Hand Therapy Flashcards

1
Q

Tip to tip

A

fingernail to fingernail

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2
Q

pad to pad

A

pad of finger to pad of finger

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3
Q

tripod

A

D123 touch- use this for writing

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4
Q

Lateral pinch

A

pad of D1 touches middle phalanx of D2- used for using a key

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5
Q

Name all of the grasps:

A

Cylindrical
Spherical
Hook
Bilateral palmer grasp

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6
Q

Division of the hand

A
  • Radial side- manipulation
  • Ulnar side- strength and stability
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7
Q

Flexor tendon injuries:

A
  • frequently caused by lacerations or crush/fracture injuries
  • Zone 2- “no man’s land” most challenging)- unrepairable, tendon would get stuck- Zone 2
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8
Q

TX for FTI’s:

A
  • TX: -Early Active motion- NO AROM in flexion
  • or
  • -Controlled passive
  • or
    • Immobilization
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9
Q
  • Extensor tendon injuries
A
  • caused by laceration or crush/fracture injury
  • 8 zones- different zones dictate different surgery and treatment approach
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10
Q

TX for ETI’s

A
  • focus is to prevent adhesions which cause extensor lag
  • Treatment generally occurs splinting/immobilization followed by AROM and finally resisted exercise.
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11
Q

What is extensor lag?

A

during active movement- where tendon is cut it gets stuck

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12
Q

Neurapraxia

A

contusion or bruising of the nerve. Full recovery in days or weeks

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13
Q
  • Axontmesis:
A

nerve fibres distal to the injury degenerate, but nerve is still in continuity. No surgery required. Recovery usually good. Length of time depends upon location of injury.

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14
Q
  • Neurotmesis:
A

complete laceration of the nerve. Usually repaired micro surgically. Recovery is unpredictable.

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15
Q

Radial nerve injury:

A
  • most commonly injured in upper arm.
  • Results in wrist drop and MP joint extension
  • Rx with a wrist extension splint and ROM exercises.
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16
Q

Median Nerve Injury

A
  • Median nerve often called the eyes of the hand (provides sensation to much of the palmar hand surface)
  • distal injuries- loss of thumb ABD and OPP. Wasting of thenar eminence.
  • Rx- thumb opposition splint.
17
Q

Ulnar Nerve Injury

A
  • Injury in the forearm results in hyperextension of the MCPJs of the ring and small finger (clawing).
  • Rx- MCP extension block splint for D4 and D5.
  • Educate client about risk of burns and injury.
18
Q

Cumulative Trauma Disorder

A
  • AKA repetitive stress or strain, overuse syndromes.
  • Common examples are tennis elbow, DeQuervain’s tenosynovitis, and carpal tunnel syndrome.
19
Q

Carpal Tunnel syndrome

A
  • compression of the median nerve travelling through the carpal tunnel.
  • Causes pain, paresthesias and sometimes weakness in the median nerve distribution.
20
Q

Causes of The stiff hand

A
  • Immobilization
  • Disease
  • Injury
  • Trauma
  • Burn
  • Crush
  • Laceration
  • Post Surgery
21
Q

Characteristics of stiff hand:

A

EDEMA
Immobility
Pain
Position of deformity

22
Q

Decrease stiff hand

A
  1. Proper positioning- splinting. Hand and thumb,
  2. Assure client involvement and understanding
  3. Increase mobility- PROM, stretch, progressive splinting, AROM, activity
  4. Control edema
23
Q
A