Can a client be trained in passive ROM and "place and hold" techniques such as Duran's protocol and perform this independently at home?
Answer
There are lots of factors to consider. I would say that "yes" I train the majority of my clients in this technique. In standard cases, clients can be taught to passively range their affected joints (passive protective technique) and perform place and hold maneuvers by using their uninvolved hand. I instruct them to complete this protocol hourly at home for the maximum benefit.
With that being said, there are cases where the clients may be confused or struggle with this activity. I would in these cases perform these activities in the clinic or look for an alternative caregiver to assist.
Duran RE, Houser RG. Controlled passive motion following flexor tendon repair in zones two and three.
In: The American Academy of Orthopaedic Surgeons: Symposium on tendon surgery in the hand.
St. Louis: Mosby;1975:105-114.
Rebecca Neiduski, Ph.D., OTR/L, CHT
Rebecca Neiduski received her Master’s in Occupational Therapy from Washington University and a PhD in Education from Saint Louis University. She serves as the Occupational Therapy Department Chair at Concordia University Wisconsin. Becky has educated therapists in Guatemala, Romania, Egypt, Saudi Arabia, and South Africa, and has contributed to medical missions in Guatemala, Haiti, Nicaragua, and Cambodia. Becky was honored with the ASHT Paul Brand Award of Professional Excellence in 2014 and the ASHT Nathalie Barr Lectureship Award in 2016.
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