ADL, IADL, work and leisure training.
Recommend and/or provide adaptive equipment and task modifications to
compensate for weak grasp and pinch (ties one's shoes, button shirts, using a key
in a lock, holding cane or walker, writing).
Provide UE therapeutic activities and exercises.
Hand and wrist stretching, tendon and nerve gliding exercises.
Progress to hand and wrist strengthening exercises once symptoms are relieved.
Instruct in joint protection techniques (avoid repetitive hand motion, perform activities
with wrist in neutral, modify activities that cause symptoms). Provide a wrist splint at
neutral to be worn at night.
Instruct in pain management techniques to improve participation in ADL tasks.
Teach stress management and relaxation techniques. Coordinate medication
peak with exercise and activity. Provide ultrasound. Educate in use of superficial
cold. Instruct in edema control techniques.