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Hand and Upper Extremity Therapy

Hand Therapy JenniferThe Hand and Upper Extremity Therapy program of the Rehabilitation Institute of Ohio (RIO) is a specialized therapy program designed to help patients return to their previous work and life roles, and/or to promote maximum independence within a given limitation.

The program provides therapy to restore function for individuals with:

  • Traumatic injures
  • Cumulative trauma/repetitive stress injuries (such as carpal tunnel syndrome, burns, arthritic conditions)
  • Other medical and post surgical conditions affecting the upper extremity

Based at Miami Valley Hospital and The Sports Medicine Center – Centerville Satellite, this comprehensive program included rehabilitation services for inpatients and outpatients with impairments ranging from a stiff finger or fracture to dislocation, crushing injuries, tendonitis, lacerations, tendon and nerve injuries.

With a referral from the physician, a certified therapist develops the patient’s individualized treatment plan based on capabilities, goals and overall health status. Treatment goals are established and reassessed with the patient and family.

Based on your individual needs and goals, your therapy may include:

  • Static and dynamic splint fabrication to protect fractures, increase motion, preserve function, stretch contracted tissue and reduce edema
  • Initiation of early, therapeutically-designed motion programs to prevent joint contractures, scar adhesion and long-term disability
  • Specific techniques to promote upper extremity wound healing, soft tissue mobility and decrease scar tissue formation.
  • Therapeutic activities to facilitate return to work and independence with daily living skills, along with home programs to maximize patient and condition rehabilitation goals

Conditions Treated

Hand TherapyThe Hand Therapy program specialized in the rehabilitation for both surgical and non-surgical hand injuries. We treat a variety of hand conditions including:

  • Carpal Tunnel syndrome 
  • Sprains/strains
  • Amputations
  • Tendon lacerations
  • Crush injuries
  • Cumulative trauma – injury from repeated overuse or trauma
  • Epicondylitis 
  • Fractures
  • Burns
  • Trigger finger
  • Ganglion cysts
  • De Quervain’s disease – inflammation of a tendon of the thumb
  • Dupuytren’s contracture 
  • Joint replacements
  • Neuropathies 


We offer a continuum of care guided by specialists in hand therapy. Our team of experienced occupational and board-certified hand therapists provide treatment that includes:

  • Wound care
  • Edema control
  • Custom splinting
  • Exercise for motion dexterity and strength
  • Joint protection techniques
  • Work simulation
  • Scar management/manual therapy

Treatments include:

  • BTE – computer-based activity simulator that recreates "real world" job tasks in a clinical setting
  • Continuous passive motion – a treatment to improve range of motion and function
  • Ultrasound – medical imaging technique used to visualize muscles, tendons, or internal organs
  • Fluidotherapy – a high intensity heat treatment
  • Electric stimulation – electrical currents that activate nerves
  • Cold laser – low-intensity or low levels of laser light

To receive outpatient hand therapy services, a prescription is needed from your physician, which includes your diagnosis and states that an occupational therapy evaluation is needed.

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