Lesson 1Structured clinical interview and chart review: key surgical details, restrictions, and red flagsThis part lists a planned talk and record check, key on surgery facts, warnings, other health issues, medicines, and danger signs, to make sure safe, aim-right hand healing from first meet.
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 testingThis part teaches feel check of hand, with still and moving two-point tell apart, Semmes-Weinstein threads, and basic nerve move tests, stressing standard way and safety rules.
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 templatesThis part sets must-have start measures for first visit, like hurt, swell, move range, power, use, and take part, and shows how to note them with planned sheets for clear aims and pay.
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 tasksThis part checks standard hurt measure in hand healing, with VAS and NRS scales, hurt act watch, and task hurt test, stressing same time, teach patient, and fit into plan.
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 testsThis part details move range check for wrist and finger joints MCP, PIP, DIP with angle tool and full bend tests, with place, hold, end feel, and note tips for sure 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 designThis part covers standard tools for small move and use hand check, like Purdue Pegboard, Nine-Hole Peg Test, Jebsen-Taylor parts, and time draw tasks, with score, normal, and use read.
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 photographyThis part handles scar check after hand harm or cut, with see scales, bend test, stick test, feel, and photo, with steady score and follow tips.
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 testsThis part covers power and last test for hand, with grip pinch measure tool, hand muscle test, and repeat last tasks, with ways, safe, and note for plan.
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-eightThis part teaches main swell measure ways, like round tape, water full, press scale, and eight shape, with sure, place, and steady note in hand healing.
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
