Certified Hand Therapist (CHT) Practice Exam

At 2-3 weeks post-op for Dupuytren's, what is the approach to ROM exercises?

1. Begin aggressive passive ROM

2. Advance ROM exercises but avoid aggressive passive ROM

3. Only perform active exercises

4. Use heat therapy to facilitate stretching

The correct answer is: Advance ROM exercises but avoid aggressive passive ROM

The recommended approach to range of motion (ROM) exercises at 2-3 weeks post-operative care for Dupuytren's contracture is to advance ROM exercises but avoid aggressive passive ROM. This period is critical for promoting healing while preventing stiffness and maintaining mobility in the affected fingers. At this stage, the soft tissues are still healing, and introducing aggressive passive ROM can put undue stress on the healing structures, potentially leading to complications such as increased scarring or disruption of the surgical repair. Instead, a moderate approach that includes gentle active and passive ROM exercises is encouraged. This allows the patient to maintain as much function as possible without compromising the integrity of the healing tissue. Incorporating active exercises ensures that the patient is engaging the muscles and tendons without applying excessive force. This can help in restoring movement gradually while minimizing the risk of complications. Thus, it is essential to respect the healing process and avoid aggressive techniques that may hinder recovery.