Journal of Hand Therapy最新文献

{"title":"PERSPECTIVES AND PRACTICES REGARDING NERVE AND TENDON TRANSFER SURGERIES FOR TETRAPLEGIA: AN INTERNATIONAL SURVEY","authors":"F. Laurent , P.K. Firouzbakht , A. Liao , J. Dengler , C. Kennedy , M. Berger , M. Botros , I.K. Fox","doi":"10.1016/j.jht.2024.08.060","DOIUrl":"10.1016/j.jht.2024.08.060","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Page 694"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061728","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 WORK CONDITIONING-WORK HARDENING PROGRAM ON PATIENTS RECEIVING HAND THERAPY","authors":"M. Auch , P.S. Furgason , L. Myers , T. Denninger , K. Melby , A. Lutz","doi":"10.1016/j.jht.2024.08.047","DOIUrl":"10.1016/j.jht.2024.08.047","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Page 684"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061749","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 intermetacarpal distance method for assessment of active thumb radial abduction has excellent test-retest agreement, reliability, and precision in persons with non-operative thumb carpometacarpal osteoarthritis","authors":"Halil Ibrahim Ergen PhD , Karl Dischinger , Corey McGee","doi":"10.1016/j.jht.2024.12.002","DOIUrl":"10.1016/j.jht.2024.12.002","url":null,"abstract":"<div><h3>Background</h3><div>Limitations in thumb radial abduction (i.e., carpometacarpal extension) are commonly experienced by persons with thumb carpometacarpal osteoarthritis<span>. Restoring this deficit is often a focus of surgical and rehabilitative interventions. Because of this, clinical measures of radial abduction are needed. The ‘‘gold-standard’’ assessment of thumb radial abduction is goniometry<span> however it has modest reliability in persons with thumb carpometacarpal osteoarthritis<span>. Conversely, the intermetacarpal distance (IMD) method of assessing radial abduction has promising reliability in healthy persons and excellent inter-rater reliability in those with thumb carpometacarpal osteoarthritis. However, to date, there has been no exploration of its test-retest reliability and precision in persons with thumb carpometacarpal osteoarthritis. Further, while multiple trials are often performed in various hand therapy assessments, it is common practice to take a single measurement of hand joint range of motion. Yet, we do not know if multiple trials might enhance the reliability of these range of motion measurements.</span></span></span></div></div><div><h3>Purpose</h3><div>The current study aimed to (1) assess the test-retest agreement, reliability, and precision of the IMD method when measuring thumb radial abduction and (2) compare these psychometric properties when reporting one trial, the mean of two trials, and the mean of three trials of the IMD method in people with thumb carpometacarpal (CMC1) osteoarthritis (OA).</div></div><div><h3>Study Design</h3><div>Prospective Cohort study of test-retest reliability.</div></div><div><h3>Methods</h3><div><span>Purposive sampling was used to recruit adults with radiographically confirmed CMC1 OA. Participants’ radial abduction was assessed using the IMD method to measure radial abduction of the affected hand on two separate occasions approximately two weeks apart. Three trials of the assessment were administered at each visit. The Bland Altman method was uses to assess agreement, the intraclass correlation coefficient (ICC</span><sub>2,3</sub>) was calculated to examine the reliability, and the standard error of the measurement (SEM), minimum detectable change (MDC) and MDC percentage were calculated to determine the precision of the IMD method for one trial, the mean of two trials, and the mean of three. Descriptive data on demographics and IMD values of the sample were presented.</div></div><div><h3>Results</h3><div>Forty persons with CMC1 OA participated. The mean difference between trials ranged from 0.21 to 0.30 mm, no significant fixed biases (<em>p</em> <!-->≥<!--> <!-->0.48) or proportional biases (<em>p</em> <!-->≥<!--> <!-->0.41) existed between mean test and retest scores, and 38/40 (95%) of test-retest differences fell within the 95% limits of agreement. The Intraclass Correlation Coefficient (ICC<sub>2,3</sub>) values were 0.942 (0.893–0.968), 0.970 (0.943–0.984), a","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 531-539"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016619","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":"Patients’ perspectives on Dupuytren’s disease: A scoping review and categorization using the WHO International Classification of Functioning, Disability and Health Framework (ICF)","authors":"Sonja Elisabeth Pelzmann MSc, OT, CHT/OEGHT","doi":"10.1016/j.jht.2024.12.007","DOIUrl":"10.1016/j.jht.2024.12.007","url":null,"abstract":"<div><h3>Background</h3><div>Dupuytren’s disease (DD) often has an underestimated impact on the lives of those effected.</div></div><div><h3>Purpose</h3><div>This study aimed to provide a holistic overview of the available evidence regarding the patient perspectives (PP) on DD, which can help to better understand both the patients and the disease itself.</div></div><div><h3>Study Design</h3><div>Scoping Review.</div></div><div><h3>Methods</h3><div>Based on the framework of Arksey and O’Malley and enhanced by the recommendations of Levac et al., a scoping review was used to locate the available material about PP on DD. Data collection was performed using the electronic databases PubMed, CINAHL and Embase, and additional sources. The included publications were classified using the Oxford Level of Evidence (LoE), and their findings were linked to the components, domains and corresponding codes of the International Classification of Functioning, Disability and Health (ICF).</div></div><div><h3>Results</h3><div>Of the total 2.127 search results, eight publications published between 2009 and 2020 were included. They have a sample size of seven to 85 patients and a LoE of IV. Data, clustered into 61 topics could be linked to the components ‘Activities and Participation’, ‘Body Function and Structures’, ‘Environmental Factors’ and 13 domains of the ICF. The results show that DD primarily affects patients in ‘global mental functions’ (<em>n</em> = 21), the ‘mobility’ (<em>n</em> = 18), ‘community, social and civic life’ (<em>n</em> = 10) and, ‘self-care’ (<em>n</em> = 10). The individual topics could be linked to up to eight ICF codes (second to third level category). The impact is perceived in general situations and clearly defined activities.</div></div><div><h3>Conclusions</h3><div>The results of this review illustrate the existence of the known functional impairments, limitations on self-care, and major impacts on psychosocial area. Due to the quality and lack of evidence, no generalized statement can be made about the value of PP on DD. Nevertheless, it has been shown that PP are essential for understanding both those affected and the disease itself thus be involved in diagnostic and treatment decisions in DD.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 492-507"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371176","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-centered care in the conservative management of an unstable proximal phalanx fracture: A case report","authors":"Tanya Cole BSc, PGCert, MSc ,&nbsp;Evania Lok MBBS ,&nbsp;Kerryn Parfett BOT ,&nbsp;Sally Ng MBBS (Hons), FRACS, DipSurg Anat ,&nbsp;Melissa Hirth BOT, MSc, PhD","doi":"10.1016/j.jht.2024.12.008","DOIUrl":"10.1016/j.jht.2024.12.008","url":null,"abstract":"<div><h3>Background</h3><div>Proximal phalangeal fractures are common yet challenging due to their inherent instability.</div></div><div><h3>Purpose</h3><div>This study presents a case for patient-centered care and a nonsurgical management pathway.</div></div><div><h3>Study Design</h3><div>Case report.</div></div><div><h3>Methods</h3><div>M, a 56-year-old male, sustained a comminuted oblique proximal phalanx<span> fracture to his left nondominant small finger while playing football. Five days post injury, the fracture was reduced with local anesthetic<span> and manipulation (LAMP). The injury was managed conservatively with a full-time hand-based orthosis with metacarpophalangeal joint flexion, and buddy taping. One week later, the fracture had lost reduction and significantly displaced. Instead of converting to surgery, a further LAMP (LAMP2) was performed, and conservative management continued. Outcomes were collected at baseline, 6, 12, and 15 weeks, and 10 months following LAMP2.</span></span></div></div><div><h3>Results</h3><div>By 12 weeks, M had a full range of motion, minimal pain, no difficulty with personal daily activities, and resumed full manual labor work duties and gym workouts. Quality of life was reported as high from 6 weeks. M was extremely satisfied.</div></div><div><h3>Conclusions</h3><div>Conservative management of an initially unstable proximal phalanx reduced by LAMP, with a second LAMP one week later, demonstrated excellent outcomes and could be a possible management pathway for similar patients.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 637-644"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371172","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":"Prioritize proximal interphalangeal joint extension, a cadaver study clarifying PIPJ neutral position and joint capsular behavior","authors":"Vicenç Punsola-Izard PhD, PT, CHT, MSc ,&nbsp;Karen S. Schultz MS, OTR, CHT, FAOTA ,&nbsp;Manuel Llusà-Perez PhD ,&nbsp;Aroa Casado PhD","doi":"10.1016/j.jht.2024.12.015","DOIUrl":"10.1016/j.jht.2024.12.015","url":null,"abstract":"<div><h3>Background</h3><div>Dysmobility of the proximal interphalangeal joint (PIPJ) often arises following trauma, inflammation, or surgery, leading to joint stiffness and reduced range of motion. This condition results from capsular shortening and the development of arthrofibrosis, which restricts mobility and contributes to contracture formation.</div></div><div><h3>Purpose</h3><div>This study investigates the influence of joint position on capsular space volume distribution in the PIPJ, hypothesizing that the mid-flexion position maximizes capsular space, contributing to ligament shortening and arthrofibrosis. This study investigates the influence of joint position on capsular space volumen distribution in PIPJ, hypothesizing that the mid- flexion position maximizes capsular space, contributing to ligament shortening and arthrofibrosis.</div></div><div><h3>Study Design</h3><div>A cadaveric study examining capsuloligamentous dynamics of the PIPJ across various joint positions.</div></div><div><h3>Methods</h3><div>Fifteen fingers from five fresh frozen cadaver specimens were evaluated through three studies:<ul><li><span>1.</span><span><div>Assessment of capsular dynamics during flexion extension.</div></span></li><li><span>2.</span><span><div>High-pressure silicone injection into the PIPJ to determine the resulting joint position and capsular space volume.</div></span></li><li><span>3.</span><span><div>High-pressure latex injection in extension, neutral, and flexion positions to measure capsular space volume and fluid distribution.</div></span></li></ul></div></div><div><h3>Results</h3><div>1. The PIPJ demonstrated close-packed positions at full flexion and extension, with maximum capsular space volume observed in the mid-flexion position (30°-40° flexion).</div><div>2. Silicone injection consistently held the joint in a mid-flexion position, indicating maximal capsular volume.</div><div>3. Latex distribution varied with joint position, concentrating dorsally in extension, spreading equally volar-dorsal in mid-flexion and shifting volarly in flexion.</div></div><div><h3>Conclusions</h3><div>We propose call to call the mid-flexion position (of 30º-40º flexion) the “neutral” position. This position maximizes capsular space volume, facilitating ligament shortening and arthrofibrosis. Extension minimizes volar capsularspace volume and may be essential for preventing flexion contractures. Clinically, immobilizing the proximal interphalangeal joint in extension with dorsal compression may help prevent contracture and reduce edema, while manual therapy should target the mid-flexion position to enhance joint mobilization.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 558-565"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469924","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":"Is Kinesiotaping an alternative to static wrist orthosis in patients with carpal tunnel syndrome? A randomized clinical trial","authors":"Didem İnceboy MD ,&nbsp;Ebru Aytekin MD ,&nbsp;Muhammed Oğuz MD ,&nbsp;Burak Tayyip Dede MD ,&nbsp;Gül Tuğba Bulut MD ,&nbsp;Yasemin Pekin Doğan MD","doi":"10.1016/j.jht.2024.08.002","DOIUrl":"10.1016/j.jht.2024.08.002","url":null,"abstract":"<div><h3>Background</h3><div><span>Carpal tunnel syndrome (CTS) is the most common </span>entrapment neuropathy of the upper extremity. Conservative treatments are effective for treating mild and moderate CTS. There is still a need for studies to investigate the superiority of conservative treatments over each other.</div></div><div><h3>Purpose</h3><div>The aim of our study was to compare the efficacy of orthosis treatment and Kinesio taping (KT) treatment on pain, functional status, and grip strength in patients with idiopathic CTS.</div></div><div><h3>Study Design</h3><div>Randomized clinical trial.</div></div><div><h3>Methods</h3><div><span><span>Sixty patients (90% women) who were diagnosed with mild or moderate CTS by electroneuromyography were included in this study. Patients were randomized into two groups: the orthosis and KT groups. Hand grip, and three-point pinch strength measuring with a dynamometer and a pinch meter, </span>Visual Analog Scale<span> (VAS), Boston Carpal Tunnel Syndrome Questionnaire (BCTQ), Leeds Assessment of Neuropathic </span></span>Symptoms and Signs<span> Pain Scale (LANSS), and Short Form-36 Health Survey Questionnaire (SF-36) were used in clinical assessment. Clinical evaluations were made baseline and at the end of 4 weeks of treatment.</span></div></div><div><h3>Results</h3><div>Both KT and static wrist orthosis were found to be effective on SF-36 pain, VAS rest, VAS activity, LANSS, grip strength, three-point pinch strength, BCTQ symptom, and functional scores. The changes in VAS activity (between-group mean difference [MD] = −0.93; CI = −1.83:−0.03; <em>p</em> &lt; 0.05; d = 1.74), BCTQ function scores (MD = −2.60; CI = −5.39:0.19; <em>p</em> &lt; 0.05, d = 5.40), and SF-36 mental health scores (MD = 5.87; CI = 1.15:10.59; <em>p</em> &lt; 0.05; d = 9.13) were significantly higher in the KT group compared to the orthosis group.</div></div><div><h3>Conclusions</h3><div>KT, which is a straightforward and safe treatment that does not restrict daily activities, may offer a beneficial alternative to restrictive and uncomfortable orthosis therapy for treating mild to moderate CTS in those leading active daily lives.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 418-426"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056392","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":"CRITICALLY APPRAISED TOPIC: WHAT IS THE PREVALENCE OF POST-TRAUMATIC STRESS DISORDER (PTSD) IN OLDER ADULTS AFTER A FALLS-RELATED INJURY","authors":"C. Peters","doi":"10.1016/j.jht.2024.08.048","DOIUrl":"10.1016/j.jht.2024.08.048","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 684-685"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145059992","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 PROTOCOL FOLLOWING ADOLESCENT SHOULDER REANIMATION","authors":"A. Feretti ,&nbsp;N. Khabyeh-Hasbani ,&nbsp;M. Joshi ,&nbsp;V. Ferrante ,&nbsp;E. Meisel ,&nbsp;J. Kurtzman ,&nbsp;S. Koehler","doi":"10.1016/j.jht.2024.08.016","DOIUrl":"10.1016/j.jht.2024.08.016","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 661-662"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145060656","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":"ESTABLISHING INTERRATER AND INTRARATER RELIABILITY FOR THE COMPLETE MINNESOTA DEXTERITY TEST","authors":"J.R. Walter,&nbsp;K. Bandt,&nbsp;K. Hahn,&nbsp;E. Hawes,&nbsp;C. Landis,&nbsp;A. McDermott,&nbsp;R. Shockely,&nbsp;D. Arthur","doi":"10.1016/j.jht.2024.08.028","DOIUrl":"10.1016/j.jht.2024.08.028","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Page 671"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061252","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}