Our hands allow us to interact with our environment and perform meaningful work. With injury comes loss of function, which can impact your life forever. In the event of an injury a skilled hand surgeon and an experienced Certified Hand Therapist can change the course of your recovery. The CHT credential is the benchmark for excellence for hand care and it demonstrates a therapist’s skill with the highest quality of rehabilitation for your hand.
Hand rehabilitation is both an art and science. The hand is affected by upper limbs, which includes the hand, wrist, elbow, and shoulder girdle. It is a specialty practice area of occupational and physical therapy that combines comprehensive knowledge of the structure of the upper limb with function and activity. Using specialized skills in assessment, planning and treatment, hand therapists provide therapeutic interventions to prevent dysfunction, restore function and/or reverse the progression of pathology of the upper limb in order to enhanced an individual's ability to execute tasks and to participate fully in life situations. To be a Certified Hand Therapist (CHT), and occupational or physical therapist must have a minimum of three years of clinical experience, including 4,000 hours or more in direct practice in hand therapy. In addition the CHT has passed a comprehensive test of advanced clinical skills and theory in upper quarter rehabilitation.
A splint is either a rigid or flexible device use to protect, immobilize, restrict motion or support an injured part during functional use of the hand. It is used to keep in place or protect an injured part of the body.
But, as the consumer……
One-size-fits-all usually doesn’t fit anyone very well! Custom fabricated splints are the way to go, especially for something as precious as your hand. They are much better than going to the local chain-store pharmacy and trying to figure out which one fits you properly. Shelli has a creative way to approach fabricating a splint that immobilizes just enough of the arm, wrist, or hand-but not too much. She uses a variety of materials to make her splints and sometimes uses the pre-fabricated splint with a custom ‘insert’ to offer just a bit more support where the pre-fabricated splint is lacking.
Maintaining a body free of pain is necessary for your best performance. Innovative techniques in manual therapy and other modalities help treat your muscles, tendons, and joints after an injury. Kinesiotape can be used in conjunction with other clinical treatments and is effective during the acute, rehabilitative, and chronic phase of an injury. It can also be used for prevention of injury or encouraging better posture.
Traditionally, after an injury, treatments such as casts or splints will restrict movement and cause stiffness and disability. With some injuries, this time of immobilization is necessary. Research shows that keeping muscles moving as soon as possible after and injury-and improving circulation of the injured tissue- can reduce pain and speed healing.
The development of the Kinesio Taping® Method by Japanese chiropractor Dr. Kenzo Kase in 1979 was sparked by his desire to allow movement of an injured muscle while offering stability and encouraging lymphatic and blood flow to the injured muscle.
Kinesiotaping is a therapeutic taping technique that helps in the rehabilitation of injured muscles, tendons and joints and encourages proper physiological function of the limb. Kinesiology taping opens the muscle and encourages full movement. As you move, the tape encourages the skin and the fascia to glide over the muscle or tendon and encourages proper movement. That’s because the tape targets receptors in the somatosensory system to alleviate pain, encourage lymphatic drainage by increasing the space between the skin, the fascia, and the muscle and encouraging decrease in the swelling and inflammation in the injured areas.
After each treatment, your movement will be reassessed in order to design the best kinesiotaping protocol for you. Based on her years of clinical experience, Shelli brings a wealth of knowledge of anatomy and kinesiology and creativity to her clients treatment programs. She uses kinesiotape on most of her clients, designing a specific application to compliment the hands-on soft tissue work. The goal is to apply the tape so it re-educates the neuromuscular system to optimize movement patterns.
The four functions of kinesiotape include:
1) Supporting the muscle -- Proper taping improves the muscle's ability to contract even when it's weakened, reduces a feeling of pain and fatigue, and protects the muscle from cramping, over-extension and over-contraction.
2) Removing congestion to the flow of body fluids -- Kinesiology tape improves blood and lymphatic circulation and reduces inflammation and excess chemical buildup in the tissue.
3) Activating the endogenous analgesic system -- "Endogenous" refers to something that is self-originating, and calling something "analgesic" means that it can relieve pain in a conscious person. So, this requirement means that the tape must facilitate the body's own healing mechanisms, a central focus in chiropractic medicine.
4) Correcting joint problems -- The goal is improving range of motion and adjusting misalignments that result from tightened muscles.
Lucas Health Solutions promotes worker safety and productivity through on-site ergonomic evaluations and workstation modifications.
Lucas Health Solutions promotes worker safety and productivity through on-site ergonomic evaluations and workstation modifications.
The study of ergonomics, the science of fitting the task to the person, arises from the basic need of humans to work free from pain.
As an occupational therapist and an ergonomic evaluator, Shelli is trained in the structure and function of the human body and the effects that the environment will have on a person's posture, how to identify any hazards in that environment, and finally suggestions with the hazards may be modified
Shelli brings a unique perspective to computer workstation evaluations. She has extensive experience with upper extremity rehabilitation with a special interest and skill in musculoskeletal pathology and cumulative trauma/RSI. She is able to look at someone with the eye of a therapist, understanding the anatomy and postural implications of preventing soft tissue injuries from worsening. Shelli uses critical thinking for problem solving and innovation with environmental and equipment modifications while being cost effective. She understands how poor workstation design can prevent the injured person from fully recuperating.
We're sure you have read articles about how to adjust your work station. But, making those changes may look easier on paper than when it's time to do it! Our staff of trained ergonomic therapists are prepared to help walk you through the modifications you may need. We offer two types of ergonomic workstation consultation/evaluation:
Choice #1: The Confirmation Consultation: This is recommended if you want a second pair of eyes to confirm all the changes you made are right on target. For a nominal fee, we can help!
Using a digital camera, take 3-5 pictures of your workstation and fill out the brief questionnaire.
E-mail them to us and we will evaluate the set-up for you.
We will then respond, via e-mail or phone, with other suggestions.
How to do it:
email us for directions
The Confirmation Workstation Set-up with one set of e-mail questions $14.95
The Confirmation Workstation Set-up with two sets of e-mail questions $19.95
The Confirmation Workstation Set-up with Skype or Face Time consultation (30 minutes) $69.95
Additional Phone Consultation Time $49.99 per 30 minutes
Choice #2: The On-site Family Evaluation: This is recommended for those families who have more than one child and/or parent using the same computer workstation. One of our ergonomic professionals will meet with you one-on-one to design a personal plan for each family member. We will make on-the-spot corrections and suggestions. The average time per family of four is 2-3 hours. Contact us for more information.