How To Diagnose and Treat Limited Range of Motion in Fingers

Posted by Lori Algar OTD, OTR/L, CHT on Wed, Nov 30,2016 @ 02:31 PM

The ability to use the hand effectively for functional tasks is related to the available range of motion in the fingers. There is scarce literature on the specific motion needed for functional use of the digits, however one study suggests that at least 61 degrees is needed at the metacarpophalangeal (MCP) joint, at least 60 degrees at the proximal interphalangeal (PIP) joint, and at least 39 degrees at the distal interphalangeal (DIP) joint.

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Conservative Treatment of Scapholunate Ligament Injury

Posted by Lori Algar OTD, OTR/L, CHT on Fri, Nov 18,2016 @ 07:00 AM

The scapholunate (SL) ligament runs between the scaphoid and the lunate and provides crucial support to allow appropriate carpal mechanics at the wrist during motion and use of the hand. Injury and tearing of this ligament can occur with trauma or as a progressive degenerative weakening of the ligament. The extent of the injury ranges from a partial tear or attenuation to a full rupture of the ligament and from dynamic instability

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Comfort Cool or Design Line- A Comparison of Thumb Arthritis Splints

Posted by Lori Algar OTD, OTR/L, CHT on Wed, Oct 26,2016 @ 11:26 AM

Osteoarthritis (OA) at the base of the thumb is a common diagnosis among older individuals.  Research suggests that 26.2% of women and 13.4 % of men age 71-100 years old have symptoms of this diagnosis and that approximately 70% of community dwelling individuals with hand pain have OA at the base of the thumb as well.

An orthosis is a common intervention used in hand therapy to treat symptoms of this diagnosis. Studies have consistently found that using an orthosis helps to decrease pain and improve function for individuals with arthritis at the base of the thumb.
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Tags: Thumb Arthritis Splints

What I Gained From This Year’s ASHT Annual Meeting

Posted by Lori Algar OTD, OTR/L, CHT on Thu, Oct 13,2016 @ 09:43 AM

A Therapist's Insight to the ASHT Annual Meeting

This year the American Society of Hand Therapists’ Annual Meeting was held in Washington, DC and I was fortunate to be able to attend. As always, the meeting was excellent and packed with valuable information, good people, and individuals who care about the profession of hand therapy. These details alone are very motivating to a hand therapist, but in reflection, there are a few more things that are priceless about this live conference.

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Lateral Epicondylitis: Treatment Options for an Aggravating Diagnosis

Posted by Lori Algar OTD, OTR/L, CHT on Tue, Sep 27,2016 @ 03:53 PM

The US Open might be over for this tennis season but the individuals with lateral epicondylitis are still consistently appearing on my schedule. Swinging the tennis racket is not the only possible cause of this diagnosis (also known as tennis elbow). As we know, lateral epicondylitis is due to a degenerative process at the poorly vascularized origin of the wrist extensors on the boney prominence at the lateral elbow.

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Scaphoid Fractures - Treatment and Rehabilitation

Posted by Lori Algar OTD, OTR/L, CHT on Fri, Sep 16,2016 @ 11:59 AM

Scaphoid fractures most often occur in males between the ages of 15 to 30 years old and usually are sustained with wrist hyperextension and radial deviation as a consequence of a fall onto an outstretched hand. Individuals with a scaphoid fracture often present with pain, swelling, decreased range of motion, and tenderness in the anatomic snuffbox.

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3-Point Products Exhibits at the 39th ASHT Annual Meeting

Posted by Nick Koscielniak on Mon, Sep 12,2016 @ 10:39 AM

3-Point Products is heading to our nation’s capital from September 15 - 17 to exhibit at the American Society of Hand Therapists (ASHT) 39th Annual Meeting. We lucked out this year as Washington, DC is just a short drive up US Route 50 for us.

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PT & OT Treatment for Ehlers-Danlos Syndrome – Hypermobile Type

Posted by Lori Algar OTD, OTR/L, CHT on Wed, Aug 17,2016 @ 01:06 PM

What is it and What Are the Characteristics?

Ehlers-Danlos Syndrome (‟EDS”) is a collection of connective tissue disorders, of which the hypermobile type is the most common. Individuals with EDS of the hypermobile type classically present with hyperextensible joints and skin.

People with hypermobile EDS can often extend their fingers back greater than 90 degrees, place the thumb on the volar forearm, hyperextend the knees and elbows greater than 10 degrees, and place their palms flat on the floor with the knees fully extended.

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Compression Gloves- What Symptoms Do They Treat?

Posted by Lori Algar OTD, OTR/L, CHT on Tue, Jul 26,2016 @ 12:10 PM

In clinical practice as a certified hand therapist, I often recommend use of a compression glove for individuals presenting with the appropriate symptoms. Anecdotally, these individuals report improvement in symptoms (often pain, swelling, and stiffness), but it is important to understand the mechanism of the compression glove and the evidence on appropriate candidates for this treatment intervention.

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Orthoses to Treat PIP Joint Contractures

Posted by Lori Algar OTD, OTR/L, CHT on Tue, Jul 19,2016 @ 04:12 PM

Proximal interphalangeal (PIP) joint flexion contractures, or loss of extension at the middle joint of the finger, can occur after injury, disease and surgery and can interfere with the functional use of the hand. Loss of extension at the PIP joint can cause difficulty reaching into your pocket or may interfere with opening your hand to grab a glass of water.

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Tags: PIP Joint Contractures

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