Manual therapy for work-related wrist pain in a manual physical therapist
Autor: | Craig P. Hensley, Alexandra R Anderson |
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Rok vydání: | 2019 |
Předmět: |
Adult
Wrist Joint 030506 rehabilitation medicine.medical_specialty Pain Physical Therapy Sports Therapy and Rehabilitation Wrist pain Wrist Work related 03 medical and health sciences 0302 clinical medicine Lumbar medicine Humans business.industry Work-related musculoskeletal disorders Musculoskeletal Manipulations Physical Therapists Lunate medicine.anatomical_structure Triquetrum Physical therapy Female Manual therapy medicine.symptom 0305 other medical science business 030217 neurology & neurosurgery |
Zdroj: | Physiotherapy Theory and Practice. 37:1244-1251 |
ISSN: | 1532-5040 0959-3985 |
DOI: | 10.1080/09593985.2019.1686671 |
Popis: | Introduction: The wrist is a common site for work-related musculoskeletal disorders (WMSD) among physical therapists (PTs), often due to manual therapy. There are limited data on management of wrist injury in PTs. The purpose of this case is to describe the management of a PT with wrist pain.Case Description: The patient was a 28-year-old female with a 6-month history of right ulnar-sided wrist pain, aggravated by performing thoracic/lumbar posterior to anterior (PA) glides. The patient reported 7/10 on the Numeric Pain Rating Scale and 6.5/10 on the Patient-Specific Functional Scale (PSFS). Symptoms were reproduced at the lunotriquetral joint.Outcomes: The patient was seen for two visits. Following anterior to posterior non-thrust mobilization at the triquetrum on lunate, the patient improved inability to perform thoracic/lumbar PA glides. The patient was educated on manual therapy modifications, isometrics, and self-mobilization. At 2-month follow-up, the patient reported 0/10 pain, scored 10/10 on the PSFS, and +7 on the Global Rating of Change.Discussion: This case demonstrates the successful use of education, manual therapy, and exercise in the management of a PT with a wrist-related WMSD. Future research should focus on the prevention/treatment of wrist-related WMSDs in PTs who perform manual therapy. |
Databáze: | OpenAIRE |
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