Abstract
The role of hand therapists in treating sports-related injuries of the upper limb has evolved over the past century. Effective treatment and application of physical modalities depend on accurate diagnosis and appreciation of the cause of injury. Rehabilitation protocols and progression must be based primarily on the physiologic responses of tissue to injury and on an understanding of the wound healing processes of various tissues. Thus, in acute injuries clinical evaluation should focus on the effect of the injury since the degree and nature of tissue disruption have more impact on therapy than the cause of the injury. Conversely, in overuse injuries the intrinsic and extrinsic causes should be considered to eventually achieve effective treatment.
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