March 5, 2016
February 2016 marked 2 decades we have been in the United States. Ashim Bakshi and I did our undergrad in occupational therapy in India and then gathered our experiences as travelling therapists here in the US. We completed our graduate fellowship program at Baylor College of Medicine and Texas Woman’s University in Houston and got the opportunity to be trained under world class orthopedic, hand and plastic surgeons and therapists, and then went off to treating patients and gathering experiences our separate ways in different parts of the country.
Few years later we joined hands to start Advanced Rehab Seminars. We realized that most hand therapy education is theoretical book knowledge, with therapists struggling with the clinical applications. This we saw across the spectrum, new and experienced therapists, who have been in the field stuck in a rut. This led us to start the hands-on courses with Advanced Rehab Seminars for the Upper Quadrant with enhanced focus on functional and applied anatomy from shoulder to the hand.
Our first course was in 2010 on Manual Medicine for the Upper Quadrant-Taking it to the next level. Here we reviewed basics of anatomy, palpatory examination and transitioned to drawing the joint articulation as part of the surface anatomy so that the clinicians could accurately palpate and perform the mobilization with correct hand position. The course was an instant success.
Then we found similar problems in treating sports injuries. Understanding how sports injures happen and how you have to think outside the box to treat one and get the patient back into the game or when to hold them back. We included sports splinting and taping with it to make it a package in Sports Medicine for the Upper Quadrant
After this we did Differential Diagnosis and assessment of the upper quadrant. The entire process of Advanced Rehab started with us giving a talk at ASHT on Differential Diagnosis, and the feedback we got we knew we had to do something. Therapists wanted more, so we finally put together our most famous course Paradigm of differential diagnosis, assessment, treatment of the upper quadrant nerve & orthopedic systems. The premise of this course was that we do not have X-rays or MRI’s to detect problems and all we have is our assessment skill and physical tests, and as therapists we need to be thorough at doing these tests. As is, the MRI’s have to correlate with the physical finding and if it doesn’t the expensive test is useless.
The next project we undertook was Comprehensive management of the post-surgical arm. With the latest advances in surgeries, therapists needed to understand these surgeries so that they would not harm the patients when treating them. We picked a few of the latest surgeries and designed problem solving techniques based on when the patient was referred to therapy to avoid a cook book approach so that the patient can be treated appropriately.
Stiff arm imposes multiple challenges not just to the patient but to the treating therapist and is a true test of skills for the therapist to prove to the referring provider. It requires a multifaceted approach from ongoing assessment to treatment which is ever changing from splinting to mobilization to modalities not to mention getting the patients confidence to allow the treatment to occur and participate in it. It tests the therapist’s skill in every aspect and pays huge rewards when done right.
Now a days taping is done by all, for every injury there is taping, primarily Kinesio taping. We wanted to bring a different approach to taping. One has to know all there is in taping and not get stuck to one type. We do not know what a patient will walk in with and we should provide answers for these patients and for that we should have the knowledge to use all there is in our tool box. Thus we introduced Comparative taping Leuko Vs. Kinesio taping. Leuko taping is done primarily in lower extremities but we designed techniques and extrapolated the concepts, to be used in the upper quadrant from shoulder to hand and compared the taping methodologies, to obtain an optimum outcome.
Our upcoming project is Neural Mobilization of the Upper Quadrant with Myofascial Mobilization. The premise of this course is based on the fact that nerves are sitting in a bed of tissues. Just giving nerve glides doesn’t ensure that the nerve is gliding in the scarred or newly altered bed. Assessing where the nerve is tied down, mobilizing the structures at its base and then slowly gliding the nerve and continuing to provide the environment via taping will ensure the normalization of sensation and pain modulation.
In addition to the courses we developed, we invited our mentor Charles Costello to do a modalities course so that the therapist knows the reasoning behind every modality they use and apply it correctly.
We are always looking for host facilities for the Hands On Modalities course for the Upper Quadrant.
This company has taken us to all corners of United States and to Europe. We plan on doing more overseas courses in the future.
We, in our wildest dreams had never imagined to work so effectively and develop such a promising company. You can read the testimonials from therapists who came back over and over again to take different Hands-On courses to hone their skills in different aspects of treating the upper quadrant.
So join us in using our 4 decades of total experience in providing these excellent courses that a therapist can apply the very next day in clinic.
For questions please feel free to contact us at info@advancedrehabseminars.com
Update: One of our recent course is problem solving challenging and complex cases that is totally interactive with the attendees where they decide how to solve a complex problem.