By Grégory Mesplié
This paintings demonstrates that hand and wrist rehabilitation demands designated anatomical, biomechanical, and physiological services, in addition to mastery of handbook ideas and specific physiotherapy.
Particular recognition is given to the complementarity among theoretical wisdom and functional facets; hence, refreshers at the underlying concept; descriptions of the rehabilitation protocols and the categorical guide and instrumental recommendations; and the kind of orthesis used reckoning on the hold up of therapeutic are supplied for every pathology.
This booklet will entice a extensive readership, from physiotherapists and occupational therapists, to surgeons and practitioners really good in actual rehabilitation, to scholars within the fields of physiotherapy and occupational therapy.
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Extra resources for Hand and Wrist Rehabilitation: Theoretical Aspects and Practical Consequences
18 1 Functional and Biomechanical Anatomy of the Radioulnar Unity and the Wrist Fig. 16 The quadrate ligament is tensed between the radial notch of the ulna and the radial head Fibre Oriented Downwards from the Ulna Towards the Radius (Downwards and Outwards) They form 2 individualized structures: the oblique cord and the proximal band. The interosseous membrane is always tensed during pronosupination: the proximal part is tensed in pronation, the middle part in neutral position and the distal part in supination (Fig.
In extension, it is minimal for the lunate that presents its posterior horn (the thinnest) and medium for the scaphoid that is right, but the trapezium slides dorsally to reduce the working distance (Figs. 42). There’s asynchronicity between the lunate and scaphoid when locking in extension: the scaphoid is locked earlier because of the tension of the radioscaphoid and scaphotrapezoid ligaments and the block on the posterior part of the radius. The lunate moves about 30° more after the scaphoid is locked due to the elasticity of the scapholunate ligament.
2 Joint Anatomy and Physiology 31 Fig. 31 The ulnar ligamentary anchor opposes the carpal physiological gliding occurring because of the longitudinal constraints and radial slope Fig. 32 Composition of the triquetral sling Its rupture leads to a scapholunate diastasis and a posterior tilt of the lunate, which then won’t be pushed by the triquetrum towards extension. It also produces a secondary global collapse of the 1st carpal row. The lunotriquetral ligament allows very little mobility between the lunate and the triquetrum.
Hand and Wrist Rehabilitation: Theoretical Aspects and Practical Consequences by Grégory Mesplié