Specialists

Featured on Channel NewsAsia

Orthopaedic Physical Therapist in Singapore

Physical Therapy in Singapore

Physical Therapy in Singapore

Physical Therapist

This branch of physical therapy focuses on the problems from the muscular skeletal system (muscles, bones, ligaments or tendons). Physical therapy in this area deals with diagnosing, managing and treating injuries and problems from the muscular and skeletal methods and rehabilitating right after orthopedic operations, as well. […]

Treatment Alternatives

In the past, the most common treatment for many if not most of the articular cartilage lesions that were seen in the shoulder (and other joints) was simple debridement and symptomatic management. Today’s aim, however, is to restore durable hyaline cartilage through a practical and minimally invasive approach (preferably arthroscopic), that is associated with minimal […]

Golf injury and Back pain

The most common golf injuries occur in the lower back, elbows, shoulders, hands and wrists, and are generally defined as either cumulative (overuse) or acute (traumatic) injuries. The impact and stress of the repetitive motion of the swing is sometimes hard on the muscles and joints, especially if you ignore the early warning signs of […]

Passive supination

Procedure.

Perform an abduction movement in the shoulder: the thumb pulls the inner side of the foot upwards while the fingers push the outer side downwards.

Common mistakes.

The ankle and subtalar joints are not stabilized.

Normal functional anatomy:

• Rallge: 45-90° • End-feel: soft ligamentous • Limiting structures: medial and lateral midtarsal ligaments.

Passive pronation

Procedure.

Perform an adduction movement in the shoulder: the hand pulls the inner side of the foot downwards while the thumb pushes the outer side upwards.

Common mistakes.

The ankle and subtalar joints are not stabilized.

Normal functional anatomy:

• Range: 30-60° • Elld-feel: soft ligamentous • Limitiug structures: medial and dorsal midtarsal ligaments.

Passive adduction

Procedure.

Perform the adduction movement in the wrist: the fingertips pull the outer side of the forefoot in a medial direction; meanwhile the fifth metacarpal bone provides counter-pressure.

Common mistakes.

The ankle and subtalar joints are not stabilized.

Normal functional anatomy:

• Rallge: 10-15° • End-feel: hard ligamentous • Umitiflg structures: lateral midtarsal ligaments

Passive abduction

Procedure.

Perform the abduction movement in the wrist: the web of the thumb presses the medial aspect of the first metatarsal bone in a lateral direction; meanwhile the fingertips provide counter-pressure at the outer side of the forefoot.

Common mistakes.

The ankle and subtalar joints are not stabilized.

Normal functional anatomy:

• Rallge: 10-150 […]

Passive dorsiflexion

Procedure.

Press the thumb upwards by a supination of the wrist.

Common mistakes.

The ankle and subtalar joints are not stabilized. Normal functional anatomy:

• Rallge: 10-15° • End-feel: hard ligamentous • Umitiu8 structures: – plantar midtarsal ligaments – plantar fascia.

Passive flexion

Procedure.

Bring the subject’s wrist into maximal flexion.

Common mistakes.

None.

Normal functional anatomy:

• Rallge: 85· • Elld-feel: Elastic • Limiling slrllcillres: stretching of the dorsal ligaments of the carpus, of the intercarpal ligaments and the capsules of the different intercarpal joints.

Common pathological situations:

• Pain at the dorsal aspect occurs in […]

Specific Tests-Passive horizontal adduction

Significance.

This test stresses the acromioclavicular and sternoclavicular joints and ligaments. It also squeezes the subcoracoid bursa and the upper part of the insertion of the subscapularis tendon into the lesser tuberosity of the humerus.

POSitioning.

The subject stands with the arms hanging alongSide the body. The examiner stands level with the subject’s arm. […]