Article

Conditions of the head, neck, thorax, and shoulder may occur
simultaneously with arm pathology or produce symptoms perceived by the patient to
originate in the elbow, wrist, or hand. Identification of the tissue disorder and
associated impairments, followed by matching the rehabilitative intervention to
address these issues, leads to optimal outcomes. With this goal in mind, the hand
therapist needs to recognize clinical findings that signal potentially serious
medical conditions of the brain, cervical region, chest, or shoulder.
Additionally, less serious but potentially debilitating, musculoskeletal or
neurogenic pain from proximal sources must also be differentiated from somatic
pain originating in the elbow, wrist, or hand so that the clinician can decide to
further examine and intervene or refer to an appropriate health care provider.
This article describes clinical findings that suggest the presence of serious
medical pathology in the head, neck, or thorax and presents a screening algorithm
to assist in discriminating pain derived from local structures in the distal arm
from referred pain originating in the more proximal regions of the shoulder,
thorax, neck, or brain. LEVEL OF EVIDENCE: 5.
CI - Copyright 2010 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS