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. Types of Orthoses
Even before and in the midst of retraining for dynamic stability of the thumb, the thumb may need support. How is this choice made? Principles are reviewed to help the therapist help the patient make the best choice or choices.
2. Orthotic Fabrication: CMC Stability, Le’Belt and Figure 8 Orthoses
Orthotic fabrication of three different orthoses for thumb stability is presented. They are the CMC Stabilization orthosis, MP and IP free; the Le'Belt abduction orthosis, soft support for MP Adduction assist; and the Figure 8 gardening orthosis for use in a garden glove or for other stabilizing needs.
3. Orthotic Fabrication: “Strap” by A. Wajon and Game-Keepers’ Orthoses
Orthotic fabrication of three additional orthoses for thumb stability is presented. They are the "Strap" orthosis by A. Wajon, the Game Keepers' Orthoses, and Game Keepers' UCL Orthosis.
4. Reverse Zig-Zag and Other IP and MP Deformities: Orthoses and Treatment Options
Some thumbs require minimal support for transfer of muscle and tendon force for grander functional gain. Reverse zig-zag deformity and instability or hyperextension at the distal and metacarpophalangeal thumb joints can impact function. Different orthoses options are presented.