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UE musclular disorders
neuromuscular diseases
41
Health Care
Graduate
12/20/2011

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Cards

Term
Dupuytren's disease
Definition
thick fascia, causes FLEXION of involved digits
Surgery- fasciotomy
Term
Dupuytren's OT interventions
Definition
wound care (whirlpool), edema control (elevation), extension splint (start ATC), ROM progressing to strength, scar management, flexion/extension functional tasks.
Term
Skier's thumb (gamekeeper)
Definition
rupture UCL of MCP in thumb, affects pinch and opposition
Term
Skier's thumb interventions (by week)
Definition
Week 1-6 thumb splint
Week 6-8 AROM
Week 8- PROM
Week 10- strengthening
Term
CRPS (complex regional pain syndrome)
Definition
Pain, edema, swelling, , trophic, vasomotor issues,
Term
CRPS interventions
Definition
Modalities (pain), stress loading (WB, joint distraction), splinting (for contractures), dynamic splints
Term
Fracture types
Definition
open vs closed, intraarticular vs extraarticular, dorsal vs volar displacement , neck vs base, complete vs incomplete
Term
Colles fracture
Definition
distal radial fracture- displaces dorsally
Term
Smith's fracture
Definition
distal radial fracture- volar displacement
Term
Boxer's fracture
Definition
5th metacarpal- use ulnar gutter spling
Term
Fracture OT evaluations
Definition
history, test results, edema, pain, AROM (PROM later when doctor orders), sensation, roles
Term
Intervention
Definition
1)immobilization phase- stabilization/healing (AROM, edema, light ADL, progressive resistance)
2) Mobilization phase- consolidation
Edema control, AROM
3) PROM
Term
CTD (Cumulative Trauma Disorders)
Definition
Repetitive stress.
Includes Dequervain's, Epicondylitis
Term
DeQuevain's
Definition
APL/EPB, pain/swelling of radial styloid
Positive Finkelstein's Test
Thumb spica splint, ice, modification, easy AROM
Post-Op- thumb spica splint with AROM (0-2 weeks), Strength and ADL (2-6 weeks), Regular activity (6 weeks)
Term
Lateral/Medial epicontylitis
(Tennis/Golfer elbow)
Definition
Medial- overuse of wrist flexor
Lateral- overuse of wrist extensors
treatment- elbow strap/wrist splint, ice, massage, stretch, work modification, strength (as pain decreases)
Term
Trigger finger
Definition
trigger finger splint (MP extension, IP free), scar massage, edema control, tendon gliding, activity modification
Term
Tendon repair intervention
Definition
increase strength, tendon use, ROM,
Term
Tendon repair treatment Kleinert(for flexor)
Definition
use rubber band- active extension, passive flexion
Week 0-4- dorsal block splint for passive flexion and active extension
Week 4-6- wristlet, Place/hold, scar management
Week 6-8- AROM tendon gliding, easy ADL D/C splint
Week 8-12 - strengthening, leisure
Term
Tendon repair treatment Duran (for extension)
Definition
0-4.5 weeks- dorsal block splint, exercises 10 per hour
4.5-6- active flexion/extension in splint
6-8 weeks- tendon gliding, scar management, easy ADL
8-12- strengthening, work activities
Term
Pronator Teres Syndrome
Definition
medial nerve injury, compression between 2 heads. Positive tinel's sign.
Repetitive stress syndrome
Term
Pronator Teres treatment
Definition
Conservation- elbow splint at 90 degrees, avoid repetitive stress
Post-op- AROM, nerve gliding, strengthening (2 weeks post-op), sensory reed
Term
Guyon's Canal
Definition
ulnar nerve compression (wrist)
Numbness/tingling in ulnar muscles distally, weakness,
Tinel's sign
Term
Guyon's canal treatment
Definition
neutral wrist splint, work modification
Edema control, AROM, nerve gliding, strengthening (2-4 weeks), sensory reed
Term
Cubital Tunnel syndrome
Definition
Ulnar nerve compression at elbow.
numbness, Positive tinel's sign at elbow.
Term
Cubital tunnel treatments
Definition
conservation- elbow splint (especially at night)
elbow pad for leaning on elbow, work modification
Term
Radial nerve palsy
Definition
conservation- dynamic extension splint, work modification, strengthening (wrist/finger extensors), surgery
Surgery post-op- ROM, nerve gliding, strengthening (6-8 weeks post) ADL
Term
Median nerve laceration
Definition
sensory loss- palm, dorsal on radial part of fingers
functional motor loss- flexion of radial digits, opponens and abductor pollicis
Term
Median nerve lesion signs
Definition
High median nerve- Benediction sign can't flex fingers 2-3
Low median nerve-Clawing of fingers
Term
Median nerve intervention
Definition
Dorsal protection splinting (30 wrist flexion in low lesion, 90 elbow flexion in high)
AROM/PROM, stretching at 9 weeks)
Term
Ulnar nerve laceration
Definition
sensory loss/motor of palmar of smaller fingers
Froment's sign
Term
Ulnar Nerve intervention
Definition
MCP flexion block splint, sensory reeducation.
Term
Radial nerve lesions
Definition
High Radial nerve- level of humerus (brachioradialis)
Low radial nerve- wrist extension
Term
Rotator Cuff Tendinitis
Definition
overuse, weakness of muscles, trauma
Term
Rotator Cuff conservation intervention
Definition
activity mod (avoid above shoulder activity), pain (positioning, PAM), sleeping positions, ROM, strengthening (below shoulder)
Term
Rotator Cuff Post-op intervention
Definition
0-6 weeks- PROM
ice progressing to heating
Week 6- strengthening
light ADL PRN
week 8-12 leisure and work activity
Term
Adhesive capsulitis (frozen shoulder)
Definition
GH joint capsule freezing
Term
AC interventions
Definition
PAM, pain relief, encourage use of affected extremity.
Term
Rheumatoid Arthritis
Definition
Boutinniere Deformity
Swan Neck Deformity
AVOID PROM, MMT
Term
Osteoarthritis
Definition
DJD (wear and tear)
Term
Arthritis splinting
Definition
Resting hand splint- acute stage
Wrist splint PRN
Silver ring splint- prevent Boutinniere/Swan neck
Ulnar drift splint- deformity prevention
Dynamic MCP extension-
Hand Base Splint- CMC arthritis
Term
Arthritis interventions
Definition
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