Occupational Therapy: Conservative and Surgical MGMT of the OA Hand and Wrist, 2e

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About the Author

Debbie Amini, EdD, OTR/L, FAOTA, is the director of professional development for the American Occupational Therapy Association (AOTA). She received her bachelor of science degree in occupational therapy from Quinnipiac University, her master’s degree in education from the University of North Carolina at Wilmington, and her doctorate in education from North Carolina State University. A certified hand therapist from 1991 to 2016, Dr. Amini worked as the director of an occupational therapy assistant program for 14 years before becoming an assistant professor of occupational therapy in Greenville, North Carolina. She served a 3-year term as chair of AOTA’s Commission on Practice and is the author of several AOTA official documents. Dr. Amini wrote bimonthly print columns in Advance for Occupational Therapy Practitioners for 15 years; titles included "Hands On" and "Inside Occupation". Her articles have appeared in Advance for Directors in Rehabilitation, the PD-SIS quarterly newsletter, OT Practice magazine, and AJOT. In addition to authoring online courses and textbook chapters, she has contributed the hand, wrist, and forearm component of the Occupational Therapy Practice Guidelines for Individuals with Work-Related Injuries and Illnesses, and co-authored the Occupational Therapy Practice Guidelines for Adults With Musculoskeletal Conditions published by AOTA. Dr. Amini has presented at the AOTA, NCOTA, and ASHT annual conferences and has conducted regional 2-day workshops on the topics of
hand therapy and authentic OT practice.

Peer reviewer: Teri Bielefeld, PT, CHT, is a graduate of the program in physical therapy at Marquette University, Milwaukee, Wisconsin. She has worked at the Zablocki VA Medical Center in Milwaukee for the past 34 years and holds the position of PT clinical specialist in the outpatient physical therapy clinic. Ms. Bielefeld is a clinical instructor in the physical therapy programs at Marquette University, Carroll University, and the University of Wisconsin-Madison. She has been a certified hand therapist since 1991 and has lectured nationally and internationally on numerous hand rehabilitation topics. She has authored articles, a monologue, and a chapter titled “Therapist’s Management of the Thumb Carpometacarpal Joint with Osteoarthritis” in Rehabilitation of the Hand and Upper Extremity (6th edition). She twice served as president of the Hand Rehabilitation Section of the American Physical Therapy Association, and serves as its treasurer. Ms. Bielefeld received the Marquette University 2000 Merit Award for distinguished professional achievement and the 1998 American Physical Therapy Association Henry O. and Florence P. Kendall Award for Clinical Excellence.

Occupational Therapy Planner: Elizabeth D. DeIuliis, OTD, OTR/L
The contributors to this course have no conflicts of interest relative to its content.

Learning Objectives

  • Recognize the etiology and pathophysiology of osteoarthritis (OA) of the hand and wrist.
  • Explain the process and criteria for reaching a clinical diagnosis of OA.
  • Identify the goals and treatment options for managing OA.
  • Develop an occupational therapy intervention plan for management and treatment of OA of the proximal and distal finger joints.
  • Develop an occupational therapy intervention plan for the management and treatment of OA of the carpometacarpal thumb joint.
  • Develop an occupational therapy intervention plan for the management and treatment of osteoarthritis of the wrist.

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