Alaska Hand Rehabilitation, Inc.

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Our Hand Therapy Treatment

Hand Therapy is the art and science of rehabilitation of the shoulder, arm, and hand. It merges comprehensive knowledge of the upper extremity with the skills and therapeutic techniques of the professions of Occupational Therapy and Physical Therapy. This specialty was developed in response to advancements in technology and surgical techniques that have enabled greater functional restoration of injured upper limbs. As such, our therapists demonstrate their commitment to the specialty by becoming Certified Hand Therapists (CHTs) and by maintaining membership in the American Society of Hand Therapists.


Why Choose Us

Our clinic maintains a friendly and informal, yet professional, environment that instantly puts our patients at ease. For added comfort, our treatment process always begins with reducing the patient's pain and/or fear of pain while ensuring that we focus upon our patient's goals for function.

To ensure the best results, we encourage compliance with surgeon's protocols and precautions to protect surgical repairs. Patient education is the foundation of our treatment because we believe that an informed patient can be optimally effective in therapy. Because of this, we emphasize the importance of patient participation throughout the process of reaching their therapy goals. Additionally, we welcome feedback and on-going input from treating physicians, PA's and FNPs.

What We Provide

The treatment of upper extremity pain and dysfunction requires a multi-faceted approach. We attempt to identify the cause of the injury, the current related factors, sites of physical injury, in addition to patient concerns and goals. Following the initial assessment, the treatment focuses on the individual by eliminating pain while regaining lost motion and abilities. It may include visits to the workplace, communication with physicians, families, schools, and attorneys, as well as referrals to other professionals.

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Treatment Methods

  • Custom Orthotics (Splints) Design and Fitting
    • Static
    • Dynamic
    • Silver Ring Splints for Arthritic Hands
    • Kinesiotaping 
  • Therapeutic Exercise
    • Customized Exercise Programs
    • Individualized Home Exercise Programs Instruction
    • BTE Work Simulator II for Strengthening
    • Rebounder/Plyometrics Program for Strengthening
  • Therapeutic Procedures
    • Wound Care
    • Management of Pain, Swelling, Scar Tissue and Hypersensitivity
    • Dexterity Retraining
    • Graded Motor Imagery and Mirror Box Therapy
    • Joint Protection Education
    • Upper Limb Prosthetics Training
    • Functional Retraining
    • Adaptive Equipment Recommendations to compensate for functional limitations of the hand/arm
    • Ergonomics Education and Work Site Recommendations
  • Manual Therapy Techniques
    • Graston Technique
    • Active Release Technique
    • Myofascial Therapy techniques
    • Joint Mobilization
    • Lymphedema Management
  • Therapeutic Modalities to enhance results of exercise and manual therapies:
    • Moist Heat and/or Paraffin Bath
    • Ultrasound/Phonophoresis
    • Electrical Stimulation
      • Functional Neuromuscular Electrical Stimulation (NMES)
      • Galvanic Stimulation
      • Iontophoresis
      • TNS for Pain Management
    • Laser Therapy
  • Pediatric Orthopedics

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Hand, Arm, & Shoulder Assessments

Each individual undergoes a thorough clinical evaluation to clarify the site and extent of the injury before the therapist offers any recommendations or initiates treatment. When the therapist develops an understanding of the patient's injury and concerns, it often becomes clear that a specific activity has contributed to causing the damage. An ergonomic assessment may then be recommended in order to identify and halt strain that is work-related. Both assessments may be performed at the work site or, when possible, may be simulated in the clinic.

Treatment of Varied Diagnoses

As one might imagine from the wide diversity of referral sources, we become involved in the assessment and treatment of many types of trauma and overuse injuries that impact the lives of our patients. Our team also offers expertise in custom splint construction (static/dynamic/static progressive) for protection or for mobilization, along with a variety of adaptive devices for those with challenges in independent function.

Corporate & Community Services

One of our goals is to educate the community — including employers and employees — about what we do. Over the years, we've seen a tremendous increase in awareness of ergonomics issues and Repetitive Strain Injury. This has been in large part due to extensive education via newspaper articles, television, and word-of-mouth.

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Crawford Small Parts Test

Holding an Object

As a result, we have also seen changes in attitudes of employers, physicians, the insurance industry, and the general public. There is an increasing willingness to optimize worker comfort and avoid the high costs of treatment and loss of productivity. To continue this improved awareness, we also offer presentations about:

  • Overuse/Repetitive Strain Injury & Alternatives to Reducing the Frequency of These Injuries
  • Assisting with Risk Assessment
  • Encouraging Injury Prevention & Early Management