SHTICON'2021 eSouvenir_07.08.2021_Final

VIRTUAL SHTICON’2021 e SOUVENIR 1
Society for Hand Therapy, India
Virtual SHtiCON’2021
8th
Annual National Conference of the
In collaboration with
44th
Annual National Conference of the
Indian Society for Surgery of the Hand
6th
and 7th
August 2021
eSouvenir
Theme
Making Hand Therapy Viable

Table of Contents
S. No. Content Page No.
1 Messages 4-12
2 About Society for Hand Therapy, India 13-14
3 Office Bearers of Society for Hand Therapy, India 15
4 SHTICON’2021 Organizers 16
5 Flyers and Brochure 17-28
6 Scientific Program 29-33
7 Inauguration and Valedictory Function Scripts 34-35
8 Faculty Speakers 36-37
9 Disclaimer 38
10 Abstracts: Faculty Talks, Oral Papers, Oral Case Reports and Mini Movies; Essays 39-77
11 One Liner Quotes from Hand Experts 78-80
12 Past SHTICON Memories and Pre-SHTICON’2021 Preparation Memories 81-84
13 Sponsors 85-88
14 Membership Form 89-90
15 Few Important Hand Therapy Websites 91
16 Acknowledgement/Vote of Thanks 92

Header Designed by Punita V. Solanki (For Flyers, Brochure and Letter Head)
https://isshcon2021.com/Virtual-SHTICON-2021.php
Welcome to SHTICON’2021

Message from Dr. Shovan Saha
Organizing Chairman, SHTICON’2021 and President, SHTI
Greetings to all participants and the members from the fraternity of Indian Hand Therapist. It is a pleasure
to pen down these thoughts on the occasion of 8th Conference of Society for Hand Therapy, India and 44th
Conference of Indian Society for Surgery of the Hand on 6th & 7th August, 2021, for the very first time a joint
virtual national conference is going to be held. We are quite excited about it.
This joint conference of surgeons and therapists will open up great opportunity to get a perspective of
surgical and rehabilitative management of various upper-extremity related conditions under one roof.
The virtual conference gave us an opportunity to reach out to the Indian diaspora of hand therapist globally,
sharing their expertise to generate an international perspective amongst the therapists will be a highpoint
of the conference.
Although we started late due to certain constrains, the Organizing Team of SHTICON”2021 with the support
of ISSHCON’2021, demonstrated great team spirit to prepare an exciting basket of scientific and academic
events.
Keeping up with the theme of this conference “Making Hand Therapy Viable”, Society for Hand Therapy,
India pledges to create a better and increased footprint of Hand Therapy in India.
Dr. Shovan Saha, PhD (OT), FACOT
Associate Professor, Occupational Therapy, MAHE, Manipal
Organizing Chairman, SHTICON’2021
President, SHT, India

Message from Surendra K. Meena
Organizing Secretary, SHTICON’2021 and EC Member, SHTI
It is my pleasure to extend my warm greetings to all the participants on the occasion of 8th annual national
conference of society for hand therapy, India and 44th annual national conference of India Society for surgery
of the hand on 6th and 7th August 2021.
This virtual meet of surgeons and therapists of different places is going to be a very exciting and pleasurable
experience as this conference will put our all effort to drive the best learning for each and every delegate as
well as participants. As the roles of surgeons as well as therapist are very much important for getting desired
outcome and they complement each other. I strongly believe that this conference with provide a great
opportunity to understand each other’s contributions and to develop better compatibility.
Theme of the conference "Making Hand Therapy Viable" is the topic which is of concern to all, as hand is the
most functional, complex and vital part which works on multiple manipulations. I hope through the platform
of this conference we all will acquire great knowledge regarding the therapeutic value of hand therapies.
As an organizing secretary, I wish great learning to the delegates and the presenters
Prof. Surendra Kumar Meena, MOT (Hand Therapy), PGDHA
Professor & Principal, Mahatma Gandhi Occupational Therapy College, Jaipur
Director, Paramedical Studies, Mahatma Gandhi University of Medical Sciences & Technology, Jaipur
Vice-President, All India Occupational Therapists Association (AIOTA)
EC Member, Society for Hand Therapy, India
Co-Chairman, The Indian Journal of Occupational Therapy
Convener, AIOTA, Rajasthan Branch

Message from Dr. Tejashree A. Dabholkar
Chairperson, Scientific Committee, SHTICON’2021 and EC Member, SHTI
Hand is a beautiful and complex creation of GOD Almighty. Hand therapy is a specialized and advanced
branch of practice. Keen interest by hand therapists to enhance experience, expertise and skills in the
rehabilitation of the upper quarter region of the body is essential. Society for Hand Therapy (SHT) has been
vital in promoting, enhancing and advancing the field of hand therapy in India, since the year 2008. Amidst
the pandemic of COVID, newer platforms of virtual modes of academic meets have helped to sustain thrust
of knowledge. The year 2021 will be pondered for the society’s remarkable 8th annual national conference
to be held in collaboration with the 44th Annual National conference of Indian Society for Surgery of the
Hand (ISSH), in Mumbai, Maharashtra, India. The British Society for Surgery of the Hand (BSHS) will be the
invited guest for this unique academic event, for the first time on virtual platform.
This conference will be a landmark in the history of SHT, India to host an annual academic meet on a virtual
platform with wider audience and versatile participants. The theme of the conference “Making Hand
Therapy Viable” have been aptly chosen to enhance focus in this area. This conference will have
participation from national and international faculty speakers, various research authors will be presenting
their work in oral, ePoster, mini movie, hand gesture and essay formats. There will be awards for each
category of presentation.
Our best wishes to all the presenters and looking forward to meeting you all on a positive note.
Dr. Tejashree Ajit Dabholkar. MPT, PhD
Professor, MGM School of Physiotherapy Navi Mumbai, Maharashtra, India
EC Member, Society for Hand Therapy (SHT), India
EC Member, Navi Mumbai branch of Indian Association of Physiotherapy
Chairperson, Scientific Committee, SHTICON’2021

Message from Punita V. Solanki
Secretary, SHTI and Promotion and eSouvenir Committee, SHTICON’2021
In the capacity of the Secretary of the Society for Hand Therapy, India, I extend warm welcome and best
wishes to one and all hand therapists across the globe, on behalf of the Society as well as the Organizing
team of the 8th annual national virtual conference of the Society of the Hand Therapy, India i.e.
SHTICON’2021. This conference is to be held on 6th and 7th August, 2021 in collaboration of the 44th annual
national virtual conference of the Indian Society for the Surgery of the Hand i.e. ISSHCON’2021.
We await and welcome faculty talks and varied research presentations on the theme “Making Hand Therapy
Viable”.
SHT, India has been proactive since the year 2009, in hosting diverse hand therapy events: courses,
workshops, annual conferences, hand therapy examinations etc. We urge to all the hand therapists across
the globe to be active part of these events thereby enhancing the knowledge, skills and experiences via
presentations, discussions, professional networking and by also being followers of the social media profiles
of the society on varied internet platforms such as Facebook, LinkedIn, SlideShare, Twitter, Blog and on
WhatsApp. My message to all hand therapists: Stay focused and excel in the field of hand therapy!
Punita V. Solanki, MSc (OT), FACOT, ADCR
Visiting Consultant Occupational Therapist, AR Orthopaedic and ICU Hospital and AR Clinic, Mumbai
Secretary, Society for Hand Therapy (SHT), India
Promotion and eSouvenir Committee, SHTICON’2021
Executive Committee Member, the All India Occupational Therapists’ Association (AIOTA)
Editor, the Indian Journal of Occupational Therapy (IJOT)

Message from Dr. G. Karthikeyan
Organizing Chairman, ISSHCON’2021
Dear Delegates
Hand Therapy is always a part of Hand Surgery, and only a combination of the two can ensure a good
function in the patient’s hand!
Hence it is no surprise that the 44th Annual Conference of the Indian Society for Surgery of the Hand
(ISSHCON 2021) is joining hands with the Society for Hand Therapy (India) to co-host the 8th National
Conference of the SHTI.
It is always important for the hand surgeon to be updated about the latest methods of therapy in use and
vice versa! This healthy information sharing can be achieved through such Conferences!
My best wishes to the Society for Hand Therapy (India) and all their delegates, and wish them a fruitful
participation in this Meeting.
Thank you
Dr. G. Karthikeyan
Organizing Chairman, ISSHCON’2021
20th July, 2021

Message from Dr. Ravi Kumar Mahajan
President, Indian Society for Surgery of the Hand (ISSH)
It is a matter of great pleasure for me to learn that Society for Hand Therapy India is organizing its 8th
annual national conference SHTICON’2021 in a virtual mode in collaboration with ISSHCON’2021. Hand
Therapists have an extremely important role to play along side Hand Surgeons as far as various Hand
problems are concerned. Hand Therapists have to complement the work of a Hand Surgeon for early
restoration of hand function and rehabilitation of the patients.
I am sure scientific deliberation during this conference will be very useful to all the attending delegates,
specifically the younger ones, to learn time tested as well as newer techniques which can be incorporated
into their day to day practice for the benefit of their patients.
I extend my best wishes for a successful SHTICON’2021 and good health for all the attendees.
Dr. Ravi Kumar Mahajan
President, Indian Society for the Surgery of Hand
Chairman, Department of Plastic Surgery
Amandeep Group of Hospitals, Amritsar

Message from Anil Kumar Srivastava
President, All India Occupational Therapists’ Association (AIOTA)
We all whether directly hurt or not, but the COVID-19 pandemic has grossly disturbed our psyche due to fear
and uncertainties. The pandemic has ensured that there would be minimal physical interactions between people
across the globe, so it has become necessary to connect with each other during these difficult times through
virtual mode for the professional and academic activities by almost all organizations. I am pleased to know that
8th annual national conference of the Society for Hand Therapy (SHT), India, is also being organized on virtual
platform on 6th & 7th August, 2021, in collaboration with the 44th annual national conference of the Indian Society
for the Surgery of the Hand (ISSH). Inclusion of British Society for Surgery of the Hand (BSHS) has made this
event more precious and significant.
I am aware that Society for Hand Therapy (SHT) is doing excelled work under the potential leadership of Dr.
Shovan Saha and Punita V. Solanki in ‘Making Hand Therapy Viable’ in India and therefore the theme chosen
appropriately justify the vision and mission of SHT. Hand therapy is an specialty practice area of occupational
therapy and certainly require promotion and visibility amongst common man and medical fraternity in India. All
India Occupational Therapist’ Association (AIOTA) will always be happy to provide necessary assistance as and
when required by SHT to diversify the area of hand rehabilitation in clinical practice.
I congratulate Vice President, AIOTA: Surendra K. Meena as the Organizing Secretary of SHITCON’2021 for taking
the responsibility to gracefully conduct it. There seems to be no doubt that the 8th annual national conference of
the Society for Hand Therapy (SHT), India would promote excellence in the practice and enhance research for
multifaceted growth of the occupational therapy in the area of hand rehabilitation.
With best wishes
Anil K. Srivastava
President, AIOTA; WFOT Delegate; Executive Chairman, Academic Council of OT
Executive Chairman/Editor-in-Chief, the Indian Journal of OT
93, Laxmanpuri, Faizabad Road, Lucknow-226016, Uttar Pradesh
Mobile: +91-9415405095, +91-9140879761 Email: president@aiota.org

Message from
President, Indian Association of Physiotherapists (IAP)
It gives me immense pleasure to learn that Society for Hand Therapy, India (SHTI] is organizing a conference
8th SHTICON’2021 along with 44th ISSHCON on 6th & 7th August, 2021 on hand therapy on online format. It
is a matter of pride that they are trying to spread the message of hand therapy across 55 countries of the
globe.
It is our responsibility that our services should help the patients in remote area also and they should get
benefited from a collaborative team approach. As one of the important health stream, Hand Therapy should
be promoted equally at all levels of health care i.e. for prevention, for treatment and for rehabilitation
equally. I know it is a difficult job to do the conference of this level, but I am sure that due to strong
continuous perseverance of organizing committee this conference will achieve its goal of strengthening the
base of subject.
As the need and awareness of Hand therapy is growing day by day in our society I am sure this conference
will prove a milestone in journey of Hand Therapy and will help physiotherapists, Occupational therapists
to learn new horizon, and many patients will also be benefitted by this event.
I wish all the best to Dr. Shovan Saha, the organizing committee and everyone associated with this
conference a great success.
Prof. Sanjiv K. Jha, Masters in Physiotherapy (Sports)
Owner, Centre for Chronic Diseases & Research (CCDR). Website: http://ccdr.co.in/
Professor and Principal, RD Gardi Medical College, Indore, Madhya Pradesh, India
President, Indian Association of Physiotherapists (IAP)
Email: sanjivjha72@gmail.com

Message from
President, the International Federation of Societies for Hand Therapy (IFSHT)
Nicola Goldsmith, MSc Dip COT SROT
President, the International Federation of Societies for Hand Therapy (IFSHT)
Clinical Director, GripAble, London, UK. Website: http://www.gripable.co
Clinical Specialist Hand Therapist, Miriam May OT
Partner and Teacher, NES Hand Therapy Training
Email: nicola@neshands.co.uk

About Society for Hand Therapy (SHT), India
Society for Hand Therapy, India was founded by like-minded hand therapists and the foundation of the society
was initiated at the first meeting for the formation of Hand Therapy Society on 14th January, 2007 at Hotel Tip
Top Plaza, Thane, Mumbai, India. Hemant P. Nandgaonkar was the founding President and he took the initiative
of getting together all hand therapists across India to form a registered official society for hosting national level
activities related to hand therapy. Shrikant Chinchalkar guided during these formation years of the society. SHT,
India Logo was designed by Amol P. Sangekar. First affiliation with International Federation of Societies for Hand
Therapy (IFSHT) was established in January, 2008. Registration of the Society for Hand Therapy, India (SHTI)
under Society Act at the Charity Commissioner office, Mumbai was completed and given in September, 2009.
First website was launched by Mr. Hemant in October, 2009 with URL: http://hotc4u.tripod.com/isht/ on free
portal. First Newsletter was published in November, 2009 by Hemant P. Nandgaonkar. Regional Wings (Nagpur,
Pune, Pondicherry, Gujarat and West Bengal) of the SHTI were created at inception of the society, however, those
were not actively collaborated and/or continued after the first tenure.
Table 1: Office Bearers and Executive Committee of Society for Hand Therapy, India
Position 1st Tenure
September, 2009 to
December, 2014
2nd Tenure
January, 2015 to
December, 2019
3rd Tenure
January, 2020 to
December, 2024
President Hemant P. Nandgaonkar Amol Sangekar Dr. Shovan Saha
Vice-President Dr. Shovan Saha Dr. Shovan Saha ֍
Secretary Amol Sangekar Dr. Suresh Mani Punita V. Solanki
Joint-Secretary Prabhakar Chavan Prabhakar Chavan *
Treasurer Mugdha Wagh Shaan Mugdha Wagh Shaan Yogita P. Shendge# ֍
Joint-Treasurer Shashikant Chandanshive * *
Ex-Officio ¥ Hemant P. Nandgaonkar *
Executive
Committee (EC)
Members α
Amit More, Rupali Borkar
Priya Tawde, Yogesh Advani
Savita Savardekar
Shalaka Nandgaonkar
Shriharsh J. Jahagirdar α
Punita V. Solanki
Ganesh Pande
Yogita P. Shendge#
Surendra Kumar Meena
Shubhangi M. Lad
Tejashree A. Dabholkar
Advisory Board α Shrikant Chinchalkar
Kavita P. Mulgaonkar
Snehal P. Desai α
Shrikant Chinchalkar
Kavita P. Mulgaonkar
Snehal P. Desai
Shrikant Chinchalkar
Vivek N. Kulkarni
¥Position not available.*Positions dissolved as per current bylaws. #Appointed as In-Charge Treasurer.
֍
No contestant nominated for election. Each Tenure is of 5 years duration. Details of these table are from past eSouvenir information
furnished by Hemant P. Nandgaonkar via email, MoU, telephonic conversations and society documents.
α Erratum: Error in EC Members & Advisory Board list of 1st
Tenure in SHTICON’2015 eSouvenir is corrected in this Table.

All activities and events of SHTI since 2007 to 2015 are documented in the eSouvenir of 4th SHTICON’2015
(prepared by Punita V. Solanki) available at SlideShare Profile: https://www.slideshare.net/SHTIndia/sht-india-
4th-annual-conference-souvenir (Erratum is published in Table 1).
Activities and events of SHTI since 2015 to 2017 are documented in the eSouvenir of 6th SHTICON’2017
(prepared by Punita V. Solanki) available at SlideShare Profile:
https://www.slideshare.net/SHTIndia/souvenir6th-shti-conference-2017 Second official website for SHTI was
created/designed by Punita V. Solanki on paid portal i.e. Bigrock from 2016 to 2017 with URL:
www.societyforhandtherapyindia.in which expired after one year contract.
Society has its presence in varied social media profiles such as:
 LinkedIn Group: https://www.linkedin.com/groups/4992656/
 Facebook Page: https://www.facebook.com/Society-for-Hand-TherapyINDIA-140000629375859
 Facebook Group: https://www.facebook.com/groups/304443833072836
 Twitter Profile: https://twitter.com/society_therapy
 SlideShare Profile: https://www.slideshare.net/SHTIndia
 WhatsApp Group (Active Members SHT India): https://chat.whatsapp.com/DNJjwoqIYeM7kZVfX8lExJ
 WhatsApp Group (Global Hand Therapists): https://chat.whatsapp.com/GXaEjL6zsbjG35rs24Keeg
Mr. Hemant had stored past SHTI related documents on his personal Blog Profile on Issuu Inc. Platform:
https://issuu.com/hemantpn Mr. Hemant also had stored past SHTI event photos in his personal Picasa Web
Album Profile. Currently, society per se, does not have official presence on Blog and Picasa Web Album.
Since inception (January, 2009) till date (August, 2021) 181 hand therapists have become members of SHTI, of
which currently 43 are active members who have renewed their membership (5 yearly renewal) as on 7th August,
2021.
Table 2: Past and Present SHTICON
SHTICON Organizing
Chairman
Organizing
Secretary
Chairperson
Scientific
Committee
Place/Venue Dates
1st Hemant P.
Nandgaonkar
Amol Sangekar Hemant P.
Nandgaonkar
Mumbai
Maharashtra
3rd , 4th & 5th
December, 2010
*2nd Dr. Bhaskaranand
Kumar≠
Dr. Anil K. Bhat≠ Dr. Shovan Saha Manipal
Karnataka
25th , 26th & 27th
November, 2011
3rd Hemant P.
Nandgaonkar
Amol Sangekar Hemant P.
Nandgaonkar
Thane
Maharashtra
13th & 14th
September, 2014
4th Amol Sangekar Ganesh Pande Punita V. Solanki Pune
Maharashtra
12th & 13th
December, 2015
5th Dr. S. M. Bandekar Parag Adsule Shilpshree P.
Palsule
Goa 30th September &
1st October 2016
*6th Amol Sangekar Hemant P.
Nandgaonkar
Punita V. Solanki Mumbai
Maharashtra
22nd & 23rd
September, 2017
*7th Amol Sangekar Dr. Shovan Saha Bishnupriya
Lenka
Puri
Odisha
13th & 14th
September, 2019
*8th Dr. Shovan Saha Surendra Kumar
Meena
Dr. Tejashree A.
Dabholkar
Virtual 6th & 7th August,
2021
* Along with ISSHCON ≠ ISSHCON’2011 Organizing Chairman and Organizing Secretary

Office Bearers of Society for Hand Therapy, India
(January, 2020 to December, 2024)
“We the office bearers and
executive committee members of
the Society for Hand Therapy,
India, urge all the qualified
hand therapists across the globe,
to be active members of the
society, proactively participate
in all our annual events and
network with each other,
thereby enhancing knowledge,
skills and experience, & thus
helping the clients/patients
with upper limb dysfunctions to
be independent, explore their
full potentials & live quality
life.”

SHTICON’2021 Organizers
Organizing
Chairman
Organizing
Secretary
Chairperson
Scientific
Committee
Co-Chairperson
Scientific
Committee
Member
Scientific
Committee
Member
Scientific
Committee
Incharge
Registration
Incharge
Promotion
& eSouvenir
Dr. Shovan Saha
PhD, FACOT
President, SHTI
Affiliation: Associate Professor
(OT), MAHE, Manipal
Mobile: +91-9880059426
Email: shovanot@gmail.com
Website: https://manipal.edu/
Dr. Tejashree A. Dabholkar
PhD PT
EC Member, SHTI
Affiliation: Professor, MGM
School of PT, Navi Mumbai
Mobile: +91-9167047445
Email:
tejashreedabholkar81@gmail.com
Website:
https://www.mgmsopnm.edu.in/
Surendra K. Meena
MOT, PGDHA
EC Member, SHTI
Affiliation: Professor &
Principal, MGOT College, Jaipur
Mobile: +91-9414058796
Email: skmeena22@gmail.com
Website: https://mgumst.org/
Yogita P. Shendge
MOTh
I/C Treasurer & EC Member,
SHTI
Affiliation: Founder Proprietor,
Your Therapist, Mumbai
Mobile: +91- 9820794435
Email:
yogitashendge2020@gmail.com
Paurvi Kedia
MOT
Affiliation: Owner SP Rehab &
Co-founder Assiataid Healthcare
Private Limited, Bengaluru
Mobile: +91-7022358602
Email: paurvi.kedia@gmail.com
Priyanka Gandhi
MPTh
Affiliation: Freelance PT,
Mumbai
Mobile: +91-9969675560
Email:
gandhipiyu91@gmail.com
Shubhangi M. Lad
MOTh
EC Member, SHTI
Affiliation: Senior Clinical OT,
LTMMC &GH, Sion, Mumbai
Mobile: +91-9869445126
Email: suitshubu@gmail.com
Website:
http://www.ltmgh.com/
Punita V. Solanki
MSc (OT), FACOT, ADCR
Secretary, SHTI
Affiliation: Freelance Private
Practice, Mumbai
Mobile: +91-9167180215
Email:
orthorehab.punita@gmail.com
Website: www.orthorehab.in

Flyers and Brochure
Flyer Designed by Dr. Shovan Saha

Flyer Designed by Punita V. Solanki
13 Slides’ Power Point Presentation and 30 Seconds Video by Paurvi Kedia for Conference Presenters
(Prepared with guidance from Yogita P. Shendge)
How to Record a Zoom Meeting: Available at: https://www.slideshare.net/SHTIndia/how-to-record-zoom-shticon2021

Brochure Designed by Punita V. Solanki

Scientific Program

Scientific Schedule Designed by Punita V. Solanki with Draft from Yogita P. Shendge

Inauguration Function Script
Introduction: We began SHITCON’2021 with the words of Dr. Marybeth Ezaki which signifies the importance of hand
therapy and hand therapists. I Miss Paurvi Kedia, occupational therapist by profession was the host/moderator of the
Inauguration Function.
Inaugural Prayer: Any inauguration is incomplete without the blessings of almighty, “Vakratunda Mahakavya” and
we played this inaugural song for seeking the blessings of Almighty Lord Ganesha.
Introducing and Inviting First Speaker: Dr. Shovan Saha is the President, SHTI and the Organizing Chairman,
SHTICON’2021, from Manipal. I invited Dr. Shovan Saha to welcome the gathering. He welcomed all to the 1st virtual
and 8th annual national conference of Society of Hand Therapy, India. I thanked him after his speech.
Introducing and Inviting Second Speaker: Ms. Punita V. Solanki is the Secretary, SHTI and Promotion and eSouvenir
Incharge, SHTICON’2021. Ms. Punita V. Solanki was invited to speak about the journey of Society of Hand Therapy
India. She gave a brief outline of how and when the society has seen major changes and how it has evolved. I thanked
her after her speech.
Introducing and Inviting Third Speaker: Dr. Tejashree A. Dabholkar is the EC Member, SHTI and the Chairperson,
Scientific Committee, SHTICON’2021. Dr. Tejashree A. Dabholkar was invited to give a brief about the scientific
sessions. She gave a small outline as to what the scientific program comprises of, in this year’s conference. I thanked
her after her speech.
Introducing and Inviting Fourth Speaker: Ms. Nicola Goldsmith is the President, IFSHT. Ms Nicola Goldsmith was
invited to address the virtual gathering. I thanked her after her speech.
Introducing and Inviting Guest of Honor: Dr. G. Karthikeyan is the Organizing Chairman, ISSHCON’2021. Dr.
Karthikeyan was invited next to say a few inspiring words to all the participating hand therapists. I thanked him after
his speech.
Introducing and Inviting Chief Guest: Dr. Ravi Kumar Mahajan is the President, ISSH. Lastly, Dr. Ravi Kumar
Mahajan was invited for his welcome address and he was requested to declare the conference open. With his
encouraging words the SHTICON’2021 was declared open and the further proceedings of scientific sessions were
handed over to Dr. Tejashree A. Dabholkar
Paurvi Kedia
Freelance Occupational Therapist, Bengaluru
Member, Scientific Committee, SHTICON’2021

Valedictory Function Script
Introduction: I addressed the gathering with: “Good evening respected guests, members of the committee, staff and
fellow members.” Myself Priyanka Gandhi, was the host/moderator of the Valedictory Function and was absolutely
honored to be representing SHTICON’2021 and conducting the valedictory on behalf of the entire organizing
committee.
I quoted: ‘If nothing ever changed, there would be no butterflies.’ Since change is the only constant and we all are
moving and adapting ourselves to the new circumstances and need of the hour is to move to virtual from offline
conferences.
Introducing and Inviting the First Speaker: I invited Prof. Surendra Kumar Meena, Executive Committee Member
of Society of Hand Therapy India, and also the Organizing Secretary SHTICON’2021. I requested Sir to Echo the core
message with his concluding remarks. After his speech he released the eSouvenir of the SHTICON’2021.
I thanked him after his speech. “Thank you so much Sir for your inspirational and kind words.”
Introducing and Inviting the Second Speaker: The next section of the conference looked exciting to me and I was
sure everyone was eagerly waiting for the same. I took the pleasure to invite Ms. Yogita P. Shendge, Incharge,
Treasurer and Executive Committee Member of Society of Hand Therapy India and the Co-Chairperson,
SHTICON’2021. Calling out to Madam for unpacking all of us, by announcing the awards and the scientific committee
Report. After she announced the awards and reported on Scientific Proceedings, I thanked her. “Thank you very much
Madam for taking all of us through the roller coaster of emotions.” We heartily congratulated everyone and addressed
“Be proud of yourself for showcasing your talents on this platform.”
Introducing and Inviting the Third Speaker: Moved on to the last section of the event i.e. Vote of Thanks. Handed
over to Ms. Shubhangi M. Lad, Executive Committee Member for SHTI and Incharge, Registrations at SHTICON’2021.
Invited madam to take over.
I thanked her after her speech and everyone for patiently being there all through the event.
National Anthem: Finally, concluded and pledged everyone to arise to the National Anthem. I requested everyone to
stand at their respective places and offer the respect to our beloved nation.
Priyanka Gandhi
Freelance Physiotherapist, Mumbai
Member, Scientific Committee, SHTICON’2021

SHTICON’2021 Faculty Speakers
Faculty
Faculty
Faculty
Faculty
Shrikant J. Chinchalkar, MThO, BSc OT, OTR, CHT, OT Reg. (On)
Affiliation: Ex-Senior Hand Therapist, Roth-McFarlane Hand & Upper Limb Centre,
St. Joseph’s Health Centre in London, Ontario, Canada
Mobile: +1 (519) 854-5028
Email: schinchalkar@hotmail.com
Title of Presentation: 1. Syndrome of Extensor Quadriga
2. Prevention & Management: Zone-Specific Pitfalls in Flexor Tendon Rehabilitation
Pradipta K Sahu, MS/OTR/CHT, USA
Affiliation: Occupational Therapist and Certified Hand Therapist, Los Angeles
Suburbs, California, USA
Mobile: +1 (214) 714-6103
Email: pk@valleyhandtherapy.com
Website: https://valleyhandtherapy.com/
Title of Presentation: Therapists Management of Tennis Elbow
Dr. Ratish K. Karna, OTD, OTR/L, CHT
Affiliation: Part Time Occupational Therapist at Princess Margaret Hospital,
Nassau, Bahamas. Director, Bahamas Institute of Hand and Rehabilitation, Nassau,
Bahamas
Mobile: 242-801-4263
Website: https://bihar242.com/
Title of Presentation: Parametric Modelling and 3D Printing of Hand Splints
Saba Kamal, OTR, CHT, USA
Affiliation: Director Hands-On-Care, San Jose, CA, USA; Partner/Principal
Advanced Rehab Seminars; CEO Intuitive EHR
Mobile: 408-268-8536 (Work)
Email: sabhoc08@gmail.com ⁎ hocinc@sbcglobal.net
Website: https://hocinc.us/ ⁎ http://advancedrehabseminars.com/
Title of Presentation: Role of Modalities in Mitigating the Opioid Use: From Pain
to Disuse in Hand and Upper Extremity Rehab

Faculty
Key Note Address
Faculty
S. No. Categories of Awards at SHTICON’2021
1 SHTI Best Paper Award I*
2 SHTI Best Paper Award II*
3 SHTI Best Case Report Award*
4 SHTI Best Mini Movie Award
5 SHTI Best Essay
*Oral Presentations
Dr. Chhaya Verma, PhD (PT)
Affiliation: Professor & Head, Physiotherapy School and Centre, TNMC & BYL Nair
Ch. Hospital, Mumbai, Maharashtra, India
Mobile: +91-9082797203
Email: cvverma100@gmail.com
Title of Presentation: Understanding an Approach to Rehabilitation in Adult
Brachial Plexus Injury
Dr. Shovan Saha, PhD (OT), FACOT
Affiliation: Associate Professor, Department of Occupational Therapy, MCHF,
MAHE, Manipal, Karnataka, India
Mobile: +91-9880059426
Title of Presentation: Making Hand Therapy Viable: An Operational Perspective

Disclaimer
The perspectives of the speakers and original research work by delegates, presented at the SHTICON’2021,
are entirely their own individual experiences and research findings. The content in the studies presented by
the authors are not guaranteed to be complete, timely, current or up-to-date. The Society for Hand Therapy,
India (SHTI), undertakes no obligation to any content presented in the conference.
The SHTI provides only a national platform, to share their knowledge on hand therapy. However, the
association does not propagate any particular research or a person and/or an institution and it has no
bearing with these presentations.
Professionals attending the academic event are requested to appraise these research findings, follow
national and international ethical and practice guidelines from authentic resources, before implementing
these assessments, interventions and treatments into their clinical practice or research work.
Readers are advised to contact the authors directly for further information in their research work.
Dr. Shovan Saha Punita V. Solanki
President, SHTI Secretary, SHTI
Organizing Chairman, SHTICON’2021 Promotion & eSouvenir, Incharge, SHTICON’2021
Surendra Kumar Meena Dr. Tejashree A. Dabholkar
EC Member, SHTI EC Member, SHTI
Organizing Secretary, SHTICON’2021 Chairperson, Scientific Committee, SHTICON’2021

Abstracts
Faculty Talks, Oral Papers, ePosters, Mini Movies, Hand Gestures & Essay

Faculty Talk Abstracts
1. Faculty Talk
Title: Syndrome of Extensor Quadriga
Speaker: Shrikant J. Chinchalkar, MThO, BSc OT, OTR, CHT, OT. Reg. (On)
Affiliation: Ex-Senior Hand Therapist, Roth-McFarlane Hand & Upper Limb Centre, St. Joseph’s Health
Centre in London, Ontario, Canada.
Mobile: +1 (519) 854-5028
Abstract
The Syndrome of Quadriga was first described by Verdan in 1960. Whereas, the Quadriga phenomenon was
reported by Wilhelm in 1988. The extensor Tendons to the index, long, ring and small fingers are motored
by the common Extensor Digitorum Communis muscle body. Effective function of this muscle can only occur
if the gliding amplitude of each of its four-extensor tendon is normal. As a corollary, limitation of the
excursion of any of the individual tendons by adhesions at a fracture or tendon repair site, a fixed flexion
contracture at the metacarpophalangeal joint or rupture, attenuation or laceration of a sagittal band or
juncture tendinum, will result in reduction of the excursion of the adjacent extensor tendons. This
pathological state has been termed the “Extensor Quadriga” because of its similarities to the analogous
pathology affecting the flexor digitorum profundus system. Improper management of this clinical entity
may lead to an abnormal patho-mechanical kinematic chain imbalance. Early Identification and treatment
are critical to address this entity appropriately.
2. Faculty Talk
Title: Prevention and Management of Zone-Specific Pitfalls in Flexor Tendon Rehabilitation
Speaker: Shrikant J. Chinchalkar, MThO, BSc OT, OTR, CHT, OT. Reg. (On)
Affiliation: Ex-Senior Hand Therapist, Roth-McFarlane Hand & Upper Limb Centre, St. Joseph’s Health
Centre in London, Ontario, Canada.
Mobile: +1 (519) 854-5028
Abstract
Flexor tendon anatomy in every zone differs. The excursion and the gliding amplitude of tendons in different
zones varies. Despite the number of rehabilitation strategies and guidelines developed to maximize the
gliding amplitude of the repaired tendons, secondary complications, such as decreased range of motion, and
stiffness associated with tendon adhesions, commonly arise. If left untreated, these early complications may
lead to secondary patho-mechanical changes resulting in fixed deformities and decreased function.
Awareness of the Zone-specific pitfalls in flexor tendon rehabilitation aids clinicians to modify their
treatment approaches to maximize excursion of tendons following repair. This presentation highlights
zone-specific potential pitfalls, prevention and management in flexor tendon repairs.

3. Faculty Talk
Title: Therapists Management of Tennis Elbow
Speaker: Pradipta K Sahu, MS/OTR/CHT, USA
Affiliation: Occupational Therapist and Certified Hand Therapist, Los Angeles Suburbs, California, USA.
Mobile: +1 (214) 714-6103
Email: pk@valleyhandtherapy.com
Website: https://valleyhandtherapy.com/
Abstract
Hand therapist commonly treats patients with “Tennis elbow” in outpatient clinics, both conservatively and
post operatively. This presentation describes the practical aspects of therapeutic management of tennis
elbow from this therapist’s prospective in his practice. This presentation will include therapy assessment
and treatments for conservative management of tennis elbow. Demonstrations will include progressive
exercises, manual therapy, application of tapping, use of orthosis, use of modalities, education materials for
patients including ergonomics and home exercise programs.
4. Faculty Talk
Title: Parametric Modelling and 3D Printing of Hand Splints
Speaker: Dr. Ratish K. Karna, OTD, OTR/L, CHT, USA
Affiliation: Part Time Occupational Therapist at Princess Margaret Hospital, Nassau, Bahamas. Director,
Bahamas Institute of Hand and Rehabilitation, Nassau, Bahamas, USA.
Mobile: 242-801-4263
Website: https://bihar242.com/
Abstract
3D printing is one of the additive manufacturing technology which is becoming increasingly accessible and
inexpensive. Author has been using this technology for fabrication of hand splints and assistive devices in
his clinical practice. Purpose of this presentation is to disseminate the knowledge, skill, and experience of
using 3D printing for the fabrication of hand splints. Participants will learn the fundamentals of 3D printing
and will be able to use this technology in their clinical practice.

5. Faculty Talk
Title: Role of Modalities in Mitigating the Opioid Use: From Pain to Disuse in Hand and Upper Extremity
Rehab
Speaker: Saba Kamal, OTR, CHT, USA
Affiliation: Director Hands-On-Care, San Jose, CA, USA; Partner/Principal Advanced Rehab Seminars; CEO
Intuitive EHR
Mobile: 408-268-8536 (Work)
Email: sabhoc08@gmail.com ⁎ hocinc@sbcglobal.net
Website: https://hocinc.us/ ⁎ http://advancedrehabseminars.com/
Abstract
Pain following trauma persists in many: one in four have moderate to severe pain 12 months following
trauma, and up to one in three have significant pain and disability 3 years later. Poorly controlled pain in
the 1st week following injury increases the risk of severe pain one year later by 2-3 times. Predictors of pain
must be managed in the early phases either by medication or through modalities to avoid opioid dependence.
Predictors of pain for example Edema, wound or nerve involvement can be managed via modalities and
mitigate opioid dependence. This talk discusses the use of modalities from hot pack/cold packs to H-wave,
Laser, NMES etc. It also provides information on laterality training and managing disuse with modalities.
Knowledge of the modalities and its application is essential to provide maximum benefit in the correct phase
of injury to enhance progress and manage opioid abuse.
6. Faculty Talk
Title: Understanding an Approach to Rehabilitation in Adult Brachial Plexus Injury
Speaker: Dr. Chhaya Verma, PhD (PT)
Affiliation: Professor & Head, Physiotherapy School and Centre, TNMC & BYL Nair Ch. Hospital, Mumbai
Mobile: +91-9082797203
Email: cvverma100@gmail.com
Abstract
Most Brachial plexus palsies occur following high-velocity trauma. The complex anatomy of the Brachial
plexus and poor understanding make the matters worse. Brachial plexus reanimation surgery in younger
age groups have better clinical outcomes. The surgeon needs to be certain regarding preoperative planning
so as to be ready for any difficulties and variations during the procedure. Flexion of the elbow is always the
first function to restore, followed by shoulder stability, abduction and forward flexion. Brachial plexus
injuries need individualised surgery. Nerve transfer is usually pointless after two years from injury as the
neuromuscular junction atrophies by that time. The longer surgical time, the learning curve and
unpredictable outcomes of neural coaptation beyond a year. It is best avoided. Beyond 1 year of injury, free-
functioning muscle transfer to restore shoulder & elbow/hand function becomes choice of surgery in
properly selected patients.
This subset of patients require exhaustive pre-operative physiotherapy till passive overhead abduction is
achieved with supple hand joints as well as prolonged post-operative retraining program depending on type
of surgery performed ranging from nerve transfer, free muscle transfer or tendon transfer. Surgical results
may be compromised despite the best attempt at reconstruction.

7. Key Note Address
Title: Making Hand Therapy Viable: An Operational Perspective
Speaker: Dr. Shovan Saha, PhD (OT), FACOT
Affiliation: Associate Professor, Department of Occupational Therapy, MCHF, MAHE, Manipal Karnataka,
India
Mobile: +91-9880059426
Abstract
Hand therapy is relatively a new healthcare profession in Indian stage, and is currently going through its
social scrutiny. The hand therapists are trying to embrace this new scope of practise in the backdrop of a
constrained but promising healthcare opportunity. The healthcare sector in India is poised at a crossroads
where the right policy action is extremely critical in determining the future course of the sector. The industry
faces major challenges owing to the changing demographics of the country, the poor state of the public
infrastructure, lack of financial resources, paucity of human capital and poor governance. Therefore there is
a need for carefully and critically monitoring the various options for therapists of tomorrow to make hand
therapy more viable.
There are no direct literatures to suggest about the elements of hand therapy viability. But from other
related sources, the probable elements that could be attributed for enhanced viability are quality of health
care and sustainability of health care. The short presentation is an attempt to sensitize our future therapists
on these two elements.

Oral Papers, Oral Case Reports & Mini Movies
01. Oral Paper
Title: Relationship between Uninvolved Joints and Functional Outcomes in Patients with Hand Fractures
Author: Chakraborty Roshni
Institution: Department of Occupational Therapy, School of Allied Health Sciences, Manipal Academy of
Higher Education, Manipal, Karnataka, 576104, India
Address: 4 Gyan Kunj Laxmi Nagar, Delhi 110092
Mobile: +91-8800904703
Email: roshnichakravorty520@gmail.com
Abstract
Background: Injuries of hand can significantly impact the quality of life of an individual. Metacarpal and
phalangeal fractures account for 10% of the entire fractures of the upper extremity. Severity of these injuries
and their management can impact the functional outcome. Joints of the upper extremity are interlinked and
work together as a functional chain where function of each joint will affect the function of other.
Objectives: To identify the number of uninvolved joints in phalangeal and metacarpal hand fractures by
finding their restrictions in range of motion and to find a relationship between uninvolved joints and
functional outcome.
Study Design: Cross sectional study
Methods: Forty three individuals with metacarpal or phalangeal fractures were recruited for the study. The
active range of motion of the joints of the affected upper extremity was measured using goniometer to
identify the number of uninvolved joints. Grip strength was measured using Jamar Dynamometer, pinch
strength using pinch gauge, manual dexterity and bimanual coordination using Purdue Pegboard Test. DASH
scale was administered to measure the level of disability. The values were recorded and compared with the
DASH score for each subject.
Results: A strong positive correlation was found between physical measures like active range of motion-
DASH scores (r=0.97, n=43, p<0.001) and deficit range-DASH scores (r=0 .74, n=43, p<0.001).
Conclusion: The results suggest that there is a need for the intervention process following a hand fracture
to take into account the conservation and improvement of ROM of the joints surrounding the fracture site
of the affected upper extremity.
Key Words: Hand Fractures, Metacarpal Fractures, Phalangeal Fractures, Joint Stiffness, Immobilization,
Early Mobilization, Hand Deformity Mechanics, Functional Outcome
02. Oral Paper
Title: Immediate Effect of Dry Needling Vs Percussor in the Treatment of Trigger Point in Trapezius Muscle
Author: Maithili Deshpande1, Dr. Tushar J Palekar2, Dr. Soumik Basu3, Dr. Pramod Palekar4
PG Student1, Principal and Professor2, Associate Professor3, 4
Institution: PG Student, Dr. D. Y. Patil College of Physiotherapy, Pimpri, Pune-411018.
Mobile: +91-7030370070
Email: deshpandemaithili5@gmail.com
Abstract

Background: Trigger Point is a dysfunction that occurs where a nerve enters a muscle. Trigger Points result
in muscles which have been traumatized by accidents and overuse.
Objectives: 1) To study the immediate effect of Dry Needling on pain at the site of the trigger point in
trapezius muscle. 2) To study the immediate effect of Percussor on pain at the site of trigger point in
trapezius muscle. 3) To compare the immediate effects of Dry Needling and Percussor on pain at the site of
trigger point in trapezius muscle.
Study Design: Randomized controlled study
Methods: Patients with myofascial trigger point in Trapezius muscle were allotted in two groups A and B
by simple random sampling with chit method. Group A: 20 patients were treated by Dry Needling and in
Group B: 20 patients were treated by Percussor. Both the groups received treatment for 10 mins and
subjects were assessed pre and post treatment in Ultrasonography where size of the active trigger point and
muscle width were recorded. Patients were given Vitamin C tablet prior to the treatment. Pain was assessed
by Pressure Algometer and subjectively by NPRS.
Result: The size of the trigger point which appeared as hypoechoic area in Ultra Sonography and muscle
width has increased immediately after the treatment due to the local effects of the needling in both the
groups. Clinically patients reported feeling of heaviness immediately after the treatment in Percussor Group
but feeling of wellbeing exported is more in Dry Needling compare to Percussor. Immediate depletion of
pain recorded in Pressure Algometer.
Conclusion: It can be concluded statistically both Dry Needling and Percussor are competent enough to
alleviate pain but clinically Dry Needling having better response in pain depletion and in increase in
functional independency compared to Percussor.
Key Words: Trigger Point, Trapezius Muscle, Ultrasonography, Dry Needling, Percussor
03. Oral Paper
Title: A Comparative Study of Assessment of Hand Motor Functions in Children with Intellectual Disability
and Learning Disability
Authors: Verma Chhaya V. Kanakia Dolly D.
Institution: T. N. M. C & B. Y. L. Nair Charitable hospital, Dr. A. L. Nair Road, Mumbai Central, Mumbai-
400008, Maharashtra, India.
Mobile: +91-9819477299
Email: dolly751995kanakia@gmail.com
Abstract
Background: The human hand is one of the most complex creation in the human body which gives a
powerful grip and enables us to manipulate objects with great precision. The beauty of its function sets it
apart from other living creatures. Intellectual Disability and Learning disability are disorders characterized
by affection of the central nervous system and deficits in coordination and execution of motor function. Hand
motor functions are required in all activities of daily living.
Objective: To assess and compare the gross motor hand functions in children with Intellectual and Learning
disability.
Study Design: It is a Cross-sectional, Comparative study.
Methods: Children of age group 8-17 years with Intellectual Disability, with Learning Disability and Control
group were included in the study with 38 participants in each group. The Box and Blocks test was used to

measure gross motor function and the Nine Hole Peg test was used to measure fine motor hand function.
The number of blocks transported and the time taken to complete the peg test with the dominant and non-
dominant hand were the outcome measures documented. Statistical analysis was performed using Graph
Pad Prism. Anova and Kruskal Wallis tests were performed for the comparison between the three groups.
Results: The mean number of blocks transported with was found to be 32.82 ± 10.73 by group A, 42.53±
11.74 by group B and 55.63± 11.04 by group C. The mean duration in seconds to perform Nine Hole peg test
was found to be 37.37± 14.96 in group A, 25.84±3.158 in group B and 23.18±2.958 in group C. A significant
difference was found between the three groups for the performance of the Box and Blocks test (p<0.0001)
and for the performance of the Nine Hole Peg test (p<0.0001).
Conclusion: Children with Intellectual Disability performed poorer on both the tests as compared to
children with Learning Disability who in turn scored lower compared to Normal children. Our findings
provide rationale for hand therapy interventions to improve the manual dexterity in children with
Intellectual disability and Learning Disability.
Key Words: Intellectual Disability, Learning Disability, Hand Functions
04. Oral Paper
Title: Comparison of Functional Outcome of Soft Tissue and Osseous Hand Injuries
Author: Edayalil Nidhi Maria Joseph
Institution: Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Udupi-
576104, Karnataka
Address: Sarnath B-15, Anushakti Nagar, Mumbai-400094, Maharashtra, India
Mobile: +91-9702684551
Email: nidhimje@gmail.com
Abstract
Background: Hand is a part of the body which is unique and allows us to perform occupational activities,
any injury to this part of the body may impact individual’s ability to perform in activities of daily living,
instrumental activities of daily living, education, play, sleep, leisure and social participation. A hand injury
can be osseous, soft tissue or a mixture of both osseous and soft tissue. Hand injuries are one of the common
injuries found in emergency hospital department having some residual difficulties in their daily lives even
after surgery and therapy. Fractures (osseous injury) and tendon injuries (soft tissue injury) are considered
the most common among all types of hand injuries. Therefore, there is need to find out the functional
outcomes between these two types of injuries.
Objective: To compare the functional outcome of hand with soft tissue and osseous injury.
Study Design: An observational cross-sectional study.
Method: A cross-sectional study was conducted to find the functional outcome between soft tissue and
osseous hand injuries ten weeks post-surgery the outcome measures used were Michigan Hand Outcome
Questionnaire (MHQ), Jamar Dynamometer and Purdue Pegboard Test.
Result: On comparing the two groups the result showed a significant difference between the two groups in
MHQ scores (p=0.00), Jamar Dynamometer scores (p=0.00), Purdue both hands (p=0.03), Purdue assembly
(p=0.00). There was no significant difference in Purdue right+left+both (p=0.27) and Purdue affected hand
(p=0.08). Level of significance was less than 0.05 (p<0.05)

Conclusion: Overall, the study concluded that the functional outcome of soft tissue injuries is lower than
osseous injuries.
Key Words: Hand Injuries, Soft Tissue Injuries
05. Oral Paper
Title: Influence of Hand Injury in Person’s Ability to Draw Dots and Lines: A Cross-Sectional Study
Author: Pratihari Anisha
Institution: Manipal College of Health Professions, MAHE, Karnataka
Address: Harachandi Sahi, Ward No-4, Puri, Odisha, Pincode-752001
Mobile: +91-8093258475
Email: manishapratihari@gmail.com
Abstract
Background: Hand injury is very common in adults, which may affect the frequently performed writing
activity in day-to-day life. Writing is a part of IADL, which helps in communicating messages and thoughts,
taking notes, doing signatures, and filling application forms, so in the adult population, writing has a
significant role in education, carrier building. Writing needs various manipulative movements to form
letters, move across words, sentences, and lines. Drawing dots and lines are the primary step for
handwriting.
Objectives: To find out the impact of hand injury in drawing the dots and lines and comparing with the age-
matched scores of the Handwriting Assessment Battery.
Study Design: Cross-sectional study
Methods: An observational and cross-sectional method was used. The consent was taken electronically and
the pen control and manipulation subtests which include the horizontal line drawing task and the dots task
were administered in the online video call.
Results: The study recruited 27 participants with hand injury and was age-matched with 27 normal
individuals. Fisher’s exact test was used to find out the impact of hand injury in drawing the dots and lines
and comparing with the age-matched scores of the Handwriting Assessment Battery. The result shows
participants who had hand injuries had difficulty in horizontal line drawing as many of them could not be
able to perform that particular task. Hand injury didn’t impact the dots drawing as many of them were able
to perform the task.
Conclusion: It was found that hand injury essentially impacted the line drawing and not so much the dots
drawing.
Key Words: Writing Process, Hand Fracture, Hand Function, Pencil Grasp, Quality of Writing
06. Oral Paper
Title: Sensorimotor Rehabilitation for Orthopaedic Injuries of the Wrist and Hand: A Scoping Review
Authors: a Ahijnya Kotian, a Pratiksha Shanbhag, a Nireeksha Shenoy, b Nirmala Nayak, c Kavitha Vishal
Institution:
a Interns, Department of Physiotherapy, Manipal College of Health Professions,(MCHP) Manipal Academy of
Higher Education, (MAHE) Manipal, Karnataka , India -576104
b Assistant Lecturer, Department of Physiotherapy, MCHP, MAHE, Manipal
c Assistant Professor, Department of Physiotherapy, MCHP, MAHE, Manipal

Corresponding Author: Kavitha Vishal, Assistant Professor, Department of Physiotherapy, MCHP, MAHE,
Manipal
Mobile: +91-9986526077
Email: kavitha.vishal@manipal.edu
Abstract
Background: Sensorimotor impairments are common in individuals with musculoskeletal injuries of the
wrist and hand. They often result in pain and functional deficits among these individuals. Proprioceptive
training is known to reduce the risk of injuries in such conditions. . However, there is limited understanding
of the influence of such interventions especially in the wrist and hand.
Objectives: To summarize the evidence for the effectiveness of sensorimotor interventions for wrist and
hand injuries
Study Design: Scoping review
Methods: Eligible articles were identified through a systematic search of PubMed, CINAHL, Scopus, OvidSp
and Web of science. Studies that implemented a sensorimotor retraining program for orthopaedic injuries
of the wrist and hand were included. No limits was assigned to the study design. Publications that included
letters to editor/clinical commentaries and conference proceedings were excluded from the review.
Results: Seven studies (one scoping review, one pre and post-test design, two case series, two case reports
and one randomized controlled trial) met the eligibility criteria. All 7 studies highlighted the potential role
of sensorimotor rehabilitation in wrist and hand injuries. Treatment, diagnosis and duration of intervention
varied across studies. Outcome measures evaluating the influence of such interventions on proprioception
has also been minimally explored.
Conclusion: Studies suggest promising benefits of sensorimotor rehabilitation in patients with fractures
and ligament injuries of the wrist and hand. The existing evidence is low due to varying treatment
interventions and lack of methodologically strong studies. Well-designed clinical trials should be conducted
before definite conclusions are made.
Key Words: Proprioception, Rehabilitation, Sensorimotor, Wrist, Hand
07. Oral Paper
Title: Effectiveness of Elbow Flexion Splint on Participants with Stiff Elbow: An Observational Study
Author: Imran Warsi. MOT
Institution: Occupational Therapy Department at JSS Medical Collage, Mysuru, Pin Code: 570004
Karnataka. India.
Mobile: +91-7381633392, +91-8249263138
Email: imran.warsiot@gmail.com
Abstract
Background: The elbow joint is a complex synovial joint that permits movement i.e. flexion and extension
of a functional upper extremity. Due to traumatic or atraumatic causes stiffness arises around this joint
which lead to elbow flexion difficulty and thereby performing daily activities in human life get compromised.
Objective: This current study aim is to analyze the change in arc of motion and the influence of the change
in elbow arc on activity of daily living.
Study Design: An observational study

Method: An observational pre-post design was used to conduct this current study by recruiting 32
participants as per inclusion and exclusion criteria.
Inclusion Criteria: Participants with stiff elbow, resulting in incomplete flexion range due to traumatic or
atraumatic reasons were recruited for the study; Age: adult with 18 years or older; Participant with
traumatic condition were included one-week post immobilization; Atraumatic: not having any sign of
inflammation in and around the elbow joint. Exclusion Criteria: Heterotrophic ossification; Bony block
around the elbow; Elbow stiffness with associated neurological problem.
Results: The pre and post AOM difference was assessed and analyzed using paired t- test. It was found that
there was a significant improvement in elbow flexion (p< 0.001). The Patient Rated Elbow Evaluation and
AOM differences were correlated using Pearson’s correlation test where a weak positive correlation found
between them, it shows that increase in AOM leading to reduction of PREE score.
Conclusion: From the current study it is clear that splinting and conventional therapy is effective for elbow
extensor contracture and could cause an effect at the terminal end 30 degrees. This study addresses the
purpose to observe the change in the arc of motion using a static progressive elbow flexion splint in
combination with conventional therapy and this study also revealed that both splinting and conventional
therapy is effective for elbow extension contracture with achieved mean AOM at 110.31° (±18.09°).
Figure. Static progressive elbow flexion splint.
Key Words: Elbow Joint, Elbow Stiffness, Elbow Extension Contracture, Elbow Flexion Splint, Conventional
Therapy, Arc of Motion, Elbow Function
Reference: Lovy, A. J., Hausman, M. R., & Kim, J. M. Stiff Elbow. American Journal of Orthopedics (Belle Mead,
NJ). 2017; 46(5): 245-251.
08. Oral Paper
Title: Relationship between the Severity of Hand Injury, Activity Limitation and Level of Depression
Author: Mr. Vinoth Kumar T.
Institution: Manipal Academy of Higher Education, Manipal, Udupi District, Karnataka, India, Pin: 576104
Address: Mr. Vinoth Kumar T, No: 992B, MM Kovil Street, Valarpuram Post, Rani Pettai District Tamil Nadu,
India, Pin: 631003
Mobile: +91-8746917704
Email: tvinoth1996@gmail.com
Abstract
Background: The human hand helps us to participate in work, play, self-care, and social interactions Injury
to hand structure can have physical and functional disability in our daily life. Difficulty in accomplishing
these daily activities can lead us to lack of self-confidence, incompetence, and dependency altogether may
impact our psychological status. Although from the literature it is evident that level of depression, activity
limitation and severity of hand injury play a key role in influencing the functional outcome for an injured
hand, often these have been studied in isolation, therefore it was felt worthwhile to understand the
relationship between these elements in a single study.
Objectives: To explore the relationship between the severity of hand injury, activity limitation and level of
depression. 1. To correlate Disabilities of the Arm, Shoulder, and Hand Outcome measure Score (DASH) and
Modified Hand Injury Severity Score (MHISS) 2. To correlate MHISS and Patient Health Questionnaire-
9(PHQ-9) 3. To correlate DASH and PHQ-9

Study Design: Cohort study
Method: In this study totally 52 participants with hand injury between the age group of 18- 30 years were
evaluated using standardized scales such as MHISS, PHQ-9, DASH Scales to measure severity of hand injury,
activity limitation and level of depression. Later the scores were analyzed to find the correlation between
the severity of hand injury and activity limitation, severity of hand injury and level of depression & activity
limitation and level of depression.
Results: Based on the analysis we found that there is moderate correlation between the activity limitation
and level of depression (r=0.4520, p=0.001), weak correlation between the severity of hand injury and
activity limitation (r=0.245, p=0.080) & week correlation between the severity of hand injury and level of
depression (r=0.174 p=0.217).
Conclusion: Based on the analysis we found that there is weak relationship between the severity of hand
injury and activity and level of depression.
Key Words: Distress, Depression, Hand Injury, Hand Injuries, Traumatic Hand Injuries, Orthopedics,
Activities, Activities of Daily Living, Work, Hand Fractures, Occupation, Activity Limitation, Upper Extremity
09. Oral Paper
Title: User Satisfaction with Custom Made Hand Splint in Hand Injury in a Tertiary Care Hospital: A Cross
Sectional Study
Author: Sulbha Gauns Dessai
Institution: Manipal collage of health professionals, MAHE, Manipal, Udupi, Karnataka, India, 576104
Address: H. No: 285/1, Kamansai Xeldem Quepem South Goa.
Mobile: +91-9923724174
Email: sdessai03@gmail.com
Abstract
Background: Hand is an integral part of human body which provides us with independence in self-care,
work, leisure and social interactions. Hand injury refers to the injury of hand and wrist structure and its
intensity ranges from simple isolated fracture to complex crush injuries. Hand injuries can be managed with
plaster, surgeries, and splinting to regain functional use of hand. Splint is commonly used entity for
positioning, preventing and correcting various contractures and improving hand function. User satisfaction
with splint can vary due to skin changes, fitting, comfort and aesthetics of splint and need to consider as an
important domain while designing and fabricating splint.
Objective: To study the user satisfaction with custom made hand splint for hand injury.
Study Design: Cross sectional study design
Methods: Participants with hand injury using custom made hand splint made in Department of
Occupational Therapy Kasturba Hospital Manipal, with one month duration of use were included and the
QUEST 2.0 was administered to evaluate their satisfaction regarding various aspects of their custom made
hand splint using convenience sampling.
Results: The study recruited 72 participants with mean age of 25.76 (± 3.97) years and 43 (59.7%) had
fractures, 10 (13.8%) soft tissue injury and 19 (26.4%) as mixed injury. The top 2 categories for participant’s
using custom made hand splint had highest satisfaction was with dimensions of device with mean 4.43 (±
0.57), and effectiveness with use of splint mean is 4.40 (± 0.59). The participants had overall mean score for
device section at 4.11(±0.49) and for service score at 4.26 (± 0.45).

Conclusion: Therapists who are designing and fabricating custom made hand splint should consider
various device characteristics such as adjustments, ease of use and comfort, as these were the characteristics
for which participants scored least satisfaction, to improve overall splinting experience by the clients.
Key Words: User Satisfaction, Custom Made Hand Splint, Hand Injury
10. Oral Paper
Title: Development of Comprehensive Hand Physiotherapy Unit: Brainstorming Teaching Module in Hand
Physiotherapy Education
Author: Khisty Abha. S; 1. Palekar Tushar. J 2. Azeem Zafar 3. Palekar. Pramod. J
Institution: D. Y. Patil College of Physiotherapy, Pune, Maharashtra, India
Address: D. Y. Patil College of Physiotherapy, Pune-411018, Maharashtra, India
Mobile: +91-9689917020
Email: abha.khisthy@dpu.edu.in
Abstract
Background: In this digital era there are several innovations in physiotherapy education including flipped
classrooms, blended learning etc., the traditional ways of physiotherapy education includes bed- side
teaching, on patient or model palpation skills, literature supports there is gap in physiotherapy education
pertaining to specific expertise. The most vulnerable expertise which is compromised in the academic and
clinical skills is hand rehabilitation. Curriculum of hand physiotherapy includes hand anatomy, physical
examination, physical diagnosis and rehabilitation including musculoskeletal and neurological conditions
leading to hand disability. This study aims to design a model-based teaching module where students can
learn and acquire knowledge using the objects in self-constructed design.
Objective: To determine effectiveness of model- based training approach for physiotherapy rehabilitation
in undergraduate, final year students.
Study Design: Exploratory study
Methods: A comprehensive hand physiotherapy unit was constructed including hand training strategies
focusing on motor and sensory training. This model was used to train 30 undergraduate students and an
objective feedback was received by using a self-constructed questionnaire. The questionnaire included the
questions enlightening about knowledge, attitude, and perception of physiotherapy students towards hand
physiotherapy education.
Results: A 12-item questionnaire was designed to document students’ knowledge, attitude and perception
about model- based teaching in hand physiotherapy, the responses were calculated and converted into
percentages, the perception of students was 69% higher than the traditional methods of teaching.
Conclusion: Model- based hand teaching is effective in better understanding and application of clinical skills
in undergraduate physiotherapy students
Key Words: Hand Rehabilitation, Physiotherapy Education, Pedagogy

11. Oral Paper
Title: Comprehensive Assessment Tool (CAT) for Assessment of Functional Capacity of the Hand
Authors: 1. Palsule Shilpshree Palsule 2. Kale Jayashri Shripad
Institution: 1. Assistant Professor, Occupational Therapy Seth GSMC and KEMH
2. Ex. Professor and Head, Occupational Therapy, Seth GSMC and KEMH
Mobile: +91-9987798660
Email: sppalsule@gmail.com
Abstract
Background: Hand is a major organ of expression and function. Functional capacity of the hand may be
affected after a number of traumatic or non-traumatic conditions, including neurological conditions. Hand
function evaluations form an important element of upper extremity assessment. Hand assessment helps to
define the patient’s problem and is the foundation for selecting and directing treatment. Static evaluation of
hand function such as evaluation of grip and pinch strength, range of motion analysis, may not be enough in
predicting functional recovery, which incorporates dynamic hand function.
Few studies pertaining to indigenously manufactured hand function tests have been reported. An attempt
is made in the said study to construct an inexpensive, test of hand function, which would be suitable to the
Indian scenario.
Objectives: 1. To construct a simple, but comprehensive test for assessment of hand function. (CAT for
functional evaluation of the hand) 2. To check the reliability of the CAT test.
Study Design: Prospective, cross-sectional
Methods: CAT was formed based on existing literature. It consisted of both unilateral and bilateral test
items for the same were procured locally. The newly formed tool was administered to a limited population
(normal) of 30 Indian subjects in the age group ranging 20-60 years. Here, the newly constructed CAT for
hand function evaluation will be administered to a sample of 30 normal. The same population was retested
on the test after a period of 3 weeks, to establish the test retest reliability of the test. Administered
approximately 3 weeks later.
Results: The results of the same were analyzed for test retest reliability. Interrater reliability will be done
in later stage of study. Unilateral test items had an excellent test retest reliability Bilateral test items had a
Cronbach’s alpha value stating reliability from fair for some items and excellent for some.
Conclusion: The CAT was a reliable tool for functional evaluation of the hand.
Key Words: Comprehensive Assessment Tool, Functional Evaluation, Hand Function
12. Oral Paper
Title: Finger Thumb Maneuver to Improve Joint Range of Motion in Post Stroke Hand
Author: Bhardwaj Manish
Institution: Mahatma Gandhi Occupational Therapy College, Mahatma Gandhi University of Medical
Sciences & Technology, Sitapura, Jaipur-302022, Rajasthan, India
Address: 49-A, Ganesh Nagar, New Sanganer Road, Sodala, Jaipur-302019, Rajasthan, India
Mobile: +91-9351-443744
Email: bhardwajrrc@gmail.com
Abstract

Background: Only 5% of recovery rate of hand function, stroke patients suffer diminished quality of life.
Reduced movements in the joints of fingers and thumb of the affected limb if somehow increased can
improve the functional aspects in the daily activities. The therapists working in this area experience a need
for some kind of therapeutic treatment to increase Joint Range of Motion of fingers and thumb post stroke.
Objectives: To test the effectiveness of Finger Thumb Maneuver to increase Joint Range of Motion (JROM)
in fingers and thumb of the patients recovering from stroke.
Study Design: It is a pragmatic type of Single Blind Randomized Control Trial (RCT) and treatment based
empirical study.
Methods: The study was done on 29 subjects recovering from stroke out of which alternately subjects were
segregated to experimental and control group with 15 subjects to experimental and 14 of them to control
group. Goniometer app was used to record the pretest and posttest available movement in individual joints
of fingers and thumb.
Results: The data was tabulated in MS Access and analyzed on IBM SPSS. The confidence level being 95%,
the alpha value was taken as α = 0.005. The data was test by independent sample t-test. The p value was
significant for all individual joints including MCP, PIP and DIP of index, middle, ring and little finger and also
CMC, PIP and DIP of thumb as t=2.394 and p=0.012.
Conclusion: Finger Thumb Maneuver found to be effective strategy movements and thus range of motion
of individual joints of fingers and thumb increased to noticeable degree after the application. The ratio of
recovery amongst the subjects experiment to control was 1:4 showing the recovery in control cases was as
one and that in experimental cases being 4.
Key Words: Stroke, Joint Range of Motion, Goniometer
13. Oral Paper
Title: Determinants of Hand Function in Children and Adolescent with Down’s Syndrome: A Scoping Review
Author: Padia Neha A., Bose Meruna, Parab Shrutika
Institution: MGM School of Physiotherapy, MGM Institute of Health Sciences, Kamothe, Navi Mumbai-
410206., Maharashtra, India,
Address: MGM Hospital, Sector-1, Kamothe, Navi Mumbai
Mobile: +91-8097382839
Email: nehapadia3@gmail.com
Abstract
Background: Down syndrome (DS) is a chromosomal disorder occurs due to presence of an extra
chromosome on gene 21. DS subjects are presented with low tone, short stature, small hands, single Simian
crease on hands etc.; which alters their neuromusculoskeletal functioning. There has been emphasis on
gross motor function and its impact on their activities of daily living, but finite focus on upper extremity
physical characteristics and motor task performances. However, there is paucity in addressing determinant
characteristics of upper extremity and their equivalent testing measure.
Objective: This review aimed to explore various determinants of hand function in children and adolescent
with DS.
Study Design: The study was a scoping review
Method: The literature search was done from 2010-2020 on databases like Science Direct, Cochrane,
PubMed; and texts from books were also used to acquire comprehensive knowledge.

Results: Reviewing 27 articles suggests that upper extremity physical characteristics tends to impact
various hand coordination, reach, and grasp characteristics in DS.
Conclusion: This review concludes, embryological features, dermatoglyphics, palmar arches and creases,
grip and pinch strength, and biomechanical constraints forms comprehensive evaluation and reporting of
hand functions in children and adolescent with Down syndrome.
Key Words: Down Syndrome, Upper Limb Function, Physical Characteristics, Hand Function
14. Oral Paper
Title: Psychometric Testing of Minnesota Manual Dexterity Test in Elderly Population
Authors: 1. Verma Chhaya Vijaykumar 2. Karande Prajakta Ramchandra
Institution: T N M C and B Y L Nair Ch. Hospital, Mumbai, Maharashtra, India
Mobile: +91-8082567500
Email: prajaktakarande.pk@gmail.com
Abstract
Background: Manual dexterity is evaluated in rehabilitation services to estimate hand function because of
its contribution to upper limb performance and individual functional independence. With an increasing age
hand function declines due to sensorimotor impairment such as decreased motor coordination, decreased
manual dexterity as reduced grip strength. Therefore, it is essential to differentiate difficulties attributable
to normal aging and difficulties attributable to pathological aging. Minnesota manual dexterity test. (MMDT)
is the new version of the Minnesota rate of manipulation test (MRMT). It consists of only two subtests: The
placing test and the turning test. Test-retest reliability is the familiar method of collecting data on an
instrument given by one examiner at two different time’s interventional programs.
Concurrent validity is the method in criterion validity where data are collected at the same time and
assessment scores are compared to examine correlation.
Objectives: 1. To evaluate the Test-retest reliability of MMDT 2. To evaluate the concurrent validity of
MMDT 3. To find out the Normal values of MMDT in elderly population
Study Design: Cross-sectional observational study
Methods: Three hundred and nine elderly populations were evaluated with MMDT. Subjects were divided
into 2 groups. Group 1: 61-70 years (n = 113), Group 2: 71-80 years (n = 196). All subjects performed one
practice trial followed by one test trial of two subtests. For test-retest reliability, 58 people were randomly
selected from 309 subjects. Box and blocks test and Nine-hole peg test were used to find out concurrent
validity.
Results: An excellent test-retest reliability i.e. ICC for placing test with 95% confidence interval is 0.93 and
for turning test it is 0.97. Correlations of MMDT with Box and Blocks Test and Nine Hole peg test confirm its
validity in measuring Dexterity. The normal values of the elderly population will help the therapists to
differentiate between difficulties in real dexterity and those that are attributed to normal aging.
Conclusion: Our study showed excellent reliability of Minnesota manual dexterity test in elderly
population. It showed moderate correlation between Nine Hole Peg Test and MMDT and also weal
correlation between BBT and MMDT.
Key Words: Elderly People, Manual Dexterity, Minnesota Manual Dexterity Test, Test- Retest Reliability,
Concurrent Validity, Normal Values

01. Oral Case Report
Title: Forearm Crush Injury: A Case Report
Authors: Bhavika Sharma, MOTh, Pavan Vivek Raj, MPTh,
Institution: 1. Occupational therapist at Emirates Rehabilitation and Homecare, Jumeirah, Dubai. 2.
Physiotherapist at Emirates Rehabilitation and Homecare, Jumeirah, Dubai
Mobile: +91-7387250001
Email: dr.bhavikasharma@gmail.com
Abstract
According to Aristotle “The hand is the tool of tools.” In general its strength, power and protection. Hand
injuries are one of the most common injuries in young men. They constitute around 7%-28% of all injuries
and account for about one fifth of all emergencies presenting to hospital emergency departments. This is a
single case study of a 15 year old boy who had crush injury to his left forearm. He was presented to the
hospital with open fracture of both ulna and radius bones with grossly contaminated wound, bony loss and
multiple injuries to nerves, tendons, veins and arteries. His hand reconstruction was done using osteo-
cutaneous free flap. Post-surgery he had stiffness and less functional movement in his left hand. During
rehabilitation he was assessed and treated by Occupational therapist and Physiotherapist. The aim of this
case study is to evaluate functional gain post rehabilitation.
Key Words: Fracture, Crush Injury, Occupational Therapist, Physiotherapist
Title: Outcomes of Postoperative Rehabilitation of Tendon Transfer Surgery for Correction of Claw
Deformity Due to Ulnar Nerve Palsy: A Case Series
Authors: 1. Dr. Verma Chhaya V (PT, PhD)
2. Bhosale Krutika S
Institution: Physiotherapy School & Centre, Topiwala National Medical College & B. Y. L. Nair Charitable
Hospital, Dr. A. L. Nair Road, Mumbai Central, Mumbai-400008, Maharashtra, India
Mobile: +91-8454071553
Email: krutika494@gmail.com
Abstract
Our case series describes outcomes of postoperative rehabilitation of 3 patients operated with tendon
transfer surgery (patient A & B-FDS 4-tail, C-Zancolli Lasso) for correction of claw deformity.
A-41 year male carpenter with traumatic median and ulnar nerve injury.
B-51 year female farmer and housewife with ulnar nerve injury after olecranon fracture.
C-38 year male fruit seller with traumatic brachial plexus injury.
Rehabilitation was done in 4 phases- immobilization, activation of new muscle-tendon unit, strengthening
and functional activities, and return to work. By Brand’s criteria of open hand assessment, excellent score
was achieved by A & B, good score by C at 6 weeks. Excellent score of closed fist at 10 weeks achieved by all
patients. All patients successfully returned to work (light activities) after 12 weeks. Follow up of 8 months
shows satisfactory functional outcomes with patient-rated evaluation (PRWHE and PSFS scale)
Key Words: Claw Deformity, Ulnar Nerve, Tendon Transfer, Functional Outcome, Patient Rated Evaluation

Title: Client-Centered Approach in Thumb Metacarpal & Phalanx Fracture: A Case Report
Author: Harshada Gadekar (MOTh)
Institution: LTMMC, Sion, Mumbai, Maharashtra, India
Mobile: +91-9324527518
Email: harshu13gadekar@gmail.com
Abstract
A 29year female patient gives an alleged history of accidental cut by ceiling fan to thumb, she visited
immediately to tertiary care hospital Mumbai. On basis of investigations she diagnosed as a case of thumb
base of 1st metacarpal fracture and proximal phalanx fracture. Later she referred to Occupational therapy
Department. This study carried out by using client centered approach. She was asses on Canadian
Occupational performance measure (COPM) and Jebsen Taylor hand function test. On assessment showed
restriction in movement, pain, affectation in Basic activities of daily living, subluxation to joint, reduced
strength. The occupational therapy intervention given 4 weeks which includes self-mobilization exercise
techniques and splinting given to improve her self-care skills and to prevent deformity of thumb. Patient
shows improvement from maximum to minimal assistance level in most of his self-care, mobility, pain. This
study conclude that client centered approach is effective in improving patient performance as well as
satisfaction level with functional mobility and independence.
Key Words: Occupational Therapy, Client Centered Approach, COPM, Jebsen Taylor Hand Function Test
Title: Effect of Client-Centered Approach in Brachial Plexus Injury: A Case Study
Author: Prajakta Mane
Institution: Postgraduate Student of Occupational, OT School and Training Centre, L.T.M Medical College
and General hospital, Sion, Mumbai, Maharashtra, India
Mobile: +91-9527400470
Email: prajaktamane2927@gmail.com
Abstract
A 21 years old male patient diagnosed with C4, C5, C7 avulsion with pseudo-meningocele with Brachial
Plexus injury refer to Occupational Therapy department with complaints of difficulty to move left Upper
Limb (UL), severe pain, loss of sensation in left UL& inability to perform his basic Activities of Daily Living
like dressing & undressing of UL & grooming. He got operated for left infra-clavicular to midclavicular with
median nerve to nerve to brachialis transfer. Patient was evaluated & client-centered approach was used
while formulating goals. Functional Independence Measure & Canadian Occupational Performance Measure
were used to measure functional status & performance area pre & post intervention. There is a significant
improvement in pain, sensation & muscle strength of wrist & hand. There is change in performance &
satisfaction of patient as he is able to perform his basic ADL like dressing & undressing of UL& grooming
with minimal assistance.
Key Words: Activities of Daily Living, Brachial Plexus Injury, Occupational Therapy

Title: Functions in Post-Operative Patient of Snakebite with Cellulitis: A Case Report
Authors: Khade Jagruti Y.; Raikar Poornima S.; Vaidya Pratibha M.
Institution: T. N. Medical College & B Y L. Nair Ch. Hospital, Mumbai, Maharashtra, India
Address: T N M C & B Y L Nair Ch. Hospital, Dr. A.L. Nair Road, Station, Mumbai
Central, Mumbai-400008, Maharashtra, India.
Mobile: +91-7045082560
Email: Jagrutikhade15@gmail.com
Abstract
Snakebite is a common feature in India is a risk for occupations like Agricultural workers, fishermen.
Snakebite can lead to gangrene, peripheral vascular disease (PVD) and limb amputation. Many victims seek
for medical help in the later stages leading to permanent damage to the limb. Here in this article a case of
snakebite with upper limb cellulitis, PVD and auto amputation of digits of non-dominant left hand is
described. The objective of the case study was to improve the tissue viability by improving mobility and
strength and to improve maximum level of functional ability.
A case of snakebite with cellulitis operated for fillet flap was referred to occupational therapist for further
management. On assessing the patient, loss of range of motion, strength, sensation and hand functions was
documented. Patient was dependent for activities of daily living (ADL) when measured using functional
independence measure
(FIM). Smart goals were setup for the patient. Client centered, occupational based treatment was planned.
ADL score on FIM were improved from dependence to 50% independence. Compliance with therapy help in
improving the hand functions. Continuous therapy aided in improving and adapting to functional
independence.
Key Words: ADL, Cellulitis, Occupational Based Treatment, Snakebite
Title: Aid for Decision Making in Occupation Choice for Hand (ADOC-H) as a Tool to Address Activity and
Participation in Hand Rehabilitation: A Single Case Study
Authors: Mohd Azam Abdul Halim (M.OT)1,2, Ahmad Zamir Che Daud (PhD)1, Kounosuke Tomori (PhD)3,
Rashdeen Fazwi Muhammad Nawawi (MS Ortho, MBBS)4
Address: Centre of Occupational Therapy, Faculty of Health Sciences, Universiti Teknologi Mara (UiTM)
Puncak Alam, Selangor Malaysia.
Mobile +60125392804
Email: azam.halim@upm.edu.my
Abstract
The Aid for Decision-Making in Occupation Choice for Hand (ADOC-H) was designed with the goal of
encouraging client to use their injured hands in real-world situations. ADOC-H is a tool that includes 130
pictures (sixteen categories) that describe daily activities and participation. By selecting the pictures, the
client and therapist decide together on therapy goals and prioritize problems and activities for intervention.
It's accessible on the iPad and as a paper prototype in English. ADOC-H enables therapists to collaborate
with clients to develop occupational goals. ADOC-H has been shown to be acceptable to use in a variety of
hand therapy and other clinical settings in a few studies. In this lecture, a single case study will be addressed

using the Malay version of ADOC-H. In conclusion, the ADOC-H tool is appropriate and practical for
addressing client activities and participation in various daily life tasks during the hand rehabilitation
process.
Key Words: Aid for Decision-Making in Occupation Choice for Hand, Activities, Participation, Hand
Rehabilitation
Title: Electrical Burns with Transradial Amputation: A Case Report
Author: Ishani B. Chiniwar
Institution: Postgraduate of Masters of Occupational therapy, LTMMC & GH, Sion, Mumbai, Maharashtra,
India
Mobile: +91-8424852020
Email: ishanibchiniwar@gmail.com
Abstract
A 10 years old male patient with transradial amputation of right dominant upper limb along with hypo
pigmented scars over posterior aspect of back and right lower half of face due to electric burns and was
referred to Occupational therapy services. Site of amputation, 3 inches below elbow joint. Muscle strength
is 3 for forearm, elbow and shoulder muscles. UEFS scored 14/80 indicates lower functional score. Phantom
limb sensation present in right limb distally. Psychological upliftment in form of positive reinforcement after
completing an activity given. Pre-prosthetic training includes- Scapular and shoulder strengthening
exercises, visual feedback in front of mirror, midline crossing activities, ADL training. Modified universal
cuff given below elbow for doing activities such as brushing, grooming & eating. Training for writing with
non-dominant hand includes- strengthening of intrinsic muscles, writing with broader pen and playing
carom. Play activities like target hitting, overhead ball throwing and drawing can be given.
Key Words: Activities of Daily Living, Amputation, Play, Transradial
O1. Mini Movie
Title: Multi-Activity Therapeutic Hand-Device (MATH)
Author: Parekh J1, Azad S2
Institution: 1PG student: MOTh (Musculoskeletal Sciences), Government Medical College, Nagpur.
2Principal & Professor, Occupational Therapy School & Center, Government Medical College, Nagpur.
Mobile: +91-9702414582
Email: parekhjanki05@gmail.com
Abstract
Our hand and upper extremity are important for many activities from the fine movements needed for
buttons, zips or using cutlery to the gestures we use when we speak to express ourselves. Clients view
themselves in relation to their occupational abilities & roles. Injuries & conditions that interfere with life
role, habits, and times use, activity pattern, occupational experience & full participation will create a sense
of dysfunction & yearning for normalcy. Hand Therapy is a specialty area of occupational therapy hence
occupational therapist asses and treat the hand & upper extremity to effectively reduce pain, inflammation,
scarring, provide splints & exercises that increase flexibility & ROM of joints which in turn maximize
functionality. The current global pandemic & lockdown has propelled health care workers to come up with

immediate & sustainable long-term solutions. The use of Telehealth/Telerehab has become one of the
mainstream approaches that helps keep both patients and providers safe by reducing unnecessary
exposure. Although teletherapy lacks human touch of a therapist, the convenience of teletherapy greatly
improves access for the patients without hindering Covid protocols at the comfort of their homes. Some of
the conditions affecting the UE function like UE Fractures, RA, RSD etc. become challenging to manage via
teletherapy. The injuries caused at the wrist joint due to these conditions would result in impaired hand
function and wrist mobility. To target these conditions, we aimed at creating a Low-Cost hand therapy
device that would help the patient continue therapy at home. Our goal is to provide a device which the
patient can use at home with ease.
Indications: Wrist mobilization, proprioception, kinesthetic perception and eye-hand coordination, mirror
therapy.
Key Words: Tele Rehab, Wrist Mobilization, Proprioception, Low-Cost Aid
O2. Mini Movie
Title: SMART“ Hand Therapy”
Author: Hemant P. Nandgaonkar
Institution and Address: Occupational Therapy Department, Seth G S Medical College, Mumbai-400012,
Maharashtra, India
Mobile: +91-9819660953
Email: nandgaonkar.hemant@gmail.com
Abstract
SMART “Hand Therapy” was created in response to the requirement for simple documentation, quick
computations, immediate analysis, and standard interpretation in hand therapy practice. SMART is an
acronym for Simple Mobile Application for Regular Therapy. It is a cloud-based mobile application designed
to assist therapists in a variety of therapeutic settings, including clinics, home visits, and teleconsultations.
Because it is convenient for professionals, it can be utilized in both the App Store and the Play Store.
In order to generate evidence from the regular practice, you'll be able to store, organize, and retrieve data.
There port can be transmitted via email or hardcopy, depending on the institution's protocol. Photos and
videos can be captured, archived, and retrieved. Hand Therapy will be viable for each therapist due to all of
the qualities of SMART" Hand Therapy." It's made in India and is intended for use by the global hand therapy
community.
Key Words: Hand Therapy, SMART, App Store, Play Store
O3. Mini Movie
Title: Application of Latest Advancement in Hand Therapy
Author: Rashmi. Yeradkar
Institution: Head of Department, Occupational therapy department LTMMC & GH, Sion
Mobile: +91-9820954156
Email: otrashmi@gmail.com
Abstract
Occupational therapy department (LTMMC & GH, Sion) has been catering services to clients with pre
surgeries and post traumatic conditions since many decades. To develop the therapeutic relationship with

clients and to bridge the gap of in congruencies many efforts put forth by the therapist working in outpatient
section of hand unit. The progress has been made from conservative management of rehabilitation of hand
cases to more advanced and dynamic treatment protocols, therapeutic activities, by using multifunctional
upper extremity workstation, using modified splinting techniques, client centered approaches and early
return to daily living activities work are the goals of the therapist. We receive multiple hand trauma cases
occurring at work site or by road traffic accidents. In a year nearly 1500-2000 cases are handled by the
therapist in outpatients unit for splintage and rehabilitation to improve occupational dysfunction.
Key Words: Activities of Daily Living, Occupational Therapy, Splint, Rehabilitation

Essays
E1. Telehealth in Hand Therapy Practice: Indian vs Global Scenario
Author: Karishma Bobade
Email: karishmabobade.pt@gmail.com
As it is known that the practice of providing health care services by a medical or para medical professional
via usage of some technology is termed as ‘Telehealth’. These services are applied through various paths
such as phone or video calls, through images and mails. The professional and the patient maintain follow
ups through the same pathway and further manage and achieve recover from the ailment. Telehealth or tele
rehab was/is the most convenient and widely practiced during the Covid-19 pandemic. Telehealth is a safe
and effective way of managing as well as maintaining various kinds of patients with musculoskeletal
disorders who might need regular professional’s attention but due the pandemic, the hospital or clinical
visits are cut short. Telehealth benefits the most in these kinds of cases, here maintenance in the gains is
achieved alongside the professional’s direct attention. Telehealth is also a low cost and time saving practice,
many people have survived during this pandemic using tele rehab or telehealth practice to contact and
follow up with their respective health care providers. Tele rehab has a positive significant impact on
patient’s overall health and helps develop functional performance.
Conversely this practice does have its own drawbacks. In the view of Physiotherapy, it is not possible for a
Hand therapist to do every type of visit online and once in a while patients still have to go to the clinical
setting for assessments like observation, measurements of improvement, as well as for diagnoses that
require a more hands-on approach. Another huge risk is the security of personal health data being
transmitted electronically. It is a matter of concern as it can be misused by other intruders or hackers etc.
Also on the other hand Mediclaim and insurance companies are now widely increasing their target on the
population and are covering the cost of telehealth visits during the COVID-19 pandemic, some of these
medical services are may not be fully covered, which leads to heavy income usage from patient’s pockets. A
therapist plays several important roles of which establishing functional and measurable goals of
intervention that are specific to the evaluation findings including an anticipated time frame for attainment
and also to establish frequency and duration of interventions in collaboration with patient, family and/or
caregiver and referral source.
In India telehealth or tele rehab especially of upper extremity or hand gets to face many challenges. As India
is a developing country and half of the population is of service class or fewer on daily wages occupation
where usage of hand is a must. If an individual who is a sole earning member of a big family and suffers any
type of hand injury which is of a major trauma category, then they need to be promptly be made to reach up
to the return to work phase in their rehabilitation. Hence in such cases scenarios tele rehabs can be of utmost
benefit and condition can be managed without causing extra disturbance to the patient as well as family’s
physical and mental health. Most of the population in India now understands and can operate various types
of electronic devices, but there are still many people who struggle to deal with these types of new technology
and they might need training for using smart or touch phones, video calls and communicating via online
softwares without any hassle. Here there family can help them learn and should be present there during the
beginning sessions of physiotherapy. This will motivate the patient and may encourage him or her to be
adherent to the future sessions resulting into good outcome. Also the family members can guide or correct
the patient during hand exercises if they go wrong.

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