Occupational Therapy Intervention For Peripheral Nerve Injuries – Flashcards

Muscles: Deltoid, teres minor

PROM to prevent deformity and improve circulation; perform 2-3 times daily, supine to minimize effect of gravity

Instruction to use long-handle assistive device due to inability to abduct or flex shoulder

If edema occurs in hand or arm; client, family instructed in techniques

Shoulder movement is critical to recovery; incorporation of long, sweeping ex-s in the client's daily activities; graded from horizontal to vertical

Erb's Duchenne Syndrome

Deltoid, Biceps Brachii, Brachialis, brachioradialis, Teres Minor

Arm hanges with shoulder adducted and internally rotetade, forearm pronated with elbow extended, wrist flexed resulting "waiter's tip" position

PROM perform while supine twise daily, with emphasis on shoulder flexion, abduction, external rotation

To increase sensory awareness, massage, vibration, application of various texture to the arm

joint approximation through weight bearing to increase awareness, insure proper alignment to the both limbs

to improve body scheme; use developmentally appropriate activities: toys, crafts, any activities that requires two hand

therapeutic ex-s in water with gravity minimized; swimming or weight lifting possible if client strength improve

if prescribe by physician after EMG

For damage C5-C6 sling fabricated to fit around humerus to support arm and allow hand engage in occupations; especially important if arm is flaccid and the individual is able to walk

Compression to the lower trunk of the brachial plexus: C8, T1. The involved nerves innerveted muscles whose actions are wrist and finger flexion and abduction and adduction of the fingers. Parralysi of the distal musculature of the wrist flexors and the intrinsinc muscles of the hand create "Claw -hand deformity" also referred to as intrinsic minus deformity ( MCP are extended and PIP/DIP are flexed)

partial immobilization and hand/wrist positioning, passive range of motions, physical agents modalities. tactile integration, retrograde massage for preventing edema

Resting splint for flaccid hand/wrist to maintain part in functional positioning and prevent contracture; other splints needs to be fabricated for a specific joints.

shoulder stabilized to limit scapular motion while nerves heals, inability to upward and abduct the scapula, difficulties in reaching upward or upfront of the body. Encouragement for maximal functional independence.