Institution:

INSTITUTO TRAUMATOLÓGICO, UNIVERSIDAD DE CHILE.

Years of experience in HT: 13.

Main areas in HT you’ve been working in: marcela

Acute hand injuries rehabilitation in adults, tendon injuries, acute nerve injuries, complex injuries of the hand, wrist injuries.

Main subjects that you’ve presented in a meeting?

“Evaluación de los resultados de la rehabilitación en cirugía de tendones flexores de la mano en zona II en el Instituto Traumatológico de Santiago entre los años 2004-2006”

“Evaluación de la función muscular de los estabilizadores de muñeca en pacientes hombres postoperados de fracturas de extremo distal del radio”

“Funcionalidad de la mano en pacientes post operados de lesiones neurotendinosas en la zona V flexora”

Please, tell us more about you…

What was your first encounter with hand therapy?

During my last year studying physiotherapy, I did my last practice with a professor of clinical practice who worked at the “Hospital del trabajador, Santiago”. He showed me how different a hand therapist can be and at least I had another professor when I was finishing my university period at the “Instituto Traumatológico”, who I consider my Master. He taught me the meaning of facing the “hand’s world” and the beautiful chances we have to help people who need us through our rehabilitation.

What is the most important training you’ve had and where was it? Could you tell us some anecdotes about that?

“Centre de la Mà” (Barcelona, Spain) and an internship at the Kaplan Institute. I met the variability, rigor and happiness of working in Vicenç Punsola; and I met Marc García-Elias and Albert Lluch, great surgeons who make that the impossible is possible to reconstruct.

In your opinion which is the book you think a hand therapist needs to have near her bed?

The Hand: how its use shapes the brain, language, and human culture Frank R. Wilson.

Which article do you think is the most essential for a hand therapist to read? What did you find in this article that you want to share?

“Interpretation of Hand Signs in Buddish art” Ahmer K. Ghori, Kevin C. Chung. Journal of Hand Surgery 2007; 32A:918-922

The knowledge of the main six “mudras” shows how the hand’s function represents an expression and affectivity symbol; and a transmission of culture, which guides us to restore its maximum expression.

“2007 IFSSH Committee Report of Wrist Biomechanics Committee: Biomechanics of the So-Called Dart-Throwing Motion of the Wrist” Hisao Moritomo, Emmanuel P. Apergis, Guillaume Herzberg, Frederick W. Werner, Scott W. Wolfe, Marc Garcia-Elias. Journal of Hand Surgery 2007;32A:1447–1453

It shows us a new way to understand the wrist´s movement from a evolutionary anatomy perspective and justifies the therapeutic orientation of assessement and treatment.

“Effects of a dynamic stability approach in conservative intervention of the carpometacarpal joint of the thumb: A retrospective study”. Virginia H. O’Brien M. Russell Giveans Journal of Hand Therapy 2013; 26: 44-52

Considers orderly the biomechanical concepts to understand the treatment of thumb carpometacarpal arthritis, using levels of clinical evidence, which allows us to deal with one of the most common joint degenerative deseases of the hand.

Has your professional practice changed over the years? How did it use to be and how is it now?

It has changed in the sense of acquiring pattern recognition which allows creating functional prognosis in hand therapy. It also allows modifying therapeutic planning based on goals, besides to have the possibility to teach this to my practice students.

In which projects are you involved in this moment?

I´m involved in projects of proceadure´s standarization of distal radius fractures and clinical teaching in upper limb

In your opinion which are the next highlights for HT in the coming years?

Introduce ultrasound support in a dynamic way for the rehabilitation progress in tendon injuries, include biomechanical concepts in designing orthoses and therapeutic planning.

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