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Karina J Lewis, Leo Ross, Michel W Coppieters, Bill Vicenzino, Annina B Schmid
INTRODUCTION: Carpal tunnel syndrome (CTS) is a prevalent upper limb condition that results in significant individual and socioeconomic costs. Large patient numbers, long outpatient waiting times and traditional referral pathways in public health systems create delays in accessing treatment for this condition. Alternative care pathways aimed at streamlining access to treatment and reducing the need for surgical intervention warrant further investigation. METHODS: A randomised, single-blind controlled clinical trial will be conducted...
2016: BMJ Open
Mikayla Southam, Susan Driessens, Christopher Burton, Rodney Pope, Penelope Thurnwald
STUDY DESIGN: Retrospective cohort study. INTRODUCTION: The QuickDASH outcome measure is a valid and reliable measurement tool for assessing disabilities of the arm, shoulder and hand. PURPOSE OF STUDY: There is limited literature providing typical QuickDASH scores for upper limb conditions. Therefore, the aim of this study was to determine the QuickDASH scores typically observed in specific upper limb pathologies. METHODS: This study examined QuickDASH scores for acute trauma conditions presenting for hand therapy...
September 2, 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Michiyuki Kawakami, Toshiyuki Fujiwara, Junichi Ushiba, Atsuko Nishimoto, Kaoru Abe, Kaoru Honaga, Atsuko Nishimura, Katsuhiro Mizuno, Mitsuhiko Kodama, Yoshihisa Masakado, Meigen Liu
BACKGROUND: Hybrid assistive neuromuscular dynamic stimulation (HANDS) therapy improved paretic upper extremity motor function in patients with severe to moderate hemiparesis. We hypothesized that brain machine interface (BMI) training would be able to increase paretic finger muscle activity enough to apply HANDS therapy in patients with severe hemiparesis, whose finger extensor was absent. OBJECTIVE: The aim of this study was to assess the efficacy of BMI training followed by HANDS therapy in patients with severe hemiparesis...
September 21, 2016: Restorative Neurology and Neuroscience
Feiran Wu, Katie Young, Mohammad Shahid, Peter Nightingale, Surabhi Choudhary, Michael Craigen, Rajive Jose, Mark Foster
BACKGROUND: Metacarpal fractures are common, accounting for 40 % of all hand injuries. The use of plates for the fixation of these fractures allows early aggressive hand therapy post-operatively, reducing post-operative stiffness. Traditionally, bicortical fixation is the standard practice, where both dorsal and palmar cortices of the metacarpal are drilled through, with screws engaging both cortices. Recent biomechanical studies have shown that unicortical fixation, where only the near cortex is drilled and engaged by the screw, results in no difference in stiffness, load to failure or failure mechanism, when compared with bicortical fixation...
2016: Trials
Daniel Harte
This author provides instruction regarding an alternative, simple, and custom-made orthotic device to manage the mallet finger that may stay in place more securely while also allowing for proximal interphalangeal joint flexion during the healing of the terminal tendon. - KristinValdes, OTD, OT, CHT, Practice Forum Editor, Journal of Hand Therapy.
July 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Robyn Midgley
STUDY DESIGN: Case report. INTRODUCTION: This case report describes the use of the casting motion to mobilize stiffness (CMMS) technique in the management of a crush and degloving injury of the hand. The patient was unable to attend multiple hand therapy sessions due to geographic constraints. The CMMS technique involved the application of a nonremovable plaster of paris cast that selectively immobilizes proximal joints in an ideal position while constraining distal joints to direct desired motion over a long period...
July 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Marie-Lyne Grenier, Rochelle Mendonca, Peter Dalley
STUDY DESIGN: The study was a retrospective cohort analysis for a 19-month period from May 2013 to December 2014. INTRODUCTION: Although the use of orthoses has long been a staple of conservative treatment measures for individuals with osteoarthritis of the thumb carpometacarpal (CMC) joint, there remains little evidence exploring its effectiveness in improving functional outcomes for this client population. PURPOSE OF THE STUDY: The purpose of this study was to assess the effectiveness of 3 frequently used orthoses in improving the functional pinch strength of adults with a diagnosis of thumb CMC joint osteoarthritis...
July 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
JoAnn L Keller, Carla M Caro, Mary P Dimick, Keri Landrieu, Lynnlee Fullenwider, J Martin Walsh
STUDY DESIGN: Quantitative and descriptive study. INTRODUCTION: In 2014, the Hand Therapy Certification Commission (HTCC), in consultation with Professional Examination Service, performed a practice analysis study of hand therapy, the fifth in a series of similar studies performed by HTCC over a 30-year period. PURPOSE: The purpose of the study was to gather data on current hand therapy practice to ensure the content of the Certified Hand Therapist (CHT) examination and credentialing program requirements match current practice...
July 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Erin M Mack, Nancy J Callinan, Megan Reams, Deborah C Bohn, Terese L Chmielewski
STUDY DESIGN: Retrospective case series. INTRODUCTION: Open carpal tunnel release (OCTR) is a common treatment for carpal tunnel syndrome, but there is no consensus on the number of hand therapy visits needed to achieve optimal patient outcomes. PURPOSE OF THE STUDY: The purpose is to examine changes in patient-reported symptoms and function over a 12-week period after OCTR with 1 postoperative hand therapy visit. METHODS: Eligible subjects were consecutive patients treated with a standard OCTR protocol by a fellowship trained hand surgeon that included 1 hand therapy visit at 10-14 days postoperatively...
July 26, 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Brian P Kelley, Lauren E Franzblau, Kevin C Chung, Noelle Carlozzi, Jennifer F Waljee
BACKGROUND: Congenital hand differences induce social, psychological, and functional challenges for children. However, little is known about how children perceive their outcomes after reconstructive or what concerns children have. METHODS: A total of 33 children (aged 6 to 17 years) who were treated for congenital hand differences, and their parents, participated in qualitative, semistructured interviews regarding the child's hand function and appearance. Discussion focused on the influence of congenital hand differences on the child's daily activities, school, and participation in sports and music...
July 2016: Plastic and Reconstructive Surgery
Emily Altman
BACKGROUND: In the hectic environment of a hand therapy clinic, the opportunity to carefully consider the relationships among pathology, pathomechanics, surgical repair techniques, tissue healing, postoperative management, and rehabilitation program development and progression is limited. Clinicians often default to seeking a protocol, a recipe to follow. OBJECTIVES: Using the ulnar side of the wrist as an example, relevant anatomy and biomechanics are directly related to several commonly seen pathologies, including fractures, ligament injuries, and instability...
April 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Nikhil R Oak, Reid A Abrams
Hand compartment syndrome has many etiologies; untreated, it has dire functional consequences. Intracompartmental pressure exceeding capillary filling pressure causes decreased tissue perfusion resulting in progressive ischemic death of compartment contents. Clinical findings can evolve. Serial physical examinations are recommended and, if equivocal, interstitial pressure monitoring is indicated. Definitive management is emergent fasciotomies with incisions designed to decompress the involved hand compartments, which could include the thenar, hypothenar, and interosseous compartments, and the carpal tunnel...
July 2016: Orthopedic Clinics of North America
P Guillaume-Jugnot, A Daumas, J Magalon, N Sautereau, J Veran, G Magalon, F Sabatier, B Granel
Systemic sclerosis is an autoimmune disease characterized by sclerosis (hardening) of the skin and deep viscera associated with microvascular functional and structural alteration, which leads to chronic ischemia. In the hands of patients, ischemic and fibrotic damages lead to both pain and functional impairment. Hand disability creates a large burden in professional and daily activities, with social and psychological consequences. Currently, the proposed therapeutic options for hands rely mainly on hygienic measures, vasodilatator drugs and physiotherapy, but have many constraints and limited effects...
January 2016: Current Research in Translational Medicine
B Martin, L Treharne
A term neonate was born with a grossly swollen and discoloured left hand and forearm. He was transferred from the local hospital to the plastic surgical unit, where a diagnosis of compartment syndrome was made and he underwent emergency forearm fasciotomies at six hours of age. Following serial debridements of necrotic tissue, he underwent split-thickness skin grafting of the resultant defects of his forearm, hand and digits. At the clinic follow-up appointment two months after the procedure, he was found to have developed severe flexion contractures despite regular outpatient hand therapy and splintage...
September 2016: Annals of the Royal College of Surgeons of England
Nathan Short, Rachel Harmsen, Grace Kjellgren, Chelsie O'Neill, Holly Pinney, Andrew D Rivera, Victoria Warnaar
The authors report improved fine motor coordination when using Dexteria with a healthy population. Technology may improve patient engagement and participation when incorporated into treatment programs. - Kristin Valdes, OTD, OT, CHT, Practice Forum Editor, Journal of Hand Therapy.
April 25, 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Mike Szekeres, Joy C MacDermid, Trevor Birmingham, Ruby Grewal
STUDY DESIGN: Prospective cohort study. PURPOSE OF THE STUDY: To compare the inter-rater reliability of using a modified finger goniometer (MFG) for the measurement of isolated forearm rotation for patients with distal radius fractures to the currently accepted technique for isolated forearm measurement. INTRODUCTION: The currently accepted method of forearm measurement requires the assessor to visually estimate vertical for the stationary arm and placement of the moveable arm while placing a straight edge along a curved surface...
July 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Luke S Robinson, Ted Brown, Lisa O'Brien
No abstract text is available yet for this article.
August 2016: Australian Occupational Therapy Journal
Lisa A Harvey, Sarah A Dunlop, Leonid Churilov, Mary P Galea
QUESTION: What is the effect of adding an intensive task-specific hand-training program involving functional electrical stimulation to a combination of usual care plus three 15-minute sessions per week of one-to-one hand therapy in people with sub-acute tetraplegia? DESIGN: A parallel group, randomised, controlled trial. Participants were randomly assigned (1:1) via a computer-generated concealed block randomisation procedure to either a control or experimental intervention...
April 2016: Journal of Physiotherapy
Stephanie Bachman
The occupational therapy Centennial Vision reinforces the importance of informing consumers about the benefit of occupational therapy and continuing to advocate for the unique client-centered role of occupational therapy. Occupational therapy practitioners working in hand therapy have traditionally found it difficult to combine the biomechanical foundations of hand therapy with the fundamental client-centered tenets of occupational therapy. Embracing our historical roots will become more important as health care evolves and third-party payers continue to scrutinize the need for the profession of occupational therapy...
March 2016: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
Therma W C Cheung, Lindy Clemson, Kate O'Loughlin, Russell Shuttleworth
BACKGROUND: Among women with upper limb repetitive strain injury (RSI), occupational therapy interventions include education to facilitate ergonomic practices in housework. From a client-centred perspective, an understanding of women's decision-making about housework is needed to design effective occupational therapy programmes. This study addresses a gap in research in this area by exploring women's views about changing housework habits. AIM: The aim was to construct a conceptual representation to explain decision-making in housework by drawing on experiences of a sample of Singapore Chinese women with upper limb RSI from one hand therapy clinic...
February 2016: Australian Occupational Therapy Journal
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