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Upper Extremity Casting for the Neuro Patient

Event Information

Craig Hospital

3425 S. Clarkson St.

Englewood, CO

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Craig Hospital's Upper Extremity Casting for the Neuro Patient is a three day course designed and administered by highly trained occupational therapists working in the field of neurorehabilitation. This basic casting course will prepare participants to assess the neurologically challenged upper extremity and provide casting intervention for tone inhibition, joint range of motion, and positioning. This hands-on course will provide competency for fabrication of three basic UE casts and will provide exposure and techniques for several other types of casts.

Intended audience: Physical Therapists, Physical Therapy Assistants, Occupational Therapists, Certified Occupational Therapy Assistants

This event accounts for 18.5 contact hours and a detailed syllabus will be provided.


Course Objectives

Upon completion of the course the participants will be able to:

  1. Identify types of upper extremity casts and the criteria for their use.
  2. Describe casting pre-assement, monitoring, and benefits.
  3. Successfully fabricate single and multi joint casts used in managing the neurologically impaired upper extremity.
  4. Demonstrate knowledge of the steps involved in casting program implementation, including progression/plan of care.

Course Agenda

Day 1:

12:00-12:30 Registration

12:30-1:00 Welcome/Intro

1:00-2:00 Instructional Overview: (inhibitory casting, pre- assesment, types of casts, materials: pros/cons of fiberglass vs plaster, monitoring)

2:00-2:30 Casting demonstration of basic fiberglass elbow cast

2:30-2:40 Break

2:40-4:40 Lab: Fabrication of basic fiberglass elbow cast

4:40-5:00 Questions/wrap up

Day 2:

7:30-8:00 Registration/ coffee refreshments

8:00-8:45 Instructional Overview: (joint integrity, modalities)

8:45-9:30 Casting demonstration of basic fiberglass wrist cast with thumb

9:30-9:40 Break

9:40-11:40 Lab: Fabrication of basic fiberglass wrist cast and thumb wrapping

11:40-12:15 Lecture (bivalve and post cast management)

12:15-12:45 Lunch

12:45-1:45 Casting demonstration of elbow drop out

1:45-2:45 Lab: fabrication of elbow drop out

2:45-3:00 Break

3:00-4:00 Lab: fabrication of elbow drop out

4:00-4:30 Questions/wrap up

Day 3

7:30-8:00 Registration/ coffee refreshments

8:00-9:00 Instructional overview: ( Team approach, other materials)

9:00-10:00 Case Presentations: TBI SCI

10:00-10:15 Break

10:15-12:15 Demonstration: Finger shell, finger cast, focused rigidity

12:15-1:15 Lunch

1:15-3:15 Lab: finger shell, finger cast,or focused rigidity

3:15-4:00 Questions/wrap up


About the Instructors

Therese Guthrie, OTR: Therese Guthrie has over 30 years of experience at Craig Hospital. She began her career as a COTA and later received her BS from the University of Minnesota in 1981. She has worked in both spinal cord and traumatic brain injury rehabilitation. She is an expert in the area of traumatic brain injury where she excels in evaluating and managing complex upper extremity issues. She assisted in establishing the Craig Hospital casting team and has been a leader, member, and mentor for over 20 years. She has presented locally and nationally on rehabilitation techniques for the neurologically impaired upper extremity.

Casey Roth, MS, OTR: Casey Roth graduated from Colorado State University in 2006 and has been employed at Craig Hospital for over seven years. Her primary area expertise is traumatic brain injury. She has been a member of the Craig Hospital casting team for four years and has led casting education efforts for the occupational therapy and nursing departments.

Gail Ward, OTR: Gail Ward is the inpatient SCI rehabilitation supervisor at Craig Hospital. She received her BS in Occupational Therapy from Loma linda University in 1987. She has experience in acute/long term care, general rehabilitation, skilled nursing, as well as with inpatient TBI and SCI rehabilitation. She obtained her CHT certification from 1995-2000. She has worked at Craig Hospital for over 26 years specializing in the area of inpatient SCI rehabilitation. Her areas of focus and expertise include splinting, casting, and UE treatment. She is the coordinator for the Craig Hospital Hand Clinic/Tendon Transfer program and has been a member of the casting team. She has presented nationally and has assisted in publishing on the topic of UE orthotics.

Michelle Graf, OTR: Michelle Graf is an assistant supervisor in the brain injury program at Craig Hospital. She graduated from Western Michigan University in 1984. Michelle has been a member of the Craig Hospital casting team for over 10 years and is specialized in both spinal cord injury and traumatic brain injury rehabilitation.

Sarah Harrison, MS, OTR: Sarah Harrison graduated from the University of Kansas in 2013 and is developing her expertise in spinal cord injury rehabilitation. Sarah is a member of the Academy of Spinal Cord Injury Professionals and is a member of the Craig Hospital casting team.

Amy Berryman, OTR, MSHSA: Amy Berryman is a graduate of the University of Oklahoma and has been practicing traumatic brain injury rehabilitation across the continuum of care for over 15 years. She is a supervisor in the brain injury program at Craig Hospital and is a member of the Craig Hospital casting team. Amy has special expertise in vision rehabilitation and upper extremity management. She has presented lectures and continuing education classes nationally.


Accommodations

Hotel Discount Available at the Marriott Tech Center under “Craig Hospital” with shuttle available.


Transportation

Super Shuttle, Uber, Lyft, and other taxi services are available to and from the Denver International Airport.