#4 Zone 1 Protocol Flexor tendon- Evans
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Created by:
Andraleann on February 12, 2011
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6 terms
Terms | Definitions |
|---|---|
 Rationale for Evans Zone 1 flexor protocol: | place repaired FDP tendon in shortened position to rest proximal to the area of repair and control gap formation |
| Zone 1 Early stage (0 -3 weeks) SPLINT | Splint: DBS wrist 30 flex, MP 30 flex, full IP extension + Finger based dorsal gutter splint over DIP in 45 flex. |
| Zone 1 Early stage (0 -3 weeks Exercises | *Passive composite flexion, DIP flex to 75, IP flexion with MP's resting at 30 in splint (mod hook) *While MPs held in 90, full ACTIVE PIP extension- NOT DIP jt extension *Use strap to hold other digits in extension while therapist places injured digit in flexion and pt attempts to hold for injured FDS (PIPJ only)= place and hold |
| Zone 1 Intermediate stage (3 weeks) | D/C DIP dorsal gutter splint * gentle active place/hold flexion * 4 weeks- tendodesis, hook fist, gentle DIP blocking * 4 1/2 weeks- begin DIP extension splinting |
| What kind of flexor tendon protocol is Zone 1? | Early controlled passive mobilization |
| Is Zone 1 Evans a moderate or aggressive protocol in regards to the injured digit? | more aggressive to digit- earlier active place/hold, tenodesis and extension splinting to the injured FDP- but still in the DBS- all done at 3 weeks rather than 4-6 weeks with other CPM protocols |
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