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https://www.readbyqxmd.com/read/28438435/postoperative-treatment-of-metacarpal-fractures-classical-physical-therapy-compared-with-a-home-exercise-program
#1
Joachim Gülke, Barbara Leopold, Daniel Grözinger, Björn Drews, Stephan Paschke, Nikolaus J Wachter
STUDY DESIGN: Prospective cohort randomized controlled trial. PURPOSE OF THE STUDY: Is either a home exercise (HE) program or traditional physical therapy (PT) more effective in the postoperative management of metacarpal fractures? METHODS: Sixty patients suffering from nonthumb metacarpal fractures who received mobilization-stable open reduction and internal fixation were included. All patients were prospectively randomized into either the PT group or the HE group...
April 21, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28436375/evaluation-of-treatment-of-low-energy-distal-radial-fractures-in-postmenopausal-women
#2
Mariusz Tomaszuk, Jan Kiryluk, Andrzej Tomaszuk, Janusz Popko
BACKGROUND: Distal radial fractures are one of the most common injuries seen in traumatology. Most are treated conservatively with closed reduction and immobilisation in a plaster cast. However, this method does not always allow for achieving and maintaining normal fracture reduction in unstable fractures. The aim of this study was assess clinical and radiographic outcomes of treatment of distal radial fractures depending on the method used. MATERIAL AND METHODS: A total of 77 postmenopausal female subjects were divided into three subgroups, depending on the treatment methods: 1...
January 26, 2017: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/28436312/evaluation-of-the-controlled-grip-force-exertion-tasks-associated-with-age-gender-handedness-and-target-force-level
#3
Kyeong-Hee Choi, Dae-Min Kim, Sung-Yong Lee, Jun-Hyub Lee, Yong-Ku Kong
INTRODUCTION: Force control of the hand is essential factor for operating tools and moving object. Therefore, a method for quantifying hand functionality more accurately and objectively is very important. METHODS: The present study included 60 healthy participants (30 elderly and 30 young adults) to evaluate the effects of age, gender and target force levels on tracking performance. Tracking performance was quantified by measuring the difference between target force levels and exerted force...
April 24, 2017: International Journal of Occupational Safety and Ergonomics: JOSE
https://www.readbyqxmd.com/read/28433443/arthroscopic-debridement-versus-platelet-rich-plasma-injection-a-prospective-randomized-comparative-study-of-chronic-lateral-epicondylitis-with-a-nearly-2-year-follow-up
#4
Giovanni Merolla, Fabio Dellabiancia, Annamaria Ricci, Maria Pia Mussoni, Simonetta Nucci, Gustavo Zanoli, Paolo Paladini, Giuseppe Porcellini
PURPOSE: The purpose of this prospective, randomized study was to compare the efficacy of autologous platelet-rich plasma (PRP) injections and arthroscopic lateral release in treating chronic lateral epicondylitis (LE). METHODS: Patients who had a clinical diagnosis of LE confirmed by ultrasound (US) were included in this study. A total of 101 patients received arthroscopic release (n = 50) or US-guided PRP injections (n = 51). Outcomes were assessed using a visual analog scale for pain, the Patient-Rated Tennis Elbow Evaluation (PRTEE), and a calibrated hand dynamometer for grip strength...
April 19, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28431912/osteosarcopenic-obesity-prevalence-and-relation-with-frailty-and-physical-performance-in-middle-aged-and-older-women
#5
Claudia Szlejf, Lorena Parra-Rodríguez, Oscar Rosas-Carrasco
OBJECTIVES: The aims of this study were to determine the prevalence of osteosarcopenic obesity (OSO) and to investigate its association with frailty and physical performance in Mexican community-dwelling middle-aged and older women. DESIGN: Cross-sectional analysis of a prospective cohort. SETTING: The FraDySMex study, a 2-round evaluation of community-dwelling adults from 2 municipalities in Mexico City. PARTICIPANTS: Participants were 434 women aged 50 years or older, living in the designated area in Mexico City...
April 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28428911/early-rehabilitation-of-distal-radius-fractures-stabilized-by-volar-locking-plate-a-prospective-randomized-pilot-study
#6
Stefan Quadlbauer, Christoph Pezzei, Josef Jurkowitsch, Brigitta Kolmayr, Tina Keuchel, Daniel Simon, Thomas Hausner, Martin Leixnering
Background Distal radius fractures are very common and an increased incidence of 50% is estimated by 2030. Therefore, both operative and postsurgical treatment remains pertinent. Main aim in treating intra-articular fractures is to restore the articular surface by internal fixation and early mobilization (EM). Questions/Purposes The purpose of this study was to compare functional results between EM immediately after surgery and 5 weeks of immobilization (IM). Patients and Methods In a randomized prospective study, 30 patients with an isolated distal radius fracture were treated by open reduction and internal fixation using a single volar locking plate excluding bone graft...
May 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28424917/cubital-tunnel-syndrome-caused-by-ganglion-cysts-a-review-of-59-cases
#7
Jinsong Tong, Bin Xu, Zhen Dong, Jingbo Liu, Chenggang Zhang, Yudong Gu
BACKGROUND: Cubital tunnel syndrome caused by ganglion cysts is rare and reports are few. This study aimed to review a patient cohort with ganglion cysts in the cubital tunnel and identify prognostic factors. METHODS: Fifty-seven patients (59 extremities; McGowan grade I, 4; IIa, 4; IIb, 3; III, 48) were evaluated retrospectively with a minimum follow-up of 2 years. Extraneural cysts were excised completely, while intraneural cysts were incised and drained. All cases underwent subcutaneous transposition...
April 19, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28424649/connections-of-grasping-and-horizontal-hand-movements-with-articulation-in-czech-speakers
#8
Mikko Tiainen, Jiří Lukavský, Kaisa Tiippana, Martti Vainio, Juraj Šimko, Fatima Felisberti, Lari Vainio
We have recently shown in Finnish speakers that articulation of certain vowels and consonants has a systematic influence on simultaneous grasp actions as well as on forward and backward hand movements. Here we studied whether these effects generalize to another language, namely Czech. We reasoned that if the results generalized to another language environment, it would suggest that the effects arise through other processes than language-dependent semantic associations. Rather, the effects would be likely to arise through language-independent interactions between processes that plan articulatory gestures and hand movements...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28421607/laterality-and-grip-strength-influence-hand-bone-micro-architecture-in-modern-humans-an-hrpqct-study
#9
Nicolas Reina, Etienne Cavaignac, William H Trousdale, Jean-Michel Laffosse, José Braga
It is widely hypothesized that mechanical loading, specifically repetitive low-intensity tasks, influences the inner structure of cancellous bone. As such, there is likely a relationship between handedness and bone morphology. The aim of this study is to determine patterns in trabecular bone between dominant and non-dominant hands in modern humans. Seventeen healthy patients between 22 and 32 years old were included in the study. Radial carpal bones (lunate, capitate, scaphoid, trapezium, trapezoid, 1st, 2nd and 3rd metacarpals) were analyzed with high-resolution micro-computed tomography...
April 19, 2017: Journal of Anatomy
https://www.readbyqxmd.com/read/28420975/beta-band-corticomuscular-drive-reflects-muscle-coordination-strategies
#10
Alexander Reyes, Christopher M Laine, Jason J Kutch, Francisco J Valero-Cuevas
During force production, hand muscle activity is known to be coherent with activity in primary motor cortex, specifically in the beta-band (15-30 Hz) frequency range. It is not clear, however, if this coherence reflects the control strategy selected by the nervous system for a given task, or if it instead reflects an intrinsic property of cortico-spinal communication. Here, we measured corticomuscular and intermuscular coherence between muscles of index finger and thumb while a two-finger pinch grip of identical net force was applied to objects which were either stable (allowing synergistic activation of finger muscles) or unstable (requiring individuated finger control)...
2017: Frontiers in Computational Neuroscience
https://www.readbyqxmd.com/read/28420973/no-overt-effects-of-a-6-week-exergame-training-on-sensorimotor-and-cognitive-function-in-older-adults-a-preliminary-investigation
#11
Madeleine Ordnung, Maike Hoff, Elisabeth Kaminski, Arno Villringer, Patrick Ragert
Several studies investigating the relationship between physical activity and cognition showed that exercise interventions might have beneficial effects on working memory, executive functions as well as motor fitness in old adults. Recently, movement based video games (exergames) have been introduced to have the capability to improve cognitive function in older adults. Healthy aging is associated with a loss of cognitive, as well as sensorimotor functions. During exergaming, participants are required to perform physical activities while being simultaneously surrounded by a cognitively challenging environment...
2017: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/28420562/progression-of-untreated-mild-thoracic-scheuermann-s-kyphosis%C3%A2-%C3%A2-radiographic-and-functional-assessment-after-mean-follow-up-of-46%C3%A2-years
#12
Leena Ristolainen, Jyrki A Kettunen, Urho M Kujala, Ari Heinonen, Dietrich Schlenzka
BACKGROUND: There is no data available on the radiographic development of the Scheuermann's deformity. Our purpose was to investigate radiographic deformity progression and the relation between kyphosis progression and clinical outcome in patients with untreated Scheuermann's kyphosis. METHODS: Thoracic kyphosis (Th4-Th12) was measured from standing lateral radiographs in 19 patients at baseline and after mean 46-year follow-up. Mean age at baseline was 19.2 and at follow-up 64...
April 15, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28415923/hand-grip-strength-determination-for-healthy-males-in-saudi-arabia-a-study-of-the-relationship-with-age-body-mass-index-hand-length-and-forearm-circumference-using-a-hand-held-dynamometer
#13
Khalid A Alahmari, S Paul Silvian, Ravi Shankar Reddy, Venkata Nagaraj Kakaraparthi, Irshad Ahmad, Mohammad Mahtab Alam
Objectives To determine whether age, body mass index (BMI), hand length and forearm circumference were predictive of hand grip strength in healthy Saudi Arabian adult males. Methods This cross-sectional descriptive study recruited healthy adult male volunteers. Their anthropometric characteristics including age, BMI, hand length and forearm circumference were measured using routine techniques. Hand grip strength was assessed using a Jamar® Hydraulic Hand Dynamometer. The data were analysed using Pearson correlation coefficient ( r) as well as by a stepwise multiple linear regression analysis...
April 2017: Journal of International Medical Research
https://www.readbyqxmd.com/read/28412189/mean-5-year-follow-up-for-suture-button-suspensionplasty-in-the-treatment-of-thumb-carpometacarpal-joint-osteoarthritis
#14
Jeffrey Yao, Andre Eu-Jin Cheah
PURPOSE: Suture button suspensionplasty (SBS) has been used to treat thumb carpometacarpal joint osteoarthritis (CMC joint OA). Although promising short-term outcomes have been reported, no outcomes beyond 4 years have been published. The aim of this article is to report intermediate outcomes of SBS. METHODS: We reviewed the charts of 14 patients who underwent 16 SBS procedures for symptomatic thumb CMC joint OA. We recorded demographic data, preoperative Eaton stage, length of follow-up, Quick-Disabilities of the Arm, Shoulder, and Hand questionnaire scores, as well as pinch strength, grip strength, range of motion, and metacarpal subsidence...
April 12, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28411349/effect-of-low-appendicular-lean-mass-grip-strength-and-gait-speed-on-the-functional-outcome-after-surgery-for-distal-radius-fractures
#15
Young Hak Roh, Jung Ho Noh, Hyun Sik Gong, Goo Hyun Baek
Patients with low appendicular lean mass plus slow gait speed or weak grip strength are at risk for poor functional recovery after surgery for distal radius fracture, even when they have similar radiologic outcomes. INTRODUCTION: Loss of skeletal muscle mass and consequent loss in muscle function associate with aging, and this condition negatively impacts the activities of daily living and increases elderly individuals' frailty to falls. Thus, patients with low appendicular lean mass would show different functional recovery compared to those without this condition after surgery for distal radius fracture (DRF)...
December 2017: Archives of Osteoporosis
https://www.readbyqxmd.com/read/28410937/proximal-row-carpectomy-and-4-corner-arthrodesis-in-patients-younger-than-age%C3%A2-45-years
#16
Eric R Wagner, Jean-David Werthel, Bassem T Elhassan, Steven L Moran
PURPOSE: To examine the long-term outcome of patients aged less than 45 years who underwent either proximal row carpectomy (PRC) or 4-corner arthrodesis (4CA) for wrist arthritis. METHODS: We reviewed a retrospective cohort of 89 patients aged less than 45 years who underwent either 4CA (n = 51) or PRC (n = 38) for wrist arthritis. Mean follow-up was 11 years in the 4CA group and 18 years in the PRC group. RESULTS: Overall, there were no differences between groups in the need for revision surgery...
April 12, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28406361/predictors-of-performance-in-a-4-h-mountain-bike-race
#17
Andrew R Novak, Kyle J M Bennett, Job Fransen, Ben J Dascombe
This study aimed to cross validate previously developed predictive models of mountain biking performance in a new cohort of mountain bikers during a 4-h event (XC4H). Eight amateur XC4H cyclists completed a multidimensional assessment battery including a power profile assessment that consisted of maximal efforts between 6 and 600 s, maximal hand grip strength assessments, a video-based decision-making test as well as a XC4H race. A multiple linear regression model was found to predict XC4H performance with good accuracy (R(2) = 0...
April 13, 2017: Journal of Sports Sciences
https://www.readbyqxmd.com/read/28406166/office-based-simple-frailty-score-and-central-blood-pressure-predict-mild-cognitive-impairment-in-an-apparently-healthy-japanese-population-j-shipp-study
#18
Maya Ohara, Katsuhiko Kohara, Yoko Okada, Masayuki Ochi, Tokihisa Nagai, Yasumasa Ohyagi, Yasuharu Tabara, Michiya Igase
Frailty is associated with cognitive impairment and can be used to identify people at high risk for dementia. We developed a simple frailty (SF) score using a combination of low hand grip strength (<32.5 kg in men, <19.5 kg in women), and short one-leg standing time (<20 seconds). These can be easily measured in the clinician's office when seeing patients. We investigated the possible association between SF score and mild cognitive impairment (MCI) in a cross-sectional study with 838 independent middle-aged to elderly participants (319 men, mean age 65...
April 13, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28400666/limited-incision-carpal-tunnel-release
#19
Sunil Gaba, Sandeep Bhogesha, Onkar Singh
BACKGROUND: Carpal tunnel syndrome (CTS) is the most common peripheral entrapment neuropathy. Limited incision techniques for carpal tunnel release are gaining popularity. The main advantages of these techniques are less scar load, less pillar pain, shorter recovery, and return-to-work time. However, the completeness of release, and risk of neurovascular injury are always a concern. We devised a method of limited incision release with two mini-incisions and use of nasal speculum and a probe...
March 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28397355/sex-differences-in-athletic-performance-emerge-coinciding-with-the-onset-of-male-puberty
#20
David J Handelsman
BACKGROUND: Male performance in athletic events begins to exceed that of age-matched females during early adolescence but the timing of this divergence relative to the onset of male puberty and the rise of circulating testosterone remains poorly defined. DESIGN: This study is a secondary quantitative analysis of four published sources which aimed to define the timing of the gender divergence in athletic performance and relating it to the rise in circulating testosterone due to male puberty...
April 11, 2017: Clinical Endocrinology
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