Therapeutic Interventions Flashcards
7 cards from real CHT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Therapeutic Interventions flashcards as text
A patient with de Quervain's tenosynovitis is fitted with a thumb spica splint. Which wrist and thumb position is MOST appropriate?
Answer: Wrist neutral, thumb CMC and MP in palmar abduction and extension
The thumb spica splint for de Quervain's positions the wrist in neutral and the thumb in palmar abduction/extension to rest the APL and EPB tendons.
A CHT performs joint mobilization to the hamate-triquetrum joint for a patient with ulnar-sided wrist pain. The mobilization technique for restricted dorsal glide would include:
Answer: Stabilizing the hamate and gliding the triquetrum dorsally
To restore dorsal glide, the distal bone (triquetrum) is mobilized dorsally relative to the stabilized proximal bone (hamate).
In the early phase of rehabilitation after extensor tendon repair in zone VI (dorsal hand), the therapist should avoid:
Answer: Composite wrist flexion with simultaneous MCP flexion
Simultaneous wrist and MCP flexion creates maximum extensor tendon tension, risking rupture in the early healing phase.
When treating a patient with a replanted finger, which modality is CONTRAINDICATED in the early postoperative period?
Answer: Cold (cryotherapy) application over the replanted digit
Cold application is contraindicated after replantation because vasoconstriction threatens the already tenuous vascular supply to the replanted digit.
A patient recovering from a radial nerve injury (posterior interosseous nerve) demonstrates wrist drop. The appropriate splint to provide function is:
Answer: Dynamic wrist and finger extension splint (outrigger with rubber band assist)
A dynamic extension splint with outrigger and rubber band assist replaces lost wrist and finger extension from radial/PIN nerve injury, enabling functional grasp and release.
Which exercise is MOST appropriate to specifically isolate flexor digitorum superficialis (FDS) gliding independently from FDP?
Answer: Blocking the DIP in extension while actively flexing the PIP joint
Blocking the DIP in extension prevents FDP from contributing to PIP flexion, isolating FDS glide.
A CHT is performing nerve gliding exercises for a patient with pronator syndrome. Which sequence correctly describes a median nerve glide progression?
Answer: Wrist extension → elbow extension → shoulder depression → cervical lateral flexion away
The upper limb neurodynamic test 1 (ULNT1) for median nerve tensioning progresses through wrist extension, elbow extension, shoulder depression, and contralateral cervical lateral flexion.