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NBCOT LAST Attempt > HANDS/UE: treatments > Flashcards

HANDS/UE: treatments Flashcards

1
Q

carpal tunnel syndrome

A

CONSERVATIVE: tendon/median nerve glides, digit ROM, stretching, activity modifications, ergonomics (workstation)
SPLINT: INITIAL: splint wrist neutral in -15 degrees extension, volar wrist splint w/wrist neutral (less pressure on carpal tunnel)- worn at night & during day
NIGHT: thermoplastic wrist cock up splint to hold wrist firmly in position
MODALITIES: TENS, fluidotherapy, iontophoresis (pain management)

POSTOP (carpal tunnel release): edema control (volumeter), AROM, nerve/tendon glides, sensory re-education, work/activity modification, ultrasound, scar sensitivity (expose to texture)
STRENGTHENING: 6 weeks post op

CONTRAINDICATIONS: avoid repetitive motion (extreme wrist flexion, wrist flexion with repetitive finger flexion, wrist flexion with static grip), vibration to volar wrist

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2
Q

cubital tunnel syndrome

A

CONSERVATIVE: activity/work modifications
SPLINT: elbow splint 30 deg flexion to decrease compression of the nerve (especially at night), elbow pad while leaning on elbows, long arm splint (don’t sleep on stomach, wear at night)

POSTOP (decompression or transposition): AROM/ulnar nerve glides 2 weeks post op, edema control, tendon glides
SPLINT: MCP flexion anti claw/blocking splint if there is clawing
STRENGTHENING: 4 weeks postop

CONTRAINDICATIONS: avoid movements/postures that aggravate symptoms

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3
Q

double crush injury

A

treat according to the nerve involved (EX: if the two syndromes involved are carpal tunnel syndrome & brachial plexus injury, treat each syndrome); follow MD orders

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4
Q

Guyan’s canal

A

CONSERVATIVE: work activity modifications
SPLINT: wrist splint with wrist neutral

POST OP (decompression): AROM, edema control, nerve glides, sensory re-education
STRENGTHENING: 2-4 weeks, focus on power grip

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5
Q

pronator teres syndrome

A

CONSERVATIVE: activity modifications, adaptations, pain control techniques
SPLINT: elbow splint 90 degrees w/FA NEUTRAL

POST OP (decompression): AROM, work/activity modifications, nerve glides, sensory re-education, work adaptations
STRENGTHENING: @ 2 weeks post op

CONTRAINDICATIONS: avoid repetitive FA pronation & supination

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6
Q

radial nerve palsy

A

CONSERVATIVE: nerve glides, ROM, strengthening wrist/finger extensors when motor function returns, work/activity modifications
SPLINTS: dynamic extension splint, thumb extension splint, Duran dorsal protection splint, volar splint with wrist NEUTRAL (could do wrist cock up but last option)

POSTOP (decompression): activity modifications, AROM/PROM, edema control, scar management, sensory & motor re-education
STRENGTHENING: 6-8 weeks postop or per protocol

CONTRAINDICATIONS: compression caused by fractures is usually treated surgically due to the risk of bony fragments lacerating the nerve. AVOID combined FA pronation, elbow extension, wrist flexion (can place tension on the nerve)

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7
Q

radial tunnel syndrome

A

CONSERVATIVE: activity modification, pain free ROM, nerve glides
SPLINT: long arm splint with wrist EXTENDED, elbow FLEXED, FA NEUTRAL ROTATION, could be wrist extension
MODALITIES: TENS or massage

POSTOP: active & passive FA pronation & supination, scar sensitivity, edema management
SPLINTS: long arm splint w/wrist EXTENDED, elbow FLEXED, FA NEUTRAL ROTATION for 2 weeks THEN wrist cock up for 2 more weeks
STRENGTHENING: hand @ 3 weeks
RESISTIVE EXERCISE: @ 6 weeks

CONTRAINDICATIONS: avoid forceful wrist extension & supination

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8
Q

thoracic outlet syndrome

A

CONSERVATIVE: muscle strengthening around cervical spine & scapula
SPLINT: wrist splints for postural retraining
MODALITIES: ultrasound & NMES to reduce inflammation

POSTOP: activity modification, AROM/PROM, edema control, muscular reeducation to compensate for removed muscles (if any), postural retraining, scar management

CONTRAINDICATIONS: avoid heavy lifting, working with arms overhead, direct WB on the shoulder

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9
Q

ape hand deformity

A

CONSERVATIVE: PROM, prolonged stretch to counteract deformity, Strengthening exercises to build atrophied muscles of the thenar eminence, hand and forearm
SPLINT: C-bar splint with thumb opposed & fingers in “C” position, thumb spica/short opponens splint

POSTOP: gentle AROM, tendon gliding, scar management techniques and soft tissue mobilization,
SPLINT: splinting per tendon transfer protocols
STRENGTHENING + PROM: 2 months post surgery

CONTRAINDICATIONS: No PROM or strengthening post surgery until authorized by MD (usually 2 months post surgery) per tendon transfer protocols. Strengthening too early can cause damage to the transferred tissues

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10
Q

brachial plexus injury

A

CONSERVATIVE: PROM/AROM, sensation retraining including techniques to reduce tactile sensitivity, neuromuscular re-education as motor function returns
SPLINT: flail arm splint (provides stability at shoulder/elbow for functional hand positioning)

POSTOP: edema control, PROM/AROM, neuromuscular re-education to help the patient learn to recruit muscles in a different way, may use biofeedback training, (Brachial plexus injuries may require several surgeries)
STRENGTHENING: @ 4-6 weeks

CONTRAINDICATIONS: ROM is important to keep affected limb mobile as recovery may take years

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11
Q

Erb’s palsy

A

CONSERVATIVE: PROM, contracture management
SPLINT: Elbow lock splint (stabilizes the elbow to enable the individual to position the hand closer to or away from his/her body for functional use)

POSTOP: edema control, scar management at surgical site, positioning

CONTRAINDICATIONS: monitor for subluxation of the shoulder, frozen shoulder, contractures

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12
Q

long thoracic nerve palsy

A

CONSERVATIVE: Pain management techniques, scapular mobilization

POSTOP: SLING, post-surgical management if surgical grafting is completed. If the long thoracic nerve is permanently damaged, scapulothoracic fusion surgery may be completed, in which the scapula is fused to the thorax for stability

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13
Q

median nerve injury

A

CONSERVATIVE:
SPLINT: static thenar web space splint

POSTOP: AROM and PROM in splint for digits and thumb, tendon gliding exercises, scar massage
SPLINT: Dorsal wrist blocking splint with wrist in 30 degrees flexion worn for 4-6 weeks, discontinue at 6 weeks
STRENGTHENING: @ 6 weeks

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14
Q

median nerve laceration

A

CONSERVATIVE: AROM/PROM, scar management, strengthening, sensory re-education
SPLINT: Dorsal protection splint (30° wrist flexion if low lesion, 90° elbow flexion at elbow if high), C-Bar splint to prevent thumb adduction contracture

POSTOP: AROM/PROM to digits, wrist flexed at 2 weeks post op, wrist AROM at 4 weeks (elbow included if high lesion), edema control, scar management, nerve gliding exercises, AROM, sensory re-education including treatment for tactile sensitivity (begins when client demonstrates level of diminished protective sensation), strengthening per post-op protocol

CONTRAINDICATIONS: Hypertrophic scarring may lead to compression of the median nerve and additional damage

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15
Q

median & ulnar nerve injury

A

CONSERVATIVE: AROM/PROM, scar management, strengthening, sensory re-educatioN
SPLINT: Figure of eight splint to prevent MP hyperextension or dynamic MCP flexion splint

POSTOP: edema control, scar management, nerve gliding exercises, AROM, sensory re-education including treatment for tactile sensitivity, strengthening per post-op protocol

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16
Q

radial nerve laceration

A

CONSERVATIVE: ROM, sensory re-education, home program, activity modification
SPLINT: dynamic extensor splint

POSTOP: edema control, AROM, scar management, nerve gliding exercises, sensory re-education including treatment for tactile sensitivity, strengthening per post-op protocol
SPLINT: Dynamic extension splint,

CONTRAINDICATIONS: Hypertrophic scarring may lead to compression of the radial nerve and additional damage

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17
Q

ulnar nerve injury (claw hand)

A

CONSERVATIVE: SLING for type 1 fractures or comfort if the client has pain and is nervous in public places
SPLINT: Ulnar nerve injury splint, dynamic/static splint to position MP’s in flexion, MCP dorsal blocking splint. If it is a low-level ulnar nerve injury, then a splint that prevents hyperextension of the MCP joints and allows MCP flexion

POSTOP: ROM is begun early, within 1 week if medically cleared, Edema control, scar management, sensory re-education, nerve gliding exercises, strengthening per post op protocol
SPLINT: for immobilization as needed, Dorsal protection splint with wrist in 30 degrees of flexion,

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18
Q

deQuervain’s tenosynovitis

A

CONSERVATIVE: activity/work/ergonomic adaptations to work station, patient education, strengthening exercises, ice over radial styloid, cross friction massage, gentle AROM of wrist/thumb to prevent stiffness
SPLINT: forearm based thumb spica/thumb spica splint with wrist in neutral and thumb radially abducted for 3 weeks (IP free). After 3 weeks, the client can progress to a soft splint and isometric exercises

POSTOP: gentle AROM @ 0-2 weeks, tendon gliding exercises, isometric strengthening exercises @ 2-6 weeks, scar management and desensitization techniques
SPLINT: thumb spica splint or splint with wrist in 20 degrees extension
STRENGTHENING: grip and pinch strengthening after 2 weeks (when cleared)

CONTRAINDICATIONS: for conservative treatment, avoid pinch during activities, avoid circumferential movement of the thumb

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19
Q

lateral epicondylitis

A

CONSERVATIVE: stretching, activity/work modification, strengthening (isometrics —> isotonics —> eccentrics), cross friction massage
SPLINT: Lateral epicondylitis brace (tennis elbow brace) which rests the muscle and tendon and protects against pain with activity, elbow strap, wrist splint
MODALITIES: ultrasound, ice/deep friction massage

POSTOP: edema control, modalities for circulation, AROM/PROM, activity modification, gentle strengthening per post op protocol

CONTRAINDICATIONS: control of edema and gradual increases in movement post surgery needed to prevent re-injury to affected area

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20
Q

medial epicondylitis

A

CONSERVATIVE: stretching, activity modification, strengthening (isometrics —> isotonics —> eccentrics (hand supinated on wedge, bring wrist up & put weight in hand then bring wrist down), cross friction massage
SPLINT: Medial epicondylitis brace (golfer’s elbow brace) which rests the muscle and tendon and protects against pain with activity, elbow strap, wrist splint
MODALITIES: ice/deep friction massage, ultrasound

POSTOP: edema control, modalities for circulation, gentle ROM once immobilizer is removed
SPLINT: elbow immobilizer 1-3 weeks post surgery
STRENGTHENING: of flexor and pronator muscles @ 6 weeks

CONTRAINDICATIONS: activity modification necessary to avoid re-injury while doing same types of activity

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21
Q

rotator cuff tendonitis

A

CONSERVATIVE: activity modification, educate in sleeping posture (avoid arm overhead), pain management (positioning, modalities, rest), Codman exercises/pendulum exercises, strengthening below shoulder level, role/occupational training
SPLINT: shoulder support sling or neoprene shoulder support cuff

POSTOP (arthroscopic surgery): Codman’s exercises (pendulum exercises) for 2 weeks post op, PROM (0-6 weeks) —> AAROM/AROM (6-8 weeks), decrease pain (ice —> heat), activity modifications, leisure/work activities (8-12 weeks postop)
SPLINT: shoulder immobilizer, sling/abduction orthotics to be worn between exercises
STRENGTHENING: @ 8-10 weeks: isometrics —> isotonics below shoulder

CONTRAINDICATIONS: no AROM for 6 weeks post surgery due to risk of injuring the affected areas, avoid above shoulder level activities until pain subsides (conservative), avoid sleeping with arm overhead or combined adduction/IR (conservative)

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22
Q

trigger finger

A

CONSERVATIVE: To rest the tendon and prevent snapping as the tendon pulls through the finger pulleys, the MCP joint is blocked by splinting, then gentle pull through with bending and straightening of the distal and prox IP joints is recommended 20x every 2 hours while the client is awake
- edema control, tendon gliding, activity/work modification, scar massage
SPLINT: Hand based TF splint (MCP extended, DIP and PIP is free) MCP splint to support the MCP joint in extension

POSTOP: Edema control, tendon gliding exercises, AROM, activity modification
SPLINT: Blocking splints to protect the released tendon while it is healing

CONTRAINDICATIONS: no active strengthening of the flexor tendons, no forceful grip while recovering from tendon release surgery, avoid tools with handles too far apart

23
Q

conservative & postsurgical treatment of wrist tendonitis with contraindications

A

CONSERVATIVE: Dexamethasone is the most widely used medication by therapists using iontophoresis because of its anti-inflammatory properties. AROM, therapeutic activities, joint protection and work simplification.
SPLINT: Wrist forearm support splint

POSTOP: edema control, tendon gliding exercises, gentle AROM
STRENGTHENING: @ 6 weeks

CONTRAINDICATIONS: no forceful grip, no using affected hand to carry heavy objects for 6 weeks post surgery due to risk of injuring tendon

24
Q

conservative & postsurgical treatment of avulsion injuries with contraindications

A

CONSERVATIVE: Icing the affected area, controlled range of motion and gradual strengthening exercises.
SPLINT: may be required

POSTOP: Scar management at surgical site if graft is completed. Tendon gliding exercises, functional activity as patient will tolerate
STRENGTHENING: when surgical site is healed or per physician’s protocol

25
Q

conservative & postsurgical treatment of extensor tendon injuries with contraindications

A

CONSERVATIVE: NONE

POSTOP: Tendon gliding exercises promote tendon excursions and prevent adhesions, HEP to ensure the client’s safety & progress toward goals.
SPLINT: volar splint to put into extension
MODALITIES: heat to gradually prepare the tissue for ROM & NMES to promote tendon excursion and activation, begins once cleared by the prescribing physician
STRENGTHENING: @ 8-12 weeks post surgery at late phase of repair

CONTRAINDICATIONS: Strengthening must not be initiated until cleared by the surgeon completing the tendon repair. Overuse of the tendon too early after surgery can result in rupture of the tendon. ONLY PLACE EXTREMITY IN EXTENSION!! PUTTING IN FLEXION WILL RUPTURE TENDON AND COULD LOSE LICENSE!! (DON’T PUT IN NEUTRAL OR FLEXION EVEN DURING EXERCISE)

26
Q

conservative & postsurgical treatment of flexor tendon injuries with contraindications

A

CONSERVATIVE: NONE

POSTOP: Flexor tendon protocol using controlled passive motion. Passive extension of the DIP if the MCP and PIP are flexed. The DIP & PIP joint can be passively extended if the other joints of the digit are flexed to initiate tendon glide and prevent scarring of the tendon
- Zone II of the flexor tendon system has been called no man’s land because excessive scarring makes it difficult to get good results from a repair – Zone IV consists of the transverse carpal ligament, and the median nerve runs under this ligament
- Zone V is distal to this ligament and thus contains the median nerve branch
SPLINT: dorsal blocking splint that includes all the fingers past the fingertips

CONTRAINDICATIONS: Strengthening must not be initiated until cleared by the surgeon completing the tendon repair. Overuse of the tendon too early after surgery can result in rupture of the tendon. ONLY PLACE EXTREMITY IN FLEXION!! PUTTING IN EXTENSION WILL RUPTURE TENDON AND COULD LOSE LICENSE!! (DON’T PUT IN NEUTRAL OR EXTENSION EVEN DURING EXERCISE)

27
Q

conservative & postsurgical treatment of Mallet finger with contraindications

A

CONSERVATIVE:
SPLINT: DIP extension splint- DIP joint in full extension continuously for 6 weeks (DIP terminal tendon is delicate and requires continuous splinting to prevent extensor lag of the tendon); Old injuries may be splinted continuously for up to 6 months

POSTOP: NONE

CONTRAINDICATIONS: Be careful not to hyperextend the DIP joint when splinting or skin breakdown can occur over the dorsal surface of the digit

28
Q

conservative & postsurgical treatment of cumulative trauma disorder with contraindications

A

CONSERVATIVE:
1. Acute phase: SPLINT: reduction of inflammation and pain through static splinting; MODALITIES: ice, contrast baths, ultrasound, interferential stimulation

  1. Subacute phase: slow stretching, myofascial release, progressive resistive exercises as tolerated, proper body mechanics, education on identifying triggers and returning to acute phase treatment. Return to work, functional capacity evaluation, work hardening.

POSTOP: Dependent on the location and severity of the condition.

CONTRAINDICATIONS: Activity modification and proper body mechanics are essential for long-term control of an inflammatory CTD

29
Q

conservative & postsurgical treatment of MCP flexion limitation with contraindications

A

CONSERVATIVE: Joint mobilization, A/PROM, therapeutic activities

POSTOP: Edema and scar management, gentle AROM, tendon gliding exercises. Joint mobilization and strengthening when surgical site healed

CONTRAINDICATIONS: Follow surgeon’s protocol for joint mobilization and strengthening after surgery

30
Q

conservative & postsurgical treatment of PIP flexion contracture with contraindications

A

CONSERVATIVE: buddy taping, A/PROM, therapeutic activities.
SPLINT: PIP extension splint (prefabricated dynamic PIP extension assist splint will improve PIP extension and takes less therapy time to fit than to custom make this splint)

POSTOP: Surgery only done when all conservative management techniques have been tried
SPLINT: serial casting or external fixation for prolonged stretched are preferred methods of management

31
Q

conservative & postsurgical treatment of skier’s/gamekeepers thumb with contraindications

A

CONSERVATIVE: AROM and pinch strength at 6 weeks. ADL’s that require opposition and pinch strength. PROM at 8 weeks
SPLINT: Wear thumb spica splint at all times
STRENGTHENING: @ 10 weeks

POSTOP: May begin AROM at 6 weeks. Unrestricted use of the hand is allowed at 3 months
SPLINT: Immobilized in thumb spica cast for first 4 weeks, then thumb spica splint for 2 additional weeks

CONTRAINDICATIONS: No motion for 4 weeks following surgical repair. Failure rate of conservative management is 50%.

32
Q

conservative & postsurgical treatment of Boutonniere deformity with contraindications

A

CONSERVATIVE: isolated DIP flexion exercises
SPLINT: Silver rings/ tri tip PIP extension splint

POSTOP: none

33
Q

conservative & postsurgical treatment of swan neck deformity with contraindications

A

CONSERVATIVE: Adaptations for therapeutic activities, education in joint protection, work simplification
SPLINT: Silver ring splints/tripoint splint. PIP flexion splint or buttonhole splint

POSTOP: none

34
Q

conservative & postsurgical treatment of ulnar drift with contraindications

A

CONSERVATIVE: Adaptations, joint protection and work simplification techniques
SPLINT: Ulnar deviation splint

POSTOP: none

35
Q

bennett’s fracture

A

CONSERVATIVE: ROM is begun early, within 1 week if medically cleared. A SLING is used for type 1 fractures or comfort if the client has pain and is nervous in public places.
SPLINT: Thumb Spica splint for immobilization as needed

POSTOP: none

CONTRAINDICATIONS: Watch for instability of the joint and/or joint subluxation

36
Q

Boxer’s fracture/Proximal fracture

A

CONSERVATIVE: edema control
SPLINT: Ulnar gutter splint
STRENGTHENING: when fx has healed

POSTOP: none

37
Q

carpal fracture

A

CONSERVATIVE: Edema control techniques, AROM, therapeutic activities, adaptations for functional tasks until fracture is healed,
SPLINT: Wrist cock-up with thumb Spica splint
MODALITIES: for pain control
STRENGTHENING: per MD protocol

POSTOP: none

CONTRAINDICATIONS: Follow precautions for strengthening and weight lifting to avoid stress on the fractured area

38
Q

colles fracture with contraindications

A

CONSERVATIVE: ROM is begun early, within 1 week if medically cleared. A SLING is used for type 1 fractures or comfort if the client has pain and is nervous in public places. After injury to the wrist, the focus is usually on regaining the motions of wrist flexion/extension and forearm pronation/supination. Although these motions play a vital role in everyday functioning, limitations in wrist radial/ulnar deviation can also present functional challenges
SPLINTS: orthotics for immobilization as needed, Casting/Thermoplastic splint with the hand in palmar flexion and the wrist in ulnar deviation. This is the the classic position of immobilization for a Colles’ fracture. Using a progressive static splint is recommended to assist the patient in improving their wrist radio/ulnar deviation. The design of the splint progressively changes the amount of wrist deviation

POSTOP: NONE

39
Q

distal radius fracture

A

CONSERVATIVE: Edema control techniques. Initiation of controlled AROM can begin between 3 and 6 weeks post injury if the fixation of the fracture is adequate,
SPLINT: Wrist extension splint

POSTOP: NONE

40
Q

elbow fracture

A

CONSERVATIVE: ROM begins early, within 1 week if medically cleared. Orthotics are used for immobilization as needed. A SLING is used for Type 1 fractures (nondisplaced) or comfort if the client has pain and is nervous in public places

  • POSTOP: NONE
41
Q

medial epicondyle fracture

A

CONSERVATIVE: Gentle AROM may begin within 1 week after injury.
SPLINT: Initially, the arm should be splinted in 90° of elbow flexion. Protective splinting may be continued for 3 weeks if necessary

POSTOP: NONE

CONTRAINDICATIONS: If not treated, the broken bone fragments may compress the ulnar nerve

42
Q

humeral fracture

A

CONSERVATIVE: nondisplaced fx of of the humeral neck = SLING & supervised exercise
SPLINT: A humeral fracture brace may help support the upper arm while the fracture heals

POSTOP: Displaced fractures require ORIF surgery. Postop AROM, strengthening when cleared by physician
MODALITIES: PAMS for pain control

(AROM COMES LAST! START WITH PROM —> AAROM —> AROM)

1-3 weeks: shoulder PROM (90 deg flexion, 30 deg ER, IR to tolerance w/no behind back), scapular clocks (elevation/depression/protraction/retraction), Colman’s pendulums, cervical/hand/wrist/elbow AROM (thumb to shoulder- make fist)

3-6 weeks: PROM in scapular plane (no hand behind back IR), AAROM (90 deg flexion, 40 deg ER), pulleys, AROM of elbow, wrist, hand, scapular isometrics & clocks, UBE w/no resistance

6-12 weeks: PROM/AROM/AAROM cervical, shoulder, elbow, wrist, hand, general UE strengthening @10 weeks

12+ weeks: AROM of cervical shoulder, elbow, wrist, hand emphasizing end range ROM, GH/scalp joint mobilizations, general UE strengthening (HEP)

43
Q

metacarpal fracture

A

CONSERVATIVE: Edema control, exercises to maintain the palmar arch
SPLINT: Ulnar gutter splint

POSTOP: NONE

44
Q

radial head fractures

A

CONSERVATIVE: Type 1 (nondisplaced) can be treated with a long arm sling. Type 2 (displaced) treated nonoperatively with immobilization for 2-3 weeks and early motion with medical clearance

POSTOP: Type III fracture of the radial head requires removal of the fragmented bone and a cast for 3–4 weeks to ensure proper healing and support. Early motion within 1st postoperative week as medically prescribed

45
Q

Smith’s fracture

A

CONSERVATIVE: ROM is begun early, within 1 week if medically cleared. A SLING is used for type 1 fractures or comfort if the client has pain and is nervous in public places.
SPLINT: orthotics for immobilization as needed, wrist/forearm splint

POSTOP: NONE

46
Q

wrist fracture

A

CONSERVATIVE: Maximum passive extension up to 30 degrees
SPLINT: Duran dorsal protection splint, volar splint with wrist in neutral

POSTOP: NONE

47
Q

adhesive capsulitis/frozen shoulder

A

CONSERVATIVE: PROM, encourage active use through ADLs, modalities
SPLINT: Dynamic shoulder splint
MODALITIES: PAMS for pain management

POSTOP (manipulation & arthroscopic surgery): PROM immediately after surgery, pain relief modalities, encourage extremity use for all ADLs
SPLINT: Dynamic shoulder splint

CONTRAINDICATIONS: Do not immobilize except for a short period after any surgery. Instruct patients not to wear slings or splints unless prescribed by a physician or therapist

48
Q

conservative & postsurgical treatment of dupuytren’s contracture with contraindications

A

CONSERVATIVE: NONE

POSTOP: Wound Care: dressing changes, A/PROM and progress to strengthening when wound are healed. Scar management, functional tasks that emphasize flexion (griping) and extension (release),
SPLINT: Extension splint at all times except to remove for ROM and bathing
MODALITIES: Whirlpool if infection is suspected.
EDEMA CONTROL: elevation above the heart

49
Q

conservative & postsurgical treatment of flaccid wrist with contraindications

A

CONSERVATIVE: Support the user’s wrist in 10 to 20 degrees of extension to prevent contracture, but allows digits to function should movement return
SPLINT: Wrist cock-up splint.

POSTOP: NONE

50
Q

conservative & postsurgical treatment of focal hand dystonia with contraindications

A

CONSERVATIVE: Adaptations, compensatory strategies, mirror therapy. Tactile and proprioceptive retraining

POSTOP: NONE

51
Q

conservative & postsurgical treatment of index finger injuries with contraindications

A

CONSERVATIVE: Edema control, scar management if needed, tendon gliding exercises to prevent scar limitations, AROM, therapeutic activity,
SPLINT: Buddy strap incorporating the index and middle fingers provides PROM to index finger
STRENGTHENING: when injury healed

POSTOP: NONE

52
Q

Ulnar nerve laceration

A

SPLINT: MCP flexion block splint

POST-OP: same as median nerve repair, sensory re-education same as median nerve

53
Q

Radial nerve injury

A

SPLINT: dynamic extension splint

POSTOP: ROM, sensory re-education if needed, HEP, activity modifications
MODALITIES: NMES for muscle re-education

54
Q

Shoulder dislocations

A

Regain ROM, pain free ADL/role activities, strengthen RTC

AVOID: combined abduction & ER with anterior dislocation

NBCOT LAST Attempt (50 decks)

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