Therapy Network Seminars
Therapy Network Seminars presents

The Hand Wrist and Elbow Complex: Evaluation and Treatment On-Site Training

This on-site training class is also available as Public Schedule Seminar.

This two-day seminar will present a comprehensive overviewof the structural and biomechanical basis of hand, wrist & elbow function and their relationship to the entire upper extremity.

Course Description/Agenda

This two-day seminar will present a comprehensive overview of the structural and biomechanical basis of hand, wrist & elbow function and their relationship to the entire upper extremity. This unique approach thoroughly examines the relationship of these structures to human performance and suggest strategies for functional improvement. Common pathologies, mechanisms of injury, and progressive pre and post-operative treatment involving fractures, RSI/CTDs, tendon/nerve lacerations, arthritis, sprains/strains and dislocations will be covered with strong reference to their impact on function. Treatment topics include splinting/positioning, electrical and thermal modalities, , therapeutic activity, pain management, sensibility, ROM, home programs and proper documentation. This seminar will NOT present a “protocol driven approach” to rehabilitation. Rather, the participant will learn a “framework” for physical examination that will permit rapid synthesis of findings into a “dynamic treatment plan” designed to increase patient satisfaction and outcomes.

Course Objectives

  • Demonstrate a working understanding of the biomechanical systems of the elbow, wrist and hand and relate this information to functional impairments.
  • Demonstrate an appropriate physical examination of the elbow and wrist.
  • Identify sound biologically based treatment plans for osseous and soft tissue pathologies.
  • Identify appropriate splints and positioning devices to improve upper extremity performance.
  • Identify psychosocial assessment techniques and motivational techniques designed to improve client compliance with therapy prescription.

Course Agenda/Schedule


8:30 Functional biomechanics of the elbow:
- Osseous and soft tissue considerations

9:15 Osseous Pathologies/Functional considerations:
- The distal humerus fracture, radial head pathology, unique fractures of the elbow:
- Management through exercise and splinting.

10:15 BREAK

10:30 Soft tissue pathologies of the elbow:
- What you thought you knew about epicondylitis may just be wrong!
- Ligament injuries of the elbow.
- Biceps tendon issues.

11:00 Neurological pathology of the Elbow:
- Reconstruction of the flail elbow.

12:00 LUNCH (On your own)

1:00 Cubital Tunnel Syndrome, ...pain syndromes of the elbow

2:45 Break

3:00 Lab 1 - Physical examination of the elbow

4:00 Biomechanical assessment of the wrist (...or what the heck is going on here!)

5:30 Questions and Adjourn


8:00 Functional Anatomy of the Wrist

8:30 Ligament injuries of the wrist

9:30 Osseous injuries of the wrist (...or there is more to it than the Colles fracture)

10:30 Break

10:45 Soft tissue and neurological pathologies of the wrist.

11:30 Lab 2: Physical examination of the wrist.
Section A radial & central wrist examination and mobilization
Section B DRUJ & ulnar wrist examination and mobilization

12:00 Lunch (on your own)

1:00 Rehabilitation of the thumb

1:30 Functional anatomy and biomechanics of the hand
- Osseous pathology of the hand:
- Metacarpal fractures, Phalanx fractures: balancing motion and stability, arthritic issues and hand function: How we can make a difference in outcome?

2:45 Break

3:00 Soft tissue/neurological pathology of the hand:
- Can we really treat Carpal Tunnel Syndrome?
- Clinical tenosynovitis vs RSI: strategies for assessment and management.

4:00 Lab 3: Hand examination and mobilization
Section A: Using the history to frame the evaluation and improve client motivation
Section B: Examination and mobilization of the hand.

5:00 Questions and Adjourn


Paul J. Bonzani, OTR/L, CHT, M.S. ...currently maintains a very busy clinical practice in Asheville, NC. Throughout his career he has had the fortunate opportunity to work with some of the finest hand surgeons and therapists in the country having held management positions at both The University of Vermont— Fletcher Allen Medical Center and Duke University Medical Center. Additionally he has been an adjunct instructor in both the Duke University Physical Therapy Program and the Program in Occupational Science at the University of North Carolina-Chapel Hill.

Mr. Bonzani brings 20 years of clinical experience in orthopedic and industrial rehabilitation. Paul has presented nationally in the areas of biomechanics and rehabilitation of the shoulder, nerve compression syndromes, RSI/CTD management and pain syndromes. He has published on the subjects of CTD/RSI management, thumb reconstruction and management of the rheumatoid elbow.

Clinical specialties include rehabilitation of the elbow and hand, chronic pain syndromes, TOS, nerve compression syndromes and neural tension disorders of the upper limb. Current research interest’s include functional outcome measures following fractures and upper quadrant sensate deficits.

Paul is a clinician, researcher and educator and considered to be one of the leading hand therapists in the care of shoulder, elbow and hand injuries in North America.

Educational Credit

A certificate of attendance for 15 Contact Hours (17 in FL & WA) will be awarded to each participant. This course has been submitted to the State Physical Therapy and Occupational Therapy Boards in which the seminar is being held, if prior approval is required.
CA Board of OT Advanced Practice Approved NATA Board of Certification, Inc. Approved Provider # P-2563
AOTA Approved Provider of Continuing Education # 3073
The assignment of AOTA CEUs does not imply endorsements of specific course content, products, or clinical procedures by AOTA

Participants' Comments

“EXCELLENT!! ...I loved the interactive slides, hands-on labs and Paul’s down to earth approach and humor. These 2 days flew by. –thank you”

“Paul is an excellent presenter who makes an incredible amount of information available and accessible in a concise and non threatening manner. I did not feel overwhelmed at any time.”

“...BEST cont. ed course I’ve been to in 15 years.”

“I really got my money's worth and then some”

“...Paul really showed the relationship of the joint structures & how they affect evaluations and treatments.”


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Therapy Network Seminars
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