Hand Therapy

Hand Therapy

Hand therapy is a specialized area of rehabilitation that focuses on the treatment of conditions affecting the hand, wrist, and upper extremity. It is a form of occupational therapy or physical therapy that aims to restore function, reduce pain, and improve the overall quality of life for individuals with hand-related injuries or disorders.

Scope of Hand Therapy

Hand therapy encompasses a wide range of treatments and interventions designed to address various conditions, including but not limited to:

• Fractures and dislocations
• Tendon injuries
• Nerve injuries
• Arthritis
• Carpal tunnel syndrome
• Trigger finger
• Dupuytren's contracture
• Burns and other traumatic injuries

Techniques and Interventions

Hand therapists employ a variety of techniques and interventions to achieve therapeutic goals. These may include:

• Manual therapy: Techniques such as massage, joint mobilization, and soft tissue manipulation.
• Therapeutic exercises: Exercises designed to improve strength, flexibility, and coordination.
• Splinting: Custom-made splints to support, protect, or correct the position of the hand and wrist.
• Modalities: Use of physical agents such as heat, cold, ultrasound, and electrical stimulation.
• Wound care: Management of wounds, scars, and edema.
• Patient education: Teaching patients about their condition, self-care techniques, and preventive measures.

Role of Hand Therapists

Hand therapists are highly trained professionals who often hold certifications such as Certified Hand Therapist (CHT). They work closely with physicians, particularly orthopedic surgeons and plastic surgeons, to develop and implement individualized treatment plans. Hand therapists may work in various settings, including hospitals, outpatient clinics, and private practice.

Certification and Training

To become a hand therapist, one must first be a licensed occupational therapist or physical therapist. Additional specialized training and experience in hand therapy are required, followed by passing a certification exam to become a Certified Hand Therapist (CHT).

History of Hand Therapy

The field of hand therapy has evolved significantly over the years, with advancements in surgical techniques and rehabilitation methods. The development of hand therapy as a specialized practice can be traced back to the mid-20th century, with the establishment of professional organizations and certification programs.

Professional Organizations

Several professional organizations support hand therapists, including:

• American Society of Hand Therapists (ASHT)
• British Association of Hand Therapists (BAHT)
• International Federation of Societies for Hand Therapy (IFSHT)

See Also

• Occupational therapy
• Physical therapy
• Rehabilitation
• Orthopedic surgery
• Plastic surgery