What is hand rehabilitation, whether post-traumatic, rheumatological, inflammatory, degenerative or malformative, involves a “global” approach.
Starting from the assumption that half an hour of daily physiotherapy, followed by twenty-three and a half hours of immobility or incorrect movements fails to optimize the results, the therapist’s task is to instruct the patient on how to perform the rehabilitative exercises.
From this assumption the didactic approach of rehabilitation is born: the patient is treated regularly. and learns the necessary protocol so that he can rehabilitate himself even during the hours when he is not in hospital. Another cornerstone of rehabilitation is precocity.
This precociousness manifests itself with the beginning of Physiokinesis Therapy (when the type of pathology allows it) on the second day or with the so-called “intrasurgical splinting”: it is a matter of packing the orthosis directly in the operating room, or, in any case, a few hours after the surgery.
Last, but perhaps most important feature of rehabilitation is the constant monitoring of the patient.
Through the simultaneous physiotherapist/surgeon check-ups, the patient is periodically evaluated by the surgeon and the therapist together to clarify any doubts or to decide on any changes to the protocol.
The splinting, a rehabilitation technique that must be an additional tool available to the therapist, does not replace the classical techniques but is a natural compendium.
This technique has developed considerably in recent years and has created a certain amount of interest from every rehabilitation branch.
Orthoses have a preventive, corrective or functional function, but they can also be used to temporarily “block” a joint to simulate an arthrodesis, or even to check a patient’s willingness to undergo surgery and, above all, the demanding rehabilitation process.
In the rehabilitative project, parallel to the physiotherapy path, the occupational therapy is included, intended as a study of the patient’s performance in daily life activities through the analysis of the gesture and the subsequent proposal of alternative strategies for the use of the upper limb.