Journal of Hand Therapy最新文献

{"title":"Conservative management of middle phalangeal fractures: Early controlled mobilization with the novel three-orthoses protocol","authors":"Shrikant Chinchalkar,&nbsp;Kristen MacDonald","doi":"10.1016/j.jht.2025.12.012","DOIUrl":"10.1016/j.jht.2025.12.012","url":null,"abstract":"<div><ul><li><span>•</span><span><div>Outlines a novel protocol including orthoses type and timelines for treatment</div></span></li><li><span>•</span><span><div>Biomechanical and clinical rationale for application</div></span></li><li><span>•</span><span><div>Inclusion criteria of appropriate cases to apply with</div></span></li><li><span>•</span><span><div>Case study outlining demonstrating orthoses as well as range of motion and strength outcomes</div></span></li></ul></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 3","pages":"Pages 630-634"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789530","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":"Conservative treatments for De Quervain's tenosynovitis: A systematic review and network meta-analysis","authors":"Juan Nicolás Cuenca-Zaldívar,&nbsp;Oliver Martínez-Pozas,&nbsp;Emeline Riba,&nbsp;Houssem Rouafi,&nbsp;Roberto Ucero-Lozano,&nbsp;Francisco Selva-Sarzo,&nbsp;Pierluigi Sinatti,&nbsp;Nina Cadeau Comte,&nbsp;Eleuterio A. Sánchez Romero","doi":"10.1016/j.jht.2025.09.001","DOIUrl":"10.1016/j.jht.2025.09.001","url":null,"abstract":"<div><h3>Background</h3><div>De Quervain’s tenosynovitis (DQT) is a common tendinopathy of the first dorsal compartment, managed conservatively or surgically. Among conservative options, the comparative effectiveness remains unclear.</div></div><div><h3>Purpose</h3><div>To evaluate the effectiveness of conservative treatments for DQT.</div></div><div><h3>Study Design</h3><div>Systematic review and network meta-analysis (NMA).</div></div><div><h3>Methods</h3><div>Following PRISMA and a PROSPERO registration (CRD42023494486), seven databases were searched for randomized controlled trials (RCTs) and non-RCTs. Twenty-one studies (1,178 adults) were included in the qualitative synthesis; 12 entered the NMA. Pain was measured with the visual analog scale or Numerical Pain Rating Scale; function with the Disabilities of the Arm, Shoulder, and Hand questionnaire, the Quick Disabilities of the Arm, Shoulder, and Hand questionnaire, or the Duruöz Hand Index. Data were analyzed with frequentist multivariate and univariate NMAs. Interventions were ranked using <em>p</em> scores and the Surface Under the Cumulative Ranking curve. Risk of bias and certainty of evidence were assessed with the Cochrane Risk of Bias 2.0 tool, Risk of Bias in Non-randomized Studies of Interventions, and Grading of Recommendations Assessment, Development, and Evaluation criteria.</div></div><div><h3>Results</h3><div>Full-time orthosis use plus corticosteroid injection ranked highest for pain and functional improvement, followed by corticosteroid injection alone and acupuncture. All active treatments outperformed waitlist controls. Pain outcomes showed high heterogeneity (I² = 83.5%), whereas functional outcomes were more consistent. No major inconsistencies were detected between direct and indirect estimates. Most studies had high risk of bias; certainty of evidence ranged from low to very low.</div></div><div><h3>Conclusions</h3><div>Full-time orthosis use g with corticosteroid injection appears the most effective conservative treatment for DQT, though based on low-certainty evidence. Where combined therapy is inaccessible, monotherapies such as orthosis or corticosteroid injection may still provide meaningful benefits. Future high-quality trials should investigate active interventions (e.g., progressive tendon loading and patient education) to address DQT’s functional demands beyond passive symptom relief.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 3","pages":"Pages 479-495"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642926","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":"Validity and reliability of the Chicago-Quick Hand Function Test","authors":"Amrendra Kumar PhD, MSOT, OTR/L,&nbsp;Mary Shotwell PhD, OTR/L, FAOTA, NBC-HWC,&nbsp;Susan Stallings-Sahler PhD, OTR/L, FAOTA, C/SI, C/NDT-P,&nbsp;Erica Kiernan PT, DPT, OT, MOT, PhD,&nbsp;Paige Forster COTA/L,&nbsp;Misty Hueser OTR/L,&nbsp;Maranda Branch COTA/L,&nbsp;Jenna Roberts OTR/L,&nbsp;Yasmine Leonard COTA/L","doi":"10.1016/j.jht.2025.12.017","DOIUrl":"10.1016/j.jht.2025.12.017","url":null,"abstract":"<div><h3>Background</h3><div>The Chicago-Quick Hand Function Test (C-QHFT) is a brief performance-based measure of unilateral hand function. Before widespread use, evidence of validity, reliability, and normative performance is required.</div></div><div><h3>Purpose</h3><div>To evaluate content and face validity, inter-rater reliability, intra-rater reliability, test-retest reliability, and normative reference values for the C-QHFT.</div></div><div><h3>Study Design</h3><div>Clinical measurement and normative study.</div></div><div><h3>Methods</h3><div>This four-phase study included expert review, iterative refinement of administration and scoring procedures, normative sampling, and repeated administrations across multiple sites. Content and face validity were assessed through structured expert feedback. Reliability was examined using intraclass correlation coefficients, standard error of measurement, minimal detectable change, and Bland-Altman methods. Normative data were collected from healthy adults aged 18 years and older, stratified into age groups.</div></div><div><h3>Results</h3><div>Expert reviewers supported strong content and face validity (S-CVI/Ave = 0.95). Inter-rater reliability for the total score was excellent (ICC [3,1] = 0.999) and intra-rater reliability was high (ICC [1,1] = 0.946), with small SEM and MDC₉₅ values. Test-retest reliability, quantified using ICC (2,1) and Pearson correlations, showed moderate-to-high stability (r = 0.67-0.82) and narrow Bland-Altman limits of agreement for both hands. Age-stratified normative values derived from ANOVA/MANOVA demonstrated expected age-related slowing of performance.</div></div><div><h3>Conclusions</h3><div>The C-QHFT demonstrates strong validity evidence, excellent inter-rater and intra-rater reliability, and stable test-retest performance. The normative reference values enhance its clinical and research utility. The C-QHFT is a concise and reliable assessment of unilateral hand function for adult populations.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 3","pages":"Pages 656-665"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789492","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":"Reliability and validity of the Turkish version of the stroke upper limb capacity scale (SULCS) in post-stroke patients","authors":"Meltem Koç PhD,&nbsp;Cansu Dal MsC,&nbsp;Dilek İşcan MD,&nbsp;Ayşen Canan Pakeloğlu MsC,&nbsp;Banu Bayar PhD,&nbsp;Kılıçhan Bayar PhD","doi":"10.1016/j.jht.2025.12.003","DOIUrl":"10.1016/j.jht.2025.12.003","url":null,"abstract":"<div><h3>Background</h3><div>The Stroke Upper Limb Capacity Scale (SULCS) is a practical and useful performance-based tool designed to assess upper limb functional capacity, including both basic and advanced movement.</div></div><div><h3>Purpose</h3><div>The aim of this study was to investigate the psychometric properties of the Turkish version of the SULCS in post-stroke patients.</div></div><div><h3>Study Design</h3><div>Cross-Cultural Translation Study</div></div><div><h3>Methods</h3><div>A total of 56 patients with upper limb hemiparesis participated in the study. The Turkish SULCS was administered twice by the same researcher, with a one-week interval between assessments to determine intra-rater reliability. Additionally, the Fugl-Meyer and ABILHAND instruments were used to assess convergent validity.</div></div><div><h3>Results</h3><div>The Turkish SULCS demonstrated strong intra-rater reliability, with an intraclass correlation coefficient (ICC) of.97 (95% confidence interval:.95–.98). For the total SULCS-Turkish score, the standard error of measurement (SEM) was calculated to be 0.61 (SEM% = 9.76), and the minimum detectable change (MDC) was 1.69. Excellent correlations were also found between the Turkish SULCS and both Fugl-Meyer and ABILHAND scales (r = 0.77 and r = 0.86, respectively).</div></div><div><h3>Conclusions</h3><div>The findings suggest that the Turkish SULCS has strong intra-rater reliability and excellent convergent validity, supporting its use in clinical settings to assess upper limb functional capacity in post-stroke patients.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 3","pages":"Pages 702-707"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919247","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":"Exploring the characteristics and experiences of US and Canadian hand therapists with thumb pain","authors":"Jenna Lemon DrOT, OTRL, CHT,&nbsp;Jeanine Beasley EdD, OTRL, CHT, FAOTA,&nbsp;Dianna Lunsford OTD, MEd, OTRL, CHT,&nbsp;Christine Zmyslo OTRL, CHT, WCC","doi":"10.1016/j.jht.2025.12.014","DOIUrl":"10.1016/j.jht.2025.12.014","url":null,"abstract":"<div><h3>Background</h3><div>Certified hand therapists commonly experience thumb pain as they utilize their thumbs daily to perform treatment interventions. Research available on this topic is limited.</div></div><div><h3>Purpose</h3><div>To examine current thumb pain experienced by certified hand therapists practicing in the United States and Canada.</div></div><div><h3>Study Design</h3><div>Descriptive.</div></div><div><h3>Methods</h3><div>ASHT members with self-reported thumb pain were recruited via email to participate in a 31-question survey (based on established surveys) related to thumb pain, aggravating tasks, and treatment options. An ordinal logistic regression model was utilized to interpret the coefficients and the relationship between variables. Free-response qualitative data were coded and themed.</div></div><div><h3>Results</h3><div>A total of 197 certified hand therapists with current thumb pain met the inclusion criteria for the study (92% occupational therapists, 8% physical therapists). Most participants had bilateral carpometacarpal joint thumb pain with 39% of certified hand therapists (<em>n</em> = 77) reporting daily pain. Various activities of daily living and instrumental activities of daily living were reported as difficult to perform due to thumb pain. Manual massage was the most reported work-related task to contribute to pain. Joint protection techniques, orthoses, and taping were commonly reported interventions to self-treat pain.</div></div><div><h3>Conclusions</h3><div>Certified hand therapists’ thumb pain impacts both their work and daily lives. Future research is needed to explore the effectiveness of joint protection techniques and adaptations to determine how to decrease thumb pain for certified hand therapists and to promote longevity of the therapists’ careers.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 3","pages":"Pages 635-645"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357851","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 effects of a compressive tissue flossing program on the symptoms of lateral elbow tendinopathy in U.S. service members","authors":"John E. Elam III DSc, OTR/L, CHT,&nbsp;Tara A. Haugen DSc, OTR/L, CBIS,&nbsp;Katelyn A. Culley DSc, OTR/L,&nbsp;Brian T. Gregg PhD, OTR/L, CHT,&nbsp;Carly R. Cooper PhD, OTR/L","doi":"10.1016/j.jht.2025.12.007","DOIUrl":"10.1016/j.jht.2025.12.007","url":null,"abstract":"<div><h3>Background</h3><div>Lateral elbow tendinopathy is a common musculoskeletal diagnosis in the U.S. military population. Compressive tissue flossing is a novel intervention that uses a latex elastic band to compress the tissues and restrict the circulation of fluids in the targeted area for a short time.</div></div><div><h3>Purpose</h3><div>This study assessed the effects of a compressive tissue flossing program on the symptoms of lateral elbow tendinopathy in U.S. military service members.</div></div><div><h3>Study Design</h3><div>A within-subjects one-way repeated measures design was used.</div></div><div><h3>Methods</h3><div>A convenience sample of 35 U.S. military service members were recruited within the Joint Base San Antonio area to participate in this study. Outcome measures from a single sample were collected at baseline pre-test/post-test and then repeated at the 1-week follow-up. A repeated measures ANOVA, within factors, and paired samples t-test were used to compare quantitative data.</div></div><div><h3>Results</h3><div>Pain was significantly decreased at the different time points during the exercise intervention, F (2, 68) = 44.01, <em>p</em> &lt; 0.001, partial η² = 0.56. Participants demonstrated a statistically significant increase in function at 1 week follow-up, <em>t</em>(34) = --5.53, <em>p</em> &lt; 0.001. Grip Strength of the affected extremity demonstrated a statistically significant increase at the different time points during the exercise intervention, F(2, 68) = 23.91, <em>p</em> &lt; 0.001, partial η² = 0.4, with a large effect size.</div></div><div><h3>Conclusions</h3><div>Compressive tissue flossing may carry implications to acutely decrease a patient’s subjective report of pain, decrease their perceived rate of disability, and improve maximal grip strength. This intervention used in the clinic or as a home program could produce immediate improvement of the patient’s symptoms, decrease the number of appointments needed to treat the condition, enhance access to care, save time for providers and patients, and allow for use in deployed settings.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 3","pages":"Pages 586-594"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678689","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":"Cross-cultural Adaptation and Psychometric Validation of the Spanish Version of the Thumb Disability Examination (TDX).","authors":"J Tabuenca Dumortier, F Corella Montoya, M Ocampos Hernández, R Laredo Rivero, E Gómez Patricio","doi":"10.1016/j.jht.2026.05.005","DOIUrl":"https://doi.org/10.1016/j.jht.2026.05.005","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148304057","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 contraction test to detect and predict recurrence of stiffness in the proximal interphalangeal joint.","authors":"Vicenç Punsola-Izard, Manuel Llusà-Perez, Aroa Casado Rodríguez","doi":"10.1016/j.jht.2026.05.013","DOIUrl":"https://doi.org/10.1016/j.jht.2026.05.013","url":null,"abstract":"<p><strong>Background: </strong>Stiffness of the proximal interphalangeal (PIP) joint is a common complication following trauma or surgery. Recurrence remains a clinical challenge due to persistent tissue contractile activity, and no standardized method exists to predict long-term outcomes.</p><p><strong>Purpose: </strong>To evaluate the contraction test as a tool for detecting residual contractile activity in patients with PIP joint flexion contracture treated with an elastic tension digital neoprene orthosis, and to assess its usefulness in predicting recurrence of stiffness to guide therapeutic decisions.</p><p><strong>Study design: </strong>Longitudinal retrospective cohort study.</p><p><strong>Methods: </strong>Fifty-seven patients with PIP joint flexion contracture were treated with an elastic tension digital neoprene orthosis between July and December 2022. Patients were assigned to wear the orthosis either 20-22 hours or 10-14 hours daily during the first three weeks. Passive range of motion and contraction test values were recorded at baseline and during follow-up for up to six months. Improvements in extension and persistence of contractile activity were analyzed.</p><p><strong>Results: </strong>At baseline, the contraction test was positive in all patients. After three weeks, the mean cumulative gain in passive range of motion was 29° in the longer-wear group and 19° in the shorter-wear group. The contraction test remained positive in 95% of patients at this stage. At the end of follow-up, 49% of patients (28/57) achieved a negative contraction test, and no recurrence was observed among those who continued treatment. Conversely, patients with a persistent positive test (51%) showed a higher risk of recurrence despite improvements in extension. The greatest gains in extension occurred during the first three weeks, followed by stabilization at approximately three and a half months.</p><p><strong>Conclusions: </strong>The contraction test provides an objective measure of residual contractile activity and is useful for predicting recurrence of PIP joint stiffness after treatment with an elastic tension digital neoprene orthosis. It may support clinical decision-making regarding continuation or discontinuation of orthotic treatment, contributing to more personalized management of contractures.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284867","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":"Measuring the clavicular kinematics: A systematic review and an exploratory study.","authors":"Chun-Kai Tang, Yin-Liang Lin, Yi-Fen Shih","doi":"10.1016/j.jht.2026.05.009","DOIUrl":"https://doi.org/10.1016/j.jht.2026.05.009","url":null,"abstract":"<p><strong>Background: </strong>Clavicular kinematics are commonly measured using electromagnetic tracking systems, but variations exist regarding the recording methods and findings.</p><p><strong>Purpose: </strong>This study aims to (1) systematically review clavicular kinematics during humeral elevation, (2) compare the clavicular kinematics and measurement reliability between the acromial sensor and clavicular sensor measurements.</p><p><strong>Study design: </strong>A systematic review and an exploratory study.</p><p><strong>Methods: </strong>A PRISMA-guided systematic review with nine studies included and an exploratory study with 11 asymptomatic participants were conducted. The clavicular kinematics were measured during shoulder abduction, flexion, and scaption from 30-120 degrees of humeral elevation and descent using an electromagnetic tracking system. Reliability was assessed with intraclass correlation coefficients (ICCs), and kinematics were compared with two-way repeated-measures ANOVA.</p><p><strong>Results: </strong>The systematic review showed consistent clavicular movement patterns in the bone pin studies. Variations in clavicular movement mainly occurred for clavicular protraction/retraction, particularly between the acromial sensor and clavicular sensor surface sensor methods. The exploratory study echoed findings of the systematic review that significantly different patterns of clavicular elevation/depression and protraction/retraction were found between the clavicular sensor and the acromial sensor methods (angle-by-sensor interactions F = 4.016-32.963, p = 0.035 to <0.001, η_p² = 0.182-0.622). Clavicular posterior/anterior rotation could only be measured using the clavicular sensor method. Both sensor methods had excellent measurement reliability for clavicular elevation/depression, and the clavicular sensor method resulted in better ICCs for the protraction/retraction (clavicular sensor: 0.82-0.94, acromial sensor: 0.64-0.91). The clavicular sensor measurement of clavicular kinematics aligned better with bone pin studies.</p><p><strong>Conclusions: </strong>Our study demonstrates that the choice of sensor placement has a significant influence on the assessment of clavicular kinematics. The clavicular sensor provided more accurate and reliable measurements and is more closely aligned with bone pin data. These findings support the adoption of clavicular sensor placement in future research and clinical assessments to enhance the validity of clavicular motion analysis.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279936","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":"Beyond sensory deficits: Cognitive and biomechanical alterations in female patients with carpal tunnel syndrome.","authors":"Tülay Çevik Saldiran, Abdurrahman Tanhan, Berra Özberk Pamuk, Robert Schleip","doi":"10.1016/j.jht.2026.05.012","DOIUrl":"https://doi.org/10.1016/j.jht.2026.05.012","url":null,"abstract":"<p><strong>Background: </strong>Carpal tunnel syndrome is a prevalent peripheral neuropathy caused by median nerve compression at the wrist, with higher incidence in women. While motor and sensory impairments are well-established, broader effects on cognitive-motor integration and biomechanical properties remain underexplored, necessitating a multidimensional evaluation.</p><p><strong>Purpose: </strong>This study aimed to investigate the effects of carpal tunnel syndrome severity on cognitive, sensorimotor, biomechanical, and functional outcomes in women using descriptive and clinical measurement approaches.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>One hundred female participants (mean age: 42.7 ± 10.1 years) were included: 75 patients with mild, moderate, or severe carpal tunnel syndrome and 25 healthy controls. Laterality judgment was assessed using the Recognise app, and reaction time with the BlazePod system. Motor and sensory functions were evaluated using grip strength (dynamometer), pain intensity (Numerical Rating Scale), two-point discrimination, and nerve conduction studies. Abductor pollicis brevis muscle stiffness was measured with MyotonPRO, and functional status was determined via the Boston Carpal Tunnel Questionnaire.</p><p><strong>Results: </strong>Carpal tunnel syndrome patients showed significantly reduced grip strength (mean difference: 10.9 kg; p < 0.001), longer reaction times (mean difference: 366.5 ms; p < 0.001), and lower laterality judgment accuracy (mean difference: 35.1%; p < 0.001) compared to controls. Sensory conduction velocity declined (mean difference: 54.2 m/s; p < 0.001), while distal motor latency increased (mean difference: 4.7 ms; p < 0.001). Muscle stiffness (F = 33.9, p < 0.001) and pain intensity (F = 73.8, p < 0.001) were significantly higher in severe carpal tunnel syndrome. Reaction time showed moderate negative correlations with grip strength and laterality accuracy (r ≈ -0.53 to -0.58; p < 0.01).</p><p><strong>Conclusions: </strong>Female patients with carpal tunnel syndrome exhibit impairments in cognitive, sensorimotor, biomechanical, and functional domains. The progressive nature of these impairments and their interrelationships support the need for comprehensive, multidimensional assessment and personalized rehabilitation strategies.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273848","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}