Wendy Tomhave O.T. Consulting

Background

Resources to View or Print

Welcome!

I’m Wendy Tomhave OTR/L, and this site is dedicated to advancing the field of upper extremity pediatric orthopedics. My goal is to provide free, accessible resources to support clinicians, researchers, and learners.

With a robust tenure at Shriners Children’s as a Senior Occupational Therapist and Clinical Researcher, I’ve spent my career specializing in the assessment and treatment of children with congenital hand differences, cerebral palsy, arthrogryposis, upper limb prosthetics and more.

Collaborating with dedicated staff, supportive families, and inspiring children has fueled my passion for knowledge sharing. On this site, you’ll find my favorite past presentations, home exercise programs, and everything you need to learn and administer two assessments I've helped develop, the T-GAP and the UBET.

I hope these resources empower you in your practice and deepen your understanding of pediatric upper extremity care.

Thank you for visiting!

Resources to View or Print

The Thumb Grasp and Pinch Assessment (T-GAP)

Unilateral Below Elbow Test (UBET)

UBET power point presentation 2006
UBET Instruction manual and score forms
UBET Individual task set and scoring

Diagnosis: Arthrogryposis

OT arthrogryposis general evaluation
Presentation: Evaluation and treatment of children with arthrogryposis - 2023
Presentation: Occupational therapy in the early stages of children with arthrogryposis - 2023
Presentation: Physical therapy and post surgical occupational therapy in UE arthrogryposis - 2023
Presentation: Arthrogryposis evaluation and treatment - 2018
Upper body dressing device
Dressing tree assembly instructions parts 1 and 2

Diagnosis: Cerebral Palsy

Stereognosis measurement form
Presentation: Evaluation and treatment of children with hemiplegic cerebral palsy - 2023
Presentation: Upper extremity hemiplegic cerebral palsy - 2015
Presentation: Hemiplegic cerebral palsy UE strength and dexterity - 2014
Research published: Affected and contralateral hand strength - 2015
Activities: Elbow, forearm, wrist and hand
Activities: Bilateral arm and hand
Activities: Letter reversals

Upper Limb Transverse Deficiency

Presentation: Assessment and treatment of pediatric hand differences: What's in your tool kit? - 2022
Presentation: OT for upper limb prosthetics - 2013
Activities: UE prosthetic training- school age

Radial Longitudinal Deficiency

Presentation: Use of the T-GAP in pediatric patients - 2023
Presentation: Golden nuggets in the treatment of children with radial longitudinal deficiency - 2023
Presentation: T-GAP assessment in children with RLD - 2023
Presentation: Pollicization - Italian protocol with early mobilization, Silvia Minoia - 2023

Core Strengthening