Hand therapy intervention activities for Chemo-Induced Peripheral Neuropathy (CIPN)

Blog Post Written By: Rita Steffes

Patients with CIPN may present with symptoms that include numbness, tingling, hypersensitivity to cold, loss of tactile or vibration sensitivity, decreased balance, and shooting burning pain in their hands These symptoms make it difficult for oncology patients to participate in all activities of daily living with dressing, meal preparation, writing, and texting. Research supports that intervention planning for patients with CIPN benefit from a  combination of sensorimotor training, resistance training, and endurance training. 

  • Coin rice search with a towel covering the bowl: This enhances the patient’s sensory system and tactile awareness while being desensitized to the tactile input of the rice. 
CIPN
  •  Button book: Patients experiencing CIPN may have difficulties completing dressing tasks with buttons and zippers due to loss of tactile awareness and numbness. This activity increases fine motor coordination with sensory input from the activities materials, allowing patients to work on the functional task of buttoning and unbuttoning different sized buttons. 
CIPN
  • Vibration tools: Patients may benefit from sensorimotor activities that promote vibrational input, helping to increase awareness and help with numbness and pain. 
CIPN
  • Table sled: The patient works to push this sled back and forth promoting a push and pull motion. This activity is a great intervention for resistance training individualized for the client by easily being able to increase or decrease with weights on the sled that match the needed resistance for the patient. 
CIPN

Tofthagen, C., Visovsky, C., and Rodriguez, R. (2017). Chemotherapy-induced peripheral neuropathy: An algorithm to guide nursing management. Clinical Journal of Oncology Nursing 17 (2), 138-144. DOI 10.1188/13.CJON.138-144

Kleckner, I. R., Park, S. B., Streckmann, F., Wiskemann, J., Hardy, S., and Mohile, N. (2021). Clinical and practical recommendations in the use of exercise, physical therapy, and occupational therapy for chemotherapy-induced peripheral neuropathy (peripheral neuropathy occupational therapy). 

2 Comments

  1. Ebby Sigmund on April 21, 2022 at 1:46 am

    I have a patient with exactly this problem so great timing for this post! Some great ideas to make an interesting and fun programme for them.

    • Miranda Materi on May 1, 2022 at 7:28 am

      Awesome! Glad it was helpful!

Leave a Comment





More To Read

5+ Common Mallet Finger Splints

May 2, 2021

Finger orthoses can be tough, and the mallet orthosis is no exception. The protocol for 15 degrees of DIP extension with mallet fingers is tricky to manage while making a common mallet finger splint. Small splints on little fingers are also tricky to get sized just right and with strapping in the right places. Ask…

Read More

Volkmann’s Contracture

December 13, 2020

Written by Melissa Miller Introduction Volkmann’s contracture is a rare condition that occurs after injury to the elbow and upper arm, typically from a crush injury. This condition can occur when acute compartment syndrome is left untreated. If unrecognized, Volkmann’s contracture can lead to a permanent deformity in the hand and forearm. Hand therapists are…

Read More

Hand Therapy Interventions for Distal Upper Extremity Injuries and Conditions

June 7, 2020

Takata, S.C., Wade, E.T., & Roll, S.C. (2019). Hand therapy interventions, outcomes, and diagnoses evaluated over the last 10 years: A mapping review linking research to practice. Journal of Hand Therapy, 32(1), 1–9.  Written by Brittany Carrie The Skinny Approximately 26.9% of orthopedic injuries and disorders of the upper extremity occur worldwide. Injuries are most…

Read More
Envelope_1

Sign-up to Get Updates Straight to Your Inbox!

Sign up with us and we will send you regular blog posts on everything hand therapy, notices every time we upload new videos and tutorials, along with handout, protocols, and other useful information.