Evaluation of the Hand/UE

Question 1

history (5)

Answer 1

1. onset of symptoms
2. prior medical intervention
3. pertinent medical history
4. medications (everything)
5. observation

Question 2

assessment of pain (7)

Answer 2

1. level
2. location
3. type
4. frequency
5. duration
6. pain levels during eval
7. chronic pain

Question 3

pain scales (5)

Answer 3

1. numeric analog scale
2. visual analog scale
3. verbal rating scale
4. graphic representation
5. pain questionnaire

Question 4

pain with AROM but not PROM

Answer 4

think muscle/tendon

Question 5

pain with PROM

Answer 5

think joint

Question 6

joint movement limitations due to pain with distraction

Answer 6

think ligament or joint capsule

Question 7

joint movement limitations due to pain with compression

Answer 7

think joint surface, loss of cartilage, bone spur, etc.

Question 8

areas of wound assessment (6)

Answer 8

SCOTDD

1. size
2. color
3. odor
4. temperature
5. drainage
6. depth

Question 9

areas of scar assessment (4)

Answer 9

1. color
2. size
3. flat/raised
4. adhesions

Question 10

vascular status assessment (4)

Answer 10

1. Capillary Refill test
2. Peripheral Pulse Palpation
3. Modified Allen’s test
4. surface temperature assessment

Question 11

Capillary Refill Test

Answer 11

place pressure on distal portion of volar finger until tissue turns white then release and count seconds it takes for color to return to normal
*normal cap refill

Question 12

Modified Allen’s Test

Answer 12

place firm pressure over radial and ulnar arteries and instruct client to open and close hand until the palm turns white then release pressure from one side of the wrist and record time it takes for color to return to normal then repeat with opposite side
*normal response 5 sec or less

Question 13

Surface Temperature Assessment

Answer 13

if forearm is 4+ deg warm than fingertip surface, it may indicate vascular compromise

Question 14

ROM assessment (4)

Answer 14

1. PROM
2. AROM
3. TAM
4. TPM

Question 15

swelling assessment (3)

Answer 15

1. volumetric displacement
2. circumferential measurement
3. characteristics - observation, palpation

Question 16

sensation assessment (8)

Answer 16

1. static two-point discrimination
2. moving two-point discrimination
3. Semmes-Weinstein Monofilament test
4. localization of light touch
5. Ninhydrin Test
6. O’Riain Wrinkle Test
7. vibration
8. Moberg Pick-up Test

Question 17

coordination assessment (6)

Answer 17

1. O’Connor Dexterity Test
2. Nine-Hole Peg Test
3. Jebsen-Taylor Hand Function Test
4. Minnesota Rate of Manipulation test
5. Crawford Small Parts Dexterity Test
6. Purdue Pegboard Test

Question 18

grip strength assessment (3)

Answer 18

1. standard grip test
2. five-level grip test
3. rapid exchange grip test

Question 19

pinch strength assessment (3)

Answer 19

1. lateral pinch test
2. three-point pinch test
3. two-point pinch test

Question 20

lateral pinch test

Answer 20

key pinch

place pinchmeter between radial side of index finger and thumb

Question 21

three-point pinch test

Answer 21

three jaw chuck pinch

place pinchmeter between pulp of the thumb and pulp of the index and middle fingers

Question 22

two-point pinch test

Answer 22

tip to tip pinch

place the pinchmeter between the tip of the thumb and the tip of the index finger

Question 23

strength assessment

Answer 23

MMT

Question 24

orthotics assessment

Answer 24

current or prior use

check for proper fit

Question 25

functional use assessment

Answer 25

different self-assessment questionnaires
don’t leave out!
helps to establish functional goals

Question 26

DASH

Answer 26

Disabilities of the Arm, Shoulder, and Hand Index

• 30 questions (9 symptoms, 21 functional status)
• Likert scale 1-5
• at least 27 items must have been completed to score
• 0 (no disability) 100 (completely disabled)

Question 27

QuickDASH

Answer 27

developed for quick response time
*11 questions
can be scored with 10 out of 11 answered