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S3- Musculoskeletal > Elbow, Forearm, Wrist, and Hand Interventions > Flashcards

Elbow, Forearm, Wrist, and Hand Interventions Flashcards

1
Q

INTRO AND PT EDUCATION

A

INTRO AND PT EDUCATION

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2
Q

What things can we educate a patient on?

A
  • Impairments
  • Healing timelines
  • Frequent breaks
  • Improvement of tools
  • Task-specific training
  • Graded exposure
  • Avoiding prolonged and static loading of tissues
  • Avoiding forces at extreme ranges of joint movement
  • Ergonomic /biomechanical strategies…
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3
Q

What are some work-related factors to educate a patient on?

A
  • Tracker ball vs mouse
  • Workstation set-up
  • Dictation application for entering electronic data
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4
Q

What is a non-work related factor?

A

-Minimize texting

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5
Q

STEROID INJECTION CONSIDERATIONS

A

STEROID INJECTION CONSIDERATIONS

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6
Q

What are some potential complications with corticosteriod injections?

A
  • Local infection
  • Post-injection steroid flare (temporary worsening of pain in the first 24-36 hours after injection)
  • Atrophy of subcutaneous fat
  • Local depigmentation of the skin
  • Tendon rupture
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7
Q

CTS CPGs

A

CTS CPGs

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8
Q

There is ______ evidence for assistive technology use as an intervention for CTS.

A

weak

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9
Q

There is ____-_______ evdence for orthoses use as an intervention for CTS.

A

-moderate-weak

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10
Q

There is ______ evidence for biophysical agent use as an intervention for CTS.

A

weak

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11
Q
  • Should clinicians use iontophoresis in the management of mild to moderate CTS?
  • Should clinicians use magnets in the intervention for individuals with CTS.
A
  • No

- No

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12
Q

There is ______ evidence for manual therapy techniques use as an intervention for CTS.

A

weak

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13
Q

There is ________ evidence for the use of neurodynamic mobilizations in the management of CTS.

A

conflicting

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14
Q

There is _____ evidence for the use of therapeutic exercise in the intervention of CTS.

A

weak

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15
Q

NERVE MOBS

A

NERVE MOBS

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16
Q

What is the purpose of nerve mobilizations?

A

Attempt to restore the dynamic balance between the relative movement of neural tissues and surrounding mechanical interfaces, thereby allowing reduced intrinsic pressures on the neural tissue and thus promoting optimum physiological function

17
Q

Can nerve mobilizations be ussed for peripheral nerve entrapments?

18
Q

What are the types of nerve mobilizations?

A
  • Active vs Passive

- “Gliders” vs “Tensioners”

19
Q

What is the mechanism behind nerve mobilizations?

A
  • Thought to decrease adhesions and allow improved movement of peripheral nerves.
  • May increase neural vascularity, allowing increased oxygenation of the nerve and a resultant decrease in ischemic pain.
  • Dispersion of noxious fluids.
  • Improvement of axoplasmic flow.
20
Q

There is ________ evidence when it comes to nerve mobilizations.

A

conflicting

21
Q

OA AND SPRAINS

A

OA AND SPRAINS

22
Q

What can be done to manage OA?

A
  • Inflammatory Management (thermal/cryo)
  • Exercises (gripping/resistive, ROM)
  • Manual Therapy (joint mobs)
  • Joint Protection (splinting, activity modification)
23
Q

Factors to consider with sprains?

A
  • post-op vs conservative
  • inflammatory/pain management (acute)
  • protection of injury site (splinting/casting) - injury and time dependent
  • Pt education
  • progression of PROM/AAROM/AROM/Resistive exercises (consider healing timeframes, communication with MD)
  • progression to stabilization exercises/return to functional activity
24
Q

TENDONOPATHY

A

TENDONOPATHY

25
Q

Tendinopathy:

  • _______s, local steroid injection, Sx
  • Education on ______ position and activity ________.
  • _________ via splinting and activity modification.
  • Exercise (stretching??, AROM/tendon gliding, _________)
  • ____-___ management.
A
  • NSAIDs
  • resting position and activity modification
  • Protection
  • ECCENTRICS
  • Post-op
26
Q

What are the indications for tendon glides of the hand?

A
  • Prevent adhesion post-op
  • Address adheson with tenosynovitis
  • Maintain/improve ROM
  • Pain relief
27
Q

LATERAL EPICONDYLOPATHY AND MANUAL THERAPY

A

LATERAL EPICONDYLOPATHY AND MANUAL THERAPY

28
Q

Lateral Epicondylopathy:

  • Patient ________/activity __________
  • __________/pain management interventions
  • __________!
  • Joint manipulation (c-spine, t-spine, elbow/forearm/wrist)
  • Joint mobs (including MWM)
  • Soft tissue mobilization
  • ROM/stretching exercises
A
  • education/modification
  • inflammatory
  • ECCENTRICS!
29
Q

What joint manipulations have good research for improvements with pain for lateral epicondylopathy?

A
  • C5-C6 manipulation
  • Mill’s Manipulation
  • Watson manipulation

S3- Musculoskeletal (27 decks)

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