New! Managing Acute Hand Injuries

Improving Long Term Outcomes with Early Intervention

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The comprehensive, hybrid-online, evidence-based course is designed to bring awareness to the intricate nature of upper extremity and hand injuries in the acute care environment and facilitate a therapist’s understanding of the importance of early interventions on long term outcomes. This course focuses on the importance of early intervention with orthopedic upper extremity injuries and how best to prepare them for positive outcomes by addressing- positioning, orthotics, home programs, edema, and pain management.

The course begins with 2.5-hours of on-demand, video-recorded lectures that will introduce you to the basic treatment concepts to be applied in the acute care setting; and a detailed look at commonly seen upper extremity conditions, including laceration and repair of soft tissue structures, fracture management, nerve compression, and basic hand infections. Gain an understanding of the anatomy, healing timeframes, and management of these injuries to prepare patients for discharge, while focusing on:

• the principles of the inflammatory process on different structures
• key components of an acute care management program
• radial nerve injuries and the resultant motor and sensory complications
• humeral fracture management
• tendon injuries, repairs and basic protocols
• the hand’s response to edema and the patterns of contracture development

The second part of the course is a 4-hour, self-paced, independent-study module allowing you to integrate and apply the concepts learned in the recorded lectures. You will have the opportunity to problem-solve three case studies and fabricate 3 custom upper extremity orthoses. Step-by-step video recordings will guide you through the pattern making and custom fabrication of a resting hand orthosis, a dorsal blocking orthosis, and a wrist cock-up orthosis.

The course concludes with a 60-minute live Zoom Virtual Interactive Classroom session to review the case study assignments, and for feedback on custom orthoses fabricated by the course participants.

Course features:
• video recorded lectures
• video recorded step-by-step demonstrations and specialized techniques for fabrication of orthoses
• independent orthosis fabrication
• case study assignments
• interactive Virtual Classroom Zoom meetings–focusing on case studies, review of fabrication techniques, Q & A
• email access to the instructor throughout the course

Prior to the Virtual Classroom Zoom meeting, you must complete and submit 3 case study assignments and fabricate three orthoses and submit photos of the orthoses.

Please consider the above requirements when you select your Virtual Classroom Zoom meetings.

You must attend the Zoom Interactive classroom and complete all assignments/orthoses in order to receive CE credits.

You are required to provide thermoplastic splinting materials, strapping supplies, a heating pan, and splinting scissors to fabricate orthoses. You will need one 18”x24” sheet of either 3/32” thick or 1/8” thick low-temperature thermoplastic splinting material to fabricate all 3 orthoses. A list of recommended supplies will be provided.

Please read course requirements carefully BEFORE registering for this course. This hybrid online course is final sale.

Participants are cautioned to apply new information and skills within the scope of state licensure law.

Please read course requirements carefully before registering for this course. Online courses are final sale and are not refundable.

Technical Requirements:

  • computer/tablet with speakers and good internet access to view recorded course videos
  • computer/tablet with webcam, microphone and speakers or Smartphone will be needed to participate in Zoom Interactive Classroom session with instructor
  • email access for communication about the course.

Course Part one:  On-demand, online, video-recorded lectures

  • introduce the basic treatment concepts to be applied in the acute care environment.
  • provide a detailed review of a variety of commonly seen upper extremity conditions, including laceration and repair of soft tissue structures, fracture management, nerve compression and basic hand infections.
  • review 3 common acute care hand injury scenarios with a focus on anatomy, healing time frames, and management of these injuries to prepare patients for discharge.

Course Part Two:  Self-paced independent assignments.

You must complete and submit 3 case study assignments, and independently fabricate, photograph and submit 3 custom orthoses prior to the mandatory Zoom Virtual Interactive Classroom session (Part 3).  You will have the opportunity to view and review step-by-step detailed video-recorded instructions on how to draw the patterns and fabricate the three required orthoses. Videos will guide you through the fabrication of a Dorsal Blocking Orthosis, a Resting Hand Orthosis, and a Wrist Cock-up orthosis that you will fabricate on your own. You will have the opportunity to view and re-view the recordings while fabricating your orthoses.

Course Part Three: One-hour Zoom Virtual Interactive Classroom session

Complete the course with a scheduled Zoom Virtual Interactive Classroom session to review case studies and custom orthoses fabricated by the course participants.

 As a requirement of this course, you will need to:

  • view videos of course lectures, pattern making and orthosis fabrication
  • complete 3 case study assignments and independently fabricate 3 UE orthoses prior to attending the required Zoom Virtual Interactive Classroom.
  • provide thermoplastic splint materials, strapping materials, splint making scissors and have access to a heating pan. A supply list will be provided at the start of the course.
  • have access to another person (child or adult) on whom you can fabricate 3 upper extremity orthoses.
  • complete three orthoses fabricated on another person.
  • photograph and share access to photos of your 3 orthoses. You will submit links to your photos in your cloud storage, i.e. Dropbox, Google Drive, iCloud, etc. (Due to file size limitations, file uploads may not be supported by email.)
  • demonstrate proficiency with orthosis fabrication (100% proficiency based on 4 parameters per orthosis)
  • participate in a scheduled Zoom Virtual Interactive Classroom session with the instructor. Zoom session will review fabrication techniques, completed orthoses, case studies, and provide additional opportunity for questions and answers.
  • be prepared to discuss case studies and photos of the custom orthoses presented during Zoom Interactive Classroom.
  • complete course post-test with a passing grade of 80%
  • complete course evaluation.

 List of required splinting tools and supplies

By the end of this course, participants will be able to:

  • understand the importance of early intervention with orthopedic upper extremity injuries
  • identify precautions of certain upper extremity injuries
  • identify methods to prepare this population for positive outcomes by addressing key components
  • identify the structures that are important to protect when you have an edematous hand
  • to be able to draw a pattern and fabricate 3 custom orthoses: resting hand orthosis, dorsal blocking orthosis, wrist cock up orthosis

PART 1:   On-demand recorded lectures (2.5 hours)

35 min                   Fundamentals of tissue healing and the key components of acute management

40 min                  Soft tissue injuries to the wrist and hand

20 min                  Humeral fractures and radial nerve involvement

20 min                   Cellulitis/ infections of the hand

30 min                   Review of Custom Orthoses

5 minutes              What’s Next: Instructions on how to complete the course assignments

PART 2:  Independent Assignments ( 4 hours)

90 min                   Complete case study assignments: Read 3 case studies and answer questions

50 min                   Review videos and instructions on how to draw patterns for orthoses and step-by-step fabrication of orthoses

100 min                 Fabricate 3 custom orthoses: Dorsal Blocking Orthosis, Resting Hand Orthosis and Wrist Cock-Up Orthosis

 Part 3:  Live Interactive Zoom Virtual Classroom (1 hour)

60 min                   Review case study assignments and independently fabricated orthoses

5 min                      Post-test

This course content is not intended for use by any participants outside the scope of their license or regulation.

7.5 Contact Hours includes 6.5 hours of independent study consisting of online recorded video lectures and patient demonstrations, case study assignments and independent fabrication of orthoses; plus a 1-hour live interactive Virtual Classroom (Zoom) hosted by the instructor Adrienne Tesarek, OTR/L, CHT.

This hybrid online course is accepted by many professional credentialing organizations and state professional regulatory boards. Rules and regulations change frequently without notification and apply differently to live and online courses. Please check with your state board to confirm accuracy of this list and acceptance of contact hours. Certificate of Course Completion will be issued to all participants upon completion of the course and may be used for CEU verification of credits. CE credits vary by state. Please check with your state board/certifying agency to confirm conversion of contact hours to CE.

Rehab Education, LLC is recognized as:

  • AOTA (Pending approval for this professional development CE course)
  • approved provider of PT and PTA continuing education by the NY State Education Department Board of Physical Therapy.
  • approved provider of PT and PTA continuing education by IDFPR/ Illinois Board of Physical Therapy (#216000227).
  • Physical Therapy Board of CaliforniaPhysical Therapy Board of California: The Physical Therapy Board of California recognizes Rehab Education, LLC as an approval agency to approve providers offering continuing competency courses for CA licensed PTs and PTAs. This course is approved for 7.5 contact hours (6.5 hours online self-study, 1 hours live, online interactive webinar)


  • Illinois State Board of Physical Therapy: Approved CE Sponsor by Illinois State Board of Physical Therapy, Division of Professional Regulations, Approval #216.000227. (Course must be taken prior to 09-30-2026)


  • NY State Physical Therapy Board: Rehab Education, LLC is recognized as an approved provider of PT and PTA continuing education by the NY State Education Department Board of Physical Therapy. (Course must be taken prior to 05-10-2025)


  • States that Accept AOTA Approval / PT State Boards’ Approval Reciprocity

    The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. At the time of listing, these states currently recognize AOTA Approved Providers for OT continuing education either in regulatory language or by formal written communication to AOTA. For an up-to-date list, see the AOTA website.

    Alabama
    Alaska
    Arkansas
    Arizona*
    California
    Delaware
    District of Columbia
    Florida **(self-report to CE Broker)
    Georgia*
    Illinois
    Indiana
    Kentucky
    Louisiana*
    Maryland
    Massachusetts
    Michigan
    Minnesota
    Mississippi*
    Missouri
    Montana
    Nevada
    New Hampshire
    New Mexico
    New York
    North Carolina
    North Dakota
    Ohio
    Oregon
    Oklahoma
    Pennsylvania
    Rhode Island
    South Carolina*
    South Dakota
    Tennessee*
    Texas
    Vermont
    Virginia
    Wisconsin (self study courses only)

    *see CE Broker
    **FL licensees may need to self-submit courses in CE Broker

    Disclaimer: Rehab Education LLC provides this list for your convenience. At the time of listing, the following state boards accept courses by virtue of approval by other organizations. It is the responsibility of the participant registering for a course to check with their state board to confirm rules and regulations regarding acceptance of contact hours for live and online courses.


    The following PT Boards accept courses approved by other PT State boards*:

    Alaska
    Delaware
    District of Columbia
    Hawaii
    Illinois
    Indiana
    Kansas
    Kentucky
    Michigan
    Montana
    North Carolina
    North Dakota
    Oregon
    Pennsylvania
    Tennessee
    Utah
    Vermont
    Virginia
    Wyoming

    The following PT Boards accept courses approved by other APTA state associations*:

    Alaska
    Arizona
    Delaware
    District of Columbia
    Florida **(self-report to CE Broker)
    Georgia
    Kansas
    Kentucky
    Mississippi
    Missouri
    North Carolina
    North Dakota
    Rhode Island
    South Dakota
    Utah
    Vermont
    Virginia
    Wyoming

    The following PT Boards do not require pre-approval for continuing education activities as long as they are “directly related to the licensee’s practice of physical therapy” and/or meet the guidelines established by the board.

    Alabama
    Colorado
    Connecticut
    Iowa
    New Hampshire
    Washington
    Wisconsin

    HELPFUL LINKS:
    *NBCOT…National Board for Certification of Occupational Therapy (view PDU requirements)

    +HTCC… Hand Therapy Certification Commission (view recertification requirements)
    Hand Therapy Certification Commission (HTCC): This course is accepted by HTCC towards re-certification.

    State PT Boards
    State OT Boards

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    Instructors:

    Adrienne Tesarek, OTR/L, CHT

    is a graduate of Louisiana State University and moved to California after graduation. Her career started at UCSD Medical Center as an inpatient therapist before transitioning to the outpatient department, where she mentored to sit for the hand exam. She became a CHT in 2005. Since that time, she has done teaching at Grossmont Community College in their OTA program and presented at OT conferences on custom orthotic fabrication and conservative management of thumb CMC OA. In 2013, she moved to Los Angeles to work at UCLA and was a member of the Rehab Services Education Committee coordinating continuing education for her fellow OT’s. Also, during her time in Los Angeles, she joined the non-profit Hand Therapy Society of Greater Los Angeles, serving as their secretary and is currently the president. She moved back to San Diego in 2021 and currently works for Palomar Health in Poway, CA.  She has taken the position of president of the San Diego Hand Special Interest Group and formed a new education committee at Palomar Health.

    Fast Facts

    Skill Level: Beginner to Intermediate
    Delivery Method: Online Hybrid format

    Zoom Meeting
    Who Should Attend:

    Beginner to intermediate level clinicians– working in acute care/out-patient

    • Occupational Therapists
    • Occupational Therapy Assistants
    • Certified Hand Therapists
    • Physical Therapists who work with hand patients

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