AAHS ASPN ASRM - 2013 Annual Meeting - American Association ...

RAPID RECOVERY: Pediatric Injuries
Upper Extremity Fractures: Hand Wrist and Forearm Hand Therapy
Dorit Haenosh Aaron, MA OTR CHT FAOTA
AASH, PR 2006
Houston, Texas dha2@aol.com
SUMMARY
•Children heal faster and more efficiently then adults
•Children with UE fx rarely need formal therapy, usually they are referred for therapy if there are complications
such as persistent pain, decreased ROM, or refusal to use the hand.
•Care taker of a child has a primary role in the rehabilitative process of a child
•Children do not always understand why certain things are done “to them” and therefore
may not be cooperative
•In post op cases, children must first understand to “do no harm” to a healing part
•Therapy must take the form of “play” whenever possible
•Most fractures heal uneventfully and therapy, if needed, consists of splinting and a home program
•Splinting fabrication needs to take in to consideration the “Houdini Effect”
REFERENCES
•**Aaron D (2006). Pediatric Hand Therapy. In Henderson and Pehoski’s editors: Hand Function in the
Child, Foundations for Remediation ((367-400). St Louis, Mosby.
•Davis JL, Crick JC (1988). Pediatric hand injuries. Type and general treatment considerations. AORN Jr,
48 (2):237-239, 242-235, 248-249
•Mahbir RC et al (2001). Pediatric hand fractures: a review. Pediatr Emerg Care, 17(3):153-6
•Thompson T (2004). Strategies and techniques to enhance wearing compliance of splints in pediatrics.
Advance for OT Practitioners, 17:15-15
•Valencia J, Leyva F, Gomez-Bajo GJ (2005). Pediatric Hand Trauma. Clin Orthop Relat Res. (432):77-86
•Roberts A (2000). Special Considerations in Children’s Fractures. In Gupta A at al editors: The Growing
Hand (519-530). St Louis, Mosby
•Most of the art in this presentation was done by the children of Schneider Children’s Hospital In Israel
www.schneider.org.il
THANK YOU!
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