Hand Therapy Flashcards
Tip to tip
fingernail to fingernail
pad to pad
pad of finger to pad of finger
tripod
D123 touch- use this for writing
Lateral pinch
pad of D1 touches middle phalanx of D2- used for using a key
Name all of the grasps:
Cylindrical
Spherical
Hook
Bilateral palmer grasp
Division of the hand
- Radial side- manipulation
- Ulnar side- strength and stability
Flexor tendon injuries:
- frequently caused by lacerations or crush/fracture injuries
- Zone 2- “no man’s land” most challenging)- unrepairable, tendon would get stuck- Zone 2
TX for FTI’s:
- TX: -Early Active motion- NO AROM in flexion
- or
- -Controlled passive
- or
- Immobilization
- Extensor tendon injuries
- caused by laceration or crush/fracture injury
- 8 zones- different zones dictate different surgery and treatment approach
TX for ETI’s
- focus is to prevent adhesions which cause extensor lag
- Treatment generally occurs splinting/immobilization followed by AROM and finally resisted exercise.
What is extensor lag?
during active movement- where tendon is cut it gets stuck
Neurapraxia
contusion or bruising of the nerve. Full recovery in days or weeks
- Axontmesis:
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.
- Neurotmesis:
complete laceration of the nerve. Usually repaired micro surgically. Recovery is unpredictable.
Radial nerve injury:
- most commonly injured in upper arm.
- Results in wrist drop and MP joint extension
- Rx with a wrist extension splint and ROM exercises.