Hand Rehabilitation

Hand rehabilitation is physical therapy and rehabilitation methods applied to restore functions and return to normal life in various muscle, skeletal or nervous system-related disorders affecting the hand and/or arm.

Sharp or stab wounds, gunshot wounds, fractures, burns, joint deformity due to rheumatic diseases, congenital disorders, paralysis, post-operative recovery periods are some of the diseases or conditions for which hand rehabilitation is performed.

Hand rehabilitation in our country is usually applied by a physiotherapist or occupational therapist under the responsibility of a physical therapy and rehabilitation doctor. In post-operative physical therapy, close communication with the surgeon (orthopedic or plastic surgery specialist) is required. Orthotic-prosthetic technicians make splints that assist the rehabilitation process of the hand. As you can see, hand rehabilitation requires teamwork. Depending on the nature of the situation, health professionals such as rehabilitation nurses, psychologists and social workers may also be included in the team.

The hand undertakes various functions that require strength or precision, such as holding, grasping, and using tools. It is the primary means by which we influence the outside world.

Diseases and Conditions for Hand Rehabilitation

  • Tendon injuries
  • nerve injuries
  • Vascular injuries
  • fractures
  • Crush type hand injuries
  • Amputation
  • After tumor surgery
  • Congenital hand deformity
  • Brachial plexus injuries
  • Brain-induced hand paralysis such as stroke, brain injury, cerebral palsy
  • Hand paralysis due to spinal cord injury (tetraplegia hand)
  • Loss of hand function due to muscle diseases (muscular dystrophy, myopathy, etc.)
  • Deformity and loss of function due to rheumatic diseases such as rheumatoid arthritis
  • Tendinitler
  • Dupuytren’s contracture
  • trigger finger
  • burns

Major Topics in Hand Rehabilitation

  • edema treatment
  • Pain eliminate
  • Orthosis making and use
  • accelerating healing
  • Prevention or treatment of scar tissue formation
  • Treatment of sensory hypersensitivity
  • Therapy for sensory loss
  • Normalization of joint range of motion
  • Muscle wasting prevention and muscle strengthening
  • Regaining functional skills
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Hand rehabilitation is a very delicate subject. Especially after tendon and nerve surgeries, the right exercises should be done at the right time and the right type of splint should be used for the required time. While starting the exercises early may cause secondary injuries, if it is delayed, additional problems such as joint freezing (contracture), muscle wasting, complex regional pain syndrome may occur and the healing process may be delayed. Physical therapy is often as important as the surgery itself in returning to normal life after hand surgery.

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