Study-Unit Description

Study-Unit Description


CODE OCT3029

 
TITLE Occupational Therapy in Upper Extremity Rehabilitation

 
UM LEVEL 03 - Years 2, 3, 4 in Modular Undergraduate Course

 
MQF LEVEL 6

 
ECTS CREDITS 4

 
DEPARTMENT Occupational Therapy

 
DESCRIPTION This study-unit will explore the basic principles of upper extremity rehabilitation using the biomechanical approach as the basic rehabilitative frame of reference, but extending it to an occupation based and client centred approach. It will provide the student with a coherent framework for the evaluation and holistic treatment of upper extremity dysfunction.

The study-unit will allow the student to appreciate the potential impact of injury or trauma to occupational performance. It will then go through comprehensive methods of clinical evaluation in preparation for understanding and applying the concepts of clinical treatment. This body of knowledge will be then applied and synthesised to the major upper extremity diagnoses encountered in the occupational therapy clinic. This will include skeletal, tendon and nerve injuries, traumatic injuries, cumulative trauma, complex regional pain syndrome and rheumatoid arthritis. This study-unit will be covered through the use of lectures and tutorials.

Study-Unit Aims:

- Appreciate the way upper extremity dysfunction affects occupational performance;
- Understand principles and methods of upper extremity clinical and functional evaluation;
- Understand principles and methods of occupation based upper extremity treatment principles and modalities.

Learning Outcomes:

1. Knowledge & Understanding:

By the end of the study-unit the student will be able to:

- be familiar with biomechanical approach upper extremity rehabilitation which is typically concerned with treating orthopaedic based upper-extremity conditions so as to optimize the functional use of hand and arm;
- comprehend and be able to carry out clinical and functional evaluation of the upper extremity;
- demonstrate understanding of the concepts of treatment and treatment media, wound management (including scar massage),oedema control, physical agent modalities, therapeutic exercise and activities, sensory normalisation, splinting and work therapy;
- demonstrate understanding of treatment by diagnosis of the upper extremity (with special emphasis on hand injuries/conditions).

2. Skills:

By the end of the study-unit the student will be able to:

- select and apply the appropriate assessment tool/tools;
- plan an occupation based upper extremity treatment programme based on the assessment carried out;
- apply the appropriate treatment modalities;
- evaluate the progress of the intervention with a view to possibly modifying treatment.

Main Text/s and any supplementary readings:

Required Text:

- Wietlisbach, C. M. (2020). Cooper's Fundamentals of Hand Therapy E-Book: Clinical Reasoning and Treatment Guidelines for Common Diagnoses of the Upper Extremity. Elsevier Health Sciences.
- Various available on line- journal articles will be indicated during the study unit.

Bibliography:

- Boscheinen-Morrin, J., & Conolly. W. B. (2001). The Hand: Fundamentals of therapy Butterworth-Heinemann Medical.
- Burke S.L., Higgins, J., McClinton, M.A., Saunders, R. & Valdata, L. (2005). (3rd ed.)Hand and Upper Extremity Rehabilitation: A Practical Guide. Churchill Livingstone.
- Crepeau, E.B., Cohn, E.S., & Boyt Schel, B.(2010). Willard and Spackman’s occupational therapy Philadelphia, PA: Lippincot, Williams and Wilkins.
- Conolly, W. B., & Prosser, R. (2003). Rehabilitation of the hand and upper limb Butterworth-Heinemann Medical, UK.
- Mackin, E. (eds) 2002 Rehabilitation of the hand and upper extremity. Volume 1. Mosby.
- Jacobs, M. L. A., & Austin, N. M. (2003). Splinting the hand and upper extremity: Principles and process. Lippincott Williams & Wilkins.
- Kaskutas, V. (2018). Evaluation of muscle strength. In H. M. Pendleton & W. Schultz-Krohn (Eds.), Pedretti’s occupational therapy: practice skills for physical dysfunction (8th ed.) (pp. 512-579). St. Louis: Elsevier.
- Lynsay R. Whelan, L. R. (2014). Assessing abilities and capacities: range of motion, strength and endurance. In M. V. Radomski & C. A. Trombly Latham (Eds.), Occupational therapy for physical dysfunction (7th ed.) (Chapter 7). Philadelphia: Lippincott Williams & Wilkins.
- Saunders, R., Astifidis, R., Burke, S. L., Higgins, J., & McClinton, M. A. (2015). Hand and Upper Extremity Rehabilitation: A Practical Guide. Elsevier Health Sciences.
- Shurtleff, T., & Kaskutas, V. (2018). Joint range of motion. In H. M. Pendleton & W. Schultz-Krohn (Eds.). Pedretti’s occupational therapy: practice skills for physical dysfunction (8th ed.) (pp. 477-511). St. Louis: Elsevier.
- Skirven, T.M., Lee Osterman, A., Fedorczyk, J & Amadio, PC. (2011) (6th. ed.)Rehabilitation of the Hand and Upper Extremity, 2-Volume Set PA: Elsevier, Mosby.
- Stanley, B. G., & Tribuzi. S. M. (1992). Concepts in Hand Rehabilitation FA Davis.
- Wilton, J. (2014). Hand Splinting/Orthotic Intervention: principles of design and fabrication. Vivid Publishing.

 
RULES/CONDITIONS Before TAKING THIS UNIT YOU MUST TAKE ANA2509 AND TAKE OCT3058

 
ADDITIONAL NOTES Please note that a pass in each component is obligatory for an overall pass mark to be awarded.

 
STUDY-UNIT TYPE Lecture and Tutorial

 
METHOD OF ASSESSMENT
Assessment Component/s Assessment Due Sept. Asst Session Weighting
Practical (See Add. Notes) SEM2 Yes 15%
Examination (See Add. Notes) (2 Hours) SEM2 Yes 85%

 
LECTURER/S Marjorie Bonello

 

 
The University makes every effort to ensure that the published Courses Plans, Programmes of Study and Study-Unit information are complete and up-to-date at the time of publication. The University reserves the right to make changes in case errors are detected after publication.
The availability of optional units may be subject to timetabling constraints.
Units not attracting a sufficient number of registrations may be withdrawn without notice.
It should be noted that all the information in the description above applies to study-units available during the academic year 2024/5. It may be subject to change in subsequent years.

https://www.um.edu.mt/course/studyunit