Work Hardening UB Strengthening

Documentation and Activity Rationale

The patient engaged in a work conditioning activity facilitating synergistic movement patterns of gross upper body mobility, grasp, and pinch combined with core stability, trunk rotation, weight shift, and awareness of proper body mechanics. The patient was required to use chuck and 5 point pinch as well as gross grasp to displace a 5lb weighted sheet from outside BOS on the right to outside BOS on the left simulating work-related tasks. The patient performed 2×15 repetitions without s/s of pain or mm exhaustion. Future sessions will require integration of these movement patterns to changes of elevation from high to low and shallow to deep, toleration of varying mass up to 20lbs, and continued education on proper body mechanics to avoid maladaptive compensatory movement responses. 

Appropriate Diagnoses / Deficits

• muscle weakness
• s/p hand and/or wrist surgery
• CVA
• TBI