Lesson 1Structured clinical interview and chart review: key surgical details, restrictions, and red flagsDis section outline a structured clinical interview an chart review, focusin on surgical details, precautions, comorbidities, medications, an red flags, to ensure safe, goal-directed han therapy from de first encounter onward.
Essential elements of the surgical historyIdentifying surgeon-imposed precautions and limitsScreening for systemic and psychosocial red flagsMedication review relevant to hand rehabilitationOrganizing findings into a clear problem listLesson 2Sensorial evaluation: static and moving two-point discrimination, Semmes-Weinstein monofilaments, neurodynamic testingDis section explain sensorial evaluation of de han, includin static an movin two-point discrimination, Semmes-Weinstein monofilaments, an basic neurodynamic tests, wid emphasis on standardized technique an safety precautions.
Static two-point discrimination proceduresMoving two-point discrimination and interpretationSemmes-Weinstein monofilament testing protocolMedian, ulnar, and radial neurodynamic screeningDocumenting sensory maps and clinical changesLesson 3Objective baseline metrics to record at first visit and appropriate documentation templatesDis section define essential baseline metrics fi de first visit, includin pain, edema, ROM, strength, function, an participation, an explain how to capture dem usin structured documentation templates dat support clear goals an billin.
Core baseline domains for hand therapy evaluationChoosing validated outcome measures and scalesCreating efficient electronic note templatesLinking baseline data to functional goal writingStrategies for reliable follow-up comparisonsLesson 4Standardized pain assessment: VAS/NRS, pain behavior observation, pain with specific tasksDis section review standardized pain assessment in han therapy, includin VAS an NRS scales, pain behavior observation, an task-specific provocation, emphasizin consistent timin, patient education, an integration into treatment plannin.
Administering VAS and NRS for hand painObserving and documenting pain behaviorsTask-specific pain testing for hand activitiesDifferentiating nociceptive and neuropathic painTracking pain trends across treatment sessionsLesson 5Range of motion measurement: goniometry for wrist and MCP/PIP/DIP joints and composite flexion testsDis section detail range of motion assessment fi de wrist an MCP, PIP, an DIP joints usin goniometry an composite flexion tests, wid positionin, stabilization, end-feel, an documentation tips to ensure reliable, comparable data.
Goniometer alignment for wrist flexion and extensionMeasuring MCP, PIP, and DIP joint motionComposite flexion and fingertip-to-palm distanceRecording active versus passive ROM valuesCommon sources of ROM error and how to avoid themLesson 6Fine motor and functional hand assessment tools: Purdue Pegboard, Nine-Hole Peg Test, Jebsen-Taylor subtests, timed functional tasks relevant to graphic designDis section cover standardized tools fi fine motor an functional han assessment, includin Purdue Pegboard, Nine-Hole Peg Test, Jebsen-Taylor subtests, an timed graphic design tasks, wid scorin, norms, an clinical interpretation.
Standardized administration of Purdue PegboardNine-Hole Peg Test setup, timing, and scoringSelecting Jebsen-Taylor subtests for hand functionDesigning job-specific graphic design task simulationsInterpreting scores and documenting functional changeLesson 7Scar assessment: visual scar scales, pliability testing, adhesion testing, digital photographyDis section address scar assessment after han injury or surgery, includin visual scar scales, pliability an adhesion testin, sensitivity, an digital photography, wid guidance on consistent scorin an progress trackin.
Using visual scar rating scales reliablyAssessing scar thickness, color, and texturePliability and adhesion testing techniquesEvaluating scar sensitivity and symptom reportsStandardized clinical scar photography methodsLesson 8Strength and endurance testing: dynamometry (grip, pinch), manual muscle testing protocols, endurance repetition testsDis section cover strength an endurance testin fi de han, includin grip an pinch dynamometry, manual muscle testin, an repetition-based endurance tasks, wid protocols, safety, an documentation fi treatment plannin.
Calibrating and positioning for grip dynamometryPinch dynamometry for lateral and tripod pinchManual muscle testing grades for hand musclesDesigning functional endurance repetition testsRecording strength data and monitoring fatigueLesson 9Edema measurement techniques: circumferential measurement, volumetry, pitting scale, figure-of-eightDis section explain key edema measurement options, includin circumferential tape measures, water volumetry, pittin scales, an figure-of-eight methods, wid guidance on reliability, positionin, an consistent documentation in han therapy.
Landmarks for circumferential tape measuresWater volumetry setup, calibration, and hygieneUsing and grading a standardized pitting scaleFigure-of-eight method for wrist and hand edemaRecording edema data and minimizing measurement error
