Therapy Interventions Flashcards

1
Q

Dupuytren’s Disease (post-op)

A

Wound care

Edema control

Splinting

Scar Management

AROM/PROM (day 1 or 2)

Strengthening after wound closure (3-4 weeks)

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2
Q

Boutonniere Deformity

A

Splint PIP in extension with DIP and MP free (6 weeks)

Gentle flexion of the PIP at 6 weeks

Splint for addiitonal 2-4 weeks

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3
Q

Swan-Neck Deformity

A

Dependent upon surgical technique

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4
Q

Rheumatoid Arthritis

A

Dependent upon stage

  • Patient education
  • Appropriate splinting
  • Gentle ROM
  • Modalities
  • Grip and pinch exercises
  • Joint protection
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5
Q

Mallet Finger

(without fracture)

A

Closed injury without fracture

  • Immoblization of the DIP joint in slight hyperextension for 6 weeks with a volar gutter splint
  • Active motion of the PIP joint
  • Active motion of the DIP after 6 weeks
  • Continued splinting at night for an additional 4 weeks
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6
Q

Mallet Finger

(with fracture)

A

Closed injury with distal tendon avulsion fracture

  • Percutaneous pinning for 6-8 weeks
  • Splint in colar hetter splint at one week with immediate AROM of PIP and all proximal joints
  • Begin AROM of DIP once pin is removed
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7
Q

Trigger Finger

A

Goal is to restore normal tendon gliding without compromising the overall function of the tendon system

Operative:

  • Immediate AROM of the finger
  • AROM, AAROM, PROM at 1 week
  • return to regular activities at 3 weeks
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8
Q

Tendon Lacerations

(general)

A

Create favorable adhesions

Prevent gap formation

Promote tendon glide

Control edema

Protect tendon healing

Enhance tensile strength at repair site

Restore ROM

Restore strength

Restore function

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9
Q

Tendon Lacerations

(3-5 days post-op)

A

Wound care

Scar management

Edema control

Dorsal blocking splint

PASSIVE finger flexion

ACTIVE finger extension

Splinting 24/7

No active flexion for 4-6 weeks

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10
Q

TFCC

(non-operative)

A

Long-arm cast or splint with elbow at 90 degrees and forearm/wrist in neutral for 4-6 weeks

At 6 weeks begin AROM, AAROM, wrist splint for comfort and protection

At 8 weeks (provided asymptomatic) progressive strengthening (avoiding rotation initially) and gradual return to activites

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11
Q

Fracture Therapy Management

(Immoblization Phase)

A

Pain management

Reduce and control edema

Maintain ROM and strength in ninvolved

Maintain CV endurance

Patient education:

  • fracture healing, edema control, pin site maintenance, and external fixators
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12
Q

Fracture Therapy Management

(Mobilization Phase)

A

Modalities:

-Pain and edema control

AROM, AAROM, PROM

Joint modilization

Dynamic/Static/Static Progressive Splinting

Scar Management

Progressive Strengthening

Gradual return to function

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13
Q

DeQuervain’s Tenosynovitis

(non-surgical)

A

Thumb spica splint

Anti-inflammatory (ice, iontophoresis)

Thumb ROM

Tendon gliding

Modilization with movement

Eccentric exercises

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14
Q

DeQuervain’s Tenosynovitis

(post-surgical)

A

Edema control

AROM/PROM

Scar Management

Desensitization

Begin strengthening when authorized by physician (3-4 weeks)

Progressive return to activities in 6-8 weeks

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15
Q

Intersection Syndrome

A

Immobilizatinon of the wrist and thumb in 15-20 degrees of extension

Anti-inflammatory measures (ice, iontophoresis)

CFM

Stretching

Gradual Return to strengthening

Patient education:

  • avoid repetitive wrist flexion/extension combined with power grip
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16
Q

Ganglion Cyst

A

Anti-inflammatory measures

Compression

Splinting

ROM

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17
Q

Skier’s Thumb

(post-surgical)

A

Splinting

Edema control

Scar Management

AROM

Strengthening at 8 weeks

18
Q

Skier’s Thumb

(non-surgical)

A

Anti-inflammatory measures

Grade I:

  • immoblization or tape for 3 weeks followed by AROM and strengthening

Grade II:

  • thumb spica splint or cast for 3 weeks followed by another 6 weeks of protection before beginning AROM or strengthening
19
Q

Ulnar Nerve Entrapments at Guyon’s Canal

(non-surgical)

A

Modalities

Ulnar gutter splint in intrinsic plus position

Nerve gliding

Patient education and activity modification

20
Q

Ulnar Nerve Entrapments at Guyon’s Canal

(post-surgical)

A

Pain management

Edema control

Scar management

Desensitization

ROM

Nerve gliding

Patient education

Strengthening at approx 4 weeks

21
Q

Wartenberg’s Syndrome

A

Modalities

Resting splint in position of comfort (neutral wrist and hand)

Desensitization

Patient education

22
Q

Carpal Tunnel Syndrome

(non-surgical)

A

Splinting at night in neutral wrist position

Modalities (ionto, contrast baths)

Tendon gliding

Nerve gliding

Avoid repetitive strengthening activities for the hand/wrist

Proximal stabilization

Patient education

23
Q

Carpal Tunnel Syndrome

(post-surgical)

A

3 days: Change dressings and begin tendon gliding

1 week: Begin gentle AROM and PROM of the wrist

2-3 weeks: Begin strengthening

3 weeks: Begin nerve gliding

4 weeks: Begin functional activities

Proximal stabilization

Patient education

Activity modification

24
Q

Complex Regional Pain Syndrome

A

Minimize pain (modalities)

Edema control

Desensitization

Gentle AROM/PROM

Tendon gliding exercises

Mirror therapy

Patient education

Do Not Immoblize

25
Q

Olecranon Bursitis

(Acute Phase)

A

Ice, compression, iontophoresis

Splinting/Padding

Patient education

26
Q

Olecranon Bursitis

(Subacute Phase)

A

Heat modalities, contrast baths

Range of motion

Sub-maximal isometrics

27
Q

Olecranon Bursitis

(Chronic Phase)

A

Rehabilitation of any residual problems and prevention of recurrence/reinjury

Strengthening

Functional training

Protective padding

28
Q

Bicipital Tendinopathy

A

Modalities

Transverse friction massage

Correction of muscle imbalances

Soft tissue mobilization

Patient education

29
Q

Distal Biceps Tendon Rupture

(post-op)

A

Modalities

ROM

Gentle strengthening

Patient education:

-return to unrestricted activity generally not allowed for up to 6 months post-op

30
Q

Lateral Epicondylalgia

A

Pain control (rest)

Modalities (HVGS and ice massage)

STM

Mobilization with movement

Lateral gapping

Radial head distraction

Cervical or thoracic mobs

Stretching

Eccentrics

Proximal Stabilization

31
Q

Medial Epicondylalgia

A

Modalities

Rest

ROM/stretching

Strengthening

Patient education

32
Q

Elbow Sprains

A

Modalities

ROM

Sub-max isometrics to isotonic

Proximal!

Throwing and conditioning programs

Taping/Bracing for sports

33
Q

Elbow Dislocations

(Immobilization Phase)

A

AROM of the shoulder, wrist, and hand

Sub-max isometics

Modalities (for pain and edema control)

34
Q

Elbow Dislocations

(post-immobilization phase)

A

Active stretching and ROM

Restricted strengthening (avoiding full extension) working into full rage as tolerated by tissue

Functional training

35
Q

Nursemaid’s Elbow

A

Often not necessary

Patental education

36
Q

Little Leagure’s Elbow

A

Patient Education

Parent/Coach Education

Modalities for pain and inflammation

ROM

Correction of muscle imbalances

Gradual return to functional activities

37
Q

Cubital Tunnel Syndrome

(non-surgical)

A

Modalities for pain and inflammation management (HVGS)

Night splinting at 40-60 degrees

Anti-claw splint

Elbow pads

Ulnar nerve glides

Strengthening

Patient education (activity modification and sleeping positions)

38
Q

Cubital Tunnel Syndrome

(post-op: 2 weeks)

A

Modalities for pain and inflammation (HVGS)

Splinting/Elbow pads

Scar management

ROM

Strengthening

Desensitization

Ulnar nerve glides

Patient education

39
Q

Radial Nerve Compression

A

Dynamic splinting with finger extension assist, allowing full finger flexion

Static night splint in wrist and finger extension

Soft tissue mobilization

Thermal modalities

Radial nerve gliding

Stretching

Patient educaiton

40
Q

Median Nerve Entrapment

A

Thermal modalities

Splinting in neurtal position (4-6 weeks)

Soft tissue mobilization

Stretching

Median nerve glides

Correction of muscle imbalances

Patient education