Comprehensive Strategies for Evaluating and
Treating the Complex Hand and Wrist
Few structures of the human anatomy are as complex and intricate as the human
hand and wrist. Occupational, recreational, and daily living activities
continually tax this critical appendage's vulnerable structures, and when the
normal mechanics of the wrist are disrupted, the instability of the carpal bones
can result in chronic pain, impaired function, and long-term disability. Over
the last 20 years, practitioners have experienced a dramatic rise in the number
of joint and soft tissue conditions involving the wrist and hand, and despite
increased advances in diagnosis and management, carpal instability remains
poorly understood and fraught with treatment challenges.
This dynamic, one-day course will offer a simple, no-nonsense approach to
evaluation, intervention, and functional recovery of wrist and distal forearm
injuries. Attendees will undertake a thorough neuro-musculo-skeletal (NMS)
overview of the extremity's anatomy, as well as the patho-mechanics of the
crowded bone and ligamental complex. The various carpal and distal forearm
instability patterns will be examined through case study examples, and
participants will outline best practices for navigating through radiological
exams (x-rays) of the hand and wrist. In addition, attendees will explore
provocative assessments used to better identify or rule out certain carpal
injuries and will get the chance to practice 15 common provocative tests that
can be used instantly upon return to the clinic.
This rare opportunity to examine wrist anatomy, patho-mechanics, symptomatology,
and post-surgical complications all in one session should not be missed!
WHAT YOU WILL LEARN
• Develop tools and techniques to systematically
evaluate and treat one of the most complex regions of the human body
• Identify the most common types of fractures and instability patterns of the
wrist and distal forearm and understand their associated complications
• Outline best practices for reviewing radiographs (x-rays) of the wrist and
understand why bony malalignment plays a role in post-fracture pain, edema,
nerve entrapment, and disuse
• Utilize case study reviews to integrate freshly learned concepts into clinical
• Examine the functional anatomy and surface features of the wrist
• Examine the patho-mechanics of the wrist and common mechanisms of injury (MOI)
• Analyze hand and wrist x-rays and how they are employed in the diagnosis of
• Determine when to perform provocative testing and distinguish which test(s) to
• Outline useful, functional tips commonly used in the rehabilitation of wrist
ABOUT THE PRESENTER
JOSE R. RAFOLS, OTD, MHSA, OTR/L, is a licensed
occupational therapist with more than 27 years of experience in clinical
orthopedics and 22 years of experience in upper extremity rehabilitation,
hand-injuries, diabetic foot and wound care, neurological injuries, traumatic
brain injury (TBI), geriatrics, and adult rehabilitation. He is president and
owner of Therapeutic Home-Bound Services Corporation (THS-Corp), which provides
tailored and personalized private occupational therapy services to the greater
Dr. Rafols currently holds the rank of Major in the United States Army Specialty
Corps and has served more than 27 years combined active and reserve duty in the
U.S. Navy, the U.S. Marine Corps, and the U.S. Army Reserves. He is currently
serving on active duty and as the assistant officer in charge at Eisenhower Army
Medical Center in Ft. Gordon, Georgia. Dr. Rafols just recently returned from a
12-month combat deployment with the 101st Airborne Division's 3rd & 4th Brigade
Combat Teams (BCTs) to Paktika Providence in Eastern Afghanistan. There he
worked to set up and provide clinical rehabilitation for soldiers with
post-blast injuries, ranging from mild- traumatic brain injury (TBI) to
Dr. Rafols is a seasoned instructor, having presented masters level instruction
in the occupational therapy program at Florida International University in Miami
and the Medical College of Georgia in Augusta, as well as numerous
international, national, and regional conferences. In addition, he is a member
of the American Occupational Therapy Association, Florida Occupational Therapy
Association, Association of Caribbean Occupational Therapists, Reserve Officers
Association, and American Military Surgeons of the United States (AMSUS); and
writes for publications such as NEWS-Line for Occupational Therapists and COTAs
and OT Practice. Dr. Rafols' interests include growing tropical fruit in a small
farm located in southwest Miami-Dade County and partnering with NGOs to empower
underserved countries with clinical education and hands-on intervention.
WHO SHOULD ATTEND
• Occupational Therapists
• Certified Occupational Therapy Assistants
• Physical Therapists
• Physical Therapist Assistants
• Certified Hand Therapists
• Athletic Trainers
• Physician Assistants
• Nurse Practitioners
• Rehab, Orthopedic, and Occupational Nurses
Cross Country Education is an AOTA Approved Provider
of continuing education. This course is offered for .6 AOTA CEUs. The assignment
of AOTA CEUs does not imply endorsement of specific course content, products, or
clinical procedures by AOTA. AOTA Educational level Intermediate, Category 1:
Domain of OT, 2: Occupational Therapy Process.
This program has been submitted for 6 continuing education credits to the New
Jersey State Board of Physical Therapy Examiners for Physical Therapists and
Physical Therapy Assistants.
Cross Country Education is seeking Direct Access approval from the Pennsylvania
State Board of Physical Therapy.
This program has been submitted for 6 continuing education credits to the
District of Columbia Board of Physical Therapy for Physical Therapists.
This program has been submitted to the Maryland Board of Physical Therapy
Examiners for pre-approval of 6 continuing education hours.
This program has been submitted to the West Virginia Board of Physical Therapy
for 6 Continuing Education hours.
Cross Country Education is accredited by the American Academy of Nurse
Practitioners as an approved provider of nurse practitioner continuing
education. Provider number: 060313. This program was planned in accordance with
AANP CE Standards and Policies and AANP Commercial Support Standards. This
course is offered for 6.0 contact hours.
This program is not yet approved for CME credit. Conference organizers plan to
request 6.0 hours of AAPA Category I CME credit from the Physician Assistant
Review Panel. Total number of approved credits yet to be determined.
Cross Country Education is recognized by the Board of Certification, Inc. to
offer continuing education for Certified Athletic Trainers. This program has
been approved for a maximum of 6 hours of Category A continuing education.
Certified Athletic Trainers are responsible for claiming only those hours
actually spent participating in the continuing education activity. BOC Approved
Provider Number: P3097. Number of hours actually participated: 6.
Cross Country Education, LLC is accredited as a provider of continuing nursing
education by the American Nurses Credentialing Center's Commission on
This course is offered for 6 contact hours.
Cross Country Education is an approved provider with the Iowa Board Of Nursing,
approved provider #328. This course is offered for 7.2 contact hours.
Cross Country Education is approved by the California Board of Registered
Nursing, Provider #CEP 13345, for 7.2 contact hours.
Cross Country Education is an approved provider by the Florida Board of Nursing,
provider #50-466. This course is offered for 6.0 contact hours.
This educational offering qualifies for 6 continuing education hours as required
by many national, state and local licensing boards and professional
organizations. Save your course outline and certificate of completion, and
contact your own board or organization for specific filing requirements.
This seminar qualifies for 6 continuing education hours as required by many
national, state and local licensing boards and professional organizations. Save
your course outline and certificate of completion, and contact your own board or
organization for specific filing requirements.
SEMINAR CLASS TIME:
Seminar Check-in: 7:30 AM Seminar Class 8:00 AM - 3:30 PM