months of hard work, this patient was able to return to work and independent driving and self-care tasks. Not every patient can regain 100% of his or her hand functions after a severe injury, but Josh works with each patient to help them reach their highest potential.
Josh is fluent in conversational Spanish and is constantly pursuing professional education opportunities. He regularly participates in national conferences sponsored by the American Association for Hand Surgery, American Society for Hand Therapy, American Society for Surgery of the Hand, Indiana Hand Care and the Philadelphia Hand Foundation. Josh is very active in the local Crossfit community and has multiple Crossfit certifications. He also coaches children, adults and competitors.
Josh received his Masters in Occupational Therapy from Grand Valley State University in 2001 and his Hand Therapy certification in 2015.
007: The Foundation and Evolution of Hand Therapy with Terri Skirven OTR/L, CHT
Have you ever wondered where and when hand therapy was born? Well Terri Skirven, OTR/L, CHT walks us through the seeds of when, where and how hand therapy blossomed. She outlines the foundation of the ASHT Board and Conference, Philadelphia Hand Conference and how the iconic CHT (Certified Hand Therapy Exam) was instituted, as well as how to become a speaker for continuing education conferences. Terri is well known for her commitment as a co-author of Editions 5, 6 and 7 (newest) of Rehab of Hand, and how these hand therapy bibles have evolved over time. Join us as we interview Terri as she discusses the milestones of her career and walks us through the history of hand therapy.
006: Mapping Out Flexor Tendon Repairs with Dr. Rebecca Neiduski, PhD, OTR/L, CHT
005: The Social Determinants of Health with Dr. Zachary D. Rethorn PT, DPT
Have you ever considered economics, education, neighborhood, and lifestyle choices of each of your patient's when treating them and how this may impact their treatment? Today we are joined by Dr. Zachary D. Rethorn to educate us on this topic. Dr. Zachary D. Rethorn is a board-certified orthopedic physical therapist and certified health coach with clinical and research expertise in musculoskeletal pain conditions, physical activity, and health promotion. He earned his undergraduate degree in Exercise Science from Belmont University followed by his DPT degree from the University of Tennessee at Chattanooga. Dr. Rethorn has completed a residency in orthopedic physical therapy through Benchmark Rehab Institute and is a PhD candidate in health promotion and wellness at Rocky Mountain University of Health Professions where his research focuses on how health professionals promote physical activity with their patients. He completed a faculty development resident at Duke University in the Doctor of Physical Therapy Division and is the owner of Rethorn Physical Therapy and Wellness, a digital physical therapy practice. He has presented at national and international conferences on topics related to orthopedic physical therapy, social determinants of health, and health promotion.
Below are links Dr. Rethorn referred to in the podcast:
Here is what Dr. Rethorn uses as his intake when treating his patients: https://healthleadsusa.org/resources/the-health-leads-screening-toolkit/
Comparsions on Social Screening tools: https://sirenetwork.ucsf.edu/SocialNeedsScreeningToolComparisonTable
Some Data sources to get to know your community better:
https://www.cdc.gov/brfss/
https://www.cdc.gov/healthyyouth/data/yrbs/index.htm
https://www.countyhealthrankings.org/
https://engagementnetwork.org/assessment/chna_report/
004: TFCC...the Meniscus of the Wrist? with Theresa Parry, OTR, CHT, COMT
The Triangular Fibrocartilage Complex (TFCC) can be a complicated and intimidating structure. Theresa Parry OTR, CHT, COMT joins us to break it down with an insightful discussion of the structures, the role, rehabilitation, and orthotic selection when treating someone with TFCC involvement. If you are interested in learning from Theresa she teaches continuing education courses for the International Academy of Orthopedic Medicine and has two courses on medbridgeeducation.com dedicated to this topic: "Understanding and Evaluating Ulnar Wrist Pain" and "Treatment of Ulnar Wrist Sided Pain".
002: Manual Therapy, Pain, and Research with Dr. Chad Cook, PT, PhD, MBA, FAPTA
Dr. Chad Cook is a clinical researcher out of Duke University, a physical therapist, and a profession advocate with a history of clinical care excellence and service. His passions include refining and improving the patient examination process and validating tools used in day-to-day physical therapist practice. As you will hear, he has over 300 publications and is a wealth of knowledge in the areas of manual therapy, pain modulation, and clinical research. In this episode, we talk about the role of both the clinician and patient in manual therapy services, pain management in relation to therapy outcomes, intervention selection, and patient buy-in, use of modalities for pain management, the current landscape of the student experience in a COVID-19 world, and some insight to his current studies, which we find fascinating and can't wait to get our hands on when the results are published
001: Why Treating Functionally is Handy - with Andrew Walquist PT, DPT, OCS, FAFS
Welcome to the first ever episode of the Hand to Shoulder Podcast! We are excited to kick things off with an interview that will leave you motivated to change your clinical approach with your very next patient and likely even try new things with patients who come to mind as you listen. Our guest, Andrew Walquist, is a PT with an impressive resume and a perspective on rehab that is fresh and effective.