By definition, Occupational Therapy (also abbreviated as OT) aims to promote health by enabling individuals to perform meaningful and purposeful activities during their lifespan.(1) Interventions are designed to meet functional outcomes that achieve the highest possible level of independence. Occupational therapists (OTs) may treat patients with physical, mental, developmental, social or psychological conditions. The roles and areas that occupational performance can encompass is so extensive that OTs can work with a wide range of clients in their limitations and the settings. In the physical rehabilitation setting, one area includes orthopedic conditions of the hand and upper extremity.
Occupational Therapy plays a major role in the rehabilitation of patients who have hand and upper extremity injuries. They have a very significant relationship with the Hand/Orthopedic Surgeon in providing the best individualized care for their patients. Diagnoses may include tendon/nerve lacerations, ligament strains/sprains, fractures and dislocations, tendinitis and arthritis. It can also include nerve compression injuries such as Carpal Tunnel and Cubital Tunnel Syndrome.
There are a variety of Upper Limb Assessments utilized to assist in developing the most effective care plan. Treatment modalities include fabrication/fitting of orthotic splints, range of motion, strengthening, fine and gross motor coordination, sensory re-education, and Activities of Daily Living (ADL) training. ADL training encompasses patient education in joint/tendon protection techniques including body mechanics and work station design as well as adaptive aids specific to a client’s daily living or work environment.
Hand Therapy is a specialized field of Occupational Therapy that requires extensive knowledge and skill in upper limb anatomy. There is a certification that designates the highest level of competency in the field of Hand Therapy called Certification in Hand Therapy (CHT).
(1) Wikipedia dictionary