Hand Injuries

Hand injury – any injury to the hand that affects any of the structures such as the skin, tendons, nerves, blood vessels, bones and joints. Hand injuries may be caused as a result of trauma (e.g. a fall or cut), overuse or repetitive movements such as carpal tunnel syndrome and age-related changes to the structures of the hand such as rheumatoid arthritis. The effects of which can be temporary or permanent.


  • Weakness in the hand
  • Impaired sensation in the hand
  • Impaired hand function
  • Pain
  • Impaired range of movement of the joints in the hand
  • Deformities
  • Joint stiffness
  • Difficulty performing activities of daily living that require hand function (e.g. opening taps, closing buttons). Inability to care for themselves


  • At Q Enrichment Center, our Occupational Therapist will conduct an extensive, comprehensive assessment to determine the type of difficulty, the severity, as well as the impact on Activities of Daily Living (“ADL”). A detailed report will be completed, along with a treatment plan specific to each individual’s needs.
  • Intervention can focus on:
    • finding alternative methods / compensatory strategies to perform activities of daily living (e.g. bathing, dressing, using the toilet)
    • addressing deficits such as weakness, sensory loss, and pain that limit engagement in ADLs and Instrumental ADLs (“IADLS”) (IADLS: carrying groceries, cooking a meal, managing money, parenting)
    • recommending special equipment or assistive devices / technology for use at home, school or work
    • teaching the client and caregiver how to properly use adaptive equipment, like orthotics and / or braces
    • recommending exercises to maintain range of motion, strength, fine motor skills and coordination
    • teaching the client and/or caregiver on exercises and home programmes for carryover in the home.
    • educating the client on energy effectiveness strategies and joint protection principles to promote well being
    • environmental modifications (home and job-site)
    • home modifications may include adapting taps, keys etc. to promote independence and reduce strain on the joints
    • positioning to maintain range of motion, prevent contractures and minimize pain (e.g. splinting)
    • scar management to prevent contractures, deformities and pain


“What a fantastic team at Q Enrichment Center. I 100% recommend them for any family. They conduct themselves in the most professional attitude all around, they are welcoming and my son enjoyed the service thoroughly. Thanks again.”
– Jean (Mother of child client)

“Q Enrichment Center has “A brilliant speech therapist she single handily helped me overcome the difficulties of dysphagia. Her work truly is a vocation, her desire for me to make a full recovery was just as strong if not stronger than my own. By far the best therapist I was fortunate enough to deal with.”
– Chris (Male adult client)

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