title: Rehabilitation of a patient following hand replantation after near-complete distal forearm amputation.
abstract: METHODS
  Case report.
  
  
  BACKGROUND
  Reports of comprehensive rehabilitation following hand replantation are limited.
  
  
  OBJECTIVE
  To describe hand therapy of a patient following hand replantation.
  
  
  METHODS
  Right hand dominant 55 year-old male assessed 9 days following left hand replantation to treat distal forearm amputation. Patient presented with dorsal blocking orthotic. Initial status: AROM digits and thumb 0-20° extension, 0-40° flexion; absent light touch sensation; 0-1/5 hand strength. Patient underwent 70 hand therapy sessions over 13 months focusing on A/PROM, therapeutic exercise, neuromuscular re-education, and modalities to address functional limitations.
  
  
  RESULTS
  Hand therapy discharge status: AROM digits and thumb form composite fist, thumb opposition to digit 3, light touch sensation (monofilament) 4.03 (digits 2, 4) and 4.17 (digits 1, 3, 5); 3- to 4-/5 hand strength.
  
  
  CONCLUSIONS
  Hand therapy allowed for near complete functional return of the hand following replantation.
  
  
  CONCLUSIONS
  Comprehensive Hand therapy aided restoration of adequate sensation and strength for functional use of the replanted hand.
  
  
  METHODS
  4.
authors.affiliation: St. Mary's Medical Center, Huntington, WV, USA.
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Sturm
authors.affiliation: Huntington Physical Therapy Rehabilitation Specialists, Huntington, WV, USA.
authors.forename: Sally B
authors.initials: SB
authors.lastname: Oxley
authors.affiliation: Physical Therapy Program, The University of Findlay, 1000 N. Main St., Findlay, OH 45840. USA. Electronic address: vanzant@findlay.edu.
authors.forename: R Scott
authors.initials: RS
authors.lastname: Van Zant
mesh_terms: D000673:Amputation, Traumatic / Q000534:rehabilitation* / Q000601:surgery*; D017050:Episode of Care; D005543:Forearm Injuries / Q000534:rehabilitation* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D020127:Recovery of Function; D012092:Replantation / Q000534:rehabilitation*; D016896:Treatment Outcome