R&G Scenario 2

• Reduced wrist extension and reduced aperture creation (stiff fingers)

  • Main Analysis Findings
  • impairment in transport phase - poor acceleration and deceleration phase - aperture cant increase enough during acceleration - maybe due to finger extensor weakness (reduced aperture)
  • impairment in stabilisation phase - maybe due to wrist extensor weakness/lack of rom at MCP joint(reduced wrist extension)
  • maybe issue with manipulation and release phase due to stiff fingers

  
• Reduced wrist extension and reduced aperture creation (stiff fingers)

  • Further tests/investigations you would like to do
  • wrist and finger extensor strength/rom - oxford scale/goniometer
  • feedback from cutaneous sensation and proprioception - assists aperture after making contact with object
  • visual - object identification - impacts reach and hand shape
• Reduced wrist extension and reduced aperture creation (stiff fingers)

  • A suitable outcome measure
  • handwriting
  • extensor strength test
  • sensation test
  • grip strength - dynamometer and oxford scale
  • dexterity
  • rom - tracing/goniometer
• Reduced wrist extension and reduced aperture creation (stiff fingers)

  • Justification for selection of treatment
  • elastic band finger extension exercise - place squeaky ball in the middle as well to practice control of aperture
  • wrist extension exercise (clock exercise - pretend wrist is minute hand of clock, move to 1 min past 12, then progress to 2 mins past 12 etc)
• Reduced wrist extension and reduced aperture creation (stiff fingers)

  • Justification of approaches to facilitated learning
  • refer to R&G scenario 1
• Reduced wrist extension and reduced aperture creation (stiff fingers)

  • Potential progression
  • progress range of wrist extensors
  • increase size of aperture
  • use different sized/weighted objects