by: Natalie Black, OT, MOT

Of all newborns born with congenital abnormalities, over 10% of them are born with upper extremity malformations. Most typically, such hand defects present as undergrowth of bone or as generalized skeletal abnormalities. Sometimes, surgical reconstructive options exist for children to have more “typically” appearing limbs, but other times it’s a better choice to let that kiddo grow, play, learn, and experience life just the way they are! This option often leads to better functional use of the arm and hand, and the child is most often able to grow and develop typically. However, sometimes challenges with development start to appear with certain tasks and activities due to those early differences in upper extremity movement, which can impact a child’s life as they grow. 

Occupational and physical therapists are some of the most important healthcare providers for pediatric clients with upper extremity congenital deformities. Treating kids means using play, sports, toys, and exercises to facilitate movement for better participation; and helping kids use their hands better for all the fun they want to have every day.   


Read more about hand therapy and its benefits in How Hand Therapy Can Help You on the Spooner blog!


During several months of therapy visits, Spencer has progressed significantly and is now able to use his left hand to pick up small objects, assist in holding heavy items, play sports, do arts and crafts, and complete all his self-care tasks independently.  Spooner occupational therapist Natalie Black, OT, MOT developed a program for Spencer that was centered on full body motor planning, core strengthening, neonatal reflex integration, overhead mobility, weightbearing, fine motor control, and dexterity.

Spencer says, “Coming to Spooner has helped my hand get stronger and I am able to do a lot more. Natalie is also very nice and friendly. She has changed me and my life. Thanks Natalie!” 

Spencer has not yet pursued use of any type of prosthetic for his hand, but might decide to do so in the future. If he does, the Spooner team will be here to help him learn how to use those new tools and integrate them into his daily life. 


Learn more about Hand Therapy at Spooner. Schedule an appointment or complimentary movement screen with a Spooner physical therapist or occupational therapist at one of our locations throughout the valley.