Chapter 5: Evaluation of the Hand and Upper Extremity

This chapter details the assessment processes and clinical assessment skills needed to perform a thorough evaluation of the injured hand. Testing procedures and scoring methods are provided. Photographs, clinical pearls, and precautions/contraindications are provided throughout the chapter and a sample evaluation is included at the end.

 

Areas of Assessment:

• Initial interview-history, observation
• Pain-scales, interview techniques
• Wound-color, depth, size, odor, drainage
• Scar-color size, flat/raised, adhesions
• Vascular-observation, palpation tests, temperature
• Range of Motion-active, passive, Total Active Motion, Total Passive Motion
• Edema-volumeter, circumference, characteristics, palpation
• Sensation-static two-point, moving two-point, touch/pressure threshold, Semmes-Weinstein
• Strength-grip, pinch, manual muscle
• Function-splints, adaptive equipment, functional use

(Fundamentals of Hand Therapy by Cooper: "Evaluation of the Hand and Upper Extremity " by Linda J. Klein, OTR, CHT, copyright 2007)

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Program subject to change. Participants are cautioned to apply new information and skills within the scope of state licensure law.

 

 Course Objectives:

Upon completion of this course, participants will be able to:

• identify the main areas of assessment for the injured hand
• describe the methods/techniques used to perform assessments: pain, wound and scar, vascular, ROM, swelling, sensation, strength and coordination, and function
• understand the scoring procedures for sensory and vascular tests
• understand the precautions and contraindications for testing strength, AROM, PROM, and volume
• describe characteristics of wound and scar status
• describe components of initial interview

CE Credits

2 contact hours

Regulations for self-study courses vary by state and profession. If you are taking this course for CE credits required for licensure, please contact your licensing board to confirm acceptance of this online course prior to registering. Courses must be relevant to your field of practice.

Accepted by many professional credentialing organizations and state professional regulatory boards. Check with your state board/credentialing agency to verify. Certificate of attendance will be issued to all participants upon completion of the course and may be used for CEU verification of credits. CE Credits vary by state. Please check with your state board/certifying agency to confirm conversion of contact hours to CE. See links below.

Arkansas State Board of Physical Therapy: This course has been approved by the Arkansas State Board of Physical Therapy for 2 contact hours.

Physical Therapy Board of California: The Physical Therapy Board of California recognizes Rehab Education, LLC as an approval agency to approve providers offering continuing competency courses for CA licensed PTs and PTAs. This course is approved for 2 contact hours.

Illinois State Board of Physical Therapy: Approved CE Sponsor by Illinois State Board of Physical Therapy, Division of Professional Regulations, #216.000227 for courses completed by 09-30-2014.

North Carolina Board of Physical Therapy Examiners: This course has been approved by virtue of Illinois CE Provider Approval #216.000227 for 2 contact hours. (Course must be completed by 09-30-2014).

NY State Physical Therapy Board: Rehab Education, LLC is recognized as an approved provider for courses completed by 05-10-2016 of PT and PTA continuing education by the NY State Education Department Board of Physical Therapy.

AOTA Approved Provider #6177. These states currently recognize AOTA Approved Providers for OT continuing education either in regulatory language or by formal written communication to AOTA:

Alaska Arkansas Delaware District of Columbia Illinois Indiana Kentucky Louisiana Maryland Minnesota Mississippi Missouri Montana

Nevada New Hampshire New York North Carolina Ohio Oregon Oklahoma Rhode Island South Carolina Tennessee Texas Vermont Virginia

The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

*NBCOT...National Board for Certification of Occupational Therapy (view PDU requirements)
+HTCC... Hand Therapy Certification Commission  (view recertification requirements)

State PT Boards
State OT Boards

 

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Regulations for self-study courses vary by state and profession. If you are taking this course for CE credits required for licensure, please contact your licensing board to confirm acceptance of this online course prior to registering. Courses must be relevant to your field of practice.