Complex Elbow Injuries Part 2: Treatment Considerations

presented by Jennifer T. Dodson, OTD, OTR/L, CHT

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Financial: Jennifer Dodson receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Jennifer Dodson has no competing non-financial interests or relationships with regard to the content presented in this course.

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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After a comprehensive evaluation of the traumatic/complex elbow is performed, therapists must implement therapeutic interventions that are appropriate based on the stage of wound healing the patient is in. Therapists must also use clinical reason-ing to modify treatments according to patient factors and clinical presentation. Evidence-based decisions, along with critical reasoning throughout all stages of rehabilitation, are essential to maximize return to meaningful occupation. This course will provide treatment ideas based on the stages of wound healing and the patient's presentation, with emphasis on client-centered care. Therapeutic exercises, ADL training, manual interventions, and orthosis use are some areas that will be ad-dressed. Lastly, as therapists play a vital role in whether or not patients adhere to their home programs and post-operative restrictions, suggestions to increase patient adherence will be introduced to maximize functional outcomes and patient satisfaction. In the literature, various terms are used to describe complex traumatic injuries. Due to this variability, the injuries in this course will address those that are a result of trauma that involves damage to two or more of the following structures: soft tissue (skin/fascia), bone, muscle, tendon, ligament, blood vessels, and peripheral nerve injuries.

Meet Your Instructor

Jennifer T. Dodson, OTD, OTR/L, CHT

Jennifer Dodson graduated from the Florida International University occupational therapy program in 1998. She has been practicing outpatient rehabilitation in Jacksonville, Florida, ever since. In 2002, she was honored to be chosen as a fellow for the Evelyn Mackin Hand Therapy Fellowship at the Philadelphia Hand Center. She became a certified hand therapist in 2004.…

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1. Evidence-Based Practice

The challenges of incorporating evidence-based practice will be discussed. Suggestions on solutions are introduced, and reflection of one’s own clinical practice is encouraged.

2. Exercises to Perform Throughout the Wound Healing Process

Evidence-based exercises will be presented based on biomechanical studies, with a focus on early motion versus delayed, provided there is appropriate stability. Addressing noninvolved structures will also be addressed to prevent unnecessary joint contractures and muscle weak-ness that can further limit occupational performance.

3. Manual Therapy and Orthosis Use in Complex Elbow Injuries

Manual therapy interventions to address edema, pain, and joint hypomobility throughout the phases of rehabilitation will be discussed. A review of evidence regarding use of orthoses to address el-bow contractures will also be presented to allow therapists to assist in clinical decision-making.

4. Adherence to Therapy Program

This chapter will present suggestions, based on research, regarding adherence to therapy programs. The role of the therapist in increasing patient adherence to achieve greater functional outcomes and patient satisfaction will be discussed.

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