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Therapy after injury to the hand
Erik Dorf1, Carla Blue, Beth P Smith
1Department of Orthopaedic Surgery and Rehabilitation, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
The Journal of the American Academy of Orthopaedic Surgeons
|August 3, 2010
Summary
Hand therapy is crucial for managing upper extremity disorders, involving patient, therapist, and physician collaboration. Therapists manage pain, swelling, and range of motion, using various modalities for optimal recovery.
Area of Science:
- Orthopedics
- Physical Therapy
- Rehabilitation Medicine
Background:
- Upper extremity disorders require comprehensive management strategies.
- Patient outcomes are significantly influenced by the collaborative efforts of healthcare professionals and the patient.
- Hand therapists are integral to the treatment process, often providing more direct patient care than surgeons.
Purpose of the Study:
- To highlight the essential role of hand therapy in the multidisciplinary management of upper extremity disorders.
- To outline the key responsibilities and modalities utilized by hand therapists.
- To emphasize the importance of collaboration between therapists, physicians, and patients.
Main Methods:
- Multidisciplinary approach involving surgeons, therapists, and patients.
- Coordination of edema control, pain management, and contracture prevention.
- Facilitation of tendon gliding, strengthening, and work hardening programs.
- Utilizing therapeutic modalities such as ultrasound, splinting, Fluidotherapy, cryotherapy, electrical modalities, phonophoresis, and iontophoresis.
Main Results:
- Hand therapy significantly contributes to the successful management of upper extremity injuries.
- Therapists provide ongoing evaluation and counseling, optimizing patient recovery.
- A wide range of modalities are employed to address specific patient needs and injury types.
Conclusions:
- Effective management of upper extremity disorders hinges on a collaborative, patient-centered approach.
- Hand therapists play a vital role in restoring function and improving quality of life for patients with upper extremity conditions.
- The integration of various therapeutic modalities enhances treatment efficacy and patient outcomes.
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