Outpatient neuro rehabilitation Pikesville, MD
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Everyday skills · Pikesville, Maryland

Arm & hand rehabilitation after neurological injury

Reaching for a cup, fastening a button, or using your phone can feel different after a neurological injury. Our occupational therapy team helps you work on arm and hand skills that matter in your daily routine.

Start with what you want to do

Weakness or changes in coordination, sensation, or attention can affect how you use an arm or hand. We look at the task as well as the movement: what you are trying to do, what gets in the way, and what support might help.

  • Reaching, holding, and releasing everyday objects.
  • Using utensils, buttons, a keyboard, or a phone.
  • Handwriting and tasks that need smaller, more precise movements.

Practice with a purpose

Your evaluation helps us choose activities and strategies for your current abilities. Treatment may include guided practice, coordination work, ways to use the affected side during a task, and changes to the task or tools.

If touch feels different or a hand is very sensitive, explain which activities are difficult. Sensory work is chosen for the problem identified in your evaluation.

Comfort, stiffness, and positioning

A stiff or difficult-to-move limb can affect dressing, hygiene, rest, and daily activity. We can address positioning and functional use, and discuss how a caregiver can help with the plan.

If a splint or other support is part of your care, bring it to the visit. We can review how it fits into daily routines and coordinate questions with the clinician who prescribed it.

Make the work useful between visits

Your home practice should have a clear purpose and fit your abilities. Tell us what feels manageable and what is difficult so we can adjust the plan. Recovery varies; we follow your progress through meaningful tasks rather than a promised timetable.

Common questions

Is this the same as therapy after a wrist fracture?

Some daily goals overlap, but neurological rehabilitation also considers how a condition affects movement control, sensation, thinking, or attention. Our hand and wrist guide explains care for injuries and musculoskeletal problems.

Should I bring my splint or brace?

Bring the supports you normally use and any instructions from your treating clinician. Let the office know if you need assistance for your visit.

Updated · Maryland Neuro-Rehab & Wellness Center

General education to help you prepare for a conversation with your care team. Your evaluation determines which services and strategies are appropriate for you.

Further reading