E&E and Wrist Flashcards
_____ are difficulties an indivisible May have in executing activities
Activity limitations
_____ are problems in body function or structure such as significant deviation or loss
Impairments
_____ are problems an individual May experience in involvement in life situations
Participation restrictions
The proximal concave radial facets articulate with _____ forming a ____ articulation
Three carpal bones (scaphoid, lunate, and triquetrum)
Convex
The _____ joint is considered a functional unit, the joint surfaces are reciprocally convex on concave
Midcarpal joint
How does the proximal row of carpals slide
In the opposite direction to the hand
What are some activities that wrist extension and ulnar deviation are needed for
Turning a steering wheel or doorknob
Rising from a chair
Using a telephone
Drinking or feeding activities
______ requires the most wrist flexion
Turning a door knob
What is the position for wrist flexion rom
Sitting next to a supported surface, the shoulder is abducted between 50-70 degrees and the elbow is flexed at 90, the forearm is pronated with the wrist and hand over the edge of the table.
What are the normal values for rom wrist flexion
60-76
What is the fulcrum, SA, and MA of rom wrist flexion
Fulcrum: lateral aspect of the wrist over the triquetrum
SA: proximal, lateral midline of the ulna, using the olecranon and ulnar styloid as references,
MA: align with the lateral midline of the fifth metacarpal
What is the position for rom wrist extension
Sitting next to a supported surface, the shoulder is abducted between 50-70 degrees and the elbow is flexed at 90, the forearm is pronated with the wrist and hand over the edge of the table.
What are normal values for rom wrist extension
60-75
What is the fulcrum, as, and MA of rom of wrist extension
Fulcrum: lateral aspect of the wrist over the triquetrum
SA: proximal, lateral midline of the ulna, using the olecranon and ulnar styloid as references
MA: align with the lateral midline of the 5th metacarpal
Position to test radial deviation
Sitting next to a supported surface, the shoulder is abducted to 90 and supports and the elbow is flexed at 90, and forearm is pronated
What are the normal values for radial deviation
20-25
Fulcrum SA and MA for radial deviation
Fulcrum: dorsal aspect of the wrist over the capitate
SA: proximal, dorsal midline of the forearm, using the lateral epicondyle of the humerus as a reference.
MA: align with the dorsal midline of the third metacarpal
Position for ulnar deviation
Sitting next to a supported surface, the shoulder is abducted to 90 and supports and the elbow is flexed at 90, and forearm is pronated
Normal values for ulnar deviation
30-39
Fulcrum SA and MA of ulnar deviation
Fulcrum: dorsal aspect of the wrist over the capitate
SA: proximal, dorsal midline of the forearm, using the lateral epicondyle of the humerus as a reference
MA: align with the dorsal midline of the third metacarpal
What position do we test wrist flexion in for mmt for 5-3
Sitting with forearm supinated and supported
Stabilizing arm/ palpating arm of wrist flexion mmt
Stabilize the forearm to avoid elbow flexion, helps isolate wrist extension
Resisting arm of wrist flexion mmt
Grasp the palm with tester thumb on the dorsal surface and resistant is given evenly across the hand
What is the direction of the resistance for mmt wrist flexion
Into extension, with ulnar deviation for the ulnaris and radial deviation for the radialis.
How to test mmt for wrist flexion in 2,1,0
Forearm in neutral for gravity. Patient can be sitting with hand on plinth
How to test mmt of wrist extension
Client sittings forearm is supported and pronated
What does the stabilizing or palpating arm do in mmt of wrist extension
Stabilizes forearm to avoid elbow flexion, helps to isolate wrist extension
What is the resisting arm ding in mmt of wrist extension
Placed over the dorsum of the metacarpals resistance is given evenly
What is the diction of resistance applied for mmt of wrist extension
Into flexion, with ulnar deviation for ulnaris and radial deviation for radialis
How would you test wrist extension for grades 0-5
5,4,3–sitting
2,1,0–the forearm is neural for gravity eliminated position
Impairments and activity limitations and participation restrictions are commonly related to
Medical conditions
Sociodemographic factors
Personal characteristics
What is the examination
The history
Systems review serves as the basis for the selection of the test and measures. The results of the test and measures along with the history and systems review complete the initial examination
What is the evaluation
Compilation of the findings of the examination to develop the diagnosis and prognosis
