The hand team consists of OT and PT hand specialists who evaluate and treat upper extremity dysfunction secondary to disease or trauma, particularly those involving the hand. Therapists utilize functional activities, splinting, adaptive devices, exercise and physical modalities. Diagnoses include replantation, tendon repair, overuse injuries, post-surgical care, crush injuries, fracture, amputation, and congenital anomalies. The primary referral sources are orthopedics, plastics, and occupational medicine. Physicians within and outside Duke refer patients for treatment.
Outpatients comprise the majority of the treatment group.
Since many patients live quite far away, they may stay in a nearby motel and attend Hand Rehab daily. Patients are also referred for work evaluation and treatment. Occupational therapy services are available at this site on a consultation basis. Treatment is available to patients with cardiopulmonary problems, multiple sclerosis, and Parkinson disease. Emphasis is on independence in activities of daily living and utilization of energy conservation techniques.