This course explores our current state-of-the-art, evidence-based rationale for treating stiffness in the hand. After defining joint stiffness and reviewing current evidence, discussion focuses on both the tissue response and cortical response to stress deprivation and stress application, explaining how edema, interosseous muscle tightness, and passive range of motion interplay with the collagen response. A review of traditional treatment, the use of Casting Motion to Mobilize Stiffness and the use of Active Redirection equip the participant with new clinical tools for treating stiffness.

Nuances of Mobilizing the Stiff Hand: Part 1 of 9: What is Stiffness?

An exploration of the definition of stiffness as it relates to human tissue.

Nuances of Mobilizing the Stiff Hand: Part 2 of 9: Evidence

A review of the efficacy evidence available for treatment of the stiff hand.

Nuances of Mobilizing the Stiff Hand: Part 3 of 9: Collagen

A discussion of the characteristics of collagen which influence the ability to move joints.

Nuances of Mobilizing the Stiff Hand: Part 4 of 9: Stress Deprivation

A review of how stress deprivation changes collagen and creates stiffness.

Nuances of Mobilizing the Stiff Hand: Part 5 of 9: Tissue Response to Stress

A review of how stress application changes collagen to alter stiffness.

Nuances of Mobilizing the Stiff Hand: Part 6 of 9: Cortical Response &Traditional Rx

An exploration of the cortical response to immobilization and to movement and a review of the efficacy of traditional treatment approaches.

Nuances of Mobilizing the Stiff Hand: Part 7 of 9: Casting Motion to Mobilize Stiffness (CMMS)

An explanation of the rationale of the CMMS approach (Casting Motion to Mobilize Stiffness) to mobilize the stiff hand.

Nuances of Mobilizing the Stiff Hand: Part 8 of 9: Active Redirection

How redirection of active motion to the most resistive joint can effectively mobilize stiffness.

Nuances of Mobilizing the Stiff Hand: Part 9 of 9: The Future & Conclusions

An exploration of new directions in treating stiffness and a review of the content of the entire series.