S: Sequential

S: SEQUENTIAL When approaching the treatment of a damaged hand different movements can be affected by the pathological process. Quite often treating one structure can put other structures at risk. Working towards finger flexion in a passive and intensive way can...

P: Progressive

P: PROGRESSIVE We know as hand therapists that when we treat an injured hand, progression in the resistance of the tissue is modified from one day to the next. In the beginning there is no resistance of the tissues apart from the artificial resistance created by the...

A: Analytical

A: ANALYTICAL The most complex decision regarding hand treatment is how to pinpoint treatment on the area actually causing the problem. As the hand is such a complex area with numerous small structures this challenge is particularly great. Cyriax described the need to...

M: Mobilisation

MOBILISATION Passive Mobilisation techniques have evolved a lot in the last fifty years. At the beginning of the rehabilitation professions the knowledge available to carry out the mobilization was more related to anecdotal clinical experiences than scientific...

Ergonomics & RSI

Sometimes we need to teach our patients about some devices designed to improve their work technique… The term Repetitive Strain Injury includes disorders such as: Carpal tunnel syndrome Cubital tunnel syndrome Guyon canal syndrome Lateral epicondylitis...