Journal of Hand Therapy最新文献

{"title":"Strategies for rehabilitation of poststroke hand edema: A scoping review","authors":"Alyssa Pelak M.D.,&nbsp;Fahad Zamir B.S.,&nbsp;Ruchi Patel M.A.,&nbsp;Andy Hickner MSI,&nbsp;Joan Stilling M.D., M.Sc.","doi":"10.1016/j.jht.2025.12.005","DOIUrl":"10.1016/j.jht.2025.12.005","url":null,"abstract":"<div><h3>Background</h3><div>Hand edema is common complication following stroke that can significantly impair quality of life. Despite its prevalence, there is no established consensus on optimal management.</div></div><div><h3>Purpose</h3><div>The objective of this review is to identify and evaluate the range of interventions studied for poststroke hand edema, synthesize their reported effects on edema reduction, and examine their accessibility and application across diverse stroke populations.</div></div><div><h3>Study design</h3><div>Scoping review</div></div><div><h3>Methods</h3><div>A systematic search was conducted in five databases following methodology criteria outlined by the Joanna Briggs Institute for scoping reviews. Two independent reviewers screened titles, abstracts, and full texts for inclusion, and performed data extraction with a third reviewer resolving conflicts.</div></div><div><h3>Results</h3><div>In total, 19 studies with 653 patients were included. Three groupings of interventions were created based on mechanism of action: physical and mechanical modalities, neuromodulatory therapies, and pharmacologic or alternative therapies. Most interventions showed some degree of hand edema reduction. Among these, physical and mechanical modalities, particularly compressive wrapping, wrist hand orthoses (WHO), and fluidotherapy, demonstrated positive results in multiple studies. Neuromodulatory and pharmacologic/alternative therapies showed inconsistent or limited evidence with interventions often assessed in single studies. Methodological heterogeneity, small sample sizes, and short follow-ups limited the ability to compare and draw conclusions. Accessibility of interventions also varied, but compressive wrapping and WHOs stood out as offering potential for home use and reduced clinic visits.</div></div><div><h3>Conclusions</h3><div>The included studies were heterogeneous and lacked strong evidence for any specific intervention. Treatment should be individualized and emphasize accessible approaches that may improve adherence. Further research should focus on larger sample sizes, longer follow-up, standardized outcome measures, and clearly defined stroke chronicity to inform clinical practice.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 3","pages":"Pages 496-509"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919299","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":"An introduction to virtual reality-based Targeted Brain Rehabilitation to treat phantom limb pain in the upper extremity amputee population","authors":"Calvin C. Chandler MD,&nbsp;Ryan P. Serbin MD,&nbsp;James T. Frix MD,&nbsp;Marcie H. Siebert OT/CHT,&nbsp;Kyle Johnsen PhD,&nbsp;Ethan Bowmar BS,&nbsp;R. Glenn Gaston MD,&nbsp;Bryan J. Loeffler MD","doi":"10.1016/j.jht.2025.12.004","DOIUrl":"10.1016/j.jht.2025.12.004","url":null,"abstract":"<div><h3>Background</h3><div>Phantom limb pain (PLP) is a condition that affects an estimated 80% of the 2 million amputees in the United States. Historically, therapists have utilized various interventions including desensitization, mirror therapy, graded motor imagery (GMI) and virtual reality (VR) to address phantom limb pain. Unfortunately, despite these treatment strategies, limitations in current therapeutic interventions result in suboptimal outcomes.</div></div><div><h3>Purpose</h3><div>To determine if Targeted Brain Rehabilitation (TBR), a treatment designed to prevent and treat maladaptive cortical reorganization through a VR platform, enhances the individual experience while having a positive impact on PLP. We hypothesize that a single session guided by a therapist of Targeted Brain Rehabilitation (TBR), delivered via a structured virtual reality protocol, would reduce phantom limb pain (PLP) intensity as measured by the Numeric Pain Rating Scale (NPRS).</div></div><div><h3>Study Design</h3><div>Case Series.</div></div><div><h3>Methods</h3><div>This single-session feasibility and usability study of TBR included 18 patients with upper extremity amputations. The TBR system comprises four sequential phases: (1) laterality recognition, (2) guided motor imagery, (3) virtual mirror feedback, and (4) guided motor execution. Each phase is designed to target specific cortical regions and mechanisms implicated in PLP.</div></div><div><h3>Results</h3><div>Participants reported overall high comfortability (8.8±1.1) and high levels of satisfaction (8.9±1.2) with their VR experiences for TBR. The TBR system demonstrated high usability (System Usability Scale: 86.8±11.8) and minimal simulator sickness (Simulator Sickness Questionnaire: 10.5±26.3). Levels of pain reduced significantly following TBR use (Numeric Pain Rating Scale: decreased from 4.9±2.9 to 2.4±2.1, p=0.0013, CI=1.13–3.87).</div></div><div><h3>Conclusion</h3><div>This pilot case series highlights the promising potential of Targeted Brain Rehabilitation in managing phantom limb experiences and reducing PLP intensity. Ongoing research aims to establish TBR's long-term effectiveness in pain management, prosthetic utilization, and improving patients' participation in meaningful daily activities.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 3","pages":"Pages 565-572"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919298","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":"Are manual therapy applications an effective treatment approach in patients with glenohumeral arthritis? A randomized controlled trial","authors":"Sibel Gayretli Atan PT, PhD,&nbsp;Yıldız Analay Akbaba PT, PhD,&nbsp;Süleyman Altun MD","doi":"10.1016/j.jht.2025.12.016","DOIUrl":"10.1016/j.jht.2025.12.016","url":null,"abstract":"<div><h3>Background</h3><div>Manual therapy applications can also be used in the conservative treatment of patients with Glenohumeral Osteoarthritis (GHOA).</div></div><div><h3>Purpose</h3><div>To compare the effectiveness of manual therapy plus exercise applications vs exercise alone in patients with GHOA.</div></div><div><h3>Study Design</h3><div>A randomized controlled clinical trial. The trial was registered at ClinicalTrials.gov, number NCT03958227.</div></div><div><h3>Methods</h3><div>Forty patients with GHOA were evaluated for treatment. The patients were randomly divided into two groups which were the exercise group and manual therapy plus exercise group. Both groups underwent a similar exercise program three times a week for 5 weeks. After drop outs (mean ± SD age, 60.1 ± 8.7 years; 22 female) 30 patients completed the study. Pain, range of motion, muscle strength, functionality, health-related quality of life were assessed with before and after 5 weeks of treatment. Patient satisfaction was assessed after treatment.</div></div><div><h3>Results</h3><div>After treatment, a statistically significant improvements in pain, joint range of motion, muscle strength, functionality, and quality of life were observed in both groups (<em>p</em> &lt; 0.05). Shoulder internal rotation (<em>p</em> = 0.03), (ES = 0.15) and external rotation (<em>p</em> = 0.04), (ES = 0.25) ROM, abduction, internal rotation and external rotation muscle strength (<em>p</em> = 0.01, <em>p</em> = 0.009, <em>p</em> = 0.03), (ES = 0.21, ES = 0.22, ES = 0.14) DASH (<em>p</em> = 0.005), (ES = 0.25) and ASES (<em>p</em> = 0.005), (ES = 0.24) and PCS-12 (<em>p</em> = 0.004), (ES = 0.25) scores were improved in favor of the manual therapy group between groups.</div></div><div><h3>Conclusions</h3><div>Adding manual therapy to exercise programs in patients with Glenohumeral Osteoarthritis may be effective in reducing pain, increasing joint range of motion, muscle strength, functionality, and quality of life.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 3","pages":"Pages 646-655"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693758","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":"Advancing pediatric cycling: A 3D-printed adaptive device for congenital upper limb deficiency-case report","authors":"Amanda Thomas PT, DPT,&nbsp;Jaclyn Bulluck SPT,&nbsp;Patricia Diaz SPT,&nbsp;Sofia Hernandez SPT,&nbsp;Alexandria Hencely SPT,&nbsp;Cecile Monnier SPT,&nbsp;Alejandra Monzon SPT,&nbsp;Natalie Santovenia SPT,&nbsp;Alexandria Shood SPT,&nbsp;Teresa Muñecas PT, DPT, EdD,&nbsp;Lauren Butler PT, DPT","doi":"10.1016/j.jht.2025.10.001","DOIUrl":"10.1016/j.jht.2025.10.001","url":null,"abstract":"<div><h3>Background</h3><div>Pediatric patients with congenital upper limb differences often experience challenges in performing daily activities such as bike riding. This skill supports physical activity, social participation, and independence, yet adaptive devices are often costly and lack personalization.</div></div><div><h3>Purpose</h3><div>This case study describes the impact of a custom 3D-printed adaptive device on bike riding skills, muscular strength and endurance, and motivation in a child with a congenital upper limb difference.</div></div><div><h3>Study Design</h3><div>Case study.</div></div><div><h3>Methods</h3><div>A single case study was conducted with a pediatric patient with a right congenital upper limb difference. The adaptive device was designed using 3D printing software and lightweight polylactic acid (PLA) filament based on the patient’s needs and bike handle dimensions. The participant completed pre- and post-assessments surrounding a two-week bike riding protocol (5 sessions per week, 30 minutes each). Motivation toward bike riding was assessed using the intrinsic motivation subscale of the Behavioral Regulations in Exercise Questionnaire-3 (BREQ-3), and perceived competence was evaluated with the Pictorial Scale of Perceived Movement Skill Competence. Core muscular endurance was measured using the FitnessGram curl-up and trunk extension tests, and shoulder strength was measured via handheld dynamometry (flexion, abduction, horizontal abduction, and adduction). Bike riding ability was analyzed using observational criteria from the Special Olympics Cycling Manual.</div></div><div><h3>Results</h3><div>Post-assessment results demonstrated increased motivation (BREQ-3: 4.67 to 5.0), improved core endurance (curl-ups: 33 to 39; trunk lift: 11.5 to 12.5 in.), and bilateral shoulder strength gains, most notably in right abduction (+8.6 lbs) and left horizontal abduction (+8.1 lbs). Observable skill gains included improved stopping, dismounting, and steering.</div></div><div><h3>Conclusion</h3><div>A personalized 3D-printed adaptive device enhanced motivation, perceived competence, strength, and bike riding ability in a child with a congenital upper limb difference. Future studies with larger samples are recommended to validate these findings.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 3","pages":"Pages 683-689"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919253","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":"Predictive factors affecting functional outcomes following conservative treatment in trapeziometacarpal osteoarthritis: A systematic review","authors":"Tugba Ulusoy PT, MSc, PhD Candidate,&nbsp;Cigdem Ayhan Kuru PT, PhD, Professor","doi":"10.1016/j.jht.2025.12.002","DOIUrl":"10.1016/j.jht.2025.12.002","url":null,"abstract":"<div><h3>Background</h3><div>Trapeziometacarpal osteoarthritis (TMC OA) is a common degenerative condition, characterized by pain and functional limitations, predominantly affecting older women. While conservative treatments are the primary approach, functional outcomes are highly variable, and the predictive factors influencing these outcomes remain uncertain.</div></div><div><h3>Purpose</h3><div>This systematic review aims to identify demographic, clinical, and psychological factors that predict functional outcomes following conservative management of TMC OA.</div></div><div><h3>Study Design</h3><div>Systematic Review.</div></div><div><h3>Methods</h3><div>The protocol was prospectively registered in PROSPERO (CRD42024626957). A systematic literature search was conducted in MEDLINE, PubMed, Cochrane Library, Scopus, and Web of Science up to December 2024, following PRISMA guidelines. Eligible studies included longitudinal observational studies and randomized controlled trials reporting on functional outcomes of conservative treatments within 3–12 months. Functional outcomes were assessed using validated tools such as the Disabilities of the Arm, Shoulder and Hand (DASH), QuickDASH, Michigan Hand Outcomes Questionnaire (MHQ), and the Functional Index for Hand Osteoarthritis (FIHOA). Data synthesis focused on predictive factors including pain levels, radiographic severity and psychosocial variables.</div></div><div><h3>Results</h3><div>Six studies (n=1040 patients) met the inclusion criteria. The most consistently reported patient factors included baseline pain levels (5/6 studies), radiographic severity (3/6 studies), gender (3/6 studies), and psychosocial factors such as depression and treatment expectations (2/6 studies). Radiographic staging was associated with functional outcomes in a complex manner: advanced stages predicted poorer outcomes, while early stages were linked to acute impairments due to synovitis. Biopsychosocial factors, such as psychological health and education level, accounted for substantial variance in functional outcomes.</div></div><div><h3>Conclusion</h3><div>Individual demographic, clinical, and psychosocial factors predict functional outcomes following conservative TMC osteoarthritis treatment. Clinicians should take into account baseline pain levels, radiographic severity, gender, and psychological factors when counseling patients and setting realistic treatment expectations. Future prospective studies are needed to confirm these predictive factors, followed by research to determine which specific interventions may be most effective for patients with different predictor profiles.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 3","pages":"Pages 674-682"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919244","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":"Fibromyalgia and hand diseases: A case-control study","authors":"Eli Magen MD,&nbsp;Suhail Aamar MD,&nbsp;Viktor Feldman MD,&nbsp;Israel Magen MD,&nbsp;Eugene Merzon,&nbsp;Ariel Israel MD, PhD","doi":"10.1016/j.jht.2025.07.003","DOIUrl":"10.1016/j.jht.2025.07.003","url":null,"abstract":"<div><h3>Background</h3><div>Fibromyalgia is a chronic disorder characterized by widespread pain, fatigue, and other systemic symptoms. While fibromyalgia is associated with generalized musculoskeletal complaints, little is known about its relationship with specific hand disorders that impact function and quality of life.</div></div><div><h3>Purpose</h3><div>To determine whether fibromyalgia is associated with an increased prevalence of hand diseases—including carpal tunnel syndrome, De Quervain’s tenosynovitis, trigger finger, tendinitis, and hand osteoarthritis—and to assess healthcare utilization patterns and surgical intervention.</div></div><div><h3>Study Design</h3><div>Retrospective, population-based, matched case-control study.</div></div><div><h3>Methods</h3><div>We used electronic health records from Leumit Health Services, an Israeli healthcare provider serving 750,000 enrollees. The study included adults aged 18-90 diagnosed with fibromyalgia between 2002 and 2023, confirmed by board-certified rheumatologists using the 2010 ACR criteria. Controls were matched 5:1 by age, sex, and enrollment year. Hand diseases were diagnosed using ICD-9 codes, which were confirmed by repeated documentation. Surgical interventions and hand-related healthcare utilization were extracted from administrative records. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using logistic regression, with significance determined by <em>p</em> &lt; 0.05 and Benjamini-Hochberg correction.</div></div><div><h3>Results</h3><div>The study included 9232 fibromyalgia patients and 46,160 controls (mean age 47.6 years; 86.8% female). Fibromyalgia was significantly associated with increased odds of carpal tunnel syndrome (OR 2.98 [2.80-3.16]), trigger finger (OR 1.77), De Quervain’s tenosynovitis (OR 1.96), tendinitis (OR 2.16), and hand osteoarthritis (OR 2.99) (all <em>p</em> &lt; 0.001). Fibromyalgia patients also had higher healthcare utilization and surgical procedure rates, including carpal tunnel release (OR 2.57) and trigger finger repair (OR 2.98).</div></div><div><h3>Conclusions</h3><div>Fibromyalgia is associated with a significantly higher prevalence of hand diseases and related surgical interventions. These findings support the need for early screening and multidisciplinary management of hand pathology in fibromyalgia patients to improve outcomes and prevent disability.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 3","pages":"Pages 510-514"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139550","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 influence of psychological factors on outcomes following wrist and hand musculoskeletal injuries: A systematic review","authors":"Silvia Minnucci,&nbsp;Filippo Fochi,&nbsp;Emma Lerose,&nbsp;Valentina Scalise,&nbsp;Sara Di Serio,&nbsp;Fabrizio Brindisino","doi":"10.1016/j.jht.2025.10.005","DOIUrl":"10.1016/j.jht.2025.10.005","url":null,"abstract":"<div><h3>Background</h3><div>Hand and wrist injuries are prevalent worldwide, impacting athletes and the general population, especially older adults, and may lead to long-term pain and disability. Psychological factors are increasingly recognized as key contributors to symptom persistence in various musculoskeletal conditions.</div></div><div><h3>Purpose</h3><div>To determine whether psychological factors influence pain intensity, disability, handgrip strength, range of motion (ROM) limitations, quality of life, return to work (RTW), and/or return to sports in adults with musculoskeletal traumatic injuries of the hand or wrist.</div></div><div><h3>Study Design</h3><div>Systematic review.</div></div><div><h3>Methods</h3><div>This systematic review followed the PRISMA and the Cochrane Handbook for systematic reviews and meta-analysis guidelines. Two independent reviewers performed a search of MEDLINE, Cochrane Library, EMBASE, CINAHL, and PsycINFO from their inception until November 15th, 2024, carried out the study selection process and data extraction, and conducted the risk-of-bias assessment using the quality in prognosis studies (QUIPS) tool. Disagreements were resolved by a third researcher.</div></div><div><h3>Results</h3><div>A total of 21 studies were included, comprising 3315 participants with hand or wrist musculoskeletal injuries. Risk of bias varied across studies, with high risk primarily in confounding, moderate risk in attrition, and low risk in other domains. High levels of self-efficacy were significantly associated with reduced pain and disability, greater handgrip strength, increased ROM, improved quality of life, and higher rates of RTW. Conversely, elevated levels of depression, anxiety, catastrophizing, and kinesiophobia were associated with worse outcomes. A meta-analysis was not carried out due to the heterogeneity of the included studies, so results should be interpreted with caution.</div></div><div><h3>Conclusions</h3><div>In line with findings from various musculoskeletal disorders, our results suggest that psychological factors play a crucial role in the recovery process following hand and wrist trauma. Clinicians are encouraged to identify these factors early, as comprehensive assessment and targeted management of psychological aspects should be integral components of care for wrist and hand injuries.</div></div><div><h3>PROSPERO trial registration number</h3><div>CRD42020164004.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 3","pages":"Pages 543-564"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551754","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":"Corbett Targeted Coin Test norms with thumb carpometacarpal osteoarthritis and outcomes post suture suspension arthroplasty","authors":"Madison Adair MS,&nbsp;Jeanine Beasley EdD, OTRL, CHT, FAOTA,&nbsp;Rachel Halpin BFA,&nbsp;Winifred Karoub MS,&nbsp;Hope MacDonald MS,&nbsp;Carla Floyd-Slabaugh DrOT, OTRL, CBIS,&nbsp;Kirk Anderson PhD,&nbsp;Rose Bankers OTR, CHT, CLT","doi":"10.1016/j.jht.2025.07.047","DOIUrl":"10.1016/j.jht.2025.07.047","url":null,"abstract":"<div><h3>Background</h3><div>Carpometacarpal osteoarthritis is a common condition that leads to declines in hand dexterity. The Corbett Targeted Coin Test measures dexterity with palm-to-finger translation and proprioceptive target placement, but lacks established norms for the carpometacarpal osteoarthritis population and post carpometacarpal osteoarthritis suture suspension arthroplasty.</div></div><div><h3>Purpose</h3><div>To determine the Corbett Targeted Coin Test norms for patients with carpometacarpal osteoarthritis that are surgical candidates, as well as Corbett Targeted Coin Test norms and outcomes following carpometacarpal osteoarthritis suture suspension arthroplasty.</div></div><div><h3>Study Design</h3><div>Clinical measurement of a retrospective cohort.</div></div><div><h3>Methods</h3><div>Subjects were diagnosed with carpometacarpal osteoarthritis, had carpometacarpal suture suspension arthroplasty, and were assessed preoperatively and 12 weeks postoperatively.</div></div><div><h3>Results</h3><div>Prior to surgery, the patients with carpometacarpal osteoarthritis that were surgical candidates demonstrated a mean Corbett Targeted Coin Test quality of performance score of 53.4 (range 28-90). A total of 31 participants (22 females, nine males) underwent thumb carpometacarpal suture suspension arthroplasty. On average, there were 7.1 therapy visits (range 4-10) and the average age was 66.6<!--> <!-->years (51-81<!--> <!-->years). Outcome measures following suture suspension arthroplasty 12<!--> <!-->weeks postoperatively demonstrated both statistically and clinically significant improvements in pain reduction (Numeric Pain Rating Scale), QuickDASH scores, and Patient-Rated Wrist/Hand Evaluation scores. There was also a clinically significant improvement in grip strength. Corbett Targeted Coin Test scores improved with a mean quality of performance score of 47.3 (range 20-73) but did not correlate with other outcome measures.</div></div><div><h3>Conclusions</h3><div>Patients with carpometacarpal osteoarthritis had higher quality of performance scores, indicating a slower and/or less accurate dexterity performance compared with the normal population. At 12<!--> <!-->weeks post suture suspension arthroplasty, the Corbett Targeted Coin Test scores improved 11.4%, and there were statistically and clinically significant improvements in pain reduction (Numeric Pain Rating Scale), QuickDASH, Patient-Rated Wrist/Hand Evaluation, and a clinically significant improvement in grip strength.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 3","pages":"Pages 666-673"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139581","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":"Evaluation of an occupational therapy-led hand clinic for subacute and chronic wrist and hand conditions in an Irish public hospital","authors":"Gillian Gavaghan,&nbsp;Mary Naughton,&nbsp;Paul Sullivan,&nbsp;Helen French","doi":"10.1016/j.jht.2025.12.006","DOIUrl":"10.1016/j.jht.2025.12.006","url":null,"abstract":"<div><h3>Study design</h3><div>Retrospective service evaluation</div></div><div><h3>Introduction</h3><div>Therapist-led clinics are evidenced to be safe, effective alternatives to consultant-led outpatient clinics for musculoskeletal conditions.</div></div><div><h3>Purpose of study</h3><div>To evaluate the impact of an occupational therapist (OT)-led hand clinic in one acute hospital in Ireland.</div></div><div><h3>Methods</h3><div>Referrals received by Plastic and Reconstructive Surgeons were redirected to the OT-led hand clinic at the initial point of triage. Patients were scheduled for clinic appointments according to clinical priority and were evaluated using diagnosis-specific assessment proformas. Assessment included detailed history taking, investigating activities which worsen symptoms, and provocative testing where appropriate. When a diagnosis was unclear, further imaging/investigations were ordered. Following comprehensive assessment, patients were either discharged to the referring doctor, scheduled to the consultant-led clinic for further clinical assessment/surgery booking, or continued with hand therapy. Hand therapy interventions were multi-modal, and incorporated injection therapy (commenced 2022, 1-year after the service began). Outcomes included patient wait times, correlation of referred versus treated condition, patient satisfaction, outcome of assessment/treatment and patient perception of change using Global Rating of Change (GROC).</div></div><div><h3>Results</h3><div>A total of 1072 patients were referred to the service from March 2021 to September 2024. Of those, 973 (91%) were scheduled and 99 (9%) declined an appointment. Approximately 91% of patients were seen within 6 months, compared to a previous average wait of 12–15 months. More than 31% of patients were treated for a different complaint than their referred complaint. Over 65% of patients did not require consultant plastic surgeon review and their full episode of care was managed by a single OT. Patients expressed high satisfaction and 97% reported improvements in their symptoms on GROC completion.</div></div><div><h3>Conclusion</h3><div>This OT-led clinic successfully reduced patient wait times, yielded high patient satisfaction and was an effective way to treat subacute/chronic wrist/hand pathology.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 3","pages":"Pages 573-585"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967819","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":"Two rotational traction techniques for treating dynamic median, ulnar, and radial compressive neuropathies at the elbow: Theoretical implications and ultrasonographic correlations","authors":"Raymond Chou MD,&nbsp;Carolyn Gordon OTR/L, CHT,&nbsp;Deborah Kenney MS, OTR/L,&nbsp;Catherine Curtin MD","doi":"10.1016/j.jht.2025.09.004","DOIUrl":"10.1016/j.jht.2025.09.004","url":null,"abstract":"<div><ul><li><span>•</span><span><div>Dynamic compressive neuropathies at the elbow may cause pain and paresthesia.</div></span></li><li><span>•</span><span><div>Fascial nerve entrapment may occur in elbow flexion and forearm pronation.</div></span></li><li><span>•</span><span><div>Medial rotational traction of the upper arm may provide symptom improvement.</div></span></li></ul></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 3","pages":"Pages 697-701"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551789","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}