Certified Hand Therapist (CHT) Practice Exam

What is the recommended focus for a light strengthening program at 4-6 weeks post-op for Dupuytren's protocol?

1. Isometric squeezing of putty

2. Isometric squeezing of a dowel

3. Dynamic stretching exercises

4. Heavy lifting exercises

The correct answer is: Isometric squeezing of a dowel

The recommended focus for a light strengthening program at 4-6 weeks post-op for Dupuytren's protocol centers on isometric exercises, which are beneficial for improving the strength of the muscles involved without overly stressing the surgical area. Using a dowel for isometric squeezing effectively activates the grip, promotes muscle engagement, and aids in the overall rehabilitation process. This approach allows for strength development while minimizing strain on the healing tissues. In contrast, options like dynamic stretching exercises prioritize flexibility and movement rather than strength at this early stage. Heavy lifting exercises are not suitable at this point, as they may impose excessive stress on the recovering hand. Isometric squeezing of putty, while it could be beneficial, is less targeted than using a dowel, which aligns more closely with specific rehabilitation goals for Dupuytren's contracture recovery. The emphasis on controlled, low-impact exercises facilitates meaningful gains in strength during the critical healing period following surgery.