A Topic Paper on Flexor Tendon Repair: A Theoretical and Evidence — Based Approach

For occupational therapists treating individuals with hand dysfunction, including flexor tendon repairs (FTR), it is necessary to incorporate research evidence, clinical experience, and theoretical concepts to clinically and professionally reason through evaluation and intervention. Central to guidi...

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Main Authors: FELDHACKER Diana R., LOHMAN Helene, BRACCIANO Alfred
Format: Article
Language:English
Published: Editorial Office of Rehabilitation Medicine 2021-10-01
Series:康复学报
Subjects:
Online Access:http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2021.05004
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author FELDHACKER Diana R.
LOHMAN Helene
BRACCIANO Alfred
author_facet FELDHACKER Diana R.
LOHMAN Helene
BRACCIANO Alfred
author_sort FELDHACKER Diana R.
collection DOAJ
description For occupational therapists treating individuals with hand dysfunction, including flexor tendon repairs (FTR), it is necessary to incorporate research evidence, clinical experience, and theoretical concepts to clinically and professionally reason through evaluation and intervention. Central to guiding treatment should be occupation-based theory, as this ensures that occupation, or meaningful activities, is a core emphasis. However, providing occupation-centered therapeutic interventions is uniquely more challenging in orthopedic settings where medical and biomechanical approaches, or treatment grounded on remediation of strength and range of motion, primarily guide intervention. This topic paper uses a guided case study for a client with a zone 2 FTR, the most typical type of flexor tendon injury. Readers are guided through the clinical and professional reasoning with review of research evidence; discussion of occupation-based, tissue healing, and biomechanical theories; and application to client evaluation and intervention. Therapist intent of being client- and occupation-centered is evidenced throughout the case, with a focus on understanding the client and their perception of how the injury impacts their life. The reader is guided through identification of a specific treatment protocol for flexor tendon repair which is based on sound research evidence. This protocol is integrated with occupational, biomechanical, rehabilitative and tissue healing theories in order to provide effective intervention which meets the client's goals. Ultimately, the case study illustrates how therapy should be client-centered, evidenced-based, and grounded in theory with occupation at its foundation.
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spelling doaj-art-b993162b59fa46b286b2bbdeeac4d6032025-01-14T10:07:40ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282021-10-013137238019610307A Topic Paper on Flexor Tendon Repair: A Theoretical and Evidence — Based ApproachFELDHACKER Diana R.LOHMAN HeleneBRACCIANO AlfredFor occupational therapists treating individuals with hand dysfunction, including flexor tendon repairs (FTR), it is necessary to incorporate research evidence, clinical experience, and theoretical concepts to clinically and professionally reason through evaluation and intervention. Central to guiding treatment should be occupation-based theory, as this ensures that occupation, or meaningful activities, is a core emphasis. However, providing occupation-centered therapeutic interventions is uniquely more challenging in orthopedic settings where medical and biomechanical approaches, or treatment grounded on remediation of strength and range of motion, primarily guide intervention. This topic paper uses a guided case study for a client with a zone 2 FTR, the most typical type of flexor tendon injury. Readers are guided through the clinical and professional reasoning with review of research evidence; discussion of occupation-based, tissue healing, and biomechanical theories; and application to client evaluation and intervention. Therapist intent of being client- and occupation-centered is evidenced throughout the case, with a focus on understanding the client and their perception of how the injury impacts their life. The reader is guided through identification of a specific treatment protocol for flexor tendon repair which is based on sound research evidence. This protocol is integrated with occupational, biomechanical, rehabilitative and tissue healing theories in order to provide effective intervention which meets the client's goals. Ultimately, the case study illustrates how therapy should be client-centered, evidenced-based, and grounded in theory with occupation at its foundation.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2021.05004flexor tendon repairevidence-basedoccupational therapyclient-centered
spellingShingle FELDHACKER Diana R.
LOHMAN Helene
BRACCIANO Alfred
A Topic Paper on Flexor Tendon Repair: A Theoretical and Evidence — Based Approach
康复学报
flexor tendon repair
evidence-based
occupational therapy
client-centered
title A Topic Paper on Flexor Tendon Repair: A Theoretical and Evidence — Based Approach
title_full A Topic Paper on Flexor Tendon Repair: A Theoretical and Evidence — Based Approach
title_fullStr A Topic Paper on Flexor Tendon Repair: A Theoretical and Evidence — Based Approach
title_full_unstemmed A Topic Paper on Flexor Tendon Repair: A Theoretical and Evidence — Based Approach
title_short A Topic Paper on Flexor Tendon Repair: A Theoretical and Evidence — Based Approach
title_sort topic paper on flexor tendon repair a theoretical and evidence based approach
topic flexor tendon repair
evidence-based
occupational therapy
client-centered
url http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2021.05004
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