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occupational therapy

Joe is currently a client receiving treatment at a hand therapy clinic, due to a traumatic injury to his left hand. Carpentry work has been Joe's profession for many years. He suffered a debilitating injury to flexor tendons of the 2nd and 3rd metacarpals, fracturing the first metacarpal bone, severing the 4th finger and all innervation to the fingers. The flexor tendons are repaired, the first metacarpal bone has healed and the open wound in the palm of his hand has finally closed. Joe has severe disability to the left hand and is limited in function of all occupational areas. He has an extreme amount of stiffness, pain and weakness due to the tendon repair. This results in a limited active and passive range of motion in his wrist and fingers.

Goniometric assessment was chosen for Joe due to the weakness of the muscles and loss of innervation to the hand. A comprehensive evaluation of joint range of motion is appropriate to improve functional abilities of his hand. Due to the extreme amount of stiffness in the left hand, goniometric assessment will enable the therapist to assessment will enable the therapist to assess dysfunction and start a rehabilitative program. Measurements of Joe's wrist and proximal interphalange

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Approximate Word count = 1248
Approximate Pages = 5 (250 words per page double spaced)

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