Mr. XYZ, a 48-year-old carpenter, complains of pain in his right forearm and tingling in his right thumb and index finger for 4 weeks. Clinical investigations show reduced nerve conduction velocity. Repetitive pronation from his work causes increased muscle bulk in the pronator teres muscle, compressing the median nerve. On examination, there is increased muscle mass of the pronator teres muscle entrapping the median nerve. The patient has weakness of right finger flexion due to median nerve compression between the two heads of the pronator teres muscle. He has difficulty lifting objects and writing due to tingling and weakness in his right thumb and index finger. Support from family and motivation to recover facilitate his

1. PRONATOR TERES SYNDROME
ASSESSMENT AND ICF
-BY URVI ANAVKAR
TANVI CHAVAN
DEEPIKA GUPTA
KAVYA NISHANKAR

2. ICF
HEALTH STATUS
MR.XYZ, 48 Y/O IS A CARPENTER BY OCCUPATION COMPLAINS OF PAIN IN THE RIGHT VOLAR
ASPECT OF FOREARM AND TINGLING IN THE THUMB AND INDEX FINGER SINCE 4 WEEKS WITH,
NO KNOWN CO-MORBIDITIES.

3. BODY STRUCTURES
STRUCTURAL
INTEGRITY
STRUCTURAL
IMPAIRMENT
SOURCE OF
INFORMATION
PROBLEM
DESCRIPTION
QUALIFIER CLINICAL REASONING
2.STRUCTURES OF
EAR,EYE AND RELATED
1.STRUCTURE OF
NERVOUS SYSTEM
CLINICAL
INVESTIGATIONS
NERVE CONDUCTION
VELOCITY REDUCED.
2
(MODERATE)
3
2(RIGHT)
REPITITVE AND PROLONGED FOREARM PRONATION
ACCOMPANIED BY FORCED FLEXION OF THE
FINGERS IN OCCUPATION LIKE CARPENTRY,RACKET
SPORTS CAUSE INCRESE IN MUSCLE BULK OF
PRONATOR TERES CAUSING MEDIAN NERVE
COMPRESSION.
3.STRUCTURE INVOLVED
IN VOICE AND SPEECH
4.STRUCTURE OF CV,
IMMUNOLOGICAL,RESPIR
ATORY SYSTEMS
5.STRUCTURES RELATED
TO DIGESTIVE,
METABOLIC, ENDOCRINE
SYSTEMS
6. STRUCTURES RELATED
TO THE GENTIOURINARY
AND REPRODUCTIVE
SYSTEMS
7.STRUCTURE RELATED
TO MOVEMENT
ON OBSERVATION INCREASE IN MUSCLE
MASS OF PRONATOR
TERES CAUSING
ENTRAPMENT OF MEDIAN
NERVE.
2
(MODERATE)
8
(UNSPECIFIED)
2
(RIGHT)
REPETITIVE PRONATION CAUSES REPEATED
DAMAGE TO THE MUSCLE FIBRES CAUSES THEM TO
ADAPT BY GROWING IN STRENGTH AND SIZE .

4. BODY FUNCTIONS
FUNCTIONA
L
INTEGRITY
FUNCTIONAL
IMPAIRMENT
SOURCE OF
INFORMATION
PROBLEM
DESCRIPTION
QUALIFIER CLINICAL REASONING
1.MENTAL FUNCTION 2. SENSORY AND PAIN
FUNCTION
PATIENT HISTORY PAIN ON VOLAR ASPECT
OF RIGHT FOREARM.
TINGLING IN THUMB AND
INDEX FINGER.
2
(MODERATE)
COMPRESSION OF MEDIAN NERVE BETWEEN THE
TWO HEADS OF PRONATOR TERES DUE TO OVERUSE
HYPERTROPHY.
CAN BE EXACERBATED BY BICCIPITAL APONEUROSIS
TIGHTNESS DURING ELBOW FLEXION.
3. VOICE AND
SPEECH FUNCTION
4.FUNCTIONS OF CV,
IMMUNOLOGICAL,RES
PIRATORY SYSTEMS
5. FUNCTIONS
RELATED TO
DIGESTIVE,
METABOLIC,
ENDOCRINE SYSTEMS
6. FUNCTIONS OF
GENTIOURINARY AND
7.NEUROMUSCULOSKELET
AL AND MOVEMENT
ON CLINICAL
ASSESSMENT ( MMT)
ON MMT WEAKNESS OF
RIGHT FLEXOR POLLICIS
2
(MODERATE)
DUE TO MEDIAN NERVE COMPRESSION BETWEEN THE
TWO HEADS OF PRONATOR TERES THERE IS

5. ACTIVITIES AND PARTICIPATION
CAPABILITIES ACTIVITY
LIMITATION
AND
PARTICIATION
SOURCE OF
INFORMATION
PERFORMANCE QUALIFIER CAPACITY
1.GENERAL TASKS AND
DEMANDS
UNABLE TO LIFT
OBJECTS DUE TO
WEAKNESS IN FINGER
(LOW GRIP STRENGTH)
UNABLEBTO WRITE DUE
TO TINGKING AND
WEAKNESS IN THUMB
AND INDEX FINGER OF
RIGHT HAND
PATIENT HISTORY SLOWLY OR AVOID
COMPLETELY
+3 SHOULD BE ABLE TO WRITE WITH EASE
2.SELF CARE GROOMING REDUCED PATIENT HISTORY USES THE OTHER HAND +3 SHOULD BE ABLE TO DO IT WITH EASE.
3. DOMESTIC LIFE CARRYING HOUSEHOLD
OBJECTS
PATIENT HISTORY CARRIEES OBJECT IN
OTHER HAND
+3 SHOULD BE ABLE TO DO IT WITH EASE.

6. ENVIRONMENTAL FACTORS
ENVIRONMENTAL
FACTORS
SOURCE OF
INFORMATION
FACILITATIOR/
BARRIER
DESCRIPTION QUALIFIER
1. PRODUCTS AND
TECHNOLOGY
PATIENT HISTORY FACILITATOR PHYSIOTHERAPY AND DRUGS
HELP IN RECOVERY
4(COMPLETE FACILITATOR)
2.SUPPORTS AND
RELATIONSHIPS
PATIENT HISTORY FACILITATOR FAMILY IS SUPPORTIVE 3
4. ATTITUDES PATIENT HISTORY FACILITATOR MOTIVATED AND OPTIMISTIC 3
PERSONAL
FACTORS
SOURCE OF
INFORMATION
FACILITATOR/BAR
RIER
DESCRIPTION QUALIFIER
1.OCCUPATION PATIENT HISTORY BARRIER WHEN PATIENT RESUMES HIS
WORK IT WILL WORSEN HIS
CONDITION
2(MODERATE)
AGE PATIENT HISTORY BARRIER DUE TO OLD AGE , RATE OF
RECOVERY IS SLOW
1(MODERTATE)

7. THANK YOU.