Rehabilitation Following Replantation in the Upper Extremity
- 1k Downloads
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.
KeywordsFlexor Tendon Tendon Repair Passive Range Neuromuscular Electrical Stimulation Manual Lymph Drainage
- 1.Mosey AC. Psychosocial components of occupational therapy. 1st ed. Philadelphia: Lippincott Williams & Wilkins; 1986. p. 199.Google Scholar
- 2.Jones NM, Chang J, Kashani P. The surgical and rehabilitative aspects of replantation and revascularization of the hand. In: Skirven T, Osterman AL, Fedorczyk J, Amadio P, editors. Rehabilitation of the hand and upper extremity. 6th ed. Philadelphia: Elsevier Mosby; 2011. p. 1262–71.Google Scholar
- 7.Aguilar-Ferrándiz ME, Castro-Sánchez AM, Matarán-Peñarrocha GA, Guisado-Barrilao R, García-Ríos MC, Moreno-Lorenzo C. A randomized controlled trial of a mixed Kinesio taping-compression technique on venous symptoms, pain, peripheral venous flow, clinical severity and overall health status in postmenopausal women with chronic venous insufficiency. Clin Rehabil. 2014;28(1):69–81.PubMedCrossRefGoogle Scholar
- 14.Cooper C. Fundamentals of hand therapy: clinical reasoning and treatment guideline for common diagnoses of the upper extremity. St. Louis: Mosby; 2006.Google Scholar