Handrehab - Advanced clinical education | Advanced clinical training by Shrikant

Advanced Clinical Education Inc. was established by Shrikant J. Chinchalkar, M.Th.O, B.Sc.OT, OTR, CHT in 1989. Shrikant has over 47 years of clinical experience in treating upper extremity conditions, 40 years of teaching and 30 years of research experience. He has given over 300 presentations worldwide and has won many awards for his contributions. He presented two-to-four hours of instructional courses for nearly 25 consecutive years at the American Society of Hand Therapists ASHT) annual meetings. He also presented papers and instructional courses at most of the International Federation of Societies of Hand Therapists (IFSHT) conferences. He is frequently invited as a “Keynote Speaker” for a number of Hand & Upper Extremity related congresses worldwide. He was recognized as “The Best Educator” by Western University and was given an “Award of Excellence” and an award of “Excellence in Teaching and Coaching” by the administration of St. Joseph’s Hospital in London, Ontario

The mission of Advanced Clinical Education Inc. is to provide high level of continuing education on upper extremity conditions to the health care and rehab professionals to enhance their level of knowledge about rehabilitation on various upper extremity conditions. Please click on the link for more information on Shrikant.

Our Courses & Workshops are tailored to:

Enhance clinical skills, thereby enabling you to keep abreast of today’s surgical and therapeutic advancements
Help build confidence and skills to immediately implement techniques to provide better patient care and achieve better outcome
Provide an in-depth, evidence based, informative, theoretical and practical knowledge about the upper extremity rehabilitation
The courses &/or workshops can be hosted at your facility (contact us for more information about hosting a workshop).

Biomechanics of the Hand

A great hand therapy review course for the hand therapy certification exam!

This intermediate to advanced level comprehensive two-day course provides an in-depth analytical approach to hand rehabilitation based on wound healing, tissue physiology and biomechanics. This course is for the therapists who want to enhance their theoretical knowledge and practical skills to problem solve and design treatment programs for a variety of upper extremity conditions. Shrikant has taught this course to Ortho, Plastics, Family Medicine, Physiatry and ER residents and fellows by conducting teaching rounds for nearly 25 years.

Brachial Plexus & Peripheral nerve injuries

This Intermediate to advanced level course on brachial plexus and peripheral nerve injuries is designed to enhance an in-depth understanding of the impact of nerve trauma on functioning of the entire upper extremity. This comprehensive course provides an analytical approach to the rehabilitation of upper extremity dysfunction due to devastating brachial plexus and peripheral nerve injuries.

Introduction to Splinting

This basic, intermediate and advanced level splinting workshop focuses on the importance of splinting in various upper extremity conditions. The course is designed to enhance the understanding of splinting principles and hands on fabrication experience in handling different thermoplastics, and hardware. The presentation focuses on diagnoses specific assessment of the hand and management of various conditions by means of splinting. The “Splinting 101” course is designed to focus on static splints for simpler diagnoses. Whereas, “Splinting 102” focuses on other complex injuries requiring either dynamic or static progressive splinting and components.

Management of Common Hand Injuries

This basic to intermediate level course is designed for therapists who want to enhance their theoretical knowledge in treating a variety of common conditions. The course addresses anatomy of the hand, wound healing, edema formation and management of various common hand conditions. Video clips and animation of injury, pathomechanics and treatment are presented to further enhance the educational experience.

Management of Upper Extremity Stiff Joints

This Intermediate to advanced level course is designed to enhance the understanding of the impact of joint stiffness on functioning of the elbow, wrist, and hand. This comprehensive course provides an in-depth discussion of sequential progression of contracture formation at or around the joints causing stiffness. This course presents in-depth analytical approach to the management of upper extremity joint stiffness.

Management of Upper Extremity Tendon Injuries & Fractures

This intermediate to semi-advanced level course is designed to enhance the understanding of the impact of tendon injuries and fractures on the hand. The comprehensive course provides an analytical approach to the rehabilitation of Zone-Specific tendon injuries and various fractures. In addition, hands-on joint mobilization lab sessions discuss the physiology of restoring function in the wrist and hand.

Pathomechanics of wrist & hand deformities in RA

This intermediate to advanced level course focuses on the management of the wrist and hand deformities in rheumatoid arthritis. The course is designed to enhance the understanding the progression of deformities in the wrist and hand rheumatoid arthritis conditions. The course focuses on detailed assessment of pathomechanics and presents management of these conditions. Understanding of timely therapeutic interventions help minimize and/or reduce the progression of ligamentous, tendinous failures resulting into-articular changes. Shrikant has taught this course to family physician and rheumatology residents and fellows for over 20 years.

Simplifying Biomechanics of the Elbow

This comprehensive, intermediate to advanced level course focuses on the management of the various elbow disorders. This lecture and lab course are designed to enhance the understanding of the complexity of the elbow joint. An in-depth assessment and management of various elbow conditions is presented.

Simplifying Management of the wrist & elbow

This intermediate to advanced level course focuses on the management of the wrist, carpals and the elbow joint. This lecture and lab course are designed to enhance the understanding of the complexity of the wrist and elbow, hands-on-assessment, focusing on differential diagnoses and management of various fractures and dislocations of these joints.

The Hand and Digital Dynamics

This Intermediate to advanced level course is designed to enhance the understanding of hand anatomy, with the focus on intrinsic and extrinsic muscles of the hand and its influence on digital biomechanics, various instabilities and deformities of the thumb and fingers. The presentation includes various pathology videos, cadaver dissections, animations, hand pathology videos, cadaver dissections, animations, pathomechanics of swan neck and boutonniere deformities. The course presents an in-depth clinical reasoning of therapeutic interventions to improve hand function. This comprehensive course provides a detailed analytical approach to the rehabilitation of the hand.

Wrist & Carpal Kinematics

This intermediate to advanced level course focuses on the management of forearm, wrist and carpal conditions including fracture dislocations. This lecture and lab course is designed to enhance the understanding of the complexity of the wrist joint. An in-depth assessment and management of various clinical conditions affecting the wrist simplifies understanding of various clinical pathologies.

Upper Extremity Tendon Injuries: Advances in Clinical Management

This intermediate level evidence-based course is designed to enhance the clinician’s understanding of the impact of upper extremity tendon injuries on the wrist and hand. This comprehensive course provides an analytical approach to the rehabilitation of tendon injuries, combined with hands-on orthotic fabrication (splinting) lab sessions. Includes treatment protocols, case-studies and review of current research and literature.

Normal Synchronous Motion at the Wrist Occurs when all the ligaments are intact. The midcarpal & radiocarpal joints move in different directions when wrist moves in Radial & Ulnar Deviation. During radial deviation, the proximal carpal row flexes and slides ulnarly and distal carpal row moves radially and exactly reversal occurs when the wrist moves in ulnar deviation. During flexion […]

Drop Sign- Elbow

Clinical Implications of Drop Sign The radiographic drop sign was first identified by Coonrad in simple and complex elbow fractures and dislocations. He defined this sign as an increased ulnohumeral joint distance greater than 3-4 mm. Complications associated with drop sign includes limited elbow motion leading to contracture which is associated with pain.

Quadriga

SYNDROME OF QUADRIGIA – “Muscular body of the flexor tendons can act efficiently if the gliding amplitude of each of the tendons is normal”. If the gliding amplitude of the FDP tendon in one finger is reduced, then the FDP tendons of adjacent digits also will have reduced excursion.
Verdan C.:Surg.Clin.North Am.1960,40:425-26EXTENSOR QUADRIGA –“If gliding amplitude of EDC […]

JT-Sagittal Band

However, a sagittal band rupture is evident if patients are unable to actively extend their digits from a flexed position.

JunctureTendinum and Sagittal Band Relationship The juncturae tendinum and sagittal bands transmit precise forces through the dorsum of the hand. Both structures are integral in the mechanics of normal digital extension and in stabilization of the metacarpophalangeal (MCP) joints. These two structures have an intricate relationship with each other and therefore these structures are constantly producing a balancing act […]

Midcarpal Instability

Midcarpal Instability First identified by Lichtman in 1980. Patients often present volar sag on the ulnar side of the wrist and give a history of painful “Clunk”. This is caused by laxity of proximal & midcarpal ligaments. Upon testing forearm pronation an obvious clunk is seen. During radio-ulnar motion – the palmar sag disappears with a catch-up clunk. Interestingly, a […]

Swan Neck/Boutonniere

Swan Neck and Boutonniere/Pseudo-Boutonniere Deformities Swan Neck and Boutonniere/Pseudo-Boutonniere Deformities: From a definition point of view, any primary pathology that causes excessive tension on the extensor apparatus leading the PIP joint in hyperextension will produce a symptom called a Swan Neck Deformity. Whereas a true Boutonniere Deformity is primarily caused by the central slip rupture. Otherwise any primary pathology that […]

Shrikant J. Chinchalkar worked as a senior hand therapist at the Roth-McFarlane Hand & Upper Limb Centre, St. Joseph’s Health Centre in London, Ontario, Canada for 26 years. He has over 47 years of clinical experience in treating upper extremity conditions, nearly 40 years of teaching and 30 years of research experience. He designed and developed Hand Therapy programs at four major teaching centers in Canada, including Roth-McFarlane Hand & Upper Limb Centre in London, Ontario. In addition, he designed the most structured “Hand Therapy Fellowship program” for training of therapists at this center. He worked as a guest lecturer at University of Manitoba, University of Toronto, and Western University in Canada.

He conducted many instructional courses on upper extremity rehabilitation in over 28 countries in the world and has won many awards for his presentations. He has over 300 presentations to his credit. He was awarded the “Dr. Paul Brand Award of Excellence” by the American Society of Hand Therapists (ASHT), “Award of Leadership” by the Canadian Association of Occupational Therapists (CAOT), “Award of Excellence” by the Sisters of St. Joseph’s Hospital, “Best Educator” by the Western University, the “Lifetime Membership Award” by the Canadian Society of Hand Therapists (CSHT) and an award of “Excellence in Teaching and Coaching”. Recently, the Hand Therapy fellowship program was named as “Chinchalkar Hand Therapy Fellowship Program” at the Roth-McFarlane Hand & Upper Limb Center. In 2019 he received a “Life Time Achievement Award” by the International Federation of Society of Hand Therapists (IFSHT) in Berlin. In 2019 he was chosen as an Honorary Advisor to the Asia Pacific Wrist Association in Seoul, Korea during their annual conference. Shrikant has authored six book chapters and has published 37 papers and 15 abstracts in numerous peer-reviewed journals related to Upper Extremity Surgery and Therapy.

winning badge in healing hands physical therapy

2019

Member of Education Committee, International Federation of Societies of Hand Therapists

2019

Honorary advisor to Society of Hand Therapy, India

2019

“ Honorary Advisor” to Asia Pacific Wrist Association

2019

“Lifetime Achievement Award” by the International Federation of Societies of Hand Therapists (IFSHT) in Berlin, Germany.

2018

“Honorary Advisor” to the Hong Kong Society of Hand Therapists.

2017

Renaming Hand Therapy Fellowship program as “The Chinchalkar Hand Therapy Fellowship” of the Roth-McFarlane Hand and Upper Limb Centre, St. Joseph’s Health Care, London.

2017

“Excellence in Professional Practice – Teaching and Coaching” by St. Joseph’s Health Care London.

2016

“Lifetime membership award” by the Canadian Society of Hand Therapists (CSHT)

2016

“ Best Educator” – Western University.

2013

“Award for Leadership in Occupational Therapy” by the Canadian Association of Occupational Therapists (CAOT).

2013

“Best Paper Presentation” at the 6th Annual Conference of CSHT, Calgary, AB, Canada

2012

“Outstanding Contribution” at the National Saudi Physical Therapy Conference, Riyadh, Saudi Arabia.

2008

“Outstanding Alumnae” at the 50th Annual conference of All India Occupational Therapist’s Association, Nagpur, India.

2004

Fellowship award in Occupational Therapy presented by Ergo-Medicine Research Academy, Nagpur, India.

2003

Paul Brand award of Excellence in Hand Therapy at the 26th annual meeting of the American Society of Hand Therapists, Hollywood, CA

1998

Sister of St. Joseph’s award of Excellence, London, ON.

1995

Best Poster Presentation Award at the Annual Meeting of the American Society of Hand Therapists in San Francisco, CA.

1994

Best Clinical Paper Award at the Annual Meeting of the American Society of Hand Therapists in Washington, DC.

J. F.

Superb use of audio visual. Cadaveric dissections along with fluoroscopy and animations make biomechanics of various deformities and the management easy to understand.

J.F.

Montreal, PQ

A. F.

Excellent presenter and speaker. Makes complex topics simple to understand.

A. F.

Toronto, ON

M. R. (OTR/K, CHT)

A very knowledgeable speaker. Excellent teaching style. Now I know how I can make a difference in my outcome.

-M.R. (OTR/K, CHT)

Florida, USA

Dr. Christine Nicholas, MD., FRCSC

Shrikant Chinchalkar is one of the most knowledgeable hand therapists I have encountered during my training in Plastic Surgery. He treats every patient individually and develops comprehensive treatment plans based on a sound knowledge of anatomy and biomechanics. People often feel that surgery is the solution to their hand problems, but they underestimate the value of therapy and I would highly recommend Shrikant in this regards.

Dr. Christine Nicholas, MD.

Dr. Ashley Kim, MD, FRCSC

Shrikant is a true expert in upper extremity therapy. He shows attention to detail and professionalism in all of his patient care. He implements effective practice based on the latest evidence based models, with a solid foundation in anatomy. It is always a pleasure and wonderful learning experience working with Shrikant.

Dr. Ashley Kim, MD, FRCSC

MT, Boston, MA

Your teaching stule is uniqe. you made most difficult subject so easy, I can now remember VISI/ DISI patterns of instability. I would recommend every therapist to learn from you.

MT, Boston, MA

RS, Baltimore

I loved all the cadaver dissection, patient videos and animation you presented during the course. These simplified understanding of swan neck and boutonniere deformities and its progression. After taking your course I realized that truly one can walk 10 steps ahead of game and stop/prevent secondary deformities of the hand.

RS, Baltimore

AT, California

Thank you for presenting complex brachial plexus injuries and their, pre and post-op management. I wasn’t aware of brachial plexus orthsis and its use for muscle training. I can use the skills right away in the clinic starting tomorrow.

AT, California

JR, MD, FRCSC

I had no doubt, I hired a right person for this job. I knew, this individual has a passion for research, teaching and patient care and I am confident that he will bring the program to a high level. I offered him an access to a biomechanics lab and to teach the resident and fellows about the hand therapy.

JR, MD, FRCSC

Dr. R. McF, MD, FRCSC

I was impressed when you presented this child with PIP joint intra-articular fracture. Everyone had given up on him but your recommendation of doing osteoclasis and traction splinting ideas and early motion to regain joint motion was genius. – personal communication

Dr. R. McF, MD, FRCSC

Dr. R McF, MD, FRCSC

“Extensor Quadriga” – I had never heard of it and neither I believed in it until you showed me few cases and discussed the consequences. I commend your problem solving skills – Personal communication

Dr. R McF, MD, FRCSC

M.C, OT. Reg(On.)

When I think of Shrikant, one phrase comes to my mind is that he is my “Go-To-Guy”. No matter how busy he is, he always finds time to answer a question, give guidance or lend a helping hand….all without making you feel belittled or a burden.

M.C, OT. Reg(On.)

J.B. , OT, CHT

He is just a walking encyclopedia of anatomy and hand therapy.

J.B. , OT, CHT

Juliana Larocerie, M.Sc.OT, CHT

It has been a true honour working alongside Shrikant. He is the perfect role model, someone to look up to, the greatest mentor. He is the perfect combination of knowledge, generosity, willingness, compassion, dedication, innovation and persistence. Shrikant teaches us to ALWAYS do better…..to ALWAYS be the best we can….to ALWAYS go the extra mile. When Shrikant is close by, there is a constant feeling of “the impossible is possible” in the air.

Juliana Larocerie, M.Sc.OT, CHT

Gill Barr, OT, CHT

Shrikant is the “GOLD STANDARD” in hand therapy. His passion for the profession is closely followed by his own love of teaching. Those of us who have worked, and travelled to conferences with him, have seen his humour and generosity of years.

Gill Barr, OT, CHT

Joey Pipicelli, M.Sc. OT, CHT

Shrikant has trained Each and every member of our hand therapy team and, essentially, a generation of hand therapists, to provide the best evidence based care in the world to the patients we serve.

Joey Pipicelli, M.Sc. OT, CHT

Cameron Van Oort, M.Sc.OT

Shrikant sat down with me numerous times as a student to draw detailed anatomical images of the hand and wrist on paper towel whilst explaining the various structures he was drawing. This experience augmented my understanding of upper extremity anatomy, biomechanics, and treatment greater than any textbook and/or research paper could have done. He is a scholar and an excellent teacher.

Cameron Van Oort, M.Sc.OT

Sue Lee, M.Sc.OT, OTR

Shrikant, your enthusiasm and passion for hand therapy are infectious. I am excited to embark on my career knowing that I have learned from the vert best! Thank you!

Sue Lee, M.Sc.OT, OTR

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Welcome to Advanced Clinical Education Inc.

Our Courses & Workshops are tailored to:

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Shrikant J. Chinchalkar

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Honors

What Our Patient Say

J. F.

A. F.

M. R. (OTR/K, CHT)

Dr. Christine Nicholas, MD., FRCSC

Dr. Ashley Kim, MD, FRCSC

MT, Boston, MA

RS, Baltimore

AT, California

JR, MD, FRCSC

Dr. R. McF, MD, FRCSC

Dr. R McF, MD, FRCSC

M.C, OT. Reg(On.)

J.B. , OT, CHT

Juliana Larocerie, M.Sc.OT, CHT

Gill Barr, OT, CHT

Joey Pipicelli, M.Sc. OT, CHT

Cameron Van Oort, M.Sc.OT

Sue Lee, M.Sc.OT, OTR