Journal of Hand Therapy最新文献

{"title":"Codesigning the web-based \"Preoperative Rehab-readiness, Education and Preparation for Surgery\" program for people undergoing a total shoulder replacement procedure.","authors":"Rochelle Furtado, Joy C MacDermid, Kenneth J Faber","doi":"10.1016/j.jht.2025.04.011","DOIUrl":"https://doi.org/10.1016/j.jht.2025.04.011","url":null,"abstract":"<p><strong>Background: </strong>Using a codesign process with patients, clinicians, and researchers, we created the Preoperative Rehab-readiness, Education and Preparation for Surgery (PREPS) program for patients undergoing a total shoulder replacement surgery. PREPS is designed to improve patient preparedness for surgery, increase rehab adherence/awareness and empower patients during their replacement journey.</p><p><strong>Purpose: </strong>To codesign, test and evaluate the PREPS program for patients undergoing a shoulder replacement surgery.</p><p><strong>Study design: </strong>A codesign process integrated multiple methods.</p><p><strong>Methods: </strong>PREPS integrated multiple literature reviews, quantitative surveys, qualitative interviews and consultation analyses. Guided by a patient-centered approach, module content and design were reviewed by an expert advisory group comprising of academic and clinical experts (n=10) and consumers (n=5). Evaluation of usability was conducted using the Patient Education Materials Assessment Tool. Codesign process was guided by the TEACH-it framework.</p><p><strong>Results: </strong>PREPS is a 6-week multimodal program that consists of both a website with video modules and a graphical education booklet that replicates the same online information. This format allows for increased accessibility of information for older adults. PREPS is self-guided at home. Content and design were continuously and iteratively refined over two years. Understandability was rated on average 94% by three raters. Few expressed they preferred the print version due to limited tech access. The content, format and delivery of PREPS was impacted by the codesign process, resulting in a very different program than had previously been delivered at the institution using traditional processes.</p><p><strong>Conclusions: </strong>PREPS is an integrative co-designed virtual preoperative program that supports patients' preparation for a shoulder replacement. Codesign is a time-consuming iterative process whose dividends are evident in better usability and usefulness of the product. Mapping interventions to patient needs and clinical goals, considering diverse users and using an inclusive equity lens can potentially improve the quality of web-based health care interventions.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327786","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":"Develop remote orthotic fabrication workflow using 3D modeling and 3D printing technology for carpometacarpal osteoarthritis.","authors":"Maryam Farzad, Joy MacDermid, Louis Ferreira, Ovidiu-Remus Tutunea-Fatan, Adam Gorski, Ravneet Singh Rattan, Naji Hussein, Steven Cuypers","doi":"10.1016/j.jht.2025.04.001","DOIUrl":"https://doi.org/10.1016/j.jht.2025.04.001","url":null,"abstract":"<p><strong>Background: </strong>Carpometacarpal (CMC) osteoarthritis often requires orthotic intervention to reduce pain and improve function. Traditional orthosis fabrication typically demands in-person clinical visits, which can be a barrier to care.</p><p><strong>Purpose: </strong>To develop and validate a fully remote workflow for fabricating custom orthoses using mobile 3D scanning, web-based assessment, and 3D printing technologies for patients with CMC osteoarthritis.</p><p><strong>Study design: </strong>Pilot validation study.</p><p><strong>Methods: </strong>A five-step workflow was created: (1) a web-based application (\"Hand Scan\") for assessing pain, sensory function, and range of motion; (2) mobile 3D hand scanning using smartphone cameras, with scans processed in Agisoft Metashape; (3) digital joint repositioning using finite element analysis software; (4) orthosis design using parametric modeling; and (5) fabrication using 3D printing with Orfit's low-temperature polycaprolactone filament. Five patients with CMC osteoarthritis were recruited. The application's usability was tested via cognitive interviews. Mobile scanning accuracy was validated against high-precision photogrammetry, and surface deviations of the 3D-printed orthoses were compared with traditional thermoplastic models.</p><p><strong>Results: </strong>The Hand Scan app demonstrated strong content validity. Mobile scans showed a mean absolute deviation of 0.93 mm (SD = 0.61 mm). Joint repositioning yielded a mean deviation of 0.87 mm. The 3D-printed orthoses demonstrated a better fit than thermoplastic models, with a mean surface deviation of 0.95 mm compared to 1.96 mm. The maximum deviation was 3.17 mm for 3D-printed and 5.81 mm for traditional orthoses.</p><p><strong>Conclusions: </strong>This remote orthotic fabrication workflow is accurate, feasible, and clinically applicable. It supports personalized orthosis design while reducing the need for in-person visits. The workflow has strong potential for telehealth and remote hand therapy services.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327787","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 role of gaming technology for upper extremity rehabilitation of musculoskeletal conditions-A scoping review with expert insights.","authors":"Catherine Mariam George, Javad Raeesi, Armaghan Dabbagh, Mike Szekeres, Joy C MacDermid","doi":"10.1016/j.jht.2025.04.012","DOIUrl":"https://doi.org/10.1016/j.jht.2025.04.012","url":null,"abstract":"<p><strong>Background: </strong>Serious games and gaming are increasingly used as therapeutic interventions in the rehabilitation of the upper extremities (UE) among individuals with musculoskeletal (MSK) conditions.</p><p><strong>Purpose: </strong>To describe and summarize the characteristics of gaming technology used for UE rehabilitation of MSK conditions.</p><p><strong>Study design: </strong>Scoping review.</p><p><strong>Methods: </strong>We searched four databases. Three reviewers screened articles and included articles that i) had at least one participant with an MSK condition, ii) used a gaming intervention, and iii) focused on UE rehabilitation, indicated by using an UE outcome measure. Reviewers extracted data on the study, patient, and gaming characteristics, and descriptively summarized the data. Stakeholder consultations were conducted with experts and therapists to receive feedback on the results and on reporting them.</p><p><strong>Results: </strong>We included 41 articles. Gaming technology was reported to have participation (eg, to motivate, increase adherence) and therapeutic (eg, improving range of motion, muscle strength) benefits. The conditions included fractures (n = 8), amputation (n = 8), arthritis (n = 5), shoulder impingement syndrome (n = 3), hand injuries, etc. Gaming technologies such as Myo (n = 4), Leap Motion (n = 4), Nintendo Wii (n = 4), Kinect (n = 6), and Oculus (n = 5) were frequently used. Gaming was used as an adjunct in 49% of the articles and as a standalone intervention in 51%. Joint range of motion and muscle power were commonly evaluated, along with other constructs related to activities, participation, quality of life, compliance, and adherence. Limitations of gaming technology were related to the technology, hardware, games, therapeutics, and costs.</p><p><strong>Conclusions: </strong>A variety of gaming technology has been used for UE rehabilitation of MSK conditions. This review summarizing the characteristics of these gaming technology can help therapists and researchers make decisions on which ones to use, although some may be currently unavailable.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327696","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":"Upper-limb prosthetic requirements from the healthcare providers, end-users and relatives' perspectives.","authors":"Sofía C Henao, Simón Cuartas-Escobar, Sara Salazar-Salgado, Ana María Posada-Borrero","doi":"10.1016/j.jht.2025.04.006","DOIUrl":"https://doi.org/10.1016/j.jht.2025.04.006","url":null,"abstract":"<p><strong>Background: </strong>Upper-limb amputation negatively impacts people's quality of life because replicating the hand anatomy and its multiple functions is complex. This difficulty has caused prosthesis rejection rates to be as high as 50%, mainly due to a lack of function, comfort, and control.</p><p><strong>Purpose: </strong>This study aimed to define upper-limb prosthesis design requirements from the perspectives of health providers, end-users, and close relatives.</p><p><strong>Methods: </strong>Semistructured interviews were conducted with three types of stakeholders: 11 healthcare providers, 10 end-users with unilateral upper-limb amputation, and 10 close relatives. The questions included characteristics for prosthetic design and the capability to conduct activities of daily living (ADL) with different types of prostheses. This study forms part of a project focused on the design of a myoelectric upper limb prosthesis. The presented information pertains to the needs definition stage of the Design Thinking process, specifically, the Data, Information, Knowledge, and Wisdom scheme, aiming to outline the gathered insights and key findings descriptively.</p><p><strong>Results: </strong>The three groups agreed that the most critical characteristic of a prosthesis was comfort, followed by maintenance and low weight. Cost was the requirement with the most remarkable difference in perception among stakeholders. Differences in the perception of the capability of conducting activities of daily living (ie, transport, housework, personal care and grooming) were found between the end-users and their relatives. These results and previous research provide relevant information for device design, mainly related to critical challenges and user requirements. These considerations may help to improve user satisfaction and reduce device abandonment rates.</p><p><strong>Conclusions: </strong>All stakeholders prioritize comfort in upper-limb prostheses, though perceptions of cost diverge sharply depending on financial responsibility. Integrating users' ADL requirements could enhance independence. Tailoring designs to end-users' diverse needs, addressing family impacts, and mitigating external abandonment factors (eg, unrealistic expectations, training gaps, and accessory shortages) are critical to reducing device abandonment and improving rehabilitation outcomes.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327697","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":"Increased electromyographic activity of the abductor pollicis brevis and hand strength deficits in women with carpal tunnel syndrome: A cross-sectional study.","authors":"Amanda Santos Simão, Darlisson Bueno Paranhos, Andréa Licre Pessina Gasparini, Luciane Aparecida Pascucci Sande de Sousa, Luciane Fernanda Rodrigues Martinho Fernandes","doi":"10.1016/j.jht.2025.05.005","DOIUrl":"https://doi.org/10.1016/j.jht.2025.05.005","url":null,"abstract":"<p><strong>Background: </strong>Carpal tunnel syndrome (CTS) can impact hand function, potentially altering muscle activity and strength during common manual tasks. Understanding these changes is essential for developing effective interventions.</p><p><strong>Purpose: </strong>To verify if there are differences in electromyographic activity of wrist and hand muscles and in hand strength between women with and without CTS during sustained isometric grip and pinch strength tasks.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>The study included 26 women diagnosed with CTS by a hand surgeon and a control group of 22 women without CTS. Electromyographic activities of the extensor carpi ulnaris (ECU), extensor carpi radialis longus and brevis, flexor carpi ulnaris, flexor digitorum superficialis, and abductor pollicis brevis (APB) were recorded during sustained grip and pulp-to-pulp pinch tasks. Muscle activity was quantified using the root mean square, and hand strength was measured with a Hand Grip Electronic Dynamometer, focusing on peak strength and the average over the last 60% of each task.</p><p><strong>Results: </strong>Women with CTS showed a significant increase in root mean square of the APB during both grip and pinch tasks, and an increase in ECU activity during the pinch task. Additionally, the CTS group exhibited decreased peak strength and lower average strength over the last 60% of both tasks compared to controls.</p><p><strong>Conclusions: </strong>Women with CTS demonstrate increased muscle activity in the APB during both grip and pinch tasks and in the ECU during pinch, along with significant deficits in hand strength. These findings suggest that CTS is associated with impaired muscle function and strength, underscoring the importance of targeted interventions to improve hand function in this population.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327695","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":"Fugl-Meyer Assessment for upper extremity in stroke: A pyschometric systematic review.","authors":"Pablo de Blas-Zamorano, Pedro Montagut-Martínez, David Pérez-Cruzado, Jose-Antonio Merchan-Baeza","doi":"10.1016/j.jht.2025.04.004","DOIUrl":"https://doi.org/10.1016/j.jht.2025.04.004","url":null,"abstract":"<p><strong>Background: </strong>Stroke is a very common pathology, with a high prevalence of impairment of the sensorimotor function of the upper limb. There are many scales that assess this variable. Fugl-Meyer Assessment is one of the most widely used, but there are many versions of this scale to assess this construct.</p><p><strong>Purpose: </strong>To identify, critically appraise, and summarize the different Fugl-Meyer Assessment (FMA) versions to recognize which is better to measure upper-extremity sensorimotor function in stroke patients.</p><p><strong>Study design: </strong>A psychometric systematic review was carried out in this research.</p><p><strong>Methods: </strong>An exhaustive search was conducted during June and July 2023 in the following databases: Pubmed, Web of Science (WoS), Open Grey, Scielo, Cochrane, Dialnet, and LILACS. By the most updated consensus-based standards fot the selection of health status Measurement INstruments methodology (COSMIN) and preferred reporting items for systematic reviews and meta-analyses (PRISMA) statements for a systematic review of the measurement properties of existing patient-reported outcome measures to select the most appropriate outcome measurement instrument. The protocol of this systematic review was registered in Open Science Framework (https://osf.io/dy54p/).</p><p><strong>Results: </strong>About 22 versions of the FMA were identified in 36 studies. The Upper Extremity subscale of the Fugl-Meyer Assessment (FMA-UE) was the version most frequently analyzed (n = 13) among the included articles.</p><p><strong>Conclusions: </strong>Fugl-Meyer Assessment (Full version, 50 items, FMA) was the questionnaire version with the most evaluated psychometric characteristics and most translations, with the better score regarding the quality of evidence, which indicates that is the recommended FMA version to assess upper-extremity sensorimotor function in stroke patients.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327693","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":"Clinician- and patient-reported outcomes after flexor tendon repair: A 1-year prospective study.","authors":"Carina Paulsen Rosales, Silvia Elisabeth Hansbø, Tone Vaksvik","doi":"10.1016/j.jht.2025.04.015","DOIUrl":"https://doi.org/10.1016/j.jht.2025.04.015","url":null,"abstract":"<p><strong>Background: </strong>Evaluation following flexor tendon repairs has largely focused on clinician-reported measures of active range of motion and grip strength.</p><p><strong>Purpose: </strong>To track recovery after digit 1-5, zone I-III over 1year using regular clinician- and patient-reported outcomes.</p><p><strong>Study design: </strong>Prospective cohort study.</p><p><strong>Methods: </strong>Patients aged ≥18years undergoing early active mobilization were included. Clinician-reported outcomes were active range of motion, grip strength, proximal interphalangeal flexion contractures, hours in therapy, and number of orthoses. Patient-rated outcomes included Patient-rated wrist and hand evaluation, the Measurement of Activity Performance of the hand, difficulties with home exercises, and satisfaction with hand function.</p><p><strong>Results: </strong>The 45 participants with 65 repaired tendons showed a steady increase in active range of motion and grip strength over 12months. At the final follow-up, 73% of fingers achieved excellent/good outcomes per Strickland and Glogovac criteria and there were four proximal interphalangeal joint contractures ≥20 degrees, all present at 1month. The participants had on average 10 hand therapy visits over 5months and 2.4 orthoses. Patient-rated wrist and hand evaluation and Measurement of Activity Performance of the hand scores indicated low pain and good overall function, but activities of daily living, such as opening jars and buttoning, remained difficult up to 12months in some participants. Patients reporting difficulties with the home exercise program increased progressively from 1-3months. At 12months, only one patient was not satisfied with hand function.</p><p><strong>Conclusions: </strong>Despite good active range of motion at 12months, early proximal interphalangeal joint contractures persisted, and some activities remained challenging.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318741","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":"Extended reality in the management of upper limb musculoskeletal conditions: A scoping review.","authors":"Alexis Ramos, Imane Salmam, Matthieu Guémann, Martine Gagnon, Jean-Sébastien Roy, Jeremy Lewis","doi":"10.1016/j.jht.2025.04.020","DOIUrl":"https://doi.org/10.1016/j.jht.2025.04.020","url":null,"abstract":"<p><strong>Background: </strong>Extended reality (XR) is increasingly used in the management of upper limb musculoskeletal conditions.</p><p><strong>Purpose: </strong>To systematically map reported interventions using XR, explore their effects, and identify gaps in knowledge.</p><p><strong>Study design: </strong>Scoping review.</p><p><strong>Methods: </strong>Searches were conducted in CINAHL, ClinicalTrials.gov, Embase, MEDLINE, PEDro, and Web of Science, covering publication from 2006 to September 2024. Primary research studies were included if they focused on adults with upper limb musculoskeletal disorders, evaluated at least one XR intervention, and reported at least one outcome related to pain, range of motion, or function. The quality of the studies was assessed using the PEDro scale and Joanna Briggs Institute checklists. The present scoping review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analysis extension for scoping reviews guidelines.</p><p><strong>Results: </strong>A total of 19 studies were included. Fifteen were randomized controlled trials, one was a nonrandomized controlled trial, two were case series, and one was a case report. The majority (n = 15) focused on shoulder conditions, with no studies identified for elbow, nontraumatic wrist, or hand conditions. Among the included studies, none evaluated mixed reality, only one investigated augmented reality, and 18 focused on virtual reality. XR interventions seem to be more effective at improving range of motion and upper limb disability than alleviating pain in people with upper limb conditions.</p><p><strong>Conclusions: </strong>While XR shows potential for improving range of motion and disability in people with upper limb musculoskeletal conditions, its clinical applications are hindered by methodological inconsistencies and limited evidence. Future research should prioritize high-quality randomized controlled trials with larger and more diverse populations.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318754","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 on forearm muscle activity of manipulative assistive devices' use in activities of daily living.","authors":"Maria-Jesus Agost, Néstor J Jarque-Bou, Alba Roda-Sales, Joaquín L Sancho-Bru, Margarita Vergara","doi":"10.1016/j.jht.2025.04.007","DOIUrl":"https://doi.org/10.1016/j.jht.2025.04.007","url":null,"abstract":"<p><strong>Background: </strong>Assistive devices play a crucial role in helping individuals with impaired function to conduct activities of daily living. The application of surface electromyography technique to study forearm muscle activity in the use of assistive devices would complement kinematic studies to optimize design features of assistive devices for manipulation.</p><p><strong>Purpose: </strong>This study investigates the effect of various assistive devices on forearm muscle activity of healthy people while performing activities of daily living, measured using surface electromyography technique.</p><p><strong>Study design: </strong>Primary clinical, descriptive cross-sectional study.</p><p><strong>Methods: </strong>Fourteen pairs of equivalent activities of daily living tasks, performed with and without assistive devices in 22 participants, were compared. The surface electromyography data from the MOVMUS-UJI Dataset were used. For each pair of equivalent tasks and each spot (forearm area), related-samples Wilcoxon tests were applied in p50 and p95 surface electromyography values of muscle activity.</p><p><strong>Results: </strong>The results revealed significant differences in forearm muscle activity, primarily due to changes in grasp type or hand-object position. Some devices led to decreased muscle activity (up to 64.2%), while others resulted in increased muscle activity (up to 95.6%) depending on the task and device characteristics.</p><p><strong>Conclusions: </strong>The analysis of the surface electromyography recording values is useful for deciding whether an assistive device helps to reduce the effort required while performing an activities of daily living and for designing new assistive devices with features that favor the most appropriate grip type or orientation. The findings highlight the importance of personalized design for assistive devices to optimize functionality and to reduce muscular effort. Therefore, the results are beneficial for therapists prescribing assistive devices, as they assist in evaluating the specific effects on muscle activity in individual patients. This study contributes to enhance the understanding of the ergonomic implications of assistive device use for supporting individuals with impaired function in activities of daily living.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318753","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 results of serial casting in the treatment of proximal interphalangeal joint contractures in patients with systemic sclerosis.","authors":"Ümit Uğurlu","doi":"10.1016/j.jht.2025.04.021","DOIUrl":"https://doi.org/10.1016/j.jht.2025.04.021","url":null,"abstract":"<p><strong>Background: </strong>Systemic sclerosis can lead to significant disability. Flexion contractures of the proximal interphalangeal joints are common in systemic sclerosis. Serial casting can be used to correct these contractures. The literature lacks data on the use of this method for this purpose.</p><p><strong>Purpose: </strong>To analyze the results of serial casting intervention in the treatment of proximal interphalangeal joint flexion contractures and identify the factors that may affect outcomes.</p><p><strong>Study design: </strong>Retrospective case series.</p><p><strong>Methods: </strong>The data of 10 patients treated with serial casting for their proximal interphalangeal joint contractures were analyzed. Range of motions of the finger joints, grip pressures, pinch strengths and hand functions at the initial and final evaluations were compared. A finger goniometer, a modified sphygmomanometer, B&L pinchmeter and Duruöz Hand Index were used for the measurements, respectively.</p><p><strong>Results: </strong>A total of 38 fingers were serially casted. The serial casting intervention resulted in significant (p<0.001) reduction in the average proximal interphalangeal joint extension loss. Some flexion decreases in this joint accompanied this gain (p<0.001). Range of motions of the other finger joints increased (p<0.001). The average grip pressures (p=0.005 and 0.007), lateral pinch strengths (p=0.04) and total hand function (p=0.013) improved. The magnitude of the extension loss in the beginning, severity of Raynaud phenomenon, disability and disease durations were all moderately important factors in predicting the gains in the proximal interphalangeal joints. Sixty percent of the gains (adjusted R²=0.6) could be explained by these factors.</p><p><strong>Conclusions: </strong>Serial casting may be an effective method to decrease flexion contractures of proximal interphalangeal joints as an adjunctive method to other rehabilitation modalities in patients with systemic sclerosis. Clinicians should consider disease-specific constraints both in the selection of patients for serial casting application and their follow-up.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318755","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}