CRPS Shoulder-Hand Syndrome
Online 3-Level Course

(Hand-based Stiffness, acute to chronic shoulder-elbow-hand problems)

iKNOT 10-Principle Pain Management Approach

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-to unknot the hand-arm problems and pain

-to undo the mystery

Introduction

“Complex Shoulder-Hand Syndrome can have Simple Solution but you have to analyze in a right logic!”

Nowadays, cost-effectiveness of our treatment is very important. If you run out of clinical pearls, you have to expand your tool box.

Treating an Orthopaedic Shoulder-hand Syndrome is indeed a lot simpler than a Hemiplegic Shoulder-hand Syndrome.

Treating CRPS Shoulder-hand Syndrome is much more than treating shoulder problems and hand/wrist/elbow problems individually or separately.

CRPS Shoulder-hand Syndrome is still considered as a mystery. It can be a double/multiple-crush injury involving multiple compressions/impingements along the nerve pathway, multiple mechanisms, and multiple factorial problems. It can be started with a hand-based problem and then progressed to the whole arm and vice versa. The severity can greatly impact the life role and life space of your patients.

As a hand therapist, CHT, OT, PT or other HC professionals, we have to use an integrative approach like iKNOT 10-Principle Pain Management Approach (iKNOT Approach), no matter it is a hand-to-shoulder or shoulder-to-hand problems in conjunction with other factors &/or approaches. Each principle is supported with the most update research evidences with comments on their missing pieces.

In this course, you will learn a systemic & holistic way to dealing with various problems & severities of Shoulder-hand Syndrome. Yes, it will be a lot to learn with requirements of foundation knowledge of anatomy & neuroanatomy, hand/wrist/elbow/shoulder injuries and their protocols, human evolution & development and others.

However, you will take home with tons of clinical pearls, immediate problem-solving skills to modify, upgrade and downgrade the treatment interventions according to the severities and abilities of the patients. iKNOT Approach

is simple & comprises of immediate & effective manual therapy, simple exercises/activities, right occupations & right logic to deal with many varieties & severities of this complicated and disabling syndrome. With practices and critical thinking, you will find out the treatment is not as complicated as you thought. You will feel very rewarding to get your patients better, restoring back their life roles in their life spaces.

We just have to work together to unknot the problems, and undo the mystery of this complex CRPS.

The presentation of this webinar is not perfect but Dr. Anisa Kong is trying to convey this important concept and the skills required to resolve this complex CRPS Shoulder-Hand Syndrome at different learning levels. Constructive comments are welcome to perfect this approach. Her intention is to contribute back to the healthcare professions.

Course Learning Outcomes:

Level I

to differentiate the treatment interventions of CRPS Shoulder-hand Syndrome from the individual joint/diagnosis of UE
to recognize 6 challenges in treatment of CRPS Shoulder-hand syndrome
to recognize the 10 principles of iKNOT Approach which can help to prevent chronic pain
to recognize the rationales behind iKNOT Approach
to identify at least 3 missing components in traditional ROM exercises, nerve mobilization, yoga, stress loading & others
to recognize the forgotten musculocutaneous nerve & its significance
to apply iKNOT Approach in case studies of different hand injuries to improve ADL & iADL.
to have a guideline in buying/creating right equipments for a hand clinic, & setting up HEP for patients to prevent chronic pain
to recognize how to manage heavy caseload

Level II

to relate the challenges to Human Being being a Bidruped mammal, not Quadruped, in developing an upright posture
to apply the 10 principles in iKNOT Approach into the treatment of chronic pain
to recognize how the functional neuroanatomy is related to sensory-motor retraining
to recognize the regional interdependence model to understand the importance of treating the whole upper quadrant.
to recognize cumulative effect of pain from different sources.
to recognize the basic treatment of scar and swelling which are also ones of the many causes of pain
to recognize the power of neuroplasticity with different sensory-motor stimulation & retraining
to analyze the different sensory-motor retraining to improve perception, co-ordination & modulate pain
to observe & describe 2 basic techniques of passive scapular mobilization (SM) & 1 self SM to improve movement patterns
to recognize the required exercises to improve scapulothoracic stability for distal functioning
to analyze the required upper body strength so as to minimize hand/arm problems/pain
to recognize the pipe and bubble theories to ensure a right arm movement biomechanics & patterns
to analyze the sequence of treatment in stiff hand.
to apply iKNOT approach in case studies of different hand injuries with chronic pain to improve ADL & iADL

Level III

to recognize the challenge to human being with transverse plane
to analyze the process of developing a good upper body core strength
to analyze the most importance movement patterns with T-pipe and bubble theories to break the poor patterns of movement or body mechanics of hand/arm use
to recognize the over-activation of elbow flexion, under-activation of elbow extension of the UE
to estimate the minimal strength of the upper body required to balance out the hand/arm problems.
to recognize the concept of iKNOT approach investigation in order to solve problems
to change a static ergonomic to a dynamic ergonomic
to observe & describe 4 more basic techniques scapular mobilization and their sequence.
to differentiate between scapulohumeral & the scapulothoracic rhythm.
to analyze how to release brachial plexus irritation from thoracic outlet syndrome due to scapular dyskinesis & the other 9 factors in the iKNOT 10-principle approach.
to analyze different sensory stimulations to ignite neuroplasticity in order to modulate pain
to recognize the process of designing an effective treatment plan according to the 10-principle iKNOT approach with different severities of pain at different stages with available resources.
to solve chronic pain in case studies with severe problems to improve ADL & iADL

Occupational Therapists and Certified Occupational Therapy Assistants

-AOTA provider # 0000000908 ; PD activity approval # 0000006097
this distant learning- independent course is offered at 14 contact hours, or 1.4 CEUs, intermediate educational level, OT service delivery & professional issue. The assignment of AOTA CEUS does not imply endorsement of specific course content, products, or clinical procedure by AOTA.

Physical Therapists & Physical Therapy Assistants

-Continuing education requirements are regulated by the state/provincial boards of the PT professions. Each state/provincial licensing board has its own policies and procedures related to continuing education of its licensees. State/provincial boards of the PT professions place the responsibility on licensees to follow rules and regulations related to the practice of their professions and maintenance of licensure in their states or provinces. Licensees should verify acceptance of continuing education courses with their state/provincial boards by reviewing the relevant state/provincial practice act and/or administrative code. Please click the blue box for more detail information.

Course Approvals from
Physical Therapy State Boards
Please click here.

Biography of Instructor

Dr. Anisa Kong has been an occupational therapist for more than 35 years, certified in hand therapy (CHT) since 1994, in Neurodevelopmental treatment (3-week) for adult hemiplegia (C/NDT) since 1993, & in Manual Lymphatic Drainage-UE (86-hr), trained in acupuncture (50x2-hr). She is also trained in Graston techniques, manual joint mobilization, neuromobilization, graded motor imagery, yoga/tai chi/pilate, craniosacral therapy, myofasical release, functional capacity evaluation and many others. . She has worked in a variety of healthcare settings (including work harding/conditioning programs) to treat acute and chronic shoulder-hand problems successfully. She is the founder of iKNOT approach to systematically tackle the shoulder-hand problems of different levels of severities in:

- a much simpler way

- a much shorter time to get your patients better.

iKNOT Approach lists out not just the treatments with the most updated research evidences but also their missing components. In order to restore the right biomechanics, it encompasses human evolution, human development, XYZ-concepts of the whole upper quadrant, scapular stabilization for distal functioning, igniting neuroplasticity by analyzing different sensory stimulations,……

She has presented the introduction of iKNOT Approach at the American Society of Hand Therapists (ASHT) to prevent acute pain turning into chronic shoulder-hand pain. For this information, please click here which will bring you to ASHT website.

Financial Disclosure:

-Dr. Anisa Kong is the founder and owner of Advanced Rehabilitation, LLC, iKNOT Pain Management Approach, crpspain101.com, & iknot.getlearnworlds.com. She is not affiliated with any company to promote any service or product.

Non-financial Disclosure:

-Dr. Anisa Kong has no non-financial disclosure.

Content Disclosure:

-This course does not focus on any product or service.

Course Outlines:

Level I:

a list of suggested challenges in the treatment of this complex diagnosis- CRPS
10 principles of iKNOT Approach and their rationales
Case studies of different hand injuries including repaired flexor tendon, trigger finger, distal radial/ulnar fracture, CTS, thumb pain, DeQuervain's Disease, finger amputation, Tennis elbow, & ulnar nerve transposition.
Summary

Level II:

more challenge to human being in the development of upper body strength by looking at human evolution and human development
Neuroanatomy in chronic pain and the neuroplastcity
10 principles of iKNOT Approach with deeper rationales
Scapulothoracic mobilization: 2 passive manual techniques and 1 active self technique
Case studies with problems of scapulothoracic rhythm including complicated repaired flexor tendons, fracture radius/ulna with CRPS type II, & CTR with CRPS type II.

Level III:

Review of Level I & II
The missing transverse plane & its significances
Postural training with arm in XYZ directions
The T-pipe theory & bubble theory & their significances
Sequence of sensory stimulation, desensitization & re-education
iKNOT investigation Approach
More ergonomic: how to change a static ergonomic to a dynamic one.
Scapulothoracic mobilization: 4 more manual techniques & the suggested sequence
Significance of weight bearing/stress loading exercises
Analysis of dose-response in Upper Body Ergometer (UBE)
Application of different strategies & progressions into different severities of pain with available resources.
Case studies with severe problems of scapulothoracic rhythm including frozen shoulder & hand with CRPS type I, repaired median nerve with severe weakness in scapulothoracic stabilization, brachial plexus neuropathy post gun shot injury, & CVA R Hemiplegia.
Summary

Course Format: online webinar, or distant learning- independent study

Educational Level: Intermediate

-prerequisite requirements of foundation knowledge of anatomy & neuroanatomy, hand/wrist/elbow/shoulder injuries and their protocols.

Certificate of Completion:

-This distant learning- independent course is offered at 14 contact hours, or 1.4 CEUs. Please see the details in the tab CEUs.

-You will be able to download a certificate of completion right away after a satisfactory completion of all the course requirements, including watching all the videos, taking an assessment with a passing score of at least 70% and a post- course survey.

Target Audiences:

-Occupational Therapists and Assistants

-Physical Therapists and Assistants

-Others: Physicians and Assistants, Athletic Trainers, Chiropractors, Massage Therapists, Nurse and Others

ADA

-ADA buttons are available in both crpspain101.com & iknot.getlearnworlds.com to adjust different parameters such as light, sizes, sound, images & keyboard. If you need more accommodation according to the American Disability Act (ADA), please feel free to contact us.

-Learners do need to have an access to either a computer, or tablet with internet connection, video and audio capabilities.

Cancellation & Refund Policy:

-Refund will be provided within 30 days of purchase if no more than 1 video and no ebook/handout has been watched and/or downloaded. Please send requests in writing to crpspain101@gmail.com, or to contact of the website, crpspain101.com/contact

-If the course resign before the expiration date, refund will be provided.

Version: -Updated on 1.1.2024.

Order this course.

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CRPS Shoulder-Hand Syndrome
Online 3-Level Course

Course Approvals from
Physical Therapy State Boards
Please click here.

Complex Shoulder-Hand Syndrome can have Simple Solutions !

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CRPS Shoulder-Hand Syndrome Online 3-Level Course

Complex Shoulder-Hand Syndrome can have Simple Solutions !

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CRPS Shoulder-Hand Syndrome
Online 3-Level Course

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