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presented by Kristin Valdes, OTD, OT, CHT
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Kristin Valdes, OTD, OT, CHT
Kristin Valdes was previously the owner of Hand Works Therapy in Sarasota, Florida, and was in private practice for more than 30 years. Currently, she is a full professor at Touro University in Henderson, Nevada. Her clinical expertise includes treatment of the hand, wrist, elbow, and shoulder; splinting; and arthritis. Dr. Valdes has published articles…
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1. Clinical Application of Controlled Stress to Healing Tendons
It has been reported that 4%–18% of repaired flexor tendons rupture. Excessive stress and high force during finger motion may cause gap formation and eventually rupture of the repair. Dr. Valdes explains how rehabilitation exercises should ideally apply enough force on the tendon to induce excursion without causing gap formation.
2. Clinical Guidelines for Treatment Following Flexor Tendon Repair
Designing effective rehabilitation protocols requires understanding actual forces generated in the flexor tendons during various commonly used rehabilitation maneuvers with different wrist positions. With this information, your protocols will allow maximal tendon gliding without causing rupture of the repair.
3. ADL Impairment
Dr. Valdes then reports the research exploring ways to adequately address issues of ADL impairment during flexor tendon rehabilitation. Helping patients who have undergone flexor tendon repair adapt to a change in ADL function is an important part of hand therapy practice and this chapter will address ways to approach and measure ADL function during rehabilitation.
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