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upper extremity posture

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
David I Douphrate, Matthew W Nonnenmann, Robert Hagevoort, David Gimeno Ruiz de Porras
Dairy production in the United States is moving towards large-herd milking operations, resulting in an increase in task specialization and work demands. The objective of this project was to provide preliminary evidence of the association of a number of specific job conditions that commonly characterize large-herd parlor milking operations with work-related musculoskeletal symptoms (MSS). A modified version of the Standardized Nordic Questionnaire was administered to assess MSS prevalence among 450 US large-herd parlor workers...
2016: Journal of Agromedicine
Christa M Nelson, Julius P A Dewald, Wendy M Murray
Muscle fascicle lengths are commonly measured in vivo using static 2D ultrasound. However, static ultrasound is best suited for muscles with shorter, pennate fascicles, in which entire fascicles can be viewed in one static image. An informal review of data from cadaver dissections suggests that over 60% of muscles in the upper and lower limbs have optimal lengths longer than the field-of-view of standard ultrasound transducers. Extended field-of-view ultrasound (EFOV) has been validated for measurement of fascicle lengths, but has yet to be implemented in the upper extremity in humans...
June 14, 2016: Journal of Biomechanics
Emil Sundstrup, Markus Due Jakobsen, Lars Louis Andersen, Thomas Rostgaard Andersen, Morten Bredsgaard Randers, Jørn Wulff Helge, Charlotte Suetta, Jakob Friis Schmidt, Jens Bangsbo, Peter Krustrup, Per Aagaard
PURPOSE: A decline in physical capacity takes place with increasing age that negatively affects overall physical function including work ability and the ability to perform typical activities of daily living (ADL). The overall aim of the present study was to determine the neuromuscular adaptations to long-term (1 year) football and strength training in older untrained adults, and to assess the concurrent effect on functional ADL capacity. METHODS: Twenty-seven healthy elderly males (68...
June 2016: European Journal of Applied Physiology
Dilek Sahinoğlu, Gürsoy Coskun, Nilgün Bek
BACKGROUND: Adaptive seating supports for cerebral palsy are recommended to develop and maintain optimum posture, and functional use of upper extremities. OBJECTIVES: To compare the effectiveness of different seating adaptations regarding postural alignment and related functions and to investigate the effects of these seating adaptations on different motor levels. STUDY DESIGN: Prospective study. METHODS: A total of 20 children with spastic cerebral palsy (Gross Motor Function Classification System 3-5) were included...
March 29, 2016: Prosthetics and Orthotics International
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