presented by Mike Szekeres
Have a client with a stiff hand? This course will review the important clinical anatomy of the hand, the physiologic response to trauma, development of scar/adhesions, and most importantly – how to differentiate the structures that cause stiffness in the hand.
Mike Szekeres, PhD, OT Reg (Ont.), CHT, is in private practice at Hand Therapy Canada in London, Ontario, Canada. He is an Assistant Editor for the Journal of Hand Therapy. He is currently a sessional faculty member at Western University and has recently completed his PhD in the field of Physical Therapy within the Department of Rehabilitation Science. Mr. Szekeres has served on the Board of Directors for the ASHT. Current professional interests and research include the use of technology for rehabilitation and optimizing the composition and delivery of therapy interventions after wrist fracture.
This chapter will discuss the process of scar formation, and the negative aspects of remodeling that lead to stiffness, adaptive shortening, and tendon adhesions.
This chapter will review the important clinical anatomy of the hand, focusing on the structures that often lead to stiffness after trauma. Specific common injuries will also be briefly reviewed.
This chapter will discuss a detailed approach to hand stiffness, with the purpose of identifying the structures causing the issues. This is important because by identifying the appropriate structures, therapists can optimize treatment by focusing on these structures.