Enhancing Hand Sensation and Health Literacy in Hand Therapy

Abstract

Hand and upper extremity injuries, especially those that result in nerve damage, can lead to sensory loss, pain, and functional impairments. Despite the frequency of these diagnoses seen in outpatient hand therapy, many patients lack the health literacy necessary to fully comprehend and actively participate in desensitization and sensory re-education interventions. Research suggests that implementing a sensory-based approach as part of treatment sessions can play a vital role in addressing hypersensitivity and sensory loss. The purpose of this doctoral capstone experience is to bridge that gap by implementing a program that includes providing take-home sensory kits and educational handouts focused on improving sensation, managing pain, and promoting increased functional use of the upper extremity. By promoting health literacy and providing accessible tools, the project’s goal is to increase client engagement in both therapy and functional daily tasks. The capstone student prepared for this by gaining clinical practice skills in an outpatient hand setting and conducting literature reviews. With the skills gained through preparation, the capstone student developed take-home sensory kits and educational handouts to address patients’ concerns with sensitivity in their upper extremities. To assess the effectiveness of the tools, a pre- and post-interview was performed with the site’s content expert. The results suggested that the interventions helped reduce pain, improve sensation, and foster a deeper understanding of the benefits of evidence-based interventions to promote client participation.