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14 Cards in this Set
- Front
- Back
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Tissue Healing Phases
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Inflammation--1st several days; vasodilation white cell migration, phagocytosis intervention-rest, RICE
Fibroplasia--4-6wks fibroblasts are making scar to close wound. AROM splinting and protecting wound-good wound closer Maturation (Remodeling)--Years; Collagen fibers are reorganizing. Make sure in flat matter....assist w/ alignment gentle resistive exercises. Low load prolonged stretch |
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HAND antideformity positioning
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MP in flexion & IP in extension
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PROM
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low-load, long-duration splinting is a safer and more effective method for remodeling tissue and increasing PROM
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HEAT
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DO NOT use heat on pts with acute inflammation or acute edema
can be used for CHRONIC |
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Pain (pins & needles)
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pins & needles- nerve involvment
Burning/aching- inflammation sharp- inpingement/torn |
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Wound colors
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Red-healing
Yellow-exudate requiring cleansing and debridement Black-necrotic and requires debridement |
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Joint tightness
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-PROM of joint does not change with repositioning of the joints proximal and/or distal to it
-Treat with dynamic splinting, static progressive splinting, or serial CASTING followed by AROM |
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Musculotendinous Tightness
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-PROM of joint does vary with repositioning of joints crossed by that multi-articulate structure
-Treat by placing the tight muscle on stretch |
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Intrinsic Tightness
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Less PIP and DIP passive flexion with the MP joint extended
Treat w/ functional splinting with MPs hyperextended and IPs free |
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Extrinsic Tightness
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-Less PIP and DIP passive flexion with the MP joint flexed
-Treat with MPs flexed and IPs free, and promote composite digital flexion -Use blocking exercises with advantageous proximal position of wrist -Try dynamic or static progressive splinting |
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Extrinsic Extensor Tightness
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Less passive composite digital flexion available with the wrist in flexion than with the wrist in extension
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Extrinsic Flexor Tightness
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-Less passive composite digital extension available with the wrist in extension than with the wrist in flexion
-Treat both conditions with the following: place and hold exercises, static splinting at end range, dynamic or static progressive splinting during the day, & functional splinting |
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END Feel for serial casting
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Serial casting or static progressive splinting may be more effective than dynamic splinting for hard end feel
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Cubital vs. Carpal
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Cubital-ulnar nerve compression at the elbow
Carpal-median nerve compression at the wrist |
