Proximal Screening of the Upper Extremity
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Instructor
Ann Porretto-Loehrke
PT DPT CHT COMT CMTPT
Ann graduated from Marquette University in 1994 with a BS in Physical Therapy. She became a Certified Hand Therapist in 2002 and completed the IAOM-US certification for the upper quadrant in 2003. In 2007, Ann completed her DPT degree with a specialty in hand and upper quarter rehabilitation from Drexel University in Philadelphia. She also became certified in dry needling in 2015. Ann is the Clinical Development Coordinator at the Hand to Shoulder Center of Wisconsin, located in Appleton, Wisconsin. She is one of the creators and lead instructors of the Hand and Upper Extremity Track. Ann has co-authored a chapter in Rehabilitation of the Hand & Upper Extremity on nerve compression syndromes of the elbow and forearm, as well as published two peer-reviewed articles entitled “Clinical Manual Assessment of the Wrist” and “Taping Techniques for the Wrist” in the 2016 Journal of Hand Therapy’s special edition of the wrist. Ann serves as the planning committee chair for the Wisconsin Hand Experience conference and has presented at American Society of Hand Therapists (ASHT) annual conferences, Canadian Society of Hand Therapist Annual Conference, Philadelphia meeting, and Teton Hand Conferences. Disclaimer: Ann Porretto-Loehrke also teaches online content through MedBrigde and gets paid for these courses. MedBridge has a collaboration with IAOM-US. The courses taught by Ann both at IAOM-US and Medbrige are mentioned at the beginning of each course.
Description
1.5Contact Hours/ 0.15CEUs Gain an appreciation of the relationship between the cervical spine and thoracic outlet region and sharpen your evaluation skills to optimize treatment outcomes! This course will review the anatomy of the cervical spine to develop an understanding of the potential pain generators in this region that can refer symptoms to the distal upper extremity. Testing of the cervical spine to differentiate between a cervical radiculopathy from a disc issue will be covered. An overview of thoracic outlet syndrome will also be provided as well as techniques for screening this region! Come join us! Target group: PT, PTA, AT, OT Education Level: Basic
Course outline PDFObjectives
- Describe the research supporting the existence of double crush
- Explain the difference in clinical presentation between cervical radiculopathy versus a cervical disc.
- Perform a cervical spine screen with evaluation of sensation, strength and reflexes to determine potential dermatomal and myotomal involvement.
- Verbalize the anatomy of the thoracic outlet region and be able to describe the 3 main areas of brachial plexus involvement.
- Identify the two types of thoracic outlet syndrome(TOS) clinical presentations: compressors and releasers.
- Perform a proximal screening to rule out disputed neurogenic TOS.
CEU Approval Notice: It is the learner's responsibility to confirm that this course meets the continuing education requirements of their state licensing board or professional association. Pre-approvals listed reflect the organizations that have reviewed and approved this activity; approval in your specific jurisdiction is not guaranteed.
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