Instructional Concurrent Session VI
A Musician-Centered Approach to Management of Performance-related Upper Musculoskeletal Injuries - (Available on the Virtual Platform ONLY)
Like athletes with sport-specific musculoskeletal susceptibilities, musicians face similar patterns of overuse and injury. However, many clinicians who treat upper-extremity conditions do not see enough musician injuries in their daily practice to be familiar with the unique professional and physiological demands of playing specific instruments. As a result, they may be unfamiliar with specialized assessment and treatment approaches customized to the unique professional demands of instrumental musicians. The purpose of this instructional course is to present an evidenced-based framework for assessment and treatment of the injured musician to guide clinicians in upper-extremity practice by addressing gaps in clinical exposure to improve prevention and treatment of upper-extremity performance related musculoskeletal disorders (PRMD). The proposed framework for the assessment, prevention, and treatment of musculoskeletal musician injury is evidenced-based, instrument-specific, and musician-centered. A review and synthesis of literature on instrumental ergonomics and biomechanical demands will highlight the risks and associated common upper-extremity pathologies in specific instrumental groups: piano, high strings (violin/viola), low strings (cello/bass), percussion, woodwinds, and brass. An interactive demonstration of targeted assessment, prevention, and treatment strategies will provide participants with context to apply this evidenced-based framework to the treatment of PRMD to mitigate incidence of injury in practice and performance.
- Identify patterns of movement dysfunction by analyzing movements in video case presentations of musical performance in a range of instruments
- Describe ergonomic solutions and set-ups for a variety of musical instruments and playing conditions
- Interpret findings from an individualized assessment that is based on the specific needs of the individual performer and instrument
- Apply music health principles and prevention strategies to avoid performance related injurie
- Identify common musician injuries and rehabilitation strategies for treatment
Breathe Better: Tools to Improve Your Health and to Enhance Your Treatments
Breathing well is the foundation for physical, mental and emotional health, yet we rarely address it adequately in the clinic in a structured, quality manner. We can tap into the parasympathetic system to work with chronic pain, break poor ergonomic habits, facilitate healing and anti inflammatory responses--all with our breath. This course will give you tools to better attend your own breathing habits and to enhance treatments for your clients.
- Attendees will be able to describe the physiology of the breath including the importance of carbon dioxide.
- Attendees will be able to optimize breathing patterns to improve recovery and general health.
- Attendees will be able to describe how breathing patterns facilitate the sympathetic and parasympathetic nervous systems.
- Attendees will be able to perform at least 5 specific breathing patterns to teach clients.
- Attendees will be able to describe how their breathing affects the treatment of their clients.
Interventions for the Stiff Finger
Digital injuries can result in significant functional loss due to to residual motion limitations. This course will address interventions throughout healing stages with an emphasis on orthoses and activity selection to restore motion and functional use.
- Examine appropriate orthoses to facilitate digital motion improvement through each stage of healing
- Describe relevant activity selection fo address stiffness in each phase of healing
- Discuss orthosis fabrication tips to address specific patterns of motion loss
Late-Presenting Congenital Hand and Upper Limb Differences: A Collaborative, Patient-Centered Approach to Assessment and Therapeutic Management
Congenital hand differences (CHDs) are the most common form of congenital musculoskeletal anomaly. However, despite a wealth of information regarding treatment of congenital differences in infancy, little information exists to guide the treatment of these conditions later in life. CHDs, such as thumb hypoplasia and symbrachydactyly, may present late due to many factors, including comorbidities that preclude early hand surgery, functional deficits that do not manifest until later in life, adoption of untreated children later in childhood, or residual problems following earlier treatment. Late presentation can pose challenges for hand specialists, as surgical and therapeutic options differ later in life, and patients may present to practitioners with less experience treating congenital differences. Conversely, treatment decisions in older patients can incorporate patient-specific goals and existing functional adaptations not assessable in infancy. Therefore, a team approach is critical for assessing and treating these patients. This session will demonstrate that team approach with a Pediatric Hand Therapist, a Pediatric Hand Surgeon, and an adolescent patient with a CHD. With a case-based format and ample discussion, the panel will discuss specific examples of late-presenting problems, providing treatment algorithms and highlighting principles of evaluation and treatment, as well as identifying opportunities for further research.
- Upon completion of this course, participants will be able to describe the range of pediatric problems that may present for treatment in late childhood or adulthood.
- Upon completion of this course, participants will be able to functionally assess older children with congenital hand differences.
- Upon completion of this course, participants will be able to discuss the common surgical interventions for congenital hand differences.
- Upon completion of this course, participants will be able to understand the functional impact and priorities guiding care for pediatric hand problems in late childhood and adulthood.