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
Wound care - specific to the hand
Prone to infection
Volar laceration - prone to contracture - natural hand position
Wound care - scar management
Is crucial
STM, Myofascial release
US
Patient education
Compliance issues
Due to need for wrist and hand use, people aren’t as compliant with restrictions
Watch for observable signs of overuse
