Combining Passive Movements to Treat Wrist Joint Dysfunction: A Practical Guide

Abstract

Joint dysfunction within the wrist complex can be presented in the hand clinic or outpatient department. Traumatic or insidious in onset, symptoms can be prolonged if intervention is not prompt and appropriate. This article will draw together and integrate various approaches to the use of passive movement as a treatment strategy in the management of joint dysfunction at the wrist. In an attempt to most effectively restore full functional and pain free mobility of the wrist complex clues from the subjective and objective examination will be highlighted to assist in the initial selection and later progression of passive movements as a mobilisation technique. Rather than a literature review of the efficacy of passive movements, this is a practical guide for application to clinical practice.