Evaluación fisioterapéutica en el diagnóstico diferencial de la Distonía Ocupacional

Abstract

Introduction: The authors present a proposal for the physiotherapeutic assessment to contribute to differential diagnosticof movement disorders of occupational origin in the hand. With thisaim two movement disorders were selected related with repetitivemovements: writer´s distony and carpal tunnel syndrome. Methods andmaterials: Through a review of scientific articles,ethological andclinical characteristics for each entity were established as well asthe evaluative parameters to be included in the instrument. Results:According with ethologic and clinical differences of this type ofdisorders, tests such as neural tension for median nerve, provocation test and superficial & cortical sensitivity test and dynamometryallow to determine specific clinical differences for each healthcondition. Conclusions: This proposal of physiotherapeutic clinicalevaluation through this instrument becomes the first approach inphysiotherapy to contribute to differential diagnosis of occupational movement disorders between carpal tunnel syndrome and occupational hand´s dystonia.

Keywords

• occupational dystonia
• writer’s dystonia
• physical therapy assessment
• carpal tunnel syndrome.