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Tendon Trauma: Keys to Optimal Outcomes (Day 5)

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1.  Following multitrauma and repair of structures within a single digit, your patient presents with a digit that looks blue and is tender to touch. You immediately are concerned about: Vasospasm Venous insufficiency Arterial insufficiency All of the above

2.  Which of the structures would you prioritize as MOST important to consider as you begin therapy with a patient following multitrauma? Wound Fracture Nerve Vascular repair

3.  In cases of minimal to moderate edema, the therapist should: Wait to begin active motion Begin partial or short arc motion Decrease the speed and frequency of exercise B and C

4.  Which of the following is NOT associated with close-packed positioning? Ligaments are shortened Joint surfaces are congruent Joint space is minimized Intrinsic plus

5.  Which of the following protocols creates a high risk for flexion contractures? Modified Duran Kleinert Nantong Saint John

6.  The Nantong protocol encourages active range of motion through the: First 1/3 range Midrange First 2/3 range Available range

7.  Which of the following is a concept associated with the Manchester Short Splint? Initiation of motion from the PIP joint Allow up to 45 degrees of wrist motion Confine early active motion to midrange All of the above

8.  Which of the following goniometers affords therapists the most reliable and valid reading? Silver dorsal finger goniometer 180 degree clear digital goniometer A goniometer that provides a mark for every degree to decrease rounding or estimation Any of these are good choices, as long as I measure consistently

9.  Stricklands percentage: Isolates joint motions associated with extrinsic flexor tendons Incorporates distal glide through measurement of extensor lag Uses 175 degrees as a normative value for PIP and DIP range of motion All of the above

10.  If the patient is not demonstrating increased tendon glide, a therapist should: Check the number of days since surgery to assess safe progression Continue to protect the tendon Compare measurements to previous sessions to determine whether to progress A and C