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presented by Kristin Valdes, OTD, OT, CHT
Financial: Kristin Valdes receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.
Nonfinancial: Kristin Valdes has no competing nonfinancial 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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Kristin Valdes, OTD, OT, CHT
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. Valdes has published articles…
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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.
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