By Rebecca Saunders PT CHT, Romina Astifidis MS PT CHT, Susan L. Burke OTR/L CHT MBA, James Higgins MD, Michael A. McClinton MD

Blending the newest technical and scientific abilities of hand surgical procedure and hand remedy, Hand and higher Extremity Rehabilitation: a realistic consultant, 4th Edition walks you thru the remedy of universal health conditions affecting the higher extremities and highlights non-surgical and surgeries for those stipulations. This extended fourth variation provides the newest learn in hand and higher extremity rehabilitation and gives the aim and intent for remedy options.

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Extra info for Hand and Upper Extremity Rehabilitation: A Practical Guide, 4e

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In Hunter JM, et al, editors: Rehabilitation of the hand, St. Louis, 1989, C. V. Mosby, pp 585–593. Bell Krotoski JA: Personal communication: spool winding during/after filament manufacturing extrusion process damages filament physical properties (Fess EE, editor), 2010. 8. Howard FM: In Memoriam: Erik Moberg 1905–1993, J Hand Surg Am 18A(3):548–549, 1993. Elaine Ewing FessMS, OTR, FAOTA, CHT Adjunct Assistant Professor, Indiana University, School of Health & Rehabilitation Sciences, Department of Occupational Therapy, 1140 West Michigan Street, Room 311A, Indianapolis, IN 46202–5119, USA C H A P T E R 5 SENSIBILITY TESTING Judith Bell-Krotoski, Revised by Elaine Ewing Fess O U T L I N E Definitions 39 Outcomes 53 Treatment Purpose 40 References 53 Goals 40 Suggested Readings 54 Indications and Precautions 40 Appendices 56 Therapy (Evaluation) 42 Today, it is possible to repair peripheral nerves and maintain or regain degrees of peripheral nerve function with varying success.

Note changes in size of scar as scars may go through a period of overgrowth before maturing. 1 E. Color1 1. Vascularization: immature scars are red or purplish in color, raised, and blanch to touch; mature scars no longer blanch and are flattened, pale, and closer to patient's normal skin color. 2. Pigmentation: hyperpigmentation can indicate problematic scars; hypopigmentation indicates a flat, mature scar. 3. Diffuse redness beyond the boundaries of the scar may be a sign of infection. F. Sensibility: note hypersensitivity or abnormal sensation.

Waibel JS, Wulkan AJ, Shumaker PR: Treatment of hypertrophic scars using laser and laser assisted corticosteroid delivery, Lasers Surg Med 45:135–140, 2013. Harte D, Gordon J, Shaw M, Stinson M, Porter-Armstrong: The use of pressure and silicone in hypertrophic scar management in burns patients: a pilot randomized controlled trial, J Burn Care Res 30:632–642, 2009. 18. Morganroth P, Wilmot AC, Miller C: Over-the-counter scar products for postsurgical patients: disparities between online advertised benefits and evidence regarding efficacy, J Am Acad Dermatol 61:e31–e47, 2009.

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