Hand Therapy Resource Center Sneak Peek

Below is a sampling of the content shared inside the Hand Therapy Resources Center by our users!


Flash Cards

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what is the correct temperature range for the following modalities; paraffin, hot pack/hydrocollator, fluido,  and whirlpool?

paraffin - 113-129 F

hot pack - 158-167 F

Fluido - 102-118 F

Whirlpool - 96-104 F

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Lisa Smith CHT

name entrapment sites of the ulnar nerve

arcade of struthers

condylar groove: susceptible to trauma

cubital tunnel: roof is the arcuate ligament and the floor is the medial collateral ligament.

guyans canal

tendinous arch of the adductor pollicis m.

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eric

Grip strength testing at each of the 5 settings on the Jamar dynamometer will plot what type of visual graph?

A bell-shaped curve

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Alioop12345

Name the deep layer of flexor tendons in the forearm.

  1. Flexor Digitorum Profundus
  2. Flexor Pollicis Longus
  3. Pronator Quadratus
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Editor

Name 4 adjunctive treatments to Manual Edema Mobilization.

Diaphragmatic breathing, kinesiotaping, low stretch (20%) bandages, and foam chip bags

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sfhand

Test Questions

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Name the joint that is crucial to forearm rotation and is often overlooked in the assessment and rehabilitation of a distal radius fracture:

Choice 1: PRUJ

Choice 2: DRUJ

Choice 3: ELBOW

Choice 4: WRIST

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The distal radial ulnar joint is often a complication in distal radial fractures, both for ankylosis due to immobility and also the potential for soft tissue damage and subsequent laxity as a result of the forces occuring during the mechanism of injury.
macfiecl

What is the total capable excursion of the EPL

Choice 1: 38 mm

Choice 2: 48 mm

Choice 3: 58 mm

Choice 4: 68 mm

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just a statistic. The clinical significant is important for surgical decision making for tendon transfers. As a therapist it should be thought about when treating tendon transfers so that you know what kind of Range of motion and osteokinimatics to expect after a transfer.
eric
Extensor Tendon

When applying the principles of evidence-based practice the term specificity means the proportion of people who test:

Choice 1: positive when a condition is really absent.

Choice 2: who test negative when a condition is really absent.

Choice 3: positive when a condition is really present.

Choice 4: negative when a condition is really present.

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"The value for specificity is gvern by d/(b+d), which represents the proportino of individuals who test negative for the condition out of all those who are trly normal, or the probability of a negative test in those who do not have the target condition. A highly specific instrument will rarely test positive when a person does not have the disease." (Portney/Watkins)
Editor
Evidence-based practice

A patient is referred to hand therapy following ORIF of a distal radius fracture. The patient presents with wrist stiffness and scar hypersensitivity. Which of the following is the best modality to treat both of these conditions?

Choice 1: Moist hot pack

Choice 2: Paraffin

Choice 3: Fluidotherapy

Choice 4: Ultrasound

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Fluidotherapy is a form of convection heat in which heated air circulates with particles around a body part. The temperature and amount of particle agitation can be adjusted. The heat of the Fluidotherapy will help with the joint stiffness and the particles circulating on and around the hand will assist with desensitization. Moist hot packs, paraffin and ultrasound are primarily heat modalities and will help with joint stiffness but less so with hypersensitivity.
Editor
Modality

A violinist is referred for evaluation and treatment due to complaints of dull left arm pain and numbness and tingling throughout the left hand. She also reports that her left hand gets cold occasionally while playing her violin. Her lower cervical quadrant test is negative. Which of the following special tests would be most appropriate to include in the objective exam?

Choice 1: Neer

Choice 2: Adson's

Choice 3: Yergason’s

Choice 4: Lippman’s

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Adson's Maneuver is the correct answer because it is a test for thoracic outlet syndrome (TOS) and ruling out cervical involvement, the most likely cause of the patient’s symptoms is TOS. The Neer test is for shoulder impingement, Yegason’s and Lippman’s tests are for bicipital tendonitis.
Editor
Brachial Plexus / Nerve Root, Nerve Compression

Sample Articles

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Hand Movement Imbalance

Posted Fri, 09/04/2009 - 8:51pm by dnennig

Hand Movement Imbalance

What happens when one movement of your hand is injured? Do you recognize the imbalance in these photos?

                a.  b.  c.   d.     

Learn the language before you begin to study

Posted Fri, 06/26/2009 - 10:36am by Editor

Study Tips

1. Learn the Language before you begin to study anything else! Study Anatomy, Neurology, Kinesiology. Learn the nerve tracts, the brachial plexus, the bones, the wrist compartments, muscles, ligaments, tendons, dermatomes, etc. I made colorful posters and put them up all around the house. Index cards, specific folders for specific topics, i.e. tendon protocols, done in colored pencils and markers, were helpful. I needed to draw and write and tried to be creative with color and different materials.