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Tratamiento de la mano rígida con terapia MAPS. Treatment of wrist stiffnes with MAPS therapy
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ORIGIN OF WRIST STIFFNESS
Articular origin.
Fibrosis origin
Articular or periarticular fibrosis
Tendon gliding deficid
HOW WE CAN DIFERENCIATE ?
clinical exploration Tool: WRIST GONIODINAMOMETRI
Should be an objective tool !!!
HOW WE CAN DIFERENCIATE ?
Clinical exploration
HOW WE CAN DIFERNCIATE ?
Clinical exploration
HOW WE CAN DIFERENCIATE ?
Goniodinamometri
TREAT THE RESTRICTIVE ELEMENT
WE KNOW THE STIFFNESS ORIGIN !!!
DON’T DO GENERAL TRATMENTS!!!
MAPS THERAPY
Technique of distal tendon gliding of the extensors tendons
in the dorsal part of the wrist to get wrist flexion.
MAPS THERAPY
Techinique of distal tendon gliding of the flexors tendons in the volar part of the wrist to get wrist extension.
MAPS THERAPY
volar traslation of the first carpal row to get wrist extension
MAPS THERAPY
active wrist flexion whith resistance.
MAPS THERAPY
Active exercices.
MAPS THERAPY
other treatments: manualt therapy, dry needling, wrist plaster…
