Study for the NBCOT Hand Injuries and Intervention Test. Prepare with flashcards and multiple choice questions, each question offers hints and explanations. Get ready for success!

Multiple Choice

What is the typical ROM progression target after a Colles fracture at the wrist?

After a Colles fracture, the goal is to restore joint mobility gradually within what the bone can safely tolerate, starting with movements that the patient can perform without pain. The best target is a gradual restoration of wrist flexion and extension and forearm rotation, keeping movements in a minimal-pain range. This approach helps prevent stiffness, maintains surrounding tissue glide, and supports functional recovery as healing progresses. Early, gentle, pain-free ROM is preferred because forcing full motion too soon can jeopardize healing and potential alignment. Immediate full ROM isn’t safe yet, and delaying ROM until six months risks significant stiffness. While grip strength is important, it typically follows the restoration of ROM, not precedes it.

After a Colles fracture, the goal is to restore joint mobility gradually within what the bone can safely tolerate, starting with movements that the patient can perform without pain. The best target is a gradual restoration of wrist flexion and extension and forearm rotation, keeping movements in a minimal-pain range. This approach helps prevent stiffness, maintains surrounding tissue glide, and supports functional recovery as healing progresses.

Early, gentle, pain-free ROM is preferred because forcing full motion too soon can jeopardize healing and potential alignment. Immediate full ROM isn’t safe yet, and delaying ROM until six months risks significant stiffness. While grip strength is important, it typically follows the restoration of ROM, not precedes it.