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Wrist and Hand Rehabilitation

  • Belinda Herde
  • Kathleen A. Stroia
Chapter

Abstract

The wrist and hand comprises 27 bones with complex joint accessory movements to produce fluid motion. The wrist and hand are the most distal link in the kinetic chain involved in precision and finishing all strokes. Tennis involves repetitive use of the hand and wrist while holding a racquet, which may potentially contribute to pain and injury. Like other racquet sports, injury to the wrist can prove challenging to rehabilitate. A thorough history, clinical examination, and diagnosis are required to determine prognosis and determine a treatment plan to comprehensively rehabilitate a wrist and hand injury. Contributing factors need to be addressed to prevent recurrence of injury, which may include local or proximal musculoskeletal deficits, biomechanical or technique inefficiencies, or equipment including string tension and type, grip size and type, and racquet weight distribution. This chapter will focus on the rehabilitation of wrist injuries.

References

  1. 1.
    Rettig AC. Athletic injuries of the wrist and hand: Part II: Overuse injuries of the wrist and traumatic injuries to the hand. Am J Sports Med. 2004;32:262–73.CrossRefGoogle Scholar
  2. 2.
    Stroia K, Baudo M, et al. Taping techniques for TFCC and ECU injuries on the Sony Ericsson WTA Tour. Med Sci Tennis. 2009;14(1):15–9.Google Scholar
  3. 3.
    Maquirriain J, Ghisi JP. Stress injury of the lunate in tennis players: a case series and related biomechanical considerations. Br J Sports Med. 2007;41:812–5.CrossRefGoogle Scholar
  4. 4.
    Burke J, Buchberger DJ, Carey-Loghmani T, et al. Manual therapy interventions for Carpal Tunnel Syndrome. J Manipulative Physiol Ther. 2011;30(1):50–61.CrossRefGoogle Scholar
  5. 5.
    Schmid A, Brunner F, Wright A, Bachmann LM. Paradigm shift in manual therapy? Evidence for a central nervous system component in the response to passive cervical joint mobilization. Man Ther. 2008;13:387–96.CrossRefGoogle Scholar
  6. 6.
    Draper DO. Ultrasound and joint mobilizations for achieving normal wrist range of motion after injury or surgery: a case series. J Athl Train. 2010;45(5):486–91.CrossRefGoogle Scholar
  7. 7.
    Tal-Akabi A, Rushton A. An investigation to compare the effectiveness of carpal bone mobilisation and neurodynamic mobilisation as methods of treatment for carpal tunnel syndrome. Man Ther. 2000;5:214–22.CrossRefGoogle Scholar
  8. 8.
    Muller M, Tsui D, Schnurr R, Biddulph-Deisroth L, Hard J, MacDermid JC. Effectiveness of hand therapy interventions in primary management of carpal tunnel syndrome: a systematic review. J Hand Ther. 2004;17:210–28.CrossRefGoogle Scholar
  9. 9.
    Fernandez-Carnero J, Cleland JA, Arbizu RL. Examination of motor and hypoalgesic effects of cervical vs thoracic spine manipulation in patients with lateral epicondylalgia: a clinical trial. J Manipulative Physiol Ther. 2011;34(7):432–40.CrossRefGoogle Scholar
  10. 10.
    Witrouw E, Mahieu N, Danneels L, McNair P. Stretching and injury prevention: an obscure relationship. Sports Med. 2004;34(7):443–9.CrossRefGoogle Scholar
  11. 11.
    Vicenzino B, Paungmali A, Teys P. Mulligan’s mobilization-with-movement, positional faults and pain relief: current concepts from a critical review of literature. Man Ther. 2007;12(2):98–108.CrossRefGoogle Scholar
  12. 12.
    Butler DS. Mobilisaiton of the nervous system. Melbourne, VIC: Churchill Livingstone; 1994.Google Scholar
  13. 13.
    Cagnie B, Castelein B, Pollie F, Steelant L, Verhoeyen H, Cools A. Evidence for the use of ischemi compression and dry needling in the management of trigger points of the upper trapezius in patients with neck pain: a systematic review. Am J Phys Med Rehabil. 2015;94(7):573–83.CrossRefGoogle Scholar
  14. 14.
    Gerber LH, Shah J, et al. Dry needling alters trigger points in the upper trapezius muscle and reduces pain in subjects with chronic myofascial pain. PM R. 2015;7(7):711–8.CrossRefGoogle Scholar
  15. 15.
    Gonzalez-Iglesias J, Cleland JA, del Rosario Gutierrez-Vega M, Fernandez-de-las-Penas C. Multimodal management of lateral epicondylalgia in rock climbers: a prospective case series. J Manipulative Physiol Ther. 2011;34(9):635–42.CrossRefGoogle Scholar
  16. 16.
    Kubo K, Yajima H, Takayama M, Ikebukuro T, Mizoguchi H, Takakura N. Effects of acupuncture and heating on blood volume and oxygen saturation of human Achilles tendon in vivo. Eur J Appl Physiol. 2010;109(3):545–50.CrossRefGoogle Scholar
  17. 17.
    Hsieh YL, Kao MJ, Kuan TS, Chen SM, Chen JT, Hong CZ. Dry needling to a key myofascial trigger point may reduce the irritability of satellite MTrPs. Am J Phys Med Rehabil. 2007;86(5):397–403.CrossRefGoogle Scholar
  18. 18.
    Bleakley C, McDonough S, MacAuley D. The use of ice in the treatment of acute so-tissue injury: a systematic review of randomized controlled trials. Am J Sports Med. 2004;32(1):251–61.CrossRefGoogle Scholar
  19. 19.
    MacAuley DC. Ice therapy: how good is the evidence? Int J Sports Med. 2001;22(5):379–84.CrossRefGoogle Scholar
  20. 20.
    Elliott B. Biomechanics and tennis. Br J Sports Med. 2006;40:392–6.CrossRefGoogle Scholar
  21. 21.
    Behm DG. A kinesiological analysis of the tennis service. NSCA J. 1988;10:4–14.Google Scholar
  22. 22.
    Ellenbecker TS, Roetert EP, Riewald S. Isokinetic profile of wrist and forearm strength in elite female junior tennis players. Br J Sports Med. 2006;40(5):411–4.CrossRefGoogle Scholar
  23. 23.
    Kibler B. Rehabilitation of rotator cuff tendinopathy. Clin Sports Med. 2003;22:837–47.CrossRefGoogle Scholar
  24. 24.
    Roetert EP, Kovacs M, Knudson D, Groppel JL. Biomechanics of the tennis groundstrokes: implications for strength training. Strength Condition J. 2009;31(4):41–9.CrossRefGoogle Scholar
  25. 25.
    Kibler WB, Press J, Sciascia AD. The role of core stability in athletic function. Sports Med. 2006;36(3):189–98.CrossRefGoogle Scholar
  26. 26.
    Kibler WB. Biomechanical analysis of the shoulder during tennis activities. Clin Sports Med. 1995;14:79–85.PubMedPubMedCentralGoogle Scholar
  27. 27.
    Campbell A, Straker L, O’Sullivan P, et al. Lumbar loading in the elite adolescent tennis serve: link to low back pain. Med Sci Sports Exerc. 2013;45(8):1562–8.CrossRefGoogle Scholar
  28. 28.
    Campbell A, Straker L, Whiteside D, et al. Lumbar mechanics in tennis groundstrokes: differences in elite adolescent players with and without low back pain. J Appl Biomech. 2016;32(1):32–9.CrossRefGoogle Scholar
  29. 29.
    Elliott B, Fleisig G, Nicholls R, et al. Technique effects on upper limb loading in the tennis serve. J Sci Med Sport. 2003;6(1):76–87.CrossRefGoogle Scholar
  30. 30.
    Robb AJ, Fleisig GS, Wilk KE, et al. Passive ranges of motion of the hips and their relationship with pitching biomechanics and ball velocity in professional baseball pitchers. Am J Sports Med. 2010;38(12):2487–9.CrossRefGoogle Scholar
  31. 31.
    Nadler SF, Malanga GA, Feinberg JH, et al. Relationship between hip muscle imbalance and occurrence of low back pain in collegiate athletes: a prospective study. Am J Phys Med Rehabil. 2001;80(8):572–7.CrossRefGoogle Scholar
  32. 32.
    Kibler WB, Wilkes T, Sciasca A. Mechanics and pathomechanics in the overhead athlete. Clin Sports Med. 2013;32:637–51.CrossRefGoogle Scholar
  33. 33.
    Van der Hoeven H, Kibler WB. Shoulder injuries in tennis players. Br J Sports Med. 2006;40:435–40.CrossRefGoogle Scholar
  34. 34.
    Wilk KE, Macrina LC, Fleisig GS, et al. Loss of internal rotation and the correlation to shoulder injuries in professional baseball pitchers. Am J Sports Med. 2011;39(2):329–35.CrossRefGoogle Scholar
  35. 35.
    Myers N, Kibler WB, et al. Validity and reliability of a biomechanically based analysis method for the tennis serve. Int J Sports Phys Ther. 2017;12(3):437–49.PubMedPubMedCentralGoogle Scholar
  36. 36.
    Milano S. Should our students be teaching us? TennisPro. 1993;1.Google Scholar
  37. 37.
    Bahamonde R, Knudson D. Kinetics of the upper extremity in the open and square stance tennis forehand. J Sci Med Sport. 2003;6:88–101.CrossRefGoogle Scholar
  38. 38.
    Kibler WB. Kinetic chain contributions to elbow function and dysfunction in sports. Clin Sports Med. 2004;23:545–52.CrossRefGoogle Scholar
  39. 39.
    Elliott B, Takahashi K, Noffal G. The influence of grip position on the upper limb contributions to racket head speed in the tennis forehand. J Appl Biomech. 1997;13:182–96.CrossRefGoogle Scholar
  40. 40.
    Kuganesan K. Analysis of the effect of the different types of tennis court training on physical fitness. Res J Phys Educ Sci. 2015;3(10):1–5.Google Scholar
  41. 41.
    Reid M, Elliott B. The one- and two- handed backhand in tennis. Sports Biomech. 2002;1:47–68.CrossRefGoogle Scholar
  42. 42.
    Montalvan B, Parier J, Brasseur JL, et al. Extensor carpi ulnaris injuries in tennis players: a study of 28 cases. Br J Sports Med. 2006;40:424–9.CrossRefGoogle Scholar
  43. 43.
    Bower R, Cross R. Player sensitivity to changes in string tension in a tennis racket. J Sci Med Sport. 2003;6(1):120–31.CrossRefGoogle Scholar
  44. 44.
    Stuelcken M, Mellifont D, Gorman A, Sayers M. Wrist injuries in tennis players: a narrative review. Sports Med. 2017;47:857.  https://doi.org/10.1007/s40279-016-0630-x.CrossRefPubMedPubMedCentralGoogle Scholar
  45. 45.
    Tagliafico AS, Ameri P, Michaud J, et al. Wrist injuries in tennis players: relationships with different grips. Am J Sports Med. 2009;37:760–7.CrossRefGoogle Scholar
  46. 46.
    Umansky S. Wrist injuries in tennis: evaluation and treatment. Aspetar Sports Med J. 2014;3:540–4.Google Scholar
  47. 47.
    Alexander CM, MacMullan M, Harrison PJ. What is the effect of taping along or across a muscle on motoneurone excitability? A study using triceps surae. Man Ther. 2008;13:57.  https://doi.org/10.1016/j.math.2006.08.003.CrossRefPubMedGoogle Scholar
  48. 48.
    Cools AM, Witvrouw EE, Daneels LA, Cambie DC. Does taping influence electromyographic muscle activity in the scapular rotators in healthy shoulders? Man Ther. 2002;7(3):154–62.CrossRefGoogle Scholar
  49. 49.
    Cook JL, Purdam CR. The Challenge of managing tendinopathy in competing athletes. Br J Sports Med. 2014;48:506–9.CrossRefGoogle Scholar
  50. 50.
    Constantinou M, Brown M. Therapeutic taping for musculoskeletal conditions. Melbourne, VIC: Churchill Livingstone; 2010.Google Scholar
  51. 51.
    Dar SM, Arunmozhi R, Sharma B. Effect of McConnell taping on pain, ROM and grip strength in patients with triangular fibrocartilage complex injury. Sci Res J India. 2013;2(1):1–9.Google Scholar
  52. 52.
    McNeil W, Pedersen C. Dynamic tape. Is it all about controlling load? Bodywork Move Ther. 2016;20(1):179–88.CrossRefGoogle Scholar
  53. 53.
    Cai C, Au IPH, An W, Cheung RTH. Facilitatory and inhibitory effects of Kinesio tape: factor or fad? J Sci Med Sport. 2016;19:109–12.CrossRefGoogle Scholar
  54. 54.
    González-Iglesias J, Fernández-de-Las-Peñas C, Cleland Joshua A, et al. Short-term effects of cervical kinesio taping on pain and cervical range of motion in patients with acute whiplash injury: a randomized clinical trial. J Orthop Sports Phys Ther. 2009;39(7):515–21.CrossRefGoogle Scholar
  55. 55.
    Hsu Y-H, Chen W-Y, Lin H-C, et al. The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome. J Electromyogr Kinesiol. 2009;19(6):1092–9.CrossRefGoogle Scholar
  56. 56.
    Jaraczewska E, Long C. Kinesio taping in stroke: improving functional use of the upper extremity in hemiplegia. Top Stroke Rehabil. 2006;13(3):31–42.CrossRefGoogle Scholar
  57. 57.
    Chen NC, Jupiter JB, Lebson PJL. Sports-related wrist injuries in adults. Sports Health. 2009;1(6):469–77.CrossRefGoogle Scholar
  58. 58.
    Morgan WJ, Slowman LS. Acute hand and wrist injuries in athletes: evaluation and management. J Am Acad Orthop Surg. 2001;9(6):389–400.CrossRefGoogle Scholar
  59. 59.
    Amadio PC, Berquist TH, Smith DK, Ilstrup DM, Cooney WP III, Linscheid RL. Scaphoid malunion. J Hand Surg Am. 1989;14(4):679–87.CrossRefGoogle Scholar
  60. 60.
    Meena S, Gupta A. Dorsal wrist ganglion: current review of literature. J Clin Orthop Trauma. 2014;5(2):59–64.CrossRefGoogle Scholar
  61. 61.
    Kang L, Weiss AP, Akelman E. Arthroscopic vs open dorsal ganglion cyst excision. Op Tech Orthop. 2012;22:131–5.CrossRefGoogle Scholar
  62. 62.
    Estrella EP, Hung LK, Ho PC, Tse WL. Arthroscopic repair of triangular fibrocartilage complex tears. Arthroscopy. 2009;23(7):729–37.CrossRefGoogle Scholar
  63. 63.
    Inoue G, Tamura Y. Surgical treatment for recurrent dislocation of the extensor carpi ulnaris tendon. J Hand Surg. 2001;26:556–9.CrossRefGoogle Scholar
  64. 64.
    Futami T, Moritoshi I. Extensor carpi ulnaris syndrome. Acta Orthop Scand. 1999;66:538–9.CrossRefGoogle Scholar
  65. 65.
    Kjaer M. Role of extracellular matrix in adaptation of tendon and skeletal muscle to mechanical loading. Physiol Rev. 2004;84:649–98.CrossRefGoogle Scholar
  66. 66.
    Knudson D. Forces on the hand in the one-handed backhand. Int J Sports Biomech. 1991;7:282–92.CrossRefGoogle Scholar
  67. 67.
    Bohm S, Mersmann F, Arampatzis A. Human tendon adaptation in response to mechanical loading: a systematic review and meta-analysis of exercise intervention studies on healthy adults. Sports Med Open. 2015;1:7.CrossRefGoogle Scholar
  68. 68.
    Rio E, Cook J. Clinical implementation of isometric exercise for patellar tendinopathy: is it successful on the road? J Sci Med Sport. 2013;18S:e141.Google Scholar
  69. 69.
    Rio E, Kidgell D, Purdam C, Gaida J, Moseley GL, Pearce AJ, Cook J. Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy. Br J Sports Med. 2015;49:1277–83.CrossRefGoogle Scholar
  70. 70.
    Bohm S, Mersmann F, Tettke M, Kraft M, Arampatzis A. Human Achilles tendon plasticity in response to cyclic strain: effect of rate and duration. J Exp Biol. 2014;217:4010.  https://doi.org/10.1242/jeb.112268.CrossRefPubMedGoogle Scholar
  71. 71.
    Langberg H, Skovgaard D, Asp S, Kjaer M. Time pattern of exercise-induced changes in type I collagen turnover after prolonged endurance exercise in humans. Calcif Tissue Int. 2000;67:41–4.CrossRefGoogle Scholar
  72. 72.
    Campbell D, Campbell R, O’Connor P, Hawkes R. Sports-related extensor carpi ulnaris pathology: a review of functional anatomy, sports injury and management. Br J Sports Med. 2013;47:1105–11.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Primary Health Care ProviderWTA Women’s Tennis AssociationSt. PetersburgUSA
  2. 2.Director and Sports PhysiotherapistGrand Slam PhysiotherapyGeelongAustralia
  3. 3.Sport Sciences and Medicine and TransitionsWTA Women’s Tennis AssociationSt. PetersburgUSA

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