Journal of Hand Therapy最新文献

{"title":"The efficacy of Mulligan mobilization and corticosteroid injection on pain, functionality, and proprioception in rotator cuff tears: A randomized controlled trial","authors":"Burak Menek ,&nbsp;Merve Yilmaz Menek","doi":"10.1016/j.jht.2024.12.016","DOIUrl":"10.1016/j.jht.2024.12.016","url":null,"abstract":"<div><h3>Background</h3><div>Treatment of rotator cuff (RTC) tears commonly involves manual therapy, exercise, and injection methods. These treatments are typically administered together as components of a physical therapy intervention. However, it is not known which intervention is more effective.</div></div><div><h3>Purpose</h3><div>The objective of this study was to examine the impact of mobilization with movement (MWM) mobilization, a technique from Mulligan approaches, and corticosteroid (CS) injection on pain, functionality, and proprioception<span> in cases of RTC tears.</span></div></div><div><h3>Study Design</h3><div>This was a single-blinded randomized clinical trial.</div></div><div><h3>Methods</h3><div>Participants with RTC tears (<em>n</em><span><span> = 60) were divided into Mulligan mobilization (MM) and CS groups. The participants in the MM group performed mobilization with movement and a conventional exercise program; the CS group received a CS injection in addition to conventional exercises. The Visual Analog Scale<span>, The Disabilities of the Arm, Shoulder, and Hand questionnaire, active range of motion (AROM), and joint position sense (JPS) were evaluated. The outcomes were analyzed using effect size<span>, minimum clinically important difference, minimal detectable change, </span></span></span>Wilcoxon test, and Mann-Whitney U test.</span></div></div><div><h3>Results</h3><div>Both groups significantly improved in all measured outcomes at 3 weeks. The MM group showed significantly better (<em>p</em> &lt; 0.05, Cohen d range 0.82-3.2) results in pain, AROM (Flexion, abduction, extension, external rotation, internal rotation), and proprioception (30° and 60° of flexion and abduction). Between-group differences in AROM were also clinically meaningful as they exceeded their MDC₉₀ and minimum clinically important difference values.</div></div><div><h3>Conclusions</h3><div>Although both of these treatment methods may be successful in the short-term management of chronic RTC, the MM approach combined with conventional exercises seems to be a more effective approach for improving shoulder pain, function, and proprioception in this patient population.</div></div><div><h3>Clinical Trial Number</h3><div>NCT05933382</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 410-417"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371198","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":"Can manual lymphatic drainage be a new treatment option in mild-moderate carpal tunnel syndrome? A randomized controlled study","authors":"Merve Akdeniz Leblebicier ,&nbsp;Emine Cihan ,&nbsp;Fatima Yaman ,&nbsp;Cansu Sahbaz Pirincci ,&nbsp;Arzu Ture ,&nbsp;Vural Kavuncu","doi":"10.1016/j.jht.2024.12.020","DOIUrl":"10.1016/j.jht.2024.12.020","url":null,"abstract":"<div><h3>Background</h3><div><span><span>Carpal tunnel syndrome is the most common </span>entrapment neuropathy in the upper extremity, making it essential to assess the effectiveness of various </span>physiotherapy treatments.</div></div><div><h3>Purpose</h3><div>This study aimed to determine the clinical and electrodiagnostic<span> improvement in mild-to-moderate carpal tunnel syndrome patients through manual lymphatic drainage (MLD) versus an orthosis alone.</span></div></div><div><h3>Study Design</h3><div>This is a prospective randomized controlled study.</div></div><div><h3>Methods</h3><div>The sample consisted of a total of 36 patients who met the inclusion criteria. Experimental group received MLD and orthosis, and the control group received only orthosis. The patients were evaluated with electrodiagnostic<span> tests, Visual Analog Scale<span><span>, algometer measurements (pressure pain threshold), Boston </span>Carpal Tunnel Syndrome Questionnaire before and after treatment. Evaluations were made before and after treatment (4 weeks later).</span></span></div></div><div><h3>Results</h3><div><span>Boston Carpal Tunnel Syndrome Questionnaire scores improved significantly with both treatment methods in both the experimental (p &lt; 0.001, d = 2.0) and control groups (p &lt; 0.001, d = 1.5). The pressure pain threshold significantly increased in the experimental group at the level of the transverse carpal ligament (</span><em>p</em><span><span> = 0.02, d = 0.86, 95% Confidence Interval (CI) = −0.08 to 1.2). At the distal radioulnar joint and extensor </span>digitorum<span> communis muscle levels, the pressure pain threshold similarly increased for two groups after treatment (</span></span><em>p</em> = 0.65, d = 0.31, 95% CI = −0.44 to 1.2), but the post-treatment increase in the experimental group was significant (<em>p</em> = 0.007, d = 0.31). In the experimental group, motor velocity (<em>p</em> = 0.001, d = 0.98), amplitude (<em>p</em> = 0.002, d = 1.5), and latency (<em>p</em> = 0.002, d = 0.60) and sensory velocity (<em>p</em> = 0.03, d = 0.91) and latency (<em>p</em> = 0.001, d = 1.2) significantly improved, while in the control group, there was a significant change only in motor velocity and amplitude (<em>p</em> = 0.047, d = 0.59). The post-treatment sensory improvement was significantly higher in the experimental group (<em>p</em> = 0.01, d = 0.81, 95% CI = −0.78 to −0.49).</div></div><div><h3>Conclusions</h3><div>MLD significantly improved sensory conduction velocity, amplitude, and latency of the median nerve. Additionally, MLD and orthosis increased the pain pressure threshold and led to functional improvement.</div></div><div><h3>Clinical trial registration</h3><div>This is listed with study ID: NCT05394870</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 584-593"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371440","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":"Kinesiophobia, catastrophizing, and the duration of immobilization: A prospective study on factors associated with shoulder disability following wrist-hand injuries","authors":"Raquel Cantero-Téllez PhD, OTR/L, PT, CHT ,&nbsp;John Rider PhD, MS, OTR/L, MSCS, CEAS, ATP ,&nbsp;Leire Cruz-Gambero OTR ,&nbsp;Jorge H. Villafañe PhD, PT ,&nbsp;Kristin Valdes PhD, OTR/L, CHT","doi":"10.1016/j.jht.2024.08.004","DOIUrl":"10.1016/j.jht.2024.08.004","url":null,"abstract":"<div><h3>Background</h3><div>Shoulder pain is a major musculoskeletal problem after wrist-hand immobilization. There is limited evidence regarding the relationship of kinesiophobia or pain catastrophizing with shoulder pain and disability after wrist-hand injury.</div></div><div><h3>Purpose</h3><div>To explore associations between kinesiophobia and pain catastrophizing with ipsilateral persistent shoulder disability in patients with wrist-hand injury after 6 months.</div></div><div><h3>Study Design</h3><div>Prospective study.</div></div><div><h3>Methods</h3><div>Participants aged ≥18 years referred to hand therapy after wrist-hand injury requiring wrist-hand immobilization were recruited and completed the Numeric Pain Scale, Shoulder Pain and Disability Index, Pain Catastrophizing Scale (PCS), and Tampa scale for kinesiophobia (TSK) at baseline, after an immobilization period, and after 6 months.</div></div><div><h3>Results</h3><div>A total of 107 patients were included in the study. Scaphoid fractures were found in 49 (45.8%) of patients, and 58 (54.2%) had distal radius fractures. For each week of increased time spent in immobilization, the Shoulder Pain and Disability Index score increased by 10.2 points, 95% confidence interval (CI) [6.76, 13.57], with higher levels of immobilization being associated with increased shoulder pain and disability. The baseline TSK score was 17.4 and 11.2 at follow-up. The PCS score was initially 14.8 and decreased to 9.3 at follow-up. The addition of TSK and PCS to the predictive model led to a statistically significant increase in R² of 0.163, F(2,100) = 47.471, <em>p</em> &lt; 0.001.</div></div><div><h3>Conclusions</h3><div>The duration of wrist immobilization following an injury may play a crucial role in the level of shoulder disability experienced at the 6-month mark post-injury. This shoulder disability may be influenced by factors such as fear of movement.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 477-482"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056428","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":"Going green… Changes to hand therapy activities to be better stewards of a sustainable environment","authors":"Joy C MacDermid","doi":"10.1016/j.jht.2025.08.001","DOIUrl":"10.1016/j.jht.2025.08.001","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Page 409"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056354","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":"CONCEPTUALIZING COLD INTOLERANCE: A CONCEPT ANALYSIS","authors":"A. Jones,&nbsp;L. Bissonette,&nbsp;T. Packham","doi":"10.1016/j.jht.2024.08.039","DOIUrl":"10.1016/j.jht.2024.08.039","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 678-679"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145060356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CRITICALLY APPRAISED PAPER: \"MANAGEMENT OF STABLE PROXIMAL INTERPHALANGEAL JOINT VOLAR PLATE INJURIES WITH FIGURE-OF-8 ORTHOSES: A PARALLEL-GROUP RANDOMIZED CONTROLLED TRIAL\"","authors":"R. Metts,&nbsp;S. Doerrer","doi":"10.1016/j.jht.2024.08.033","DOIUrl":"10.1016/j.jht.2024.08.033","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Page 674"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145060531","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":"ENHANCING HAND FUNCTION RECOVERY AFTER EXTENDED RADIAL FOREARM FREE FLAP: A CASE SERIES AND REVIEW OF AN INNOVATIVE THERAPY PROTOCOL","authors":"P. Assi ,&nbsp;J.D. Stehr ,&nbsp;R. Torres-Guzman ,&nbsp;V. Bailey ,&nbsp;A. James","doi":"10.1016/j.jht.2024.08.011","DOIUrl":"10.1016/j.jht.2024.08.011","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 655-656"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061500","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 EFFECTIVENESS OF MINDFULNESS ON REDUCING PAIN AND STRESS IN PATIENTS EXPERIENCING AN UPPER EXTREMITY AILMENT","authors":"B. Hall","doi":"10.1016/j.jht.2024.08.013","DOIUrl":"10.1016/j.jht.2024.08.013","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 658-659"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061559","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":"ENHANCING PEDIATRIC GRIP STRENGTH ASSESSMENT: THE DEVELOPMENT AND PRELIMINARY EVALUATION OF A CHILD-FRIENDLY DYNAMOMETER","authors":"R. Shanshal ,&nbsp;D. Al-Sammak ,&nbsp;T. Packham","doi":"10.1016/j.jht.2024.08.058","DOIUrl":"10.1016/j.jht.2024.08.058","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 692-693"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061726","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 SHORT-TERM BENEFITS OF FORMAL HAND THERAPY IN PATIENTS STATUS-POST RADIAL FOREARM FREE FLAP: A RETROSPECTIVE CASE SERIES","authors":"J. Nguyen","doi":"10.1016/j.jht.2024.08.021","DOIUrl":"10.1016/j.jht.2024.08.021","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 666-667"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061734","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}