Flex Therapist CEUs

Carpal Tunnel Syndrome Medical Treatment Guidelines

General Guideline Principles

1. Recognizing that treatment failure is at times attributable to an incorrect diagnosis should be a prompt for reconsideration of the diagnosis in the event of an unexpected poor response to an otherwise rational intervention.

A. True B. False

2. For those patients who are failing to make expected progress _____ after an injury, reexamination in order to confirm the accuracy of the diagnosis and re-evaluation of the treatment program should be performed.

A. 3 - 6 weeks B. 6 - 9 weeks C. 6 - 12 weeks D. 9 - 12 weeks

3. Active therapeutic exercise program goals should incorporate:

A. Patient sensory integration B. Patient coordination C. Functional application in vocational or community settings D. All of the above

4. The patient should be given the opportunity to understand the pros and cons of surgery, potential for rehabilitation as an alternative where applicable, and evidence-based outcomes.

A. True B. False

History Taking and Physical Examination

5. All of the following are true regarding the physical examination, except for:

A. The evaluation of any patient with suspected CTS should begin at the fingers and proceed to the upper back and neck. B. The evaluation should include evaluation of vascular and neurologic status. C. The evaluation should describe any dystrophic changes or variation in skin color or turgor. D. A description of the patient's general posture and anthropometric measurements may prove useful.

6. Physical therapists should understand that CTS may result from:

A. Diabetes mellitus B. Hypothyroidism C. Pregnancy D. All of the above

Non-Operative Treatment Procedures

7. Patient education should include:

A. Instruction in self-management techniques, including sleeping postures that avoid excessive wrist flexion. B. Ergonomics. C. A home therapy program that includes heat treatment, stretching, exercises, and nerve gliding. D. All of the above.

8. Use of Vitamin B6 is recommended as supplemental treatment for CTS.

A. True B. False

9. Most studies show that full-time night splinting for a total of _____ is the most effective protocol.

A. 2 - 4 weeks B. 4 - 6 weeks C. 6 - 8 weeks D. 6 - 12 weeks

Surgery

10. Surgery as initial therapy should be considered when median nerve trauma has occurred or thenar atrophy is present due to median nerve compression.

A. True B. False

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