Comparison of Immobilization Periods following Open Reduction and Internal Fixation of Distal Radius Fracture: A Systematic Review and Meta-Analysis
Distal radius fracture (DRF) is considered to be among the most common upper extremity fractures. 1 It has been estimated that more than 650,000 DRFs occur annually in the United States with an incidence of 16.2 DRFs per 10,000 per year. 12 Since its inception, the volar locking plate (VLP) heralded a shift in DRF management because of its advantages in permitting early mobilization and return to daily activities as soon as the patient is comfortable. 3-6 Even in elderly patients, the sufficient anatomical restoration of the wrist delivered by VLP allows earlier resumption of forearm range of motion (ROM), faster functiona...
Source: Journal of Hand Therapy - June 23, 2021 Category: Rehabilitation Authors: Abdullah A. Ghaddaf, Ahmed S. Abdulhamid, Mohammed S. Alomari, Mohammed S. Alquhaibi, Abdulaziz A. Alshehri, Mohammed S. Alshehri Source Type: research
Multi-site evaluation of Advanced Practice Hand Therapy Clinics for the management of patients with trigger digit.
Trigger digit (TD), often referred to as stenosing tenosynovitis, occurs due to an imbalance between the flexor tendon and the A1 pulley through which it glides during finger movement.1 TD has a lifetime prevalence of 2-3% in the general population and 10% in the diabetic population2 and is seen most often in females and in those aged 50-60 years.3 Patients present with painful clicking or locking of one or more digits, difficulty grasping and manipulating objects, which may result in substantial functional disability. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - June 23, 2021 Category: Rehabilitation Authors: Christopher Burton, Michelle A. Palmer, Lauren Fanton, Ruth Cox, Laurelie R. Wishart Source Type: research
Development and test-retest reliability assessment of a low-cost, 3D printed tool for asessing different aspects of hand dexterity
The hand is an intricate part of the upper extremity that is responsible for a range of important functions. An essential component of the hand's functionality is dexterity, which is critical to successful functional outcomes in tasks of daily living, work, play, school, and leisure.1 Dexterity is considered a complex concept with varied definitions;2 however it typically refers to an individual's ability to manipulate objects skilfully and precisely with their hands.3, 4 Adequate and quality dexterous movements involve a complex range of hand abilities to achieve desired functional outcomes. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - June 23, 2021 Category: Rehabilitation Authors: Nadine Wilson, Emma Hough, Dr Anita Hamilton, Dr Michele Verdonck, Associate Professor Ross Clark Source Type: research
Musculoskeletal Overuse Disorders of the Upper Extremity – A movement toward universal acceptance of alternative factors in causality and treatment
This Special Issue of the Journal of Hand Therapy focuses on the unique nature of dysfunction as a result of overuse – from the perspective and in the context of personal, occupational, biomechanical, physiological, and psychosocial factors. The goal of the special issue was to develop a volume of compelling scientific and clinical articles - unique in their approaches and perspectives - addressing assessment an d intervention for people whose occupation places them at risk for upper extremity musculoskeletal disorders. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - June 15, 2021 Category: Rehabilitation Authors: James W. King, Aviva Wolff Source Type: research
The Forgotten Radial Nerve: A conceptual framework for treatment of lateral elbow pain
Lateral elbow pain frequently diagnosed as lateral epicondylitis is a prevalent musculoskeletal overuse disorder that affects 3% of the US population and has serious consequences for musculoskeletal health, occupational performance, and overall healthcare burden (average per patient cost =$4263, 7.2 million in annual costs)1. Available treatment options have been studied rigorously (steroid injections, PRP, and therapeutic regiments such as stretching, eccentric exercise, elastic taping), yet supporting evidence is low to moderate for short-term and mid-term effectiveness (total improvement in 42%, 46 % transient improveme...
Source: Journal of Hand Therapy - June 3, 2021 Category: Rehabilitation Authors: A Taylor, A. Wolff Tags: Hospital for Special Surgery Source Type: research
The development and use of an anatomy-based retraining program (MusAARP) to assess and treat focal hand dystonia in musicians – a pilot study
International studies consistently indicate that musicians across their lifespan will suffer from extremely high rates of performance-related health disorders, affecting up to 89.5% of professional orchestral musicians worldwide1. Overuse injuries, movement disorders such as musician's dystonia, as well as music performance anxiety are all commonly reported conditions, and in many cases these conditions may be associated2,3. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - May 27, 2021 Category: Rehabilitation Authors: Bronwen Ackermann, Eckart Altenm üller Source Type: research
Leveraging implementation science to prevent and reduce musculoskeletal overuse injury in musicians: A proposal for the study of a conceptual framework
Musician health and wellness, a fundamental requirement for safe, effective, and optimal musical performance, is not guaranteed. The cumulative reported lifetime prevalence of performance related musculoskeletal disorders PRMD affecting all musicians is 93%2 with the highest incidence rates reported in musician-students.3,4 PRMD is defined as symptoms that have a negative impact on the ability to play a musical instrument.1 These disorders have serious consequences for health-care burden, cost, and impact on musician's careers. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - May 27, 2021 Category: Rehabilitation Authors: A. Wolff Source Type: research
Lateral Epicondylosis: A Literature Review to Link Pathology and Tendon Function to Tissue-Level Treatment and Ergonomic Interventions
Common treatments for lateral epicondylosis focus on tissue healing. Ergonomic advice is suggested broadly, but recommendations based on biomechanical motion parameters associated with functional activities are rarely made. This review analyzes the role of body functions and activities in lateral epicondylosis and integrates the findings to suggest motion parameters applicable to education and interventions relevant to activities and life roles for patients. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - May 17, 2021 Category: Rehabilitation Authors: Caroline W. Stegink-Jansen, Julia G. Bynum, Alexandra L. Lambropoulos, Rita M. Patterson, April C. Cowan Source Type: research
ICF Linking of Patient-Reported Therapy Goals for Children with Acquired Upper Extremity Impairment
In hand therapy practice, patient-reported outcome measurement scales (PROMs) are used routinely for assessing patients ’ functional and quality of life outcomes.1 The Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH)2 and other upper extremity region-specific PROMs, such as the Patient-Rated Wrist Evaluation (PRWE)3, are well-established PROMs in the adult population1. Yet, evidence of well-established PROMs for children and adolescents receiving hand therapy is lacking. In fact, PROMs used in pediatric studies, such as the Pediatric Outcomes Data Collection Instrument (PODCI) and quickDASH, are clinician der...
Source: Journal of Hand Therapy - May 16, 2021 Category: Rehabilitation Authors: Jenny M. Dorich, Roger Cornwall, Tim Uhl Source Type: research
Optimal Multi-Field Functional Electrical Stimulation Parameters for the “Drinking Task - Reaching phase” and Related Upper Limb Kinematics Repeatability in Post stroke Subjects
These findings show that the main characteristics of FES parameters that improves patient perception of change are quiet stable, which facilitate its implementation in clinical practice by allowing consistence between intervention sessions. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - May 16, 2021 Category: Rehabilitation Authors: Andreia S.P. Sousa, Cl áudia Isabel Costa da Silva, Inês Albuquerque Mesquita, Augusta Silva, Rui Macedo, Eukene Imatz-Ojanguren, Erik Hernandez, Thierry Keller, Juliana Moreira, Pedro Filipe Pereira da Fonseca, Rubim Santos Source Type: research
Development of Overuse Musculoskeletal Conditions after Combat-Related Upper Limb Amputation: A Retrospective Cohort Study
The care of amputees is a major problem facing any Army during wartime.1 To this end, there have been over 1,705 Service members who have sustained major deployment-related limb amputations since September 11, 2001.2 Although a relatively smaller proportion of deployment-related amputations involved the upper limb (17.7%) as compared to the lower limb, major upper limb amputations are regarded amongst the most life-altering and debilitating combat injuries.3,4 The hand and arm are remarkably dexterous, superbly sensitive, and extremely proficient in the performance of the functions and tasks of daily living. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - May 16, 2021 Category: Rehabilitation Authors: Jill M. Cancio, Susan Eskridge, Kaeley Shannon, Annemarie Orr, Brittney Mazzone, Shawn Farrokhi Source Type: research
Flexion-extension Strength of the Index-Thumb System in Italian Population. A Cross-Sectional Study to Gather Normative Data
People with hand impairments perceive them as highly disabling since they directly limit activities of daily living1 or specific professional activities involving hand or thumb.2 (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - May 16, 2021 Category: Rehabilitation Authors: Alberto Dottor, Lucia Grazia Sansone, Simone Battista, Laura Mori, Marco Testa Source Type: research
Effective assessments to identify overuse injuries in unaffected limbs of persons with unilateral upper limb amputations.
Overuse injuries (OI) are public health problems that can lead to permanent disability.1 As a cluster of syndromes, OI typically develops over extended periods of time from known risk factors of high repetition and resistant activities.2 (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - May 16, 2021 Category: Rehabilitation Authors: Sharon R. Flinn, Glenn Goodman Source Type: research
Effect of pre-treatment expectations on post-treatment expectation fulfillment or outcomes in patients with distal radius fracture
Patient expectation is defined as the patient's general anticipation or belief that a desired outcome follows treatment1 and it is a significant predictor of outcomes in several clinical specialties.2 The basis of this finding has been ascribed to patient psychological factors such as the expectation of outcomes, its relationship to the success of rehabilitation, and levels of post-operative pain and recovery.3 Recently, defining patient expectations for the treatment of orthopedic diseases has been highlighted, which may improve patients ’ experience and enhance the communication between surgeons and their patients. (So...
Source: Journal of Hand Therapy - May 12, 2021 Category: Rehabilitation Authors: Jae Kwang Kim, Bassmh Al-Dhafer, Young Ho Shin, Hyun Seok Joo Source Type: research
High baseline pain is associated with treatment adherence in persons diagnosed with thumb base osteoarthritis: an observational study
Osteoarthritis (OA) is a common and disabling condition that carries a large economic burden 1. Of the affected joints, the thumb base is commonly affected, with symptomatic prevalence rates reported as high as 30% in older women 2. Those with symptomatic thumb OA experience decreased grip strength and difficulties with functional tasks such as writing, manipulating small objects and carrying heavy loads compared to their non-symptomatic counterparts 2. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - May 12, 2021 Category: Rehabilitation Authors: Vicky Duong, Philippa JA Nicolson, Sarah R Robbins, Leticia A Deveza, Anne Wajon, Ray Jongs, David J Hunter Source Type: research
