HandTutor Adaptable to Children’s Physical and Occupational Therapy Needs

child's play

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The Journal of Pediatric Orthopaedics: October/November 2011 – Volume 31 – Issue 7  features the results of a study conducted by Samuel Kunkel MS, Emily Eismann MS and Roger Cornwall MD from Cincinnati Children’s Hospital Medical Center. The group  hypothesizes that the Pediatric Outcomes Data Collection Instrument (PODCI) may be reliable, responsive, and discriminatory outcome measure in assessing the impact of acute pediatric hand and wrist injuries, that require hand therapy and occupational therapy and relate to function and quality of life.
The study looked at patients attending the pediatric hand therapy following acute hand and wrist injuries over a three month period. The PODCI questionnaire was completed at the first therapy session and then after follow up hand therapy sessions.

The results looked at 125 patients with acute hand and wrist injuries completed PODCI questionnaires at initial presentation and the  22 questionnaires that were collected at completion after 3 weeks. The PODCI scale showed internal reliability and responsiveness to functional hand and wrist ability in this sample.

The group concluded that patient reported outcomes can be used for assessment in children and adolescents with acute hand and wrist injuries.  Therefore the the PODCI has the potential to be an effective clinical and research tool for assessing and improving patient outcomes.

The HandTutor and its sister devices ( ArmTutor, Leg Tutor and 3d Tutor) have been developed to teach children how to reuse their joints after hand and wrist injuries such as trauma or after hand surgery e.g. tendon transfer. In addition stroke, brain and spinal cord injuries, CP, MS, Complex Regional Pain Syndrome and a host of other serious debilitating diseases that affect hand and wrist and arm movement ability can be treated with the HandTutor and the ArmTutor. The unique and successful devices use a dedicated software that utilizes games to enhance and improve the patients functional movement ability by motivating the patient to do intensive movement practice which is the key element in an occupational and physical therapists treatment of movement impairments. The games, such as, Car Race, Snowball, Catch The Ball, Sky Defender and others captivate and motivate the child to excel and thereby to improve their range of motion and general use of the hand or wrist. The ”Tutors” also use tele rehabilitation for those patients that are home bound or who have recovered sufficiently to get their treatment at home. Leading U.S. and foreign hospitals and outpatient clinics now use the devices which can treat adults as well.

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