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Therapeutic Modalities / Procedures

Therapeutic modalities available at Alaska Hand Rehabilitation

Traumas or surgeries may cause pain, swelling, scar tissue development, or hypersensitivity. These are treated in the clinic by applying different therapeutic modalities to mitigate swelling, reduce pain, modify scar tissue, and reduce sensitivity. Examples of techniques may include compressive sleeves, ultrasound, cold laser therapy, and desensitization techniques.

Wound Care

Wounds may be caused by a variety of reasons, such as traumatic injuries, pressure sores, or postoperative surgical sites. Wounds may be treated with dressings, debridement (cleaning), or topical ointments to facilitate healing.

Dexterity Retraining

Dexterity retraining focuses on improving fine motor skills required for functional tasks such as sewing, tightening a screw, or fastening buttons.

Graded Motor Imagery and Mirror Box Therapy

Graded motor imagery and mirror box therapy are used to treat pain and movement disorders by helping to retrain the brain. A mirror is used to create the illusion that the injured hand can move without pain by moving the uninjured hand in front of the mirror.

Joint Protection Education

The smaller joints in our hands are prone to pain, inflammation, and arthritic changes over time and with repetitive stress. Joint protection education focuses on adaptive changes to daily activities by using larger joints or adaptive equipment to reduce the stress on our hands

Upper Limb Prosthetics Training

Acquiring a prosthetic limb can be a life-changing event for patients. Functional training of the limb is an essential therapy that educates patients on how to complete basic, everyday tasks by using their prosthetic limb. Other focuses in therapy include molding the amputated limb with scar massage, swelling management, and techniques on taking the prosthetic on and off.

Functional Retraining

The purpose of functional retraining is to break down a large task into its fundamental components. Functional training, otherwise known as activity analysis, breaks down the smaller, individual steps required to perform a functional task.

Adaptive Equipment Recommendations to compensate for functional limitations of the hand/arm

Adaptive equipment may be necessary in order to participate in activities of daily living. Examples of adaptive equipment may include a grabber/reaching tool for limited shoulder mobility, a one-handed cutting board for diminished grip strength, or weighted utensils to ease tremors.

Ergonomics Education and Work Site Recommendations

Conditions such as carpal tunnel syndrome, shoulder pain, or forearm tightness may often be attributed to poor workplace ergonomics. Ergonomic education involves the evaluation of the workplace environment and recommendations on changes to facilitate better posture and body mechanics.

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