The AI scribe for hand therapists

The hand-therapy record, complete

Range, grip and sensation, the splint you fitted and the surgeon's protocol, Note Dr writes the full hand-therapy record, ready to approve.

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See it in action

From splint fitting to approved record

Note Dr listens to the session as it happens. While you measure, fit the splint and talk through the surgeon's protocol, it writes the record in the background, so your hands stay on the patient and your eyes stay off the keyboard.

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Built for scrutiny

Every splint decision,
on the record

  • Protocol and precautions on record

    The surgeon's protocol you are following, the precautions you set and the reasoning behind them, captured as you talk them through, not reconstructed later.

  • Consent for splinting and loading

    What you explained about the splint, the exercises and the restrictions, and what the patient agreed to, recorded the moment you gain consent.

  • Measurements and outcomes captured

    The ROM, grip and pinch you measured and the validated score you took, such as the QuickDASH, the very elements audits show go missing most.

Document the flexor tendon review

Plan, zone two flexor tendon repair

Protocol confirmedSurgeon's early active motion, no resisted grip
Outcome measure takenBaseline QuickDASH and composite flexion recorded
Consent recordedSplint, exercises and precautions, explained

As precise as your measurements

A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, assessment, protocol, splinting, consent and outcomes, where published audits show conventional physiotherapy records routinely fall short.

  • Attention on the patient
  • Time back in your day

Audits referenced: Turner et al (Physiotherapy Theory and Practice, 1999), Sumner et al (Physiotherapy, 2000), O'Donovan et al (Physiotherapy Canada, 2017) and Paim et al (Disability and Rehabilitation, 2022).

A note for
every hand session

    Patient memory

    Last session's range,
    before you re-splint

    Ask what protocol stage they reached, the splint you fitted, or what the patient consented to, answered in seconds from their own record.

    Walk into the review already knowing the story, without trawling the notes.

    Ask Note Dr, Nadia Hussain
    Where is Nadia up to in her protocol, and what did she consent to?
    NNote Drfrom this patient's record
    At the assessment on 10 June, she was ten days post zone two flexor tendon repair of the right index, on the surgeon's early active motion protocol. You refitted the dorsal blocking splint, recorded a baseline QuickDASH of 64 with composite flexion to mid-palm, and consent was documented for splinting and the exercise programme.
    Drawn from 3 documents across 2 visits
    Clinical references

    Guidance,
    through to discharge

    When a presentation calls for it, Note Dr surfaces the published guidance hand therapists work to, from BAHT and CSP record-keeping and outcome-measure guidance to flexor tendon rehabilitation protocols and red-flag screening for the upper limb, with the source shown. It never tells you how to treat your patient; that judgement stays with you.

    app.notedr.com
    Appointment TranscriptNadia HussainToday · 17:06
    06:18NadiaThey repaired the tendon in my index finger about ten days ago, am I doing the right exercises?
    06:31TherapistZone two repair, on the surgeon's early active motion protocol. Splint refitted, no resisted gripping yet.
    NNote Dr

    Want me to surface any guidance for this? You could ask:

    Show me the BAHT guidance on flexor tendon rehabilitation
    What does the CSP recommend for physiotherapy record-keeping?
    Which outcome measure suits a hand and upper-limb presentation?
    Remind me of the upper-limb red flags to screen for here
    Find the evidence on early active motion after tendon repair
    GuidelinesJournalsReferences

    The hand caseload's
    record, sorted

    Why hand therapists trust Note Dr with a record that stands up to scrutiny.

    ★★★★★

    The protocol is finally on record

    Rebecca I, hand therapist

    Which surgeon's protocol I'm following and why I'm holding off on resisted work used to live in my head. Now it's in every note, with the precautions spelled out. I edit and approve in under a minute.

    ★★★★★

    Splint specs, captured every time

    Daniel C, specialist hand therapist

    The exact splint, the angles, the wearing schedule, all the things you swear you'll write up and never quite do. Note Dr records the orthosis as I fit it, so the splint detail is finally in the note, not just on the patient.

    ★★★★★

    Hands stay on the patient

    Aisha L, occupational therapist in hands

    I'm not breaking off mid-assessment to type any more. I measure, I fabricate the splint, and the record writes itself in the background. The patient gets a clinician, not someone half-watching a screen.

    ★★★★★

    Outcome measures, never skipped

    Gareth O, advanced hand therapist

    QuickDASH and grip were the first things to slip when the clinic ran late. Note Dr captures the measure and the ROM every review, so my notes finally show the progress against the protocol, not just my impression of it.

    ★★★★★

    Liaison the surgeon trusts

    Hannah B, clinical lead hand therapist

    Our consultants want a clear record of where each patient is in their protocol. Contemporaneous notes with the splint, the precautions and the outcome measure mean the discharge letters write themselves and the shared care just works.

    Rated 4.7 out of 5 by hand therapists from 69 reviews

    What's said in the surgery
    stays in the surgery.

    Every recording and record is protected by strong, independently assessed security and encryption.

    ISO 27001 Aligned Cyber Essentials GDPR Compliant ICO Registered NHS Compliant UKCA Medical Device HIPAA Compliant

    ★★★★★

    Across a hand caseload, post-op reviews, splint fittings and discharges, every record now reads to the same standard, with the protocol, the splint detail and the outcome measures that used to vanish when I was busy. My notes finally match the work I actually do.

    Florence AHand therapist

    Hand therapist FAQs

    Can Note Dr capture hand assessment like ROM, grip and sensation?

    Yes. As you call out range of movement, grip and pinch on dynamometry, sensory testing and two-point discrimination, Note Dr records your objective hand assessment in a structured note. The measurements are captured contemporaneously as you measure them, not reconstructed from memory later, ready for you to review.

    Does an AI scribe understand hand therapy terminology?

    Note Dr recognises the language of hand therapy as you speak it: flexor tendon zones, dorsal blocking and relative motion splints, goniometry, Jamar grip and pinch dynamometry, Semmes-Weinstein monofilaments and two-point discrimination. The draft keeps your wording rather than paraphrasing it into generic rehab language, and you review and approve every note before it joins the record.

    Can I use an AI scribe while fitting or fabricating a splint?

    Yes. Note Dr listens ambiently, so it documents while your hands are in the thermoplastic. As you mould a dorsal blocking splint, set the angles, adjust straps and talk through the wearing schedule and precautions, the conversation becomes a drafted note in the background. Nothing needs typing mid-fabrication, and you review and approve the finished record once the splint is on.

    Will it record outcome measures such as DASH or QuickDASH?

    Yes. As you take a validated score such as the DASH, QuickDASH or a patient-rated outcome, Note Dr records it in your structured note, ready to repeat through the protocol. Grip strength and composite flexion baselines are captured too, so progress against the surgeon's timeline is documented.

    Do I still need to check notes an AI scribe writes?

    Yes — you review and approve every note before it enters the record. Note Dr drafts the subjective history, objective measurements, splint specification and plan from what was said in the session, but it does not diagnose or make clinical decisions; responsibility for the final record stays with you as the treating clinician. Nothing is filed without your approval.

    Does it support surgeon liaison and shared care records?

    Yes. Note Dr drafts a clear record of the protocol stage, the splint, the outcome measures and your progress, ready to copy into a liaison note or discharge summary for the operating surgeon. The shared-care detail the consultant relies on is documented every session, with you reviewing before it is sent.

    Can occupational therapists use an AI scribe for hand therapy?

    Yes. Hand therapy in the UK is practised by physiotherapists and occupational therapists alike, and Note Dr documents for both. Whether your notes lean towards ROM, strength and tissue healing or towards function, daily activities and orthotic provision, the draft follows your own template and emphasis — and you review and approve it before it is filed.

    Records that keep up with your hand clinic

    Complete, watertight records for every session on your list, post-op reviews, splint fittings and discharges, reviewed and approved by you. Protocol, splinting, consent and outcomes, finally handled.

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