R&G Scenario 3

• Stiffness and painful thumb resulting in reduced aperture creation

  • Main Analysis Findings
  • impairment in transport phase - reduced aperture creature - not enough aperture creation during acceleration phase
  • stiff thumb - lack of thumb extension rom

  
• Stiffness and painful thumb resulting in reduced aperture creation

  • Further tests/investigations you would like to do
  • severity and irritability of pain
  • cause of pain
  • reduce pain - analgesia
  • thumb extension rom
• Stiffness and painful thumb resulting in reduced aperture creation

  • A suitable outcome measure
  • VAS
  • thumb extension rom/strength - dynamometer/oxford scale
  • handwriting
  • ICF
  • Motor assessment scale (MAS) - measure the increase in muscle tone. MAS assigns a grade of spasticity from a 0-4 ordinal scale. The grade is assigned by moving a joint/muscle through a high velocity quick stretch
  • Goal assessment scale (GAS) - individualized outcome measure involving goal selection and goal scaling that is standardized in order to calculated the extent to which a patient's goals are met
• Stiffness and painful thumb resulting in reduced aperture creation

  • Justification for selection of treatment
  • bringing thumb up with rope, trying to reach height of a marker - using cue thumbs up
• Stiffness and painful thumb resulting in reduced aperture creation

  • progression
  • vary thumb position - the thumb is an important factor in many grips - grips change according to task
  • remove rope
  • whole acceleration into deceleration movement - then whole r&g movement
• Stiffness and painful thumb resulting in reduced aperture creation

  • Justification of approaches to facilitated learning
  • refer to r&g scenario 1
  • cue - thumbs up