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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. Understanding the Double Crush Phenomenon
This chapter covers the history and current research to support the double crush phenomenon. Gain an appreciation of the relationships between cervical radiculopathy, thoracic outlet syndrome, and more distal nerve compression to sharpen your evaluation skills and ultimately optimize your patient outcomes.
2. Cervical Screening
Through lecture and demonstration, this chapter covers the importance of how specific structures in the cervical spine can produce distal symptoms, including paresthesias and/or pain. Clinical testing for cervical radiculopathy, including reflexes, myotomes, and dermatomes, will be covered to help gain a better understanding of problems originating at the cervical spine.
3. Screening for Thoracic Outlet Syndrome
Through lecture and demonstration, this chapter covers the clinical reasoning and special tests to screen for thoracic outlet syndrome (TOS). This is critically important in patients who present with distal nerve symptoms to determine if the issue is originating more proximally.
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