E&E and Wrist

Question 0

_____ are difficulties an indivisible May have in executing activities

Answer 0

Activity limitations

Question 1

_____ are problems in body function or structure such as significant deviation or loss

Answer 1

Impairments

Question 2

_____ are problems an individual May experience in involvement in life situations

Answer 2

Participation restrictions

Question 3

The proximal concave radial facets articulate with _____ forming a ____ articulation

Answer 3

Three carpal bones (scaphoid, lunate, and triquetrum)

Convex

Question 4

The _____ joint is considered a functional unit, the joint surfaces are reciprocally convex on concave

Answer 4

Midcarpal joint

Question 5

How does the proximal row of carpals slide

Answer 5

In the opposite direction to the hand

Question 6

What are some activities that wrist extension and ulnar deviation are needed for

Answer 6

Turning a steering wheel or doorknob
Rising from a chair
Using a telephone
Drinking or feeding activities

Question 7

______ requires the most wrist flexion

Answer 7

Turning a door knob

Question 8

What is the position for wrist flexion rom

Answer 8

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.

Question 9

What are the normal values for rom wrist flexion

Answer 9

60-76

Question 10

What is the fulcrum, SA, and MA of rom wrist flexion

Answer 10

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

Question 11

What is the position for rom wrist extension

Answer 11

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.

Question 12

What are normal values for rom wrist extension

Answer 12

60-75

Question 13

What is the fulcrum, as, and MA of rom of wrist extension

Answer 13

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

Question 14

Position to test radial deviation

Answer 14

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

Question 15

What are the normal values for radial deviation

Answer 15

20-25

Question 16

Fulcrum SA and MA for radial deviation

Answer 16

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

Question 17

Position for ulnar deviation

Answer 17

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

Question 18

Normal values for ulnar deviation

Answer 18

30-39

Question 19

Fulcrum SA and MA of ulnar deviation

Answer 19

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

Question 20

What position do we test wrist flexion in for mmt for 5-3

Answer 20

Sitting with forearm supinated and supported

Question 21

Stabilizing arm/ palpating arm of wrist flexion mmt

Answer 21

Stabilize the forearm to avoid elbow flexion, helps isolate wrist extension

Question 22

Resisting arm of wrist flexion mmt

Answer 22

Grasp the palm with tester thumb on the dorsal surface and resistant is given evenly across the hand

Question 23

What is the direction of the resistance for mmt wrist flexion

Answer 23

Into extension, with ulnar deviation for the ulnaris and radial deviation for the radialis.

Question 24

How to test mmt for wrist flexion in 2,1,0

Answer 24

Forearm in neutral for gravity. Patient can be sitting with hand on plinth

Question 25

How to test mmt of wrist extension

Answer 25

Client sittings forearm is supported and pronated

Question 26

What does the stabilizing or palpating arm do in mmt of wrist extension

Answer 26

Stabilizes forearm to avoid elbow flexion, helps to isolate wrist extension

Question 27

What is the resisting arm ding in mmt of wrist extension

Answer 27

Placed over the dorsum of the metacarpals resistance is given evenly

Question 28

What is the diction of resistance applied for mmt of wrist extension

Answer 28

Into flexion, with ulnar deviation for ulnaris and radial deviation for radialis

Question 29

How would you test wrist extension for grades 0-5

Answer 29

5,4,3–sitting

2,1,0–the forearm is neural for gravity eliminated position

Question 30

Impairments and activity limitations and participation restrictions are commonly related to

Answer 30

Medical conditions
Sociodemographic factors
Personal characteristics

Question 31

What is the examination

Answer 31

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

Question 32

What is the evaluation

Answer 32

Compilation of the findings of the examination to develop the diagnosis and prognosis