WRIST STIFFNESS TREATMENT WITH MAPS THERAPY

Albert Domínguez Arasadominguezarasa@gmail.com.

ORIGIN OF WRIST STIFFNESS

Articular origin.

Fibrosis origin

Articular or periarticular fibrosis

Tendon gliding deficid

HOW WE CAN DIFERENCIATE ?

clinical exploration Tool: WRIST GONIODINAMOMETRI

Should be an objective tool !!!

HOW WE CAN DIFERENCIATE ?

Clinical exploration

HOW WE CAN DIFERNCIATE ?

Clinical exploration

HOW WE CAN DIFERENCIATE ?

Goniodinamometri

TREAT THE RESTRICTIVE ELEMENT

WE KNOW THE STIFFNESS ORIGIN !!!

DON’T DO GENERAL TRATMENTS!!!

MAPS THERAPY

Technique of distal tendon gliding of the extensors tendons

in the dorsal part of the wrist to get wrist flexion.

MAPS THERAPY

Techinique of distal tendon gliding of the flexors tendons in the volar part of the wrist to get wrist extension.

MAPS THERAPY

volar traslation of the first carpal row to get wrist extension

MAPS THERAPY

active wrist flexion whith resistance.

MAPS THERAPY

Active exercices.

MAPS THERAPY

other treatments: manualt therapy, dry needling, wrist plaster…

WRIST STIFFNESS TRATAMIENT WITH MAPS THERAPY

THANK YOU!!!!

ALBERT DOMÍNGUEZ ARASA

dominguezarasa@gmail.com