Introduction to Orthoses


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This two-day course is designed to provide the non-specialist, as well as those new to the hand therapy specialty, with the skills and knowledge necessary to select, design and fabricate a variety of static orthoses commonly used in the treatment of hand therapy conditions. Mechanical principles, materials and handling characteristics will be reviewed, and clinical reasoning used to determine decision-making used in orthosis fabrication. During the lab portion, the therapist will apply the basic skills needed to fabricate static orthoses used in hand therapy practice. L-code identifiers will also be reviewed in this course.

Target Audience: OT, OTAs, PTs, PTAs, ATs

Instructional Level: Beginner to Intermediate

Instructional Methods: Hands-on lab, lecture with Q&A, group discussion, patient cases, evidence review

Course Completion Requirements: must attend entire 2-day course, complete the post-course survey and post-course learner assessment

Cancellation policy

CEU Approval Information

For individual state approval, please contact us

12 Hour Course

12 CEUs will be offered for Certified Athletic Trainers

For assistance with applying for OT CEUs, please contact us





The course on Dec 5-6, 2020 in Atlanta, GA will be taught by Lead Instructor Pam Tutten, OT, OTD, CHT

SKU: N/A Category:

Course Rationale

The upper extremity and it’s associated diagnoses require specialized care, and often this involves fabrication and selection of various orthoses in the treatment of common hand therapy conditions.

Course Objectives

Upon course completion, the participant will be able to:

  • Identify three different anatomical landmarks and appropriate fabrication considerations to ensure proper fit in a variety of orthoses
  • Describe three mechanical principles used to ensure proper fit and orthosis effectiveness for a variety of orthoses
  • Using industry terminology, describe the similarities and differences in handling characteristics of the variety of presented materials that influence the decisions made in orthosis fabrication
  • Identify precautions, contraindications, safety measures, and tool selection in orthosis fabrication
  • Design appropriate orthosis wear schedules and follow-up care considerations for various conditions
  • Apply clinical reasoning to properly fabricate the following finger, hand, forearm, and elbow based orthoses:  Wrist immobilization, long and short thumb spica, ulnar gutter, trigger finger, and finger gutter
  • Identify alternative prefabricated orthosis options for a variety of upper extremity conditions
  • Select appropriate time-based and service-based L-codes for orthoses to bill appropriately
  • Independently design an orthosis, given a case study, that addresses a wrist/thumb condition (DeQuervains)



Jennifer DeYoung

Kristi Dickerson



Day 1 – Saturday:

  • 7:30 Registration, light breakfast/coffee
  • 8:00 Introductions
  • 8:30 Review of Course Objectives, Goals of Orthosis Fabrication
  • 9:00 Lab – Review of orthosis equipment, supplies, and materials
  • 9:45                   BREAK
  • 10:00 Fundamentals of Orthosis Fabrication
    • Anatomical considerations
    • Tissue healing
    • Mechanical principles
    • Orthotic fabrication process
  • 10:30 Lab – Posterior Elbow Orthosis (aka “Long Arm Splint”)
  • 12:00 Lunch
  • 12:45 Wrist Immobilization Orthoses – Indications
  • 1:00 Lab – Wrist Immobilization Orthosis – Forearm-based
  • 2:15 Ulnar Gutter Orthoses – Indications
  • 2:30                   Lab – Ulnar Gutter Orthosis – Forearm-based
  • 3:45                   BREAK
  • 4:00 Questions and Wrap Up for the Day
  • 5:00 Adjourn

Day 2 – Sunday:


  • 8:00 Registration, light breakfast/coffee
    Review/Questions from Day 1
  • 8:30 Thumb Spica Orthoses – Indications
  • 9:00 Lab – Thumb Spica Orthosis – hand-based variations
  • 10:15 BREAK
  • 10:30 Lab – Thumb Spica Orthosis – forearm-based variations
  • 12:00 LUNCH
  • 1:00                   Finger Based Orthoses – indications
  • 1:30 Lab – Finger Based Orthoses
  • 2:00 Lab – Trigger Finger Orthoses
  • 2:45 BREAK
  • 3:00 Lab – Tips and Tricks Using Strapping
    • Composite Flexion Cuff
    • MP/PIP flexion strap
    • Tadpole Technique
  • 4:00 Case Studies and Questions
  • 4:30 Adjourn


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