Concepts in Hand Rehabilitation

This easy reading book utilizes contributions from many experts in the fields of hand surgery and hand therapy. The authors begin with the basics of hand rehabilitation-anatomy. Although detailed, the information does not include the wrist even though later chapters discuss clinical treatment of the wrist. Excellent attention and detail is given to wound and tissue healing an area not well covered in therapists' literature but an area basic to hand therapy. Complete evaluation of the hand is presented, with clarification of tests through photographs, drawings and sample charts. Standardized and non-standardized tests are also discussed with non-judgemental options given on both regarding their advantages and disadvantages. A very interesting and effective method of concluding each section is through the use of case studies which allows the reader to put the information of that chapter into practice. The chapter on Splinting is suitable for both the novice and the experienced splinter. It utilizes a problem solving approach to splinting and its programme, i.e. "what does the hand need" rather than "what splint goes with this diagnosis?". Questions are posed which promote a holistic approach to the patient and provide the reader with excellent advice on the problem solving method. Although protocols as such are not given nor are they recommended due to the individuality of each patient, practical hints and general guidelines are provided in the chapters on Clinical Treatment. The authors take into consideration associated injuries, the cognitive and emotional status of the patient and the financial and geographical situation. The reference lists and bibliographies are extensive and are outlined at the end of each chapter. In addition, an appendix for Equipment Supplies is provided which is a helpful reference for any therapist. Concepts in Hand Rehabilitation is a worthwhile investment for the specialist and the non-specialist. It provides rationale for why we do what we do in hand therapy. Two thumbs (& all fingers!) up for this one! Karen Landry