Evaluation of the Hand/UE Flashcards
history (5)
- onset of symptoms
- prior medical intervention
- pertinent medical history
- medications (everything)
- observation
assessment of pain (7)
- level
- location
- type
- frequency
- duration
- pain levels during eval
- chronic pain
pain scales (5)
- numeric analog scale
- visual analog scale
- verbal rating scale
- graphic representation
- pain questionnaire
pain with AROM but not PROM
think muscle/tendon
pain with PROM
think joint
joint movement limitations due to pain with distraction
think ligament or joint capsule
joint movement limitations due to pain with compression
think joint surface, loss of cartilage, bone spur, etc.
areas of wound assessment (6)
SCOTDD
- size
- color
- odor
- temperature
- drainage
- depth
areas of scar assessment (4)
- color
- size
- flat/raised
- adhesions
vascular status assessment (4)
- Capillary Refill test
- Peripheral Pulse Palpation
- Modified Allen’s test
- surface temperature assessment
Capillary Refill Test
place pressure on distal portion of volar finger until tissue turns white then release and count seconds it takes for color to return to normal
*normal cap refill
Modified Allen’s Test
place firm pressure over radial and ulnar arteries and instruct client to open and close hand until the palm turns white then release pressure from one side of the wrist and record time it takes for color to return to normal then repeat with opposite side
*normal response 5 sec or less
Surface Temperature Assessment
if forearm is 4+ deg warm than fingertip surface, it may indicate vascular compromise
ROM assessment (4)
- PROM
- AROM
- TAM
- TPM
swelling assessment (3)
- volumetric displacement
- circumferential measurement
- characteristics - observation, palpation
sensation assessment (8)
- static two-point discrimination
- moving two-point discrimination
- Semmes-Weinstein Monofilament test
- localization of light touch
- Ninhydrin Test
- O’Riain Wrinkle Test
- vibration
- Moberg Pick-up Test
coordination assessment (6)
- O’Connor Dexterity Test
- Nine-Hole Peg Test
- Jebsen-Taylor Hand Function Test
- Minnesota Rate of Manipulation test
- Crawford Small Parts Dexterity Test
- Purdue Pegboard Test
grip strength assessment (3)
- standard grip test
- five-level grip test
- rapid exchange grip test
pinch strength assessment (3)
- lateral pinch test
- three-point pinch test
- two-point pinch test
lateral pinch test
key pinch
place pinchmeter between radial side of index finger and thumb
three-point pinch test
three jaw chuck pinch
place pinchmeter between pulp of the thumb and pulp of the index and middle fingers
two-point pinch test
tip to tip pinch
place the pinchmeter between the tip of the thumb and the tip of the index finger
strength assessment
MMT
orthotics assessment
current or prior use
check for proper fit
functional use assessment
different self-assessment questionnaires
don’t leave out!
helps to establish functional goals
DASH
Disabilities of the Arm, Shoulder, and Hand Index
- 30 questions (9 symptoms, 21 functional status)
- Likert scale 1-5
- at least 27 items must have been completed to score
- 0 (no disability) 100 (completely disabled)
QuickDASH
developed for quick response time
*11 questions
can be scored with 10 out of 11 answered
