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Joe is currently a client receiving treatment at a hand therapy clinic due to a traumatic injury to his left hand Carpentry work has been Joes profession for many years He suffered a debilitating injury to flexor tendons of the 2nd and 3rd metacarpals fracturing the first metacarpal bone severing the 4th finger and all innervation to the fingers The flexor tendons are repaired the first metacarpal bone has healed and the open wound in the palm of his hand has finally closed Joe has severe disability to the left hand and is limited in function of all occupational areas He has an extreme amount of stiffness pain and weakness due to the tendon repair This results in a limited active and passive range of motion in his wrist and fingersGoniometric assessment was chosen for Joe due to the weakness of the muscles and loss of innervation to the hand A comprehensive evaluation of joint range of motion is appropriate to improve functional abilities of his hand Due to the extreme amount of stiffness in the left hand goniometric assessment will enable the therapist to assessment will enable the therapist to assess dysfunction and start a rehabilitative program Measurements of Joes wrist and proximal interphalangeal finger joints were taken to provide new information on how the appropriate intervention activities were progressing him to a more functional range of motion This was an appropriate evaluation tool because it provided information on how progression was made at each joint to alleviate stiffness and pain in Joes left hand The passive range of motion measurements provided information on how much Joe has improved since the beginning of treatmentSpecial tests and evaluation procedures that would be appropriate for this patient would be to test for a positive Tinel sign and testing opposition or pinching The special test of Tinel sign would be performed to assess and determine the innervation that is returning back to the fingers The therapist can
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