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physicaltherapy: 05 Feb : 06:54 pm

Is there anyone who has gone through CWT6 or type 1 evaluation with FCCPT?
If so, kindly let me know from where can the following deficiencies be fulfilled?
1. History
2. Systems Review
3. Findings that warrant referral
4. Supervision of support staff
5. Documentation

nani: 28 Sep : 04:31 am

plz pleasec tell me where to do phd in india

Nikhilphysio: 02 Jun : 03:55 am

I am working as physiotherapist in Shalby hospital ahmedabad for 4 years. I have passed out from Rajiv gandhi university of health and sciences Bangalore. I want to apply for Newzealand physiotherapy board registration so anyone there from India who got registered as physiotherapist in new zealand please help me.

Arun: 10 May : 12:36 am

Hi Priyank, welcome. Feel free to go through these forum threads returned by search [link]

Priyank: 09 May : 10:28 pm

Hi..need advice. What are the options in Australia after MPT?


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Physioblasts.Org - India's collaborative physiotherapy community & free learning portal :: Forums :: Practice Forum :: Investigation Tools
 
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SPECIAL PHYSICAL ASSESSMENT TESTS (part 4 - Wrist & hand)

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Moderators: Arun, Boopathi, Robin, baskar, AJIN, MDK-Physio
Author Post
Sun Apr 10 2011, 05:27pm
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
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Again, an attempt to gather all physical assessment tests related to hand and wrist , kindly add up with the ones you know...
A simple video description for refreshing the anatomy of wrist before going into the tests:



ALLEN TEST:
Patient position : Sitting
PT position : At the side of wrist to be assessed
Test : Examiner supports the patient's hand with one hand, patient is intructed to open and close fist quickly several times and then to squeeze fist tightly, examiner then places the thumb of the other hand over the radial artery and index and middle fingers on th eulnar artery and occludes them by applyin pressure over them against the underlying bones. Patient is then instructed to open the fist, examiner releases one of the artery.
Sign/Interpretation : If the blood do not flush immediately into the arm, it indicates complete or partial occlusion of the tested artery.
Video description :


[ Edited Wed Apr 20 2011, 10:54am ]

Tue Apr 12 2011, 08:17pm
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
Posts: 2120

FROMENT TEST:

Patient position : Sitting
PT position : Anterior to the patient
Test : Patient is asked to secure a piece of paper between the thumb and the radial side of the index finger while examiner pulls the paper.
Sign/Interpretation : Flexion of interphalangeal joint of the thumb to secure the paper and failure to hold the paper indicates adductor pollicis paralysis ( ulnar newrve lesion)
Video description:


[ Edited Wed Apr 20 2011, 10:44am ]

Wed Apr 13 2011, 05:26pm
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
Posts: 2120

EGAWA TEST:

Patient position : Sitting
PT position : Anterior to the patient
Test : Patient is asked to slightly flex the third digit and then alternatively deviate the finger radially and ulnarly
Sign/Interpretation : Unable to perform the movement indicates ulnar nerve paralysis.
Video description :


[ Edited Wed Apr 20 2011, 10:59am ]

Thu Apr 14 2011, 05:02pm
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
Posts: 2120

PHALEN TEST:

Patient position : Sitting
PT position : Anterior
Test : Examiner holds patient's both forearms distally and asks the patient to flex the wrists as much as possible and to maintain that position for a minute
Sign/Interpretation : Pain or tingling in the first three and a half fingers(median nerve distribution) indicates carpal tunnel syndrome.
Video description:


[ Edited Wed Apr 20 2011, 11:01am ]

Sat Apr 16 2011, 06:26pm
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
Posts: 2120

TINEL TEST:

Patient position : Sitting
PT position : Anterior or at the side of the wrist to be assessed
Test : Examiner stabilises the patient's forearm with one hand with the patients wrist held in neutral position. Examiner then taps on the volar carpal ligament with the index finger of the other hand
Sign/Interpretation : Pain or tingling sensation in first three ad half fingers( median nerve distribution) indicates carpal tunnel syndrome.
Video description :


[ Edited Wed Apr 20 2011, 11:02am ]

Mon Apr 18 2011, 04:02pm
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
Posts: 2120

WATSON TEST:

Patient position : Sitting
PT position : Anterior to the patient
Test : Examiner stabilises the patient's forearm distally with one hand, then grasps scaphoid with the thumb and index finger of the other hand and moves it anteriorly and posteriorly.
Sign/Interpretation : Excessive movement of scaphoid indicates instability or subluxation of scaphoid (Test to be performed on uninvloved side and be compared)

Wed Apr 20 2011, 10:47am
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
Posts: 2120

LUNATOTRIQUETRAL BALLOTMENT TEST:

Patient position : Sitting
PT position : Anterior
Test : Examiner grasps the patient's triquetrum using the thumb and index fingers of one hand and lunate with the other hand similarly; the tries to displace the triquetrum anteriorly and posteriorly on lunate
Sign/Interpretation : Laxity, crepitus and pain indicates partial or complete tear of lunatotriquetral interrosseous membrane
Video description:

Fri Apr 22 2011, 08:06am
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
Posts: 2120

MURPHY TEST:

Patient position : Sitting
PT position : Anterior or to the side of the patient
Test: Patient is instructed to make a fist
Sign/Interpretation : The head of the metacarpal being on level with the second and the fourth metacarpals indicates lunate dislocation.

Sat Apr 23 2011, 07:00am
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
Posts: 2120

GRIND TEST:

Patient position : Sitting
PT position : At the side of the wrist to be assessed
Test : Examiner stabilises the patient's hand and grasps the thumb distal to the metacarpophalangeal joint with the other hand and applies axial compression and rotation to the metacarpophalangeal joint
Sign/Interpretation : Pain on movement indicates degenerative joint disease of the metacaarpophalangeal joint
Video description :

Sat Apr 23 2011, 05:56pm
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
Posts: 2120

FINKELSTEIN TEST:

Patient position : Sitting
PT position : Anterior to the patient
Test : The examiner stabilises the patient's forearm and instructs the patient to clench the thumb under grasping fingers. Examiner then moves the patient's wrist into ulnar deviation
Sign/Interpretation : A sharp pain at the radial styloid process indicates deQuervain's thumb(tenosynovitis)
Video description :


[ Edited Sat Apr 23 2011, 06:03pm ]

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