Wrist and Hand Examination: Difference between revisions
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== Subjective == | == Subjective == | ||
Thorough history taking is an important first step in treating the patient. Each physical therapist will develop their own style and technique, but a good interview will include the basic elements discussed below. <br> | |||
history taking is an important first step in treating the patient. Each | |||
physical therapist will develop their own style and technique, but a good | |||
interview will include the basic elements discussed below. < | |||
= History <br> = | = History <br> = |
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Subjective[edit | edit source]
Thorough history taking is an important first step in treating the patient. Each physical therapist will develop their own style and technique, but a good interview will include the basic elements discussed below.
History
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Clinical Presentation <o:p></o:p>
Mechanism of the injury-<o:p></o:p>
How the injury occurred and what was the cause.<o:p></o:p>
Location of the pain<o:p></o:p>
Timeline- <o:p></o:p>
When is the pain at its worse and when is it relieved?<o:p></o:p>
Presence and location of numbness and tingling<o:p></o:p>
Aggravating and relieving factors<o:p></o:p>
Were any diagnostic test/imaging performed and what were the results?
Red Flags
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This section deals with screening the patient for possible serious pathologies that could cause wrist or hand pain. These conditions could warrant a referral, or consultation. <o:p></o:p>
Infections<o:p></o:p>
Heat <o:p></o:p>
Swelling<o:p></o:p>
Pain <o:p></o:p>
Redness <o:p></o:p>
Inflammation
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=== <meta content="" name="Title"></meta> <meta content="" name="Keywords"></meta> <meta content="text/html; charset=utf-8" http-equiv="Content-Type"></meta> <meta content="Word.Document" name="ProgId"></meta> <meta content="Microsoft Word 2008" name="Generator"></meta> <meta content="Microsoft Word 2008" name="Originator"></meta> <link href="file://localhost/Users/christianfiler/Library/Caches/TemporaryItems/msoclip/0/clip_filelist.xml" rel="File-List"></link> <style><!-- /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-parent:""; margin:0in; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black;} @page Section1 {size:8.5in 11.0in; margin:1.0in 1.25in 1.0in 1.25in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.Section1 {page:Section1;} --> </style>
Fracture/dislocation:<o:p></o:p>
Top five physical findings which are most useful in screening for wrist fracture.1 <o:p></o:p>
===
Localized tenderness (Sensitivity [Sn] 94%)<o:p></o:p>
Pain on active motion (Sn 97%)<o:p></o:p>
Pain on passive motion (Sn 94%)<o:p></o:p>
Pain on grip (Sn 71%)<o:p></o:p>
Pain on supination (Sn 68%)<o:p></o:p>
Bottom line: Any one of the above findings associated with a history of trauma should be sent for radiographs <o:p></o:p>
Scaphoid fracture<o:p></o:p>
Additional potentially serious conditions <o:p></o:p>
Scapholunate instability <o:p></o:p>
Arthritedes <o:p></o:p>
Rheumatoid Arthritis<o:p></o:p>
Lyme disease <o:p></o:p>
Tuberculosis<o:p></o:p>
<o:p></o:p>
Peripheral Vascular Disease<o:p></o:p>
Peripheral Neuropathy:<o:p></o:p>
Hx: Older age, >65. The risk is same for men/women.<o:p></o:p>
Risk factors include hypertension, hypercholesterolemia, obesity, diabetes, and smoking. Commonly affects lower extremity over upper extremity.<o:p></o:p>
Upper extremity nerve injuries involving<o:p></o:p>
Median<o:p></o:p>
Radial<o:p></o:p> Ulnar
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<span style=""
<o:p></o:p>
===
Differential Diagnosis
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text-line-through:none;} @list l0:level6 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:2.75in; mso-level-number-position:right; text-indent:-9.0pt; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l0:level7 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:3.25in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l0:level8 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:3.75in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l0:level9 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:4.25in; mso-level-number-position:right; text-indent:-9.0pt; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l1 {mso-list-id:2; mso-list-type:hybrid; mso-list-template-ids:2 -1 -1 -1 -1 -1 -1 -1 -1 -1;} @list l1:level1 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:.5in; mso-level-number-position:left; margin-left:.75in; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l1:level2 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:1.0in; mso-level-number-position:left; margin-left:1.25in; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l1:level3 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:1.5in; mso-level-number-position:right; margin-left:1.75in; text-indent:-9.0pt; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l1:level4 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:2.0in; mso-level-number-position:left; margin-left:2.25in; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l1:level5 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:2.5in; mso-level-number-position:left; margin-left:2.75in; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l1:level6 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:3.0in; mso-level-number-position:right; margin-left:3.25in; text-indent:-9.0pt; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l1:level7 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:3.5in; mso-level-number-position:left; margin-left:3.75in; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l1:level8 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:4.0in; mso-level-number-position:left; margin-left:4.25in; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l1:level9 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:4.5in; mso-level-number-position:right; margin-left:4.75in; text-indent:-9.0pt; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l2 {mso-list-id:3; mso-list-type:hybrid; mso-list-template-ids:3 -1 -1 -1 -1 -1 -1 -1 -1 -1;} @list l2:level1 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:1.0in; mso-level-number-position:left; margin-left:1.25in; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l2:level2 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:1.5in; mso-level-number-position:left; margin-left:1.75in; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l2:level3 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:2.0in; mso-level-number-position:right; margin-left:2.25in; text-indent:-9.0pt; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l2:level4 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:2.5in; mso-level-number-position:left; margin-left:2.75in; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l2:level5 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:3.0in; mso-level-number-position:left; margin-left:3.25in; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l2:level6 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:3.5in; mso-level-number-position:right; margin-left:3.75in; text-indent:-9.0pt; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l2:level7 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:4.0in; mso-level-number-position:left; margin-left:4.25in; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l2:level8 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:4.5in; mso-level-number-position:left; margin-left:4.75in; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l2:level9 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:5.0in; mso-level-number-position:right; margin-left:5.25in; text-indent:-9.0pt; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l3 {mso-list-id:4; mso-list-type:hybrid; mso-list-template-ids:4 -1 -1 -1 -1 -1 -1 -1 -1 -1;} @list l3:level1 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:2.0in; mso-level-number-position:left; margin-left:2.25in; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l3:level2 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:2.5in; mso-level-number-position:left; margin-left:2.75in; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l3:level3 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:3.0in; mso-level-number-position:right; margin-left:3.25in; text-indent:-9.0pt; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l3:level4 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:3.5in; mso-level-number-position:left; margin-left:3.75in; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l3:level5 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:4.0in; mso-level-number-position:left; margin-left:4.25in; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l3:level6 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:4.5in; mso-level-number-position:right; margin-left:4.75in; text-indent:-9.0pt; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l3:level7 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:5.0in; mso-level-number-position:left; margin-left:5.25in; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l3:level8 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:5.5in; mso-level-number-position:left; margin-left:5.75in; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l3:level9 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:6.0in; mso-level-number-position:right; margin-left:6.25in; text-indent:-9.0pt; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l4 {mso-list-id:5; mso-list-type:hybrid; mso-list-template-ids:5 -1 -1 -1 -1 -1 -1 -1 -1 -1;} @list l4:level1 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:.25in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l4:level2 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:.75in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l4:level3 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:1.25in; mso-level-number-position:right; text-indent:-9.0pt; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l4:level4 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:1.75in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l4:level5 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:2.25in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l4:level6 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:2.75in; mso-level-number-position:right; text-indent:-9.0pt; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l4:level7 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:3.25in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l4:level8 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:3.75in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l4:level9 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:4.25in; mso-level-number-position:right; text-indent:-9.0pt; mso-ansi-font-size:12.0pt; mso-bidi-font-size:12.0pt; mso-ascii-font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-hansi-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l5 {mso-list-id:6; mso-list-type:hybrid; mso-list-template-ids:6 -1 -1 -1 -1 -1 -1 -1 -1 -1;} @list l5:level1 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:.25in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l5:level2 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:.75in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l5:level3 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:1.25in; mso-level-number-position:right; text-indent:-9.0pt; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l5:level4 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:1.75in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l5:level5 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:2.25in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l5:level6 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:2.75in; mso-level-number-position:right; text-indent:-9.0pt; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l5:level7 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:3.25in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l5:level8 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:3.75in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l5:level9 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:4.25in; mso-level-number-position:right; text-indent:-9.0pt; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l6 {mso-list-id:7; mso-list-type:hybrid; mso-list-template-ids:7 -1 -1 -1 -1 -1 -1 -1 -1 -1;} @list l6:level1 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:.25in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l6:level2 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:.75in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l6:level3 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:1.25in; mso-level-number-position:right; text-indent:-9.0pt; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l6:level4 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:1.75in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l6:level5 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:2.25in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l6:level6 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:2.75in; mso-level-number-position:right; text-indent:-9.0pt; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l6:level7 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:3.25in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l6:level8 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:3.75in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l6:level9 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:4.25in; mso-level-number-position:right; text-indent:-9.0pt; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l7 {mso-list-id:8; mso-list-type:hybrid; mso-list-template-ids:8 -1 -1 -1 -1 -1 -1 -1 -1 -1;} @list l7:level1 {mso-level-number-format:bullet; mso-level-text:●; mso-level-tab-stop:.25in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l7:level2 {mso-level-number-format:bullet; mso-level-text:○; mso-level-tab-stop:.75in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l7:level3 {mso-level-number-format:bullet; mso-level-text:■; mso-level-tab-stop:1.25in; mso-level-number-position:right; text-indent:-9.0pt; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; mso-ascii-font-family:Arial; mso-fareast-font-family:Arial; mso-hansi-font-family:Arial; mso-bidi-font-family:Arial; color:black; mso-ansi-font-weight:normal; mso-bidi-font-weight:normal; mso-ansi-font-style:normal; mso-bidi-font-style:normal; text-decoration:none; text-underline:none; text-decoration:none; text-line-through:none;} @list l7:level4 {mso-level-number-format:bullet; 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Anterior Interosseous Syndrome<o:p></o:p>
[[../../../../index.php5?title=Posterior_Interosseus_Syndrome|Posterior Interousseous Syndrome]]
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Fractures <o:p></o:p>
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Osteoarthritis<o:p></o:p>
First Carpometacarpal Osteoarthritis<o:p></o:p>
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DeQuervain Syndrome<o:p></o:p>
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Radial Tunnel Syndrome <o:p></o:p>
Compression of the Ulnar nerve at Guyon’s canal<o:p></o:p>
Non-specific wrist pain (mechanical wrist pain)<o:p></o:p>
Can include wrist strain, sprain, joint dysfunction, repetitive injuries or h/o trauma without specific identified diagnosis. <o:p></o:p>
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Trigger Finger<o:p></o:p>
Complex Regional Pain Syndrome
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Triangular Fibrocartilaginous Complex <o:p></o:p>
Outcome Measures
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<meta content="" name="Title"></meta><meta content="" name="Keywords"></meta><meta content="text/html; charset=utf-8" http-equiv="Content-Type"></meta><meta content="Word.Document" name="ProgId"></meta><meta content="Microsoft Word 2008" name="Generator"></meta><meta content="Microsoft Word 2008" name="Originator"></meta><link href="file://localhost/Users/christianfiler/Library/Caches/TemporaryItems/msoclip/0/clip_filelist.xml" rel="File-List"></link> <style><b> <!-- /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-parent:""; margin:0in; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; color:black;} @page Section1 {size:8.5in 11.0in; margin:1.0in 1.25in 1.0in 1.25in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.Section1 {page:Section1;} --> </b></style>
DASH: <o:p></o:p>
Symptom Severity Scale<o:p></o:p>
Patient Specific Functional Scale <o:p></o:p>
Objective[edit | edit source]
Observation[edit | edit source]
- Posture
- Movement Patterns
Functional Tests
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Palpation[edit | edit source]
- supine
- prone
- seated
Neurologic Assessment
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Movement Testing[edit | edit source]
- AROM, PROM, and Overpressure
- Passive Intervertebral Motion
- Muscle Strength