Journal of Hand Therapy
Volume 19, Issue 2 , Pages 82-97, April 2006

Examination of the Elbow: Linking Diagnosis, Prognosis, and Outcomes as a Framework for Maximizing Therapy Interventions

  • Joy C. MacDermid, BScPT, MSc, PhD

      Affiliations

    • Corresponding Author InformationCorrespondence and reprint requests to Joy C. MacDermid, BScPT, MSc, PhD, Hand and Upper Limb Centre Clinical Research Laboratory, St. Joseph's Health Centre, 268 Grosvenor Street, London, Ontario, N6A 3A8

Hand and Upper Limb Centre Clinical Research Laboratory, St. Joseph's Health Centre, London, Ontario, Canada

School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada

Finger Lakes Physical Therapy, Ithaca, New York

Rocky Mountain University of the Health Professions, Provo, Utah, USA

Abstract 

A conceptual framework for examination of the elbow by the therapist is presented. The role of history taking including patient life-style factors, comorbidities and goals; pain assessment; utility of provocative maneuvers and range of motion analysis are presented. Assessment of strength using hand-held dynamometry is described. Pain and disability measures relevant to patients with elbow pathology are discussed and one patient self report instruments is appended (the Patient-rated Elbow Evaluation). The psychometrics properties of tests for the elbow, when available, are reviewed. A template for recording an elbow examination is provided.

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 Funded by a New Investigator Award, Canadian Institute of Health Research.

PII: S0894-1130(06)00059-7

doi:10.1197/j.jht.2006.02.018

Journal of Hand Therapy
Volume 19, Issue 2 , Pages 82-97, April 2006