Hand Therapy最新文献_第10页

A new controlled motion program for rehabilitation of the proximal interphalangeal joint arthroplasty. 一种用于近端指间关节置换术康复的新型控制运动程序。

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Hand Therapy Pub Date : 2019-08-31 DOI: 10.1016/j.jht.2019.04.003

Deepak Ramanathan, Jo Koludrovich, P. Evans

引用次数: 0

Therapeutic exercise for adults post-distal radius fracture: An overview of systematic reviews of randomized controlled trials 成人桡骨远端骨折后的治疗性运动:随机对照试验的系统综述

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Hand Therapy Pub Date : 2019-08-01 DOI: 10.1177/1758998319865751

C. Ziebart, G. Nazari, J. Macdermid

{"title":"Therapeutic exercise for adults post-distal radius fracture: An overview of systematic reviews of randomized controlled trials","authors":"C. Ziebart, G. Nazari, J. Macdermid","doi":"10.1177/1758998319865751","DOIUrl":"https://doi.org/10.1177/1758998319865751","url":null,"abstract":"Introduction Optimizing recovery after a distal radius fracture is a major concern. There continues to be discrepancies in findings on whether therapeutic exercise improves activity and participation by reducing limitations such as pain and range of motion after fracture. The main objective of this overview was to critically appraise the evidence to establish the effectiveness of therapeutic exercise to improve impairment for adults after a distal radius fracture. Methods An overview of systematic reviews was used, which summarizes a number of systematic reviews. PubMed, CINAHL, PEDro, Scopus, Web of Science, and Cochrane Library were searched. Systematic reviews were included in this overview if the study population was adults after a distal radius fracture, and the intervention group was therapeutic exercise. A systematic review was excluded from this overview if it did not include randomized controlled trials, the full text was not published, or if they were scoping or narrative reviews. The outcomes evaluated were pain, function/disability, range of motion, and strength. Results Five systematic reviews were included in this overview, with between 7 and 26 randomized controlled trials included in the SRs. The overall quality of the reviews was low with two systematic reviews rated as low quality and three rated as critically low quality on the AMSTAR 2 assessment tool. Conclusion The quality of reviews was low, with high risk of bias. All reviews were inconclusive due to limitations in the number and quality of randomized controlled trials. Due to the low quality of evidence, it remains unclear what the effectiveness of exercise is to improve impairments after a distal radius fracture.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76594911","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: 5

Implicit motor imagery in chronic complex hand injury patients and its relation to upper extremity function: A pilot study 慢性复杂手损伤患者的内隐运动意象及其与上肢功能的关系:一项初步研究

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Hand Therapy Pub Date : 2019-08-01 DOI: 10.1177/1758998319865288

C. Verma, Kshitij Sharad Jadhav, Raveena Kini, A. Mehta, V. Puri

{"title":"Implicit motor imagery in chronic complex hand injury patients and its relation to upper extremity function: A pilot study","authors":"C. Verma, Kshitij Sharad Jadhav, Raveena Kini, A. Mehta, V. Puri","doi":"10.1177/1758998319865288","DOIUrl":"https://doi.org/10.1177/1758998319865288","url":null,"abstract":"Introduction Implicit motor imagery is the first step of graded motor imagery technique, which is known to be impaired in chronic pain conditions. However, there is a paucity of literature investigating implicit imagery in peripheral conditions like chronic complex hand injuries and its relation with upper extremity function. Method Thirty participants in the study group and 30 in the control group were included. Implicit imagery was assessed using hand laterality recognition task where participants identified 48 different hand images, as left- or right-hand images. Accuracy and response time were calculated and compared between the two groups. The Disabilities of Arm, Shoulder and Hand (DASH) questionnaire was used to assess the upper extremity functional level and correlated with implicit imagery as secondary objective. Results Hand injured patients had a 76.18% accuracy and 2.30 seconds/card response time. There was a statistically significant difference in accuracy (p < 0.0001) and response time (p = 0.0066) between study group and control group. Disability level assessed by DASH was 40.5 and had no correlation with accuracy (r = 0.004; 95% CI: 0.3663–0.3736) and response time (r = 0.099; 95% CI: 0.2804–0.4531). Conclusion Implicit imagery was impaired in chronic complex hand injured patients and it had no relation with upper extremity functional level.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83058101","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: 0

Inter- and intra-rater reliability and clinical utility of the Brachial Plexus Outcome Measure: A pilot study 臂丛神经结局测量的内部和内部可靠性及临床应用:一项初步研究

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Hand Therapy Pub Date : 2019-07-31 DOI: 10.1177/1758998319861655

H. Brown, P. Bassett, T. Quick

{"title":"Inter- and intra-rater reliability and clinical utility of the Brachial Plexus Outcome Measure: A pilot study","authors":"H. Brown, P. Bassett, T. Quick","doi":"10.1177/1758998319861655","DOIUrl":"https://doi.org/10.1177/1758998319861655","url":null,"abstract":"Introduction Birth-related plexus injuries cause paralysis of the upper limb. The majority of patients spontaneously recover, but many suffer with long-term limitations in function. The Brachial Plexus Outcome Measure was developed to assess upper limb function in children with birth-related plexus injuries. This pilot study assessed the inter- and intrarater reliability in novice users. Information was also gained with regards to the perceived clinical utility of the tool. Methods Eleven therapists, experienced in the treatment of birth-related plexus injuries but naïve in the use of the Brachial Plexus Outcome Measure, were recruited as raters. Eight video-recorded assessments were independently scored. Four raters were randomly selected to repeat two of the analyses. The perceived clinical utility of the Brachial Plexus Outcome Measure was investigated via a questionnaire. Results Across the domains of the Brachial Plexus Outcome Measure, the majority of items scored ‘Fair’ for inter-rater reliability with kappa scores ranging from 0.13–0.46. Intra-rater agreement was better with the majority of items scoring 0.44–0.86 upon weighted kappa analysis. Participant scores for clinical utility were mixed. However, 7 of the 11 raters agreed that the Brachial Plexus Outcome Measure is useful as a pre- and post-intervention tool. Conclusions When compared to the inter-rater reliability of similar functional outcome measures, these results are less favourable. Future research and suggestions to improve the implementation, reliability and clinical utility of the Brachial Plexus Outcome Measure have been identified. These include better standardisation of equipment and improved instructional guidance. In addition, within the clinical setting, it is recommended that the same clinician assesses the same child over the course of their treatment.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87894667","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: 0

Occupation-based hand therapy in a baker with monomelic amyotrophy (distal segmental spinal muscular atrophy or Hirayama disease) 面包师单侧肌萎缩症(远节段性脊髓性肌萎缩或平山病)的职业性手部治疗

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Hand Therapy Pub Date : 2019-07-18 DOI: 10.1177/1758998319861402

E. Nijland

引用次数: 0

Rehabilitation with a stabilizing exercise program in triangular fibrocartilage complex lesions with distal radioulnar joint instability: A pilot intervention study 三角区纤维软骨复合体病变伴远端尺桡关节不稳定的稳定训练康复:一项试点干预研究

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Hand Therapy Pub Date : 2019-07-11 DOI: 10.1177/1758998319861661

Edj Bonhof-Jansen, G. Kroon, S. Brink, JH van Uchelen

{"title":"Rehabilitation with a stabilizing exercise program in triangular fibrocartilage complex lesions with distal radioulnar joint instability: A pilot intervention study","authors":"Edj Bonhof-Jansen, G. Kroon, S. Brink, JH van Uchelen","doi":"10.1177/1758998319861661","DOIUrl":"https://doi.org/10.1177/1758998319861661","url":null,"abstract":"Introduction It is unclear whether rehabilitation with the use of an exercise program can be an alternative to surgery in distal radioulnar joint instability resulting from injuries of the triangular fibrocartilage complex. The purpose of this study was to gain insights into the feasibility and effects in reducing pain and functional limitations by using distal radioulnar stability training. Methods A prospective pilot cohort intervention study was used including patients with a triangular fibrocartilage complex Palmer 1B lesion and distal radioulnar joint instability. The primary objective was the reduction of pain and functional limitations as measured by the Patient-Rated Wrist-Hand Evaluation. Secondary objectives were to assess number of surgical interventions, treatment sessions, and patient satisfaction. Results Twenty-one patients (mean age: 33.2 years) were included with a median time of symptom onset of eight months (IQR: 5–24). The distal radioulnar stability training program showed a clinically relevant positive change in the Patient-Rated Wrist-Hand Evaluation total and subscale scores when compared to the baseline assessment. Six patients opted for surgical intervention at six months follow-up, and two patients were considering surgery at the long-term follow-up. Conclusion Rehabilitation with stabilizing exercises in patients with distal radioulnar joint instability caused by triangular fibrocartilage complex 1B lesions provides pain relief and increases function. Findings should be validated by further controlled prospective studies.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2019-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80760113","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: 3

Reliability and validity of the finger flexor dynamometer 手指屈肌测功仪的信度和效度

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Hand Therapy Pub Date : 2019-07-08 DOI: 10.1177/1758998319859382

Kai Nestler, U. Rohde, B. Becker, S. Waldeck, D. A. Veit, D. Leyk

{"title":"Reliability and validity of the finger flexor dynamometer","authors":"Kai Nestler, U. Rohde, B. Becker, S. Waldeck, D. A. Veit, D. Leyk","doi":"10.1177/1758998319859382","DOIUrl":"https://doi.org/10.1177/1758998319859382","url":null,"abstract":"Introduction Dynamometric measurement is a low-cost, noninvasive method for diagnosing and evaluating traumatic and degenerative disorders. The purpose of this study was to assess the reliability and validity of a new custom-made finger flexor dynamometer and evaluate the feasibility of the measuring procedure. Methods Maximum voluntary isometric contraction force at the distal phalanx of the index finger was measured for 1.5 s in 25 healthy volunteers (18–50 yrs). Test–retest reliability and inter-day reliability were assessed by intraclass correlation coefficient model (2,k) on two and five consecutive days, respectively. Both a single measurement and the mean of three repeated measurements were carried out daily. The standard error of measurement was used to measure the absolute reliability, the smallest detectable change was determined, and the coefficient of variation was calculated for each individual. Construct validity was determined by Pearson coefficient. Results Repeated measurement test–retest reliability was excellent according to Munro’s rating scale, with an intraclass correlation coefficient of 0.99 (95%CI: 0.97–0.99), coefficient of variation of 2.6%, and standard error of measurement of 0.4 N. Single measurement test–retest reliability was high to excellent with an intraclass correlation coefficient of 0.94 (95%CI: 0.86–0.97), coefficient of variation of 4.1%, and standard error of measurement of 1.4 N. Smallest detectable change increased from 1.8 N (repeated measurement) to 3.3 N (single measurement). Inter-day reliability intraclass correlation coefficients exceeded 0.93. High construct validity was indicated by a convergent relationship with grip strength (r = 0.85, p < 0.001). Conclusions The novel dynamometer provides excellent reliability and construct validity and supports an objective diagnosis of finger limitations by quantifying the flexion force magnitude. Traumatic injuries and follow-up of rehabilitative treatment can be monitored more precisely.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2019-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78675128","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: 0

Patients’ perception of quality of life after traumatic brachial plexus injury – a qualitative study 外伤性臂丛神经损伤后患者生活质量感知的定性研究

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Hand Therapy Pub Date : 2019-05-23 DOI: 10.1177/1758998319832326

C. Verma, S. Yardi, V. Puri, T. Vora

{"title":"Patients’ perception of quality of life after traumatic brachial plexus injury – a qualitative study","authors":"C. Verma, S. Yardi, V. Puri, T. Vora","doi":"10.1177/1758998319832326","DOIUrl":"https://doi.org/10.1177/1758998319832326","url":null,"abstract":"Introduction Advancements in reconstructive surgery for traumatic brachial plexus injury explain the need for better rehabilitation programmes. Therefore, an understanding of an individual patient’s perception through their journey of treatment for a traumatic brachial plexus injury is needed. Methods Thirteen patients with traumatic brachial plexus injury were selected using non-probability purposive sampling. Data were collected in the form of in-depth face-to-face interviews in a clinic setting of a tertiary government hospital using an explorative qualitative method. An interview guide comprising open-ended, nondirective semi structured questions was used and data were analyzed using an interpretative phenomenological approach. Results Eleven subthemes under the overarching theme of patient perception were identified. These subthemes illustrate perception of each individual participants’ journey of treatment for traumatic brachial plexus injury. Conclusion Our study following a qualitative approach throws light on the impact of injury and an adult individual’s perception and may thereby help to develop a more comprehensive and holistic approach towards patient care.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2019-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85772503","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: 3

Evaluation of intra- and inter-rater reliability and concurrent validity of the Italian version of the Jebsen–Taylor Hand Function Test in adults with rheumatoid arthritis 意大利版Jebsen-Taylor手功能测验在成人类风湿关节炎患者中的信度和效度评价

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Hand Therapy Pub Date : 2019-04-24 DOI: 10.1177/1758998319843554

A. Savona, Luca Ferralis, Marco Saffioti, M. Tofani, M. Nobilia, Greta Culicchia, A. Berardi, A. Servadio, G. Galeoto

{"title":"Evaluation of intra- and inter-rater reliability and concurrent validity of the Italian version of the Jebsen–Taylor Hand Function Test in adults with rheumatoid arthritis","authors":"A. Savona, Luca Ferralis, Marco Saffioti, M. Tofani, M. Nobilia, Greta Culicchia, A. Berardi, A. Servadio, G. Galeoto","doi":"10.1177/1758998319843554","DOIUrl":"https://doi.org/10.1177/1758998319843554","url":null,"abstract":"Introduction In rheumatoid arthritis, a reduction in hand function can lead to a decrease in health, with a consequent limitation of daily life activities and restriction in social participation. Evaluation plays a decisive role in the functional recovery process and in rehabilitation programs. The Jebsen–Taylor Hand Function Test is one of the most widely used non-diagnosis-specific assessment tools in rehabilitation. The aim of the study was to evaluate the intra-rater and inter-rater reliability and concurrent validity of the Italian version of the Jebsen–Taylor Hand Function Test (JTHFT-IT) in a population with rheumatoid arthritis. Methods The test’s reliability and validity were assessed by following international guidelines. Its internal consistency and intra- and inter-rater reliability were examined using Cronbach’s alpha coefficient and the intraclass correlation coefficient, respectively. Its concurrent validity was evaluated using Pearson’s correlation coefficient with a dynamometer instrument. Results The test was given to 108 people with rheumatoid arthritis. Cronbach’s alpha reported a value of 0.91 for the dominant hand and 0.87 for the non-dominant hand. Intra- and inter-rater reliability were evaluated with a subgroup of 30 individuals. Intraclass correlation coefficients ranged from 0.46 to 1.00 in the dominant and non-dominant hands. Pearson’s correlation between subtests and the dynamometer ranged from –0.14 to –0.59. Conclusions The present study supports the use of the JTHFT-IT as a measure of hand functionality in people with rheumatoid arthritis. It is an important tool for Italian professionals and it can be useful both in clinical practice to evaluate improvement after rehabilitation treatments and for research in hand rehabilitation.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2019-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87763941","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: 40

Participants’ perceptions of Kinesio tape for carpal tunnel syndrome: A qualitative study 参与者对肌内效贴治疗腕管综合征的认知:一项定性研究

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Hand Therapy Pub Date : 2019-04-04 DOI: 10.1177/1758998319841646

Donnamarie Krause, Sheryl J. Ryan, Dragana Krpalek, Shawn C Roll, Heather Javaherian-Dysinger, N. Daher

{"title":"Participants’ perceptions of Kinesio tape for carpal tunnel syndrome: A qualitative study","authors":"Donnamarie Krause, Sheryl J. Ryan, Dragana Krpalek, Shawn C Roll, Heather Javaherian-Dysinger, N. Daher","doi":"10.1177/1758998319841646","DOIUrl":"https://doi.org/10.1177/1758998319841646","url":null,"abstract":"Introduction Kinesio tape is an alternative non-surgical treatment approach for addressing symptoms of carpal tunnel syndrome. The purpose of the study was to investigate individuals’ experiences with the dorsal application of Kinesio tape for carpal tunnel syndrome management and its impact on pain and function. Method The study design was a limited phenomenological design study embedded in a randomized controlled trial. Daily symptom journals and semi-structured interviews were completed with 15 participants who were purposefully recruited and randomly allocated to the intervention group of a single blind randomized controlled trial. Kinesio tape was applied dorsally on the affected forearm, wrist, and digits for a duration of two weeks. Transcribed data were analyzed using descriptive coding, coding schemes, and frequency charts to identify emerging themes. Results Three themes emerged: Kinesio tape was positively perceived to be effective on decreasing pain, increasing self-efficacy, and improving daily functional performance on tasks previously avoided or abandoned. The most common problem identified was maintaining Kinesio tape on the hands and fingers, to which the majority of participants expressed a desire to learn application. Discussion Results of this study suggest that Kinesio tape is a positively perceived intervention for decreasing pain and increasing function for individuals with carpal tunnel syndrome and warrants further consideration as an alternative conservative intervention for carpal tunnel syndrome.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2019-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76099001","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: 5