The Hand to Shoulder Podcast

Hand to Shoulder Center Podcast
The Hand to Shoulder Podcast

Podcasts for OT's, PT's specializing in upper extremity care. The goal is to cover topics that lead to discussion that will elevate the profession. This is for all treating therapists who want to enhance their clinical and professional development. Contact us at h2stherapist@newhands.net. Podcast is based out of Appleton, WI at the Hand to Shoulder Center of Wisconsin

  1. 9 DE OUT.

    040: Rehab Following Nerve Transfer with Jen Dodson, OTD, OTR/L, CHT

    Supercharged and ready for rehab! Are you working with a brachial plexus patient that had a nerve transfer? Well, listen up, this is the podcast for you! Jen Dodson joins the Hand to Shoulder podcast team to discuss rehabilitation theories and principles as well as a timeline of what to expect. Jen is a part of a qualitative research study involving rehabilitation processes with outcomes. We hope you enjoy listening to Jen as she educates us on rehabilitation following nerve transfer.   Articles she refers to in the podcast episode include: Hill, J.L., Turner, L.C., Jone, R.D., Jimulia, D. T., Miller, C., & Power, D.M. (2019). The stages of rehabilitation following motor nerve transfer surgery. Journal of Musculoskeletal Surgery and Research, 3, 60. *Link to Hill’s et. al. 2019 article: https://journalmsr.com/the-stages-of-rehabilitation-following-motor-nerve-transfer-surgery/ Kahn, L. & Moore, A. (2016). Donor Activation Focused Rehabilitation Approach: Maximizing Outcomes After Nerve Transfers. Hand Clinics, 32, 263-277. Sturma, A., Hruby, L., Farina, D., & Aszmann, O. (2019). Structured Motor Rehabilitation After Select Nerve Transfers. Journal of Visualized Experiments, 150, e58440, doi: 10.3791/59840.  Larocerie-Salgado, J., Chinchalkar, S., Ross, D.C., Gillis, J., Doherty, C.D., & Miller, T.A. (2021). Rehabilitation Following Nerve Transfer Surgery. Techniques in Hand & Upper Extremity Surgery, 26(2), 71-77.   Jennifer "Jen" Dodson has been an Occupational Therapist since 1998, a Certified Hand Therapist since 2004, and is fellowship-trained from the Philadelphia Hand Center in 2002. She received her Post-Professional Occupational Therapy Doctorate from Jefferson University (Formerly Thomas Jefferson) in 2021 along with an Advance Practice Certificate in "Teaching in the Digital Age". Jen spent the majority of her career at a level-one trauma center (16 years) where she served as a clinical specialist. She had the opportunity to start a hand therapy program there and educate various stakeholders on the distinct role CHTs play throughout the continuum of care.   Jen has been a strong advocate for the profession and specialty of hand therapy by serving on the ASHT education council, lecturing on various topics of the upper extremity across the US and Canada as an invited speaker for state and national conferences, served as adjunct faculty, contributed to book chapters, performed curriculum development, and owned her own continuing education business specializing in upper extremity rehabilitation courses. She is currently employed at OrthoCarolina in Charlotte, NC, where she serves as a clinical specialist, coordinates student placement, is an instructor in their AOTA-approved hand therapy fellowship, and is the CHT who works with the surgeons in brachial plexus clinic. She is passionate about serving those who have sustained the most complex traumatic upper extremity injuries and athletes of all levels. She can be reached at:  3KingsUEspecialist@gmail.com.

    1h1min
  2. 3 DE SET.

    039: Nerve Transfers with Dr. Nick Munaretto

    Nerve transfer surgery involves reconnecting a functioning nerve fascicle to a damaged or lacerated nerve to restore connection to muscles with absent innervation. This is an extensive surgery that takes a lot of time and education with our patients before and after surgery. Dr. Munaretto explores common nerve transfers he completes at the Hand to Shoulder Center while discussing appropriate candidates and clinical findings. He shares insight into cutting edge research of these procedures and outcomes. Stay tuned for our next podcast with hand therapist Jen Dodson who will be giving us an overview of the principles of rehab following nerve transfer surgery!   Dr. Munaretto earned his Bachelor of Science degree, Magna Cum Laude from the University of Illinois and was elected to the Phi Beta Kappa Honor Society. He received his medical degree from the Medical College of Wisconsin where he received the Gold Humanism Honor Society Award and the Alpha Omega Alpha Honor Society as Junior Medical Student.   From there he completed his five-year orthopedic surgery residency at Mayo Clinic in Rochester, MN. Then, Dr. Munaretto proceeded to advance his education and completed a Hand and Upper Extremity Fellowship program at OrthoCarolina in Charlotte, NC. During his time in Charlotte, he visited Drs. Werthel and Valenti, two international shoulder surgery experts in Paris, France and completed a travelling fellowship with them. Dr. Nick Munaretto is board certified by the American Board of Orthopedic Surgery with a specialty in hand and upper extremity surgery.  He has a special interest in peripheral nerve injuries, arthritic conditions of the upper extremity including shoulder and elbow replacement as well as arthroscopic procedures involving the shoulder to hand.  His practice philosophy emphasizes compassionate and expert care for every patient and utilizes the most advanced techniques and technology to help patients live their greatest potential. He practices here at the Hand to Shoulder Center.

    57min
  3. 25 DE JUL.

    038: Understanding Midcarpal Instability with Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT

    Wrist instability can be a difficult condition to treat. Today’s episode covers the intricate mechanics of midcarpal instability and the two types of clinical presentations: midcarpal VISI (volar intercalated segmental instability) and the less common midcarpal DISI (dorsal intercalated segmental instability). Clinical testing for each of these conditions will be covered as well as evidence-supported treatment interventions including orthotic management, muscular engagement and the progression with proprioceptive training. Ann Porretto-Loehrke is a skilled clinician with a passion for teaching and clinical treatment of upper extremity disorders. She has been practicing for 30 years and teaching continuing education courses for the past 20. She is the Clinical Development Coordinator at the Hand to Shoulder Center in Appleton, Wisconsin. Ann is a Certified Hand Therapist (CHT) and a Certified Orthopedic Manual Therapist (COMT) for treatment of the upper quadrant through the International Academy of Orthopedic Medicine (IAOM).  Ann received a bachelor’s degree in physical therapy from Marquette University in 1994 and completed a post-professional Doctorate in Physical Therapy (DPT) degree from Drexel University with a specialty in hand and upper quarter rehabilitation in 2007. She is also certified in dry needling through Myopain Seminars, as a Certified Myofascial Trigger Point Therapist (CMTPT). Ann is a lead instructor who co-developed the Hand & Upper Extremity Track through IAOM, a set of 6 manual therapy courses designed specifically for hand and upper extremity specialists. She co-authored a chapter in Rehabilitation of the Hand & Upper Extremity on nerve compression syndromes of the elbow and forearm, as well as published two peer-reviewed articles entitled “Clinical Manual Assessment of the Wrist” and “Taping Techniques for the Wrist” in the 2016 Journal of Hand Therapy’s special edition of the wrist. Ann serves as the planning committee chair for the Wisconsin Hand Experience conference and has presented at American Society of Hand Therapists (ASHT) annual conferences, Canadian Society of Hand Therapist Annual Conference, Philadelphia meeting, TRIA Hand Conference, and Teton Hand Conferences. She also teaches online courses for MedBridge education and facilitated the development of the MedBridge CHT prep program launched in June of 2021. Ann can be reached at: Instagram: @anns_happy_hands  Email: annshappyhands@gmail.com Linked In: https://www.linkedin.com/in/ann-porretto-loehrke-dpt-cht-comt-cmtpt-1080b62a/

    41min
  4. 29 DE MAI.

    036: Building A Hand Therapy Fellowship with Jyo Supnekar, OTR/L, OTD, CHT, CLT, C/NDT, COMT

    Jyo Supnekar, OTR/L, OTD, CHT, CLT, C/NDT, COMT and her colleagues at Johns Hopkins Health System had the vision of building a hand therapy fellowship in 2015 and after much research and numerous hours dedicated towards the application process, creating a curriculum, creating a core group of mentors and educators, marketing and receiving candidacy status, the Fellowship was launched in 2017. Jyo shares how this process has been rigorous, tiring, inspiring and highly gratifying process where she learned to build a strong team of highly skilled clinicians working towards a common goal. Jyo Supnekar is a clinical specialist at Johns Hopkins Health System. She has a doctorate in occupational therapy and specializes in hand and upper extremity rehabilitation, lymphedema therapy and stroke rehabilitation. Jyo has practiced as a certified hand therapist since 1998 and enjoys learning new skills, techniques, technologies and innovative treatment solutions for rehabilitation.  Jyo has worked as a clinician at Johns Hopkins for over 12 years. She started the process of developing a hand therapy fellowship in 2016. They accepted their first fellows in 2017 and received a 10-year accreditation from AOTA. Jyo has a passion for learning, education and knowledge sharing. She has recently passed forward the Director’s role to an accomplished colleague so she can pursue other program initiatives. She is still involved in teaching didactics and hands-on skills training. Jyo is also a Fellowship Programs Review Committee member for AOTA. How to reach Jyo: jsupnek1@jhmi.edu

    36min
  5. 2 DE ABR.

    035: Neuromodulation Coaching with Lisa Kozden, PhD, OTR, CHT, COMT

    Neuromodulation coaching is a unique treatment approach which helps to assess and categorize each patient into specific archetypes with associated neurophysiological profiles. By understanding each patient’s archetype, a clinician can create and implement more effective plans of care which address the physical, mental, and emotional health of the patient. Join us to learn more about Neuromodulation coaching and how it can help improve the occupational performance of therapy patients.   Lisa Kozden, Ph.D., OTR, CHT, COMT is an occupational therapist with 23 years of experience in treating patients with hand and upper extremity conditions. She graduated with a master’s degree in occupational therapy (MOT) in 2000 from Nova Southeastern University, became certified as a hand therapist (CHT) in 2008, and achieved certification as an orthopedic manual therapist (COMT) in 2014 by the International Academy of Orthopedic Medicine US (IAOM-US). Over the last 8 years, Lisa has been teaching full-time as a Faculty Specialist in the Occupational Therapy Department at The University of Scranton. On a part-time basis, she treats patients for a regional healthcare system in Northeastern PA and teaches continuing education courses in the International Academy of Orthopedic Medicine (IAOM)’s Upper Extremity Track. Lisa serves as a member of the Research Division for the American Society for Hand Therapists (ASHT) and has recently earned her PhD in Occupational Therapy from Nova Southeastern University. Her topic of research involves the infusion of a psychoneuroimmunology (PNI)-based program into upper extremity rehabilitation.   Here the the links to Dr. Ian Weinberg's site with more specific information on the certification course for health professionals:   https://www.neuronostic.com   https://www.neuronostic.com/?page=course_neuromodulation_accreditation   The book Lisa refers to in the podcast episode is by Babette Rothschild (2016), The Body Remembers Volume 2: Revolutionizing Trauma Treatment. Here is the Amazon site if people want to purchase this laminated card: https://www.amazon.com/Autonomic-Nervous-System-Table-Laminated/dp/039371280X   How to reach Lisa: LinkedIn profile at http://linkedin.com/in/lisa-kozden-04469136 Email at Lkozden@gmail.com

    53min
  6. 25 DE JAN.

    033: Blood Flow Restriction and How it Can Fit into Your Hand Therapy Practice with Jim Wagner, OTD, OTR/L, CHT, COMT, CPAM, CSCS

    We’ve seen lots of hype about Blood Flow Restriction, or BFR in social media, but how does it work? Join us as Jim Wagner, seasoned hand therapist and powerlifter as he brings to light the physiologic benefits of BFR and how this can be incorporated into your hand therapy practice! Jim Wagner has been practicing for 30 years with clinical experience of the UE in orthopedics. He received his post professional doctorate from Rocky Mountain University of Health in hand therapy. He’s certified in PAMs and is a Certified Strength and Conditioning Specialist (CSCS). He’s a team leader at Guthrie Hand Center in New York state and serves as an adjunct professor at both Keuka and Ithaca College OT programs. He's been involved in competitive powerlifting and bodybuilding for 35 years. He’s nationally known for instructing cupping, IASTM, orthotic fabrication, blood flow restriction and kinesiology taping. Jim has spoken at Georgia Hand Society Special Interest Group, Wisconsin Hand Experience, and many other therapy related venues. He’s published in the practice forum section of the AJOT and serves on the Education Division of the ASHT.  Jim recently became a Certified Orthopedic Manual Therapist (COMT) through the International Academy of Orthopedic Medicine (IAOM-US). How to reach Jim: Email: jwagnercht71@gmail.com IG handle: cht_power71 B Strong Blood Flow Restriction Training | BFR Bands | B Strong Products (bstrong.training)

    39min
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Podcasts for OT's, PT's specializing in upper extremity care. The goal is to cover topics that lead to discussion that will elevate the profession. This is for all treating therapists who want to enhance their clinical and professional development. Contact us at h2stherapist@newhands.net. Podcast is based out of Appleton, WI at the Hand to Shoulder Center of Wisconsin

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