presented by Kristin Valdes
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
Kristin Valdes, OTD, OT, CHT
Kristin Valdes, OTD, OT, CHT, is the owner and Director of Hand Works Therapy in Sarasota, Florida. She is an associate professor at Gannon University. She has been in private practice for over twenty years and specializes in the treatment and rehabilitation of the upper extremity. Her clinical expertise includes treatment of the hand, wrist,…Read full bio
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.