THER EX II HAND & WRIST

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Author:
Losdigity72
ID:
264022
Filename:
THER EX II HAND & WRIST
Updated:
2014-03-12 13:35:46
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THER EX II HAND WRIST
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THER EX II HAND & WRIST
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THER EX II HAND & WRIST
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  1. This joint is responsible for 40% of wrist flexion and 67% of wrist extension
    radiocarpal joint
  2. This joint is responsible for 60% of wrist flexion and 33% of wrist extension
    midcarpal joint
  3. What test would you use to test for vascular insufficiency in the hand
    Allens test
  4. What is the difference between power grip and precision grip
    • Power Grip - Isometric
    • Precision Grip - Isotonic, sensory input to adjust pressure
  5. Synergy between extrinsic extensors and lumbricals are required for what motions of the hand
    opening
  6. This nerve is sensory only but does innervate extrinsic wrist and hand muscles that affect length-tension relationship
    Superficial radial nerve
  7. Swelling, warmth, limited motion due to tendosynovitis, progressive muscle weakness  and imbalances, systematic and muscular fatigue, and carpal tunnel syndrome are all symptoms during the acute stage of this disease
    Rheumatoid arthritis
  8. An isolated contraction of extensor digitorum causes MCP extension but PIP/DIP flexion this cause what type motion of the hand
    Clawing
  9. What type of motions require synergy between extrinsic extensors and lumbricals
    opening motions
  10. Compression between the thumb and fingers by thenar eminence muscles, the adductor pollicis,
    the interossei and extrinsic flexors with some participation by the lumbricals is what type of grip
    Pinch
  11. Limited flexion and extension in affected joint with firm end feel is caused by what disease process
    Osteoarthritis Advance Stage
  12. What are some treatments for arthritis in acute/protection phase
    • splinting - remove throughout the day
    • activity modification - assistive devices
    • adapt to minimize repetetive/excessive stress
    • NSAID's
    • joint mobs I & II
    • joint/tendon maintenance
    • Isometrics
    • tendon gliding
    • patient ed. on all above
  13. After a radiocarpal implant or total wrist replacement what precautions must be taken during treatment
    postpone resisted exercises 6-8 weeks if tendon was repaired, also avoid wrist flexion with ulnar deviation
  14. How much wrist extension is required for functional grasp after a total wrist arthroplasty
    15°
  15. What are the time frames for max/mod protection and min/return to function phase for radiocarpal implant arthroplasty and total wrist replacement
    up to 8 weeks and 8-12 weeks
  16. What are the outcomes for total wrist and radiocarpal arthroplasty
    • decreased pain
    • ROM: 15-30° flex/ext & 5-10° rad/ulnar deviation
    • return to low demand functional activities only
  17. An outrigger splint is used for what type of arthroplasty, what joint does it hold in extension and what joints does it not control
    metacarpophalangeal implant and it holds the MCP in extension and no control over th IP joints

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