Clin3 Wrist

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Author:
teatea2
ID:
101960
Filename:
Clin3 Wrist
Updated:
2011-09-15 16:37:06
Tags:
Soma Clin Wrist
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Description:
Clin3 Wrist
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  1. AROM - wrist flexion
    80
  2. AROM - wrist extension
    70
  3. AROM - wrist abduction
    20
  4. AROM-wrist adduction
    30
  5. PROM - wrist flexion
    Tissue stretch (soft)
  6. PROM - wrist extension
    Tissue stretch (soft)
  7. PROM - wrist abduction
    Tissue stretch (firm)
  8. PROM - wrist adduction
    Tissue stretch (firm)
  9. MRT - wrist flexion
    All wrist flexors
  10. MRT - wrist extension
    All wrist extensors
  11. MRT - wrist abduction
    • Extensor carpi radialis longus
    • Extensor carpi radialis brevis
    • Flexor carpi radialis
    • Abductor pollicis longus
  12. MRT - wrist adduction
    • Extensor carpi ulnaris
    • Flexor carpi ulnaris
  13. Phalen's Test
    • Tests for carpal tunnel syndrome
    • Tests if client wakes up with numb hands, numbness and tingling in later 3.5 fingers, wrist pain, and ct. does repetivie action activities.
    • Client holds both forearms parallel to the floor in front of their body, then flexes both wrists fully and places hands dorsum to dorsum (reverse prayer position), fingers facing the floor. Client holds position up to 60 seconds while therapist observes.
    • Positive test if client has nerve pain in later 3.5 digits.
  14. Reverse Phalen's Test
    • Tests for carpal tunnel syndrome
    • Tests if client wakes up with numb hands, numbness and tingling in later 3.5 fingers, wrist pain, and ct. does repetivie action activities.
    • Client holds both forearms parallel to the floor in front of their body, then extends both wrists fully and places hands palm to palm (prayer position), fingers facing the ceiling. Client holds position up to 60 seconds while therapist observes.
    • Positive test if client has nerve pain in later 3.5 digits.
  15. Tinel's Test
    • Tests for carpal tunnel syndrome
    • Test if client wakes up with numb hands, numbeness and tingling in later 3.5 fingers, wrist pain, and ct. does repetitive action activities.
    • Therapist firmly taps over the median nerve at the proximal row of carpal bones (through the flexor retinaculum - pad of hand) for 30 seconds.
    • Positive test if never pain is felt in later 3.5 digits
  16. Finkelstein's Test
    • Tests for tenosynovitis of extensor pollicus brevis and or abductor pollicus longus (2 tendon snuff box on thumb), also called Quervian's Syndrome
    • Tests if there is radial side wrist pain, possibly swelling at lateral wrist, increased pain and weakness over radial styloid process, pain in later wrist when ulnar deviating wrist
    • Client places thumb inside closed fist, then ulnar deviated wrist actively. Therapist can move ct.'s wrist into further ulnar deviation if pain has not already apeared.
    • Postivie test if sharp local pain over radial styloid process as tendons are stretched. Client will want to release immediatly due to pain.

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