Wrist injuries by colles' or fracture of distal radius are the most prominent diagnosis referred to occupational therapy department for work program in India. In this project, a modified therapeutic work program for wrist injuries was evaluated. The objective of the study is to find out whether MTWP addressed to enhance the work skills and its success in the client return to work, level of work satisfaction & self-performance level post injured wrist. A different subject prospective,

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... l, flexible pre-and-posttest intervention design followed by descriptive analysis with questionnaire has been used for the purpose of this study. The Minnesota Manual Dexterity Test, Hand Dynamometer, Pinch meter, Short Form-36 (version 1) was the main outcome measure. 51 patients with dominant hand injured, shared similar demographic background with post-injured from 8 to 40 weeks with mean age of 16 weeks. Paired t-test showed significance difference (p<0.05) improve in work skill in pre-post MTWP. 94% clients who completed the program returned to work and switched over to different position and different type of work. 56% clients return to competitive employment with same work type, work situation, having work satisfaction and 80-100% work skills in compare to pre MTWP work situation. KEY WORDS: Therapeutic Work Program, Wrist Injuries, Colle's Fracture, Quality Of Life.