Management of the Stiff Hand with CMMS

Saturday, July 24, 2021


9:00 am - 11:00 am

Pacific Time

This is our July 2021 Webinar – Free for Members and $30 for Non-Members

Presenter: Robyn Midgley
European Certified & British Accredited Hand and Upper Extremity Therapist. BSc (Hons) OT, AHT (BAHT), ECHT (EFSHT)

  • Overview of understanding the complexity surrounding joint stiffness.
  • Review of the literature with regards to the management of the stiff hand.
  • The benefit of CMMS versus Orthotics
  • How to decide if CMMS is appropriate
  • Management of PIPJ fixed flexion deformities in the acute or chronic stiff hand
  • Crush & degloving injury case study to understand the timing & implementation of the CMMS technique.
  • The use of GANTT charts to record and demonstrate the application of the CMMS technique.
  • The ULFI as an outcome measure 
  • The benefit of determining the Impairment Calculation.

Practical Demonstration:

I will demonstrate and explain how to correctly cast the PIPJ to improve a fixed flexion deformity. This demonstration will ensure that the technique can be safely applied by all therapists when faced with their next patient who has a FFD.

Members Register Here – Not a 2021 member? Check out the benefits and join here: hta-ca.org/membership/
Non-Members Register Here

BIO: Robyn obtained her BSc (Hons) degree in Occupational Therapy at the University of the Witwatersrand and obtained both her British and European certifications in Hand Therapy.

Robyn worked at the prestigious Guy’s & St Thomas’ NHS Foundation Trust for 8 years where she treated orthopaedic and plastic surgery patients with traumatic and elective hand and upper limb injuries. Following on from this role, Robyn went on to pioneer the extended Scope Practitioners (ESP) role thereby enabling her to perform advanced clinical assessments, order specialist investigations such as MRI and CT scans, initiate treatment and take first line consent for surgery.
 
Robyn returned to South Africa to establish Hand Therapy Consulting in 2011. Robyn has developed credible relationships with hand surgeons where collaborative treatment plans are developed based on her trusted advice and expert opinion. She has published numerous articles in reputable Hand Therapy journals and has presented at several international conferences. She has also co-authored the Chapter on the Therapists management of the Stiff Hand in the 7th Edition of the Rehabilitation of the Hand & Upper Extremity textbook.

In 2017 Robyn established Hand Consult SA with Dr Chetan Patel, Plastic & Reconstructive Surgeon, a collaborative service based in Johannesburg, Gauteng that provides specialist assessment, treatment & rehabilitation services addressing conditions, injuries and diseases of the hand and upper extremity.

In 2019 Robyn launched the new online CMMS course that consists of over 24 hours of theoretical and practical learning to qualify hand therapists to apply the CMMS technique. Robyn’s vision is to heal stiff hands across the globe through teaching and working with hand therapists.

Robyn’s practice, Hand Therapy Consulting is based in Hyde Park, Johannesburg. The practice provides a sophisticated and calm environment that is conducive to healing. Sound clinical knowledge, advanced assessment skills coupled with innovative technology are used to meet the needs of patients and develop bespoke treatment plans that ensure maximum healing and avoid re-injury in the future.