Intervention - General Principle Flashcards
Edema - poses significant issue for wrist and hand - what can happen
Compress neurologic structures
Reduce tendon gliding
Reduction in functional ROM and strength
A painful hand can hinder what else
use of entire UE
Edema interventions
Contrast bath/ice Elevation Retrograde massage Coban wraps Compression glove Ace wrap US, photophoresis
Pain interventions
Ice Iontophoresis Phonophoresis Electrical stimulation Positional release Friction massage Joint mobilization ROM Immobilization
Immobilization - purpose of it
Proper positioning Restriction of movement Support Alter tone Promote function
Immobilization - types of it
Static
Dynamic
Functional/Mechanical
Immobilization - Patient education with splinting
Don and fodd Purpose Maintenance, cleaning Wearing schedule Associated exercise - usually will have some HEP
ROM - when to start
Begin as soon as possible
Follow physician restrictions
Be aware of surgical procedure or dx process
Be aware of healing stage
ROM - Interventions
PROM/AROM/AAROM Stretching - to wrist and hand Joint mobilization MET Heat modalities CPM SCS, MTrP Serial casting
Strengthening - designing a program
Follow healing phases, physician recommendation, and use your own clinical decision making when designing a strengthening program
Respect joint integrity
Interventions for strengthening
Theraputty Weights Theraband BTE Isometrics Functional activities
Interventions - functional activities
ADL
Work simulation
Coordinated tasks
Compensation training
Patient education - inc knowledge leads to
inc compliance
dec recurrence
improved outcomes
Patient education - energy conservation and work simplification
Education on reducing amount of energy and work by body Adaptive equipment Activity analysis Ergonomics Planning and scheduling daily activities
Patient education - prevention strategies
Many wrist and hand injuries can be prevented
Help your patient with prevention strategies
