Wrist Grading Rubric

Wrist Grading Rubric

Total _____/68

History - These include, but are not limited to: Total ___/8 (1 pt each) 1 1 1 1 1 1 1 1 (quick mark offs)

_____ What happened?	_____ Varus or valgus force?	_____ Medication(s)
_____ Direction of force applied	_____ When is pain worse?	_____ Changes in daily routine
_____ Rate pain level	_____ How did it happen?	_____Sounds/sensations
_____ Length of symptoms	_____ Location of pain	_____ Type of pain
_____ Movement ↑ or ↓ pain	_____ Radiating pain	_____ Referred pain
_____ Onset (acute or chronic)	_____ Pain constant/intermittent	_____ Sleeping Problems
_____ Is this your dominant arm	_____ Previous Rx	_____ Altered Sensations
_____ Did you fall on an outstretched hand	_____ Previous history (shoulder/wrist/hand problems/pain)

Inspection/Observation - These include, but are not limited to: Total ___/ 8 (1 pt each) 1 1 1 1 1 1 1 1 (quick)

_____ Bilateral comparison	_____ Deformity	_____ Swelling
_____ Arm Swing	_____ Skin color	_____ Scars/lacerations
_____ Atrophy/hypertrophy	_____ Clothing removal	_____ Apley's scratch test
_____ Facial expressions	_____ Varus	_____ Valgus
_____ Cubitus recurvatum	_____ Triangle alignment	_____ Olecranon bursitis

Palpations ***Total___/8 (Palpations)***

Bony Palpation - Reasons for bony palpation AT palpates for: 2 points (.5 each)_______

_____ Point tenderness

_____ Deformity

_____ Crepitus

_____ Symmetry

Bony Palpations:

_____ Radial Styloid Process	_____Auatomic Snuff Box	_____Ulnar Styloid Process
_____ Pisiform	_____1st Metacarpal	_____MCP Joint

Soft Tissue Palpation - Reasons for soft tissue palpation: AT palpates for: 2 points (.5 each)_______

_____ Point tenderness

_____ Symmetry

_____ Spasm/tone

_____ Swelling/warmth

Soft Tissue Palpations:

_____Thenar Eminence

_____Hypothenar Eminence

Range of Motion ***Total____/3 (ROM)***

___ Active ROM (F, E, UD, RD, Opposition)
___ Passive ROM (F, E, UD, RD, Opposition)	Bi-Lateral _________ 1 pt
___ Manual muscle (F, E, UD, RD, Opposition)

Special Tests ***Total_____/16 (Special tests) (1 each)***

Phalen's	Finkelstein's
___ Name	___ Name
___ + Test	___ + Test
___ Testing for (CTS)	___ Testing for (De Quervain’s Tenosynovitis)
___ Proper Mechanics	___ Proper Mechanics
Tinel’s Sign	Allen
___ Name	___ Name
___ + Test	___ + Test
___ Testing for (CTS/Median nerve compres.)	___ Testing for (Occlusion in Radial/Ulnar arteries)
___ Proper Mechanics	___ Proper Mechanics

Action: 6 points _______

What are three modalities you could use for treatment on the first visit to the clinic. Explain why you picked those modalities. (Modality each 1 pt explain the why for each modality 1 pt) Total 6 pts

Tape Job: 4 points________

___ Correct Tape Job

___ Proper application/mechanics

___ Clean and Comfortable

___ Timely

Plan: 10 points________ (2 points each phase)
Correctly and clearly describes what they would do

Phase 1:	Phase 2:	Phase 3:	Phase 4:	Phase 5:
Manage pain ____ Swelling PRICE____ Tools:	Begin ROM____ Resume cardiovascular training____ Tools:	Restore ROM____ Improve strength and endurance____ Proprioception____ Continued cardiovascular training____ Tools:	Restore strength____ Sport specific exercise____ Tools:	Return to sport and check in with coordinators____ Tools:

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