| Ask the patient, “In your current occupation . . . ” |
Is this the hand you primarily use to perform your current job? Do you bend the wrist up and down or from side to side repeatedly more than twice a minute (wrist flexion/extension, ulnar/radial deviation) or twist/rotate the wrist with palm facing up and then down more than twice a minute (wrist rotation)? Do you have repeated finger-tapping movement more than twice a minute? Do you spend more than 4 hours per day moving your hand/wrist in the same fashion? Do you grip or hold any object in the palm with a force greater than 12 lb while performing the activities listed in questions 2, 3, or 4? Do you hold tools that vibrate during most of your workday?
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