AOTA UE definitions

double crush syndrome.

Over time, diminished blood flow to a peripheral nerve can result in serial impingements

Thoracic outlet syndrome

involves the shoulder region.

Ulnar tunnel syndrome

involves the ulnar nerve.

Cubital tunnel syndrome

involves the ulnar nerve.

Primary symptoms of carpal tunnel syndrome

are numbness and tingling in the median nerve distribution (which includes the index and middle fingers). It is common in people who have jobs that involve repetitive movements in the hands and wrists. In addition, especially in early stages, clients will complain that the symptoms wake them at night, most likely because of positioning of the wrist and forearm.

Ulnar claw

is a result of an ulnar nerve injury and hyperextension of the metacarpophalangeal joint in the small and ring finger with proximal interphalangeal flexion.

Neuromuscular electrical stimulation NMES

is used to improve range of motion and strength and to facilitate muscle contractions

Functional electric stimulation (FES)

is an implanted device that facilitates muscle contractions in people who have nerve dysfunction.

Cold spray

is used to treat trigger points and increase passive stretch of a muscle tendon unit.

1. Neuromuscular electrical stimulation (NMES)

best used to facilitate muscle contraction

Iontophoresis

is used to control inflammatory conditions.

Bennett’s fracture i

is an intraarticular fracture of the thumb metacarpal bone.

Colles fracture

common distal radial fracture.

Kienbock’s disease

associated with lunate fractures.

Deep breathing and relaxation exercises

assist in reducing anxiety but will not prevent cumulative trauma disorder symptoms.

Joint protection and pacing techniques

best address symptoms of arthritis

Energy conservation and work simplification techniques

are recommended for clients with respiratory and cardiac diagnoses.

Postural correction exercises, modification of the workstation to promote appropriate posture, and reduction of overhead activities

A client with an acute mild brachial plexus stretch injury affecting the left side reports limited forward shoulder flexion because of pain; limited cervical mobility; forward head and rounded shoulder posture; and decreased sensation in the thumb, index, and radial side of the long finger. The client has full range of motion in internal and external rotation of the shoulder. The occupational profile reveals that the client is an accountant who enjoys surfing and tennis on the weekends. What instruction should the OTR® provide on the first visit?

At 1–9 days postsurgery, the tendon is

still newly repaired and has the strength of the original suture.

considered the intermediate phase, during which the tendon gains strength.

The period 4–8 weeks postsurgery is

Primary healing is

when a surgeon can secure bone fragments using a plate, screws, or both.

Pillar pain

pain on either side of the carpal tunnel release surgery site. The source of the pain is unknown and may be ligamentous or muscular in origin.

Chronic pain

pain that lasts longer than 6 months.

Phantom pain

usually associated with amputation.

Complex regional pain

hypersensitivity to pain caused by misfiring synapses of the autonomic nervous system.

Intrinsic plus splint

Burns to the dorsum of the hand require the metacarpophalangeal joints to be splinted in 50°–70° of flexion to prevent clawing of the fingers and shortening of the tendons and ligaments. This type of splint is also referred to as an antideformity splint or a safe position splint.

resting hand splint

for support or immobilization.

cone antispasticity splint

is used for clients with cerebrovascular accident, traumatic brain injury, or cerebral palsy.

dorsal flexor tendon repair splint

is used for clients with flexor tendon repair.

to be splinted in addition to the thumb.

first dorsal compartment at the wrist needs

carpal tunnel syndrome

A wrist cock-up splint to 10º extension would be used for

A wrist cock-up splint with dynamic extension assist would be used for

A wrist cock-up splint with dynamic extension assist would be used for

Radial tunnel syndrome

is compression of the radial nerve in the proximal forearm resulting in a dull ache and burning sensation along the lateral forearm.

Pronator syndrome

is compression of the median nerve and causes diffuse pain along the medial aspect of the forearm.

Carpal tunnel syndrome

median nerve compression with pain and numbness into the hand and fist through half of the fourth digit.

Anterior interosseous nerve syndrome

motor loss of function without sensory disturbance.

ORIF

is often used to treat a Type III fracture of the radial head; it is a surgical procedure to hold the fragments of bone in place with wires, screws, pins, or metal plates attached to the outer surface of the bone. Splints are worn for 3–4 weeks after surgery to ensure proper healing and support. Because early range of motion is important to prevent long-term mobility issues, a removable splint is a better choice than a cast.

Assessments used for cubital tunnel syndrome, test of ulnar nerve compression or cubital tunnel syndrome

-Wartenburg’s sign and Froment’s sign

Wartenburg’s sign

-is the fifth finger held away from the fourth finger, indicating adduction interossei weakness

Froment’s sign

-flexion of the interphalangeal joint of the thumb when client performs lateral pinch