Diagnosis and Treatment Manual for Physicians & Therapists, 5th EDITION
DIAGNOSIS AND TREATMENT MANUAL FOR PHYSICIANS AND THERAPISTS - 5th EDITION
There are four volumes to the 5th edition! Volumes 1 & 2 are the treatment guidelines for the most common medical diagnoses and surgical procedures specific to the upper extremity. Volume 3 is a set of patient handouts in English. Volume 4 is a set of patient handouts in Spanish. Each order includes all four volumes. There are over 300 pages in each volume. The manual has definitely expanded!
The 1st edition of the manual was written in 1983. It was created to provide general therapy guidelines for the fellows managing our patients day to day. Over time, our guests and fellows were interested in having the information in their clinical settings.
With each new edition the manual has grown both in content and in popularity with physicians, therapists, nurses, nurse practitioners, physician assistants, case managers, rehab nurses, athletic trainers, among others. Medical settings, such as hospitals and clinics, have found the manual serving as a valuable foundation for safe and effective treatment guidelines for patient care.
The authors have found the treatment guidelines and patient handouts particularly valuable. It is for this reason, we are happy to share this information with colleagues around the country and around the world. It is believed that through the collective sharing of all our knowledge and expertise, we are able to strengthen the quality of patient care and patient outcomes.
We are hopeful this long-awaited edition will meet your expectations and serve as a valuable resource as you care for your patients.
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Preface
The “Diagnosis and Treatment Manual for Physicians & Therapists” is now in its fifth edition. The manual should serve as a resource for physicians, therapists, physician assistants, nurses, nurse practitioners, case managers, athletic trainers and other health care professionals managing patients with hand and upper extremity medical conditions or injuries. This manual is not meant to be an absolute of treatment, nor is it meant to provide some type of “cookbook” approach for treating the extensive listing of diagnoses and surgical procedures contained within this manual. Instead, the information is intended to serve as the foundation for developing a customized treatment program for the patient. The authors feel it is vitally important to have this level of understanding. Each individual patient’s medical history, medical condition, injury and/or surgery are unique to that individual. Each medical professional’s expertise and judgment is essential for tailoring the patient’s therapy program to the individual patient and modifying the treatment plan over time, according to the patient’s progress or lack thereof. I believe the manual meets this purpose.
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Contributing Authors - Former Editions
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Numerous therapists, who have worked at The Hand Rehabilitation Center of Indiana since 1978, have contributed to this manual in one way or another. They may have assisted with the written work, created a new orthotic design, unveiled a new treatment pearl or demonstrated excellent outcomes with their approach to direct patient care. To a person, they have made valuable contributions to patient outcomes. I am proud to have worked with these outstanding professionals through the years and recognize them for their contributions. Those former therapists include:
Megan Albright, OTD, MS, OTR, CHT
Cheri Alexy, OTR
William Barteau, OTR
Bonnie Beal, OTR, CHT
Susan Bodnyk, OTR
Elena Tuason Bolin, MS, OTR, CHT
Melanie Brady, OTR
Stacy Brisco, OTR
Roberta Bromley, OTR
Jenny Brunt, MS, OTR
Mary Cassidy Burns, OTR/L, CHT
Cheri Bush, OTR, CHT
Corey Chadwick, OTR, CHT
Michael Davis Cheshire, OTD, OTR, CHT
Kim Chiappetta, MS, OTR
Jennifer Cieslak, MS, OTR
Barb Cook, OTR, CHT
Janine Vincent Cornell, MS, OTR
Connie Ranly Crum, OTR/L, CHT
Nancy Ditzler, OTR
Leslie Edgecomb, OTR
Sue Farney-Mokris, OTR, CHT
Elaine Fess, OTD, OTR, FAOTA, CHT
Rebecca Foltz, OTR
Karen Foulks, OTR, CHT
Jill Francisco, OTR
Kathy Fry, MA, OTR
Yvonne Raducha Fulton, OTR/L, CHT
Karen Gettle, MBA, OTR
Susan Gentile, OTR, CHT
Tara Galles, OTR
Laura Griffard, OT, CHT
Jessica Grogan, MOTR, CHT
Sue Hale, OTR/L, CHT
Pat Hall, MS, OTR
Jennifer Hartman, OTR
Traci Hartrich, OTR
Albert Hendricks, Jr., OTR, CHT
Shannon Hendricks, OTR, CHT
Gail Herendeen, OTR
Amanda Hessel, OTR
Robin Janson, OTD, CHT
Kevin Kathman, OTR
Nancy Keesling, COTA
Amy Kiesler, MS, OTR/L
Jan Koepfer, OTR
Kim Kraft, PT, DPT, CHT
Melanie Lauck, OTR
Jody Lee, MOT, OTR, CHT
Sarah Lettelleir, PT, MS
Sue Lewis, OTR, CHT
Evan Lines, MOT, OTR
Susan Mannarino, OTR/L, CHT
Nikki Maxwell, OTR
Melissa McCollum, OTR
Tammy McKee, MS, OTR, CHT
Todd Meller, OTR, CHT
Brad Menke, MPA, OTR
Brad Michelson, OTR/L, CHT
Jessica Weiss Molin, OTR
Brenda Dalton Myamoto, OTR/L
Anne Mummert, OTR, CHT
Linda Murphy, OTR
Kelly Nye, OTR
Amanda Petker, MS, OTR
Holly Renard, OTR, CHT
Jeanne Riggs, OTR, CHT
Chris Riordan, OTR, CHT, COMT/UE
Sally Roscetti, OTR, CHT
Angie Bailey Sajdyk, OTR
Jeff Sala, OTR, CHT
Tammy Sands, OTR, CHT
Sandy Schulhof, OTR
Cindy Smith, OTR, CHT
Maureen Stark, OTR
Julie Tague, OTR
Kristin Neal Taylor, OTR
Amy Turner, MHPE, OTR, CHT
Jody Turner, OTR, PTA, CHT
Amanda Wickenkamp, OTR
Tammi Wilham, MS, OTR/L, CHT
Lisa Wilhelm, OTR
Dawn Simpson-Yunker, OTR
Bridget Callahan Zaro, OTR, CHT
Contributing Authors – 5th Edition
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The current therapists with the Indiana Hand to Shoulder Center contribute outstanding patient care each and every day. Through the years, each therapist has unselfishly shared their knowledge and expertise in patient treatment with fellow colleagues. It is the hope of each co-author (identified in this manual) that the quality of patient care and patient outcomes will be strengthened by the information shared within this written work.
In order to compile a manual of this nature, extraordinary guidance and input has been provided through the years by the surgeons of The Indiana Hand to Shoulder Center. Those hand surgeons include:
Current Surgeons
William B. Kleinman, MD, Thomas J. Fischer, MD, Robert M. Baltera, MD, Jeffrey A. Greenberg, MD, Thomas D. Kaplan, MD, Gregory A. Merrell, MD, Nicholas E. Crosby, MD, Kathryn M. Peck, MD, Reed W. Hoyer, MD and Brandon S. Smetana, MD
Their endless contributions to hand surgery and hand therapy have aided immensely in establishing the treatment programs recommended in this manual. Their expertise has enhanced the quality of patient care throughout the world.
- Nancy M. Cannon, OTR, CHT - Editor
DEDICATION - 5th Edition
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Founding Directors - The Hand Rehabilitation Center of Indiana
Elaine Fess and Karan Gettle were the visionaries that created a strong foundation for hand therapy at the Indiana Hand to Shoulder Center. Their commitment to the highest quality of patient care and medical education is exemplified in this written work. The manual is dedicated in their honor.
Elaine E. Fess, OTD, OTR, FAOTA, CHT
Karan H. Gettle, MS, OTR
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Hand Fellows
Since 1975, the Indiana Hand to Shoulder Center has been privileged to have an exceptional group of hand fellows each and every year. The fellows join the practice and play an integral role in patient care and unselfishly share their expertise. Throughout their careers, they have made endless contributions to research, medical publications and actively participating in professional organizations. Therefore, in addition to our founding directors, it is an honor to dedicate this 5th edition to our current and past fellows.