Journal of Hand Therapy最新文献

{"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, Nathan Khabyeh-Hasbani, Manisha Joshi, Victoria Ferrante, Steven M Koehler","doi":"10.1016/j.jht.2024.04.001","DOIUrl":"https://doi.org/10.1016/j.jht.2024.04.001","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-06-27","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":"Effects of dual-task interference on dexterity performance in people with mild to moderately severe Parkinson's disease: An observational analysis.","authors":"Elizabeth Proud, Meg E Morris, Belinda Bilney, Kimberly J Miller, Maarten J Nijkrake, Marten M Munneke, Jennifer L McGinley","doi":"10.1016/j.jht.2024.04.002","DOIUrl":"https://doi.org/10.1016/j.jht.2024.04.002","url":null,"abstract":"<p><strong>Background: </strong>Debilitating problems with hand function experienced by people with Parkinson's disease (PD) can worsen during multitasking.</p><p><strong>Purpose: </strong>To investigate the effects of dual-task interference on a pegboard task in people with mild to moderately severe PD.</p><p><strong>Study design: </strong>Descriptive analysis.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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, p = 0.005) and task condition and priority group (F (1, 561) = 4.44, p = 0.036). Dual-task interference was greater in participants with more advanced disease or those prioritizing upper extremity problems.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-06-27","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative hand therapy and the 2018 Medicare therapy cap repeal: Appraising cost and use changes.","authors":"Joseph N Fahmy, Lingxuan Kong, Lu Wang, Kevin C Chung","doi":"10.1016/j.jht.2024.05.002","DOIUrl":"10.1016/j.jht.2024.05.002","url":null,"abstract":"<p><strong>Background: </strong>Therapy use is common following carpal tunnel release (CTR), trigger finger release, ganglion cyst excision, De Quervain tenosynovitis release, carpometacarpal arthroplasty, and distal radius fracture, open reduction internal fixation or percutaneous pinning (DRF). Policy that improves coverage influences the cost and use of health care services.</p><p><strong>Purpose: </strong>This study aims to evaluate changes to the cost and use of postoperative hand therapy by race and procedure following the repeal of a longstanding annual Medicare outpatient therapy cap.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Methods: </strong>This is a longitudinal retrospective cohort study using a quasi-experimental interrupted time series design, including patients who underwent common hand surgeries from January 1, 2016-December 31, 2019.</p><p><strong>Results: </strong>This study included 203,672 patients with a mean age of 71.4 years. Neither White (1.00, 95% confidence interval [CI]: 0.999-1.007, p = 0.45) nor non-White (1.00, 95% CI: 1.00-1.01, p = 0.06) patients experienced monthly changes in therapy use before policy implementation. Therapy frequency increased following CTR (odds ratio [OR] 1.12, 95% CI: 1.11-1.14, p < 0.001), trigger finger release (OR 1.09, 95% CI: 1.07-1.10, p < 0.001), and DRF (OR 1.05, 95% CI: 1.03-1.06, p < 0.001) following implementation.</p><p><strong>Conclusions: </strong>This study found that improved coverage was associated with increased postoperative therapy use among some subsets, including CTR and DRF, suggesting the need to optimize coverage by means such as prior authorization or bundled payments, rather than only increasing coverage benefits.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472792","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":"The impact of a soft robotic glove on activity performance and body function for brachial plexus birth injury patients-A longitudinal case series.","authors":"Helena Millkvist, Anna Källströmer, Birgitta Bernspång, Mikael Wiberg","doi":"10.1016/j.jht.2024.02.009","DOIUrl":"https://doi.org/10.1016/j.jht.2024.02.009","url":null,"abstract":"<p><strong>Background: </strong>A brachial plexus birth injury (BPBI) can cause reduced ability to use the arm and hand in daily activities due to reduced grip strength and endurance. A soft robotic glove can increase the number of activities performed and improve activity performance for patients with neurological disease. The use of a soft robotic glove for patients with BPBI has not been studied.</p><p><strong>Purpose: </strong>To investigate if a soft robotic glove can improve activity performance and body function for patients with BPBI.</p><p><strong>Study design: </strong>Longitudinal Case Series.</p><p><strong>Methods: </strong>A convenience sample of patients with BPBI, treated by the Brachial plexus injury service in Umeå, Sweden were studied. Eight patients used a soft robotic glove, (Carbonhand®), at home for three months. Data on activity performance and satisfaction with activity performance, active range of motion and strength were collected at baseline, and at three and four months. A patient evaluation form was filled out at three months, all patients kept a diary for three out of 12 weeks.</p><p><strong>Results: </strong>Six out of eight patients wanted to continue using the device and improved their self-perception of activity performance and satisfaction with the performance due to a more secure grip, compared to when not using the device. All patients had improved maximum strength and endurance in elbow flexion at three months. The device was useful as an assisting device and as a training tool.</p><p><strong>Conclusion: </strong>A soft robotic glove (Carbonhand) may improve activity performance and perceived satisfaction and increase the number of activities that a person with BPBI can perform in everyday life. It is possible to increase strength in elbow flexion after using such a device. Due to this limited material, more research is needed.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472741","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 qualitative inquiry to explore management of distal radius fracture by certified hand therapists.","authors":"Saurabh P Mehta, Liane M Ventura, James D Boone, Karli D Beasley, Alexa R Brodbeck, Olivia R Rabinek","doi":"10.1016/j.jht.2024.02.013","DOIUrl":"https://doi.org/10.1016/j.jht.2024.02.013","url":null,"abstract":"<p><strong>Background: </strong>Distal radius fractures (DRF) are extremely common in middle-aged and elderly. Certified Hand Therapists (CHT) are experts in managing hand injuries including DRF.</p><p><strong>Purpose: </strong>Using qualitative methodology, this study examined practice patterns among CHT and understand prevalent common patterns in managing DRF.</p><p><strong>Study design: </strong>Descriptive qualitative study.</p><p><strong>Methods: </strong>This study utilized a qualitative descriptive method with an inductive approach to discern the practices of CHT in managing DRF. A purposive sample of practicing CHT was assembled. A semi-structured interview guide facilitated qualitative interviews using open-ended questions to assess practices of CHT in the domains of assessment, interventions, and appropriateness for discharge. Two student physical therapists transcribed the interviews, which were verified by a third rater for accuracy. Thematic content analysis guided the coding and analyses of the interview data. A two-phase coding process was conducted using Nvivo software. Two study authors developed initial codebook and completed subsequent analysis of transcripts.</p><p><strong>Results: </strong>Of the 12 participants, five were PT and seven were OT with an average experience of 14.1 years as a CHT. Practice patterns across domains were largely consistent among CHT. All CHTs reported inquiring about severity of displacement of DRF, orthopedic management, comorbidities, and medical history as well as examining wrist/hand range of motion (ROM), grip strength (GS), and wrist functions (n = 12). A large majority administered outcome measures and performed sensory and integumentary assessment. Patient education regarding injury and exercises was the key element for interventions. Adequate gains in GS, wrist functions, wrist ROM, and ability to use wrist/hand for functional tasks were the key benchmarks for discharge from care.</p><p><strong>Discussion: </strong>Most practice behaviors were common among CHTs while managing DRF. Some variations exist depending whether their primary discipline is PT or OT. The results highlight knowledge-to-action gap, where most CHTs do not integrate fall-risk management in DRF.</p><p><strong>Conclusions: </strong>This study identified common practice patterns among CHTs in managing DRF while also identifying opportunity to improve practice by integrating assessment of balance and fall-risk.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immediate effects of elbow orthoses on elbow proprioception in asymptomatic individuals: A randomized sham-controlled single-blinded study","authors":"Kevser Sevik Kacmaz PT, PhD ,&nbsp;Bayram Unver PT, PhD","doi":"10.1016/j.jht.2023.12.010","DOIUrl":"10.1016/j.jht.2023.12.010","url":null,"abstract":"<div><h3>Background</h3><p>Improving proprioception can reduce the risk of injuries, while its disruption may lead to injuries and recurrent or persistent symptoms.</p></div><div><h3>Purpose</h3><p>This study aimed to evaluate the immediate effects of elbow orthoses on elbow proprioception in asymptomatic individuals.</p></div><div><h3>Study Design</h3><p>This was a randomized, controlled, single-blinded study with a sham application.</p></div><div><h3>Methods</h3><p>Sixty participants were equally distributed into three orthosis groups (counterforce, sleeve, and sham). Proprioception was assessed using active joint position sense error (JPSE) at 70° and 110° of elbow flexion at three time points: baseline (BS), immediately after (IA) wearing the orthosis, and 30 minutes after (30MA) wearing the orthosis.</p></div><div><h3>Results</h3><p>Between groups: No significant difference in JPSE was observed at 70° (<em>p</em> = 0.095); however, there was a significant difference at 110° (<em>p</em> = 0.005).</p><p>Between time points: At 70°, JPSE did not exhibit a significant difference (<em>p</em> = 0.055), whereas a significant difference was observed at 110° (<em>p</em> = 0.020).</p><p>Interaction of time points×groups: No significant interaction was observed either at 70° (<em>p</em> = 0.476) or at 110° (<em>p</em> = 0.346).</p><p>At 70°, within the sleeve group, significant differences were identified between BS-30MA (<em>p</em> = 0.001) and IA-30MA (<em>p</em> = 0.009).</p><p>At 110°, in the sleeve group, significant differences were observed between BS-30MA (<em>p</em> = 0.007) and IA-30MA (<em>p</em> = 0.007).</p><p>In the counterforce group, significant differences were identified between BS-30MA time points (<em>p</em> = 0.001).</p><p>At 70°, no difference was observed within the overall evaluation in the counterforce group (<em>p</em> &gt; 0.05), whereas at 110°, a significant difference was noted (<em>p</em> = 0.026).</p><p>At both 70° and 110°, no differences were identified within the overall evaluation in the sleeve and sham groups (<em>p</em> &gt; 0.05).</p></div><div><h3>Conclusions</h3><p>In asymptomatic individuals, sleeve orthosis improved elbow proprioception at 70°, whereas both counterforce and sleeve orthoses were effective at 110°.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 2","pages":"Pages 192-200"},"PeriodicalIF":2.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742746","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":"Influence of forearm rotation on the kinetic stabilizing efficiency of the muscles that control the scapholunate joint. Clinical application in proprioceptive and neuromuscular rehabilitation programs","authors":"Mireia Esplugas MD ,&nbsp;Alex Lluch MD ,&nbsp;Guillem Salva-Coll MD, PhD ,&nbsp;Nuria Fernandez-Noguera MD ,&nbsp;Inma Puig de la Bellacasa MD ,&nbsp;Manuel Llusa-Perez MD, PhD ,&nbsp;Marc Garcia-Elias MD, PhD","doi":"10.1016/j.jht.2023.09.012","DOIUrl":"10.1016/j.jht.2023.09.012","url":null,"abstract":"<div><h3>Background</h3><p>This study focuses on the relationship between forearm muscles, carpal ligaments, and their impact on scapholunate joint stability across varying forearm rotations. This is crucial for optimizing pre and postoperative rehabilitation strategies for scapholunate joint dysfunction.</p></div><div><h3>Purpose</h3><p>Our study aims to understand the kinetic influence of forearm muscles on scapholunate joint instability. We emphasize the significance of forearm rotation to enhance treatment efficacy.</p></div><div><h3>Study Design</h3><p>We conducted an experimental study to understand how forearm muscles contribute to the stability of the scapholunate joint during different degrees of forearm rotation and we focused on the joint effect of muscle groups rather than individual muscles for treatment protocols.</p></div><div><h3>Results</h3><p>Our findings shed light on the conservative treatment of dynamic scapholunate instability and the postoperative rehabilitation of scapholunate ligament repair. We found that the effect of forearm muscles significantly contributes to preserve stability in the scapholunate joint across various forearm rotational positions. These insights have practical implications for hand therapists, offering innovative strategies to enhance clinical practice.</p></div><div><h3>Conclusions</h3><p>This research underscores the importance of considering forearm rotation when developing rehabilitation protocols for scapholunate joint instability and provides a valuable perspective in line with current rehabilitation principles.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 2","pages":"Pages 282-292"},"PeriodicalIF":2.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685204","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":"Active wrist joint position sense (AWJPS) test offers variable reliability levels and scores among multiple wrist angles and tester-experience levels","authors":"Christos Karagiannopoulos MPT, MEd, PhD, ATC, CHT","doi":"10.1016/j.jht.2022.09.005","DOIUrl":"10.1016/j.jht.2022.09.005","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 2","pages":"Pages 234-237"},"PeriodicalIF":2.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9104743","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 proprioceptive neuromuscular facilitation therapy and strength training among post-menopausal women with thumb carpometacarpal osteoarthritis. A randomized trial","authors":"Cristina Campos-Villegas PhD ,&nbsp;Sofía Pérez-Alenda PhD ,&nbsp;Juan J. Carrasco PhD ,&nbsp;Celedonia Igual-Camacho PhD ,&nbsp;José Manuel Tomás-Miguel PhD ,&nbsp;Sara Cortés-Amador PhD","doi":"10.1016/j.jht.2022.07.005","DOIUrl":"10.1016/j.jht.2022.07.005","url":null,"abstract":"<div><h3>Background</h3><p>Thumb carpometacarpal osteoarthritis (CMC OA) greatly affects post-menopausal women. It is characterized by pain and functional deficits that limit the performance of activities of daily life and affect quality of life.</p></div><div><h3>Purpose</h3><p>Analyze the effects of 4/weeks strength training, with and without proprioceptive neuromuscular facilitation (PNF) on the disability among post-menopausal women with thumb CMC OA. Secondly, analyze the effects on pain, mobility, and strength.</p></div><div><h3>Study Design</h3><p>Superiority randomized clinical trial.</p></div><div><h3>Methods</h3><p>42 women were randomly allocated to strength training program (SEG, <em>n</em> = 21) and to a strength training plus PNF therapy program (PNFG, <em>n</em> = 21). The Disability (disabilities of the arm, shoulder and hand questionnaire), pain (visual analogue scale), mobility (Kapandji Test), and hand strength were evaluated pre, post intervention (at 4 weeks) and follow-up (at 8 weeks).</p></div><div><h3>Results</h3><p>Disability was significantly reduced in both groups after intervention, but reduction was statistically superior in PNFG (between-group mean difference [MD] = -16.69 points; CI = -21.56:-11.82; <em>P</em>&lt;.001; d = 2.14). Similar results were observed for secondary outcomes: pain (MD = -2.03; CI = -2.83:-1.22; <em>P</em>&lt;.001; d = 1.58), mobility (MD = 0.96; CI = 0.52:1.38; <em>P</em>&lt;.001; d = 1.40) and strength (grip: MD = 3.47kg; CI = 1.25:5.69; <em>P</em> = .003; d = 0.97, palmar: MD = 0.97kg; CI = 0.14:1.80; <em>P</em> = .024; d = 0.72, tip: MD = 1.12kg; CI = 0.41:1.83; <em>P</em> = .003; d = 0.99 and key pinch: MD = 0.85kg; CI = 0.001:1.70; <em>P</em> = .049; d = 0.62). These improvements were maintained at follow-up.</p></div><div><h3>Conclusions</h3><p>The combination of PNF exercises and strength training is more effective for reducing disability pain and improve mobility and strength in post-menopausal women with CMC OA than a programme based solely on strength.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 2","pages":"Pages 172-183"},"PeriodicalIF":2.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0894113022000801/pdfft?md5=63ccb8445420fca2d588f43cf79d989a&pid=1-s2.0-S0894113022000801-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40601029","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":"Proprioception: An evidence-based review","authors":"Kristin Valdes OTD, OTR, CHT,&nbsp;Katie Capistran Manalang OTD, OTR/L, BCPR,&nbsp;Christen Leach OTD, MOT, OTR/L, BCP","doi":"10.1016/j.jht.2023.09.015","DOIUrl":"10.1016/j.jht.2023.09.015","url":null,"abstract":"<div><h3>Background</h3><p>Proprioception is an essential sensory function of the body. Proprioception is defined as one’s awareness of their body’s position and movement through space. It contributes to both the conscious and unconscious awareness of limb and trunk position and movement. The purpose of this review is to provide an evidence-based review of proprioception and conditions that interfere with proprioceptive acuity.</p></div><div><h3>Purpose</h3><p>The purpose of this review is to provide an evidence-based review of proprioception and conditions that interfere with proprioceptive acuity.</p></div><div><h3>Study Design</h3><p>This narrative literature review examines studies that determine proprioceptive systems and their implication for rehabilitation.</p></div><div><h3>Methods</h3><p>Relevant study data were extracted as part of this review.</p></div><div><h3>Results</h3><p>Types of proprioceptive interventions can include active or passive movement<span> training, somatosensory stimulation training, force reproduction, and somatosensory discrimination training. Joint position sense error is the most widely used objective measure of proprioception.</span></p></div><div><h3>Conclusions</h3><p>Therapists should consider using a standardized measure to ascertain proprioceptive deficits in their patients following upper extremity injury or disease to determine the deficits and measure change. There are a variety of interventions that can be used in hand rehabilitation to restore proprioceptive acuity, and active movement interventions have been found to be the most effective.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 2","pages":"Pages 269-272"},"PeriodicalIF":2.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136094397","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}