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Occupational / Hand Therapy Evaluations
On every patientís first visit he or she is evaluated by a CHT to determine the plan of care. Goals are discussed with each patient and a treatment program is established.

Functional Capacity Evaluations (FCEís)
A Functional Capacity Evaluation is a series of tests measuring strength, range of motion (ROM), stamina and tolerance to functional activities, including lifting and carrying. These tests are used to determine work tolerance.

Physical Re-conditioning Programs
A program in which physical fitness and educational reconditioning are used to prepare a deconditioned patient for return to sport or work after an injury.

Upper Extremity Custom Orthoses
The CHT will fabricate custom orthoses for the elbow, wrist or hand to protect, immobilize or mobilize an injured body part based on doctorís orders, injury type and goals.

HEP Instruction
Each patient is given a home exercise program determined by their diagnosis and symptoms. This could include, but is not limited to, range of motion exercises, strengthening, scar management, edema control methods and orthosis wear schedules.

Modalities
Therapeutic modalities are treatments that cause a change to the body. They assist in the healing process of injuries. Some modalities used in the therapy clinic include moist heat, ice, ultrasound and electrical stimulation.

Edema Control Methods
After many injuries inflammation occurs that requires attention. The simplest form of edema control is elevation. Patients are taught to elevate the injured extremity and are instructed in the use of ice and compression as needed.

Scar Management
Post operative scars and scars from trauma can cause restrictions in ROM , pain and sensory changes. Patients are instructed in scar massage and may be issued scar pads or tape to assist in scar healing.

Exercises to Improve ROM, Strength and Functional Abilities
Active and Passive ROM exercises are utilized in the clinic to improve motion to the upper extremity. Weights, machines and exercise equipment are used to improve strength following injury or disease and activities of daily living are incorporated into a patientís treatment program to promote ADL independence.

Sensory Re-education
Following many upper extremity injuries sensation is affected. Therapy may include desensitization activities or sensory re-education techniques to decrease a patientís complaints of numbness, tingling or burning.

Wound Care
Wounds caused from burns, trauma, infections or surgery can be treated in the hand clinic with whirlpool baths, cleansing, debridement and dressing changes to assist in tissue healing.