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Disorders/ADL indpen

Musculoskeletal Disorders / injuries and their impact on adls

Dupytren's wound care (elastomere) extension splinting with AROM
Skier's Thumb Thumb splint (first 4-6 weeks), AROM (6-8weeks), pinch strengthening (8-10 weeks) ADL involvement.
Complex Regions Pain Syndrome Decrease pain and edema, and encourage AROM, ADL involvement, and self-reliance. Splint to prevent contractures and stress loading/weight bearing activities to distract joints.
Cumulative Trauma Disorder / Repetitive Strain Injury Dequervains Thumb Spica Splint - increase strength post surgery. Lateral(ext)/Medial(flex) Epicondylitis - elbow strap/wrist splint
Peripheral Nerve Injuries: Pronator Teres Syndrome pain in forearm with Tinels test
Peripheral Nerve Injuries: Cubital Tunnel Syndrome numbness tingling along ulna with Tinels test
Radial Palsy wrist drop - extension splint
Median Nerve Laceration ape hand (flattening of thenar eminance) & clawing of index and middle fingers
High injury of median nerve benediction sign
Ulnar nerve deformity claw hand, flattened metacarpal arch, & Froments sign (assessment of thumb adductor while laterally pinching paper
Amputation: neuromas nerve endings adhered to scar tissue
Burn Classifications: 1st Degree superficial 3-7 days healing
Burn Classifications: 2nd Degree partial thickness 7-21 days healing. Deep partial thickness burn (hair follicles and sweat glands) 21-35 days healing
Burn Classifications: 3rd Degree Full thickness (nerve endings) -months with a skin graft
Burn Classifications: 4th Degree fat muscle and bone involvement - electrical burn. more severe skin grafts - death possible from injury or infection.
Rotator Cuff Tendonitis Conservative treatment: supraspinatus(abd/flex) Infraspinatus &Teres Minor(ext rot) subscapularis(int rot) Conservative: act.mod, (NO add/int.rot while sleeping, avoid above shoulder level) pain, ROM, & strengthening (below shoulder level).
Rotator Cuff Tendonitis post surgical treatment: supraspinatus(abd/flex) Infraspinatus &Teres Minor(ext rot) subscapularis(int rot). Post Surgical: 0-6 weeks- PROM -AAROM, and pain. 6 weeks: strengthen(ISOMETRICS to ISOTONICS-below shoulder level)/act.mod. 8-12 weeks: leisure/work.
Adhesive Capulitis Frozen Shoulder - restricted PROM(ext/abd/int.rot/flex) due to inflammation and linked to DM2 and parkinsons. Conservative and surgical treatment the same: encourage active use, PROM(immediately), and modalities.
Shoulder Dislocations ROM, pain free ADL use/role activity, and strengthen rotator cuff.
Created by: hesselrach