By Julia Guthart, OTR/L CHT
JOI Hand Therapy
By: Julia Guthart, OTR/L CHT
JOI Rehab provides comprehensive preventative and post-surgical Hand Therapy/Occupational Therapy services. These services have a design to prevent dysfunction and maximize functional recovery for patients who have sustained an injury. In addition, our program has close relationships between the physician (hand specialist) and the clinician who is treating the patient in therapy.
Hand therapy is the specialization of evaluating and treating the upper extremity. This consists of shoulder, elbow, forearm, wrist and hand. It treats various conditions and diagnosis of the entire Upper Extremity including:
- Carpal Tunnel Syndrome (CTS)
- trigger finger
- tendon injuries
- rotator cuff shoulder injuries (RTC)
- other conditions which affect the quality of life
Hand therapy helps patients regain functional use of their UE/hand by improving:
- range of motion
- managing pain
- wound and scar care
This allows them to regain independence in activities of daily living (ADL’s).
Hand Therapists & Hand Therapy Team
Your hand therapist will have a number of therapeutic tools/exercise activities at their disposal. This is to help you achieve highest functional use of your hand/UE. Key components of your hand therapy rehabilitation program are:
- range of motion (ROM)
- strengthening exercises
- customized orthotic splinting
- adaptive equipment
The hand therapy team is made up of Occupational Therapists and Physical Therapists. Our clinicians advance their education and through clinical experience. Many of JOI hand therapists are Certified Hand Therapist (CHT’s). This is the highest level of competence in hand therapy practice. In addition, JOI Hand Therapists work closely with doctors and surgeons to ensure highest functional outcomes. They also attend MD Clinic Rounds with our JOI hand surgeons.
“The price of success is hard work, dedication to the job at hand, and the determination that whether we win or lose, we have applied the best of ourselves to the task at hand.” – Vince Lombardi
JOI Hand Therapy Rehab
JOI Rehab employs the most Certified Hand Therapists in North Florida Area. Our goal is to provide the highest quality of rehabilitation services for the patients that we serve.
Hand injuries, such as tendon lacerations and broken bones can occur in a variety of ways. A splint can protect and immobilize these joints, and depending on the injury, there can be a variety of splints. Splints are made out of a heat sensitive plastic which we mold with use of hot water. Typically we place a sock on an individual’s hand while the splint is being made for comfort. This splint can typically come off for certain activities of daily living (ADLs) such as showering or dressing. Also, cleaning it with soap and water can be a option. Just be extra careful, as dogs and other small animals like them too!
Reasons for Splinting
The most common reason a splint is for protection and immobilization. Furthermore, a safe position splint is a splint for finger fractures. This requires the patient’s metacarpophalangeal (MCP) joints to be bent approximately 70 degrees. This is needed for proper healing. The site of the fracture will determine the length of the splint. If the fracture is closer to the tip of the finger, the splint may only need to be just at the hand. If the fracture is lower into the hand the splint may need to include the forearm. Another common splint is a Long Arm Splint. This requires the patient’s elbow to be in flexion at 90 degrees and the forearm in a neutral position. This is a common splint for most injuries, such as elbow fractures and surgeries that need to relocate nerves in the elbow.
The use of splints are typically for immobilization and protection. Also, they can help to increase range of motion (ROM) in joints. With some injuries an individual can develop stiffness in their joints. Static progressive or dynamic splinting can help increase the motion. These types of splints are made through the use of springs or elastic bands that increase movement. These splints are initiated and controlled by the patient. Adjustments can occur for comfort and to set the appropriate stretch. All splints are prescribed by a physician and it is up to the doctor and your therapist to determine splinting frequency and duration.
JOI and JOI Rehab
JOI Physicians continue to offer online new patient appointments. This is another option to make it more convenient to make new patient appointments with less phone hold times. Follow the link below to select your JOI MD and schedule online.
You can still call 904-JOI-2000 to make new patient JOI Physician Appointments if that is your preference.
To make appointments with JOI Rehab, please call 904-858-7045.
“Remember, if you ever need a helping hand, it’s at the end of your arm, as you get older, remember you have another hand: The first is to help yourself, the second is to help others” – Audrey Hepburn
“In fact, I believe the hands are among the most important part of the human being, third only to the brain that guides us and the heart that drives us” – Terri Wolfe, 1997 presidential address at ASHT.
AOTA explains ”Occupational therapy in simple terms as helping people across the lifespan participate in thing they want and need to do through the therapeutic use of everyday activities. Common OT intervention is helping recovery from injury to regain skill.”