Best Practice for Flexor Tendon Rehabilitation
Presented by Kristin Valdes
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There is new research regarding optimal practice for flexor tendon rehabilitation and the forces applied during the rehabilitation process. In this course, the practitioner will examine the rationale for the provision of active exercises rather than place-and-hold exercises through an in-depth analysis of anatomical considerations. Additionally, the course will provide a rationale for tendon mobilization to prevent adhesion formation. This course uses detailed motion graphics, illustrations, and live demonstrations to highlight best practice based on the latest evidence. Easy-to-understand patient instructions will be demonstrated to ensure client adherence to home exercise programs.
Meet your instructor
Kristin Valdes
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.…
Chapters & learning objectives
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.
