Hands and UE Flashcards Preview

NBCOT > Hands and UE > Flashcards

Flashcards in Hands and UE Deck (59):
1

What kind of treatment does the Duran protocol recommend

Early passive range of motion

2

What kind of treatment does the kleinert protocol recommend

Active extension of digits with passive flexion via traction

3

What is a benefit to early active motion

Prevent adhesions and promote tendon gliding

4

When would you immobilize a joint

For people incapable of caring for self like children or people with a low cognitive cognitive ability

5

Name six effects of cryotherapy

Decreased edema
decrease muscle spasm
decrease inflammation
decrease metabolic activity
decreased nerve conduction velocity

6

What are the contraindications and precautions for use of cryotherapy

Impaired circulation
peripheral vascular disease
hypersensitivity to cold
impaired sensation
open wounds or infections

7

What are the effects for thermotherapy

Increase blood flow
decrease muscle spasm
decreased pain

8

What are the precautions and contraindications for use of thermotherapy

acute inflammation
edema
sensory impairment
cancer
blood clots
infection
cardiac problems
impaired cognition

9

Misty effects of using continuous ultrasound

Increase tissue extensibility
increase blood flow
decrease pain
decrease joint stiffness
decreased muscle spasm
decreased chronic inflammation

10

Name the effects of pulsed ultrasound

Increase protein synthesis
increase bone healing
decrease inflammation

11

What is phonophoresis

Use of ultrasound to promote absorption of topically Applied medication to accelerate to to repair and decrease inflammation

12

What are the precautions and contraindications for use of ultrasound

Pregnancy
used over the eyes
used over a pacemaker
bleeding
infection
cancer
blood clots and
use over the growth plate of a children child

13

What are the effects of the use of NMES

promote wound healing
maintains muscle mass
increased range of motion
facilitates voluntary muscle control
decreases edema
increases muscle spasms
decreases muscle spasticity

14

Name the effects of use of a TENS unit

Controls pain

15

What are the contraindications and precautions for use of electrical stimulation

Don't place over pacemaker for carotid sinus or pregnant uterus or eyes.
epilepsy
cancer
infection
cardiac disease
history of stroke
decreased sensation

16

Describe the splint used for carpal tunnel syndrome

Wrist in neutral to 10 degrees of extension

17

Name the splint used for ulnar nerve injury at the wrist

Block MCP of fingers 4 + 5 to 30-45 degrees of flexion in order to prevent hyperextension

18

Type of splint used for radial nerve injury

Wrist cock up splint

19

Type of splint for pronator syndrome

Forearm and wrist in neutral elbow in 90 degrees of flexion

20

Type of splint for radial tunnel syndrome

position the wrist in 30 degrees of flexion supinate the forearm and have the elbow in 90 degrees of flexion

21

What is the purpose of a dynamic splint

To correct contractures increase passive range of motion and protect recent surgery

22

When evaluating range of motion on a brachial plexus injury how high can you abduct the shoulder

90 degrees

23

What kind of splint is used for a flexor tendon injury

Dorsal blocking splint

24

what is a resting hand splint used for

To prevent deformities like with rheumatoid arthritis

25

What is a boutonniere deformity

Pip flexion and D IP hyperextension

26

What is a swan neck deformity

PIP hyperextension and dip flexion

27

What is a Smith's fracture

Complete fracture of distal radius with Palmar displacement

28

what are the symptoms of a radial nerve injury

Wrist drop lack of finger and thumb extension

29

Name two assessments for upper extremity sensation

Semmes Weinstein monofilament used for nerve compression
two point discrimination used for nerve laceration and Recovery

30

Name the symptoms of an ulnar nerve injury

Ulnar claw claw deformity numbness of ulnar side of hands generalized weakness with owner side of hand and pain

31

What is a Colles fracture

Complete fracture of distal radius with dorsal displacement

32

What are the symptoms of radial tunnel syndrome

Burning pain in the lateral forearm caused by entrapment of radial nerve between Radiohead and supinateor muscle

33

What is De Quervain's syndrome

It is a cumulative trauma resulting in tenosynovitis of the thumb and tendons in the first dorsal compartment of the wrist. It is caused by the forceful repetition of thumb abduction

34

How should the elbow be splinted for cubital tunnel syndrome

between 30-90 degrees of flexion

35

What is phalen's test

Hold the wrist in full flexion for 1 minute to elicit changes in sensation to test for CTS

36

What is tinel's sign

Tap on the median nerve at the wrist or tap over cubital tunnel to elicit symptoms of carpal tunnel syndrome or cubital tunnel syndrome

37

What are the symptoms of complex regional pain syndrome

Allodynia
hyper algia hyperpathia
edema
contractures
bluish or red shiny skin
abnormal sweating and hair growth
muscle spasms
decreased strength
low activity tolerance

38

What is wartenberg sign

V finger is held abducted from the ring finger this shows entrapment of the radial nerve radial tunnel syndrome

39

What is mallet finger

Avulsion of the terminal tendon

40

What is mallet finger

Avulsion of the terminal tendon. Splint in full extension for 6 weeks

41

What is the Finkelstein test

Place your thumb in your fist and ulnar deviate to test for dequervain's syndrome

42

what splint is used for dequervain's syndrome

Forearm based thumb Spica

43

What are the symptoms of cubital tunnel syndrome

Decreased sensation in the little finger and on our half of the ring finger decreased grip and pinch strength

44

what is cubital tunnel syndrome

Proximal ulnar nerve compression at elbow between the medial epicondyle and olecranon. Common causes of fracture at the elbow osteoarthritis rheumatoid arthritis diabetes

45

What is froment's sign

Flexion of the IP joints of the thumb when lateral pinch is attempted

46

What are the interventions for complex regional pain syndrome

Gentle active range of motion for short periods stress loading pain control edema control desensitization and tendon gliding. Avoid passive range of motion

47

what are the symptoms of a median nerve injury

Ape hand deformity sensory loss in the index middle and radio half of ring finger loss of pinch thumb opposition and decrease pronation

48

when do you begin active range of motion for post fracture?

3-6 weeks post

49

what is a Bennett's FX?

intra-articular FX of thumb metacarpal bone

50

what is Keinbock's Disease?

necrosis of lunate bone

51

what is a Boxer's fx

FX of MCP of 4th and 5th digits

52

what does a positive Froment's sign indicate?

weak adductor policis and flexor policis

53

What are two tests for Cubital Tunnel Syndrome?
(compressed upper ulnar nerve

1. Wartenburg (5th finger abducted from 4th)
2. Froment (Flexed IP of the thumb with lateral pinch)

54

What type of splint would benefit someone with OA of thumb CMC joint?

Hand-based thumb spica splint
The splint will support thumb as a functional post.

55

Describe the purpose of a Dynamic MCP flexion splint

Provides correct angle of pull for finger loop = 90 degrees.
Distributes pressure more evenly to proximal phalanx

56

What is the proper intervention for a nondisplaced humeral neck fracture?

Support with sling and supervised ROM

57

When is MILD HEAT best used?

Before or during passive stretching to increase ROM, circulation, decrease discomfort

58

When is DEEP HEAT best used?

Contractures
Scarring
Pain
Muscle spasms

59

What is the focus of intervention for CRPS Type 1 (traumatic stage)?

Focus on pain and edema management with AROM
Include stress loading program