The Hand to Shoulder Podcast

Hand to Shoulder Center Podcast

Podcasts for OT's, PT's specializing in upper extremity care. The goal is to cover topics that lead to discussion that will elevate the profession. This is for all treating therapists who want to enhance their clinical and professional development. Contact us at h2stherapist@newhands.net. Podcast is based out of Appleton, WI at the Hand to Shoulder Center of Wisconsin read less
Health & FitnessHealth & Fitness

Episodes

033: Blood Flow Restriction and How it Can Fit into Your Hand Therapy Practice with Jim Wagner, OTD, OTR/L, CHT, COMT, CPAM, CSCS
Jan 25 2024
033: Blood Flow Restriction and How it Can Fit into Your Hand Therapy Practice with Jim Wagner, OTD, OTR/L, CHT, COMT, CPAM, CSCS
We’ve seen lots of hype about Blood Flow Restriction, or BFR in social media, but how does it work? Join us as Jim Wagner, seasoned hand therapist and powerlifter as he brings to light the physiologic benefits of BFR and how this can be incorporated into your hand therapy practice! Jim Wagner has been practicing for 30 years with clinical experience of the UE in orthopedics. He received his post professional doctorate from Rocky Mountain University of Health in hand therapy. He’s certified in PAMs and is a Certified Strength and Conditioning Specialist (CSCS). He’s a team leader at Guthrie Hand Center in New York state and serves as an adjunct professor at both Keuka and Ithaca College OT programs. He's been involved in competitive powerlifting and bodybuilding for 35 years. He’s nationally known for instructing cupping, IASTM, orthotic fabrication, blood flow restriction and kinesiology taping. Jim has spoken at Georgia Hand Society Special Interest Group, Wisconsin Hand Experience, and many other therapy related venues. He’s published in the practice forum section of the AJOT and serves on the Education Division of the ASHT.  Jim recently became a Certified Orthopedic Manual Therapist (COMT) through the International Academy of Orthopedic Medicine (IAOM-US). How to reach Jim: Email: jwagnercht71@gmail.com IG handle: cht_power71 B Strong Blood Flow Restriction Training | BFR Bands | B Strong Products (bstrong.training)
031: Introduction to Cervical Spine for Hand Therapists with Dr. Derek Clewley PT, DPT, PhD
Sep 19 2023
031: Introduction to Cervical Spine for Hand Therapists with Dr. Derek Clewley PT, DPT, PhD
“The arm bone is connected to the wrist bone”….. come on now, we all know this song! Well, it’s a fact, everything is connected. Derek Clewley, DPT, PhD., not only details us through examination of an injury, he clues us in on treatment of the kinetic chain. Join us as we discuss looking proximal to the cervical spine when we are treating conservative lower arm issues such as ulnar wrist pain or lateral epicondylitis. Just imagine upping your game in the clinic treating proximally, how that will impact pain levels distally with minimal hands-on. We hope you enjoy this episode as much as we did!  Dr. Clewley is a graduate of Shenandoah University with his DPT and a PhD. from Rocky Mountain University of Health Professionals. His area of expertise and training is in orthopedics and manual physical therapy. He achieved board certification in orthopedics and is recognized as a fellow of the American Academy of Orthopaedic Manual Physical Therapists. His PhD is primarily in research interests including dry needling, manual physical therapy, and pain sciences. Dr. Clewley has extensive experience in the development of continuing education, residency, and fellowship post-graduate training programs. He is the associate editor of BMC Musculoskeletal Disorders and a AAOMPT Board Member. He’s published in 44 articles and has received several Merritt Awards and Clinical Instructor of the year awards.
030: Kinesiotape with Teri Casagranda PT, CHT
Jun 1 2023
030: Kinesiotape with Teri Casagranda PT, CHT
Stuck on you! Have you ever used Kinesiotape before? Where did you put it and for what purpose? Did you know there’s different degrees of tension when applying the tape? Well, all these are questions you may not have thought of when using Kinesiotape. Listen up, we have all these pondering thoughts answered in this podcast. Teresa Casagrande, PT, CHT from Sturgeon Bay, WI energetically greets us to discuss various kinds of tape and purposes of each brand of tape. She details out numerous diagnoses, tension and length of time Kinesiotape should be applied. Hope you enjoy our 30th episode brought to you by Hand to Shoulder Center of Wisconsin-Appleton! Teri Casagranda earned her Master of Science in Physical Therapy at the University of North Florida in Jacksonville and Doctor of Physical Therapy degree from Boston University.  She became a Certified Hand Therapist in 2007, Certified Kinesio Taping Practitioner in 2011 and Certified Kinesio Taping Instructor in 2017.  She worked at the Hand to Shoulder Center of Wisconsin from 2002 until 2013, when she moved to Sturgeon Bay and is currently employed as a Casual Call therapist for Door County Medical Center. Karwacińska, J., Kiebzak, W., Stepanek-Finda, B., Kowalski, I. M., Protasiewicz-Fałdowska, H., Trybulski, R., & Starczyńska, M. (2012). Effectiveness of kinesio taping on hypertrophic scars, keloids and Scar Contractures. Polish Annals of Medicine, 19(1), 50–57. https://doi.org/10.1016/j.poamed.2012.04.010 Klein, H., Brockmann, R., & Assmann, A. (2015). Pain-diminishing effect of Kinesio taping in patients after sternotomy. Journal of Cardiothoracic Surgery, 10(S1). https://doi.org/10.1186/1749-8090-10-s1-a76
029: Motor Neuron Deficits with Cindy Ivy OTD, M.Ed., CHT
Mar 21 2023
029: Motor Neuron Deficits with Cindy Ivy OTD, M.Ed., CHT
Motor Neuron Deficits: Lesions leading to lost function! Join Hand to Shoulder with Cassie and Shelly as we dissemble motor neurons and variations of symptoms, which in turn, lead to ALS. This very energetic podcast with Cynthia Ivy out of Phoenix, AZ, will open your mind to neurological deficits and the role of a hand therapist with someone who presents with hand or upper limb weakness. We hope you gather several takeaways from this complex topic. Cindy Ivy OTD, M.Ed., CHT began working as adjunct faculty at NAU, Phoenix Biomedical Campus in 2014 and joined the faculty in August of 2015 as Associate Clinical Professor and Residency coordinator. She is studying the effects of carpometacarpal stabilization exercises on pain from osteoarthritis of the first carpometacarpal joint. Her research interests also include studying functional outcomes of the use of finger orthoses versus injection for stenosing tenosynovitis (trigger finger) and studying quality of life and positive effects on function and independence in persons with Amyotrophic Lateral Sclerosis (ALS). In addition to ALS, She is also studying interventions to improve independence in people with Parkinson's Disease. Dr. Ivy carries a bachelor’s degree in occupational therapy from the University of Wisconsin, Madison and a Master’s of Education in Counseling Psychology from Northern Arizona University. Her post professional clinical doctorate in occupational therapy, Hand therapy emphasis is from Rocky Mountain University of Health Professions. Cindy Ivy has a passion for teaching and has taught in many capacities over the past 30 years while working as a hand therapist and occupational therapist Susan M Smith, C. C. (2015). Upper Extremity orthoses use in amyotrophic lateral sclerosis/motor neuron disease: A systematic review. International Journal of Physical Medicine and Rehabilitation, 03(02). https://doi.org/10.4172/2329-9096.1000264 Ivy, C. C., Smith, S. M., & Materi, M. M. (2014). Upper Extremity orthoses use in amyotrophic lateral sclerosis/motor neuron disease: Three case reports. HAND, 9(4), 543–550. https://doi.org/10.1007/s11552-014-9626-x
028: Everything Shoulder with Dr. Shawn Hennigan M.D.
Feb 21 2023
028: Everything Shoulder with Dr. Shawn Hennigan M.D.
Is your wing broken? How much do you know about shoulder surgeries involving the GHJ and surrounding soft tissue? Well, here is an episode for you. Join Cassie Schuh and Shelly Somers as they dissect shoulder surgeries with Dr. Shawn Hennigan, where together, they discuss procedures, immobilization time and rehab. Learn cutting edge surgery techniques that are completed for capsular, noncapsular, tendonous, ligamentous, and bony issues of the shoulder.  You won’t be disappointed! Dr. Shawn Hennigan, M.D. is a board-certified orthopedic surgeon, with a subspecialty focus on shoulder and elbow surgery. As a subspecialist, he sees a large volume of problems ranging from relatively simple to very complex. He has a special interest in treatment of shoulder arthritis and rotator cuff injuries. Dr. Hennigan performs a high volume of total and reverse total shoulder replacement, rotator cuff repairs, as well as joint sparing salvage procedures for irreparable rotator cuff tears. Dr. Hennigan joined Hand to Shoulder Center of Wisconsin in 2020, but practiced most recently in Green Bay, WI. He is originally from Philadelphia, PA where he completed medical school at Temple University. He went onto complete his orthopedic surgery residency at Rush University in Chicago, IL. After his residency, Dr. Hennigan completed his fellowship in Shoulder and Elbow Surgery at University of Pennsylvania. Since completing his training in 2020, he has chosen to focus the scope of his surgical practice to caring for patients with shoulder and elbow problems.
026: Two Thumbs Up! Dynamic Stability of the Thumb with Virginia O'Brien, OTD, OTR/L, CHT
Dec 20 2022
026: Two Thumbs Up! Dynamic Stability of the Thumb with Virginia O'Brien, OTD, OTR/L, CHT
My pollex is not cooperating! Have you noticed when treating CMC arthritis or LRTI/arthroplasty patient’s that they just can’t control both MP and IPJs when it comes to motion or strengthening? Well, their stability and neuromotor control has gone haywire with poor pinching habits over the years. Tune in with Virginia O’Brien from Madison, WI to listen how to tease out these control patterns via evaluation and treatment techniques, to improve neuromotor control and stability. Hang tight with us till the end for splinting recommendations. Virginia O’Brien is a graduate of the University of Wisconsin-Madison and Rocky Mountain University of Health Professions (Provo, Utah), Virginia became interested in hand architecture during her fieldwork days. She is actively involved in clinical and biomechanical research of the thumb and the wrist, is a member of the AOTA Evidence Exchange committee and a member of the ASHT Research Committee, is a published author in the Journal of Hand Therapy (JHT), a contributing editor for the Yearbook of Hand and Upper Limb Surgery since 2012 and is a reviewer for JHT and Journal of Hand Surgery. Virginia owns her own business, O'Brien Upper Limb Consulting LLC. She recently moved back to Madison, WI from the Twin Cities, where she is consulting with local hospitals in Madison and coordinating internships. She was a recent speaker at the October 2022 ASHT conference. She’s presented at a variety of hand related conferences to therapists and physicians locally, nationally, and internationally since 2005 O'Brien, V. H., & Giveans, M. R. (2013). Effects of a dynamic stability approach in conservative intervention of the carpometacarpal joint of the thumb: A retrospective study. Journal of Hand Therapy, 26(1), 44–52. https://doi.org/10.1016/j.jht.2012.10.005 Cantero-Téllez, R., Pérez-Cruzado, D., Villafañe, J. H., García-Orza, S., Naughton, N., & Valdes, K. (2022). The effect of proprioception training on pain intensity in thumb basal joint osteoarthritis: A randomized controlled trial. International Journal of Environmental Research and Public Health, 19(6), 3592. https://doi.org/10.3390/ijerph19063592
025: Mirror Mirror on the Wall (Mirror Box Therapy) with Miranda Materi OTD, OTR/L, CHT
Oct 25 2022
025: Mirror Mirror on the Wall (Mirror Box Therapy) with Miranda Materi OTD, OTR/L, CHT
Take a look in the mirror! Have you ever used mirror box therapy to help restore normal movement patterns? Join us where we reunite with Miranda Materi OTD, OTR/L, CHT from Phoenix, AZ discuss how Mirror Box Therapy can help with many different diagnoses from amputations to CRPS and even just stiffness. Miranda dives into how Mirror Box Therapy can be built at home in a “do it yourself” fashion or references where to buy a Mirror Box Kit. Please refer below for newer research articles found to support use of Mirror Box Therapy with your hand patients! CRPS and Mirror Box G. Lorimer Moseley, Alberto Gallace, Charles Spence, Is mirror therapy all it is cracked up to be? Current evidence and future directions, PAIN,Volume 138, Issue 1,2008,Pages 7-10, ISSN 0304-3959 https://doi.org/10.1016/j.pain.2008.06.026. (https://www.sciencedirect.com/science/article/pii/S0304395908003710) Amputees and Mirror Box Timms, Jason, and Catherine Carus. "Mirror therapy for the alleviation of phantom limb pain following amputation: A literature review." International Journal of Therapy and Rehabilitation 22.3 (2015): 135-145. Stroke and Mirror Box Thieme H, Morkisch N, Mehrholz J, Pohl M, Behrens J, Borgetto B, Dohle C. Mirror therapy for improving motor function after stroke. Cochrane Database of Systematic Reviews 2018, Issue 7. Art. No.: CD008449. DOI: 10.1002/14651858.CD008449.pub3. Accessed 05 October 2022. Hand Trauma and Mirror Box Grünert-Plüss, Nicole, et al. "Mirror therapy in   hand rehabilitation: a review of the literature, the St Gallen protocol for   mirror therapy and evaluation of a case series of 52 patients." The   British Journal of Hand Therapy 13.1 (2008): 4-11.
023: Everything Elbow with Dr. Boyd Lumsden
Aug 23 2022
023: Everything Elbow with Dr. Boyd Lumsden
From your mouth to your feet, the hinge that feeds you and puts your socks on. What could go wrong and how to “fix it”.  Join Hand to Shoulder and Dr. Boyd Lumsden, M.D with Hand to Shoulder Center of Wisconsin to discuss several diagnoses of the elbow joint, a surgeon’s perspective and recommendations for therapy. Dr. Boyd C. Lumsden, M.D. is one of our very own skilled surgeons who joined Hand to Shoulder Center of Wisconsin in 2004. He is a board-certified orthopedic surgeon with a Subspecialty Certification in Surgery of the Hand. Dr. Lumsden provides complete comprehensive care to the upper extremity including the hand, wrist, elbow, and shoulder. He has a special interest in arthroscopic procedures involving the wrist, elbow, and shoulder. Dr. Lumsden is a Missouri native who attended Southeast Missouri State University where he received his Bachelor of Science degree. He completed his medical degree from Northwestern University Medical School where he was respectfully a part of the Alpha Omega Alpha Honor Society. His orthopedic surgery residency program took him to the University of South Alabama and the University of Wisconsin Hospitals and Clinics in Madison, WI. He holds a fellowship in Hand, Upper Extremity and Microvascular Surgery from Wake Forest University Baptist Medical Center in Winston-Salem, NC. In 2003 he was the recipient of the Leonard Marmour Surgical Arthritis Foundation Award. Boyd Lumsden, M.D. is married with two children. His outside interests include fly fishing, hunting, archery, snow skiing, and golf. He is also an active participant in many community events and holds a special association with the Mile of Music, a 4-day summer music festival in Appleton, WI.
022: Exercise Progression with Mark Gallant DPT, OCS, FAAOMPT
Jul 26 2022
022: Exercise Progression with Mark Gallant DPT, OCS, FAAOMPT
Do you struggle prescribing exercises? Have that one patient who is not responding to the same exercise that helps every other patient? Have you ever thought about testing a one rep max as a part of some's rehab? In this episode Ryan and Steve are joined by Mark Gallant DPT, OCS, FAAOMPT to discuss progressions, dosage, and loading for exercises. Mark gives case examples with shoulder and elbow exercise progressions in this episode.  More about this episodes guest: Dr. Mark Gallant is a physical therapist, board-certified orthopedic specialist, Fellow of the American Academy of Manual Physical Therapist, and certified in dry needling in Richmond, VA. Mark received his Doctorate in Physical Therapy from Old Dominion in 2012 and Bachelor of Science from Virginia Tech in 2008 where he graduated summa cum laude. In 2017, Mark graduated from Evidence in Motion’s Orthopedic Residency program and passed his Orthopedic Specialist Exam. He immediately enrolled in Evidence in Motion’s manual therapy fellowship program which he completed in the fall of 2019. In addition to owning and operating Onward Richmond, Mark serves as a teaching assistant for the Institute of Clinical Excellence (ICE), where he travels the country teaching how to better manage neck and back pain, as well as advanced manual therapy courses, such as spinal manipulation. Mark has been thoroughly trained through ICE and has a unique treatment style, combining the use of skilled hands-on techniques, as well as progressive exercise, in order to help you achieve your goals and improve your overall well-being. Outside of the clinic, you can find Mark attending live music with his wife Liz and hanging with his dog Remus.
017: Dry Needling with Jan Dommerholt, PT, DPT, MPS
Feb 22 2022
017: Dry Needling with Jan Dommerholt, PT, DPT, MPS
Got a TWITCH...... Join us as we explore how a taut band trigger point forms, chemical breakdown and what occurs to the band as a muscle is dry needled. Jan Dommerholt, President of Myopain Seminars, interviews with us discussing logistics, principles and current concepts of dry needling. He answers important questions on this hot topic and when this treatment technique is a warranted adjunct and when it's contraindicated. See remaining show notes for current research articles Jan references in the interview Ball, A., Perreault, T., Fernández-de-las-Peñas, C., Agnone, M., & Spennato, J. (2022). Ultrasound confirmation of the multiple loci hypothesis of the myofascial trigger point and the diagnostic importance of specificity in the elicitation of the local twitch response. Diagnostics, 12(2), 321. https://doi.org/10.3390/diagnostics12020321 Fernández-de-las-Peñas, C., & Dommerholt, J. (2017). International consensus on diagnostic criteria and clinical considerations of myofascial trigger points: A delphi study. Pain Medicine, 19(1), 142–150. https://doi.org/10.1093/pm/pnx207 Ghannadi, S., Shariat, A., Ansari, N. N., Tavakol, Z., Honarpishe, R., Dommerholt, J., Noormohammadpour, P., & Ingle, L. (2020). The effect of dry needling on lower limb dysfunction in poststroke survivors. Journal of Stroke and Cerebrovascular Diseases, 29(6), 104814. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104814 Khalifeloo, M., Naghdi, S., Ansari, N. N., Dommerholt, J., & Sahraian, M. A. (2021). Dry needling for the treatment of muscle spasticity in a patient with multiple sclerosis: A case report. Physiotherapy Theory and Practice, 1–7. https://doi.org/10.1080/09593985.2021.1978118 Pourahmadi, M., Dommerholt, J., Fernández-de-Las-Peñas, C., Koes, B. W., Mohseni-Bandpei, M. A., Mansournia, M. A., Delavari, S., Keshtkar, A., & Bahramian, M. (2021). Dry needling for the treatment of tension-type, cervicogenic, or migraine headaches: A systematic review and meta-analysis. Physical Therapy, 101(5). https://doi.org/10.1093/ptj/pzab068 Voss, M. R., Donnay, R. L., & Homa, J. K. (2021). The effects of dry needling on the thumb: A case report. Hong Kong Journal of Occupational Therapy, 34(2), 132–136. https://doi.org/10.1177/15691861211043687
015: Thumb Arthritis: You down with CMC? with Mirka Normand MA, OTR, CHT, COMT
Jan 25 2022
015: Thumb Arthritis: You down with CMC? with Mirka Normand MA, OTR, CHT, COMT
The rule of thumb…many have experienced the uncomfortable sensation of pain at the base of their thumb at some point in life, especially therapists! Let’s learn from Mirka Normand, out of Connecticut, to unpack the multitude of factors that lead to CMC arthritis. Learn how to address it from our evaluation strategies to treatment and splinting options. Mirka Normand graduated with a Bachelor of Science in Occupational Therapy from Laval University in Québec, Canada. She completed a Hand Therapy Fellowship with Baylor College of Medicine and Texas Woman's University in 1999, in Houston TX and was certified as a hand therapist that same year by the Hand Therapy Certification Commission. She received her Advanced Master's degree with hand therapy emphasis in 2003 from Texas Woman's University. She was certified as an orthopedic manual therapist through The International Academy of Orthopedic Medicine-US (IAOM-US) in 2006, and soon after joined their faculty for the creation of a specialty Hand and Upper Extremity Track. Mirka works full time as a clinician for Yale New Haven Health System-L&M Hospital on the eastern coast of Connecticut, and lectures nationally for IAOM-US. She is known through Medbridge with instruction on the wrist. She recently submitted her synthesis for her PhD. And will be defending this in the near future, after many months in the lab and reading research. Congratulations to Mirka on these accomplishments. DeMott, L. (2017). Novel isometric exercises for the dynamic stability programs for thumb carpal metacarpal joint instability. Journal of Hand Therapy,  30, 372-375. http://dx.doi.org/10.1016/j.jht.2016.09.005 Book: Albrecht, Jan OTR/L, CHT (2004). Caring for the Painful Thumb, More Than a Splint. 1st ed.  North Mankato, Minn. ISBN: 0-976117-0-X
014: Tennis Elbow...What Works? with Jim Wagner, OTD, OTR/L, CHT, CPAM, CSCS
Dec 14 2021
014: Tennis Elbow...What Works? with Jim Wagner, OTD, OTR/L, CHT, CPAM, CSCS
Lateral elbow pain…..ughhh… the low back pain of the upper extremity. Jim Wagner, OTD, OTR/L, CHT, CPAM, CSCS from upstate New York, sits down with the Hand to Shoulder Center to discuss his approach to the lateral elbow. Jim provides a top down approach from the neck to the hips, how movement patterns from other areas of the body can cause lateral elbow pain. Clinical pearls for evaluation, treatment and splinting techniques discussed. Jim is not only entertaining, but full of energy that will keep you engaged. We promise you will enjoy this great discussion. Click to listen about different techniques to address lateral elbow pain. Jim Wagner has been practicing over 28 years with clinical experience of the UE in orthopedics. He received his post professional doctorate from Rocky Mountain University of Health in hand therapy. He’s certified in PAMs and is a CSCS. He’s a team leader at Guthrie Hand Center and an adjunct professor at both Keuka and Ithaca College OT programs. He's been involved in competitive powerlifting and bodybuilding for 35 years, participating in 28 competitions. He’s nationally known for instructing cupping, IASTM, orthotic fabrication, blood flow restriction and kinesiology taping. Jim has spoken at Georgia Hand Society Special Interest Group and many other therapy related venues. He’s published in the practice forum section of the AJOT and serves on the education division of the ASHT. He is listed on the docket to speak in Milwaukee for our very own Milwaukee Hand Experience in May of 2022.