Rehabilitation Following Replantation in the Upper Extremity

  • Sarah A. Ezerins
  • Carol J. Harm
  • Steve J. Kempton
  • A. Neil SalyapongseEmail author


Following replantation at any level, successful return of function relies not only on survival of the extremity and healing of the tissues, but also on the dynamic return of motion. Integration of the hand therapist, surgeon, and patient will optimize outcomes. This chapter focuses on the rehabilitation process with suggested protocols and considerations for the various levels of upper extremity replantation. The hand therapist’s role is to collaborate with the treatment team while utilizing clinical reasoning and problem-solving skills to find the right balance between protecting healing structures and implementing early controlled motion in order to maximize the patient’s recovery and outcomes. The therapist also has a role in coaching the patient to use adaptive strategies to maintain function while awaiting motor and sensory return to improve use of the affected hand.


Flexor Tendon Tendon Repair Passive Range Neuromuscular Electrical Stimulation Manual Lymph Drainage 
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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Sarah A. Ezerins
    • 1
  • Carol J. Harm
    • 2
  • Steve J. Kempton
    • 3
  • A. Neil Salyapongse
    • 3
    Email author
  1. 1.Occupational Therapy DepartmentUniversity of Wisconsin Hospital and Clinics, Hand and Upper Extremity ClinicMadisonUSA
  2. 2.Department of Occupational TherapyUniversity of Wisconsin Hospital and Clinics, Hand and Upper Extremity ClinicMadisonUSA
  3. 3.Division of Plastic SurgeryUniversity of Wisconsin Hospital and ClinicsMadisonUSA

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