Hi, Joe,
I attended the Annual Meeting of ASHT,the American Society of Hand
Therapist
s, two years ago. There were many things and hints about hand therapy
and my
questions. I recommend this site below
http://www.asht.org
I believe you can get useful information.
Ito
At 10:41 PM 98.9.8, Douglas M. White wrote:
> Joe,
>
> Flexor tendon repair can be complicated and there is a high degree of adhe
>sion formation and other complications. If you are treating a lot of hand p
>atients I would strongly suggest taking some courses in this sub-specialty.
>There is a lot of information to learn.
>
> There are three different type of tendon gliding exercises I am aware of:
>
> 1. Block the MP and PIP joints in extension and actively flex the DIP. Thi
>s will isolate the FDP.
>
> 2. Block three of the four fingers in extension and activly flex the fourt
>h digit. this will isolate the FDS of the flexed finger.
>
> 3. Fisting exercises. Have the paient actively for the following fists.
> Hook fist - fingers in extension, then actively flex the PIPand DIPs
> Full fist - start in full hook fist fully flex MPs, PIPs and DIPs then
>extend finges.
> Straight fist - MP flexion with PIP and DIP extension.
>
>
> JOE TSANG wrote:
>
> > Hello everybody,
> >
> > I am now working in the orthopaedic unit and I come across quite a lot o
>f patients with hand injury. It was found that finger flexion always limite
>d after flexor tendon repair probably because of adhesion formation. Accord
>ing to some rehabilitation protocol, there is a technique called differenti
>al gilding which can facilitate tendons movement but I am not too sure how
>to do that. Does anybody know exactly how to do it or at least give me some
>idea to improve finger movement after surgery.
> >
> > Thank in advance for your help
> >
> > Joe
> >
> >
> > Free web-based email, Forever, From anywhere!
> > http://www.mailexcite.com
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