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presented by Kristin Valdes, OTD, OT, CHT
Financial: Kristin Valdes receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.
Nonfinancial: Kristin Valdes 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.
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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. Tendon Anatomy
The anatomical relationship between the flexor digitorum profundus and the flexor digitorum superficialis is important to take into consideration after surgical repair of the flexor tendons. The blood supply to the flexor tendons varies, and this can influence tendon healing as well.
2. Flexor Tendon Zones and Healing Time Frames
The tendons are divided into zones based on their anatomical locations. There are several client factors that can affect tendon healing, and it is important that the therapist address these client factors to ensure optimal tendon gliding and determine the appropriate stress to apply to the healing tendon.
3. True Active Motion Evidence
The therapist should be aware of the finger position where there is the greatest risk of flexor tendon rupture. There is research that supports the implementation of a half fist of true active motion protocol. The advantages of this protocol allow this intervention to begin three to five days after surgery.
4. True Active Motion Tips
Videos demonstrating what happens to the flexor tendons during place-and-hold exercises will be shown to provide evidence for true active motion. Specific exercises and patient instruction will be demonstrated to help the therapist enhance patient understanding and outcomes. Orthotic fabrication will be demonstrated.
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