. Occupational therapy applied to restoration of function of disabled joints . pination. This alternated with right hand wriggling, whichgives flexion of metacarpophalangeal joints of fingers of left handand extension of interphalangeal joints of fingers and thumb inholding the block. Wrist extension-flexion in turning the block. Also typewriting for finger flexion-extension and abduction-adduction. Progress: At first patient could not hold the tool in his lefthand in a way to enable him to engrave. After three daily appoint-ments of one hour each, he was able to wriggle any ornament andwas en
. Occupational therapy applied to restoration of function of disabled joints . pination. This alternated with right hand wriggling, whichgives flexion of metacarpophalangeal joints of fingers of left handand extension of interphalangeal joints of fingers and thumb inholding the block. Wrist extension-flexion in turning the block. Also typewriting for finger flexion-extension and abduction-adduction. Progress: At first patient could not hold the tool in his lefthand in a way to enable him to engrave. After three daily appoint-ments of one hour each, he was able to wriggle any ornament andwas enthusiastic over the seeming improvement in the function ofhis left index finger. From November 8, when he began the work,to December 23, when he dropped it temporarily to go on a furlough. 10 OCCUPATIONAL THEHAIV the composition handle was changed three times to adapt it to theconstantly increased power of flexion in the thumb and fingers. Intypewriting he was able to use all fingers from the first, but tiredeasily. Function fully restored. See plate No. 3, patient at left,. Plate 3 Engraving which can be done with tools held in right or left handasrequired. Tools with especially adapted handle in fore-ground. Pvt. G. N.—Elbow. Diagnosis: Limitation of movement, right elbow.—G. S. W. Prescription: Mobilization right elbow in tlexion-extension bywork for one hour a day avoiding undue fatigue. Assignment: Carpentry. First project was in making a ciga-rette case for the Red Cross, doing the entire work himself and work-ing at it in all his spare time. After this he made filing boxes. Inboth these projects the hammering with small hammer and nailsrequired very slight elbow motion, but the sawing and planing ofthe wood necessitated elbow extension and flexion. The measure-?ments of the range of voluntary movement showed a slight butsteady increase from October 4 to November 2: Oct. 4, degrees; Oct. 11, degrees; Oct. 14, degrees;Oct. 25, 28 degrees; Oct. 29, d
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Keywords: ., bo, bookcentury1900, bookdecade1910, booksubjectwoundsandinjuries
