Hand Therapy最新文献_第10页

Capturing the costs of acute hand and wrist injuries: Lessons learnt from a prospective longitudinal burden of injury study 捕获急性手和手腕损伤的成本:从前瞻性损伤纵向负担研究中吸取的教训

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Hand Therapy Pub Date : 2020-09-02 DOI: 10.1177/1758998320952815

L. Robinson, T. Brown, L. O'Brien

{"title":"Capturing the costs of acute hand and wrist injuries: Lessons learnt from a prospective longitudinal burden of injury study","authors":"L. Robinson, T. Brown, L. O'Brien","doi":"10.1177/1758998320952815","DOIUrl":"https://doi.org/10.1177/1758998320952815","url":null,"abstract":"Introduction Given the high incidence of hand and wrist injuries, they are exceptionally costly to the economy. This prospective, longitudinal study aimed to establish methods for capturing the burden of acute hand and wrist injury from an individual and societal perspective. Methods A prospective longitudinal design with baseline measures of injury type and severity, and repeated measures of disability, cost, and activity limitations and participation restrictions at six weeks, three months, and six months was selected. Participants were recruited from two large urban Australian public health care services. We sought to establish methods for capturing the burden of acute hand and wrist injury from an individual and societal perspective and compare survey completion by the method of administration. Results A total of 206 patients consented to participate in this study, representing 54% of those invited to participate. The survey completion rates were 18% at six weeks, 2.4% at twelve weeks, and 0.004% at six months following injury. From the limited data collected at six weeks, it was noted that nearly half of the patients reported a decrease in usual financial income, 14% reported absenteeism, and 62% reported presenteeism. Participants who elected to have data collected via phone call had the highest survey completion rate (n = 6/10; 30%) at six-week’s follow-up. Discussion The study findings highlight the difficulties of completing longitudinal survey research investigating individual and societal burden with this population. Future research should be carefully designed to encourage participation and retention by considering patient and public involvement in study design, the time burden placed on the participants within and across selected survey time points, providing participants with incentives to participate, and highlighting the relevance and real-world applications of the findings.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"15 1","pages":"119 - 129"},"PeriodicalIF":1.0,"publicationDate":"2020-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87214080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Translating the Strengthening and Stretching for Rheumatoid Arthritis of the Hand Programme from clinical trial to clinical practice: An effectiveness–implementation study 将手部类风湿关节炎的强化和伸展方案从临床试验转化为临床实践:一项有效性实施研究

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Hand Therapy Pub Date : 2020-09-01 DOI: 10.1177/1758998320948538

E. Williamson, C. Srikesavan, Jacqueline Y. Thompson, E. Tonga, L. Eldridge, J. Adams, S. Lamb

{"title":"Translating the Strengthening and Stretching for Rheumatoid Arthritis of the Hand Programme from clinical trial to clinical practice: An effectiveness–implementation study","authors":"E. Williamson, C. Srikesavan, Jacqueline Y. Thompson, E. Tonga, L. Eldridge, J. Adams, S. Lamb","doi":"10.1177/1758998320948538","DOIUrl":"https://doi.org/10.1177/1758998320948538","url":null,"abstract":"Introduction The Strengthening and Stretching for Rheumatoid Arthritis of the Hand programme is a hand exercise programme for people with rheumatoid arthritis. It was clinically effective when delivered during a clinical trial but there was a need to evaluate translation into routine care. Methods We conducted an effectiveness–implementation study. We adapted the trial training into an online format for National Health Service hand therapists. Educational outcomes included confidence and capability to deliver the programme. Implementation outcomes included training reach and adoption. Therapists were invited to collect clinical outcomes. Patients receiving the programme provided data on function (Michigan Hand Questionnaire function scale), pain and grip strength at baseline, treatment discharge and four-month follow-up. Results A total of 790 therapists (188 National Health Service organizations) enrolled in the training; 584/790 (74%) therapists (162 National Health Service organizations) completed the training; 448/790 therapists (145 National Health Service organizations) (57%) evaluated the training and were confident (447/448, 99.8%) and capable (443/448, 99%) to deliver the programme with 85% intending to adopt it (379/448). Follow-up data were provided by 116/448 (26%) therapists. Two-thirds (77/116; 51 National Health Service organizations) reported adopting the programme. One hundred and eighteen patients (15 National Health Service trusts) participated. Patients reported improved function (mean change Michigan Hand Questionnaire scores: 10 (95% CI 6.5–13.6) treatment discharge; 7 (95% CI 3.8–10.2) 4-month follow-up). Grip strength increased 24.5% (left) and 31% (right). Pain was stable. Discussion Online training was an effective way to train therapists with good reach. Clinical outcomes were similar to the clinical trial providing preliminary evidence of successful translation into routine care.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"64 1","pages":"87 - 97"},"PeriodicalIF":1.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86883065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Mindful Body Scans and Sonographic Biofeedback as Preparatory Activities to Address Patient Psychological States in Hand Therapy: A Pilot Study. 正念身体扫描和超声生物反馈作为手部治疗中患者心理状态的预备活动:一项试点研究。

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Hand Therapy Pub Date : 2020-09-01 Epub Date: 2020-06-09 DOI: 10.1177/1758998320930752

Shawn C Roll, Mark E Hardison, Cheryl Vigen, David S Black

{"title":"Mindful Body Scans and Sonographic Biofeedback as Preparatory Activities to Address Patient Psychological States in Hand Therapy: A Pilot Study.","authors":"Shawn C Roll, Mark E Hardison, Cheryl Vigen, David S Black","doi":"10.1177/1758998320930752","DOIUrl":"https://doi.org/10.1177/1758998320930752","url":null,"abstract":"Introduction: Translational evidence for mind-body interventions in hand therapy is limited. This pilot study aimed to determine potential benefits of including a mindful body scan or sonographic biofeedback at the outset of a hand therapy session on key psychological states.Methods: A randomized, repeated-measures, cross-over design was used to evaluate a mindful body scan and sonographic biofeedback at the outset of a hand therapy session. Measures of pain, anxiety, and stress (i.e., salivary cortisol) were obtained from 21 hand therapy patients at the start, after 20 minutes, and at the end of each of three 60-minute treatments. Trends were examined, and mixed-effects regression compared effects across time within and across the sessions for each of the outcome measures.Results: For all intervention types, anxiety and stress decreased across the treatment session (p<0.001); no statistically significant changes were noted in pain. Using either mind-body intervention before standard care resulted in a meaningful decrease and statistical trend toward improvement in stress. The use of a mindful body scan produced an immediate, statistically significant reduction in anxiety (β = -0.14, p = 0.03), a lowered level that was maintained throughout the therapy session.Discussion: These data provide preliminary support for integrating mind-body interventions as preparatory activities in hand therapy. Mindful body scans may prepare patients for therapeutic interventions by more quickly reducing anxiety, and the use of either intervention may reduce patient stress more than would occur during a standard care session. These effects should be evaluated in an adequately powered clinical trial.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"25 3","pages":"98-106"},"PeriodicalIF":1.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1758998320930752","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38650454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Improving wrist imaging through a multicentre educational intervention: The challenge of orthogonal projections 通过多中心教育干预改善手腕成像:正交投影的挑战

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Hand Therapy Pub Date : 2020-07-01 DOI: 10.1177/1758998320935920

B. Snaith, S. Raine, L. Fowler, C. Osborne, Sophie House, Ryan Holmes, E. Tattersall, Emma Pierce, M. Dobson, J. Harcus

{"title":"Improving wrist imaging through a multicentre educational intervention: The challenge of orthogonal projections","authors":"B. Snaith, S. Raine, L. Fowler, C. Osborne, Sophie House, Ryan Holmes, E. Tattersall, Emma Pierce, M. Dobson, J. Harcus","doi":"10.1177/1758998320935920","DOIUrl":"https://doi.org/10.1177/1758998320935920","url":null,"abstract":"Introduction In relation to wrist imaging, the accepted requirement is two orthogonal projections obtained at 90°, each with the wrist in neutral position. However, the literature and anecdotal experience suggests that this principle is not universally applied. Method This multiphase study was undertaken across eight different hospitals sites. Compliance with standard UK technique was confirmed if there was a change in ulna orientation between the dorsi-palmar (DP) and lateral wrist projections. A baseline evaluation for three days was randomly identified from the preceding three months. An educational intervention was implemented using a poster to demonstrate standard positioning. To measure the impact of the intervention, further evaluation took place at two weeks (early) and three months (late). Results Across the study phases, only a minority of radiographs demonstrated compliance with the standard technique, with an identical anatomical appearance of the distal ulna across the projections. Initial compliance was 16.8% (n = 40/238), and this improved to 47.8% (n = 77/161) post-intervention, but declined to 32.8% (n = 41/125) within three months. The presence of pathology appeared to influence practice, with a greater proportion of those with an abnormal radiographic examination demonstrating a change in ulna appearances in the baseline cohort (p < 0.001) and the late post-intervention group (p = 0.002) but not in the examinations performed two weeks after staff education (p = 0.239). Conclusion Assessment of image quality is critical for diagnosis and treatment monitoring. Yet poor compliance with standard anatomical principles was evident. A simple educational intervention resulted in a transient improvement in wrist positioning, but the impact was not sustained over time.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"57 1","pages":"107 - 113"},"PeriodicalIF":1.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87351146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Number of trials necessary to achieve performance stability in a reaching kinematics movement analysis game. 在达到运动学运动分析游戏中达到性能稳定性所需的试验次数。

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Hand Therapy Pub Date : 2020-07-01 DOI: 10.1016/j.jht.2019.04.001

Yuping Chen, Sergio García-Vergara, A. Howard

引用次数: 4

Going beyond Activity and Participation: Development of the DIF-CHUM-A patient-reported outcome measure for individuals with Dupuytren's contracture. 超越活动和参与:DIF-CHUM-A患者报告的Dupuytren挛缩个体结果测量的发展。

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Hand Therapy Pub Date : 2020-07-01 DOI: 10.1016/j.jht.2019.03.013

N. Forget, J. Higgins, M. Rivard, P. Harris

引用次数: 3

Experiences of men living with Dupuytren's disease-Consequences of the disease for hand function and daily activities. 男性Dupuytren病患者的经验-疾病对手部功能和日常活动的影响。

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Hand Therapy Pub Date : 2020-07-01 DOI: 10.1016/j.jht.2019.04.004

Christina Turesson, J. Kvist, B. Krevers

引用次数: 9

Use of a relative motion flexion orthosis for postoperative management of zone I/II flexor digitorum profundus repair: A retrospective consecutive case series. 相对运动屈曲矫形器用于I/II区指深屈肌修复术后管理:回顾性连续病例系列。

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Hand Therapy Pub Date : 2020-07-01 DOI: 10.1016/j.jht.2019.05.002

S. Henry, J. Howell

引用次数: 17

Developing occupation kits in a Hand Therapy Student Experiential Learning Clinic 在手治疗学生体验式学习诊所开发职业工具包

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Hand Therapy Pub Date : 2020-03-25 DOI: 10.1177/1758998320912680

Logan Berlet, V. Kaskutas

{"title":"Developing occupation kits in a Hand Therapy Student Experiential Learning Clinic","authors":"Logan Berlet, V. Kaskutas","doi":"10.1177/1758998320912680","DOIUrl":"https://doi.org/10.1177/1758998320912680","url":null,"abstract":"Introduction Combining occupation-based and biomechanical approaches is effective to increase function after hand injury. This project developed and evaluated occupation kits as a means to increase occupation-based practice. Methods Descriptive study that utilized existing Disabilities of the Arm, Shoulder and Hand data from 642 patients treated by hand surgeon and patients in our Hand Therapy Student Experiential Learning Clinic (HTSELC) to identify difficult activities. These data informed the selection of occupational areas to address with the kits. Biomechanical demands of each kit developed were quantified by 10 student therapists using the Abilities Questionnaire. Fourteen occupational therapists reviewed and rated the usefulness of each kit by survey. Kits were piloted in the HTSELC, and student therapists documented the percentage of time delivering each intervention type: activity/occupation, preparatory methods and tasks, education, advocacy, and group. The degree of occupation-based practice was compared using intervention type percentages before and after introduction of the kits. Results Ten kits were created to address most occupation categories within occupational therapy’s scope of practice. Kits include procedures, safety precautions, and a standardized scale to objectively measure performance. Clinicians noted that kits reflected each occupation well (3.7/5) and 45% reported they were likely to use the kits. After the kits became available in the HTSELC, the percentage of interventions at the occupation/activity level increased from 19% to 26% and biomechanical interventions, including preparatory methods and tasks, decreased from 61% to 49%. Conclusion This research suggests that occupation kits can be a first step to help therapists deliver occupation-based interventions in hand therapy settings.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"30 1","pages":"73 - 82"},"PeriodicalIF":1.0,"publicationDate":"2020-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76889020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

What is the incidence of complex regional pain syndrome (CRPS) Type I within four months of a wrist fracture in the adult population? A systematic review 成人腕部骨折后4个月内发生I型复杂局部疼痛综合征(CRPS)的发生率是多少?系统回顾

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Hand Therapy Pub Date : 2020-03-24 DOI: 10.1177/1758998320910179

C. Rolls, C. McCabe, A. Llewellyn, G. Jones

{"title":"What is the incidence of complex regional pain syndrome (CRPS) Type I within four months of a wrist fracture in the adult population? A systematic review","authors":"C. Rolls, C. McCabe, A. Llewellyn, G. Jones","doi":"10.1177/1758998320910179","DOIUrl":"https://doi.org/10.1177/1758998320910179","url":null,"abstract":"Introduction Complex regional pain syndrome (CRPS) is a severe chronic pain condition, the symptoms of which may develop following trauma to a limb. Despite wrist fracture being a common antecedent, estimates of the incidence of CRPS following this injury vary widely. Our objective was to establish the incidence of CRPS in adults within four months of a wrist fracture, using a systematic review of the literature published since 2010. Methods The databases MEDLINE, PubMed, EMBASE, PsychINFO, CINAHL, BNI and AMED were searched for observational studies reporting the incidence of CRPS following a wrist fracture. Inclusion criteria were the use of a validated diagnostic tool to assess for CRPS within four months of the fracture. Randomised controlled trials and clinical trials were excluded, as were data from patients with evidence of prior neurology. Incidence risk was then extracted or calculated. Included studies were assessed for methodological rigour using the Newcastle–Ottowa Scale for assessment of bias. Results Nine studies met the inclusion criteria. There was a high degree of heterogeneity in study populations including study setting, fracture management and diagnostic criteria. From the three studies with the highest methodological rigour we determined that the incidence risk of CRPS in adults is between 3.7% and 14% using the Budapest criteria, with an observation of lower rates in conservatively managed fractures. Discussion We found evidence that the reported incidence of CRPS is influenced by choice of diagnostic criteria, along with the study location and/or how the fracture is managed.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"43 1","pages":"45 - 55"},"PeriodicalIF":1.0,"publicationDate":"2020-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79736455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6