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WHAT IS HAND THERAPY? Treating more than just a hand…

WHAT IS HAND THERAPY? Treating more than just a hand…. Biography Kimberly Alquist , OTR/L, CHT, CKTP.

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WHAT IS HAND THERAPY? Treating more than just a hand…

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  1. WHAT IS HAND THERAPY?Treating more than just a hand…

  2. Biography Kimberly Alquist, OTR/L, CHT, CKTP Kimberly has over 20 years of experience in pediatric occupational therapy and with hand therapy in both the pediatric and adult populations. She is a University of Washington graduate, with affiliations in pediatrics, psychiatry, physical disabilities, and orthopedic hand rehabilitation. She has worked in school settings, private practice, and acute orthopedic hand surgery rehabilitation. Kimberly helped standardize the ETCH (Evaluation Tool of Children Handwriting).

  3. Presentation Outline • The Hand Therapy Profession • Commonly Treated Conditions • Evaluation Techniques • Treatment Techniques

  4. THE HAND THERAPYPROFESSION

  5. Hand Therapy is… “…the art and science of rehabilitation of the upper quarter of the human body. Hand therapy is a merging of occupational therapy and physical therapy theory and practice that combines comprehensive knowledge of the upper quarter, body function, and activity. Using specialized skills in assessment and treatment, hand therapists promote the goals of prevention of dysfunction, restoration of function, and/or reversal of the progression of pathology in order to enhance participation in life situations for individuals with upper quarter disease or injury.” Source: Hand Therapy Certification Commission (www.htcc.org)

  6. A Hand Therapist is… • An Occupational or Physical Therapist who specializes in the care of upper extremity conditions and injuries including the hand, wrist, elbow, and shoulder • Many of these specialists have chosen to pursue the Certified Hand Therapist (CHT) credential

  7. The Certified Hand Therapist (CHT) • Has a minimum of 5 years of experience • Accumulated 4,000 hours of time practicing and being mentored in the intricacies of the upper extremity • Passed a rigorous examination of advanced clinical skills and theory in upper extremity rehabilitation • Maintains certification through high quality continuing education courses Source: Hand Therapy Certification Commission (www.htcc.org)

  8. Hand Therapists have Comprehensive Knowledge of: • Anatomy and physiology of the following systems: skin/connective, muscular, skeletal, nervous, vascular, and lymphatic • Etiology and pathology of medical conditions • Surgical and medical treatment of upper extremity conditions • Kinesiology, biomechanics, and pathomechanics • Wound and tissue healing • Ergonomics and body mechanics • Research design and statistics • Expected functional outcomes of treatment • Expected physiological and psychological effects of treatment

  9. Why Refer to a Hand Therapist? • Accurate assessments, immediate care, and effective treatment can reduce overall treatment time • Faster recovery results in decreased medical costs • Improved functional outcomes ensure a faster return to work and productive lifestyle • Client training and education improve compliance and help to reduce recurrence of repetitive injuries

  10. COMMONLY TREATED CONDITIONSWho should be referred to a hand therapist?

  11. What Injuries/Conditions Benefit from Hand Therapy? • Tendon and nerve injuries • Wounds and infections • Soft tissue injuries

  12. What Injuries/Conditions Benefit from Hand Therapy? • Fractures, dislocations, and sprains • Sports injuries

  13. What Injuries/Conditions Benefit from Hand Therapy? • Amputations • Burns and frostbite • Congenital differences

  14. What Injuries/Conditions Benefit from Hand Therapy? • Rheumatoid arthritis and osteoarthritis • Dupuytren’s contracture • Pain-related disorders

  15. What Injuries/Conditions Benefit from Hand Therapy? • Tendonitis such as tennis elbow • Cumulative trauma disorders • Nerve compressions such as carpal tunnel syndrome and cubital tunnel syndrome

  16. Amputation revision Arthrodesis Fasciectomy/fasciotomy Fracture fixation/bone graft Ganglionectomy's Joint replacements Joint synovectomy Ligament repair Nerve decompression Nerve repairs and grafts Neurolysis Replantation Skin grafts and flaps Soft tissue release Tendon repairs and transfers Tenosynovectomy Referrals to Hand Therapy after Surgery Include but are not Limited to:

  17. EVALUATION TECHNIQUES

  18. Range of Motion

  19. Strength Testing

  20. Sensory Testing

  21. Edema Assessment

  22. Pain Assessment

  23. Wound Status

  24. Scar Status

  25. Soft Tissue Status

  26. Functional Dexterity Testing

  27. Functional Assessment

  28. Prevocational Testing

  29. Provocative Testing

  30. TREATMENT TECHNIQUESMeeting your client’s needs

  31. Fostering a Therapeutic Environment

  32. Fostering a Therapeutic Relationship

  33. The Interdisciplinary Approach

  34. Client Education

  35. Wound Care and Pin Care

  36. Scar Management

  37. Desensitization Techniques

  38. Edema Management

  39. Soft Tissue Mobilization

  40. Range of Motion Exercises

  41. Functional Dexterity

  42. Functional Activities

  43. Joint Protection and Energy Conservation

  44. Strengthening Exercises

  45. Work Simulation

  46. Work Hardening

  47. Ergonomic Modifications

  48. Electrical Stimulation

  49. Neuromuscular Electrical Stimulation

  50. Iontophoresis

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