Journal of Hand Therapy最新文献

{"title":"Force control of pinch grip: Normative data of a holistic evaluation.","authors":"Alberto Dottor, Simone Battista, Mirko Job, Lucia Grazia Sansone, Marco Testa","doi":"10.1016/j.jht.2024.06.001","DOIUrl":"https://doi.org/10.1016/j.jht.2024.06.001","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Purpose: </strong>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.</p><p><strong>Study design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>Endurance (SC) was similar between younger and older adults (η² =0.047 (Females) and η² < 0.007 (Males)). Older adults exhibited lower precision (DC) and coordination (BSC) compared to young adults in both sexes (η² >0.16). Females demonstrated greater endurance (SC) but lower precision and coordination (BSC) compared to males (0.01 <η² <0.1). No hand dominance effect emerged in SC and DC.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-09-03","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":"","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, George E Sayegh, Thierry G Guitton, Claudius D Jarrett","doi":"10.1016/j.jht.2024.07.001","DOIUrl":"https://doi.org/10.1016/j.jht.2024.07.001","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-08-31","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":"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, Jessica E Clingin, Rebecca J Nicks","doi":"10.1016/j.jht.2024.06.002","DOIUrl":"https://doi.org/10.1016/j.jht.2024.06.002","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Purpose: </strong>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.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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 (p=0.006, d=0.5). Eight percent less participants developed a FFD (p = 0.24) and 13% more participants achieved full flexion (p = 0.06) in the group who received a dorsal blocking orthosis in neutral, however these results were not statistically significant.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-08-31","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":"Virtual goniometric measurement of the forearm, wrist, and hand: A double-blind psychometric study of a digital goniometer.","authors":"Busra Guvenc, Cigdem Ayhan Kuru, Seda Namaldi, Ilhami Kuru","doi":"10.1016/j.jht.2024.05.001","DOIUrl":"https://doi.org/10.1016/j.jht.2024.05.001","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Purpose: </strong>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).</p><p><strong>Study design: </strong>This is a clinical measurement study.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>Strong agreement between measurements (ICC = 0.69-0.98) and positive moderate to high correlation (r = 0.52-0.96; p < 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°.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-08-31","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":"Understanding the implications of hand impairments in light of the International Classification of Function model.","authors":"Danit Langer, Avigayil Horwitz, Hanna Melchior, Ehud Atoun, Tal Mazor-Karsenty","doi":"10.1016/j.jht.2024.05.004","DOIUrl":"https://doi.org/10.1016/j.jht.2024.05.004","url":null,"abstract":"<p><strong>Background: </strong>Incorporating an occupation-based assessment along with or in place of an assessment of body functions and structures is not performed routinely in hand therapy practice.</p><p><strong>Purpose: </strong>(a) Explore correlations between body functions, activities and participation (A&P), and quality of life (QOL); (b) assess the extent to which personal factors and body functions contribute to variations in A&P and QOL; (c) compare the QOL of individuals with and without hand impairment (HI).</p><p><strong>Study design: </strong>Cross-sectional.</p><p><strong>Methods: </strong>Seventy-seven patients (Mean age=43.70 SD=17.56; 47 males and 30 females) with chronic and acute hand impairment were recruited from two hand clinics and matched with healthy participants. Assessments were administered to participants in their first visit to the hand clinic. QOL was measured with the World Health Organization QOL questionnaire; A&P with the Disabilities of the Arm Shoulder and Hand (DASH) questionnaire; pain with the Patient-Rated Wrist/Hand Evaluation; hand function with The Functional Dexterity Test, Jamar Dynamometer and Pinch Gauge.</p><p><strong>Results: </strong>Significant correlations were found between QOL and A&P, dexterity, and pain, as well as between A&P and hand strength and pain. Personal factors, hand function, and pain collectively explained 28.9% of QOL variance and 61.4% of A&P variance. Pain emerged as the sole significant contributor to QOL variance, while both hand function and pain significantly influenced A&P variance. Comparisons between the study group and controls highlighted significant differences in QOL domains, with the HI group reporting lower perceived QOL in physical, social, and environmental domains.</p><p><strong>Conclusion: </strong>The significance of adopting a comprehensive approach in HI intervention was highlighted. A complex interplay of factors across different levels of the International Classification of Functioning, Disability and Health (ICF) framework imply that clinicians should avoid fixating exclusively on isolated factors or specific domains.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114899","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: Reliability, criterion related validity, and normative data","authors":"","doi":"10.1016/j.jht.2023.10.005","DOIUrl":"10.1016/j.jht.2023.10.005","url":null,"abstract":"<div><h3>Study Design</h3><p>Clinical measurement.</p></div><div><h3>Background</h3><p>Many daily living tasks require in-hand manipulation (IHM). There is a gap in standardized assessment tools for measuring IHM. The Corbett Targeted Coin Test (CTCT) was designed to allow measurement of that fine motor skill.</p></div><div><h3>Purpose</h3><p>1) To evaluate the interrater, test-retest reliability, and validity of the CTCT, and 2) to establish adult norms for the CTCT.</p></div><div><h3>Methods</h3><p>Reliability and Validity – 30 participants (25 females, age range 21–45) were assessed with the Nine-Hole Peg test and CTCT consecutively by three researchers, then re-evaluated one week later on the CTCT; Reliability was determined using intraclass correlation (ICC_2,k) between tests and across testers; Criterion-related validity was determined by comparing scores from nine-hole test and CTCT across testers using ICC_2,k. Normative – 190 participants (147 females, age range 20–80) were assessed with the CTCT; mean and standard deviation for participants’ scores were calculated by age groups and gender.</p></div><div><h3>Results</h3><p>Test-retest reliability: poor for the right hand (ICCs = −0.29 to 0.45), and poor-moderate for the left hand (ICCs = 0.17–0.56). Inter-rater reliability ranged from moderate to excellent (ICCs = 0.60–0.80). The agreement between CTCT scores and Nine-Hole Peg test was poor for the right (ICC = 0.02; 95% CI: [−0.06, 0.14]) and left hands (ICC = 0.06; 95% CI: [−0.08, 0.28]). CTCT normative data: 41–50 age group demonstrated the highest performance while the 71–80 age group demonstrated the lowest performance. Scores between genders were similar.</p></div><div><h3>Discussion</h3><p>The poor test-retest reliability of CTCT was probably due to practice effect, while interrater reliability indicated that the test can be administered by different testers without compromising the results. The poor validity between tools proves their different constructs.</p></div><div><h3>Conclusions</h3><p>Use of the CTCT may add another dimension to assessment of dexterity and fine motor skills, specifically, in-hand manipulation, but needs further research on test-retest reliability.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 371-377"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742749","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":"Editorial Board / Masthead / ASHT Officers","authors":"","doi":"10.1016/S0894-1130(24)00079-6","DOIUrl":"10.1016/S0894-1130(24)00079-6","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages A3-A4"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0894113024000796/pdfft?md5=c7116cc8eda85dd2c7ee73d3e0995ef2&pid=1-s2.0-S0894113024000796-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142229009","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":"Correction to Read for Credit #955 question 4.","authors":"Gwendolyn van Strien, Koos Jaap van Zwieten, Julianne Wright Howell","doi":"10.1016/j.jht.2024.04.003","DOIUrl":"https://doi.org/10.1016/j.jht.2024.04.003","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494328","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":"Effect of Kinesio taping on edema and wrist functions in patients with distal radius fracture followed conservatively with a cast: A randomized controlled single-blinded study","authors":"","doi":"10.1016/j.jht.2024.05.003","DOIUrl":"10.1016/j.jht.2024.05.003","url":null,"abstract":"<div><h3>Background</h3><p><span>Data in the literature on the results of Kinesio taping (KT) application after cast removal in patients with </span>distal radius fracture (DRF) are quite limited.</p></div><div><h3>Purpose</h3><p>It was aimed to evaluate the effectiveness of KT applied immediately after cast removal in addition to the exercise program on edema, functionality, range of motion, and muscle strength in patients with conservatively followed DRF.</p></div><div><h3>Study Design</h3><p>Randomized controlled single-blinded clinical study.</p></div><div><h3>Methods</h3><p>This study was conducted with 64 patients with a diagnosis of DRF. The patients were randomized as Kinesio taping group (KTG) and control group. Both groups received a conventional home exercise program. KT was applied to patients in KTG for 10 days. Circumference and volume measurements were taken at baseline and day 10. Arm, Shoulder, and Hand Questionnaire for Disability, Visual Analog Scale, grip strength, and wrist joint range of motion measurements were taken at baseline, day 5, and day 10.</p></div><div><h3>Results</h3><p>The circumference difference between the affected extremity and the healthy extremity was statistically greater in the control group on the fifth day at the wrist level (&lt;0.001) and 6 cm proximal to the wrist (<em>p</em> = 0.001). The circumference difference between the affected extremity and the healthy extremity was statistically greater in the control group on the 10th day at the wrist level (<em>p</em> &lt; 0.05) and 6 cm proximal to the wrist (<em>p</em> = 0.01). Wrist extension angle (&lt;0.001), wrist flexion angle (<em>p</em><span> = 0.001), and supination angle (</span><em>p</em> = 0.001) were higher in KTG on the 10th day. On the 10th day, the grip strength (<em>p</em><span> &lt; 0.05) was higher in the KTG, while the Visual Analog Scale value (</span><em>p</em> &lt; 0.01), Arm, Shoulder, and Hand Questionnaire for Disability score (<em>p</em> &lt; 0.01), and the percentage of strength loss in the healthy arm (<em>p</em> &lt; 0.01) were lower in the KTG.</p></div><div><h3>Conclusions</h3><p>In patients with DRF who were treated conservatively with a cast, the inclusion of Kinesio taping (KT) in the rehabilitation program was found to be effective in reducing edema and pain, as well as improving functionality, strength, and range of motion.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 479-488"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538948","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":"Improving how orthopedic journals report research outcomes based on sex and gender","authors":"","doi":"10.1016/j.jht.2024.05.005","DOIUrl":"10.1016/j.jht.2024.05.005","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 301-303"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581547","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}