Hands/Splinting

Question 1

Kleinert Protocol for a flexor tendon repair: 0-12 weeks?

Answer 1

0-4 weeks: active extension/passive flexion exercises AND dynamic splinting

6-8 weeks: light ADLs

8-12 weeks: strengthening and resistance activities

Question 2

What is normal elbow ROM?

Answer 2

0-150 degrees

Question 3

What does a positive Finkelstein’s test indicate?

Answer 3

DeQuervain’s Tenosynovitis

Question 4

How to perform the Finkelstein’s test?

Answer 4

Therapist grasps the thumb and ulnar deviates the hand sharply

Question 5

DeQuervain’s Tenosynovitis

Answer 5

inflammation of the abductor policis longus (APL) and extensor pollicis longus (EPL)

Question 6

What does a positive Froment’s Test indicate?

Answer 6

an ulnar N. dysfunction

This will result in flexion of the thumb at the IP joint when paper is pulled

Question 7

What does a positive Phalen’s Test indicate?

Answer 7

median nerve compression

Question 8

how to perform the phalen’s test?

Answer 8

patient is asked to hold their wrist in complete and forced flexion (pushing the dorsal surfaces of both hands together) for 30–60 seconds

Question 9

What position should an outrigger on a dynamic splint be positioned?

Answer 9

90 degrees perpendicular

Question 10

What type of splint would be indicated for an Erb’s Palsy dx?

Answer 10

elbow lock splint

Question 11

Erb’s Palsy clinical picture

Answer 11

arm limp into IR

atrophy/paralysis of biceps, deltoid, brachialis, and brachioradialis

Question 12

Flexion of the PIP and hyperextension of the DIP is characteristic of a:

Answer 12

boutonniere deformity

Question 13

Hyperextension of the PIP and flexion of the DIP is characteristic of a:

Answer 13

Swan neck deformity

Question 14

What would a figure 8 splint typically be used for?

Answer 14

combined median N injury

Question 15

When would a flail arm splint be used?

Answer 15

C5-T1 injury

Question 16

When would a deltoid sling be indicated?

Answer 16

UE muscle weakness

Question 17

These symptoms are indicative of what?

• Numbness/tingling in fingers and ½ ring finger
• Pain in proximal FA
• No symptoms at night
• Positive Tinel’s Sign

Answer 17

Pronator Teres Syndome

Question 18

These symptoms are indicative of what?

• Symptoms at night
• Positive tinels at wrist
• Numbness/tingling in fingers and ½ of RF

Answer 18

CTS

Question 19

Positive test at guyon’s canal is indicative of?

Answer 19

Ulnar N compression

Question 20

These symptoms are indicative of what?

• postive tinels at elbow
• Numbness and tingling along Ulnar N distribution and pain in the elbow at end range EF

Answer 20

Cubital Tunnel Syndrome

Question 21

Duran’s Protocol for Flexor Tendon Repair 0-4 weeks post op?

Answer 21

passive extension/flexion

Question 22

Lengthening of the central slip of the Extensor Digitorum causes?

Answer 22

Boutonniere deformities

Question 23

Rupture of the lateral slips of the Extensor Digitorum or FDS can result in ?

Answer 23

swan neck deformities

Question 24

Thickening of the FDS can result in ?

Answer 24

trigger finger

Question 25

?? is a flattening of the thenar eminence and is indicative of a median nerve palsy

Answer 25

Ape Hand

Question 26

“???” is indicative of an ulnar nerve palsy

Answer 26

Claw hand

Question 27

Buddy strap help provides ?? ROM to the affected finger

Answer 27

Passive

Question 28

Shoulder surgery protocol 0-12 weeks?

Answer 28

0-6 weeks: PROM, AAROM, and AROM

6+ weeks: isometric then progress to isotonic exercises