Thirty years of hand therapy: The 2014 practice analysis.

STUDY DESIGN Quantitative and descriptive study. INTRODUCTION In 2014, the Hand Therapy Certification Commission (HTCC), in consultation with Professional Examination Service, performed a practice analysis study of hand therapy, the fifth in a series of similar studies performed by HTCC over a 30-year period. PURPOSE The purpose of the study was to gather data on current hand therapy practice to ensure the content of the Certified Hand Therapist (CHT) examination and credentialing program requirements match current practice. METHODS Subject-matter experts from the United States and Canada, representing a broad range of experiences and perspectives, developed an updated delineation of the domains, tasks, knowledge, and techniques and tools used in hand therapy practice. Practicing hand therapists from the United States, Canada, Australia, and 13 other countries reviewed the delineation in a large-scale online survey. RESULTS The survey overwhelmingly validated the updated profile. Additionally, the survey explored trends in hand therapy practice and compared findings with previous studies. The results were analyzed and compared with findings from previous studies. CONCLUSION This analysis led to the revision of the test specifications for the HTCC; the affirmation of the definition of hand therapy; the refinement of the scope of hand therapy practice; and guidance for HTCC policy decisions. LEVEL OF EVIDENCE Not applicable.