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Elbow extension test

Seok-Youl Choi, Jong Woong Park, Dong Hwee Kim
Ultrasonographic study is useful for decision making of treatment for focal neuropathy with unusual electrodiagnostic findings. We present a patient with severe acute radial neuropathy with sensory sparing around the distal arm secondary to twisting of the radial nerve following blunt trauma. A 24-year-old man with a 2-week history of left wrist drop and severe pain around the left elbow presented after hitting the left distal arm on the doorknob. The left wrist and finger extensions were grade 0, but elbow extension could not be tested because of severe pain during this action...
November 2016: American Journal of Physical Medicine & Rehabilitation
Khader A Almhdawi, Virgil G Mathiowetz, Matthew White, Robert C delMas
There is a need for more effective rehabilitation methods for individuals post-stroke. Occupational Therapy Task-Oriented (TO) approach has not been evaluated in a randomized clinical trial. The purpose of this study was to evaluate functional and impairment efficacies of TO approach on the more-affected Upper Extremity (UE) of persons post-stroke. A randomized single-blinded cross-over trial recruited 20 participants post-stroke (mean chronicity = 62 months) who demonstrated at least 10° active more-affected shoulder flexion and abduction and elbow flexion-extension...
October 20, 2016: Occupational Therapy International
Verónica Jiménez-Díaz, Ismael Auñón-Martín, Carlos Olaya-González, Miguel Aroca-Peinado, David Cecilia-López, Pedro Caba-Doussoux
BACKGROUND: The aim of the present study is to analyse complications after a floating elbow injury, attempting to establish which of them act as a poor prognosis factor regarding clinical and functional results. MATERIALS AND METHODS: Twenty-three patients who suffered a floating elbow injury, treated at our institution from 2004 to 2013, were retrospectively reviewed. Patients were divided into four groups depending on the type of injury. An analysis of demographic data, associated injuries, treatment options and complications was carried out...
October 13, 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Mounir Beldjerd, Marie Belle, Claire Baradat, Magali Pradié, Claire Villepinte, Sylvie Hidalgo, Emilie Catella, Baptiste Gentilhomme, Thierry Cornier, David Gasq, Evelyne Castel-Lacanal, Philippe Marque, Xavier de Boissezon
OBJECTIVE: The shoulder is painful in 70% of post-stroke patients. Sling and shoulder orthosis are important for medical care. However, series slings have not proved efficiency to improve upper limb function. We realize (with OCTO31 company) a custom-made shoulder orthosis prototype (EO31) to set the upper limb in a posture with an elbow flexion, a forearm supination and, by the way, a finger extension. The objective is to facilitate the upper limb function and to decrease shoulder pain...
September 2016: Annals of Physical and Rehabilitation Medicine
Gerzaín Rodríguez, Elga Vargas, Claudia Abaúnza, Sergio Cáceres
Necrolytic migratory erythema is a rare paraneoplastic dermatosis that may be the first clinical manifestation of the glucagonoma syndrome, a disorder characterized by mucocutaneous rash, glucose intolerance, hypoaminoacidemia, hyperglucagonaemia and pancreatic glucagonoma. The clinical case of a 45-year-old woman is presented. She had been experiencing weight loss, polydipsia, polyphagia, postprandial emesis, excessive hair loss and abdominal pain for two months. Erythematous, scaly and migratory plaques with 20 days of evolution were found on her trunk, perineum, elbows, hands, feet, inframammary and antecubital folds...
2016: Biomédica: Revista del Instituto Nacional de Salud
William R VanWye, Donald L Hoover, Sean Willgruber
BACKGROUND AND PURPOSE: Elbow pain can originate from many sources yet have similar signs and symptoms, thereby presenting differential diagnostic challenges. The elbow is commonly injured, thus requiring all clinicians to possess excellent diagnostic skills. CASE DESCRIPTION: A 24-year-old woman slipped and fell on her outstretched left hand, experiencing immediate elbow pain. The same day radiographs were deemed negative by her orthopedist, who referred her to physical therapy with the diagnoses of elbow sprain and contusion...
October 2016: Physiotherapy Theory and Practice
B J Duijnisveld, D Steenbeek, R G H H Nelissen
PURPOSE: The objective of this study was to evaluate the effectiveness of serial casting of elbow flexion contractures in neonatal brachial plexus palsy. METHODS: A prospective consecutive cohort study was performed with a median follow-up of 5 years. Forty-one patients with elbow flexion contractures ≥ 30° were treated with serial casting until the contracture was ≤ 10°, for a maximum of 8 weeks. Range of motion, number of recurrences and patient satisfaction were recorded and analyzed using Wilcoxon signed-rank and Cox regression tests...
September 2, 2016: Journal of Pediatric Rehabilitation Medicine
Jun Sakata, Emi Nakamura, Makoto Suzukawa, Atsushi Akaike, Kuniaki Shimizu
BACKGROUND: The physical risk factors for a medial elbow injury in junior baseball players are unknown. PURPOSE: To identify the risk factors for an initial medial elbow injury in junior baseball players. STUDY DESIGN: Case-control study; Level of evidence, 3. METHODS: Junior baseball players (aged 6-12 years) without a history of elbow pain underwent a clinical assessment, ultrasonography, and physical function measurements before the baseball season started...
September 7, 2016: American Journal of Sports Medicine
A G Fochi, F Damas, R Berton, I Alvarez, M Miquelini, T F Salvini, C A Libardi
Several factors can affect the magnitude of eccentric exercise (ECC)-induced muscle damage, but little is known regarding the effect of the range of motion (ROM) in ECC-induced muscle damage. The purpose of this study was to investigate whether elbow flexor ECC with 120° of ROM (from 60° of elbow flexion until elbow full extension - 180° [120ROM]) induces a greater magnitude of muscle damage compared with a protocol with 60° of ROM (120-180° of elbow flexion [60ROM]). Twelve healthy young men (age: 22 ± 3...
September 2016: Biology of Sport
Amy L Walters, Stacy A Semevolos, Rose E Baker
OBJECTIVE To determine and compare mean standing extension and maximum flexion angles of various joints in healthy adult alpacas and llamas, and determine the reliability of goniometric data within and between 2 observers for each joint of interest. SAMPLE 6 healthy adult llamas and 6 healthy adult alpacas. PROCEDURES The shoulder joint, elbow joint, carpal, and metacarpophalangeal (MCP) joints of the forelimbs and the hip joint, stifle joint, tarsal, and metatarsophalangeal (MTP) joints of the hind limbs were investigated...
September 2016: American Journal of Veterinary Research
Yoshikazu Kida, Toru Morihara, Ryuhei Furukawa, Tsuyoshi Sukenari, Yoshihiro Kotoura, Naoki Yoshioka, Tatsuya Hojo, Ryo Oda, Yuji Arai, Koshiro Sawada, Hiroyoshi Fujiwara, Toshikazu Kubo
BACKGROUND: Various posterior elbow problems cause posterior elbow pain among baseball players. We aimed to determine the prevalence and diagnoses associated with posterior elbow problems and post-treatment recovery time for returning to sports in Japanese high school baseball players when treated in the off-season. METHODS: A total of 576 Japanese high school baseball players who participated in baseball skill training camp during the off-season were enrolled in the study...
September 2016: Journal of Shoulder and Elbow Surgery
Lindsay N Alfano, Han Yin, Igor Dvorchik, Elizabeth G Maus, Kevin M Flanigan, Jerry R Mendell, Linda P Lowes
INTRODUCTION: The ability to individualize recommendations or expectations of disease progression based on a patient's unique characteristics has merit for use in sporadic inclusion body myositis (sIBM). METHODS: Fifty-five subjects with sIBM completed a battery of strength and functional outcomes at 2 study visits. These were used to develop mathematical models of disease progression in patients with sIBM for use in clinical and research settings. RESULTS: The six minute walk test (6MWT) distance declined an average of 27...
August 11, 2016: Muscle & Nerve
Maria Bellumori, Mehmet Uygur, Christopher A Knight
PURPOSE: The aim was to determine the feasibility of a six-week speed-based exercise program that could be used to initiate new exercise behaviors and improve rapid movement in older adults approaching frailty. METHODS: The intervention group included 14 older adults (3 males, 11 females, mean (SD) age: 70 (7.6) years, height: 1.6 (.11) m, mass: 76.8 (12.0) kg, BMI: 27.7(4.7)). The control group included 12 older adults (6 males, 6 females, mean (SD) age: 69.2 (6...
August 6, 2016: Medicine and Science in Sports and Exercise
Jayme A Bertelli, Marcos F Ghizoni
OBJECTIVE The purpose of this paper was to report the authors' results with finger flexion restoration by nerve transfer in patients with tetraplegia. METHODS Surgery was performed for restoration of finger flexion in 17 upper limbs of 9 patients (8 male and 1 female) at a mean of 7.6 months (SD 4 months) after cervical spinal cord injury. The patients' mean age at the time of surgery was 28 years (SD 15 years). The motor level according to the ASIA (American Spinal Injury Association) classification was C-5 in 4 upper limbs, C-6 in 10, and C-7 in 3...
August 5, 2016: Journal of Neurosurgery. Spine
Rafi Ayub, Dario Villarreal, Robert D Gregg, Fan Gao
BACKGROUND: Transradial body-powered prostheses are extensively used by upper-limb amputees. This prosthesis requires large muscle forces and great concentration by the patient, often leading to discomfort, muscle fatigue, and skin breakdown, limiting the capacity of the amputee to conduct daily activities. Since body-powered prostheses are commonplace, understanding their optimal operation to mitigate these drawbacks would be clinically meaningful. OBJECTIVES: To find the optimal operation of the prosthesis where the activation force is minimized and the grip force is maximized...
July 28, 2016: Prosthetics and Orthotics International
Valérie Decostre, Pascal Laforêt, Aleksandra Nadaj-Pakleza, Marie De Antonio, Sylvain Leveugle, Gwenn Ollivier, Aurélie Canal, Kahina Kachetel, François Petit, Bruno Eymard, Anthony Behin, Karim Wahbi, Philippe Labrune, Jean-Yves Hogrel
Glycogen storage disease type III is an inherited metabolic disorder characterized by liver and muscle impairment. This study aimed to identify promising muscle function measures for future studies on natural disease progression and therapeutic trials. The age-effect on the manual muscle testing (MMT), the hand-held dynamometry (HHD), the motor function measure (MFM) and the Purdue pegboard test was evaluated by regression analysis in a cross-sectional retrospective single site study. In patients aged between 13 and 56 years old, the Purdue pegboard test and dynamometry of key pinch and knee extension strength were age-sensitive with annual losses of 1...
September 2016: Neuromuscular Disorders: NMD
Marc Schnetzke, Svenja Schüler, Holger Keil, Sara Aytac, Stefan Studier-Fischer, Paul-Alfred Grützner, Thorsten Guehring
BACKGROUND: The aim of this study was to develop and validate a novel self-administered questionnaire for assessing the patient's own range of motion (ROM) of the wrist and the elbow. METHODS: In a prospective clinical study from January 2015 to June 2015, 101 consecutive patients were evaluated with a novel, self-administered, diagram-based, wrist motion assessment score (W-MAS) and elbow motion assessment score (E-MAS). The questionnaire was statistically evaluated for test-retest reliability, patient-physician agreement, comparison with healthy population, and influence of covariates (age, gender, affected side and involvement in workers' compensation cases)...
2016: BMC Musculoskeletal Disorders
Marie E Walcott, Stephen D Daniels, Nathan J Sinz, Larry D Field, Laurence D Higgins
HYPOTHESIS: Our purpose was to describe an arthroscopic repair technique for and outcomes of traumatic transtendinous rotator cuff tears affecting the supraspinatus tendon. MATERIALS AND METHODS: A retrospective review was performed on a series of patients between January 2009 and January 2012. Demographic data, as well as preoperative and postoperative clinical data including strength, visual analog scale pain score, Subjective Shoulder Value, American Shoulder and Elbow Surgeons score, and Simple Shoulder Test score, were obtained...
July 13, 2016: Journal of Shoulder and Elbow Surgery
Suhyun Lee, Yumi Kim, Byoung-Hee Lee
In the present study, we aimed to investigate the effect of virtual reality-based bilateral upper extremity training (VRBT) on paretic upper limb function and muscle strength in patients with stroke. Eighteen stroke survivors were assigned to either the VRBT group (n = 10) or the bilateral upper limb training group (BT, n = 8). Patients in the VRBT group performed bilateral upper extremity exercises in a virtual reality environment, whereas those in the BT group performed conventional bilateral upper extremity exercises...
July 15, 2016: Occupational Therapy International
Bruno Manfredini Baroni, Marcelo Gava Pompermayer, Anelize Cini, Amanda Stortti Peruzzolo, Régis Radaelli, Clarissa Müller Brusco, Ronei Silveira Pinto
Load and range of motion (ROM) applied in resistance training (RT) affect the muscle damage magnitude and the recovery time-course. Since exercises performed with partial ROM allow a higher load compared to those with full ROM, this study investigated the acute effect of a traditional RT exercise using full ROM or partial ROM on muscle damage markers. Fourteen healthy men performed four sets of 10 concentric-eccentric repetitions of unilateral elbow flexion at the Scott bench. Arms were randomly assigned to partial ROM (50° to 100°) and full ROM (0° to 130°) conditions, and load was determined as 80% of one repetition maximum in full and partial ROM tests...
July 7, 2016: Journal of Strength and Conditioning Research
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