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Case Studies for the Master Clinician: The Manchester Short Splint for Flexor Tendon Rehabilitation

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1.  In the case study, the client did not have surgery for 5 weeks post-injury. Due to this, the A2 pulley was tight and surgically they had to:
  1. Tunnel the FDP tendon through the A2 pulley
  2. Attach both the FDS and FDP to joint
  3. Perform a tendon graft
  4. None of the above
2.  The repair was a:
  1. 2-strand repair with a 6-0 nylon thread
  2. 4-strand repair with a 6-0 nylon thread
  3. 1-strand repair with a 6-0 nylon thread
  4. Tendon graft
3.  After treatment was progressed to the Manchester Protocol, what was the optimal wrist position to minimize work of flexion and create the greatest tendon excursion?
  1. 30 degrees wrist flexion
  2. 45 degrees wrist flexion
  3. 30 degrees wrist extension
  4. 45 degrees wrist extension
4.  Which definition best describes minimal active tension?
  1. It is the most active force to produce motion and is a measurement of passive tension.
  2. It is the least active force to produce motion and is a measurement of passive tension.
  3. It is decreased passive tension to a joint.
  4. None of the above
5.  In addition to the Manchester Short Splint, what other protocols were reviewed?
  1. Modified Duran
  2. Kleinert
  3. Indiana
  4. All of the above
6.  In the Cooney et al. study of synergistic motion, the following protocol and results were found:
  1. Cadaveric studies of 4 arms were used.
  2. There was a comparison between Kleinert and Brook Army Hospital splints.
  3. Synergistic motion demonstrated highest amount of FDS, FDP, and differential excursion.
  4. All of the above
7.  Peck (2014) looked at the Manchester Short Splint and found:
  1. Poor results
  2. More flexion contracture at PIP
  3. Greater arc of flexion at DIP
  4. Forearm based splints had better results
8.  Case study measurements at 12 weeks for PIP and DIP were:
  1. PIP -20/60, DIP 0/15
  2. PIP -15/75, DIP 0/30
  3. PIP -20/80, DIP 0/45
  4. PIP -20/80, DIP 0/40
9.  In the Miller et al., 2017 systematic review of edema management, they found that
  1. The interventions were not carefully described for replication.
  2. There were variations in interventions.
  3. Quality of the articles were low to moderate.
  4. All of the above
10.  Which is not a confounding variable of the case study overviewed today?
  1. Timeframe from injury to surgery
  2. Poor relationship with surgeon
  3. Edema
  4. Surgical procedure