F&A II CH. 30 Acute Hand Injuries Flashcards
(42 cards)
When observing a Pt., what observations & inspections are made?
Condition of the skin, edema, odor, scars, trophic changes, skin colors, & temp.
Name 2 methods of gathering information for a Pt when trying to determine hand injuries.
- Review Pt’s chart for areas of concern
- Perform the Canadian occupational performance measure (COPM)
Name 2 tools for measuring edema.
- Volumeter
- Tape measure
Before performing a strength test on the Pt., he must be ……… for full resistance.
Cleared
Name the purpose of sensory mapping of the volar surface of the hand.
Sensibility assessment
Name the 4 types of tests for sensibility assessment.
- Threshold test
- Functional tests for the quality of sensibility
- Objective tests
- Provocative or stress tests
Name the 4 tests for assessing threshold.
- Pain
- Vibration
- Temp
- Touch pressure
Name the tests necessary to reproduce Pt complaints of pain or determine peripheral nerve regeneration.
Provocative or stress tests
Name the 2 tests for determining dysfunction for sympathetic function.
- O’Riain wrinkle test
- Ninhydrin sweat test
Name the observable symptoms that indicate the need for determining dysfunction for sympathetic function.
Smooth, shiny skin, nail changes, tapering of fingers
Name 3 tests for assessing nerve compression & nerve regeneration.
- Tinel sign
- Phalen test
- Provocative tests
What is the purpose of the vibration test?
Assess vibratory sensation
When determining touch pressure, name 2 tests.
- Moving touch
- Semmes-Weinstein monofilaments test
How is moving touch assessed?
Assessed with the eraser end of a pencil
Name the test that is most accurate for cutaneous pressure thresholds.
Semmes-Weinstein monofilaments test
Describe the monofilaments of the Semmes-Weinstein test.
20 nylon monofilaments of increasing thickness
Name the 2 purposes for static & moving 2-point discrimination.
- Distinguishes between two direct stimuli
- Elicits information about the potential for function
Name the 2 purposes of modified Moberg pick-up test.
- Recognition of common objects by sensation
- Ability of the hand to perform complex functions by feel
What are the 2 tests for evaluating hand function?
- Jebsen hand function test
- Dexterity tests
Name the standardized test for overall hand function.
Jebsen hand function test
What is the purpose of dexterity tests?
Determines the ability to manipulate small objects with speed & accuracy
Name the 3 categories for outcome measures.
- Generic: overall health
- Regional: specific body systems
- Disease specific
What is the purpose of edema reduction?
Prevents permanent stiffness & disablility
Name 3 interventions for edema reduction.
- Elevation
- Contrast baths
- Retrograde massage
