Journal of Hand Therapy最新文献

{"title":"The 2021 American Hand Therapy Foundation research priorities survey","authors":"April C. Cowan OTD, OTR, CHT ,&nbsp;Marsha B. Lawrence PT, DPT, CHT ,&nbsp;Elaine E. Fess OTD, MS, OTR, FAOTA, CHT ,&nbsp;Caroline W. Stegink-Jansen PT, PhD, CHT ,&nbsp;For the American Hand Therapy Foundation Board of Directors","doi":"10.1016/j.jht.2024.11.007","DOIUrl":"10.1016/j.jht.2024.11.007","url":null,"abstract":"<div><h3>Background</h3><div>In 1998, the American Hand Therapy Foundation (AHTF) surveyed Certified Hand Therapists and active Charter Members of the American Society of Hand Therapists to identify hand rehabilitation research priorities, guide grant awards, and confirm alignment with the foundation's mission.</div></div><div><h3>Purpose</h3><div>The American Hand Therapy Foundation repeated the survey in 2021 to confirm that its award funding was consistent with hand therapists' research priorities.</div></div><div><h3>Study Design</h3><div>Convergent parallel mixed method study design.</div></div><div><h3>Methods</h3><div>The survey was sent to 7093 hand therapists from the United States and overseas. Respondents’ demographic information was captured using quantitative questions analyzed with descriptive statistics and weighted means. Research priorities and interests were captured using qualitative questions, Grounded Theory analysis, and Constant Comparative Methods.</div></div><div><h3>Results</h3><div>A total of 397 surveys were returned and analyzed (5.6% return rate, 95% confidence level, 5% margin of error). Participants’ top research priorities were outcome studies and research grants. Tendon injuries and lateral epicondylitis were the highest prioritized diagnoses for further research. Intervention study priorities included hand rehabilitation management strategies and use of orthoses. Responses presented a need for funded outcomes research validating hand rehabilitation interventions. Level of interest in research participation was in data collection and as coauthor. Top barriers to participation in research activities were time constraints and lack of proficiency. Research education for clinicians and mentorship programs were identified as specific needs.</div></div><div><h3>Conclusions</h3><div>American Hand Therapy Foundation research award funding was consistent with practice and reported research concerns. Participants identified their top concerns for diagnostic and outcomes research and prioritized continuing Foundation involvement in funding clinical research.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 4-22"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016606","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":"Utilization of the external rotation abduction thermoplastic shoulder orthosis for adolescents with birth-related brachial plexus injuries following shoulder reanimation surgery","authors":"Ann M. Feretti EdD, OTR/L, CHT ,&nbsp;Nathan Khabyeh-Hasbani BA ,&nbsp;Manisha Joshi OTR/L, CHT ,&nbsp;Victoria Ferrante OTR/L, CHT ,&nbsp;Steven M. Koehler MD","doi":"10.1016/j.jht.2024.04.001","DOIUrl":"10.1016/j.jht.2024.04.001","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 167-171"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472742","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":"Digital wound assessment by hand specialists is moderately reliable","authors":"David Ring MD, PhD ,&nbsp;George E. Sayegh BS ,&nbsp;Thierry G. Guitton MD, PhD ,&nbsp;Claudius D. Jarrett MD","doi":"10.1016/j.jht.2024.07.001","DOIUrl":"10.1016/j.jht.2024.07.001","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 160-162"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114897","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 outcome difference between acute bony and tendinous mallet fingers treated conservatively in children","authors":"Guy Rubin MD ,&nbsp;Amir Haim Eliyahu MD ,&nbsp;Uri Diego Mano MD ,&nbsp;Ravit Shay BOT ,&nbsp;Sigal Svorai BOT ,&nbsp;Ruty Sagiv BOT, MHA ,&nbsp;Avi Chezar MD ,&nbsp;Nimrod Rozen MD, PhD","doi":"10.1016/j.jht.2024.07.004","DOIUrl":"10.1016/j.jht.2024.07.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Tendinous and bony mallet are very different injuries presenting with extensor lag at the distal interphalangeal joint. This study is aimed to evaluate the outcome difference between acute bony and tendinous mallet fingers treated conservatively with a splint in children.</div></div><div><h3>Materials and Methods</h3><div>We collected retrospective data about patients at the time of injury with acute tendinous or bony mallet that were treated conservatively in our occupational therapy clinic. Patients were examined in the outpatient clinic. Pain, extension lag, and flexion loss were documented. Outcomes were classified according to the Crawford’s criteria.</div></div><div><h3>Results</h3><div>We collected data on 31 patients (16 bony and 15 tendinous mallet). We found the bony mallet patients to be older (mean 13.8 vs 11.9 years), We also found that tendinous mallet injuries affected predominantly the ring finger while bony mallet injuries affected predominantly the middle finger. Both bony and tendinous mallets tend to be more frequent in male. The extensor lag on initial was the same (median −18.5° vs −20°). As for the outcome, we found both groups to have excellent outcome in regard of the extension lag (median 0° vs 0° <em>p</em> = 0.538) and Crawford Criteria Assessment (<em>p</em> = 0.570).</div></div><div><h3>Discussion</h3><div>Mallet injuries, either tendinous or bony, are not common in children. They are often studied together and typically treated in the same way with extension splintage. Yet, the evidence in adults clearly shows there are different injuries, which present in the same way. This study reinforces these findings in children regarding demographic findings but not for the treatment outcome.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 68-72"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741150","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":"Force control of pinch grip: Normative data of a holistic evaluation","authors":"Alberto Dottor ,&nbsp;Simone Battista ,&nbsp;Mirko Job ,&nbsp;Lucia Grazia Sansone ,&nbsp;Marco Testa","doi":"10.1016/j.jht.2024.06.001","DOIUrl":"10.1016/j.jht.2024.06.001","url":null,"abstract":"<div><h3>Background</h3><div>Pulp pinch (PP) is a vital hand movement involving muscle strength and sensory integration. Previous research has primarily focused on Maximal Voluntary Contraction, but PP encompasses broader parameters.</div></div><div><h3>Purpose</h3><div>This study aims to establish normative data for a comprehensive evaluation of thumb and index force control during PP, including endurance, precision, accuracy in unilateral PP, and force coordination in bilateral PP.</div></div><div><h3>Study Design</h3><div>A cross-sectional study.</div></div><div><h3>Methods</h3><div>Three hundred and twenty eight healthy Italian cis-gender participants (169 females, 159 males) were enrolled in a multiparametric force control evaluation of pinch grip, consisting in: sustained contraction (SC: ability to maintain a stable contraction at 40% MVC, measured as the time until exhaustion), dynamic contraction (DC: the ability to modulate precisely and accurately force output to follow a dynamic force trace), bimanual strength coordination (BSC: the ability to coordinate in-phase bimanual forces at different combined magnitudes) tasks. The sample was divided per sex and stratified in five age groups taking into account hand dominance. Differences in tasks’ results between age, sex and hand-dominance were analysed.</div></div><div><h3>Results</h3><div>Endurance (SC) was similar between younger and older adults (<em>η</em>² =<!--> <!-->0.047 (Females) and <em>η</em>² &lt; 0.007 (Males)). Older adults exhibited lower precision (DC) and coordination (BSC) compared to young adults in both sexes (<em>η</em>² &gt;<!--> <!-->0.16). Females demonstrated greater endurance (SC) but lower precision and coordination (BSC) compared to males (0.01 &lt;<!--> <em>η</em>² &lt;<!--> <!-->0.1). No hand dominance effect emerged in SC and DC.</div></div><div><h3>Conclusions</h3><div>Force accuracy and precision to modulate pinch force to perform a visual feedback force-matching task (DC) and force coordination between hands (BSC) worsen at increasing age. Hand dominance did not influence either endurance or precision of pinch grip in visual-feedback guided task.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 129-142"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134519","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":"Effects of dual-task interference on dexterity performance in people with mild to moderately severe Parkinson’s disease: An observational analysis","authors":"Elizabeth Proud PhD ,&nbsp;Meg E. Morris PhD ,&nbsp;Belinda Bilney PhD ,&nbsp;Kimberly J. Miller PhD ,&nbsp;Maarten J. Nijkrake PhD ,&nbsp;Marten M. Munneke PhD ,&nbsp;Jennifer L. McGinley PhD","doi":"10.1016/j.jht.2024.04.002","DOIUrl":"10.1016/j.jht.2024.04.002","url":null,"abstract":"<div><h3>Background</h3><div>Debilitating problems with hand function experienced by people with Parkinson’s disease (PD) can worsen during multitasking.</div></div><div><h3>Purpose</h3><div>To investigate the effects of dual-task interference on a pegboard task in people with mild to moderately severe PD.</div></div><div><h3>Study Design</h3><div>Descriptive analysis.</div></div><div><h3>Methods</h3><div>A secondary analysis of baseline data from the ParkinsonNet physiotherapy study conducted in 2006 in the Netherlands. The 9-hole peg test was performed with the more affected hand under single- and dual-task conditions. In dual-task trials, a cognitive task was added. The patient specific index-Parkinson’s disease identified two functional priority groups—those reporting arm and hand problems as a priority for allied health management (“upper extremity priority”) and those prioritizing other issues (“other priority”). We investigated differences in single- and dual-task performance at different levels of disease severity (Hoehn and Yahr stage) and for the two priority groups, and calculated the dual-task effect.</div></div><div><h3>Results</h3><div>Participants were 566 people with PD (Hoehn and Yahr stages I-IV). Dual-task interference occurred at each disease stage. Significant interactions existed between the task condition and disease severity (F (3, 559) = 4.28, <em>p</em> = 0.005) and task condition and priority group (F (1, 561) = 4.44, <em>p</em> = 0.036). Dual-task interference was greater in participants with more advanced disease or those prioritizing upper extremity problems.</div></div><div><h3>Conclusion</h3><div>We described the effects of dual-task interference on more affected hand performance of a standardized dexterity test in a broad sample of people with PD. Dual-task interference may impact the daily lives of people with PD, especially those with more severe disease or who report arm and hand problems. It is important for clinicians to consider dual-task interference during upper extremity assessment and treatment.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 97-102"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472790","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":"Dorsal blocking orthoses for proximal interphalangeal joint volar plate injuries: A retrospective cohort study investigating the impact of joint angle on patient outcomes","authors":"Kelly A. Papatolicas BaOccThy ,&nbsp;Jessica E. Clingin Ba Health Sci, MaOccThy Prac ,&nbsp;Rebecca J. Nicks BaOccThy, MaHlthSc","doi":"10.1016/j.jht.2024.06.002","DOIUrl":"10.1016/j.jht.2024.06.002","url":null,"abstract":"<div><h3>Background</h3><div>Injuries to the proximal interphalangeal joint (PIPJ) of the fingers are commonly treated in hand therapy departments. Conservative management for PIPJ volar plate injuries typically involves a dorsal blocking orthosis and flexion exercises. Historically hand therapists have placed the PIPJ in varying degrees of flexion but the optimal angle is unknown.</div></div><div><h3>Purpose</h3><div>To compare the outcomes of two treatment groups who received dorsal blocking orthoses: Those who the orthosis was positioned in neutral compared to those in 25–30° of flexion.</div></div><div><h3>Study Design</h3><div>Retrospective cohort study.</div></div><div><h3>Method</h3><div>Patients treated by the hand therapy service at a major metropolitan hospital network in Melbourne, Australia, for conservative management of a PIPJ volar plate injury over a three-year period were included in our study. Data regarding patient demographics, digits affected and injury type were collected. Outcomes included presence of a fixed flexion deformity (FFD), amount of hand therapy received and total active flexion at the PIPJ.</div></div><div><h3>Results</h3><div>One hundred and eleven participants were included in our study. The mean age was 26 and 59 (53%) were males. Seventy two (64%) participants received a dorsal blocking orthosis positioned in neutral and 39 (35%) were positioned in 25–30° flexion at the PIPJ. Participants whose orthosis was positioned at 25–30° had an average of 24 more minutes in hand therapy (which equates to approximately one appointment) compared to those whose PIPJ was positioned in neutral (<em>p</em> <em>=</em> <!-->0.006, <em>d</em> <!-->=<!--> <!-->0.5). Eight percent less participants developed a FFD (<em>p</em> = 0.24) and 13% more participants achieved full flexion (<em>p</em> = 0.06) in the group who received a dorsal blocking orthosis in neutral, however these results were not statistically significant.</div></div><div><h3>Conclusion</h3><div>PIPJ volar plate injures treated in an orthosis positioned in neutral required fewer hand therapy appointments. There was no statistically significant difference between groups regarding development of a FFD or full flexion.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 91-96"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114898","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 reasons behind the low focus on upper limb rehabilitation in the early stages after a stroke: A qualitative study","authors":"Chioma Obinuchi Wodu BTech, MSc ,&nbsp;Gillian Sweeney PhD ,&nbsp;Andrew Kerr PhD","doi":"10.1016/j.jht.2024.08.005","DOIUrl":"10.1016/j.jht.2024.08.005","url":null,"abstract":"<div><h3>Background</h3><div>One aspect that is often impaired in people living with stroke is the motor function of the upper limb.</div></div><div><h3>Purpose</h3><div>To explore the reasons behind the low focus on upper limb rehabilitation after stroke and to understand the views of rehabilitation professionals (RPs) on the use of upper limb rehabilitation technologies for self-management of stroke.</div></div><div><h3>Study Design</h3><div>A qualitative descriptive design that employs a one-on-one semistructured interview method.</div></div><div><h3>Methods</h3><div>A total of nine RPs (physiotherapist <em>n</em> = 6 and occupational therapist <em>n</em> = 3) participated. Interviews were held in person or via teleconferencing, recorded, and transcribed verbatim. All transcribed data were analyzed using thematic analysis, with an inductive approach.</div></div><div><h3>Results</h3><div>The average length of practice years of the RPs in this study was 24.7 ± 9.8, with 16.44 ± 9.19 experience in neurological rehabilitation. The views gathered from all nine (9/9) RPs point to a low focus on upper limb rehabilitation for people living with stroke. In an inpatient setting, this was attributed to the rehabilitation goals/ priorities (of people living with stroke, RPs, and/or hospital’s rehabilitation/stroke units), inadequate resources, and the inability of the RPs to deal with the high incidence of stroke. After discharge, it was attributed to the cost of securing private rehabilitation and poor knowledge of technologies that can support self-rehabilitation. The cost, design, and inadequacy of evidence on the effectiveness of some available upper limb rehabilitation technologies were noted as reasons that could make it difficult for RPs to promote the use of rehabilitation technologies.</div></div><div><h3>Conclusions</h3><div>There is a low focus on upper limb rehabilitation after a stroke, particularly during the early stages, owing to the pursuit of early discharge which appears to attach higher priority to the lower limb in addition to inadequate resources and lack of capacity to deal with the high incidence of stroke.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 52-60"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824886","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":"Virtual goniometric measurement of the forearm, wrist, and hand: A double-blind psychometric study of a digital goniometer","authors":"Busra Guvenc MSc ,&nbsp;Cigdem Ayhan Kuru PhD ,&nbsp;Seda Namaldi MSc ,&nbsp;Ilhami Kuru MD","doi":"10.1016/j.jht.2024.05.001","DOIUrl":"10.1016/j.jht.2024.05.001","url":null,"abstract":"<div><h3>Background</h3><div>Various virtual goniometers have been used for photographic measurements. However, there is no single method that is both reliable and valid for measuring the forearm, wrist, and finger joints.</div></div><div><h3>Purpose</h3><div>This study aimed to investigate the criterion validity and intra- and inter-rater reliability of a virtual goniometer for assessing forearm, wrist, and finger joints using screenshots from video recordings and to calculate the standard error of measurement (SEM) and minimum detectable change (MDC).</div></div><div><h3>Study Design</h3><div>This is a clinical measurement study.</div></div><div><h3>Methods</h3><div>Goniometric measurements were performed independently by two observers in 26 healthy participants (49 hands) using a virtual goniometer. Criterion validity was assessed by examining the agreement between virtual and manual goniometer measurements. Reliability was calculated using the intraclass correlation coefficient (ICC) to assess agreement between virtual and manual goniometers and interobserver agreement for virtual measurements. The difference between measurements was analyzed using the Student test and Bland-Altman plots. SEM and MDC were both used to determine the error associated with the measurements.</div></div><div><h3>Results</h3><div>Strong agreement between measurements (ICC = 0.69-0.98) and positive moderate to high correlation (<em>r</em> = 0.52-0.96; <em>p</em> &lt; 0.001) were observed. Bland-Altman plots showed the agreement between the two measurement methods. Intra-rater (ICC = 0.80-0.99) and inter-rater reliability (ICC = 0.76-0.99) were high. SEM was low (2°-4°) and MDC ranged from 4°-12°.</div></div><div><h3>Conclusions</h3><div>The virtual goniometer proved to be a valid and reliable method for measuring joint angles from screenshots. The inter-rater and intra-rater reliability of the virtual goniometer was high. The average bias between the virtual and manual goniometer was small. Measurement errors were low for forearm, wrist, and hand movements, with the largest measurement errors observed for the second and third fingers.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 103-112"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114900","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 weighted ovoid inside a sphere to practice joint position sense of the wrist","authors":"Daniel Harte MClinRes ,&nbsp;Lucia Ramsey ,&nbsp;Suzanne Martin","doi":"10.1016/j.jht.2024.08.003","DOIUrl":"10.1016/j.jht.2024.08.003","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 1","pages":"Pages 163-166"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900124","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}