“…The more creative aspects of activity have traditionally been closely related to crafts (Holder 2001, Perrin 2001. However, within hand therapy, and reflecting occupational therapy generally, the occupational nature of rehabilitation has moved somewhat to the periphery of treatment programmes in recent decades, eclipsed by a more biomechanical approach, possibly in response to changed priorities within the health service, but also perhaps due to a general shift away from using creative activities therapeutically within physical settings (Bayliss et al 1983, Barris et al 1986, Rook 1986, Smith 1989, Taylor and Manguno 1991, Drew and Rugg 2001. This move towards a more explicitly functional approach, incorporating the terms 'therapeutic exercise' and 'purposeful activity', opened up another layer of debate (Dutton 1989, Mills and Fraser 1989, Laseter and Carter 1996, Paquette 1998, Hunt 2001 with views for and against, citing the benefits of both.…”