SHT, India 4th Annual Conference Souvenir.

4th Annual National Conference of Society for Hand Therapy (SHT), India
12th (Saturday) & 13th (Sunday) December, 2015
Venue: Pathology Lecture Hall, B. J. Government Medical College & Sassoon
General Hospital, Pune-411001, Maharashtra, India.
Theme: “Helping Hands”

Souvenir compiled, prepared & edited by Punita V. Solanki
With support from all the office bearers of SHT, India and editorial assistance by Charmie A. Dave
December, 2015, Mumbai, Maharashtra, India

4th Annual National Conference of Society for Hand Therapy, India
Venue: Pathology Lecture Hall, B. J. Government Medical College & Sassoon General Hospital, Pune-411001, Maharashtra,
India. Telephone Number: 020-26128000 Extension: 2345
Table of Contents
S. No. Topics Page No.
1 Message from President of Indian Society for Surgery of the Hand 4
2 Message from Member of Legislative Assembly, Pune 5
3 Message from the Dean of B. J. Government Medical College & Sassoon
General Hospital, Pune
6
4 Message from President of Society for Hand Therapy, India 7
5 Message from Vice-President of Society for Hand Therapy, India 8
6 Message from Secretary of Society for Hand Therapy, India 9
7 Message from Organizing Secretary of the 4th Annual National Conference
of Society for Hand Therapy, India
10
8 Message from Scientific Committee Chairperson of the 4th Annual
National Conference of Society for Hand Therapy, India
11
9 Message from President of International Federation of Societies for Hand
Therapy
12
10 About Society for Hand Therapy, India 13-15
11 Office Bearers of Society for Hand Therapy, India (Current & Past) and
Conference Organizing Committee
16-19
12 Conference Brochure and Scientific Programme 20-29
13 Abstracts of Oral Papers, Poster Papers, and Mini Movies. Essay Writing 30-52
14 Expert Opinion One Liners 53-57
15 Membership Details of Society for Hand Therapy, India and Memories of
Past Conferences
58-64
16 Press Release and Trade Exhibitions 65-74

Message from President of Indian Society for Surgery of the Hand (ISSH)
From the desk of the President, ISSH
Dear Friends,
It gives me immense pleasure to write a message for the 4th Annual National Conference of the
Society for Hand Therapy, being held in the beautiful city of Pune. As the President of ISSH, I can fully
understand the importance of hand therapy and the aptly coined conference theme “Helping Hands”
reflects the importance of hand therapy succinctly.
I have gone through the scientific program and could see its rich qualitative academic content. I am
also able to envisage its great potential to discuss and learn the art and science of hand therapy. It is
important to develop an attitude towards research and evidence building in every scientific sphere
and this conference would be a major step towards this goal in the field of hand therapy.
I wish the Conference a great success.
I am sure the Conference be a grand scientific extravaganza.
Dr Prakash Kotwal, MS (Orth)
Professor & Head, Department of Orthopaedics,
All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi - 110 029, India
President, Indian Society for Surgery of the Hand
Ex. AO Trustee, India
Hospital - 011-26593341/26594519
Mobile - +91 9868129599 ⎈ Email id: prakash.kotwal@gmail.com

Message from Member of Legislative Assembly, Pune
To whomsoever it may concern
I would like to welcome all the delegates from all over the country who have come together to Pune to
attend the national hand therapy conference held at Sassoon Hospital.
My best wishes to all of you for seeking this path towards gaining and spreading knowledge.
Congratulations
Shri. Girish Bapat, M.L.A
Kasba Peth, Pune, Maharashtra, India
Primary Party: Bhartiya Janata Party (BJP)
Cabinet Minister of Food, Civil Supplies and Consumer Protection, Food and Drugs Administration,
and Parliamentary Affairs, Government of Maharashtra
Member of the Maharashtra Legislative Assembly, Kasba Peth, Pune
(Since 1995, for 5 Consecutive Terms)
Address: Flat. No. 105, Amay Apartment, 212 Shaniwar Peth, Pune - 411030, Maharashtra, India

Message from the Dean of B. J. Government Medical College & Sassoon General
Hospital, Pune
Hand injuries are gradually on the rise because of increasing number of road traffic accidents and
trauma. It is now established fact that hand therapy is an integral part of rehabilitation of these
patients and it helps to regain the lost function.
Organizing events for Hand therapy is a great initiative and will help in promoting this specialty of
hand therapy for the benefit of the patients.
I wish the organizing committee all the very best in this endeavour.
Dr. Ajay S. Chandanwale, MS (Ortho)
Dean, B. J. Government Medical College & Sassoon General Hospital,
Pune, Maharashtra, India
Website: http://www.bjmcpune.org

Message from President of Society for Hand Therapy, India
Pune is known for education and training, which attract migrants, students, and professionals from
India, South East Asia, the Middle East, and Africa. It has been the seat of knowledge for many years.
I cordially welcome all delegates and experts, to this academic extravaganza in the field of Hand
Therapy, hosted at B. J. Government Medical College & Sassoon General Hospital, Pune, Maharashtra
on 12th and 13th December, 2015.
The field of medicine has seen specialization and super specializations for almost 2 decades now.
There is a growing need and increasing demand for specialization in the field of occupational and
physical therapy. Hand therapy is one such area of practice. The Society of Hand Therapy was founded
in 2007 and strives to further the profession by conducting educative courses, workshops and
conference. Since, 2012 the society has also started conducting the Hand Therapy certification test, to
give credibility to practicing therapists and instill confidence of quality in patients and referring
clinicians.
I am sure the therapists attending this conference will gain from the scientific sessions, discussions
and pave their own paths towards a successful hand therapy profession.
I thank all, the organizing secretary and the scientific committee, for their continued efforts toward
making this conference a success.
Dr. Amol Sangekar, OTR/L (USA)
Director, Shoulder and Knee at Rehabcare, Mumbai, India
Fellowship in Shoulder Rehabilitation
President, Society for Hand Therapy, India

Message from Vice-President of Society for Hand Therapy, India
It is my pleasure to pen down my thoughts on the occasion of 4thAnnual National Conference of
Society for Hand Therapy, India to be held on 12th& 13th December, 2015 at B. J. Government Medical
College & Sassoon General Hospital, Pune, Maharashtra, India.
I have been personally involved with this organization since its early days, it is still young and
budding, and many a miles to go.
The 4th academic meet at Sassoon Hospital, an iconic centre in the state of Maharashtra, would prove
to be a significant moment in the annals of SHT-I.
India often called as the global powerhouse of young skilled workforce, also has a flip side to this
success story. There is a proportionately growing population with dysfunctional hand due increasingly
demanding socio-economic fabric. Therefore there is a rising need for hand therapists who are skilled,
enthusiastic, knowledgeable, committed and sensitive. It is India’s need of the hour to maintain this
sustained growth in terms of its robust workforce, and to make that happen it is critical that people
with functional limitations become integral part of this workforce with reasonable competency. The
hand therapists will have to face challenges of constraints, rise up to the occasion and shoulder this
enormous social responsibility.
With the theme “Helping Hands”, the 4th academic meet will definitely go a long way to energize young
minds to walk the talk in the field of hand rehabilitation.
Dr. Shovan Saha, MOT, PhD
Associate Professor (Department of Occupational Therapy)
SOAHS, Manipal University, Manipal, Udupi-576104, Karnataka
Vice President, Society for Hand Therapy, India

Message from Secretary of Society for Hand Therapy, India
We are greatly honored to invite all the delegates for the 4th Annual National Conference of Society
for Hand Therapy, India to be held on 12th& 13th December, 2015 at B. J. Government Medical
College & Sassoon General Hospital, Pune, Maharashtra, India.
I personally witness, the growth of Society of Hand therapy, India as one of the eminent society and
life member of International federation of societies for hand therapy (IFSHT) since it is started in
2009.
Hand is the primary sensory organ that permits to see around us even in darkness. Human hand
represents 40 percent of the somato-sensory cortex. Trauma, orthopedic and neurological condition
could compromise the Hand & upper limb function. Hand injuries comprise around 6.65 % to 28% of
all injuries and 28 % of all musculoskeletal injuries in the world. An individual with hand injuries may
face challenges in the biological, mental, and socioeconomic dominion of a person. To address this
emerging demand of rehabilitation need for hands and upper limb related disability, the hand
therapists have a huge role to rehabilitation and restore them as functional wellbeing into the
community. In addition, Human hands have been considered as a symbol of “power” and “strength” in
ancient literatures that associated with one’s life, riches and honor. Hand is also considered as a
symbol of “action” and a tool to bless others. Therefore, we, the hand therapist aimed to restore hand
functions of individual’s with hand-related disability with their “blessing hands."
The 4th Annual National conference with a theme of “Helping Hands’ aimed to provide a common
platform for physiotherapist and occupational therapist to share their knowledge and evidence in
treating hand and upper limb related disorders.
We wish to thank all the participants, sponsors, and invited speakers and scientific advisory board
and volunteers and those who have contributed in the successful organization of great events.
With best wishes,
Dr. Suresh Mani,
Secretary, Society for Hand Therapy, India
PhD Scholar (Telerehabilitation)
School of Rehabilitation National University of Malaysia (UKM), Kuala Lumpur, Malaysia

Message from Organizing Secretary of the 4th Annual National Conference of
Society for Hand Therapy, India
Dear Guest Speakers, Chairpersons and Participants
On behalf of the organizing committee, the Physical Medicine and Rehabilitation Department
members and the staff members of our B. J. Government Medical College and Sassoon General
Hospitals, Pune, I do welcome all of you in the occasion of “Fourth Annual National Hand Therapy
Conference” on 12th December and 13th December, 2015. Thank you very much for giving me an
opportunity to organize this conference in Pune and in my esteemed institute.
The event is meant to update the theoretical knowledge and the hand therapy skills of our colleagues
working in the field of hand therapy & rehabilitation in India.
There was a time when Pune was known as a Pensioner’s Paradise - home to those who had retired
and wanted a peaceful life in a salubrious environment. Now of course Pune has grown into a vibrant
metro, a hub of education, industry, information technology, entertainment, and so on.
B. J. Medical College (BJMC), Pune is one of the premier medical institutions in Maharashtra, India. The
college, administered by the Government of Maharashtra, comprises clinical and para/pre-clinical
departments working along-side the Sassoon General Hospitals. The B. J. Medical School was started
in 1878 and was converted to full-fledged B. J. Medical College in 1946. It has consistently ranked
among the top 10 medical colleges in India for several years.
The conference program encompasses about many sessions including talks covering most of hand
rehabilitation topics.
I extend my warm welcome to all our participants, from everywhere in India, hoping the most
benefits from this grand gathering in our hospital. Much thanks are endorsed to our valuable teams,
and colleagues in our hospital and from outside who spent much time and efforts and are dedicated to
the success of this conference.
Dr. Ganesh Pande
Head of Rehabilitation Unit, B. J. Medical College and Sassoon General Hospitals, Pune, Maharashtra, India
Organizing Secretary, 4th Annual National Conference of SHT, India

Message from Scientific Committee Chairperson of the 4th Annual National
Conference of Society for Hand Therapy, India
In the capacity of a Scientific Committee Chairperson of the 4th Annual National Conference of Society
for Hand Therapy, India, I extend my heartfelt warm welcome to all the expert faculty members,
participants and delegates. We assure you a great deal of knowledge sharing and expert interactions
during this academic feast on hand therapy at Pune, Maharashtra, India.
It is an honor to work for Scientific Committee with zeal of enthusiasm, motivation, passion, curiosity
and expertise in the field of hand therapy and orthopaedic rehabilitation.
This national event will be academically beneficial to all men and women, young and old, amateurs
and professionals, therapists and other allied healthcare professionals, who are passionate about care
and cure of hand (upper quarter region of the body). The scientific committee program includes
delivery of talks by expert professionals dealing with ailments pertaining to hand and upper quarter
region of the body, research paper presentations in oral and poster format, mini movie presentations,
essay competition and display of expert opinion one-liners from experienced hand rehabilitation
professionals. The scientific programme is a compact package of all-encompassing continuing
educational event as well as sharing of research findings, during the most pleasant winter season of
the year in India. Presenters will be excited to know that there will be best paper award, best mini
movie award and best essay award as judged by experienced professionals present during the
conference.
Best Wishes and Warm Regards
On Behalf of Scientific Committee:
Punita V. Solanki, MSc (O.T.), ADCR (ACE), Mumbai
Ex-Assistant Professor and Ex-Care Member of Seth G. S. Medical College & King Edward VII Memorial Hospital,
Parel East, Mumbai, Maharashtra, India
Freelance Occupational Therapist, Mumbai, Maharashtra, India
Consultant Occupational Therapist, NM Medical, Malad West, Mumbai, Maharashtra, India
Assistant Editor, Indian Journal of Occupational Therapy
Executive Committee Member, Society for Hand Therapy (SHT), India

Message from International Federation of Societies for Hand Therapy
It is wonderful to hear that the Indian Hand Therapy is having their 4th annual conference. Annual
national hand therapy conferences are the most often used medium for national Hand Therapy
societies to support and encourage the sharing of information among therapists.
I wish you all much success with the meeting and hope that new perspectives are gained by all who
participate in the meeting. Please inform participants about IFSHT, the upcoming Congress in Buenos
Aires, next year and the newly created Cristina Alegri Award for innovation in Hand Therapy.
Best wishes for a successful conference,
Sarah Ewald
B.Sc. in Occupational Therapy, University of Oklahoma, USA
M. A. Education, University of Phoenix, USA
President, IFSHT
IFSHT Website: http://www.ifsht.org

About Society for Hand Therapy, India
Hearty Congratulations to all the stakeholders involved in the organization of the conference,
preparation of the souvenir and who will benefit from this event. It is a proud privilege to welcome
you all to Society for Hand Therapy, India. We started this journey many years back. Foundation of the
society was initiated at first meeting, for the formation of Hand Therapy Society on 14th January, 2007
at Hotel Tip Top Plaza, Thane, Mumbai, India. Though there were under-currents flowing before this,
may be from July, 2006. Like-minded people involved themselves in brainstorming discussions. We all
had mission, which is now our mission or Society for Hand Therapy’s mission “The mission of the
society is to represent the professional group of hand therapy in India and to endeavour to support
the development of knowledge and skills within this field to members, in order to facilitate the
delivery of the highest quality of care in the field of practice.” Shrikant Chinchalkar Sir guided us
during these formation years of the society. SHT, India Logo was designed by Amol Sangekar.
Later time line of events goes as follows:
First Affiliation with International Federation of Societies for Hand Therapy(IFSHT) in January,
2008
Course on Physical Agent Modalities by Payal Katyal and Arun Maiya in February, 2009
Registration of the Society for Hand Therapy, India (SHT-I) under Society Act at the Charity
Commissioner office, Mumbai in September, 2009
Website of SHT-I was launched in October, 2009
URL: http://hotc4u.tripod.com/isht/
First Newsletter for the SHT-I was published in November, 2009
Course on “Recent Advances in Management of Elbow” was conducted by Shrikant Chinchalkar in
December, 2009
Permanent Account Number for the Society was obtained in January, 2010
Nationwide Network was established in January, 2010
Website for the First National Conference of Hand Therapy was launched in February, 2010

URL: http://indianhands2010.webs.com/
Course on Physical Agent Modalities in Upper Extremity Rehabilitation was conducted by Supriya
Sakpal, Prabhakar Chavan and Bhavesh Shah in May, 2010 & February 2011. Till date we have
conducted five such workshops.
Delegate Council Meeting of International Federation at the 8th Triennial Hand Therapy
Conference at Orlando, Florida, USA was attended by Hemant Nandgaonkar in June, 2010
Scientific Paper presentation at the 8th Triennial Conference, 2010 by Hemant Nandgaonkar
General Body Meeting was conducted in July, 2010 at Lion Bapa Tarachand Hospital, Sion
Collaborated with Handicap International for the training by German Hand Therapist to be
conducted in the year 2011. Key Contributions by Tony Thomas (Gujarat), Shovan Saha (Karnataka)
Second Newsletter for the Public Awareness was released in July, 2010
New advisor Manisha Sharma, OTR, CHT, Florida, USA, ASHT EC Member was suggested
Management of the accounts by Mugdha Wagh Shaan
Donation for printing of activity report of 2010 was by Provo Centre, Mumbai, India
Membership Card for all the members was coordinated by Prabhakar Chavan and Shalaka
Nandgaonkar, Mumbai, India
Designing of the certificates, banner for the National conferences and courses by Shalaka
Nandgaonkar, Mumbai, India
Management of the conference and course venue, accommodation by Amol Sangekar, Mugdha
Wagh Shaan, and Shashikant Chandanshive
Valuable and timely advice were received from Shrikant Chinchalkar (USA), Kavita P. Mulgaonkar
and Snehal P. Desai, Mumbai, India
Appointment of the new advisor Manisha Sharma in September, 2010
Compilation and editing of Activity Report of 2010 by Hemant P. Nandgaonkar
Representation at the annual AIOTA national conference in 2010 by Amol Sangekar, Shovan Saha
for the awareness. Banner and stall were donated by Shovan Saha, Occupational Therapy Department,
MAHE, Manipal
Donation for the silent auction at 8th Triennial Hand Therapy conference, 2010 at Florida by
Shovan Saha, Snehal Desai and Hemant Nandgaonkar
Collaborated with Elsevier Publication for discount on Journal of Hand Therapy (International
Journal) for the members of Society for Hand Therapy, India. (By Hemant Nandgaonkar)
Conference in Chandigarh, September 2012 was attended by Shovan Saha and Hemant
Nandgaonkar with presentation.

9th Triennial Congress of International Federation of Societies for Hand Therapy (IFSHT) in
March, 2013 in New Delhi featured many Indian Hand Therapists across the country, with diligent
attendance and participation in scientific presentations.
2nd Annual National Conference organized at Manipal, in collaboration with Indian Society for
Surgery of Hand in November, 2011
Celebrated 5th anniversary in September, 2014 at Hotel Tip Top Plaza, Thane, Mumbai, India.
3rd Annual National Conference of SHT-I was organized in Mumbai in September, 2014
Conducted election under the supervision of Savita Savardekar in 2014 and new committee took
charge of the SHT, India in September, 2014 during 5th anniversary celebrations.
The new committee (second committee) started functioning in the capacity of office bearers after
the meeting held in December, 2014, between the outgoing and upcoming committee members, in
Mumbai, India. Their office tenure will be from September, 2014 to September, 2019.
Conducted three Hand Therapy certification examinations so far. We will continue to do more
work for the best care of our patients.
Future Goals and Mission:
Society will
Advocate for the profession of hand therapy with employers, third-party payers, consumers, and
other health-care professionals
Participate in ongoing professional development
Participate in activities and associations that advance professional practice and public welfare
Develop and implement educational programs for professionals
Participate in clinical research
Participate in professional development of students and/or other therapists
Wish you all best of luck in all the ventures of life…………not just related to Hand Therapy
Thank you
Hemant P Nandgaonkar, MSc (O.T. in Hand)
Assistant Professor (Occupational Therapy)
Seth G. S. Medical College, King Edward VII Memorial Hospital, Parel East, Mumbai, India
Ex-Officio, SHT, India

Office Bearers of Society for Hand Therapy, India; Year 2015-2019
Current Office Bearers of Society for Hand Therapy, India (2015-2019)
President: Amol Sangekar, BSc (O.T.) Mumbai, OTR/L (USA)
Contact: Mobile: +91-9821294029
Email id: asangekar73@gmail.com
Vice-President: Shovan Saha, MOT, PhD
Contact: Mobile: +91- 9880059426
Email id: shovansaha@yahoo.com
Treasurer: Mugdha Wagh Shaan, BSc (O.T.)
Contact: Mobile: +91-8655841686
Email id: mugdhawaghshaan@gmail.com
Secretary: Suresh Mani, PhD Scholar
Contact: Mobile: +60182335703 / +91-7299552260
Email id: vemsuresh@gmail.com
Joint-Secretary: Prabhakar Chavan, BSc (P.T.)
Contact: Mobile: +91-9821211279 ⎈ Email id:
chavan.prabhakar2015@gmail.com
Executive Committee Member:
Contact: Mobile: +91-9820621352 (Official Phone Calls/SMS)
Email id: therapistindia@gmail.com
Ex-Officio: Hemant P. Nandgaonkar, MSc (O.T.)
Contact: Mobile: +91-9819660953 ⎈
Email id: nandgaonkar.hemant@gmail.com

Conference Organizing Committee
4th Annual National Conference of SHT, India, 2015 at Pune
Conference Organizing Committee 4th Annual National Conference, 2015
Organizing Secretary: Ganesh Pande, OT
Contact: +91-9423009353
Email id: jayaganesh_in@yahoo.com
Scientific Committee Chairperson:
Contact: Mobile: +91-9167180215 (WhatsApp)
Email id: orthorehab.punita@gmail.com
Scientific Committee Member:
Charmie A. Dave, MSOT, OTR/L (USA)
Contact: +91-9869651798
Email id: charmiedave@gmail.com

Past Office Bearers of the Society for Hand Therapy, India (Year 2009-2014)
Advisor: Shrikant Chinchalkar, OTR, CHT
Certified Hand Therapist, London, Ontario, Canada
President: Hemant P. Nandgaonkar, MSc OT (Hand)
Assistant Professor, Occupational Therapy,
Seth G. S. Medical College, Parel, Mumbai, Maharashtra, India
Ex-Lecturer, Padmashree Dr. D. Y. Patil College of Occupational Therapy, Nerul, Navi Mumbai, India
Vice President: Shovan Saha, MOT, PhD
Principal, Department of Occupational Therapy
College of Allied Health Sciences, MAHE, Manipal
Treasurer: Mugdha Wagh Shaan, BSc (OT)
Occupational Therapist, PROVAO Rehab Center, Mumbai, Maharashtra, India
Secretary: Amol Sangekar, BSc (OT)/OTR (USA)
Director, Rehabcare, Vile Parle, Mumbai, Maharashtra, India
Joint Secretary: Prabhakar Chavan, BSc (PT)
Senior Physical Therapist, Lion Bapa Tarachand Hospital, Sion, Mumbai, Maharashtra, India
Executive Committee Members:
Kavita P. Mulgaonkar
Ex-Professor & Head, Occupational Therapy School, T. N. Medical College, Mumbai, Maharashtra, India
Stephen Brian Austin Sams
Professor & Head, Occupational Therapy School, Seth G. S. Medical College, Parel, Mumbai,
Maharashtra, India
Snehal P. Desai
Lecturer, Occupational Therapy
Occupational Therapy School, Seth G. S. Medical College, Parel, Mumbai, Maharashtra, India

NAGPUR WING
Convener: Sofia H. Azad
Associate Professor, Government Medical College, Nagpur, Maharashtra, India
PUNE WING
Convener: Tushar Palekar
Principal, Padmashree Dr. D. Y. Patil College of Physiotherapy, Pune, Maharashtra, India
PONDICHERRY WING
Convener: Mahesh Kawle
Pondicherry Government General Hospital, India
GUJRAT WING
Convener: Thomas Tony
Assistant Professor, Ahmedabad Institute for Medical Sciences, Gujarat, India
WEST BENGAL WING
Convener: Suresh Mani, MPT
Physical Therapist, Hand Therapy,
HOD, Department of Physical Therapy, The Leprosy Mission Hospital, Purulia, West Bengal, India

Conference Brochure
&
Scientific Programme

1
Theme: Helping Hands
Office Bearers of Society for Hand Therapy (SHT), India:
Dr. Amol Sangekar (President)
Dr. Shovan Saha (Vice President)
Dr. Mugdha Wagh Shaan (Treasurer)
Dr. Suresh Mani (Secretary)
Dr. Prabhakar Chavan (Joint-Secretary)
Dr. Punita V. Solanki (Executive Committee Member)
Dr. Hemant P. Nandgaonkar (Ex-Officio)
Organizing Committee:
(4th Annual National Conference)
Dr. Ganesh Pande
Organizing Secretary
Dr. Punita V. Solanki
Scientific Committee Chairperson
Dr. Charmie A. Dave
Scientific Committee Co-Member
Venue: Pathology Lecture Hall, B. J. Government Medical College &
Sassoon General Hospital, Pune-411001, Maharashtra, India
Telephone Number: 020-26128000 Extension: 2345

2
4th
Annual National Conference of Society for Hand Therapy (SHT), India
Dear Colleagues
It is our great pleasure to invite you to
participate in the fourth Annual National
Conference of the Society for Hand Therapy
(SHT), India, to be held on 12th (Saturday) &
13th (Sunday) December, 2015, in Pune,
Maharashtra, India.
This event will be one of its kind and a
unique platform for all Hand Therapists,
Physical Therapists and Occupational
Therapists. It will be a great opportunity for
experts to share their valuable knowledge
and the art and science of rehabilitation of
the upper quarter of the human body. The
scientific program will offer a platform to
witness presentations on current and future
trends as regards specialized skills in
assessment and treatment to promote the
goals of prevention of dysfunction,
restoration of function and/or reversal of the
progression of pathology, in order to
enhance participation in life roles, for
individuals with upper quarter disease or
injury. The academic meet will enable
attendees to update their knowledge,
confirm their current practices and receive
valuable take home information for their
clinical practice, academic enhancement and
future research goals.
We look forward to having you with us at the
conference.
Sincerely
From
Organizing Team of the 4th Annual National
Conference of Society for Hand Therapy,
India
Registration Details
Delegate Fees:
Members: INR 2000/-
Non Members: INR 2750/-
Students: INR 2350/-
Spot Registration: INR 4000/-
(After 1st December, 2015)
For Registration:
Mode of Payment: Cheque, Demand Draft
or Net Banking
Cheque or Demand Draft should be in
favour of "Society for Hand Therapy"
Payable at Mumbai
Funds Transfer through Net banking
(RTGS/NEFT facility)
Account Number: 013110022586
Account Type: Savings
Name of the Bank: Dena Bank
Branch: Juhu-Vile Parle Branch
IFSC CODE: BKDN0460131
Address: Sharda Bhuvan, V. M. Road,
Juhu, Vile Parle (West), Mumbai - 400056,
Maharashtra, India
Address for Sending Registration
Fees:
Dr. Ganesh Pande
Flat 13, Sitakeshar Sakal Nagar,
Baner Road, Pune-411007, Maharashtra, India
Mobile No.: +91-9423009353
Email: jayaganesh_in@yahoo.com

3
Presentations on Hand Splints
Demonstrations of Adaptive Devices
Demonstrations of Exercise Equipments
Demonstrations of Evaluation Instruments
Continuing Hand Therapy Educational
Courses/Guest Lectures (1 Hour/20 minutes)
Poster Presentations: (Size limit: 4 feet X 3 feet)
Scientific, Original Research Study & Case
Study Presentations
Scientific, Secondary Research Study
Presentations e.g. Narrative Reviews, Systematic
Reviews
Presentations on Hand Splints
Demonstrations of Adaptive Devices
Demonstrations of Exercise Equipments
Demonstrations of Evaluation Instruments
Mini Movie: on application of latest advancements
in Hand Therapy (Time limit: 6 minute’s duration)
Essay Competition: on “Practice of Hand Therapy:
Indian Vs Global Scenario” (Word limit: 1500
words)
Expert “One Liner”: from the experienced hand
therapy professionals, in their fields of expertise and
interest, to be included in the SHT, India conference
souvenir, as golden messages to the amateur hand
therapy professionals.
Please Note: your session timings, be specific to
your topic to avoid repetition, do quote evidence
wherever you can. Please be at the conference
venue, an hour before your scheduled time to load
your presentation.
Contact for Scientific Committee Queries:
Email: orthorehab.punita@gmail.com
Mobile No.: +91-9820621352
Dr. Charmie A. Dave Mobile No.: +91-9869651798
General Information for the Speakers:
Design images so that information to be
presented is centered on the image area of the
screen. Keep letters and numbers as large as
possible, so they are visible to attendees farthest
from the screen.
For average back-row viewing distances,
larger letter height is advised. Use a maximum of
5-6 words per line and a maximum of 4 lines, per
slide. For optimum effect, use 10 or fewer words
on a slide. Use strong, bold, sans serif typefaces
(such as Arial) for reading ease.
Avoid using all upper case. Provide ample
spacing between words and letters.
Word choice should be simple. Use active
voice, short sentences with appropriate syntax.
Projected images should reinforce spoken words.
You might be required to consent to agree
that your presentation material, photos and
videos might be used for SHT, India conference
souvenir to be uploaded on the SHT, India
website.
Please email your Abstracts up to 500 words
in Times New Roman font with 12 font size, 1.5
spacing in justified alignment, in MS-Word doc
format & single slide CV in ppt format to
orthorehab.punita@gmail.com to include in
the SHT, India conference souvenir (On or
Before 20th November, 2015)
Conference Presentations will include:
Oral Presentations: (10 minutes duration)
Scientific, Original Research Study & Case
Study Presentations
Scientific, Secondary Research Study
Presentations e.g. Narrative Reviews, Systematic
Reviews

REGISTRATION FORM
First Name Middle Name Surname
Name: ______________________________________________________________________________________________________________
Age/Gender: _______________________________________________________________________________________________________
Qualifications: _____________________________________________________________________________________________________
Profession/Affiliation: ____________________________________________________________________________________________
______________________________________________________________________________________________________________________
Postal Address: __________________________________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
Mobile Number: ___________________________________________________________________________________________________
Email Id: ___________________________________________________________________________________________________________
Society for Hand Therapy, India Membership Number: _______________________________________________________
Mode of Payment
Indicate: (Demand Draft/Cheque/Net Transfer). Amount Paid: ______________________________________________
Net Transaction/Demand Draft/Cheque Number: _____________________________________________________________
Bank Name: _______________________________________________________________________________________________________
Bank Branch: ______________________________________________________________________________________________________
Date of Payment: __________________________________________________________________________________________________
Official Use
Registration Serial Number: _____________________________________________________________________________________
Payment Confirmation: __________________________________________________________________________________________
Contact for Further Details
Dr. Ganesh Pande: Flat 13, Sitakeshar Sakal Nagar, Baner Road, Pune-411007, Maharashtra, India
Mobile No.: +91-9423009353 ⎈ Email: jayaganesh_in@yahoo.com
Delegate Fees
Members: INR 2000/- Non Members: INR 2750/- Students: INR 2350/-
Spot Registration: INR 4000/- (After 1st December, 2015)

Venue: Pathology Lecture Hall, B. J. Government Medical College & Sassoon General Hospital, Pune-411001, Maharashtra,
India. Telephone Number: 020-26128000 Extension: 2345
Theme: (elping (ands
Dear Partners,
We are proud to announce the 4thAnnual National Conference of Society for Hand Therapy, India on 12th (Saturday) and 13th
(Sunday) December, 2015 at Pune. We would expect all our members and non-members interested in the therapy of upper-
extremity, to attend this national event. Participants will attend to upgrade their knowledge in this field of therapy and learn
about new equipments, books and other resources and opportunities in this specialized area of practice. Our audience will
include Hand Surgeons (Orthopaedic Surgeons, Plastic Surgeons and General Surgeons) Occupational Therapists,
Physiotherapists, Orthotists, Prosthetists and other Allied Healthcare Practitioners interested in Hand Therapy, whoare
either into general practice of their respective profession or are specialists in the area of upper-extremity care and
rehabilitation.It will be a great opportunity for your business, to displaytherapeutic products, job opportunities, books and
other therapy related products.
S. No. Available Options for Business Product Advertisement INR
1. Quarter page INR 1,000.00
2. Half page INR 1,600.00
3. Full page INR 3,000.00
4. Inside front cover INR 5,500.00
5. Inside back cover INR 5,000.00
6. Back cover INR 7,000.00
7. Small Banner at the venue: 4x5 INR 7,500.00
8. Large Banner at the venue: 7x8 INR 9,500.00
9. Stall at the venue INR 10,000.00
10. Stationary sponsor (includes folder, writing pad and pen) INR 10,000.00 + stationary
11. Guest speaker’s travel (sponsor’s will get 7x8 banner space) INR15,500.00
12. Lunch sponsor (sponsor’s will get 7x8 banner space) INR 30,000.00 per day
13. Break sponsor INR 10,000.00 per day
14. Conference bag with your Logo (sponsor’s will get 7x8 banner space) INR 30,000.00
We look forward to your participation in this prestigious event at Pune.
Warm Regards
Office Bearers and Organizers of Society for Hand Therapy, India
Dr. Amol Sangekar President ⎈ Dr. Shovan Saha Vice President ⎈ Dr. Mugdha Wagh Shaan Treasurer
Dr. Suresh Mani Secretary ⎈ Dr. Prabhakar Chavan Joint-Secretary ⎈ Dr. Punita V. Solanki Executive Committee
Member ⎈ Dr. (emant P. Nandgaonkar Ex-Officio)
Contact for Further Details:
Conference Organizing Secretary: Dr. Ganesh Pande: Flat 13, Sitakeshar Sakal Nagar, Baner Road, Pune-411007,
Maharashtra, India. Mobile No.: +91-9 009 ⎈ Email: jayaganesh_in@yahoo.com

Venue: Pathology Lecture Hall, B. J. Government Medical College & Sassoon General Hospital, Pune-411001, Maharashtra, India. Telephone
Number: 020-26128000 Extension: 2345
Scientific Programme Schedule
Timings
Day 1
12th December, 2015, Saturday
Day 2
13th December, 2015, Sunday
8.00 am
-
8.30 am
Registration Registration
8.30 am
-
9.00 am
Breakfast Breakfast
9.00 am
-
9.30 am
Hand: Prehension and
Biomechanics
Dr. B. H. Baheti
Professor and HOD
(Anatomy Department)
B. J. Government Medical
College and Sassoon General
Hospitals, Pune
Email id:
bhbahetee@gmail.com
Importance of
EMG and NCV:
Implications in
Upper Limb
Rehabilitation
Dr. Nilesh Palasdeokar
Neurologist, Assistant Professor
B. J. Government Medical College
and Sassoon General Hospitals,
Pune
Email id:
nilesh.palasdeokar@gmail.com
9.30 am
-
10.00
am
Physiological Basis of
Hand Functions
Dr. A. N. Kowale
Professor and HOD
(Physiology Department)
Deputy Dean,
College And Sassoon General
Hospitals Pune
Email id:
ankowale@yahoo.co.in
Upper
Extremity
Orthopaedic
Injuries & Post
Operative
Rehabilitation
Dr. Ambarish Mathesul
Assistant Professor
(Orthopaedic Department)
And Sassoon General Hospitals
Pune
Email Id:
math.amb123@gmail.com
10.00
am -
10.30
am
Psychological
implications in
common upper limb
conditions: Role of
Psychiatrist.
Dr. Smita N. Panse
Associate Professor
(Psychiatry Department)
Hospitals, Pune
Email id:
nikhil.panse@rediffmail.com
Tendon
Transfers for
Upper
Extremity
Functional
Restoration
Dr. Nikhil Panse
Associate Professor
(Plastic Surgery Department)
and Sassoon General Hospitals,
Pune
Email id:
nikhil.panse@rediffmail.com
10.30
am -
11.00
am
Inaugural Ceremony
& Welcome Presentation
Understanding
Contracture:
Therapist’s
Perspective
Dr. Shovan Saha
Associate Professor
Occupational Therapy, School of
Allied Health Sciences, Manipal
Karnataka, India.
EC Member, ACOT, AIOTA.
Vice-President, SHT, India
Email id:
shovansaha@yahoo.com
11.00
am -
11.15
am
Tea/Coffee Break Tea/Coffee Break
11.15
am -
11.45
am
Clinical Assessment of
Wrist and Hand:
Occupational
Therapist’s Perspective
Consultant Occupational
Therapist, NM Medical,
Malad West, Mumbai, India
Assistant Editor (IJOT)
EC Member, SHT, India
Marketing
Hand Therapy
in India
Dr. Amol Sangekar
OT & Ergonomic Consultant
Mumbai, India
President of SHT, India
Email id:
asangekar@rehabcare.org

Timings
Day 1
Day 2
11.45 am -
12.15 pm
Clinical
Assessment of
Wrist and Hand:
Occupational
Therapist’s
Perspective
Consultant Occupational
Therapist, NM Medical,
Malad West, Mumbai, India
Assistant Editor (IJOT)
EC Member, SHT, India
Email id:
orthorehab.punita@gmail.com
Congenital
Anomalies of
Upper Limb
Dr. Minakshi Nalbale
Pediatric Surgeon
Associate Professor
(Surgery Department)
Hospitals, Pune
Email Id:
minakshi_dr@rediffmail.com
12.15 pm -
12.45 pm
Hand - As A Mirror
of Diseases
Dr. Anand Hatgaonkar
Associate Professor
(Radiology Department)
Hospitals, Pune
Email Id:
anandhatgaonkar@gmail.com
Helping Hands
and Hand
Therapy
Dr. Hemant Nandgaonkar
Assistant Professor
(Occupational Therapy
Department) Seth GSMC &
KEM Hospital, Mumbai, India
Ex-Officio, SHT, India
Email id:
nandgaonkar.hemant@gmail.com
12.45 pm -
1.15 pm
Swan Neck
Deformity: A
Therapist’s
Perspective
Dr. Vivek Kulkarni
Associate Professor
Sancheti College of
Physiotherapy, Pune
Email id:
vnkulkarni19@yahoo.co.in
Developmental
Progression of
Hand & Its Clinical
Application in
Treatment of
Cerebral Palsy
Dr. Rucha Thorat
MSc (OT), NDT Certified
Occupational Therapist,
Therapy for Kids Clinic, Pune
Maharashtra, India
Email id:
rucha.thorat@gmail.com
1.15 pm -
2.00 pm
Lunch Break Lunch Break
2.00 pm -
2.30 pm
Psychometric
properties of
Pneumatic Squeeze
Bulb Dynamometer
in measuring grip
strength,
endurance and
their correlation
with hand
anthropometry
Dr. Rashi Goel
Assistant Professor
Dr. D. Y. Patil College of
Physiotherapy,
Dr. D. Y. Patil Vidyapeeth,
(Oral Paper: 10.00 minutes)
Screening of
Performance
Related Upper
Limb Injuries
Experienced by
Indian Musicians
Dr. Ajay Malshikare
MPT1 (Hand)
Assistant Professor
Physiotherapy, Pimpri, Pune,
Maharashtra, India
A Correlation Study:
The Relationship
between Body Mass
Index & Upper Body
Muscular Endurance
in Physiotherapists
Dr. Amita Aggarwal
Assistant Professor
Physiotherapy,
Establishing
normative data
for upper
extremity weight
bearing capability
in adults
Pooja M. Ganacharya
MPT2 Student
Dr. D. Y. Patil College Of
Maharashtra, India
Splinting series for
a patient with
bilateral upper
extremity trauma
Dr. Atishree Kamdar
Department of Occupational
Therapy, School of Allied
Health Sciences, Manipal
University, Manipal,
Karnataka, India
Immediate Effect
of Muscle Energy
Technique on Gird
in Professional
Cricket Bowlers:
A Randomized
Controlled Trial
Antariksha A Suryawanshi
MPT2 Student
Maharashtra, India
2.30 pm -
3.00 pm
Pain Management
in Complex
Regional Pain
Syndrome
Dr. Surekha Shinde
Associate Professor
Government Medical College
and Hospital, Solapur
Email id:
sureshinde@gmail.com
Hand in Hansen's
Disease
Dr. Vasudha Belgaonkar
Associate Professor
(Dermatology Department)
College, Sassoon General
Hospitals, Pune
Email Id:
doc_vasudha@yahoo.co.in

Timings
Day 1
Day 2
3.00 pm -
3.30 pm
A Study on
Influence of Hand
Anthropometry on
Grip Strength in
Geriatric
Population
Kunal Sanjay Dhamne
MPT student in MSK and
Hand Conditions
Dr. D.Y. Patil College of
Maharashtra, India
A Comparative
Study Of
Sustained Inferior
Capsular
Stretching Versus
Passive Joint
Mobilization In
Treatment Of
Adhesive
Capsulitis
Swagata A. Patangankar
MPT2 Student
Maharashtra, India
Scapular
Dysfunction in
Guitar Players
Nidhi Atulkumar Shah
MPT student
Maharashtra, India
Comparative
study on co-
ordination ability
among right and
left handed
individuals using
Jebsen Taylor
Hand Function
Test
Anwar Gayasi
Maharashtra, India
Post Traumatic
Stiffness of Hand:
Comparative Study
of Home Exercises
Program and
Personal Manual
Exercises Program
Dr. Pawan Shirsath
Physiotherapist
Sassoon General Hospital,
Low cost adaptive
devices to
improve
functional ability
of the bilateral
upper limb
deficient patient
Dr. Nayna Hatwar Wanjari
Occupational Therapist
Head of OT Department
Sir J. J. Group of Hospitals,
Mumbai, Maharashtra, India
(Mini Movie: 6.00 minutes)
Use of robotics in
Upper Extremity
Rehabilitation:
ArmeoSpring
Dr. Charmie A. Dave
Kokilaben Dhirubhai Ambani
Hospital, Andheri West,
Mumbai, Maharashtra, India
(Mini Movie: 6.00 minutes)
3.30 pm -
4.00 pm
Tea/Coffee Break
Trade Exhibition + Poster Presentation*
Tea/Coffee Break
Trade Exhibition + Poster Presentation*
Essay Competition Winner Announcement
4.00 pm -
4.30 pm
Low Technology
Adaptive Devices
for Dysfunctional
Hand
Dr. Shovan Saha
Associate Professor
Department of Occupational
Therapy, School of Allied
Health Sciences, Manipal
Karnataka, India.
EC Member, Academic
Council of Occupational
Therapy, AIOTA.
Vice-President, SHT, India
Email id:
shovansaha@yahoo.com
GB Meeting’s Announcements
and
Valedictory Session
4.30 pm -
5.00 pm
Prosthetic Hand
Bionic Hand
Training
Mr. Nitin Bagade
CPO, Centre Manager
OTTO Bock, Pune
Maharashtra, India
Email id:
information@indiaottobock.
com

Posters*:
1
Effectiveness of Pain Release Phenomenon in
DeQuervain’s Tenosynovitis: A Case Study
(Poster Paper: 10.00 minutes)
Dr. Roopa Desai
Assistant Professor, Dr. Dr. D. Y. Patil College of
Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Pimpri,
2
The Efficacy of Sensory Integration on Complex
Hand Function like Hand Writing in Benign
Hypotonia: A Case Series.
(Poster Paper: 10.00 minutes)
Dr. Kanan Doshi
Lakshya Occupational Therapy Clinic
Ghatkopar, Mumbai, Maharashtra, India
Please Note:
1. Expert Opinion One Liners will be displayed throughout the two days of the conference and be printed in the Souvenir.
2. EC Meeting will be held on 11th December, 2015, Friday evening amongst the Office Bearers of Society for Hand Therapy,
India and the Organizing Committee of the 4th Annual National Conference of Society for Hand Therapy, India.
3. General Body Meeting will be held on 12th December, 2015, Saturday evening after 5.00 pm
We thank all the chairpersons (Dr. Vivek Kulkarni, Dr. Shovan Saha, Dr. Punita V. Solanki, Dr. Ganesh Pande, Dr. Hemant P.
Nandgaonkar, & Dr. Sayed Esa), moderators (Dr. Ganesh Pande, Dr. Yogita Chhawchhria, & Dr. Smita Ingle), and scientific
presentation’s judges/reviewers (Dr. Nikhil Panse, Dr. Snehal P. Desai, Dr. Chaya Verma, Dr. Vivek Kulkarni, Dr. Amol
Sangekar, Dr. Shovan Saha, & Dr. Kanan Doshi) for their active contribution through two days of the conference.

Abstracts
(Oral Papers, Poster Papers, Mini
Movies & Essay Submissions)

Oral Papers
O1 Title: Psychometric properties of Pneumatic Squeeze Bulb Dynamometer in measuring grip
strength, endurance and their correlation with hand anthropometry.
Authors: Dr. Rashi Goel1, Dr. Pawan Sharma2, Dr. Tushar J. Palekar3
Designation: 1Assistant Professor, 2Assistant Professor, 3Principal & Professor
Affiliation: Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra,
India
Introduction: Grip strength is often used in clinical settings as an indicator of overall physical
strength and well-being of an individual. Hand therapists often assess grip strength because it's an
easy and non-invasive test that measures the overall muscle power accurately. The Baseline
Hydraulic Hand Dynamometer is an inexpensive way to reliably measure hand and finger strength.
The Pneumatic Squeeze Bulb dynamometer has been previously tested, and it has been shown to be
a reliable instrument to evaluate muscular strength in healthy children. However, studies pertaining
to its suitability for the measurement of grip strength and endurance and their correlation with hand
anthropometrics are rare. So, the present study is an endeavor to evaluate the psychometric
properties of Pneumatic Squeeze Bulb Dynamometer in healthy adults and correlate their values
with anthropometrics of the hand.
Methodology: 70 healthy subjects fulfilling the selection criteria participated in the study. Height
and weight were measured to calculate Body Mass Index (BMI). Hand anthropometrics namely hand
shape, palm width, individual finger lengths and perimeters of the dominant hand were measured.
Grip strength and isometric grip endurance of the dominant hand were measured with the Baseline
Hydraulic Hand Dynamometer and Pneumatic Squeeze Bulb Dynamometer as prescribed by the
American Society of Hand Surgeons.
Results: Karl Pearson correlation test was used to assess the findings of the study with alpha level
set at 0.05. Pneumatic Squeeze Bulb Dynamometer showed high intra rater reliability (ICC= 0.87;
95% C.I. 0.76- 0.93) for grip strength and moderate intra rater reliability (ICC= 0.64; 95% C.I. 0.30-

0.76) for isometric grip endurance. Strong correlation was found between grip strength (r=0.732,
p=0.000) and grip endurance (r=0.881, p=0.000) for both dynamometers.
For Pneumatic Squeeze Bulb Dynamometer, grip strength showed strong positive correlation with
Body Mass Index (r=0.731, p=0.000), palm width (r=0.752, p=0.000), P3 (r=0.725, p=0.000), P4
(r=0.706, p=0.000) P5 (r=0.748, p=0.000); and moderate positive correlation with thumb length
(r=0.581, p=0.000), index finger length (r=0.572, p=0.000), middle finger length (r=0.6, p=0.000),
ring finger length (r=0.674, p=0.000), little finger length (r=0.5, p=0.000), P1 (r=0.652, p=0.000) and
P2 (r=0.494, p=0.000).
However, grip endurance showed weak positive correlation with Body Mass Index (r=0.216,
p=0.213); weak negative correlation with palm width (r=-0.352, p=0.038), index finger length (r=-
0.258p=0.134), middle finger length (r=-0.298, p=0.082), ring finger length (r=-0.312, p=0.068), little
finger length (r=-0.373, p=0.027), P1 (r=-0.323, p=0.068), P3 (r=-0.364, p=0.032), P4 (r=-0.354,
p=0.037) and P5 (r=-0.389, p=0.021) and very weak negative correlation with thumb length (r=-
0.135, p=0.439) and P2 (r=-0.170, p=0.329).
Conclusion: Pneumatic Squeeze Bulb Dynamometer proves to be a valid and reliable assessment
tool available for the hand therapists for evaluating hand grip strength and endurance. Further, the
study also illustrates positive correlation of grip strength with Body Mass Index, palm width, finger
lengths and finger parameters.
Key words: Grip endurance, reliability, validity.
Corresponding Author’s Email id: rashigoelphysio@gmail.com
O2 Title: A Correlation Study-The Relationship between Body Mass Index and Upper Body Muscular
Endurance in Physiotherapists.
Authors: Dr. Amita Aggarwal1, Dr. Tushar Palekar2
Designation: 1Assistant Professor, 2Professor and Principal.
Affiliation: Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune-18.
Abstract: The purpose of this study was to assess a correlation between Body mass index (BMI) and
upper body muscular endurance and to find an impact of obesity on pushups, an upper body
endurance measure.
Methods: A cross sectional study was conducted on 150 physiotherapists with mean age17-24 years
(19± 1.93) without any upper limb pain. BMI was assessed using height and weight measures .Upper
body muscular endurance was assessed with push up test. Relationships were explored using

Pearson s correlation coefficient test (r).ANOVA was used for comparison of pushups among various
BMI categories.
Results: No linear correlation was found between BMI and upper body muscular endurance (r =
− . 3 . Among BM) categories, statistically non-significant but clinically significant negative impact
was found of obesity on the upper body endurance measure.
Conclusion: Obesity affects the endurance component of fitness by abating overall performance
level.
Keywords: Body mass index, Endurance, Pushup test.
Corresponding Author’s Email id: amita.goyal@dpu.edu.in
O3 Title: Splinting series for a patient with bilateral upper extremity trauma.
Authors: Dr. Atishree Kamdar 1, Dr. Shovan Saha2
Designation: MOT Student, Currently Occupational Therapist in Private Practice1; Associate
Professor2
Affiliation: Department of Occupational Therapy, School of Allied Health Sciences, Manipal
University, Manipal
Introduction: Hand splints are powerful tool and play the typical role of prevention, protection and
correction. The significance of this study has been the sheer number of splints that was tailor made
for a client that paved the way for a reasonably satisfactory return of functions.
Abstract: A 28 years old female, working as an anatomist met with a railway accident leading to
bilateral upper limb multiple injuries such as fractures, muscle tear, tendon injuries, skin loss, finger
amputation in her bilateral upper extremity. Thereafter, she underwent series of surgeries and was
referred for Occupational Therapy services soon after that. Besides undergoing various
rehabilitation regimes she was administered with a series of 22 splints in a span of 7 months. These
splints were made out of low temperature thermoplastic, aluminum, soft leather and cotton tape and
were given to the client for various purposes at different phases.
Results: Splints contributed effectively in client s early return to her ADL and )ADL tasks such as
brushing, eating, combing, holding handbags, operating her cabin door, serving meals, cleaning
bathroom etc. Most importantly, it facilitated her return to work, i.e. cadaver dissection and black
board teaching to her students.
Conclusion: Series of splints given to the client had a significant role to play in her early recovery
leading to her meaningful return to work.
Keywords: serial splinting, bilateral upper limb trauma.

Corresponding Author’s Email id: dr.atishree@gmail.com
O4 Title: A Study on Influence of Hand Anthropometry on Grip Strength in Geriatric Population
Authors: Kunal Sanjay Dhamne1, Dr. Tushar J. Palekar2
Designation: MPT student in MSK and Hand Conditions1, Professor and Principal2
Affiliation: Dr. D. Y. Patil College of Physiotherapy, Pimpri, Pune
Background: Hand grip strength (HGS) is an important test to evaluate hand functions and is
physiological variable that is affected by a number of factors including age, gender, body size hand
length, hand width and posture. There is good evidence that HGS is a strong indicator of health
status, based on the incidence of disability, morbidity, and mortality in adult population. Hand
anthropometry involves various factors like finger span, finger length, perimeters of hand, hand
circumference. As the age increases grip strength tend to decrease due to various factors including
weak hand muscles.
Objectives: 1] To examine the anthropometry of the hand of study samples
2] To examine the grip strength of study samples
3] To find the co-relation between hand anthropometry and grip strength
Method: Subject fulfilling the inclusion criteria will be taken into the study after getting an informed
written consent. All the participants will be evaluated for grip strength using Jamar hand
dynamometer. Subjects having same grip strength will be kept under same group. Detailed hand
anthropometric examination will be taken for all the subjects. Hand muscle strengthening protocol
for two weeks, will be administered. After the completion of strengthening protocol, subjects will be
re-assessed for grip strength. Data will be analyzed statistically.
Results and Conclusion: Awaited. It will be presented at the conference.
Keywords: grip strength, hand anthropometry.
Corresponding Author’s Email id: kunalsd789@gmail.com
O5 Title: Scapular Dysfunction in Guitar Players
Authors: Nidhi Atulkumar Shah1, Dr. Apurv Shimpi2
Designation: MPT student1, Associate Professor2
Affiliation: Dr. D. Y. Patil College of Physiotherapy, Pimpri, Pune 1, Sancheti Institute College of
Physiotherapy, Pune 2
Background: Playing guitar can lead to asymmetric postures and can affect shoulder stability.
Objective: To assess presence of scapular dysfunction in professional guitar players.

Method: Lateral scapular slide test was performed at the spine of scapula and inferior angle in 20
professional guitar players (18-40 years) compared with 20 age matched non-players at 0°, 45° and
90°of shoulder with both limbs loaded with ½ kg weight measured with vernier caliper . Analysis
was done by unpaired t test.
Results: Scapular dysfunction in guitar players was seen in the form of asymmetric scapula at rest in
25% players and dyskinetic scapula in 20% players. 100% of non-players had normal scapula.
Comparison at the level of spine of scapula showed no significant difference (p>0.05) but, at the
inferior angle showed a significant difference at 0° (1.37cm), 45° (1.93cm) and 90° (2.15cm) which
was more in the players (p<0.05).
Conclusion: There exists dysfunction of scapular stabilizers in professional guitar players at level of
inferior angle
Keywords: guitar players, asymmetry, dyskinesia, dominant shoulder
Corresponding Author’s Email id: nidhi8_shah@rediffmail.com
O6 Title: Post Traumatic Stiffness of Hand: Comparative Study of Home Exercises Program and
Personal Manual Exercises Program
Author: Dr. Pawan Shirsath1, Dr. Ganesh Pande2
Designation: Physiotherapist1 Head of Rehabilitation Unit2
Affiliation: Department of Rehabilitation, B. J. Medical College and Sassoon General Hospitals, Pune
Corresponding Author’s Email id: pawanshirsath@yahoo.co.in
Aim: To compare the effectiveness of home exercise program versus personal manual exercises in
post traumatic hand stiffness.
Method: 20 patients with diagnosed post traumatic hand stiffness were selected from age group of
50 to 65. The comparison is done on the basis of strength and range of motion with appropriate
outcome measures.
Results: The patients from mentioned age group treated with personal manual exercises showed
significant improvement than the group treated on home exercises program.
Corresponding Author’s Email id: pawanshirsath@yahoo.co.in
O7 Title: Screening of Performance Related Upper Limb Injuries Experienced by Indian Musicians.
Authors: Dr. Ajay Malshikare1, Dr. Tushar Palekar2
Designation: MPT1 (Hand), Asst. Prof1, Professor & Principal2
Affiliation: Dr. D. Y. Patil College of Physiotherapy, Pimpri, Pune.

Aim: To screen for performance related upper limb injuries experienced by Indian Musicians.
Objective: To screen performance related upper limb injuries experienced by Guitar, Sitar,
Keyboard, Harmonium, and Tabla Players.
Methodology: 100 Musicians from age group of 20-60 years, who fulfill inclusion criteria, were
invited to participate in this survey. Every musician was given a questionnaire to fill as per their
experience about performance related symptoms and problem faced in past or present in upper
limb.
Results: 66 Musicians out of 100 were having some or the other, performance related symptom or
problem experienced in upper limb.
Conclusion: This study proves that, musical instrumentalist who participated in this study (100
Musicians) are experiencing performance related upper limb injuries (66%). Symptoms such as
significant pain in musculoskeletal system, abnormal sensation were noticed in finger tips, weakness
in muscles and loss of sensation in fingers.
Keywords: musicians, upper limb injury
Corresponding Author’s Email id: ajaymalu29@gmail.com
O8 Title: Establishing normative data for upper extremity weight bearing capability in adults
Authors: Pooja M. Ganacharya1, Dr. Tushar Palekar2
Designation: MPT 2 Student1, Professor & Principal2
Aim: Establishing normative data for upper extremity weight bearing capability in adults
Objective: To Establish normative data for upper extremity weight bearing capability in adults using
a push off test.
Methodology: 200 Normal individuals from age group of 20-40 years, who fulfill inclusion criteria,
were invited to participate in this survey. Every individual was asked to weight bear maximally
through a dynamometer that was positioned according to the push off test, 3 readings were taken
out of which best was considered to be their true reading. This test was performed on both dominant
and non-dominant hand.
Results: Sample collection in progress. To be presented at conference.
Keywords: weight bearing, push-off test
Corresponding Author’s Email id: poojaganacharya29@gmail.com

O9 Title: Immediate Effect of Muscle energy technique on Gird in professional cricket bowlers: A
Randomized Controlled Trial
Authors: Antariksha A Suryavanshi1, Dr. Venus Pagare2, Dr. Tushar Pakekar3
Designation: MPT 2 Student1, Professor2, Professor & Principal3
Aim: To find the immediate effectiveness of Muscle Energy Technique (MET) on internal rotation
range of motion in cricket bowlers with GIRD and compare it with that of control group.
Methodology: Inclusion criteria for the study was age 18 to 30 years, true GIRD > 10 degrees and
cricketers involved in competitive cricket. 30 fast bowlers with GIRD >10° were randomly allocated
to either MET or control group. MET was directed towards the gleno-humeral abductors and internal
rotators (IR) and external rotators (ER) range of motion (ROM) were measured using universal
goniometer before and immediately after 3 repetitions of MET. No treatment was given to the control
group and measurements were taken after 5 minutes of rest.
Result: MET group showed greater improvement in IR ROM immediately following application of
MET as compared to the control group.
Conclusion: MET directed towards GHJ abductors can improve internal rotation ROM in cricket
bowlers with GIRD. This immediate increase in GHJ posterior shoulder ROM following MET can help
in the prevention and treatment of shoulder injuries associated with pathologic GIRD and posterior
shoulder tightness.
Keywords: posterior shoulder tightness, sports, injury, flexibility, fast bowlers, Glenohumeral
internal rotation deficit.
Corresponding Author’s Email id: antarikshasuryawanshi@gmail.com
O10 Title – A Comparative Study of Sustained Inferior Capsular Stretching Versus Passive Joint
Mobilization in Treatment of Adhesive Capsulitis
Authors: Swagata A. Patangankar1, Dr. Soumik Basu2, Dr. Tushar Palekar3
Designation: MPT 2 student1 , MPT musculoskeletal conditions and sports physiotherapy2, Professor
& Principal3
Affiliation: Dr. D.Y. Patil College of physiotherapy, Pimpri, Pune.
Aim: To compare the effectiveness of sustained inferior capsular stretching versus passive joint
mobilization in the treatment of Adhesive Capsulitis.

Methodology: 30 patients grade II Adhesive Capsulitis were randomly allocated to equal groups of
15 each to receive either sustained inferior capsular stretching or passive joint mobilization. The
outcome measures used were goniometer measurements and VAS on day 1 and day 14 of treatment.
Results: Still sample collection is going on, and will complete till this month end.
Keywords: Adhesive capsulitis, passive joint mobilization, inferior capsular stretching
Corresponding Author’s Email id: spatangankar525@gmail.com
O11 Title: Comparative study on co-ordination ability among right and left handed individuals using
Jebsen Taylor Hand Function Test
Authors: Dr. Anwar Gayasi1, Dr. Rashi Goel2, Dr. Tushar Palekar3
Designation: Student1, Associate Professor2, Principal3.
Affiliation: Dr. D. Y. Patil College of Physiotherapy, Pimpri, Pune-18.
Introduction: Co-ordination is the ability to execute smooth, accurate, controlled motor responses.
The ability to produce these responses is dependent on somato-sensory, visual and vestibular input
as well as a fully intact neuromuscular system from the motor cortex to the spinal cord. Eye hand co-
ordination is a part of the mechanisms of performing everyday tasks; in its absence most people
would be unable to carry out even the simplest of actions. So the present study is aimed to compare
the co-ordination ability among right and left handed individuals using Jebsen Taylor Hand Function
Test.
Methodology: The cross sectional study was done with a sample size of 30. Healthy normal
individuals were selected conveniently based on the selection criteria (15 right handed and 15 left
handed). Jebsen Taylor hand function test unit with all of its seven subsets was performed by each
subject recruited.
Result: Statistical analysis was done using SPSS software version 16. Independent t-test was used to
compare both the groups. The mean value of total time taken to perform the test was 40.94 seconds
for right handed individuals and 45.31 seconds for the left handed individuals (p value= 0.023). After
the total scores were analyzed, the individual seven items were compared. The mean values of the
seven tasks showed that right handed individuals were better in all the tasks except one task i.e.
stacking checkers. Unpaired t-tests for individual tasks were done and two tasks had significant p
values i.e. task 1 (writing a short sentence p value = 0.04) and task 4 (simulated feeding p value =
0.022).
Conclusion: There is a significant difference between the coordination ability among right and left
handed individuals. After comparing the fine motor task, weighted and non-weighted functional task

among the right and left handed individuals, it was seen that there is a significant difference in the
fine motor task but there was no significant difference in weighted and non-weighted functional task.
Therefore, we propose right handed individuals to have a better coordination than left handed
individuals which might prove useful for rehabilitation after an injury.
Key words: Hand dominance, fine motor task, gross motor function.
Corresponding Author’s Email id: gayasi.physio@gmail.com
Poster Papers
P1 Title: Effectiveness of Pain Release Phenomenon in De Quervain s Tenosynovitis: A Case Study
Authors: Dr. Roopa Desai1, Dr. Tushar J. Palekar2
Designation: Assistant Professor1, Professor and Principal2
Affiliation: Dr. D.Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune.
Introduction: De Quervain s disease is a stenosing tenosynovitis of the thumb abductors at
radiostyloid process. Various forms of physiotherapy may be used in the treatment of patients with
De Quervain s Tenosynovitis including Cryotherapy, Ultrasound, iontophoresis, taping and exercises.
The purpose of this study is to evaluate the effectiveness of Pain Release Phenomenon (PRP) in a 39
year old male patient presenting with radial wrist pain of 6 weeks duration, diagnosed as De
Quervain s Tenosynovitis on Right side.
Poster Presentation

Clinical Features: The primary clinical feature was Wrist pain at radial styloid process on Right side.
Patient also experienced thumb pain while writing, pinching and grasping .Difficulty in using wrist,
hand and thumb especially ulnar deviation and thumb adduction, with VAS of 6 on activity. On
examination, Finkelstein test was positive. Range of motion was painful and reduced at Wrist
Extension and Radial Deviation.
Intervention and Outcome Measure: The treatment approach consisted of Pain Release
Phenomenon along with Ultrasound and Taping. The outcome measures included Visual Analog Scale
and Quick DASH disability/symptom Score. Patient had 100% pain relief after 4 sessions of
treatment.
Conclusion: Pain Release Phenomenon appears to be a promising treatment for De Quervain s
Tenosynovitis along with Ultrasound and Taping.
Key Words: Radial wrist pain, Tenosynovitis, De Quervain s, Pain Release Phenomenon.
Corresponding Author’s Email id: roopatubachi@rediffmail.com
P2 Title: The Efficacy of Sensory Integration on Complex Hand Function like Hand Writing in Benign
Hypotonia: A Case Series.
Authors: Kanan Doshi1, MOT, Rucha Thorat2, MOT
Designation: Occupational Therapist
Affiliation: Lakshya Occupational Therapy Clinic, Ghatkopar, Mumbai, Maharashtra, India &
Consultant at Shishu Hospital, Mumbai, Maharashtra, India1
Therapy for Kids, Pune, Maharashtra, India2
Abstract: This case series investigates the effects of sensory integration on complex hand functions
in benign hypotonia. 3 case studies were used, children aged between 5- 10 years with no neuro
pathological involvement, no sensory processing disorders. They were referred by school for hand
writing issues like slow speed and illegibility. They were assessed on criteria for hypotonia, clinical
observation and sensory profile, goal attainment scale was formed in consultation with parents. They
underwent three months of sensory integration program along with occupational therapy
intervention. At the end of three months they showed significant improvement in speed and legibility
of hand writing. This case series implies that a complex hand function like hand writing can improve
in benign hypotonia with sensory integration therapy.
Corresponding Author’s Email id: kanandoshi@gmail.com

Mini Movies
M1 Title: Low cost adaptive devices to improve functional ability of the bilateral upper limb
deficient patient
Presenter: Nayna Hatwar-Wanjari
Designation: Occupational Therapist and In-charge of Occupational Therapy Department
Affiliation: Sir J. J. Group of Hospitals, Mumbai, Maharashtra, India
Abstract: One of the most important problem for the bilateral above elbow amputee is inability to
manage his basic ADL (Activities of daily leaving) independently. The mini movie is about a 32 yrs.
Old, unmarried male patient, who is residing in a small village in Yawatmal district of Maharashtra.
Patient was electrician by occupation. He met with train accident near Bhopal and emergency
bilateral above elbow amputation was done on 29/4/15 at Bhopal medical college and then patient
was referred to J. J. Hospital Mumbai on 5/5/15. Patient was referred to Occupational therapy
department of J. J. Hospital on 14/5/15. When the patient came to occupational therapy dept. he was
in a state of depression as it was life changing incident for him. He was the only earning member in
his family. He was totally dependent on his mother for his ADL. Lot of motivation was done because
in the rehabilitation of the high bilateral upper limb amputee, the success achieved is directly related
Mini Movie Presentation

to the motivation. I have design and develop 3 adaptive devices for him and given training how to use
the device. In the movie you can see how he is donning and doffing the adaptive device by himself
also single device can be used for eating, brushing and writing purpose. He is completely managing
brushing right from taking tooth paste to cleaning mouth. The second adaptive device was given to
left side for glass holding, which is required during eating and brushing activity. Third adaptive
device was for cleaning himself after defecation.
The main features of adaptive device –
1) It can be given as early as possible post operatively.( In presence of wound also)
2) Patient is not dependent on others to wear the device
3) Low in cost
4) Light in weight
5) Help to reduce stump edema also
6) Help to improve quality of life
7) Help to improve functional ability in spite of limitation.
8) Help to gain patients confidence
Mini movie shows patient has become functionally independent in basic ADL and his quality of life
has improved.
Corresponding Author’s Email id: nayna.wanjari@gmail.com
M2 Title: Use of robotics in Upper Extremity Rehabilitation: ArmeoSpring
Presenter: Dr. Charmie Dave
Affiliation: Kokilaben Dhirubhai Ambani Hospital, Andheri West, Mumbai, Maharashtra, India
Abstract: ArmeoSpring is an exoskeleton that uses arm weight support spring systems and
augmented feedback to assist with self initiated, self directed, repetitive, functional, task oriented
movements. Currently the most widely used arm and hand rehabilitation exoskeleton; it is based on
research and development conducted under Prof. D. Reinkensmeyer at the University of California,
Irvine (UCI) and at the Rehabilitation Institute of Chicago (RIC). It essentially comprises of two
components: 1. The Arm Weight Support which is an ergonomic and adjustable exoskeleton with
integrated springs. It embraces the whole arm, from shoulder to hand, and counterbalances the
weight of the patient's arm, enhancing any residual function and neuromuscular control, and
assisting active movement across a large 3D workspace. 2. Augmented Performance Feedback: The
Armeo software contains an extensive library of game-like movement exercises supported by a

virtual-reality training environment that is both motivating and informative, clearly displaying the
functional task along with immediate performance feedback. The motivating and self-initiated
exercises include proximal and distal components, specifically related to grasp and release pro- /
supination, wrist flexion / extension, reach and retrieval function. The equipment detects even trace
amounts of movement and function and facilitates intensive reach and grasp exercises at an early
stage of therapy. Assessment tools: Besides functional exercises, the system contains exercises
specifically designed to assess the motor ability and coordination of patients. Built-in sensors record
the active arm movement at each joint during all therapy sessions and the performance data is
stored in the computer, where it can be used to assess and document the patient s progress, to
determine the next appropriate challenge and to promote the optimum therapy and best possible
outcomes. The Armeo software supplies accurate assessments through the options A-MOVE, A-GOAL
and A-ROM. Taking into account the contraindications and every patient s individual profile,
indications for the use of the ArmeoSpring are Stroke, Multiple sclerosis (MS), Cerebral palsy (CP),
Recovery from neurosurgical interventions, Spinal cord injuries (SCI), Traumatic brain injury (TBI),
Endoprosthesis; follow-up care for elbow and shoulder endoprosthesis, Muscle diseases, Hemiplegia,
Parkinson s disease and other movement disorders, Upper limb ataxia, Neuropathies e.g. Guillain-
Barré syndrome).
ArmeoSpring is currently being used at Kokilaben Dhirubhai Ambani Hospital, Andheri (W), Mumbai
as an adjunct to conventional Therapy.
Corresponding Author’s Email id: charmiedave@gmail.com

Essays
E1 Title: Practice of Hand Therapy: Indian Vs. Global Scenario
Author: Dr. Rashi Goel
Designation: Assistant Professor
India
One hand I extend into myself, the other towards others. The practice of hand therapy has grown
exponentially over the past nearly 40 years ago, owing to its roots which originated during the
Vietnam war; when Dr. James Hunter recognized the vital importance of bringing hand surgeons and
occupational and physical therapists together in the same facility, working as a team to achieve the
best possible outcomes for the patients. The hand surgery and therapy have become such areas of
specialization comes to no surprise when one considers the extent to which the hand is represented
within the homunculus.
A/c to Society for Hand Therapy, India; Hand therapists are certified or licensed occupational
therapists or physical therapists, who through advanced continuing education, clinical experience
and independent study have become proficient in the treatment of pathological upper-quarter
conditions resulting from trauma, disease, or congenital or acquired deformity. Hand therapists use a
problem- solving method to develop treatment programs & patients receive treatments tailored to
their needs. The ultimate objective of rehabilitation is for patients to return to full independence,
managing their former occupations and hobbies wherever possible. To achieve this, everyone
including patients must have a clear understanding of the aims and importance of hand
rehabilitation.
A/c to American Society for Surgery of the Hand, Hand Therapy provides treatments without an
operation, help with recent or long-lasting pain, help to reduce sensitivity from nerve problems,
learning to feel again after a nerve injury, learning home exercise programs to help with movement

and strength, how to make splints to help prevent or improve stiffness, learning to complete
everyday activities with special tools and help getting back to work. If surgery is needed, hand
therapists can provide assistance with helping wounds heal, preventing infection, scar management
and reducing swelling.
Practice of Hand Therapy has undergone tremendous changes since its beginning. The use of horse
hairs for determining coetaneous sensation by Von Frey in 1895 has reformed into Semmes
Weinstein Monofilament Testing today. A study done in Isreal in 2013 had emphasized over
computer-based rehabilitation, the telerehabilitation. In India, there is an emerging field of video
based gaming rehabilitation based on virtual reality for upper limb rehabilitation following stroke.
There is definitely an added benefit but the therapist s skills do affect some of the measurements. )t
is not, however, superior to traditional treatment and cannot replace the therapist.
Indian scenario is quite different from across the world when it comes to the curriculum of Hand
Therapy. Only some universities offer a post- graduate degree in hand rehabilitation. This is open for
both occupational and physical therapist after completing graduation in their respective fields. These
individuals can be called (and Therapists in )ndia. Further, only some universities incorporate
hand splinting, POP making, in their masters curriculum lacking universality.
In India, Hand therapists are still unaware of their momentousness in this field. This is because of
lack of recognition for their work. Most of the referring physicians are often not open to discussions
with their therapists as we ourselves are dependent on the surgeons for dictating us when to start
mobilization especially when the cases deal with flexor and/or extensor tendon repairs. I myself
have witnessed the same. Many a times, we ourselves are unaware of the surgical techniques used in
a particular surgery and have to obey the rules set by the hand surgeon. Now a days, if a surgeon
does not acknowledge the vital role of the therapist in the overall management of patients with
disorders of the hand, he would be called a short- sighted surgeon.
The scenario outside India is totally different. Let us take an example of Zion Harvey, the 8 years old
boy on whom world s first bilateral hand transplant was performed at the Children s (ospital of
Philadelphia, few months back. This extraordinary accomplishment was possible with the combined
efforts of world-class abilities of the physicians, nurses, therapists and other staff. Post surgery, he
had spent a week in C(OP s Pediatric )ntensive Care Unit, then he was moved to a medical unit and
eventually moved to an inpatient rehabilitation unit where he underwent rigorous hand therapy
several times a day and is still undergoing.
In India, it is easy to do clinical research but there is a big lacuna in this area. No doubt, there is
abundance of patients; nevertheless, the reasons for limited research are the lack of time constraints

because of greater number of patients then the available expertise, lack of funding, insufficient
documentation, etc. Moreover the independent working therapists often lack in their knowledge
updation through upcoming journals as these are not readily available for consultation. This is,
however, not the case with academic institutions as they have yearly subscriptions to various
journals but they ultimately lack in specialization in this field due to which this vital resource
remains unused.
At the assessment level, )ndian scenario involves the use of SWMT for sensory evaluation, oxford s
manual muscle testing, Jamar dynamometer, pinch meter for motor function, various norm and
criterion referenced tests as Jebson Taylor for hand function, 9 hole peg test for coordination, DASH
for functional evaluation; to name a few. In US, new techniques of objective evaluation are also at our
disposal that includes video recording, electrogoniometers, optoelectronic and electromagnetic
trackers, and instrumented gloves for kinematic evaluation, dynamometers, including isokinetic and
isometric devices, work simulators, refined techniques of evaluation of dexterity and finger
coordination, of measurement of tactile and thermal discrimination, and so on. These systems can be
enhanced by way of visual feedback. All these need to be incorporated in an Indian setup for a better
evaluation of every patient undergoing hand therapy.
A/c to Journal of Hand Therapy, 2004; hand therapists can adopt an Evidence Based Practice
Approach but must be prepared to deal with the challenge of uncertainty when evidence is lacking.
This evidence is a grave need of the hour. Human hand is a multifaceted tool; therefore it is not
surprising that treating its dysfunction is a complicated and often daunting topic. Due to its
enormous capacity for motion, opportunity for injury and disease plus its psychological value, the
restoration of dexterity and function pose one of the greatest challenges in its rehabilitation.
Many leaders in hand therapy - MacDermid, Jansen, Valdes, Szabo, LaStayo to name a few have
eloquently described the vision and process of evidence-based decisions for hand therapists in
various articles over the past decade. Study done on 600 Certified hand Therapists in 2013 in
Madison, USA, concluded that clinical decisions made by CHTs are not the simple combination of
specific values on two dimensions, but rather, CHTs are dynamic information processors with
personal experiences and beliefs that lead to a unique cognitive and behavioral signature. Despite the
imperative for evidence-based decisions, many healthcare professionals, including hand therapists,
do not use research findings for clinical decisions at an optimal level.
In my view, hand therapists need to move away from opinion or set protocols towards evidence
based treatment guidelines. We do have ample opportunities to discuss among other therapists,
orthotics and prosthetics regarding the rehabilitation. And we have many journals namely Hand

Clinics, Journal of Hand Surgery, Journal of Hand Therapy, social sites focusing on hand therapy, etc.
However, the value of treatment guidelines must be tested, not assumed, regardless of the
development process.
The ultimate aim of hand therapy is to apply sound clinical reasoning to determine the needs of their
clients with upper extremity problems. Good clinical reasoning skills are required in order for hand
therapists to move beyond therapy protocols, to think critically about their clients needs & to
provide safe and creative treatment. Clinical Reasoning allows therapists to treat their clients as
unique people with individual needs while applying appropriate & safe treatment. A/c to a recent
exploratory study done on 249 hand therapists in New York USA, the ICF component of participation
in the provision of hand care was evaluated. They said that a gap in current knowledge exists
regarding how therapists evaluate patient difficulty participating in life situations.
In the end, hand therapy would be more successful if we understand our inseparable role in
rehabilitation. )t s rightly said, God helps those who help themselves . We should not only accept the
challenges but also stay ahead of them. To achieve that, we need to amalgamate our sound
knowledge base of complex anatomy and biomechanics of hand and related structures, clinical
experience gained through the years combined with regular meetings, seminars, Continuing Medical
Education Programs, etc. We have the ability to change, evolve and be exceptional. We should be
willing to explore new ways to recruit, teach, start educational programs, and support hand therapy
for its development. We cannot alter the past, but the future is very much in our hands.
Corresponding Author’s Email id: rashigoelphysio@gmail.com
E2 Title: Practice of Hand Therapy: Indian Vs. Global Scenario
Author: Dr. Jyotsna Gaikwad
Affiliation: LTMMC & LTMG Hospital, Sion, Mumbai, Maharashtra, India
Few months back, a patient from rural area, case of one month old right mutilated hand injury;
laborer by occupation was referred to our department. He was very depressed and had left hope
regarding use of his right hand ever. We counseled him and provided him with best therapy
exercises and splints and to his belief; it was a miracle in his life as he could use his right hand as
before. At same instance, we had one more case of right thumb amputation in a patient, student by
occupation for rehabilitation. He needed prosthesis for his hand to perform fine motor activities but
he could not afford the cost of it, so we fabricated thumb prosthesis with help of orfit material and he
could overcome difficulties in fine motor tasks with prosthesis on. Since then questions are bothering

my mind that why is practice of hand therapy so limited and why can t people in rural reach our
services and afford it?
History states that India has been the pioneer in the field of hand therapy. Dr. Paul Brand worked
with leprosy patients and his work led to development of hand surgery and hand therapy, but this
was 50years back. Dr. Sterling Bunnell started setup in Army hospitals in U.S. which focused on
upper limb injuries. As war ended, surgeons formed ASSH and then later ASHT was formed. Hand
therapy is still in developing stage in India and reverse is the scenario globally.
In India, 50 years back, there was no awareness of hand therapy among people as well as
professionals and neither the scope of practice. People did not know importance of work, after hand
injuries they use to just depend on others for the same. Rural areas didn t have information about
disabilities and its effect on patient s life and this led to hopelessness and thus no access to
Community Rehabilitation. But after so many years hand therapy is developing, we are getting
referrals from other professionals; we have proper Rehabilitation team and conduct clinics to assess
the progress of patients. Other countries offer client centered services that enable people to engage
in occupations of life. They conduct awareness programs regarding disabilities and how to overcome
them, publish journals and magazines and injury prevention programs that help people and other
professionals to understand the importance of hand therapy. Also they provide Tele-rehabilitation
and internet access to patients to solve their queries. With the help of electronic media and global
information exchange we can access the therapy interventions and protocols and help in
development of hand therapy.
IFSHT, the practice of Hand Therapy, lists clinics that are open to hosting visitors, lists organizations
that offer hand therapy volunteer opportunities, lists Hand Therapy relevant websites and much
more. IFSHT also contributes articles about Hand Therapy to the IFSSH E-zine, which is an open-
access publication. The IFSHT Update contains information about Hand Therapy and upcoming
meetings worldwide and is published four times a year in Hand Therapy journals as well as on the
IFSHT website. IFSHT also offers a Hand Therapy connections e-newsletter, which may be
subscribed to via the IFSHT website. Similarly in India, our experienced hand therapists have formed
the Indian Society of hand therapists {ISHT} which performs for the betterment of hand therapy in
India by hosting conferences, conducting research studies and presentations of budding hand
therapists. ISHT also works in collaboration with Hand surgeons Association which is obviously to
improve quality care of patients.
Abroad, Hand Rehabilitation costs are covered under Mediclaim policies and thus people afford to
seek services related to super specialist professionals. But in India, hand therapy is institutional

based due to the escalating cost of healthcare and people don t opt for skilled professionals due to
economic constraints and shortfalls in service provision. Here, in Rajiv Gandhi yojana only lower
extremity prosthesis is covered, we need to work on this as we know hands are equally important for
the patients. So we should try our level best to include upper extremity splints and prosthesis under
mediclaim policies which will help the poor to have access to best possible services.
In developed countries, various certification courses, masters courses, diploma courses , distance
learning courses , prosthetic hand and robotic hand, advances in splinting are provided that helps in
better education, updating the knowledge and training of hand therapist. Recently, in India, ISHT has
also started certification exams in hand therapy to give best hand therapists. Our therapists are
working very hard to meet the global scenario and with their enthusiasm and dedicated services we
will meet the horizons of hand therapy.
Ergonomic education and its implementation is very important in other countries .Therapists are
involved in Industrial Rehabilitation as well as they tackle the issues that affect the human
occupations and deal with primary healthcare, its promotion and prevention. In India also we have
started focusing on ergonomic education to prevent cumulative trauma disorders and accidental
injuries as here majority of injuries are due to this conditions. Thus we should aim at providing
educational programs regarding the same in industries to prevent accidents and cumulative trauma
disorders.
We in India also have to focus more on the documentation as it will help us to know effective
progress of the patient. It is thus of prime importance globally.
I would like to end with one more experience that I came across while working in hand therapy unit.
I had a female patient; she wanted to improve her hand functions and range of motion after burns
just because she had to put mehendi on her hands for her marriage. It really sounded very touchy to
me and with all possible therapy, splints and information from electronic media we were able to
complete her wish. Thus from this we can say that we take patient s psychological, social as well as
cultural view into consideration while treating the patients. Thus hand therapist deals with overall
function of the patient
Thus with the help of electronic media, internet , search engines we can seek the information
regarding the progress of hand therapy globally and we can implement it in India for improving the
quality care to patients and improve our professional standards. Also we can share our knowledge
and new technologies with other countries for the betterment of patients. Thus, the future of India
lies in being proactive in relation to global and local trends.
Corresponding Author’s Email id: gaikwad.jyotsna@gmail.com

E3: Title: Practice Of Hand Therapy: Indian Vs. Global Scenario
Author: Dr. Amita Aggarwal
Designation: Assistant Professor
India
Hand therapy is defined as the art and science of rehabilitation of the upper limb which includes the
hand, wrist, elbow & shoulder girdle. The Physiotherapists are involved with the management of
hand injuries along with Occupational therapists in the Indian setting. Physiotherapists are working
specifically to increase the range & strength after figuring out the restricting structure affecting
function while Occupational therapists are involved with the simulating the functional tasks involved
in clients working environment and utilizing everyday items in play to ease hand therapy of pediatric
patients.
Looking across the world, IFSHT (International Federation of Societies for Hand Therapy) has most
of the qualified hand therapists as occupational therapists. The most extreme examples of this are
Turkey where only physiotherapists specialize and Denmark where 99 percent of hand therapists
are occupational therapists.
The origin of hand therapy in India was as early as civilizations whose sculptures hand gestures
predict various mudras. Same are used in yogasanas, Natya Shastra and Asian martial arts. In respect
to the global scenario, it is the US government that played a foremost role in the development of
hand rehabilitation especially after world war when the soldiers were affected in greater part. It was
an impulse for development of upper extremity functional assessment and dynamic splintage
(Melvin 1985)
Most of the traumatic hand injuries like crush hand injury, mallet finger, tendon injuries are managed
surgically. Following a surgical intervention many surgeon's dictates the treatment to be given while
others allow independent intervention by the hand therapists. This trend varies as many
experienced surgeons understand the importance of hand therapy and refer patients within correct
time while others underestimate or lack awareness in the field of hand therapy. Myriad evidence
supports the concept that early controlled motion is beneficial to both tendon healing and the
accretion of strength while also decreasing adhesions and work of flexion. So the decisions for
postoperative rehabilitation are generally made in conjunction with the surgeon.
In Indian scenario interventions when done independently by the physical therapist and
Occupational therapists involve using given protocols or experience based treatments based on an

assessment. Discontinuation of the protective orthosis and return to function is based upon
adherence and response to the treatment of patients. Various other conditions generally referred
directly to hand therapists include patients with post-fracture stiffness, CMC joint osteoarthritis,
Rheumatoid arthritis, spastic hand in Cerebral palsy etc.
Globally most studies reviewed in 1930 explicates that to manage most of the hand injuries, surgical
intervention was done immediately while in the 1950s improved surgical and orthotic options
including moldable plastics, therapeutic aids increased a demand for hand therapy. In 1970
conservative treatment was redefined with a consensus that in the absence of large articular surface
disruption or subluxation, non-operative treatment will be favored. In respect to immobilization
using splints, earlier at least 4 to 6 weeks immobilization was agreed upon. But more recent
publications include high percentages of good and excellent results using early motion keeping an
account of age and health in mind.
Hand therapists are responsible for care that client receives using occupation and ADL based
assessment. An assistant aids in goal setting and contributing ideas to clients program. In some state,
therapy assistant needs a license to practice.
Based on a vision of hand therapists, professionals in India found less training sessions scheduled for
up-gradation. These findings were in accordance to the primary healthcare scenario in India (Devdas
and Elias, 2008). Also, some reported that the hand therapy certification programs running are less.
Professionals after graduation are confused for post-graduation in hand compared to sports or
pediatric therapy. This trend is running because of lack of awareness of scope and practice in hand as
specialists. To widen up learning in hand, Hand therapy skill courses are best sources. Since the
establishment of Indian society of hand therapy in 2009 various initiatives have been taken to
organize workshops, conferences and courses specifically addressing upper extremity rehabilitation
approach. Newsletters, recent advances all add to it. This calls up to create an awareness among
professionals along with patients about the importance of this field along with various new
equipment s and splints specifically designed to improve upper limb rehabilitation
In accordance to various countries hand therapy associations were established in the 1980s.
Australian hand therapy association came into existence in 1982. In 1997, Argentina and Belgium
decided to constitute the South American society of Hand Therapist in a framework of VI Congress of
South American Federation for Surgery of Hand (FSCM), Argentina. Various societies have formed to
coordinate activities of hand surgery and rehabilitation societies around the world. Another non-
profitable organization like ISSPORTH (International society for sports traumatology of hand)

educates athletes, trainer and physician alike about gradations of athletic hand and wrist injuries. So
hand therapists have a wider scope for practice.
There is even need of professional competency standards in hand therapy. Globally practice settings
and health care systems for hand therapists varies. In general, hand therapists work in hospitals,
Rehabilitation centers and private institutes while many are directly involved with home services. To
maintain high standards in the practice of hand therapy and to achieve an advanced level of
professional knowledge HTCC (Hand Therapy Certification) envisioned a two-step process of
certification and re-certification. This encourages participation in continuing education and
professional development initiative. Therapist licensed or certified Occupational therapists or
Physiotherapists residing in US or Canada, who had a minimum of 5 years of clinical experience,
including 2000 hours or more in direct practice in hand therapy can appear for the examination. In
India by 2013 certification examination in hand therapy was announced by Indian society for Hand
Therapy.
The IFFSH conference (Combined International Congress of Hand Therapists and Hand Surgeons
held in New Delhi, March 2013) made an impact among the ISSH (Indian society for surgery of hand)
hand surgeons to make a separate society for Hand Therapist. Complete acknowledgment to IFSHT
and the International Federation for Surgeons as well who realized the importance of both
disciplines coexisting and that is why today there is an initiative on the part of the surgeons also to
recognize hand therapy practice.
The present scenario calls up for more research within the field of hand therapy and to spread
information about hand therapy practice across different countries. Currently clinical practice within
the specialty of hand therapy differs widely throughout the world. Introduction of competency
standards, thorough and comprehensive knowledge will further strengthen professional formalized
education programs.
Corresponding Author’s Email id: amita.goyal@dpu.edu.in

SHT, India 4th Annual Conference Souvenir.

SHT, India 4th Annual Conference Souvenir.

Recommended

Recommended

More Related Content

What's hot

What's hot (20)

Viewers also liked

Viewers also liked (20)

Similar to SHT, India 4th Annual Conference Souvenir.

Similar to SHT, India 4th Annual Conference Souvenir. (20)

More from Society for Hand Therapy, India

More from Society for Hand Therapy, India (9)

Recently uploaded

Recently uploaded (20)

SHT, India 4th Annual Conference Souvenir.