Quiz #4-Elbow/Wrist/Hand - ther ex

To strengthen the elbow extensors in a closed chain, you have the patient perform push-ups, using body weight as the source of resistance. Which of the following variations of push-ups provides the greatest amount of resistance to the elbow extensors?

Bilateral push-ups while in a fully prone position on the floor with weight on the hands and toes

You are educating your patient about returning to functional activities following a radial head resection with an implant. What should you tell her about returning to high-demand, high-impact activities?

Avoid these activities on a permanent basis

T/F: A patient who has advanced OA, but would require Post-Op ability to perform high-load, high-impact activities at work is a good candidate for a wrist arthroplasty.

False

T/F: Application of an orthosis for the patient with RA should be avoided so as to not promote loss of joint mobility.

False

T/F: The flexor zone of the fingers, Zone II, is in the palm of the hand and damage is usually involving the Lumbrical MM and interferes with MP flexion

False

Your patient has an "extensor lag" of the MP joints. The exercise of choice to remediate this problem is which of the following?

Have the patient move actively from the full fist position of the hand to the hook fist position.

You place your patient's wrist in a splint because he is experiencing an acute episode of lateral epicondylitis. Which of the following is the least appropriate intervention while the inflamed soft tissue is healing?

Have the patient wear a splint to immobilize the wrist continuously for at least 2 weeks or until there is no pain

Your patient has a 5-year history of RA. There are no obvious deformities, but during this current exacerbation of the disease, the wrist and MP joints are swollen, red, tender, and warm. There is generally decreased range of motion (ROM), pain during motion, and increased pain at the end of the available ROM of each joint. Which of the following would you most likely see in the POC as an appropriate short-term goal and intervention?

Maintain joint mobility and decrease pain by using grade I or II joint-oscillation techniques.

Which of the following is true about myositis ossificans (heterotopic bone formation) in the elbow region?

Passive extension is often limited more than flexion

During the subacute stage of soft tissue healing after injury and repair of the flexor tendons of the hand or forearm, each of the following is an important intervention except

Progressive Resistance Exercise

Tennis elbow may involve all of the following structures except the:

Pronator Teres

Your goal is to increase end-range elbow flexion using joint-mobilization techniques. Which of the following techniques is appropriate?

Stabilize the distal humerus and apply a radial glide

You are evaluating a patient with rheumatoid arthritis (RA) of the hand and wrist. You notice several deformities, including hyperextension of the proximal interphalangeal (PIP) joints and flexion of the distal interphalangeal (DIP) joints of digits 2, 3, and 4. This deformity is called:

Swan-neck Deeformity

A person with a long history of polyarticular rheumatoid arthritis is experiencing severe, dominant-side elbow pain that is interfering with personal grooming, light housework, and work-related responsibilities as a computer programmer. In addition to pain, physical findings include persistent synovitis despite ongoing medical management, limited elbow ROM, and complete loss of the joint space of the humeroulnar and humeroradial joints. Given these findings, this person is most likely a candidate for which of the following surgical procedures to relieve pain and improve daily function?

Total Elbow Arthroplasty (TEA)

T/F: After MP arthroplasty and removal of the postoperative compression dressing, a dynamic orthosis with an outrigger is worn to maintain the MP joints in full extension when the fingers are relaxed, but allow active MP flexion within a limited range and unrestricted interphalangeal (IP) motions.

True

T/F: The proper position to stretch for ROM with a patient recovering from medial epicondylitis is: Extension and radial deviation of the wrist, finger extension with elbow extension and supination

True

T/F: One of the more common, long term complications after TEA is joint instability

true