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Ulnar Claw Rehabilitation

Ulnar Claw
Condition known as the ulnar claw can develop when a paralysis occurs in ulnar and median nerve. Injuries to these nerves can cause limited motor and sensory disabilities. As a result, the ring and pinky fingers are curled towards the palm of the hand. An ulnar nerve transfer can be done through surgery in order to regain functional motor (Barbour, J., Kahn, L.C., Mackinnon, S.E., Yee, A., 2012).

Exercises
Surgical procedure known as a loop of flexor digitorum superficial can be used to stabilize the metacarpophalangeal joint in order to regain strength in flexors for gripping (Shah, A., 1984). Treatments excluding surgery can also be done through physical therapy rehabilitation. Range of motion can be regain by using hand splits to stretch the impaired hand and to prevent overstretching ({{ ). Using splits will initiate flexion in the metacarophalangeal joints while also allowing extensions and flexion in the interphalangeal joints thus increasing range of motion. Another exercise is to regain strength in the interossesuous muscles and lumbricals. By exercising individual fingers and thumb in adduction and abduction motion in pronation position, interosssesuous muscles will strength. As to increase lumbricals, strengthening flexion in the metacarpohalangeal joint and extension in the interphalangeal joints can be practiced. Repetitive motion of pronation and supination are also effect exercises used during rehabilitation (Barbour, J., et al, 2012). Exercising pronation and supination with a handle or screwdriver attachment will help stimulate the nerves. A Lateral pinch and recurring grip can also be applied for supination and pronation.

Reference
www.wikipedia.com This picture shows an illustration of a person with a Ulnar Claw condition.

www.publicdomainpictures.net This picture shows the picture of the Ulnar nerve that causes the condition known as the Ulnar Claw.

Work Cited Assiobow A., Belmahi A.M., Gharib N., Mazouz S., Oufkir A., (2002). Is a dynamic or stable technique needed for metacarpophalangeal joints of the hand in ulnar nerve palsy? PubMed.

Barbosa R.I., Barbieri C.H., Elui V.M.C., Fonseca M.C.R., Mazzer N. (2012). Median and ulnar nerves traumatic injuries rehabilitation. Basic Principle of Peripheral Nerve Disorder. 261-278.

Barbour J., Kahn L.C., Mackinnon S.E., Yee A. (2012). Supercharged end-to-side anterior interosseous to ulnar motor nerve transfer for intrinsic musculature reinnervation. The Journal of Hand Surgery. 2150-2159.

Hentz V.R., Tse R., Yao J. (2007). Late reconstruction for ulnar nerve palsy. Hand Clinics. 373-392.

Shah A. (1984). Correction of ulnar claw hand by a loop of flexor digitorum superficialis motor for lumbrical replacement. Journal of Hand Surgery. 131-133.