Rehabilitation of the wrist/hand Flashcards
What are some common injuries of the wrist and hand?
- Carpal tunnel
- Scaphoid fracture
- Thumb sprain
- De Quervains Tenosynovitis
- Lunate dislocation
- Mallet finger
- Gamekeepers thumb
- Boutonniere deformity
How would you treat wrist/hand injuries during the acute phase?
- Ice for pain
- Support
- Swelling (elevation and medication)
- Prevent secondary complications
What are some possible secondary complications?
- Vascular (scaphoid)
- Neural (carpal tunnel)
How would you treat wrist/hand injuries in the sub acute phase?
- Active range of motion
- Assisted range of motion
What are some examples for active range of motion during the sub acute phase?
- Whirlpool plus alphabet exercises
- Towel exercises
What are some examples for assisted range of motion during the sub acute phase?
- Self stretching
- Splints (day/night)
What are the different mobilizations that can be performed?
- Anterior/posterior
- Medial/lateral glides
- Rotation
- Traction
- Carpal/radial
- Radio/ulnar
- Inter carpal
- Carpal metacarpal
- Metacarpal/phalangeal
- Interphalangeal
What are some strength exercises that can be done for wrist/hand injuries?
- Isometrics
- Isotonic
- Concentric/eccentric
- Stop and drops
- Water exercises
- Elastic exercises
- Ball squeezes
- Tubing
What are some strength exercises that san be done during the sub acute phase?
- Putty
- Tubing
- Resistive splints
- Webbing
- Elastic bands
What are some sport specific skills that can be done?
- Throwing
- Catching
- Striking
- Agility
- Coordination
- Manual dexterity
What are some things to do/work on for carpal tunnel syndrome rehabilitation?
- Take away the cause
- Splint in neutral
- Modalities to relieve inflammation
- Improve flexibility of all forearm muscles
- Strengthen all forearm muscles
- Possible surgical release if none of the above work
