Hand Therapy

The providers at Texas Hand and Arm Center are committed to providing a complete solution for their patients. This includes comprehensive therapy for both surgical and nonsurgical problems.

Abbey Mulder, MOT, OTR, CHT

Mary Ann Appleby, MA, OTR, CHT


Mary Ann Appleby received her Bachelor of Science degree in Occupational Therapy from University of Texas Medical Branch Galveston and earned her Master’s from Texas Woman’s University. She owned Dallas Hand Rehabilitation for 39 years and officed with hand surgeon Sigurd Sandzen during the first 15 years of the practice. She became a Certified Hand Therapist in 1991. Mary Ann has published several research articles on hand rehabilitation in peer review journals and presented at local, state, and national conferences on the subject. She has been a fieldwork supervisor since starting her career. She joined Texas Hand and Arm Center in 2020 and enjoys working with the surgeons that have cared both for herself and four generations of her extended family for various orthopedic needs. Mary Ann is a member of the DFW Hand Interest group, Texas Society for Hand Therapy, the American Society of Hand Therapists and the Riordan Society.

Abbey Mulder, MOT, OTR, CHT

Hollie Morris, MOT, OTR


Hollie Morris attended Texas Woman’s University where she received her Bachelor of Science in Health Studies and a Master of Occupational Therapy degree in 2015. Upon graduation, she began working at a therapist-owned outpatient hand therapy practice where she gained knowledge and experience working with other experienced hand therapists. She has focused her career specializing in the treatment and rehabilitation of upper extremity conditions both conservatively and post-operatively. Her greatest enjoyment as a therapist is developing meaningful relationships with her patients as they work towards achieving their goals. Working closely with the surgeons at THAC provides countless challenges and opportunities for growth. Hollie is a member of the Texas Society of Hand Therapists and the American Society of Hand Therapists.

Alicia Paiboon OTR, CHT

Alicia Paiboon OTR, CHT


Alicia Paiboon is a Certified Hand Therapist who has treated hand and upper extremity injuries in the DFW area for over 20 years. She graduated with a Bachelor of Science in Occupational Therapy from the University of Louisiana, Monroe in 1994 and moved to Texas shortly after completing her degree. She began her career in inpatient rehabilitation but quickly gravitated toward outpatient hand therapy. Alicia obtained her Certified Hand Therapy credentials in 2000. Since this time, she has served in both clinical and management roles at area hospitals and outpatient clinics. She has worked with Dr. Megan Wood since 2013. Her passion lies in working with complex hand injuries and helping patients achieve their goals. Alicia is a member of the Texas Society of Hand Therapists.

Kathy Van Leeuwen, OTR/L, CHT

Kathy Van Leeuwen, OTR/L, CHT


Kathy Van Leeuwen received her Bachelor of Science degree in Occupational Therapy from the University of Kansas in 1993. During her schooling, she quickly recognized that hand therapy combined her love for hands-on care and creative problem-solving. She achieved her Certified Hand Therapist designation in 1998, finding her hand therapy niche in the Chicago area. Since then, Kathy has worked closely with hand surgeons, developed protocols, managed physician- and corporate-owned clinics and mentored other hand therapists. She assisted in teaching at local university OT programs in addition to working as a clinical fieldwork supervisor over the past 20 years, allowing her to support the development of other hand therapists. Kathy moved to Texas in 2017, embarking on a new, small town, ranch lifestyle. Luckily, she also found a place with Dr. Megan Wood to continue following her true passion – hand therapy.

Whether our patients are treated surgically or non-operatively, hand therapy services are offered on-site to provide convenience and achieve the best possible outcome.

Hand therapy treatments focus on patient education and hands-on treatment, including:

  • Evaluation of upper extremity function, strength, coordination, sensation, range of motion, and edema
  • Custom splint fabrication
  • Manual therapy
  • Neuromuscular re-education
  • Electrical stimulation
  • Iontophoresis
  • Pain management and inflammation modalities: hot/cold packs, paraffin bath, ultrasound
  • Therapeutic exercise and devices for strengthening, coordination, reconditioning, and dexterity
  • Home exercise program training