Therapist's Management of the Complex Injury

A retrospective study of the role of an occupational therapist in the cancer nutrition rehabilitation program

“…Evidence-based OT literature addresses the benefits of using joint and bone protection techniques to decrease bony pain in rheumatoid arthritis and osteoarthritis [35,36], and the importance of scar management and desensitization in hand injuries [37]. With the exception of scar management following breast surgery [38], the use of joint and bone protection techniques and scar management have yet to be documented in the oncology literature.…”

Successful Multiple Finger Replantation; Procedure and Considerations

“…When the acute recovery process is over, physical therapy exercises should be started. While the replanted fingers are in the splint, the patient should learn the passive and active exercises of the healthy fingers (10). In addition, intact joints that are not included in the fixation should not be forgotten.…”

The Effectiveness of Exercise Following Proximal Interphalangeal Joint Replacement: A Critical Review of the Evidence

“…Pain is one of the most limiting factors in OA, and often one of the goals of surgery for the arthritic hand is to manage the pain experienced by the individual [27]. This is reflected in that thirteen of the fifteen studies included some form of assessment of pain manner as opposed to liner in normal collagen tissue [32] and active exercise facilitates the reorganisation of these collagen fibres [29,30]. Immediate active movement initiated post-operatively can aid in oedema management and prevent tendon adhesions from occurring, both of which can impact recovery and function [33].…”

“…Moderate intensity exercise increases anti-inflammatory and decreases pro-inflammatory cytokines and molecules [34] and although inflammation is a critical part of the physiological process of healing [35], excessive mechanical loading in the early phase of healing can potentially prolong the synthesis of collagen, leading to hypertrophic scarring [36]. Overly aggressive exercise can also increase tension on the wound site, which can delay wound healing, increase the possibility of hypertrophic scar, increase the likelihood of necrosis and decrease the tensile strength of the wound [29,37]. In the literature presented above, the majority of articles were not clear in their intensity or frequency of the prescribed exercises.…”

“…"The Effectiveness of Exercise Following Proximal Interphalangeal Joint Replacement: A Critical Review of the Evidence ". Acta Scientific Orthopaedics 2.8 (2019): 50-58.The Effectiveness of Exercise Following Proximal Interphalangeal Joint Replacement: A Critical Review of the EvidenceA benefit of active exercise at a cellular level is that it facilitates increased blood flow, produces an elongation and reorganisation of the collagen fibres, and thus prevents adhesions at the surgical site[29,30]. The term mechanotransduction describes this process by which cells respond to mechanical loading, and it is through this process that therapists can promote structural change within the tissue at a biological level[31].…”