Hand Therapy最新文献_第6页

A prospective randomised comparative study of dynamic, static progressive and serial static proximal interphalangeal joint extension orthoses. 动态、静态渐进式和系列静态近端指间关节伸展矫形器的前瞻性随机比较研究。

IF 1

Hand Therapy Pub Date : 2022-03-01 Epub Date: 2022-01-18 DOI: 10.1177/17589983211070658

Celeste Glasgow, Emma Ballard

{"title":"A prospective randomised comparative study of dynamic, static progressive and serial static proximal interphalangeal joint extension orthoses.","authors":"Celeste Glasgow, Emma Ballard","doi":"10.1177/17589983211070658","DOIUrl":"10.1177/17589983211070658","url":null,"abstract":"Introduction: Many different types of proximal interphalangeal (PIP) joint extension orthoses exist, yet evidence guiding orthosis choice is largely theoretical. The primary aim of this study was to evaluate the clinical effectiveness of three different PIP joint extension orthoses, over 4 weeks of treatment. Secondly, we aimed to explore the relationship between an abbreviated version of the Weeks test (WT) assessment of joint stiffness, and treatment outcome. Lastly, we wished to better understand participants' satisfaction with orthotic treatment.Methods: Using a randomised comparative study design, 61 participants were allocated to a serial static, dynamic or static progressive orthosis, 50 had follow-up data. Blinded assessment of function was completed before and after 4 weeks of orthotic intervention and a standardised therapy program. Participants were blinded to alternative groups.Results: Baseline active PIP extension ranged from 14° to 65°. The average improvement in active PIP extension was -9.1° (95% CI -11.0°, -7.1°). There were no statistically significant differences in outcome between the three orthoses groups. However, a trend was observed with greater improvement in active extension for those in the dynamic Capener (-11.5°) compared to the static progressive belly gutter (-7.3°) or serial cast (-8.7°) groups, with less total end range time required. The abbreviated WT was significantly associated with improvement in active extension (p = 0.001). Participants reported a high degree of satisfaction with their orthosis regardless of type.Conclusions: No single orthosis demonstrated statistically greater effectiveness, although the dynamic Capener orthosis appeared more efficient. The abbreviated WT is associated with treatment outcome.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"27 1","pages":"22-31"},"PeriodicalIF":1.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414601","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: 0

Palmar skin elasticity measured by the Cutometer MPA 580 is decreased in mild Dupuytren's disease compared to healthy controls. 与健康对照组相比，轻度Dupuytren病患者通过Cutometer MPA 580测量的手掌皮肤弹性降低。

IF 1

Hand Therapy Pub Date : 2022-03-01 Epub Date: 2022-01-18 DOI: 10.1177/17589983211061616

Maarten Van Nuffel, Caroline Meulyzer, Britt Gheysen, Arne Böhrer, Mieke Anthonissen, Eric Van den Kerckhove, Ilse Degreef

{"title":"Palmar skin elasticity measured by the Cutometer MPA 580 is decreased in mild Dupuytren's disease compared to healthy controls.","authors":"Maarten Van Nuffel, Caroline Meulyzer, Britt Gheysen, Arne Böhrer, Mieke Anthonissen, Eric Van den Kerckhove, Ilse Degreef","doi":"10.1177/17589983211061616","DOIUrl":"10.1177/17589983211061616","url":null,"abstract":"Introduction: Involvement of the palmar skin is often seen in patients with Dupuytren's disease (DD) with severe finger contractures. However, skin elasticity may be already decreased earlier in the disease. The Cutometer MPA 580 could provide an objective skin measurement tool to assess this decrease in elasticity. Linking objective skin measurements to functional outcome measures could lead to better prediction of disease progression. We set up a study to investigate if the Cutometer was able to detect differences in skin elasticity between patients with mild Dupuytren's disease and healthy controls.Methods: A cross-sectional analytical study was performed. Three assessors measured skin elasticity (palmar hand) on two sites using the Cutometer on 30 patients with mild DD and 30 healthy controls. Student's t-test was used to evaluate differences in skin elasticity and a linear model to evaluate interactions between the groups and sites.Results: Significant differences in skin elasticity were found between DD patients and controls, as well as differences based on the location examined.Discussion: Similar to other skin conditions, the Cutometer MPA 580 was able to demonstrate a significant lower elasticity in the palmar skin in DD patients compared to healthy controls. A decrease in skin elasticity in different locations of the hand correlated with areas that often pose problems in the treatment of more severe DD. The Cutometer could potentially be a tool to identify these areas earlier in the disease.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"27 1","pages":"14-21"},"PeriodicalIF":1.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414620","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: 0

Corrigendum to The reliability and validity of novel clinical strength measures of the upper body in older adults. 老年人上半身新型临床力量测量的可靠性和有效性勘误表。

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Hand Therapy Pub Date : 2022-03-01 Epub Date: 2022-02-14 DOI: 10.1177/17589983221074934

引用次数: 0

Overhead arm positioning in the rehabilitation of elbow dislocations: An in vitro biomechanical study. 臂顶定位在肘关节脱位康复中的应用:一项体外生物力学研究。

IF 1

Hand Therapy Pub Date : 2022-02-01 DOI: 10.1016/j.jht.2022.01.008

R. Manocha, Sara Banayan, James A. Johnson, G. King

引用次数: 6

User experiences of digital prostheses in daily functioning in people with an amputation of thumb or finger. 拇指或手指截肢者的数字假肢在日常功能中的用户体验。

IF 1

Hand Therapy Pub Date : 2022-02-01 DOI: 10.1016/j.jht.2022.01.002

Vera G. van Heijningen, Anna-Maria Underhill

引用次数: 0

Intra-rater reliability of goniometry to measure scapular protraction and retraction. 角度测量测量肩胛骨伸缩回的内部可靠性。

IF 1

Hand Therapy Pub Date : 2022-02-01 DOI: 10.1016/j.jht.2022.01.005

Nathan Short, T. Almonroeder, Caroline Fenker, Olivia Fisher, Kailey E. Francetic, Amy Hodel, Clayton Lange, Manu Mathew

引用次数: 1

Hand laterality recognition in distal radius and/or ulna fracture. 桡骨远端和/或尺骨骨折的手部侧向识别。

IF 1

Hand Therapy Pub Date : 2022-02-01 DOI: 10.1016/j.jht.2022.01.003

D. Geete, Pratha Umesh Mehta, Neha Dewan, A. Mehta

引用次数: 0

The patient voice in research is fundamental to research impact. 患者在研究中的声音是研究影响的基础。

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Hand Therapy Pub Date : 2022-01-01 DOI: 10.1016/j.jht.2022.02.001

J. Macdermid

引用次数: 1

Postoperative management of zones V-VI extensor tendon repairs: A survey of practice in Malaysia and comparison to IFSHT member countries. V-VI区伸肌腱修复术后管理：马来西亚实践调查及与IFSHT成员国的比较。

IF 1

Hand Therapy Pub Date : 2021-12-01 Epub Date: 2021-07-27 DOI: 10.1177/17589983211031259

Julianne W Howell, Melissa J Hirth, Siaw Chui Chai, Ted Brown, Lisa O'Brien

{"title":"Postoperative management of zones V-VI extensor tendon repairs: A survey of practice in Malaysia and comparison to IFSHT member countries.","authors":"Julianne W Howell, Melissa J Hirth, Siaw Chui Chai, Ted Brown, Lisa O'Brien","doi":"10.1177/17589983211031259","DOIUrl":"10.1177/17589983211031259","url":null,"abstract":"Introduction: A survey of International Federation of Societies for Hand Therapy (IFSHT) member countries identified relative motion extension as the preferred approach to management of zones V-VI extensor tendon repairs. The aims of this survey were to identify and compare hand therapy practice patterns in Malaysia (a non-IFSHT member country) with findings of the IFSHT survey including an IFSHT subset of Asia-Pacific therapists and to investigate if membership status of the Malaysian Society for Hand Therapists (MSHT) influenced therapy practice patterns.Methods: An online English-language survey was distributed to 90 occupational therapists and physiotherapists including MSHT members and non-members. Participation required management of at least one extensor tendon repair in the preceding year. Five approaches were surveyed: immobilisation, early passive motion (EPM) with dynamic splinting, and early active motion (EAM) delivered by resting hand (RH), palmar resting interphalangeal joints free (PR), and relative motion extension (RME) splints.Results: Thirty-seven of the 53 therapists (68%) who commenced the survey completed it. The most used approach was dynamic/EPM (28%), followed by RH/immobilisation (22%) and RH/EAM (22%). A preference for RME/EAM was identified with implementation barriers being surgeon preference and hand therapist confidence.Discussion: Approach selection for Malaysian therapists differed from the combined IFSHT and Asia-Pacific respondents, with the former using dynamic/EPM and RH/immobilisation compared to IFSHT respondents who predominately used RME/EAM and PR/EAM. This survey provides valuable insights into Malaysian hand therapists' practices. If implementation barriers and therapist confidence are addressed, Malaysian practice patterns may change to better align with current evidence.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"26 4","pages":"134-145"},"PeriodicalIF":1.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/17589983211031259","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414600","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: 2

Occupation-based intervention in therapy for upper limb musculoskeletal conditions: A systematic review. 上肢肌肉骨骼疾病治疗中基于职业的干预：一项系统综述。

IF 1

Hand Therapy Pub Date : 2021-12-01 Epub Date: 2021-11-05 DOI: 10.1177/17589983211054643

Elreen Visser, Susan de Klerk, Lee-Ann Jacobs-Nzuzi Khuabi, Marleen Joubert

{"title":"Occupation-based intervention in therapy for upper limb musculoskeletal conditions: A systematic review.","authors":"Elreen Visser, Susan de Klerk, Lee-Ann Jacobs-Nzuzi Khuabi, Marleen Joubert","doi":"10.1177/17589983211054643","DOIUrl":"10.1177/17589983211054643","url":null,"abstract":"Introduction: Using meaningful activities as a treatment modality is characteristic of occupation-based intervention (OBI). The benefits of OBI have been described, but not the effectiveness thereof. The aim of this review was to assess the effectiveness of OBI in relation to the type, commencement, duration and outcomes as reported in literature.Methods: A comprehensive search of electronic databases was conducted, including EBSCOHost, PubMed, Cochrane Register for Controlled Trials, Web of Science, OTSeeker, PEDro and Google Scholar. Search terms included 'occupation-based', 'occupation-centered', 'intervention', 'upper limb' and 'outcome measures'. Studies including OBI for neurological or paediatric cases were excluded.Results: Twelve studies met the inclusion criteria. Using the PEDro scale, three of the studies, all randomised controlled trials (RCTs), were viewed as high quality, one of fair and one of poor quality. Due to the heterogeneity of the studies, a meta-analysis was not possible, and a narrative synthesis is presented. Five studies used interviewing together with the Canadian Occupational Performance Measure (COPM) to determine the client's occupational profile when choosing meaningful activities. The commencement and duration of OBI varied amongst the studies, and a variety of outcome measures were used to determine the effectiveness of OBI.Discussion: OBI used together with biomechanical approaches shows promising effectiveness. Outcome measures such as the COPM and the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH) that measure activity and participation, should be employed in client-centered practice. More robust scientific evidence regarding the effectiveness of OBI is needed.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"26 4","pages":"146-158"},"PeriodicalIF":1.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414599","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: 1