Indirect influence of specific Kaltenborn glide mobilizations of the carpal joint on a subject with neurological impairments

Summary Purpose The purpose of this case report is to identify possible gains in passive range of motion (PROM) after specific Kaltenborn glide mobilizations of the carpal joint, and the possible indirect influence this may have on performance of fine motor activities requiring pincer grasp, in a subject with neurological impairments. Case description A 13-year-old boy post juvenile cerebral vascular accident (CVA), with impaired fine manipulative ability in his right hand. Methods This case report describes the use of specific manual joint mobilization techniques to improve the PROM in wrist extension and radial deviation. Results The increase of PROM in wrist extension and radial deviation, along with absence of pain, enabled the patient to use his right hand more efficiently. These factors may also contribute to improve the subject's ability to successfully execute a pincer grasp. Discussion Although the main cause of impaired fine motor function in CVA is of neural origin, restrictions of joint motion may also warrant biomechanical assessment and treatment.