Avoiding Storm Damage in the Scleroderma Hand: Contractures, Ulcers, Calcinosis

Date/Time: Fri, October 2, 2020 8:00 AM to 9:00 AM


The session will cover the fundamentals of Scleroderma's vascular pathology and its impact specific to the distal upper extremity. A conceptual approach to preventing tissue damage to vulnerable areas of the forearm and hand will be discussed. An overview of strategies for safe exercise and orthotic intervention will be provided. The leadership role hand therapists should have in providing expert care to individuals with Scleroderma will be emphasized.


  • Establish an understanding of the vasculopathy present in Scleroderma and its influence on tissue in the upper extremity.

  • Define early manifestations of Scleroderma in the hand.

  • Apply concepts learned to ADL strategies to limit friction, microtrauma, and thermal injury to the upper extremity with Scleroderma.

  • Incorporate concepts learned to utilize clinical reasoning to exercise and orthotic intervention in the Scleroderma hand.