Tendon & Nerve Injuries Flashcards
Zone 1 is over the metacarpals
A. True
B. False
B. False; terminal tendon; zone is over the metacarpals.
Conditions such as carpal tunnel, cubital tunnel, thoracic outlet, “Saturday night palsy”, and mild brachial injuries can recover with rest or reduction of compression.
A. True
B. False
A. True
Which of the following nerve injuries is not expected to recover?
A. Neuropraxia
B. Axonotmesis
C. Neurotmesis
C. Neurotmesis; this is complete nerve severance
Explanation:
(A) Neuropraxia; conduction block without degeneration.
(B) Axonotmesis; myelin sheath damage with degeneration.
Nerves are not at risk for contracture, unlike tendons and other connective tissue.
A. True
B. False
B. False; we splint and passive stretch contracted nerves.
Which of the following is not a part of the modified Duran protocol for zone 1 and 2?
A. No active flexion of the IP
B. Dorsal block splint
C. AROM MP extension
D. Edema control
C. AROM MP extension; ARPM IP extension is allowed, not MP, PROM is allowed.
Explanation:
(A) No active flexion of the IP; & full unrestricted passive flexion is ok.
(B) Dorsal block splint; wear all the time.
(D) Edema control; & wound care
Neurogenic thoracic outlet syndrome is confirmed by ________ and a physical exam.
A. Physician’s Rx
B. Sensory testing
C. Observation
D. Detailed history of symptoms
D. Detailed history of symptoms
OTs must work with nerve transfer patients early on to incorporate desired motions with that of the contributing muscle.
A. True
B. False
A. True
Your patient is laying in supine with a theraband. When they are returning from terminal shoulder extension (180 degrees) back to 0 degrees, what type of muscle contractions occur between 180 - 90 , and 90 - 0?
A. Eccentric; concentric
B. Eccentric; eccentric
C. Concentric; eccentric
D. Concentric; concentric
B. Eccentric; eccentric
Explanation:
Keyword was extension. The extensors are elongating the entire movement because the band. If this were flexion, it would be concentric flexors.
Your patient is going to work on shoulder flexion and has an MMT of 2. Which exercise would be appropriate?
A. The patient side-lies and uses the unaffected arm for AROM.
B. The patient stands and uses a dowel for AAROM.
C. The patient sits and uses and overhead pulley for AROM.
D. The patient lies supine for AROM with a lightweight.
A. The patient side-lies and uses the unaffected arm for AROM; needs the active assist
Explanation:
B. The patient stands and uses a dowel for AAROM; against gravity (MMT 3)
C. The patient sits and uses and overhead pulley for AROM; against gravity (MMT 3+)
D. The patient lies in supine for AROM with a light weight. (Against gravity (MMT 4-)
Your patient has an MMT of 3-. How would you adapt your exercise so they can improve?
A. Remove positions of gravity to ease exercise
B. Change positions against gravity
C. Increase strength by adding resistance
D. Decrease some resistance
C. Increase strength by adding resistance; you want to improve, not make it easier.
The goal of MMT 4-5 is to increase strength and functional patterns so the patient can be discharged.
A. True
B. False
A. True
What type of activities might you give a patient with an MMT of 4-?
A. Against gravity, light resistance, endurance-based
B. Against gravity, moderate resistance, enduranced-based
C. Gravity eliminated, moderate resistance, endurance-based
D. Gravity eliminated, maximum resistance, endrance-based
A. Against gravity, light resistance, endurance-based
Explanation:
B. Against gravity, moderate resistance, enduranced-based; moderate resistance is an MMT = 4
(C) Gravity eliminated, moderate resistance, endurance-based & (D) Gravity eliminated, maximum resistance, endrance-based; MMT = 4 is always against gravity
What type of exercise are most appropriate for MMTs of 3?
A. Isometric
B. Concentric
C. Eccentric
D. PROM only
C. Eccentric; primarily, while beginning some concentric
Explanation:
(A) Isometric; not yet
(B) Concentric; this is a 3-5
(D) This is a 0-1
