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Wrist Stiffness Treatment with MAPS Therapy - Albert Dominguez Arasa

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Wrist Stiffness Treatment with MAPS Therapy - Albert Dominguez Arasa

  1. 1. WRIST STIFFNESS TREATMENT WITH MAPS THERAPY Albert Domínguez Arasa dominguezarasa@gmail.com.
  2. 2. ORIGIN OF WRIST STIFFNESS  Articular origin.  Fibrosis origin Articular or periarticular fibrosis Tendon gliding deficid
  3. 3. HOW WE CAN DIFERENCIATE ?  clinical exploration  Tool: WRIST GONIODINAMOMETRI Should be an objective tool !!!
  4. 4. HOW WE CAN DIFERENCIATE ?  Clinical exploration
  5. 5. HOW WE CAN DIFERNCIATE ?  Clinical exploration
  6. 6. HOW WE CAN DIFERENCIATE ?  Goniodinamometri
  7. 7. TREAT THE RESTRICTIVE ELEMENT WE KNOW THE STIFFNESS ORIGIN !!! DON’T DO GENERAL TRATMENTS!!!
  8. 8. MAPS THERAPY Technique of distal tendon gliding of the extensors tendons in the dorsal part of the wrist to get wrist flexion.
  9. 9. MAPS THERAPY  Techinique of distal tendon gliding of the flexors tendons in the volar part of the wrist to get wrist extension.
  10. 10. MAPS THERAPY  volar traslation of the first carpal row to get wrist extension
  11. 11. MAPS THERAPY  active wrist flexion whith resistance.
  12. 12. MAPS THERAPY  Active exercices.
  13. 13. MAPS THERAPY  other treatments: manualt therapy, dry needling, wrist plaster…
  14. 14. WRIST STIFFNESS TRATAMIENT WITH MAPS THERAPY THANK YOU!!!! ALBERT DOMÍNGUEZ ARASA dominguezarasa@gmail.com

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