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Hand Function Assessment in OT

The document outlines the definition and components of hand function, emphasizing prehension, manipulation, and grip strength. It details assessment methods, factors affecting hand function, and treatment approaches for hand dysfunction, including remediation and maintenance strategies. Standardized assessments like the Smith hand function test and DASH questionnaire are also mentioned for evaluating hand function.

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84 views10 pages

Hand Function Assessment in OT

The document outlines the definition and components of hand function, emphasizing prehension, manipulation, and grip strength. It details assessment methods, factors affecting hand function, and treatment approaches for hand dysfunction, including remediation and maintenance strategies. Standardized assessments like the Smith hand function test and DASH questionnaire are also mentioned for evaluating hand function.

Uploaded by

mathildabee86
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

MOTB 020

HAND 2024

FUNCTION Dr Hanlie
Pitout
DEFINITION

 Ability of the hand to assume different


positions used for prehension, grasp,
manipulation, investigation, expression
and communication.
COMPONENTS OF
HAND FUNCTION
 Reach- ROM of shoulder,
elbow, wrist, finger joints,
web spaces
 Hand position
 Prehension
 Manipulation
 Release
 Grip strength
ASSESSMENT
• Structuring at a table
• Observe physical appearance of the hand
and position of hand
• Assess muscle strength, ROM, pain, sensation,
coordination, psychological condition.
• Compare the hands
• Assess different types of prehension:
grasp/grips and release
• Assess grip strength
• Assess manipulation
Prehension
FUNCTIONAL
POSITION OF
THE HAND
 20-30 degree wrist
extension
 Slight opposition
and abduction of
the thumb
 Slight flexion of
both MP and IP
joints
FACTORS
AFFECTING
HAND FUNCTION
 Skin condition
 Edema
 ROM
 Muscle strength
 Any deformity
 Psychological state
TREATMENT OF HAND
DYSFUNCTION

 Treat the cause of the hand


dysfunction first for example
range of motion.
 Remediate
• Positioning
• splinting
 Maintenance
• splinting
 Compensation
 Education
 NB!! Home Programme
Standardised
assessments

 Smith hand function test


 Disabilities of the Arm
Shoulder and Hand
questionnaire (DASH)
 Dynamometer
 Sphygmomanometer
References

 Prescribed books
 De Klerk, S. M. (2014).
Occupational therapy
assessment of the upper
limb: trends in South Africa
(Doctoral dissertation,
Stellenbosch: Stellenbosch
University).

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