presented by Kristin Valdes
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.
Kristin Valdes, OTD, OT, CHT, is the owner and Director of Hand Works Therapy in Sarasota, Florida. She is an assistant 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, and elbow, shoulder, splinting, and arthritis. Dr. Valdes has published articles in the Journal of Hand Therapy, Hand Magazine, Journal of Manipulative and Physiological Therapeutics, and The Journal of Physical Therapy Science. She serves as a member of the Board of the American Society of Hand Therapists and American Association of Hand Surgery. Dr. Valdes has published chapters on hand, elbow, and shoulder fractures and dislocations in Advanced Concepts of Hand Pathology and Surgery. She is an assistant editor of the Journal of Hand Therapy. Dr. Valdes received her OTD degree with a specialization in hand rehabilitation from Rocky Mountain University of Health Care Professions in Provo, Utah. Dr Valdes is member of the Guatemala Healing Hands Medical Mission.
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.
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.
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.
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.