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Hand rehabilitation

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https://www.readbyqxmd.com/read/28535553/differences-in-pain-processing-between-patients-with-chronic-low-back-pain-recurrent-low-back-pain-and-fibromyalgia
#1
Dorien Goubert, Lieven Danneels, Thomas Graven-Nielsen, Filip Descheemaeker, Mira Meeus
BACKGROUND: The impairment in musculoskeletal structures in patients with low back pain (LBP) is often disproportionate to their complaint. Therefore, the need arises for exploration of alternative mechanisms contributing to the origin and maintenance of non-specific LBP. The recent focus has been on central nervous system phenomena in LBP and the pathophysiological mechanisms underlying the various symptoms and characteristics of chronic pain. Knowledge concerning changes in pain processing in LBP remains ambiguous, partly due to the diversity in the LBP population...
May 2017: Pain Physician
https://www.readbyqxmd.com/read/28533613/the-effects-of-tool-holding-on-body-schema-during-motor-imagery-a-near-infrared-spectroscopy-study
#2
Tsubasa Oikawa, Daisuke Hirano, Takamichi Taniguchi, Hitoshi Maruyama
[Purpose] The purpose of this study is to assess the influence of tool holding on brain activities during motor imagery in two tasks: imagining the movement of writing the alphabet while holding a pen and without holding the pen. [Subjects and Methods] Eleven healthy right-handed adults performed two tasks, holding a pen and not holding the pen during imagining the movement of writing the alphabet using a pen. Regions of targets were Brodmann areas 6 which were a motor-related region, 44/45 and 39/40 which taken on the role of forming the body schema...
April 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28532985/upper-limb-and-hand-patterns-in-cerebral-palsy-reliability-of-two-new-classifications
#3
E Chaleat-Valayer, R Bard-Pondarre, J C Bernard, F Roumenoff, A Lucet, A Denis, P Occelli, S Touzet
AIM: To evaluate the inter- and intra-rater reliability of two previously developed classifications of upper limb and hand patterns. METHOD: Two hundred and twelve films of patients with CP (118 of UL postures and 94 of hand tasks; median age 14, 3-46 years) were viewed by 18 examiners from 2 different rehabilitation centers, and one expert who had participated in the design of the classifications. They classed upper limb (3 patterns with sub-types) and hand patterns (2 patterns with subtypes) twice, at 2 months' interval...
May 10, 2017: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/28521563/pain-management-for-children-with-cerebral-palsy-in-school-settings-in-two-cultures-action-and-reaction-approaches
#4
Margareta Adolfsson, Ensa Johnson, Stefan Nilsson
BACKGROUND: Children with cerebral palsy (CP) face particular challenges, e.g. daily pain that threaten their participation in school activities. This study focuses on how teachers, personal assistants, and clinicians in two countries with different cultural prerequisites, Sweden and South Africa, manage the pain of children in school settings. METHOD: Participants' statements collected in focus groups were analysed using a directed qualitative content analysis framed by a Frequency of attendance-Intensity of involvement model, which was modified into a Knowing-Doing model...
May 18, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28511661/a-preliminary-investigation-on-the-utility-of-temporal-features-of-force-myography-in-the-two-class-problem-of-grasp-vs-no-grasp-in-the-presence-of-upper-extremity-movements
#5
Gautam P Sadarangani, Carlo Menon
BACKGROUND: In upper-extremity stroke rehabilitation applications, the potential use of Force Myography (FMG) for detecting grasping is especially relevant, as the presence of grasping may be indicative of functional activity, which is a key goal of rehabilitation. To date, most FMG research has focused on the classification of the raw FMG signal (i.e. instantaneous FMG samples) in order to determine the state of the hand. However, given the temporal nature of force generation during grasping, the use of temporal feature extraction techniques may yield increased accuracy...
May 16, 2017: Biomedical Engineering Online
https://www.readbyqxmd.com/read/28506115/predictors-of-work-participation-for-m%C3%A4-ori-three-months-after-injury
#6
Emma H Wyeth, Brett Maclennan, Michelle Lambert, Gabrielle Davie, Rebbecca Lilley, Sarah Derrett
An important rehabilitation outcome for injured Māori is timely sustainable return to work. This paper identifies the factors influencing working after injury in an attempt to reduce the individual, social and economic costs. Māori participants in the Prospective Outcomes of Injury Study were interviewed, about pre-injury and injury-related factors. Among Māori participants, 521 were working for pay prior to injury; 64% were working three months post-injury. Factors identified, using modified Poisson regression, that predicted working include: financial security (aRR = 1...
May 16, 2017: Archives of Environmental & Occupational Health
https://www.readbyqxmd.com/read/28506003/synergy-effects-of-combined-multichannel-emg-triggered-electrical-stimulation-and-mirror-therapy-in-subacute-stroke-patients-with-severe-or-very-severe-arm-hand-paresis
#7
Thomas Schick, Hans-Peter Schlake, Juliane Kallusky, Günter Hohlfeld, Maria Steinmetz, Florian Tripp, Karsten Krakow, Michaela Pinter, Christian Dohle
BACKGROUND: Neurorehabilitation requires the development of severity-dependent and successful therapies for arm/hand rehabilitation in stroke patients. OBJECTIVE: To evaluate the effectiveness of adding mirror therapy to bilateral EMG-triggered multi-channel electrostimulation for the treatment of severe arm/hand paresis in stroke patients. METHODS: The subjects of this randomized, controlled, multicentre study were stroke patients who had suffered their first insult between 1 and 6 months before study start and had severe or very severe arm/hand paresis, as classified by Fugl-Meyer-Assessment...
May 9, 2017: Restorative Neurology and Neuroscience
https://www.readbyqxmd.com/read/28506002/transcranial-direct-current-stimulation-combined-with-visuo-motor-training-as-treatment-for-chronic-stroke-patients
#8
Elena L Pavlova, Påvel Lindberg, Amirah Khan, Sigurd Ruschkowski, Michael A Nitsche, Jörgen Borg
BACKGROUND: Recent studies exploring the combined effect of motor learning and transcranial direct current stimulation (tDCS) for stroke rehabilitation have shown partially conflicting results. OBJECTIVE: To test the efficacy of an optimized hand training approach combined with tDCS in stroke patients. METHODS: In the present pilot study we investigated motor effects of four-week training with a visuomotor grip force tracking task combined with tDCS in 11 chronic stroke patients...
May 9, 2017: Restorative Neurology and Neuroscience
https://www.readbyqxmd.com/read/28505987/improved-grasp-function-with-transcranial-direct-current-stimulation-in-chronic-spinal-cord-injury
#9
Mar Cortes, Ana Heloisa Medeiros, Aasta Gandhi, Peter Lee, Hermano Igo Krebs, Gary Thickbroom, Dylan Edwards
BACKGROUND: Recovering hand function has important implications for improving independence of patients with tetraplegia after traumatic spinal cord injury (SCI). Transcranial direct current stimulation (tDCS) is a noninvasive rehabilitation technique that has potential to improve motor function. OBJECTIVE: To investigate the effects of one session of 1 mA, 2 mA, and sham anodal tDCS (a-tDCS) in the upper extremity (hand) motor performance (grasp and lease) in patients with chronic cervical SCI...
May 10, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28502698/effectiveness-of-a-fine-motor-skills-rehabilitation-program-on-upper-limb-disability-manual-dexterity-pinch-strength-range-of-fingers-motion-performance-in-activities-of-daily-living-functional-independency-and-general-self-efficacy-in-hand-osteoarthritis-a
#10
Jose Manuel Pérez-Mármol, Ma Carmen García-Ríos, María Azucena Ortega-Valdivieso, Enrique Elías Cano-Deltell, María Isabel Peralta-Ramírez, Kelly Ickmans, María Encarnación Aguilar-Ferrándiz
STUDY DESIGN: A randomized clinical trial. INTRODUCTION: Rehabilitation treatments for improving fine motor skills (FMS) in hand osteoarthritis (HOA) have not been well explored yet. PURPOSE OF THE STUDY: To assess the effectiveness of a rehabilitation program on upper limb disability, independence of activities of daily living (ADLs), fine motor abilities, functional independency, and general self-efficacy in older adults with HOA. METHODS: About 45 adults (74-86 years) with HOA were assigned to an experimental group for completing an FMS intervention or a control group receiving conventional occupational therapy...
May 11, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28501463/home-based-rehabilitation-in-the-postoperative-treatment-of-flexor-tendon-repair
#11
M Sanmartín-Fernández, B Fernández-Bran, J Couceiro-Otero
OBJECTIVE: To evaluate the results and complications of flexor tendon repair in which a home-based rehabilitation program was utilized without the assistance of a hand therapist during the first 4postoperative weeks. MATERIAL Y METHODS: Between July 2009 and July 2014, a total of 21 digits in 15 patients were treated in our institution for complete laceration of the flexor tendons within the flexor pulley system (zone 1 and 2). Passive and active exercises performed by the patients themselves were started the morning after the operation...
May 10, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/28499657/electrically-assisted-movement-therapy-in-chronic-stroke-patients-with-severe-upper-limb-paresis-a-pilot-single-blind-randomized-crossover-study
#12
Stefano Carda, Andrea Biasiucci, Andrea Maesani, Silvio Ionta, Julien Moncharmont, Stephanie Clarke, Micah M Murray, José Del R Millán
OBJECTIVE: To evaluate the effects of electrically assisted movement therapy (EAMT) in which patients use functional electrical stimulation, modulated by a custom device controlled through the patient's unaffected hand, to produce or assist task-specific upper limb movements, which enables them to engage in intensive goal-oriented training. DESIGN: Randomized, crossover, assessor-blinded, 5-week trial with follow-up at 18 weeks. SETTING: Rehabilitation university hospital...
May 5, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28497930/mirror-therapy-for-involuntary-movement-due-to-chronic-thalamic-hemorrhage-a-case-report
#13
Seiji Miura, Makoto Ueno, Ryuji Miyata, Eriko Maniwa, Seiji Etoh, Megumi Shimodozono
BACKGROUND: Some stroke survivors suffer from involuntary movement, which often disturbs upper-limb function, but there are few effective modality options. CASE REPORT: A 70-year-old man presented with persisting right-upper-limb hemiballism due to left thalamic hemorrhage 10 years before. We provided inpatient rehabilitation, including repetitive-facilitative exercise and task-related training, and prescribed clonazepam from day 5 after admission. However, the affected upper limb showed no significant change and remained nonfunctional...
May 12, 2017: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28488507/how-to-assist-patients-with-sit-stand-transfers
#14
Janice Taylor
Rationale and key points This article discusses optimal methods for assisting patients with sit-stand transfers where moving-and-handling equipment is not required. The article explains the importance of effective mobility care in optimising patients' rehabilitation and enhancing their independence. » The term 'assistance' is used in this article to refer to the support nurses can provide to patients during sit-stand transfers, but excludes manual assistance. Nurses should attempt various 'hands-off' mobility-enhancing strategies to assist the patient, such as the use of verbal, visual or light manual cues...
May 10, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28478845/influence-of-age-and-gender-on-normative-passive-range-of-motion-values-of-the-carpometacarpal-joint-of-the-thumb
#15
Joyce White, Lisa Coppola, Andrea Skomurski, Emma Mitchell-Rekrut
STUDY DESIGN: Cross-sectional clinical measurement study. INTRODUCTION: The carpometacarpal (CMC) joint of the thumb is a complex joint making accurate measurement of range of motion (ROM) challenging. There are limited normative data available to base rehabilitative decisions, which is unfortunate as this joint is frequently affected by arthritis and is critical to hand function. PURPOSE OF THE STUDY: To provide passive ROM values for the first CMC joint and investigate the effects of age and gender...
May 3, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28477308/the-contribution-of-individual-exercise-training-components-to-clinical-outcomes-in-randomised-controlled-trials-of-cardiac-rehabilitation-a-systematic-review-and-meta-regression
#16
REVIEW
Bridget Abell, Paul Glasziou, Tammy Hoffmann
BACKGROUND: While the clinical benefits of exercise-based cardiac rehabilitation are well established, there is extensive variation in the interventions used within these trials. It is unknown whether variations in individual components of these exercise interventions provide different relative contributions to overall clinical outcomes. This study aims to systematically examine the relationship between individual components of the exercise intervention in cardiac rehabilitation (such as intensity and frequency) and clinical outcomes for people with coronary heart disease...
December 2017: Sports Medicine—Open
https://www.readbyqxmd.com/read/28473962/associations-among-pain-catastrophizing-muscle-strength-and-physical-performance-after-total-knee-and-hip-arthroplasty
#17
Kazuhiro Hayashi, Masato Kako, Kentaro Suzuki, Keiko Hattori, Saori Fukuyasu, Koji Sato, Izumi Kadono, Tadahiro Sakai, Yukiharu Hasegawa, Yoshihiro Nishida
AIM: To investigate whether reductions in pain catastrophizing associated with physical performance in the early period after total knee arthroplasty (TKA) or total hip arthroplasty (THA). METHODS: The study group of 46 participants underwent TKA or THA. The participants were evaluated within 7 d before the operation and at 14 d afterwards. Physical performance was measured by the Timed Up and Go (TUG) test, and 10-m gait time was measured at comfortable and maximum speeds...
April 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28470129/the-influence-of-environment-experiences-of-users-of-myoelectric-arm-prosthesis-a-qualitative-study
#18
Cathrine Widehammar, Ingvor Pettersson, Gunnel Janeslätt, Liselotte Hermansson
BACKGROUND: Prostheses are used to varying degrees; however, little is known about how environmental aspects influence this use. OBJECTIVES: To describe users' experiences of how environmental factors influence their use of a myoelectric arm prosthesis. STUDY DESIGN: Qualitative and descriptive. METHODS: A total of 13 patients previously provided with a myoelectric prosthetic hand participated. Their age, sex, deficiency level, etiology, current prosthesis use, and experience varied...
May 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28465855/emergent-minimally-invasive-esophagogastrectomy
#19
Thomas Fabian, Dorothy Chiaravalle, Jeremiah Martin
Introduction. Esophageal perforation in the setting of a malignancy carries a high morbidity and mortality. We describe our management of such a patient using minimally invasive approach. Methods. An 83-year-old female presented with an iatrogenic esophageal perforation during the workup of dysphagia. She was referred for surgical evaluation immediately after the event which occurred in the endoscopy suite. Minimally invasive esophagectomy was chosen to provide definitive treatment for both her malignancy and esophageal perforation...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28461087/long-term-outcome-of-paediatric-flexor-tendon-injuries-of-the-hand
#20
Georg Singer, Thomas Zwetti, Ruth Amann, Christoph Castellani, Holger Till, Barbara Schmidt
The ideal rehabilitation regimen of paediatric flexor tendon injuries of the hand is discussed controversially. In this study, the clinical outcome of paediatric patients with flexor tendon injuries treated with a dynamic postoperative protocol was assessed. All children with flexor tendon injuries of the hand who were treated by a dynamic postoperative protocol between 1999 and 2011 were included. Patients were invited for a follow-up examination consisting of clinical examination, the TAM and Buck-Gramcko scores, and the linear measurement system...
April 8, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
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