JUNE 2021 HAND THERAPY TRIO REHAB tips and Tricks Reach Right blog page Common mistake: Reaching with your arm fully stretched. At Trio Rehab, our focus is to educate our patients about the three disciplines Typical tasks: Dusting; washing dishes; of therapy; Physical, Occupational, reaching overhead shelves; cleaning & Speech Therapy. We provide windows or walls; picking up objects. detailed insight into how therapy is Jennica Colvin, Stephanie Hernley, PT , OT, CHT beneficial to certain conditions as OT/Owner Specializes in Parkinson’s Specializes in Shoulder, Safe solutions: well as information on symptoms and Specializes in Stroke Disease, Stroke Rehab Elbow, Wrist and Rehab and Dementia and Pain Management Hand Disorders • Keep arms close to your body to treatments for different conditions. We 18 years of experience! 18 years of experience! 30 years of experience! minimize strain on shoulders. believe that knowledge is power and knowing what is available to you is vital • Bring objects to waist level instead of in getting the proper care.: https://www. reaching out with arms. triorehab.com/trio-blog/ • Utilize wands and poles with extended handles.

Karen Ross, SLP-CCC Suzanne McCrum, PT Eileen Vogt, PT • Avoid excessive back and arm extension Specializes in Parkinson’s Specializes in Parkinson’s Specializes in Sports by using a sturdy stepstool when Disease, Aphasia and Disease, Stroke Rehab, Medicine and Knee Dysphagia Cardiac Rehab and Rehabilitation reaching for overhead items. 25+ years of experience! Vestibular Rehab 20+ years of experience 25+ years of experience!

COMMUNITY

Debi Cuellar, PT Shawna Witzel, Lisa Cronen, spotlight Specializes in Shoulder, Hip, Practice Administrator Marketer/Community Knee, and Foot Disorders Outreach 25+ years of experience One-Skillet Mediterranean Chicken Recipe with Tomatoes At Trio Rehabilitation, our therapists specialize and Green Olives in fall prevention, fall recovery, and increasing Easy Mediterranean Chicken Recipe patient confidence! We work with all patients that requires little prep, one skillet, and individually for approximately one hour to Primarily Primates is a non-profit 15 minutes to cook! Plus, it’s loaded sanctuary in Bexar County, Texas with favorite Mediterranean flavors. assure they receive the best care possible. that provides lifetime care for 300 + animals, mostly primates, including 33 Ingredients Referrals are always welcome at Trio. chimpanzees. Primarily Primates is in need • 4 boneless, skinless chicken breasts of We are a locally owned, female run clinic here of financial donations as well as nuts and equal size • 2 tbsp minced garlic or garlic paste to serve your clients! All three disciplines of dried fruit. To donate and to learn more, visit: primarilyprimates.org. • Salt and pepper therapy located under one roof. • 1 tbsp dried oregano, divided • Private Reserve extra virgin olive oil • ½ cup dry white wine • 1 large lemon, juice of • ½ cup chicken broth • 1 cup finely chopped red onion PHYSICAL THERAPY • 1 ½ cup small-diced tomatoes Arthritis Care // Cardiac Rehab // Difficulty Walking // Fall Prevention Fine Motor // General • ¼ cup sliced green olives • Handful of fresh parsley, stems removed, Orthopedic Conditions // LSVT BIG/Parkinson’s Intervention // Neurological Rehabilitation chopped // Pain Management // Pre- and Post-op Therapy // Stroke Therapy // Total Joint Program // • Crumbled feta cheese, optional Vestibular (dizzy)/ Balance Rehabilitation // Wheelchair Seating and Positioning Instructions: Pat the chicken breasts dry. On each side of the chicken breasts make OCCUPATIONAL THERAPY three slits through. Spread the garlic on Arthritis Care // Cognition/Dementia Support // Daily Living Skills Intervention // Equipment both sides; insert some garlic into the slits Assessment & Recommendations // Fine Motor Coordination Remediation // Hand Therapy you made. Season the chicken breasts on both sides with salt, pepper and ½ of the (CHT) // Low Vision // Stroke Therapy dried oregano. In a large cast iron skillet, heat 2 tbsp of olive oil on -high. SPEECH THERAPY Brown the chicken on both sides. Add the Auditory Rehabilitation // Cognition & Language Support // Difficulty Swallowing (Dysphagia) KATHY BAKER white wine and let reduce by ½ then add // Dysarthria Therapy // LVST LOUD/Parkinson’s // Vital Stim® Therapy // Voice & Speech Occupational Therapist the lemon juice and chicken broth. Sprinkle the remaining oregano on top. Reduce the Disorder Treatment Certified Hand Therapist heat to medium. Cover with a lid or tightly with foil. Cook for 10-15 mins turning the chicken over once (chicken’s internal temperature should reach 165 degrees F.) Uncover and top with the chopped onions, tomatoes and olives. Cover again and cook 18 Scenic Loop Rd. Suite 200-A EDUCATE | PROMOTE INDEPENDENCE | IMPROVE FUNCTION for only 3 minutes. Finally add the parsley Boerne, TX 78006 and feta cheese. Serve with a light pasta, 830.755.6091 | eFax: 1 (855) 923-0869 rice or couscous. Enjoy! [email protected] | TrioRehab.com

TrioNewsltter_June2021_11x17FoldsTo8pt5X11.indd 1 6/14/21 10:08 PM HOW TO KEEP HANDHELD An Interview with ELECTRONICS FROM CAUSING WelcomeTO THE TRIO TEAM KATHY BAKER PATIENT SPOTLIGHT HAND AILMENTS Anne and John Newman MARCH 17, 2021 Q: What made you want to be an Q: What can a CHT treat? Why do you Occupational Therapist (OT) and then think it’s important to see a CHT? Recent research has shown that heavy use of handheld Q: Would you please explain the nature of your disorder pursue your Certified Hand Therapy electronic devices such as cell phones, iPads, and video CHT’s can treat repetitive use and associated symptoms/difficulties for which you (CHT) license? sought therapy? injuries, orthopedic injuries, game controllers directly contributes to the onset of I severely injured my left arm in high fractures, tendon lacerations or Both of my hands have MRSA that is expected to carpal tunnel syndrome, tendonitis and other ailments. school requiring multiple surgeries. In ligament ruptures. I can treat pretty remain for rest of my life despite continuous treatment Many handheld electronics users spend hours on these order to regain functional use of my much anything that causes an with antibiotics. As a result, right index finger has partial amputation and right ring finger has complete small electronics every day; sending text messages, arm, I participated in Hand Therapy individual to lose function in an upper amputation. On my left hand I am unable to bend responding to e-mails, and spooling through music as part of my rehabilitation. That extremity. Index and middle fingers fingers at all. Unfortunately, exposure led me to pursue being I am left-handed resulting in limited dexterity and lists; causing “BlackBerry Thumb,” a term coined to a therapist as well as wanting to As a CHT I am able to treat anything difficulty performing detailed tasks. In addition, Grip reference the popularity of these activities. Because from the neck down to the fingers advance my own career to become a strength was greatly reduced in both hands. Purpose electronic devices are continuously being enhanced CHT. including the nails! As a CHT, I have for treatment: Restore strength and dexterity in both advanced continuing education with DAVID ROSE hands. Seek tools to improve functionality in both with more features and capabilities, encouraging I have always believed having a clinical experience along with the Occupational Therapist Doctorate hands, such as buttoning, opening a pill bottles, be able heavier and more extended use, hand ailments will personal experience with an injury integration of knowledge in anatomy, to write, etc. increase unless we, as a population, learn to take impacts your life and your ability to physiology and kinesiology that David Rose earned his Doctoral relate to patients who have a hand allows me to be highly proficient degree in Occupational Therapy Q: What type of therapy did you receive? preventive measures. injury. in treatment of pathological upper in May 2020; smack dab in the Hand Therapy extremity conditions resulting middle of a pandemic. He earned his Q: What is the difference between a Q: Who recommended you to Trio? from trauma, disease, congenital degree from Creighton University. Physical/Occupational Therapist and or acquired deformity. Essentially, I GUIDELINES FOR HEALTHIER USE His emphasis during school was Personal friends. a Certified Hand Therapist (CHT)? feel like the “bridge” in continuity of the upper extremity and hand OF HANDHELD ELECTRONICS: medical care for the physician and the Q: What were your goals? According to the American Society rehabilitation. patient to achieve optimal outcomes. Restore strength, dexterity, and basic functionality. • If you have pain during the activity, stop. Pain is one of of Hand Therapists (ASHT), "A hand the ways your body is letting you know that you are therapist is an occupational therapist Q: What is your favorite diagnosis? David is a former, two-time national Q: What interventions did you find the most interesting or physical therapist who, through champion in the sport of cycling. In and/or helpful? overextending a particular muscle group. advanced study and experience, I really can’t say I have a favorite addition, he was a resident athlete Strength exercises with putty and grip tools. These • Use a neutral grip when holding the device. A neutral grip is specializes in treating individuals diagnosis but what truly intrigues me at the Colorado Springs Olympic exercises made my fingers and hands hurt for days, when the wrist is straight, not bent in either direction (not with conditions affecting the hands are those cases that are challenging Training Center and competed in making me realize how little I had been using them and strong or weak); allowing more available wrist motion. and upper extremity. and force me to think outside the box. National and World Cups events. the extent of functionality that I had lost. Exercises David is excited to transfer his sport to spread fingers and put them together again and all • Take a break every few minutes or switch to another activity. A qualified hand therapist can Q: If you could do it all over again, would kinds of helpful exercises to improve dexterity as well evaluate and treat any problem you? clinic skills to the public! as tools to help with writing were also needed. Overuse of repetitive motions, such as pressing buttons, related to the upper extremity. The can cause tendonitis of the elbow or lead to Carpal Tunnel hand therapist can effectively treat I am not one to second guess and play David will be working alongside Q: What improvements did you notice and how did that Syndrome (tendon or nerve irritation). and rehabilitate the patient through the “what if? “game. I truly believe the Jennica Colvin, OT and Kathy Baker, make a positive impact on your life? Were your goals met? post-operative rehabilitation, path I took was meant for me. Who OT, CHT to gather the 4,000 hours • Use props to support the device. When possible, rest arms preventative, non-operative or am I to guess what God has planned and 3 years of experience required Increased grip strength and partial restoration of on pillows or use a desk or tabletop to support the device. conservative treatment or industry for me? to sit for the CHT exam in 2023. functionality. My goale were met, but I still have work This will allow you to keep your head and arms in more to do to continue to improve. Now I have the tools to consultation. The therapist works David started working at Trio in natural positions; decreasing neck and arm strain. closely with the physician and patient 6.What is your favorite phrase, quote, be able to improve. Additionally, I have “work-arounds” March of this year and got engaged to better manage and perform my activities of daily to provide a continuum of care. This thought about your job? • Sit in an appropriate chair. This is a chair that allows you to to the love of his life, Evon in April! living. often starts within days of the injury put your feet comfortably on the floor and provides good “I can only guide my patients to or surgery right through the patient’s improve. With their determination We are excited to have David on Q: Please provide any additional details or information you back support. return to work and/or a productive and perseverance while working with our team! Welcome, David! wish to relay to the public! lifestyle." • Switch hands frequently and vary the use of fingers/digit. my guidance, we can never fail." TRIO did wonderful work that helped me tremendously. I highly recommend TRIO. Initially, This will allow the one hand or other fingers to rest and *The mission of the ASHT is to to build and support the community for professionals I was hesitant to come, but I soon learned that the reduce fatigue. dedicated to the excellence of hand and upper extremity therapy. treatments really did help me, and I really did need that help. TRIO immediately knew right away how to •  Frequently look away from the screen. Focus on a distant help me. TRIO took care of all administrative issues object to help reduce eye fatigue. “Very professional service. Kathy Baker was always prepared for each Helping our clients become seamlessly, relieving me of that burden. The clinic was session. This gave me a lot of confidence in trusting the pace she set clean, bright, and arranged in a useful and functional the best version of themselves pattern. The staff was very supportive and pleasant, concerning my rehabilitation.” through trustworthy and although I don’t know what any of them truly looked ~WILLIAM SIMPSON like with all of the mask requirements. evidence-based rehabilitation. Go to https://www.triorehab.com/hand-therapy-handheld- electronics/ to learn about Exercises for preventing injuries due to overuse of handheld electronics

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