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TREATING HAND STIFFNESS - MiOTA

TREATING HAND. STIFFNESS . NANCY HOCK, OTRL, CHT. MiOTA 2017. WHY DOES STIFFNESS OCCUR? Prolonged Immobilization Traumatic Injury/Multiple Injury Presence of Sympathetic Involvement Patient Characteristics Delay in Appropriate Treatment Insurance Limitations PROLONGED IMMOBILIZATION. Non-surgical treatment Cast Length Increased healing time TRAUMATIC INJURY/MULTIPLE INJURY. SYMPATHETIC INVOLVEMENT. PATIENT CHARACTERISTICS. Non-compliance Poor Tolerance Roles/Occupation Fear Motivation (secondary gain). Pain DELAY IN APPROPRIATE. TREATMENT. WH Y ? ? ? ? INSURANCE ENVIRONMENT. Limited visit authorization High co-pays Many services not authorized Splint/DME coverage HOW TO AVOID STIFFNESS . Control edema What moves fluid? AROM/PROM as soon as possible The just right challenge (no pain/no gain?)

• Proximal glide of flexors to gain digit flexion • Distal glide of flexors to gain digit extension. Blocking exercises allow to focus tendon glide. AROM stimulates lymphatic flow which decreases edema. AROM encourages glide \൯f tissue \⠀琀攀渀搀漀渀 愀渀搀 氀椀最愀洀攀渀琀尩. E-stim with AROM

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  Exercise, Hands, Glides, Treating, Stiffness, Treating hand stiffness

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