Term
| What orthotic would you use post surgical release of a patient with Dupuytren's Disease? |
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Definition
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Term
| What purposeful and occupation-based tasks would be appropriate for a patient post Dupytren's release? |
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Definition
| Flexion (gripping) and Extension (release) |
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Term
| Protocol for Gamekeeper's Thumb: When can AROM and pinch strengthening begin when pt requires conservative tx? |
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Definition
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Term
| Post-op Protocol for Gamekeeper's Thumb: PROM can begin at ___ weeks and strengthening at ____ weeks. |
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Definition
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Term
| Post fracture, typically, when can a patient progress from AROM -> PROM? |
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Definition
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Term
| Protocol for which type of fracture often begins with PROM or AAROM v AROM? |
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Definition
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Term
| Flexor tendon protocols: ____ Protocol, passive flexion using rubber band traction and active extension to the hood of the splint |
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Definition
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Term
| Flexor tendon protocol using passive flexion and passive extension of digits |
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Definition
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Term
| An injury to extensor tendon in Zone I and II presents as____. An extension orthotic should be used for up to _____ weeks |
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Definition
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Term
| Extensor injury to Zone III and IV presents as_____. The _____ IP joint is placed in extension for _______ weeks. AROM to DPC begins between _ -_ weeks. |
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Definition
| Boutonniere's; Proximal IP joint, 4 weeks. AROM begins 4-6 weeks |
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Term
Extensor injuries in Zones V, VI and VII require a volar wrist splint with wrist in
[image] |
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Definition
20-30 degs ext; MCP 0-10 flx; IPs full extn
Forearm based
dynamic digital
extension splint
Wrist 25-30
degrees ext, MP at
0, PIPs free
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Term
Zone V, VI, VII extensor tendon injury: when can patient begin MCP active flexion and extension? |
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Definition
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Term
| Zone V, VI, VII extensor tendon injury: when can patient begin active wrist ROM? |
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Definition
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Term
| Presentation: Weakness/paralysis of extensors to the wrist, MCPs, thumb; wrist drop |
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Definition
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Term
Presentation:
Clawing of index and middle finger
Ape hand (flattening of thenar eminence)-
Lumbricals I & II lost (no MCP flexion of digits II & III)
Abductor, opponens, and flexor pollicis brevis lost |
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Definition
| Low Median nerve laceration (at wrist) |
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Term
| Dorsal protect splint with wrist positioned in 30 degrees flexion (Elbow at 90 degrees flexion if high lesion) |
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Definition
| Orthotic positioning for Medial nerve laceration |
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Term
| Benediction sign: Loss of FDP to II/III digit; FPL flexion to DIP of I-III fingers; FCR, unable to flex radial aspect of wrist |
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Definition
| Upper Median Nerve Lesion |
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Term
| Post op for a median nerve injury; when should A/PROM of digits begin? |
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Definition
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Term
| Post op for a median nerve injury, when should wrist and or elbow AROM begin? |
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Definition
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Term
| Splinting for a median nerve laceration the therapist should consider including a C-Bar to prevent _______. |
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Definition
| Thumb abduction contracture |
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Term
| Sensory re-education should commence for nerve lacerations when the patient presents with diminished ____. |
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Definition
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Term
Presentation:
4th and 5th MCP joints hyperextended. Flexed at IPs (FDP intact)
Thumb flexed and abducted (FPB and AP lost)
Abd, Opposition and Flexion of V digit, Sensory loss ulnar 1/2 of 5th digit on palmar and dorsal surface |
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Definition
Low Ulnar Nerve Laceration |
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Term
Name the injury: Unable to flex tip of index and middle fingers and thumb (FDP,FPL lost), unable to radially deviate wrist (FCR lost) |
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Definition
| High Median Nerve Laceration at or proximal to the elbow |
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Term
| Clawing is more prominent in and UPPER or LOWER ulnar nerve laceration because which muscle is unaffected? |
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Definition
| Lower; Flexor Digitorum Profundus |
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Term
| True or False: Lower Ulnar nerve lesion experiences sensory loss |
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Definition
| False: Dorsal cutaneous branch is spared |
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Term
| + Froment's sign indicates |
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Definition
| Ulnar Nerve Lesion: Paralysis of adductor pollicis |
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Term
| What are the functional losses of a median nerve laceration? |
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Definition
| Loss of power grip, Sensory loss along digits I-IV, and decreased pinch strength (loss of thumb opposition) |
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Term
| A Radial nerve laceration at the forearm results in loss of (3) |
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Definition
Wrist extension (ECU)
MCP extension (EDC, EI, EDM)
Thumb extension (EPB/L, APL) |
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Term
| High lesion of Radial nerve results in motor loss of (2) |
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Definition
Brachioradialis
Triceps (at axilla) |
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Term
| A patient with radial nerve palsy would have difficulty with |
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Definition
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Term
Wrist drop often presents with |
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Definition
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Term
| T/F: AROM should be avoided especially in the inflammatory stage of RA |
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Definition
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Term
| How should grip strength be assessed for a patient with RA? |
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Definition
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Term
| What type of orthotic is recommended for a patient to wear during the acute stage of RA? |
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Definition
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Term
| When are Hot packs contraindicated for a patient with RA? |
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Definition
| During inflammatory stage |
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Term
| What activity should be avoided for a patient with rotator cuff tendonitis? |
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Definition
| Above shoulder level activities |
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Term
| : What type of ROM is used for a pt post-op for rotator cuff tear? |
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Definition
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Term
| Clawing of the index and middle fingers is typical of: |
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Definition
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Term
| Loss of FCU and FDP IV & V resulting in flexion towards ulnar wrist and flexion of DIPs of ring and little finger is typical of: |
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Definition
| High ulnar nerve lesion, wrist or above. |
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Term
| Claw hand, flattened metacarpal arch and + Froment's sign are typical of: |
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Definition
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Term
| The ring finger and pinky "claw" with a _____ Median nerve injury and the index and middle fingers "claw" with a _____ Median nerve injury. |
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Definition
High= pinky and ring; Benediction sign
Low= index and middle |
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Term
| Functional loss for Ulnar Nerve Laceration (loss of interossei and thumb) |
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Definition
Loss of Power Grip
Decreased Pinch Strength |
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Term
| Functional loss of Median Nerve Laceration* (loss of II and III lumbricals and thumb opposition/abduction) |
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Definition
Loss of thumb opposition
Decreased Pinch strength |
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Term
| What's the difference between the Kleinert and Duran Protocols? |
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Definition
Kleinart: Active flexion, Passive extension
Duran: Passive flexion Passive extension |
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Term
| Extensor Zone V, VI, VII: Shorten orthotic to allow flexion and extension of IP joints |
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Definition
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Term
| Zone V, IV and VII: When can a patient remove splint to begin MCP active flexion and extension? |
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Definition
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Term
| What activities are indicated for the treatment of RA in both the acute and chronic phases? |
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Definition
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Term
| What activities are contraindicated for RA regardless of the phase? |
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Definition
| PROM and progressive resistance |
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Term
| In an above-elbow (transhumeral) prosthesis what position must the elbow joint be in for TD use? |
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Definition
| The elbow joint must be locked |
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Term
| Ulnar drift of MPs at all times and lengthening of the central slips of the extensor digitorum communis tendons: What condition is the patient exhibiting? |
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Definition
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Term
| Which components would be most important in a prosthesis for a carpenter with a short below-elbow amputation who plans to return to work? |
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Definition
| Fixed elbow socket and heavy duty serrated grip terminal device. A fixed elbow socket provides stability because natural forearm rotation is not possible with a short below elbow amputation. |
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Term
| What is the positioning recommendations for a patient with rotator cuff tendinitis? |
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Definition
| Sleep with the shoulder extended and adducted |
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Term
| ____ are nerve endings adhered to scar tissue. |
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Definition
| Neuromas; percussion and/or donning/doffing prosthetic are contraindicated |
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Term
| What is the most important factor to ensuring compliance with a splinting protocol? |
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Definition
| The clients understanding of the purpose and procedure of the splint |
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Term
| Gamekeeper's thumb and Skier's thumb are due to chronic and acute injury to what ligament? |
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Definition
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Term
| Reaching overhead and grasp and release activities are helpful in refining what kind of skills? |
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Definition
| Gross and fine motor skills |
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Term
| What is the best orthotic to facilitate healing and promote function for a patient with a radial nerve laceration at the forearm? |
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Definition
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Term
What is the splinting protocol for a low median nerve injury?
Protocol/position for high median nerve injury? |
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Definition
Dorsal protection splint with wrist at 30 degrees flexion.
Include elbow at 90 degrees flexion if high nerve injury. |
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Term
What is the splinting protocol for a low Ulnar nerve injury?
Protocol for high ulnar nerve injury? |
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Definition
Dorsal protection splint with 30 degree flexion @ wrist if a low lesion.
90 degree @ elbow if high lesion;
A/PROM of digits with wrist in flexed position (2 weeks post-op),
Strengthening (9 weeks post-op), scar management
Splinting considerations: MCP flexion block splint |
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