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Such changes can adversely affect function and independence in daily activities, reducing participation and quality of life. People with neuromuscular disorders (pwNMD) known to involve the hand should be assessed at regular intervals for changes both clinically and using impairment, performance, function, and patient\u2010reported outcome measures as appropriate. A patient\u2010centered approach to management is recommended, with clinicians partnering with the individual, their caregivers and the interprofessional teams to create personalized solutions that can overcome barriers to participation and best meet the goals of individuals affected by neuromuscular disorders. Management strategies should be multifaceted, and may include exercise, orthoses, assistive devices, technological solutions, environmental or task adaptations, medications, and\/or surgery. Exercise recommendations and orthoses should be individualized and evolve based on disease progression, impairments, and functional limitations. While medications and surgery have a small role for specific clinical situations, there is a plethora of assistive and technological solutions to assist with basic and instrumental activities of daily living, work\/education, and leisure for pwNMD with reduced hand function. In addition, clinicians should advocate for appropriate accommodations for reduced hand function at work\/school, and the development of and adherence to legislation supporting accessibility and inclusion.<\/jats:p>","DOI":"10.1002\/mus.28167","type":"journal-article","created":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T05:33:54Z","timestamp":1717738434000},"page":"869-888","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["All hands on deck: <scp>The<\/scp> multidisciplinary rehabilitation assessment and management of hand function in persons with neuromuscular disorders"],"prefix":"10.1002","volume":"71","author":[{"given":"Colleen","family":"O'Connell","sequence":"first","affiliation":[{"name":"Stan Cassidy Centre for Rehabilitation, Horizon Health Network  Fredericton New Brunswick Canada"},{"name":"Division of Physical Medicine and Rehabilitation Dalhousie University Faculty of Medicine  Halifax Nova Scotia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8931-5935","authenticated-orcid":false,"given":"Meiqi","family":"Guo","sequence":"additional","affiliation":[{"name":"Toronto Rehabilitation Institute University Health Network  Toronto Ontario Canada"},{"name":"Division of Physical Medicine &amp; Rehabilitation, Faculty of Medicine University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e9atrice","family":"Soucy","sequence":"additional","affiliation":[{"name":"Division of Physical Medicine &amp; Rehabilitation, Department of Clinical Neurosciences, Cumming School of Medicine University of Calgary  Calgary Alberta Canada"},{"name":"Department of Physical Medicine and Rehabilitation Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marla","family":"Calder","sequence":"additional","affiliation":[{"name":"Stan Cassidy Centre for Rehabilitation, Horizon Health Network  Fredericton New Brunswick Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeff","family":"Sparks","sequence":"additional","affiliation":[{"name":"Muscular Dystrophy Canada  Saint John New Brunswick Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Plamondon","sequence":"additional","affiliation":[{"name":"Division of Physical Medicine &amp; Rehabilitation, Department of Clinical Neurosciences, Cumming School of Medicine University of Calgary  Calgary Alberta Canada"},{"name":"Alberta Health Services  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,6]]},"reference":[{"key":"e_1_2_17_2_1","unstructured":"The Mind is a Metaphor It follows that the soul is analogous to the hand; for as the hand is a tool of tools so the mind is the form of forms and sense the form of sensible things"},{"key":"e_1_2_17_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ene.15446"},{"key":"e_1_2_17_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2021.812063"},{"key":"e_1_2_17_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2019.04.009"},{"key":"e_1_2_17_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/165019701750419590"},{"key":"e_1_2_17_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nmd.2014.06.433"},{"key":"e_1_2_17_8_1","unstructured":"World Health Organization.Rehabilitation [Fact Sheet]. 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