In this episode, Miranda and Josh dive into one of our most asked-about tools in CHT prep—the brain dump sheet. We break down what it actually is, what you should (and shouldn’t!) put on it, and how to use it strategically the moment you sit down for the exam. If you’re prepping for the CHT, this is a simple game-changer you don’t want to miss.

Hand Therapy Academy welcomes Megan, who shares a unique patient case. Tune in to hear her practical tips and innovative strategies you can apply in your own practice.

Join Miranda Materi and Josh, both Certified Hand Therapists with over 10 years of experience teaching hand therapy education and more than 50 years of combined clinical expertise. In this session, they discuss how to utilize the Weeks Test to guide clinical decision-making and determine the most appropriate orthosis for treating motion loss.

Miranda and Josh break down the test’s interpretation, how to track progress, and how to match orthotic selection—whether static progressive, dynamic, or serial casting—to the underlying limitation. This practical, evidence-informed approach helps therapists apply the Weeks framework confidently in daily practice to improve outcomes for patients with joint stiffness and limited range of motion.

Hand Therapy Academy has Delaney on the show, where she shares her clinical pearls about treating patients with spinal cord injuries (SCI). She highlights practical strategies and considerations to optimize patient outcomes.

Join Miranda Materi and Josh, both Certified Hand Therapists with over 10 years of experience teaching hand therapy education and more than 50 years of combined clinical expertise. In this session, they explore the key question every therapist faces: what’s really limiting motion?

Is the restriction capsular, musculotendinous, neural, or kinesiophobic in nature? Miranda and Josh break down how to differentiate these causes through clinical reasoning, assessment strategies, and treatment planning—helping therapists identify the true limiter and choose the most effective interventions for restoring motion and function.

This week, Delaney chats with Miranda on Hand Therapy Academy about what sets bony and soft tissue malrotation apart. Their discussion is full of real-world advice and clinical pearls for hand therapists.

Miranda and Josh talk about off the shelf splints 

Join Miranda Materi and Josh, both Certified Hand Therapists with more than 10 years of experience teaching hand therapy concepts and over 50 years of combined clinical expertise, as they unpack some of the most commonly conflicting topics in the literature. This session explores the debated order of radial nerve muscle innervation, expected outcomes following wrist salvage procedures, and other frequently misunderstood areas of upper extremity rehabilitation.

Through evidence-based discussion and practical clinical insights, Miranda and Josh bridge the gap between research and real-world application—helping therapists make informed, confident treatment decisions for complex upper extremity cases.

On this episode of the podcast, Miranda and Josh discuss non-custom splinting options and when to utilize them. They break down practical applications and clinical considerations to help therapists make informed choices in patient care.

In this episode, Miranda and Josh briefly talk about skin grafts — highlighting the different types, key considerations for healing, and basic immobilization protocols. Tune in for a quick, practical discussion that connects clinical reasoning with real-world hand therapy practice.