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Best Ape Hand Treatment In Delhi NCR.

Ape Hand treatment at Arunalaya
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What is Ape Hand?

Ape hand, also known as ape-like hand or simian hand, is a rare genetic condition characterized by a deformity of the hand. The condition is also known as simian crease or single palmar crease.

Causes of Ape Hand

Ape hand is caused by a genetic mutation that affects the development of the hand during fetal development. The condition can occur in isolation or as part of a genetic syndrome, such as Down syndrome, Turner syndrome, or Edwards syndrome.

Symptoms of Ape Hand

The symptoms of ape hand can vary, but common characteristics include:

  • Single palmar crease- A single deep crease across the palm of the hand, rather than the usual two creases.
  • Short fingers- Short fingers, especially the little finger, which may be rudiment absent.
  • Thumb abnormalities- Abnormalities of the thumb, such as a short or absent thumb.
  • Finger webbing-Webbing between the fingers, especially between the thumb and index finger.
  • Limited hand function-Limited hand function, making it difficult to perform everyday activities.
Treatment of Ape Hand

Treatment for ape hand depends on the severity of the condition. Treatment options may include:-

  • Surgery-Surgery to correct hand deformities, such as webbing or thumb abnormalities.
  • Physical therapy- Physical therapy to improve range of motion and strength in the hand and fingers.
Advanced Physiotherapy

Advanced physiotherapy for ape hand focuses on maximizing hand function and preventing further deformity.

Restoring Range of Motion

  • Passive Mobilization-Gently moving the thumb and wrist through their full range of motion using the unaffected hand or with the assistance of a therapist. This helps prevent stiffness and contractures.
  • Active-Assisted Range of Motion-Performing movements of the thumb and wrist with some assistance from the unaffected hand or external aids.
  • Active Range of Motion-Independently moving the thumb and wrist as much as possible.
  • Stretching Exercises- Gentle stretches to improve flexibility of the thumb and surrounding tissues.
  • Thumb Extension Stretch-Gently move the thumb away from the palm and hold.
  • Thumb Opposition Stretch-Gently bring the tip of the thumb towards the base of the little finger and hold.

Strengthening Exercises

  • Isometric Exercises-Contracting the muscles without movement. For example, trying to move the thumb into abduction and opposition against resistance (for example , a table or the other hand) and holding the contraction.
  • Theraband Exercises- Using elastic bands to provide resistance for thumb abduction, extension, and opposition movements.
  • Grip Strengthening-Using a soft ball or putty to perform squeezing exercises, which can indirectly help strengthen the thenar muscles.
  • Pinch Strengthening-Pinching small objects or putty between the thumb and each finger to improve pinch strength.
  • Sensory Re-education-If there is sensory loss due to nerve damage, techniques to help regain sensation in the thumb and hand may be incorporated. This can involve textured materials, object identification, and desensitization techniques if there is hypersensitivity.

Functional Training-

  • Practicing everyday tasks and activities that require thumb opposition and abduction, such as picking up small objects, opening containers, and writing. This helps integrate the regained range of motion and strength into functional use.

Splinting

  • Dynamic Splinting- A splint that assists the thumb into abduction and opposition while allowing active movement. This can help maintain the thumb’s position and encourage functional use.
  • Static Splinting- A splint worn at rest to prevent further deformity and protect the thumb.

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