Hand and Upper Extremity Rehabilitation , livre ebook

Hand and Upper Extremity Rehabilitation
A Practical Guide
Fourth Edition
Rebecca J. Saunders, PT, CHT
Clinical Specialist, Research and Staff Development, The Curtis National Hand Center, Hand Therapy Department, MedStar Union Memorial Hospital, Baltimore, Maryland
Romina P. Astifidis, MS, PT, CHT
Clinic Director, Center Coordinator of Clinical Education, MedStar NRH Rehabilitation Network, Lutherville Hand Center, Lutherville, Maryland
Susan L. Burke, OTR/L, CHT, MBA
Regional Director, Hand and Upper Extremity Program, Department of Hand Therapy, The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, Maryland
James P. Higgins, MD
Chief, The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, Maryland
Michael A. McClinton, MD
Associate Professor of Plastic Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
Faculty, The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, Maryland
Table of Contents
Cover image
Title page
Copyright
Dedication
Contributors
Foreword to the Fourth Edition
Foreword from the Third Edition
Preface
Acknowledgments
I: Wound Management
Chapter 1: Wound Care
Definition
Surgical Purpose
Treatment Goal
Indications/Precautions for Therapy
Therapy
Complications
Evaluation Timeline
Outcomes
Chapter 2: Skin Grafts and Flaps
Definitions
Surgical Purpose
Treatment Goals
Indications for Tissue Coverage
Precautions for Therapy
Therapy
Postoperative Complications
Evaluation Timeline
Functional Outcomes
Chapter 3: Burns
Definition
Treatment and Surgical Purpose
Treatment Goals for Acute Burn Stage
Treatment Goals for Rehabilitation Stage
Treatment Goals for Reconstruction Stage
Surgical Procedures: Indications for Surgery
Postoperative Indications/Precautions for Therapy
Postoperative Complications
Evaluation Timeline
Functional Outcomes
Chapter 4: Scar Management
Definitions
Treatment Purpose
Treatment Goals
Nonoperative Indications/Precautions for Therapy
Nonoperative Therapy
Nonoperative Complications
Indications/Precautions for Scar Revision Surgery
Evaluation Timeline
Nonoperative Outcomes
Postoperative Outcomes
II: Nerve Injuries and Compression
In Memoriam
Judith Bell-Krotoski, MA, OTR, FAOTA, CHT March 30, 1945 – October 20, 2013
Chapter 5: Sensibility Testing
Definitions
Treatment Purpose
Goals
Indications and Precautions
Therapy (Evaluation)
Outcomes
Appendices
Chapter 6: Median Nerve Compression
Definition
Surgical Purpose and Treatment Goals
Treatment Goals
Operative Indications/Precautions
Postoperative Therapy
Postoperative Complications
Evaluation Timeline
Outcomes
Chapter 7: Ulnar Nerve Compression
Definition
Surgical Purpose
Treatment Goals
Cubital Tunnel Stages of Compression Severity
Nonoperative Treatment
Nonoperative Complications/Precautions
Surgical Treatment (Cubital Tunnel Moderate to Severe Compression)
Postoperative Precautions for Therapy
Postoperative Therapy
Postoperative Complications
Outcomes
Chapter 8: Radial Nerve Compression
Radial Nerve Palsy
Posterior Interosseous Nerve Syndrome and Radial Tunnel Syndrome
Wartenberg Syndrome
Outcomes
Chapter 9: Thoracic Outlet Syndrome
Definition
Treatment Purpose
Treatment Goals
Nonoperative Indications/Precautions for Therapy
Nonoperative Therapy
Indications/Precautions for Surgery
Operative Management
Postoperative Therapy 7, 12, 29
Postoperative Complications
Evaluation Timeline
Outcomes
Chapter 10: Nerve Repair
Definition
Surgical Purpose
Treatment Goals
Operative Indications and Precautions
Postoperative Therapy for Primary or Secondary Repair
Preoperative Care for Delayed Primary Repair or Nerve Graft
Postoperative Therapy for Nerve Grafts
Postoperative Care with Flexor Tendon Involvement
Postoperative Complications
Evaluation Timeline
Outcomes
Appendix: Effects of Nerve Lesion on Function 8 , 14
Chapter 11: Sensory Reeducation and Desensitization
Definition
Treatment Purpose
Treatment Goals (Sensory Reeducation)
Postinjury Indications/Precautions for Therapy (Sensory Reeducation)
Postoperative Therapy (Sensory Reeducation)
Treatment Goals (Desensitization)
Postinjury Indications/Precautions for Therapy (Desensitization)
Postoperative Therapy (Desensitization)
Postoperative Complications
Evaluation Timeline
Outcomes
Chapter 12: Tendon Transfers for Median Nerve Palsy
Definition
Surgical Purpose
Treatment Goals
Postoperative Indications/Precautions for Therapy
Postoperative Therapy: Low Median Nerve Injury—Opponensplasty
Postoperative Therapy: Opponensplasty Early Motion Program 11
Postoperative Therapy: High Median Nerve Injury—Brachioradialis to Flexor Pollicis Longus (Figure 12-7)
Postoperative Complications
Evaluation Timeline
Outcomes
Chapter 13: Tendon Transfers for Ulnar Nerve Palsy
Definition
Surgical Purpose
Treatment Goals
Postoperative Indications/Precautions for Therapy
Postoperative Therapy: Low Ulnar Nerve Injury
Postoperative Therapy: High Ulnar Nerve Injury
Postoperative Complications
Evaluation Timeline
Outcomes
Chapter 14: Tendon Transfers for Radial Nerve Palsy
Definition
Surgical Purpose
Treatment Goals
Postoperative Indications/Precautions for Therapy
Postoperative Therapy
Postoperative Complications
Evaluation Timeline
Outcomes
Chapter 15: Brachial Plexus Neuropathy
Definition
Treatment Purpose
Treatment Goals
Nonoperative Indications/Precautions for Therapy
Nonoperative Therapy
Nonoperative Complications
Surgical Indications
Postoperative Indications/Precautions for Therapy
Postoperative Therapy
Postoperative Complications 48
Evaluation Timeline
Outcomes
Chapter 16: Complex Regional Pain Syndrome
Definition
Treatment Purpose
Treatment Goals
Nonoperative Indications/Precautions
Nonoperative Treatment (Figure 16-2)
Nonoperative Complications
Postoperative Therapy
Postoperative Complications
Evaluation Timeline 5
Outcomes
III: Tendon Injuries
Chapter 17: Flexor Tendon Repair
Definition
Treatment Purpose
Treatment Goals
Postoperative Indications/Precautions for Therapy
Postoperative Therapy
Evaluation Timeline
Postoperative Complications
Outcomes
Chapter 18: Flexor Tendon Reconstruction
Definitions
Preoperative Treatment Goals
Indications for Preoperative Therapy
Preoperative Therapy
Postoperative Treatment Goals
Indications/Precautions for Postoperative Therapy
Postoperative Therapy
Evaluation Timeline
Outcomes
Chapter 19: Flexor Tenolysis
Definition
Treatment Purpose
Postoperative Therapy
Postoperative Complications
Evaluation Timeline
Outcomes
Chapter 20: Management of Extensor Tendon Repairs
Definition
Surgical Purpose
Treatment Goals
Postoperative Indications/Precautions for Therapy
Postoperative Therapy
Postoperative Complications
Evaluation Timeline
Outcomes
Chapter 21: Extensor Tendon Imbalance: Mallet Finger, Swan-Neck Deformity, Boutonnière Deformity
Mallet Finger
Swan-Neck Deformity
Boutonnière Deformity
Outcomes
Chapter 22: Extensor Tendon Tenolysis
Definition
Treatment Goals
Operative Indication/Precautions for Therapy
Postoperative Therapy
Postoperative Complications
Evaluation Timeline
Outcomes
Chapter 23: Complex Extensor Tendon Reconstruction
Definition
Surgical Purpose
Treatment Goals
Postoperative Indications/Precautions for Therapy
Postoperative Therapy
Postoperative Complications
Evaluation Timeline
Outcomes
IV: Shoulder
Chapter 24: Shoulder impingement syndrome
Definitions
Treatment Purpose
Treatment Goals
Nonoperative Indications/Precautions for Therapy
Nonoperative Therapy
Nonoperative complications
Postoperative Indications/Precautions for Therapy
Postoperative Therapy
Postoperative Complications
Evaluation Timeline
Outcomes
Chapter 25: Rotator Cuff Repairs
Definition 9 , 14 , 21 , 23 – 26
Tear Classification
Surgical Purpose
Treatment Goals
Postoperative Indications/Precautions for Therapy
Postoperative Therapy 28 , 29
Postoperative Complications
Evaluation Timeline
Outcomes
Chapter 26: Glenohumeral Instability
Nonoperative Rehabilitation for Traumatic Dislocation
Nonoperative Rehabilitation for Atraumatic Instability
Postoperative Rehabilitation for Shoulder Instability—Gen