Patient Specific Diagnosis and Profile: The patient is a 66-year-old Caucasian female who sustained bi-lateral distal radial fractures that were repaired with ORIF surgery. The patient is right hand dominant. The injury resulted from a fall while the patient was doing yard work. The patient was pulling on a branch and fell backwards on both outstretched hands. The patient is in good overall health, and prior to injury remained active, participating in water aerobics and outdoor activities such as yard work. The patient currently wears splints to protect and support the wrists. In addition to the initial OT evaluation, the self-administered assessment The DASH was used. DASH stands for "Disabilities of the Arm, Shoulder and Hand." The DASH