Therapist's Management of the Stiff Hand
The Challenge of the Stiff Hand
Clinical experience confirms certain risk factors for stiffness in the hand. The more tissue traumatized, the greater the likelihood of stiffness. Severe trauma injuring bone and multiple soft tissue layers usually requires longer periods of immobilization because of the need to regain skeletal stability. The decrease in tissue elasticity that accompanies increasing age creates less tolerance for the insult of trauma. Infection that extends the wound beyond its mechanically created boundary creates adherence between multiple remote tissue planes. Although we know these basic facts, many questions about stiffness in the hand remain unanswered... View Complete Chapter
Chapter 67: Rehabilitation of the Hand and Upper Extremity, eds: Skirven, Osterman, Fedorczyk, and Amadio, 6th ed, p894-925, Elsevier Mosby, 2011
ADDITIONAL SUGGESTED READING
Clinical Pearl No. 34 – Edema Control Instructions for Patients
Clinical Pearl No. 32 – Immobilizing the MP Joint in Extension?
Clinical Pearl No. 31 – Waiting for Tissue to Grow
Clinical Pearl No. 27 – Complex Made Simple: Pasta Transfer
Clinical Pearl No. 24 – Tissue Maturity
Clinical Pearl No. 22 – Lumbrical Muscle Tightness & Testing
Clinical Pearl No. 21 – Nuances of Interosseous Muscle Tightness Testing
Clinical Pearl No. 20 – Quantifying Interosseous Muscle Tightness
Clinical Pearl No. 19 – Interosseous Muscle Tightness Testing
Clinical Pearl No. 14 – How Long Should I Serial Cast a Finger?
Clinical Pearl No. 12 – Why I Avoid Passive Flexion of the DIP Joint
Clinical Pearl No. 9 – To Glove or Not to Glove; That is the Question
Book Chapter - Functional Fracture Bracing, Rehabilitation of the Hand and Upper Extremity – 2011
What Do You See? No. 4 - The Lumbrical-Plus Finger