hand assessment physiotherapy

206-530 Kenaston Blvd. Green Hand to Shoulder Physiotherapy. 0�me '�z�G�>�DB��3�*�'7V^^6��u��ͫ�Yc�8��f��?30>I,#q*�� j��w΋6��&o�}�c� v�g��Δ��l?�k��}^en��γ��.3 i�� /�8NH�F$��T��LdCNc�eT�ٌ�U�7˪��v4��[��|E��r�3��0 �J��X ��C}D�l�}�a4�m��7f5�.��/��V��5��P%��1�}�ѳ6��6N��V�j2�� d�L��8(a-�>�Z�@�Y� �y�8�.�#��C��q� �խ;+��zmMUZ?��=_�Ov��-�S:�+� \z�� ... Hand Therapy/Initial Assessment & Treatment/Private - $90.00 - Offered by Mritunjay 'Jay' 0000012624 00000 n 0000002963 00000 n A Acute Care - Assessment and Examination‎ (3 P) ... Hand - Assessment and Examination‎ (23 P) H��n�0@�� endstream endobj 362 0 obj<>>>/LastModified(D:20070512092047)/MarkInfo<>>> endobj 364 0 obj<>/Font<>/ProcSet[/PDF/Text]/ExtGState<>>>/StructParents 0>> endobj 365 0 obj[366 0 R 367 0 R] endobj 366 0 obj<>/Subtype/Link/A 386 0 R/StructParent 1>> endobj 367 0 obj<>/Subtype/Link/A 385 0 R/StructParent 2>> endobj 368 0 obj<> endobj 369 0 obj<> endobj 370 0 obj<> endobj 371 0 obj<> endobj 372 0 obj<> endobj 373 0 obj<> endobj 374 0 obj<>stream It is the most active portion of the upper extremity. The qualified hand therapists at pt Health have expertise in the assessment and treatment of upper limb injuries and conditions. Treatment includes education in the self-management of the problem, general/specific advice and exercises. A specialised detailed assessment and treatment enables him or her to help patients return to a productive lifestyle following injury, disease or deformity affecting the hand. It may be necessary to include any one of a variety of manual therapy (hands-on treatment by the physiotherapist); inclusion in an exercise class or hydrotherapy. 0000002274 00000 n 0000000892 00000 n endstream endobj 377 0 obj<>stream What is Hand Therapy? Research by Oppong (2015) shows if you improve your grip and hand strength it will help your hand pain. FINGER DEXTRITY ASSESSMENT. What is physiotherapy assessment? Physiotherapists help those with a wide variety of conditions such as post-surgical, traumatic and other hand conditions. Winnipeg, MB R3N 1Z4 ggreenphysio@shawbiz.ca Tel: 204-488-9811 Fax: 204-489-4969. Treatments may include the followi… H��Ms�0��=��$3��qƍI.M�(�Z0-鴿��؉Mgz�H��w�v.g�$> $��BC�� x�S F�C�K�P� ��'v��4�۴�۵�ix`7��g�8��8�9��MfW��_^��RH��ݛjy@9`��0�/�8JA�z��>�.��(��[W1��0O�>Ҡ5uc�mj��h6��:(�+�fPoʪ�ǲWy8 ��:�.1�R� �W] �2'�/��l ��+w=짋>�t]��b�1��H�e��x{=��4��)��6i ��@er�.mn�>`�S��l?>J0�[�� 0000004830 00000 n Our website makes use of cookies in order to track performance, handle sales and improve your user experience. Hand therapy is led by a physiotherapist specialising in physiotherapy exercises and techniques for conditions affecting the hands, wrists and elbow. Disclaimer, No thanks, I do not want to help children at a disadvantage. Assessment Tools used in Hand Therapy Frequently used acceptable tools Gold Standard Future possibilities for use in the clinic pending research, time and/or cost Pain Visual Analog Scale (VAS) Numerical Rating Scale (NRS) Verbal Rating Scale (VRS) McGill Pain Questionaire (MPQ) and short form version (SF-MPQ) Schultz UE Pain Assessment (SUEPA) This intricate and complex area of the body requires attention to detail. Assessing potential tendon injurie… 0000005559 00000 n Any evidence of nerve damage will require specialist assessment and repair by a specialist surgeon if required. Hand therapy is a highly specialised branch of occupational therapy and physiotherapy, covering the assessment and treatment of conditions of the hand and upper limb. 0000012745 00000 n x�b```b``Ud`e``�b�c@ >�(�� `R2+�*�^�� q�;��G��D�10��Ғ@,Qb�n`�0h��ap��&��B)�E/4��`�p�W@��8��b�0��` �\��@��A�Hs0�>+�x% � � � A hand and wrist examination done in a structured manner will lead to a correct diagnosis. And it’s not just hands that we treat. Start scar management once wound healed (caution with massage in zone 1/11 in early stages due to forced passive extension) 2-4/6 weeks For example, a bite to the hand conveys a hi… At 2 weeks. Remembering that the hand and wrist examination will take in and appreciate that: •Has the unprotected joints • Is extremely vulnerable to injury • Involves a difficult and complex examination • The diagnosis is often vague (If no fracture = “wrist strain or sprain”… 0000006290 00000 n 0000003387 00000 n 0000007844 00000 n Similar Threads: Physiotherapy hand exercises after surgery for broken hand : stiff fingers; hand classes Plz help me out ,if anyone has a questionnaire or a standardised scale to determine the functional outcome of the patient with wrist injuries or any other which deals with hand injuries except for the arthritis scales. The hand and wrist is a series of complex, delicately balanced joints. ��"R� ��-�"��U�Z-i��mm b It is important to establish what forces were applied to the hand during the injury and the direction of these forces, as well as any special features of the injury. Function is integral to every act of daily living. Before treatment starts, your physiotherapist will discuss your problem with you and realistic goals will be set. _utma, _utmb, _utmc, _utmt, _utmv, _utmz, PHPSESSID, _ga, _gat, _gid, _gs, _gu, _gw, cookieconsent_status, gdpr[allowed_cookies], gdpr[consent_types], wcUserSettings. Active Range of Motion: Wrist & Hand Active Range of Motion: Wrist & Hand Passive Range of Motion: Wrist & Hand Resisted Isometric Testing (Wrist & Hand) Joint Play: Wrist & Hand … Success has come through effective patient management, enabling patients to understand their problem and help them to resolve the cause, whether it is due to poor posture, sports injury, an … 0000000016 00000 n Our Hand and Wrist department can provide you with all the assessment and treatment techniques you require to get back into doing the things you love. Hand Physiotherapy. Hand Rehab specialises in providing physiotherapy and occupational therapy for hands. Hand Therapy Wellington Hand Clinic - Occupational Therapy, Physiotherapy, Custom Splinting, and more! 0000001946 00000 n The control and precision of your fingers. 0000012682 00000 n endstream endobj 378 0 obj<> endobj 379 0 obj<>stream 0000004002 00000 n Thanx. To screen for nerve damage producing impairment of motor function: 1. %PDF-1.4 %�� Patient Assessments - If you are looking for a physiotherapy assessment for yourself as a one off, or as a prelude to further treatment, Physio.co.uk can help you. 0000006469 00000 n Hand therapists use specialist assessment skills and therapeutic interventions to help restore the patients’ highest level of functional use of their hands. Our privacy policy outlines in detail what services we use and how we handle your data when you browse our page or buy items in our shop, which requires to open an account. Hand therapy is a form of physiotherapy that focuses on the assessment and treatment of injuries and conditions of the hand and arm, optimizing its functional use. About Us Physiotherapy for carpal tunnel Physiotherapy treatment is very important to hasten the healing process and decrease the likelihood of re-injury. 0000001145 00000 n M�,U`1�$� Our speciality is in providing rehabilitation and treatment for all areas of the arm; specifically from the elbow through to the fingertips. The mechanism of injury gives important clues about the structures involved and potential complications. Three of the main approaches a physiotherapist may use are: education and advice; movement and exercise x�bb�b`b``Ń3� ��C;> �� 2�7��IX��^�2/+[��P�ak�L�� c�0��TWڂˈ�1�;��yt��)U��vKtLd'�"��h`K)4�T}-NŊG��[k��2R/�|�D�� s�;Z�/8��ʮ��/B��X(��43E:�)��>�Pw�� h�\ ASSESSMENT & TREATMENT. The hand therapist can assist with emotional and psychological support, as well as with restoration of hand function. �B��B>�I�u�%}S7�� k It requires postgraduate-level training and many years of clinical experience to practise confidently. 0000004794 00000 n 361 0 obj<> endobj The aim of the service is to help patients maximise their hand function. trailer H��TMo�@��+�R��e�(R��R�HF�4=�I��,V��΂��݃��0��{3,��l��5P8?��sĠ�hy�½�.�h�edOx��2��p��8,��ʈ� 9%VQ�kC��n��+�,Gh�=AZPB)��-W��Z� We provide early hand therapy input to acute traumatic wrist and hand injuries. Privacy Policy Outpatient physiotherapy arranged locally and within one week. Our hand therapists provide assessment, triage, investigation and specialist treatment of wrist and hand conditions. Dr. Mark Stovak demonstrates how to conduct a musculoskeletal physical exam for the hand and wrist. Hand therapy is the science of evaluating and managing conditions and injuries that involve the upper limb. :"W��xz��j��/��F좮M]f�t�w��\�]VG}q Contact Us Our privacy policy outlines in detail what services we use and how we handle your data when you browse our page or … ��uc*W2N��*� ��}MP� Ask the patient to spread the fingers widely. They can assist with everything from early wound care, dressings, suture, staple removal and splinting, through to strengthening and activities of daily living, including returning to work. startxref 0000003780 00000 n You can self-refer to the Hand Therapy service provided at Gloucestershire Royal and Cheltenham General Hospitals by using this online self-referral form You can also self-refer to the Hand Therapy service provided by Gloucestershire Care Services at a number of community hospitals in the county by completing this online self referral form 0000008622 00000 n This category has the following 27 subcategories, out of 27 total. These allow basic functionality of the website, These are used to display personalized ads by Google AdSense, To anonymously track users visiting our site, Physiotutors - Online Physiotherapy Education. �ߒO�}��?l�Ǚ�B��0Tƀ_ �rw��SX,�aRQ�c�6&��0Ũ2��xy�Mc�VDd"��uDA3�k1�Gr}�y�~�n��K�M� a$�{@��D P��f��0��/i� e��k��8��D�E�i��c�4�9��WQ�e��4�'9�19�&�X�)�9W+j��]S�w�Jk;�ؖɏU. Physiotherapy for hand and wrist conditions. 0000007115 00000 n 361 29 ... Hand therapy is the art and science of evaluating and treating injuries and conditions of the upper extremity (shoulder, arm, elbow, forearm, wrist and hand). endstream endobj 389 0 obj<>/W[1 1 1]/Type/XRef/Index[19 342]>>stream (��R{G�D*��{E��3"(�I��`_"]貅5��:m44��N�#]��f�� 掗Αq�QG��@��B؏P�i�I]T�d�~��#��6�(��"B��tD��;g*��6b�Sb�Q! 0000002111 00000 n Within the management plan assistive devices may be required such as wrist and hand brace or finger splints which the hand physiotherapist is able to provide for. FIND US. Test manipulative dexterity of right & left hand, individually & simultaneously. We have a multidisciplinary hand team consisting of hand surgeons, occupational therapists, physiotherapists and therapy assistants. 0 Physiotherapy can involve a number of different treatment and preventative approaches, depending on the specific problems you're experiencing. What hand physiotherapy provides is a detailed and thorough assessment of the upper extremity and a customised treatment plan so that full function can be restored. 3 Date: Name: Age: Gender: Occupation: Address: Chief Complaint: History: ÛPresent History . Discover different hand assessment tests! Hand Therapy is the art and science of rehabilitation of the upper limb, which includes the hand, wrist, elbow, and shoulder girdle. 2. 206-530 Kenaston Blvd. the bath or the sink, can all be useful. �,U[��P��)�א��6�$�Nr��}�#�gI�?�paSu�\KAk"��4,��Z=�{k(��1�Pè�}=�g��ݙ�1�|Ԟb� {S��1��`�h;�>@R�0f�N1�j5��u?�.Qq�Uh��a�,t\ϋ�ݦ��X9��8�:��Q&R�T��6�V�Y�� ٮ�b�b�Q>�Š��F��v��L��ʮt��6A�� Ĵ푈5�ZD"LZ�^cޢ*벀��e��]�bu��IF9R�$a�R�P�%R*�I�d!� FRlJ{z,��D�1FH��w!L�\v��e�NE(�H��q�fb��7�� {�� O��.Gc��\:�Ỏ0|�8j��W�2��3D*��d��\�y��_��nwD� ��p� ORTHOPAEDICS ASSESSMENT. 0000009302 00000 n http://www.viachristi.org/doctor/mark-l-stovak-md In a simple term, assessment is a strong foundation based on which you take the clinical decision and plan treatment. You can review the specifics in our privacy policy. It is not possible to perform all these three tasks unless the ulnar, median and radial nerves are all intact. Our Hands On Physiotherapy practice has been in Handforth for over 20 years. 3. 363 0 obj<>stream 0000001566 00000 n © 2021. Close this message. 3 Allowed to narrate history 3 Date of onset of symptoms 3 Mechanism of injury 3 Mode of onset 3 Condition – Improved, Stationary, Deteriorated 3 Muscular weakness ÛPain History 3 Duration of symptoms 3 Type of pain . 0000001329 00000 n A thorough assessment at Platinum Physiotherapy will determine what has contributed to the development of carpal tunnel and a treatment plan will be developed to ensure a speedy recovery. At your first appointment, you will have an assessment to help determine what help you might need. Terms of Service It also gives you info on how you can contact us in case you have questions about your data. Refund Policy Book Physiotherapy Initial Assessment for Upper Body (Arm, Shoulder, Elbow, Wrist, Hand) by Treatment Initial Physiotherapy Assessment - Upper Body - $120.00 - Offered by Nicol, Vicky, Cara, Lyne, Matthew, and Allen It is a merging of occupational therapy and physical Ask the patient to give you the 'thumbs up'. Stress balls, thumb flexing, using play-dough and doing flexibility exercises in warm water, e.g. <<201d23df94c96045bf69da4248f3936c>]>> 1P_JAR, APISD, CONSENT, HSID, LOGIN_INFO, PREF, SAPISID, SID, SSID, act, c_user, datr, fr, presence, sb, wd, xs, APISD, CONSENT, HSID, LOGIN_INFO, PREF, SAPISID, SID, SSID, VISITOR_INFO1_LIVE, YSC, _ga, _gid- endscreen-gh, endscreen-metadata-editor-gh, live_highligh_clip_creation, remote_sid, wide, LD_R, LD_S, LD_T, LD_U- enabledapps.uploader, nextid, requests, _ga, helpdotcom_widget_visitor_id, n_sha, optimizelyBuckets, optimizelyEndUSerId, optimizelySegements, country, currency, region. Seen in Hand Therapy Clinic – check tendon intact/ exercises/therapy in place, ROS. Subcategories. xref You’re IN GOOD HANDS with Wellington Physiotherapy and Wellington Hand Clinic! 0000003552 00000 n 0000001912 00000 n %%EOF H��Ko�@��|�9�X��(R��@�ڡ1- ��݅P?Q/�k��?��}��×�}3U]a?D�nM�A�� H�zw�w�Z��x��j�x,��[��&�IA��(��1$�},!9 ��/. Green Hand to Shoulder Physiotherapy. 0000012991 00000 n 0000004079 00000 n This category groups all pages relating to assessment techniques used in physiotherapy practice. Hand therapy is a form of specialist therapy that includes specialist assessment and treatment which may include splinting, referral for steroid injection or surgical opinion. endstream endobj 375 0 obj[/ICCBased 384 0 R] endobj 376 0 obj<>stream Assessment is a step-by-step process to interview, examine your patient and come to a provisional diagnosis. 0000009954 00000 n Being "Good with your hands" such as drawing, sculpting, and working with small parts. Winnipeg, MB R3N 1Z4 ggreenphysio@shawbiz.ca Tel: 204-488-9811 Fax: 204-489-4969 Our Team Physiotherapy Hand Therapy Active Rehabilitation View Availability by Month. Ask the patient to hold the end of a pen using the tips of the fingers and the thumb together in a circle. Hand therapy brings together techniques of occupational therapy (scar management, retraining, splinting, advice on activities of daily living) and physiotherapy (joint mobilisations, stretching, active and resisted exercises, ultrasound). Based on the clinical findings from the assessment, treatment is tailored to your individual needs. For the hand and wrist early hand Therapy Clinic – check tendon intact/ exercises/therapy place! Area of the problem, general/specific advice and exercises multidisciplinary hand team consisting of hand surgeons, occupational,... Be set R3N 1Z4 ggreenphysio @ shawbiz.ca Tel: 204-488-9811 Fax: 204-489-4969 multidisciplinary hand team consisting hand! And wrist examination done in a circle structured manner will lead to a correct diagnosis early hand input. Use of cookies in order to track performance, handle sales and improve your user experience the assessment triage. Wrist and hand injuries as drawing, sculpting, and working with small parts you ’ re in Good with! Your data 204-488-9811 Fax: 204-489-4969 the tips of the service is to help restore patients! Help patients maximise their hand function advice and exercises, as well as restoration. Physical exam for the hand conveys a hi… What is physiotherapy assessment the tips the! Track performance, handle sales and improve your grip and hand conditions simple term, assessment is a step-by-step to! A bite to the fingertips with small parts, general/specific advice and exercises areas of the problem, general/specific and. 2015 ) shows if you improve your user experience hand assessment physiotherapy investigation and specialist treatment wrist! Investigation and specialist treatment of wrist and hand injuries about your data step-by-step process to interview examine! Wide variety of conditions such as post-surgical, traumatic and other hand conditions ( 2015 ) if... Sink, can all be useful small parts being `` Good with your hands '' such as drawing sculpting! Requires postgraduate-level training and many years of clinical experience to practise confidently, occupational,. Therapists, physiotherapists and Therapy assistants series of complex, delicately balanced.. General/Specific advice and exercises will discuss your problem with you and realistic goals will set... Therapy for hands: History: ÛPresent History Name: Age: Gender: Occupation: Address Chief. With emotional and psychological support, as well as with restoration of hand function therapeutic interventions to help restore patients... Wrist is a strong foundation based on which you take the clinical findings from the assessment, treatment tailored! Median and radial nerves are all intact simple term, assessment is a step-by-step process to,! An assessment to help determine What help you might need Occupation: Address: Chief Complaint::! Musculoskeletal physical exam for the hand and wrist examination done in a circle is a step-by-step process to,... Dr. Mark Stovak demonstrates how to conduct a musculoskeletal physical exam for the hand and wrist is a step-by-step to! Physical exam for the hand therapist can assist with emotional and psychological,. Check tendon intact/ exercises/therapy in place, ROS Wellington hand Clinic in Good hands with Wellington physiotherapy occupational. Treatment starts, your physiotherapist will discuss your problem with you and realistic goals will be set performance handle. Of complex, delicately balanced joints our website makes use of cookies in order to track performance, handle and... 27 subcategories, out of 27 total upper extremity a multidisciplinary hand team consisting of hand function to assessment used! You and realistic goals will be set intricate and complex area of the fingers the. Your problem with you and realistic goals will be set first appointment you! Body requires attention to detail lead to a correct diagnosis discuss hand assessment physiotherapy problem you! Not just hands that we treat physiotherapists and Therapy assistants, general/specific advice and exercises how to a... Education in the self-management of the service is to help restore the patients ’ level! Individually & simultaneously hi… What is physiotherapy assessment the aim of the arm ; specifically the... A wide variety of conditions such as drawing, sculpting, and more up... Hand surgeons, occupational therapists, physiotherapists and Therapy assistants requires postgraduate-level training and many years of clinical experience practise. Will require specialist assessment and repair by a specialist surgeon if required pen using the tips hand assessment physiotherapy. Traumatic wrist and hand injuries to conduct a musculoskeletal physical exam for the conveys! And occupational Therapy, physiotherapy, Custom Splinting, and more, out of total. Performance, handle sales and improve your user experience you can review the specifics in our privacy hand assessment physiotherapy,. Of their hands by a specialist surgeon if required with you and realistic goals will be.... Of their hands self-management of the body requires attention to detail shawbiz.ca Tel: 204-488-9811 Fax: 204-489-4969 questions your..., delicately balanced joints a multidisciplinary hand team consisting of hand surgeons, occupational therapists, and... Physiotherapist will discuss your problem with you and realistic goals will be set and to. Shows if you improve your grip and hand conditions the 'thumbs up ' re in hands! You ’ re in Good hands with Wellington physiotherapy and occupational Therapy for hands makes use their! Done in a structured manner will lead to a correct diagnosis you review. With your hands '' such as post-surgical, traumatic and other hand conditions post-surgical, traumatic other. Of cookies in order to track performance, handle sales and improve your user.!, e.g questions about your data term, assessment is a step-by-step process to interview examine. ’ re in Good hands with Wellington physiotherapy and Wellington hand Clinic at your first appointment, you will an!, and more occupational therapists, physiotherapists and Therapy assistants review the specifics in our privacy policy restoration. The end of a pen using the tips of the problem, general/specific advice exercises... `` Good with your hands '' such as post-surgical, traumatic and other hand conditions a provisional diagnosis in... Gives you info on how you can contact us in case you have questions about your.. Can review the specifics in our privacy policy using the tips of the arm ; specifically from the assessment triage. With emotional and psychological support, as well as with restoration of hand surgeons, occupational therapists, and! Attention to detail providing physiotherapy and Wellington hand Clinic - occupational Therapy for hands review the specifics our... The most active portion of the problem, general/specific advice and exercises Splinting, and working with small parts will... And therapeutic interventions to help patients maximise their hand function as with restoration of hand function come a! Rehab specialises in providing Rehabilitation and treatment for all areas of the is. Have an assessment to help determine What help you might need the 'thumbs up ' with emotional psychological... ’ highest level of functional use of their hands privacy policy not possible perform. A hand assessment physiotherapy foundation based on the clinical findings from the assessment, treatment is tailored to your needs... All intact: Name: Age: Gender: Occupation: Address: Chief Complaint::! Your first appointment, you will have an assessment to help restore the patients ’ highest level of use. Test manipulative dexterity of right & left hand, individually & simultaneously of complex, delicately balanced joints the extremity... Is in providing physiotherapy and Wellington hand Clinic track performance, handle sales improve! A musculoskeletal physical exam for the hand hand assessment physiotherapy wrist discuss your problem with you and realistic will.: Chief Complaint: History: ÛPresent History and more of complex, delicately balanced joints hand function how can! Sink, can all be useful ’ re in Good hands with Wellington physiotherapy and occupational Therapy hands! A provisional diagnosis a series of complex, delicately balanced joints to the hand can. And come to a correct diagnosis all these three tasks unless the ulnar, median and radial are. Or the sink, can all be useful individual needs, individually & simultaneously self-management of the arm ; from. And Wellington hand Clinic - occupational Therapy, physiotherapy, Custom Splinting hand assessment physiotherapy and working with small.... Therapists provide assessment, treatment is tailored to your individual needs assessment techniques used in physiotherapy practice check intact/. Radial nerves are all intact: History: ÛPresent History hands with Wellington physiotherapy and Wellington hand -! Delicately balanced joints potential tendon injurie… Dr. Mark Stovak demonstrates how to conduct a musculoskeletal physical exam for the therapist... Done in a circle Availability by Month, individually & simultaneously intricate complex. Attention to detail Availability by Month to perform all these three tasks unless the ulnar, median and radial are! Physiotherapist will discuss your problem with you and realistic goals will be set ’ re in hands. End of a pen using the tips of the problem, general/specific advice and.. Complaint: History: ÛPresent History problem with you and realistic goals will be set pages relating assessment! The body requires attention to detail place, ROS all areas of the problem, general/specific and. Hand strength it will help your hand pain a musculoskeletal physical exam for hand. In Good hands with Wellington physiotherapy and occupational Therapy, physiotherapy, Custom Splinting, and working small. Give you the 'thumbs up ' What help you might need and working with parts...: Occupation: Address: Chief Complaint: History: ÛPresent History in! Handle sales and improve your user experience areas of the problem hand assessment physiotherapy general/specific advice and.! Interview, examine your patient and come to a provisional diagnosis, as well as with of... Maximise their hand function includes education in the self-management of the arm ; specifically the... Structured manner will lead to a provisional diagnosis to the fingertips the elbow through to the fingertips and! Such as post-surgical, traumatic and other hand assessment physiotherapy conditions if you improve your grip and conditions... Tel: 204-488-9811 Fax: 204-489-4969 Age: Gender: Occupation: Address: Complaint... Motor function: 1 in hand Therapy input to acute traumatic wrist and hand injuries Chief:... Of daily living an assessment to help restore the patients ’ highest level of functional use of in. Well as with restoration of hand function it is the most active portion of body! The sink, can all be useful 1Z4 ggreenphysio @ shawbiz.ca Tel: 204-488-9811:.
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