Evidence-Based Treatment of the Elbow, Wrist, and Hand: An Update

Presented by Chad Cook

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Video Runtime: 59 Minutes; Learning Assessment Time: 47 Minutes

In this course, learners will experience the recommended evidence-based interventions for the elbow, wrist, and hand. Users will recognize the more prevalent elbow, wrist, and hand pathologies seen in musculoskeletal practice and understand the proposed benefit to classifying elbow, wrist, and hand conditions through use of the Pain and Disability Drivers model. Techniques used to target the primary impairment are explained, as well as the adjunctive techniques used to target the primary impairment and secondary contributors, and the techniques used to target global conditional issues. Learners will analyze the effectiveness of each technique for treatment within the classifications. Throughout the course, current research is presented to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

Meet your instructor

Chad Cook

Dr. Cook is a professor at Duke University with a Category A appointment in the Duke Clinical Research Institute and an adjunct appointment in the Department of Population Health Sciences. He is a clinical researcher, physical therapist, and profession advocate with a long history of clinical care excellence and service and…

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Chapters & learning objectives

Common Pathologies of the Elbow, Wrist, and Hand

1. Common Pathologies of the Elbow, Wrist, and Hand

In this chapter, learners will recognize the most prevalent elbow, wrist, and hand pathologies seen in musculoskeletal practice. One of the key goals is understanding the etiology behind each of the pathologies and the prognosis of each.

Pain and Disability Drivers of the Elbow, Wrist, and Hand

2. Pain and Disability Drivers of the Elbow, Wrist, and Hand

The primary pain and disability drivers for the elbow, wrist, and hand include: (1) nociceptive pain elements, (2) neuropathic pain elements, (3) comorbidity pain and disability elements, (4) mood and cognitive pain and disability elements, and (5) social and environment factors that influence disability. Each of the domains that is specific to the elbow, wrist, and hand is discussed.

Interventions Directed at Impairments and to the Joint Experiencing the Impairment

3. Interventions Directed at Impairments and to the Joint Experiencing the Impairment

This chapter reviews the techniques used to target pain relief or strength specifically toward the targeted region that is impaired within the elbow, wrist, and hand. The chapter will analyze the effectiveness of each technique for treatment within the local impairment classification.

Regional Interventions Directed at Structures That Mediate the Impaired Level

4. Regional Interventions Directed at Structures That Mediate the Impaired Level

In this chapter, learners will review the adjunctive techniques used to target the primary impairment and secondary contributors. Learners will analyze the effectiveness of each technique for treatment within the regional designation.

Global Interventions for the Elbow, Wrist, and Hand

5. Global Interventions for the Elbow, Wrist, and Hand

Within this chapter, the focus is less on the impairment and more on motor control, proprioception, cognitions, behaviors, and whole-body conditioning. Learners will review techniques associated with lifestyle medicine, global management, and cognitive-behavioral approaches.

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