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presented by Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT
Financial: Ann Porretto-Loehrke receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.
Nonfinancial: Ann Porretto-Loehrke is an instructor for the International Academy of Orthopedic Medicine—US.
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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Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT
Ann Porretto-Loehrke is a skilled clinician with a passion for teaching and clinical treatment of upper extremity disorders. She serves as the clinical development coordinator at the Hand to Shoulder Center in Appleton, Wisconsin. Ann is a Certified Hand Therapist (CHT) and a Certified Orthopedic Manual Therapist (COMT) for treatment of the upper quadrant through…
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1. Joint and Soft-Tissue Anatomy of the Finger
This chapter covers the bony and soft-tissue anatomy of the finger to set the stage for addressing key impairments seen following injury. The arthrokinematics of the digit will be presented, along with soft-tissue structures that can create limitations with finger motion, including the intrinsics, extrinsics, and oblique retinacular ligament (ORL).
2. Clinical Testing of the Finger
Through lecture and demonstration, this chapter covers the clinical testing of the finger to evaluate for stiffness at the joints, intrinsic muscles, and extrinsic muscles, and limitations with the superficial soft tissue. Special circumstances will also be discussed that can contribute to limitations with composite finger flexion, including the quadriga effect and the lumbrical plus phenomenon.
3. Manual Therapy Interventions
Through lecture and demonstration, this chapter covers specific joint mobilization techniques for the metacarpophalangeal (MP), proximal interphalangeal (PIP), and distal interphalangeal (DIP) joints, addressing intrinsic and extrinsic tightness and manual soft-tissue methods to optimize finger motion.
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