Journal of Hand Therapy最新文献

{"title":"Ortho-Monitorizer: A portable device for quantitative monitoring of temperature and pressure in a 3D-printed upper limb orthosis.","authors":"Matilde Antão, Inês Rodrigues, Carla Quintão, Cláudia Quaresma","doi":"10.1016/j.jht.2025.03.002","DOIUrl":"https://doi.org/10.1016/j.jht.2025.03.002","url":null,"abstract":"<p><strong>Background: </strong>Adherence to wrist-hand orthoses in patients with musculoskeletal conditions, such as Carpal Tunnel Syndrome, is crucial for effective rehabilitation. However, objective methods for monitoring wear time and pressure distribution remain limited.</p><p><strong>Purpose: </strong>This study presents the Ortho-Monitorizer, a portable 3D-printed sensor-integrated device designed to provide real-time, quantitative monitoring of temperature and pressure in upper limb orthoses. The objective is to evaluate the system's feasibility in detecting patient adherence and identifying critical pressure points.</p><p><strong>Study design: </strong>A descriptive and cross-sectional study was conducted to develop and validate the device, including sensor integration and data acquisition.</p><p><strong>Methods: </strong>Using a 3D scanner and Fusion 360 software, the orthoses were customized and printed in thermoplastic polyurethane. Data from healthy participants (n = 55) and patients with Carpal Tunnel Syndrome (n = 2) were collected through the Ortho-Monitorizer's application, using six sensors (three temperature and three pressure sensors) placed at clinically relevant anatomical points. Data were acquired over five hand positions, and normal reference values were established.</p><p><strong>Results: </strong>Mean temperature values ranged between 29.5^∘C and 32.5^∘C, while pressure values varied from 0.00 MPa to 0.08 MPa across different hand positions. One CTS patient exhibited pressure values above normal thresholds in specific positions, correlating with discomfort and numbness reports. The device achieved a System Usability Scale (SUS) score of 86.8% (healthy participants) and 92.5% (CTS patients), indicating high usability and acceptance.</p><p><strong>Conclusions: </strong>The Ortho-Monitorizer provides a non-invasive, objective method for monitoring patient adherence to orthotic treatments. By offering real-time tracking of critical parameters, it enhances clinical decision-making and patient outcomes. Future research should explore wireless integration and long-term clinical validation to further optimize its applicability.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049292","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 motor imagery on functionality, pain, kinesiophobia, and quality of life in patients with distal radius fractures: A randomized controlled double-blind study.","authors":"Melike Gizem Kalaycı, Yıldız Analay Akbaba, Mehmet Fatih Güven","doi":"10.1016/j.jht.2025.02.018","DOIUrl":"https://doi.org/10.1016/j.jht.2025.02.018","url":null,"abstract":"<p><strong>Background: </strong>Conventional physiotherapy plays a significant role in treating distal radius fractures (DRF), but pain and functional limitations can persist despite treatment. Therefore, additional interventions are needed to improve treatment efficacy. Motor imagery (MI) has been shown to improve pain, function, range of motion (ROM), and muscle strength in musculoskeletal rehabilitation, though studies on its effect on upper extremity injuries are limited.</p><p><strong>Purpose: </strong>To investigate the effect of MI training applied with the telerehabilitation method on pain, kinesiophobia, and functionality in patients with DRF.</p><p><strong>Study design: </strong>This was a double-blind randomized controlled trial with registration number NCT05360836.</p><p><strong>Methods: </strong>Thirty volunteer patients aged 18-65 years with DRF, who decided to be treated conservatively, were randomly allocated to either the conventional treatment (CT) group (n = 15; 40.28 ± 18.18 years) or the MI group (n = 15; 38.80 ± 14.12 years). The MI group received imagery treatment in addition to traditional rehabilitation, and the CT group received traditional rehabilitation (three times a week for 8 weeks). Disabilities of Arm, Shoulder and Hand was our primary outcome measure, while the secondary outcome measures included the Patient Rated Wrist Evaluation, Visual Analog Scale, Tampa Scale for Kinesiophobia, normal ROM in the wrist joint, grip strength of hand and finger, left-right discrimination, and quality of life.</p><p><strong>Results: </strong>The pain intensity, wrist functional status, muscle strength, active ROM, and quality of life were improved in both groups. Group comparisons showed statistically significant changes in Patient Rated Wrist Evaluation-function parameter, wrist extension active ROM, and hand grip strength in favor of the MI group (respectively, Δmean = -13.15, p = 0.034, effect size [ES] = 0.76, Δmean = -9.33, p = 0.019, ES = 0.91, Δmean = -10.96, p = 0.008, ES = 0.94).</p><p><strong>Conclusions: </strong>Adding MI to conservative treatment after DRF improved function, wrist extension, and hand grip strength compared to CT alone.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026834","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":"Quantifying the reach-and-grasp practice using novel wearable technology: Application in a stroke rehabilitation setting.","authors":"Chieh-Ling Yang, Ya-Yuan Cheng, Chu-Hsu Lin, Carlo Menon, Janice J Eng","doi":"10.1016/j.jht.2025.02.017","DOIUrl":"https://doi.org/10.1016/j.jht.2025.02.017","url":null,"abstract":"<p><strong>Background: </strong>Wrist-worn accelerometers have been used to measure the intensity of upper extremity (UE) practice, but their primary focus is on general arm usage, lacking the ability to capture reaching and grasping of the hand that are relevant for rehabilitation.</p><p><strong>Purpose: </strong>We aimed to explore the potential of a novel wrist-worn sensor as a meaningful measure for quantifying the amount of reaching and grasping practice during a structured UE exercise session for stroke.</p><p><strong>Study design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>Fourteen individuals with stroke wore sensor devices (TENZR) on both wrists while performing a structured UE exercise program comprising of 35 exercises. Counts recorded from observation (observed repetitions) and counts from the sensor device (sensor counts) were used to describe the amount of UE practice. The level of agreement between the observed repetitions and sensor counts were examined to determine if the TENZR is a meaningful measure. We also explore if the sensor counts were affected by the level of UE impairment.</p><p><strong>Results: </strong>The participants performed 792 observed reach and grasp repetitions, with corresponding 711 and 465 sensor counts for the paretic hand and nonparetic hand, respectively, over the hour practice session. The TENZR and the observational method might measure UE movement differently, as evidenced by a lack of agreement between observed repetitions and sensor counts in the paretic hand. No significant relationship between the sensor counts in the paretic hand and the level of impairment was found.</p><p><strong>Conclusions: </strong>This study used the TENZR to quantify reaching and grasping practice and characterize individual participation pattern for both paretic and nonparetic hands in stroke rehabilitation. The device is an alternative to direct observation for quantifying the intensity of reach-and-grasp practice. In the future, this device could expand to home-based rehabilitation and telehealth services, enabling objective monitoring and tracking of UE training progress.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059545","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 systematic review of the quality and engagement of TikTok videos of resistance exercises for the management of lateral elbow tendinopathy.","authors":"Luke J Heales, Buhuni Gunasinghe, Elli Melrose, Jessica Lorraway, Steven J Obst","doi":"10.1016/j.jht.2025.02.016","DOIUrl":"https://doi.org/10.1016/j.jht.2025.02.016","url":null,"abstract":"<p><strong>Background: </strong>Resistance exercise is considered first-line management for lateral elbow tendinopathy (LET). TikTok enables sharing of short-form videos with algorithms distributing videos with higher engagement (e.g., views/likes).</p><p><strong>Purpose: </strong>To assess resistance exercise video quality for LET on TikTok between general users and self-identified health care professionals and explore associations between engagement and video quality.</p><p><strong>Study design: </strong>Social media review using a systematic review framework.</p><p><strong>Methods: </strong>TikTok was searched using five hashtags. Included videos were in English and focused on resisted exercise. Creator and video engagement metrics were extracted, with viewing index and engagement rate calculated. The DISCERN and Tennis Elbow Exercise Education Score (TEEES) were used to assess video quality. A Kruskal-Wallis test examined differences between general users and self-identified health care professionals and Spearman's rho (r_s) correlations explored associations between video quality and engagement metrics. Median (interquartile range) were reported.</p><p><strong>Results: </strong>Ninety-eight videos were included with no significant differences in engagement between general users and self-identified health care professionals. Overall, resistance exercise video quality was poor with no significant differences between general users (DISCERN 26 [22-29] out of 75, TEEES 8 [5-10] out of 25) and self-identified health care professionals (DISCERN 25 [21-27], TEEES 7 [5-9]; p = 0.37 and p = 0.35, respectively). Video quality was weakly correlated with video likes, favourites, and viewing index (r_s = 0.23, p = 0.03; r_s = 0.23, p = 0.02; r_s = 0.21, p = 0.04, respectively).</p><p><strong>Conclusions: </strong>The quality of resistance-based exercise videos for LET on TikTok was poor, regardless of user profile. While some engagement metrics were associated with video quality, viewers should not rely on these metrics to indicate video quality.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043067","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 novel technique for digital assessment of hand volume.","authors":"Nastaran Katouzian, Claire A Parent, Roy Eagleson, Caitlin Symonette","doi":"10.1016/j.jht.2025.03.001","DOIUrl":"https://doi.org/10.1016/j.jht.2025.03.001","url":null,"abstract":"<p><strong>Background: </strong>Swelling is an anticipated nonspecific response following hand trauma, arthritis, infection, or surgery, which can decrease range of motion and increase pain. Approaches to quantify swelling, typically performed through hand volume measurement, are lacking in routine clinical assessments. A hand volumetry technique that is quick, inexpensive, noninvasive, and reliable is still in demand. With advances in computer imaging, new technologies are increasingly gaining attention to enable the digital assessment of hand volume as a surrogate marker of swelling.</p><p><strong>Purpose: </strong>This study aims to develop a webcam-based method using computer vision technology for digital hand volume assessment and compare its results with those from conventional water displacement and figure-of-eight techniques to evaluate its feasibility in healthy hands.</p><p><strong>Study design: </strong>Cross-sectional observational pilot study.</p><p><strong>Methods: </strong>A novel algorithm was developed to process hand images captured through a webcam. Digital hand volume was computed using both palmar and lateral view area calculations. Thirty healthy participants were recruited. The volumes of their hands were measured using three methods: the proposed digital method (V_D), water displacement (V_W), and figure-of-eight taping (C_FOE). Digital volumes were compared to conventional approaches using Pearson correlation coefficients and Bland-Altman analysis.</p><p><strong>Results: </strong>A strong correlation was observed between V_D and C_FOE (r=0.89, p<0.00001). Similarly, V_D demonstrated a significant correlation with V_W (r=0.96, p<0.00001). However, a systematic overestimation by V_D was identified and subsequently adjusted using a calibration curve derived from regression analysis, resulting in the calibrated hand volume (V_D*). Bland-Altman analysis between V_D* and V_W indicated Limits of Agreement (LOA) of ±33.6 mL, with percentage limits ranging from -9.5% to 9.3%.</p><p><strong>Conclusions: </strong>This study demonstrates a novel approach to digital hand volume assessment. Our findings suggest that when LOA of ±9.5% is considered clinically acceptable, the digital method can be used interchangeably with water displacement volumetry in nonpathological hands.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026837","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":"Psychometric evaluation of the Hamilton Inventory to evaluate signs and symptoms in patients with Complex Regional Pain Syndrome (CRPS).","authors":"Maryam Farzad, Tara Packham, Joy MacDermid, Fatemeh Mohammadi, Seyed Ali Hosseini, Reza Shahriar Kamrani, Hooman Shariatzadeh, Ali Koushan, Seyed Hadi Kalantar, Enayatollah Bakhshi","doi":"10.1016/j.jht.2025.02.004","DOIUrl":"https://doi.org/10.1016/j.jht.2025.02.004","url":null,"abstract":"<p><strong>Background: </strong>Complex Regional Pain Syndrome (CRPS) is a debilitating condition with profound physical and psychological impacts, necessitating comprehensive assessment tools for effective evaluation.</p><p><strong>Purpose: </strong>This study aimed to validate the Persian version of the Hamilton Inventory for Complex Regional Pain Syndrome (HI-CRPS) and assess its reliability and validity in individuals diagnosed with CRPS.</p><p><strong>Study design: </strong>A cross-sectional clinical measurement study evaluated the Persian version of HI-CRPS.</p><p><strong>Methods: </strong>A sample of 64 individuals diagnosed with CRPS from pain and hand surgeon clinics completed the Persian versions of the patient-reported (PR-HI-CRPS) and clinicians based (CB-HI-CRPS). Test-retest reliability was assessed after 1 week, and responsiveness was measured after 3 months. Baseline scores, ceiling effects, internal consistency (Cronbach's alpha), and construct validity (correlations with related measures) were examined. Effect sizes and standardized response means (SRM) were calculated to gauge responsiveness.</p><p><strong>Results: </strong>Baseline scores for PR-HI-CRPS and CB-HI-CRPS were 77.8 and 14.9, respectively. Around 18% of PR-HI-CRPS and 16% of CB-HI-CRPS respondents exhibited ceiling effects. Internal consistency for PR-HI-CRPS (Cronbach's alpha: 0.71-0.91) and CB-HI-CRPS (alpha: 0.90) was satisfactory. PR-HI-CRPS (ICC: 0.86) and CB-HI-CRPS (ICC: 0.97) showed robust test-retest reliability. Construct validity was confirmed by significant correlations between PR-HI-CRPS subscales and related measures (p < 0.01). Structural validity was confirmed by confirmatory factor analysis. PR-HI-CRPS displayed an effect size of 0.79 and a standardized response mean (SRM) of 0.88.</p><p><strong>Conclusions: </strong>The Persian version of the HI-CRPS demonstrated satisfactory internal consistency, test-retest reliability, construct validity, and responsiveness. It can be relied upon to assess CRPS symptoms, functional limitations, and psychosocial impacts.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026830","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":"Dry needling: A tool to address tightness of the interossei?","authors":"Nathan Short, Donna Walls, Marsha Rutland","doi":"10.1016/j.jht.2025.02.002","DOIUrl":"https://doi.org/10.1016/j.jht.2025.02.002","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053203","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":"Nonoperative treatment of the Boutonniere deformity: Is there a difference in outcomes?","authors":"Yixuan Tong, Megan Donnelly, Nader Paksima","doi":"10.1016/j.jht.2025.02.013","DOIUrl":"https://doi.org/10.1016/j.jht.2025.02.013","url":null,"abstract":"<p><strong>Background: </strong>The optimal nonoperative treatment for a Boutonniere deformity remains controversial.</p><p><strong>Purpose: </strong>We aimed to evaluate the effect of nonsurgical treatment methods on finger motion for Boutonniere deformities.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Methods: </strong>Conservative treatments included hand therapy, orthotic wear, and home finger exercises. Digit range of motion (ROM) and injury characteristics also were evaluated. Based upon active ROM at the proximal interphalangeal joint, digits were graded as Poor, Good, or Excellent, and then a change in ROM grade was calculated from pre- to post-treatment for each digit. Standard statistical analyses were performed to evaluate for significant influences on changes in ROM grade.</p><p><strong>Results: </strong>One hundred and eleven digits (106 patients) were included. Traumatic injury was most common (87.4%). All digits but one received an orthotic. Average treatment and follow-up time was 14.6 weeks. Pre-treatment, there were 63 Poor, 29 Good, and 19 Excellent digits, with average total arc of motion of 47.3, 78.4, 84.2°, respectively (p < 0.01). Post-treatment, there were 28 Poor, 34 Good, and 49 Excellent digits, with average total arc of motion of 57.0, 81.4, 98.4°, respectively (p < 0.01). Forty nine digits had no change in ROM grade post-treatment, 37 had one grade of improvement, 18 had two grades of improvement, and seven had one grade worse. Across these four cohorts, digits that began treatment within 6 weeks of injury had the greatest amount of improvement (p = 0.02), whereas deformity from inflammatory arthritis were less likely to respond to treatment (p = 0.045). Otherwise, there were no differences in type or length of conservative treatment across cohorts (p > 0.1).</p><p><strong>Conclusions: </strong>Improvement in digit ROM was associated with initiation of treatment within 6 weeks, but not with any particular type or length of conservative treatment. One to two grades of ROM improvement can be achieved, although deformity can persist even after dedicated conservative management.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006460","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":"Pediatric normative data for the Complete Minnesota Dexterity Test.","authors":"Tami L Konieczny, Nellie P Butler, Lynne Allen-Taylor, Ashley M Binkowski, David D Sherry, Sabrina Gmuca","doi":"10.1016/j.jht.2025.02.011","DOIUrl":"https://doi.org/10.1016/j.jht.2025.02.011","url":null,"abstract":"<p><strong>Background: </strong>Previous research has established normed and validated assessments to measure manual dexterity in children. However, there currently are no validated brief assessment tools that are specifically designed to measure unilateral and bimanual dexterity in this population.</p><p><strong>Purpose: </strong>The main purpose of this study was to develop normative data for the Complete Minnesota Dexterity Test (CMDT) for children and adolescents. Additionally, we assessed the CMDT's test-retest reliability and concurrent validity with the Box and Blocks Test (BBT).</p><p><strong>Study design: </strong>Cross-sectional observational quantitative study.</p><p><strong>Methods: </strong>Participants were 181 healthy children, aged 7-18 years, with no known physical, cognitive, or emotional conditions which could impact performance. The five subtests of the CMDT were completed for two trials with each hand, and one trial of the BBT was completed with each hand. Age group norms for each CMDT subtest were computed using means and standard deviations. Test-retest reliability was computed using test-retest correlations. Validation of the CMDT was examined using Pearson correlations between the first trial of each CMDT subtest and the BBT score.</p><p><strong>Results: </strong>A total of 98 females and 83 males participated and were divided into eight age groups, with 19-26 participants per group. Normative data were obtained for the placing, turning, displacing, and one-hand and two-hand turning subtests. Reliability measures for all subtests were high, with test-retest correlations ranging from 0.89 to 0.93 (p < 0.0001). There was a high degree of correlation between the CMDT and BBT (r = -0.64 to -0.82, p < 0.0001).</p><p><strong>Conclusions: </strong>The CMDT's robust construct validity supports its use for the assessment of manual dexterity in children. There were not clinically meaningful improvements on retesting, therefore one trial of each subtest is sufficient.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992347","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":"Rehabilitation following distal triceps repair: A scoping review.","authors":"Catherine Chong, Andrea Mc Kittrick, Ian Shelton, Nicole Glassey","doi":"10.1016/j.jht.2025.02.006","DOIUrl":"https://doi.org/10.1016/j.jht.2025.02.006","url":null,"abstract":"<p><strong>Background: </strong>Distal triceps ruptures are relatively rare injuries where surgical repair is recommended for return to function and sport. There are various fixation techniques and different therapy protocols described in the literature.</p><p><strong>Purpose: </strong>To scope and critically evaluate current knowledge of post-operative protocols and complications following repair and extrapolate tendon healing principles to clinical practice.</p><p><strong>Study design: </strong>Scoping review.</p><p><strong>Methods: </strong>The Joanna Briggs Institute framework for Scoping Reviews was followed, and specific inclusion/exclusion criteria were applied to identify high-quality, relevant evidence. Studies were included if they met the following criteria: written in English, focused on adults over 17 years of age with complete distal triceps tendon ruptures, and published as peer-reviewed articles, conference abstracts, university dissertations, or theses. Additionally, the studies had to use at least one validated outcome measure. Electronic and manual searches were completed of published and gray literature. Quantitative sources were included for complete triceps ruptures that measured outcomes using at least one validated outcome measure. Qualitative sources that were published within 10 years from a reputable journal were included for qualitative synthesis.</p><p><strong>Results: </strong>Eighteen quantitative articles consisting of case series and systematic reviews, and 16 expert opinion and narrative reviews met the inclusion criteria. There was no standardized postoperative protocol with differences found in timing for ranging, strengthening, and return to function. The most reported complications were tendon rerupture, infection, pain, and ulnar nerve neuropathy.</p><p><strong>Conclusions: </strong>What is known about triceps tendon repairs comes from low level evidence. Randomized controlled trials are required to evaluate the effect of surgical constructs and therapy on function. The protocols identified in this scoping review typically progressed through several stages, starting with complete immobilization and moving on to ranging, strengthening, and finally returning to sport and functional activities. Therapists can apply general tendon healing principles when rehabilitating these patients and should be aware of modifiers to healing timeframes when making decisions on strengthening and resuming activities that require high function.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009219","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}