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on
1
Intro
2
Objectives
3
General Guidelines for Stretching Exercises (range of motion) •Heat and massage can be done before exercises to warm up tissues
4
Modalities to Help Manage Pain and Increase Joint Motion
5
Heat/Hot Packs
6
Paraffin Wax
7
Range of Motion Exercises for Flexion
8
Range of Motion Exercises for PIP Joints
9
Ideas for More Severe Finger Contractures
10
Exercises to help spread fingers (stretch web spaces between fingers)
11
Exercises for the Thumb
12
Exercises for the Wrists
13
Thumb abduction
14
Exercises for other upper extremity joints
15
Face and Temporomandibular Joint Exercises
16
Massage or Heat
17
Mouth and Face Exercises
18
Mouth Stretching Exercises (Naylor et al., 1984)
19
Mouth Opening Exercisers and Splints
20
How to monitor mouth opening (why is this important?)
21
Assistive/Adapted Devices
22
Dressing devices
23
Key holders
24
Jar and Can Openers
25
ORAL HYGIENE
26
Dexterity Exercises
27
PROTECTION: Management of Raynaud's Phenomenon
28
More Ideas for Raynaud's
29
Possible "Warm" Car Solutions
30
Protection of Ulcers During ADLs
31
Other Ideas to Protect Finger Ulcers
32
Protection of the Hand/Ulcers during keyboarding
33
Avoid Static Positioning Causing Potential Compression
34
Conclusions
Description:
Learn about effective hand and face care techniques for individuals with scleroderma in this 56-minute conference talk from the 2024 National Scleroderma Conference. Explore various modalities and exercises designed to enhance movement and functionality in the hands, face, and mouth. Discover practical suggestions for using assistive devices and alternative techniques to accomplish daily tasks, increase independence, protect hands, and adapt to limited finger movement. Gain valuable insights into stretching exercises, pain management strategies, range of motion exercises, and specific techniques for addressing finger contractures, thumb mobility, and wrist flexibility. Delve into face and temporomandibular joint exercises, mouth stretching techniques, and the importance of oral hygiene. Explore dexterity exercises, management of Raynaud's phenomenon, and methods for protecting ulcers during activities of daily living. Acquire knowledge on adapting to challenges related to dressing, opening jars, and using keyboards while maintaining hand health and functionality. Read more

Taking Care of Your Hands and Face: Stretches and Assistive Devices for Scleroderma - Dr. Janet Poole

National Scleroderma Foundation
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