{"id":1253,"date":"2019-10-17T15:48:40","date_gmt":"2019-10-17T13:48:40","guid":{"rendered":"https:\/\/pes-luxembourg.lu\/bascharage\/?page_id=1253"},"modified":"2024-01-27T16:05:23","modified_gmt":"2024-01-27T15:05:23","slug":"hand-rehabilitation","status":"publish","type":"page","link":"https:\/\/pes-luxembourg.lu\/bascharage\/en\/hand-rehabilitation\/","title":{"rendered":"Hand Rehabilitation"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-1 fusion-title-center fusion-title-text fusion-title-size-one\"><div class=\"title-sep-container title-sep-container-left\"><div class=\"title-sep sep-double sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><span class=\"awb-title-spacer\"><\/span><h1 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:34;line-height:1.41;\">Bascharage Hand Rehabilitation<\/h1><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container title-sep-container-right\"><div class=\"title-sep sep-double sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><\/div><div class=\"fusion-image-element fusion-image-align-center in-legacy-container\" style=\"text-align:center;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><div class=\"imageframe-align-center\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\" style=\"border:3px solid #f6f6f6;border-radius:50%;\"><img decoding=\"async\" width=\"300\" height=\"300\" title=\"Reeducation de la Main\" src=\"https:\/\/pes-luxembourg.lu\/bascharage\/wp-content\/uploads\/sites\/2\/2019\/07\/Reeducation-de-la-Main-1-300x300.jpg\" alt class=\"img-responsive wp-image-9630\" srcset=\"https:\/\/pes-luxembourg.lu\/bascharage\/wp-content\/uploads\/sites\/2\/2019\/07\/Reeducation-de-la-Main-1-200x200.jpg 200w, https:\/\/pes-luxembourg.lu\/bascharage\/wp-content\/uploads\/sites\/2\/2019\/07\/Reeducation-de-la-Main-1-400x400.jpg 400w, https:\/\/pes-luxembourg.lu\/bascharage\/wp-content\/uploads\/sites\/2\/2019\/07\/Reeducation-de-la-Main-1-600x600.jpg 600w, https:\/\/pes-luxembourg.lu\/bascharage\/wp-content\/uploads\/sites\/2\/2019\/07\/Reeducation-de-la-Main-1-800x800.jpg 800w, https:\/\/pes-luxembourg.lu\/bascharage\/wp-content\/uploads\/sites\/2\/2019\/07\/Reeducation-de-la-Main-1.jpg 822w\" sizes=\"(max-width: 800px) 100vw, 300px\" \/><\/span><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-shadow\" style=\"--awb-height:20px;--awb-amount:20px;background:radial-gradient(ellipse at 50% -50% , #e0dede 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-webkit-radial-gradient(ellipse at 50% -50% , #e0dede 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-moz-radial-gradient(ellipse at 50% -50% , #e0dede 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-o-radial-gradient(ellipse at 50% -50% , #e0dede 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-1\"><p style=\"text-align: justify;\"><strong>Hand rehabilitation<\/strong> is a <strong>speciality<\/strong> in its own right, and follows <strong>precise rules<\/strong> with the aim of achieving the fullest possible functional recovery of the hand.<\/p>\n<p style=\"text-align: justify;\">The physiotherapist&#8217;s objectives during rehabilitation are as follows:<\/p>\n<ul style=\"text-align: justify;\">\n<li><strong>Improve the healing process<\/strong> to prevent and avoid skin complications.<\/li>\n<li><strong>Promote edema resorption<\/strong>, avoiding secondary scarring complications.<\/li>\n<li><strong>Mobilize<\/strong> joints early and safely, respecting the surgeon&#8217;s instructions, healing times, splints, dressings, etc.<\/li>\n<li><strong>Re-working the hand<\/strong> in its daily functions and adapting movements to any residual deficits that may persist.<\/li>\n<li><strong>Stimulate<\/strong> hand <strong>sensitivity<\/strong> to recover fine sensitivity, proprioceptive sensitivity and tactile discrimination<\/li>\n<li><strong>Maintain supple<\/strong> joint and myotendinous structures.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">To carry out this rehabilitation, the physiotherapist has a <strong>multitude of specific rehabilitation accessories<\/strong> at his disposal (eggs, rehabilitation balls, elastic sheets, finger dynamometers, etc.).<\/p>\n<p style=\"text-align: justify;\">The sometimes serious and permanent functional consequences of hand trauma (pain, stiffness, deformity, adhesions, etc.) can largely be avoided by <strong>multi-disciplinary<\/strong> management (doctor, surgeon, physiotherapist, occupational therapist, orthotist). However, there must be good communication between all those involved in rehabilitation. <strong>Communication between the rehabilitator and the surgeon is essential<\/strong>.<\/p>\n<p style=\"text-align: justify;\">The following is a non-exhaustive list of pathologies that may require physical therapy treatment of the hand:<\/p>\n<ul style=\"text-align: justify;\">\n<li>Grip problems<\/li>\n<li>Hand weakness<\/li>\n<li>Loss of sensitivity<\/li>\n<li>Fracture or sprain of wrist or fingers, operated or not<\/li>\n<li>Amputation of finger(s)<\/li>\n<li>Luxation<\/li>\n<li>Dupuytren&#8217;s disease (operated or not)<\/li>\n<li>Suture operation on an extensor or flexor tendon of the hand<\/li>\n<li>Pulley suture operation<\/li>\n<li>Neurological hands :\n<ul>\n<li>Stroke sequelae<\/li>\n<li>Hemiplegia, tetraplegia<\/li>\n<li>Parkinson<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-two\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:28;line-height:1.5;\">How does a hand physiotherapy session work?<\/p>\n<p style=\"text-align: justify;\"><\/h2><\/div><\/p>\n<p style=\"text-align: justify;\">Depending on the pathology and the stage of rehabilitation, certain points will be different, but as a general rule, the session will always be made up of the same steps.<\/p>\n<p style=\"text-align: justify;\">First and foremost, bandages, splints and other accessories must always be removed (unless specifically requested by the surgeon for some reason).  <a href=\"https:\/\/pes-luxembourg.lu\/bascharage\/en\/physiotherapists-bascharage\/\">hand physiotherapist<\/a>  will take care of putting everything back in place at the end of the session and, if possible, explain how to do it yourself. To be able to assess and handle the affected area accurately, it&#8217;s better to have it exposed rather than wrapped in layers of dressings. Immediately after an operation, even if the scar has not yet closed, rehabilitation must begin. The physiotherapist will work with gloves. First, he will mobilize the fingers and wrists, respecting the patient&#8217;s pain and the resistance of the bruised tissues. Early mobilization promotes intrinsic tissue healing (good healing), and limits and softens extrinsic healing (poor healing, leading to adhesions). Mobilization will initially be passive, i.e. the physiotherapist will move the hand. As rehabilitation progresses, mobilization becomes increasingly active and self-managed.<\/p>\n<p style=\"text-align: justify;\">Then, if the hand is swollen, the physiotherapist can perform hand drainage and apply cryotherapy to try to deflate the area. At first, this swelling is perfectly normal, but it&#8217;s still something to keep an eye on. Indeed, it&#8217;s not uncommon for a patient to develop algoneurodystrophy after a hand trauma.<\/p>\n<p style=\"text-align: justify;\">For all operations, once the wound is closed, the physiotherapist can work on the scar using various scar massage techniques and <a href=\"https:\/\/pes-luxembourg.lu\/bascharage\/lpg-cellu-m6-bascharage\/\">LPG endermology equipment<\/a>.<\/p>\n<p style=\"text-align: justify;\">Once the doctor has given the go-ahead, the hard work can begin. At first, it will be more analytical, against the manual resistance applied by the physiotherapist. Then, with small equipment. Over time, the reinforcement will become increasingly functional. We&#8217;ll try to get closer to everyday gestures so that the hand can fulfill its role in everyday activities.<\/p>\n<p style=\"text-align: justify;\">When the hand has lost sensitivity, the physiotherapist will also work on the sensory aspect of the hand through discrimination exercises. He will work with the patient on his ability to recognize materials, the shapes of objects and the position of the hand in space.<\/p>\n<p style=\"text-align: justify;\">During rehabilitation, the patient will be given exercises to do at home for self-education. This home-based work is an essential part of rehabilitation. The more compliant the patient, the more he or she respects the orthoses and exercises, the faster and better the recovery.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":8141,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.5 (Yoast SEO v22.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Hand rehabilitation: Mobilize your joints with your physiotherapist<\/title>\n<meta name=\"description\" content=\"Hand Rehabilitation: maintaining hand flexibility and function for complete functional recovery!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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