Hand Therapy最新文献_第8页

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

IF 1

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。

IF 1

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。

IF 1

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。

IF 1

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

IF 1

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

Psychometric properties of the Assessment of Motor and Process Skills in patients undergoing rehabilitation following hand-related disorders 手相关障碍康复患者运动和加工技能评估的心理测量学特征

IF 1

Hand Therapy Pub Date : 2020-03-24 DOI: 10.1177/1758998320912761

Thea Birch Ransby, A. Ø. Hansen, N. Rolving

{"title":"Psychometric properties of the Assessment of Motor and Process Skills in patients undergoing rehabilitation following hand-related disorders","authors":"Thea Birch Ransby, A. Ø. Hansen, N. Rolving","doi":"10.1177/1758998320912761","DOIUrl":"https://doi.org/10.1177/1758998320912761","url":null,"abstract":"Introduction Assessment of Motor and Process Skills (AMPS) has been proven to be a suitable measurement tool for assessing performance-based ADL ability; however, its reliability and validity have not been tested on patients with hand-related disorders. Methods Patients referred for outpatient hand rehabilitation were assessed with AMPS, The Canadian Occupational Performance Measure (COPM), dynamometer and goniometer at baseline and after eight weeks of hand therapy. Construct validity and responsiveness of AMPS were assessed by hypothesis testing. Construct validity was assessed by correlating the baseline score of AMPS with the baseline score of the other measurement tools. Responsiveness was assessed by correlating the change scores of each measurement tool with a Global Rating Scale. Results Fifty-one patients were recruited. The construct validity of AMPS indicated that the various measurement tools captured different aspects to functioning from the AMPS, as the correlations between AMPS and the other measurement tools were generally weak to low (r < 0.25 to 0.49). AMPS was less responsive than COPM when correlated with the GRS. The correlation between COPM and GRS was r = 0.62 compared with the AMPS motor, r = 0.45 and AMPS process, r = 0.33. Relative responsiveness of AMPS is similar to that of the dynamometer (r = 0.39) and goniometer (r = –0.34). Discussion In a sample of 51 patients, this study found that the construct validity of AMPS seemed to be moderate, while the responsiveness of AMPS seemed to be poor. However, due to the small sample size no conclusions can be made, and should be further assessed in larger studies.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"218 1","pages":"63 - 72"},"PeriodicalIF":1.0,"publicationDate":"2020-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79720207","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

Cross-cultural adaptation and measurement properties of the Patient-Rated Tennis Elbow Evaluation for the Persian language 波斯语患者评价网球肘的跨文化适应和测量特性

IF 1

Hand Therapy Pub Date : 2020-03-08 DOI: 10.1177/1758998320910177

E. Shafiee, M. Farzad, J. Macdermid, Amirreza Smaeel Beygi, Atefeh Vafaei, A. Farhoud

{"title":"Cross-cultural adaptation and measurement properties of the Patient-Rated Tennis Elbow Evaluation for the Persian language","authors":"E. Shafiee, M. Farzad, J. Macdermid, Amirreza Smaeel Beygi, Atefeh Vafaei, A. Farhoud","doi":"10.1177/1758998320910177","DOIUrl":"https://doi.org/10.1177/1758998320910177","url":null,"abstract":"Introduction The Patient-Rated Tennis Elbow Evaluation (PRTEE) questionnaire is a tool designed for self-assessment of forearm pain and disability in patients with tennis elbow. The aims of this study were to translate and cross-culturally adapt the PRTEE questionnaire into Persian and evaluate its reliability and construct validity. Methods The PRTEE questionnaire was translated into and cross-culturally adapted to Persian in 90 consecutive patients with tennis elbow, according to well-established guidelines. Reliability was tested by means of test–retest and internal consistency. The measurement error was measured by calculating the standard error of measurement. Based on the standard error of measurement, the minimum detectable change was calculated. To evaluate construct and convergent validity, correlation with the PRTEE with the Disabilities of the Arm, Shoulder and Hand questionnaire and Visual analogue scale was used. Results In the process of cross-cultural adaptation, two items (6 and 8) were modified. In item 6, the term “door knob” was changed to “turn a key”, and in the item 8, “cup of coffee” was changed to “cup of milk”. Item-total correlations were greater than 0.55 (ranged from 0.55 to 0.76), internal consistency was high (Cronbach’s alpha, 0.94) and a high intraclass correlation coefficient (0.98) indicated excellent reliability of the P-PRTEE. The standard error of measurement and minimum detectable change were 5.40 and 14.24, respectively. The Persian version of the PRTEE questionnaire (P-PRTEE) shows strong construct and convergent validity (r values = 0.85, p < 0.05). Conclusions The P-PRTEE is valid and reliable in assessing disability and pain in Persian patients with tennis elbow. The excellent psychometric properties of the P-PRTEE endorse the use of this questionnaire in clinical settings.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"140 1","pages":"56 - 62"},"PeriodicalIF":1.0,"publicationDate":"2020-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77087598","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: 4