Journal of Hand Therapy最新文献

{"title":"Development and clinical application of a shoulder external rotation orthosis: A novel approach to post-operative and conservative management.","authors":"Juliana Larocerie-Salgado, Kristen MacDonald, Samantha H Lau","doi":"10.1016/j.jht.2025.05.014","DOIUrl":"https://doi.org/10.1016/j.jht.2025.05.014","url":null,"abstract":"","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":"144318751","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 an online exercise and education program for adults post-distal radius fracture.","authors":"Christina Ziebart, Joy MacDermid, Dianne Bryant, Mike Szekeres","doi":"10.1016/j.jht.2025.04.017","DOIUrl":"https://doi.org/10.1016/j.jht.2025.04.017","url":null,"abstract":"<p><strong>Background: </strong>Using an evidence-based, patient-engaged, multidisciplinary team approach, we created the Hands Up Program. The Hands Up Program is an exercise and education intervention for people 6-10 weeks after a distal radius fracture (DRF) to support their DRF rehabilitation and reduce the risk of future osteoporotic fractures.</p><p><strong>Purpose: </strong>The purpose of this article is to describe the staged and iterative process used to develop the Hands Up Program STUDY DESIGN: A co-design process.</p><p><strong>Methods: </strong>The Hands Up Program was designed through extensive literature searches, primary data collection and with the ongoing feedback from a multidisciplinary team and patient partners. This web-based program received ongoing feedback during the design and creation phases. The participants also provided feedback after the pilot study was implemented.</p><p><strong>Results: </strong>The Hands Up Program is a 6-week online whole-body exercise and education program. Participants are asked to engage in the program twice per week for 6 weeks and to track their engagement in the program. The program was primarily offered online, but the content was supplemented with hardcopy materials provided in a workbook to the participants at their first study visit. This multimodal format allows for increased accessibility of information for patients. This program is completed at participant's home on their own time.</p><p><strong>Conclusions: </strong>The Hands Up Program was rigorously developed to address the needs of individuals aged 50-65 after a DRF, suggesting a future risk of osteoporotic fractures. Future iterations of the program should consider equity and scalability.</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":"144318752","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":"Comparison of cocontraction methods of forearm muscles for controlling myoelectric prosthetic hand: An experimental study using surface electromyography on healthy participants.","authors":"Rikiya Shirato, Yura Komatsu, Kenshin Sanada, Yuri Sengoku, Yuka Yamanaka","doi":"10.1016/j.jht.2025.02.015","DOIUrl":"https://doi.org/10.1016/j.jht.2025.02.015","url":null,"abstract":"<p><strong>Background: </strong>Cocontraction of the extensor carpi radialis longus (ECRL) and flexor carpi ulnaris muscles used to control a transradial myoelectric prosthetic hand. The methods used to generate cocontractions include finger snap, quick spread, and quick fist.</p><p><strong>Purpose: </strong>This study aimed to identify the most efficient cocontraction-induction method based on electromyographic characteristics by measuring surface electromyography during three cocontraction-induction methods commonly used for transradial myoelectric prosthetic hands in healthy participants.</p><p><strong>Study design: </strong>This was a cross-sectional study of a convenience sample of healthy adults.</p><p><strong>Methods: </strong>Myoelectrical action potentials of the ECRL and flexor carpi ulnaris were recorded using a wireless surface electromyograph during three cocontraction methods in 29 healthy university students. The obtained electromyographies of the (1) time difference at the peak of muscle contraction, (2) time to the peak of muscle contraction, (3) duration of muscle contraction, and (4) maximal muscle activity (% root mean square) of both muscles were compared among the three cocontraction methods.</p><p><strong>Results: </strong>The time difference at the peak muscle contraction and the time to the peak muscle contraction of both muscles were significantly higher in the finger-snap method than in the other methods. The duration of ECRL contraction during the finger snap was also the highest. In contrast, the maximal muscle activity of the finger-snap method was the lowest.</p><p><strong>Conclusions: </strong>The quick spread and fist are the recommended cocontraction methods for the control of the myoelectric prosthetic hand over the finger snap because the time lag at the peak of muscle contraction and the time to the peak of muscle contraction were significantly lower.</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":"144318750","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 use of robotics and artificial intelligence in upper extremity rehabilitation following traumatic injury: A scoping review.","authors":"Alice Anand Toner, Lindsay Eberlin, Rajan Pichaimuthu, Tamara Tompkins, Mike Szekeres","doi":"10.1016/j.jht.2025.04.009","DOIUrl":"https://doi.org/10.1016/j.jht.2025.04.009","url":null,"abstract":"<p><strong>Background: </strong>With the recent advances in technology and its increased use in society, healthcare practices work to identify areas where technology can be implemented to enhance patient care. Rehabilitation has begun to incorporate the use of robotics and artificial intelligence to facilitate positive outcomes and assist in achieving patient goals following injury. While traumatic upper extremity injuries can result in increased levels of pain and disability for an individual, it is not clear how robotics and artificial intelligence have been used in hand rehabilitation to address these issues.</p><p><strong>Purpose: </strong>The objective of this study is to understand the extent of the use of robotics and artificial intelligence for traumatic upper extremity injuries.</p><p><strong>Study design: </strong>Scoping review.</p><p><strong>Methods: </strong>The search strategy was conducted in Embase, CINAHL, MEDLINE, and PsycINFO and identified 7105 studies published between 2014 and 2024. Following title and abstract screening and removal of duplicates, 122 full-text articles were screened. A total of 13 papers were included that used artificial intelligence, robotics, or other technology in rehabilitation programs for individuals with traumatic upper extremity injuries.</p><p><strong>Results: </strong>Of the 13 included studies: 11 used robotics such as the KINARM Exoskeleton, the Hybrid Assistive Limb, and the WRISTBOT, and two used artificial intelligence including chatbots and brain-computer interface. Multiple outcomes were reported with the most common including range of motion, strength, pain, function, and joint sense.</p><p><strong>Conclusions: </strong>Currently, there is a wide variety of different forms of robotics with very little reported use of artificial intelligence for traumatic upper extremity injuries. There exists opportunities for future research to further investigate how these technologies can influence clinical outcomes for patients with traumatic upper extremity injuries.</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":"144318756","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":"Using wearable technology to measure adherence to intervention for upper extremity musculoskeletal conditions: A scoping review.","authors":"Wan Ling Ng, Sonya S Corea, Marie Ansha Cruz, Lisa O'Brien, Mike Szekeres","doi":"10.1016/j.jht.2025.04.016","DOIUrl":"https://doi.org/10.1016/j.jht.2025.04.016","url":null,"abstract":"<p><strong>Background: </strong>Measures of adherence usually rely on patient self-report, however, objective methods, such as the use of sensors and wearable devices are a growing area in enhancing personalized care and patient engagement in upper limb musculoskeletal intervention.</p><p><strong>Purpose: </strong>To identify and summarize evidence on the use of sensors and wearable devices to help us understand adherence to interventions in adults with upper extremity musculoskeletal pathology.</p><p><strong>Study design: </strong>Scoping review.</p><p><strong>Methods: </strong>Database (CINAHL, Ovid MEDLINE, and Web of Science) and supplementary searches were conducted. Eighteen studies were included following title and abstract screening and full-text review. Studies were included into the final review if they (1) involved musculoskeletal conditions affecting the upper extremity; (2) incorporated the use of sensors and wearable devices; (3) included adult participants; and (4) provide insights into treatment adherence. Data from these studies were then extracted, analyzed, and synthesized as per the review aim.</p><p><strong>Results: </strong>Included papers were published between the years 1985 and 2024, with 12 focusing on shoulder pathology, three on flexor tendon injuries, two on distal radius fractures and one on wrist injuries. Sensors were primarily used for monitoring device wear time and adherence to exercise interventions.</p><p><strong>Conclusions: </strong>This scoping review maps the relevant literature on how sensors and wearable devices help us understand adherence to interventions for upper extremity musculoskeletal conditions. Findings highlight the value in using standardized tools for measuring and monitoring adherence to provide more consistent data for application in both research and clinical settings.</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":"144318757","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 virtual reality-based movement therapy in peripheral nerve injuries of the hand.","authors":"Serkan Kablanoğlu, Selime Ilgın Sade","doi":"10.1016/j.jht.2025.04.010","DOIUrl":"https://doi.org/10.1016/j.jht.2025.04.010","url":null,"abstract":"<p><strong>Background: </strong>In peripheral nerve injuries, the vicious cycle of pain and movement restriction negatively affects functional recovery in rehabilitation.</p><p><strong>Aim: </strong>This study aimed to examine the effects of virtual reality-based movement therapy (VRBMT) on pain, sensation, quality of life, activity participation, and upper extremity functions in patients with peripheral nerve injury (PNI) of the hand.</p><p><strong>Design: </strong>Randomized controlled study.</p><p><strong>Setting: </strong>(1) Department of Physical Medicine and Rehabilitation, (2) Hand rehabilitation clinic.</p><p><strong>Population: </strong>The study included 42 patients who had undergone early surgical repair for traumatic peripheral nerve injury at the wrist level and above 10 cm, had completed the postoperative fifth week, and had no physical barriers to playing games in a virtual reality environment.</p><p><strong>Methods: </strong>The patients were randomly assigned to the study (n=21) and control (n=21) groups. Both groups underwent a total of 30 therapy sessions over 6weeks, consisting of five sessions per week, each lasting 60 minutes. In addition to their routine conventional hand rehabilitation programs, those in the study group received 30 sessions of virtual reality-based movement therapy (6weeks, 5days a week, 20 minutes per session). The severity of upper extremity pain was assessed with the Visual Analog Scale, sensory threshold with the Semmes Weinstein Monofilament Test 5-filament version, hand grip strength with the Jamar Dynamometer, activity participation level with the Quick Disabilities of the Arm, Shoulder, and Hand and Duruoz Hand Index, upper extremity functionality with the Jebsen Taylor Hand Function Test, and health-related quality of life with the 5-Dimensional European Quality of Life Scale (EQ-5D-3L).</p><p><strong>Results: </strong>A total of 42 patients with a median age of 37years (25.75-49.5) completed the study. There were statistically significant differences between the groups' post-test Visual Analog Scale (p=0.001), JAMAR (p=0.004), Quick Disabilities of the Arm, Shoulder, and Hand (p=0.015), and Duruoz Hand Index (p<0.001) scores in favor of those in the study group.</p><p><strong>Conclusions: </strong>VRBMT demonstrated positive effects on pain, sensation, quality of life, activity participation, and upper extremity functions in patients with hand PNI.</p><p><strong>Clinical rehabilitation effect: </strong>VRBMT can be used in addition to routine treatment programs due to its ease of application and positive effects.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227731","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":"Long-term (seven-year) follow-up of sensory-motor rehabilitation therapy for task-specific focal hand dystonia.","authors":"Katherine Butler, Anna Sadnicka, Mark J Edwards, Jennifer Freeman","doi":"10.1016/j.jht.2025.02.008","DOIUrl":"https://doi.org/10.1016/j.jht.2025.02.008","url":null,"abstract":"<p><strong>Background: </strong>Medical treatments for task-specific dystonia (TSD) often have limited long-term success, leading to interest in rehabilitative approaches. Our previous feasibility study supported the acceptability and short-term benefits of sensory-motor rehabilitation for a cohort of 12 individuals. Long-term outcomes remain unknown.</p><p><strong>Purpose: </strong>Investigate the long-term (7 year) follow-up of clinical outcomes and treatment effectiveness in participants with TSD who engaged in our previous feasibility study.</p><p><strong>Study design: </strong>Follow-up study.</p><p><strong>Methods: </strong>Online surveys and telephone interviews were undertaken at 1 and 7 years. A telephone interview was completed at 7 years.</p><p><strong>Results: </strong>All 12 participants (seven musicians dystonia, five writing dystonia) who had completed the original feasibility study took part. All showed improvements in clinical outcomes at one and 7 years (effect sizes 0.25-0.93). Interviews and surveys indicated continued use of effective rehabilitation strategies 7 years after completing the program.</p><p><strong>Discussion: </strong>Following treatment, people continue to use rehabilitative strategies, perceived by them as effective, with sustained benefits across varying domains for up to 7 years.</p><p><strong>Conclusions: </strong>Benefits of sensory-motor rehabilitation can be sustained. The underlying mechanisms of these changes require investigation.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043475","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":"Interrater and intrarater reliability for the Complete Minnesota Dexterity Test.","authors":"Jacqueline Reese Walter, Kevin Bandt, Kaleigh Hahn, Eden Hawes, Camryn Landis, Alyssa McDermott, Raymond Brody Shockley, Dillon Arthur, Sarah Doerrer, Victoria Priganc","doi":"10.1016/j.jht.2025.03.003","DOIUrl":"https://doi.org/10.1016/j.jht.2025.03.003","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049288","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":"Investigation of factors affecting shoulder pain in stroke survivors.","authors":"Arslan Cemil, Baskan Emre, Dengiz Aziz","doi":"10.1016/j.jht.2025.02.019","DOIUrl":"https://doi.org/10.1016/j.jht.2025.02.019","url":null,"abstract":"<p><strong>Background: </strong>Shoulder pain is influenced by multiple factors in stroke survivors.</p><p><strong>Purpose: </strong>This study investigated factors contributing to shoulder pain in stroke survivors and quantified their impact.</p><p><strong>Study design: </strong>Sixty-two stroke patients (21 females, 41 males; mean age: 63.97 ± 10.02 years) at Brunnstrom stage 3 or higher were included.</p><p><strong>Methods: </strong>Shoulder pain was assessed using the Visual Analog Scale, muscle tone with the Modified Ashworth Scale, and myofascial trigger points through palpation. A universal goniometer measured the range of motion, and the Fugl-Meyer Upper Extremity Assessment evaluated upper limb function. Soft tissue conditions were assessed using the Neer Impingement, Apprehension, Acromioclavicular Shear, and Speed tests.</p><p><strong>Results: </strong>Hemiplegic shoulder pain (HSP) was present in 50% of patients, primarily in the anterior (35.5%) and lateral (32.3%) shoulder. Burning and stinging sensations were common. No significant associations were found with age, gender, or time since stroke. However, HSP correlated with rehabilitation initiation time (p = 0.007, r = -0.34), Brunnstrom stage (p = 0.015, r = 0.31), and Fugl-Meyer score (p = 0.015, r = 0.31). Increased muscle tone in the subscapularis (p = 0.046, r = 0.26) and pectoralis major (p = 0.002, r = 0.38) was linked to HSP. Myofascial trigger points in the levator scapulae, supraspinatus, upper trapezius, teres major, teres minor, and infraspinatus muscles showed significant correlations Soft tissue pathology, indicated by the Neer Impingement (p = 0.000, r = 0.46), speed (p = 0.007, r = 0.34), and apprehension (p = 0.000, r = 0.52) tests, was also associated with HSP.</p><p><strong>Conclusions: </strong>HSP in stroke survivors is influenced by myofascial trigger points, soft tissue injuries, delayed rehabilitation, increased muscle tone, and lower motor function. Early intervention focusing on shoulder mobility is crucial for prevention and management, promoting functional recovery.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046420","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 case report of recurrent annular ligament displacement in a pediatric patient.","authors":"Cameron Van Oort","doi":"10.1016/j.jht.2025.02.005","DOIUrl":"https://doi.org/10.1016/j.jht.2025.02.005","url":null,"abstract":"<p><strong>Background: </strong>Annular ligament displacement (ALD) is a common pediatric condition whereby the annular ligament slips over the radius and remains trapped between the radial head and capitellum. It can be reduced with relative ease by performing passive pronation or supination with concomitant pressure over the radial head. However, ALD is more likely to recur after the initial incident, concerning for both the patient and caregivers.</p><p><strong>Purpose: </strong>This article describes the successful conservative management of a 2 year, 4 month old female patient with recurrent ALD, having occurred six times in an 8 month period.</p><p><strong>Methods: </strong>The role of an orthosis, targeted exercises, and education for caregivers for treating recurrent ALD is discussed.</p><p><strong>Results: </strong>At each follow up and final 18 month follow up no ALD events had occurred.</p><p><strong>Conclusions: </strong>Previous literature discussing treatment for recurrent ALD has examined teaching caregivers to reduce the elbow at home or teaching reductions via telehealth. However, there is a dearth of research around treating the issue so recurrence does not occur. This conservative intervention demonstrates a potential avenue for treating chronic recurrent ALD to eliminate subsequent events.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013312","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}