presented by Virginia O'Brien
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
Virginia O'Brien, OTD, OTR/L, CHT
A graduate of the University of Wisconsin-Madison and Rocky Mountain University of Health Professions (Provo, Utah), Virginia first became interested in hand architecture during her fieldwork days. She is actively involved in clinical and biomechanical research of the thumb and the wrist, is a member of the AOTA Evidence Exchange committee and a member of…Read full bio
1. Mounting Evidence
Traditional conservative management of thumb pain has been to provide basic hand exercises, strengthening and possibly an orthosis, with a variety of success. Recent evidence points toward the dynamic stability approach for reduction in pain and disability.
2. Principles of Intervention & Manual Release
In this chapter, we will discuss intervention instruction to restore dynamic thumb stability, including muscle release, stretching, joint mobility re-education, and strengthening in a prescribed pattern.
3. Joint Mobilization
Thumb joint mobility can be at the root of lack of motion or developed contracture. This chapter will demonstrate five different ways to perform pain free thumb joint mobility, and how to instruct the patient in self application.
4. Muscle Re-Education Before Strengthening
This chapter will outline how to re-educate the thumb muscles to provide stability and to restore a stable balance without pinching putty. Included is a demonstration with a patient to show intervention techniques.