Flexor Tendon Rehabilitation of the Hand and Wrist

presented by Kristin Valdes, OTD, OT, CHT

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Do you need an update on the flexor tendon? New research has made significant changes to the flexor tendon rehabilitation program for the hand and wrist. There are many protocols in place that differ in regard to design of the orthotic device and the time frame when active motion starts. Join Dr. Kristin Valdes as she covers the current evidence regarding tendon rehabilitation and improves the understanding of differing protocols. Detailed motion graphics, illustrative and informative handouts, and demonstrations focused on application provide the participant with a new perspective on flexor tendon rehabilitation of the hand and wrist.

Meet Your Instructor

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. Considerations Regarding Tendon Anatomy

The anatomic structures in the hand and wrist that are commonly involved in flexor tendon lacerations include both tendons and neurovascular structures. It is important to understand the relationship of the flexor tendons to structures in the finger and wrist.

2. Flexor Tendon Zones and Healing

The tendons are divided into zones. It is important to understand both the intrinsic and extrinsic healing of tendons since the phases of healing influence when it is acceptable to apply stress to the healing tendon.

3. Four Types of Early Rehabilitation Programs

There are four types of early rehabilitation programs. Active mobilization protocols may have a higher risk of rupture of the repair, while passive protocols may have a higher risk of tendon adhesion and loss of digit range of motion. Currently there is no consensus concerning the best type of motion or the ideal hand posture during rehabilitation.

4. Current Evidence

Currently there is no consensus concerning the best type of motion or the ideal hand posture during rehabilitation. However, there is high level evidence for early active motion found in a randomized controlled trial. Dr. Valdes explores relevant studies and the information they supply for effective rehabilitation.