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Case Study
Age, Gender & Diagnosis
46 year-old right hand dominant female with a left hand contractural atrophy (flexibleboutonniere)
History
Patient has a history of COPD, Asthma, and BronchitisPatient is allergic to Aspirin.Patient is on Naproxen and Tylenol.Patient was not working at time of onset, which was in 1999.Patient used to paint and do woodworking.Upon admission patient showed: LUE Strength RUE StrengthShoulder flexion 4/5 WNLShoulder Abduction 4/5 WNLShoulder Int. Rot. 4+/5 WNLShoulder Ext. Rot. 4+/5 WNLElbow flexion 4+/5 WNLElbow extension 4+/5 WNLForearm supination 4+/5 WNLForearm pronation 4+/5 WNLWrist flexion 4+/5 WNLWrist extension 4-/5 WNLGrip 22# 71#Lateral pinch 10# 14#Palmer pinch 7# 13#LUE AROMShoulder flexion 120Shoulder abduction 95Shoulder Int. Rot. 75Shoulder Ext. Rot. 60Elbow flexion WNLElbow extension WNLForearm supination WNLForearm pronation WNLWrist extension 50Wrist flexion 60Digits: MP PIP DIPIndex -25/75 -40/100 +20/45Long -40/90 -50/105 +35/30Ring -35/90 -35/100 +15/45Small -35/90 -50/100 +10/55CMC MP IPThumb 70 -5/45 +55/30All AROM of RUE is WNL.
Problem Areas
Patient has problems with Fine Motor Control, Tremors, Thoracic kyphosis with a Rightlateral shift, difficulty with buttoning and hair care. Patient denies sensation loss.
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