Term
|
Definition
Intrinsic muscles by median nerve
Abductor pollicis brevis - palmar abduction
Opponens pollicis - opposition
Flexor Pollicis brevis -thumb MCP flexion
Lumbricals (radial side _MCP flexion and extension of IP
Abductor, Opponens & Flexor DIGITI MINIMI Intrinsic muscles by ulnar nerve for the 5th digit
Lumbrical (radial side - MCP flexion extension of IP joints IV and V
Palmar and dorsal interossei - ADDuction and ABDuction of MCP& IP II-V
Extrinsic flexors by the median nerve
Flexor Digitorum (FDS) and (FDP) and Pollicis - Flexion of PIP and II-III of IP and thumb.
Extrinsic flexors of Ulner nerve
Profundus - flexion of DIP IV & V
Extrinsics by the radial nerve -
Extensor digitorum communic and digiti minimi - Extension of MCP joints and IP, extension of MCP of 5th digit and IP
Extensor indicis proprius, ext of MCP of 2nd digit
extensor pollicis longus, brevis. ext. of IP of thumb and ext. of MCP and CMC of thumb
and abductor pollicis longus - abduction and ext. of CMC joint |
|
|
Term
|
Definition
Wrist flexors by median nerve
Flexor carpi radialis, flexion of wrist and radial deviation
Palmaris longus - flexion of wrist
Wrist flexors of ulnar nerve - Carpi ulnaris ulnar deviation and flex. wrist
Wrist extensors by radial nerve - extensor carpi radialis brevis, longus, and ulnaris |
|
|
Term
|
Definition
Pronator teres and quadratus, median nerve
Supinator Radial nerve |
|
|
Term
|
Definition
Biceps and Brachialis by musculocutaneous nerve flexion and pron./supin.
Brachioradialis - radial nerve - elbow flex. and neutral
Elbow extension - triceps and anoneus - radial nerve |
|
|
Term
|
Definition
Rotator Cuff -
subscapularus - internal rotation -subscapular nerve
Supraspinatus - abduction and flexion
Infraspinatus - external rotation
Subscapular nerve
Teres minor - external rotation - axillary nerve
Shoulder flexion Deltoid, Coracobrachialis, suprapinatus
Shoulder Abduction, Middle deltoid, supraspinatus
Horizontal ABduction - posterior deltoid,
Horizontal adduction - pectoralis major
Shoulder extension muscles - Latissimus dorsi, teres major, and posterior deltoid |
|
|
Term
|
Definition
Upward rotation - Trapezius, Serratus anterior - spinal accessory nerve and long thoracic nerve
Downward rotation muscles - Levator scapulae - C3-C4 nerves, Rhomboids - dorsal scapular nerve, serratus anterior and lattisimus dorsi
Scapula adduction, middle trap. rhomboid major
Scaula aBduction - serratus anterior
Scapula elevation - trapezius, levator scapulae
Scapula depression muscles - trapzius. |
|
|
Term
|
Definition
Disease of fascia of palm and digits
Flexion deformities involving the digits
Tx. Fasciotomy w/ Z plasty, Aponeurotomy, McCash Procedure
OT: Wound care, edema, extension plint, A/PROM, scar management, purposeful occupation tasks |
|
|
Term
| Skier's Thumb (gatekeepers |
|
Definition
Rupture of ulnar collateral ligament of MCP of thumb
OT: thumb splint 4-6 weeks, AROM, opposition, PROM 8 weeks, pinch strengthening 10 weeks, |
|
|
Term
| CRPS complex Regional Pain Syndrome |
|
Definition
RSD, Vasomotor dysfunction, following trauma
OT: Modalities, edema management, AROM, ADL, stress loading, splinting, self management.
CAUTION: PROM, stretching joint mob. dynamic splinting and casting. |
|
|
Term
|
Definition
Types etc.
Colles - distal radial (dorsal disp.)
Smith's - distal radius (volar disp.)
Carpal - most common scaphoid
Metacarpal - Boxers (ulnar gutter splint)
Finger fractures - Mallet finger - extensor tendon
Elbow - limited rotation - radial head
Humerus - rotator cuff, wrist drop with radial nerve involvement
OT: Immobilization, AROM, edema, ADLs, 4-8 weeks PROM except humerus fractures, occupation-based, pain, strengthening upon physician approval |
|
|
Term
|
Definition
DeQuervain's - stenosing tenosynovitis of abductor pollicis longus and extensor pollicis brevis, pain over radial styloid, + Finkel.
OT: thumb spica splint, modification, ice massage, AROM, 0-2 weeks, strength, adle 2-6, better at 6 weeks |
|
|
Term
| Lateral and medial epicondylitis |
|
Definition
degeneration of tendon origin - microtrauma
Lateral - extensors - tennis elbow
Medial - golfers elbow
OT: elbow strap, ice and deep massage, stretching, modification, add strengthening, isometric then eccentric. |
|
|
Term
|
Definition
Tenosynovitis of finger flexors
OT: trigger finger splint, massage, edema, tendon gliding, modifications |
|
|
Term
|
Definition
early mobilization for flexor tendons
Dorsal blocking splint, passive flexion and active extension w/in splint 0-4 weeks
4-7 weeks, dorsal blocking splint wrist to neutral, differntial tendon gliding and place hold, scar
6- 8 weeks - AROM, occupation, d/c plint
8-12 weeks strengthening work leisure
Early mobilization for Extensor tendons
Mallet finger 0-6 splint DIP extension
Boutonniere - 0-4 PIP extension splint AROM of DIP in splint, 4-6 AROM |
|
|
Term
Peripheral Nerve Injuries
Carpel Tunnel Syndrome |
|
Definition
CTS - median nerve compression
Splint, nerve gliding exercises, differential gliding, activity modification, ergonomics,
CT Release
Edema, AROM, nerve and tendon gliding, sensory, strengthening of thenar muscles at 6 weeks, work/activity |
|
|
Term
|
Definition
Median nerve between pronator teres
Same as CTS but no night symptoms
Splint in neutral, stop activities,
Post decompression surgery, AROM nerve gliding, strengthening, sensory, work/activity |
|
|
Term
Guyon's canal
Cubital tunnel syndrome (very similiar to above just involves elbow |
|
Definition
Ulnar nerve compression - atrophy, nubness
Splint, work,
Post surgery Edema AROM, nerve gliding, strengthening (2-4 weeks) power grip
sensory |
|
|
Term
|
Definition
Median
Loss of thumb opposition, weakness of pinch (Benediction sign, clawing, flattening of thenar
Splint 30-90 degrees, A/PROM w/ wrist flexed at 2 weeks, scar management, AROM of wrist 4 weeks, 9 weeks strengthening
Ulnar Nerve laceration
Loss of power grip, decreased pinch strength,claw hand,
Same as median nerve repair, Splint is MCP flexion block
Radial Nerve Laceration
Cannot extend digits to release difficulty manipulating object, wrist drop
OT: spline, ROM, sensory, Home program, activity modification |
|
|
Term
|
Definition
Supraspinaturs - ABD. Flex.
Infraspinatus and teres minor - EXT ROT
Subscapularis - INT. ROT.
OT: avoid painful movement, sleeping posture, modalities, rest, ROM, strengthening below shoulder level, occupations.
Post surgery 0-6 - AA/AROM, ice, heat, 6 weeks strengthening, light ADLs, leisure and work activities 8-12 weeks. |
|
|
Term
|
Definition
Rheumatoid, ulnar deviation, boutonniere deformity, swan neck deformative
Osteoarthritis, nodes at DIP, PIP joints |
|
|
Term
|
Definition
Frozen shoulder, Ligaments and capsule, inflammation and immobility
OT: Active use ADL, PROM, Modalities
After surgery, PROM, pain relief, modalities, activities. |
|
|
Term
|
Definition
ROM, strength, ADLs, pain, edema
Intervention - Splinting, joint protection techniques, energy conservation tchniques, ROM, energy conservation, ROM, modalities, strengthening, occupations |
|
|
Term
|
Definition
In utero, causes brittle bones, multiple fractures, eye, hearing, developmental problems,
Casts, restrictions, adaptations, modifications, weightbearing |
|
|
Term
| Hip Fractures/Hip Replacements |
|
Definition
Pathological, osteoporosis, trauma
Know precautions,etc. |
|
|
Term
|
Definition
Hook and Hand
Voluntary opening (VO): hook remains closed until tension is placed
Voluntary closing (vc): hook remains open til tension opens it.
Cosmetic device - minimal function
Neuromas are painful and hypersensitive (scar tissue on nerve endings)
Skin breakdown,
Phantom limb syndrom and pain
Infection, knee flexion contractures, psychological impairments.
ROM, desensitization, wrapping, ADL, counseling, strengthening, transfers, standing w/c mobility, training with prosthesis, etc. |
|
|
Term
|
Definition
| Refer to table 6-1 6-2 on page 153-154 |
|
|
Term
| Burns - Superficial - Partial Thickness |
|
Definition
Minimal pain, no blisters 3-7 days
Second Degree burns epidermis and upper portion of dermis
Red blistering wet, 7-21 days heal
OT: ROM, sensation and strength when wounds are healed, wound care, debridement, whirl-pool, ROM, edema, splinting, ADL |
|
|
Term
| Burns - Deep partial Thickness |
|
Definition
Deep second degree burn, epidermis, deep portion of dermis, hair follicles and sweat glands, sensation impaired, healing 21-35 days.
OT: wound care, debridement, whirl-pool dressing changes, AROM, PROM, edema, splinting, ADL, strengthening. |
|
|
Term
| Burns - Full thickness burns |
|
Definition
Involves epidermis, dermis, hair, sweat and nerve endings, sensation is absent, requires skin graft, healing takes months
OT: ROM 5-7 post surgery, 72 hours dressing changes splint at all times, 5-7 AROM, sterile whirlpool, after 7 days, PROM, massage after healing, compression garments, otoform/elastomer inserts, strengthening. |
|
|
Term
|
Definition
Hands - wrist in 20-30 degrees Ext. MCP 50-70 flex. IP full extion, thumb abducted and extended.
Burns to volar surface a palmar extension splint. wrist 0-30 degree extension, MCP joints in neutral to slight extension/abduction, IP full extension, thumb abducted and ext.
Web space burn - C splint
Hypertrophic scars wear compression garments 24 hours day, 1-2 years, ROM, skin care, occupations. |
|
|
Term
|
Definition
Assessment of pain
Determine location, evaluate intensity, time, description of it, use assessments like McGill Pain Questionnaire, Pain Disability Index, Functional Interference Estimate,
Modalities, positioning, splint, ROM, relaxation, proper body mechanics, modify, exercise, etc. |
|
|
