R&G Scenario 4

• Slow reach and poor aperture creation as well as reduced wrist extension and reduced radial deviation

  • Main Analysis Findings
  • impairment in transport phase - slow reach and poor aperture - impairment in acceleration and deceleration elbow extensor and finger extensor weakness
  • impairment in stabilisation - reduced wrist extension and radial deviation - weak grip
  • vision - potential poor object identification - affects reach and hand shape (aperture)

  
• Slow reach and poor aperture creation as well as reduced wrist extension and reduced radial deviation

  • Further tests/investigations you would like to do
  • Visual field confrontation test
  • wrist extension and radial deviation strength test
  • finger extension strength test
  • elbow extension strength test
• Slow reach and poor aperture creation as well as reduced wrist extension and reduced radial deviation

  • A suitable outcome measure
  • MAS - refer to r&g scenario 3
  • GAS - refer to r&g scenario 3
  • different grips test
  • handwriting
  • grip strength dynamometer
  • wrist extensor and wrist deviator strength test
  • elbow and finger extensor strength test
• Slow reach and poor aperture creation as well as reduced wrist extension and reduced radial deviation

  • Justification for selection of treatment
  • stabilisation phase treatment - wrist clock treatment with handshake - 12 oclock handshake, 1 past 12 handshake, 2 past 12 handshake etc
  • transportation phase treatment - metronome treatment - move from a to b in time with metronome. treat aperture with elastic band
• Slow reach and poor aperture creation as well as reduced wrist extension and reduced radial deviation

  • Justification of approaches to facilitated learning
  • refer to r&g scenario 1
• Slow reach and poor aperture creation as well as reduced wrist extension and reduced radial deviation

  • progression
  • increase degree of wrist extension and heigh of handshake movement
  • increase speed of metronome
  • increase size of aperture
  • combine transport and stabilisation phase treatment to pick up real life objects