Neuro Hand Lab: Optimizing Hand Position and Function After Neurologic Injury

Overview: This hybrid course explores the occupational therapist’s role in evaluation of physical and motor dysfunction of the distal upper extremity and hand after neurologic injury, and the interventions and strategies recommended for optimizing hand positioning and function. Participants will review the complex anatomy of the hand, the impact of neurologic impairment, and essential assessment skills. Emphasis is placed on selecting and progressing custom and pre-fabricated orthotics to support functional recovery.

Audience: Occupational Therapists, Occupational Therapy Assistants

Objectives: At the completion of this course, the learner will be able to:

• Identify and screen for common physical limitations of distal upper extremity and hand, due to neurologic injury
• Identify appropriate patients who would benefit from orthosis or other positioning aids
• Identify indications for mechanical/ positioning splints
• Identify indications for therapeutic/ functional splints
• Discuss materials commonly used in custom splint fabrication
• Explain how fit of splint may impact function or outcomes
• Modify fit of splint based upon individual patient needs (physiologic versus function)
• Prescribe appropriate frequency and duration of orthoses or positioning devices
• Discuss indications for consultations to other providers
• Document splinting plan of care for continuity

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