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Post-Surgical and General Orthopedic Rehab of the Hand and Upper Extremity

Hand therapy and upper extremity rehab are typically concerned with treating orthopedic-based upper-extremity conditions to optimize the functional use of the hand and arm. Conditions seenĀ are:

  • Amputations
  • Arthritis and rheumatic diseases
  • Congenital anomalies
  • Crush injuries or trauma
  • Cumulative trauma
  • Dislocations and subluxations
  • Ligament injury and instability
  • Minor fractures
  • Muscle strains, tears, and avulsions
  • Tendon injuries and conditions (e.g., lacerations, tendonitis, ruptures)
  • Nerve injuries and conditions (e.g., neuropathies, palsies, nerve repair)
  • Pain (e.g., complex regional pain syndrome, fibromyalgia)
  • Wounds and scars

Occupational therapy interventions are designed to meet individual client needs and may include the following as part of a comprehensive plan of care:

  • Therapeutic activities
  • Therapeutic exercise
  • Orthosis/Splint design, fabrication, fitting, and training
  • Joint protection and/or energy modification in home, work, school, or leisure activities
  • Sensory re-education
  • Wound care
  • Application of physical agent modalities
  • Neuromuscular re-education
  • Aquatic therapy
  • Mirror therapy
  • Scar management
  • Pain management
  • Training in activities of daily living and adaptive or assistive devices
  • Education for post-surgical or post-injury safety, including sensory loss
  • Manual therapy