Tendons and Nerve Injuries (midterm) Flashcards
T/F: Zone 1 is over the metacarpals
FALSE – terminal tendon; zone 5 is over the metacarpals
Which of the following nerve injuries is not expected to recover?
A. Neuropraxia
B. Axonotmesis
C. Neurotmesis
Answer: C – complete nerve severance
A - conduction block w/o degeneration
B - myelin sheath damage w/ degeneration
T/F: Conditions such as carpal tunnel, cubital tunnel, thoracic outlet, “Saturday Night Palsy”, and mild brachial plexus injuries can recover with rest or reduction of compression.
TRUE
T/F: Nerves are not at risk for contracture unlike tendons and other connective tissue
FALSE – they are, we splint and passive stretch to prevent contracture
Neurogenic thoracic outlet syndrome is confirmed by ___ + a physical exam.
A. Physicians Rx
B. Sensory testing
C. Observation
D. Detailed history of symptoms
Answer: D
Which of the following is not a part of the modified duran protocol for zone 1 & 2
A. No active flexion of IP
B. Dorsal Block splint
C. AROM MP extension
D. Edema control
Answer: C – ARPM IP extension is allowed , NOT MP (PROM ok)
A – and full unrestricted passive flexion ok
B – weak all the time
D – and would care
T/F: OTs must work with nerve transfer patients early on to incorporate desired motions with that of the contributing muscle
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 are occurring between 180-90 and 90-0?
A. Eccentric; Concentric
B. Eccentric; Eccentric
C. Concentric; Eccentric
D. Concentric; Concentric
Answer: B – 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 MMT of 2. Which exercise would be appropriate?
A. The patient side-lies and uses unaffected arm for AAROM
B. The patient stands and uses a dowel for AAROM
C. The patient sits and uses an overhead pulley for AROM
D. The patient lies in supine for AROM with a light weight
Answer: A – needs the active assist
B - against gravity (3)
C - against gravity (3+)
D - Against gravity (4-)
Your patient is an MMT of 3-. How do you adapt your exercise so they can improve?
A. Remove positions of gravity to ease exercises
B. change position against gravity
C. Increase strength by adding resistance
D. Decrease some resistance
Answer: C – you want to improve, not make easy
T/F: The goal of MMT 4-5 is to increase strength and functional patterns so the patient can be discharged
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, endurance based
C. Gravity eliminated, moderate resistance, endurance based
D. Gravity eliminated, maximum resistance, endurance based
Answer: A
B – Mod resitance is MMT = 4
C + D – 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
Answer: C – primarily, while beginning some concentric
A - not yet
B - this is 3-5
D - this is 0-1
