Hands In Motion

American Society of Hand Therapists (ASHT)

The Hands in Motion podcast will be dynamic discussions with a variety of guests. There will be interviews with a variety of professionals about current treatment trends, hot topics in hand and upper extremity rehabilitation, current evidence, case studies, alternative treatment areas, and more. There will also be a variety of guests including consumers and content experts on current trends and issues. read less

Traumatic Injuries of the Brachial Plexus with Stephanie Kannas, OTD, OTR/L, CHT
Jan 17 2023
Traumatic Injuries of the Brachial Plexus with Stephanie Kannas, OTD, OTR/L, CHT
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.
Blood Flow Restriction with Jim Wagner, OTD, OTR/L, CHT, CPAM, CSCS
Nov 7 2022
Blood Flow Restriction with Jim Wagner, OTD, OTR/L, CHT, CPAM, CSCS
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.
One Great Therapist-Patient Team: Deana Swanson, MS, OTR/L, CHT and Buddy Valastro
Sep 26 2022
One Great Therapist-Patient Team: Deana Swanson, MS, OTR/L, CHT and Buddy Valastro
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, CHTDeana 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 ValastroCelebrity 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 www.carlosbakery.com or follow @buddyvalastro on Instagram, Facebook and TikTok or @cakebossbuddy on Twitter.
Pediatric Brachial Plexus with James H. Northcutt, OTR, MOT, CHT
Aug 29 2022
Pediatric Brachial Plexus with James H. Northcutt, OTR, MOT, CHT
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.
Proprioception in Distal Radius Fractures with Kristin Valdes OTD, OT, CHT
Aug 15 2022
Proprioception in Distal Radius Fractures with Kristin Valdes OTD, OT, CHT
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:Rehabilitation strategies for wrist sensorimotor control impairment: From theory to practiceJournal of Hand TherapyVol. 29Issue 2p154–165Published online: December 11, 2015·      Christos Karagiannopoulos·      Susan Michlovitz A descriptive study on wrist and hand sensori-motor impairment and function following distal radius fracture interventionJournal 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
Treating Traumatic Injuries with Gayle Severance, MS, OT/L, CHT and Danielle Zook OTD, MOT, OTR/L, CHT
Aug 3 2022
Treating Traumatic Injuries with Gayle Severance, MS, OT/L, CHT and Danielle Zook OTD, MOT, OTR/L, CHT
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 BiosGayle Severance, MS, OT/L, CHTGayle Severance MS, OT/L, CHT received her Occupational Therapy degree fromTufts University in 2000 and a certificate in Hand and Upper ExtremityRehabilitation from Drexel University in 2004. Gayle practices in Philadelphia,Pennsylvania and is the Hand Therapy Team Leader for Good Shepherd PennPartners, the official rehab provider for Penn Medicine. Her expertise is in the areaof elbows, wrists and hands. She helped develop the therapy program for Penn’sHand and Upper Extremity Transplant Program and serves as the lead therapist.Gayle is an active member of the American Society of Hand Therapists, theAmerican Association of Hand Surgery and the American Society for Surgery of theHand. In 2014 She has participated in international medical missions including hertravel to Kumasi, Ghana as the AAHS Vargas Award recipient. She continued tosupport 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 onthe international, national and local level.Team Lead Occupational TherapistSpecialtiesMusculoskeletalHand, Wrist and Elbow Danielle Zook OTD, MOT, OTR/L, CHTDanielle 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.
HTCC 30th Anniversary with Martin Walsh, OTR/L, CHT
May 30 2022
HTCC 30th Anniversary with Martin Walsh, OTR/L, CHT
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.
Knowledge Translation with Marsha Lawrence, PT, DPT, CHT
May 16 2022
Knowledge Translation with Marsha Lawrence, PT, DPT, CHT
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 LinksCPG’s1. AAOS Quality Programs and Guidelines: 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): AOTA EBP Resources2. APTA Clinical Practice Guidelines: List of published CPG's3. APTA Evidence Based Practice Resources: (includes tests and measures, clinical summaries, interventions and link to CPG’s in progress) APTA EBP Resources4. Choose Wisely: Choose Wisely Clinician List5. Choose Wisely: Choose Wisely patient list6. ECRI Guidelines Trust: https://guidelines.ecri.org/7. JOSPT Published CPG list: 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 herDPT in 2019. She has practiced hand rehabilitation in a variety of settings on theEast 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.
Collaboration of an OT and COTA in Hand Therapy with Parker Gregory, OTR/L, CHT and Dillon Pittman, COTA
Apr 11 2022
Collaboration of an OT and COTA in Hand Therapy with Parker Gregory, OTR/L, CHT and Dillon Pittman, COTA
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.
Driving Rehabilitation with Susie Touchinsky, OTR/L, SCDCM, CDRS
Mar 28 2022
Driving Rehabilitation with Susie Touchinsky, OTR/L, SCDCM, CDRS
We are excited to be joined by Susie Touchinsky, OTR/L, SCDCM, CDRS, an occupational therapist who is also a certified driving rehab specialist. Have you ever worked with a patient who has sustained a life altering injury but wants or needs to return to driving independently and you aren’t quite sure if they are ready for that? That is where Susie comes in. She brings her expertise as an occupational therapist and looks at the entire person to determine what is safe, if any adaptive equipment is needed, or if ultimately they are not safe to get behind the wheel. She discusses all of this and more.   Resources: Facebook: Driving Rehab for the OT:https://www.facebook.com/groups/OTDrivingRehab  Facebook: Adaptive Mobility Services:https://www.facebook.com/drivingOT  Website: https://adaptivemobility.thinkific.com/  Podcast: OT Driving with Susie:https://open.spotify.com/show/2JVIBs7fdva9nCOPSJfSRR  Directories:·     Adaptive Mobility https://adaptivemobility.com/ot-driver-rehabilitation-specialist-directory/·     AOTA aota.org·     ADED aded.net Guest Full Name Including Credentials: Susie is an occupational therapist & certified driver rehabilitation specialist and owner of Adaptive Mobility Services, LLC. She offers extensive clinical and professional knowledge with over 20 years of experience as an OT & driver rehab specialist. In her private practice, Susie loves working with clients to support their highest and safest level of engagement in mobility and teaching other occupational therapists how to become driver rehab specialists. She has volunteered for over 10 years with CarFit, serving as a CarFit instructor and the Pennsylvania CarFit Coordinator. She is a published author, adjunct professor, lecturer, podcaster and mentor. In short, Susie is a self-proclaimed driving geek who uses her training to live her mission of providing exceptional care for all drivers and education for occupational therapy practitioners.
Fellowship Series: Pediatric Hand and Upper Extremity Therapy Fellowship with Mary “Peggy” Faussett, MOTR/L, CHT
Mar 17 2022
Fellowship Series: Pediatric Hand and Upper Extremity Therapy Fellowship with Mary “Peggy” Faussett, MOTR/L, CHT
On our third episode of our Fellowship Series, we are joined by Peggy Faussett, MOTR/L, CHT. Peggy is an occupational therapist and certified hand therapist at Children’s Hospital Colorado, which recently developed a pediatric hand therapy fellowship that will admit its first fellow at the end of this summer. Peggy discusses the process of developing a fellowship, how she worked with her institution for financial and administrative support, the curriculum of the fellowship, and the various learning opportunities the fellow will have.Guest Bio: Peggy Faussett, MOTR/L, CHT received her Bachelors 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. he 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 CHT's and four pediatric OT's 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.
Fellowship Series: Views From a Current Hand and Upper Extremity Therapy Fellow
Feb 18 2022
Fellowship Series: Views From a Current Hand and Upper Extremity Therapy Fellow
We are kicking off a series of episodes on hand and upper extremity therapy fellowships. On this episode, we are joined by the two current hand and upper extremity therapy fellows from Johns Hopkins. They share with us how their fellowship is structured, what their typical week is like, and educational opportunities both in the clinic and out. If you are considering applying for a fellowship, they both give great advice as to what to consider when choosing a fellowship to apply for.Guest Bio:Hannah Enright is from St. Louis, MO that earned her undergraduate degree at Missouri State University. She graduated from OT school in December 2019 from Maryville University in St. Louis. She began her practice specializing in hand and upper extremity rehabilitation at Select Physical Therapy before beginning her hand therapy fellowship at Johns Hopkins University beginning in September 2021. Clinical interests include trauma-informed care, orthotics, wound care, flexor tendon repairs and nerve transfers. Rachel Park is an occupational therapist from Los Angeles, CA and a current hand therapy fellow at Johns Hopkins University in Baltimore, Maryland. She earned her BA in sociology, Master’s and Doctorate of Occupational Therapy degrees at the University of Southern California in 2017, 2019, and 2020 respectively. She began her journey in specializing in hand therapy at a private, outpatient clinic in Santa Monica, CA called Hands on OT and hopes to achieve her educational goal of earning a certification in hand therapy (CHT). Her clinical interests include pain management, return to meaningful activities, and post-operative rehabilitation.