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  • Occupational Therapy
  • Occupational Therapy Assistants
Hours: 2 Contact Hours

Debbie Amini, EdD, OTR/L, FAOTA

Peer Reviewer(s): Teri Bielefeld, PT, CHT
Item#: I6401
Contents: 1 Course Book (64 pages)
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Conservative and Surgical Management of the Osteoarthritic Hand and Wrist, 2nd Edition

Price $24.95
Item # I6401
When available, the Online Course format is included with the hard copy, eBook, or audio book formats!

Release Date: March 5, 2019

Expiration Date: March 5, 2022

Osteoarthritis is the most common form of arthritis found in the hand and upper extremity. As many as 54.4 million Americans – or approximately 28% of the adult population – are affected. This intermediate-level course provides OTs and OTAs with a detailed overview of the pathophysiology and mechanics of the joints of the hand of those diagnosed with OA. The course offers practitioners in-depth knowledge of several of the most common medical and evidence-based treatments, and it provides instruction for application of techniques in occupational therapy evaluation and intervention. These include specific occupational therapy interventions, physical agent modalities, splinting, adaptive equipment, and joint protection to allow clients to engage in meaningful daily occupations.


0.2 AOTA CEUs are awarded for successful completion of this course.

Course 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 OA of the wrist.

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.

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.

  • Courses must be completed on or before the expiration date noted in the course description above.
  • You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion.
  • Through our review processes, Western Schools ensures that the course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
  • All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.
  • There are no prerequisites for this course.