Week 6 & 7 questions

Falling on outstretched hand
What structure would we expect to be injured first?
What two carpal bones would we be worried about?

What structure(s) would receive the most force with hammering a nail?

Which wrist muscles are primarily involved in the following activities?
Opening a jar

Which wrist muscles are primarily involved in the following activities?
Closing a bottle of water

Which wrist muscles are primarily involved in the following activities?
Hammering a nail

Which wrist muscles are primarily involved in the following activities?
Wiping your buttocks for toilet hygiene

Which thumb motion is used to
Grasp a cup?
Primary muscles involved?

Which thumb motion is used to
Grasp a key?
Primary muscle involved?

Which thumb motion is used to
close a scissors
Primary muscle involved?

Which thumb motion is used to
zip a coat?
Primary muscle involved?

Which thumb motion is used to
thumbs up
Primary muscle involved?

Name one activity to strengthen the following?
Abductor pollicis brevis

Name one activity to strengthen the following?
Flexor pollicis longus / brevis

Name one activity to strengthen the following?
Extensor pollicis longus / brevis

grasp your water bottle firmly
motion of the wrist?
motion of the hand?

Hold your pencil/pen to simulate writing
Motion of the wrist?
motion of the hand?

Which motion is produced in the digits for the following activities? What muscle(s) are primarily used for the following activities?
Typing

Which motion is produced in the digits for the following activities? What muscle(s) are primarily used for the following activities?
Holding a plate

Which motion is produced in the digits for the following activities? What muscle(s) are primarily used for the following activities?
Grasping a cane

Which motion is produced in the digits for the following activities? What muscle(s) are primarily used for the following activities?
Straightening index finger to push doorbell

Which motion is produced in the digits for the following activities? What muscle(s) are primarily used for the following activities?
Closing scissors to cut paper

Which grasp/pinch is used for the following activities
- holding a spoon
- holding a cup
- buttoning a button

Name one activity to strengthen the following?
Dorsal interossei

Name one activity to strengthen the following?
Flexor Digitorum Profundus

Name one activity to strengthen the following?
Flexor Digitorum Superficialis

What muscles are affected by carpal tunnel syndrome (median nerve)?

Which nerve(s) are most important when holding change in hand?

Mabel is an 85-year-old female referred to outpatient occupational therapy services secondary to L thumb pain. Mabel was seen by a hand surgeon that recommended occupational therapy as a conservative option prior to surgical intervention. Mabel’s X-ray showed degenerative changes to the L 1st CMC joint
1. What effect will Mabel’s condition have on occupations?
2. What are some precautions the OT must be aware of prior to completing the evaluation?
3. List 2 treatment ideas to address Mabel’s pain

Paige is a 35-year-old non-binary individual referred to outpatient occupational therapy due to cellulitis of the hand, wrist, and forearm. Paige is recovering from a heroin addiction and had a relapse. They injected heroin with a used needle and developed significant R hand/wrist swelling and redness as well as a fever. Paige was admitted to an acute care hospital for IV antibiotics and discharged with outpatient occupational therapy for hand and upper extremity rehabilitation. The occupational therapist is completing the initial evaluation.
1. What effect will Paige’s condition have on occupations?
2. What are some precautions the OT must be aware of prior to completing the evaluation?
3. List 2 treatment ideas to address Paige’s pain.