Pub Date : 2025-07-01DOI: 10.1016/j.jht.2024.08.045
B. Basseri, S. Streeter, J. Gutierrez Naranjo, A. Wolff
{"title":"IMPACT OF A MUSCULOSKELETAL HEALTH FOR MUSICIANS (MHM) PROGRAM FOR PROFESSIONAL AND MUSICIAN STUDENTS","authors":"B. Basseri, S. Streeter, J. Gutierrez Naranjo, A. Wolff","doi":"10.1016/j.jht.2024.08.045","DOIUrl":"10.1016/j.jht.2024.08.045","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 682-683"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01DOI: 10.1016/j.jht.2024.07.005
Linda Resnik PT, PhD , Matthew Borgia MA , Christine Cowen OT , Jemy Delikat OT
Background
The Activities Measure for Upper Limb Amputation (AM-ULA), an activity measure for prosthesis users, uses a complex grading rubric to assign a single score to task performance which may limit responsiveness.
Purpose
To enhance AM-ULA responsiveness by exploring a scoring that uses multiple grading elements.
Study Design
Cross-sectional study.
Methods
AM-ULAs of 50 participants were videotaped. Two raters evaluated completion of subtasks, speed of performance, movement quality, skillfulness of prosthetic use, and independence. Intraclass correlation coefficients (ICC) assessed intra-rater and inter-rater reliability.
Results
Rater 1 had fair (0.72) to excellent (0.99) intra-rater reliability in all elements except for independence. Rater 2 had excellent reliability (≥0.96) in all elements. Inter-rater reliability ICC ranged from 0.83 (very good) to 0.99 (excellent) for all elements except independence.
Conclusions
Video scoring of the AM-ULA utilizing individual grading elements showed good intra-rater and inter-rater reliability and is recommended to improve responsiveness of the AM-ULA.
{"title":"Updated, detailed scoring of the activities measure for upper limb amputation (AM-ULA)","authors":"Linda Resnik PT, PhD , Matthew Borgia MA , Christine Cowen OT , Jemy Delikat OT","doi":"10.1016/j.jht.2024.07.005","DOIUrl":"10.1016/j.jht.2024.07.005","url":null,"abstract":"<div><h3>Background</h3><div>The Activities Measure for Upper Limb Amputation (AM-ULA), an activity measure for prosthesis users, uses a complex grading rubric to assign a single score to task performance which may limit responsiveness.</div></div><div><h3>Purpose</h3><div>To enhance AM-ULA responsiveness by exploring a scoring that uses multiple grading elements.</div></div><div><h3>Study Design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>AM-ULAs of 50 participants were videotaped. Two raters evaluated completion of subtasks, speed of performance, movement quality, skillfulness of prosthetic use, and independence. Intraclass correlation coefficients (ICC) assessed intra-rater and inter-rater reliability.</div></div><div><h3>Results</h3><div>Rater 1 had fair (0.72) to excellent (0.99) intra-rater reliability in all elements except for independence. Rater 2 had excellent reliability (≥0.96) in all elements. Inter-rater reliability ICC ranged from 0.83 (very good) to 0.99 (excellent) for all elements except independence.</div></div><div><h3>Conclusions</h3><div>Video scoring of the AM-ULA utilizing individual grading elements showed good intra-rater and inter-rater reliability and is recommended to improve responsiveness of the AM-ULA.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 442-449"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01DOI: 10.1016/j.jht.2024.08.006
Laura Cowling MOT , Dave Parsons PhD, MBA, BSc , Cleo Bigwood BSc , Sally Foster BSc , Andrea Pinto BSc , Yu Xuan Kong BSc
Background
The utilization of standardized patient-rated outcome measures (PROMs) by hand therapists is essential to evaluate treatment and clinical outcomes and underpins evidence-based and patient-centered practice. However, research indicates that the routine use of PROMs is inconsistent in clinical practice.
Purpose
To explore the barriers and enablers experienced by hand therapists in the routine use of standardized and valid PROMs. Additionally, it aimed to describe appropriate strategies, based on the barriers and enablers identified, to improve the administration of PROMs in hand therapy practice.
Study Design
Qualitative.
Methods
Semistructured interviews were used to explore the experiences of hand therapists in routinely using PROMs in clinical practice at two Australian tertiary public hospital hand clinics. Qualitative data were analyzed for themes using reflexive thematic analysis described by Braun and Clarke.
Results
Ten participants were interviewed. Interview findings generated three core themes—Culture is King, It’s All Too Hard and When I do it, I value it. The core themes—Culture is King and It’s All Too Hard reflected the cultural and institutional factors that present as barriers to the routine uptake of standardized PROMs, such as lack of infrastructure to support data collection and a lack of knowledge of PROMs. The third core theme, “When I do it, I value it” reflects the value and importance of completing PROMs to facilitate evidence-based practice and benefits in tracking treatment progress and providing feedback regarding their progression. Suggested strategies for addressing barriers included using appropriate and standardized methods of collecting and storing PROM data, improving accessibility to PROMs in clinical practice and forming peer education groups and training opportunities.
Conclusions
Hand therapists identify the value and importance of completing PROMs in daily practice; however, culture in the workplace and organizational infrastructure adversely influence the routine use of standardized PROMs by hand therapists.
背景：手工治疗师使用标准化的患者评价结果测量（PROMs）对评估治疗和临床结果至关重要，并支持循证和以患者为中心的实践。然而，研究表明，PROMs的常规使用在临床实践中是不一致的。目的：探讨手疗师在常规使用规范有效的PROMs时遇到的障碍和促进因素。此外，它旨在描述适当的策略，基于所确定的障碍和使能因素，以改善手治疗实践中PROMs的管理。研究设计：定性。方法：采用半结构式访谈法，探讨澳大利亚两所三级公立医院手科诊所手治疗师在临床实践中常规使用PROMs的经验。使用Braun和Clarke描述的反身性主位分析对主题进行定性数据分析。结果：访谈10名参与者。采访结果产生了三个核心主题——文化为王、这一切都太难了、当我这样做的时候，我很重视它。核心主题“文化为王”和“It’s All Too Hard”反映了文化和制度因素，这些因素阻碍了标准化prom的常规采用，例如缺乏支持数据收集的基础设施和缺乏prom知识。第三个核心主题“当我做的时候，我重视它”反映了完成prom的价值和重要性，以促进循证实践，并在跟踪治疗进展和提供有关其进展的反馈方面获益。建议的解决障碍的战略包括使用适当和标准化的方法收集和存储PROM数据，改善临床实践中PROM的可及性，以及组建同伴教育小组和培训机会。结论：手部治疗师认识到在日常实践中完成PROMs的价值和重要性；然而，工作场所的文化和组织基础设施对手部治疗师常规使用标准化PROMs产生了不利影响。
{"title":"Exploring the barriers and enablers to the standardized and routine use of patient-rated outcomes for clients presenting with hand injuries at an Australian public hospital","authors":"Laura Cowling MOT , Dave Parsons PhD, MBA, BSc , Cleo Bigwood BSc , Sally Foster BSc , Andrea Pinto BSc , Yu Xuan Kong BSc","doi":"10.1016/j.jht.2024.08.006","DOIUrl":"10.1016/j.jht.2024.08.006","url":null,"abstract":"<div><h3>Background</h3><div>The utilization of standardized patient-rated outcome measures (PROMs) by hand therapists is essential to evaluate treatment and clinical outcomes and underpins evidence-based and patient-centered practice. However, research indicates that the routine use of PROMs is inconsistent in clinical practice.</div></div><div><h3>Purpose</h3><div>To explore the barriers and enablers experienced by hand therapists in the routine use of standardized and valid PROMs. Additionally, it aimed to describe appropriate strategies, based on the barriers and enablers identified, to improve the administration of PROMs in hand therapy practice.</div></div><div><h3>Study Design</h3><div>Qualitative.</div></div><div><h3>Methods</h3><div>Semistructured interviews were used to explore the experiences of hand therapists in routinely using PROMs in clinical practice at two Australian tertiary public hospital hand clinics. Qualitative data were analyzed for themes using reflexive thematic analysis described by Braun and Clarke.</div></div><div><h3>Results</h3><div>Ten participants were interviewed. Interview findings generated three core themes—<em>Culture is King</em>, <em>It’s All Too Hard</em> and <em>When I do it, I value it</em>. The core themes—<em>Culture is King</em> and <em>It’s All Too Hard</em> reflected the cultural and institutional factors that present as barriers to the routine uptake of standardized PROMs, such as lack of infrastructure to support data collection and a lack of knowledge of PROMs. The third core theme, “<em>When I do it, I value it</em>” reflects the value and importance of completing PROMs to facilitate evidence-based practice and benefits in tracking treatment progress and providing feedback regarding their progression. Suggested strategies for addressing barriers included using appropriate and standardized methods of collecting and storing PROM data, improving accessibility to PROMs in clinical practice and forming peer education groups and training opportunities.</div></div><div><h3>Conclusions</h3><div>Hand therapists identify the value and importance of completing PROMs in daily practice; however, culture in the workplace and organizational infrastructure adversely influence the routine use of standardized PROMs by hand therapists.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 522-530"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01DOI: 10.1016/j.jht.2024.12.017
Jean Paul Brutus MD , Alison Taylor OT/CHT , Natasha Barone MDCM, MSc , Elisabet Hagert MD, PhD
Dupuytren’s disease is a common fibroproliferative disorder that primarily affects the palm of the hand. While the disease is known for its characteristic palmar contractures, it also has a potential impact on the extensor mechanism of the hand, resulting in the development of boutonniere deformity, swan-neck deformity, and persistent metacarpophalangeal joint contracture due to extensor capsule stretching and tendon instability. These imbalances are challenging to correct under general or regional anesthesia. Wide awake local anesthesia without a tourniquet allows active range of motion and intraoperative patient collaboration. By understanding the underlying mechanisms and structures involved in these deformities and correcting them under local anesthesia without a tourniquet, hand surgeons can become more confident in correcting the deformity, demonstrating it to the patient, optimizing the rehabilitation protocol, and improving patient outcomes.
{"title":"Extensor mechanism dysfunction and hand deformities caused by Dupuytren’s disease: Surgical and rehabilitation perspectives","authors":"Jean Paul Brutus MD , Alison Taylor OT/CHT , Natasha Barone MDCM, MSc , Elisabet Hagert MD, PhD","doi":"10.1016/j.jht.2024.12.017","DOIUrl":"10.1016/j.jht.2024.12.017","url":null,"abstract":"<div><div><span>Dupuytren’s disease is a common fibroproliferative disorder that primarily affects the palm of the hand. While the disease is known for its characteristic palmar contractures, it also has a potential impact on the extensor mechanism of the hand, resulting in the development of boutonniere deformity, swan-neck deformity, and persistent metacarpophalangeal joint contracture due to extensor capsule stretching and tendon instability. These imbalances are challenging to correct under general or </span>regional anesthesia<span>. Wide awake local anesthesia without a tourniquet allows active range of motion and intraoperative patient collaboration. By understanding the underlying mechanisms and structures involved in these deformities and correcting them under local anesthesia without a tourniquet, hand surgeons can become more confident in correcting the deformity, demonstrating it to the patient, optimizing the rehabilitation protocol, and improving patient outcomes.</span></div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 566-573"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01DOI: 10.1016/j.jht.2024.07.002
Alexander J. Kammien BS , Kevin G. Hu BA , Catherine Yu BS , Jonathan N. Grauer MD , David L. Colen MD
Background
Physical rehabilitation is considered an important component of recovery following digital flexor tendon repair (FTR), but no studies have thoroughly characterized nationwide therapy utilization in the United States.
Purpose
The current study characterized national trends in the timing and amount of hand therapy utilization following FTR and assessed factors associated with the lack of postoperative hand therapy.
Study Design
Retrospective cohort study.
Methods
Zone II FTRs between 2010 and 2020 were identified in PearlDiver. Exclusion criteria included age <18 years, concomitant procedures besides nerve repair, and follow-up in the database of <6 months. The occurrence, timing, and frequency of hand therapy within 6 months of surgery were identified. Odds of not receiving hand therapy were assessed based on clinical and nonclinical characteristics using logistic regression.
Results
Of 6700 FTRs identified, hand therapy was identified for 3319 (50%). The proportion of patients utilizing therapy increased from 2010 to 2020 (44%-56%, p < 0.001). Weekly therapy utilization peaked in postoperative week 4 (41% of all patients attended hand therapy). Lack of hand therapy utilization was associated with several clinical factors (male sex, lower Elixhauser Comorbidity Index score, decreasing number of repairs) and nonclinical factors (geographic region, Medicare insurance).
Conclusions
Despite the reported importance of hand therapy following digital FTR, it may be underutilized in the United States. Patient factors associated with not using hand therapy suggest that more uniform clinical practice should be sought.
{"title":"Hand therapy utilization following digital flexor tendon repair: Trends, timing, predictive factors, and association with reoperation","authors":"Alexander J. Kammien BS , Kevin G. Hu BA , Catherine Yu BS , Jonathan N. Grauer MD , David L. Colen MD","doi":"10.1016/j.jht.2024.07.002","DOIUrl":"10.1016/j.jht.2024.07.002","url":null,"abstract":"<div><h3>Background</h3><div>Physical rehabilitation is considered an important component of recovery following digital flexor tendon repair (FTR), but no studies have thoroughly characterized nationwide therapy utilization in the United States.</div></div><div><h3>Purpose</h3><div>The current study characterized national trends in the timing and amount of hand therapy utilization following FTR and assessed factors associated with the lack of postoperative hand therapy.</div></div><div><h3>Study Design</h3><div>Retrospective cohort study.</div></div><div><h3>Methods</h3><div>Zone II FTRs between 2010 and 2020 were identified in PearlDiver. Exclusion criteria included age <18 years, concomitant procedures besides nerve repair<span>, and follow-up in the database of <6 months. The occurrence, timing, and frequency of hand therapy within 6 months of surgery were identified. Odds of not receiving hand therapy were assessed based on clinical and nonclinical characteristics using logistic regression.</span></div></div><div><h3>Results</h3><div>Of 6700 FTRs identified, hand therapy was identified for 3319 (50%). The proportion of patients utilizing therapy increased from 2010 to 2020 (44%-56%, <em>p</em><span> < 0.001). Weekly therapy utilization peaked in postoperative week 4 (41% of all patients attended hand therapy). Lack of hand therapy utilization was associated with several clinical factors (male sex, lower Elixhauser Comorbidity Index score, decreasing number of repairs) and nonclinical factors (geographic region, Medicare insurance).</span></div></div><div><h3>Conclusions</h3><div>Despite the reported importance of hand therapy following digital FTR, it may be underutilized in the United States. Patient factors associated with not using hand therapy suggest that more uniform clinical practice should be sought.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 434-441"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01DOI: 10.1016/j.jht.2024.12.014
Louise de Haas MD , Veronique van de Lücht MD , Charlotte Lameijer MD, PhD , Marco Ritt MD, PhD , Niels Schep MD, PhD , Rolf Groenwold MD, PhD , Mark van Heijl MD, PhD , on behalf of the Snapshot Hand Fractures Collaborative study group
Background
It is unclear which patients with fractures and dislocations of the hand necessitate hand therapy referral, which can lead to practice variation.
Purpose
The study aimed to evaluate hand therapy referral patterns following non-operative and operative treatments of hand fractures and dislocations and to identify practice variations.
Study Design
This multicenter, observational snapshot study was conducted across 12 hospitals in the Netherlands over a 3-month period in 2020.
Methods
Adult patients admitted to the emergency department with metacarpal and phalangeal fractures or dislocations were included. Analyses were stratified by hand therapy referral status for different injury categories following non-operative and operative treatment. Determinants for hand therapy referral, including patient and injury characteristics, hospital setting, and medical specialty, were assessed using multivariable logistic regression.
Results
Of 1654 included patients, 22% (306/1405) were referred to hand therapy after non-operative treatment, and 72% (178/249) after operative treatment. Among the 10 most prevalent injuries treated non-operatively, referral rates were highest for dislocations of digits two to five (43% [48/112]), followed by middle phalanx shaft fractures (34% [11/32]), and mallet fractures (33% [23/70]). The referral rates across hospitals significantly differed for metacarpal shaft fractures, dislocations of digits two to five, and proximal interphalangeal joint palmar plate avulsion fractures. Among the five most prevalent injuries treated operatively, middle and proximal phalanx shaft fractures were most frequently referred (90% [9/10] and 87% [33/38]), and referral rates across hospitals varied between 28% (95% confidence interval: 13%-50%) and 89% (95% confidence interval: 51%-100%). In multivariable logistic regression, hospital setting and medical specialty were determinants of hand therapy referral (p < 0.001 and p < 0.001).
Conclusions
There is considerable practice variation in hand therapy referral within injury categories, which seems to be largely attributed to hospital setting and medical specialty. This highlights the knowledge gap in this field.
{"title":"Hand therapy referral for hand fractures and dislocations: A multicenter snapshot study","authors":"Louise de Haas MD , Veronique van de Lücht MD , Charlotte Lameijer MD, PhD , Marco Ritt MD, PhD , Niels Schep MD, PhD , Rolf Groenwold MD, PhD , Mark van Heijl MD, PhD , on behalf of the Snapshot Hand Fractures Collaborative study group","doi":"10.1016/j.jht.2024.12.014","DOIUrl":"10.1016/j.jht.2024.12.014","url":null,"abstract":"<div><h3>Background</h3><div>It is unclear which patients with fractures and dislocations of the hand necessitate hand therapy referral, which can lead to practice variation.</div></div><div><h3>Purpose</h3><div>The study aimed to evaluate hand therapy referral patterns following non-operative and operative treatments of hand fractures and dislocations and to identify practice variations.</div></div><div><h3>Study Design</h3><div>This multicenter, observational snapshot study was conducted across 12 hospitals in the Netherlands over a 3-month period in 2020.</div></div><div><h3>Methods</h3><div>Adult patients admitted to the emergency department<span><span> with metacarpal and phalangeal fractures or dislocations were included. Analyses were stratified by hand therapy referral status for different injury categories following non-operative and operative treatment. Determinants for hand therapy referral, including patient and injury characteristics, hospital setting, and medical specialty, were assessed using multivariable </span>logistic regression.</span></div></div><div><h3>Results</h3><div><span><span><span><span>Of 1654 included patients, 22% (306/1405) were referred to hand therapy after non-operative treatment, and 72% (178/249) after operative treatment. Among the 10 most prevalent injuries treated non-operatively, referral rates were highest for dislocations of digits two to five (43% [48/112]), followed by middle phalanx shaft fractures (34% [11/32]), and mallet fractures (33% [23/70]). The referral rates across hospitals significantly differed for metacarpal shaft fractures, dislocations of digits two to five, and </span>proximal interphalangeal joint </span>palmar plate </span>avulsion fractures<span>. Among the five most prevalent injuries treated operatively, middle and proximal phalanx shaft fractures were most frequently referred (90% [9/10] and 87% [33/38]), and referral rates across hospitals varied between 28% (95% confidence interval: 13%-50%) and 89% (95% confidence interval: 51%-100%). In multivariable logistic regression, hospital setting and medical specialty were determinants of hand therapy referral (</span></span><em>p</em> < 0.001 and <em>p</em> < 0.001).</div></div><div><h3>Conclusions</h3><div>There is considerable practice variation in hand therapy referral within injury categories, which seems to be largely attributed to hospital setting and medical specialty. This highlights the knowledge gap in this field.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 548-557"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01DOI: 10.1016/j.jht.2024.12.001
Savaş Karpuz , Ramazan Yilmaz , Mehmet Özkan MD , İlhan Çağlar Kaya MD , Onur Bulut MD , Kemal Erol , Halim Yilmaz
Background
The effect of conservative treatments on sleep quality in carpal tunnel syndrome is unclear.
Purpose
Comparing the effect of splinting and kinesiotaping in carpal tunnel syndrome on functional status, pain, grip strength, nerve cross-sectional area and sleep quality.
Study Design
Randomized controlled study.
Methods
The participants were divided into three groups. One group was given night splint and nerve tendon gliding exercises, one group was given kinesiotaping and nerve tendon gliding exercises and one group was given only nerve tendon gliding exercises. The participants was evaluated with Visual Analog Scale (VAS), Boston Carpal Tunnel Syndrome Questionnaire, Pittsburgh Sleep Quality Index (PSQI), Jamar hand dynamometer, ultrasonography by a blind investigator in the treatment group at baseline and at 3 months.
Results
A total of 90 participants, 53 women and 37 men, with a mean age of 47.6 ± 10.5, participated in the study. The decrease in Boston symptom severity and functional status scores was higher in the kinesiotaping group than in the splint group (Cohen's d = −0.78). A statistically significant decrease was found in PSQI scores in all groups (p < 0.05). A statistically significant decrease was found in the PSQI total and sleep duration component score in the kinesiotaping group compared to the splint group and the exercise group (Cohen's d = 0.69).
Conclusions
Both splinting and kinesiotaping are effective on pain, functional status, hand grip strength and median nerve cross-sectional area. This effect is greater in kinesiotaping. Splinting, kinesiotaping and nerve tendon gliding exercises treatments are effective in improving sleep quality, but this effect is greater in kinesiotaping. ClinicalTrials.gov ID: NCT06514625.
{"title":"Effect of splinting and kinesiotaping treatments on functional status, sleep quality and median nerve cross-sectional area in carpal tunnel syndrome: A single blind prospective randomized controlled study","authors":"Savaş Karpuz , Ramazan Yilmaz , Mehmet Özkan MD , İlhan Çağlar Kaya MD , Onur Bulut MD , Kemal Erol , Halim Yilmaz","doi":"10.1016/j.jht.2024.12.001","DOIUrl":"10.1016/j.jht.2024.12.001","url":null,"abstract":"<div><h3>Background</h3><div>The effect of conservative treatments on sleep quality in carpal tunnel syndrome is unclear.</div></div><div><h3>Purpose</h3><div><span>Comparing the effect of splinting<span> and kinesiotaping in carpal tunnel syndrome on </span></span>functional status, pain, grip strength, nerve cross-sectional area and sleep quality.</div></div><div><h3>Study Design</h3><div>Randomized controlled study.</div></div><div><h3>Methods</h3><div><span>The participants were divided into three groups. One group was given night splint and nerve tendon gliding exercises, one group was given kinesiotaping and nerve tendon gliding exercises and one group was given only nerve tendon gliding exercises. The participants was evaluated with Visual Analog Scale<span> (VAS), Boston Carpal Tunnel Syndrome Questionnaire, </span></span>Pittsburgh Sleep Quality Index<span><span> (PSQI), Jamar hand dynamometer, </span>ultrasonography by a blind investigator in the treatment group at baseline and at 3 months.</span></div></div><div><h3>Results</h3><div>A total of 90 participants, 53 women and 37 men, with a mean age of 47.6<!--> <!-->±<!--> <span>10.5, participated in the study. The decrease in Boston symptom severity and functional status scores was higher in the kinesiotaping group than in the splint group (Cohen's d</span> <!-->=<!--> <!-->−0.78). A statistically significant decrease was found in PSQI scores in all groups (<em>p</em> <!--><<!--> <span>0.05). A statistically significant decrease was found in the PSQI total and sleep duration component score in the kinesiotaping group compared to the splint group and the exercise group (Cohen's d</span> <!-->=<!--> <!-->0.69).</div></div><div><h3>Conclusions</h3><div><span><span>Both splinting and kinesiotaping are effective on pain, functional status, hand grip strength and median nerve cross-sectional area. This effect is greater in kinesiotaping. Splinting, kinesiotaping and nerve tendon gliding </span>exercises treatments are effective in improving sleep quality, but this effect is greater in kinesiotaping. </span><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> ID: NCT06514625.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 483-491"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01DOI: 10.1016/j.jht.2024.08.051
L. Hirst, S. Doerrer
{"title":"CRITICAL APPRAISAL PAPER: “SENSORY INTERVENTIONS ON MOTOR FUNCTION, ACTIVITIES OF DAILY LIVING, AND SPASTICITY OF THE UPPER LIMB IN PEOPLE WITH STROKE: A RANDOMIZED CLINICAL TRIAL”","authors":"L. Hirst, S. Doerrer","doi":"10.1016/j.jht.2024.08.051","DOIUrl":"10.1016/j.jht.2024.08.051","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Pages 687-688"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145059995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01DOI: 10.1016/j.jht.2024.08.052
C. Eddow
{"title":"THE EFFICACY OF A VERSATILE CUSTOM ORTHOSIS DESIGNED FOR THE STIFF HAND: A CLINICAL CASE STUDY","authors":"C. Eddow","doi":"10.1016/j.jht.2024.08.052","DOIUrl":"10.1016/j.jht.2024.08.052","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Page 688"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145059996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01DOI: 10.1016/j.jht.2024.08.031
M. D'Imperio, S. Doerrer
{"title":"CRITICALLY APPRAISED PAPER: “ROBOT- ASSISTED TRAINING AS SELF- TRAINING FOR UPPER LIMB HEMIPLEGIA IN CHRONIC STROKE: A RANDOMIZED CONTROLLED TRIAL”","authors":"M. D'Imperio, S. Doerrer","doi":"10.1016/j.jht.2024.08.031","DOIUrl":"10.1016/j.jht.2024.08.031","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 3","pages":"Page 672"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145060529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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