Final: Hand Therapy

Question 1

Static

Answer 1

Looking from top of hand down. Can make clenched fist, open palm, a weight or hook. 20% of function

Question 2

Dynamic

Answer 2

Movement of hand. ROM, end feels, sensation, pinch and grip

Question 3

Common pinch

Answer 3

tip to tip
pad to pad
tripod

Question 4

Common grasp

Answer 4

spherical grasp, hook grasp, bilateral palmar

Question 5

Pinch vs Grasp

Answer 5

pinch involves distal part of fingers

grasp is stronger than pinches

Question 6

Tip to tip pinch

Answer 6

Common tip to tip pinch (making an O)

Question 7

Pad to Pad

Answer 7

Pad of index to pad of thumb

Provides sensory info

Question 8

Tripod pinch

Answer 8

Most common

Used to pencil grip - involves pads of 3 fingers

Question 9

Lateral pinch

Answer 9

Pad of thumb against lateral side of index

Turning a key, holding a plate etc

Question 10

Cylindrical grasp

Answer 10

Fingers wrap around and fold towards hand as if holding a dowel
holding a hammer, pot handle, glass/can

Question 11

Spherical grasp

Answer 11

Palm cupped, wrist extended.

Using door knob, apple etc

Question 12

Hook grasp

Answer 12

Fingers flexed into palm

Carrying suitcase

Question 13

Bilateral Palmar grasp

Answer 13

Both hands open
Fingers spread apart
Basketball

Question 14

Prehension components

Answer 14

A. Reach
B. Grasp
C. Hold
D. Carry
E. Placement 
F. Release

Question 15

Function of radial side

Answer 15

Manipulation and dexterity

Question 16

Function of Ulnar side

Answer 16

power and stability

Question 17

Hand therapy goals

Answer 17

Function
Strength
Functional sensation
Aesthetically acceptable

Question 18

Distal manipulation:

Answer 18

picking up a pen, having it face the wrong way and rotate it

Question 19

Squirreling

Answer 19

collecting or hoarding items using only one hand

Question 20

Translation:

Answer 20

translating one object to another

Question 21

Evaluation of hand

Answer 21

How client holds arm
Body language
Posture, facial expression
Appearance/ odor

Question 22

Amputations

Answer 22

mostly caused by power tools

Question 23

Avulsion injuries:

Answer 23

fingers pulled right off. Water skiing

Question 24

Flexor tendon

Answer 24

lacerations, crush/ fracture injuries

Question 25

Treatment for amputations

Answer 25

``` wound care edema reduction ROM desensitization functional restoration ```

Question 26

Zones of Flexor tendon injuries

Answer 26

Zone 1: distal fingers Zone 2: middle section - most challenging Zone 3, 4, 5

Question 27

Treatment for flexor tendon

Answer 27

Early active motion Controlled passive Immobilization - kleinart splint

Question 28

Treatment for extensor tendon injuries

Answer 28

caused by laceration/ fracture or crushed | focus on preventing extensor lag

Question 29

Neurapraxia:

Answer 29

contusion/ bruising of nerve

Question 30

Axontmesis

Answer 30

nerve fibres distal to injury degenerate

Question 31

Neurotmesis:

Answer 31

complete laceration of nerve

Question 32

Radial nerve injury

Answer 32

most commonly injured

Question 33

Median Nerve Injury

Answer 33

Median nerve often called the eyes of the hand (provides sensation to much of the palmar hand surface)

Question 34

Ulnar Nerve Injury

Answer 34

hyperextension of the MCPJs of the ring and small finger (clawing

Question 35

repetitive stress or strain, overuse syndromes:

Answer 35

tennis elbow, DeQuervain’s tenosynovitis, and carpal tunnel syndrome.

Question 36

Characteristics of stiff hand

Answer 36

edema, immobility, pain

Question 37

Treatment for the stiff hand

Answer 37

Proper positioning- splinting. Hand and thumb, Assure client involvement and understanding Increase mobility- PROM, stretch, progressive splinting, activity Control edema

Question 38

how to control edema

Answer 38

Elevation Compression- gloves, Coban, AROM, retrograde massage Contrast baths