Journal of Hand Therapy最新文献

{"title":"Orthotic interventions for restoring proximal interphalangeal joint motion for patients with hand injuries or conditions: A systematic review and meta-analysis","authors":"Sally E. Yates BHlthSci, MPhty, MSc (Hand Therapy), CHT ,&nbsp;Joanne V. Glinsky BAppSci (Physiotherapy), MHlthSc, PhD ,&nbsp;Melissa J. Hirth B(OT), MSc (Hand & Upper Limb Rehab), Dip Business, PhD ,&nbsp;Joel T. Fuller BPhty (Hon), PhD","doi":"10.1016/j.jht.2023.12.018","DOIUrl":"10.1016/j.jht.2023.12.018","url":null,"abstract":"<div><h3>Background</h3><div>Limitations to proximal interphalangeal joint (PIPJ) motion can result in significant functional impairment for people with hand injuries and conditions. The role of orthotic intervention to improve PIPJ motion has been studied; however, high-quality systematic reviews and meta-analyses are lacking.</div></div><div><h3>Purpose</h3><div>This study aimed to determine the effectiveness of orthotic intervention for restoring PIPJ extension/flexion following hand injuries or conditions.</div></div><div><h3>Study design</h3><div>Systematic review.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was completed in MEDLINE, CINAHL, Embase, Cochrane Central, and PEDro using terms related to orthoses, finger PIPJ range of motion, and randomized controlled trial design. Methodological quality was assessed using the PEDro score, study outcomes were pooled wherever possible using random effects meta-analysis, and certainty of evidence was evaluated using Grading of Recommendations Assessment, Development and Evaluation.</div></div><div><h3>Results</h3><div>Twelve trials were included (PEDro score: 4-7/10). The addition of orthotic intervention was not more effective than hand therapy alone following Dupuytren’s release for improving total active extension (mean difference [MD] −2.8°, 95% confidence interval [CI]: −9.6° to 4.0°, <em>p</em> = 0.84), total active flexion (MD −5.8°, 95% CI: −12.7° to 1.2°, <em>p</em> = 0.70), Disability of the Arm, Shoulder and Hand scores (MD 0.4, 95% CI: −2.7 to 3.6, <em>p</em> = 0.79), or patient satisfaction (standardized MD 0.20, 95% CI: −0.49 to 0.09, <em>p</em> = 0.17). Orthotic intervention was more effective than hand therapy alone for improving PIPJ extension for fixed flexion deformities following traumatic finger injury or surgery (MD −16.7°, 95% CI: −20.1° to −13.3°, <em>p</em> &lt; 0.001). No studies evaluated orthotic intervention to improve PIPJ flexion.</div></div><div><h3>Conclusion</h3><div>The addition of an extension orthosis following procedures to manage Dupuytren’s contracture is no better than hand therapy alone for improving PIPJ extension. In contrast, the addition of a PIPJ extension orthosis in the presence of traumatic PIPJ fixed flexion deformities is more effective for improving PIPJ extension than hand therapy alone. Future studies are needed to evaluate the role of orthotic intervention for improving PIPJ flexion.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 4","pages":"Pages 495-506"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139567568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability, validity and responsiveness of composite finger flexion in patients with traumatic hand injuries: A clinical measurement study","authors":"Zeal Kadakia ,&nbsp;Rafael Paolo Lansang ,&nbsp;Pam Ball ,&nbsp;Ayse Kuspinar ,&nbsp;Sandra VanderKaay ,&nbsp;Tara Packham","doi":"10.1016/j.jht.2023.12.001","DOIUrl":"10.1016/j.jht.2023.12.001","url":null,"abstract":"<div><h3>Background</h3><div>Composite finger flexion (CFF) is proposed to be a convenient alternative to total active motion (TAM) and total passive motion (TPM). Passive CFF (PCFF) may be useful for early monitoring in post-operative rehabilitation of traumatic hand injuries.</div></div><div><h3>Purpose</h3><div>To determine whether active and passive CFF are reliable, valid, and responsive measures of hand motion and of higher utility to the tester.</div></div><div><h3>Study Design</h3><div>Cross-sectional observational clinical measurement study.</div></div><div><h3>Methods</h3><div><span>Fifty hand injury patients were recruited from a hospital-based out-patient clinic. TAM, TPM, repeated measures of active CFF (ACFF) and PCFF<span>, self-reported stiffness, patient reported wrist/hand evaluation (PRWHE) scores, and grip strength were recorded. Intraclass correlation coefficients (ICCs) and standard error of measurement were calculated for inter-rater and test-retest reliability. Criterion and </span></span>construct validity<span> were assessed using correlation coefficients. Responsiveness was explored by calculating correlation coefficients of change scores, effect sizes, and standardized response means. Time taken to measure CFF and TAM/TPM was recorded to consider utility.</span></div></div><div><h3>Results</h3><div>The average age of participants was 47 years and 36% were female. Inter-rater and test-retest reliability estimates for ACFF and PCFF were excellent (ICCs = 0.95-98). Standard error of measurement values ranged from 0.21 to 0.33. The correlation coefficient for criterion validity between ACFF and TAM was −0.69; PCFF and TPM was −0.65; and ACFF and PCFF was 0.83. For construct validity, ACFF and TAM were similarly correlated with PRWHE. Correlations between changes in stiffness with ACFF and PCFF were 0.43 and 0.26, respectively. Effect sizes of ACFF and PCFF were small at 0.1 and 0.2. Time taken to measure CFF was much shorter than TAM/TPM.</div></div><div><h3>Conclusions</h3><div>The results of this study support the use of active and passive CFF as a reliable, valid, and efficient tool in the clinical setting. Further study is required to verify the responsiveness of CFF.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 4","pages":"Pages 601-608"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139567574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immediate effects of Kinesio taping and Dynamic taping on acromiohumeral distance in individuals with symptomatic rotator cuff tendinopathy","authors":"Meltem Koç PhD ,&nbsp;Hüseyin Aydoğmuş MD ,&nbsp;Funda Dinç MD ,&nbsp;Kılıçhan Bayar PhD ,&nbsp;Deran Oskay PhD","doi":"10.1016/j.jht.2023.12.003","DOIUrl":"10.1016/j.jht.2023.12.003","url":null,"abstract":"<div><h3>Background</h3><div>It has been suggested that the reduction in subacromial space during arm elevation is one of the potential mechanisms in the etiology of Rotator cuff tendinopathy. While it is known that Kinesio taping reduces the narrowing of the acromiohumeral distance (AHD) during arm elevation, the effect of Dynamic taping remains unknown.</div></div><div><h3>Purpose</h3><div>This study aimed to compare the immediate effects of Kinesio taping and Dynamic taping on AHD in individuals with symptomatic Rotator Cuff Tendinopathy.</div></div><div><h3>Study Design</h3><div>Two group pre-post-test repeated measures design was used.</div></div><div><h3>Methods</h3><div>Thirty-two participants were randomly assigned to two groups: Kinesio taping group (<em>n</em> = 16) and Dynamic taping group (<em>n</em> = 16). AHD measurements were taken via ultrasound at 0° (rest) and 60° shoulder abduction both before and immediately after taping. Repeated measures ANOVAs were used for statistical analyses.</div></div><div><h3>Results</h3><div>The study demonstrated that both taping methods led to a significant increase in AHD at both neutral and 60° abduction. However, the increase in AHD with Dynamic taping was statistically greater than with Kinesio taping in both neutral (<em>p</em> &lt; 0.05) and 60° abduction (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>The findings of this study suggest that Dynamic taping techniques may be a more effective approach for improving AHD for symptomatic patients. Therefore, Dynamic taping has the potential to be clinically beneficial before engaging in exercises.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 4","pages":"Pages 583-590"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Corbett Targeted Coin Test: Reliability, criterion related validity, and normative data","authors":"","doi":"10.1016/j.jht.2023.10.005","DOIUrl":"10.1016/j.jht.2023.10.005","url":null,"abstract":"<div><h3>Study Design</h3><p>Clinical measurement.</p></div><div><h3>Background</h3><p>Many daily living tasks require in-hand manipulation (IHM). There is a gap in standardized assessment tools for measuring IHM. The Corbett Targeted Coin Test (CTCT) was designed to allow measurement of that fine motor skill.</p></div><div><h3>Purpose</h3><p>1) To evaluate the interrater, test-retest reliability, and validity of the CTCT, and 2) to establish adult norms for the CTCT.</p></div><div><h3>Methods</h3><p>Reliability and Validity – 30 participants (25 females, age range 21–45) were assessed with the Nine-Hole Peg test and CTCT consecutively by three researchers, then re-evaluated one week later on the CTCT; Reliability was determined using intraclass correlation (ICC_2,k) between tests and across testers; Criterion-related validity was determined by comparing scores from nine-hole test and CTCT across testers using ICC_2,k. Normative – 190 participants (147 females, age range 20–80) were assessed with the CTCT; mean and standard deviation for participants’ scores were calculated by age groups and gender.</p></div><div><h3>Results</h3><p>Test-retest reliability: poor for the right hand (ICCs = −0.29 to 0.45), and poor-moderate for the left hand (ICCs = 0.17–0.56). Inter-rater reliability ranged from moderate to excellent (ICCs = 0.60–0.80). The agreement between CTCT scores and Nine-Hole Peg test was poor for the right (ICC = 0.02; 95% CI: [−0.06, 0.14]) and left hands (ICC = 0.06; 95% CI: [−0.08, 0.28]). CTCT normative data: 41–50 age group demonstrated the highest performance while the 71–80 age group demonstrated the lowest performance. Scores between genders were similar.</p></div><div><h3>Discussion</h3><p>The poor test-retest reliability of CTCT was probably due to practice effect, while interrater reliability indicated that the test can be administered by different testers without compromising the results. The poor validity between tools proves their different constructs.</p></div><div><h3>Conclusions</h3><p>Use of the CTCT may add another dimension to assessment of dexterity and fine motor skills, specifically, in-hand manipulation, but needs further research on test-retest reliability.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 371-377"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Board / Masthead / ASHT Officers","authors":"","doi":"10.1016/S0894-1130(24)00079-6","DOIUrl":"10.1016/S0894-1130(24)00079-6","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages A3-A4"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0894113024000796/pdfft?md5=c7116cc8eda85dd2c7ee73d3e0995ef2&pid=1-s2.0-S0894113024000796-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142229009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to Read for Credit #955 question 4.","authors":"Gwendolyn van Strien, Koos Jaap van Zwieten, Julianne Wright Howell","doi":"10.1016/j.jht.2024.04.003","DOIUrl":"https://doi.org/10.1016/j.jht.2024.04.003","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Kinesio taping on edema and wrist functions in patients with distal radius fracture followed conservatively with a cast: A randomized controlled single-blinded study","authors":"","doi":"10.1016/j.jht.2024.05.003","DOIUrl":"10.1016/j.jht.2024.05.003","url":null,"abstract":"<div><h3>Background</h3><p><span>Data in the literature on the results of Kinesio taping (KT) application after cast removal in patients with </span>distal radius fracture (DRF) are quite limited.</p></div><div><h3>Purpose</h3><p>It was aimed to evaluate the effectiveness of KT applied immediately after cast removal in addition to the exercise program on edema, functionality, range of motion, and muscle strength in patients with conservatively followed DRF.</p></div><div><h3>Study Design</h3><p>Randomized controlled single-blinded clinical study.</p></div><div><h3>Methods</h3><p>This study was conducted with 64 patients with a diagnosis of DRF. The patients were randomized as Kinesio taping group (KTG) and control group. Both groups received a conventional home exercise program. KT was applied to patients in KTG for 10 days. Circumference and volume measurements were taken at baseline and day 10. Arm, Shoulder, and Hand Questionnaire for Disability, Visual Analog Scale, grip strength, and wrist joint range of motion measurements were taken at baseline, day 5, and day 10.</p></div><div><h3>Results</h3><p>The circumference difference between the affected extremity and the healthy extremity was statistically greater in the control group on the fifth day at the wrist level (&lt;0.001) and 6 cm proximal to the wrist (<em>p</em> = 0.001). The circumference difference between the affected extremity and the healthy extremity was statistically greater in the control group on the 10th day at the wrist level (<em>p</em> &lt; 0.05) and 6 cm proximal to the wrist (<em>p</em> = 0.01). Wrist extension angle (&lt;0.001), wrist flexion angle (<em>p</em><span> = 0.001), and supination angle (</span><em>p</em> = 0.001) were higher in KTG on the 10th day. On the 10th day, the grip strength (<em>p</em><span> &lt; 0.05) was higher in the KTG, while the Visual Analog Scale value (</span><em>p</em> &lt; 0.01), Arm, Shoulder, and Hand Questionnaire for Disability score (<em>p</em> &lt; 0.01), and the percentage of strength loss in the healthy arm (<em>p</em> &lt; 0.01) were lower in the KTG.</p></div><div><h3>Conclusions</h3><p>In patients with DRF who were treated conservatively with a cast, the inclusion of Kinesio taping (KT) in the rehabilitation program was found to be effective in reducing edema and pain, as well as improving functionality, strength, and range of motion.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 479-488"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving how orthopedic journals report research outcomes based on sex and gender","authors":"","doi":"10.1016/j.jht.2024.05.005","DOIUrl":"10.1016/j.jht.2024.05.005","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 301-303"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Observational assessment for determining shoulder fault movements before and after corrective education in participants with chronic shoulder pain: Concurrent validity study","authors":"","doi":"10.1016/j.jht.2023.09.008","DOIUrl":"10.1016/j.jht.2023.09.008","url":null,"abstract":"<div><h3>Background</h3><p>Movement faults (MF), described as the alteration of joint position and motion, are an important factor associated with developing shoulder pathologies. However, determining or predicting the exact MF in participants with shoulder pain is limited by the absence of clinical tools and poor validity.</p></div><div><h3>Purpose</h3><p>The aim of the study was to determine the validity of using observational assessment to MFs or controlling MFs in subjects with chronic shoulder pain during shoulder elevation and external rotation.</p></div><div><h3>Study Design</h3><p>Concurrent validity study</p></div><div><h3>Methods</h3><p>Twenty-seven people with chronic shoulder pain were examined. The index test represented three observational assessments of MF during shoulder external rotation, elevation in the frontal plane, and elevation in the sagittal plane. Three-dimensional motion analysis represented the reference test. The movements of both shoulder joints were evaluated simultaneously, and the index and reference tests were performed concurrently.</p></div><div><h3>Results</h3><p>The sensitivity and specificity of observational detection were good to excellent (Se: 77.5%, Sp: 81.5%) for MF and excellent (Se: 85.7%, Sp: 100%) for controlling MF. The positive and negative predictive value was (PPV: 93.9, NPV: 57.1) for MF and (PPV: 100%, NPV: 82.8%) for controlling MF. The result of the positive and negative likelihood ratio was (PLR: 5.4, NLR: 0.26) for MF and (PLR: 0, NLR: 0.18) for controlling MF.</p></div><div><h3>Conclusions</h3><p>The results revealed that the validity of the observational detection approach for identifying MFs was good to excellent. Moreover, the accuracy of this approach in detecting the control of MFs after patient education was excellent. There was good to excellent accuracy in most MFs once classified by their motion trajectories, except for scapula anterior tilt during glenohumeral joint external rotation or elevation.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 405-411"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0894113023001345/pdfft?md5=80f301d29b13d0fdc9cde0f5fe715db3&pid=1-s2.0-S0894113023001345-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Terminology and classification of orthoses for upper limbs","authors":"","doi":"10.1016/j.jht.2023.08.011","DOIUrl":"10.1016/j.jht.2023.08.011","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 489-491"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41123836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}