The Hand and Wrist in Sport
A systematic approach to examining and rehabilitating the hand and wrist
The Hand and Wrist in Sport is an interactive online course that will expand your understanding of and provide a systematic approach to the clinical examination and rehabilitation of an athlete's hand and wrist.
Developed by Paul Brach, MS, PT, CHT, and Jane Fedorczyk, MS, PT, CHT, ATC, The Hand and Wrist in Sport is one of the first Internet courses offered through the PASS program. These courses feature the convenience and multimedia presentation offered by the Internet.

Through a special arrangement, this innovative course also includes 1 year of Internet access to Interactive Hand 2000, the first 3-D model of the wrist and hand produced with extreme clarity and depth of information. Created by Primal Pictures, this remarkable program offers incredible interactive images of the hand and wrist.

Interactive Hand 2000 illustrates anatomy that has been impossible to describe through two-dimensional diagrams. Dynamic video recordings of motion also are incorporated to illustrate function.


Images courtesy of Interactive Hand 2000
© 2000 Primal Pictures Ltd.

The online study guide for the course is not just printed material transferred into digital form. It is designed to present a meaningful opportunity to interact with the course subject matter in a way that facilitates learning.

The Hand and Wrist in Sport is problem centered. This method first identifies the principles necessary to solve common problems and then guides you through the process of learning how to apply these principles to solve a series of realistic problems. It's a powerful and effective way to learn.

You assume the role of an athletic trainer guided by a virtual mentor, hand specialist Dr. Hogan, for one week.

You meet several patients at a sports medicine clinic and you deal with them as you would in real-life situations.

This interactive role-playing approach guides you through the learning exercises and parallels what you'll encounter in actual settings. Your virtual mentor leads you through a series of situations and exercises:
Session 1: Physical Examination Procedures

After completing an Anatomy quiz and review using the Primal Interactive Hand 2000 website, you review all your clients' information, including the history of their injuries or conditions, and learn a systematic approach to assessing your clients' hands or wrists. Along with test results, this information becomes the basis of your treatment plan.

Session 2: Splinting
Each patient you encounter in the course benefits from the use of a splint. This section carefully walks you through proper assessment procedures for deciding which splint should be used, explains important contruction principles and outlines key considerations to ensure safe and effective use of splints for the rehabilitation of hand or wrist injuries that have occurred during sports.
Session 3: Sports Injuries
In this session you take a close look at specific sports injuries related to the hand and wrist. Primal Interactive Hand 2000 hyperlinks are embedded within the course content provided by the course authors giving you an integrated information resource that you can continue to use for the duration of your subscription once you have completed the course exam.
Session 4: Designing Treatment Plans for your Patients
Now it is time to apply all the principles you have learned to your patients. Here are just a few sample cases:
Barb Smith is an active 52-year-old housewife who enjoys playing tennis. A couple months ago, after winning a match, she was jumping over the net to shake hands with her opponent when she fell and sustained a right distal radius fracture. She required external fixation and percutaneous pinning to reduce her wrist fracture and is now 8 weeks post-fracture and two weeks post removal of her external fixator. She is coming to see you for help in getting back into her tennis game.
Paul Shortt has just returned from a vacation where he spent 2 to 3 hours every day fly fishing. Since his return home, he has been complaining of radial sided wrist pain. He is coming to see you after being referred by his primary care physician.
Richard Weber, who suffered a volar dislocation on his right small PIP joint 4 months ago, is now experiencing a Boutonniere deformity secondary to his PIP dislocation. What type of splinting technique can you design to optimize his ability to play basketball during his lunch hour?
Finally, an online test will evaluate your understanding of material covered by the entire interactive course.

System Requirements

This course is designed to work best when your computer and Internet browser are configured to the following technical requirements and setup specifications:

  • Internet Explorer 5.5+ (Windows), Netscape Navigator 7.1+, Mozilla 1.7+, or Firefox 1.0+.
  • Computer monitor preferences set for 640 X 480 resolution or larger.
  • Browser pop-up blockers disabled.
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