Shoulder, Elbow, Wrist, and Hand

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Putting the FUNction Back Into Upper Extremity Rehabilitation Concepts
Make Enthusiasm a Component of Your Skillset! 

Start with a Strong Foundation​:  Shoulder and Elbow Rehab
Putting a Strong Foundation to Functional Work:  Wrist and Hand Rehabilitation

Contact us if you would like to host this course in your facility!

Presenter:  Tambra Marik, OTR/L, OTD, CHT

Option:  Attend one day or two days!

Contact Hours:  7.0 for one day/14 for both​​

Registration Rate:  One day:  $195 prior to   /$250 on or after

Both days:  $360 prior to and $500 on or after

Who should attend?:  Both courses are appropriate for occupational therapists, occupational therapy assistants, physical therapists, and physical therapy assistants with all levels of experience. ​​

Date/Location Online Registration Paper Registration Course Details



Putting the FUNction Back Into Upper Extremity Rehabilitation Concepts

Make Enthusiasm a Component of Your Skillset! 

This all in one comprehensive upper extremity rehabilitation course will incorporate rehabilitation concepts with an emphasis on meaningful activities. Theoretical constructs and evidence based techniques will be provided for upper extremity assessments and interventions.  Participants will refresh their therapeutic skills while reviewing their anatomical foundation to transform their knowledge into functional clinical interventions.  Therapist will learn and/or refresh their skills with varying therapeutic taping techniques, proprioceptive & mirror imagery principles, mobilizations skills, and identify posture mal-alignments for individualized exercise prescription.  Therapists are expected to gain some new innovative therapy ideas after completing this course.  Therapists will have the opportunity to put their love for rehabilitation into clinical practice while learning in a fun and informative environment​.

Day 1Start with a Strong Foundation:  Shoulder and Elbow Rehabilitation


  1. Describe proper upper quadrant biomechanics for functional movement patterns versus faulty movement patterns.
  2. Detect capsular restraints.
  3. Identify clinical significant testing techniques for common shoulder and elbow conditions.
  4. Implement a functional exercise program for patients with upper extremity pathology.
  5. Recognize and apply specific taping techniques for joint support, muscle inhibition and facilitation, and posture awareness.
  6. Implement upper extremity exercises that include holistic approach to functional movement patterns.
  7. Differentiate between types of therapeutic taping and their appropriate application principles.



7:30 to 8:00 am registration

8:00 am to 12:00 Noon

I.  Shoulder Functional Anatomy and Biomechanics

A.  Contributions of dynamic and static stabilizers in healthy shoulders vs.

movements of individuals with shoulder pathology

1. Posture Assessment

B.  Posture and motor recruitment effects on shoulder pathology

C.  Etiology and patho-mechanics related to common shoulder disorders

1.  Impingement, rotator cuff tear, instability and thoracic outlet

Break 10:15 to 10:30 am

II.  Basic therapeutic taping concepts

A.  Evidence and theoretical constructs

B.  Types of tape

C.  Objectives for taping

D.  Recommendations for tape application

III.  Interventions for Shoulder Pathology

A.  Capsular restraints and scapula alignment for optimal positioning


    • Posture exercise programming for improving stability, mobility, and functional movement
    • Glenohumeral and Scapulo-thoracic mobilizations
    • Taping:  Facilitation, inhibition, pain relief and support techniques

Lunch  (12:30 to 1:30)

1:30 to 4:00 pm

IV. Details Matter

Post-Operative management of common shoulder surgeries

A.  Review post-operative progressions

B.  Emphasis on learning anatomic structures that require protection in the early phases of clinical rehabilitation

Break 2:30 to 2:45 pm

V.  Elbow Functional Anatomy and Biomechanics

A.  Contributions of dynamic and static stabilizers

B.  Etiology and pathology of elbow:  instability, tendon and ligament injuries


    • Exercise programming with emphasis on proximal positioning
    • Elbow mobilization technique to improve motion
    • Taping:  inhibition, facilitation, and support​

VI.  Wrap up question and answer session

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Day 2:  Putting a Strong Foundation to Functional Work:  Wrist ​​and Hand Rehabilitation


  1. Identify basic movement patterns, anatomy and biomechanics of the wrist and hand
  2. Select validated patient-centered outcomes that are Medicare recognized to detect  true functional change
  3. Demonstrate wrist and hand clinical tests.
  4. Design a resting hand orthosis pattern while gaining the knowledge for appropriate patient fabrication
  5. Recognize applications for immobilization orthoses.
  6. Appropriately integrate joint mobilization, taping techniques, sensori-motor concepts and exercise, functional activities into rehabilitation programs
  7. Formulate graded motor imagery programs for patients with musculoskeletal conditions and strokes.

7:30 to 8:00 am registration

8:00 am to 12:00 pm

I. Wrist, hand and elbow anatomy and biomechanics

Lab:  Hand and wrist anatomy

II.  Upper extremity (UE) rehabilitation interventions from start to finish

A.  Essential evaluation measures

1.  Medicare approved upper extremity patient-centered and standardized outcome measures

Break 10:15-10:30 am

B.   Common hand and wrist pathologies

1.  Clinical diagnostic testing with anatomical landmark identification (radial wrist and hand)

2.  Fundamental concepts for effective rehabilitation progressions from acute to mature healing phases in surgical                 and conservative management

3.  Treatment Strategies for common orthopedic and neurological upper extremity conditions

   Lab 1:  Making resting hand orthosis

Lab 2:  Innovative taping techniques

Lunch 12:30 pm to 1:30 pm

1:30 pm to 4:00 pm

C.   Clinical diagnostic testing with anatomical landmark identification (ulnar wrist)

1.  Fundamental concepts for effective rehabilitation progressions from acute to mature healing phases in surgical and conservative management

2.  Treatment Strategies for common orthopedic and neurological upper extremity conditions

Lab:  Fabricate an ulnar wrist support and innovative taping techniques

Break 2:30 to 2:45 pm

III.  Graded Motor Imagery

A.   Basic concepts and indications for graded motor imager

  Lab:  Graded motor imagery programming

IV.  Joint Mobilization

1.​​​  Reviewing the general concepts of joint mobilizations

​         Lab:  Joint mobilizations for the digits, wrist and forearm

V.     Case Studies

​VI.   Questions and Answers

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Tambra Marik, OTR/L, OTD, CHT

​Tambra Marik, OTR/L, OTD, CHT, is a licensed Occupational Therapist, Certified Hand Therapist, and Doctor of Occupational Therapy. Dr. Marik has over 15 years of experience with specialization in assessment, treatment and reha­bilitation of the upper extremity emphasizing evidence-based interventions combined with practical clinical application. Her training includes manual techniques combined with exercise, modalities, myofascial release, Stott Pilates (certified) with an emphasis in rehabilitation, and various therapeutic taping techniques with proven clinical results. Dr. Marik authored, A Systematic Review of Therapeutic Taping Techniques in 2012, has written or co-authored several book chapters relating to shoulder and elbow rehabilitation and has published in the Journal of Hand Therapy. Currently, she is served as the Education Director of the American Society of Hand Therapists in 2013 & 2014 while now serving as a division member.  Tambra is the Elective Track Director of Upper Extremity Rehabilitation at Rocky Mountain University occupational therapy post-doctorate program. Her teaching style is relaxed and fun with imme­diate clinical application for all levels of therapists.  We are excited she is teaching this incredible course for PTNW!