"Complex Made Simple"
Our Push Brace products have moved! Please go to BraceLab.com to view the braces and continue shopping.

Nuances of Flexor Tendon Rehabilitation

Availability: In stock


Quick Overview

Online Course: Learn the scientific rationale for altering flexor tendon protocols.

2.5 Credit Hours

Instructor: Judy C. Colditz, OT/L, CHT, FAOTA

Experience Level: Intermediate       NOTE: This course is listed as intermediate, but offers content for all levels of experience: beginners will learn some basic concepts and experienced therapists will gain new insights. AOTA permits only one experience level to be listed.

Video Runtime: 2 hours, 33 minutes

Course description: This 2.5 hour course, updated and expanded from the presentation at the 2013 ASHT Annual Meeting, explores the literature support for therapy treatment choices during flexor tendon rehabilitation. The course is introduced by explanations of how healing occurs, definition of excursion, rationale for the ideal time to start early motion, and the role suture strength and pulleys have on tendon rehabilitation. The core of the presentation focuses on the variables that alter the work of flexion: range of motion, friction, load, suture strength, position in orthosis, and the effect of the lumbrical and/or interosseous muscle/s.  Finally, these variables are discussed as they relate to each flexor zone (with information charts available for each zone.) This presentation focuses on how a therapist might thoughtfully modify protocols based on a specific patient circumstance or zone injury.

Learning Objectives: At the conclusion of this 2.5 hour online course the participant will be able to:

  • Identify the definition of tendon glide
  • Recognize the ideal time to start early motion when no complications
  • Identify the factors effecting suture strength
  • Recognize the definition of work of flexion
  • Describe the factors influencing tendon friction


Target Audience: Occupational and Physical Therapists who treat flexor tendon patients; Certified Hand Therapists.

Prerequisites: None; the course participant should be familiar with treatment protocols for repaired flexor tendons and have some experience treating flexor tendons patients.

Cancellation: This online course is available to the subscriber for a period of six (6) months following the date of purchase; refunds are not available.

Completion Requirements: Learner must view video in its entirety and successfully pass the online examination to earn the stated contact hour credit. Only those who satisfactorily meet these requirements will be awarded the contact hours. Note: AOTA CEUs are calculated by dividing contact hours by 10.

AOTA Approved Provider: This course is approved for credit by the American Occupational Therapy Association, Inc. Approved Provider Program and provides information under the AOTA Classification Codes:AOTA provider


Client Factors

  • Body Structures

Activity Demands

  • Required body functions
  • Required body structures

General Questions

How do I access my HandLab online course?

You will receive an email with course access instructions separately from your order confirmation email. You may also download Course Access Instructions here. NOTE: If a course was purchased for you or you chose to not have the course automatically activated during checkout, you will need to activate your course with the serial number from your order confirmation.

What are my payment options?

Online course tuition may be paid only by MasterCard, Visa, American Express or Discover; check payment is not accepted. Upon payment you will receive an email confirmation of your course purchase, and your online course(s) will be available in the My Online Courses and Exams section of your HandLab account.

Will I receive a confirmation of my HandLab online course purchase?

Yes, after completing your order you will receive an email confirmation. To access your online courses you will use your HandLab account login information.

Does HandLab provide discounts for multiple attendees from one facility?

We are unable to offer multiple attendee discounts. To receive continuing education credit each participant must create a HandLab account.

Does HandLab offer volume discounts for purchasing multiple Online Video Courses at one time?

Yes, volume discounts automatically apply as follows:

Purchase 3 online video courses to receive a 10% discount on each course.
Purchase 6 online video courses to receive a 20% discount on each course.
Purchase 10 online video courses to receive a 30% discount on each course.

What will my credit card statement say?

Your credit card statement will have a charge from “HandLab.”

What is the online course cancellation policy?

Because HandLab online courses are available to you anytime for a period of 6 months, HandLab does not accept cancellations or provide refunds for online courses.


Which Course is Right for Me?

I am a beginning hand therapist—what HandLab courses are best for me?

This is a challenging question for us since we do not know your level of experience/knowledge!  Most of our courses provide a focus on understanding anatomy as a key to understanding pathology and treatment rationale, and new therapists say this approach is valuable. One therapist commented: “I have one year experience in working in a clinic treating only hand pathology. This course addressed my needs to know WHY you do WHAT and WHEN instead of simply following a protocol set out for you.”

I am preparing for the CHT exam—what HandLab courses are best for me?

Therapists have told us HandLab courses help them gain clinical reasoning skills which are vital to passing the exam.  We are unable to identify any one course to specifically help with passing the exam since we do not know the exam content.

I have many years of experience and am not looking for the basics-- what HandLab courses are best for me?

Although HandLab courses review the core knowledge needed for treatment, each course provides current evidence based rationale for treatment. Experienced therapists tell us our courses are a time saver in keeping them up-to-date.  One therapist with 35 years’ experience wrote:  "I am so happy I chose this course… Many thanks! Yes, my skills are going to the clinic in the morning! Wonderful!".

Do you offer hands-on splinting (orthotic construction) courses?

Because therapists find that close up videos of orthotic construction allow them to stop, restart, rewind, and review all the steps of construction over and over again as needed, we now provide only online videos of orthotic construction skills. Since the videos are available for six months, the therapist can integrate the skills fully during this time.

Which Online Video Courses have detailed demonstrations of the steps of orthotic construction?

You will find construction videos in the following courses:

  • The Obstinate PIP Joint
    • PIP serial cast
    • PIP precise gutter
    • PIP Active redirection for flexion and/or extension
  • Radial Nerve: Rehabilitation & Orthotic Intervention
  • Constructing an Effective Intrinsic Stretching Orthosis
  • Thumb CMC Osteoarthritis: Optimal Orthotic Intervention for the CMC Joint
  • Thumb CMC Osteoarthritis: Optimal Orthotic Intervention for the MP & IP Joints
Does HandLab recommend a certain order in which I should complete the Online Video Courses?

Although each HandLab video course can be viewed independently, two groups of courses are optimally viewed in sequence (in descending order listed):


  • Understanding the Dorsal Apparatus of the Finger
  • What Drives Finger Motion
  • Insight into the Interosseous Muscles
  • Interosseous Muscle Tightness Testing
  • Insight into the Lumbrical Muscle & Testing for Tightness
  • Constructing an Effective Intrinsic Stretching Orthosis


  • Thumb Framework: Joints, Ligaments & Motions
  • Scrutiny of the Multidimensional Thumb Muscles
  • Thumb CMC Osteoarthritis: Surgical & Post-Surgical Insights
  • Thumb CMC Osteoarthritis: Precise Examination & Non-Surgical Treatment
  • Thumb CMC Osteoarthritis: Optimal Orthotic Intervention for the CMC Joint
  • Thumb CMC Osteoarthritis: Optimal Orthotic Intervention for the MP & IP Joints
Are the classes Judy Colditz teaches at conferences available as online courses?

Yes and no; information in Online Video Courses is updated and/or expanded from courses at meetings (or vice versa). Some core information may be repeated but the presentations are never identical.

Is information in the Online Video Courses similar to information in the HandLab DVDs?

There is some repetition of information but the Online Video Courses are newer and thus have more updated information.


Continuing Education Credit

How does credit for HandLab online video courses work?

To obtain continuing education credit, you must view the video and pass the online exam. Log in to your account and click on "My Courses & Exams" to access your course. Once you complete the course, your online exam is available.

Upon successful completion of the exam, you can print/save a PDF of your Certificate of Completion with contact hours. If you do not successfully complete the exam, you may take the exam as many times as needed until passed. You have 6 months from the date of purchase in which to pass the exam.

HandLab is an approved provider of the American Occupational Therapy Association.  Individual HandLab Online Courses of less than 3 hours meet criteria “B” for HTCC requirements, but if you complete multiple HandLab online courses you may submit the certificates together to HTCC and receive type “A” credit.  If you do not submit the certificates together, you will not be eligible for type “A” credit.

When can I take my online exam?

You must first view the entire video to gain access to the exam. NOTE: If you watch part of a video and return later, you can resume from the last point you viewed, to assure you do not mistakenly miss part of the video. 

Where do I take my online exam?

You may take the exam from any computer where you can access our website: www.HandLab.com. You must also have the ability to print from www.HandLab.com at your home/work location to print your certificate.  If you are unable to print, you may print the certificate at a later time if needed.

Can I sign on to www.HandLab.com to take the exam and be sure your site is secure? 

Our website uses Secure Sockets Layer (SSL), the industry standard for secure online transactions to protect our customers' privacy and our website's integrity with encrypted links between our website and a customer's computer.

What happens if I fail my exam?

If you do not successfully complete the exam, you may take the exam as many times as needed until passed. You have 6 months from the date of purchase in which to pass the exam.

How can I get another copy of my continuing education certificate?

If you require a replacement certificate, log in to your account, click "My Courses & Exams" and locate your certificate under "My Certificates" to reprint your certificate. 

Will my contact hours be accredited?

HandLab is an approved provider of continuing education by the American Occupational Therapy Association (AOTA).  Individual HandLab online courses less than 3 hours long meet criteria “B” for HTCC requirements, but if you complete multiple online courses you may submit the certificates together to HTCC and receive type “A” credit.  If you do not submit the certificates together, you will not be eligible for type “A” credit.

HandLab online courses may meet individual state continuing education requirements for PTs and OTs. HandLab does not assume responsibility for courses refused by individual licensing boards in the USA. It is the responsibility of the participant to make sure the state to which they are submitting CE credits will approve HandLab course credit.

Does HandLab credit apply to my state license renewal requirements?

Continuing education requirements are different in different states. You must check with your state licensing board to confirm approval or assure prior approval. HandLab cannot guarantee acceptance by your state licensing board. HandLab is an approved continuing education provider of the American Occupational Therapy Association which many states recognize. HandLab will provide information you require to submit for approval. Please contact support@handlab.com for assistance.

Can my contact hours be used for my CHT renewal?

Yes, individual HandLab online courses less than 3 hours long meet criteria “B” for HTCC requirements, but if you complete multiple online courses you may submit the certificates together to HTCC and receive type “A” credit.  If you do not submit the certificates together, you will not be eligible for type “A” credit.


Technical Questions

What are the technical requirements for viewing an online course?

HandLab Online Video Courses consist of a printable/savable handout, video, and online exam.

  • Handout: To view the handout you must have a PDF viewer installed on your computer. Most computers have this automatically installed but if not, you should be prompted by your computer to download the software.
  • Online Video: All course videos stream directly to your computer so you do not need any special software. The speed (and clarity) of your video depends on the quality of your internet connection. If you are trying to access a course from a work computer and having trouble accessing your course, please check with your network administrator. Companies often have firewalls or restrictions that impede access to certain websites/file types.
  • Online Exam: There are no special requirements for taking the online exam.
  • Certificate of Completion: You will need the same PDF viewer installed as needed for the handouts. You may print or save the PDF of your Certificate of Completion.
Which web browser should I use for accessing a course?

The HandLab website and Education Center works best with modern browsers such as Google Chrome, Mozilla FireFox, Safari, and the latest version of Internet Explorer. Our website does not work well with outdated versions of Internet Explorer. Please make sure you are using the most up to date version of your browser if you are having technical difficulties.

Why is my course not listed in the education center?

If someone else purchased a course for you or when you purchased you checked the box to NOT automatically activate the course, you need to activate the course. You can activate a course here using the serial number in your order confirmation email.

Online Video Courses expire 6 months from the date of purchase. The course will no longer be listed if it has passed the 6 month expiration. All of your Certificates of Completion will continue to be available anytime under “My Certificates.”

My course is activated but I still cannot see the course listed in the education center.

Try returning to the main HandLab webpage and logging out of your account. Log back in and return to the Education Center. Select My Courses from the left hand column to see your courses.

42 Reviews

Click here to add your review

  1. Excellent presentation for the intermediate therapist!! Review by Anonymous

    Excellent presentation for the intermediate therapist!! Would absolutely recommend to others! I will apply the knowledge gained with all of my flexor tendon repair patients.
    (Posted on 11/7/2017)

  2. Entire course was excellent Review by Anonymous

    Discussion of work of flexion very useful. This course was very informative with many concepts affecting flexor tendon repairs. I gained better insight into when and WHY protocols are chosen for a variety of cases (simple repair versus complex, and by zones). I have more confidence with these complicated cases since having taken this course.

    (Posted on 10/30/2017)

  3. Charts will be very helpful Review by Kimberly

    The "Relevant Conclusions by Flexor Tendon Zone" charts will be very helpful with problem solving treatment approaches.
    (Posted on 9/6/2017)

  4. Great course Review by Louisa

    Great course...up to date info.
    (Posted on 9/6/2017)

  5. Excellent approach for understanding finger flexion movement and rehabilitation Review by Anonymous

    Information will help improve my approach and care of hand patients with flexor tendon injuries.
    (Posted on 8/7/2017)

  6. I will use these skills to provide both safe and effective treatment to flexor tendon injuries. Review by anonymous

    I will use these skills to provide both safe and effective treatment to flexor tendon injuries.
    (Posted on 7/21/2017)

  7. excellent course Review by Belinda

    This course continued assessment /evaluation and progression of treatment with the flexor tendon repair patients.
    (Posted on 7/21/2017)

  8. Thank you very much. Review by Marin

    This course will help me to think critically on how to individualise my patient programs to optimise patient outcomes, rather than blindly following protocols.
    (Posted on 6/13/2017)

  9. useful Review by anonymous

    I now have a Better understanding of all aspects of healing, glide and tendon strength
    (Posted on 6/13/2017)

  10. Very useful Review by Mark

    Judy I appreciate your wisdom and knowledge in all your presentations at Hand-Lab. I have been a hand therapist for 25 years and love the way you challenge your participants with the information necessary to problem solve rather than follow cookie cutter protocols. Thanks, Mark
    (Posted on 5/12/2017)

  11. The most significant take-away... Review by anonymous

    The most significant take-away idea is the consideration of changing my post-op orthoses to allow for more extension at the wrist and MPJs. I would have loved to ask Judy several questions along the way but that's the downside of a prerecorded presentation.
    (Posted on 5/5/2017)

  12. Review by Bethany

    Great course that helped in understanding the rationale of starting early active motion and when safe to do so. Good practical ideas to help patients understand exercises
    (Posted on 4/10/2017)

  13. Review by Teresa

    This course will change how I will fabricate orthoses for my flexor tendon patients. Gives me strong process to determine appropriate course of treatment for my patients
    (Posted on 4/7/2017)

  14. Review by Christopher

    good course...I found that extra time was needed to consider the information presented...
    (Posted on 3/16/2017)

  15. Review by Ashley

    Very enjoyable and informative. I would definitelay consider an exten lecture on these . Well presented which is challenging for a video lecture. Great material, good speed and effecti visual aids
    (Posted on 2/17/2017)

  16. Review by Annie

    This course was extremely helpful and well organized. My clinic has recently changed some things on our ""protocol"" but I will suggest revisiting our ideas based on some of the knowledge I obtained here. I will definitely change the amount of MP flexion I use for orthoses. I will use the scratch exercises when appropriate.
    (Posted on 2/14/2017)

  17. Judy makes it so much easier to understand and puts it all together Review by Thankful

    This was an excellent review of anatomy, and a complete overview of flexor tendon repair. I have heard much of this at conferences and in the Rehab of the Hand, but Judy makes it so much easier to understand and puts it all together. Thank you so much for your excellent courses. We are working in my practice on revising and updating our tendon rehab protocols, so this was very helpful.
    (Posted on 2/14/2017)

  18. If you plan to purchase only 1 webinar on flexor tendon repairs and therapy..........This is the one!! Review by Garrett

    If you plan to purchase only 1 webinar on flexor tendon repairs and therapy..........This is the one!! I found ""Nuances of Flexor Tendon Rehabilitation"" to be an excellent review of the science and history of flexor tendon repairs as well as a comprehensive source of current information. I liked the all of the illustrations too! From this webinar I plan on modifying positioning in the DBS and changing my exercises.
    (Posted on 2/2/2017)

  19. Review by Claire

    Love the logically presented way to look at each flexor tendon repair differently
    (Posted on 1/31/2017)

  20. Changes to current protocol after this Review by Courtney

    I've had poor outcomes recently and plan to change my protocol to hopefully improve both ROM and function of my hand patients. I plan to change the wrist and MCP position and start AROM earlier.
    (Posted on 1/31/2017)

  21. Thanks Judy! Review by Alisha

    As usual, Judy provides a very detailed ad systematic education on treating flexor tendons. The information is research-based and she uses awesome illustrations to demonstrate concepts - to make them clear and memorable. She truly brings the dynamics of flexor tendons - alive - and leaves you with a profoundly improved understanding - and confidence in treating flexor tendon injured patients! Thanks Judy!
    (Posted on 1/4/2017)

  22. recommend this course to anyone wanting to increase confidence on working with this fragile patient population Review by Karen

    Great course that was easy to understand with excellent pictures sample patients that pulled everything together nicely. Definitely recommend this course to anyone wanting to increase confidence on working with this fragile patient population.
    (Posted on 1/2/2017)

  23. Review by Beth

    This was a wonderful review and I will use the information from this presentation regularly in my practice.
    (Posted on 12/29/2016)

  24. Good course with helpful information that is easy to follow Review by Brandi

    This course discusses working with tendon repairs, this course info will help aid in treating them more effectively.
    (Posted on 12/12/2016)

  25. Review by Jessica

    I will definitely be looking at wrist and MP position in orthoses with zone I & 2 & discussing this with our surgeons.
    (Posted on 12/6/2016)

  26. Review by Morgan

    Great pictures to show structures of tendons! Thank you!
    (Posted on 11/21/2016)

  27. Review, Refresher, Reminder! Review by Marie

    Very nice reminder of all of the factors to consider when dealing with post-operative patient with flexor tendon repairs.
    (Posted on 11/9/2016)

  28. Review by Cecil

    It will be used with my everyday care for my patients.
    (Posted on 11/9/2016)

  29. Review by Ann

    Judy is very detailed and I was surprised what I got out of it having been doing this for so many years.
    (Posted on 11/7/2016)

  30. It finally made sense! Review by Dawn

    I was very pleased with the course content. She finally made sense of determining amount of excursion required and has made me rethink the positioning within the orthosis.
    (Posted on 11/7/2016)

  31. Review by Alex

    This course greatly boosts understanding and allows demystification to open the doors to new practitioners seeking to improve the quality of care and their fundamental knowledge of flexor tendon rehab & mechanics.
    (Posted on 11/4/2016)

  32. Review by Duncan

    A comprehensive review of flexor tendon repair for therapist's of all levels of experience. Provides the rationale and the conclusions which should reflect in every hand therapist's approach to flexor tendon rehabilitation.
    (Posted on 9/29/2016)

  33. Review by Megan

    This is an excellent course. I think this should be viewed by beginner, intermediate and experienced therapists. It gave excellent information on the anatomy and physiology (but not so much as to bore the listener) and practical, useful information on how to maximize the results therapy.
    (Posted on 9/29/2016)

  34. Review by Tina

    An excellent, clear, and concise review of flexor tendon anatomy and biomechanics. A very nice overview of current treatment approaches with supporting research. The visual diagrams and tables are extremely helpful for individual study, and as a reference in a clinical setting.
    (Posted on 8/19/2016)

  35. Review by Elizabeth

    Excellent course on flexor tendon repairs and treatment. Concepts were well explained, supported with literature and applicable to my practice as a clinician.
    (Posted on 7/29/2016)

  36. Review by Lisa

    Really enjoyed the course. Loved being able to watch the presentation at different times and to be able to repeat parts, and see it in smaller chunks! Great to have 6 months to complete it, as could fit it in around work and looking after kids. Great information and I feel my knowledge has been updated. Already using info with my patients! Exam was very quick and easy!
    (Posted on 7/5/2016)

  37. Review by Owen

    Excellent review of Flexor tendon anatomy and biomechanics. Excellent slides. Excellent information of early AROM protocols. A must see for all hand therapists!
    (Posted on 6/6/2016)

  38. Review by Anna

    I enjoyed this course as it is always great to review the zone injuries and different theories of how to treat the different repairs. I can also reference this time help teach my students. Again, thank you Handlab for making the breakdown of the topic methodical and more simplified.
    (Posted on 5/26/2016)

  39. Review by Sue

    This is the best course I have taken on the rehabilitation of flexor tendons! Judy Colditz has a real knack for explaining biomechanics which will, in turn, help a therapist use the information from this course more effectively in the clinic.

    The video is a great format in that one can stop and replay parts of the video over and over again to allow full understanding of certain concepts and to allow note taking.
    (Posted on 4/15/2016)

  40. Review by Lucy

    I found the course to be an incredible synopsis of a large amount of information and up to date research, presented in an easily followed and concise package. I especially enjoyed the emphasis on how the immediate post operative goal is not the same as the end phase rehab goal.

    This course redefined my patient expectations especially in the early phase post flexor tendon repair. The course also gave me valuable insight into pulleys, surgeon techniques and the contribution of the extrinsics to the work of flexion.

    The course did help me with the rationale for the early AROM protocol our team uses for flexor tendons. It was definitely helpful in redirecting my post-operative goal in the emphasis of decreasing load and minimizing friction.
    (Posted on 9/23/2015)

  41. Review by Erin

    This is by far the most complete and up to date course for Flexor tendons that is currently available. Judy has completed all the homework for us; it is a complete literature review and best practice review. The last third of the video is so valuable as Judy takes the literature and research and directly correlates it to our clinical reasoning. Has created the closest resource to a checklist that you can find. Identified the specific points that are unique and need to be considered when assessing and treating each flexor tendon zone. I will be holding onto my course notes tightly for regular reference.
    (Posted on 7/31/2015)

  42. Review by Danielle

    Nuances of Flexor Tendon Rehabilitation is an incredibly insightful and valuable course. This course goes above and beyond in terms of providing a comprehensive educational experience.

    Not only does this course provide an educational framework, the course also offers clinical knowledge to assist with determining the best approach during the rehabilitation process.

    I thought this presentation was an informative, inclusive course which would be beneficial to both the experienced therapist as well as the novice therapist.
    (Posted on 7/17/2015)

Write Your Own Review

You're reviewing: Nuances of Flexor Tendon Rehabilitation

You may also be interested in the following product(s)