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upper extremity posture

Paul T Cutrufello, Stephen J Gadomski, Nicholas A Ratamess
Powerlifters routinely focus on three exercises: bench press, squat, and deadlift. This focus may predispose them to the development of muscle imbalances in either the upper or lower extremity which might also influence posture. Therefore, the purpose of the present study was to examine the agonist:antagonist strength ratios and their relationship to postural measures among powerlifters. An expost facto study design compared fifteen male powerlifters (35.3±13.7 years old) and fifteen age-matched controls (34...
November 16, 2016: Journal of Strength and Conditioning Research
Guangxun Shen, Guangxian Nan, Chae-Won Shin, Hyeyoung Park, Kwee-Yum Lee, Beomseok Jeon
BACKGROUND: Myoclonus is a clinical sign characterized by sudden, brief jerky, shock-like involuntary movements of a muscle or group of muscles. Dystonia is defined as a syndrome of sustained muscle contractions, frequently causing twisting and repetitive movements or abnormal postures. Cases of myoclonus or dystonia secondary to a structural lesion in the cerebellum have been reported. However, there has never been a reported case of combined myoclonus and dystonia secondary to a cerebellar lesion...
November 17, 2016: BMC Neurology
Nora W Jacobs, Redmar J Berduszek, Pieter U Dijkstra, Corry K van der Sluis
Purpose To evaluate validity and reliability of the upper extremity work demands (UEWD) scale. Methods Participants from different levels of physical work demands, based on the Dictionary of Occupational Titles categories, were included. A historical database of 74 workers was added for factor analysis. Criterion validity was evaluated by comparing observed and self-reported UEWD scores. To assess structural validity, a factor analysis was executed. For reliability, the difference between two self-reported UEWD scores, the smallest detectable change (SDC), test-retest reliability and internal consistency were determined...
November 15, 2016: Journal of Occupational Rehabilitation
Stefanie H Müller, Simon L Girard, Franziska Hopfner, Nancy D Merner, Cynthia V Bourassa, Delia Lorenz, Lorraine N Clark, Lukas Tittmann, Alexandra I Soto-Ortolaza, Stephan Klebe, Mark Hallett, Susanne A Schneider, Colin A Hodgkinson, Wolfgang Lieb, Zbigniew K Wszolek, Manuela Pendziwiat, Oswaldo Lorenzo-Betancor, Werner Poewe, Sara Ortega-Cubero, Klaus Seppi, Alex Rajput, Anna Hussl, Ali H Rajput, Daniela Berg, Patrick A Dion, Isabel Wurster, Joshua M Shulman, Karin Srulijes, Dietrich Haubenberger, Pau Pastor, Carles Vilariño-Güell, Ronald B Postuma, Geneviève Bernard, Karl-Heinz Ladwig, Nicolas Dupré, Joseph Jankovic, Konstantin Strauch, Michel Panisset, Juliane Winkelmann, Claudia M Testa, Eva Reischl, Kirsten E Zeuner, Owen A Ross, Thomas Arzberger, Sylvain Chouinard, Günther Deuschl, Elan D Louis, Gregor Kuhlenbäumer, Guy A Rouleau
We conducted a genome-wide association study of essential tremor, a common movement disorder characterized mainly by a postural and kinetic tremor of the upper extremities. Twin and family history studies show a high heritability for essential tremor. The molecular genetic determinants of essential tremor are unknown. We included 2807 patients and 6441 controls of European descent in our two-stage genome-wide association study. The 59 most significantly disease-associated markers of the discovery stage were genotyped in the replication stage...
December 2016: Brain: a Journal of Neurology
K H N Weerdesteijn, F G Schaafsma, A J van der Beek, J R Anema
Purpose The purpose of this study was to obtain consensus among physicians of several medical specialties on the level of limitations to work-related functioning of people with persistent "medically unexplained" physical symptoms (PPS). Methods A modified Delphi study was conducted with 15 physicians of five different medical specialties. The study involved two email rounds and one meeting. In each round, the physicians prioritized the level of limitations in 78 work-related functioning items for four different PPS cases...
October 19, 2016: Journal of Occupational Rehabilitation
Elliot Hogg, Michele Tagliati
BACKGROUND: Overuse or task-specific dystonia has been described in a number of professions characterized by repetitive actions, typically affecting the upper extremities. Cervical dystonia (CD), however, has rarely been associated with overuse. CASE REPORT: We present a case report of typical CD that developed in the context of chronic repetitive movements associated with the patient's professional occupation as an office manager who spent many hours per day holding a phone to his ear...
2016: Tremor and Other Hyperkinetic Movements
Dany H Gagnon, Audrey Roy, Sharon Gabison, Cyril Duclos, Molly C Verrier, Sylvie Nadeau
Objectives. To quantify the association between performance-based manual wheelchair propulsion tests (20 m propulsion test, slalom test, and 6 min propulsion test), trunk and upper extremity (U/E) strength, and seated reaching capability and to establish which ones of these variables best predict performance at these tests. Methods. 15 individuals with a spinal cord injury (SCI) performed the three wheelchair propulsion tests prior to discharge from inpatient SCI rehabilitation. Trunk and U/E strength and seated reaching capability with unilateral hand support were also measured...
2016: Rehabilitation Research and Practice
Arun Garg, J Steven Moore, Jay M Kapellusch
The Revised Strain Index (RSI) is a distal upper extremity (DUE) physical exposure assessment model based on: intensity of exertion, frequency of exertion, duration per exertion, hand/wrist posture and duration of task per day. The RSI improves upon the 1995 Strain Index (SI) by using continuous rather than categorical multipliers, and replacing duty cycle with duration per exertion. In a simulation of 13,944 tasks, the RSI and 1995 SI showed good agreement in risk predictions for 1995 SI scores ≤3 (safe) and >13...
October 14, 2016: Ergonomics
Benjamin L Gordon, Aviva L Wolff, Aaron Daluiski
BACKGROUND: Children with hemiplegic cerebral palsy (hCP) exhibit a typical posture of elbow flexion during gait. However, the change in elbow kinematics and symmetry during gait across age span in both hCP and typically developing (TD) children is not well described. The aim of this study was to quantify the change in elbow kinematics and symmetry across age span in hCP children compared with TD children. METHODS: Upper extremity kinematic data were extracted and analyzed from a database for gait studies performed between 2009 and 2015...
July 29, 2016: Journal of Pediatric Orthopedics
Ertugrul Yuksel, Buse Ozcan Kahraman, Abdurrahman Nalbant, Umut Ziya Kocak, Bayram Unver
AIMS: The functional reach test (FRT) and lateral reach test (LRT) provide important measures of postural stability. The aims of this study were to (1) establish the normative values for FRT and LRT, and (2) examine the effects of age, gender, and various anthropometric measurements on FRT and LRT. METHODS: Two hundred eighty children, aged 6-12 years, completed the study. One hundred fifty-two subjects were females. The mean age was 9.0 ± 2.0 years. Each child performed two trials of FRT and LRT...
July 27, 2016: Physical & Occupational Therapy in Pediatrics
Byung-Chul Son, Sang-Woo Ha, Si-Hoon Lee, Jin-Gyu Choi
Spontaneous intracranial hypotension (SIH) caused by spontaneous spinal cerebrospinal fluid (CSF) leaks produces orthostatic headaches. Although upper arm pain or paresthesia is reportedly associated with SIH from spontaneous spinal CSF leak in the presence of orthostatic headache, low thoracic radicular pain due to spontaneous spinal CSF leak unassociated with postural headache is extremely rare. We report a 67-year-old female who presented with chronic, positional radicular right T11 pain. Computed tomography myelography showed a spontaneous lumbar spinal CSF leak at L2-3 and repeated lumbar epidural blood patches significantly alleviated chronic, positional, and lower thoracic radiculopathic pain...
2016: Pain Research & Management: the Journal of the Canadian Pain Society
Kalyan B Bhattacharyya, Arijit Roy, Atanu Biswas, Ashutosh Pal
Myoclonic dystonia refers to a clinical syndrome characterized by rapid jerky movements along with dystonic posturing of the limbs. Clinically, it is characterized by sudden, brief, electric shock-like movements, mostly involving the upper extremities, shoulders, neck and trunk. Characteristically, the movements wane with consumption of small dose of alcohol in about 50% of cases. Additionally, dystonic contractions are observed in most of the patients in the affected body parts and some patients may exhibit cervical dystonia or graphospasm as well...
April 2016: Annals of Indian Academy of Neurology
Seiji Okada, Charles Chang, Geraldine Chang, James J Yue
BACKGROUND CONTEXT: Venous hypertensive myelopathy (VHM) results from spinal vascular malformations of arteriovenous shunting that increases spinal venous pressure, leading to congestive edema and neurologic dysfunction. There has been no report of VHM associated with cervical spondylotic myelopathy (CSM). PURPOSE: The aim of this study was to report an extremely rare case of VHM likely due to CSM. STUDY DESIGN: This study is a case report and review of the literature...
June 9, 2016: Spine Journal: Official Journal of the North American Spine Society
Glendaliz Bosques, Rebecca Martin, Leah McGee, Cristina Sadowsky
The use of therapeutic electrical stimulation for medical purposes is not new; it has been described in medical textbooks since the 18th century, but its use has been limited due to concerns for tolerance and lack of research showing efficacy. The purpose of this review is to discuss the potential clinical applicability, while clarifying the differences in electrical stimulation (ES) treatments and the theory behind potential benefits to remediate functional impairments in youth.The literature review was performed as follows: A total of 37 articles were reviewed and the evidence for use in pediatric diagnoses is reported...
May 31, 2016: Journal of Pediatric Rehabilitation Medicine
Verónica Montilla-Uzcátegui, Hilarión Araujo-Unda, Anilú Daza-Restrepo, Michel Sáenz-Farret, Federico Micheli
OBJECTIVE: This study aimed to report the case of a patient with paroxysmal nonkinesigenic dyskinesias and Fahr syndrome who had a marked response to carbamazepine. METHODS: We present the case of a 57-year-old female patient with episodes of paroxysmal choreoathetoid dyskinesias in the oromandibular region and distal region of upper and lower extremities, with fluctuating dystonic postures in the same distribution; duration was variable ranging from 30 minutes to 3 hours...
September 2016: Clinical Neuropharmacology
Ahmad Alghadir, Hamayun Zafar, Zaheen Iqbal, Einas Al-Eisa
Information about head orientation, position, and movement with respect to the trunk relies on the visual, vestibular, extensive muscular, and articular proprioceptive system of the neck. Various factors can affect proprioception since it is the function of afferent integration, and tuning of muscular and articular receptors. Pain, muscle fatigue, and joint position have been shown to affect proprioceptive capacity. Thus, it can be speculated that changes in body posture can alter the neck proprioception. This study was undertaken to investigate the effect of body posture on cervicocephalic kinesthetic sense in healthy subjects...
June 2016: Somatosensory & Motor Research
Michael Decker, Kellie A Gomas, Steven J Narvy, C Thomas Vangsness
BACKGROUND: Evidence is growing that computers users are at increased risk of developing musculoskeletal disorders, particularly those involving the upper extremity, with significant financial cost and lost productivity. OBJECTIVE: The purpose of this study was to determine the short-term effects of wearing a dynamic elastic garment (Posture Shirt®, AlignMed; Santa Ana, CA) on musculoskeletal wellness and health in the computer workplace. METHODS: Ninety-six computer users were evaluated...
May 18, 2016: International Journal of Occupational Safety and Ergonomics: JOSE
Abhay Kumar, Pavan Tummala, Eliahu S Feen, Rajat Dhar
INTRODUCTION: Criteria for establishing brain death (BD) require absence of all brainstem-mediated reflexes including motor (ie, decerebrate or decorticate) posturing. A number of spinal cord automatisms may emerge after BD, but occurrence of decerebrate-like spinal reflexes may be particularly problematic; confusion of such stereotypic extension-pronation movements with brain stem reflexes may confound or delay definitive diagnosis of BD. We present a case in which we verified the noncerebral (ie, likely spinal) origin of such decerebrate-like reflexes...
October 2016: Journal of Intensive Care Medicine
Nima Toosizadeh, Bellal Joseph, Michelle R Heusser, Tahereh Orouji Jokar, Jane Mohler, Herb A Phelan, Bijan Najafi
BACKGROUND: Despite increasing evidence that assessing frailty facilitates medical decision-making, a quick and clinically simple frailty assessment tool is not available for trauma settings. STUDY DESIGN: This study examined accuracy and acceptability of a novel wearable technology (upper-extremity frailty [UEF]) to objectively assess frailty status in older adults (65 years or older) admitted to the hospital due to traumatic ground-level falls. Frailty was measured using a validated modified Rockwood questionnaire, the Trauma-Specific Frailty Index (TSFI), as the gold standard...
August 2016: Journal of the American College of Surgeons
Elif Aydın, Harun Çakmak, Tolga Kocatürk, Mürüvvet Eroğlu, Erol Erkan, Imran Kurt Ömürlü, Ömer Faruk Şendur
BACKGROUND: Although the influence of monocular vision to upper limb biomechanics has been well documented, data about lower extremity biomechanics are limited. The objective of the present study was to demonstrate pedobarographic differences between both feet of the individuals with monocular vision in static and dynamic conditions. METHODS: Pedobarographic analysis of twenty-four participants with monocular vision was performed. Relative static pressure load (%) and dynamic peak plantar pressure (N/cm(2)), force (N) distributions and contact area percentages (%) were recorded under both low vision and normal vision side foot...
June 2016: Clinical Biomechanics
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