Target-focused Exercise Regime: A Motivational Strategy to Improve Patient's Adherence to Treatment of a Stiff Thumb Interphalangeal Joint

Abstract

As hand therapists, we are often creative in altering and individualizing orthoses to meet specific patient needs. To assist patients in regaining desired thumb interphalangeal joint range of motion, these authors added a target component to a standard short opponens orthosis. This target component allowed patients to visualize the range of motion goal, thus subjectively resulting in better patient compliance and range of motion.—Victoria Priganc, PhD, OTR, CHT, CLT, Practice Forum Editor As hand therapists, we are often creative in altering and individualizing orthoses to meet specific patient needs. To assist patients in regaining desired thumb interphalangeal joint range of motion, these authors added a target component to a standard short opponens orthosis. This target component allowed patients to visualize the range of motion goal, thus subjectively resulting in better patient compliance and range of motion.—Victoria Priganc, PhD, OTR, CHT, CLT, Practice Forum Editor JHT Read for CreditQuiz: Article #234Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.#1.The target component was placed towarda.radial deviationb.ulnar deviationc.flexiond.extension#2.The desired weekly progression was established as an increase of approximatelya.10°–15°b.15°–20°c.20°–25°d.5°–10°#3.The authors present their work as aa.single case studyb.random clinical trials designc.series of cases with definitive diagnosesd.clinic wide experiential report#4.Though the reader cannot be sure, one can presume that goals and gains were expressed as increases ina.composite flexionb.lag reductionc.AROMd.PROM#5.The authors took into account the severity of the stiffness by using the Modified Weeks Test before setting goalsa.Trueb.the descriptive paper does not sayWhen submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit. Quiz: Article #234Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.#1.The target component was placed towarda.radial deviationb.ulnar deviationc.flexiond.extension#2.The desired weekly progression was established as an increase of approximatelya.10°–15°b.15°–20°c.20°–25°d.5°–10°#3.The authors present their work as aa.single case studyb.random clinical trials designc.series of cases with definitive diagnosesd.clinic wide experiential report#4.Though the reader cannot be sure, one can presume that goals and gains were expressed as increases ina.composite flexionb.lag reductionc.AROMd.PROM#5.The authors took into account the severity of the stiffness by using the Modified Weeks Test before setting goalsa.Trueb.the descriptive paper does not sayWhen submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit. Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.#1.The target component was placed towarda.radial deviationb.ulnar deviationc.flexiond.extension#2.The desired weekly progression was established as an increase of approximatelya.10°–15°b.15°–20°c.20°–25°d.5°–10°#3.The authors present their work as aa.single case studyb.random clinical trials designc.series of cases with definitive diagnosesd.clinic wide experiential report#4.Though the reader cannot be sure, one can presume that goals and gains were expressed as increases ina.composite flexionb.lag reductionc.AROMd.PROM#5.The authors took into account the severity of the stiffness by using the Modified Weeks Test before setting goalsa.Trueb.the descriptive paper does not say When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.