Journal of Hand Therapy最新文献

{"title":"Updated, detailed scoring of the activities measure for upper limb amputation (AM-ULA).","authors":"Linda Resnik, Matthew Borgia, Christine Cowen, Jemy Delikat","doi":"10.1016/j.jht.2024.07.005","DOIUrl":"https://doi.org/10.1016/j.jht.2024.07.005","url":null,"abstract":"<p><strong>Background: </strong>The Activities Measure for Upper Limb Amputation (AM-ULA), an activity measure for prosthesis users, uses a complex grading rubric to assign a single score to task performance which may limit responsiveness.</p><p><strong>Purpose: </strong>To enhance AM-ULA responsiveness by exploring a scoring that uses multiple grading elements.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>AM-ULAs of 50 participants were videotaped. Two raters evaluated completion of subtasks, speed of performance, movement quality, skillfulness of prosthetic use, and independence. Intraclass correlation coefficients (ICC) assessed intra-rater and inter-rater reliability.</p><p><strong>Results: </strong>Rater 1 had fair (0.72) to excellent (0.99) intra-rater reliability in all elements except for independence. Rater 2 had excellent reliability (≥0.96) in all elements. Inter-rater reliability ICC ranged from 0.83 (very good) to 0.99 (excellent) for all elements except independence.</p><p><strong>Conclusions: </strong>Video scoring of the AM-ULA utilizing individual grading elements showed good intra-rater and inter-rater reliability and is recommended to improve responsiveness of the AM-ULA.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928717","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":"Hand therapy utilization following digital flexor tendon repair: Trends, timing, predictive factors, and association with reoperation.","authors":"Alexander J Kammien, Kevin G Hu, Catherine Yu, Jonathan N Grauer, David L Colen","doi":"10.1016/j.jht.2024.07.002","DOIUrl":"https://doi.org/10.1016/j.jht.2024.07.002","url":null,"abstract":"<p><strong>Background: </strong>Physical rehabilitation is considered an important component of recovery following digital flexor tendon repair (FTR), but no studies have thoroughly characterized nationwide therapy utilization in the United States.</p><p><strong>Purpose: </strong>The current study characterized national trends in the timing and amount of hand therapy utilization following FTR and assessed factors associated with the lack of postoperative hand therapy.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Methods: </strong>Zone II FTRs between 2010 and 2020 were identified in PearlDiver. Exclusion criteria included age <18 years, concomitant procedures besides nerve repair, and follow-up in the database of <6 months. The occurrence, timing, and frequency of hand therapy within 6 months of surgery were identified. Odds of not receiving hand therapy were assessed based on clinical and nonclinical characteristics using logistic regression.</p><p><strong>Results: </strong>Of 6700 FTRs identified, hand therapy was identified for 3319 (50%). The proportion of patients utilizing therapy increased from 2010 to 2020 (44%-56%, p < 0.001). Weekly therapy utilization peaked in postoperative week 4 (41% of all patients attended hand therapy). Lack of hand therapy utilization was associated with several clinical factors (male sex, lower Elixhauser Comorbidity Index score, decreasing number of repairs) and nonclinical factors (geographic region, Medicare insurance).</p><p><strong>Conclusions: </strong>Despite the reported importance of hand therapy following digital FTR, it may be underutilized in the United States. Patient factors associated with not using hand therapy suggest that more uniform clinical practice should be sought.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928713","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 Corbett Targeted Coin Test demonstrated good to moderate reliability as compared to other standardized dexterity assessments.","authors":"Lydia Stout, Jeanine Beasley, Spencer Jackson, Alayna Kagande, Allison Range, Sarah Corder, Carla Floyd-Slabaugh, Kirk Anderson","doi":"10.1016/j.jht.2024.11.003","DOIUrl":"https://doi.org/10.1016/j.jht.2024.11.003","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a scapular exercise program on functional outcomes in patients with hand, wrist or elbow disorders: A comprehensive systematic review with meta-analysis.","authors":"Héctor Gutiérrez-Espinoza, Felipe Araya-Quintanilla, Evelin Estrella-Flores, Iván Cuyul-Vásquez, Elisabet Hagert, Filip Struyf","doi":"10.1016/j.jht.2024.07.006","DOIUrl":"https://doi.org/10.1016/j.jht.2024.07.006","url":null,"abstract":"<p><strong>Background: </strong>Usually, patients with hand, wrist/forearm disorders report musculoskeletal complaints in the shoulder. Although, role of scapula is fundamental for movement and functional stability across the upper limb kinetic chain; however, there are no systematic reviews and meta-analyses that have analyzed the effect of scapular exercises in these patients.</p><p><strong>Purpose: </strong>This study aimed to determine the effectiveness of a scapular exercise program on functional outcomes in patients with hand, wrist or elbow disorders.</p><p><strong>Study design: </strong>Systematic review with meta-analysis.</p><p><strong>Methods: </strong>An electronic search was performed of the MEDLINE, EMBASE, Web of Science, Scopus, CENTRAL, Epistemonikos, CINAHL, SPORTDiscus, PEDro, and LILACS databases. The eligibility criteria included randomized clinical trials that investigated the effects of scapular exercises added to a conventional physiotherapy program on functional outcomes in patients with hand, wrist or elbow injuries or pathologies. Two authors independently performed the search, study selection, data extraction, and risk of bias assessment.</p><p><strong>Results: </strong>Six trials met the eligibility criteria and were included in the quantitative synthesis. For the comparison of scapular exercises plus conventional physiotherapy versus conventional physiotherapy alone, the mean difference for elbow and wrist function was 7.6 points (p = 0.04), upper limb function was 16.1 points (p < 0.01), grip strength was 15.4% (p = 0.01), pain free grip strength was 19.1 N (p = 0.13) and pain intensity at rest was -1.1 cm (p < 0.01). Additionally, there was a significant increase in muscle strength of serratus anterior 46.2 N (p < 0.01), middle trapezius 29.9 N (p = 0.01) and lower trapezius 45.9 N (p < 0.01).</p><p><strong>Conclusions: </strong>In the short term, adding scapular exercises to conventional physiotherapy showed statistically significant differences in functional outcomes in patients with lateral elbow tendinopathy and distal radius fracture. However, most of these differences did not reach the minimum threshold to be considered clinically important. The evidence strength was high to low according to the GRADE approach. More quantity and quality of clinical trials is needed to confirm our findings.</p><p><strong>Prospero registration: </strong>CRD42022364829.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Rated Tennis Elbow Evaluation-Urdu is a valid as well as reliable tool for patients with lateral elbow tendinopathy","authors":"Ayesha Ahmad,&nbsp;Sana Akram,&nbsp;Ayesha Jamil","doi":"10.1016/j.jht.2024.02.012","DOIUrl":"10.1016/j.jht.2024.02.012","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 172-175"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144691","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 muscle-biased manual therapy on shoulder kinematics, muscle performance, functional impairment, and pain in patients with frozen shoulder","authors":"Chun-Kai Tang MS ,&nbsp;Yi-Fen Shih PhD ,&nbsp;Chun-Shou Lee MS","doi":"10.1016/j.jht.2024.02.010","DOIUrl":"10.1016/j.jht.2024.02.010","url":null,"abstract":"<div><h3>Background</h3><div>Frozen shoulder (FS) is characterized by restricted active and passive shoulder mobility and pain.</div></div><div><h3>Purpose</h3><div>Compare the effect of muscle-biased manual therapy (MM) and regular physical therapy (RPT) in patients with FS.</div></div><div><h3>Study Design</h3><div>Pretest–post-test control group study design.</div></div><div><h3>Methods</h3><div>We recruited 34 patients with FS and compared the effect of 12-session MM and RPT. The outcome measures were scapular kinematics and muscle activation, scapular alignment, shoulder range of motion, and pain intensity. Two-way analysis of variance was used to examine the intervention effect with α = 0.05.</div></div><div><h3>Results</h3><div>Both programs resulted in similar improvements in pain and shoulder function. Compared to the RPT, MM resulted in increased posterior tilt (MM: 7.04°-16.09°, RPT: −2.50° to −4.37°; <em>p</em> = 0.002; ES = 0.261) and lower trapezius activation (MM: 260.61%-470.90%, RPT: 322.64%-313.33%; <em>p</em> = 0.033; ES = 0.134) during scaption, and increased posterior tilt (MM: 0.70°-15.16°, RPT: −9.66° to −6.44°; <em>p</em> = 0.007; ES = 0.205) during the hand-to-neck task. The MM group also showed increased GH backward elevation (MM: 37.18°-42.79°, RPT: 43.64°-40.83°; <em>p</em> = 0.004, ES = 0.237) and scapular downward rotation (MM: −2.48° to 6.80°, RPT: 1.93°-1.44°; <em>p</em> &lt; 0.001; ES = 0.404) during the thumb-to-waist task, enhanced shoulder abduction (MM: 84.6°-102.3°, RPT: 85.1°-92.9°; <em>p</em> = 0.02; ES = 0.153), and improved scapular alignment (MM: 10.4-9.65 cm, RPT: 9.41-9.56 cm; <em>p</em> = 0.02; ES = 0.114).</div></div><div><h3>Conclusions</h3><div>MM was superior to the RPT regarding scapular neuromuscular performance. Clinicians should consider adding muscle-biased treatment when treating FS.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 42-51"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472740","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 retrospective analysis of quality of life domains impacted by distal radius fracture and ulnar neuropathy","authors":"Stephanie Reischl PT, PhD ,&nbsp;Joy MacDermid PhD","doi":"10.1016/j.jht.2024.11.006","DOIUrl":"10.1016/j.jht.2024.11.006","url":null,"abstract":"<div><h3>Background</h3><div>Distal radius fractures (DRF) and ulnar neuropathy (UNE) present with reduced motor function, restricted range of motion, pain, and reduced grip strength that may lead to similar treatment approaches. With rapid and insidious onset for DRF and UNE, respectively, the contextual factors impacting an individuals’ experience with the condition can vary.</div></div><div><h3>Purpose</h3><div>The aim of this secondary analysis is to compare ratings of quality of life (QoL) domains prior to treatment and 3 months post treatment for DRF and UNE.</div></div><div><h3>Study Design</h3><div>This is a retrospective cohort study conducted at the Roth McFarlane Hand and Upper Limb Centre.</div></div><div><h3>Methods</h3><div>36-Item Short Form Survey (SF-36) data from 781 patients treated nonoperatively for DRF, operatively for DRF, or operatively for UNE was extracted from the Hand and Upper Limb Centre database. Group differences for the eight SF-36 domains were calculated using analysis of covariance (ANCOVA) with sex as a covariate. Differences from prior to treatment to 3 months post were assessed using separate repeated measures ANCOVA (RM-ANCOVA) with sex as a covariate.</div></div><div><h3>Results</h3><div>Nonoperative DRF, operative DRF, and operative UNE groups reported 8%-11% improvements in QoL domains at 3 months follow-up despite some persisting impairments for physical domains. Prior to treatment, the DRF patients report greater impairments for physical domains, while the UNE patients managed operatively reported greater impairments to psychosocial domains. Operatively managed DRF patients report greater physical and psychosocial impairments than those conservatively treated. Males report less severe impairments for physical and psychosocial domains than females.</div></div><div><h3>Conclusions</h3><div>Assessing QoL domains for two upper extremity conditions with different contextual factors provides insight into the implications of those factors on QoL. Incorporating early screening and continual monitoring of QoL domains impacted by upper extremity conditions like DRF and UNE could help identify factors impacting prognosis and direct the focus of treatment to improve outcomes at 3 months.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 33-41"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative inquiry to explore management of distal radius fracture by certified hand therapists","authors":"Saurabh P. Mehta PT, PhD, GCS ,&nbsp;Liane M. Ventura MPH ,&nbsp;James D. Boone PT, DPT, OCS ,&nbsp;Karli D. Beasley PT, DPT ,&nbsp;Alexa R. Brodbeck PT, DPT ,&nbsp;Olivia R. Rabinek PT, DPT","doi":"10.1016/j.jht.2024.02.013","DOIUrl":"10.1016/j.jht.2024.02.013","url":null,"abstract":"<div><h3>Background</h3><div>Distal radius fractures (DRF) are extremely common in middle-aged and elderly. Certified Hand Therapists (CHT) are experts in managing hand injuries including DRF.</div></div><div><h3>Purpose</h3><div>Using qualitative methodology, this study examined practice patterns among CHT and understand prevalent common patterns in managing DRF.</div></div><div><h3>Study design</h3><div>Descriptive qualitative study.</div></div><div><h3>Methods</h3><div>This study utilized a qualitative descriptive method with an inductive approach to discern the practices of CHT in managing DRF. A purposive sample of practicing CHT was assembled. A semi-structured interview guide facilitated qualitative interviews using open-ended questions to assess practices of CHT in the domains of assessment, interventions, and appropriateness for discharge. Two student physical therapists transcribed the interviews, which were verified by a third rater for accuracy. Thematic content analysis guided the coding and analyses of the interview data. A two-phase coding process was conducted using Nvivo software. Two study authors developed initial codebook and completed subsequent analysis of transcripts.</div></div><div><h3>Results</h3><div><span><span>Of the 12 participants, five were PT and seven were OT with an average experience of 14.1 years as a CHT. Practice patterns across domains were largely consistent among CHT. All CHTs reported inquiring about severity of displacement of DRF, orthopedic management, comorbidities, and </span>medical history as well as examining wrist/hand range of motion (ROM), grip strength (GS), and wrist functions (</span><em>n</em><span> = 12). A large majority administered outcome measures and performed sensory and integumentary assessment. Patient education regarding injury and exercises was the key element for interventions. Adequate gains in GS, wrist functions, wrist ROM, and ability to use wrist/hand for functional tasks were the key benchmarks for discharge from care.</span></div></div><div><h3>Discussion</h3><div>Most practice behaviors were common among CHTs while managing DRF. Some variations exist depending whether their primary discipline is PT or OT. The results highlight knowledge-to-action gap, where most CHTs do not integrate fall-risk management in DRF.</div></div><div><h3>Conclusions</h3><div>This study identified common practice patterns among CHTs in managing DRF while also identifying opportunity to improve practice by integrating assessment of balance and fall-risk.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 73-79"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873090","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":"Letter to the editor regarding “A randomized clinical trial on the changing of median nerve cross-sectional area and pain after extracorporeal shock wave and low-level laser therapy added to conventional physical therapy in patients with mild-to-moderate carpal tunnel syndrome”","authors":"Xinjie Wang MSc,&nbsp;Hui Ma MSc","doi":"10.1016/j.jht.2024.11.008","DOIUrl":"10.1016/j.jht.2024.11.008","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages e1-e2"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911177","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":"Authorship- giving appropriate credit to researchers and Patient Partners or People With Lived Experience, while recognizing accountability: A new policy","authors":"Joy C MacDermid","doi":"10.1016/j.jht.2025.01.003","DOIUrl":"10.1016/j.jht.2025.01.003","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 1-3"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520678","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}