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MiOTA Fall Conference 2026
Welcome to MiOTA’s Fall Conference 2026!
Friday October 2, 2026 2:15pm - 3:15pm CDT
Adaptive equipment is an essential OT tool — but it should be the last resort, not the first response. When a client cannot open a jar, button a shirt, or reach overhead to dress, the occupation-centered question is whether the underlying restriction can be restored before compensation becomes the permanent solution. For the chronic musculoskeletal conditions that dominate physical rehabilitation caseloads — carpal tunnel syndrome, trigger finger, arthritic hands, lateral epicondylalgia, and shoulder restriction — restoration is achievable when two mechanisms driving chronicity are directly addressed: bilateral compensatory fascial loading and neurological guarding that persists long after tissue release.
This evidence-based presentation introduces the Thamman Method of Myofascial Manipulation, a three-phase occupation-centered bilateral manual therapy framework grounded in the OTPF-4 and measured through the COPM, PSFS, and DASH. Attendees will learn how bilateral fascial assessment, a four-layer MFR sequence, and task-specific automaticity training restore fearless, automatic occupational performance — eliminating the need for adaptive equipment entirely.
References
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Hudak, P. L., Amadio, P. C., & Bombardier, C. (1996). Development of an upper extremity outcome measure: The DASH. American Journal of Industrial Medicine, 29(6), 602–608.
Kleim, J. A., & Jones, T. A. (2008). Principles of experience-dependent neural plasticity: Implications for rehabilitation after brain damage. Journal of Speech, Language, and Hearing Research, 51(1), S225–S239.
Langevin, H. M., & Huijing, P. A. (2009). Communicating about fascia: History, pitfalls, and recommendations. International Journal of Therapeutic Massage and Bodywork, 2(4), 3–8.
Law, M., Baptiste, S., Carswell, A., McColl, M. A., Polatajko, H., & Pollock, N. (2019). Canadian Occupational Performance Measure (5th ed., rev.). CAOT Publications.
Myers, T. W. (2014). Anatomy trains: Myofascial meridians for manual and movement therapists (3rd ed.). Churchill Livingstone Elsevier.
Schleip, R. (2003). Fascial plasticity: A new neurobiological explanation. Part 1. Journal of Bodywork and Movement Therapies, 7(1), 11–19.
Stratford, P., Gill, C., Westaway, M., & Binkley, J. (1995). Assessing disability and change on individual patients: A report of a patient-specific measure. Physiotherapy Canada, 47(4), 258–263.
Swinnen, S. P., & Wenderoth, N. (2004). Two hands, one brain: Cognitive neuroscience of bimanual skill. Trends in Cognitive Sciences, 8(1), 18–25.
Vlaeyen, J. W. S., & Linton, S. J. (2000). Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain, 85(3), 317–332.
Woby, S. R., Roach, N. K., Urmston, M., & Watson, P. J. (2005). Psychometric properties of the TSK-11. Pain, 117(1–2), 137–144.

Speakers
ST

Sanjeev Thamman

Occupational Therapist / Owner, Cascade Physical Therapy & Rehabilitation P.C.
Sanjeev Thamman, MHS OTR, and Bindu Thamman, PT, are the founders of Cascade Physical Therapy and Rehabilitation in Grand Rapids, Michigan, where they have maintained a private practice since 2008. Sanjeev has practiced occupational therapy since 1990 and holds a Master of Health... Read More →
Friday October 2, 2026 2:15pm - 3:15pm CDT
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