í ì z /&^,d } v p w } p u pdf ifsht 10th... · venue: yacht club puerto madero . ifsht...

1 Title 0th IFSHT Triennial Congress Program.pdf

2 Welcome Message 10th IFSHT Triennial Congress.pdf 2.pdf

3 History-IFSHT; List of Meetings and Events[IFSHT Program.pdf

4 IFSHT 10th Triennal Congress Committees.pdf

5 Overview of 10th IFSHT Triennial Congress Program.pdf

6 Monday and Tuesday Program IFSHT 10th Triennial Congress.pdf

7 Wednesday Program 10th IFSHT Triennial Congress.pdf

8 Thursday Program 10th IFSHT Triennial Congress.pdf

9 Friday Program 10th IFSHT Triennial Congress.pdf

10 Posters 10th IFSHT Triennial Congress.pdf

11 Tuesday Extended Program with Presentation Summaries.pdf

12 Wednesday Extended IFSHT Program with Presentation Summaries.pdf

13 Thursday Extended IFSHT Program with Presentation Summaries.pdf

14 Friday Extended IFSHT Program with Presentation Summaries.pdf

14/09/16 IFSHT 10th Triennial Congress Program 1

Local Organizing and Host Societies

10th IFSHT Congress Programin conjunction with the13th IFSSH Congress

October 24 - 28 2016 Hilton Hotel Buenos Aires

www.ifssh-ifsht2016.com14/09/16 IFSHT 10th Triennial Congress Program 2

10th IFSHT Triennial Congress October 24- 28, 2016

Buenos Aires, Argentina

Welcome from IFSHT President

Sarah G. Ewald

It is a great pleasure as President of IFSHT to welcome all participants to the joint 10th Triennial IFSHT Congress and 13th Triennial IFSSH Congress in Buenos Aires, Argentina. The 42 months since the last joint congress in Delhi, India, 2013 have flown by. Once again we have the opportunity to meet, renew old friendships, make new ones and to exchange ideas with one another. This congress offers a wealth of opportunities to expand horizons both educationally and socially.

Thanks to the efforts of the local organizing committee, this is the first time ever that an IFSHT congress, will have professional simultaneous translation of the sessions in the main auditorium! I would like to thank the local organizing committees, chaired by Dr. Euardo Zancolli for IFSSH and Beatriz Piso for IFSHT, who have worked tirelessly to pull together all the threads necessary to make this event happen.

Many thanks to the IFSSH program committee for their willingness and cooperation in creating a joint scientific program. The IFSHT program committee is an international committee with members from 16 countries. This committee has worked intensively during the past three years to put together, the interesting and dynamic program that you will find in these next few pages. A special thanks to the Birgitta Rosén of Sweden for her leadership of the IFSHT Program Committee and to all of the committee members that offered ideas, suggested speakers, reviewed abstracts, or assumed responsibility for organizing the scientific sessions, it has been a pleasure to work with you all. I would like to express my utmost appreciation to the invited speakers that have agreed to come to the congress and contribute to the program, this congress is so much the richer for the generous contribution of your knowledge, thank you! Heartfelt thanks to IFSSH for the ongoing cooperation with and support of IFSHT, it is so very unique that our two organizations work so well together towards the common goal of a joint congress every three years.

Welcome all, to this joint congress and to Argentina. It is an honor to have the opportunity to meet and interact with each and every one of you during the congress. Thank you all, for making the effort to travel from a far, to connect and share with one another during these next few days. It is my hope that you will return home with expanded perspectives, new ideas and many new contacts in both the hand therapy and hand surgery world.

With sincerest regards,

Sarah G. Ewald President IFSHT




Welcome from the Local Organizing Committee

Beatriz Inés Piso

Dear colleagues,

It is my great pleasure as IFSHT Local Organising Chairperson, to welcome all Hand Therapists, Occupational Therapists, Physiatrists and Physical Therapists to this 10th Triennial IFSHT Congress and 13th Triennial IFSSH Congress, an international event that will be held in the city of Buenos Aires.

We have worked so hard over the years to reach this moment where our objectives have allowed us to make this event come true; we believe that our expectations will contribute to achieve a rewarding scientific interchange and strengthen fellowship and friendship ties among all participants.

Then, I would like to thank the President of the IFSSH, Dr. Michael Tonkin, to our friend Dr. Marc Garcia Elias who was always available trying his best to provide solutions when the situation requires, to the unconditional support and direction of my old friend Dr. Eduardo R. Zancolli with whom we have worked untiringly for many years following a mutual objective, to Dr. Pablo De Carli whose work was inmense managing the free Papers and e Posters from both Societies to be published in the Hand Magazine, to all other members of the committee, so important when working on the different topics with excellence and honesty faithful to the given task.

To Sarah Ewald with whom we have achieved an enriching interchange not only in the specific organization but also in the personal field, working sistematically and using different means of communication, to Ursula Wendling for her kindness and comprehension and to Birguitta Rossen for being present at the right moment.

Obviously my endless thanks to the members of my committee, five wonderful women with whom, among other things, we have organized the Hospitality Committee to make your stay enjoyable, to the therapists who have opened their working places to the rest of the world.A special mention to Cristina Conti, with whom we have shared the last minute efforts to achieve all proposed objectives. I dont want to leave secretaries aside, specially Carla Cometo,a bastion for both committees.

I am sure to have done all my best for this starting Congress to be of excellence as pretended! I fully concur on the phrase." We are the sum of everyone " Feeling the happiness of having given everything from myself to the Congress. Knowing the desire and the effort will remain embodied in this successful event!

Finally I can only leave you my warmest regards!

Beatriz Inés Piso Chairperson of the IFSHT Local Organizing Committee




Welcome from IFSHT Program Chairs

Birgitta Rosén Sarah Ewald

It has been a pleasure to collaborate with the Program committee and the Local organising committe to both build and create a scientific program that we hope will be an inspiring and educational mix of the latest news and trends in research and clinical work, in several areas of Hand Rehabilitation.

The morning sessions with expert panels on specific hand therapy topics will be followed by workshops that offer the opportunity for you to take an in depth look at a specific topics and learn, interact and share clinical experiences and discuss new ideas with experts and international colleagues.

A main focus of international congresses is the scientific exchange between researchers in hand rehabilitation. A large number of scientific papers and posters have been submitted. They have been thoroughly reviewd by the abstract review committe and will be presented in topic focused free paper sessions, as well as in the scientific panel sessions where they compliment the topic at hand. Posters will be presented electronically during the Congress and will be available in the exhibition area near the Buen Ayre Auditoriums. We are very pleased that expert therapists and surgeons from all over the world will contribute to the program - the list of speakers is impressive - and we bid you all welcome and encourage you to participate actively in the program.

Birgitta Rosén & Sarah Ewald IFSHT Program Co-Chairs

Welcome from the IFSHT EXCO

IFSHT Executive Committee 2013-2016

President Sarah G. Ewald, Switzerland President Elect Anne Wajon, Australia Secretary General Ursula Wendling, Switzerland

Treasurer Peggy Boineau, USA Historian Nicola Goldsmith, UK Immediate Past President Lynne Feehan, Canada

IFSHT Executive Committee 2013-2016 (L) to (R): Peggy Boineau, Anne Wajon, Sarah Ewald, Nicola Goldsmith, Ursula Wendling, Lynne Feehan,


History and Purpose of the International Federation of Societies for Hand

Therapy

Following an invitation from Dr. Alfred Swanson on behalf of the IFSSH, the participation of therapists at the IFSSH Congresses in the Netherlands in 1980, USA in 1983, and Japan in 1986 helped to lay the ground work for the founding of IFSHT in 1987.

The International Federation of Societies for Hand Therapy (IFSHT) was founded for the purpose of coordinating activities of the various national societies for hand therapy and increasing and enhancing the exchange of knowledge of hand therapy. The first IFSHT President, Evelyn Mackin was instrumental in founding IFSHT. When founded IFSHT had 12 member societies, since then IFSHT has grown substantially and now has members from 49 countries.

The first IFSHT Congress was held in Tel-Aviv, Israel in 1989. Since then IFSHT has met triennially around the world, a listing of the congresses and their locations can be found below. IFSHT continues to enjoy the co-operation and support of IFSSH. IFSHT and IFSSH frequently hold simultaneous congresses in the same location with some joint sessions.

IFSHT is a voluntary organisation and currently does not maintain a central office. Communication within the Executive committee is facilitated by electronic correspondence and conference calls. Funds for the activities supported by IFSHT come from the annual membership fee, direct donations, and a triennial silent auction. The IFSHT membership fee $50.00 (US) per annum plus one dollar per member of the member organisation has remained unchanged since inception. This low fee allows even the smallest society to participate in IFSHT. The Triennial IFSHT Silent Auction helps raise funds for therapists to attend the next IFSHT Triennial Congress. Goods from all over the hand therapy world are donated for this fun event.

In addition to our Triennial Congresses, IFSHT continues to seek ways in which we can provide networking and educational opportunities to further the practice of Hand Therapy throughout the world. IFSHT supports the development of Hand Therapy worldwide, with the dynamometer program, the voluntary teaching program with the IFSHT visitors’ program and with a triennial congress.

To date there have been 9 Presidents of IFSHT from 7 different countries:

President / (Country) Term Triennial Congress Location

Evelyn Mackin (USA) 1987-1992 Tel Aviv, Israel Jean-Claude Rouzaud (France) 1992-1995 Paris, France Victoria Frampton (United Kingdom) 1995-1998 Vancouver, Canada Corrianne van Velze (South Africa) 1998-2001 Istanbul, Turkey Annette Leveridge (United Kingdom) 2001-2004 Edinburgh, Scotland Margareta Persson(Sweden) 2004-2007 Sydney, Australia Judy Colditz (USA) 2007-2010 Orlando FL, USA

Lynne Feehan (Canada) 2010-2013 New Delhi, India

Sarah G. Ewald (Switzerland) 2013-2016 Buenos Aires, Argentina

IFSHT Past Presidents (L) to (R): Victoria Frampton , UK, 1995-98; Maggi Persson, Sweden, 2004-07; Jean Claude Rouzaud,

France,1992-95; Evelyn Mackin, USA,1987-92; Judy Colditz , USA, 2007-10; Lynne Feehan, Canada, 2010-13.


IFSSH-IFSHT Events:

Opening Ceremony (included in registration)

Monday 24. October 2016 18:00 – 19:30

Venue: Hilton, Pacifico A & B

Opening Reception & Cocktail Dinner

(included in registration)

Monday 24. October 2016 19:30 – 23:30

Venue: Faena Arts Center

Banquet Dinner (separate ticket required)

Thursday 27. October 2016 19:30

Venue: Yacht Club Puerto Madero

IFSHT Events:

Opening Remarks & Presentation of

Awards

Tuesday 25. October 2016 10:30 – 11:30

Venue: Hilton, Buen Ayre B & C

IFSHT Invited Speakers Reception (by invitation only)

Tuesday 25. October 2016 17:30-19:30

Venue: Hilton

IFSHT Silent Auction

Open to Everyone!

Thursday 2. October 2016

During breaks throughout the day

Venue: Hilton, in foyer areas in front of

Buen Ayer B & C

Closing Ceremony

Friday 28. October 2016 12:20 - 12:50

Venue: Hilton, Buen Ayre B & C

IFSHT Business Meetings

EXCO Meeting

Monday, 24. October 2016 9:00 - 16:00

IFSHT National Delegates Luncheon (by invitation)

Wednesday, 26. October 2016

Venue: El Faro, Hilton

Council Meeting (by invitation)

Wednesday, 26. October 2016 13:30 - 18:30

Venue: Quebracho Meeting Room, Hilton


IFSHT Committees

President: Sarah Ewald, SwitzerlandPresident Elect: Anne Wajon, AustraliaSecretary General: Ursula Wendling, SwitzerlandTreasurer: Peggy Boineau, United StatesHistorian: Nicola Goldsmith, United KingdomImmediate Past-President: Lynne Feehan, Canada

Beatriz I. PisoChairpersonMarcela RiberoSecretary María Cristina G. de ContiMarcela Beatriz JuárezDenise ConterjnicSandra B. FrigeriMaría Agustina Dávalos

Birgitta Rosén, SwedenSarah Ewald, Switzerland

Turid Aasheim, Norway Abstract Review Sub-Committee: Session Organizers :Vera Beckmann-Fries, Switzerland Stacey Doyon, United States, Chairperson Turid Aasheim, NorwayMiranda Buhler, New Zealand Vera Beckmann-Fries, Switzerland Dorcas Beaton, CanadaRaquel Cantero, Spain Miranda Buhler, New Zealand Raquel Cantero, SpainCristina Conti, Argentina Ingela Carlsson, Sweden Ingela Carlsson, SwedenDershnee Devan, South Africa Susan de Klerk, South Africa Ragnhild Cederlund, SwedenStacey Doyon, United States Valeria Elui, Brazil Shrikant Chinchalkar, CanadaTracy Fairplay, Italy Christina Jerosch-Herold, UK Judy Colditz, USAJane Fedorczyk, United States Marcela Beatriz Juarez, Argentina Dershnee Devan, South AfricaLynne Feehan, Canada Elizabeth Mayland, New Zealand Annika Elmstedt, SwedenJanine Hareau, Uruguay Lisa O'Brien, Australia Susan Emerson, USAChristina Jerosch-Herold, UK Saara Raatikainen, Finland Lynne Feehan, CanadaMarcela Juárez , Argentina Jenny Rosengren, Sweden Victoria Frampton, UKCandida Luzo, Brazil Annemieke Videler, Netherlands Nicola Goldsmith, UKAnne Wajon, Australia Maureen Hardy, USA

Janine Hareau, UruguayJulianne Howell, USA

IFSHT Silent Auction Committee: Christina Jerosch-Herold, UKLinda F. Lehman, Brazil / USA

Judy Colditz, United States Eduardo Levaggi, UruguayDenise Conterjnic, Argentina Candida Luzo, BrazilDershnee Devan, South Africa Sarah Mee, UKSabine Haas-Schinzel, Germany Margareta Persson, SwedenGene Terry,United States Joey Pipicelli, Canada

Rosemary Prosser, AustraliaOscar Ronzio, ArgentinaTon AR Schreuders, NetherlandsKaren Schultz, USACorrianne van Velze, South AfricaSilvio Tocco, ItalyAnne Wajon, Australia

Scientific Program Committee:

Sandra Frigeri, Argentina, Chairperson

IFSHT Executive Committee 2013-2016

10th IFSHT Triennial Congress Organizing Committee 2016 Local Organizing Committee Argentina:

IFSHT Scientific Program Chairs:

www.ifssh-ifsht2016.com14/09/16 IFSHT 10th Triennial Congress Program 8

10th IFSHT Congress Program, October 25-28, 2016, Hilton Hotel in Buenos Aires, Argentina Program Tuesday 25.10.2016 Wednesday 26.10.2016 Thursday 27.10.2016 Friday 28.10.2016 Time Room Pacifico Buen Ayre B & C Buen Ayre C Buen Ayre B Buen Ayre

B & C Lenga Sauce

8:00 Joint Session with IFSSH Brachial Plexus Injuries E →S

8:30 M

on

day 2

4.1

0.2

016

Invited Expert Lecture

Pain and the Brain Lorimer Moseley, Australia

Trends in Treatment of Joint Pathology

Alternatives in Wound Healing

Outcomes Measures in Hand Therapy

Splinting the Pediatric Hand.

Learn and Teach Hand Anatomy from the Inside Out

9:15 Health vs. Ill-Health - Sense of Coherence

10:00 Break Break Break / Silent Auction Viewing & Bidding Break Buen Ayre B & C Buen Ayre

C Buen Ayre B Lenga Buen Ayre C Buen Ayre B Buen Ayre B & C

10:30

IFSHT Welcome

Keynote Speech

The Musician’s Hand Dr. Adriana Pemoff, Argentina

Trends in Pain Manage-ment in Practice

Integrating Technology into Hand Therapy

Splinting Applications for the Wrist.

Flexor Tendon Trends and Outcomes

New Trends in Non-Acute Wrist Instability

Trends in Treatment of the Thumb

11:30 Free Papers: Technology / Occupation

Relative Motion

12:30 Break Free Afternoon Discover Buenos Aires! Orfit Splinting Workshop (separate registration)

Ideas of things to see and do: Art in Buenos Aires Tango Show at "Cafe Los Angelinos” Boca Junior Stadium and Museum Wine Tasting Take a Tango Lesson Visit San Isidro & Tigre

Break / Silent Auction Bidding 12:20 IFSHT Closing Ceremony

Room Buen Ayre C

Buen Ayre B

Lenga Sauce Buen Ayre C Buen Ayre B Lenga Sauce 13:00 IFSSH Closing Ceremony Pacifico

14:00 Re

gistration

Trends in Treatment of Brachial Plexus Injuries

Upper Extremity Conditions in Musicians

Trends in the Treatment of Elbow Trauma

Critical Thinking for Management of PIP Flexion and Extension deficits

Free Papers: Carpal Tunnel / Grip Strength

Free Papers: Structural Approaches / Splinting

Ergonomics

for the Hand

Therapist

Leprosy Lessons Learned Applicable to Other Conditions

English to Spanish translation of session provided in Auditoriums Buen Ayre B and C Sessions shaded in green are Workshops

14:45 Clinical Research

15:30 Break Break / Silent Auction Close of Bids 16:00 The Magic

of the Intrinsic Hand Muscles

Free Papers: Fractures & Wrist

Manual Edema Mobilization

Synthetic Casting for Finger Injuries

Free Papers: Nerve Injuries / Miscellaneous

Question-naires: Multicultural Adaptation

Work Related Disorders of the Upper Limb

Therapists know your hands

DASH Outcome Measure 20 Years

Technology for Hand Therapists

17:30

18:30 We

lcom

e

Ce

rem

on

y

Gala Evening (separate ticket required)


PROGRAM OCTOBER 24.10.2016 - 28.10.2016Buenos Aires

12:00 - 18:00 Registration

18:00 Welcome Ceremony (Pacifico A - B)

19:30 Cocktail - Dinner (Faena Arts Center)

Moderators:

08:00 -10:00 Joint Session IFSSH - IFSHTMichael Tonkin, AustraliaSarah Ewald, Switzerland

08:00 Introduction: Brachial Plexus: Adult and Obstetric "What you need to know".Michael Tonkin, Australia Sarah Ewald, Switzerland

08:05 Anatomy for DiagnosisJorge Clifton, México

08:15 Keypoints on Clinical Examination and Complimentary Studies for a Precise Diagnosis

08:25 Therapy for Obstetric Brachial Plexus InjuriesMaria Candida de Miranda Luzo, Brazil

08:35

José Borrero, USA 08:45 Total Plexus Obstetric Lesion: Indications and Alternatives

Jayme Bertelli, Brazil08:55

Alexander Shin, USA09:05 Total Plexus Adult Lesions: Indications, Timing and Surgical Alternative

Scott Wolfe, USA 09:15 Perspectives in Rehabilitation of Adult Traumatic Brachial Plexus Injuries

Victoria Frampton, UK09:25 Muscle Transfers: Indications, Surgical Tips and Results

Alexander Shin, USA09:35 Panel Discussion

10:30 IFSHT Welcome & Awards

11:30 Keynote Lecture: The Musician's Hand and Upper LimbAdriana Pemoff, Argentina

Pacifico

Monday 24.10.2016

Tuesday 25.10.2016

Scott Wolfe, USA

Upper and Middle Obstetric Brachial Plexus Injuries: Indications and Surgical Tips for Repair and Nerve Transfer

Upper and Middle Adult Lesions: Indications, Timing and Surgical Tips for Repair and Nerve

12:30 - 14:00 BREAK

10:00 - 10:30 BREAKBuen Ayer B & C



Chairpersons:

14:00 - 15:30Victoria Frampton, UKUrsula Wendling, Switzerland

14:00 Introduction- Recent trends in the treatment of brachial plexus injuriesVictoria Frampton, UK

14:05Bridget Hill, Australia

14:20 A Diagnostic Anaylsisof the Peripheral Nerve Injury Rehabilitation ProgrammeKathryn Johnson, UK

14:35 Early Management / Pre-Operative Management of BPI

15:50 Recent Advances in Adult Brachial Plexus SurgeryMariano Socolovsky , Argentina

15:05 Panel Discussion of Cases

Chairpersons:

16:00 - 17:30 Magic of the Intrinsic Hand Muscles

Judy Colditz, USATon A. R. Schreuders, Netherlands

16:00Judy Colditz, USATon A. R. Schreuders, Netherlands

17:10 A-0793

17:20 A-0376

Buen Ayer C

Trends in the Treatment of Brachial Plexus Injuries

Physiological interphalangeal stiffness in high-level climbersVicenç Punsola-Izard, Elena Ozaes-Lara, Claudia Peris-Fonte, Laia Pallejà-DeMingo, Carmen Valero. Spain

Brachial Plexus Injury Assessment: Past, Present and Future

Anatomy, actions, pathology, assessment techniques,

Buen Ayer C15:30 - 16:00 BREAK

Ana Paim, Brazil

Effects of Selective Activation of the First Dorsal Interosseous and Opponens Pollicis on Thumb CMC Kinematics: A Synopsis of Two Cadaver Studies

Virginia H. O’Brien, Benjamin Rosenstein , Erik Magnusson, David J. Nuckley, Julie E. Adams, USA

Tuesday 25.10.2016



Chairpersons:

14:00 - 15:30Nicola Goldsmith, UK Denise Conterjnic, Argentina

14:00John White, UK

14:30Bronwen Ackermann, Australia

15:00 A-0604

15:10 A-0251

15:20 Panel Discussion

Chairpersons:

16:00 - 17:30

Vera Beckmann-Fries, Switzerland Peggy Boineau, USA

16:00 A-0115

16:10 A-0148

16:20 A-0060

16:30 A-0182

16:40 Questions16:45 A-0015

15:30 - 16:00 BREAK

Do Intra-Articular PIP Fractures do better with Swing traction or no-traction protocols? A cohort study

Free Papers Fractures & Wrist

Buen Ayer B

Michael Dafna, Hani Harel, Ronit Wollstein, USAQuantification of wrist functional variables, in female subjects over 60 years of age with a distal radius fracture, at weeks six and twelve following surgical management with a locked volar plate and after the use of a standardized rehabilitation programAlejandra Aguilera, Marcela Antúnez, Gabriel Carrasco, Chile

Wrist function one year after complicated distal radius fracture, a retrospective observation studyJohan Niklasson, Sweden

Lisa O'Brien, Andrew T Simm, Ian WH Loh, Kim M Griffiths, AustraliaModifiable determinants of bone health in women with distal radius fracture- A cross sectional studyNeha Dewan, Joy C MacDermid, Norma MacIntyre, Ruby Grewa, CanadaPost -operative Treatment of Distal Radius Fractures Using Sensorimotor Therapy

Buen Ayer B

Upper Extremity Conditions in Musicians

Tuesday 25.10.2016

Management of Complex Problems in Musicians

Fine Tuning the Musicians' Hand

The effect of stabilisation exercises on playing performance in musicians with joint hyperlaxity

Burcu Semin Akel, Orkun Tahir Aran, Çiğdem Öksüz, Turkey

Hand Discomfort: Exploring Preventive and Treatment Options Used by University-Level Piano Students

Siaw Chui Chai, Jane Bear-Lehman, USA



Chairpersons:

16:00 - 17:30

Vera Beckmann-Fries, Switzerland Peggy Boineau, USA

16:55 A-0381

17:05 A-0259 Carpal instability after a fall onto outstretched hand: an incidence study

17:15 A-0043

17:25 Questions

Chairpersons:

14:00 - 15:30

Joey G. Pipicelli, Canada Shrikant J. Chinchalkar, Canada/India

14:00

14:20

14:45 Outcome Measures with Elbow Trauma - What should we be using?Rafael Barbosa, Brazil

15:00 A-0534


Chairperson:

16:00 - 17:30Corrianne van Velze, South Africa

Chairperson:

14:00 - 15:30Karen Schultz, USA Ricardo Banda, Chile

Chairperson:16:00 - 17:30 Silvio Tocco, Italy

Lenga

Silvana Bordazahar , Silvia Citro , Claudine Marechal , Veronica Mendonca Paz, Gabriela Sgandurra, Argentina

Manual Edema Mobilisation

Static progressive and dynamic splinting for wrist and elbow. Why to opt for revisited metal frame - lively splint- technology

Resection of the Distal Pole of the Scaphoid in Symptomatic Scaphotrapeziotrapezoid Osteoarthritis and Symptomatic Scaphoid Non-union

D. Wessing, Y. Bachour, M.J.L. Berkhout and M.J.P.F. Ritt, The Netherlands.

Dominique Thomas, France, Davide Zanin, Italy

Lisa O'Brien, Luke Robinson, Hayley O’Sullivan, Eugene Lim, Australia

Lenga

Synthetic Casting for Finger Injuries

15:30 - 16:00 BREAK

15:30 - 16:00 BREAK

Critical Thinking for Management of PIP Flexion and Extension Deficits

Trends in Management of Elbow Trauma: Integrating Current Concepts to Optimize OutcomesElbow Anatomy and BiomechanicsShirkant J. Chinchalkar, Canada/IndiaTherapeutic Management of Elbow Trauma: Integrating Current Concepts Joey G. Pipicelli, Canada

Sauce

Functional Outcomes in Early Rehabilitation of 202 Distal Radius Fractures after Volar Fixation

Buen Ayer B

Free Papers Fractures & Wrist

Tuesday 25.10.2016



Chairpersons:

08:30 - 10:00Turid Aasheim, NorwayDominik Simon, Germany

08:30Lorimer Moseley, Australia

Chairpersons:

10:30 - 12:30 Trends in Pain Management in PracticeDershnee Devan, South Africa Natascha Weihs, Germany

10:30Susan W. Stralka, USA

10:50Sarah Wenger, USA

11:10Nicole Gruenert-Pluess, Switzerland

11:30Dershnee Devan, South Africa

11:50 A-0661

12:00 A-0229

12:10 A-0230


Chairpersons:

10:30 - 11:30 Integrating Technology into Hand TherapyJanine Hareau, UruguayHanna Melchior, Israel

10:30Joy MacDermid, Canada

10:45 3-D Printing in Hand TherapyValéria Meirelles Carril Elui, Brazil

11:00 From the brain to the handJanine Hareau, Uruguay

11:15Eduardo Levaggi, Uruguay

Techincal Applications in Hand - Therapy

Incidence reduction of Complex Regional Pain Syndrome type I after hand injury or hand operation. Benefits from a structured follow up system?

Does Upper Limb Pain Affect the Left/Right Judgement Task? A SystematicReview & Meta-Analysis

John Breckenridge, Karen Ginn, Sarah Wallwork, James McAuley, Australia

Benefits of the modified Graded Motor Imagery Protocol in the treatment of patients with Complex Regional Pain Syndrome type I y II

Augustina Yamila, Jimena Ortiz, Argentina

Turid Aasheim, Ann Katrin Woje, Ingrid Solhjem, Norway

Why does Pain Become Disabiltiy?

Wednesday 26.10.2016Buen Ayer B & C

How to use virtual reality in Hand Therapy

Buen Ayer B

Invited Expert LecturePain and the Brain

10:00 - 10:30 BREAKBuen Ayer C

Psychosocial Aspects of Pain

Power Over Pain: an Interdisciplinary Approch

Mirror Therapy: Does it Work?



Chairpersons:

11:35 - 12:30 Free Papers Technology & Occupation InterventionsBeatriz Piso, ArgentinaVincenç Punsola Izard, Spain

11:35 A-0163

11:45 A-0872

11:55 Questions 12:00 A-0116

12:10 A-0006

12:25 Questions

Chairperson:10:30 - 11:20 Rosemary Prosser, Australia

Chairperson:11:30 - 12:30 Julianne Howell, USA

11:30 A-0313

11:40

Panel Discussion Gwendolyn van Strien, Netherlands

Melissa Hirth, AustraliaMy Favorite Relative Motion VideosDon Lalonde, Canada2012 Extensor Tendon Program Outcome Report CardMaureen Hardy, USA

Julianne Howell, USAHow to make Relative Motion Extension and Flexion Orthoses

Sarah Mee, UK

Can relative motion extension splinting provide and earlier return to hand function than a controlled active motion protocol? A randomized clinical trialShirley Collocott, Edel Kelly, Richard Ellis, Michael Foster, Heidi Myhr, New Zealand

Lenga

Daniel Harte, Abby Paterson, UK

Stabilisation of the Wrist

Relative Motion

Rationale for Relative Motion

Rosemary Prosser, Australia

Splinting Applications for the Wrist

Wednesday 26.10.2016

Can 3D-Engineered Gloves Prevent Hand Injury in Hurling? Design, Biomechanical Testing and Player Feedback

Development of a Low Cost, High Function 3D Printed Hand Prosthesis Using the Wrist Extension as Actvator.

New ways of creating capacity: Online training for hand therapists in Bangladesh

A Pilot Study: Exploring the musculoskeletal risk exposure associated with drying of laundry using the public housing pipe-socket system amongst women in SingaporeLee Hong Rui, Therma Cheung, Yang Zixian, Anna Pratt, Singapore

Lenga

Mobilisation of the Wrist

Maria Candida de Miranda Luzo, Cesar Augusto Martins Pereira, Mariana Miranda Nicolosi Pessa, Rames Mattar Junior, Emygdio Jose Leomil de Paula, Brazil

Lisa O'Brien, Lisa Broom, Mohammad Mosayed Ullah, Australia

Buen Ayer B



Tango Show at "Cafe Los Angelinos”

Wine Tasting Take a Tango Lesson Visit San Isidro & Tigre

Free Afternoon

Ideas for things to see and do on your free afternoon: Art in Buenos Aires Boca Junior Stadium and

Orfit Industries Splinting Workshop separate registration at: https://www.surveymonkey.com/r/Orfitworkshop



Chairpersons:08:30 - 10:00

Maureen Hardy, USA Jean Claude Rouzaud, France08:30 Maureen Hardy, USA

08:40Sarah Bradley, UK08:55 Jose Manuel Pineda, Venezuela09:10 Gwendolyn van Strien, Netherlands09:25 Magnus Tägil, Sweden09:40 Panel Discussion

Chairpersons:10:30 - 12:30 Flexor Tendon Trends and Outcomes

Annika Elmstedt, SwedenStacey Doyon, USA10:30 Don Lalonde, Canada10:45 Gwendolyn van Strien, Netherlands11:00 Nicolas Bailly, Switzerland11:15 Management of Flexor Tendon Repair ComplicationsRebecca Saunders, USA

11:30Annika Elmstedt, Sweden

11:45 A-0290

11:55 A-0492

12:05 A-0300


Buen Ayer C

12:30 - 14:00 BREAK Silent Auction Bidding

Thursday 27.10.2016

Trends in Treatment of Joint Pathology

The Poole Traction Splint - rationale for non-invasive management of complex PIP fracturesPost-operative Care for CMC Joint ArthroplastyCMC Joint Active & Passive Stabilization Program

Introduction / Small Joints Grow into Big Joint Problems

Surgical Management of Small Joint Pathology

10:00 - 10:30 BREAK Silent Auction Viewing & Bidding

How Wide Awake Repair is Changing RehabilitationTendon Rehabilitation: How we changed it and why we changed it.The Manchester Short Splint and Others

A comparison of the outcomes of two rehabilitation protocols after flexor tendon repair of the hand at Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa.

Early active mobilization rehabilitation protocol after flexor tendon repair in zone II of the hand: A systematic review.The impairments and functional outcomes of patients post flexor tendon repair of the hand

Roxanne Wentzel, Corrianne van Velze, Elsje Rudman, South Africa

Pang Liying, Tong Duan Lian, Singapore

Taryn Spark, Veronica Ntsiea, Lonwabo Godlwana, South Africa

HAKIR: A National Quality Register of Hand Surgery - Can it be used to follow up results of flexor tendon surgery and rehabilitation?

Buen Ayer C




Marisa Fonseca, Brazil Barbara Winthrop, USA

14:00 A-0655

14:10 A-0145

14:20 A-0250

14:30 A-0146

14:40 Questions14:45 A-0613

14:55 A-087115:05 A-0281

15:15 A-074515:25 Questions

Marcela Antunez, Marcela Aguirre, Jorge Arciego, Eduardo Sanhueza, Rodrigo Gutierrez, Chile

Marie Eason Klatt, Antoinette Krakovsky, Lynda O'Callaghan, CanadaGrip strength in healthy Israeli adults: comparison to internationally reported normative data Danit Langer, Miri Tal-Saban, Tal Mazor-Karsenty, Hanna Melchior, IsraelResidual Grip and pinch strength deficits after completion of hand rehabilitationYafi Levanon, Shechtman Orit, Israel /USA

A pragmatic, assessor-blinded, randomized trial of the clinical effectiveness of a 6-week sensory relearning home programme on tactile function of the hand after carpal tunnel decompressionChristina Jerosch-Herold, Julie Houghton, Leanne Miller, Lee Shepstone, UKCarpal tunnel syndrome: mobilization and segmental stabilization

Thursday 27.10.2016

Func onal status of pa entes subjected to surgery for carpal tunnel syndrome (CTS)Free Papers Carpal Tunnel Syndrome & Grip Strength

Buen Ayer C

Andrea Licre Pessina Gasparini, Luciane F. R. M. Fernandes, David Fedrigo Moraes, Nathalia Helen Neves Almeida, Tamiris Cassin Mainardi, BrazilDoes Taping Affect in the Rehabilitation of Patients with Carpal Tunnel Syndrome? A Randomized Controlled TrialLeyla Eraslan, Gul Baltaci, Deniz Yuce, Arzu Erbilici, TurkeyUpper extremity disability is associated with grip strength and psychological stress in carpal tunnel syndrome according to a patient-reported questionnaire.Akihito Yoshida, Shigeru Kurimoto, Kikuko Nishikawa, Katsuyuki Iwatsuki, Hitoshi Hirata, JapanAssessment of grip strength across the continuum of care: A scoping review

15:30 - 16:00 BREAK Silent Auction Close of Bids



Chairpersons:16:00 - 17:30 Birgitta Rosén, Sweden

Valéria M. C. Elui, Brazil16:00 A-0652

16:10 A-0085

16:20 A-0671

16:30 A-0252

16:40 A-0104

16:50 Questions16:55 A-0299

Moved to Postersat AuthorRequest

A-0228

17:05 A-0353

17:15 Questions19:30 Closing Banquet Separate Registration Required

Buen Ayer C

Functional status of people operated of total median nerve injuries. Case reportMarcela Antunez, Marcela Aguirre, Jorge Arciego, Eduardo Sanhueza, Gabriel Carrasco, ChileNerve injured patients’ experiences of early sensory re-learning following nerve repair: A Q- methodological study. Preliminary result

Free Papers: Nerve Injuries & Miscellaneous

Pernilla Vikström, Ingela Carlsson, Birgitta Rosén, Anders Björkman, SwedenThe cut off value, validity and reliability of the Japanese cold intolerance symptom severity questionnaire.Ayumu Echigo, Koji Ibe, Yukihiro Osanami, Hirotada Matsui, Yoshiaki Kurata, Hideki Tsuji, JapanUse of video games in strengthening and functional recovery of the hand in patients submitted to ulnar neurorrhaphy: a pilot study Luciane Fernanda Rodrigues Martinho Fernandes, Vanessa Cristina Silva, Aline Afonso de Oliveira, Luciane Aparecida Pascucci Sande de Souza, Dernival Bertoncello, BrazilSuperior tactile discrimination in the phantom hand map in forearm amputeesUlrika Wijk, Anders Björkman, Christian Antfolk, Isabella Björkman-Burtscher, Birgitta Rosén, SwedenInfluence of the Examining Hand Therapist on the Difference between Active and Passive Extension Deficit Measured in Finger Joints with Dupuytren’s ContractureStina Brodén, Maria Persson, Ingrid Isaxon, Isam Atroshi, SwedenBringing patient advisors to the bedside of digit replantation patients: a promising avenue for improving the perception of disability and the rehabilitation process

Alice Ørts Hansen, Hanne Kaae Kristensen, Henrik H. Lauridsen, Ragnhild Cederlund, Hans Tromborg, Denmark / Sweden

Thursday 27.10.2016

Josee Arsenault, Karine Vigneault, Johanne Higgins, Marie-Pascale Pomey, Valerie Lahaie, Audrey-Maude Mercier, François Laplante, Maxim Moreau, Alain Danino, CanadaClient-centred rehabilitation for outpatients with hand-related injuries - a preliminary questionnaire




Oscar Ronzio, ArgentinaSaara Raatikainen, Finland

08:3008:4208:5509:0709:20

Chairpersons:09:30 - 10:15 Ingela Carlsson, Sweden

Ragnhild Cederlund, Sweden09:30 Ingela Carlsson, Sweden09:40 Ragnhild Cederlund, Sweden9:50 Alice Ørts Hansen, Denmark10:05 Panel Discussion

Charipersons:10:30 - 12:30 Sarah Mee, UK

Marita Meyer, Switzerland10:30 Current Concepts in Proprioception Relating to Non-Acute Wrist InstabilityElizabet Hagert, Sweden10:50 Decision-Making for Timing of Surgery and Hand Therapy in Non-Acute Wrist InstabilitySarah Mee, UK11:00 New Ideas in Assessment for Non-Acute Wrist Pain and InstabilitiesZoe Clift, UK11:20 Neuromuscular and Proprioceptive Rehabilitation after Wrist TraumaTracy Fairplay, Italy11:45 A-0844

11:55 A-0428 12:05 Panel Discussion

Health vs. Ill Health Sense of Coherence in Hand TherapyHealth vs Ill-health: Salutogenesis – Sense of coherenceHealth vs. Ill Health: Sense of Coherence - Coping Instruments

Thursday 27.10.2016

Psychometric properties. Sense of Coherence - an indicator for rehabilitation

Alternatives in Wound HealingFresh Honey on Open WoundsMiranda Buhler, New ZealandNew Technologies Applied for Wound HealingOscar Ronzio, Argentina

Buen Ayer B

Esteban Fortuny, Chile

10:00 - 10:30 BREAK Silent Auction Viewing & Bidding

Restricting scaphoid & lunate motion with a dart throwers orthosis

Therapist's use and Perspectives of Silicone Oil as an Adjunct in Hand Therapy – A SurveyGail Donaldson, New ZealandPhototherapy to Promote Wound HealingPanel Discussion

Presentation of an exerciser applicable in the scapholunate inestability rehabilitationLedda Edin Aguado, Maria Elina Canosa Contin, Estefania Issaly, Daniela Soledad Lasser, Argentina

New Trends in Non-Acute Wrist Instability

Buen Ayer B

Buen Ayer B

Hamish Anderson, Greg Hoy, Eugene Ek, Australia




Suzanne Caragianis, AustraliaAnn Sundbom, Sweden

14:00 A-001314:10 A-012914:20 A-035714:30 A-0596

14:40 QuestionsChairpersons:

14:45 - 15:30 Lynne Feehan, CanadaRuud Selles, NetherlandsPanel Joy MacDermid, Canada Journal of Hand Therapy, Editor

Christina Jerosch-Herold, UK Hand Therapy, Journal EditorRaquel Metzker Mendes, Brazil Novice Clincian-researcherAlice Ørts Hansen, Denmark Novice Clincian-researcherValéria Meirelles Carril Elui, Brazil Experienced Researcher in Applied Clinical ResearchMelanie Eissens, Netherlands Experienced Researcher in Applied Clinical Research

Chairpersons:16:00 - 16:45 Questionnaires: Multicultural Adaptation Raquel Cantero, Spain

Mary Naughton, Ireland16:00 Introduction: Cultoral Problems in Questionaire Translation

16:05

16:2016:35

Raquel Cantero, SpainCross Cultural Adaptation, Validation and the Reliability Process of Hand Therapy Questionnaires.Tracy Fairplay, Italy"Cultural problems" in Cross-Cultural Adaptation of Hand Therapy Questionnaires. Çiğdem Öksüz, TurkeyPanel Discussion

Thursday 27.10.2016

Free Papers: Splinting / Structural ApproachesStatic Progressive Orthoses: An Evidence Based Intervention?Evaluating scapular dyskinesis in lateral epicondylitisFrédéric Degez, Nicolas Bigorre, FranceUsing Vibratory stimulations in stiffness of PIP JointNicolas Bailly, SwitzerlandImportance of an integral rehabilitation treatment in patients with distal interphalangeal joint amputations in the workplaceAndrea de Paz, Adriana Boffelli, María de las Mercedes Angeleri, Maria Cristina G. de Conti , Argentina

Buen Ayer B

Buen Ayer B15:30 - 16:00 BREAK Silent Auction Close of Bids

12:30 - 14:00 BREAK Silent Auction BiddingBuen Ayer B

Clinical Research in Hand Therapy a Global Perspective

Deborah A. Schwartz, USA



Chairpersons:16:45 - 17:30 DASH Outcome Measure: Recap of the Last 20 Years Dorcas Beaton, Canada

Silvia C. Menayed, Argentina16:4517:00

17:15 Panel Discussion: How therapists use the DASH Outcome Measure in clinical practiceClinicians come along, talk with researchers about how you use the DASH in practice

19:30 Closing Banquet Separate Registration Required

Chairperson:14:00 - 15:30 Susan Emerson, USA

Chairperson:16:00-16:45 Nicola Goldsmith, UK

Chairperson:16:45-17:30 Technology for Hand Therapists Eduardo Levaggi, Uruguay19:30 Closing Banquet Separate Registration Required

Chairperson:14:00 - 15:30 Linda F. Lehman, Brazil / USA14:00 Linda Faye Lehman, Brazil / USA14:2014:3514:50 The Impact of "Insensitivity" in LeprosyCarlos Wiens, Paraguay15:10

Chairperson:16:00 - 17:30 Ton A. R. Schreuders,

Netherlands19:30 Closing Banquet Separate Registration RequiredTherapists Know Your Hands: Your Own and Your Patients

History, Development and Concept of the DASH Tools: the Little Tool That Grew.Dorcas Beaton, CanadaPlacing the DASH Among the Scales UE Scales -Strengths and Limitations of Regional Specific Versus Joint Specific InstrumentsJoy MacDermid, Canada

Lenga

15:30 - 16:00 BREAK Silent Auction Close of BidsPanel Discussion

Sauce

Ergonomics for the Hand Therapist: Office Interventions

Work Related Disorders of the Upper Limb: Evaluating and

Buen Ayer B

Lenga

Lenga

Sauce

Thursday 27.10.2016

Marcos Virmond, BrazilTatiani Marques, Brazil

Leprosy: Lessons learned applicable to other conditionsIntroduction: Leprosy or Hansen's diseaseSurgery in Leprosy: the Past, Present and FutureHand Therapy for Tendon Transfers in Leprosy

15:30 - 16:00 BREAK Silent Auction Close of Bids



Chairpersons:

08:30 - 10:00 Outcomes, Measures in Hand TherapyChristina Jerosch - Herold, UKVéronique Bertrand, Belgium

08:30 How do I Know if this is the Right Measure for Me?Joy MacDermid, Canada

08:45 How can Measures Improve My Clinical Decision Making and Practice?Dorcas Beaton, Canada

09:00 What do I Want to Measure? Why Conceptual Frameworks MatterChristina Jerosch-Herold, UK

09:15 A-0484

09:25 A-0291

09:35 A-0544


Chairpersons:

10:30 - 12:20 Trends in Treatment of the ThumbAnne Wajon, AustraliaCecilia Li, Hong Kong

10:30Amy L. Ladd, USA

10:45Jorge Hugo Villafañe, Italy

11:00Judy Colditz, USA

11:15Virginia O'Brien, USA

11:30Rosemary Prosser, Australia

11:45Margareta Persson, Sweden


12:20 - 12:50 IFSHT Closing Ceremony

13:00 - 14:00 IFSSH Closing Ceremony

Trends in Treatment of the Thumb - Soft Splinting

Buen Ayer B & C

Pacifico

Friday 28.10.2016Buen Ayer B & C

10:00 - 10:30 BREAKBuen Ayer B & C

Thermoplastic Splinting for Thumb CMC Osteoarthritis

The Puzzle of the Thumb - Mobility, Stability and Demands in Opposition

Manual Therapy for Thumb Carpometacarpal Osteoarthritis

Assessment of the Thumb for Splinting

Exercises to Improve Dynamic Thumb Stability

A survey study on the use of Patient Rated Outcome (PRO) Measures among hand occupational therapists in Singapore. Tong, D.L., and Yi, J. Z. E, SingaporeThe validity and clinical utility of the Disability of the Arm Shoulder and Hand (DASH) questionnaire for traumatic hand injuries in developing country contexts: A Systematic Susan de Klerk, Helen Buchanan, Christina Jerosch-Herold, South Africa / UKThe Cross-Cultural Adaptation of the Disabilities of the Arm, Shoulder and Hand (DASH) Patient Reported Outcome Measure into BulgarianJohanna Jacobson-Petrov , Lyudmil Simeonov, Bulgaria



Chairpersons:

08:30 - 10:00Margareta Persson, Sweden M. Candida d M. Luzo, Brazil

08:30 Intro - General Theory and Clinical Tips on Splinting the Pediatric HandMargareta Persson, Sweden

08:45 Splinting the Spastic Pediatric Hand - Theory and Clinical TipsMargareta Persson, Sweden

09:00 Splinting the Pediatric Hand after Trauma - How to Make the Splints AttractiveMaria Candida de Miranda Luzo, Brazil

09:20

Janine Hareau, Uruguay09:40 Panel Discussion

Chairperson:08:30 - 10:00 Pat McKee, Canada

12:20 - 12:50 IFSHT Closing Ceremony

13:00 - 14:00 IFSSH Closing Ceremony

Lenga

Buen Ayer B & C

Pacifico

Friday 28.10.2016

10:00 - 10:30 BREAK

Splinting the Pediatric Hand

Hand Therapists Role in Conservative Treatment of Arthrogryphosis - an Update on Splinting Regimes and Clinical Tips

Learn and Teach Hand Anatomy from the Inside Out

Sauce



A-0304 The Social Thumb: A Case of Aesthetics over Function after Traumatic AmputationTrygve Strömberg, Anki Sundstedt, Sweden

A-0772 Rehabilitation after Partial Hand AmputationSlavica Bajuk, Jaka Borišek, Mira Barič, Barbara Osolnik, Helena Jamnik, Slovenia

A-0553 Passive cosmetic splint for shoulder disarticulation

A-0795

A-0836

A-0147

A-0152

A-0118A-0388

A-0854

A-0039 The coordination ability of the thumb using a new functional evaluation systemSeiji Nishimura, Katsuyuki Shibata, Kaoru Tada, Shou Horie, Yuki Matsui, Japan

A-0164 Patient Satisfaction with Post-Operative Hand TherapyDenise Casey, Daniel Harte, Lynn Wilson, Northern Ireland

A-0305

A-0367

IFSHT Posters IFSHT Posters Amputations

Paula Simaro , Lucia Pastorino, Elena Santamarina , Geraldine Ewens , Ma. Agustina Davalos, Argentina

Fear of movement after a finger fracture - what is the problem?Katarina Mortazavi, Ingela K Carlsson, Lars B Dahlin, Sweden

Cross-sectional survey of therapist's knowledge, clinical practice patterns, barriers and facilitators with regard to secondary falls/osteoporotic fracture prevention for patients with distal radius fracture.Neha Dewan, Joy C MacDermid, Norma MacIntyre, Ruby Grewal, Canada

IFSHT Posters FracturesMechanical analytical diagnosis in distal radius fracturesVicenç Punsola-Izard, Elena Ozaes-Lara, Claudia Peris-Fonte, Laia Pallejà-DeMingo, Carmen Valero, SpainEffects of Carpal Continuous Traction Device on Wrist Contracture of Distal Radius Fracture.Chihiro Fujime, Kohei Takebayashi, Japan

Vitor Kinoshita Souza, Ameg Dalpiaz, Marisa de Cássia Registro Fonseca, Alexandre Marcio Marcolino, Rafael Inácio Barbosa, Brazil

Test-retest reliability version of Brazilian quick-dash for patients with disorders of the upper limbNatalia Claro da Silva, Thais Cristina Chaves, Jacqueline Brazão dos Santos, Nilton Mazzer, Marisa de Cássia Registro Fonseca, Brazil

Development of Brazilian version of the functional impairment test – hand, and neck/shoulder/arm – Fit-Hansa and test-retest reliability on ten volunteers: Pilot StudyLívia Nahas Pinola, Flávia Pessoni F. M. Ricci, André David Gomes, Paulo Roberto Pereira Santiago , Marisa de Cássia Registro Fonseca, Brazil

IFSHT Posters Outcome MeasuresStefan Johansson, Ingela Carlsson, Birgitta Rosèn, Sven Abrahamsson, Sweden

Acute effect of a fatigue protocol on extensors wrist muscles on strength of handgrip and lateral pinch.

Children's hand functional evaluation with congenital diseases in upper limb of congenital patients (acoms): experience reportFernando Vicente de Pontes, Jeniffer Martins Souza Cazelato, Maria Cândida de Miranda Luzo, Edgard de Novaes França Bisneto, Brazil

Development of a software system for outcome measures used in hand therapy


A-0648

A-0098

A-0797

A-0310

A-0225

A-0261

A-0586

A-0676

A-0568

A-0416

A-0159

A-0368

A-0813

A-0864

A-0391

A-0011

A-0166

A-0798

A-0237

PROGRAM OCTOBER 24.10.2016 - 28.10.2016 Buenos Aires IFSHT Posters- Rehabilitation Methods and Outcomes Standarised Hand Therapy following surgery of the base of the thumb: a case-series.

Karin van Pelt-Dieleman, Thijs Zaadnoordijk,Netherlands Orthotics and rehabilitation protocol after arthroplasties MP Neuflex in rheumatoid arthritis Maria Laura Frutos, Argentina , Micheline Isel , Luxembourg Full TERT reached in the treatment of the PIP flexion contractures Vicenç Punsola-Izard, Elena Ozaes-Lara, Claudia Peris-Fonte, Laia Pallejà-DeMingo, Carmen Proprioception rehabilitation protocol after wrist ligaments injuries Claude Le Lardic, France Evaluation and Rehabilitation Program of Patients with Brachial Plexus Injury Undergoing Lower Trapezius Transfer to External Rotators Muscles. Daniele dos Santos Scarcella, Maria Candida de Miranda Luzo, Marcelo Rosa de Illustrations of Evidence-Based Sensory Re-Education Techniques Emma McPhillips, Daniel Harte, United Kingdom Rehabilitation after total hand reimplantation Ma.Laura Frutos, Pablo Valle, Argentina The Use of a Portable, Powered, Instrumented Exoskeleton (Exoflex) to Provide Therapy and Peter P Abolfathi, Raymond A Jongs, Robert Segal, Australia Occupational therapy in burned hand: Analysis in an acute care hospital Eliana Mariel del Coco, María Agustina Zambón, Romina Vanina Aguirre Santoro, Argentina Rehabilitation protocol for distal biceps repair Agustina Davalos , Lucia Pastorino,Elena Santamarina, Paula Símaro, Gerardo Gallucci, Argentina IFSHT Posters Splinting The effects of brace on strength in people with lateral epicondylitis Frédéric Degez, Mathilde Gerbouin, Manon Gorzelanczyk, Marina Ogeron, Grégoire Mitonneau, France Orthotic designs for patients with burning in upper limbs treated at a tertiary burns unit Flávia Pessoni F. M. Ricci , Lívia Nahas Pinola , Adriana da Costa Gonçalves , Elaine Caldeira de Oliveira Guirro , Marisa de Cássia Registro Fonseca, Brazil IFSHT Posters Miscellaneous The Wrist Extensors Muscles Activities at Grounding with the Hand in the Falling Down Mineo Oyama, Masahiro Odagiri, Shota Matsuzawa, Yuichi Nakamura, Takae Yoshidu, Japan

Prevalence of musculoskeletal symptoms in the upper limbs of wheelchair users with spinal cord injury: a pilot study Fernando Vicente de Pontes, Maria Cândida de Miranda Luzo, Brazil Curriculum development of subjects related to the hand in Physiotherapy Degree Ruth Galtés, Susana Rodríguez, Aureli Oriol, Anton Rañé, Spain Cost Saving Ideas for Activities Deborah A. Schwartz, United States of America

Health Promotion in Hand Therapy Bridget Salt, Daniel Harte, Northern Ireland Hand Therapy Online Vicenç Punsola-Izard, Elena Ozaes-Lara, Claudia Peris-Fonte, Laia Pallejà-DeMingo, Carmen

Valero, Spain Hartmann buttonhole: a frequent feature in the palm?

Nathalie Poirier Coutansais, Frederic Degez, Bruno Cesari, Vinvent Casoli, France14/09/16 IFSHT 10th Triennial Congress Program 26

Extended Program October 24. – 28.10.2016 Buenos Aires

Tuesday 25.10.2016 Pacifico

Moderators: 08:00 -10:00 Joint Session IFSSH - IFSHT Micheal Tonkin, Australia Sarah Ewald, Switzerland 08:00 Brachial Plexus

10:00 - 10:30 BREAK Buen Ayer B & C

10:30 IFSHT Welcome & Awards 11:30 Keynote Lecture: The Musician's Hand and Upper Limb Adriana Pemoff, Argentina

Tuesday 25.10.2016 Buen Ayer C Trends in the Treatment of Brachial Plexus Injuries

Chairpersons: 14:00 - 15:30 Victoria Frampton, UK Ursula Wendling, Switzerland 14:00 Introduction- Recent trends in the treatment of brachial plexus injuries Victoria Frampton, UK

My first introduction to Brachial Plexus Injuries was via an inspirational man who made a complex subject compelling, his name was Dr Kit Wynn Parry. This was 37 years ago. Our objective to obtain a correct diagnosis a clear pathway of rehabilitation and realistic goals were essential. Advances in diagnostic tools, surgical techniques have furthered the treatment of this potentially disabling condition, however the objectives of treatment remain the same. I would like to recognise the life and work of Dr Wynn Parry and am honoured to chair this session on Recent Trends in the treatment of brachial plexus injuries. 14:05 Brachial Plexus Injury Assessment: Past, Present and Future Bridget Hill, Australia Assessment of outcome following Brachial Plexus injury (BPI) is challenging due to the extremely heterogeneous nature of its presentation. Historically assessment has focused on impairments, e.g. strength, range of movement, sensation.(1) Measures of activity, participation and quality of life have rarely been used and none has been validated for this population. This session will highlight some of the pros and cons of existing outcome measures used following adult BPI and discuss the ICF as a framework for BPI assessment.(2) New outcome measures designed and/or psychometrically evaluated for BPI will be presented.(3) Objectives • To provide a framework for assessment following BPI • To provide an overview of common outcome measures used following BPI including their psychometric properties • To present new outcome measures specific to BPI Key References Dy CJ, Garg R, Lee SK, Tow P, Mancuso CA, Wolfe SW. A systematic review of outcomes reporting for brachial plexus reconstruction. Journal of Hand Surgery. 2015;40:308-13. WHO. International Classification of Functioning, Disability and Health. Geneva.2001. Hill B, Williams G, Olver J, Bialocerkowski A. Do existing patient-report activity outcome measures accurately reflect day-to-day arm use following adult traumatic brachial plexus injury? Journal of Rehabilitation Medicine. 2015;47:438-44.



Tuesday 25.10.2016 Buen Ayer C

Trends in the Treatment of Brachial Plexus Injuries

Chairpersons: 14:00 - 15:30 Victoria Frampton, UK Ursula Wendling, Switzerland 14:20 A Diagnostic Anaylsisof the Peripheral Nerve Injury Rehabilitation Programme

Kathryn Johnson, UK Title: A Diagnostic Analysis of a Peripheral Nerve Injury Rehabilitation programme. Introduction: As the largest Peripheral Nerve Injury (PNI) unit in the United Kingdom it is paramount that an effective and efficient service is delivered to patients and their families. The brachial plexus rehabilitation in-patient programme is a unique aspect of our service and was therefore identified as the focus of the study. A diagnostic analysis, involving both staff and patients, was undertaken of the service. Method: A mixed method approach was used combining both qualitative and quantitative methods as follows: 1. Semi-structured interview 2. Focus group 3. Patient Satisfaction Questionnaire. Results: The two main themes identified were; an increased need to capture patient experience and user involvement in service changing decisions and a need for robust healthcare outcomes to measure the effectiveness of services. Conclusions: Both the multi-disciplinary team (including consultants, nursing, therapists, psychologists) and patients have been highly motivated and involved throughout the study. A standardized outcome measure has been introduced and the content of the rehabilitation programme is increasingly ‘holistic’ and centered on individual patients needs. Work is ongoing regarding the development of patient pathways and measurable goals. Key References Smania N, Berto G et al (2012) Rehabilitation of brachial plexus injuries in adults and children. European Journal of Physical and Rehabilitation Medicine 48( 3): 483-506 National Institute for Clinical Excellence (NICE) Guidelines: Patient experience in adult NHS services: improving the experience of care for people using adult NHS services (2012) NHS England: Commissioning Guidance for Rehabilitation (2016) 14:35 Early Management / Pre-Operative Management of BPI

Ana Paim, Brazil The traumatic Brachial Plexus Injury (BPI) is a condition that causes a large impact in the patient´s life. The patient with BPI usually has a condition that brings a large amount of disabilities such as in their motor, sensory and functional skills. The traumatic BPI often begins abruptly and change various aspects of the patient´s function and activities. In Brazil, we have a growing and large number of BPI related with motorcycles accidents mostly with young people. The initial phase is crucial, patient educations is a key concept and a good relationship between the team and the patient plays a very important role on the rehabilitation program. The therapeutic approach of the BPI includes a broad vision of the injury. We must take care of the arm position, also manage the pain, Passive Range of Motion needs to be assessed and deal with Activities of Daily Living and Labor. We´re going to present our experience, with clinical cases and will share our practice developed in the last 12 years treating more than 170 cases of BPI in a public hospital at Porto Alegre – Brazil. Key References Moore, AM & Novac, CB.(2014) Advances in Nerve Transfer Surgery. Journal of Hand Therapy 27(2): 96-105 Priganc, V. & Stralka S. (2011) Graded Motor Imagery. Journal of Hand Therapy 24 (2): 164-169 Frampton, V. (1996) Management of pain in brachial plexus lesions. Journal of Hand Therapy 9 (4): 339-343 14:45 Recent Advances in Adult Brachial Plexus Surgery

Mariano Socolovsky, Argentina Brachial plexus surgery is a growing specialty dedicated to help those people that suffer a brachial plexus traction injury, usually associated to a two-wheeled vehicle accident. With the incorporation of the modern microsurgical techniques in the ´60 and ´70 decades of the past-century, pioneers like Algimatas Narakas, Hanno Millesi and Rolph Birch, changed the previous results deeply improving the quality of life of these patients. In the mid-90´s, Chistophe Oberlin and Susan Mackinnon, among others, developed new nerve transfer techniques that have revolutionized again the surgical strategies. Today, it can be said that patients suffering a complete brachial plexus lesion, will probably have a good recovery of shoulder and elbow function. Patients having a lower trunk lesion (C8-D1) may recover some rudimentary hand function using nerve transfers. Finally, most of those patients suffering an upper trunk injury (C5-C6) will recover satisfactorily returning to their previous activities. Among the factors that determine the prognosis of recovery -the classically described timing of the surgery- lay (1) the degree of cooperation to the rehabilitation program, (2) the age of the patients and (3) the body mass index. A multidisciplinary team-approach warrants a better recovery. 15:05 Panel Discussion of Cases



Tuesday 25.10.2016 Buen Ayer C

Chairperson:

16:00 - 17:30 Magic of the Intrinsic Hand Muscles Judy Colditz, USA Ton A. R Schreuders, Netherlands 16:00 Anatomy, actions, pathology, assessment techniques, and treatment of the intrinsic muscles of the hand

Judy Colditz, USA & Ton A. R. Schreuders, Netherlands This session will explore the distinctive anatomy, actions, assessment techniques, pathology, and treatment of the intrinsic finger muscles. Discussed will be the interossei (including a focus on the 1st dorsal interosseous), and lumbrical muscles. This session is not a review of basics but a discussion of points relevant to clinical practice. Key References McGee C, O'Brien V, Van Nortwick S, Adams J, & Van Heest A (2015) First dorsal interosseous muscle contraction results in radiographic reduction of healthy thumbc carpometacarpal joint. J Hand Ther 28(4): 375-80. https://handlab.com/resources/category/clinical-pearls/ (Pearls 19-22). Kamata Y, Nakamura T, Tada M, Sueda S, Pai DK, Toyama Y (2016) How the lumbrical muscle contributes to placing the fingertip in space: a three dimensional cadaveric study to assess fingertip trajectory and metacarpophalangeal joint balancing.. J Hand Surg Eur 41(4):386-91. 17:00 A-0793 Physiological interphalangeal stiffness in high-level climbers

Vicenç Punsola-Izard, Elena Ozaes-Lara, Claudia Peris-Fonte, Laia Pallejà-DeMingo, Carmen Valero. Spain 17:20 A-0376 Effects of Selective Activation of the First Dorsal Interosseous and Opponens Pollicis on Thumb CMC Kinematics: A Synopsis of Two Cadaver Studies Virginia H. O’Brien, Benjamin Rosenstein , Erik Magnusson, David J. Nuckley, Julie E. Adams, USA Buen Ayer B

Chairpersons: 14:00 - 15:30 Upper Extremity Conditions in Musicians Nicola Goldsmith, UK Denise Conterjinc, Argentina 14:00 Management of Complex Problems in Musicians

John White, UK A brief introductory review of the Management of Complex Problems in Musicians to cover the following issues will start the presentation. • Physicality of music performance (Normal playing demands) • Epidemiology and etiology of common injuries • Multidisciplinary aspects affecting injury risk; diet, psychology, work conditions • Task-specific assessment crucial o Discussion of special features of musicians' assessment including: • Intrinsic vs extrinsic hand muscle assessment • Kinetic chain flow of movements from center to periphery • Posture with instrument • Peripheral tension/tremor • Neurological evaluation –potential positional nerve stressors • Injury management/rehabilitation goal - prioritise function for performance outcomes. This may include hyperfunction – eg: increased supination in L forearm for violinists (eg after rad/ulna fractures) • Making the surgical decision following this 3 clinical vignettes will then be presented in detail: 1. Motor control: Extrinsic vs intrinsic muscle activation imbalance. 2. Nerve related: Pronator syndrome 3. Instability: Distal Radio-ulna Joint Each vignette will be presented to cover the following topics: 1. Anatomy 2. Clinical Presentation 3. Diagnosis 4. Therapy (plus non operative interventions) (do's and don'ts) 5. Operative intervention options (do's and don'ts) 6. Musician-specific rehabilitation Key References Ackermann, B. (2010). Therapeutic management of the injured musician. Performing arts medicine, 3, 247-269. Winspur, I., & Parry, C. B. W. (Eds.). (1998). The musician's hand: a clinical guide. CRC Press. White, J. et al (2003) A search for the pathophysiology of the nonspecific ‘‘occupational overuse syndrome’’ in musicians. Hand Clin 19, 331–341. 14:30 Fine Tuning the Musicians' Hand

Bronwen Ackermann, Australia



Tuesday 25.10.2016 Buen Ayer B

Chairpersons:

14:00 - 15:30 Upper Extremity Conditions in Musicians Nicola Goldsmith, UK Denise Conterjnic, Argentina 14:30 Fine Tuning the Musicians' Hand

Bronwen Ackermann, Australia 15:00 A-0604 Hand Discomfort: Exploring Preventive and Treatment Options Used by University-Level Piano Students Siaw Chui Chai, Jane Bear-Lehman, USA

15:10 A-0251 The effect of stabilisation exercises on playing performance in musicians with joint hyperlaxity Burcu Semin Akel, Orkun Tahir Aran, Çiğdem Öksüz, Turkey

Buen Ayer B Chairpersons:

16:00 - 17:30 Free Papers Fractures & Wrist Vera Beckmann-Fries, Switzerland Peggy Boineau, USA 16:00 A-0115 Do Intra-Articular PIP Fractures do better with Swing traction or no-traction protocols? A cohort study

Lisa O'Brien, Andrew T Simm, Ian WH Loh, Kim M Griffiths, Australia 16:10 A-0148 Modifiable determinants of bone health in women with distal radius fracture- A cross sectional study Neha Dewan, Joy C MacDermid, Norma MacIntyre, Ruby Grewa, Canada 16:20 A-0060 Post -operative Treatment of Distal Radius Fractures Using Sensorimotor Thera Michael Dafna, Hani Harel, Ronit Wollstein, USA 16:30 A-0182 Quantification of wrist functional variables, in female subjects over 60 years of age with a distal radius fracture, at weeks six and twelve following surgical management with a locked volar plate and after the use of a standardized rehabilitation program Alejandra Aguilera, Marcela Antúnez, Gabriel Carrasco, Chile 16.40 Questions

16:45 A-0015 Wrist function one year after complicated distal radius fracture, a retrospective observation study Johan Niklasson, Sweden 16:55 A-0381 Functional Outcomes in Early Rehabilitation of 202 Distal Radius Fractures after Volar Fixation Silvana Bordazahar , Silvia Citro , Claudine Marechal , Veronica Mendonca Paz, Gabriela Sgandurra, Argentina 17:05 A-0259 Carpal instability after a fall onto outstretched hand: an incidence study Lisa O'Brien, Luke Robinson, Hayley O’Sullivan, Eugene Lim, Australia

17:15 A-0043 Resection of the Distal Pole of the Scaphoid in Symptomatic Scaphotrapeziotrapezoid Osteoarthritis and Symptomatic Scaphoid Non-union D. Wessing, Y. Bachour, M.J.L. Berkhout and M.J.P.F. Ritt, The Netherlands. 17:25 Questions



Tuesday 25.10.2016

Lenga Chairpersons: 14:00 - 15:30 Trends in Management of Elbow Trauma: Integrating Current Concepts to Optimize Outcomes Joey G. Pipicelli, Canada Shrikant J. Chinchalkar, Canada/India Close communication between the treating physician and therapist is essential in order to optimize outcomes following elbow trauma. Therapists must be aware of the rigidity of bony fixation, ligamentous stability, and the status of soft tissues surrounding the joint. Reflection and reattachment of the triceps tendon, repair of the lateral ulnar collateral ligament, or anterior transposition of the ulnar nerve are just a few of the important details that are essential prior to implementing a customized rehabilitation program. These surgical details individualize treatment because they determine the type of motion allowed, the safe arc of motion, and the limitations for functional use of the upper extremity. The importance of the elbow for functional use of the upper extremity cannot be overstated as it allows the forearm, wrist, and hand to be positioned in space. The functional arc of motion at the elbow has been reported to be from 30 °short of full extension to 130°of flexion, together with 50°of pronation and supination. This arc allows positioning of the hand in various planes of motion for personal, vocational, and recreational activities. It is imperative that attempts are made to maximize motion and strength in order to ensure functional use of the upper extremity.

14:00 Elbow Anatomy and Biomechanics Shirkant J. Chinchalkar, Canada/India

14:20 Therapeutic Management of Elbow Trauma: Integrating Current Concepts to Optimize Outcomes Joey G. Pipicelli, Canada

14:45 Outcome Measures with Elbow Trauma - What should we be using? Rafael Barbosa, Brazil The elbow is a complex joint, designed to support overload by dynamic efforts and act to position the hand in space. Is protected by a fortress of individual static and dynamic constraints that function together to provide stability. Traumatic injuries (such as fractures and/or dislocations) involve different structures of the elbow. These injuries affect stability and can promote stiffness due to high congruence, complexity of joint surfaces and great tissue sensitivity to trauma. Measuring outcomes is an important component of therapists practice. A selected outcome tool should be able to distinguish functional change in a clinical status and predict the outcome of different interventions. For elbow assessment, many outcome measures are related in literature like American Shoulder and Elbow Surgeons (ASES) Elbow Outcome Score, Broberg and Morrey Elbow Scale, Mayo Clinic Performance Index for the Elbow and Patient-Rated Elbow Evaluation (PREE). These tools are for general elbow disorders and some of them have their minimal clinically important difference already described. Based on principles of evidence-based practice, the therapist could be able to interpret any outcome tool by its psychometric properties for each injury and its complications. Key References

Brice CD (2008) Anatomy and Biomechanics of the Elbow. Orthop Clin North Am. 2008 Apr; 39(2):141-54. Smith MV (2012) Upper Extremity-Specific Measures of Disability and Outcomes in Orthopedic Surgery. J Bone Joint Surg Am. 94:277-85. Vincent JI (2015) Linking of the Patient Rated Elbow Evaluation (PREE) and the American Shoulder and Elbow Surgeons - Elbow questionnaire (pASES-e) to the International Classification of Functioning Disability and Health (ICF) and Hand Core Sets. Journal of Hand Therapy 28:61-68 15:00 A-0534 Static progressive and dynamic splinting for wrist and elbow. Why to opt for revisited metal frame - lively splint- technology Dominique Thomas, France, Davide Zanin, Italy



Tuesday 25.10.2016 Lenga Chairperson:

16:00 - 17:30 Manual Edema Mobilisation Corrianne van Velze, South Africa Come and learn about a really effective technique that will make all the difference to the patient with a swollen hand. Manual Oedema Mobilisation is a method of oedema reduction, based of lymph drainage principles. This method was developed by Sandra Artzberger and deals with the reduction of oedema by means of an overwhelmed, but intact lymph drainage system. It is geared towards the therapist who wants to reduce acute oedema due to upper limb trauma, using a simple, yet effective method. The presentation will include a short summary of the theory behind the technique and introduce the basics concepts of MEM. These include a very light, gentle massage from proximal to distal, active muscle contraction, breathing and localized movement. Participants will receive instructions on how to implement the technique and see a demonstration of the technique on a model. They will have the opportunity to practice the basic massage techniques on themselves or a fellow therapist.

Sauce Chairperson:

14:00 - 15:30 Critical Thinking for Management of PIP Flexion and Extension Deficits Karen Schultz, USA Ricardo Banda, Chile PIP motion loss challenges the therapist to determine the cause and degree of the problem and to design an effective treatment plan that considers the type of pathology as well as the patient’s unique needs. This presentation will advocate prioritizing extension over flexion at the PIP joint following injury in the area encompassing the proximal and middle phalanges. Too often, clinicians make PIP flexion the focus of treatment following injuries at this level. Whether the injury involves bone, soft tissue or both, the restoration of first passive extension and then active must be number one in the mind of the clinician. Failure to prioritize extension results in irreversible flexion contracture and permanent finger imbalance. Effective treatment for these problems requires a high level of critical thinking to apply relevant and precise evaluation. Evaluation indentifies both the current pathology and also the cascade of events that will occur without appropriate intervention. Session leaders will identify the mechanisms for motion loss. They will outline a comprehensive treatment approach including manual therapy techniques, strategic exercises, orthosis management and scar modification techniques--including modalities such as ultrasound and iontophoreses--that have demonstrated effectiveness for restoring functional ROM and finger balance post injury. Key References Hardy, M: Principles of Metacarpal and Phalangeal Fracture Management: A Review of Rehabilitation Concepts J Orthop Sports Phys Ther • Volume 34 • Number 12 • December 2004 Chinchalkar SJ, Gan BS Management of proximal interphalangeal joint fractures and dislocations.J Hand Ther. 2003 Apr-Jun;16(2):117-28. Brand, P Clinical Mechanics of the Hand St Louis, 1985, Mosby.

Sauce Chairperson: 16:00 - 17:30 Synthetic Casting for Finger Injuries Silvio Tocco, Italy

Hand injuries are the second most common work-related trauma in most industrialized countries1. It is also one of the most injured areas of the body in amateur and elite athletes. Never like in these past years was it possible to enable patients to maintain their regular ADL’s or leisure/work activities despite injury to their hands. The aim of this workshop is thus to present two synthetic casting material suitable in treating finger injuries that allow the therapist to achieve this goal. MATERIAL AND METHODS Physical properties of Quickcast 2 Finishing Tape® (Homecraft-Rolyan)2-3 and Orficast™ (Orfit Industries) will be presented. Participants will then have the occasion to handle the material and experience various therapeutic situations of finger injuries, commonly seen in their clinical practice (mallet finger, tuft fractures, Boutonniere & Swan-Neck deformities and PIPj subluxation/dislocation, trigger finger. CONCLUSION Participants will have gained theoretical and practical knowledge about these innovative synthetic casting materials and will widen their treatment arsenal for future fingers injuries seen in their respective clinical practice. Cost-effectiveness of treatment with these materials will also be discussed. Key References de Putter CE, van Beeck EF Polinder S, Panneman MJ, Burdorf A, Hovius SE, Selles RW. (2016) Healthcare costs and productivity costs of hand and wrist injuries by external cause: A population-based study in working-age adults in the period 2008-2012. Injury. [Epub ahead of print] Tocco S, Boccolari P, Landi A, Leonelli C, Mercanti C, Pogliacomi F, Sartini S, Zingarello L, Nedelec B. (2013) Effectiveness of cast immobilization in comparison to the gold-standard self-removal orthotic intervention for closed mallet fingers: a randomized clinical trial. J Hand Ther. 26(3): 191-200. Lau C. (1998) Comparison study of QuickCast versus a traditional thermoplastic in the fabrication of a resting hand splint. J Hand Ther. 11(1): 45-8.


Extended Program October 24. – 28.10.2016 Buenos Aires Wednesday 26.10.2016

Buen Ayer B & C Chairpersons:

08:30 - 10:00 Invited Expert Lecture Turid Aasheim, Norway Dominik Simon, Germany

08:30 Pain and the Brain Lorimer Moseley, Australia All pain can be thought of as being felt in the body but produced by the brain. This capacity for physical self-consciousness has fascinated philosophers, neuroscientists and clinicians for millennia. In this session, I will present the contemporary conceptualization of pain as one component of a multidimensional biological system that serves to protect the structure and function of our physical self. I will suggest that pain is about protection not damage. I will present evidence that reconceptualising pain from outdated pathoanatomical models to protection-based models, via ‘explaining pain biology’ is now established as a therapeutic strategy with Level 1 supportive evidence. I will describe a very large body of experimental and clinical findings that underpin the idea of a cortical body matrix – a network of neuroimmune loops that subserve protection of the body both at a tissue regulation level and at a perception level. I will present implications of the cortical body matrix for clinical practice with particular reference to complex regional pain syndrome and other pathological limb pains. Finally, I will discuss the evidence and application of graded motor imagery, discrimination training and the clinical tool called The Protectometer.

Key References Moseley GL et al (2012) Bodily illusions in health and disease: physiological and clinical perspectives and the concept of a cortical body matrix. Neuroscience & biobehavioural reviews 36(1): 34-46 Moseley, GL & Butler, DS (2015) 15 years of explaining pain - the past, present and future. Journal of Pain 16(9): 807-813 Butler, DS & Moseley GL (2013) Explain Pain. NOIgroup Publications, Adelaide, Australia 135pp Magic of the Intrinsic Hand Muscles Buen Ayer C

Chairpersons:

10:30 - 12:30 Trends in Pain Management in Practice Dershnee Devan, South Africa Natascha Weihs, Germany 10:30 Psychosocial Aspects of Pain

Susan W Stralka, USA Pain is a multidimensional experience generated by the complex interactions of the body-self matrix.Pain can morph from a healthy protection to a pathological response that prevents recovery . It is important to realize that the brain not only responds to physical stimuli but also inputs from thoughts and emotions. To successfully treat pain the patient must understand the biopsychosocial aspects of treating pain and the therapist must not only understand the biopsychosocial aspect but the pain mechanism involved . The effectiveness of pain treatments depends greatly on the strength of the clinician-patient relationship. A holistic approach is a component of proper care and good outcomes. Key References Sluka KA. Concepts and Models of Pain Ch 1 in Mechanisms and Management of Pain , IASP press, 2009 McManus C. The Pain Puzzle . Scientific presentation combinedAPTA Section Meeting , 2014. May A. Chronic Pain May Change The Brain . Pain. June2008;vol137. 10:45 Power Over Pain: an Interdisciplinary Approch

Sarah Wenger, USA Chronic pain is a complex and challenging problem to manage. Research suggests that interdisciplinary approaches focused on teaching self-management techniques are most effective. Examples of how to structure these treatments vary in the literature with few examples in outpatient settings. Power Over Pain, is a psychoeducational group that meets once a week. Its curriculum is based on Drexel University’s Clinical Reasoning Model for Persistent Pain. This model draws from a broad review of the literature in a wide range of fields pertaining to chronic pain. The model is designed to help clinicians conceptualize persistent pain holistically and provide them with the tools to be flexible, creative, resourceful, and confident when working with this patient population. Preliminary qualitative data show positive and substantive feedback from participants. This presentation will describe the Power Over Pain program and how we developed it. Key Words: Chronic Pain, Interdisciplinary, Pain Management, Physical Therapy Key References IOM Report: Relieving Pain in America: A blueprint for Transforming Prevention, Care, Education and Research. Washington, DC: The National Academies Press, 2011. Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Koss MP, et al. The relationship of adult health status to childhood abuse and household dysfunction. American Journal of Preventive Medicine. 1998; 14:245-258 2013. Lynch, L., Waite, R., & Davey, M. Adverse childhood experiences and diabetes in adulthood: Support for a collaborative approach to primary care. Contemporary Family Therapy 35, 639-655.



Wednesday 26.10.2016 Buen Ayer C

Chairpersons:

10:30 - 12:30 Trends in Pain Management in Practice Dershnee Devan, South Africa Natascha Weihs, Germany 11:00 Mirror Therapy - Does it work?

Nicole Gruenert-Pluess, Switzerland Mirror therapy is a neurophysiological approach used in rehabilitation of individuals. The concept of Mirror therapy (MT) was originally used to reduce phantom limb pain after upper limb amputation by Ramachandran in 1996. Over two decades this non-innvasive technique has been successfully applied to improve limb function in specific neurological diseases, amputations, complex regional pain syndrome and different musculoskeletal disorders. Mirror Therapy is based on a multisensory integration of motor, cognitive, and perceptual processes through cortical activation which is enabled by brain plasticity and the mirror neuron system. Brain plasticity is a continous process of learning allowing short-term, middle-term and long-term remodeling to optimise the functioning of brain networks. MT has been shown as an effective tool for these remodelling processes. The principle of MT, the use of a mirror to create a reflective illusion of the affected limb will be discussed briefly and illustrated by a patient’s experience. The question whether MT works will be reviewed through published literature, including alternative treatments, e.g. virtual reality, delayed mirror visual feedback and illusory touch and their evidence. Key References Deconinck FJA, Smorenburg ARP, Benham A, Ledebt A, Feltham MG, Savelsbergh GJP (2015) Reflections on Mirror Therapy: A Systematic Review of the Effect of Mirror Visual Feedback on the Brain. Neurorehabilitation and Neural Repair Vol. 29(4) : 349-361. Bowering KJ, O’Connell NE, Tabor A, Catley MJ, Leake HB, Moseley GL, Stanton TR(2013) The Effects of Graded Motor Imagery and Its Components on Chronic Pain: A Systematic Review and Meta-Analysis. Jour of Pain Vol 14 No 1 : 3-13. Najiha A, Alagesan J, Rathod VJ, Paranthaman P (2015) Mirror Therapy: A Review of Evidences. Int J Physiother Res Vol 3(3) :1086-90. 11:30 Why does Pain Become Disability? Dershnee Devan, South Africa 11:45 A-0661 Incidence reduction of Complex Regional Pain Syndrome type I after hand injury or hand operation. Benefits from a structured follow up system?

Turid Aasheim, Ann Katrin Woje, Ingrid Solhjem, Norway 11:55 A-0229 Does Upper Limb Pain Affect the Left/Right Judgement Task? A Systematic Review & Meta-Analysis John Breckenridge, Karen Ginn, Sarah Wallwork, James McAuley, Australia 12:05 A-0230 Benefits of the modified Graded Motor Imagery Protocol in the treatment of patients with Complex Regional Pain Syndrome type I y II Augustina Yamila Jimena, Argentina



Wednesday 26.10.2016 Buen Ayer B

Chairpersons: 10:30 - 11:30 Integrating Technology into Hand Therapy Janine Hareau, Uruguay Hanna Melchior, Israel 10:30 Techincal Applications in Hand - Therapy

Joy MacDermid, Canada 10:45 3-D Printing in Hand Therapy Valeria Meirelles Carril Elui, Brazil Additive Manufacturing (AM), also known as: manufacturing by adding, additive process, manufacturing by additive layers, direct manufacturing or rapid prototyping (RP), that comprises a number of technologies that allow the production of parts, directly from a model generated through Computer Aided Design (CAD), by the sequential joining of individual layers of the object. Strictly, the evolution of the name rapid prototyping (as initially and widely known) for additive manufacturing means that currently the parts are, in fact, end products, since advancement and improvement of AM technologies offering parts with suitable finish and resistance. Added the ability to produce complex geometries allows custom design and manufacturing solutions rapidly and with reliable cost, making highlighted AM application to orthosis and therapeutic devises. This presentation will discuss the development of orthotic tools structured in computer design that enable custom ulnar deviation orthoses manufacturing in a quick manner. Although the initial project is costly to the reference version, due to the integrated high demand for therapists with industrial designer, becomes economic in parametric versions where the cost impact is focused on digital manufacturing.

Key References Moylan S, et al (2012) A Review of test artifacts for additive manufacturing. National Institute of Standards and Technology. http://dx.doi.org/10.6028/NIST.IR.7858 11:00 The Hand and the Brain Janine Hareau, Uruguay For many years we have been working as hand therapist striving to perfect treatment protocols so the outcomes would be close to perfect. On the last decade, fMRI has shed a light on the way the CNS functions while performing finger movements and other movements of the UE. This light has help us understand better ways of treatment and led us to re-design some of our treatment protocols. But how do we organize movement in the brain when most of our career we have treated joints, muscles, tendons?

Key References Christian Maihöfner, Ralf Baron, Roberto DeCol, 2007, The motor system shows adaptive changes in complex regional pain syndrome. DOI: http://dx.doi.org/10.1093/brain/awm 131 2671-2687 Jennifer S Lewis,* Karen Coales,* Jane Hall* and Candida S McCabe*†2011, ‘Now you see it, now you do not’:sensory–motor re-education in complex regional pain syndrome Hand Therapy 2011; 16: 29–38. A. Lebel,1 L. Becerra,2,3,4,5 D.Wallin,2 E. A. Moulton:(2008), fMRI reveals distinct CNS processing during symptomatic and recovered complex regional pain syndrome in children. Brain (2008), 131, 1854-1879 11:15 How to use Virtual Reality in Hand Therapy Eduardo Levaggi, Uruguay Over the years in hand and upper extremity treatment, we have used several gadgets in order to gain function and reach the planned goals. We have used this implements to gain mobility, coordination, strength and integration of the affected part of the upper extremity. Nowadays, the research done in the fields of neuroscience and neuropsychology, have shown a far more complex connection between the function of the cerebral cortex, the emotions and the sensory-motor response. An extensive research is going on trying to understand how these components are affected when a neurologic or traumatic injury occurs, what happens when movement is affected and how is pain generated. It is time to incorporate new ways of doing therapy that stimulate the brain and different neurological pathways. Thanks to the development of new technologies, we have at hand tools and gadgets at very low cost that help us enrich our treatments and enhance our rehabilitation process. During our work shop we will show the audience how to use in upper extremity rehabilitation low cost technology available to most therapists. We will demonstrate different ways and techniques easy to reproduce and to use in the clinical setting. Key References Yeun Joon Kim, Jeonghun Ku et al (2014) “Facilitation of corticospinal excitability by virtual reality exercise following anodal transcranial direct current stimulation in healthy volunteers and subacute stroke subjects”, in Journal of Neuro Engineering and Rehabilitation, 11:124, http://www.jneuroengrehab.com/content/11/1/124 E. Monge Pereira, F. Molina Rueda et al.(2014) : “REVIEW ARTICLE. Use of virtual reality systems as proprioception method in cerebral palsy: clinical practice guideline”, in Neurología. 29 (9): 550—559 W. Geoffrey Wright (2014), “Using virtual reality to augment perception, enhance sensorimotor adaptation, and change our minds” in Frontiers in Systems Neuroscience MINI REVIEW ARTICLE published: 08 April, doi: 10.3389/fnsys.2014.00056



Buen Ayer B Co-Chairpersons:

11:30 - 12:30 Free Papers Technology & Occupation Interventions Beatriz Piso, Argentina Vincenç Punsola Izard, Spain 11:30 A-0163 Can 3D-Engineered Gloves Prevent Hand Injury in Hurling? Design, Biomechanical Testing and Player Feedback Daniel Harte, Abby Paterson, UK

11:40 A-0872 Development of a Low Cost, High Function 3D Printed Hand Prosthesis Using the Wrist Extension as Actvator. Maria Candida de Miranda Luzo, Cesar Augusto Martins Pereira, Mariana Miranda Nicolosi Pessa, Rames Mattar Junior, Emygdio Jose Leomil de Paula, Brazil

11:50 Questions 11:55 A-0116 New ways of creating capacity: Online training for hand therapists in Bangladesh

Lisa O'Brien, Lisa Broom, Mohammad Mosayed Ullah, Australia 12:05 A-0006 A Pilot Study: Exploring the musculoskeletal risk exposure associated with drying of laundry using the public housing pipe-socket system amongst women in Singapore

Lee Hong Rui, Therma Cheung, Yang Zixian, Anna Pratt, Singapore 12:15 Questions Wednesday 26.10.2016

Lenga Chairperson: 10:30 - 11:20 Splinting Applications for the Wrist Rosemary Prosser, Australia

Mobilisation of the wrist Rosemary Prosser, Australia This session will cover clinical reasoning regarding the choice of orthoses to mobilise the wrist. When to use a dynamic orthoses, and when to use a static orthoses. Tips and pitfalls in design and construction will be discussed, such as problems of orthoses migration, maintaining an appropriate force and total end range time. Supporting evidence in the literature will also be presented. Stabilisation of the Wrist

Sarah Mee, UK Splinting for instability of the wrist is a challenge requiring careful assessment and understanding of the reasons for the instability or weakness, creativity and skill. This talk will discuss the range of options available and the clinical reasoning for designs and regimes. Practical hints for materials, moulding, pitfalls and positives for these splints will be presented. This talk aims to enable therapists to design splints for patients with wrist instabilities with more confidence and learn new splint ideas to extend their experience.



Wednesday 26.10.2016 Lenga

Chairperson: 11:30 - 12:30 Relative Motion Julianne Howell, USA 11:30 A-0313 Can relative motion extension splinting provide and earlier return to hand function than a controlled active motion protocol? A randomized clinical trial

Shirley Collocott, Edel Kelly, Richard Ellis, Michael Foster, Heidi Myhr, New Zealand 11:40 Everything you have ever wanted to know about Relative Motion Hand surgeons need this course; hand therapists add to your RM toolbox! Our amazing international faculty will share the step by step process of how to make relative motion extension (RME) and flexion (RMF) orthoses in a narrated video(Hirth); Offer rationale for why relative motion works in the management of extensor tendon zones 4-7 repairs, non-surgical and surgical sagittal band injuries, acute central slip repairs, acute/chronic boutonniere, undiagnosed hand pain, interosseous muscle tears, trigger finger, and for protection of a repaired flexor tendon (Howell); favorite videoed cases using relative motion will be shared (Lalonde); and a 2016 report card for extensor tendon programs outcomes will be released (Hardy). Come prepared to participate with questions for our moderator (van Strien) and stay briefly after the session to make a relative motion splint! Key References Hirth M, Howell J, O’Brien L. (in press) Relative motion orthoses in the management of various and conditions: A scoping review. Journal of hand therapy. Howell J, Merritt W, Robinson S. Immediate controlled active motion following extensor tendon zones 4-7 repair. Journal of Hand Therapy 2005:18;182-190. Rationale for Relative Motion Julianne Howell, USA How to make Relative Motion Extension and Flexion Orthoses Melissa Hirth, Australia My Favorite Relative Motion Videos Don Lalonde, Canada 2012 Extensor Tendon Program Outcome Report Card Maureen Hardy, USA Discussion Gwendolyn van Strien, Netherlands



Thursday 27.10.2016 Buen Ayer C

Chairpersons:

08:30 - 10:00 Trends in Treatment of Joint Pathology Maureen Hardy, USA Jean Claude Rouzaud, France

IFSHT Session: Trends in Treatment of Joint Pathology Joint problems are a leading cause of disability. While age related OA with cartilage degeneration is the most prevalent joint problem, over 12% of global osteoarthritis is due to previous trauma. Our presenters will discuss joint problems in the hand that are commonly seen, followed by a panel discussion. • Articular fractures affect not only skeletal integrity, they can also lead to joint incongruity. Sarah Bradley OT (UK) will present The Poole Traction Splint, designed to manage both the soft and osseous tissues affected. • Recognizing that joint incongruity can lead to joint instability, methods to enhance stabilizing tissues are highly beneficial in early prevention. Gwendolyn van Strien PT (Holland) combines anatomy with an active and passive stabilization program to address CMC joint problems. • Surgical options for joint pathology span the continuum from debridement to joint replacement, with many reconstruction choices between. Taegil Magnus MD PhD (Sweden) will share his research and clinical insights on surgical strategies for joint pathology. • Operative procedures for CMC joint pathology are varied, and Jose Manuel Pineda OT (Venezuela) will present his experience with managing patients post-operatively. 08:30 Introduction / Small Joints Grow into Big Joint Problems

Maureen Hardy, USA 08:40 The Poole Traction Splint - Rationale for Non-Invasive Management of Complex PIP Fractures Management of Complex PIP Fractures

Sarah Bradley, UK 08:55 Post-Operative Care for CMC Joint Arthroplasty

Jose Manuel Pineda, Venezuela 09:10 CMC Joint Active & Passive Stabilization Program

Gwendolyn van Strien, Netherlands 09:25 Surgical Management of Small Joint Pathology

Magnus Tägil, Sweden 09:40 Panel Discussion

Buen Ayer C Chairpersons:

10:30 - 12:30 Flexor Tendon Trends and Outcomes Annika Elmstedt, Sweden Stacey Doyon, USA

10:30 How Wide Awake Repair is Changing Rehabilitation

Don Lalonde, Canada Watching freshly repaired live flexor tendons moved by cooperative pain-free patients under local anesthesia has taught us many new things about how these repairs behave. Most importantly, we have learned things that impact post-operative hand therapy after flexor tendon repair. Wide awake repair has also shown us why place and hold does not move the FDP in a nice gliding manner like true active movement does. Full fist place and hold can cause buckling and jerking of the repair in live patients. This will also be shown with video. True active movement of up to half a fist is a safer way of providing 5-10mm of FDP glide as we will demonstrate in live patients. We will also show video of intraoperative movement after flexor tendon repair which shows why it is that we should no longer be doing full fist movement in early protected movement protocols. Full fist can catch the repair on hard pulley edges and cause a gap with extension after the PIP joint is flexed 90 degrees. Video clips of intraoperative wide awake flexor tendon repairs will illustrate how this approach decreases post-operative rupture and tenolysis rates. Key References Higgins A, Lalonde DH, Bell M, Mckee D, Lalonde JF. Avoiding flexor tendon repair rupture with intraoperative total active movement examination. Plast Reconstr Surg 2010;126(3):941. Lalonde DH. How the wide awake approach is changing hand surgery and hand therapy: J Hand Therapy; 2013:26(3):175 Howell JW, Peck F. Rehabilitation of flexor and extensor tendon injuries in the hand: current updates. Injury. 2013 Mar;44(3):397-402.


Extended Program October 24. – 28.10.2016 Buenos Aires Thursday 27.10.2016

Buen Ayer C Chairpersons:


10:45 Tendon Rehabilitation: How we changed it and why we changed it.

Gwendolyn van Strien, Netherlands New surgical techniques , new concepts and research on tendon biomechanics and healing of a flexor tendon, but also new insights into motor cortex changes during the postoperative phase have resulted in the use of improved active protocols after flexor tendon repair. The relevant research that changed our way of treating a flexor tendon repair will be presented. Topics that will be addressed are type of suture (2-4-multistrand); how edema , pulleys, positioning of the finger and wrist can increase friction on the tendon (WOF); and why the FDP needs our special attention. Motorcortex changes that can occur after flexor tendon injury will also be discussed as the altered moving pattern (during exercising) can result in less tendon glide. Tips will be given to ensure optimal tendon glide through exercises that take these changes into account. And lastly the role of purposeful exercises in active tendon protocols is discussed as these types of exercises resulted in more exercise repetitions and improved hand function compared to rote exercises. Recommendations will be given during this talk on how to choose the best splint position, how to move the tendon you actually want to move and which exercises might give improved results. Key References Kursa K, Lattanza L, Diao E, Rempelet D.(2006) In Vivo Flexor Tendon Forces Increase with Finger and Wrist Flexion during Active Finger Flexion and Extension. J Orthop Res 24:763–769 Tang JB (2007) indications, methods, post operative motion and outcome evaluation of primary flexor tendon repairs in zone 2. JHS (EUR) 32:118-129 Tang JB, Amadio PC, Boyer MI, Savage R, Zhao C, Sandow M, Lee SK, Wolfe SW. (2013) Current practice of primary flexor tendon repair: a global view. Hand Clin. 29(2):179-89 11:00 The Manchester Short Splint and Others

Nicolas Bailly, Switzerland There is no doubt about better outcomes with early and active motion for zone 2 flexor tendon repair. We have seen in our practice that the type of splint plays an important role in tendon healing. During the last years, in hand therapy, mostly 2 different splints have been used : Duran (passive) and Klienert (dynamic). Current knowledge and evolution of tendon suture techniques have allowed to develop a new type of splint. The Manchester short splint has been conceived by Fiona Peck and her team: 45° of wrist extension and a block to 30°of MCP joint extension. This principe has described by Savage that this position is the optimal position to minimise the work of flexion when an utilising an active mobilisation régiment. Should we change our practice for a new rehabilitation regimen? 11:15 Management of Flexor Tendon Repair Complications

Rebecca Saunders, USA Despite advances in flexor tendon repair suture techniques and evolving postoperative rehabilitation protocols incorporating early active mobilization, consistently achieving good to excellent outcomes remains a clinical challenge. Frequent complications following flexor tendon repairs include development of motion limiting adhesions, triggering, rupture, joint contractures, and pulley ruptures resulting in the need for secondary surgical procedures. This presentation will cover therapy management of postoperative complications including adhesion formation, contractures, ruptures and secondary surgical procedures including tenolysis, tendon, and pulley reconstruction. Key References Wong JK (2014) Improving Results of Flexor Tendon Repair and Rehabilitation. Plast. Reconstr. Surg 134:913e Dy CJ (2012) The Epidemiology of Reoperation after Flexor Tendon Repair. J Hand Surg 2012:37A:919-924 Neumeister MW (2014) Evidence-Based Medicine: Flexor Tendon repair. Plast. Reconstr. Surg. 133:1222-1233 11:30 HAKIR – A National Quality Register of Hand Surgery - Can it be used to follow up results of flexor tendon surgery and

rehabilitation? Annika Elmstedt, Sweden

HAKIR (www.hakir.se) is the first, and probably the world´s only, national quality register (NQR) for hand surgery. The main objective is to improve medical care but also to enable clinical research on large patient materials. HAKIR was started in Sweden 2010. HAKIR includes two levels: basic registration and extended registration. Since the start, more than 65 000 operations and over 40 000 patient questionnaires have been registered. The extended registration includes more detailed data regarding the surgery and postop rehabilitation, as well as functional follow ups at the same time points as the questionnaires. Five departments so far participate in the extended registration of flexor tendon injuries in zone II and data on more than 500 operations have been registered. Some results from these follow-ups will be presented, as well as a description of the work process in starting and establishing an NQR for hand surgery. Hand therapists have played an importing role in this process. In order to obtain valid and reliable data for the follow-ups, a “National measurement manual” has been established through national cooperation between hand therapists. A dynamic report showing functional outcomes of flexor tendon surgery has been created and is open on the net. Key References Arner M (2016) Developing a national quality registry for hand surgery: Challenges and opportunities. Efort open reviews 1:100-106



Thursday 27.10.2016 Buen Ayer C

Chairpersons:


11:45 A-0290 A comparison of the outcomes of two rehabilitation protocols after flexor tendon repair of the hand at Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa.

Roxanne Wentzel, Corrianne van Velze, Elsje Rudman, South Africa 11:55 A-0492 Early active mobilization rehabilitation protocol after flexor tendon repair in zone II of the hand: A systematic review.

Pang Liying, Tong Duan Lian, Singapore 12:05 A-0300 The impairments and functional outcomes of patients post flexor tendon repair of the hand

Taryn Spark, Veronica Ntsiea, Lonwabo Godlwana, South Africa 12:15 Panel Discussion

Buen Ayer C

Chairpersons:

14:00 - 15:30 Free Papers Carpal Tunnel Syndrome & Grip Strength

Marisa Fonseca, Brazil Barbara Winthrop, USA

14:00 A-0655 Functional status of patientes subjected to surgery for carpal tunnel syndrome (CTS) Marcela Antunez, Marcela Aguirre, Jorge Arciego, Eduardo Sanhueza, Rodrigo Gutierrez, Chile

14:10 A-0145 A pragmatic, assessor-blinded, randomized trial of the clinical effectiveness of a 6-week sensory relearning home

programme on tactile function of the hand after carpal tunnel decompression Christina Jerosch-Herold, Julie Houghton, Leanne Miller, Lee Shepstone, UK

14:20 A-0250 Carpal tunnel syndrome: mobilization and segmental stabilization

Andrea Licre Pessina Gasparini, Luciane F. R. M. Fernandes, David Fedrigo Moraes, Nathalia Helen Neves Almeida, Tamiris Cassin Mainardi, Brazil 14:30 A-0146 Does Taping Affect in the Rehabilitation of Patients with Carpal Tunnel Syndrome? : A Randomized Controlled Trial

Leyla Eraslan, Gul Baltaci, Deniz Yuce, Arzu Erbilici, Turkey 14:40 Questions 14:45 A-0613 Upper extremity disability is associated with grip strength and psychological stress in carpal tunnel syndrome according to a patient-reported questionnaire.

Akihito Yoshida, Shigeru Kurimoto, Kikuko Nishikawa, Katsuyuki Iwatsuki, Hitoshi Hirata, Japan 14:55 A-0871 Assessment of grip strength across the continuum of care: A scoping review

Marie Eason Klatt, Antoinette Krakovsky, Lynda O'Callaghan, Canada 15:05 A-0281 Grip strength in healthy Israeli adults: comparison to internationally reported normative data

Danit Langer, Miri Tal-Saban, Tal Mazor-Karsenty, Hanna Melchior, Israel 15:15 A-0745 Residual Grip and pinch strength deficits after completion of hand rehabilitation

Yafi Levanon, Shechtman Orit, Israel /USA 15:25 Questions



Thursday 27.10.2016

Buen Ayer C

Chairpersons:

16:00 - 17:30 Free Papers: Nerve Injuries & Miscellaneous Birgitta Rosén, Sweden Valéria M. C. Elui, Brazil

16:00 A-0652 Functional status of people operated of total median nerve injuries. Case report Marcela Antunez, Marcela Aguirre, Jorge Arciego, Eduardo Sanhueza, Gabriel Carrasco, Chile

16:10 A-0085 Nerve injured patients’ experiences of early sensory re-learning following nerve repair: A Q- methodological study. Preliminary result

Pernilla Vikström, Ingela Carlsson, Birgitta Rosén, Anders Björkman, Sweden 16:20 A-0671 The cut off value, validity and reliability of the Japanese cold intolerance symptom severity questionnaire.

Ayumu Echigo, Koji Ibe, Yukihiro Osanami, Hirotada Matsui, Yoshiaki Kurata, Hideki Tsuji, Japan

16:30 A-0252 Use of video games in strengthening and functional recovery of the hand in patients submitted to ulnar neurorrhaphy: a pilot study

Luciane Fernanda Rodrigues Martinho Fernandes, Vanessa Cristina Silva, Aline Afonso de Oliveira, Luciane Aparecida Pascucci Sande de Souza, Dernival Bertoncello, Brazil

16:40 A-0104 Superior tactile discrimination in the phantom hand map in forearm amputees Ulrika Wijk, Anders Björkman, Christian Antfolk, Isabella Björkman-Burtscher, Birgitta Rosén, Sweden

16:50 Questions

16:55 A-0299 Influence of the Examining Hand Therapist on the Difference between Active and Passive Extension Deficit Measured in Finger Joints with Dupuytren’s Contracture

Stina Brodén, Maria Persson, Ingrid Isaxon, Isam Atroshi, Sweden View A-0228 Bringing patient advisors to the bedside of digit replantation patients: a promising avenue for improving the in perception of disability and the rehabilitation process Posters Josee Arsenault, Karine Vigneault, Johanne Higgins, Marie-Pascale Pomey, Valerie Lahaie, Audrey-Maude Mercier, François Laplante,

Maxim Moreau, Alain Danino, Canada

17:05 A-0353 Client-centred rehabilitation for outpatients with hand-related injuries - a preliminary questionnaire Alice Ørts Hansen, Hanne Kaae Kristensen, Henrik H. Lauridsen, Ragnhild Cederlund, Hans Tromborg, Denmark / Sweden

17:15 Questions


08:30 - 09:25 Alternatives in Wound Healing Oscar Ronzio, Argentina Saara Raatikainen, Finland

08:30 Fresh Honey on Open Wounds Miranda Buhler, New Zealand

Fresh honey has historically been applied to wounds to aid healing. A growing body of evidence investigating the efficacy and safety of antibacterial-active honey has paved the way to a gradual return to the use of honey as a topical treatment in modern wound care practice. Mechanisms by which honey optimises healing of an open wound include: providing a barrier to keep bacteria out; broad-spectrum antibacterial action; keeping the wound surface moist; reducing local inflammation; high sugar content which draws moisture out by osmosis; wound acidification. Antibacterial-active honey is currently an accepted option for treating hard-to-heal wounds, infected acute wounds and burns. However, research investigating the effectiveness of honey compared to other wound dressing products is still young. Some issues and challenges include the heterogeneity of study populations and the lack of double-blind RCTs. In addition, not all honey is antibacterial-active, and antibacterial activity can vary. This presentation will briefly review the history of honey in wound healing, outline our current understanding of the mechanisms of action of honey, describe current practice techniques, and examine the evidence for the effectiveness of honey as a topical treatment in wound healing.

Key References Molan PC (2006) The evidence supporting the use of honey as a wound dressing. Lower Extremity Wounds 5(1): 40-54. Molan PC & Rhodes T (2015) Honey: a biologic wound dressing. Wounds 27(6): 141-151. Jull AB, et al. (2015) Honey as a topical treatment for wounds. The Cochrane Database of Systematic Reviews (6) CD005083.




08:30 - 09:25 Alternatives in Wound Healing Oscar Ronzio, Argentina Saara Raatikainen, Finland

08:42 New Technologies Applied for Wound Healing Oscar Ronzio, Argentina

Electrophysical Agents (EPA) are included in the common physical therapist’s practice and have been used in the last years in several areas, such us pain, rehabilitation and wound healing. The purpose of this conference is to update the state of art of these technologies in wound healing. In most of the countries the professionals apply as first choice Low Level Laser Level Therapy (LLLT) for wound healing but other new technologies have been included in the last time, for example LED (a no-collimated phototherapy). As Karu said in 1998, the collimation is not responsible of the biological effects. That’s why it is possible to accelerate this process with LEDs, just choosing the correct wave length, such us red, green and infrared. On the other hand, Pulsated Electromagnetic Fields (ELF-PEMF) increases grow factors, promoting neo-vascularization, collagen deposition and alignment. Micro-currents also accelerate the wound healing process increasing the ATP, besides their bactericides effects. Additionally, classical ultrasound promotes, depending on the doses, pro-inflammatory effects (incrementing PGE2 and histamine) which causes an acceleration in cicatrisation and changes in the biomechanical properties of the scar tissue due to the colloid-chemical effect. Key References Karu, T. I. (1998). The science of low-power laser therapy: Gordon & Breach Science Publishers. Hess, C. L., Howard, M. A., & Attinger, C. E. (2003). A review of mechanical adjuncts in wound healing: hydrotherapy, ultrasound, negative pressure therapy, hyperbaric oxygen, and electrostimulation. Annals of plastic surgery, 51(2), 210-218. Goudarzi, I., Hajizadeh, S., Salmani, M. E., & Abrari, K. (2010). Pulsed electromagnetic fields accelerate wound healing in the skin of diabetic rats. Bioelectromagnetics, 31(4), 318-323.

08:55 Therapist's use and Perspectives of Silicone Oil as an Adjunct in Hand Therapy – A survey Gail Donaldson, New Zealand

Introduction: This study quantified silicone oil (SiO) usage by therapists and explored their perceptions regarding the value of SiO in hand rehabilitation. Methods: A survey was administered during the Australasian Hand Therapy Conference, consisting of seven bi-polar Likert scales to ascertain clinical beliefs associated with SiO. Results: SiO has been used by 43% of respondents, current use is 24%. SiO use impacted positively on wound dressing changes (score 4.6/5) and permitted less pain with finger movement (score 3.8). The key indicator for use is postsurgical Dupuytren’s release. Conclusion: SiO is currently used for rehabilitation of hand wounds by a quarter of therapists surveyed, who strongly agreed SiO use permits movement with less pain, and assists wound dressing changes. Non-availability of SiO in the workplace is the commonest reason cited for non-use. Key References Chrapek, O., Vecerova, R., Koukalova, D., Maresova, K., Jirkova, B., Sin, M., & Rehak, J. (2012). The in vitro antimicrobial activity of silicone oils used in ophthalmic surgery. Biomedical Papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia, 156(1), 7-13. Kralinger, M. T., Stolba, U., Velikay, M., Egger, S., Binder, S., Wedrich, A., . . . Kieselbach, G. F. (2010). Safety and feasibility of a novel intravitreal tamponade using a silicone oil/acetyl-salicylic acid suspension for proliferative vitreoretinopathy: first results of the Austrian clinical multicenter study. Graefes Archive for Clinical and Experimental Ophthalmology, 248(8), 1193-1198. Thurston, A., & McChesney, A. (2002). The bacterial colonisation of silicone oil used in the management of wounds of the hands—a source of nosocomial infection? Hand Surgery, 7(01), 21-26. 09:07 Phototherapy to Promote Wound Healing

Esteban Fortuny, Chile Over the years, light has been recognized as a powerful agent to promote wound healing. Several researches have demonstrated its effects in angiogenesis, acting on growth factors and modulating inflammatory response. The use of LASER and other non-collimated technologies has made possible to modify and control its parameters, in order to obtain an optimal therapeutic use, however, it’s not a widely used physical agent. This speech aims at making an update and showing evidence on the use of these physical agents, indicating their biological effects and different application options, promoting the audience to incorporate these valuable resources into their clinical practice. 09:20 Panel Discussion




09:30 - 10:15 Health vs. Ill Health Sense of Coherence in Hand Therapy Ingela Carlsson, Sweden Ragnhild Cederlund, Sweden

09:30 Health vs. Ill Health: Salutogenesis – Sense of coherence

Ingela Carlsson, Sweden Why do some people maintain their health despite the fact that they experience highly stressful situations and what makes us move in the direction of health? These questions were raised by Aaron Antonovsky, a medical sociologist in the late seventies. He introduced a new theory of health, named Sense of Coherence (SOC). Resources instead of risks and disease became a focus in health promotion. Antonovsky explained that health is seen as a continuum between the health/ease and the unhealth/disease endpoints. Throughout life, everyone encounters stressful situations or challenges such as illness, trouble or crisis. In spite of such stressors, there are those who continue to do well, both mentally and physically, and they are characterized by their strong SOC. Key References Antonovsky, A. The salutogenic model as a theory to guide health promotion. Health promotion international. Oxford University Press. 1996. Vol 11, No1. Antonovsky A. Unraveling the Mystery of Health. Jossey-Bass, San Francisco. 1987.

09:40 Health vs. Ill Health: Sense of Coherence – Coping Instruments Ragnhild Cederlund, Sweden

Aaron Antonovsky developed a Sense of coherence scale presented in 1987. The first scale SOC 29 included 29 questions divided in the three dimensions comprehensibility, manageability and meaningfulness. Each item is scored on a numeric rating scale from 1 to 7 representing opposite statements such as “never” and “very often”. Later a shortened version SOC 13 was developed which is now more commonly used. During the seminar the scale will be presented in English and in Spanish. The SOC 13 scale has been tested for psychometric properties in many versions and in many countries. The SOC 13 has been translated into at least 49 languages. The SOC 13 scale has been used in several research studies at Department of hand surgery, Skåne University Hospital, Malmö, Sweden during 10 years and a summary of experiences will be presented. There are some existing normative data that will be discussed. To use the SOC scale, researcher, therapist and hand surgeon must get permission to use it. Research on severely injured hand patients ended with a new research question - Can sense of coherence be an indicator for rehabilitation focus? This question is now taken up and tried in new research in Denmark. 09:50 Psychometric properties. Sense of Coherence - an indicator for rehabilitation

Alice Ørts Hansen, Denmark The SOC-13 scale is considered valid and reliable and is employed in several studies, however there are still some discussions in the literature about the psychometric properties. These inconsistencies will be presented together with results from a Danish study testing the psychometric properties of the SOC-13 scale among patients with hand-related disorders. More over preliminary results from a RCT study investigating whether the SOC-13 score can give an indication of the anticipated effects of two different hand therapy interventions will be presented. At the end recommendations for the use of Sense of Coherence in hand therapy will be shared.


Buen Ayer B Charipersons:

10:30 - 12:30 New Trends in Non-Acute Wrist Instability Sarah Mee, UK Marita Meyer-Holzach, Switzerland

10:30 Current Concepts in Proprioception Relating to Non-Acute Wrist Instability Elizabet Hagert, Sweden

Stability of a joint is traditionally defined as dependent on articular congruity; static stability maintained by intact ligaments; and dynamic stability through muscle contractions resulting in a compression of joint surfaces. If one of these fundamental factors fail through trauma or degeneration, instability and joint dysfunction will occur. With regard to wrist stability, the past decade has illuminated an additional factor - the role of neuromuscular and proprioceptive control of joints. The proprioception of the wrist originates from afferent signals elicited by mechanoreceptors in ligaments and joint capsules that stimulate spinal reflexes for immediate joint stability, as well as higher order neuromuscular influx to the cerebellum and sensorimotor cortices for planning and executing joint control. In patients with non-traumatic wrist instability, the role of proprioception differs from that in the injured wrist, in that the afferent pathways are most likely still present, but not functioning fully. This presentation will discuss current aspects in proprioception when treating patients with a non-injured, yet unstable/non-functioning wrist. Key References Hagert E, Lluch A, Rein S. The role of proprioception and neuromuscular stability in carpal instabilities. J Hand Surg Eur Vol. 2016 Jan;41(1):94-101. C. Harwood and L. Turner. Conservative management of midcarpal instability. J Hand Surg Eur Vol January 2016 41: 102-109. Hagert E. Proprioception of the wrist joint: a review of current concepts and possible implications on the rehabilitation of the wrist. J Hand Ther. 2010 Jan-Mar;23(1):2-16



Buen Ayer B Charipersons:

10:30 - 12:30 New Trends in Non-Acute Wrist Instability Sarah Mee, UK Marita Meyer-Holzach, Switzerland

10:50 Decision-Making for Timing of Surgery and Hand Therapy in Non-Acute Wrist Instability

Sarah Mee, UK There is ongoing discussion regarding the complications following ligament reconstruction and the relative benefits of surgery and non-operative management for non-acute wrist instabilities. Complex biomechanics of movement of the carpus, altered by ligament attenuation, laxity or partial ligament injuries, provides a challenge to therapists and surgeons. For surgeons the challenge is to provide ligament reconstruction without resulting in scarring or tightness in a series of joints inherently requiring ligament elasticity and stretch for movement and function. Therapists need to find methods to increase proprioception, cognitive motor retraining and motor patterning to dynamically provide external control to a mechanically unstable wrist., resulting in pain relief and return to normal function. The suggestion is to allow hand therapy to treat pre-operatively; in the very least to develop core muscle function, retrain correct motor patterns and maximise proprioceptive input from the ligaments to the brain and the reflex muscle arcs. Surgery considerations can then be further discussed following the assessment and therapy, for those patients with residual pain and reduced function, with the most appropriate and most simple surgical plan made to maximise the patient’s outcome. This is a clinical problem requiring a team effort in decision-making. 11:00 New Ideas in Assessment for Non-Acute Wrist Pain and Instabilities

Zoe Clift, UK Significant focus has been placed upon acute wrist pain and instability within the literature over the last few years in terms of surgery and rehabilitation. Chronic wrist symptoms do not gain as much attention although they may be a more common presentation to hand therapists. Alternative techniques based around movement analysis, the elements of proprioception and how these may be turned towards treatment concepts with thoughts about ongoing assessment will be discussed. Key References Hagert E (2010) Proprioception of the wrist joint: a review of current concepts and possible implications on the rehabilitation of the wrist. Journal of Hand Therapy 23(1): 2-16. 11:20 Neuromuscular and Proprioceptive Rehabilitation after Wrist Trauma

Tracy Fairplay, Italy A common cause of wrist pain can be due to a tear or gradual degeneration of wrist ligaments, which provide primary stability to the distal radioulnar joint (DRUJ) and/or the midcarpal bones. Post surgical wrist rehabilitation programs should not only focus on re-establishing muscle strength but also on maintaining wrist stability by means of repetitive training of reactive muscle co-activation exercises that restore neuromuscular reflex patterns. Specific neuromuscular potential training exercises and proprioceptive hand and wrist exercises are well described and methodically included in the rehabilitation program, in order to recuperate functional wrist range of motion in association with fine and gross motor prehensile strength without provoking wrist instability due to overstretching of the newly reconstructed ligament. A specific wrist ligament reconstruction rehabilitation protocol that includes not only target muscle potential strengthening exercises but also proprioceptive wrist exercises (Reactive muscle co-activation exercises) in both weight and non-weight bearing postures is essential for obtaining a stable and functionally efficient wrist prior to returning to high impact hand sports or manual labour. Key References Hagert Elizabeth, Proprioception of the wrist joint: a review of current concepts and possible implications on the rehabilitation of the wrist. Journal of Hand Therapy 2010 23:2-17 Garcia Elias Marc, Understanding wrist mechanics: a long and winding road. J Wrist Surg. 2013 Feb;2(1):5-12. doi: 10.1055/s-0032-1333429. 11:45 A-0844 Presentation of an exerciser applicable in the scapholunate inestability rehabilitation

Ledda Edin Aguado, Maria Elina Canosa Contin, Estefania Issaly, Daniela Soledad Lasser, Argentina 11:55 A-0428 Restricting scaphoid & lunate motion with a dart throwers orthosis

Hamish Anderson, Greg Hoy, Eugene Ek, Australia 12:05 Panel Discussion




14:00 - 14:45 Free Papers: Splinting / Structural Approaches Suzanne Caragianis, Australia Ann Sundbom, Sweden

14:00 A-0013 Static Progressive Orthoses: An Evidence Based Intervention? Deborah A. Schwartz, USA

14:10 A-0129 Evaluating scapular dyskinesis in lateral epicondylitis

Frédéric Degez, Nicolas Bigorre, France 14:20 A-0357 Using Vibratory stimulations in stiffness of PIP Joint

Nicolas Bailly, Switzerland 14:30 A-0596 Importance of an integral rehabilitation treatment in patients with distal interphalangeal joint amputations in the workplace

Andrea de Paz, Adriana Boffelli, María de las Mercedes Angeleri, Maria Cristina G. de Conti, Argentina 14:40 Questions


14:45 - 15:30 Clinical Research in Hand Therapy a Global Perspective Lynne Feehan, Canada Ruud Selles, Netherlands

This 45-minute, interactive panel session includes: • Hand therapy journal editors [Joy MacDermid (Canada) and Christina Jerosch-Herold (UK)]. • Experienced clinical researchers [Valéria Meirelles Carril Elui (Brazil) and Melanie Eissens(UK)], and • Novice clinician researchers [Raquel Metzker (Brazil) and Alice Ørts Hansen (Denmark)] Each of the panel members will briefly present tips and tricks and words of wisdom that they would like to share with participants from their personal perspective of a hand therapy journal editor or an experienced or novice clinician researcher conducting applied clinical research in hand therapy. These presentations will be followed by an interactive panel discussion where participants in the session will have the opportunity to ask the experts (emerging experts) about how to successfully plan, conduct, disseminate or adopt applied clinical research in a busy hand therapy clinical setting.

Panel consistint of: Joy MacDermid, Canada Journal of Hand Therapy, Editor Christina Jerosch-Herold, UK Hand Therapy, Journal Editor Raquel Metzker Mendes, Brazil Novice Clincian-researcher Alice Ørts Hansen, Denmark Novice Clincian-researcher Valéria Meirelles Carril Elui, Brazil Experienced Researcher in Applied Clinical Research Melanie Eissens, Netherlands Experienced Researcher in Applied Clinical Research




16:00 - 16:45 Questionnaires: Multicultural Adaptation Raquel Cantero, Spain Mary Naughton, Ireland

16:00 Introduction: Cultural Problems in Questionnaire Translation Raquel Cantero, Spain

Musculoskeletal problems commonly cause limitations to perform self-care activities. Last years, different patient self -administrated questionnaires have been produced as standardized assessment tools. A large number of instruments already exist that measure hand symptoms and function. Disabilities of the Arm, Shoulder and Hand (DASH) or its short version (Quick-Dash), Michigan Hand Outcomes Questionnaire (MHQ) and Patient-rated wrist/hand evaluation (PRWHE)) questionnaires are the most commonly used. Socio-cultural differences in activity patterns and activities of daily living (ADL) can cause problems for the proper assessment of patient function when using such a questionnaire internationally. Concepts of culture and diversity are necessary considerations in the scientific application of differents hand evaluation questionnaires. This is why, a self-administered questionnaire should be culturally adapted to maintain the quality and validity of the content. Factors such as race, ethnicity, culture, habits, pain perception, or daily activities of living should be considered when culturally adapting a hand questionnaire. In this section, we will discuss, not only the procces for Cross-cultural adaptation and validation of differents wrist/hand evaluation questionnaires, but also, cultural problems and the specific cultural considerations which focus on communities that are faced with racial/ethnic disparities which could have a direct impact on the question’s design. Key References Çiğdem ÖKSÜZ (2012). Which hand outcome measurement is best for Turkish speaking patients?Acta Orthop Traumatol Turc 2012;46(2):83-88 doi:10.3944/AOTT.2012.2580 FELIX ANGST (2011) Measures of Adult Shoulder Function. Arthritis Care & Research Vol. 63, No. S11, November 2011, pp S174–S188 Phillip W. Graham et al (2016). What is the role of culture, diversity, and community engagement in transdisciplinary translational science? Transl Behav Med. 2016 Mar;6(1):115-24. 16:05 Cross-Cultural Adaptation, Validation and Reliability Process of Hand Therapy Questionnaires

Tracy Fairplay, Italy Auto-evaluation is a means for determining the actual functional outcome of the patient in relation to the involved anatomical segment that is being studied. This type of evaluation often provides more accurate quantitative data as to the severity of the disability than an evaluation that only takes into account subjective data measures. Clinicians and researchers that do not have valid auto-evaluation assessment instruments available in their mother tongue must either: 1) develop a new auto-assessment instrument 2) utilize a pre-existing instrument and have it validated into their mother tongue. Validation of a functional outcome auto-evaluation assessment tool does not entail performing a simple translation of the questionnaire from one language to another. It is necessary to perform a validation process protocol which guarantees that there is an adaptation of expressed concepts from the culture of the subject in which the questionnaire is being administered. Cross-cultural adaptation is a valid process through which reliable instruments may be obtained for use in different countries despite differing socio-economic conditions. The process of cross - cultural adaptation refers to the measurement of the same phenomenon in different cultures using the language that is pertinent to that population which is being assessed. Key References Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines Guillemin F, et al. J Clin Epidemiol. 1993. 16:20 "Cultural problems" in Cross-Cultural Adaptation of Hand Therapy Questionnaires.

Çiğdem Öksüz, Turkey The meaning of hand use in activities is related to participation and is influenced by sociocultural values, beliefs, and expectations. Hand therapists use questionnaires in hand rehabilitation settings for measuring activity limitations. As Beaton mentions: “For the measures to be used across cultures, the items must not only be translated well linguistically, but also be adapted culturally in order to maintain the content validity of the instrument across different cultures”. However, within this adaptation process one is not allowed to change some activities that do not fit in her/his culture or add some activities that are really important to her/his culture. By using this adapted version of the questionnaire, a hand therapist actually assesses the activity limitation of her/his patient according to the problematic activities that are described for another culture. To overcome this problem clinicians must be aware of problematic activities that are specific to his/her culture and must choose the best questionnaire comply with the problematic activities described in his/her culture. Besides using the standardized questionnaires, open ended interviews like COPM should be the irrevocable part of the assessment process in order to describe a person-center treatment program. Key References Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. Journal of clinical epidemiology. 1993;46:1417-1432. Beaton D, Bombardier C, Guillemin F, Ferraz MB. Recommendations for the cross-cultural adaptation of health status measures. New York: American Academy of Orthopaedic Surgeons. 2002:1-9. Schoneveld K, Wittink H, Takken T. Clinimetric evaluation of measurement tools used in hand therapy to assess activity and participation. Journal of hand therapy. 2009;22:221-236. 16:35 Panel Discussion




16:45 - 17:30 DASH Outcome Measure: Recap of the Last 20 Years Dorcas Beaton, Canada Silvia C. Menayad, Argentina

16:45 History, Development and Concept of the DASH Tools: the Little Tool That Grew. Dorcas Beaton, Canada

The DASH Outcome Measure was developed to fulfill the need for a single measure that could measure physical functioning and symptoms in any or multiple musculoskeletal conditions of the upper extremity. A joint effort of the American Academy of Orthopaedic Surgeons, their specialty societies and the Institute for Work & Health (Toronto), the DASH was released in 1996. Now, 20 years later the main DASH article has been cited over 2400 times, the DASH Website received 300,000 hits (2015), and there are 315 articles talking about its measurement properties specifically. The DASH is available in over 50 languages on its website (www.dash.iwh.on.ca). In this talk we will go back to the development and history of the DASH, and describe the growth of the instrument, and its ability to reach a global audience. Key References Kennedy CA, Beaton DE, Solway S, McConnell S, Bombardier C. Disabilities of the arm, shoulder and hand (DASH). The dash and quickdash outcome measure user's manual. 3rd ed. Toronto: Institute for Work & Health, 2011 Beaton DE, Wright JG, Katz JN. Development of the QuickDASH: comparison of three item-reduction approaches. J Bone Joint Surg Am 2005;87:1038-1046. Davis AM, Beaton DE, Hudak P et al. Measuring disability of the upper extremity: a rationale supporting the use of a regional outcome measure. J Hand Ther 1999;12:269-274 16:57 Placing the DASH Among the Scales UE Scales -Strengths and Limitations of Regional Specific Versus Joint Specific Instruments

Joy MacDermid, Canada 17:21 Panel Discussion: How therapists use the DASH outcome measure in clinical practice

Lenga Chairperson:

14:00 - 15:30 Ergonomics for the Hand Therapist: Office Interventions Susan Emerson, USA The incidence of upper quarter musculoskeletal disorders (MSD) complaints in the office environment is increasing in both the modern world and developing countries (1,2). When office work tasks are suspected or known to contribute to Work Related Musculoskeletal Disorders, clinicians must better understand the work environments, risk factors and appropriate interventions to improve therapeutic management of the patient and promote recovery and functional restoration. As therapists specializing in Upper Extremity Injury, our skills are unique to understanding the impact of poor office workspace posture on soft tissue cumulative injury (3). We need to understand how to evaluate the office workstation at the workplace or from the clinic. With information about the site, and using current evidence for optimal interventions, we can better meet the occupational needs of our patients, improve their ability to work safely, and implement cost effective interventions to prevent future injuries. Office workstation evaluation, evidence based risk factor definitions, and current ergonomic workstation abatements will be explored and addressed to improve clinical and work place interventions. Case studies will be a focal point for critical analysis to determine optimal work site abatements.

Lenga

16:00-16:45 Work Related Disorders of the Upper Limb: Evaluating and Managing Posture

Chairperson: Nicola Goldsmith, UK

In this session, therapists will explore work related upper limb disorders (WRULD) from a medical, ergonomic, psychological and sociological view. They will explore the differences between those with distinct pathologies and those presenting with non-specific pains. The session will then concentrate on the influence of posture. The theory of static and dynamic postures, postural risk and how to evaluate posture will be explored. Two non office-based case studies will be used to encourage small group evaluation of real scenarios and develop clinical reasoning and solutions. The role of refresh exercises will also be discussed. This session will complement the session given by Susan Emerson on Ergonomics on the Office Environment and will also stand alone. Key References Grimshaw M (2005) The rise and fall of RSI: competing models of causation and the current debate. British Journal of Hand Therapy 10 (3/4) 87-92 Pheasant ST (1991) Ergonomics, Work and Health. London: Macmillan Press, Chapters 3,4,14 & 15

Lenga

16:45-17:30 Technology for Hand Therapists Chairperson: Eduardo Levaggi, Uruguay



Sauce

14:00 - 15:30

Leprosy: Lessons learned applicable to other conditions

Chairperson: Linda Faye Lehman, Brazil / USA

14:00 Introduction Leprosy or Hansen's disease Linda Faye Lehman, Brazil / USA

Leprosy, Hansen’s disease, is caused by mycobacterium leprae. Approximately every 2 minutes a new case of leprosy is diagnosed with over 200,000 new cases detected each year. There are 121 countries reporting leprosy with India, Brazil and Indonesia reporting the most new cases in a year. Today the disease is treatable and when detected early, much of the disabilities can be prevented. Leprosy is one of the most common causes of nontraumatic peripheral neuropathy. An estimated 2-4 million people have disability as a result of leprosy. Even today, the stigma attached to the disease can still lead to social participation restrictions and psychological difficulties. There are important lessons learned from leprosy. Disease awareness programs for community and health professional are needed for early diagnosis and treatment, disability prevention and social inclusion. Routine monitoring of peripheral nerve function plays an important role for assuring interventions are preserving nerve function. Accessible and available health, therapeutic and surgical resources for all are important to restoring function and lessening the disabling effects of the disease. Self-care groups improve self-efficacy and provide important psychosocial support and advocacy. Key References World Health Organization (April 2016) Leprosy Fact Sheet http://www.who.int/mediacentre/factsheets/fs101/en/ Cross H and Choudhury R (2005) Selfcare: A catalyst for community development. Asian Pacific Disability Journal Vol 16(2): 100-114. Van Brakel WH et al (2007) International workshop on neuropathy in leprosy-consensus report. Leprosy Review 78: 416-433 14:20 Surgery in Leprosy: the Past, Present and Future

Marcos Virmond, Brazil 14:35 Hand Therapy for Tendon Transfers in Leprosy

Tatiani Marques, Brazil It is possible to restore muscle balance and improve hand function through musculotendinous transfer. An evaluation program and a reeducation protocol are necessary to ensure a successful outcome for the transferred unit. Preoperative consists of reducing the maximal periarticular retraction and flexor muscle shortening, isolate and strengthen the tendon that will be transferred and guarantee self-care. Main techniques used are: biofeedback, mirror therapy and tapping. Use of orthosis is indispensable to rebalance deforming forces, protect the structure and improve results. After surgical plaster removal, postoperative program is initiated focused on scar care, edema control and range of motion gain, continuing until program`s end. Active and controlled mobilization can be applied early depending on the surgical technique used and surgeon recommendation. The reeducation program for the transfer consistes of three main elements: activation of muscles according to isolation movements done before surgery; analyse of the force exerted considering sensory impairment and deficit on feedback; trainining in work and basic daily activities focused on visomotor. The structured program allows the patient to use the new movement pattern automatically in around six months and ensure a sustained long term result. Key References Sultana SS , MacDermid JC, Grewal R, Rath S (2013) The effectiveness of early mobilization after tendon transfers in the hand: A systematic review. Journal of Hand Therapy 26(1)1-21. Brasília DF (2008) Manual de reabilitação e cirurgia em hanseníase: Terapia Física pré e pós transferência de tendões para correção de mão em garra e perda da oponência do polegar. Ministério da Saúde 74-95. Hunter JM, Mackin EJ, Callahan AD (2002) Rehabilitation of the hand and upper extremity. 5 Ed. Cap. 34:622-634 Cap.46:799-820 14:50 The Impact of "Insensitivity" in Leprosy

Carlos Wiens, Paraguay Insensitivity is not only the inability to feel when hands are going to perform activities. Leprosy has showed us, that due to the non-reversible destruction of nerves (mostly ulnar and median) caused by infectious and/or immunological component of the disease, there is an association of dryness (loss of sweating), anesthesia, clawed fingers (due to paralysis) and the loss of auto-image at cerebral level”. Once installed the destruction of the nerves, gradually patients develop the typical “leprosy hands”. Because the hand is also a fundamental component of our identity and communication (after our face, our hands identifies and communicates the most), in areas where leprosy is known as a stigmatizing disease, having such kind of hands develops an additional insensitivity. In those cases, these hands put that person into a condition (leper) that can end in a social insensitivity. Key References Rehabilitation in leprosy (1985). Medicine in the Tropics. Robert C. Hastings: 287-308 A Mao em hanseníase (1990). Cirurgia da Mao.Arnildo Pardini: 281-321 What is the correct image of leprosy? (1996). Don´t treat me like I have leprosy. Tom Frist: 69-72 15:10 Panel Discussion



This hands-on workshop is about the anatomy and biomechanics of the muscles of our hand, with focus on the extrinsic muscles. We will see that anatomical textbooks sometimes leave out important parts of the anatomy. We will also see that most muscles work together and do not function in isolation because they are connected with other muscles. These characteristics are important to understand how the muscle function can be analyzed and tested, in a normal hand but also when muscles are missing for example after nerve paralyses. Key References Functional Anatomy and Biomechanics of the Hand. Ton A.R. Schreuders, J. Wim Brandsma, Schreuders TAR. The quadriga phenomenon: a review and clinical relevance. J Hand Surg Eur Vol. 2012;37(6):513–22. Linscheid RL. Historical perspective of finger joint motion: the hand-me-downs of our predecessors. The Richard J. Smith memorial lecture. J Hand Surg Am. 2002;27(1):1–25

Thursday 27.10.2016

Sauce

16:00 - 17:30 Therapists Know Your Hands: Your Own and Your Patients Chairperson: Ton A. R. Schreuders, Netherlands



Friday 28.10.2016

Buen Ayer B & C

Chairpersons:

08:30 - 10:00 Outcomes, Measures in Hand Therapy Christina Jerosch-Herold, UK Véronique Bertand, Belgium

08:30 How do I Know if this is the Right Measure for Me?

Joy MacDermid, Canada 08:45 How can Measures Improve My Clinical Decision-Making and Practice?

Dorcas Beaton, Canada Outcome measurement has become part of clinical research and increasingly absorbed into clinical practice as well. Whether these are clinician-reported outcomes, patient-reported outcomes or more timed or standardized tests, having the right measure at the right time can maximize the use of the information in practice. This presentation will focus on how measures integrated into clinical practice can improve clinical decision making and improve evidence-informed clinical practice. Using theory and literature, examples of the impact of measurement on practice will be provided. 09 :00 What do I Want to Measure? Why Conceptual Frameworks Matter

Christina Jerosch-Herold, UK This talk will explore the role of theoretical frameworks to help guide hand therapy clinicians and researchers on ‘What do I want to measure?’ as distinct from ‘How do I measure it?’. This will include how the WHO’s International Classification of Functioning, Disability and Health (ICF) can be used as a conceptual framework for outcome assessment thus distinguishing between measures of body function or body structure which are often clinician-derived and those which capture activity and participation and which are patient-reported. Examples of hand disorders will be used to illustrate and promote debate on why conceptual frameworks matter. Key References WHO, International Classification of Functioning, Disability and Health (ICF). Geneva, Switzerland: World Health Organization; 2001

09:15 A-0484 A survey study on the use of Patient Rated Outcome (PRO) Measures among hand occupational therapists in Singapore.

Tong, D.L., and Yi, J. Z. E, Singapore

09:25 A-0291 The validity and clinical utility of the Disability of the Arm Shoulder and Hand (DASH) questionnaire for traumatic hand injuries in developing country contexts: A Systematic Review

Susan de Klerk, Helen Buchanan, Christina Jerosch-Herold, South Africa / UK

09:35 A-0544 The Cross-Cultural Adaptation of the Disabilities of the Arm, Shoulder and Hand (DASH) Patient Reported Outcome Measure into Bulgarian

Johanna Jacobson-Petrov Lyudmil Simeonov, Bulgaria




Friday 28.10.2016

Buen Ayer B & C

Chairpersons:

10:30 - 12:20 Trends in Treatment of the Thumb Anne Wajon, Australia Cecilia Li, Hong Kong

10:30 The Puzzle of the Thumb - Mobility, Stability, and Demands in Opposition Amy L Ladd, USA

Background: The paradoxical demands of stability and mobility reflect the purpose and function of the human thumb. Absence, injury, and degeneration underscore its functional importance. Prevailing literature and teaching implicate the thumb carpometacarpal’s unique shape, as well as its ligament support, applied forces, and repetitive motion, as culprits causing common osteoarthritis (OA). Sex, ethnicity, and occupation may influence its presence. We examine current, measurable evidence linking ligament structure, forces, and motion to progressive carpometacarpal (CMC) disease. These include: 1) bony and ligamentous anatomy, 2) discrete joint load patterns and, 3) thumb motion at the fine and gross level. We present comparative anatomy, gross dissections, microscopic analysis, multimodal imaging, and live subject kinematic studies to support or challenge the current understanding of the thumb CMC joint and its predisposition to disease. The current evidence suggests structural differences and loading characteristics predispose the thumb CMC to joint degeneration, especially related to volar or central wear. Additional studies to define patterns of normal use and wear will provide data to better characterize CMC OA, and opportunities for tailored treatment: including prevention, delay of progression, and joint replacement. 10:45 Manual Therapy for CMC Osteoarthritis

Jorge Hugo Villafañe, Italy The goals of conservative treatment are predominately 2-fold: relief of pain, and improvement of hand function. Therapeutic interventions for patients with OA of the hand can include joint-protection technique instruction, manual therapy, adaptive equipment provision and instruction, heat modalities, orthotic provision, strengthening and range-of-motion exercises, adaptive technique instruction, patient education in symptom control techniques, and provision of a home exercise program. 11:00 Assessment of the Thumb for Splinting

Judy Colditz, USA 11:15 Exercises to Improve Dynamic Thumb Stability

Virginia H. O’Brien, USA Thumb carpometacarpal (CMC) pain can be caused by thumb instability. Whether pain is caused by an injury, repetitive use on electronic devices, or arthritis, it is important to create a pain-free environment with an evidence-based approach which promotes dynamic stability to reduce pain and improve function. The focus is re-education of all the muscles of the thumb to work in concert with each other. The overall approach to thumb dynamic stability starts with a pain-free program of reducing the pull of overpowering muscles, such as the Adductor Pollicis, reducing CMC subluxation, understanding the powerful force-couple of the 1st Dorsal Interosseous and Opponens Pollicis, and then promoting each thumb muscle to contribute to CMC dynamic stability. Educating the patient to have dynamic thumb stability during daily occupations can reduce dependence on orthoses. Thumb orthoses may be helpful to reduce pain and increase function as needed. However, it is not about which is the “right” orthosis, it is about establishing dynamic stability. Key References O’Brien VH, & Giveans MR (2013). Effects of a dynamic stability approach in conservative intervention of the carpometacarpal joint of the thumb: A retrospective study. Journal of Hand Therapy, 26, 44-52. McGee C, O’Brien VH, Van Nortwick S, Adams J, & Van Heest A. (2015). First dorsal interosseous muscle contraction results in radiographic reduction of healthy thumb carpometacarpal joint. Journal of Hand Therapy, 28, 375-381 Magnusson E, Rosenstein B, O’Brien VH, Nuckley D, & Adams J. (2015) POSTER: Effects of selective activation of FDI and OP in CMC kinematics: A cadaver study. American Academy of Orthopedic Surgery Annual Meeting. Las Vegas, NV.



Friday 28.10.2016

Buen Ayer B & C

Chairpersons:

10:30 - 12:20 Trends in Treatment of the Thumb Anne Wajon, Australia Cecilia Li, Hong Kong

11:30 Thermoplastic splinting for Thumb CMC Osteoarthritis Rosemary Prosser, Australia

Thermoplastic splinting for thumb CMC Osteoarthritis is usually focused on either: Pain relief or joint stability in order to improve functional use of the hand. Inflammation of the joint can cause pain and attenuation of the joint structures; this in turn may lead to joint instability and subluxation, thus changing the biomechanical loading of the joint. Subluxation of the CMC joint may lead to swan neck or boutonnière deformity of the thumb.

Thermoplastic splinting is an adjunct to the complete therapy program. It should be used as a technique to relieve pain and improve function. There are many different designs for splinting the thumb. Present literature reports that there is no one design that has been shown to be better than others. Orthoses may be:

Custom made or commercially available

forearm based or hand based

Including or excluding the MP joint

Radially based, circumferential or a three point blocking in design. The advantages and disadvantages of these splints will be discussed. Audience participation will be encouraged so that the global

experience of this type of splinting can be appreciated.

11:45 Trends in Treatment of the Thumb – Soft Splinting Margareta Persson, Sweden

Thumbs suffering from Osteoarthritis, OA can be rigid with limited range of motion or hyper mobile with joint instability. To choose the right type of support that positions the thumb for optimal joint alignment, withstanding weight bearing, can certainly be a challenge. For both types of thumb joints can soft splints be a complement to the rigid splint and give good enough support to improve function and reduce impairment due to the OA. We need to look after these thumbs and this growing group of patients wisely at an early stage to avoid future problems. This presentation will focus on soft splints, readymade and custom made for patients with OA - theory and clinical tips will be presented.


Lenga

08:30 - 10:00 Splinting the Pediatric Hand

Chairpersons: Margareta Persson, Sweden M. Candida d M. Luzo, Brazil

08:30 Intro General Theory and Clinical Tips on Splinting the Pediatric Hand Margareta Persson, Sweden

08:45 Splinting the Spastic Pediatric Hand – Theory and Clinical Tips Margareta Persson, Sweden

This presentation will focus on soft and rigid orthotic devices for the spastic hand both to improve hand function and for the treatment of and prevention of contractures. The technical part or making these splints and the choice of material and design is a topic rarely discussed in books and articles. Even for experienced hand therapists it can be a challenge to make an orthosis for the pediatric hand, especially a spastic hand. The resistance in the spastic hand and the size of the hand can be a challenge. A spastic hand limits the type of thermoplastics/splint material that can be used and other splinting techniques might be needed. A child who don’t want to use their orthosis will try to take it off and can act like a real “Houdini”, then creative solutions for good enough fixation are required. Theory will be analyzed from an evidence based perspective and some clinical tips and tricks will be presented. Key References Louwers et al. (2011) Immediate effect of a wrist and thumb brace on bimanual activities in children with hemiplegic cerebral palsy. Kanellopulos et al. (2009) Long lasting benefits following the comination of static night upper extremity splinging with botulinum toxin A injection in cerebral palsy children. Barroso et al. (2011) Improvement of hand function in children with cerebral palsy via an orthosis that provides wrist extension and thumb abduction.



Friday 28.10.2016 Lenga

08:30 - 10:00 Splinting the Pediatric Hand

Chairpersons: Margareta Persson, Sweden M. Candida d M. Luzo, Brazil

09:00 Splinting the Pediatric Hand after Trauma – How to Make the Splints Attractive

Maria Candida Miranda Luzo, Brazil

09:20 Hand Therapists Role in Conservative Treatment of Arthrogryphosis. An Update on Splinting Regimes and Clinical Tips Janine Hareau, Uruguay

Arthrogryposis multiplex congenita involving the upper extremity can be associated with significant contractures of major joints. Treatment options to maximize upper extremity motion and function include passive joint stretching, serial casting, or surgical intervention. Key References Smith DW1, Drennan JC. 2002 Arthrogryposis wrist deformities: results of infantile serial casting. J Pediatr Orthop. Jan-Feb;22(1):44-7. Dr DP Vermaak MBChB(Pret), MSc Sports Medicine(Pret), 2012, Arthrogryposis multiplex congenita of the upper limb. Orthopedic Journal | Vol 11 Ann Van Heest, MD; Michelle A. James, MD; Amy Lewica, MD; Kurt A. Anderson, MD, 2008. Posterior Elbow Capsulotomy with Triceps Lengthening for Treatment of Elbow Extension Contracture in Children with Arthrogryposis. J Bone Joint Surg Am, Jul 01;90(7):1517-1523.

09:40 Panel Discusion

10:00 Break

Salsa

Chairperson:

08:30 - 10:00 Learn and Teach Hand Anatomy from the Inside Out Pat McKee, Canada

Comprehensive understanding of anatomy is essential in the practice of hand therapy. Participants will be provided with an Anatomy

Glove, pre-printed with bones. Using provided, coloured markers, they will be guided to draw muscles onto their glove, including the

complex intrinsic muscles and their attachments in the dorsal apparatus.

Integrated into the glove-drawing experience, is a unique guided tour of surface hand anatomy, identifying key bony landmarks, tendons

and intrinsic muscles. In addition, fascinating, little-known facts will be presented, such as the highly variable attachment of extensor

pollicis brevis and the attachment of palmaris longus to abductor pollicus brevis.

Anatomical variations are common and should be considered during hand therapy. This unique “hands-on” experience gets under your

skin to provide an important understanding of hand anatomy to apply in clinical practice.


í ì z /&^,d } v p w } p u pdf ifsht 10th... · venue: yacht club puerto madero . ifsht...

Documents