Joint Play: Wrist & Hand

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. A video demonstration of joint play analysis at the wrist and hand
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[@Mr71659]

Great technique

[@Flo-ni5jd]

Thank you guys

[@shimarezaeikhoramnani5043]

Thank you so much for all your videos. I always support you with my 👍 It should be nice if you explained more the clinical reasoning about why you are going to do this test? What is your goal? what you are going to improve with palmar glide? FX: improve extension But you are amazing:)

[@Physiotutors]

Thanks for the input Shima! We agree and this is what we want to delve into. joint play is used to assess the capsular apparatus using aphysiological movements and possibly identify restrictions. It's a Yes/No approach. Is there joint play, yes or no.

[@juless4524]

Dankjewel Andreas!

[@NavneetKaur-wp3qc]

Can you please mention about reps/sets in wrist pain

[@maybellejoybeluan597]

Thank you for this video👍💪😊

[@MDNazim-hp8jp]

Always appreciate your video sir..but pls also mention that which gliding improve which movement????

[@Physiotutors]

Check the video on wrist mobilizations on our manual therapy playlist

[@AlvarWahle]

Thank you!

[@Physiotutors]

Glad you like it!

[@paotruong9435]

This may be a basic question however what does AP and PA stand for?

[@knight998]

NICE

[@jewelriccitan3197]

What is the purpose of assessing the joint play? Is it done prior to performing peripheral joint mobilization? Are there any grading for this? How would you know if the findings are normal/abnormal?

[@Physiotutors]

Hi Jewel, the goal of joint play is to quickly assess capsular restrictions in the joint! So your outcome could be either pain provocation of decreased mobility. In order for your findings to be normal/abnormal you would compare both sides with each other. There are different grading systems that are being used, like for example this one: 0 - ankylosis 1 - high hypomobility 2 - medium hypomobility 3 - normal movement 4 - medium hypermobility 5 - high hypermobility 6 - total instability However, dividing joint movement into such a small scale has shown to be highly unreliable. Therfore, I think it is enough to try to judge if a joint is hyper- or hypomobility and possibly add pain as an outcome too.

[@jewelriccitan3197]

Okay, thank you so much! :)

[@krisha600]

Isn’t Ap glide push downwards ??

[@LacroixVincent]

Can we assess the same glide (AP/PA, distraction) for the intercarpal joint and carpomethacarpal joint?

[@Physiotutors]

Yes glides are possible

[@litfulf8282]

What about twisting of finger joints?

[@Physiotutors]

Twisting as in rotating? That's only a side movement that happens during flexion and extension of the fingers, so not need to test it as a separate entity

[@Oneginix]

Thank you!