Hand Therapist (Certified Hand Therapist – CHT) Training Programs and Schools

Jan 29, 2024

8 Min Read

1. What is the role of a hand therapist?


The role of a hand therapist is to treat and rehabilitate patients with conditions or injuries affecting their hands, wrists, and arms. They use a variety of techniques such as exercise, manual therapy, splints and other modalities to improve the function and mobility of the affected area. They also educate patients on self-care techniques to help them manage their condition or injury.

2. Why do some physical therapists choose to specialize in hand therapy?


Some physical therapists may choose to specialize in hand therapy because they have a strong interest and passion for the intricate structures and functions of the hand. They may also have a natural aptitude for working with fine motor skills and dexterity, which is necessary for hand therapy. Additionally, specialization allows them to develop advanced skills and techniques specific to treating hand injuries and conditions, which can lead to better outcomes for their patients. Hand therapy is also in demand as there are many common hand injuries and disorders that require specialized treatment.

3. What is the difference between a regular physical therapist and a certified hand therapist (CHT)?

A certified hand therapist (CHT) is a specialized type of physical therapist who has completed additional training and certification to specifically work with rehabilitation and treatment of conditions affecting the hands, wrists, and arms. This includes conditions such as carpal tunnel syndrome, tennis elbow, and fractures in the hand or wrist. A regular physical therapist may have general knowledge of these conditions but does not necessarily have the same level of expertise and may not be qualified to provide specific hand therapy interventions.

4. How much additional training is required to become a CHT?


The amount of additional training required to become a Certified Hand Therapist (CHT) can vary depending on an individual’s previous education and experience. Generally, it requires at least 5 years of experience as a certified occupational therapist or physical therapist, with at least 4,000 hours of direct practice in hand therapy. Additionally, individuals must complete 200 hours of continuing education related to hand therapy and pass a comprehensive exam to obtain CHT certification.

5. Are there specific schools or programs in the U.S. that offer specialized training for hand therapists?


Yes, there are specific schools and programs in the U.S. that offer specialized training for hand therapists. Some examples include the Hand Therapy Certification Commission, which offers a Certified Hand Therapist (CHT) credential, and the American Society of Hand Therapists, which offers courses and workshops for hand therapists. Additionally, many universities and colleges offer graduate programs in occupational therapy with a focus on hand therapy.

6. What are some common topics covered in a hand therapy training program?


Some common topics covered in a hand therapy training program include anatomy and physiology of the hand, musculoskeletal conditions and injuries, assessment and diagnosis of hand issues, therapeutic exercises and activities, splinting techniques, wound care, neurorehabilitation techniques, pain management strategies, patient education and counseling, research methods and evidence-based practice.

7. Is there a certification exam for becoming a CHT? If so, what does it entail?

Yes, there is a certification exam for becoming a CHT (Certified Hand Therapist). The exam is offered by the Hand Therapy Certification Commission and is designed to assess knowledge and skills in the field of hand therapy. It covers topics such as anatomy, neuroscience, splinting, exercise therapy, surgical interventions, and professional responsibility. The exam consists of 200 multiple-choice questions and must be completed within four hours. Candidates must also fulfill specific clinical experience and educational requirements before being eligible to sit for the exam.

8. How often do hand therapists need to renew their certification and stay updated on current practices?


Hand therapists typically need to renew their certification every five years and stay updated on current practices through continuing education courses and professional development opportunities.

9. Can someone become a CHT without previously being a licensed physical therapist?

Yes, it is possible for someone to become a CHT (Certified Hand Therapist) without previously being a licensed physical therapist. However, they would need to meet different education and experience requirements set by the Hand Therapy Certification Commission. This may include completing graduate-level courses in hand therapy, obtaining significant hours of clinical experience in hand therapy, and passing the certification exam. Each individual’s path to becoming a CHT may vary depending on their prior education and work experience.

10. Are there any prerequisites or recommended experience for entering into a hand therapy training program?


Yes, there are certain prerequisites and recommended experience for entering into a hand therapy training program. These may vary depending on the specific program and institution, but generally they include a bachelor’s degree in occupational therapy or physical therapy, relevant work experience in orthopedics or rehabilitation settings, and proficiency in basic anatomy and physiology of the upper extremities. Some programs may also require prior certification as an occupational therapist or physical therapist. It is recommended to research and carefully review the entry requirements for each individual hand therapy training program before applying.

11. What types of settings can one work in as a CHT, besides traditional hospitals or clinics?


A CHT (Certified Hand Therapist) can work in a variety of settings, including private practices, rehabilitation hospitals, outpatient clinics, nursing homes, home health agencies, and industrial or corporate clinics. They may also work in schools, athletic facilities, or research institutions.

12. Are there opportunities for hands-on practice and clinical experiences during the training program?


Yes, typically there are opportunities for hands-on practice and clinical experiences during training programs. These may include internships, externships, or practical rotations in a real-life environment where trainees can apply their knowledge and skills under the supervision of trained professionals. This allows them to gain practical experience and develop their skills before entering the workforce.

13. Is there any hands-on learning specific to working with different tools or equipment commonly used in hand therapy treatments?


Yes, many hand therapy programs include hands-on learning modules focused on teaching appropriate techniques for working with a variety of tools and equipment commonly used in hand therapy treatments. This can include activities such as practicing proper splinting techniques, using manual therapy tools to perform joint mobilizations, or using therapeutic modalities like ultrasound or electrical stimulation. These hands-on learning experiences are designed to help students develop the necessary skills and proficiency in working with different tools and equipment that are essential for providing effective hand therapy treatment.

14. Do most programs offer specialized courses for working with certain populations, such as athletes or older adults?


Yes, many programs offer specialized courses for working with certain populations, including athletes and older adults. These courses may focus on the unique needs and considerations of these groups, such as injury prevention and rehabilitation for athletes or modifications for exercise programming for older adults. This allows trainers and instructors to develop specific skills and knowledge relevant to these populations and provide more effective and targeted services.

15. Are internships or externships required as part of the training program curriculum? If so, how long do they typically last?


Internships or externships may be required as part of the training program curriculum. The duration of these experiences can vary, but they typically last anywhere from a few months to a year.

16. How does the curriculum for a hand therapy training program compare to that of other physical therapy specializations, such as orthopedics or pediatric therapy?


The curriculum for a hand therapy training program differs from other physical therapy specializations in terms of the specific focus on the upper extremity. This includes anatomy and function of the hand, wrist, elbow, and shoulder, as well as medical conditions and injuries related to these areas. Hand therapy also involves specialized techniques and interventions for rehabilitation and injury prevention.

In comparison, orthopedics may have a broader focus on musculoskeletal injuries and conditions throughout the body, while pediatric therapy may cover both physical and developmental aspects for children. However, there may be some overlap in certain topics such as therapeutic exercise, modalities, and assessment tools.

Additionally, a hand therapy training program may also include education on splinting and custom orthotics, wound care management, ergonomics in the workplace or sports activities related to hand function. These may not be covered in other physical therapy specializations.

Overall, while there may be similarities in coursework among different physical therapy specializations, the curriculum for a hand therapy training program is tailored specifically to the unique needs of patients with upper extremity injuries or conditions.

17. Are there any notable faculty members or industry experts involved in teaching at these programs/schools?


Yes, there are often notable faculty members or industry experts involved in teaching at these programs/schools. Some schools may have a mix of full-time professors and adjunct professors who are currently working professionals in their field. These individuals bring real-world experience and current industry knowledge to the classroom, providing students with valuable insights and networking opportunities. Additionally, some programs may also invite guest speakers or hold workshops led by industry experts to supplement the curriculum.

18. Is there opportunity for research involvement during or after completing the training program?


Yes, there may be opportunities for research involvement during or after completing a training program depending on the specific program and its focus. Some training programs may have research components built into their curriculum, while others may offer optional research projects or internships for participants to get involved in. It is important to inquire about potential research opportunities before enrolling in a training program if you are interested in pursuing this type of involvement.

19. How does the job outlook and demand for CHTs compare to that of other physical therapy specialties?

The job outlook and demand for CHTs varies depending on the geographic location and current market conditions. Generally, CHTs are in high demand due to the increasing elderly population and higher rates of chronic conditions that require hand therapy. According to the Bureau of Labor Statistics, employment for physical therapists, including specialized areas such as hand therapy, is projected to grow faster than average at 18% between 2019-2029. However, it should be noted that competition for these positions may also be high due to the specialized nature of hand therapy.

20. What are some potential career advancement opportunities for certified hand therapists, such as branching into teaching or leadership roles?


Some potential career advancement opportunities for certified hand therapists may include branching into teaching roles, such as becoming a clinical instructor or adjunct professor for hand therapy courses. They may also have the opportunity to take on leadership roles within their field, such as becoming a department or program director, or serving on professional boards or committees. Additionally, some hand therapists may choose to pursue specialized certifications in certain areas related to hand therapy, which can open up new opportunities for advanced practice and research.

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