The Wrist and Hand: Integrating Kinesiology and Treatment for the Child with Neuromuscular Involvement

This two-day course will integrate the kinesiology of the wrist and hand with clinical applications to hand movement and function. Although the course is offered in two one-day parts, each is designed to
complement the other. Day 1 will address the anatomic and
kinesiologic foundation of normal function of the hand, which includes discussion of the joints and musculature immediately proximal to the hand. Based primarily on material from Don Neumann’s textbook:
Kinesiology of the Musculoskeletal System: Foundations for
Rehabilitation, this presentation will focus on the essential muscle and joint interaction of the distal upper extremity. The material covered in Day I will be applicable to all age groups and areas of clinical practice, and will provide much of the foundations for Day 2.

Day 2 will address the application of this foundational information as it relates to clinical practice in the treatment of children with
neuromuscular impairment (high and low muscle tone).  Development of the forearm and hand begins at birth and evolves as the child
matures.  Developmental factors, sensory input and intention influence the child’s ability to use the hand for learning and activities of daily
living.  Presenters will provide video analysis of common forearm and hand patterns that result when normal neurological development is altered.  Kinesiologic analysis and intervention strategies will be
provided.  Adjuncts to support hand function will be reviewed,
including constraint induced movement and bimanual therapy.
Therapist and caregiver strategies for all aspects of movement, play and daily living will be emphasized.