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ELIOT-RIGHELE, MUNRO AND PEREIRA OCCUPATIONAL THERAPISTS INC. 

Brackenhurst (JHB South):   011 884 0517 or 082 212 6412 (Central Reservations)

This practice is in the unique position to offer two very diverse services. Our team of skilled therapists can assist you in the field of:

  • Paediatric Neurological Rehabilitation (NDT) and
  • Hand Therapy


This practice is further able to offer comprehensive quality therapy to patients injured on duty:  WCA/IOD/FEMA

PAEDIATRIC NEUROLOGICAL REHABILITATION - USING DEVELOPMENTAL THERAPY (NDT):

This is an interdisciplinary team approach to the treatment and rehabilitation of children with neurological impairment. Typically the team members include Occupational Therapists, Physiotherapists, Speech Therapists and a Paediatric Neurologist. This clinical approach allows the Occupational Therapist to treat the patient as well as engage with the parents and provide guidance and education throughout the therapy process.

NDT is a “hands on” therapeutic approach that utilizes information related to typical and atypical/abnormal movement pattern development, functional task analysis, motor control and learning to formulate patient (child) specific treatment goals. The aim of therapy is to facilitate the child in reaching their highest level of function for daily tasks and activities using quality movement patterns. Treatment is most effective if started at 2-3 months of life. This allows the integration of normal movement patterns and sensory-motor experiences before abnormal movement patterns set in.

As the NDT/Bobath concept is a holistic approach, it involves the “whole person, not only his sensory-motor problems but also problems of development, perceptual-cognitive impairment, emotional, social and functional problems of the daily life as well”.

By using daily activities and tasks and positioning, therapy is carried over into the home environment for maximum benefit. Therapy is a dynamic process and the therapist is continually reassessing the child, their response to the stimuli, therapy techniques and the environment. Therapy handling techniques are graded with respect to pressure, speed and hand placement to ensure maximal functional outcomes are achieved in each session.

All therapy goals and objectives have to be individualized and set by the therapist, parents, other allied team members and where possible by the child as a team. To ensure that each child is treated holistically a variety of approaches and techniques are utilised. The concept of the team is vital. The team consists of the patient, family and all allied therapists working toward the common goal of improved quality of life and independence for the patient.

Types of diagnoses treated include:

  • Neurodevelopmental delay
  • Cerebral palsy - spastic hypertonus / dystonia including athetosis / ataxia
  • Hydrocephalus
  • Microcephaly
  • Macrocephaly
  • Muscular dystrophy
  • Congenital syndromes, i.e. Down Syndrome
  • Head injuries
  • Near drownings

WHAT: HAND THERAPY IS...

"Hand Therapy is the art and science of rehabilitation of the upper limb, which include the hand, wrist, elbow and shoulder girdle. It is a merging of occupational and physical therapy theory and practice that combines comprehensive knowledge of the structure of the upper limb with function and activity." 

- ASHT, The American Society of Hand Therapists -


WHAT IS A HAND THERAPIST?    
A Hand Therapist is a qualified therapist - most commonly an Occupational Therapist with some post graduate qualification in this specialised area of Occupational Therapy.
The Hand Therapist uses skills of observation, clinical assessment and knowledge of the diagnosis along with comprehensive history to devise a treatment plan tailored to the individual patient’s diagnosis, work situation and leisure/sport activities. Close teamwork between the hand therapist and referring specialist hand surgeon or allied therapist colleague is paramount to the success of the therapy.
Patients can be treated either pre- or post- operatively or as an alternative to surgery in order to regain functional use of the hand. The main aim of hand therapy is to restore function and allow our patients to resume all activities including work, sports and hobbies.

TECHNIQUES USED BY OUR HAND THERAPISTS INCLUDE:

  • Custom fabrication of splints and braces
  • Joint mobilisation
  • Swelling/Oedema management
  • Pain management
  • Wound care
  • Desensitisation and sensibility retraining
  • Therapeutic modalities (ice, heat, massage, etc.)
  • Therapeutic exercise and home programme development - to ensure carryover of therapy gains at home
  • Scar management - burns and post surgical scars utilizing silicone products, massage techniques and customized pressure garments
  • Adaptive techniques and Assistive devices - to ensure independence in all areas of life despite injury (during recovery phase) or disability (arthritis, amputation, brachial plexus etc.)
  • Adaption of ergonomic layout at the work place and home to optimise the use of the injured limb, or prevent further damage to the underlying injury and to prevent injuries from repetitive tasks such as Repetitive Strain Injuries (RSI)/ Work Related Upper Limb Disorders (WRULD)
  • Medico legal assessments and report writing - we offer these services in conjunction with a highly accredited colleague

HAND THERAPY CAN HELP:

  • Joint injuries: Sport strains/sprains, dislocations, ligament injuries, stable fractures
  • Soft Tissue injuries: Tendonitis (golfers elbow, tennis elbow etc), trigger fingers
  • Nerve injuries or compression: Carpal and Cubital Tunnel
  • Arthritis: Osteoarthritis or Rheumatoid Arthritis - Therapy for arthritis can greatly reduce pain and improve function and independence in all areas of life. Joint protection techniques, adaptive techniques and assistive devices are used to prevent further injury. Custom fabricated splints can ease pain and allow performance of previously painful or difficult activities. This is particularly effective with base of thumb arthritis
  • Fractures - after surgery using screws, plates or wires inserted to stabilise the fracture
  • Tendon injuries
  • Traumatic nerve injuries or compression injuries such as Carpal and Cubital Tunnel Syndromes
  • Amputations Joint replacements - fingers, thumbs, wrist, elbow due either to arthritis or injury
  • Bone or skin grafts
  • Crush injuries
  • Infections
  • Scar management - burns or post surgical/injury scars
  • Repetitive strain injuries: Repetitive Strain Injury (RSI) can be defined as cumulative chronic upper extremity pain, for which no alternative diagnosis is made and which is related (but not limited to) highly repetitive movements, movements at extremes of reach, static muscle loading, awkward sustained positions and overuse. Several “at risk” occupations have been identified: computer users, telecommunicators, cashiers, secretaries, typists and general administrative staff. Interventions or treatments for RSI must consider: the individual (including hobbies and sports) and work place risks. Ergonomic evaluation of the home and work environment is vital to prevent pain and further injury

REHABILITATION TOOLS:

We use a variety of therapy techniques and tools to assist in the rehabilitation process. Many of these are issued for home use as part of the rehab programme. We stock theraputty, theraband, mini massagers, heat packs and silicone scar reduction products, splints and pressure garments.

HOW/WHO:

OUR QUALIFIED TEAM CAN ASSIST YOU:

  • If you have any new/unexplained pain in your hand/arm (whether due to a fall, injury, sport or related to repetitive activity)
  • If you have sore, swollen, stiff joints (think you might have arthritis)
  • If you have had surgery because of a broken bone, ligament injury, tendon injury or a dislocated joint
  • If you have a change in the feeling in your hand and/or fingers
  • If you have a scar (raised and red, tight and immobile) from injury or burn


SHOULD YOU SEE US OR A DOCTOR FIRST?

For many conditions we can assess and treat you without a doctor’s referral. These may include: Arthritis, tendonitis, sprains, strains and dislocations.

However, we work very closely with reputable hand/upper limb surgeons and will always treat you in conjunction with the referring surgeon or refer you for a surgeons' opinion should there be any concern or doubt about your diagnosis or progress.


WCA/IOD/FEMA:

This practice is further able to offer comprehensive quality therapy to patients injured on duty. This includes Workman's Compensation Association (WCA), Compensation for Occupational Injuries on Duty Association (COIDA) , Federated Employers Mutual Association (FEMA) and Rand Mutual Association (RMA).

All that is required is the relevant paperwork: 1st medical report, employers report and a referral to the therapist. If all the above paperwork is in order, the patient can receive quality intervention and the relevant above-mentioned association pays for the account.

This service is offered to in patients and out patients.

Our in patient treatment includes: Trauma ICU therapy, splinting in hospital and implementation of basic therapy programmes.

Out patient treatment covers: all aspects of therapy: Wound care (in collaboration with wound care specialists where needed), splinting, oedema/swelling management, mobilization, strengthening and return to work activities.

As it is imperative that patients are able to achieve the best possible hand function and return to pre-injury jobs, we are in continuous discussion with employers and assist in the return to work phase. Work site and job task evaluations are performed where necessary and recommendations regarding modifications are made to the employer and implemented jointly by the therapist and employer. We offer work hardening/vocational rehabilitation activities to ensure that patients are fit to return to their job tasks. Close collaboration with the employer is of paramount importance in this phase of rehabilitation.


MEET THE TEAM:

  • SANCHA ELIOT-RIGHELE (Managing therapist), BSc (Occupational Therapy, Wits);  MSc (Occupational Therapy, Wits)

Professional Affiliations:  Health Professions Council of South Africa (HSPCA), Occupational Therapy Association of South Africa (OTASA), South African Association of Hand Therapists (SASHT), South African Rheumatism and Arthritis Association (SARAA), South African Health professionals for Rheumatology (SAHPR), South African Society for Surgery of the Hand (SASSH)

Background:  Sancha has been working in the field of Upper Limb Rehabilitation since 2000. She started her career in the government sector where she gained valuable experience. Part of her development has included the role of treasurer on the Gauteng branch of SASHT and later as the president of National Executive Committee of SASHT. She has a Masters degree in Occupational Therapy (dissertation on the prevalence of upper extremity RSI in computer users and the effect of an education based ergonomic intervention programme).


  • LUCINDA MUNRO BSc (Occupational Therapy, Wits)

Professional Affiliations:  Health Professions Council of South Africa (HSPCA), Occupational Therapy Association of South Africa (OTASA), South African Association of Hand Therapists (SASHT), South African Rheumatism and Arthritis Association (SARAA), South African Health professionals for Rheumatology (SAHPR), Fellowship in Hand Therapy (USA), South African Society for Surgery of the Hand (SASSH)

Background:  Lucinda has been working in the field of Upper Limb Rehabilitation since 2004. Her career started in the government sector where she gained experience in hand therapy. Lucinda took part in an American Fellowship programme in Philadelphia under the Philadelphia Hand Centre, where she worked and studied under very experienced hand therapists and surgeons. This experience has stood her steadfast in the world of hand therapy and given her valuable experience. Lucinda then worked in the National Health System in the UK for two years. Through this she gained great insight into the international field of Upper Limb Therapy protocols and processes.


  • BIANCA PEREIRA BSc (Occupational Therapy, Wits);  MSc (Occupational Therapy, Wits);  Basic and Advanced NDT certification

Professional Affiliations: Health Professionals Council of South Africa (HPCSA), Occupational Therapy Association of South Africa (OTASA), South African Association of Hand Therapists (SASHT), South African Rheumatism and Arthritis Association (SARAA), South African Health professionals for Rheumatology (SAHPR), South African Neurodevelopmental Therapy Association (SANDTA), National Association of Neonatal Therapists (NANT)

Background:  Bianca comes to us after spending 6 years at Chris Hani Baragwanath hospital where she developed 2 distinct areas of interest: hand therapy (arthritis and acute trauma) and paediatric neurological rehabilitation (NDT). She has extensive experience in the field of arthritis and assisted in implementing and running many of the arthritis clinics at Baragwanath. She gained invaluable experience working with a myriad of diagnoses in a multi disciplinary team. As a member of SARAA (South African Rheumatism and Arthritis Association) and SAHPR (South African Health Professionals for Rheumatology) - as previous chairperson - we are sure she will add invaluable knowledge and insight into our arthritis patient management. To develop her second area of interest Bianca achieved basic and advanced NDT certification, ran the transdisciplinary neurological rehabilitation clinics, as well as intervention groups for children with Hydrocephalus and children with Down Sydrome.

PATIENT INFORMATION

DISCLAIMER:

Always consult your therapist/surgeon before beginning any exercise program. Never disregard medical advice or delay in seeing your doctor because of something you have read on this website. Any content or information provided by this practice is for informational and educational purposes only and any use thereof is solely at your own risk. The owners, operators or staff bear no responsibility thereof.

The information contained herein is not intended to be a substitute for professional medical advice, diagnosis or treatment in any manner. Always seek the advice of your therapist/surgeon or other qualified health provider with any questions you may have regarding any medical condition. All information contained in rehabhands.co.za including but not limited to text, graphics, images, information, third party information and or advice, websites, links, including but not limited to any content by employees, consultants or writers and contributors and or any other material contained herein are for informational and educational purposes only.

By opening the attachments on this website you are willingly participating in exercises at your own risk and take full responsibility for any personal injury, loss or damage that may arise directly or indirectly.

DOWNLOAD INFORMATION DOCUMENTS BELOW(PDF format):

CARPAL TUNNEL
SYNDROME

OSTEOARTHRITIS
INFORMATION

CHRONIC REGIONAL PAIN SYNDROME

DISTAL RADIUS
FRACTURE

FLEXOR TENDON
INJURY

METACARPAL 
FRACTURES

FINGER DISLOCATION/
SPRAIN

TRIGGER FINGER

For your convenience, therapy is offered at:

80 Van Bergen Street
Brackenhurst, Johannesburg South



Google Maps Link

CENTRAL BOOKINGS:

011 884 0517 or 082 212 6412 


Should you require an appointment or would like further information please contact us on one of the above numbers. Or feel free to email us, adminsouth@rehabhands.co.za for your enquiries. 

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