Rehabilitation of the Unstable Elbow: Concepts to
Maximize Outcomes (Recorded Webinar)

Presented by Joey Pipicelli

Rehabilitation of the Unstable Elbow: Concepts to Maximize Outcomes (Recorded Webinar)

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Video Runtime: 57 Minutes; Learning Assessment Time: 21 Minutes

The elbow is a congruous joint with a high degree of inherent stability provided by osseous and soft tissue constraints. Despite this, it remains the second-most dislocated major joint in adults. If not optimally managed, this injury can result in persistent instability, stiffness, pain, and early. This webinar offers a comprehensive exploration of evidence-informed rehabilitation strategies when managing elbow instability. Participants will gain an in-depth understanding of elbow anatomy and biomechanics. We will also review the pathophysiology of elbow instability, identifying common causes including both ligamentous injuries and fracture-dislocations. The core of this webinar focuses on creating individualized rehabilitation programs designed to restore motion, strength, and stability. Orthotic principles and interventions to maximize elbow and forearm motion in the presence of stiffness will also be discussed. By the end of this webinar, participants will have the knowledge to design and implement comprehensive rehabilitation programs that will optimize outcomes for patients with elbow instability.

Learning Objectives
  • Distinguish the key components from elbow anatomy and biomechanics that contribute to elbow instability
  • Implement individualized early motion rehabilitation programs based on the type of elbow instability and the various structures involved to facilitate a patient’s return to meaningful occupations
  • Plan a rehabilitation program that addresses the radiographic drop and its therapeutic implications
  • Determine at what phase of rehabilitation a static or a hinged static progressive elbow flexion orthosis can be implemented to enhance elbow flexion
  • Design a program to strengthen the dynamic elbow stabilizers to be used during phase 3 of rehabilitation

Meet your instructor

Joey Pipicelli

Joey Pipicelli graduated from Western University with a MScOT in 2003 and became a Certified Hand Therapist in 2008. He has been working as a Hand Therapist at the Roth | McFarlane Hand and Upper Limb Centre (RM-HULC) in London, Ontario since 2009. Currently, he serves as Coordinator of the Chinchalkar Hand Therapy…

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Chapters & learning objectives

Anatomy and Pathomechanics of Posterior Lateral Rotatory Instability

1. Anatomy and Pathomechanics of Posterior Lateral Rotatory Instability

This chapter will delve into the anatomy and biomechanics relevant to injury and rehabilitation, providing a foundation for understanding the body's structures and movements. It will explore the mechanisms of injury and common forms of instability, highlighting how these factors contribute to various conditions. The chapter will also emphasize the importance of gathering specific case details, essential for developing personalized rehabilitation programs tailored to each patient's unique needs.

Rehabilitation Based on the Phases of Wound Healing

2. Rehabilitation Based on the Phases of Wound Healing

This chapter will outline therapeutic interventions for each phase of rehabilitation to optimize patient outcomes. It will cover the application of protective orthoses, comparing the use of hinged braces versus traditional braces, and explore strategies for effective edema control. Additionally, the chapter will address overhead rehabilitation techniques, proprioceptive training to enhance body awareness and balance, and progressive strengthening exercises tailored to the patient's recovery stage.

Therapeutic Management of Post-Traumatic Stiffness

3. Therapeutic Management of Post-Traumatic Stiffness

This chapter will focus on the therapeutic management of post-traumatic stiffness, exploring strategies to restore motion and flexibility. It will guide practitioners through the process of determining the most appropriate form of mobilization orthosis application, evaluating different options to maximize joint motion and improve patient outcomes. The chapter will provide insights into selecting the best interventions based on individual patient needs and the nature of their stiffness.

Question and Answer Session

4. Question and Answer Session

In this chapter, we’ll review and answer the questions asked during the webinar.