Our Services
- Modern Physiotherapy Clinic is your best destination for the most reliable and effective physiotherapy treatments.
- We are constantly expanding our menu of services to meet your health goals and disease management needs.
- Our professional physiotherapists are here to help restore your body to its fullest potential.
Hand Therapy
Hand Therapy focuses on rehabilitating injuries sustained to the hand, wrist, elbow and upper arm. Whether the injury or condition was the result of a workplace accident or part of the aging process, our physiotherapists tailor their treatment plan to suit your lifestyle, needs and goals. The process undertaken involves an initial assessment to diagnose the condition and evaluate what treatments will achieve an efficient and effective recovery.
Hand Therapy Benefits:
- Decreases pain, stiffness and swelling
- Can reduce the need for operations, or assist with post op recovery
- Builds movement, mobility and strength
Common Conditions that can be managed and treated with Hand Therapy:
- Carpal tunnel syndrome
- Dislocations
- Mallet finger
- Trigger finger and trigger thumb
- Fractures
- Wrist ligament injuries
- Arthritis and Osteoarthritis
- Wrist tendonitis
- Ganglion cysts
- Distal bicep ruptures
- Tendinopathy
- Dislocations
- Radial tunnel syndrome
- Shoulder Instability
- Rotator cuff tears
- Bursitis of the shoulder
- SLAP tear (Superior Labrum Anterior and Posterior)
- “Frozen Shoulder” (Adhesive capsulitis)
- Shoulder joint injuries
At Modern Physiotherapy Clinic, we can monitor your progression through grip strength measurements using a Dynamometer. You can see the improvement in your grip strength over time, which ultimately shows the improvement in your hand, wrist, forearm, upper arm, and shoulder strength.
FAQs:
1. What can I expect from a hand therapy appointment?
There are many different techniques and services our physiotherapists can offer:
We also have a great range of exercise equipment that can be purchased to aid with improving your grip strength.
2. What should I bring to my hand therapy appointment?
If you have any X-rays, scans, reports or other medical documents, please bring them to your initial appointment. This allows our physiotherapists to properly examine and diagnose the problem. If you have other documents that you receive after your initial consultation, please provide them to your physiotherapist at your next appointment.
3. How the dynamometer can help my physiotherapist with my hand therapy ?
In hand therapy, the dynamometer can help to determine your grip strength. Grip strength is a measure of the muscular strength in your forearms and shoulders. Many muscles are involved in gripping an object. To put it into perspective, 35 muscles are used when moving just a finger!
Dynamometer measurements are suitable for the following conditions:
- Carpal tunnel syndrome
- Tennis elbow
- Hand/wrist arthritis
- Neuropathy of upper limb
- Dislocations
- Mallet finger
- Trigger finger and trigger thumb
- Fractures
- Wrist ligament injuries
- Wrist tendonitis
- Ganglion cysts
- Distal bicep ruptures
- Tendinopathy
- Radial tunnel syndrome
- Shoulder Instability
- Bursitis of the shoulder
- SLAP tear (Superior Labrum Anterior and Posterior)
- “Frozen Shoulder” (Adhesive capsulitis)
- Shoulder joint injuries acromioclavicular (AC) and sternoclavicular (SC)
Naturally, grip strength grows weaker with age, and you will not realize the importance of a strong grip until it diminishes. It will become more difficult to have independence in your everyday life, for example opening jars, carrying groceries and opening doors becomes very challenging. Through physiotherapy services and exercises, Modern Physiotherapy Clinic can help you strengthen these muscles and improve your grip strength.
4. How does the dynamometer test work?
You will be seated and will hold the dynamometer at your side, with your elbow at a right angle. You will then squeeze the device as hard as you can for a few seconds. This is repeated multiple times, and the average result is calculated.
5. Why is grip strength important?
Grip strength is a reliable indicator of other health conditions, and overall health. There have been many studies associating a strong grip strength with:
- Greater heart structure and function(1)
- Greater cognitive function(2)
- Greater chance of recovery after falls and hip fractures(3)
- Lower risk of osteoporosis(4)
(1) Beyer, S.E., Sanghvi, M.M., Aung, N., Hosking, A., Cooper, J.A., Paiva, J.M., Lee, A.M., Fung, K., Lukaschuk, E., Carapella, V., Mittleman, M.A., Brage, S., Piechnik, S.K., Neubauer, S. and Petersen, S.E. (2018). Prospective association between handgrip strength and cardiac structure and function in UK adults. PLOS ONE, 13(3), p.e0193124. doi:10.1371/journal.pone.0193124.(2) Rijk, J.M., Roos, P.R., Deckx, L., van den Akker, M. and Buntinx, F. (2016). Prognostic value of handgrip strength in people aged 60 years and older: A systematic review and meta-analysis. Geriatrics & Gerontology International, 16(1), pp.5–20. doi:10.1111/ggi.12508.(3) Savino, E., Martini, E., Lauretani, F., Pioli, G., Zagatti, A.M., Frondini, C., Pellicciotti, F., Giordano, A., Ferrari, A., Nardelli, A., Davoli, M.L., Zurlo, A., Lunardelli, M.L. and Volpato, S. (2013). Handgrip Strength Predicts Persistent Walking Recovery After Hip Fracture Surgery. The American Journal of Medicine, 126(12), pp.1068-1075.e1. doi:10.1016/j.amjmed.2013.04.017.(4) Li, Y.-Z., Zhuang, H.-F., Cai, S.-Q., Lin, C.-K., Wang, P.-W., Yan, L.-S., Lin, J.-K. and Yu, H.-M. (2018). Low Grip Strength is a Strong Risk Factor of Osteoporosis in Postmenopausal Women. Orthopaedic surgery, 10(1), pp.17–22. doi:10.1111/os.12360.
6. How can I improve my grip strength?
There are many exercises our physiotherapists can show you, however some home exercises include:
- Squeezing an old tennis ball or a rubber stress ball for 5 second intervals
- Stretching your wrist muscles – lift your arm in front of you and drop your hand so your fingers are facing down, and your palm is facing towards you. Use your other hand to gently stretch the wrist by pushing your palm towards your body
- Stretching forearm muscles – lift your arm in front of you, with your palm facing outwards. With your other hand, pull your finger back to create a stretch in the forearm
- Wrist supination and pronation – put your elbow by your side, and bend it with a right angle. Begin with your palm facing up, and then twist the wrist and forearm to have your palm facing down. You can even add weight for an extra boost to the exercise!
You will get the best results by doing exercises daily and consistently. You will gain strength over time if you follow the exercises strictly; do not expect full results over night!
Our treatment manifesto
Core values we bring to your physiotherapy experience
> Find the root problem
We take the time to understand your history and perform a thorough physical exam to figure out the real source of your pain.
> Provide exceptional care
Providing quality patient-centered physical therapy care is the most important part of being a physiotherapist.
> Become your advocate
From advocating for you with your doctor to connecting with other healthcare providers, we work to make sure your recovery is the best one possible.