Journal of Hand Therapy最新文献

{"title":"MUSCOLOSKELETAL LOAD, AND ERGONOMIC RISKFACTORS AMOMG SURGEONS, A COMPERISON BETWEEN LAPROSCOPIC AND ROBOTIC SURGERIES.","authors":"Y. Levanon , K. Ephraim , P. Sigal , L. Liat , N. ayala , H. David","doi":"10.1016/j.jht.2024.08.042","DOIUrl":"10.1016/j.jht.2024.08.042","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 680-681"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061744","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":"Development of decision-aid of goal-setting for patients with distal radius fracture: Aid for decision-making in occupation choice for distal radius fracture","authors":"Kanta Ohno PhD, OTR ,&nbsp;Kounosuke Tomori PhD, OTR ,&nbsp;Tatsunori Sawada PhD, OTR ,&nbsp;Hitomi Kogiri OTR ,&nbsp;Kazuhiko Misaki PhD, OTR ,&nbsp;Ryota Kimura MS, OTR ,&nbsp;Terufumi Iitsuka PhD, OTR ,&nbsp;Kazuo Saito PhD, OTR","doi":"10.1016/j.jht.2024.08.001","DOIUrl":"10.1016/j.jht.2024.08.001","url":null,"abstract":"<div><h3>Background</h3><div>Patients with distal radius fractures (DRFs) encounter significant difficulties and challenges in their daily lives due to their medical condition and a lack of strategies for modifying activities. Occupation-based interventions have emerged as promising strategies to improve occupational performance and participation outcomes, addressing these challenges.</div></div><div><h3>Purpose</h3><div>This study aims to develop the aid for decision-making in occupation choice for distal radius fracture (ADOC-DRF), a novel decision-aid tool designed to facilitate patient-centered and occupation-based goal-setting by offering illustrations tailored to the postsurgical recovery period and prescribed activity loads.</div></div><div><h3>Study Design</h3><div>We utilized consensus development methods, including the nominal group technique and a web-based Delphi survey.</div></div><div><h3>Methods</h3><div>Through the nominal group technique with three experts, we established the development concept, items, and illustrations for the ADOC-DRF prototype. Subsequently, a Delphi web survey was conducted to gather expert opinions using a five-point Likert scale (1 = disagree and 5 = agree) and achieve consensus among 22 experts, aiming for a consensus point of 3.75 (75%) or higher.</div></div><div><h3>Results</h3><div>Three rounds of Delphi web surveys were conducted, involving a variety of items and comments, ultimately achieving the required consensus rate. This process identified 52 items, which were categorized into four distinct post-DRF progression phases: phase 1: immobilization, phase 2 early: immobilization removal (start of active motion), phase 2 late: immobilization removal (callus formation), and phase 3: resistance period (bone healing).</div></div><div><h3>Conclusions</h3><div>The ADOC-DRF shows promise as an innovative tool for facilitating occupation-based intervention in hand therapy for DRF patients. However, its generalizability is currently limited to Japan. To ensure broader applicability and utility, it is essential to validate the tool in diverse cultural contexts through international multicenter studies, thereby enhancing its global relevance.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 427-433"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933705","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 patient-rated tennis elbow evaluation questionnaire was successfully translated to Brazilian Portuguese","authors":"Rodrigo Ribeiro de Oliveira PT, PhD ,&nbsp;Fernanda Bessa Cajazeiras ,&nbsp;Marcela Nicácio Medeiros de Oliveira PT, MSc ,&nbsp;Mariana Cavalcante PT ,&nbsp;Márcio Almeida Bezerra PT, PhD","doi":"10.1016/j.jht.2024.12.009","DOIUrl":"10.1016/j.jht.2024.12.009","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 648-651"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371200","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 effect of Mulligan and Maitland techniques on pain, functionality, proprioception, and quality of life in individuals with rotator cuff lesions","authors":"Tarik Celik MSc ,&nbsp;Burak Menek PhD","doi":"10.1016/j.jht.2024.12.018","DOIUrl":"10.1016/j.jht.2024.12.018","url":null,"abstract":"<div><h3>Background</h3><div><span>Rotator cuff disease treatment typically involves manual therapy and exercise as part of </span>physical therapy.</div></div><div><h3>Purpose</h3><div><span>This study aims to investigate the effects of Mulligan and Maitland mobilization methods on pain, functionality, quality of life, and </span>proprioception in individuals with rotator cuff lesions.</div></div><div><h3>Study Design</h3><div>This was a single-blinded randomized clinical trial.</div></div><div><h3>Methods</h3><div><span>The study included 45 individuals with rotator cuff lesions. Participants were randomly divided into three groups: conventional exercise, Maitland mobilization, and Mulligan mobilization. All participants were assessed pretreatment and post treatment using the Visual Analog Scale, Disabilities of the Arm, Shoulder, and Hand, </span>Rotator Cuff Quality of Life, range of motion (ROM), and proprioception.</div></div><div><h3>Results</h3><div>All parameters, except proprioception, improved significantly in all three groups post treatment (<em>p</em> &lt; 0.05). Mulligan group (MG) and Maitland mobilization group (MMG) had higher improvements to the conventional exercise group (CG) in terms of flexion ROM (<em>p</em><span> = 0.05, effect size = 0.22), abduction ROM (</span><em>p</em> = 0.02, effect size = 0.26), Disabilities of the Arm, Shoulder, and Hand (<em>p</em> &lt; 0.001, effect size = 0.56). Also, the MG group had greater improvements to the MMG and CG groups in terms of Rotator Cuff Quality of Life/symptoms (<em>p</em> &lt; 0.001, effect size = 0.43), job (<em>p</em> &lt; 0.001, effect size = 0.61), lifestyle (<em>p</em> &lt; 0.001, effect size = 0.42), emotional parameters (<em>p</em><span> &lt; 0.001, effect size = 0.29). MG was more effective than the MMG in Visual Analog Scale activity (</span><em>p</em> &lt; 0.001, effect size = 0.32), external rotation (<em>p</em> = 0.012, effect size = 0.19), and abduction ROM (<em>p</em> = 0.002, effect size = 0.26). However, no improvement in proprioception was observed across all groups (<em>p</em> &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>This study concluded that, in addition to conventional treatment, both Mulligan and Maitland mobilization therapy effectively improve range of motion, functionality, and quality of life.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 574-583"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659664","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":"HIGH REPETITION ACTIVE MOTION HOME PROGRAM IN STROKE REHABILITATION","authors":"J.R. Supnekar","doi":"10.1016/j.jht.2024.08.017","DOIUrl":"10.1016/j.jht.2024.08.017","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 662-663"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145060657","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":"PREOPERATIVE EDEMA MANAGEMENT OF THE BURNED HAND","authors":"J.X. Lucio","doi":"10.1016/j.jht.2024.08.056","DOIUrl":"10.1016/j.jht.2024.08.056","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Page 691"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061724","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":"Is it prudent to interpret findings from nonblinded RCTs relying solely on patient-reported outcome measures for outcome assessment?","authors":"Manigandan Chockalingam BOT, MSc,&nbsp;Laura Pearson BSc (OT),&nbsp;Orla Daly BSc (OT), MSc (HT)","doi":"10.1016/j.jht.2024.09.001","DOIUrl":"10.1016/j.jht.2024.09.001","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 696-697"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016602","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":"A valid and reliable 3D-printed electronic grip strength assessment tool","authors":"Amelia Sorensen BOccThy(Hons) ,&nbsp;Lily Brosnan BOccThy(Hons) ,&nbsp;Yong Hao Pua PhD ,&nbsp;Julian Thumboo PhD ,&nbsp;Yee Sien Ng MBBS ,&nbsp;Laura Tay Bee Gek MMed (Internal Medicine) ,&nbsp;Ross Clark PhD","doi":"10.1016/j.jht.2024.11.010","DOIUrl":"10.1016/j.jht.2024.11.010","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 612-615"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016590","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":"A collaborative interdisciplinary approach for trigger finger management","authors":"Emma Yanko MD ,&nbsp;Chris Thomson MD ,&nbsp;Richard Bourassa MSc ,&nbsp;Curtis Gasmo BSc ,&nbsp;Thuy Le PhD ,&nbsp;Katie Crockett PhD","doi":"10.1016/j.jht.2024.12.003","DOIUrl":"10.1016/j.jht.2024.12.003","url":null,"abstract":"<div><h3>Background</h3><div>Stenosing tenosynovitis, or trigger finger, is a common cause of hand disability. This study outlines a trigger finger management protocol that redirects referrals for surgical consultations to conservative management first.</div></div><div><h3>Purpose</h3><div>The primary outcome variable was the protocol endpoint based on the resolution of trigger finger symptoms (i.e. pain and triggering). Secondary outcome measures were to identify which patient characteristics were associated with an increased need for (i) surgical management and (ii) corticosteroid injections.</div></div><div><h3>Study Design</h3><div>Retrospective chart review.</div></div><div><h3>Methods</h3><div>The study sample included all patients referred for surgical consultation for trigger finger who were redirected to physical therapy first between the dates of August 2018 and January 2023 (<em>n</em> = 72). Participants initially received a physical therapy assessment and three treatment sessions. Further management was determined based on patient presentation following our protocol. Descriptive analysis involved frequency calculations of studied variables. Comparison of patient characteristics and treatment modalities across different sub-groups was examined as well as associations between various patient characteristics and increased need for (i) surgical management and (ii) corticosteroid injection.</div></div><div><h3>Results</h3><div>Seventy-two patients were included in the study, and 60 patients completed the protocol. Of these patients, 22% (<em>n</em> = 16) resolved with physical therapy (PT) alone, 48.5% (<em>n</em> = 35) resolved with 1–2 corticosteroid injections following initial PT management and 12.5% (<em>n</em> = 9) were referred back for surgical consult. Sub-group comparisons revealed no significant differences in patient characteristics and treatment modalities across patients who resolved with physical therapy alone, physical therapy plus 1–2 injections, or in cases referred back for surgical consults.</div></div><div><h3>Conclusion</h3><div>The interdisciplinary care protocol in this study demonstrated that conservative management was successful in a majority of cases; facilitating timely access to evidence-based care, including corticosteroid injections and surgical management if necessary. Physical therapy treatment provides self-management and education strategies to those requiring further interventions, potentially reducing recurrence rates.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 508-521"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016588","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":"Effectiveness of a scapular exercise program on functional outcomes in patients with hand, wrist or elbow disorders: A comprehensive systematic review with meta-analysis","authors":"Héctor Gutiérrez-Espinoza PT, PhD ,&nbsp;Felipe Araya-Quintanilla PT, PhD ,&nbsp;Evelin Estrella-Flores PT, MSc ,&nbsp;Iván Cuyul-Vásquez PT, MSc ,&nbsp;Elisabet Hagert MD, PhD ,&nbsp;Filip Struyf PT, PhD","doi":"10.1016/j.jht.2024.07.006","DOIUrl":"10.1016/j.jht.2024.07.006","url":null,"abstract":"<div><h3>Background</h3><div>Usually, patients with hand, wrist/forearm disorders report musculoskeletal complaints<span><span> in the shoulder. Although, role of scapula is fundamental for movement and functional stability across the upper limb kinetic chain; however, there are no </span>systematic reviews and meta-analyses that have analyzed the effect of scapular exercises in these patients.</span></div></div><div><h3>Purpose</h3><div>This study aimed to determine the effectiveness of a scapular exercise program on functional outcomes in patients with hand, wrist or elbow disorders.</div></div><div><h3>Study Design</h3><div>Systematic review with meta-analysis.</div></div><div><h3>Methods</h3><div><span>An electronic search was performed of the MEDLINE, EMBASE, Web of Science, Scopus<span>, CENTRAL, Epistemonikos, CINAHL, SPORTDiscus, </span></span>PEDro<span><span>, and LILACS databases. The eligibility criteria included randomized clinical trials that investigated the effects of scapular exercises added to a conventional </span>physiotherapy<span> program on functional outcomes in patients with hand, wrist or elbow injuries or pathologies. Two authors independently performed the search, study selection, data extraction, and risk of bias assessment.</span></span></div></div><div><h3>Results</h3><div>Six trials met the eligibility criteria and were included in the quantitative synthesis. For the comparison of scapular exercises plus conventional physiotherapy versus conventional physiotherapy alone, the mean difference for elbow and wrist function was 7.6 points (<em>p</em> = 0.04), upper limb function was 16.1 points (<em>p</em> &lt; 0.01), grip strength was 15.4% (<em>p</em> = 0.01), pain free grip strength was 19.1 N (<em>p</em> = 0.13) and pain intensity at rest was −1.1 cm (<em>p</em> &lt; 0.01). Additionally, there was a significant increase in muscle strength of serratus anterior 46.2 N (<em>p</em> &lt; 0.01), middle trapezius 29.9 N (<em>p</em> = 0.01) and lower trapezius 45.9 N (<em>p</em> &lt; 0.01).</div></div><div><h3>Conclusions</h3><div>In the short term, adding scapular exercises to conventional physiotherapy showed statistically significant differences in functional outcomes in patients with lateral elbow tendinopathy and distal radius fracture<span>. However, most of these differences did not reach the minimum threshold to be considered clinically important. The evidence strength was high to low according to the GRADE approach. More quantity and quality of clinical trials is needed to confirm our findings.</span></div></div><div><h3>PROSPERO Registration</h3><div>CRD42022364829.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 450-463"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928712","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}