Upper extremity weight-bearing tolerance

Barlow, S.J., Scholtz, J. & Medeiros (2020).  Wrist weight-bearing tolerance in healthy adults. Journal of Hand Therapy, xxx currently in press.

The Skinny

Wrist pain and instability are common occurrences and can occur with acute or chronic injuries.  This leads to significant dysfunction, including the inability to tolerate axial loading through the upper extremity. There is no reported clinical test for hand therapists to measure axial loading from decreased wrist stability.  The purpose of this study was to determine normative values for non weight bearing upper extremity.

In the Weeds

465 subjects were enrolled in the study from around the world.  Healthy adults ranging in age from 18 to 64 were enrolled in the study.  Exclusion criteria included current wrist pain or a history of wrist pain, previous wrist fracture, rheumatoid arthritis, breastfeeding, and/or pregnancy.  

For testing, the subjects were in a standing position with the elbow and wrist in extension.  They were asked to press down on an analog scale making sure their middle finger pointed toward the 12 o’clock position. This was done a total of three times on both of the upper extremities.  

non weight bearing upper extremity

Bringing it Home

This study defines wrist weight-bearing tolerance norms for healthy adults, including males and females in the age range of 18-64.  Knowing the weight-bearing norms could help identify wrist pathology and be another objective measure to support various hand therapy interventions (weight well hand therapy).  

This study was well done, and there was a large sample size from various locations around the world.  One potential conflict was cited in the article 

“journal policy and ethical obligation require reporting that one of the authors of this paper (MW) is the patent owner of a company WristWidget.  The business may be positively affected by the results reported in this manuscript.” (Barlow & et al, 2020).  

Overall I really enjoyed reading this article, and I can say that it will impact my clinical practice.  Nice job! 

If you are going to purchase a scale, I would recommend making sure it has a large area to place the hand without covering the dial or numbers (mine doesn’t have enough room to keep my hand on the black area without cover the numbers). Also, make sure it is analog, not digital!

3 Comments

  1. Nicole on January 25, 2021 at 5:17 pm

    What are the norms?

  2. Kathrin Sauer on January 26, 2021 at 10:38 am

    What is the result?

  3. Andrea Moser on February 16, 2021 at 10:13 am

    Am I wrong …………I could not find the weight bearing norms? You did a nicht Job 🙂 thank you for the Article…

Leave a Comment





More To Read

Sesamoid Bones: What are they and what do they do?

March 7, 2020

By Brittany Carrie A Student’s Perspective During the first few weeks of my rotation, I was exposed to many new and exciting things that I had not been exposed to in the classroom setting. I observed and helped treat patients who had undergone severe trauma from lacerating tendons to complete amputations, saw different splinting techniques,…

Read More

Article Review: Use of Paper Tape for Scars

October 17, 2021

Use of Paper Tape for Scars (What is scar tape?) O’Reilly, S, Crofton, E., Brown, J., Strong, J., & Ziviani, J. (2021).  Use of tape for the  management of hypertrophic scar development: A comprehensive review. Scars, Burns &  Healing, 7, 1–17 DOI: 10.1177/20595131211029206 The Skinny The authors looked to do a review of the current literature…

Read More

Carpal Tunnel Syndrome: How does traditional hand therapy compare with neurodynamic therapy?

November 20, 2021

Hamzeh, H., Mohammad, M., Alghwiri, A., & Hawamdeh, Z. (2021). The long-term effect of neurodynamics vs. exercise therapy on pain and function in people with carpal tunnel syndrome: A randomized parallel-group clinical trial.  Journal of Hand Therapy, 34, 521-530.  The Skinny:  Carpal tunnel is the most common peripheral nerve compression problem.  There is now some…

Read More
Envelope_1

Sign-up to Get Updates Straight to Your Inbox!

Sign up with us and we will send you regular blog posts on everything hand therapy, notices every time we upload new videos and tutorials, along with handout, protocols, and other useful information.