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https://www.readbyqxmd.com/read/28423438/-integration-of-injured-hands
#1
Reiner Winkel
Any injury of a hand more or less disintegrates the injured hand. The rehabilitation of an alienated hand is prolonged. How can the alienation of the own but injured hand and the involuntary and unconscious inhibition of its perception and use be diagnosed, explained, avoided and designated? Medical observations and interviews with patients and therapists on the occasion of rehabilitation of hand injuries resulted in the development of a new concept of biopsychosocial integrating rehabilitation and a creative hand therapy with the objective of integrating injured and alienated hands...
February 2017: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://www.readbyqxmd.com/read/28417701/survey-of-hand-surgeons-and-therapists-perceptions-of-the-benefit-of-common-surgical-procedures-of-the-hand
#2
Olli V Leppänen, Jarkko Jokihaara, Esa Jämsen, Teemu Karjalainen
OBJECTIVE: The objectives of this survey were (1) to study if surgeons' perceptions of the benefit of six surgical procedures differ if they consider themselves as patients instead of treating a patient, (2) to evaluate the role of five predetermined factors that may influence decision-making, and (3) to assess how uniformly hand surgeons and hand therapists perceive the benefits of the surgical treatments. METHODS: The members of the national societies for Hand Surgery and Hand Therapy were asked to participate in the survey...
April 18, 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28285836/hand-therapists-report-perceived-differences-in-patient-referrals-from-hand-surgeons-vs-other-referral-sources-a-survey-study
#3
Kristin Valdes, Mike Szekeres, Joy C MacDermid
STUDY DESIGN: Descriptive research. INTRODUCTION/PURPOSE: Survey research was performed to determine if there is a perceived difference in outcomes of patients referred to hand therapy from specialized hand surgeons vs nonspecialized physicians. METHODS: The survey was administered to members of the American Society of Hand Therapists through an electronic mailing. RESULTS: A total of 744 American Society of Hand Therapists members responded to the survey...
March 9, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28228346/functional-range-of-motion-of-the-hand-joints-in-activities-of-the-international-classification-of-functioning-disability-and-health
#4
Verónica Gracia-Ibáñez, Margarita Vergara, Joaquín L Sancho-Bru, Marta C Mora, Catalina Piqueras
STUDY DESIGN: Cross-sectional research design. INTRODUCTION: Active range of motion (AROM) is used as indicator of hand function. However, functional range of motion (FROM) data are limited, and fail to represent activities of daily living (ADL). PURPOSE OF THE STUDY: To estimate dominant hand FROM in flexion, abduction and palmar arching in people under 50 years of age performing ADL. METHODS: AROMs and hand postures in 24 representative ADL of the International Classification of Functioning, Disability and Health (ICF) were recorded in 12 men and 12 women...
February 19, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28191352/hybrid-assistive-neuromuscular-dynamic-stimulation-therapy-a-new-strategy-for-improving-upper-extremity-function-in-patients-with-hemiparesis-following-stroke
#5
REVIEW
Toshiyuki Fujiwara, Michiyuki Kawakami, Kaoru Honaga, Michi Tochikura, Kaoru Abe
Hybrid Assistive Neuromuscular Dynamic Stimulation (HANDS) therapy is one of the neurorehabilitation therapeutic approaches that facilitates the use of the paretic upper extremity (UE) in daily life by combining closed-loop electromyography- (EMG-) controlled neuromuscular electrical stimulation (NMES) with a wrist-hand splint. This closed-loop EMG-controlled NMES can change its stimulation intensity in direct proportion to the changes in voluntary generated EMG amplitudes recorded with surface electrodes placed on the target muscle...
2017: Neural Plasticity
https://www.readbyqxmd.com/read/28137438/brief-michigan-hand-outcomes-questionnaire-in-rheumatoid-arthritis-a-cross-sectional-study-of-100-patients
#6
S Belghali, K Ben Abderrahim, I Mahmoud, K Baccouche, N El Amri, H Zeglaoui, K Maaref, E Bouajina
Studies focused on rheumatoid hand (RA) function are rare. The aims of our study were to evaluate the function of both hands during RA and investigate possible predictive factors associated with their damage. One hundred patients were enrolled consecutively between December 2013 and March 2014. Their hand function was evaluated with the brief Michigan Hand Outcomes Questionnaire (bMHQ). In 85 women and 15 men with a mean age of 55 years, the mean bMHQ was 42.43±21.19 for the right hand and 44.09±20.29 for the left hand...
February 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28034489/health-promotion-wellness-and-prevention-in-hand-therapy-a%C3%A2-survey-study
#7
Ann M Lucado, David W Taylor, Deborah M Wendland, Brian Connors
STUDY DESIGN: Descriptive study. INTRODUCTION: Noncommunicable diseases including diabetes and cardiovascular disease are associated with increased complications and cost of health care. PURPOSE OF THE STUDY: To describe beliefs and extent to which hand therapists include health promotion, wellness, and prevention (HPWP) in practice and to elucidate barriers to the incorporation of HPWP. METHODS: A 38-question survey evaluating hand therapists' beliefs, practice of HPWP, and barriers was sent to American Society of Hand Therapists members...
December 26, 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28027048/alignment-of-outcome-instruments-used-in-hand-therapy-with-the-occupational-therapy-practice-framework-domain-and-process-and-the-international-classification-of-functioning-disability-and-health-a-scoping-review
#8
Danielle Ann-Marie Lesher, M J Mulcahey, Peter Hershey, Donna Breger Stanton, Andrea C Tiedgen
OBJECTIVE: We sought to identify outcome instruments used in rehabilitation of the hand and upper extremity; to determine their alignment with the constructs of the International Classification of Functioning, Disability and Health (ICF) and the Occupational Therapy Practice Framework: Domain and Process; and to report gaps in the constructs measured by outcome instruments as a basis for future research. METHOD: We searched CINAHL, MEDLINE, OTseeker, and the Cochrane Central Register of Controlled Trials using scoping review methodology and evaluated outcome instruments for concordance with the ICF and the Framework...
January 2017: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/28018840/hand-impairment-in-systemic-sclerosis-various-manifestations-and-currently-available-treatment
#9
Amber Young, Rajaie Namas, Carole Dodge, Dinesh Khanna
Systemic sclerosis (SSc) is an autoimmune disease initially recognized by hand involvement due to characteristic Raynaud's phenomenon (RP), puffy hands, skin thickening, and contractures resembling claw deformities. SSc contributes to hand impairment through inflammatory arthritis, joint contractures, tendon friction rubs (TFRs), RP, digital ulcers (DU), puffy hands, skin sclerosis, acro-osteolysis, and calcinosis. These manifestations, which often co-exist, can contribute to difficulty with occupational activities and activities of daily living (ADL), which can result in impaired quality of life...
September 2016: Current Treatment Options in Rheumatology
https://www.readbyqxmd.com/read/27899222/camera-tracking-gaming-control-device-for-evaluation-of-active-wrist-flexion-and-extension
#10
Dalit Shefer Eini, Navah Z Ratzon, Albert A Rizzo, Shih-Ching Yeh, Belinda Lange, Batia Yaffe, Alexander Daich, Patrice L Weiss, Rachel Kizony
STUDY DESIGN: Cross sectional. INTRODUCTION: Measuring wrist range of motion (ROM) is an essential procedure in hand therapy clinics. PURPOSE OF THE STUDY: To test the reliability and validity of a dynamic ROM assessment, the Camera Wrist Tracker (CWT). METHODS: Wrist flexion and extension ROM of 15 patients with distal radius fractures and 15 matched controls were assessed with the CWT and with a universal goniometer...
November 26, 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/27881813/perspectives-of-us-and-australian-hand-therapists-about-pediatric-hand-transplantation
#11
Nitin Mukesh, Katrina A Bramstedt
INTRODUCTION: Pediatric hand transplantation (PHT), an investigational therapy, was recently performed in the United States. RESEARCH QUESTIONS: Perspectives of hand therapists about PHT patient selection (inclusion and exclusion criteria), team configuration, patient assent, and patient compliance were explored. DESIGN: Quantitative survey. We used a research ethics committee-approved 18-question e-link anonymous questionnaire to survey members of the American Society of Hand Therapists and the Australian (AU) Hand Therapy Association for their perspectives on PHT...
November 23, 2016: Progress in Transplantation
https://www.readbyqxmd.com/read/27879606/improving-outcomes-in-tendon-repair-a-critical-look-at-the-evidence-for-flexor-tendon-repair-and-rehabilitation
#12
Wee S Khor, Martin F Langer, Richard Wong, Rui Zhou, Fiona Peck, Jason K F Wong
LEARNING OBJECTIVES: After reading this article, the participant should be able to: 1. Appreciate the variation and evolution of flexor tendon management 2. Know how to assess the patient who presents with a flexor tendon laceration. 3. Understand the biology of repairing flexor tendon lacerations. 4. Appreciate the technical challenges in flexor tendon repair relating to different zones. 5. Understand the rationale of postoperative hand therapy. 6. Have an overview of the types of secondary tendon surgery...
December 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27847680/distal-radius-fracture-outcomes-and-rehabilitation
#13
Tochukwu C Ikpeze, Heather C Smith, Daniel J Lee, John C Elfar
Distal radius fractures account for nearly 1 of every 5 fractures in individuals aged 65 or older. Moreover, increased susceptibility to vertebral and hip fractures has been documented in patients a year after suffering a distal radius fracture. Although women are more susceptible to hip fractures, men experience a higher mortality rate in the 7 years following a distal radius fracture. Traditional approaches to distal radius fractures have included both surgical and nonsurgical treatments, with predominant complaints involving weakness, stiffness, and pain...
December 2016: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/27638495/education-night-splinting-and-exercise-versus-usual-care-on-recovery-and-conversion-to-surgery-for-people-awaiting-carpal-tunnel-surgery-a-protocol-for-a-randomised-controlled-trial
#14
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
https://www.readbyqxmd.com/read/27597737/a-retrospective-cohort-study-of-quickdash-scores-for-common-acute-trauma-conditions-presenting-for-hand-therapy
#15
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
https://www.readbyqxmd.com/read/27589505/a-new-therapeutic-application-of%C3%A2-brain-machine-interface-bmi-training-followed-by-hybrid-assistive-neuromuscular-dynamic-stimulation-hands-therapy-for%C3%A2-patients-with-severe-hemiparetic-stroke-a-proof-of-concept-study
#16
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
https://www.readbyqxmd.com/read/27538992/stability-of-unicortical-versus-bicortical-metacarpal-fracture-internal-fixation-trial-submit-study-protocol-for-a-randomized-controlled-trial
#17
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
https://www.readbyqxmd.com/read/27496990/the-challenge-of-the-mallet-orthosis-a-simple-solution
#18
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
https://www.readbyqxmd.com/read/27496988/case-report-the-casting-motion-to-mobilize-stiffness-technique-for-rehabilitation-after-a-crush-and-degloving-injury-of-the-hand
#19
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
https://www.readbyqxmd.com/read/27496985/the-effectiveness-of-orthoses-in-the-conservative-management-of-thumb-cmc-joint-osteoarthritis-an-analysis-of-functional-pinch-strength
#20
COMPARATIVE STUDY
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
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