Fascia Condition Flashcards
What is the cause of a Dupuytren’s contracture?
A disease process that affects collagen formation of the palmar fascia or aponeurosis
The palmar fascia/ aponeurosis is what shape?
Thick triangular shaped fascia
Is the palmar fascia/ aponeurosis superficial or deep in the palm of the hand?
Superficial
Does the palmar fascia/ aponeurosis provide mobility or protection?
Protection
The palmar fascia/ aponeurosis is the distal attachment for what muscle?
Palmaris Longus
The palmar fascia/ aponeurosis covers the tendons of what specific muscle group?
The extrinsic muscles
What kind of contracture is a Dupuytren’s contracture?
Flexion contracture of the MCPs and IPs
Dupuytren’s contractures limit ROM and accessory motion into what direction?
Extension
What kind of end feel will you find with a Dupuytren’s contracture?
Elastic and firm end feel
What digits does the Dupuytren’s contracture typically involve?
More often the 4th and 5th digits
What will you find when you palpate with a Dupuytren’s contracture?
Typically will find non-painful nodules
What can PTs do for Dupuytren’s contractures?
- Manual Therapy
- MET for tissue elasticity and mobility
- Splinting/ bracing to assist mobility
With your manual therapy for a Dupuytren’s contracture what is you main focus?
Emphasizing mobility
In order to improve ROM and function for a Dupuytren’s contracture within 8 weeks what exercise should you give your patient?
2 minutes each of multi-planar TMF and maximal finger extension stretching
