Ecology of Musical Performance as a model for evaluation and treatment of a musician with a playing related musculoskeletal disorder: A case report
Despite growing interest in musicians ’ occupational health in the last three decades, a high prevalence of playing related musculoskeletal disorders (PRMD) prevails.1 Considerable uncertainty still exists about the nature, etiology, risk factors, and treatment of these disorders.2 While parts of the clinical picture may fall under di agnostic criteria for specific disorders, overuse is a common factor in PRMD, and is often characterized by neuromusculotendinous disorders with unclear pathophysiology, a complex clinical picture, multiple symptom sites, and involvement of multiple tissues. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - May 12, 2021 Category: Rehabilitation Authors: Serap Bastepe-Gray, Marlene A. Riley, Nikolai Klotchkov, Jyotsna Supnekar, Lourdes Filippi, Preeti Raghavan Source Type: research

Effect of pre-treatment expectation 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 treatment 1 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. (S...
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

Letter to editor regarding “Tossini et al. Impairment of electrical activation of wrist flexor and extensor muscles during gripping and functional activities in the early stage of hand osteoarthritis: A cross-sectional study. J Hand Ther. 2021;34(1):10...
Detecting muscle activity with sEMG (Surface Electromyography) is a very important method to get knowledge about the muscle activity. But EMG applications with superficial electrodes have high risks of artefacts and noise. Noise elimination can be done with signal processing, but also some precautions should be taken to prevent these artefacts. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - April 28, 2021 Category: Rehabilitation Authors: Merve Sar ıipek Source Type: research

The effect of Electromyography (EMG)-driven Robotic Treatment on the recovery of the hand Nine years after stroke
It has been reported that upper limb disability is common after stroke and many people cannot fully recover.1 As a result, stroke affects the quality of life of individuals in various aspects including their roles at work, home, and in society.2 After stroke rehabilitation, there is some improvement in the proximal motor functions of the shoulder and elbow joints, but the functional recovery of the wrist and hand is much more limited.3 Patients who have flask patterns in their upper extremities after 2 weeks following stroke suffer from lack of recovery in hand motor skills after 6 months ’ and only a few of them regain ...
Source: Journal of Hand Therapy - April 27, 2021 Category: Rehabilitation Authors: Ozden Erkan Ogul, Dilber Karagozoglu Coskunsu, Sumeyye Akcay, Kubra Akyol, Lutfu Hanoglu, Necla Ozturk Tags: Case Report Source Type: research

Psychosocial Influences in the Development of Cumulative Trauma Disorders
This study is a single-phase, qualitative study using grounded theory methodology. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - April 27, 2021 Category: Rehabilitation Authors: James W. King, Marsha Neville, Sally W. Schultz, Gayle Hersch, Caroline W. Jansen Source Type: research

A scoping review of the use of exercise-based upper extremity injury prevention programs for industrial workers
This study is a scoping review. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - April 27, 2021 Category: Rehabilitation Authors: Jennifer Boyette, Joseph Bell Source Type: research

The effect of emg-driven robotic treatment on the recovery of the hand nine years after stroke
It has been reported that upper limb disability is common after stroke and many people cannot fully recover1. As a result, stroke affects the quality of life of individuals in various aspects including their roles at work, home and in society2. After stroke rehabilitation, there is some improvement in the proximal motor functions of the shoulder and elbow joints, but the functional recovery of the wrist and hand is much more limited3. Patients who have flask patterns in their upper extremities after 2 weeks following stroke suffer from lack of recovery in hand motor skills after 6 months and only a few of them regain their...
Source: Journal of Hand Therapy - April 27, 2021 Category: Rehabilitation Authors: Ozden Erkan Ogul, Dilber Karagozoglu Coskunsu, Sumeyye Akcay, Kubra Akyol, Lutfu Hanoglu, Necla Ozturk Source Type: research

The Hand Therapist's Role in the Prevention and Management of Upper Extemity Injuries in the Modern Mass Production Industrial Setting
: This case study presents the role of an onsite hand therapist (Certified Hand Therapist, Occupational Therapist, Physical Therapist) in an industrial setting and the services that can be provided in this comprehensive care model. Onsite hand therapists can impact on Occupational Safety and Health Administration (OSHA) first aid programs and can provide state of the art treatment for the injured worker in both a direct and indirect capacity. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - April 27, 2021 Category: Rehabilitation Authors: Greg Pitts, Melba Custer, Ryan David Foister, Tim Uhl Source Type: research

Can We Do It Faster? Accelerated Rehabilitation Following Thumb Ulnar Collateral Ligament Repair with Suture Tape Augmentation
Ulnar collateral ligament (UCL) injuries comprise an astounding 86% of all thumb metacarpophalangeal (MCP) joint ligament injuries.1 It is crucial to promptly recognize and treat UCL insufficiency, as failure to do so may result in instability, pain, or thumb MCP joint instability.2 (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - April 18, 2021 Category: Rehabilitation Authors: H.B. Parikh, M.C. Herman, S.S. Shin Tags: Practice Forum Source Type: research

Performance-based outcome measures of dexterity and hand function in person with hands and wrist injuries: A scoping review of measured constructs
Loss of dexterity is a sequala of many common musculoskeletal conditions of the hand and upper limb.1,2 A recent census in Canada found that approximately 1 in 28 adults have a disability relating to dexterity.3 This trend extends internationally, with many studies from other countries reporting a high prevalence of dexterity impairment and an associated loss of ability to retain paid employment and engage in daily activities.4 –7 (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - April 18, 2021 Category: Rehabilitation Authors: Joshua Yong, Joy C MacDermid, Tara Packham, Pavlos Bobos, Julie Richardson, Sandra Moll Source Type: research

Feasibility and impact of a musculoskeletal health for musicians (MHM) program for musician students: A randomized controlled pilot study
Musician health and wellness is fundamental for safe, effective and optimal musical performance. Unfortunately, musculoskeletal overuse injuries affect between the 60-90% of the 30 million professional musicians in the United States.1,2 These injuries have serious consequences on musculoskeletal health, occupational performance ability (20% cancellations and lost time at work), career longevity ( ≤50% recovery), and the overall healthcare burden ($187 million in annual costs).1-8 In musicians, injury is associated with exposure to specific risk factors (prolonged awkward asymmetrical playing postures, repetitive motion) ...
Source: Journal of Hand Therapy - April 15, 2021 Category: Rehabilitation Authors: Aviva L. Wolff, Daphne I. Ling, Ellen K. Casey, Brett G. Toresdahl, Alfred C. Gellhorn Source Type: research

Title: Feasibility and Impact of a Musculoskeletal Health for Musicians (MHM) Program for Musician Students: A Randomized Controlled Pilot Study
Musician health and wellness is fundamental for safe, effective and optimal musical performance. Unfortunately, musculoskeletal overuse injuries affect between the 60-90% of the 30 million professional musicians in the United States1,2. These injuries have serious consequences on musculoskeletal health, occupational performance ability (20% cancellations and lost time at work), career longevity ( ≤50% recovery), and the overall healthcare burden ($187 million in annual costs).1–8 In musicians, injury is associated with exposure to specific risk factors (prolonged awkward asymmetrical playing postures, repetitive motion...
Source: Journal of Hand Therapy - April 15, 2021 Category: Rehabilitation Authors: A. Wolff, D. Ling, E. Casey, B. Toresdahl, A. Gellhorn Source Type: research

Reliability and Validity of a Novel Instrument for the Quantification of Hand Forces During a Jar Opening Task
Arthritis is the leading cause of disability in the United States.1 Osteoarthritis (OA) of the hand affects an estimated 25.6 million U.S. residents over the age of 60 and of these persons, 37% will experience related disability.2 Osteoarthritis is most commonly diagnosed in women who are 55 years of age or older3 and 75% of women between 60 to 70 years of age are estimated to live with symptomatic hand OA.2 In a sample of 87 women living with hand OA, a moderate disruption of occupational performance as per the Australian/Canadian Osteoarthritis Hand Index (AUSCAN)4 and 801 total activity limitations were reported5 per th...
Source: Journal of Hand Therapy - April 15, 2021 Category: Rehabilitation Authors: Corey McGee, Virgil Mathiowetz Source Type: research

The role of diagnostic ultrasound in the examination of carpal tunnel syndrome: an update and systematic review
Carpal tunnel syndrome (CTS) is a common compression neuropathy of the median nerve at the wrist level. The lifetime prevalence, regardless of work status, is 7.8%, and it is higher for women than men (10.0% vs 5.8%)1. The prevalence also increases linearly with age1. Diagnosis of CTS is based on the presence of signs and symptoms found during a clinical exam and may or may not include electrodiagnostic studies, however, there is no single ‘gold standard’ test or measure for confirming the diagnosis. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - April 14, 2021 Category: Rehabilitation Authors: Mia Erickson, Marsha Lawrence, Ann Lucado Source Type: research

The 2019 Practice Analysis of Hand Therapy and the Use of Orthoses by Certified Hand Therapists
Certification in Hand Therapy is a voluntary credentialing program established in 1989 by the Hand Therapy Certification Commission (HTCC) to certify occupational therapists (OTs) and physical therapists (PTs) in the advanced clinical specialty of rehabilitation of the upper limb. The Certified Hand Therapist (CHT) credential is a designation of excellence in hand therapy. A CHT is an OT or PT who has a minimum of three years of clinical experience, including 4,000 hours or more in direct practice in hand therapy, and who has passed the comprehensive Hand Therapy Certification Examination (HTCE). (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - April 14, 2021 Category: Rehabilitation Authors: JoAnn L. Keller, James P. Henderson, Keri W. Landrieu, Mary P. Dimick, J. Martin Walsh Source Type: research