What Is a Boutonnière Deformity?A boutonnière deformity—or buttonhole deformity—involves a proximal interphalangeal (PIP) joint flexion contracture with distal interphalangeal (DIP) joint hyperextension.This occurs due to disruption within the extensor system, specifically:The central slip loses the…
In my previous article, Making Motor Learning Meaningful, I applied the stages of motor learning to “Helen,” a 70-year-old right-sided stroke survivor.During her session, I incorporated therapeutic techniques to help Helen paint a small wooden…
The early symptoms of amyotrophic lateral sclerosis (ALS) can easily be mistaken for other diseases. For instance, ALS can be misdiagnosed as a cervical disc injury, leading to a delay in a correct diagnosis for…
Let’s set the scene:You’ve been working as a school-based physical or occupational therapist, and your viewpoints on what a child needs or when services should be discontinued are not always shared by other members of…
Hypermobility spectrum disorders (HSD) and Ehlers-Danlos syndrome (EDS) are not as uncommon as previously thought. While there are many rare types of EDS, hypermobile EDS (hEDS) and HSD are conservatively estimated to be present in…
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