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Titlebook: Hand and Wrist Therapy; Clinical Examination Grégory Mesplié Book 2022 The Editor(s) (if applicable) and The Author(s), under exclusive lic

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https://doi.org/10.1057/9781137450098Making an orthosis for a patient suffering from a hand injury is a fundamental step in their healing process, should it be aiming to immobilize or to rest injured tissues, or to optimize rehabilitation goals.
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Clinical Reasoning in the Traumatic and Micro-Traumatic Pathologies of the HandA methodological clinical assessment will provide all the clinical elements needed for clinical reasoning and will therefore lead to the most adapted therapeutic orientations.
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Hand and Wrist MobilizationsA normal function of the hand implies that all wrist and hand joints are free to move normally. Any disorder or restriction leads to hand dysfunctions from slight compensation mechanisms to heavy impairments according to the disorder’s significance.
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Neurodynamic MobilizationsThe nervous system is a continuous system. In fact, Littré [1] talks about a “dynamic interdependency” between its mechanics and its physiology: a mechanical alteration affects the physiology, which can then cause inflammation, peripheral sensitization, and mechano-sensitivity [2].
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Physiology and Rehabilitation of Sensorial and Motor DisordersA peripheral nerve [2] is made of fascicles surrounded by connective tissue (the endoneurium) and contained in the perineurium. These fascicles are gathered in another tissue, the epineurium, which ensures the fixation and gliding of the nerve respective to the adjacent structures.
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Self-RehabilitationSelf-rehabilitation has an increasingly important role in rehabilitation. However, there are very few data regarding the methodology for creating a self-rehabilitation program available in the literature.
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