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Postoperative Rehabilitation for Tendon Transfers of the Wrist and Hand

presented by Aviva Wolff, EdD, OTR, CHT

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Target Audience:

Disclosure Statement:

Financial: Aviva Wolff receives compensation from MedBridge for the production of this course. She has no other relevant financial relationships.

Nonfinancial: Aviva Wolff has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 43 Minutes; Learning Assessment Time: 45 Minutes

Tendon transfer surgery is major reconstructive surgery that is often performed after complex hand trauma as a salvage procedure. These injuries are complex and require specialized care and expertise for surgical and therapy management. This course will provide therapy practitioners with an in-depth understanding of the indications and considerations for tendon transfer surgery, common surgical tendon transfer approaches, and preoperative and postoperative treatment strategies based on neuroplasticity, biomechanical, and physiological principles.

Meet Your Instructor

Aviva Wolff, EdD, OTR, CHT

Aviva Wolff is an occupational therapist and clinician-scientist with a strong background in motor control and movement analysis and extensive experience working with performing artists and individuals with musculoskeletal injuries. She currently consults for the Juilliard School and runs the upper extremity clinical movement analysis programs and hand and wrist biomechanics research at the Leon…

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Chapters & Learning Objectives

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1. Tendon Transfer: Surgery Indications, Considerations, and Purpose

This chapter provides practitioners with an understanding of indications and considerations for tendon transfer surgery to properly assess and treat postsurgical tendon transfer injuries. The chapter reviews common indications for tendon transfer surgery, such as nerve palsies, central neurological deficits, and major trauma.

2. Common Tendon Transfer Procedures to Restore Muscle Balance in the Hand and Wrist

This chapter describes the range of surgical options for tendon transfers based on the impairment to provide practitioners with the knowledge to develop an individualized treatment plan.

3. Preoperative and Postoperative Management of Tendon Transfer Surgery

This chapter identifies the components of a preoperative plan of care for tendon transfer surgery, including proper positioning, maintaining joint motion, functional orthoses and adaptive devices, and neuromuscular reeducation. The postoperative management includes proper immobilization techniques, use of biofeedback, assistive devices, and neuromuscular reeducation.

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