Podcast
Questions and Answers
What is the primary reason for choosing joint positions during treatment?
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.
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?
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.
Flexor tendon zones 1 and 3 have a lot of ______________ issue.
What is a characteristic of extensor tendon zones 1 and 2?
What is a characteristic of extensor tendon zones 1 and 2?
Nutrients are provided to tendons directly through blood vessels.
Nutrients are provided to tendons directly through blood vessels.
Match the following flexor tendon zones with their characteristics:
Match the following flexor tendon zones with their characteristics:
What is the purpose of immobilization in the treatment of flexor tendon injuries?
What is the purpose of immobilization in the treatment of flexor tendon injuries?
What is the primary goal of mobilization during the immediate (early) passive phase of tendon repair?
What is the primary goal of mobilization during the immediate (early) passive phase of tendon repair?
The two-strand suture technique is commonly used in immobilization.
The two-strand suture technique is commonly used in immobilization.
What is the benefit of movement of the tendon within the tendon sheath during mobilization?
What is the benefit of movement of the tendon within the tendon sheath during mobilization?
The repaired tendon can be mobilized using the _______________ technique, which requires a high level of therapist skill.
The repaired tendon can be mobilized using the _______________ technique, which requires a high level of therapist skill.
Match the following immobilization techniques with their characteristics:
Match the following immobilization techniques with their characteristics:
Immobilization is typically used for 6-8 weeks during tendon repair.
Immobilization is typically used for 6-8 weeks during tendon repair.
What is the primary purpose of immobilization in orthoses?
What is the primary purpose of immobilization in orthoses?
Splints can melt if left on the dashboard of a car.
Splints can melt if left on the dashboard of a car.
What is the purpose of using low temperature thermoplastics in splinting?
What is the purpose of using low temperature thermoplastics in splinting?
The American Society of Hand Therapists provides guidelines for _______________ in orthoses.
The American Society of Hand Therapists provides guidelines for _______________ in orthoses.
Match the following splinting materials with their characteristics:
Match the following splinting materials with their characteristics:
What is the purpose of restricting unwanted motion in orthoses?
What is the purpose of restricting unwanted motion in orthoses?
What is a common complication of splinting during inflammation?
What is a common complication of splinting during inflammation?
Splints can be used to mobilize the injured joint.
Splints can be used to mobilize the injured joint.
The purpose of splinting during inflammation is to _______________ the injured tissues.
The purpose of splinting during inflammation is to _______________ the injured tissues.
What is a crucial consideration in skin integrity management when using splints?
What is a crucial consideration in skin integrity management when using splints?
What is the primary purpose of immobilization in orthoses?
What is the primary purpose of immobilization in orthoses?
Immobilization in a splint or cast for 3-4 weeks is appropriate for all patients.
Immobilization in a splint or cast for 3-4 weeks is appropriate for all patients.
What is a common complication of splinting during inflammation?
What is a common complication of splinting during inflammation?
Low temperature thermoplastics are a primary resource for creating splints because they can be molded to fit the patient's ______________________.
Low temperature thermoplastics are a primary resource for creating splints because they can be molded to fit the patient's ______________________.
Match the following materials with their characteristics:
Match the following materials with their characteristics:
What is the purpose of restricting unwanted motion in orthoses?
What is the purpose of restricting unwanted motion in orthoses?
Splints can be used to mobilize the injured joint.
Splints can be used to mobilize the injured joint.
What is a crucial consideration in skin integrity management when using splints?
What is a crucial consideration in skin integrity management when using splints?
The American Society of Hand Therapists provides guidelines for ______________________ in orthoses.
The American Society of Hand Therapists provides guidelines for ______________________ in orthoses.
What is the purpose of using orthoses during the inflammatory phase?
What is the purpose of using orthoses during the inflammatory phase?
What is a commonly used technique to mobilize the repaired tendon during the immediate (early) passive phase?
What is a commonly used technique to mobilize the repaired tendon during the immediate (early) passive phase?
Nutrients are directly provided to tendons through blood vessels.
Nutrients are directly provided to tendons through blood vessels.
What is thought to assist with the delivery of nutrients to the tendon during mobilization?
What is thought to assist with the delivery of nutrients to the tendon during mobilization?
The mobilization technique that requires a high level of therapist skill uses ____________________.
The mobilization technique that requires a high level of therapist skill uses ____________________.
Match the following immobilization techniques with their characteristics:
Match the following immobilization techniques with their characteristics:
For which type of patients is immobilization in a splint or cast for 3-4 weeks appropriate?
For which type of patients is immobilization in a splint or cast for 3-4 weeks appropriate?
Zone 1 and 3 Flexor Tendon Zones have a lot of soft tissue issue.
Zone 1 and 3 Flexor Tendon Zones have a lot of soft tissue issue.
What are the benefits of using immobilization in Zone 1/2 injuries?
What are the benefits of using immobilization in Zone 1/2 injuries?
Flexor tendon zone 2 has _______________ ligaments.
Flexor tendon zone 2 has _______________ ligaments.
Match the following Flexor Tendon Zones with their characteristics:
Match the following Flexor Tendon Zones with their characteristics:
Tendons receive nutrients directly through the tendon sheath.
Tendons receive nutrients directly through the tendon sheath.
What is the primary reason for choosing joint positions during treatment?
What is the primary reason for choosing joint positions during treatment?
What is the importance of tendon nutrition in tendon repair?
What is the importance of tendon nutrition in tendon repair?
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.
