Certified Hand Therapist (CHT) Practice Exam

Which muscle groups should be strengthened to facilitate return to sports or heavier activities post-Dupuytren's surgery?

1. Forearm flexors and extensors

2. Wrist flexors and biceps

3. Wrist extensors and rotator cuff

4. Finger adductors and abductors

The correct answer is: Wrist extensors and rotator cuff

Strengthening the wrist extensors and the rotator cuff is vital after Dupuytren's surgery, as these muscle groups play a pivotal role in functional recovery and overall upper extremity performance. The wrist extensors are essential for wrist stability and extension, which are crucial for grasping and manipulating objects post-surgery. They help in counterbalancing the actions of the wrist flexors, thereby preventing overactive flexor dominance, which can potentially limit hand function. Additionally, the rotator cuff muscles are critical for shoulder stability and mobility. Following hand surgery, activities may require a full range of motion and strength from the shoulder to enhance overall upper extremity coordination and strength. This is particularly relevant in sports and heavier activities where comprehensive upper body function is necessary. Focusing on these muscle groups enables a gradual return to more demanding physical activities, ensuring that the athlete or individual is not only recovering effectively but also regaining strength in areas that support hand function and athletic performance.