Date: Saturday, September 27th and Sunday September 28th, 2008
Check-In Time(s): 7:30am-8:00am
Class Time(s): 8:00am-5:00pm
Location: Fairview Southdale Hospital, International Rooms A and B

Speaker(s):
Ann Porretto-Loehrke, PT, DPT, CHT, COMT graduated from Marquette University in 1994. She became a Certified Hand Therapist in 2002 and completed IAOM-US certification for the upper quadrant in 2003. She is completing a post-professional doctorate of physical therapy (DPT) degree with a specialty in hand and upper quarter rehabilitation from Drexel University in Philadelphia, Pennsylvania. Ms. Porretto-Loehrke is employed as the physical therapy manager at the Hand and Upper Extremity Center of Northeast Wisconsin, located in Appleton, Wisconsin.
Mirka Normand
Course Description:

Course Objectives:
Develop and understanding of the anatomy and kinesiology of the wrist and forearm as it relates to joint mobilization.
Through the use of surface anatomy, identify key bony and soft tissue structures at the wrist needed for testing and treatment.
Develop an understanding of the clinical presentation and implications of wrist instability in clients post trauma.
Perform specific manual therapy testing techniques to identify and treat limitations at the radiocarpal and midcarpal joints.
Recognize indications and contraindications for mobilization/dynamic splinting to address forearm limitations following a wrist trauma.
Perform specific manual therapy techniques to address radial, central, and ulnar wrist pain though use of transverse friction, neural flossing, and/or joint specific techniques.  
*This course is eligible for AOTA and APTA Approved Provider credit. The assignment of AOTA or APTA CEU's does not imply endorsement of specific course content, products or clinical procedures by AOTA or APTA.*

Course Agenda:
Day 1
8:00 – 10:45 AM Anatomy and kinesiology of the wrist—how bony and ligamentous structures contribute to functional stability of the wrist and distal radioulnar joint (DRUJ). Lecture
10:45 --11:00 AM BREAK
11:00 – 12:30 AM Bony surface anatomy of the wrist Lab
12:30 – 1:00 PM Basic functional examination of the wrist Lab
1:00 – 2:00 PM LUNCH
2:00 – 2:30 PM Wrist instability tests Lab
2:30 – 3:30 PM Testing and treatment of the radiocarpal joint (RCJ) and midcarpal joints (MCJ) Lab
3:30 – 3:45 PM BREAK
3:45 – 5:00 PM Complete RCJ/MCJ mobilizations Lab
Day 2
8:00 – 8:30 AM Limited forearm supination post trauma—the DRUJ and proximal radioulnar joint (PRUJ) Lecture
8:30 – 9:15 AM Testing for DRUJ instability/malalignment and PRUJ limitations Lab
9:15 – 10:30 AM Treatment for PRUJ limitations Lab
10:30 – 11:15 AM Soft tissue surface anatomy of the wrist Lecture
11:15 – 1:00 PM Radial wrist pain—differential diagnosis & treatment (thumb CMC, S-L instability, tenosynovitis: APL/EPB, FCR; tendinitis: ECRB/ECRL; radial neuritis with neural flossing—screen for TOS) Lecture & Lab
1:00 – 2:00 PM LUNCH
2:00 – 2:30 PM Complete treatment for radial wrist pain Lab
2:30 – 3:30 PM Central wrist pain—differential diagnosis & treatment (EDC, CTS with median nerve flossing) Lecture & Lab
3:30 – 3:45 PM BREAK
3:45 – 4:45 PM Ulnar wrist pain—differential diagnosis & treatment (FCU tendinitis, pisotriquetral arthrosis; TFCC/ DRUJ; ulnar nerve flossing) Lecture & Lab
4:45 – 5:00 PM Questions & closing remarks