hands interventions Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Question | Answer |
Interventions during the inflammation phase of tissue healing | rest is advised, edema management, pain control, and positioning |
Interventions during the fibroplasia phase of tissue healing | starts at 4 days to 6 weeks. Formation of scar tissue. Begin AROM, splint |
interventions during the maturation phase of tissue healing | gentle resistive activity, avoid inflammation, dynamic or static splinting, scar tissue management |
hand position to avoid | wrist flexed, MP joints stiffen in hyperextension, and DIP's flexed, adducted thumb |
Describe the Intrinsic Plus position | wrist in neutral or extension, MP's in flexion, IP's in extension (flexor and extensor tendon repair not conducive to these positions |
PROM precautions | can be injurious to delicate tissues, can incite inflammation and trigger CRPS, can cause inflammation if PROM is done after heat application |
Guidelines for PROM | gentle and pain-free |
may be more effective than PROM | low load-long duration splinting |
heat precaution | do not use on inflamed or edematous extremity, may degrade collagen and contribute to microscopic tears, can have rebound effect, with stiffening following its use |
Guidelines for use of heat | use aerobic exercise to warm up tissue, elevate the extremity in conjunction with heat, monitor frequently for signs of inflammation |
benefits of purposeful activity fro hand therapy | produces coordinated movement patterns in multiple planes, leads to better movement quality |
Benefits of occupation as means for therapy | improved quality of movement and return to occupation |
wound color: red | revascularizing |
wound color: yellow | exuidate--needs cleansing and debridement |
wound color: black | necrotic--needs debriedment |
Describe a mature scar | flat and softer, has neutral color, does not blanch to touch |
Interventions for edema | elevation, compression, manual edema mobilization, lymphedema pumps |
interventions for scar management | compression, silicone gel |
interventions | edema control, scar management, tendon gliding, blocking exercises, place and hold, end feel and splinting |
types of splinting | blocking, buddy strapping, dynamic vs static |
Intervention for stiff hand (as result of fx) | decrease PROM/AROM if painful or swollen, static splinting during acute inflammatory phase, dynamic when joint has soft end feel |
Intervention for tendonitis (more than half of occupationsl illnesses) | RICE, splinting @ night, gradual mobilization balanced w/rest, prevent re-injury thru education |
Intervention for lateral epicondylitis | proximal conditioning and scapular stabilizing, built up handles, splinting, counterforce strap |
intervention for medial epicondylitis | proximal conditioning, avoid end range, built up handles, splinting, counterforce strap |
Intervention for DeQuervains Disease (common type of tendonitis) | avoid wrist deviation (esp w/pinching), forearm thumb spica |
Intervention for nerve injuries | steroid injection, night splinting in neutral, exercises for tendon gliding, aerobic exercises, proximal conditioning, ergonomic modification, postural training |
Management of CRPS | medications, sympathetic blocks, modalities; vaso motor challenge thru stress loading (scrubbing); change positions, temperature feedback, contrast, vibration, desensitization, water aerobics; Pt. directed therapy |
Interventions for OA | splinting, pain mgmt, jt. protection |
Interventions for RA | reduce inflammation, jt. protection, splinting, energy conservation |
Created by:
abascas
Popular Occupational Therapy sets