SOURCE:
Advance for OT, Sep 1, 2008, P. 40
Article Title:
"Injuries to the Wrist: Beneath the Surface of Ulnar
Wrist Pain."
There are three points in this article that I wish to discuss, but I'm
going to do it in separate messages. I hope readers discuss my
comments.
POINT #1
There's a picture of a person rolling bread dough on a small chopping
block. The picture's caption states: "Rolling bread dough is a
purposeful task for [UE} strengthening." The caption then continues
with some more bio-mechanical explanations.
I told my wife that if I went to a therapist for wrist pain/injury and
they had me rolling dough, I would tell them "you must be crazy". In
fact, I would find a different therapist. There MAY be some
therapeutic value to rolling bread dough, but in the context of a
wrist injury, there MUST be more relative, clinical proven methods of
improving wrist function, right?
Now, if I were a baker and my wrist pain kept me from doing my job and
I NEEDED to roll bread dough then this type of modality might be
indicated.
I have never subscribed to the concept of "purposeful activity". I
think it's a mis-guided approach to rehab and is a like a round peg in
a square hole!
What do YOU think?
Ron
--
Ron Carson MHS, OT
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