Chuck, Chris, and Macy on the Radial Nerve. Part IV, The Role of the Hand Therapist
Dec 18, 2022
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In this engaging podcast, Chuck, Chris, and Macy discuss the role of hand therapists in patient assessment and their perspective on tendon transfers and nerve transfers for radial nerve injuries. They explore hypothetical cases, decision-making processes for treatment, and the importance of teamwork for optimal patient care. The conversation also delves into the challenges and factors influencing tendon and nerve transfer outcomes, highlighting the importance of patient compliance, understanding, and rehabilitation post-surgery.
Monitoring progress and nerve studies aid in decision-making for nerve or tendon transfers in radial nerve palsy patients post-surgery.
Splinting post-surgery is crucial for maintaining joint flexibility and optimal wrist and finger extension, especially for tendon transfer cases.
Deep dives
Nerve Transfer vs. Tendon Transfer Patient Evaluation Process
When evaluating patients with radial nerve palsy post-operatively, the decision between nerve and tendon transfers involves monitoring progress and considering nerve studies. Splinting and supportive measures are essential post-surgery to maintain joint flexibility. Patients are assessed for potential nerve or tendon transfer candidacy based on progress and therapeutic needs.
Differentiation in Splinting Choices for Patients
The selection between thermoplastic and Benik splints post-surgery involves patient comfort and functional considerations. Benik splints, although more costly and require ordering, offer comfort and immediate availability. Therapists emphasize the importance of splinting to maintain optimal wrist and finger extension, especially for tendon transfer cases.
Complexities in Nerve Transfer Rehabilitation
Nerve transfer rehabilitation focuses on donor muscle activation to stimulate recipient muscle activity. Patient understanding of the procedure and exercising specific muscles play crucial roles. Therapists aid in educating patients on the neurophysiological principles and guiding them through a lengthy recovery process.
Season 3, Episode 49. Chuck and Chris continue with this 4 part segment on radial nerve injuries. In this podcast, Macy joins us to discuss her role in patient assessment and her perspective on both tendon transfers and nerve transfers to address radial nerve injury/ palsy.
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Listings at theupperhandpodcast.wustl.edu.
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