Mobilization and Nutrition in Early Passive Phase
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Questions and Answers

What is the primary reason for choosing joint positions during treatment?

  • To promote skin integrity
  • To manage pain
  • To reduce the possibility of tightening of joint ligaments (correct)
  • To prevent complications

    • Immobilization in a splint or cast for 3-4 weeks is appropriate for all patients.

    False (B)

    What is the benefit of using immobilization in zone 1/2 injuries?

    Cheaper and easier to implement

    Flexor tendon zones 1 and 3 have a lot of ______________ issue.

    <p>soft tissue</p> Signup and view all the answers

    What is a characteristic of extensor tendon zones 1 and 2?

    <p>They have annular ligaments (D)</p> Signup and view all the answers

    Nutrients are provided to tendons directly through blood vessels.

    <p>True (A)</p> Signup and view all the answers

    Match the following flexor tendon zones with their characteristics:

    <p>Zone 1 = Mobilization, only isolate DIP Zone 2 = Annular ligaments (A1,A2,A4) - lacera=on = worse adhesions, reduced ROM Zone 3 and 4, 5 and 6, 7 and 8 = Early active protocols</p> Signup and view all the answers

    What is the purpose of immobilization in the treatment of flexor tendon injuries?

    <p>To reduce the possibility of tightening of joint ligaments and create a favorable environment for tendon healing</p> Signup and view all the answers

    What is the primary goal of mobilization during the immediate (early) passive phase of tendon repair?

    <p>To create glide of the repaired tendon (B)</p> Signup and view all the answers

    The two-strand suture technique is commonly used in immobilization.

    <p>False (B)</p> Signup and view all the answers

    What is the benefit of movement of the tendon within the tendon sheath during mobilization?

    <p>Assisting with nutrient diffusion into the tendon from the synovial fluid</p> Signup and view all the answers

    The repaired tendon can be mobilized using the _______________ technique, which requires a high level of therapist skill.

    <p>two-strand suture</p> Signup and view all the answers

    Match the following immobilization techniques with their characteristics:

    <p>Mobilization = Uses other hand or rubber bands Two-strand suture = Requires high level of therapist skill and Expensive and tolerated if infection</p> Signup and view all the answers

    Immobilization is typically used for 6-8 weeks during tendon repair.

    <p>True (A)</p> Signup and view all the answers

    What is the primary purpose of immobilization in orthoses?

    <p>To restrict unwanted motion (D)</p> Signup and view all the answers

    Splints can melt if left on the dashboard of a car.

    <p>True (A)</p> Signup and view all the answers

    What is the purpose of using low temperature thermoplastics in splinting?

    <p>Primary resource</p> Signup and view all the answers

    The American Society of Hand Therapists provides guidelines for _______________ in orthoses.

    <p>written instructions</p> Signup and view all the answers

    Match the following splinting materials with their characteristics:

    <p>Low temperature thermoplastics = Primary resource Plaster of Paris = Supportive Neoprene = Flexible Leather = Durable</p> Signup and view all the answers

    What is the purpose of restricting unwanted motion in orthoses?

    <p>To prevent contractures</p> Signup and view all the answers

    What is a common complication of splinting during inflammation?

    <p>Swelling (B)</p> Signup and view all the answers

    Splints can be used to mobilize the injured joint.

    <p>False (B)</p> Signup and view all the answers

    The purpose of splinting during inflammation is to _______________ the injured tissues.

    <p>support</p> Signup and view all the answers

    What is a crucial consideration in skin integrity management when using splints?

    <p>Assessing skin integrity (D)</p> Signup and view all the answers

    What is the primary purpose of immobilization in orthoses?

    <p>To support a painful joint (D)</p> Signup and view all the answers

    Immobilization in a splint or cast for 3-4 weeks is appropriate for all patients.

    <p>False (B)</p> Signup and view all the answers

    What is a common complication of splinting during inflammation?

    <p>Inflammation and swelling</p> Signup and view all the answers

    Low temperature thermoplastics are a primary resource for creating splints because they can be molded to fit the patient's ______________________.

    <p>body part</p> Signup and view all the answers

    Match the following materials with their characteristics:

    <p>Plaster of Paris = Often used for casting Neoprene = Provides support and stability Lycra = Stretches and conforms to body shape</p> Signup and view all the answers

    What is the purpose of restricting unwanted motion in orthoses?

    <p>To prevent contractures (C)</p> Signup and view all the answers

    Splints can be used to mobilize the injured joint.

    <p>False (B)</p> Signup and view all the answers

    What is a crucial consideration in skin integrity management when using splints?

    <p>Preventing skin irritation and ulceration</p> Signup and view all the answers

    The American Society of Hand Therapists provides guidelines for ______________________ in orthoses.

    <p>wearing schedules</p> Signup and view all the answers

    What is the purpose of using orthoses during the inflammatory phase?

    <p>To support and protect the injured tissues (B)</p> Signup and view all the answers

    What is a commonly used technique to mobilize the repaired tendon during the immediate (early) passive phase?

    <p>Using the other hand or rubber bands (B)</p> Signup and view all the answers

    Nutrients are directly provided to tendons through blood vessels.

    <p>False (B)</p> Signup and view all the answers

    What is thought to assist with the delivery of nutrients to the tendon during mobilization?

    <p>Movement of the tendon within the tendon sheath</p> Signup and view all the answers

    The mobilization technique that requires a high level of therapist skill uses ____________________.

    <p>the other hand or rubber bands</p> Signup and view all the answers

    Match the following immobilization techniques with their characteristics:

    <p>Immobilization in a splint or cast = Used for 6-8 weeks Two-strand suture technique = Requires high level of therapist skill Mobilization using other hand or rubber bands = Not commonly used</p> Signup and view all the answers

    For which type of patients is immobilization in a splint or cast for 3-4 weeks appropriate?

    <p>Non-compliant and multi-trauma patients (B)</p> Signup and view all the answers

    Zone 1 and 3 Flexor Tendon Zones have a lot of soft tissue issue.

    <p>False (B)</p> Signup and view all the answers

    What are the benefits of using immobilization in Zone 1/2 injuries?

    <p>Cheaper and easier to implement</p> Signup and view all the answers

    Flexor tendon zone 2 has _______________ ligaments.

    <p>Annular</p> Signup and view all the answers

    Match the following Flexor Tendon Zones with their characteristics:

    <p>Zone 1 = Not a lot of soft tissue issue Zone 2 = Annular ligaments (A1,A2,A4) Zone 3 = Early active protocols Zone 4, 5, and 6 = Early active protocols</p> Signup and view all the answers

    Tendons receive nutrients directly through the tendon sheath.

    <p>False (B)</p> Signup and view all the answers

    What is the primary reason for choosing joint positions during treatment?

    <p>To reduce the possibility of tightening of joint ligaments (D)</p> Signup and view all the answers

    What is the importance of tendon nutrition in tendon repair?

    <p>Nutrients are provided to tendons directly through blood vessels to the tendons and vincula.</p> Signup and view all the answers

    Study Notes

    Flexor Tendon Zones

    • Zone 1: FDS is working, FDP is not; nil flexion at DIP; mobilization required
    • Zone 2: Annular ligaments (A1, A2, A4 pulley); laceration = worse adhesions, reduced ROM
    • Zone 3 and 4, 5 and 6, 7 and 8: Early active protocols

    Extensor Tendon Zones

    • Odd zones on joints
    • Zone 1 and 2: Mobilization, only isolate DIP
    • Zone 3 and 4, 5 and 6, 7 and 8: Early active protocols

    Mobilization

    • 6-8 weeks
    • Includes protected active mobilization of uninjured structures
    • Includes protected passive ROM of repaired tendon
    • No dynamic components (elastic bands, etc.)
    • Use other hand or rubber bands to create glide of the repaired tendon
    • Tolerated by two-strand suture technique; requires high level of therapist skill

    Orthoses

    • Functions: immobilization, mobilization, restriction, support a painful joint, immobilize for healing, restrict unwanted motion, prevent contractures, substitute for weak or absent muscles, restore mobility
    • Precautions: impaired skin integrity, pain, swelling, stiffness, sensory disturbances, increased stress on unsplinted joints, functional limitations
    • Written instructions: wearing schedule, possible complications, precautions, cleaning instructions, contact details for therapist, date for review appointment

    Splinting

    • Functions: immobilize, mobilize, restrict, support a painful joint, immobilize for healing, prevent contractures, substitute for weak or absent muscles, restore mobility
    • Precautions: splinting material may stick to nail polish on finger nails, bond to acrylic nails, melt if left on the dashboard of the car
    • Materials: low temperature thermoplastics, plaster of Paris, neoprene, leather, lycra

    Tendon Nutrition

    • Poor/small blood supply
    • Nutrients are provided to tendons directly through blood supplied via blood vessels to the tendons and vincula
    • Nutrients are also provided via diffusion into the tendon from the synovial fluid surrounding the tendon
    • Movement of the tendon within the tendon sheath is thought to assist with nutrition

    Flexor Tendon Zones

    • Zone 1: FDS is working, FDP is not; nil flexion at DIP; mobilization required
    • Zone 2: Annular ligaments (A1, A2, A4 pulley); laceration = worse adhesions, reduced ROM
    • Zone 3 and 4, 5 and 6, 7 and 8: Early active protocols

    Extensor Tendon Zones

    • Odd zones on joints
    • Zone 1 and 2: Mobilization, only isolate DIP
    • Zone 3 and 4, 5 and 6, 7 and 8: Early active protocols

    Mobilization

    • 6-8 weeks
    • Includes protected active mobilization of uninjured structures
    • Includes protected passive ROM of repaired tendon
    • No dynamic components (elastic bands, etc.)
    • Use other hand or rubber bands to create glide of the repaired tendon
    • Tolerated by two-strand suture technique; requires high level of therapist skill

    Orthoses

    • Functions: immobilization, mobilization, restriction, support a painful joint, immobilize for healing, restrict unwanted motion, prevent contractures, substitute for weak or absent muscles, restore mobility
    • Precautions: impaired skin integrity, pain, swelling, stiffness, sensory disturbances, increased stress on unsplinted joints, functional limitations
    • Written instructions: wearing schedule, possible complications, precautions, cleaning instructions, contact details for therapist, date for review appointment

    Splinting

    • Functions: immobilize, mobilize, restrict, support a painful joint, immobilize for healing, prevent contractures, substitute for weak or absent muscles, restore mobility
    • Precautions: splinting material may stick to nail polish on finger nails, bond to acrylic nails, melt if left on the dashboard of the car
    • Materials: low temperature thermoplastics, plaster of Paris, neoprene, leather, lycra

    Tendon Nutrition

    • Poor/small blood supply
    • Nutrients are provided to tendons directly through blood supplied via blood vessels to the tendons and vincula
    • Nutrients are also provided via diffusion into the tendon from the synovial fluid surrounding the tendon
    • Movement of the tendon within the tendon sheath is thought to assist with nutrition

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    Description

    This quiz covers the process of mobilization and how nutrients are provided during the immediate passive phase, which lasts around 6-8 weeks. It also touches on the concept of tolerance and its relation to this phase.

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