Which fingers are typically affected by sensory changes in CTS?

Digits 1-3 and radial half of digit 4

Client presents w/ numbness in digits 1-3, no night symptoms and negative Phalens/Tinels Test, what should you consider?

Consider differential diagnosis such as pronator teres syndrome

Following carpal tunnel release (CTR) surgery, OT intervention typically focuses on:

Edema control, scar management, and gradual activity reintroduction

What is a positive Phalen's Test?

Tingling/numbness in the thumb and index finger with wrist flexion

Which of the following is true about median nerve mobilization?

It helps reduce compression by facilitating neural gliding

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Carpal Tunnel Syndrome Quiz

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Questions 10

Answers

1
Which nerve is primarily affected in carpal tunnel syndrome?
Ulnar N.
Median N.
Musculocutaneous N.
Radial N.
2
Which fingers are typically affected by sensory changes in CTS?
Digits 1-3 and radial half of digit 4
Digits 4 and 5 (ring and little finger)
Entire hand
Digits 2 and 3 only (index and middle finger)
3
Client presents w/ numbness in digits 1-3, no night symptoms and negative Phalens/Tinels Test, what should you consider?
Consider differential diagnosis such as pronator teres syndrome
Begin median nerve gliding exercises and ergonomic evaluation
Provide patient with a HEP geared towards relieving CTS symtpoms
Confirm diagnosis of CTS w/ their medical provider before beginning therapy
4
Which standardized assessment is commonly used for functional measurement in CTS in an outpatient hand therapy setting?
QuickDASH
Functional Independence Measure (FIM)
Berg Balance Test
Barthel Index
5
True or False? Between the two muscle heads of the pronator teres is a common compression site of the median nerve
False
True
6
Following carpal tunnel release (CTR) surgery, OT intervention typically focuses on:
Immobilization for 6 weeks
Deep tissue massage of the wrist
Immediate strengthening of the thenar muscles as they have been healed
Edema control, scar management, and gradual activity reintroduction
7
Which of the following muscles is innervated by the median nerve and often affected in CTS?
First dorsal interosseous
Adductor Pollicis
Flexor Carpi Ulnaris
Abductor Pollicis Brevis
8
What is a positive Phalen's Test?
Decreased grip strength demonstrated through pinching activity
Pain with passive wrist flexion for 60s
Pain with tapping of the medial epicondyle
Tingling/numbness in the thumb and index finger with wrist flexion
9
True or False? Nocturnal paresthesia is a common symptom of CTS.
False
True
10
Which of the following is true about median nerve mobilization?
It is contrainidicated for t]patients with CTS
It helps reduce compression by facilitating neural gliding
It should only be performed with CTR surgery patients
It is only effective if paired with other local nerve mobilizations

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