Hand therapists are occupational therapists and physiotherapists who are accredited by a national body - Australian Hand Therapy Association - in recognition of a demonstrated wide range of skills and the minimum three year full time accumulation of clinical experience.
Continued professional education is required and monitored to maintain status within the national association.
Hand therapists are adept at assessment of a range of pathologies associated with:
Post surgical conditions
Cumulative soft tissue trauma involving multiple structures and sites
Pain conditions
Ligamentous and tendon injuries
Nerve and vascular compromise
Early arthritis
Management techniques used at HandsOn for soft tissue conditions include:
Rigid splinting to rest acutely inflamed structures
Use of heat, cold and electrical modalities (ultrasound and TENS) for pain, inflammation and stiffness
A variety of massage techniques including trigger point, myofascial, deep tissue and friction massage
Re-education of movement patterns including for work practices
Stretches and strengthening
Task simplification and provision of assistive devices
Post surgical management includes:
Focused wound care and compression bandaging to optimise healing and allow early exercise and hand use
Fabrication of rigid plastic splints to protect repaired structures and allow prescribed movement
Use of silicone media, massage techniques and compression for scar management
Nerve desensitisation and re-education techniques
Exercises, strengthening and endurance
Initiation and facilitation of the return to work process during the rehabilitation phase
Provision of ancillary services including exercise physiology and psychology