A systematic review of biopsychosocial prognostic factors of recovery after a proximal humerus fracture
Proximal humerus fracture (PHF) is a common upper extremity injury. PHF often causes prolonged disability and interferes with independent function. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - July 20, 2023 Category: Rehabilitation Authors: Azar Varahra, Joy C. MacDermid, Mike Szekeres Source Type: research
Efficacy of extension wrist hand orthosis on pain, grip strength and electromyographic activities in lateral epicondylitis: A randomized single-blind clinical trial
Lateral epicondylitis (LE) is one of the most common work-related complications characterized by pain, decreased grip strength and dysfunction of upper limb. Although conservative management such as physiotherapy and orthosis is reported as first line of treatment, sufficient evidence to decide their effectiveness is lacking and remains controversial. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - July 18, 2023 Category: Rehabilitation Authors: Swapna Sahoo, Rajesh Kumar Mohanty, Jeetendra Mohapatra, Ameed Equebal, Sakti Prasad Das Source Type: research
Clear reporting of educational interventions facilitates innovation and implementation
Education is the mainstay of hand therapy. Yet it is one of the most poorly reported interventions. It is not uncommon to see that a “control” group in a randomized trial is an education intervention, or that education is a component of a multimodal intervention program. However, it is often not clear what exactly that education is. If we are to advance our understanding of how to understand current educational programs, crea te innovative new educational interventions or even improve existing educational interventions, it is critical that we understand what the components are. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - July 1, 2023 Category: Rehabilitation Authors: Joy C MacDermid Tags: Editorial Source Type: research
Table of Contents
(Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - July 1, 2023 Category: Rehabilitation Source Type: research
Editorial Board / Masthead / ASHT Officers
(Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - July 1, 2023 Category: Rehabilitation Source Type: research
Instructions for authors
(Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - July 1, 2023 Category: Rehabilitation Source Type: research
Orthotic intervention options to non-surgically manage adult and pediatric trigger finger: A systematic review
The design and efficacy of orthotic intervention to non-surgically manage adult and pediatric trigger finger vary widely. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - June 28, 2023 Category: Rehabilitation Authors: Li Xian Leong, Siaw Chui Chai, Julianne W. Howell, Melissa J. Hirth Source Type: research
Implementing an internal audit to change practice: Current evidence and review of patient outcomes enabled transition to the relative motion extension approach in the postoperative management of zones IV-VI extensor tendon repairs
Evidence supports use of the relative motion extension (RME) approach following extensor tendon repairs in zones V-VI yielding good or excellent outcomes. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - June 27, 2023 Category: Rehabilitation Authors: Chlo ë E. Pilbeam Kirk, Julianne W. Howell, Melissa J. Hirth, Nick Johnson Source Type: research
Use of a relative motion flexion orthosis with dorsal hood to protect a middle phalanx finger fracture and zone III extensor tendon repair, while correcting a secondary fixed flexion proximal interphalangeal joint flexion contracture: A case report
The anatomy and biomechanics of the extensor mechanism is complex and essential to understand when rehabilitating patients who have had an extensor zone III injury or surgery. The complexity of the extensor mechanism starts in extensor zone V after the sagittal bands stabilize the extensor digitorum communis (EDC) at the metacarpophalangeal joint (MCPJ). In zone IV the EDC trifurcates into two lateral slips and the central slip. The lateral slips are joined by tendons of lumbricals and interossei muscles to form the conjoined lateral bands. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - April 26, 2023 Category: Rehabilitation Authors: Clyde Johnson, Kate Manolopoulos Source Type: research
An in-depth look at zone III and IV anatomy of the finger extensor mechanism and some clinical implications for use of the relative motion flexion orthosis
“It is misleading to speak of isolated, individual and specific actions of the extensor digitorum, lumbricals and interossei muscles. They function as well integrated and coordinated groups in every movement of the digits” Sunderland 19451 (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - April 20, 2023 Category: Rehabilitation Authors: G. van Strien, K.J. van Zwieten Source Type: research
Photovoice to explore the patient experience of a relative motion orthosis following a hand injury
Relative motion (RM) orthoses have a demonstrated application in the hand therapy management of acute tendon injuries.1-8 They protect repaired tendons from excessive force application, and emerging evidence supports their use as an exercise orthosis.1,9,10 When worn for exercise, RM orthoses have been found to facilitate preferential muscle action and torque redirection to target stiff joints and poor biomechanics in a variety of hand conditions.1,9 Classified as “protective,” “exercise,” or “adaptive” orthoses,1 RM orthoses are often favored over traditionally used larger hand- or forearm-based orthoses, as t...
Source: Journal of Hand Therapy - April 12, 2023 Category: Rehabilitation Authors: Tanya Cole, Rebecca Jamwal, Melissa J. Hirth Source Type: research
The relative motion concept in acute and chronic boutonniere deformity: Invited commentary
Boutonniere deformity occurs following disruption of the finger's anatomic attachments between the extrinsic and the intrinsic tendon systems.1 This includes the central slip insertion of the extensor digitorum communis (EDC) at the proximal interphalangeal (PIP) joint as well as the overlying intrinsic fibrous support systems.1 The result is a frustrating conundrum for hand surgeons and therapists alike because of the significant morbidity encountered with disruption of these delicately balanced attachments interconnected with an important mobile fibrous support system. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - April 10, 2023 Category: Rehabilitation Authors: Wyndell Merritt Source Type: research
Are the outcomes of relative motion extension orthoses non-inferior and cost-effective compared with dynamic extension orthoses for management of zones V-VI finger extensor tendon repairs: A randomized controlled trial
Division of the digital extensor tendons over the metacarpophalangeal (MCP) joints and the metacarpals (zones V-VI) is a common injury in working-age people1-5 particularly in males,2 which often requires 6 to 12 weeks of restricted work duties.3-6 The optimal orthosis for supporting the recovery of motion, function, patient satisfaction, and adherence following repair of extensor tendons in these zones is unknown.7,8 (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - April 10, 2023 Category: Rehabilitation Authors: Miranda B űhler, David Gwynne-Jones, Michael Chin, Joshua Woodside, Jamie Gough, Ross Wilson, J. Haxby Abbott Source Type: research
Partnering with people living with rheumatoid arthritis for care of their hands: Four case reports using relative motion orthoses
Adult onset Rheumatoid Arthritis (RA) is the most common form of auto-immune systemic inflammatory joint disease, with acute joint inflammation presenting most commonly between the ages of 30 and 60.1 Approximately 1.5% of people in North America are living with RA (prevalence: 51-56/10,000 people).2,3 Females are 2 to 3 times more likely than males to have RA.4 Clinically RA typically presents with an acute onset of inflammation in the smaller joints of the hands and feet, as well as in multiple other joints, in a bilateral pattern that does not settle over several weeks. (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - April 9, 2023 Category: Rehabilitation Authors: Lynne M. Feehan, Alison Hoens, Julianne Wright Howell Source Type: research
A novel approach to managing closed mallet finger injuries: The addition of a relative motion extension orthosis to a mallet orthosis in patients with proximal interphalangeal joint hyperextension
Disruption of the extensor tendon at the distal interphalangeal joint (DIPJ) is referred to as a mallet finger.1 Mallet finger injuries are common, with an incidence of 5.6% of all tendinous lesions in the hand and wrist.2 Whether managed surgically or non-surgically, up to 10% of cases have a poor outcome with a DIPJ extension lag greater than 10 °.3 Chronic extensor tendon lag may lead to DIPJ pain, cosmetic deformity, and functional impairment.4 (Source: Journal of Hand Therapy)
Source: Journal of Hand Therapy - April 8, 2023 Category: Rehabilitation Authors: Nicole Odewahn, Tracey Clark, Alexander Varey Source Type: research
