Current practice in the diagnosis and treatment of carpal instability–results of a survey of Australian hand therapists.

Prosser R, Herbert R, LaStayo PC

AThe purpose of this study was to determine the current practice of the diagnosis and treatment of carpal instability by AHTA members. On average therapists saw 3.8 patients/month with carpal instability. Ulnar pain was reported in 39% of patients, central pain in 17%, radial pain in 13%, and combined in 34%.  Forty-seven percent of patients reported difficulties with grip-related activities. Mean grip strength was 67% of the contralateral side. The most commonly used tests used were scaphoid shift, lunotriquetral ballotment, triangular fibrocartilage complex, and midcarpal stress tests. The most used treatments were patient education, splinting the wrist, and isometric exercising of the wrist musculature.

Journal of Hand Therapy, 2007, 20(3), 239-42

Link to Abstract

Therapeutic Interventions for the Shoulder

Explore evidence-based interventions for shoulder pain including the Shoulder Symptom Modification Procedure and prescription considerations. Covers clinical approaches to management of specific conditions including instability, rotator cuff and subacromial pain.

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