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elbow and manual therapy

Nick Caplan, H Robson, A Robson, G Barry, G Wilkes
BACKGROUND: Community-based musculoskeletal physiotherapy is used to improve function and health related quality of life (HRQoL). The purpose of this retrospective, multi-centre observational study was to determine the association between community-based physiotherapy management for musculoskeletal disorders and changes in HRQoL. METHODS: Four thousand one hundred twelve patients' data were included in the study. Patients were included if they received a single period of treatment for a musculoskeletal injury or disorder...
October 25, 2017: Health and Quality of Life Outcomes
Jose Luis Alonso-Perez, Almudena Lopez-Lopez, Roy La Touche, Sergio Lerma-Lara, Emilio Suarez, Javier Rojas, Mark D Bishop, Jorge Hugo Villafañe, Josué Fernández-Carnero
OBJECTIVE: The purpose of this study was to evaluate the extent to which psychological factors interact with a particular manual therapy (MT) technique to induce hypoalgesia in healthy subjects. METHODS: Seventy-five healthy volunteers (36 female, 39 males), were recruited in this double-blind, controlled and parallel study. Subjects were randomly assigned to receive: High velocity low amplitude technique (HVLA), joint mobilization, or Cervical Lateral glide mobilization (CLGM)...
October 2017: Journal of Bodywork and Movement Therapies
Catalina Lopera, Peter R Worsley, Dan L Bader, Deborah Fenlon
BACKGROUND: Lymphedema is a chronic peripheral swelling caused by a dysfunction of the lymphatic system, leading to discomfort and loss of upper limb movement. Therapies to treat or manage this swelling have limited evidence, partly because of a paucity in objective lymphatic measures. This study explored the role of near-infrared (NIR) imaging in evaluating interventions. METHODS: Nine healthy volunteers underwent NIR fluoroscopy using a microdose (50 μL, 0...
September 2017: Lymphatic Research and Biology
Steve Volpe
Study Design Case report. Background Multifocal motor neuropathy is a progressive motor nerve disorder characterized by muscle weakness in the extremities. Muscle imbalance and weakness can become so severe that the involved extremity can be rendered nonfunctional. The purpose of this case report is to describe the physical therapy postoperative management of a patient who underwent a multiple tendon transfer to correct the loss of digital/wrist extension of the right upper extremity. Case Description A 38-year-old woman with a medical diagnosis of multifocal motor neuropathy, which caused muscle imbalance and weakness in the right hand, underwent a multiple tendon transfer to correct the loss of digit and wrist extension...
December 2016: Journal of Orthopaedic and Sports Physical Therapy
Justin M Lantz, Shruti Joshi, Michael OʼHearn
PURPOSE: Juvenile idiopathic arthritis (JIA) is a cause of disability in childhood. Little research exists concerning physical therapy management, and no evidence exists for orthopedic manual physical therapy (OMPT) for JIA. The purpose of this case report is to describe the use of OMPT in combination with therapeutic exercise in the successful treatment of a child with oligoarticular JIA. KEY POINTS: A 6-year-old girl with oligoarticular JIA presented with elbow pain and stiffness interfering with function...
December 0: Pediatric Physical Therapy
Changsop Yang, Eunyoung Lee, Eui-Hyoung Hwang, Ojin Kwon, Jun-Hwan Lee
The purpose of this study was to report the current state of Korean medicine (KM) treatment on sports injury by implementing survey with volleyball team medical doctors participating in 2013-2014 season. Six KM doctors completed a questionnaire that includes injury parameters: type, location, situation, and pain scores. We collected 166 injury cases from 94 Korean male and female national volleyball players. Knee (25.9%), low back (13.3%), elbow, and ankle (8.4%) injuries were most common. Joint (41.6%) and muscle (30...
2016: Evidence-based Complementary and Alternative Medicine: ECAM
Stasinopoulos Dimitrios
Lateral elbow tendinopathy (LET) is a common musculoskeletal/sports injury. A plethora of physiotherapy techniques has been proposed in the management of LET. The exercise programme is the most common treatment in the management of LET. The optimal protocol of exercise programme is still unknown. The effectiveness of the exercise programme is low when it is applied as monotherapy. Therefore, exercise programme is combined with other physiotherapy modalities such as soft tissue techniques, external support, acupuncture, manual therapy and electrotherapy, in the treatment of LET...
August 18, 2016: World Journal of Orthopedics
Renée Keijsers, Michel P J van den Bekerom, Koen L M Koenraadt, Ronald L A W Bleys, C Niek van Dijk, Denise Eygendaal
PURPOSE: Different injection therapies are used in the treatment of lateral epicondylitis (LE). Usually, the extensor carpi radialis brevis (ECRB) tendon is affected. Therefore, an injection should be aimed at the origin of this tendon. This study demonstrates the accuracy of manual injections in the treatment of LE. METHODS: Ten surgeons have injected a cadaver elbow with acrylic paint, using the same injection technique (i.e. number of perforations, amount of injected fluid) that they in daily practice would use in the treatment of LE...
July 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Carolina Colomer, Roberto Llorens, Enrique Noé, Mariano Alcañiz
BACKGROUND: Virtual and mixed reality systems have been suggested to promote motor recovery after stroke. Basing on the existing evidence on motor learning, we have developed a portable and low-cost mixed reality tabletop system that transforms a conventional table in a virtual environment for upper limb rehabilitation. The system allows intensive and customized training of a wide range of arm, hand, and finger movements and enables interaction with tangible objects, while providing audiovisual feedback of the participants' performance in gamified tasks...
May 11, 2016: Journal of Neuroengineering and Rehabilitation
Agnieszka Lubińska, Hanna Mosiejczuk, Iwona Rotter
OBJECTIVE: The aim of this study was to examine the effectiveness of lymphatic kinesiotaping in patients after unilateral breast cancer surgery. MATERIAL AND METHODS: Complex decongestive therapy in patients after right-side breast-conserving surgery was done once a week for 2 months (from November to December 2014). It involved manual lymph drainage and lymphatic application of kinesiotaping. An original kinesiology tape (Nitto Denko, Japan) was used for the treatment...
2015: Pomeranian Journal of Life Sciences
Deborah Sutton, Douglas P Gross, Pierre Côté, Kristi Randhawa, Hainan Yu, Jessica J Wong, Paula Stern, Sharanya Varatharajan, Danielle Southerst, Heather M Shearer, Maja Stupar, Rachel Goldgrub, Gabrielle van der Velde, Margareta Nordin, Linda J Carroll, Anne Taylor-Vaisey
BACKGROUND: Musculoskeletal disorders of the elbow, forearm, wrist and hand are associated with pain, functional impairment and decreased productivity in the general population. Combining several interventions in a multimodal program of care is reflective of current clinical practice; however there is limited evidence to support its effectiveness. The purpose of our review was to investigate the effectiveness of multimodal care for the management of musculoskeletal disorders of the elbow, forearm, wrist and hand on self-rated recovery, functional recovery, or clinical outcomes in adults or children...
2016: Chiropractic & Manual Therapies
Syamala Buragadda, Adel A Alhusaini, Ganeswara Rao Melam, Nisha Arora
[Purpose] Post mastectomy lymphedema is common among breast cancer survivors. It leads to physical discomfort and functional impairment. Rehabilitation forms the mainstay of treatment and is multidisciplinary. [Subjects and Methods] Sixty post mastectomy patients were allocated randomly and assigned to either a conventional treatment group (n=30) or a complete decongestive therapy (CDT) group (n=30). The conventional treatment group received manual lymphatic drainage, wore a low elastic compression garment, received glenohumeral mobilization, and performed deep breathing exercises, and the complete decongestive therapy group received CDT from a trained physiotherapist and a daily home program along with the conventional treatment, 5 days a week for 6 weeks...
September 2015: Journal of Physical Therapy Science
Nels D Leafblad, Ann E Van Heest
Research from the last 5 years on the pathophysiology and treatment of upper extremity sequelae of cerebral palsy (CP) is presented. The development of new treatments of CP-affected limbs, utilizing the brain's inherent neuroplasticity, remains an area of promising and active research. Functional magnetic resonance imaging scans have evaluated the role of neuroplasticity in adapting to the initial central nervous system insult. Children with CP appear to have greater recruitment of the ipsilateral brain for motor and sensory functions of the affected upper limb...
May 2015: Journal of Hand Surgery
Lucianne Speth, Yvonne Janssen-Potten, Pieter Leffers, Eugene Rameckers, Anke Defesche, Bjorn Winkens, Jules Becher, Rob Smeets, J S H Vles
OBJECTIVE: This study reports on the effects of botulinum toxin A (BoNT-A) injections in the upper extremity (UE) of children with unilateral Cerebral Palsy (uCP) combined with bimanual task oriented therapy (BITT) or either treatment modality performed separately on UE range of motion (ROM), spasticity and (functional) strength. METHODS: Thirty-five children, mean age 7.14 years (SD 2.63) of whom 11 had a Manual Ability Classification Score (MACS) I, 15 MACS II and 9 MACS III, participated...
May 2015: European Journal of Paediatric Neurology: EJPN
Kenneth C Lam, Alison R Snyder Valier, Tamara C Valovich McLeod
BACKGROUND: The inclusion of clinical practice factors, beyond epidemiologic data, may help guide medical coverage and care decisions. HYPOTHESIS: Trends in injury and treatment characteristics of sport-specific injuries sustained by secondary school athletes will differ based on sport. STUDY DESIGN: Retrospective analysis of electronic patient records. LEVEL OF EVIDENCE: Level 4. METHODS: Participants consisted of 3302 boys and 2293 girls who were diagnosed with a sport-related injury or condition during the study years...
January 2015: Sports Health
Ki Hun Cho, Joo Young Lee, Kun Jae Lee, Eun Kyoung Kang
[Purpose] Gait function after a stroke is an important factor for determining a patient's ability to independently perform activities of daily living (ADL). The objective of this study was to elucidate the factors associated with gait function in post-stroke patients. [Subjects] Thirty-nine stroke patients (16 females and 23 males; average age 67.82 ± 10.96 years; post-onset duration: 200.18 ± 27.14 days) participated in this study. [Methods] Their gait function, motor function (Manual Muscle Test [MMT] and Brünnstrom stage), level of cognition (Mini-Mental State Examination score [MMSE], and the Loewenstein Occupational Therapy Cognitive Assessment for the Geriatric Population [LOTCA-G]), and ADL (Korean modified Barthel index [K-MBI]) were assessed...
December 2014: Journal of Physical Therapy Science
Wen-Dien Chang, Ping-Tung Lai, Yung-An Tsou
Lateral epicondylalgia is a common orthopedic disorder. In traditional Chinese medicine, acupuncture is often used for treating lateral epicondylalgia. Laser acupuncture, compared with manual acupuncture, has more advantages because it is painless, aseptic and safe. However, the analgesic effect of manual acupuncture and laser acupuncture on lateral epicondylalgia has rarely been explored. We conducted a systematic review and meta-analysis to compare the analgesic effect of laser acupuncture and manual acupuncture for the treatment of lateral epicondylalgia...
2014: American Journal of Chinese Medicine
Jisun Yoon, Min Ho Chun, Sook Joung Lee, Bo Ryun Kim
OBJECTIVE: The aim of this study was to evaluate the benefit of virtual reality-based rehabilitation on upper-extremity function in patients with brain tumor. DESIGN: Patients with upper-extremity dysfunction were divided into age-matched and tumor type-matched two groups. The intervention group performed the virtual reality program 30 mins per session for 9 sessions and conventional occupational therapy 30 mins per session for 6 sessions for 3 wks, whereas the control group received conventional occupational therapy alone 30 mins per session for 15 sessions for 3 wks...
June 2015: American Journal of Physical Medicine & Rehabilitation
Mark Laslett, Michael Steele, Wayne Hing, Peter McNair, Angela Cadogan
OBJECTIVE: Identify predictor variables and models for clinical outcomes for primary care shoulder pain patients to 12 months follow-up. DESIGN: A non-randomized audit with measures of pain and disability at 3 weeks, 3, 6 and 12 months. PATIENTS: Of 208 patients, 161 agreed to participate with 96.9, 98.1, 87.0 and 83.9% follow-up at 3 weeks, 3, 6 and 12 months respectively. Treatment consisted of exercise and manual therapy-based physiotherapy and corticosteroid injection under specified selection criteria...
January 2015: Journal of Rehabilitation Medicine
Kuan-yi Li, Yi-hui Wu
The purpose of this study was to measure kinesthetic accuracy in healthy older adults by using arm position and motion matching tests. We investigated the effect of task type, joint angle, and matching arm results on kinesthetic accuracy in the upper extremities of 17 healthy right-handed older adults. Blinded subjects were asked to match positions and motions at four reference joint angles: 1) shoulder flexion, 0°-60°; 2) elbow flexion, 90°-135°; 3) wrist extension, 0°-50° in the sagittal plane; and 4) shoulder abduction, 0°-60° in the frontal plane...
2014: Clinical Interventions in Aging
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