Souvenir_6th SHTI Conference 2017

SOCIETY FOR HAND THERAPY, INDIA

0

www.societyforhandtherapyindia.in

6th Annual National Conference of Society for Hand Therapy, India
In collaboration with 41st Annual National Conference of Indian Society for the Surgery of the Hand (ISSH)
Active participation from Therapy Section (SSHT) of Singapore Society for Hand Surgery (SSHS)
22nd (Friday) & 23rd (Saturday) September, 2017
Venue: J. W. Marriott, Juhu Tara Road, Mumbai‐400049, Maharashtra, India
Website: http://isshcon2017.com
Theme: Restoring Hand Functions: Versatile Therapies


1
Restoring Hand Functions: Versatile Therapies
“Man, through the use of his hands, as they are energized by
mind and will, can influence the state of his own health.”
~ Mary Reilly, EdD, OTR, FAOTA (1916 - 2012)
Published by Society for Hand Therapy, India ©
Written, Compiled and Edited by Punita V. Solanki
With Support and Help from:
Office Bearers of Society for Hand Therapy, India & Organizers of 6th Annual National Conference with special
thanks to Charmie A. Dave
September, 2017. Mumbai, Maharashtra, India


2
Table of Contents

S. No.

Topics

Page No.
1

Message from President of Indian Society for Surgery of the Hand (ISSH)
~ Dr. Ravi Gupta
3
2

Message from President of Singapore Society for Hand Surgery (SSHS)
~ Dr. David MK Tan
4
3

Message from 41st ISSHCON Organizing Chairperson
~ Dr. Pankaj N. Ahire
5
4

Message from President of Society for Hand Therapy (SHT), India
~ Amol V. Sangekar
6
5

Message from Vice‐President of Society for Hand Therapy (SHT), India
~ Dr. Shovan Saha
7
6

Message from Secretary of Society for Hand Therapy (SHT), India
~ Suresh Mani
8
7

Message from Organizing Secretary of the 6th Annual National Conference of Society for Hand
Therapy (SHT), India ~ Hemant P. Nandgaonkar
9
8

Message from Scientific Committee Chairperson & Co‐Organizing Secretary of the 6th Annual
National Conference of Society for Hand Therapy (SHT), India ~ Punita V. Solanki
10
9

Message from President of All India Occupational Therapists’ Association (AIOTA) ~ Dr. Anil K.
Srivastava
11
10

Message from President of Indian Association of Physiotherapists (IAP)
~ Dr. Umasankar Mohanty
12
11

About Conference Organizers and Faculty Speakers 13‐23
12

Current Office Bearers of Society for Hand Therapy, India & Current Position of SHT India 24‐26
13

Conference Brochure, Workshop Flyers and Scientific Programme 27‐46
14

Abstracts of Oral Papers, ePoster Papers, Mini Movies, Hand Gestures and Essay Writing 47‐87
15

Expert Opinion One Liners 88‐90
16

Membership Details of Society for Hand Therapy, India and Memories of the Past Conferences
and 6th Pre‐Conference Preparations
91‐96
17

SHTI Website Launch 97
18

Our Sponsors

98


3
Message from President of Indian Society for Surgery of the Hand (ISSH)

I am immensely pleased to write this message for the upcoming 6th Annual National Conference of Society
for the Hand Therapy India being held on 22nd and 23rd September 2017 in Mumbai.
Hand therapy is an inseparable component of hand surgery. In fact, many a times the hand therapy plays
more vital role than the hand surgery in restoring the function of the hand, especially in the neglected
and inappropriately treated cases. A few years back, there was no specialized field of hand therapy and
the cases were being treated by general physiotherapist in the same manner as the hand surgery, a few
decades back, was being performed by general/ plastic/orthopaedic surgeons. With the evolution of
highly specialized treatment modalities for the hand ailments, the hand surgery as well as hand therapy
have evolved together as specialized areas. I would also like to share a fact here that I have the honor of
witnessing the launch of the Indian chapter of Hand therapists in 2006 in Chandigarh during the annual
ISSH meeting which was hosted by us. During that conference we also conducted a one day session of the
hand therapist with the international faculty from Australia and Netherland along with our national
faculty. I am happy to know that now we are organizing this meeting for two days, showing that our hand
therapists are really active.
I convey my greetings and good wishes to the organizers for the success of the meeting and am hopeful
that this will turn out to be an excellent academic feast to the delegates.

Dr. Ravi Gupta, MS, DNB, FRCS (Glasgow), FAMS, FIMSA, FAPOA
Professor & Head (Unit II), Orthopaedics cum Project Director, Sports Injury Centre,
Government Medical College Hospital, Chandigarh
President, Indian Academy of Arthroscopy and Sports Medicine
President, Indian Society for Surgery of Hand
Chairman Ethics Committee, GMC. Mewat (Haryana); Ex. Member Senate PU, Chd.
Editor‐in Chief Journal of Arthroscopy & Joint Surgery; Chairman Hand Section, Indian Orthopedic
Association; Member Task Force Health and Med Ed Punjab; Member Board of Studies, PG Med Ed &
Research PU Chd.; Member Research Advisory Board Swami Rama Himalayan University, Dehradun
Member, Board of Control, Institute of Dental Science, PU Chd.; AO Fellow Austria; Sports Med. Fellow
USA; Hand Fellow Australia; Asia Pacific Fellow Japan; Dartmouth Hitchcock Fellow USA


4
Message from President of Singapore Society for Hand Surgery (SSHS)

On the advent of the 6th Annual National Conference of Society for Hand Therapy, India, it gives me great
pleasure to share a few congratulatory thoughts and notes. The success and the steady road to recovery
after injury or complex hand surgery and reconstructive efforts is dependent equally on the ability and
merit of the surgeon as well as the diligent and thoughtful ministrations of the therapist. Hand therapists
are a natural extension of the continuum of care that the patient will experience well beyond their first
encounter with the attending specialist and sometimes make the difference between success and failure
in the more complicated of conditions. In my experience, meaningful collaborations with therapists are
achieved by engaging them one on one soon after a complex surgery has been performed for challenging
hand and wrist problems and I appreciate not only the read back, but considered and constructive
suggestions to better arrive at the desired outcome for a patient. A detailed look at the program on the
22nd September and 23rd September 2017 shows a well‐organized and balanced schedule of talks that
encompasses the breadth of hand therapy matched equally with depth. I would like to congratulate both
the organizers as well as participants who have registered for this event which is an important
cornerstone in establishing and promulgating the role of therapy in the noble specialty of hand surgery.

Dr. David MK Tan, MBBS (Singapore), MRCS (Edinburg), MMed (Surgery)
Senior Consultant, Department of Hand Reconstructive Microsurgery, National University Hospital,
Singapore
President, Singapore Society for Hand Surgery (SSHS)


5
Message from 41st ISSHCON Organizing Chairperson

Dear Members of SHTI,

As ISSHCON makes its appearance for the 41st time, in Mumbai after 16 years along with SHTI which
enters its second decade of growth, I am delighted to invite all of you to witness what we have poured
our hearts & souls into. The Society for Hand Therapy, India has made its presence felt to the world during
the IFSHT meeting in 2013. It seems to have evolved into a focused force driven by passion. For SHTI to
grow to its deserved dimensions, it is important that SHTI conferences are well attended. The SHTI is well
poised to play an important role in the Asia Pacific region, it is important that we show our strength in
academics both in quality & quantity. With Singapore Society for Hand Surgery joining ISSHCON 2017,
we will have a conference which will shape the future collaborations in Asia Pacific region. On behalf of
my team I welcome you all to Mumbai. Come, let’s make SHTI great!

Dr. Pankaj N. Ahire, MS Orth
Organizing Chairman, 41st ISSHCON
Consultant Hand Surgeon,
Mumbai, Maharashtra, India


6
Message from President of Society for Hand Therapy, India

As an organizing chairman of this conference and president of Society for Hand Therapy (SHT), India, it
gives me immense pleasure to welcome all delegates, speakers and guest to this 6th Annual All India
Conference of Society for Hand Therapy. This year our conference is in conjunction with the 41st Annual
Conference of Indian Society for Surgery of the Hand (ISSH) and Singapore Society for Hand Surgery
(SSHS), and I take this opportunity to welcome all hand surgeons.
The treatment of hand injury is largely a team effort, between the hand surgeon and hand therapist and
hence this conference platform presents a unique opportunity for comprehensive learning and
understanding of various hand related diagnoses.
We have meticulously selected experts, who will be speaking on various hand related topics. These
speakers are hand surgeons and hand therapists from across the globe and will help us in our endeavor
to offer a wide ranging understanding of hand cases.
This conference will provide a great experience to the seasoned therapist as well as provide a global view
on approach to hand treatment for the novice therapist.
I wish all committee members a very successful conference and thank them for their efforts in putting
this conference together.
I am confident that this conference will be a mile stone in the history of Society for Hand Therapy, India

Amol Vinod Sangekar, BOT (Mumbai) OTR (USA), CEAS II (USA)
Occupational Therapist, Ergonomics Consultant, Mumbai, Maharashtra, India
President, Society for Hand Therapy (SHT), India
Organizing Chairman, 6th Annual National Conference


7
Message from Vice‐President of Society for Hand Therapy, India

It is my pleasure to pen down my thoughts on the occasion of 6th Annual National Conference of Society
for Hand Therapy (SHT), India to be held on 22nd & 23rd September, 2017 at Mumbai, Maharashtra. The
event assumes greater significance as it is jointly been held with the 41st Annual Conference of Indian
Society for the Surgery of the Hand. I have been personally involved with SHT, India since its early days,
and take great pride in its endeavor to strive ahead. The 6th academic meet, I am sure would prove to be
a significant moment in the annals of SHT, India.
There is a growing concern of the increasing number of people getting involved in industry related
injuries or road traffic accidents resulting in dysfunctional hands. It is leading to increasing social
compulsions and degrading socio‐economic fabric. Therefore there is a compelling need for hand
therapists to be skilled, enthusiastic, knowledgeable, committed and sensitive.
It is India’s need of the hour to maintain the sustained growth in terms of its available robust skilled
workforce functional, and to make that happen it is critical that people with functional limitations become
integral part of this workforce with reasonable competency. The hand therapists will have to face
challenges of constraints, rise up to the occasion and shoulder this enormous social responsibility.
With the theme “Restoring Hand Functions: Versatile Therapies”, the 6th academic meet will definitely go
a long way to energize young minds to walk the talk in the field of hand rehabilitation.

Dr. Shovan Saha, MOT, PhD
Associate Professor, Department of Occupational Therapy, SOAHS, Manipal University, Manipal,
Karnataka, India
Vice President, Society for Hand Therapy (SHT), India
EC Member, ACOT, AIOTA
Advisor and Workshop Committee Incharge, 6th Annual National Conference


8
Message from Secretary of Society for Hand Therapy, India

Dear All,
We are greatly honored to invite all the delegates for the 6th Annual National Conference of Society for
Hand Therapy, India, in collaboration with 41st ISSH Conference & Active Participation from Therapy
Section (SSHT) of Singapore Society for Hand Surgery (SSHS) to be held on 22nd & 23rd September, 2017
at J. W. Marriott, Juhu Tara Road, Mumbai‐400049, Maharashtra, India.
I personally witness, the growth of Society of Hand therapy, India as one of the eminent society and life
member of International federation of societies for hand therapy (IFSHT) since it is started in 2009.
Hand is a complex mechanical and sensory device, and an important tool of communication, represents
40 percent of the somato‐sensory cortex. Over 20% of disabling workplace injuries involve the hand.
Apart from cuts and lacerations, the sprain, strain, and ligament tear were the common injuries of the
hand. In addition, the loss of hand function resulted from traumatic cervical spine injuries accounts for
50% of total spinal cord injuries are tetraplegia with C7 level. Impairment and disability of the hand
results in inability to perform simple daily activities of life. The hand therapy restores hand and upper
limb functions, which improves the quality of life. Therefore, enhance the recovery and improve the hand
functions is an imperative rehabilitation goal for these populations. The 6th Annual National conference
with a theme of “Restoring Hand Function: Versatile Therapies” aimed to provide a common platform for
physiotherapist and occupational therapist to share their knowledge and evidence in emerging evidence
in therapeutic methods for the management of hand and upper limb related disorders.
We wish to thank all the participants, sponsors, and invited speakers and scientific advisory board and
volunteers and those who have contributed in the successful organization of great events.

With Best Wishes,
Dr. Suresh Mani, MPT
Associate Professor, Department of Physiotherapy,
School of Physiotherapy & Paramedical Sciences
Faculty of Applied Medical Sciences
Lovely Professional University, Punjab, India
Secretary, Society for Hand Therapy (SHT), India


9
Message from Organizing Secretary of the 6th Annual National Conference of Society for
Hand Therapy, India

The aim of hand therapy is to improve and maintain hand function to lead good quality of life. With this
message in mind, Mumbai team of Society of Hand Therapy has collaborated with Indian Society of
Surgery of the Hand. The purpose of collaboration is to facilitate surgeon‐therapist coordination during
client care. Theme of the conference is “Restoring Hand Functions: Versatile Therapies”.
It’s going to feast for delegates attending the conference, where we will be having presentation on various
topics from international and national leaders in the field of hand rehabilitation. Society for Hand
Therapy, India is celebrating its ten years of dedicated services for the promotion of Hand Therapy in
India. This conference will be a common platform for discussion on various issues like certification
examination, research and giving quality of care to our clients.
Hope to see you in large number.

Hemant P. Nandgaonkar, MSc (OT)
Assistant Professor (Occupational Therapy)
O. T. School and Centre, Seth G. S. Medical College & King Edward VII Memorial Hospital
Ex‐President and Ex‐Officio, Society for Hand Therapy (SHT), India
Organizing Secretary, 6th Annual National Conference


10
Message from Scientific Committee Chairperson & Co‐Organizing Secretary
of the 6th Annual National Conference of Society for Hand Therapy, India

Hand therapy is a specialized and advanced branch of practice for occupational therapists and
physiotherapists with keen interest, experience, expertise and skills in the rehabilitation of the upper
quarter region of the body. Society for Hand Therapy (SHT) has been vital in promoting, enhancing and
advancing the field of hand therapy in India, since the year 2008.
The year 2017 will be pondered for the society’s remarkable 6th annual national conference to be held in
collaboration with the 41st annual national conference of Indian Society for Surgery of the Hand (ISSH),
co‐hosted by Singapore Society for Hand Surgery (SSHS) and active participation from Therapy Section
(SSHT) of Singapore Society for Hand Surgery (SSHS), in Mumbai, Maharashtra, India. This conference
will be a landmark in the history of SHT, India to host an annual academic meet on a larger platform with
wider audience and versatile participants. The theme of the conference “Restoring Hand Functions:
Versatile Therapies” have been aptly chosen to inform all the stake holders involved in hand care (i.e.)
hand surgeons, hand therapists, physicians and others, about the importance and the need of versatile
therapies in getting the clients/patients back to their roles and work, faster and earlier.
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.

Punita V. Solanki, MSc (OT), ADCR
Ex‐Assistant Professor, Seth GSMC & KEMH, Parel, Mumbai, Maharashtra, India
Visiting Consultant Occupational Therapist, NM Medical, Malad, Mumbai, Maharashtra, India
Visiting Hand Therapist, Kanchi Nursing Home, Goregaon, Mumbai, Maharashtra, India
Associate Editor, Indian Journal of Occupational Therapy (IJOT)
EC Member, Society for Hand Therapy (SHT), India
Co‐Organizing Secretary and Scientific Committee Chairperson, 6th Annual National Conference


11
Message from President of All India Occupational Therapists’ Association

I am extremely happy to know that 6th Annual National Conference of Society for Hand Therapy, India is
being organized on Sept. 22‐23, 2017 in Mumbai in active cooperation & collaboration with 41st Annual
National Conference of the Indian Society for the Surgery of the Hand (ISSH) and Singapore Society for
Hand Surgery (SSHS) on the appropriately chosen Theme ‘Restoring Hand Functions: Versatile
Therapies’. I must congratulate the members of AIOTA who have taken a lead in constituting ‘Society for
Hand Therapy’, thereby effectively promoting the area of OT practice in Hand Therapy in the country.

Hand is a very delicate & amazing structure of human body, essential for self‐care, work and day to day
activities. Any injury, burn, disease or disabling condition to hand calls for a special focus and approach
for restoration of its complex functions. Hand therapy, a specialty practice area of occupational therapy,
is specifically concerned with treating orthopedic, neurological and traumatic‐based upper‐extremity
conditions to maximize the function and use of the hand and arm to improvise the quality of life.

The lively workshops designed with dictatic presentations, hands‐on and demonstrations by eminent
national and international faculties will be academically enrich the knowledge base of delegates.
I am confident that the delegates participating from all part of the country will have a comfortable stay
and great learning experience. On behalf of All India Occupational Therapists’ Association, I sincerely
wish, the 6th Annual National Hand Therapy Conference a great success under the dynamic and potential
leadership of Dr. Amol Sangekar, Dr. Hemant Nandgaonkar and Dr. Punita Solanki.
I would appreciate to receive the brief report of the conference.
With best wishes

Dr. Anil K. Srivastava, BSc, DOT, D.Y. Ed., PG (Rehab), FACOT
President, All India Occupational Therapists’ Association (AIOTA) & WFOT Delegate
Executive Chairman, Academic Council of Occupational Therapy (ACOT), AIOTA
Editor‐in‐Chief, Indian Journal of Occupational Therapy (IJOT)
93, Laxmanpuri, Faizabad Road, Lucknow‐226016, Uttar Pradesh, India
Tel: +91 522 2350582, +91 9415405095, +91 9140879761
E‐mail: president@aiota.org Website: www.aiota.org


12
Message from President of Indian Association of Physiotherapists

Felicitous is this my left hand, yet more felicitous is this the right one. This hand contains all healing
properties, its gentle touch brings peace and welfare. (Atharva Veda 4.13.6)

I am pleased to know that 6th Annual National Conference of Society for Hand Therapy, India is being
organised in Mumbai on 22nd and 23rd September, 2017. The event is being organised with prestigious
collaboration of 41st Annual National Conference of the Indian Society for the Surgery of the Hand (ISSH).
Hand plays an extremely important role sine qua non for a happier life of every human being. Restoration
of hand function after any injury/ impairment is a team work involving Hand Surgeons, Hand Therapists,
Occupational Therapists and Physiotherapists. The conference will definitely provide unique opportunity
for experts to share their valuable knowledge, skill and science of hand rehabilitation. The Theme:
Restoring Hand Functions: Versatile Therapies is appropriate and will benefit pro bono publico.

I am sure that recent researches and concepts will be discussed in the conference. I wish the event a great
success and hope the delegates attending this conference will reap maximum benefit from the academic
deliberations. I appreciate efforts of the Organising Committee for their professional zeal, dedication and
commitment.

Dr. Umasankar Mohanty, BPT (Hons), MPT, PhD, SRP (London), FAGE, MISEP
President, The Indian Association of Physiotherapists (IAP)
Dr. Mohanty’s Manual Therapy and Pain Clinic Bunt’s Hostel Road, Mangalore‐575003 Karnataka, India


13

6th
Annual National
Conference Organizers


14
About 6th Annual National Conference Organizers

Shovan Saha, PhD
Associate Professor, Manipal, India
Occupational Therapist, working in the field of hand
rehabilitation. He facilitates return to work for people
with dysfunctional hand. He wants to be the change
himself. He is passionate about hand splinting
Shrikant Chinchalkar, BSc OT, M.Th.O, OTR, CHT
Certified, experienced and expert hand therapist from
Canada with more than 30 years of practice in the
field of hand rehabilitation
Passionate about biomechanics of hand and upper
limb, an avid teacher and loves visits to India for
sharing knowledge in hand therapy
Anuradha V. Pai, MSc (OT)
Assistant Professor, LTMGH & LTMMC, Sion, Mumbai,
India
An avid teacher of Occupational Therapy with
extensive experience, expertise and interest in the
field of musculoskeletal and neurosciences in
occupational therapy
Shailaja S. Jaywant, MSc (OT)
Assistant Professor, LTMGH & LTMMC, Sion, Mumbai,
India
An avid teacher of Occupational Therapy with
extensive experience, expertise and interest in the
field of musculoskeletal sciences and pediatric
rehabilitation
Advisor
Advisor & Workshop
Committee Incharge
Advisor
Advisor


15

Organizing Chairman
Organizing Secretary
Scientific
Committee Chairperson
& Co‐Organizing Secretary
Scientific Committee
Member
Shweta G. Joijode, MOTh
Seth G. S. Medical College & KEM Hospital, Parel
Consultant Pediatric Occupational Therapist,
Bhakti Vedanta Hospital, Mira Road
Passionate about adult and pediatric occupational
therapy in India and loves being with friends
Amol Vinod Sangekar, BOT (Mumbai) OTR (USA),
CEAS II (USA)
Occupational Therapist, Ergonomics Consultant
President, Society for Hand Therapy (SHT), India
Passionate about ergonomic approach towards
rehabilitation
Seth G. S. Medical College & KEM Hospital, Parel
Ex‐Officio, SHT, India
Director, Hands‐On‐Therapy Concepts, Mulund
Passionate about hand therapy propagation in India
Occupational Therapist Specialized in Orthopaedic
and Hand Rehabilitation, Mumbai, Maharashtra, India
Associate Editor, IJOT; EC Member, SHT, India
Passionate about preventive musculoskeletal health
education, clinical research and medical writing.
Believer of exploring innate potentials to fullest!


16




Shilpshree P. Palsule, MSc (OT)
Assistant Professor, Seth GSMC and KEMH, Parel
Occupational Therapist with over two decades of
experience. She is a post‐graduate teacher with
special interest in studying the functional aspects of
hand rehabilitation
Scientific Committee
Member
Treasurer; Registration
Committee Incharge
Accommodation
Committee Incharge
Registration
Committee Member
Charmie A. Dave, MS OT (USA), OTR
Occupational Therapist, Mumbai, Maharashtra, India
She has 7 years of clinical experience. She has worked
for 3 ½ years in the USA after having pursued a
Masters in Occupational Therapy from Tufts
University, Boston
She is passionate about hand rehabilitation
Kanan Doshi, MOT
Director, Lakshya Pediatric Occupational Therapy
Centre, Ghatkopar, Mumbai, Maharashtra, India
Passionate Pediatric Occupational Therapist with
more than 20 years of experience in pediatric
rehabilitation
Yogita Chhawchhria, MOTh
Occupational Therapist, Mumbai, Maharashtra, India
She has more than 10 years of experience with
special interest in musculoskeletal and hand
rehabilitation. She is a pragmatic, perseverant and
an industrious entrepreneur in occupational
therapy


17




Registration Committee
Member
Accommodation
Committee Member
Souvenir, Food Committee
Incharge
Souvenir, Food Committee
Member
Jyotsna Gaikwad, BOT
Occupational Therapist, LTMMC & LTMGH, Sion,
EC Member, Mumbai Branch of AIOTA
She has more than 10 years of experience in hand
therapy and neuropsychiatry. She is a young,
dynamic and proactive therapist
Suhas Bongade, BOTh, OTR/L (USA)
Co‐Convener, Mumbai Branch of AIOTA
She has extensive interest and experience in hand
splinting. She is a young, dynamic and enthusiast
therapist with special interest in orthopaedic and
pediatric rehabilitation
Sushant Sarang, MSc (OT)
Assistant Professor, LTMMC & LTMGH, Sion,
Recognized PG Teacher, MUHS; Core Founding
Committee Member, Autism Intervention Centre,
at LTMGH, Sion; Past Convener, Mumbai Branch
AIOTA; Ex‐Occupational Therapy Expert, Sarva
Shiksha Abhiyaan
Shubhangi More‐Lad, MOTh
She takes interest in research presentations,
academic activities and has more than 10 years of
experience in occupational therapy
She participated in Sarva Shiksha Abhiyaan


18

Taslina Kader, BOTh
Occupational Therapist, Mumbai, India
A fanatic girl who loves creativity, which she
applies in her therapy work. Calm and composed.
Currently, postgraduate student of Occupational
Therapy in Musculoskeletal Sciences
Abhinav Mishra, BOTh
Occupational Therapist, Mumbai, India
A young enthusiast, a true student of occupational
therapy and a believer of “having a hobby is
therapeutic” Has a vivid creativity in photography!
Currently, postgraduate student of Occupational
Therapy in Neurosciences
Souvenir, Food & Photography
Committee Member
Souvenir, Food & Photography
Committee Member
Workshop Committee
Member
Accommodation Committee
Member
Atishree Kamdar, MOT
Occupational Therapist specialized in Hand Therapy,
Ahmedabad, Gujarat, India
Atishree has a hand clinic in Ahmedabad after
pursuing her master’s degree in Hand and
Musculoskeletal conditions from Manipal University,
Manipal, India
Saurabh Phadke, MOTh
Occupational Therapist
Assistant Professor, Seth G S Medical College and
KEM Hospital, Parel, Mumbai, Maharashtra, India
Young, dynamic and enthusiast occupational
therapist


19

International and
National Faculty


20

About 6th Annual National Conference Faculty Speakers

Shrikant Chinchalkar, BSc OT, M.Th.O, OTR, CHT
Certified Hand Therapist, Canada

Key Note Address: Restoring Hand Functions:
Versatile Therapies
Workshop: Therapeutic Plan in Wrist Instability
Dr. Jeffrey Ecker, BMedSc (Hons), MBBS, FRACS,
FAOrthA Hand, Wrist, Elbow & Microsurgery
Director Hand + Upper Limb Centre (HULC)
South Perth WA, Australia

Faculty Talk: Non‐Operative Measures:
When & Where? Surgeon’s Perspective
Dr. Rohan Habbu, MS (Orth)
Hand & Upper Extremity Surgeon

Faculty Talk: Elbow Injuries: Latest Orthopaedic
Managements
Occupational Therapist

Faculty Talk: Evidence‐Based Hand Therapy
Dr. Sumedh Talwalkar, MBBS, MRCS, MS (Orth),
MCh (Orth) Liverpool, FRCS (Trauma and
Orthopedics)
Consultant Upper Limb Surgeon, United Kingdom

Faculty Talk: 3D Printing in Upper Limb Injury
Management


21


Dr. David MK Tan, MBBS (Singapore), MRCS
(Edinburg), MMed (Surgery)
Senior Consultant, Department of Hand
Reconstructive Microsurgery, National University
Hospital, Singapore

Faculty Talk: TFCC and SL Injury Protocol
Akanksha Singh, MPT
Indirapuram, Ghaziabad, Uttar Pradesh, India
Faculty Physiotherapist at VARDAN, Welfare
initiative by Bennett Coleman & Co. Ltd., New Delhi,
India

Workshop: Functional Manual Therapy in Wrist and
Hand
Dr. Anil Bhat, MS (Ortho), DNB (Ortho), MNAMS
Professor and Head, Department of Orthopedics,
KMC, Manipal
Manipal, Karnataka, India

Faculty Talk: Wrist Arthroscopy: Current Scenario in
India and its Implications on Rehabilitation
Dr. Tejashree Ajit Dabholkar, PhD
Physiotherapist, Pad Dr. D. Y. Patil College and
University of Physiotherapy

Faculty Talk: Hand: Repetitive Task and Fatigue


22


Shailaja S. Jaywant, MSc (OT)
Assistant Professor in Occupational Therapy L. T. M.
M. C & G. Hospital, Sion, Mumbai, Maharashtra, India

Faculty Talk: Contemporary Approach to
Rehabilitation in Rheumatoid Hand
Dr. Shovan Saha, BOT, MOT, PhD
Associate Professor, Department of Occupational
Therapy, Manipal University

Faculty Talk: Clinical Reasoning for Therapy in Stiff
Hand
Dr. Parag Munshi, D Orth, MS (Orth), DNB (Orth),
MCh (Orth), Liverpool, FRCS(Gen. Surgery), FRCS
(Orth), CCST, UK
Shoulder Specialist Orthopaedic Surgeon

Faculty Talk: When Does A Frozen Shoulder Need
Surgery?
Visiting Consultant Occupational Therapist,

Panel Discussion Moderator: Post Traumatic Hand
Stiffness: Therapy vs. Surgery


23


Anuradha V. Pai, MSc (OT)
Assistant Professor in Occupational Therapy L. T. M.
M. C & G. Hospital, Sion, Mumbai, Maharashtra, India

Panel Expert: Post Traumatic Hand Stiffness:
Therapy vs. Surgery
Vivek N. Kulkarni, B.Sc. PT, PGCR, PGDR, MPT
Principal and Professor at Sancheti Institute College
of Physiotherapy, Shivajinagar, Pune, Maharashtra,
India; Consultant Hand Therapist

Therapy vs. Surgery
Dr. Narender Saini, MBBS, MS, SR (Hand Surgery)
Specialty: Orthopaedic Surgeon/ Hand Surgeon
SMS Hospital, Jaipur, Rajasthan, India

Therapy vs. Surgery
Dr. Praveen Bhardwaj, MBBS; MS (Ortho); DNB
(Ortho); FNB (Hand & Microsurgery); European
Diploma Hand Surgery
Associate Consultant: Hand and Reconstructive
Microsurgery at Department of Plastic, Hand and
Reconstructive Microsurgery; Ganga Hospital,
Coimbatore, Tamil Nadu, India

Therapy vs. Surgery


24

Office Bearers
Society for Hand Therapy, India


25
Current Office Bearers of Society for Hand Therapy, India

Dear Hand Therapists
We are here to promote,
facilitate and enrich the field
of hand therapy in India
As an integrated profession
in liaison with hand
surgeons, focusing on patient
centered approach and care-
giver implicit protocols!


26
Current Position of Society for Hand Therapy, India

Society for Hand Therapy, India is celebrating its ten years of dedicated service for the promotion of hand
therapy in India.

Chronicles of Society for Hand Therapy, India
With the concept formation in August 2006,
Coming to consensus in January 2007, and
Formal registration in September 2009…
Society for Hand Therapy, India is proud to represent profession of hand therapy in India in 2017!

So far we have more than 170 hand therapist members, organized 5 conferences and this will be the 6th
annual national hand therapy conference, conducted 3 hand therapy certification examinations, more
than 10 continuing education programs.

We are the full country member of International Federation of Society for Hand Therapy (IFSHT).

“Education is a weapon whose effects depend on who holds it in his hands and at whom it is
aimed.” ~ Joseph Stalin


27
Conference Brochure


28


29


30


31


32


33


34


35


36


37


38


39


40
Breakfast Session Workshops I on 23rd September, 2017
Functional Manual Therapy in Wrist and Hand


41
Breakfast Session Workshop II on 23rd September, 2017
Therapeutic Plan in Wrist Instability


42
Scientific Schedule


43
Scientific Schedule


44
Scientific Schedule


45
Scientific Schedule

Scientific Schedule


46
Scientific Schedule

Looking forward to meeting you all in 2018!


47

Abstracts
Oral Papers
ePosters
Mini Movies
Hand Gestures
Essay Writing


48

Oral Presentations


49
Oral Papers
O1. Functional Outcome After Post Burns Hand Deformity Correction
Authors: M. Priyadharshini, Raja Sabapathy
Institute: Department of Plastic Surgery, Hand Surgery, Reconstructive Microsurgery and Burns
Ganga Hospital, 313, Mettupalayam Road, Coimbatore‐641043, Tamil Nadu, India
Corresponding Author: Mobile: 91‐422‐2485000

Abstract
Background: The hand is particularly at risk from burn injuries because of its exposed position. 40% of
all burn injuries involving the hand. Post burn contracture and hyper‐tropic scarring result in deformities
which mainly affects the overall movements and functions of the hand. This paper is discusses the
Functional Outcome Scores of the post burn hand deformities after surgical contracture release and
rehabilitation
Objective: To assess the functional outcome scores after intervention of Post burns hand deformity
correction.
Methods: From October 2016 to March 2017, 40 patients with post burn deformity underwent
correction. All the 40 patients were followed up for 6 months (19 males, 21females). 20 patients were
below 40 years of age, 20 patients were above 40 years of age .30 patients were involving the dominant
hand, 10 patients were involving non dominant hand. Causes of post burn deformity were thermal burns
in 24, Electric burns in 10, Chemical burn injury in 6 patients. Out of 40 patients, 16 patients had SSG, 9
patients had abdomen flap, 7 patients had MCP joint capsulotomy, and 8 patients had finger deformity
correction. Post‐operative therapy was started on the 14th day following SSG, 21st day following
abdominal flap and deformity corrections and 2nd day following MCP capsulotomy. They were assessed
using Outcome scores measured by Range of motion (ROM), Grip strength, Kapandji, DASH questionnaire
and Michigan hand outcome questionnaire.
Results: Out of 40 patients 30% of patients has improvement in Total Active Motion (TAM) (from pre ‐
operative TAM is 15% to post‐operative TAM is 35%), DASH score reduced to 32% (from average pre‐
operative DASH score of 77% to post‐operative DASH score of 42%), Michigan hand outcome score has
been increased by 20% (from pre ‐ operative MHQ is 37% to post‐operative MHQ is 55%).
Conclusion: We concluded that after proper surgical intervention following hand therapy. The Post Burn
non‐functional hand can be turned into a functional hand. Functional outcomes depends timely surgical
intervention and strict supervised Physiotherapy protocol.

O2. Outcome of Rehabilitation Following Repair of Glass Cut Injuries in Flexor Zone
Authors: Dapinder Kaur Parmar
Institute: Department of plastic surgery and physiotherapy and rehabilitation clinic, Amandeep
hospital, Amritsar, Punjab, India
Corresponding Author: Email: physio.dapinder2010@gmail.com


50

Abstract
Background: Hand injuries are common and account for 5‐10% of emergency department injuries and
4.7% of all trauma patients. Various mechanisms of injury can lead to volar wrist injuries, and the most
common are; machine injuries, glass lacerations, knife wounds, and suicide attempts. So the success of
the surgical tendon repair depends much on the application of physical therapy and splinting.
Objective: To determine the clinical outcome for early repair and programmed rehabilitation of glass cut
injuries. Also to confirm the role of physical therapy and splinting in returning of range of motion in the
injured fingers, preventing development of contracture, increasing the muscle strength, coordination and
functionality of the hand.
Study Design: Descriptive study
Methods: Duration: from June 2015 to May 2017. 15 patients of glass cut injuries, age ranged from 16yrs
to 48yrs, average age (23.8yrs) were included in the study, with no skeletal injury. The surgeries were
done by a team of plastic surgeons. Repair of tendons and nerves were done with standardized
techniques. Postoperatively, hand was kept in a splint and elevated. All patients were included in a
rehabilitation program using the early passive mobilization protocol based on the work of Duran.
Initially, (0‐4weeks) dorsal block splint (DBS) with wrist in 20‐30degee of volar flexion, MP joint in 50‐
70degree of flexion with full IP extension is permissible. 5‐8weeks onwards, passive flexion with active
extension with muscle stimulation and after 8‐12 weeks onwards stretching and strengthening exercises
were followed. Observation of data was taken from the pool of patients with follow up from 6 months to
2 years with active range of motion, hand strength and functional return to work , evaluated by
goniometry , hand dynamometer and DASH scale (disability of arm, shoulder and hand) respectively.
Results: For 15patients over the period of clinical follow‐up , the four most common structures involved
were FCU,FDS,FDP and MEDIAN +ULNAR NERVE, FCR were involved in 2 cases whereas 7 cases reported
with only ulnar nerve and artery and 3 cases with only median nerve, with 2 cases of ulnar and radial
artery. It was evaluated that there was marked improvement in range of motion, 70‐80%of grip strength
along with patients have high intent of recovery and return to work.
Conclusion: With earlier performed primary surgical repair followed by early passive mobilization
protocol may achieves satisfactorily functional results for flexor tendon injuries zone 5.

O3. To Assess the Functional Independence with Use of Early Positioning & Adaptive Device in a
Hemiplegic Hand
Authors: Gaikwad Jyotsna Suresh, Jaywant Shailaja Sandeep, Pai Anuradha Venkatesh
Institute: Lokmanya Tilak Municipal Medical College, Sion, Mumbai
Corresponding Author: Mobile: 9821211079 Email: gaikwad.jyotsna@gmail.com

Abstract
Background: Poor control of movement due to muscle imbalance can have an impact on the daily
occupational functioning of patients with CVA. When one side of the body functions are better than the


51
other in patients with CVA, they often prefer to use the sound upper extremity for completion of self‐care
activities. So they face lots of difficulties while performing the self‐care activities. The attempt was made
to design and fabricate early positioning splint cum Adaptive device to prevent the neglect of the involved
side.
Objective: To assess functional independence with use of early positioning and adaptive device.
Study Design: Single case study
Methods: A 40 years old, housewife was referred to Occupational therapy department with complaints
of spasticity and difficulty in performing Self‐care activities such as brushing, eating & grooming.
Patient’s main concern was her dependency on care givers. So, using the Client centered approach and
considering anti‐spasticity positioning for hand, a sponge roll was made over the half inch diameter
hollow PVC pipe as per span of patient’s hand. This was attached on palmar aspect to an aluminum strip
which was attached to a wrist cuff proximally. The purpose of this strip was to stabilize the wrist in
functional position. The Niwar straps was passed through the pipe for harnessing the device in figure of
eight manner on hand. Another strap was added on wrist cuff & one more on fingers. The space in the
pipe was used for holding the devices used for self‐care activities. Pre and post assessment of spasticity
with modified Ashworth’s scale, Modified Barthel index scores and COPM scores were noted at end of
two weeks.
Results: The spasticity was reduced from grade 2 to 1+. An improvement in quality of movement and
use of the more‐involved extremity after splinting, with some continuing improvement was evident at
follow‐up especially in grooming activities. The patient could use the affected hand more spontaneously
for completion of daily activities. It positions hand in anti‐deformity & anti spasticity position. Thus more
beneficial to patients as compared to use of universal device. Modified Barthel scores improved from
grade 1 to 7 in feeding and grooming activities and COPM scores also improved from 2 to 8 in
performance and satisfaction components.
Conclusion: The results of outcome this splint is encouraging. It is a simple, light‐weight and affordable
to all patients and has improved the functional independence of this patient. Further research with a
randomized, controlled design is necessary to determine the effectiveness of the focused use with of
splint for dominant extremity.

O4. Assessing Functional Independence after Occupational Therapy Intervention in a Child with
Radio Ulnar Synostosis
Authors: Mulye Mansi Manoj, Jaywant Shailaja Sandeep
Institute: Lokmanya Tilak Municipal Medical College, Sion, Mumbai, and Maharashtra, India.
Corresponding Author: Mobile: 9768201027 Email: mansi.mulye@gmail.com

Abstract
Background: Synostosis, or osseous union, of any two adjacent bones can involve any part of the upper
extremity. Radio‐ulnar synostosis is a rare anomaly and approximately 400 cases were reported
worldwide. It restricts the pronation‐supination movements. In few patients it also restricts wrist
movements. This leads to difficulty in performing daily functional activities.


52
Objective: 1. To assess functional limitations in a child with Radioulnar synostosis.
2. To assess the functional recovery after Occupational Therapy intervention in the child with radio‐ulnar
synostosis.
Study Design: Single case study
Methods: 3.5 years old male assessed for functional activities. Patient presented with difficulty in self‐
care such as eating, bathing, personal hygiene, dressing, toileting. Family centered approach was used
while planning OT intervention. Child was assessed using ICF. Child had limitations in participation due
to body structure & environmental structures. Various adaptations utilizing local resources were
provided after procedural & pragmatic clinical reasoning. Child was also assessed on COPM pre & post
intervention.
Results: Environmental factors during functional activity have improved from ‐2 to +1. Child improved
significantly in his functional activities participation, his performance has reached to the maximum
capacity. Parent’s satisfaction level has improved from 3 to 8 on COPM scale.
Conclusion: Strategies to improve level of functioning & functional retraining has improved the
participation & activity limitations with parent’s satisfaction. Thus the intervention has also improved
Quality of life of child.
Key Words: Synostosis, Radioulnar, Activity Limitation, Functional Difficulties, ICF

O5. Hand Functions: A Study of Variance between Dominant and Non‐Dominant Hand in Healthy
Adults
Authors: Verma Chhaya Vijaykumar, Dhole Neha Bhalchandra
Institute: PT School and centre, BYL Nair Hospital & TN Medical College, Mumbai Central, Mumbai‐
400008.
Corresponding Author: Mobile: 9167095755 Email: dholeneha007@gmail.com

Abstract
Background: The human hand is irreplaceable by any machine when it comes to performing gross or
skilled activity. Grip strength, Pinch strength & Dexterity provide an objective index of the functional
integrity of upper extremity.
Objective: to study the effect of dominance on hand functions (Grip strength, Pinch strength, Dexterity)
of either gender.
Study Design: Cross sectional, Observational Study
Methods: After receiving the approval from the departmental review board, written informed consent
was taken from all the study participants, Right handed 14 Males, 14Females &Left handed13Males,
14Females (Total 55 participants)in age group of 18‐50 years. Grip strength was assessed by using Jamar
hydraulic dynamometer (Model SH5001, SAEHAN Corporation). Pinch strength was (Tip‐to‐Tip and
Tripod) assessed by using Jamar hydraulic pinch gauze (Baseline evaluation instruments, model number‐
50 lb. standard head 12‐0235). The position of the upper limb and the hand for the measurements was
according to the recommendations of the American society of hand therapists. (As described by
Mathiowetz V, The Journal of hand surgery1984).Dexterity was assessed by using the Box and Block


53
test. Each participant performed 3 attempts of all tests and average values of these trials were recorded
for both hands.
Results: An independent t test was used and a statistically significant difference was found between the
pinch strength (Tip to tip‐ p value 0.034 & Tripod ‐p value 0.019) in Right handed participants between
dominant and non‐dominant hand. There was statistical significant difference of Dexterity (p value‐
0.014) and no statistical significant difference of Grip and Pinch strength in Left handed participants
between dominant and non‐dominant hand. There was highly statistical significant difference of Pinch
strength (Tip to tip‐ p value 0.002 & Tripod ‐p value 0.007) and Dexterity (0.034) in Right handed
participants over Left handed participants.
Conclusion: Right handed people have more strength in precision activity and are more powerful in
precision as well as in dexterity .Left handed people are more dexterous by their dominant side compare
to non‐dominant side but no such significant difference was noted of Grip and Pinch strength.
Key Words: Hand Functions, Grip Strength, Pinch Strength, Dexterity, Hydraulic Dynamometer.

O6. Functional Hand Assessment: A Review from the Indian Perspective
Authors: Shilpshree Prashant Palsule, Jayashri Shripad Kale
Institute: Occupational Therapy School and Centre, Seth G. S. Medical College, KEM Hospital, Parel,
Mumbai‐400012, Maharashtra, India
Corresponding Author: Mobile: 9987798660 Email: sppalsule@gmail.com

Abstract
Background: The hand is an amazing, complex part of the human body. It is essential for self‐care, work
and everyday activities. Upper extremity disability can result in disruption of many basic and
instrumental activities of daily living. Severity of injury may not necessarily correlate with functional
performance hence, standardized tests to evaluate hand function form an important part of the
evaluation process. Existing standardized tests have been developed on the population abroad, hence
their applicability to the Indian population (based on cultural and social differences needs to be
evaluated. Choosing the most appropriate outcome measure, with a clear understanding of their
strengths and limitations, is important in both clinical and research terms.
Study Design: Descriptive study
Objectives: 1. To discuss the components of commonly used tests evaluating hand function. 2. To
evaluate them from the Indian perspective
Methods: Literature search will be used to review the components of the available tests evaluating hand
function. Their applicability to the Indian context will be discussed.
Conclusion: Whether hand function assessment tests need to be developed from the Indian perspective
will be evaluated.
Key Words: Hand Function Assessment, Activities of Daily Living


54
O7. Reference Values of Gross Manual Dexterity Using Minnesota Manual Dexterity Test in
Indian Community Dwelling Older Adults
Authors: Verma Chhaya Vijaykumar, Karande Prajakta Ramchandra
Institute: P.T School and Centre, Seth G.S medical college, KEM Hospital, Parel, Mumbai, Maharashtra,
India, Pin code–400 012
Corresponding Author: Mobile: 8082567500 Email: prajaktakarande.pk@gmail.com

Abstract
Background: Manual dexterity is frequently evaluated in rehabilitation services to estimate hand
function because of its contribution to upper limb performance and individual functional independence2.
In assessment of the upper extremity, dexterity is considered as the important assessment component.
With an increasing age hand function declines due to sensorimotor impairment such as decreased motor
coordination, decreased manual dexterity as reduced grip strength4. 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 Minnesota rate of manipulation test
(MRMT). It is valid and reliable tool to evaluate manual dexterity and can be used to study the prognosis
of the patient. This new MMDT is used in the elderly as it consists of only two subtests: Placing test and
turning test1. Reference values of community dwelling older adults is required to do the evaluation and
implement the suitable interventional programmes.
Objective: To find out the reference values of the new version of MRMT which is MMDT in Indian
Community dwelling older adults.
Study Design: cross‐sectional observational study
Methods: Three hundred and nine community dwelling older adults were evaluated with Minnesota
Manual Dexterity Test .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.
Results: the statistics of the study is awaited. The statistics of the study is awaited.
Key Words: Community Dwelling Older Adults, Reference Values, Manual Dexterity, Minnesota Manual
Dexterity Test

O8. Assessment of Reaction‐Time and Percentage of Accuracy for Laterality Recognition in
Healthy Adults
Authors: Satej Dalvi, Chhaya Verma, Amita Mehta
Institute: : P.T School and Centre, Seth G. S. Medical College, KEM Hospital, Parel, Mumbai‐400012,
Maharashtra, India
Corresponding Author: Mobile: 9869011392 Email: cvverma100@gmail.com

Abstract
Background: Disruption and alteration of somatotopic and spatial representations within the cortex are
seen in chronic neurological and musculoskeletal conditions like CRPS I and II, Graded Motor Imagery
(GMI) provides an effective treatment alternative in the rehabilitation of these patients aimed at


55
normalizing the cortical reorganization patterns through graded exposure of the patient to three specific
sequential tasks Laterality Recognition, Explicit Motor Imagery and Mirror Therapy.
Objective: 1. To find out Reaction‐time (RT) & Accuracy Percentage (AP) for Laterality Recognition in
healthy adults.2. To assess abovementioned variables based on gender difference& handedness.
Study Design: Observational, cross‐sectional study
Methods: Subjects: Healthy adults of either gender in the age‐group of 18‐50 years willing to participate
with no musculoskeletal and/or neurological impairments were included in the study. Materials: Hand
image flashcards made by authors, table, chair and an electronic timer.
The three steps of Graded Motor Imagery, the test procedure for its first step and the purpose of the study
were explained to every eligible participant following which a written consent was taken. The aim for
every participant was to identify whether a flashcard image belongs to the left or right side of the body
and slot it to that side as soon as possible but without guessing. RT of <500 ms or 0.5 seconds was
considered a guess. Learning trial with few cards was given for familiarization with the procedure after
which every participant had to identify 30 flashcards in one trial. The timer was switched on when the
participant viewed the first flashcard and switched off when the last flashcard (30th card) was slotted to
the left or right. Two such trials were conducted for every participant using their dominant hand only
with shuffling of cards between every trial and average values of RT and AP were calculated for every
participant.
Results: The mean Reaction‐time (RT) for 103 individuals was found to be 2.57 + 0.64s and Accuracy
Percentage (AP) was found to be 86.67 %. Males (RT =2.40s) were found to be faster than females
(RT=2.72s) with statistical significance (p< 0.05). Left‐dominant individuals (RT=2.41s) were faster than
right‐dominant individuals (RT=2.61s) (p> 0.05). Females (AP= 85.57%) were more accurate than males
(AP=84.43%) (p> 0.05) whereas right‐dominant individuals (AP=85.54%) were more accurate than left‐
dominant individuals (AP=82.55%) (p> 0.05).
Conclusion: : Reaction‐time and Accuracy percentage values for laterality recognition as determined
by this study may serve as a preliminary guideline when evaluating and setting treatment goals for
Indian population belonging to said age‐group undergoing Graded Motor Imagery (GMI) protocol.

O9. Effect of Occupational Therapy Rehabilitation on an Established Volkmann’s Ischemic
Contracture: A Case Report
Authors: Nalawade Vanashree C
Institute: Dr. D. Y. Patil Hospital, Nerul, Navi Mumbai‐400706 Maharashtra, India
Corresponding Author: Mobile: 9869354698 Email: vanashree.nalawade@gmail.com

Abstract
Background: Volkmann ischemic contracture (VIC) is the end result of prolonged ischemia and
associated with irreversible tissue necrosis. Patients with an ischemic contracture do not have pain but
rather have deformity and dysfunction resulting from the ischemic event and subsequent muscle scarring


56
and fibrosis. Various studies on VIC have shown that the moderate and severe type are recalcitrant to
therapy and need some surgical management.
Objective: To emphasize effectiveness of vigorous therapy on severe type of VIC.
Study Design: Case report
Methods: A 26 year old male presented with inability to use his left hand in daily activities along with
flexion contracture of wrist and hand since 3 months following radial head and proximal ulna fracture
due to fall from roof of car managed by reduction of radial head and ulnar plating. He developed
compartmental syndrome post‐surgery immobilization and developed VIC (severe type). Client reported
to Occupational therapy department in 3rd month post injury and was started with vigorous occupational
therapy rehabilitation in the form of splinting, stretching, light massage, hand function activities and
sensory re‐education therapy (2, 3). Initially Robert Jones splint, replaced by MP (metacarpophalangeal)
stop with thumb spica were given. Passive and active stretches for 20 sec 5 repetitions, soft tissue
mobilization in circular manner, active and resistive ex with finger weights, activities like pegs, clay, rings,
ball flickering, magnets, spring and classic sensory re‐education program via different rough textures
were given. A long term follow up evaluation was taken from 3rd month to 18 months post injury.
Results: Data showed significant improvement in range of motion, severity of contracture, muscle
strength, sensation and hand function score on upper extremity functional Index(UEFI) of left hand pre
and post therapy.
Conclusion: Vigorous rehabilitation is effective for improving hand function in severe type of VIC
managed conservatively
Key Words: Volkmann Ischemic Contracture, Occupational Therapy Rehabilitation, Upper Extremity
Functional Index

O10. Assessment of Fear of Fall Using Short Falls Efficacy Scale‐International in Females with
Distal End Radius Fracture
Authors: Verma Chhaya Vijaykumar, Revankar Mamata Vinod
Institute: P.T School and Centre, Seth G. S. Medical College, KEM Hospital, Parel, Mumbai‐400012,
Maharashtra, India
Corresponding Author: Mobile: 9920249151 Email: mamatavr@gmail.com

Abstract
Background: Distal end radius fractures are amongst the most common bone fractures in adults
comprising 8‐15% of all bony injuries in them [ 1].93% of distal end radius fractures are caused by
falls[2]. Patients with a distal end radius fracture have been found to carry twice the risk of a latter
fracture of the hip. There is an array of risk factors which may predispose distal end radius fracture
population to falls which include balance impairment, decreased physical activity level, fear of fall or the
fall that caused distal end radius fracture itself. Thus, the purpose of our study is to assess one of these
risk factors namely, fear of fall in women with distal radius fractures above 40 years of age so that they
may receive timely interventions.


57
Objective: To assess fear of fall using short fall efficacy scale‐International in women with distal end
radius fractures above 40 years of age
Study Design: Cross sectional observational study
Methods: After fulfilling the inclusion criteria, fear of fall was assessed in 35 women with distal radius
fracture above 40 years of age using the short falls efficacy scale‐international and was compared with
age matched controls
Results: The average short falls efficacy scale‐international score in women with distal radius fracture
above 40 years of age was found to be 13.97(thus falling in high concern) as compared to age matched
controls (average S FES‐I score of 7.65 thus falling in low concern category). Mean age of the sample
population was 52.02.
Conclusion: Fear of fall is high in female patients post sustaining a distal radius fracture and it represents
a potential target for interventions to improve functional outcome after the fracture in addition to hand
therapy. Thus, a distal radius fracture should be treated as a sentinel event for a future fracture and fall
risk assessment should be done even in apparently healthy middle aged females.
Key Words: Distal Radius Fractures, Fear of Fall, Short Falls Efficacy Scale‐International

O11. Effectiveness of Kinesiotape Versus Counterforce Brace as an Adjunct to Occupational
Therapy in Lateral Epicondylitis
Authors: Phadke Saurabh S.
Institute: Seth G. S. Medical College and KEM Hospital
Corresponding Author: Mobile: 9967555797 Email: saurabh.otist88@gmail.com

Abstract
Objective: The purpose was to investigate and compare effectiveness of Kinesiotaping and counterforce
brace as an adjunct to Occupational Therapy in lateral epicondylitis.
Study Design: Prospective, comparative and interventional randomized study
Methods: The study was conducted on 26 patients with a total of 14 males and 12 females diagnosed as
a case of Lateral epicondylitis as per the inclusion criteria. In Group A, (Kinesiotaping): 12 subjects, 7
males and 5 females. In Group B (counterforce brace): 14 subjects, 7 males and 7 females. Jamar
dynamometer. Visual Analog Scale was used to quantify grip strength, pain. Interventional protocol was
of 6 weeks. Re‐evaluation was done on the 1st day, end of 2nd week, end of 4th week and finally end of 6th
week. Mann Whitney U test was used for comparison of mean between two groups and repeated
measures ANOVA test was used for comparison within group.
Results: showed significant pain reduction and improvement in grip strength but no statistically
significant difference seen in between two groups (p>0.05).
Conclusion: The study concludes that Kinesiotape as well as Counterforce brace is equally effective in
respect to pain, grip strength and decreasing disability in patients with lateral epicondylitis.
Key Words: Lateral Epicondylitis, Counter‐Force Brace, Kinesiotaping, Grip Strength, Pain


58

O12. Hand Stiffness: Still a Menace?
Authors: Naveen Kumar, Terrence Jose Jerome
Institute: Olympia Hospital & Research Centre
Corresponding Author: Email: olympiahospital@gmail.com

Abstract
Background & Objective: Hypothesis: Multiple hand fractures, post‐operative adhesions, tendon
adhesions, poor follow up and compliance ads up to the struggling hand therapist a night mare.
Methods: 20 patients with different types involving metacarpal, phalanges fractures, flexor, extensor
tendon post‐operative adhesions, stiffness, distal radius fractures, compartment sequel were analyzed
between 2012 and 2014. Active (assisted, resisted), passive assisted, Flexor/ Extensor out‐trigger
traction, ultrasound, wax and hot fermentations were the protocols followed in these patients. The follow
up included pain sensitivity, motor function, muscle strength, function and identification of shapes and
textures, VAS, quick DASH, Mayo’s Elbow and wrist score and return to school/previous status.
Results: The average follow up of the study was 2.5 years (range 2.0 to 3.1yrs). Multiple metacarpal
fractures operated and conservative managed (4/20), phalangeal fractures (6/20) treated were the most
common presentation with stiffness at both MCP (‐10 to 30°) and PIP (0‐20°) joints. The delay in
presenting to our institution was 6 weeks (range 42 days to 75 days). Flexor tendon rehabilitation (Zone
I‐IV) without trigger traction unit had excellent outcome with active digit palmar distance‐IMRL‐0 cms;
with full active and passive range of motions. Grip strength, VAS, were found excellent (18/20).
Conclusion: Hand fractures needs to be early mobilized under hand therapist supervision. Phalangeal
fractures are more prone for early stiffness which has to be dealt with caution. Tendon rehabilitation
should be done staged manner with/ without splints.

O13. Functional Outcome Following Tendon Transfer for Radial Nerve Palsy: Physiotherapist
Perspective
Authors: G. Sujitha, S. Raja Sabapathy
Institute: Department of Plastic Surgery, Hand Surgery, Reconstructive Microsurgery and Burns
Ganga Hospital, 313, Mettupalayam Road, Coimbatore‐641 043, Tamil Nadu, India
Corresponding Author: Mobile: 91‐422‐2485000

Abstract
Background: The radial nerve is the frequently injured nerve following humerus fracture, because of its
close proximity to the bone. Injuries can be divided into high, complete radial nerve injuries and low,
posterior interosseous radial nerve injury (PIN injury). It results in wrist drop, loss of extension of finger
and thumb. Grip strength is substantially reduced, because loss of wrist extension creates an unstable
wrist and minimizes the power of long flexors. Tendon transfer procedure which have been used
commonly PT to ECRB, FCU to EDC, PL to EPL. Good functional outcome can be obtained by following
comprehensive pre‐operative and post‐operative physiotherapy program.


59
Objective: To study the functional outcome following tendon transfer for radial nerve palsy.
Methods: 25 patients were selected in this study. The mean age was 32.81 years. 18 patients were male
and 7 patients were female. 16 patients were involving the dominant hand, 9 patients were involving
non‐dominant hand. Causes of radial nerve injury was fracture of humerus in 13, crush injury in 7,
brachial plexus injury in 3, neuroma over the radial nerve in 2 patients. The muscle strength of wrist and
digit extensor was grade 0(MRC) pre‐operatively. Tendon transfer was done using donor (PT, FCU, PL)
with grade 5. All the patients were under regular physiotherapy for duration of 12 weeks post‐
operatively and followed up with monthly reviews for 6 months. The physiotherapy protocol comprised
of splinting, protective range of motion exercises, active movements, ultrasound and massage, muscle re‐
education by visual feedback and strengthening exercises. Post‐operative assessment was done by
measuring the AROM, grip strength, ADL and Ganga multipurpose therapeutic equipment score and
BINCAZ scale.
Results: At 6 months follow up, the active range of motion has improved 60 degree, average grip strength
was increased 24.8kgs, BINCAZ score increased by 5. With the results obtained it is clear that, patients
had good amount of wrist, thumb and finger extension. Power grip has also improved in all patients. The
overall results were rated excellent in 16 patients, good in 6 patients and fair in 3 patients according to
BINCAZ scale.

O14. Assessment of Scapula Position in Brachial Plexus Injury Patients – A Pilot study
Authors: Thosar Jyotsna A, Verma Chhaya V, Puri Vinita A, Shigvan Tapasya
Institute: KEM Hospital, Parel, Mumbai, Maharashtra, India
Corresponding Author: Mobile: 9821066016 Email: jyotsnathosar@rediffmail.com

Abstract
Background: Brachial Plexus is a network of nerves that originate in the neck region and branch of to
form most of the nerves that control movements and sensations in the upper limbs. The upper extremity
is a delivery system to position the hand in space for numerous functional activities. An imbalance can be
created in this system by loss of rotator cuff muscles or scapular stabilisers which can disturb balance of
scapulo humeral rhythm following brachial plexus injury. Hence, finding out the resting scapula position
and comparing it with individual’s unaffected side will help in assessing and formulating rehabilitation
to improve function of upper extremity following brachial plexus injury (BPI).On comparison, scapula
position may show alteration in patients with brachial plexus injury when compared to unaffected side.
Objective: 1. To assess static scapular position of both sides of patients with BPI, By Observation and
linear measurement method.2. To compare the scapula position of affected and non‐affected side.
Study Design: Observational study
Methods: This observational study will include 25 participants diagnosed with unilateral brachial plexus
injury referred by plastic surgery department, KEM Hospital. For assessment of scapular position, two
methods will be used: Observational analysis and Linear Measurement of Static Scapula Posture. The
components of observational analysis will be scapular plane, sagittal plane, transverse plane, Vertical
plane, Horizontal plane. Components of linear measurement of scapula position will be Distance from


60
medium scapular border to fourth thoracic spinus process, pectoralis minor index, distance from
acromion to table, scapular distance measurement( acromion to T3 vertebra), scapular length
measurement. Outcome measures will be: upward rotation/ downward rotation, anterior tilt/ posterior
tilt, internal rotation/ external rotation, elevation/depression, protraction/retraction for observational
analysis. Whereas linear measurement of scapula will include abduction/adduction,
protraction/retraction, anterior/posterior tilt. Outcome measures of affected side due to plexus injury
will be compared with normal side of the individual.
Results: Collected data will be analysed depending on distribution of variables.
Key Words: Scapula position, Brachial Plexus Injury.

O15. ‘Bilateral Brachial Plexus Injury’: Case Report of Earthquake Victim Who Needs a ‘Helping
Hand’
Authors: Verma Chhaya V, Jadhav Kshitija J
Institute: School of Physiotherapy, BYL Nair Hospital & TN Medical College, Mumbai Central. Mumbai‐
400008. State: Maharashtra. Country: India
Corresponding Author: Mobile: 9975167210 Email: kshitijadhavkem@gmail.com

Abstract
Background: Bilateral Brachial Plexus Injury (BPI) is a rare condition caused by damage to Brachial
Plexus leading to symptoms ranging from complete paralysis of upper limbs to lack of control in the arms,
wrists and hands. Being an unusual phenomenon, its outcome is variable based on its type and severity.
It not only physically disables the person but also handicaps his social, economic and emotional well‐
being. To understand it, we present this case‐study.
Objective: To understand rehabilitation approach, prognosis, functional status and quality of life of
Bilateral BPI individual
Study Design: Observational study
Methods: With written consent, Bilateral BPI case was assessed in Physiotherapy OPD of tertiary care
hospital. Along with subjective and physical evaluation, questionnaires to assess disability level,
functional status, stress and quality of life were taken.
Results: A25‐year‐old, right‐handed, young man from Gujarat, with high hopes started working as a
farmer in Nepal in January‐2015. But life took a heavy toll on him, as an earthquake stuck Nepal on 25‐
April, 2015. He was one of the survivor victims of the tragic incident. However, he landed up with Bilateral
BPI as a slab fell on him during the natural calamity. Thereafter, he was unable to move both his upper
limbs. Due to economic constraints, he came to Mumbai for treatment and investigations revealed
Bilateral Pan Brachial Plexopathy (left>right). His right upper extremity being comparatively less
affected was managed conservatively using splints and physiotherapy whereas for left upper extremity
neurotisation surgery was performed in October‐2015. He religiously adhered to physiotherapy regime
pre and post‐operatively which included muscle stimulation, strengthening and splinting. Two years
down the line, he has improved physical abilities, in terms of strength, range and health‐status owing to


61
his strong will‐power, perseverance and holistic treatment approach. He is able to carry out his self‐care
activities independently with improved quality of life.
Conclusion: Such cases, unfolds the secrets of unusual survivals and helps to understand burden placed
by bilateral BPI, which can serve as framework for their rehabilitation.
Key Words: Bilateral, Brachial Plexus Injury, Rehabilitation

O16. Assessment of Elbow Joint Position Sense in Brachial Plexus Injury
Authors: Pratha Umesh Mehta, Dipti Baban Geete
Institute: PT School and centre, Seth G. S. Medical College, K.E.M Hospital, Parel‐420001, Mumbai, India
Corresponding Author: Mobile: 9762338637 Email: prathamehta2003@gmail.com

Abstract
Background: Road traffic accidents account for 94% of patients of brachial plexus injury(BPI).1The
motor deficit is usually accompanied by reduced somatosensory function as a result of activity‐
dependent changes in the central nervous system. As proprioceptive information is critical for the
learning and execution of well‐coordinated movements, it is important to understand whether peripheral
nervous system injury leads to deficits in the use of sensory feedback that, in turn, may further
compromise motor function. This can be achieved by assessing joint position sense (JPS). JPS measures
an individual’s ability to actively perceive and reproduce a previously presented position of a joint, with
minimal exteroceptive cues.2 Hence, in this study, elbow JPS is assessed in BPI.
Objective: To assess elbow JPS in brachial plexus injuries.
Study Design: Cross‐ sectional study.
Methods: Sample size: 20
Inclusion criteria
1. All brachial plexus injury patients.
2. If operated, motor recovery≥ BMRC grade 2
3. Full passive elbow ROM
Exclusion criteria
1. Patient with spinal cord/ brain injury.
2. Any pathology of elbow joint.
3. Patient with generalized ligament laxity
Procedure: Patients will be blindfolded using an eye mask and headphones applied to eliminate visual
and auditory cues. Two tasks will be performed: Ipsilateral remembrance‐ The patient’s affected hand
will be positioned in either 10◦
flexion, 45◦
flexion or 100◦
flexion. Position will be maintained for 10
seconds and the patient will be asked to remember the position. Then the angle will be changed passively.
The patient will be instructed to ask examiner to halt when the patient thought the elbow had returned
to preset angle. The angle will be measured using a goniometer. Test will be performed on both the sides.
2. Contralateral concurrent‐ The contralateral side will be placed passively in either 10◦
flexion, 45◦

flexion or 100◦
flexion. Therapist will move the affected limb, asking the patient to stop at a similar angle
on the contralateral side. Similar procedure will be carried out by placing the affected side in a preset


62
position and asking the patient to mimic similar angle on the contralateral side. Both the tests will be
repeated 3 times and the mean of the values will be considered.
Results: Awaited and will be presented at the conference.
Conclusion: Awaited and will be presented at the conference.
Key Words: Joint Position Sense, Brachial Plexus Injury

O17. Do We Need To Incorporate Comprehensive Patient Rated Outcome Measure In Assessment
Of Traumatic Brachial Plexus Injury Patient? ‐ A Case Study
Authors: Chhaya Verma, Vinita Puri, Neha Verghese, Jyostna Thosar, Kshitija Jadhav, Sujata Yardi
Institute: PT School and centre, Seth G. S. Medical College, K.E.M Hospital, Parel‐420001, Mumbai, India

Abstract
Background: Brachial Plexus Injury (BPI) is a devastating condition which not only leads to physical
impairments but also severely affects a person’s social, psychological and economic well‐being.
Objective: To understand the importance of comprehensive patient rated outcome measure in
assessment of BPI patient
Study Design: Case‐study
Methods: With written informed consent, BPI case treated with multidisciplinary treatment approach at
government tertiary care hospital is included in the study. Along with objective evaluation of body
structure function, patient’s activity level and social participation was assessed with the help of
subjective patient‐rated‐outcome‐measures like DASH and WHOQOL‐BREF scale.
Results: A 33‐year‐old lady lived with her in‐laws, husband and two sons in suburbs of Mumbai. Her
husband’s Alcohol addiction ruined her marriage. In November‐2014, being assaulted by husband, she
sustained sharp‐cut across axilla and felt her arm going flail. She was diagnosed as Left BPI (maximal
medial cord involvement) leading to complete loss of median‐ulnar nerve functions. Her rehabilitation
was multidisciplinary. After initial assessment, muscle strengthening & functional‐training by
Physiotherapist and splinting by Occupational Therapist was assigned. After a year’s rehabilitation,
muscle functions recovered in forearm but not in hand, leading to claw‐hand and ape‐thumb deformity
for which tendon‐transfer and opponensplasty was performed. But, there came another challenge; she
lost her husband: only source of income. Her sons turned to drugs. She faced financial, physical and
emotional poverty. Therefore, Psychological intervention was sought. Surgery however, was successful
with excellent post‐exercise rehabilitation results. Her disability level, assessed by DASH‐Score from
(Pre‐op) 60.83 to (Post‐op) 46.44 indicated functional improvement in upper extremity and hand
functions. WHOQOL‐BREF‐Score showed marginal improvement in QOL, from (Pre‐op) 60% to (Post‐op)
65%. Unfortunately due to family tragedies, psychological and economical barriers, she did not
appreciate any improvement in her QOL which resulted her completely blinded towards appreciating
improvement in upper extremity & hand functions.
This made the entire team responsible in treating her unhappy & discouraged.


63

Conclusion: There is a need to incorporate patient rated outcome measure in assessment of BPI patient
which encompasses not only functional status but also evaluates impact of injury on psychological and
social status of patient.

O18. Barriers to Treatment Adherence in Traumatic Brachial Plexus Injury Patients Attending
Physiotherapy Outpatient Department at Government Tertiary Care Hospital in Mumbai
Authors: Chhaya Verma, Vinita Puri, Jyostna Thosar, Amita Mehta, Sujata Yardi
Institute: PT School and Centre, Seth G. S. Medical College, K.E.M Hospital, Parel‐420001, Mumbai, India

Abstract
Background: Adherence with treatment is an important factor which can influence the outcome of that
treatment. Adherence has been defined as the extent to which a person’s behaviour corresponds with
agreed recommendations from healthcare provider (WHO 2003). Adherent patients may have better
treatment outcome than non‐adherent patients.
Poor adherence to treatment among TBPI to physiotherapy is multi‐dimensional which has implications
on treatment cost and effectiveness.
Objective: 1.To study epidemiology of BPI patients visiting our centre
2. To identify barriers to adhering with treatment in BPI patients visiting outpatient department of
physiotherapy at our centre.
Study Design: Cross sectional
Methods: The study was undertaken after taking permission from Institutional Ethics Committee.
All the BPI patient records from 2011‐2016 were studied who have been referred from Department of
Plastic & Reconstructive Surgery for management at Hand section of Department of Physiotherapy.
Results: Our patient group involved only post TBPI & does not include iatrogenic injuries or tumours of
Brachial Plexus. Total number of patients:115.;Male 93.91% (108) & Female 6.09% (7) Road traffic
accidents accounted for 78.26% (90) of the total BPI & of these 94.44% (85) were associated with 2
wheeler accidents. The mean age of patients was 29.38 years & age group 21‐30 years accounted for
48.70% (56) of patients. Dominant side was involved in 65.22% (75) of the patients. 70.43% (81) of
patients had associative injuries while 29.57% (34) had isolated BPI. Among total patients pan BPI were


64
most common55.65% (64) & 68.27% (76) patients were from outside of Mumbai. Patients underwent
various surgical procedures like Nerve transfers with/ without grafts, Muscle transfer. The average time
interval from date of injury to surgery was 3‐9 months. Patients following up for physiotherapy till month
of June 2016 were 31 out of 115.We had telephone numbers of 59 patients of total 84 who had stopped
follow up with physiotherapy. We could successfully get through only 28 patients to enquire the reasons
for not following up with physiotherapy at our centre. Various reasons cited for non‐adherence to
physiotherapy treatment by BPI patients will be discussed in detail at the time of presentation.
Conclusion: This study gives an insight into epidemiological aspect of BPI at our centre & as to why BPI
patients find it difficult to adhere to Physiotherapy recommendations in a long run.

O19. Comparison of Upper Extremity Strength in Patients with Obstructive Airflow Limitation
and Matched Healthy Individuals
Authors: Joshi Saylee Ashok, Mistry Hetal Manoj
400008, Maharashtra, India
Corresponding Author: Mobile: 8600455020 Email: sayleejoshi6@gmail.com

Abstract
Background: Skeletal muscle dysfunction is a common systemic co‐morbidity of Chronic Obstructive
Airflow Disease (COAD). Patients with severe COAD report a marked increase in the sensation of dyspnea
during routine tasks that require arm use, especially activities requiring unsupported arm elevation. As
a result of mechanical changes, many patients with COAD struggle with or even avoid performing
essential ADLs that involve upper extremities which mainly isotonic muscle works. There have been
many studies showing reduced skeletal muscle strength and endurance, especially in the lower limbs of
COAD patients. However, there has been little research into the upper limb skeletal muscle dysfunction
in COAD patients.
Objective: To compare and correlate Upper extremity strength and functional capacity in subjects with
OAL and matched healthy individuals
Study Design: Cross sectional, Observational Study
Methods: The approval for the study was taken from the local institution Ethics Committee and MUHS
research board. 40 OAL and 40 healthy individuals meeting the inclusion criteria were included in the
study and written consent was taken. Upper extremity muscle strength was measured by calculating 1‐
Repetition Maximum (1‐RM) of Shoulder Flexors, Extensors, Abductors, External Rotators and Internal
Rotators using Brzycki’s equation and functional capacity was measured by using 6‐Minute Walk
Distance (6MWD). Upper extremity muscle strength between the two groups was compared and
correlated with 6MWD.
Results: Wilcoxon signed rank test (non‐parametric test for paired sample) was used and statistically
significant difference (p<0.05) was found between 1 RM mean of upper extremity strength.


65
Spearman correlation test (non parametric test) was used to find the correlation between 1 RM mean of
Upper Extremity and 6MWD in Experimental group which was statistically not significant (p = 0.244
which is > 0.05).
Conclusion: There was a statistically significant difference in the upper extremity strength in patients
with Obstructive Airflow Limitation when compared to the age, gender and BMI matched healthy
individuals (p= 0.000< 0.05).There was no statistically significant correlation between the upper
extremity strength and functional capacity in patients with OAL (p=0.244> 0.05).

O20. Use of Six Minute Peg Board and Ring Test to Assess Arm Function in Patients with
Obstructive Airway Disease
Authors: Dhanorkar Gauri Dhananjay, Rachna Arora
Corresponding Author: Mobile: 9867158970 Email: dhanorkargauri@gmail.com

Abstract
Background: Physical performance in Obstructive Airflow Disease (OAD) patients is affected not only
during walking or stair climbing but also during simple activities of daily living that involve the upper
extremities. The main purpose of the study was to compare the arm function in patients with OAD and in
healthy matched controls using Six Minute Peg Board and Ring Test (6MPBRT) and to correlate the arm
function with functional capacity
Objective: To compare Arm function in patients with Obstructive airway disease and matched healthy
individuals using 6MPBRT
Study Design: Interventional, Comparative, Cross sectional Study.
Methods: After receiving the approval from Institution Ethics Committee, written informed consent was
taken from all the study participants, 40 OAD patients with mild to severe obstruction and 40 non‐
smoker age, gender and BMI matched healthy individuals underwent 6MPBRT AND 6 Minute walk test
(6MWT). For 6MPBRT, subjects were asked to move rings as many rings as possible from the pegs placed
in front of them and the score calculated was the total number of rings moved in 6 minutes. Functional
capacity was measured using 6MWT by following the ATS guidelines.
Results: On comparing the scores of 6MPBRT using Paired t test, a mean difference of 64.20 ± 22.31 was
found between the study group and control group, suggesting a reduction in the score of study group as
compared to the control group and was statistically significant (p=0.000). A strong correlation was found
between 6MPBRT score and Percentage predicted value of 6MWD (r = 0.750) in the study group, which
was statistically significant. (p = 0.000) A strong correlation was found between the severity of disease
and the 6MPBRT scores (rho = ‐ 0.859) in the study group, which was statistically significant (p = 0.000).
Conclusion: Arm function in patients with obstructive airway disease is reduced significantly as
compared to the age, gender and BMI matched controls and had a strong linear association with
functional capacity and inverse association with the severity of obstruction.


66
Key Words: OAD, Arm Function, Six Minute Peg Board and Ring Test

Patient Performing Six Minute Peg Board and Ring Test for Assessing Arm Function

“As you grow older, you will discover that you have two hands, one for helping yourself, the other
for helping others.” ~ Audrey Hepburn


67
ePosters


68
ePosters
eP1. Neuroplasticity: A Boon in the Rehabilitation of Traumatic Brachial Plexus Injury Patients
Authors: Verma Chhaya, Kini Raveena Ramkrishna
Corresponding Author: Mobile: 8108666141 Email: raveenarkini@gmail.com

Abstract
Background: Neuroplasticity is the structural reorganization that takes place in the cortex. The cortical
homunculus is basically the physical representation of each part of the human body in the brain. Sensory
deprivation is supposed to be one of the major causes of this cortical reorganization. Traumatic Brachial
Plexus Injury (BPI) also leads to a considerable deprivation of sensory input to the cortex from the upper
limb. One such physiotherapeutic treatment technique which is not only a novel treatment strategy but
also an increasing reminder that body representation in the brain should be considered in the patients is
Graded Motor Imagery (GMI), which includes sequential components of implicit motor imagery, explicit
motor imagery and mirror therapy.

Objective: Epidemiological Studies show an increasing rate of traumatic BPI occurrence; hence it is
important to find out ways of rehabilitation to get back the patient to his functioning capacity. The
various nerve transfers work on the principles of neuroplasticity. Physiotherapeutic treatment should
act as an adjunct to the surgery by working on the above principle and enhancing the results of the
surgical transfer. The objective is to describe one such technique that is GMI
Study Design: Narrative Review
Methods: The review involves searches of electronic databases including PEDro, Google Scholar and
PubMed and reference to the GMI Handbook. The review includes3Case Studies, 2Experimental Studies,


69
2Observational Studies,3Systematic Reviews, 2 Randomized Control Trials, 1 perspective article, 1
opinion article and 1 book review
Results: All the articles majorly focus on the fact that neuroplasticity occurs throughout life. There is
synaptic formation and dendritic arborization in the brain. This aspect not only helps in the success of
the surgical procedure but also aids in rehabilitation. Mirror therapy has shown considerable
improvement in Upper Limb rehabilitation and reduction in chronic pain. Brain has mirror neurons
which play a key role in this aspect.
Conclusion: The novel concept of GMI should be put to clinical use as well as researched further for the
benefits of patients.
Key Words: Neuroplasticity, Brachial Plexus Injury, Graded Motor Imagery, Mirror Therapy

eP2. Recent Advances in Management of Different Zones of Extensor Tendon Injuries of the
Hand
Authors: Shubhangi More Lad
Institute: Lokmanya Tilak Municipal Medical College, Sion, Mumbai‐400022, Maharashtra, India
Corresponding Author: Mobile: 9869445126 Email: suitshubu@gmail.com

Abstract
Background: Extensor tendon injuries are very common, which if not properly treated can cause severe
lasting impairment for the client. Appropriate splinting for management of any tendon injuries of hand
is important as it not only lessen the complications like repaired tendon adhesion and joint stiffness but
also is helpful in early return to work .The advances in splinting techniques along with the protocols for
management of repaired extensor tendon injuries showed good improvement in hand functions.
Objective: To assess the composite flexion with measuring tape/ruler, ROM of hand with goniometer,
pinch and grip strength with pinchometer and dynamometer ,Michigan hand outcomes
questionnaire(ADL scale),hand function test (box and block test).
Study Design: A prospective, observational study was designed.
Methods: Efforts was made for management of different clients as per Zones involvement along with the
recent advance treatment protocol. In Zones I, II, III & IV the template splint (it is a splint which was
designed and moulded with set ROM for the required joint as per the treatment protocol) was introduce,
along with the other traditional splints for early rehabilitation of fingers .In Zones V & VI while
immobilizing the fingers and wrist ,dynamic splint along with the dorsal forearm support ,wrist in 30◦ of
extension, single outriggers for four fingers and volar pad on the palm as an insert which will keep fingers
in extension and when fingers early controlled motion is allowed then dynamic splint ,along with the
template splint as a volar pad on the palm, which will keep MCP joint in 10°‐15° of flexion as per the
protocol. In Zones VII & VIII static volar half cock up were used for management of hand after tendon
repaired. All the splints were discontinued after 6 weeks and active ROM, tendon gliding, graded
strengthening exercises were advised. ADL assessment scale, composite flexion of hand, pinch and grip
strength, hand function test.

Souvenir_6th SHTI Conference 2017

Souvenir_6th SHTI Conference 2017

Empfohlen

Empfohlen

Weitere ähnliche Inhalte

Ähnlich wie Souvenir_6th SHTI Conference 2017

Ähnlich wie Souvenir_6th SHTI Conference 2017 (20)

Mehr von Society for Hand Therapy, India

Mehr von Society for Hand Therapy, India (8)

Kürzlich hochgeladen

Kürzlich hochgeladen (20)

Souvenir_6th SHTI Conference 2017