presented by Mike Szekeres
This course will review the common clinical assessments used to investigate upper extremity pain and dysfunction. Assessments of instability, stiffness, and provocative testing will be covered from the elbow to hand.
Mike Szekeres, PhD, OT Reg (Ont.), CHT, is in private practice at Hand Therapy Canada in London, Ontario, Canada. He is an Assistant Editor for the Journal of Hand Therapy. He is currently a sessional faculty member at Western University and has recently completed his PhD in the field of Physical Therapy within the Department of Rehabilitation Science. Mr. Szekeres has served on the Board of Directors for the ASHT. Current professional interests and research include the use of technology for rehabilitation and optimizing the composition and delivery of therapy interventions after wrist fracture.
This chapter will cover the important aspects of getting the information needed to proceed with physical assessment. Relevant details around the injury, current course of treatment, and other vital aspects of the initial interview will be reviewed. Patient reported outcome measures commonly used for the upper extremity will also be reviewed.
This chapter will cover the basics of some of the most important impairment based measures used by therapists. Range of motion will be reviewed, along with the norms for several joints, and the proper technique for producing reliable measurement technique.
This chapter will cover the basics of some of the most important impairment based measures used by therapists. Grip strength and pinch strength measurements will be reviewed, along with the norms for several joints, and the proper technique for producing reliable measurement technique.
This chapter will discuss common ways to measure volume of the upper extremity and sensibility of the hand. These measures are important to be able to document levels of impairment and to detect change over time.
Unfortunately, when a client has pain, the best way to figure out what is wrong is to reproduce their pain with clinical tests. This “provoking” of pain gives us the term “Provocative Testing.” This chapter will cover several important provocative tests used for determining the source of pain at the elbow, wrist, and hand.