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AUDREYA • Specialized Rehabilitation

Hand & Upper-Limb Rehabilitation

Comprehensive rehabilitation across orthopaedic, traumatic, neurological, paediatric, sports, reconstructive, post-operative and functional conditions of the upper limb.

Hand Wrist Forearm Elbow Shoulder Brachial Plexus Tendon Ligaments Muscles
The Noble Strength Physiotherapy & Rehabilitation

Specialized Care.
Functional Recovery.

Assessment • Rehabilitation • Custom Splinting • Functional Restoration • Return to Work • Return to Sport

01 Patient-Centred Rehabilitation Approach
360° Assessment to Functional Recovery
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Clinical Services

Comprehensive Upper-Limb Care

Explore the complete range of specialized rehabilitation services. Each category is organized to make it easier to identify the relevant condition, rehabilitation pathway and next step for enquiry.

Specialized Clinical Expertise

Complete Rehabilitation Services

Tap any category below to explore the complete clinical service scope and connect directly through WhatsApp.

Hand & Finger Conditions

Osteoarthritis of hand/fingers Thumb CMC osteoarthritis MCP/IP joint arthritis Stiff fingers Finger contractures Joint stiffness Tendinopathies Trigger finger Trigger thumb Mallet finger Boutonnière deformity Swan-neck deformity Jersey finger Central slip injuries Collateral ligament injuries Volar plate injuries Sagittal band injuries Extensor tendon disorders Flexor tendon disorders Finger joint instability Metacarpal disorders Dupuytren's contracture Ganglion cyst-related stiffness/pain De Quervain's tenosynovitis Intersection syndrome

Wrist Conditions

Wrist pain Wrist stiffness Wrist instability TFCC injuries DRUJ instability Scapholunate ligament injuries Lunotriquetral ligament injuries Scaphoid injuries Kienböck disease rehabilitation Distal radius fractures Distal ulna fractures Scaphoid fractures Carpal fractures Wrist arthroplasty rehabilitation Wrist arthroscopy rehabilitation Post-immobilisation stiffness

Elbow

Tennis elbow / lateral epicondylalgia Golfer's elbow / medial epicondylalgia Elbow stiffness Elbow instability Elbow tendinopathy Olecranon conditions Biceps tendon injuries Triceps tendon injuries UCL injuries Radial head injuries Elbow dislocations Post-fracture rehabilitation Post-operative elbow rehabilitation

Shoulder

Rotator cuff injuries Rotator cuff repairs Subacromial pain Shoulder impingement Adhesive capsulitis Shoulder instability Labral injuries SLAP lesions Bankart repairs Shoulder dislocation Proximal humerus fractures AC joint injuries Clavicle fractures Scapular injuries Shoulder arthroplasty Reverse shoulder arthroplasty Shoulder arthroscopy rehabilitation
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Acute Hand Trauma

Crush injuries Lacerations Open wounds Closed injuries Degloving injuries Avulsion injuries Amputations Partial amputations Fingertip injuries Nail-bed injuries Tendon injuries Ligament injuries Joint injuries Nerve injuries Vascular injuries Combined tendon–nerve–vascular injuries

Fracture Rehabilitation

Phalangeal fractures Metacarpal fractures Carpal fractures Distal radius fractures Distal ulna fractures Radial shaft fractures Ulnar shaft fractures Monteggia injuries Galeazzi injuries Elbow fractures Proximal humerus fractures Clavicle fractures Scapular fractures

Post-Trauma Problems

Post-traumatic stiffness Oedema Pain Scar adhesions Tendon adhesions Contractures Weakness Loss of ROM Loss of grip Loss of dexterity Sensory impairment Neuropathic pain CRPS Functional disability
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Post-Operative Rehabilitation Services

Fracture fixation ORIF rehabilitation K-wire fixation External fixation rehabilitation Tendon repair rehabilitation Flexor tendon repair Extensor tendon repair Nerve repair Nerve grafting Nerve transfers Ligament reconstruction TFCC repair Wrist arthroscopy Carpal tunnel release Cubital tunnel release Trigger finger release De Quervain's release Dupuytren's release Joint replacement Arthrodesis Arthroplasty Tendon transfer Tendon graft Pulley reconstruction Pulley release Wrist ligament reconstruction Scaphoid fixation SL ligament reconstruction UCL reconstruction Shoulder arthroscopy Rotator cuff repair Labral repair Shoulder stabilization Shoulder replacement Elbow surgery Elbow replacement Contracture release Tenolysis Capsulotomy Neurolysis Amputation surgery
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Peripheral Nerve Injuries

Median nerve injuries Ulnar nerve injuries Radial nerve injuries Musculocutaneous nerve injuries Axillary nerve injuries Suprascapular nerve injuries Long thoracic nerve injuries Anterior interosseous nerve lesions Posterior interosseous nerve lesions

Nerve Compression / Entrapment

Carpal tunnel syndrome Cubital tunnel syndrome Guyon's canal syndrome Radial tunnel syndrome PIN syndrome AIN syndrome Pronator syndrome Thoracic outlet syndrome Suprascapular neuropathy

Brachial Plexus

Traumatic brachial plexus injury Obstetric brachial plexus palsy Erb's palsy Klumpke palsy Upper trunk injuries Lower trunk injuries Total plexus injuries Post-operative brachial plexus rehabilitation

Neurological Disorders

Stroke / hemiplegia Traumatic brain injury Spinal cord injury Multiple sclerosis Parkinson's disease Cerebral palsy Motor neuron disorders Peripheral neuropathies Guillain-Barré syndrome rehabilitation Charcot-Marie-Tooth disease Radiculopathy Cervical myelopathy Cervical radiculopathy Facial/upper-limb functional rehabilitation where relevant

Neurological Upper-Limb Problems

Spasticity Flaccidity Abnormal tone Weakness Motor-control deficits Loss of selective movement Coordination deficits Tremor-related functional difficulties Contractures Sensory loss Proprioceptive deficits Neglect-related upper-limb dysfunction
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Congenital Hand Anomalies

Syndactyly Polydactyly Clinodactyly Camptodactyly Brachydactyly Macrodactyly Ectrodactyly Radial club hand Ulnar club hand Congenital trigger thumb Congenital thumb hypoplasia Thumb aplasia Hypoplastic hand Congenital absence of digits Symbrachydactyly Amniotic band-related limb abnormalities

Congenital Syndromes

Holt-Oram syndrome Poland syndrome TAR syndrome Apert syndrome Down syndrome-related upper-limb dysfunction Arthrogryposis Klippel-Feil-associated upper-limb anomalies Other congenital limb-development disorders

Paediatric Neurological Conditions

Cerebral palsy Obstetric brachial plexus palsy Erb's palsy Klumpke palsy Developmental coordination difficulties Paediatric peripheral nerve injuries Spina bifida-related upper-limb dysfunction Paediatric stroke-related dysfunction

Functional Paediatric Rehabilitation

Fine-motor development Hand dominance development Grasp development Release training Bilateral hand use Pencil skills Handwriting difficulties Feeding-related upper-limb function Dressing skills Self-care skills School participation Play-based upper-limb rehabilitation Adaptive equipment training
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Rheumatological Conditions

Rheumatoid arthritis Juvenile idiopathic arthritis Osteoarthritis Psoriatic arthritis Ankylosing spondylitis-related upper-limb dysfunction Systemic lupus erythematosus-related hand problems Scleroderma Mixed connective tissue disease Gout Inflammatory arthritis Reactive arthritis Tendon involvement in rheumatological disease

Rheumatological Hand Management

Pain management Joint protection Energy conservation Splinting Resting splints Functional splints Deformity prevention Deformity management ROM preservation Strengthening Functional retraining Assistive devices Activity modification Ergonomic modification
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Sports Injuries

Wrist sprains Finger sprains Thumb UCL injuries / skier's thumb TFCC injuries Tendon injuries Elbow injuries Shoulder injuries Dislocations Labral injuries Rotator cuff injuries Overuse injuries

Athlete-Specific Rehabilitation

Cricket-related hand/wrist injuries Tennis injuries Badminton injuries Gym/weight-training injuries Climbing injuries Volleyball injuries Basketball injuries Baseball/throwing injuries Martial arts injuries Cycling-related upper-limb injuries Racquet-sport injuries

Performance Rehabilitation

Grip-strength development Throwing rehabilitation Return-to-sport testing Functional strength testing Sport-specific conditioning Injury prevention Load management Kinetic-chain rehabilitation
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Burn Conditions

Hand burns Finger burns Wrist burns Forearm burns Elbow burns Shoulder burns Thermal burns Chemical burns Electrical burns

Post-Burn Rehabilitation

Oedema management Scar management Hypertrophic scar management Contracture prevention Contracture rehabilitation ROM restoration Splinting Pressure therapy Desensitisation Sensory rehabilitation Strengthening Functional retraining Skin protection Return-to-work rehabilitation
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Reconstructive Procedures

Tendon reconstruction Tendon grafting Tendon transfer Nerve reconstruction Nerve grafting Nerve transfer Pulley reconstruction Ligament reconstruction Joint reconstruction Thumb reconstruction Finger reconstruction Web-space reconstruction Soft-tissue reconstruction Flap surgery Skin grafting Free-flap surgery Replantation Revascularisation Pollicisation Toe-to-thumb reconstruction Digit reconstruction Post-amputation reconstruction
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Rehabilitation Services

Digit replantation Hand replantation Partial hand replantation Revascularisation Post-operative oedema control Protection of repaired structures ROM progression Tendon-gliding Scar management Sensory re-education Desensitisation Strengthening Dexterity training Functional reintegration Return-to-work rehabilitation
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Upper-Limb Cancer Rehabilitation

Breast cancer rehabilitation Breast surgery rehabilitation Mastectomy rehabilitation Breast reconstruction rehabilitation Axillary lymph-node dissection rehabilitation Sentinel-node surgery rehabilitation Head-and-neck cancer-related upper-limb dysfunction Upper-limb tumour surgery Bone tumour surgery Soft-tissue tumour surgery Sarcoma rehabilitation Post-radiotherapy upper-limb dysfunction

Cancer-Related Problems

Cancer-related fatigue Shoulder stiffness Shoulder dysfunction Pain Weakness Neuropathy Scar restrictions Lymphoedema Post-mastectomy pain Axillary web syndrome Functional limitations
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Conditions

Post-traumatic oedema Post-operative oedema Hand oedema Finger oedema Wrist oedema Forearm oedema Upper-limb lymphoedema Post-mastectomy lymphoedema Cancer-related lymphoedema Post-infective oedema

Services

Oedema assessment Circumferential measurements Compression therapy Compression bandaging Garment recommendation Manual lymphatic techniques Exercise for lymphatic management Skin-care education Self-management training
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Hand Rehabilitation Following Appropriate Medical/Surgical Management

Cellulitis Abscess Paronychia Felon Flexor tenosynovitis Septic arthritis Osteomyelitis Infective tendon conditions Post-operative infections Tuberculosis of hand/wrist Infective tenosynovitis Post-infective stiffness Post-infective weakness Post-infective scar/adhesion
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Amputation Types

Fingertip amputation Single-digit amputation Multiple-digit amputation Ray amputation Partial hand amputation Wrist disarticulation Forearm amputation Upper-limb amputation

Rehabilitation

Wound care education Oedema control Scar management Desensitisation Phantom sensation management Phantom pain management Strengthening Prosthetic preparation Prosthetic training Functional adaptation Occupational reintegration Return-to-work training
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Conditions

Post-surgical scars Traumatic scars Burn scars Hypertrophic scars Contractile scars Adhesive scars Tendon adhesions Scar sensitivity Scar pain Restricted tissue mobility

Techniques / Services

Scar mobilisation Soft-tissue mobilisation Myofascial techniques Silicone/pressure-management education Desensitisation Stretching Splint-assisted scar management Functional restoration
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Sensory Problems

Sensory loss Altered sensation Paraesthesia Hypersensitivity Allodynia Numbness Protective sensation loss Two-point discrimination deficits Stereognosis deficits

Sensory Rehabilitation

Sensory re-education Sensory discrimination Texture recognition Object recognition Desensitisation Protective-sensation education Neural mobilisation where appropriate Functional sensory retraining
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CRPS Management May Include

CRPS Type I CRPS Type II Pain education Graded exposure Desensitisation Oedema management Gentle ROM Functional restoration Sensory rehabilitation Laterality training Graded motor imagery Mirror therapy Strengthening progression Return-to-function rehabilitation
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Pain Rehabilitation

Chronic hand pain Chronic wrist pain Chronic elbow pain Chronic shoulder pain Neuropathic pain Post-traumatic pain Post-operative pain Myofascial pain Tendon-related pain Joint-related pain Central sensitisation-related functional limitations
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Static Splints

Resting hand splints Wrist splints Thumb spica Opponens splints Anti-claw splints Intrinsic-plus splints Extension splints Flexion splints Night splints Immobilisation splints

Dynamic Splints

Dynamic flexion splints Dynamic extension splints Dynamic radial/ulnar deviation splints Tendon-rehabilitation splints Nerve-injury splints Anti-contracture splints

Specialised Splints

Mallet finger splints Boutonnière splints Swan-neck splints Trigger finger splints De Quervain's splints CMC OA splints TFCC support splints Wrist cock-up splints Anti-claw splints Radial nerve palsy splints Serial static splints Serial casting

Custom Orthoses

Thermoplastic custom orthoses Functional orthoses Protective orthoses Post-operative orthoses Paediatric orthoses Adaptive orthoses
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Functional Rehabilitation

Grip retraining Pinch retraining Fine motor training Gross motor training Dexterity training Hand-eye coordination Bilateral hand coordination Manipulation training Object handling Writing rehabilitation Keyboard/mouse function Tool handling Workplace-specific tasks ADL retraining IADL retraining Return-to-work rehabilitation
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Workplace Conditions

Computer-related upper-limb pain Mouse-related pain Keyboard-related disorders Repetitive strain injuries Work-related musculoskeletal disorders Occupational tendinopathies Prolonged static-posture-related dysfunction

Services

Ergonomic assessment Workstation assessment Desktop ergonomics Laptop ergonomics Work-from-home ergonomics Industrial ergonomics Workplace modification Tool modification Activity modification Work-hardening Return-to-work planning
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Work Rehabilitation

Job-specific rehabilitation Work simulation Work capacity assessment Grip requirements assessment Manual-handling training Repetitive-task conditioning Load progression Endurance training Return-to-work planning Workplace adaptation Vocational rehabilitation
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Strength & Conditioning

Grip strengthening Pinch strengthening Wrist strengthening Forearm strengthening Elbow strengthening Shoulder strengthening Rotator-cuff conditioning Scapular strengthening Functional strengthening Progressive resistance training Endurance conditioning Return-to-sport conditioning
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Mobility Services

Joint mobilisation Passive ROM Active ROM Active-assisted ROM Tendon-gliding exercises Neural mobilisation Soft-tissue mobilisation Myofascial techniques Stretching Contracture management Serial positioning Mobility restoration
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Paediatric Orthotic Services

Congenital hand deformity splints Cerebral palsy hand splints OBPI splints Thumb positioning orthoses Anti-contracture splints Serial splinting Functional orthoses Growth-adjustable orthotic strategies Night splints Post-operative paediatric orthoses
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Neurological Surgery Rehabilitation

Nerve decompression Nerve repair Nerve graft Nerve transfer Tendon transfer Brachial plexus surgery Spasticity surgery Contracture release Neurolysis
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Kinetic Chain Rehabilitation

Cervical spine contribution Scapular dysfunction Shoulder mechanics Elbow mechanics Forearm rotation Wrist mechanics Hand function Grip biomechanics Throwing mechanics Closed-chain upper-limb rehabilitation Proximal-to-distal rehabilitation
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Clinical Assessment

Pain assessment ROM assessment Muscle strength assessment Grip strength Pinch strength Sensory assessment Oedema assessment Scar assessment Joint stability assessment Tendon integrity assessment Neurological assessment Functional assessment

Functional Testing

Grip dynamometry Pinch dynamometry Dexterity testing Fine-motor testing Hand function questionnaires Patient-reported outcome measures Work-capacity assessment Return-to-sport testing
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Patient Education

Home exercise programmes Joint protection Activity modification Pain education Oedema education Scar-care education Splint-care education Tendon-protection education Nerve-protection education Ergonomic education Workplace education Post-operative precautions Long-term self-management
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Where Clinically Appropriate

Therapeutic exercise Manual therapy Soft-tissue techniques Joint mobilisation Neural mobilisation Dry needling Kinesiotaping Therapeutic taping Electrotherapy Therapeutic ultrasound TENS Heat/cold therapy Wax therapy/paraffin where appropriate NMES Functional electrical stimulation
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Advanced Rehabilitation

Constraint-induced movement therapy Mirror therapy Graded motor imagery Motor-control retraining Proprioceptive training Sensory-motor integration Virtual-reality-assisted rehabilitation Task-specific training Bilateral training Functional electrical stimulation Robotic-assisted rehabilitation
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Post-Fracture Hand Recovery

Assessment Oedema control ROM Splint Strengthening Dexterity Functional recovery

Post-Tendon Repair Rehabilitation

Protection Controlled mobilisation Tendon gliding Strengthening Functional restoration

Nerve Injury Recovery

Protection Sensory assessment Motor retraining Sensory re-education Strengthening Functional recovery

Post-Burn Hand Recovery

Oedema Scar management Splinting ROM Desensitisation Strengthening Function

Post-Mastectomy Upper-Limb Rehabilitation

Shoulder mobility Scar management Lymphoedema management Strength Functional recovery

Brachial Plexus Rehabilitation

Motor assessment Positioning ROM Muscle activation Sensory training Functional retraining

CRPS Recovery Programme

Pain education Desensitisation Oedema management Graded movement Motor/sensory retraining Function
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Your Rehabilitation Journey

From Assessment To Function

A comprehensive rehabilitation pathway designed around assessment, individualized treatment, functional restoration and return to meaningful activities.

Assessment →

Clinical assessment, pain, ROM, strength, grip, pinch, sensory, oedema, scar, neurological and functional assessment.

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Rehabilitation →

Individualized rehabilitation focused on mobility, strength, sensory recovery, motor control and functional restoration.

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Custom Splinting →

Specialized static, dynamic and custom orthotic options based on individual rehabilitation requirements.

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Functional Restoration →

Grip, pinch, dexterity, fine motor skills, ADL, IADL, workplace-specific tasks and functional retraining.

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Return to Work →

Work conditioning, job-specific rehabilitation, work simulation, work capacity assessment and workplace adaptation.

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Return to Sport →

Functional strength testing, sport-specific conditioning, load management, injury prevention and return-to-sport testing.

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AUDREYA • The Noble Strength

Specialized Care.
Meaningful Recovery.

Hand | Wrist | Forearm | Elbow | Shoulder | Brachial Plexus | Peripheral Nerves | Tendons | Ligaments | Muscles | Fascia

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