Hands In Motion – Details, episodes & analysis

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.

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 Hand

Therapist who led a team of clinicians to develop the clinical practice guideline, “Lateral

Elbow Pain and Muscle Function Impairments.” Ann shares with us what a clinical

practice guideline is and how they are developed, as well as the results of this guideline

and how therapists treating patients with lateral elbow pain can best utilize the

evidence.

Guest bio:

Ann Lucado, PT, PhD, CHT

Ann Lucado is a physical therapist and Certified Hand Therapist who has specialized in

upper extremity and orthopedic rehabilitation for the past 30 years. She is an active

member of the APTA’s Academy of Orthopedic Physical therapy and is currently serving

as the Chair of the Research Committee and Coordinator of Clinical Practice Guideline

Development for the Academy of Hand and Upper Extremity Physical Therapy. She

received her Master of Science in Community Health Education and Physical Therapy

and received her PhD in research methodology and design in Physical Therapy. Dr.

Lucado is currently an Associate Professor in the Doctor of Physical Therapy Program

at Mercer University located in Atlanta, Georgia. She has conducted numerous

instructional seminars and is the author of several research articles related to elbow

tendinopathies. She headed the Guideline Development group for the recently

published Clinical Practice Guideline related to Lateral Elbow Pain and Muscle Function

Impairments 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/L

Alyssa 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.