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OCC2020 - OT Theory > Hand Therapy > Flashcards

Hand Therapy Flashcards

1
Q

which 2 tendons make up the first dorsal compartment of the wrist

A
  1. extensor pollicis brevis

2. abductor pollicis longus

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2
Q

which 2 tendons make up the second dorsal compartment of the wrist

A
  1. carpi radialis brevis

2. carpi radialis longus

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3
Q

what tendon makes up the 3rd dorsal compartment of the wrist

A
  1. extensor pollicis longus
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4
Q

which 2 tendons make up the 4th dorsal compartment of the wrist

A
  1. extensor digitorum

2. extensor Indias

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5
Q

what tendon makes up the 5th dorsal compartment

A

extensor digiti minimi

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6
Q

what tendon makes up the 6th dorsal compartment

A

extensor carpi ulnaris

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7
Q

what are the 3 nerves of the hand

A
  1. median
  2. ulnar
  3. radial
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8
Q

what parts of the arm/hand is innervated by the median nerve

A
  • lower part of upper arm
  • elbow
  • forearm
  • carpal tunnel
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9
Q

what parts of the arm/hand is innervated by the ulnar nerve

A
  • lower part of upper arm
  • outside of elbow
  • inner forearm
  • ring finger
  • pinky finger
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10
Q

what part of the arm/hand is innervated by the radial nerve

A

thumb side

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11
Q

list the 3 assessments methods used for thumb pain

A
  • The sign of O

- Step Deformity

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12
Q

what does the sign of o assessment determine

A

will erect OA in thumb if it makes a D shape, rather than O

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13
Q

what does a step deformity assessment determine

A

visible subluxations of the 1st metacarpal when thumb is extended

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14
Q

list 3 different types of thermoplastics for orthosis construction

A
  • polyform
  • ezeform
  • aquaplast
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15
Q

list the characteristics of poly form

A
  • low temperature
  • minimum resistance to stretch
  • lightweight
  • ideal for acute trauma or joint irritation
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16
Q

list the characteristics of ezeform

A
  • maximum resistance to stretch
  • superior drape for intimate fit
  • bonds permanently once heated
  • ideal for non compliant patients
17
Q

list the characterises of aquapalst

A
  • perforated for ventilation
  • controlled stretch
  • transparent for observing pressure points and landmark whilst moulding
18
Q

list joint modalities to prevent swelling in the hand

A
  • reducing repetitive movements
  • joint protection techniques
  • avoiding prolonged grip
  • splinting
19
Q

symptoms of carpal tunnel syndrome

A
  • pain on radial aspect of hand
  • worse at night
  • worse with repetitive force
  • clumsiness or weakness
  • proximal radiation of symptoms into forearm or elbow
20
Q

describe the anatomy/cause of carpal tunnel syndrome

A 
- compression of the median nerve 
Tunnel contains: 
- ligaments 
- nerves 
- bones 
Any compression causes nerve to be compressed
21
Q

Assessment for Carpal Tunnel Syndrome

A
  • positive tinels (tapping nerve at wrist)

- positive phanels (elbow extended and wrist flexed = altered sensation in fingers)

22
Q

list the causes of carpal tunnel syndrome

A
  • anatomical e.g. fracture, tumor
  • inflammatory diseases
  • mechanical forces
  • obesity
23
Q

list the symptoms of de quervains tenosynovitis

A
  • raised swelling at radial styloid

- pain on tumb motion

24
Q

describe the anatomy of de quervains tenosynovitis

A

related to the EBP and APL tendons in 1st dorsal compartment
- inflammation of tendon sheath

25
Q

cause of de quervains tenosynovitis

A

EPB and APL not designed to be radial deviators and can cause dysfunction secondary to prolonged use in lifting

26
Q

assessment of de quervains tenosynovitis

A

finkelsteins test - thumb inside fingers and pulling down

27
Q

list the conservative treatment of de quervains tenosynovitis

A
  • NSAIDS
  • orthosis
  • offloading
  • gentle AROM
28
Q

orthosis precautions for de quervains tenosynovitis

A
  • joint immobilised for 6 weeks
  • radial gutter or entire hand
  • wrist in 20 degree extension
  • slight radial deviation
  • fingers and thumb IP free to mobilise
29
Q

symptoms of OA in the carbo-metacarpal joint of the thumb

A
  • pain
  • swelling
  • nodules on joints
  • poor AROM
  • decreased function
  • referred pain
30
Q

define acute pain

A
  • less than 3 months

- direct injury or illness that causes tissue damage

31
Q

describe chronic pain

A
  • pain experienced beyond normal healing Time of 3-6 months

- persistent firing of pain signals within nervous system

OCC2020 - OT Theory (6 decks)

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