Certificate Course in Hand Physiotherapy

Course Objectives

Part I

Module1: Functional Anatomy and Biomechanics in Hand therapy (3 hours)

Speaker: Dr. HO Pak-cheong

President, Hong Kong Society for Surgery of the Hand 2008-2010

Consultant & Chief, Division of Hand and Microsurgery,

Department of Orthopaedic & Traumatology, Prince of WalesHospital

Objectives

  1. Review updated knowledge in anatomy of the hand and wrist including systems of bone, tendon, muscle, nerve and vascular tissues.
  2. Understand the biomechanics of the hand, including force couples of different joints and muscles, pulley and lever systems and relate these to normal or abnormal motion of the hand
  3. Demonstrate skills in surface anatomy palpation.
  4. Apply the knowledge in clinical conditions such as tendon injury, nerve injury, RA

Module 2: Assessment, Evaluation of Hand Impairment and Function (3 hours)

Speakers: Mr. Raymond Tsang ( Senior Physiotherapist, QueenMaryHospital )

Ms. Connie Ly (Physiotherapist I, TuenMunHospital)

? colleagues from QEH

Objectives

  1. Elaborate hand assessment componentsincluding examination on range of motion, oedema, muscle testing, sensation, hand dexterity.
  2. Highlight different differential testing in hand disorders.
  3. Discuss on the reliability and validity of different testing methods.
  4. Introduce common functional outcome measures in hand disorders.
  5. Introduce functional evaluation in hand therapy

Module3: Management of Hand and Wrist Fractures (3 hours)

Speakers: Dr. Ip, Wing Yuk

Associate Professor, Department of Orthopaedics and Traumatology,

QueenMaryHospital

President, Hong Kong Society for Surgery of the Hand 2004-2006

Ms. Polina Yeung

Physiotherapist, Prince of WalesHospital

Objectives

  1. Introduce pathologies and classification in hand and wrist fractures.
  2. Discuss the choice of decision between conservative and operative management
  3. Synthesize and analyze relevant surgical options and their therapeuticimplications
  4. Identify and discuss the complications that may result from surgeryand the management of these complications.
  5. Introduce rehabilitation management in common hand and wrist fractures

Module4: Management of Infection Conditions in Upper Limb (3 hours)

Speakers: Dr. Choi, Kai Yiu

Senior Medical Officer, Department of Orthopaedics and Traumatology,

TuenMunHospital

President-Elect, Hong Kong Society for Surgery of the Hand 2008-2010

Mr. Raymond Tsang

Senior Physiotherapist, QueenMaryHospital

Objectives

  1. Introduce pathology and types of different infection conditions in upper limbs.
  2. Describe diagnosis process in different conditons.
  3. Synthesize and analyze relevant surgical options and their therapeuticimplications
  4. Identify and discuss the complications that may result from surgeryand the management of these complications.
  5. Discuss the challenge to rehabilitation management and introduce different wound care management.

Part II

Module5: Diagnostic Imaging in Hand and Wrist Disorders (3 hours)

Objectives

  1. Introduce clinical use of different diagnostic imaging
  2. Introduce analyzingtechniques on diagnostic imaging of hand such as the basic principles and analysis of x-ray, US, MRI and CT scan

Module 6: Management of Tendon injuries(3 hours)

Objectives

  1. Describe the classification of flexor and extensor tendon injuries.
  2. Describe diagnosis process in tendon injuries.
  3. Discuss the choice of decision in conservative and operative management
  4. Synthesize and analyze relevant surgical options and their therapeuticimplications
  5. Identify and discuss the complications that may result from surgeryand the management of these complications.
  6. Introduce rehabilitation management in flexor and extensortendon injuries.

Module 7: Management of Peripheral Nerve Injuries (3 hours)

Objectives

  1. Introduce pathologies and classification in peripheral nerve injuries.
  2. Describe diagnosis process in peripheral nerve injuries.
  3. Discuss the choice of decision in conservative and operative management
  4. Synthesize and analyze relevant surgical options and their therapeuticimplications
  5. Identify and discuss the complications that may result from surgeryand the management of these complications.
  6. Introduce rehabilitation management in peripheral nerve injuries.

Model 8: Hand Forum - Clinical Reasoning and Physiotherapy Management in Hand Therapy ( 3 hours)

Objectives

  1. Through case discussion to demonstrate critical and objective evaluation skills in treatment planning
  2. Conduct differential physical diagnosis of common hand problems
  3. Discuss consequences of injury and psychosocial issues related to treatment of upper extremity conditions as well as patient’s life roles
  4. Discuss the protocol for management of specific types of disorders and the rationale behind