Hands In Motion

On this episode of Hands in Motion, we are joined by Thomas Berger — the recipient of the 2024 American Association for Hand Surgery Vargas International Hand Therapy Teaching Award. As a recipient of this prestigious award, Thomas traveled to Guatemala to provide hand therapy services, as well as educate local occupational and physical therapists on upper extremity rehabilitation. Thomas shares with us his experience serving in Guatemala and the support he received from AAHS. Guest Bio: Thomas Berger, DPT, CHT, is a physical therapist and Certified Hand Therapist with over 20 years of clinical experience. He works at Mayo Clinic in Jacksonville, FL in the hand and upper limb clinic collaborating with a team of physicians and advanced practice providers. Thomas also serves as faculty for the Orthopedic Physical Therapy Residency at Mayo Clinic Florida, where he delivers annual education focused on the upper extremity. Thomas has shared his expertise at both national and international forums, including the annual meetings of American Association for Hand Surgery (AAHS) and American Society of Hand Therapists (ASHT). Thomas is the recipient of the AAHS 2023 Vargas Award, which he was honored to use for a medical mission trip withGuatemala Healing Hands Foundation. He presently holds positions on the ASHT Nominations Committee and the AAHS Vargas Committee.The views and opinions expressed in the Hands in Motion podcast are those of the guests and do not necessarily reflect the official policy or position of ASHT. Appearance on the podcast does not imply endorsement of any products, services or viewpoints discussed.

While in Washington, DC for the IFSSH and IFSHT Triennial Congress, Stephanie and Cara had the pleasure of sitting down with Lisa Newington, a physiotherapist and hand therapist from London to discuss sustainability and the efforts that the UK is taking toward this. Lisa shares with us how their medical system is addressing sustainability and how we as hand therapists can do our part when treating our patients.Guest Bio: Lisa joined the Barts Bone and Joint Health team in September 2023. She is an ac-credited hand therapist (British Association of Hand Therapists) and has combined research and clinical practice throughout her career. Lisa continues to work clinically at Barts Health NHS Trust, having previously worked as an advanced practice hand therapist at Guy's and St Thomas' NHS Trust. She is involved in national and international hand therapy research and mentors re-search active allied health professionals through NIHR and Chartered Society of Physiotherapy mentorship schemes. Lisa was recently appointed to the Scientific Committee of the European Federation for Societies of Hand Therapy (EFSHT) and has previously chaired the British Association of Hand Therapists Clinical Evidence Committee. Lisa is a Deputy Director for the London Centre for Work and Health and an Editorial Board Member for the journal Hand Therapy. Lisa completed her PhD at the MRC Life course Epidemiology Unit at the University of Southampton through an NIHR Doctoral Research Fellowship (2016-2019) and held a Postdoctoral Research Fellowship with Imperial Biomedical Research Centre and Imperial Health Charity (2020-2023).

In this episode, we are joined by Stacey Doyon, President-Elect of the International Federation of Societies for Hand Therapy. Stacey shares with us information about IFSHT, their mission and how they are connecting upper extremity therapists across the globe. We also briefly discuss the upcoming IFSSH-IFSHT Triennial Congress being held March 24-28, 2025, in Washington, DC. Silent Auction Link: https://ifsht.org/awards_grants/silent-auction/Guest Bio: I have served on the board of the American Society of Hand Therapists from 1999-2008 which includes the following positions: Past president (2008), President (2007), President Elect (2006), Vice President (2005), Director of Advocacy (2004), Secretary/Treasurer (2003), Secretary/Treasurer elect (2002), Division Director of Alliances (2001), Division Director of Member Services (2000) and Board Member at Large (1999-2000). From 2008-2010 I was the Chairperson for the 2010 International Federation of Societies for Hand Therapy, for the American Society of Hand Therapists. In 2011 I became a board member for the Hand Therapy certification Commission holding the position of Treasurer in 2017-2024. I was a committee member since from 2006-2024. I have also served on several committees for IFSHT which include the finance committee for 2007, 2018-2019, Abstract review committee for 2013 and 2016 and then the nominations committee in 2016. In 2019-2022 I was Treasurer for IFSHT and in 2022-present I became President-Elect. I will go on to be President of IFSHT at the end of the Triennial congress in Washington DC 2025.

On this episode, we are joined by Lauren DeTullio and Preston Lockwood, both occupational therapists and Certified Hand Therapists who serve on the ASHT International Committee. They share with us the work that the committee is doing to spread knowledge of hand and upper extremity therapy across the globe and specifically about a recent trip to Columbia where they had the opportunity to present didactic and hands-on education.Guest bios:Lauren DeTullio, OTR/L, CHT, is an occupational therapist and Certified Hand Therapist with over 20 years of clinical experience. She is the Regional Director of the Philadelphia Hand to Shoulder Center and the Director of the Hand Rehabilitation Foundation. She is an adjunct professor in the Occupational Therapy program at Thomas Jefferson University in Philadelphia, Pennsylvania. Lauren has co-authored chapters in the seventh edition of Rehabilitation of the Hand and Upper Extremity, in the third edition of Hand and Upper Extremity Rehabilitation - A Practical Guide, and in the first edition of Fractures and Injuries of the Distal Radius and Carpus. She is a co-chairman and has served as a regular faculty member for the annual Philadelphia Hand Symposium Surgery and Rehabilitation of the Hand and Upper Extremity. Lauren has volunteered for ASHT on the Awards Committee, Board Intern and most recently the International Committee. Preston W Lockwood, OTD, OTR/L, CHT, is a passionate and dedicated occupational therapist and Certified Hand Therapist (CHT) with a strong commitment to advancing the field of hand and upper extremity therapy. With extensive experience in clinical practice, Preston is deeply invested in clinical education, empowering the next generation of therapists through mentorship and knowledge-sharing. As an advocate for global collaboration, Preston is eager to connect with international hand therapy communities for knowledge exchange, furthering the evolution of the profession worldwide. Driven by a desire to make a meaningful impact, Preston is dedicated to pushing the boundaries of hand therapy, advocating for innovation, and contributing to the continuous growth and improvement of the profession.

In this episode, we are joined by Dr. Alex Kelsheimer, an orthopedic surgeon specializing in upper extremity surgery, to discuss injuries that many of us find difficulty treating — PIP joint injuries. He shares his approach to addressing injuries at the PIP joint and how surgeons and therapists can collaborate with the patient to achieve an optimal outcome.Guest Bio: Dr. Kelsheimer is a hand & upper extremity orthopedic surgeon with Shoreline Orthopaedics in Holland, Michigan. Prior to practicing in Holland, he was practicing in St. Louis, Missouri for three years. He received his medical degree from Des Moines University College of Osteopathic Medicine. His post-graduate orthopedic residency training was completed at St. Luke's Des Peres Hospital in St. Louis, MO. He then completed his hand and upper extremity fellowship at the prestigious Florida Orthopaedic Institute in partnership with Tampa General Hospital.

On this episode, we are joined by Lori Algar and Katie Loomis, who both serve on ASHT's Research Division. They share with us the results of a recent research community survey that the division conducted to better understand the needs of our members when it comes to clinical research. Guest Bios: Lori Algar OTD, OTR/L, CHT is an occupational therapist and Certified Hand Therapist who works for Orthopaedic Specialty Group PC in Fairfield CT. She has been specializing in the outpatient treatment of individuals with orthopedic injuries to the upper extremity since 2006. She earned her clinical doctorate in occupational therapy from Rocky Mountain University of Health Professions in 2013. Lori joined ASHT's Research Division following the completion of her clinical doctorate program and is currently the Research Division Director. She has many publications in the Journal of Hand Therapy and Journal of Hand Surgery, including a randomized clinical trial completed during her clinical work. Katie Loomis, MA, OTR/L, CHT, is a PhD candidate in the Chan Division of Occupational Science and Occupational Therapy at the University of Southern California and a research assistant in the Musculoskeletal Sonography and Occupational Performance Laboratory. She has 12 years of clinical and research experience in hand therapy, is an active member of the ASHT Research Division, and an ad hoc reviewer for several rehabilitation-oriented journals. Katie's research interests center on facilitating large-scale, collaborative practice-based research to better understand and quantify the multidimensional process of upper extremity rehabilitation, and to advance care effectiveness and individualization.

On this episode, we are joined by Ben Mortenson and Janet Craik, both occupational therapists in Canada who have done extensive work on sustainability in healthcare. They share with us the pillars of sustainability and how we as therapists can do our part to ensure economic, social and environmental sustainability. Guest Bios: Janet Craik holds a Bachelor of Science degree in occupational therapy from Queen's University and a Master's degree in Rehabilitation Science from the University of Toronto. Her involvement as an occupational therapist includes many years as a front-line practitioner, manager, author, educator, and former Executive Director for the Canadian Association of Occupational Therapists. She is deeply interested in exploring how to improve health systems in Canada to be more sustainable. As an instructor at the University of Toronto, she is involved with an interprofessional education elective on climate change and teaches an elective on sustainable health in occupational therapy to ensure students have knowledge and resources needed to identify climate change-related risks and take equitable, evidence-based action to promote health, well-being, and occupational participation. In addition to instructing at the University of Toronto, she is the Rehabilitation Lead for CASCADES (www.cascadescanada.ca) and the Executive Director for the International Cognitive Approaches Network (www.icancoop.org).Ben Mortenson has been an occupational therapist since 1991. He is Professor and Head of the Department of Occupational Science and Occupational Therapy at the University of British Columbia. He held a New Investigator Award from the Canadian Institutes of Health Research (2016-2021). He is a principal investigator at the GF Strong Rehabilitation Research Program and International Collaboration on Repair Discoveries. He is an experienced mixed-methods researcher with over 200 peer-reviewed publications and he has over $7M in funding as a principal investigator or co-PI and almost $50M as co-investigator. He has had over 300, peer reviewed abstracts accepted at national and international conferences. He has provided research supervision to over 130 trainees. His work is centered on four main populations: assistive technology users, informal and formal caregivers, individuals with spinal cord injury, and residents in long-term care. His research focuses on four overlapping areas: assistive technology, social participation, accessibility and sustainability. He was the 2021 recipient of the Award for Innovative Practice from the Canadian Association of Occupational Therapy (CAOT). In 2022 he was inducted as a CAOT Fellow.

On this episode, we are joined by April O'Connell to discuss exercise dosing for patients who have sustained injuries of their upper extremity. She shares with us factors that should be considered when designing an exercise program for a patient and how to progress them through their plan of care to achieve their goals and beyond. Guest Bio: April O'Connell, OTR/L, CHT, ACSM, is an occupational therapist at Cedars Sinai Hospital in Beverly Hills, CA. She works with a variety of sports teams including the NFL, MLB and NBA and recently spoke at ASHT and AAHT on Rehabilitation of the Overhead Athlete. She is one of the main contributors to the fellowship program for hand and upper extremity rehabilitation as well as the co-director for Cedars Sinai Hand Symposium. April got her start as the Clinical Specialist in the Hand and Upper Extremity Therapy Department at NYU Langone Health. She has lectured to orthopedic surgeons and therapists nationally and internationally in current concepts of orthopedic rehabilitation of the upper extremity. Some of her most recent lectures include being a guest speaker for Dr. Radio on Sirius Satellite on topics for rehabilitation of the hand and upper extremity as well as injuries to the overhead athlete. In addition, she has presented on Flexor Tendon Repair Advancement at AAOS in 2015 and was later asked to speak at the ASSH national conference in 2016 and ASHT in 2017. She recently presented her latest research at the ASHT National Conference on flexor tendon rehabilitation in 2019. April is a founding member of the NYU Langone Golf and Pitching Labs and was the head hand therapist for the first successful bilateral hand and face allotransplantation. She earned her Occupational Therapy degree at Boston University, is a Certified Hand Therapist and is certified by the American Council of Sports Medicine (ACSM) as a Clinical Exercise Specialist.

In this episode, we are joined by Dr. Paul Sibley to discuss wide-awake surgical procedures in the upper extremity. He shares with us the various procedures he is performing, the benefits of wide-awake surgery and what we as hand therapists can expect when patients are referred to us following these procedures.Guest Bio: Dr. Paul A. Sibley is an orthopedist in Allentown, Penn. and is affiliated with multiple hospitals in the area, including Lehigh Valley Hospital-Cedar Crest and Lehigh Valley Health Network-Highland Avenue. He received his medical degree from A.T. Still University Kirksville College of Osteopathic Medicine and received his post-graduate training at Ohio University-Grandview Medical Center in Dayton, OH. He has many published research publications and has co-written chapters in Wide Awake Hand Surgery, Volumes 1 and 2.

On this episode, we are joined by Nate Short, a hand and upper extremity therapist who had an incredible opportunity to travel to Ukraine and provide education on upper extremity rehabilitation for Ukrainian therapists. He shares with us his experience of traveling to a country actively involved in conflict and how his team provided training on a variety of topics related to evaluation and treatment of upper extremity conditions while also navigating language barriers and other unique obstacles encountered when serving abroad. Guest bio: Nathan Short, PhD, OTD, CHT, FAOTA, is a Professor of Occupational Therapy at Abilene Christian University and practices at West Texas Rehab. He is the author of Functional Anatomy for Occupational Therapy and its companion text, OT Guide to Goniometry and MMT. Hand in Hand with Ukraine: https://handinhandukraine.org.uk

On this episode we are joined by Alex Mackenzie, an occupational therapist and certified hand therapist. We discuss flexor tendon rehabilitation, how things have changed over the years to optimize outcomes for our patients, how to progress patients through their rehabilitation, and important factors to consider when treating these injuries. Guest Bio: Alexandra MacKenzie OTR/L, CHT is the Clinical Lead at Hospital For Special Surgery and she serves on the board of the American Hand Therapy Foundation. Her clinical passions are brachial plexus/ nerve injuries, flexor tendon rehabilitation, and mentorship. She helped develop an AOTA-accredited hand therapy fellowship program at HSS and enjoys being the clinical mentor for that program. She has written chapters and presented nationally on a variety of hand therapy related topics. Global health and global healthcare education are interests of hers and she has participated in short-term medical missions to Guatemala, Honduras and Fiji.

This is a special two-for-one episode as we are joined by four guests to discuss the ASHT Leadership Committee and the Leadership Development Program. Juliet Steffe and Theresa Hallenen - the chair and vice chair of the Leadership Development Committee, respectively - share with us the work the committee is focused on and how the Leadership Development Program was designed and carried out to support emerging leaders in the field of hand and upper extremity therapy. We also have the opportunity to talk with Brooke Ochoa and Laura Carlos who were members of the first cohort of the Leadership Development Program. They share their experience participating in the program and how they plan to use the knowledge and experience they gained to work toward achieving their personal and professional goals. Guests:Laura L Carlos, MOT, OTR/L, CHT, CEAS I, is a bilingual Occupational Therapist and Certified Hand Therapist. Laura has been practicing since 2018. Laura currently works as a Level II therapist at UChicago Medicine hospital in the outpatient orthopedic clinic. Laura has been serving the southside of Chicago a little over a year and a half. Laura previously worked at Schwab Rehabilitation hospital in the outpatient setting with a mix caseload of neurological and orthopedic conditions. Laura helped co-create the DEI Media Literacy Committee at Schwab which looked to review and assess different types of media sources and hold discussions on how it impacts our roles/interactions with our fellow co-workers and the patients we serve. Laura is also a co-founder of DiversOTy Chicago Collective which is a local organization looking to support potential OT students/current OT students and practitioners of diverse backgrounds, increase awareness of the OT profession, and support Chicagoland communities. Laura is also an active member of the DEI committee at UChicago Medicine, and is serving on the community engagement subcommittee. Theresa Hallenen, DHSc, MS, OTR/L, CHT, is an Occupational Therapist and Certified Hand Therapist with over 10-years of experience. She works for the Duke University Health System as a senior OT and co-director of the Duke Hand Therapy Fellowship program. Theresa has worked with colleagues in orthopedic surgery and neurosurgery to establish a center of excellence dedicated to traumatic nerve injury. Besides her clinical work, Theresa is an instructor for the Duke Occupational Therapy Doctorate program. She has volunteered with ASHT and the leadership committee since 2020.Brooke Ochoa, OTR/L, CHT, works for Benchmark Physical Therapy in northeast Georgia. She is an active member of the American Society of Hand Therapists serving as Advocacy Committee chair of the Practice Division, presenting at the Atlanta Hand Therapy Review Course, and participating in the inaugural cohort of the Leadership Development Program. In addition to service with ASHT, Brooke enjoys mentoring students and new graduate occupational therapists. Her passions include promoting the specialty of hand therapy in her community and empowering occupational therapy students to pursue careers in hand therapy. In her free time, Brooke enjoys hiking, reading, and finding local restaurants to enjoy.Juliet Steffe, OTD, OTR/L, CHT, is the Director of Academic Fieldwork and Assistant Professor at the Auerbach School of Occupational Therapy at Spalding University. She also works as a hand therapist with Louisville Orthopedic Clinic. She graduated from the Medical College of Ohio in 1995 with a Master of Occupational Therapy. She worked for Shriners Hospitals for Children early in her career, gaining interest and experience in pediatric hand therapy. After moving to Atlanta, GA, in 2000, Juliet continued to build her pediatric hand therapy skills with Children's Healthcare of Atlanta. While

On this episode, we are joined by Lindsey Williams, an occupational therapist and Certified Hand Therapist. This is Lindsey's second time on the Hands in Motion podcast. On this episode, we discuss distal radius epiphysitis, commonly known as gymnast's wrist. Lindsey describes how this condition is diagnosed, initially treated, and what the return to sport rehabilitation looks like. Guest bio: Lindsey Williams OT, CHT is a pediatric occupational therapist and Certified Hand Therapist specializing in treatment of pediatric upper limb conditions including congenital anomalies, orthopedic conditions, and sports related injuries at Scottish Rite for Children in Dallas, TX. She received her Bachelor of Science in Therapeutic Recreation from Murray State University in 2005 and Master of Science in Occupational Therapy in 2008 from Spalding University. She became a Certified Hand Therapist in 2015. Prior to joining the Scottish Rite team, Lindsey began her career at Vanderbilt Children's Hospital where she worked with a multidisciplinary team to serve hand, rheumatology, and brachial plexus clinics.

On this episode, we are joined by Amy Lindsey, a physical therapist and Certified Hand Therapist who has lived the experience of being a patient in a hand therapy clinic. When she was a teenager, Amy was involved in an accident that left her with significant injuries to both of her hands. She spent extensive time working to regain functional use of her upper extremities and was inspired by her therapists to become a physical therapist and Certified Hand Therapist.Guest bio: Amy Lindsey, PT, CHT is a physical therapist and Certified Hand Therapist who works closely with patients with various upper extremity orthopedic injuries. She realized her dream of becoming a therapist in 1993 after being in a severe MVA and losing the use of both hands. Through a year of physical therapy and 13+ orthopedic and cosmetic surgeries to regain use of her hands, she developed a great understanding and empathy for the people who have gone through a traumatic injury. Amy received a Bachelor's degree in Exercise Science in 1999 and Masters of Physical Therapy in 2001 from Saint Louis University and has been working as a physical therapist specializing in the treatment of upper extremity injuries. She became a Certified Hand Therapist in 2007 and truly became a hand therapist with “first hand” experience. She decided to broaden her scope of practice and return to treatment of lower extremity injuries in 2015 after moving to Houston, TX while growing the hand therapy program in the Northeast Region for Memorial Hermann. Amy currently lives in Kingwood, TX and is a wife to husband of 23 years and mother to her 2 boys, ages 21 & 18. In her spare time, she enjoys gardening, lifting weights, walking/hiking, various outdoor activities and spending time with her family.

On this episode, we are joined by Corey McGee, an occupational therapist and Certified Hand Therapist who has dedicated a significant portion of his career researching first CMC osteoarthritis. He shares with us some of the latest therapy interventions and thought paradigms when addressing thumb osteoarthritis as well as what is on the horizon. Guest bio: Corey McGee, PhD, MS, OTR/L, CHT is an Associate Professor and Research Chair in the Department of Occupational Therapy at the University of Minnesota. There he studies hand therapy assessments and interventions for persons with hand osteoarthritis; teaches courses in orthotic fabrication, hand therapy practice, and anatomy and kinesiology; and mentors post-docs and PhD and OTD students. There he also serves as the academic coordinator for the MHealth-University of MN Hand Therapy Fellowship. Beyond this, Corey is an invited international speaker, the 2019 Nathalie Barr Lectureship Awardee, has received ASHT awards for best poster, best presentation, and best surgeon-therapist collaborative research project, and has been recognized as the Minnesota OT Association's “OT of the Year” and “Researcher of the Year”. Corey has served as an editorial board member of the Journal of Hand Therapy; an ASHT research division member; a grant reviewer for the American Hand Therapy Foundation; and a peer-reviewer for numerous rehabilitation, engineering, and surgery journals.

On this episode, we are joined by Peggy Faussett and Lindsey Williams, both occupational therapists and Certified Hand Therapists who are serving as the co-chairs for a new ASHT offering at this year's annual meeting - the Pediatric Specialty Day. They share with us what we can expect from this new offering, how the day will be set up, the educational content, and the networking opportunities.Guest bio: Mary “Peggy” Faussett, OTR, CHT received her Bachelor of Science in Exercise Science from Creighton University in Omaha, NE in 1999 and her Masters of Occupational Therapy from Chatham University in Pittsburgh, PA in 2001. She became a Certified Hand Therapist in 2012. She works at Children's Hospital Colorado (CHCO) as the Pediatric Hand Therapy Program Coordinator and Fellowship Coordinator in the department of Occupational Therapy. She and her team of eight CHTs and four pediatric OTs work with patients from new babies to young adults with upper extremity congenital, traumatic, and systemic conditions. Together, they provide hand therapy services in the NICU, in-patient, emergency room, operating room, out-patient clinics, and multidisciplinary clinics at multiple CHCO locations across Colorado. She has presented on topics related to pediatric hand therapy nationally and internationally. She serves locally on the board for the Denver Hand SIG and nationally for ASHT Education Division Pediatric Committee.Lindsey Williams, OT, CHT is a pediatric occupational therapist and Certified Hand Therapist specializing in the treatment of pediatric upper limb conditions including congenital anomalies, orthopedic conditions, and sports-related injuries at Scottish Rite for Children in Dallas, TX. She received her Bachelor of Science in Therapeutic Recreation from Murray State University in 2005 and Master of Science in Occupational Therapy in 2008 from Spalding University. She became a Certified Hand Therapist in 2015. Prior to joining the Scottish Rite team, Lindsey began her career at Vanderbilt Children's Hospital where she worked with a multidisciplinary team to serve hand, rheumatology, and brachial plexus clinics.

On this episode, we are joined by Brocha Stern, the 2024 ASHT Annual Meeting Committee Chair. She shares with us what we can expect at this year's annual meeting that will be held September 26-29 in St. Louis, Missouri.Guest bio: Brocha Z. Stern, PhD, OTR, CHT is the Chair of the 2024 ASHT Annual Meeting Committee. She is a Certified Hand Therapist who currently works as an orthopedic health services researcher at the Icahn School of Medicine at Mount Sinai in New York City. She is an active volunteer with multiple national societies.

On this episode, we are joined by Zack Sutton, a physical therapist and Certified Hand Therapist who is utilizing artificial intelligence in his clinical practice to increase efficiencies. He shares with us a variety of ways to implement AI in hand therapy and the various benefits of using AI in clinical practice.Guest bio: Zach Sutton, PT, DPT, MS, MBA, ATC, CHT is co-owner of McMinnville Physical Therapy, PLLC. Zach's current practice focuses on sports medicine with an emphasis on the upper extremity in an outpatient practice in McMinnville, TN. Zach is adjunct faculty at South College's Doctor of Physical Therapy Program and contributed to the chapter on the hand in Hertling and Kessler's 5th edition of Management of Common Musculoskeletal Disorders. At the 2022 Annual Meeting of the American Society of Hand Therapists, Zach presented on Current Concepts with Lateral Epicondylalgia. Most recently, at the American Physical Therapy Association's Tennessee Chapter this Spring, Zach presented “Merging Minds - Clinical Mastery Meets AI Advancements.”

On this episode of Hands in Motion, we are joined by Nora Barrett and Stephanie Kannas who are both hands therapists who are current Affiliate Directors on the board of the American Association for Hand Surgery. They share with us how therapists can become involved in AAHS and give us the inside scoop on the upcoming meeting that will be held in Hawaii in January 2025. Guest bio: Nora Barrett, OTR/L, CHT, WCCNora has been a practicing occupational therapist since 1998 and a Certified Hand Therapist since 2006. She spent her early career as an inpatient therapist at rehabilitation centers, acute care hospitals and burn units in Boston, MA and Washington, DC before focusing in outpatient hands in Washington, DC, Baltimore, MD and Bend, OR. Nora moved to Charlottesville, VA in 2021 and joined the Hand Therapy Team at the University of Virginia Physicians Group where she works in the Hand Center and in an outpatient hand therapy practice. She received her Wound Care Certification in 2020 and is an active member of the American Society of Hand Therapists (ASHT) and the American Association for Hand Surgery (AAHS). She lectures routinely in wound care, burn therapy, trauma and peripheral nerve injury for ASHT, AAHS and various universities across the country.Guest bio: Stephanie Kannas, OTD, OTR/L, CHTStephanie is the Director of the Occupational Therapy Fellowship Program, Coordinator of the Occupational Therapy Hand Fellowship Program and clinical lead occupational therapist in hand therapy at the Mayo Clinic in Rochester, MN. She is an assistant professor for the Mayo Clinic College of Medicine and Science. Stephanie serves on the AO North America Hand Education Committee and holds an Affiliate Member At Large position for the American Society of Hand Surgery. She received her baccalaureate degree in occupational therapy in 2000 from the University of St. Catherine in St. Paul, Minnesota. In 2016, she earned her post-professional doctoral degree in occupational therapy and successfully completed the hand therapy elective track from Rocky Mountain University of Health Professions in Provo, Utah. She is a Certified Hand Therapist. She has over 21 years of experience at the Mayo Clinic. The majority of her time has been focused on hand injuries varying from complex trauma cases while patients are hospitalized for outpatient therapy needs.

Welcome back to another episode of Hands in Motion. On this episode, we are joined by Kim Pace, an occupational therapist who specializes in industrial rehabilitation. Kim shares with us what her role is in returning clients back to their jobs after injury. We discuss how she evaluates clients and ensures that they are ready to return to their job, if modifications are necessary, or if another job might be more suitable based on their functional abilities. Welcome to Hands in Motion, Kim.Guest bio: Kimberly graduated from Wayne State University in Detroit, Michigan in 1982. She spent eight years practicing in psychiatric occupational therapy and then for the last 34 years she has been involved in a variety of aspects of industrial rehabilitation. Kim performs Functional Capacity Evaluations, work evaluations, job site visits, job site videos, job coaching, and pre-employment testing. Kim has been at her current job for 22 years and has the privilege of working with 15 hand and orthopedic specialists which are on-site at all clinics where therapy is provided. Kim is very involved with the Michigan Occupational Therapy Association and was appointed by the governor to serve on the State of Michigan Occupational Therapy Board for six years. Kim's passion is to make sure clients receive therapy that will help them achieve their goals so they can resume their previous level of activity.

On this episode, we are joined by Dr. Bryan Loeffler, an orthopedic surgeon who devotes a significant amount of his practice to treating patients who have experienced limb loss. He discusses with us the use of targeted muscle reinnervation, its indications, and how it has transformed care for patients to prevent pain and improve function. Guest bio:Dr. Loeffler specializes in the entire spectrum of hand and upper extremity disorders from the fingertips to the shoulder. He has a special interest in complex elbow conditions and peripheral nerve injuries. Dr. Loeffler has been awarded multiple research grants to fund various clinical studies as well as a basic science study on biologic solutions to improve rotator cuff healing. He has authored numerous book chapters and peer-reviewed articles on topics ranging from forearm injuries to shoulder and elbow replacement. Academic honors and achievements range from excellence in surgery to resident teaching award. He has also participated in two international medical missions, providing orthopaedic surgical care in underserved areas. Dr. Loeffler is a former NCAA Division I wrestler at the University of Maryland, and he remains active by running and spending time with his wife, Jennifer, and their three children.

On this episode, we are joined by Emily Hartnett, an occupational therapist and certified hand therapist who has turned her hobby of rock climbing into a specialty area of practice. She shares with us common injuries sustained by rock climbers and unique aspects of caring for this patient population. Guest bio:Emily Hartnett, OTD, MOTR/L, CHT graduated with her Bachelors of Health Science in 2017, her Masters of Occupational Therapy in 2019, and her Doctorate of Occupational Therapy with a focus on rock-climbers' injuries in 2022 from Quinnipiac University. Emily is an avid rock climber herself and has been specializing in treatment of the upper extremity since she received her OT license in February of 2019. Emily has combined her hobby and career to treat rock climbers; she has developed effective return to climb protocols and effective strategies, such as PRO (Pulley Ring Orthotic, patent pending) fabrication and application, to allow climbers to continue to climb while rehabilitating from injury.

On this episode, we are joined by Rob McClellan, our current ASHT Board Member at Large. Rob shares with us all of the benefits of being an ASHT member and a variety of ways to get involved in the organization. Welcome to Hands in Motion, Rob.Guest bio:Rob McClellan, OTR/L, CHT, COMT-UL has 23 years of experience working in hand and upper limb rehabilitation. He is an active member of the American Society of Hand Therapists serving on the Board of Directors as Board Member at Large, the Leadership Committee, and the Diversity, Equity, and Inclusion Committee. He is an active member of the American Association for Hand Surgery and is the Immediate Past President of the Georgia Hand and Upper Extremity Special Interest Group. He has had the opportunity to speak at previous ASHT Annual Conferences and the IFSSH/ IFSHT Triennial Congress in London. Rob is the Hand Program Coordinator for Physio/ Select Medical in Georgia

We are joined by Dr Brad Grunert, a psychologist who has worked for many years with patients who have sustained traumatic injuries to their upper extremity. He shares with the techniques that we can utilize in our hand therapy sessions to support the psychological needs of our patients and help them cope with their injury.Guest bio:Dr. Grunert is a Professor of Psychology in the Department of Plastic and Reconstructive Surgery at Medical College of Wisconsin. His areas of specialty include working with traumatically hand-injured patients, and he has published extensively in this area. He also has interests in psychogenic hand disorders and chronic pain disorders of the upper extremity. He is in his 47th year of practice and still enjoys the opportunity to assist patients in coping with the psychological residuals of hand injuries and their accompanying disability. Dr. Grunert is a fellow of Wisconsin Psychological Association and a member of the American Psychological Association.

On this episode, we are joined by Yeiddy Ferreira, an occupational therapist who is spending three months volunteering as a hand therapist with Mercy Ships in Sierra Leone, Africa. Yeiddy shares with us what life is like living on the ship and caring for patients who have undergone surgery to their upper extremity. Guest bio:Yeiddy L. Ferreira, OTR/L is originally from the Dominican Republic. She graduated from Mercy University in Dobbs Ferry, New York with a Masters in Occupational Therapy. She has always had a passion for hand therapy and began working in the field after she graduated in 2021. In 2022, she went on her first medical mission trip as a hand therapist in the Dominican Republic. After this experience, her passion for serving and helping others grew further. This is when she came across Mercy Ships and accepted a three-month commitment to serve as a hand therapist in Sierra Leone, Africa. When not taking care of patients on the ship, Yeiddy spends her time studying for the CHT Xxam which she plans to take in November 2024.

On this episode, we are joined by Ann Lucado, a physical therapist and Certified HandTherapist who led a team of clinicians to develop the clinical practice guideline, “LateralElbow Pain and Muscle Function Impairments.” Ann shares with us what a clinicalpractice guideline is and how they are developed, as well as the results of this guidelineand how therapists treating patients with lateral elbow pain can best utilize theevidence.Guest bio:Ann Lucado, PT, PhD, CHTAnn Lucado is a physical therapist and Certified Hand Therapist who has specialized inupper extremity and orthopedic rehabilitation for the past 30 years. She is an activemember of the APTA's Academy of Orthopedic Physical therapy and is currently servingas the Chair of the Research Committee and Coordinator of Clinical Practice GuidelineDevelopment for the Academy of Hand and Upper Extremity Physical Therapy. Shereceived her Master of Science in Community Health Education and Physical Therapyand received her PhD in research methodology and design in Physical Therapy. Dr.Lucado is currently an Associate Professor in the Doctor of Physical Therapy Programat Mercer University located in Atlanta, Georgia. She has conducted numerousinstructional seminars and is the author of several research articles related to elbowtendinopathies. She headed the Guideline Development group for the recentlypublished Clinical Practice Guideline related to Lateral Elbow Pain and Muscle FunctionImpairments in the Journal of Orthopedic and Sports Physical Therapy.https://www.linkedin.com/in/ann-lucado-6a656520/https://instagram.com/annlucado?igshid=NzZlODBkYWE4Ng%3D%3D&utm_sour

On this episode are joined by Alyssa Phillips, an occupational therapist who has spent a large majority of her clinical practice and research on how patients perceive pain and the relationship between psychological factors and pain. On this episode, she shares with us the importance of recognizing how psychological factors can have an effect on our patient's recovery. She also shares strategies for maximizing our patient's functional outcomes while addressing their pain. Guest bio:Alyssa L. Phillips, CScD, MOT, OTR/LAlyssa graduated from Saint Francis University with her Masters of Occupational therapy and later with her Doctorate in Clinical Science from the University of Pittsburgh, focusing on adolescent pain management. Alyssa brings a unique background with an undergraduate degree in psychology to her practice as an occupational therapist. For the last six years, she has worked in a variety of clinical settings including: upper extremity, chronic pain, neurological, work & industry, and pediatrics. Currently, Alyssa is the Clinical Education Coordinator and an assistant professor at Pacific University.

On this episode we are joined by our first repeat guest, Jim Wagner. Jim is an occupational therapist and Certified Hand Therapist who also has a background in strength training and conditioning. He shares with us how to implement strength and conditioning in our hand therapy practices and why it's important for our patients. Jim Wagner OTD, OTR/L, CHT, CPAM, CSCSDr. Wagner is an occupational therapist/Certified Hand Therapist with 28 years of clinical experience working in the upper extremity orthopedic setting. He received his post professional clinical doctorate from Rocky Mountain University of Health Professions with a specialty in hand therapy. Dr. Wagner is credentialed in physical agent modalities and is a certified strength and conditioning specialist. Jim is currently the team leader of the Guthrie Hand Center and is an adjunct professor at both Keuka and Ithaca College occupational therapy programs. Jim has been involved in competitive powerlifting/bodybuilding for 35 year and has been in 28 competitions. He has traveled extensively teaching on topics such as kinesiology taping, cupping, instrument-assisted soft tissue mobility, orthotic fabrication and blood flow restriction training. Jim is a member of the American Society of Hand Therapists. He has been published in the practice forum section of the Journal of Hand Therapy and serves on the Education Division of the ASHT.Article Links:Comparison of blood flow restriction devices and their effect on quadriceps muscle activation. https://doi.org/10.1016/j.ptsp.2021.02.005Practical Blood Flow Restriction Training Increases Acute Determinants of Hypertrophy Without Increasing Indices of Muscle Damage.https://journals.lww.com/nsca-jscr/Fulltext/2013/11000/Practical_Blood_Flow_Restriction_Training.20.aspxBlood Flow Restriction Training: Implementation into Clinical Practice.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5609669/Differences in the limb blood flow between two types of blood flow restriction cuffs: A pilot study. https://www.frontiersin.org/articles/10.3389/fphys.2022.931270/full

On this episode we are joined by Julianne Howell, a physical therapist and certified hand therapist who has contributed significantly to the field of hand and upper extremity therapy through publications and teaching of the use of relative motion orthoses. We discuss the concept of relative motion and how this was initially used in treating extensor tendon repairs but now is being utilized for protection, assessment, exercise, and adaptive techniques. We also explore a variety of diagnoses and instances where patients might benefit from a relative motion extension or flexion orthosis. Guest: Julianne W Howell, PT, MS, CHTJulie has enjoyed being a physical therapist, with more than 40 years of her career dedicated to the management of the upper limb and hand. Practice sites have varied from the Midwest and to the west to east coasts in acute hospitals, an adult burn center, as owner of a private hand therapy practice, development of two corporate hand centers and as a private consultant. She has had the great fortune to work side by side with hand surgeons and therapists who have influenced her approach to patient care as well as the science of hand surgery and hand therapy. Julie has strived to be a lifetime learner, provide valued patient care, and to be a good mentor and colleague. Early in her career, she set a personal goal to routinely contribute to the science of hand therapy. She now has over 20 peer-reviewed publications and 15 book chapters and articles. Julie has participated in countless professional seminars and is proud of her service to AAHS, ASHT, IFSHT, Journal of Hand Therapy, Hand, and Techniques in Hand and Upper Extremity Surgery. She has been honored to receive the AAHS Vargas Teaching Award, ASHT RL Petzoldt Award for best innovative research, ASHT Best Clinical Research paper, the Journal of Physical Therapy Jack Walker Award for best clinical practice manuscript and most downloaded IFSHT presentation. She has had the great honor to be awarded Philadelphia's Honored Professorship and Invited Speaker for the New Zealand, Dutch, Canadian and Malaysian Hand Therapy Societies. Co-editing the 2023 Journal of Hand Therapy relative motion special issue was also a very satisfying achievement for Julie!Julie feels very fortunate to have collaborated with many colleagues over the years, especially Wyndell Merritt, MD, FACS and Melissa Hirth, BOT, MSc, PhD. Together they have made an evidence-based global impact concerning the relative motion concept and orthoses.

We are just weeks away from gathering in San Antonio, Texas for the 46th ASHT Annual Meeting. If you haven't signed up yet to attend either in person or virtually, this episode might give you the little push you need to register. We are joined by Missy Thurlow, this year's annual meeting chair. She shares with us what we can expect at the meeting during the plenary sessions, the concurrent sessions, and of course the social and networking opportunities. Guest bio:Missy Cathcart Thurlow, MBA, OTR/L, CHT works in Atlanta, Georgia for Peachtree Orthopedics. She has been an occupational therapist for 42 years and graduated from the University of Texas Medical Branch in Galveston, Texas in 1981. Missy is currently the ASHT Annual Meeting Chair and also works closely with the Georgia Hand and Upper Extremity Special Interest Group. Previously, she has given many years to serving on the ASHT board of directors and loves working with other therapists by providing great education. Missy is a fieldwork instructor and loves to teach students about hand and upper extremity rehabilitation.

On this episode, we are joined by Judy Colditz. Judy is an occupational therapist and Certified Hand Therapist who has contributed to the field of hand and upper extremity therapy for a number of years through sharing her knowledge. She has published journal articles, written book chapters, and provided educational offerings on a variety of hand therapy topics. On this episode, Judy shares with us a concept for treating stiff hands that she developed called Casting Motion to Mobilize Stiffness. We discuss how this concept came to be and how we can apply this technique in our clinical practice.Guest: Judy Colditz, OT/L, CHT, FAOTA

On this episode, we are joined by Sarah Tuberty, OTD, OTR/L, an occupational therapist who, through her own lived experience of being born with a limb difference, is helping to increase visibility and inclusion of the limb difference community. She shares with us how the language around limb differences has evolved and how we as therapists can create a supportive network for patient and families as they navigate the limb difference community.Guest Bio:Sarah Tuberty, OTD, OTR/L, has the lived experience of a congenital hand difference, meaning she was born without fingers on her left hand and was a patient of the Shriners Hospital for Children – Northern California. Her life has been a journey of adaptation and understanding of the disability experience. She earned her Doctorate of Occupational Therapy from Boston University. Partnering with her hand surgeon, Michelle James, MD, Sarah developed the Congenital Hand Differences Resource website, which is an online resource for parents of children with hand differences. Sarah sought to continue to make accessible resources for parents and partnered with co-author, Nina Lightdale-Miric, MD to write The Hand Book: An Informational Guide for Parents of Children with Hand Differences. This book is recently published by ASSH and funded by AFSH. Sarah's particular interests surround the social and emotional aspects of growing up with physical differences. Her work includes co-founding and co-hosting Disarming Disability, a podcast on deconstructing the social construct on disability and an author of Super-Abled Comics, featuring six short stories of superheroes with limb differences written by authors who have limb differences. She is ecstatic to level up her work, and has just completed her first year in an OT PhD program at Texas Womans University. Sarah works to provide consulting services on disability related topics, modeling, and has presented at multiple events on topics around inclusion, disability stigma, and lived experience with a congenital hand difference. All of these efforts are to create a true and positive narrative of disability, where we can all be proud of who we are, what our bodies look like, and how they move.

On this episode we are joined by Greg Johnson. In 2017 Greg was involved in an accident and sustained amputations of his long, ring and small fingers of his right hand. After his injury his goal was to restore his independence, and he found that through the use of a variety of prosthetics. Greg shares with us his experience of learning to use a variety of prostheses that have allowed him to return to work and the other activities that are meaningful to him. Guest Bio:Greg Johnson entered the United States Navy in 1985 as an advanced electronic technician. He was deployed three times to the Persian Gulf, Mediterranean and North Atlantic. He was part of the first responders to the TWA Flight 800 plane crash, driving for 43 days recovering victims and wreckage. PO Johnson was selected as the 1999 Chief of Naval Operations Shore Sailor of the Year and was transferred to Washington, DC as a Special Assistant to the CNO. He was promoted in 2000 and was deployed twice as an Officer in Charge to the Persian Gulf and Afghanistan. From 2004-2007, he was stationed in Guam where he served as the Readiness and Training department head. In 2007, he transferred to Naval Explosive Ordinance Disposal Technology Division, serving as the Readiness and Training Officer and Officer in Charge of the Foreign Material Acquisition Platoon. After 26 years in the Navy, he retired in November 2010 and worked as a government service employee as the Foreign Material Acquisition team lead. While in this role, he was deployed to Iraq and Afghanistan three times. While working overseas, Mr. Johnson was wounded by improvised homemade explosive devices resulting in the loss of fingers on his right hand and numerous shrapnel wounds throughout his body.

On this episode, we are joined by Dwight Putnam, a certified prosthetist who works at a pediatric hospital in Texas. He brings a unique perspective to his job as a prosthetist as he previously worked as a professional sculptor. In his job, Dwight works with kids born with congenital hand differences and he builds terminal devices that allow them to participate in the activities that are meaningful to them.Guest bio:Dwight Putnam, CP/LP, graduated from Austin College with a degree in art with an emphasis in sculpture. He worked as a professional sculptor building works of art for casinos, museums, zoos and retail companies around the globe before an opportunity arose to fabricate silicone appliances for the face, hands, and feet. It was then that he saw how his background in sculpture could help change people's lives so he returned to school to become a prosthetist.Dwight graduated from California State University and completed his prosthetics residency at Texas Scottish Rite Hospital for Children. After completing his residency in 2007, he joined the staff at Scottish Rite as a certified prosthetist and has been there ever since. He designs both upper and lower extremity prosthetics for pediatric patients.

On this episode, we are joined by Haley Van Escobar, an occupational therapist and Certified Hand Therapist who serves in a unique role as a consultant for a prosthetics company. Haley shares with us how she transitioned into this role and how a hand therapist is vital to a multidisciplinary team when addressing partial hand amputations. Guest Bio:Haley Van Escobar, MOTR/L, CHT is a certified hand therapist with a master's degree in Occupational Therapy and more than a decade of experience caring for the upper extremity. She is excited about innovation, great clinical skills, and the ‘why' we do what we do. Haley provides hand therapy consultation for Naked Prosthetics, the leading manufacturer of partial-hand prosthetics. In this role, constant collaboration with a team of a variety of healthcare professionals allows Haley to get people back to life through prosthetic intervention. Inspired by great clinical outcomes and relationships, Haley works to advance the practice of hand therapy through creating top-tier educational events and workshops, approved for credit by AOTA which can be found on her website. Haley is a contributor to Hand and Upper Extremity Rehabilitation, 4th edition, serves as project lead for the ASHT Education Division, and serves on AAHS's Education Committee.

On this episode, we are joined by Danielle Sparks, an occupational therapist and Certified Hand Therapist who currently serves as the Director of ASHT's Practice Division. Danielle gives us the inside scoop on the Practice Division and how ASHT, along with our legislative consultants, advocates for our profession and how you can get involved as well. Guest Bio:Danielle Sparks, DHS, MOT, OTR, CHT is the Director of Therapy at the Indiana Hand to Shoulder Center in Indianapolis, IN. She has been an occupational therapist since 2009 and a Certified Hand Therapist since 2015. Danielle received her post-professional doctorate in 2018 at the University of Indianapolis. She is the current Practice Division Director for ASHT and has been a member of the Practice Division since 2017. Danielle is passionate about patient care and advocating for our profession.

On this episode, we are joined by Karen Roeming, an occupational therapist and certified hand therapist who has a servant's heart and a special place in her heart for the people of Sierra Leone, Africa. Karen shares with us about a recent mission trip she organized to Sierra Leone to help survivors of a gas explosion that occurred in 2021. We discuss the challenges of providing medical care in an underdeveloped country and how the team used their creative therapist minds to treat the burn survivors.Guest Bio:Karen Roeming, OT, MA, CHT is the Director of Occupational Therapy at Colleyville Physical Therapy in Colleyville, Texas. She graduated from the University of Missouri in Columbia with a Bachelor of Arts in Occupational Therapy and then received a Master of Arts in Occupational Therapy from Texas Woman's University. Karen has served on the Board of Directors and the Annual Meeting Committee for the American Society of Hand Therapists. She has also served as President and Education Chair for the Texas Society for Hand Therapy and is a co-founder of the DFW Hand Society. Karen has been a speaker at national, state, and local hand therapy society and occupational therapy educational meetings. Karen is a repeat missioner to Bo, Sierra Leone, Africa. She started the Run for Rescue 5K and 1-mile event in 2010 and directed the Sponsor-a-Child program for the Child Rescue Center in Sierra Leone.

On this episode, we are joined by Stephanie Kannas, an occupational therapist and certified hand therapist who has taken a special interest in treating patients who have sustained traumatic brachial plexus injuries. Stephanie discusses the mechanism of injury, common surgical procedures, and the role of upper extremity therapists in restoring function for these patients. If you have questions or would like to use Stephanie as a resource, her contact email is kannas.stephanie@mayo.edu. Guest Bio:Stephanie Kannas, OTD, OTR/L, CHT, is the Director of the Occupational TherapyFellowship Program, Coordinator of the Occupational Therapy Hand Fellowship Program and clinical lead occupational therapist in hand therapy at Mayo Clinic, Rochester, MN. She is an assistant professor for the Mayo Clinic College of Medicine and Science. Stephanie serves on the AO North America Hand Education Committee and holds an Affiliate Member At Large position for the American Society of Hand Surgery. Stephanie received her baccalaureate degree in occupational therapy in 2000 from theUniversity of St. Catherine in St. Paul, Minnesota. In 2016, she earned her post-professional doctoral degree in occupational therapy and successfully completed the hand therapy elective track from Rocky Mountain University of Health Professions in Provo, Utah. She is a Certified Hand Therapist. She has over 21 years of experience at Mayo Clinic. The majority of her time has been focused on hand injuries varying from complex trauma cases while patients are hospitalized to outpatient therapy needs.

On this episode we are joined by Patti Sharp, an occupational therapist who has spent several years working with pediatric patients who have sustained burn injuries. Patti discusses the role of occupational and physical therapy in a burn unit, what makes treating children different, and strategies for treating this population who have sustained life-altering burn injuries. Guest Bio:Patti Sharp, OTD, MS, OTR/L, BCP, is a pediatric occupational therapist with Cincinnati Children's Hospital Medical Center (CCHMC) in Ohio. She earned her Master's in OT at Washington University and OTD at Rocky Mountain University of Health Professions and has over 20 years of pediatric experience. She has specialized in burns and neurorehabilitation, but now focuses on enhancing care in the developmental world. She co-leads the Developmental Coordination Disorder team at CCHMC and is a certified Cognitive Orientation to daily Occupational Performance (CO-OP) therapist and trainer.

In this episode, we discuss pediatric joint hypermobility with Carrie Shotwell, an occupational therapist who works at Cincinnati Children's Hospital. She has an extensive history working with children and teenagers who experience hypermobility in their joints which can significantly impact their everyday lives. She shares tips and tricks for assessing and treating these children affected by this diagnosis, how to get both the kids and their parents to buy in, and how we as therapists can support then on their lifetime journey of living with hypermobile joints. Guest Bio: Carrie Shotwell is an occupational therapist at Cincinnati Children's hospital. She works in outpatient therapy as well as in several clinics including pediatric rheumatology, orthopedic and plastics, CP, and EB. Her primary caseload is pediatric hand therapy, including many people with hypermobility spectrum disorder. She is currently helping to update and revise the Cincinnati Children's Clinical Practice Guideline for joint hypermobility.

On this episode we are joined by Jim Wagner, OTD, OTR/L, CHT, CPAM, CSCS, to discuss blood flow restriction and its application to upper extremity rehab. Jim discusses the science behind blood flow restriction, how it can be utilized in the rehab setting, and how it can benefit patients. Article Links:Comparison of blood flow restriction devices and their effect on quadriceps muscle activation. https://doi.org/10.1016/j.ptsp.2021.02.005Practical Blood Flow Restriction Training Increases Acute Determinants of Hypertrophy Without Increasing Indices of Muscle Damage.https://journals.lww.com/nsca-jscr/Fulltext/2013/11000/Practical_Blood_Flow_Restriction_Training.20.aspxBlood Flow Restriction Training: Implementation into Clinical Practice.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5609669/Differences in the limb blood flow between two types of blood flow restriction cuffs: A pilot study. https://www.frontiersin.org/articles/10.3389/fphys.2022.931270/fullGuest Bio:Dr. Wagner, OTD, OTR/L, CHT, CPAM, CSCS, is an occupational therapist and certified hand therapist with 28 years of clinical experience working in the upper extremity orthopedic setting. He received his post professional clinical doctorate from Rocky Mountain University of Health Professions with a specialty in hand therapy. Dr. Wagner is credentialed in physical agent modalities and is a certified strength and conditioning specialist. Jim is currently the team leader of the Guthrie Hand Center and is an adjunct professor at both Keuka and Ithaca College occupational therapy programs. He has been involved in competitive powerlifting/bodybuilding for 35 year and has participated in 28 competitions. Jim has traveled extensively teaching on topics such as kinesiology taping, cupping, instrument assisted soft tissue mobility, orthotic fabrication, and blood flow restriction training. Jim is a member of the American Society of Hand Therapists (ASHT). He has been published in the practice forum section of the Journal of Hand Therapy and serves on the Education Division of the ASHT.

On this episode, we are joined by Ann Porretto-Loerhke, PT, DPT, CHT, COMT, CMTPT to discuss joint mobilizations for the elbow. She recently presented a webinar for ASHT on this very topic so if you did not catch that episode, we will give you a sneak peek on some of the information discussed in the webinar as well as some other tips and tricks on treating the elbow. Wanting to know more? Check out her webinar in ASHT's webinar library at: https://education.asht.org   Guest Bio: dss Ann has been a practicing physical therapist since 1994 and CHT since 2002. Since obtaining her manual therapy certification in 2003, Ann has utilized her background in differential diagnostics to create engaging clinical content for hand therapists to become more efficient clinicians. This is illustrated in the “Clinical Manual Assessment of the Wrist” published in the 2016 Special Edition on the Wrist in the Journal of Hand Therapy and Chapter 55: “Therapist Management of Compression Neuropathies of the Elbow” in the most recent edition of the Rehabilitation of the Hand. She possesses a passion for learning and clinical teaching. Ann is the Clinical Development Coordinator at the Hand to Shoulder Center in Appleton, Wisconsin. She serves on the ASHT Awards Committee and enjoys teaching and sharing her knowledge both through in-person courses and online. 

We are honored to be joined by Buddy Valastro and Deana Swanson, OT/L, CHT, a fantastic patient-therapist combo. Two years ago Buddy suffered a severe injury to his right hand in an accident at home and has undergone multiple surgeries and hours of therapy in order to return to work in his family business, Carlo's Bakery. On this episode, he and his hand therapist discuss his injury and how they worked together to get Buddy back to what her loves.     Guest Bios:  Deana Swanson, MS, OTR/L, CHT Deana Swanson, MS, OTR/L, CHT received her Master's in Occupational Therapy in 2009 from Quinnipiac University. Following graduation, she began her training in hand and upper extremity therapy, treating trauma cases, repetitive stress injuries, post-op cases, and fractures.   In 2014, Deana became a Certified Hand Therapist and continued to treat trauma cases along with musicians from the New York Philharmonic. In 2021, Deana appeared with Buddy Valastro on TLC & #39's December special, Buddy Valastro: Road to Recovery.   Currently, Deana is working as a hand therapist. Additionally, she conducts lectures and mentors staff and students from various colleges. Outside of work, Deana enjoys running, dancing, weightlifting, traveling, reading and spending time with her family   Buddy Valastro Celebrity baker Buddy Valastro, a pioneer of the custom cake movement, has accomplished an insurmountable amount of influence through his work with the long-standing family business Carlo's Bakery and the hit TLC series Cake Boss. With four New York Times best-selling books, four hit television shows and a following of more than 20 million social media fans internationally, Valastro continually establishes himself as a powerhouse in the culinary field.   Established in 1910, Carlo's Bakery is a family-owned business with 12 locations nationally and numerous Cake ATM locations in North America. In 2013 Valastro, along with renowned restaurateurs Elizabeth Blau and Kim Canteenwalla, opened Buddy V's Ristorante at the Venetian Las Vegas focusing on the savory side of the Valastro family with dishes passed down from generation to generation. In 2020, Valastro opened his first pizzeria on the Las Vegas Strip, PizzaCake, at Harrah's Las Vegas Hotel & Casino, celebrating his love of both pizza and cake. 2022 has already been an exciting year for Valastro with the opening of The Boss Café and Jersey Eats at The LINQ Hotel + Experience, both of which focus on casual, grab-and-go Italian favorites. Valastro's success continues to expand with additional concepts and locations of existing favorites and a growing e-commerce business on the horizon.    For additional information on Buddy Valastro, please visit http://www.carlosbakery.com/ (www.carlosbakery.com) or follow @buddyvalastro on Instagram, Facebook and TikTok or @cakebossbuddy on Twitter.

The ASHT Annual Meeting is right around the corner and today we are joined by Kim Kraft, PT, DPT, CHT, the 2022 Annual Meeting Program Chair. If you have not had the opportunity to attend the meeting in person, this year will be the year to come. Kim gives us the inside scoop on what to expect at this year's meeting: the pre-conference presentations; how the plenary sessions and concurrent sessions work; and even opportunities to network with other therapists. If you cannot join us - no worries! The hybrid option has returned again this year. Kim and her team have put a lot of hard work into this year's meeting and you do not want to miss it! Guest Bio: Since graduate school in Atlanta GA (Emory University), Kim has pursued interest in shoulders leading to a gratifying 26-year (and counting) career in upper extremity rehabilitation. Life adventures with college sweetheart Peter and daughter Gabrielle have led to clinical practice in New Jersey, Indiana and currently Oregon. Hiking, skiing, snowshoeing, kayaking and stand-up paddle boarding yield opportunities for reflection and enjoying the spiritual beauty of nature in the Pacific Northwest. Kim currently serves as the ASHT 2022 Annual Meeting Chair and Board Member-at-Large.  

On this episode, we are joined by James Northcutt, an occupational therapist and certified hand therapist, to discuss brachial plexus birth injuries. James is the coordinator of the brachial plexus program at Texas Children's Hospital in Houston. We discuss several aspects of this diagnosis from evaluation at birth or soon after, how to address the needs of these children, and some of the interventions these kids might receive to address their impairments. He also gives us some great therapy treatment ideas and how to help these children from infancy to adulthood.   Guest Bio: My career began in adult hand at Bay Area Rehabilitation Center in Baytown and after two years I applied for a position at Shriners Hospital despite not having the credentials they were seeking. Shriners took a chance on me, and I fell in love with caring for tiny humans. Five years in to practice I was given the opportunity to serve as the brachial plexus clinic coordinator and hand therapist at Texas Children's Hospital, a role I've been in for five years.  I am an adjunct professor for the Doctor of Physical Therapy Program at Texas Woman's University lecturing on brachial plexus birth palsy, anatomy of the upper extremity and helping out in the cadaver lab. Special interests include innovation in care through a collaboration with the Engineering Program at Rice University and custom orthosis design for pediatric patients.   I enjoy woodworking and building lamps out of antique appliances when time allows, and my weekends are filled with family activities. I am honored to be considered for the ASHT podcast and hope to give back to the profession that has given me so much joy. I am married to my beautiful and brilliant wife Leah, who is the greater of two therapists in our home. We have two crazy boys Isaac (3) and Evan (1) who keep us on our toes and are responsible for most of my gray hair.

Kris Valdes is an occupational therapist and certified hand therapist who has made extensive contributions to the hand and upper extremity profession. She is also a past president of ASHT. Kris has a widespread knowledge of treatment of distal radius fractures, specifically looking at proprioceptive input. In this episode, she defines that for us and gives helpful information on how to assess this in your patients as well as how to address it to ensure optimal rehabilitation.   Referenced material: https://www.jhandtherapy.org/article/S0894-1130(15)00185-4/fulltext (Rehabilitation strategies for wrist sensorimotor control impairment: From theory to practice)Journal of Hand TherapyVol. 29Issue 2p154–165Published online: December 11, 2015 ·      Christos Karagiannopoulos ·      Susan Michlovitz   https://www.jhandtherapy.org/article/S0894-1130(13)00044-6/fulltext (A descriptive study on wrist and hand sensori-motor impairment and function following distal radius fracture intervention)Journal of Hand TherapyVol. 26Issue 3p204–215Published online: April 29, 2013 ·      Christos Karagiannopoulos ·      Michael Sitler ·      Susan Michlovitz ·      Ryan Tierney   Guest Bio: Kristin Valdes OTD, OT, CHT, is an associate professor at Touro University in Henderson, Nevada. She is a past president of the American Society of Hand Therapists. She was in private practice for over thirty years and specialized in the treatment and rehabilitation of the upper extremity. Kristin has published over seventy peer-reviewed studies. Dr. Valdes received her OTD degree with a specialization in hand rehabilitation from Rocky Mountain University of Health Care Professions in Provo, Utah

We are joined by Gayle Severance and Danielle Zook, both occupational therapists and Certified Hand Therapists with Penn Good Shepherd in Philadelphia, Pennsylvania. They are no strangers to treating patients who have sustained complex traumatic injuries and they share their wisdom with us. They share tips on how to prioritize your evaluation and treatment sessions to maximize outcomes and provide some great advice on how to be an advocate for your patient.   Guest Bios Gayle Severance, MS, OT/L, CHT Gayle Severance MS, OT/L, CHT received her Occupational Therapy degree from Tufts University in 2000 and a certificate in Hand and Upper Extremity Rehabilitation from Drexel University in 2004. Gayle practices in Philadelphia, Pennsylvania and is the Hand Therapy Team Leader for Good Shepherd Penn Partners, the official rehab provider for Penn Medicine. Her expertise is in the area of elbows, wrists and hands. She helped develop the therapy program for Penn's Hand and Upper Extremity Transplant Program and serves as the lead therapist. Gayle is an active member of the American Society of Hand Therapists, the American Association of Hand Surgery and the American Society for Surgery of the Hand. In 2014 She has participated in international medical missions including her travel to Kumasi, Ghana as the AAHS Vargas Award recipient. She continued to support the site as co-project director for Health Volunteers Overseas until 2017. She has published on the subject of hand therapy and presents at conferences on the international, national and local level. Team Lead Occupational Therapist Specialties Musculoskeletal Hand, Wrist and Elbow   Danielle Zook OTD, MOT, OTR/L, CHT Danielle is an Occupational Therapist and Certified Hand Therapist with over eight years of experience treating upper extremity diagnoses. She recently completed her Post-Professional Occupational Therapy Doctorate, specializing in Teaching and Learning, at the University of St. Augustine for Health Sciences. Her expertise is in the evaluation and treatment of the hand, wrist, and elbow. Danielle has assisted in teaching the American Society of Hand Therapists Hands-on Orthotics Course, and has served as adjunct faculty at the University of the Sciences teaching a hand therapy course. She has also acted as a lab assistant and provided guest lectures at local Occupational Therapy programs on hand therapy interventions, ergonomics, functional movement analysis, and thermal agent modalities. Danielle is a member of the American Society of Hand Therapists as well as the American Association for Hand Surgery. She has been published on the evaluation and treatment of complex trauma in the upper extremity.

On this episode, Jill Yanick, OTR/L, CHT joins us to discuss a variety of tools that you might have in your toolbox or may be interested in adding. We discuss utilizing cupping/myofascial release and instrument-assisted soft tissue mobilization. We also discuss an introduction to blood flow restriction for the upper extremity, dry needling and taping. Jill offers us some great thoughts on how these tools can be an adjunct in your clinical practice. Guest Bio: Jill is an OT/CHT currently working for ProFlex Physical Therapy in Maryland where she serves as the Director of Education and Clinical Competency. Jill currently serves on ASHT's Education Division as the Mentoring Program Liaison in addition to lecturing for the UE Institute. She has a strong passion for mentorship and clinical education as a means to help grow the profession of hand therapy  

On this episode we are joined by Marty Walsh, OTR/L, CHT, the executive director of the Hand Therapy Certification Commission. Marty answers all of our questions about the Certified Hand Therapy Exam and gives some great insight as to how the questions are developed and how HTCC ensures that the designation of CHT maintains its high level of respect.  Guest Bio: Martin Walsh, OTR/L, CHT became the Executive Director of the Hand Therapy Certification Commission (HTCC) in 2013. He joined the HTCC staff in 2004 as the Manager of Examination Services. He has been involved with HTCC as a volunteer since 1998, serving several terms as an item writer and then as an item writer mentor. Marty was appointed to the Examination Committee and Disciplinary Review Committee in 2002 and has been actively involved in all aspects of examination development. A Certified Hand Therapist since 1992, Marty received most of his training and experience in hand therapy at Davies Medical Center in San Francisco, working with the microsurgeons and therapists at Davies Medical Center. He continues to have a passion for the treatment of patients with traumatic injuries to the hand and enjoys sharing his knowledge with others. Marty has lectured both at home and abroad on the topic of complex injuries to the hand. Marty has also volunteered his time working with patients and teaching therapists in South America. He has traveled to Colombia, Bolivia and Peru and has been active with the organization Resurge. In 2010 Marty received the Paul Brand Award of Professional Excellence from the American Society of Hand Therapists.

On this episode of Hands in Motion we are joined by Mia Erickson, PT, CHT, EdD and Marsha Lawrence, PT, DPT, CHT - both physical therapists and certified hand therapists - to discuss knowledge translation. We discuss what it is, how it is different from evidence-based practice and how it currently and will continue to effect treatment in hand therapy.      Reference Links CPG's 1. AAOS Quality Programs and Guidelines: https://www.aaos.org/quality/quality-programs/upper-extremity-programs/ (https://www.aaos.org/quality/quality-programs/upper-extremity-programs/) 1. AOTA Evidence Based Practice Resources (includes systematic reviews, critically appraised topics, practice guidelines, evidence infographics): https://www.aota.org/advocacy/advocacy-news/2022/~/link.aspx?_id=A23190F777B84A0FB7B8EA162F954B1C&_z=z (AOTA EBP Resources) 2. APTA Clinical Practice Guidelines: https://www.apta.org/patient-care/evidence-based-practice-resources/cpgs/cpg-development/published-cpgs (List of published CPG's) 3. APTA Evidence Based Practice Resources: (includes tests and measures, clinical summaries, interventions and link to CPG's in progress) https://www.apta.org/patient-care/evidence-based-practice-resources (APTA EBP Resources) 4. Choose Wisely: https://www.choosingwisely.org/clinician-lists/ (Choose Wisely Clinician List) 5. Choose Wisely: https://www.choosingwisely.org/patient-resources/ (Choose Wisely patient list) 6. ECRI Guidelines Trust: https://guidelines.ecri.org/ (https://guidelines.ecri.org/) 7. JOSPT Published CPG list: https://www.jospt.org/topic/clinpracguide?code=jospt-site (https://www.jospt.org/topic/clinpracguide?code=jospt-site)   Guest Bio: Marsha Lawrence has been a PT for over 40 years, a CHT since 1991 and earned her DPT in 2019. She has practiced hand rehabilitation in a variety of settings on the East Coast and in the Midwest. She served on ASHT's Board of Directors as the Practice Division Director and as a Board Member at-Large. She presently serves as the Practice Affairs Coordinator for the APTA Academy of Hand and Upper Extremity, their Chief Delegate to the APTA's House of Delegates, the Federal Affairs Liaison for the Academy, serves on APTA's Public Policy and Advocacy Committee and on the Board of Directors for the American Hand Therapy Foundation.

Happy Occupational Therapy Month to all of our OT listeners! On this episode, we are joined by Parker Gregory, OTR/L, CHT, an occupational therapist and certified hand therapist, and Dillon Pittman, COTA, a certified occupational therapy assistant. We discuss the role of a COTA in a hand therapy practice, the collaborative relationship between an OT and COTA and the process of bridging from being a COTA to an occupational therapist.  Guest Bio: Parker Gregory is an occupational therapist and a certified hand therapist. He graduated from the University of Mississippi Medical Center in 2014 and has been practicing in outpatient hand therapy for the last eight years, serving as clinic director in multiple clinics much of that time. He is currently practicing hand therapy with Crossroads Rehabilitation in North Mississippi. Parker has special interests and/or certifications in Dry Needling, Impairment Rating Recommendations, orthosis fabrication and wound care. Additionally, he is the founder and co-owner of The Upper Hand, LLC, a social media brand that aims to educate students and therapists alike about all things OT and all things hand.      Dillon Pittman is an occupational therapy assistant (OTA). He graduated from the OTA program at Itawamba Community College in 2016 and is currently pursuing his Master of Science in occupational therapy from Belmont University in Nashville, TN. Dillon has practiced in outpatient hand therapy for five years and is currently on staff at Crossroads Rehabilitation in North Mississippi. Aside from orthopedics, his areas of special interest are pediatrics, mental health and OT in the community. In addition to his clinic time at Crossroads, Dillon films and edits content for The Upper Hand LLC, a YouTube channel and social media brand that he co-founded with Parker Gregory in 2020. He also serves as an active member of the OTA advisory board at Itawamba Community College.