Assessment of the CMC Joint and Proprioception Interventions
Presented by Kristin Valdes
Nonfinancial: Kristin Valdes has no competing nonfinancial interests or relationships with regard to the content presented in this course.
It can be difficult to keep up with the latest evidence for the conservative management of carpometacarpal osteoarthritis (CMC OA) because new evidence is constantly being generated. Some assessments that are used in clinical practice in the evaluation of the CMC joint are not reliable. The most reliable assessments for determining range of motion, strength, and joint position can include errors. There are new provocative tests that can rule out or rule in the presence of CMC OA. This course outlines the evidence that can guide best practice regarding the assessment of the CMC joint and proprioception limitations. Evidence regarding a specific program of proprioception interventions for the thumb will be described and demonstrated. This course is designed for the advanced hand therapist.
Meet your instructor
Kristin Valdes
Kristin Valdes was previously the owner of Hand Works Therapy in Sarasota, Florida, and was in private practice for more than 30 years. Currently, she is a full professor at Touro University in Henderson, Nevada. Her clinical expertise includes treatment of the hand, wrist, elbow, and shoulder; splinting; and arthritis. Dr.…
Chapters & learning objectives
1. Evidence for Assessment of the CMC Joint
The provocative tests that are the most reliable to determine the presence of carpometacarpal osteoarthritis will be demonstrated. Reliable measures for addressing thumb ROM limitations will be addressed. The joint position sense assessment technique will be demonstrated to determine the presence of proprioception deficits.
2. Proprioception Deficits of the CMC Joint
The patient demonstration of neuromuscular deficits will be discussed to enable the therapist to understand the functional consequences of impaired sensorimotor control. The important role of the thumb muscles and ligaments will be reviewed to ensure the therapist can implement a treatment plan that takes into consideration the biomechanics of the thumb.
3. Proprioception Interventions
An evidence-based proprioception exercise protocol that consists of three phases will be provided, with specific exercises provided for each phase. The three-phase active program consists of position reproduction, force sense, and activities of daily living. The evidence regarding the effects of proprioception training on pain will be shared.
Frequently asked questions
Everything you need to know about Medbridge courses.
Who creates Medbridge courses?
We work with industry-leaders, top researchers, and consultants to build content roadmaps that are then structured into courses, filmed, and edited by our production team before being launched to our site.
How often does Medbridge release new courses?
New courses are added monthly and are automatically included in your subscription as they launch.
How often does Medbridge update courses?
Medbridge reviews its courses annually for relevance and to assess if content is up to date. Based on these reviews it may be determined that a course is out of date resulting in the course being re-filmed or retired, if the content is no longer needed (e.g. a replacement course already exists, the concepts are no longer best practice, etc.).
How many courses does Medbridge offer?
We have over 3,000 accredited courses and we are continually updating our library with new courses. Check our course library for the most up-to-date count for your discipline.
Are there any additional fees for taking a Medbridge course?
There are no additional fees for taking a Medbridge course, obtaining a course certificate of completion, earning CEUs as a subscriber, or accessing any of the additional tools your subscription may include.
Is there a limit to the number of courses I can take?
There is no limit to the number of courses you can take as a subscriber! As a subscriber to Medbridge, you have unlimited access to over 3,000+ accredited CE courses.
If you are a Premium subscriber, you also have unlimited access to our Patient Engagement Tools such as the Home Exercise Program, Patient Education Library, Orthopedic Exam Tests, and Manual Therapy Techniques. We have over 7,000 exercises and over 650+ videos and handouts of patient education resources with more exercises and patient education added to the library based on subscriber feedback, volume of request and specialities.
What is your refund policy?
You are eligible for a refund provided your request is received within 30 days of your subscription purchase and your account has no activity.