NBCOT Diagnosis/Interventions Study Guide Test.
disease of fascia ofnpalm and digits. deformities of flexion in digits. skin thick and
1. dupuytrens dis-
contracted.
ease
2. CRPS vasomotor dysfunction results from abnormal reflex. symptoms: sever pain, ede-
ma,discoloration,temp changes, vasomotor instability
3. colles fracture fracture ofmdistal radius with dorsal displacement
4. smiths fracture fracture ofmdistal radius with volar displacement
5. interventions for immobilization phase: -AROM of joint above and below stabilized part
fractures are? -edema control: elevation, retrogrademmassage, compression
-light ADL with no resistance
mobilization phase:- edema control
-AROM. progress to prom with docotrs orders
-light functional activites
- pain managemnt and strenghtening
6. dequervains stenosing tenosynovitis of abductor policis longus and extensor policus brevis.
pain and swelling over radial styloid. needs thumb spica splint, work modification,
ice massage, gentle AROm
7. lateral and medi- lateral- overuse of wrist extensors..tennis elbow
al epicondylitis medial- overuse of wrist flexors..gold elbow
wrist splint, ice massage,stretching,work mod,strenghthening as pain decreases
8. trigger finger tenosynovitis of finger flexors. trigger finger splint (MCP extended, IP joints free),
scar massage, edema control, tendon gliding, work mod, nerve compression
9. carpal tunnel syn- nerve compression at the wrist. numbness and tingling of thumb, index, and radial
drome half of fingers. wrist splint at neutral worn at night and day only during activity.,
activity modification, ergonomics, surgical intervention,post op edema control,
arom,nerve gliding,sensory re ed, strenghtneing
, NBCOT Diagnosis/Interventions Study Guide Test.
10. cubital tunnel ulnar nerve compression at the elbow. numbness tingling ulnar aspect forearm
syndrome and hand. pain elbow. weak grip. need elbow splint to prevent extreme elbow
flexion, elbow pad to decrease compression when leaning, work mod., surgi-
cal decompression, edema control post op, scar manag, arom, nerve gliding,
strenghtneing, MCP flexion splint if clawing is noted
11. radial nerve palsy radial nerve compression. aka saturday night palsy.weakness of paralysis of wrist
extensors, MCP and thumb . causes wrist drop. need dynamic extension splint,
work mod, strenghtrning, post op rom, nerve fliding, strenghtening 6-8 wks post
op, adl
12. rotator cuff ten- overuse. causes weakeness. need: activity mod, avoid above shoulder acitvity till
donitis pain subsides, avoid sleeping with arm overhead or add and internal rot, decrease
pain with positioning and modalities, restore pain free rom, strengthening below
shoulder level
13. adhesive capsul- restricted shoulder PROm, limited in external rotation, then abduction, then in-
tis. - frozen shoul- ternal rotation, then flexion. inflammation and immobility. interventions include :
der prom, modalities, adl
14. rhematoid arthri- systemic symmetrical inflammation of synovial fluid of joints. pain stittness limited
tis rom fatigue weight loss limited adl activites swelling anddeformities. ulnar devia-
tion, boutinere and swan neck. needs ; restinghand splint is acute phase. ulnar drift
splint to prevent deformity, silver ring splints to prevent boutinere and swan neck,
dynamic mcp extension splint with radial pull for post op mcp arthroplasty. joint
protection techniques, energy cons, AROM the gentle prom if able, heat modalities
except not in acute phase. parrafin, strenghtening and adl when not in acute
15. boutonniere PIP flexion, DIP hyperextension
16. swan neck PIP hyperextension, DIP flexion
17.
disease of fascia ofnpalm and digits. deformities of flexion in digits. skin thick and
1. dupuytrens dis-
contracted.
ease
2. CRPS vasomotor dysfunction results from abnormal reflex. symptoms: sever pain, ede-
ma,discoloration,temp changes, vasomotor instability
3. colles fracture fracture ofmdistal radius with dorsal displacement
4. smiths fracture fracture ofmdistal radius with volar displacement
5. interventions for immobilization phase: -AROM of joint above and below stabilized part
fractures are? -edema control: elevation, retrogrademmassage, compression
-light ADL with no resistance
mobilization phase:- edema control
-AROM. progress to prom with docotrs orders
-light functional activites
- pain managemnt and strenghtening
6. dequervains stenosing tenosynovitis of abductor policis longus and extensor policus brevis.
pain and swelling over radial styloid. needs thumb spica splint, work modification,
ice massage, gentle AROm
7. lateral and medi- lateral- overuse of wrist extensors..tennis elbow
al epicondylitis medial- overuse of wrist flexors..gold elbow
wrist splint, ice massage,stretching,work mod,strenghthening as pain decreases
8. trigger finger tenosynovitis of finger flexors. trigger finger splint (MCP extended, IP joints free),
scar massage, edema control, tendon gliding, work mod, nerve compression
9. carpal tunnel syn- nerve compression at the wrist. numbness and tingling of thumb, index, and radial
drome half of fingers. wrist splint at neutral worn at night and day only during activity.,
activity modification, ergonomics, surgical intervention,post op edema control,
arom,nerve gliding,sensory re ed, strenghtneing
, NBCOT Diagnosis/Interventions Study Guide Test.
10. cubital tunnel ulnar nerve compression at the elbow. numbness tingling ulnar aspect forearm
syndrome and hand. pain elbow. weak grip. need elbow splint to prevent extreme elbow
flexion, elbow pad to decrease compression when leaning, work mod., surgi-
cal decompression, edema control post op, scar manag, arom, nerve gliding,
strenghtneing, MCP flexion splint if clawing is noted
11. radial nerve palsy radial nerve compression. aka saturday night palsy.weakness of paralysis of wrist
extensors, MCP and thumb . causes wrist drop. need dynamic extension splint,
work mod, strenghtrning, post op rom, nerve fliding, strenghtening 6-8 wks post
op, adl
12. rotator cuff ten- overuse. causes weakeness. need: activity mod, avoid above shoulder acitvity till
donitis pain subsides, avoid sleeping with arm overhead or add and internal rot, decrease
pain with positioning and modalities, restore pain free rom, strengthening below
shoulder level
13. adhesive capsul- restricted shoulder PROm, limited in external rotation, then abduction, then in-
tis. - frozen shoul- ternal rotation, then flexion. inflammation and immobility. interventions include :
der prom, modalities, adl
14. rhematoid arthri- systemic symmetrical inflammation of synovial fluid of joints. pain stittness limited
tis rom fatigue weight loss limited adl activites swelling anddeformities. ulnar devia-
tion, boutinere and swan neck. needs ; restinghand splint is acute phase. ulnar drift
splint to prevent deformity, silver ring splints to prevent boutinere and swan neck,
dynamic mcp extension splint with radial pull for post op mcp arthroplasty. joint
protection techniques, energy cons, AROM the gentle prom if able, heat modalities
except not in acute phase. parrafin, strenghtening and adl when not in acute
15. boutonniere PIP flexion, DIP hyperextension
16. swan neck PIP hyperextension, DIP flexion
17.
