Wrist Instability: Considerations for Treatment
Presented by Aviva Wolff
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This course will review the basic carpal anatomy, biomechanics and pathomechanics that contribute to common wrist instability patterns. We will explain how the anatomical and biomechanical contributions to joint stability and instability inform the development of rehabilitation treatment approaches. We will discuss current therapy interventions including orthotic intervention, proprioception, wrist stabilization exercises, and the role of the muscles in carpal stability. We will review the progression of rehabilitation for common wrist ligament injuries.
Meet your instructor
Aviva Wolff
Aviva Wolff is an occupational therapist and clinician-scientist with a strong background in motor control and movement analysis and extensive experience working with performing artists and individuals with musculoskeletal injuries. She currently consults for the Juilliard School and runs the upper extremity clinical movement…
Chapters & learning objectives
1. Carpal Anatomy, Biomechanics, and Common Instability Patterns
This chapter will review basic carpal anatomy, biomechanics and pathomechanics contributing to common wrist instability patterns. Anatomical and biomechanical contributions to joint stability and instability will be reviewed as a foundation to understand the development of rehabilitation treatment approaches.
2. Proprioceptive Training and Dynamic Stabilization for Carpal Instability
Dynamic stability of the wrist is dependent on intact proprioception. This lecture will review the basic neurophysiology of the wrist sensorimotor control system and the role of muscles in carpal stability. Techniques to assess wrist sensorimotor impairment will be presented. Rehabilitation strategies for sensorimotor control and exercises for dynamic carpal stability will be presented briefly and further elaborated on in Chapter 3.
3. Wrist Instability Rehabilitation: Application of Science to Practice
This chapter will cover the rehabilitation considerations and therapy following common wrist instability patterns and wrist reconstructive procedures during the early protective and late rehabilitation phases. Topics covered will include orthotic design, proprioception strategies, and wrist stabilization exercises. Progression of neuromuscular rehabilitation will be discussed.
