Transcription of CLINICAL PROTOCOL FOR CUBITAL TUNNEL …
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CLINICAL PROTOCOL FOR CUBITAL TUNNEL …
Frisbie Memorial Hospital Marsh Brook Rehabilitation Services Wentworth-Douglass HospitalCLINICAL PROTOCOL FOR CUBITAL TUNNEL syndrome ( conservative ) FREQUENCY: 1-3 times per week. DURATION: Average estimate of formal treatment 1-3 times per week up to 10 visits over 4 weeks based on Occupational Therapy evaluation findings. DOCUMENTATION: Progress Note to physician at each follow-up appointment. Follow treatment calendar for daily requirements. Discharge Summary within 2 weeks of discharge. INITIAL EVALUATION (VISIT ONE) GOALS: 1. Standard evaluation. Edema Range of motion Grip/Elbow extended as well/Pinch strength CLINICAL Tests: Elbow flexion, Tinel s at CUBITAL TUNNEL Manual muscle testing especially intrinsics, ECU, FDP III-IV Sensation Upper extremity screen (neck/shoulder/wrist evaluations)2. Limit/Immobilize elbow range of motion by fabricating splint. Neoprene elbow splint (may add aquaplast insert at 30 to 45 degrees) Elbow splint may or may not include wrist (elbow at 30 to 45 degrees), preferablyvolar3.
Frisbie Memorial Hospital Marsh Brook Rehabilitation Services Wentworth-Douglass Hospital. CLINICAL PROTOCOL FOR CUBITAL TUNNEL SYNDROME (CONSERVATIVE)
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