Pub Date : 2024-01-01DOI: 10.1016/j.jht.2023.05.009
Julio Ernesto Pérez-Parra PhD , Claudia Patricia Henao-Lema PhD , Anyi Vanesa Arcos-Rodríguez MSc , Natalia López-Ocampo MSc , Carolina Castaño-García MSc , Olga Patricia Pérez-Gamboa MSc
Background
Handgrip strength is a common, simple, and inexpensive method to measure muscle strength. On the other hand, the functional performance measurement involves a usual task which implies repeating elements between the individuals’ interaction and the environment. This is fundamental for projecting their results to daily life situation.
Purpose
To explore the relationship between grip strength and measures of functional performance of the upper limbs (ULs) in people over 18 years of age, and to determine the influence of sociodemographic and anthropometric variables on the relationship.
Study Design
A cross-sectional study was conducted under the analytical empirical approach, using linear associations between handgrip strength and functional performance measurement tests (correspondence analysis).
Methods
Three hundred sixty-two male and female individuals between 18 and 91 years of age from 4 Colombian cities participated. The grip strength of both ULs measured with a digital dynamometry was associated with the Box and Block Test (BBT, manual dexterity), Nine-Hole Peg Test (NHPT, daily living tasks), and Jebsen-Taylor Hand Function Test (JJT, ability to grasp, pick up, and place). Multiple linear regression analyzes were performed to assess possible explanatory factors of a sociodemographic and anthropometric order.
Results
A significant association was found between the grip strength of dominant and non-dominant ULs with all functional performance tests (ρ > 0.27 and p < .001), except for the writing and simulated feeding subtests of the JJT (ρ ≤ 0.16). An interactive effect of age was found in the relationship between grip strength and the 3 functional performance tests.
Conclusions
These results support the association between grip strength with the NHPT, JJT, and BBT measures and the interactive effect of age on the performance of all tests.
{"title":"Handgrip strength and upper limb functional performance measures in people over 18 years old: Analysis of relationships and influencing factors","authors":"Julio Ernesto Pérez-Parra PhD , Claudia Patricia Henao-Lema PhD , Anyi Vanesa Arcos-Rodríguez MSc , Natalia López-Ocampo MSc , Carolina Castaño-García MSc , Olga Patricia Pérez-Gamboa MSc","doi":"10.1016/j.jht.2023.05.009","DOIUrl":"10.1016/j.jht.2023.05.009","url":null,"abstract":"<div><h3>Background</h3><p>Handgrip strength is a common, simple, and inexpensive method to measure muscle strength. On the other hand, the functional performance measurement involves a usual task which implies repeating elements between the individuals’ interaction and the environment. This is fundamental for projecting their results to daily life situation.</p></div><div><h3>Purpose</h3><p>To explore the relationship between grip strength and measures of functional performance of the upper limbs (ULs) in people over 18 years of age, and to determine the influence of sociodemographic and anthropometric variables on the relationship.</p></div><div><h3>Study Design</h3><p>A cross-sectional study was conducted under the analytical empirical approach, using linear associations between handgrip strength and functional performance measurement tests (correspondence analysis).</p></div><div><h3>Methods</h3><p><span>Three hundred sixty-two male and female individuals between 18 and 91 years of age from 4 Colombian cities participated. The grip strength of both ULs measured with a digital dynamometry was associated with the Box and Block Test (BBT, manual dexterity), Nine-Hole Peg Test (NHPT, daily living tasks), and Jebsen-Taylor Hand Function Test (JJT, ability to grasp, pick up, and place). </span>Multiple linear regression<span> analyzes were performed to assess possible explanatory factors of a sociodemographic and anthropometric order.</span></p></div><div><h3>Results</h3><p>A significant association was found between the grip strength of dominant and non-dominant ULs with all functional performance tests (ρ > 0.27 and <em>p</em> < .001), except for the writing and simulated feeding subtests of the JJT (ρ ≤ 0.16). An interactive effect of age was found in the relationship between grip strength and the 3 functional performance tests.</p></div><div><h3>Conclusions</h3><p>These results support the association between grip strength with the NHPT, JJT, and BBT measures and the interactive effect of age on the performance of all tests.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9991013","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 : 2024-01-01DOI: 10.1016/j.jht.2023.08.003
Andrea Hebert , Joy MacDermid , Jocelyn Harris , Tara Packham
Background
Evidence synthesis suggests allodynia resulting from neuropathic pain has few interventions with clear effectiveness. As research continues to build this needed evidence base, expert consensus recommendations can address the conflicting approaches within current hand therapy practice.
Purpose
This study aimed to develop consensus recommendations for the clinical management of allodynia from an international panel of hand therapists.
Study Design
This was an international e-Delphi survey study.
Methods
We recruited international hand rehabilitation experts to participate in an e-Delphi survey. Consensus was defined as 75% or more of participants agreeing with a recommendation, and at least 3 rounds of consensus building were anticipated. Experts were identified from 21 countries, and clinical vignettes describing a spectrum of patients with painful sensitivity in the hand were provided to elicit treatment recommendations. Initial recommendations were summarized, and consensus sought for clinical practice recommendations.
Results
Sixty-eight participants were invited, with 44 more added through peer nominations. Fifty-four participants from 19 countries completed the initial survey and were invited to participate in all subsequent rounds. Over 900 treatment suggestions were provided from the initial vignettes across domains, including sensory, physical, and functional interventions, education, and cortical representation techniques: 46 ultimately reached consensus. However, important discrepancies in justification (eg, why allodynia should be covered) and implementation of techniques (eg, desensitization, sensory reeducation) were identified as the consensus exercise progressed.
Conclusions
Experts recommend individually tailored programs to treat allodynia using a variety of physical/movement, sensory-based, and “top-down” approaches; this is highly aligned with contemporary theories, such as the Neuromatrix Model of Pain. However, consensus was not reached on the justification and implementation of some of these approaches, reflecting the lack of a taxonomy and supporting evidence for tactile stimulation approaches in the current literature. Trials directly comparing the effectiveness of these approaches are needed.
{"title":"How should we treat painful sensitivity in the hand? An international e-Delphi study","authors":"Andrea Hebert , Joy MacDermid , Jocelyn Harris , Tara Packham","doi":"10.1016/j.jht.2023.08.003","DOIUrl":"10.1016/j.jht.2023.08.003","url":null,"abstract":"<div><h3>Background</h3><p><span>Evidence synthesis suggests allodynia resulting from </span>neuropathic pain<span> has few interventions with clear effectiveness. As research continues to build this needed evidence base, expert consensus recommendations can address the conflicting approaches within current hand therapy practice.</span></p></div><div><h3>Purpose</h3><p>This study aimed to develop consensus recommendations for the clinical management of allodynia from an international panel of hand therapists.</p></div><div><h3>Study Design</h3><p>This was an international e-Delphi survey study.</p></div><div><h3>Methods</h3><p>We recruited international hand rehabilitation experts to participate in an e-Delphi survey. Consensus was defined as 75% or more of participants agreeing with a recommendation, and at least 3 rounds of consensus building were anticipated. Experts were identified from 21 countries, and clinical vignettes describing a spectrum of patients with painful sensitivity in the hand were provided to elicit treatment recommendations. Initial recommendations were summarized, and consensus sought for clinical practice recommendations.</p></div><div><h3>Results</h3><p>Sixty-eight participants were invited, with 44 more added through peer nominations. Fifty-four participants from 19 countries completed the initial survey and were invited to participate in all subsequent rounds. Over 900 treatment suggestions were provided from the initial vignettes across domains, including sensory, physical, and functional interventions, education, and cortical representation techniques: 46 ultimately reached consensus. However, important discrepancies in justification (eg, why allodynia should be covered) and implementation of techniques (eg, desensitization, sensory reeducation) were identified as the consensus exercise progressed.</p></div><div><h3>Conclusions</h3><p>Experts recommend individually tailored programs to treat allodynia using a variety of physical/movement, sensory-based, and “top-down” approaches; this is highly aligned with contemporary theories, such as the Neuromatrix Model of Pain. However, consensus was not reached on the justification and implementation of some of these approaches, reflecting the lack of a taxonomy and supporting evidence for tactile stimulation approaches in the current literature. Trials directly comparing the effectiveness of these approaches are needed.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41123835","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 : 2024-01-01DOI: 10.1016/j.jht.2023.03.001
Fatih Özden PT, MSc
{"title":"Comments on “Concurrent validity and precision of the thumb disability examination (TDX) in first carpometacarpal osteoarthritis” by Johnson et al.","authors":"Fatih Özden PT, MSc","doi":"10.1016/j.jht.2023.03.001","DOIUrl":"10.1016/j.jht.2023.03.001","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41155887","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 : 2024-01-01DOI: 10.1016/j.jht.2023.05.005
Miriana Agnelli , Benedetta Libeccio , Maria Chiara Frisoni , Francesco Bolzoni , Federico Temporiti , Roberto Gatti
Background
Action observation plus motor imagery (AOMI) and somatosensory discrimination training (SSDT) represent sensory input-based approaches to train the motor system without necessarily asking subjects to perform active movements.
Purpose
To investigate AOMI and SSDT effects compared to no intervention on manual dexterity in healthy subjects.
Study Design
Randomized controlled study.
Methods
Sixty healthy right-handed participants were randomized into AOMI, SSDT or Control (CTRL) groups. AOMI observed video-clips including right-hand dexterity tasks and concurrently performed motor imagery, SSDT performed surfaces recognition and 2-point distance discrimination tasks with the right hand, whereas CTRL underwent no intervention. A blinded physiotherapist assessed participants for manual dexterity using the Purdue Pegboard Test (Right hand-R, Left hand-L, Both hands-B, R+L+B and assembly tasks) at baseline (T0) and training end (T1). A mixed-design Analysis of Variance with Time as within-subject factor and Group as between-subject factor was used to investigate between-group differences over time.
Results
A Time by Group interaction and Time effect were found for R task, which increased from T0 to T1 in all groups with very large effect sizes for SSDT (d = 1.8, CI95 2.4-1.0, P < .001) and AOMI (d = 1.7, CI95 2.5-1.0, P < .001) and medium effect size for CTRL (d = 0.6, CI95 1.2-0.2, P < .001). Between-group post-hoc comparison for deltas (T1-T0) showed large effect size (d = 1.0, CI95 1.6-0.3, P = .003) in favor of SSDT and medium effect size (d = 0.7, CI95 1.4-0.1, P = .026) in favor of AOMI compared to CTRL. Time effects were found for L, B, R + L + B and assembly tasks (P < .001).
Conclusions
AOMI and SSDT induced greater manual dexterity improvements than no intervention. These findings supported the role of visual and somatosensory stimuli in building a motor plan and enhancing the accuracy of hand movements. These non-motor approaches may enhance motor performance in job or hobbies requiring marked manual dexterity.
{"title":"Action observation plus motor imagery and somatosensory discrimination training are effective non-motor approaches to improve manual dexterity","authors":"Miriana Agnelli , Benedetta Libeccio , Maria Chiara Frisoni , Francesco Bolzoni , Federico Temporiti , Roberto Gatti","doi":"10.1016/j.jht.2023.05.005","DOIUrl":"10.1016/j.jht.2023.05.005","url":null,"abstract":"<div><h3>Background</h3><p>Action observation plus motor imagery (AOMI) and somatosensory discrimination training (SSDT) represent sensory input-based approaches to train the motor system without necessarily asking subjects to perform active movements.</p></div><div><h3>Purpose</h3><p>To investigate AOMI and SSDT effects compared to no intervention on manual dexterity in healthy subjects.</p></div><div><h3>Study Design</h3><p>Randomized controlled study.</p></div><div><h3>Methods</h3><p><span>Sixty healthy right-handed participants were randomized into AOMI, SSDT or Control (CTRL) groups. AOMI observed video-clips including right-hand dexterity tasks and concurrently performed motor imagery, SSDT performed surfaces recognition and 2-point distance discrimination tasks with the right hand, whereas CTRL underwent no intervention. A blinded physiotherapist assessed participants for manual dexterity using the </span>Purdue Pegboard Test (Right hand-R, Left hand-L, Both hands-B, R+L+B and assembly tasks) at baseline (T0) and training end (T1). A mixed-design Analysis of Variance with Time as within-subject factor and Group as between-subject factor was used to investigate between-group differences over time.</p></div><div><h3>Results</h3><p><span>A Time by Group interaction and Time effect were found for R task, which increased from T0 to T1 in all groups with very large effect sizes for SSDT (</span><em>d</em> = 1.8, CI<sub>95</sub> 2.4-1.0, <em>P</em> < .001) and AOMI (<em>d</em> = 1.7, CI<sub>95</sub> 2.5-1.0, <em>P</em> < .001) and medium effect size for CTRL (<em>d</em> = 0.6, CI<sub>95</sub> 1.2-0.2, <em>P</em> < .001). Between-group post-hoc comparison for deltas (T1-T0) showed large effect size (<em>d</em> = 1.0, CI<sub>95</sub> 1.6-0.3, <em>P</em> = .003) in favor of SSDT and medium effect size (<em>d</em> = 0.7, CI<sub>95</sub> 1.4-0.1, <em>P</em> = .026) in favor of AOMI compared to CTRL. Time effects were found for L, B, R + L + B and assembly tasks (<em>P</em> < .001).</p></div><div><h3>Conclusions</h3><p>AOMI and SSDT induced greater manual dexterity improvements than no intervention. These findings supported the role of visual and somatosensory stimuli in building a motor plan and enhancing the accuracy of hand movements. These non-motor approaches may enhance motor performance in job or hobbies requiring marked manual dexterity.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10000267","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}
Forced elbow flexion and pressure during bicycling result in ulnar nerve traction and pressure exerted in Guyon’s canal or the nerve’s distal branches. The compression of the nerves causes a change in their stiffness related to edema and eventually gradual fibrosis.
Purpose
This study aimed to evaluate the elastography of terminal branches of the ulnar nerve in cyclists.
Study Design
Cross-sectional study.
Methods
Thirty cyclists, 32 healthy individuals, and 32 volunteers with ulnar nerve entrapment neuropathies participated in the study. Each participant underwent a nerve examination of the cubital tunnel, Guyon’s canal and the deep and superficial branches of the ulnar nerve using shear wave elastography. The cyclist group was tested before and after a 2-hour-long workout.
Results
Before cycling workouts, the ulnar nerve stiffness in the cubital tunnel and Guyon’s canal remained below pathological estimates. Cycling workouts altered nerve stiffness in the cubital tunnel only. Notably, the stiffness of the ulnar terminal branches in cyclists was increased even before training. The mean deep branch stiffness was 50.85 ± 7.60 kPa versus 20.43 ± 5.95 kPa (p < 0.001) in the cyclist and healthy groups, respectively, and the mean superficial branch stiffness was 44 ± 12.45 kPa versus 24.55 ± 8.05 kPa (p < 0.001), respectively. Cycling contributed to a further shift in all observed values.
Discussion
These observations indicate the existence of persistent anatomical changes in the distal ulnar branches in resting cyclists that result in increased stiffness of these nerves. The severity of these changes remains, however, to be determined.
Conclusions
These data show elastography values of the ulnar terminal branches in healthy individuals and cyclists where despite lack of clinical symptoms that they seem to be elevated twice above the healthy range.
{"title":"The elastography of distal ulnar nerve branches in cyclists","authors":"Agnieszka Dąbrowska MD , Łukasz Paluch MD, PhD , Piotr Pietruski MD, PhD , Irena Walecka MD, PhD , Bartłomiej Noszczyk MD, PhD","doi":"10.1016/j.jht.2023.05.011","DOIUrl":"10.1016/j.jht.2023.05.011","url":null,"abstract":"<div><h3>Introduction</h3><p>Forced elbow flexion and pressure during bicycling result in ulnar nerve traction and pressure exerted in Guyon’s canal or the nerve’s distal branches. The compression of the nerves causes a change in their stiffness related to edema and eventually gradual fibrosis.</p></div><div><h3>Purpose</h3><p>This study aimed to evaluate the elastography of terminal branches of the ulnar nerve in cyclists.</p></div><div><h3>Study Design</h3><p>Cross-sectional study.</p></div><div><h3>Methods</h3><p>Thirty cyclists, 32 healthy individuals, and 32 volunteers with ulnar nerve entrapment neuropathies participated in the study. Each participant underwent a nerve examination of the cubital tunnel, Guyon’s canal and the deep and superficial branches of the ulnar nerve using shear wave elastography. The cyclist group was tested before and after a 2-hour-long workout.</p></div><div><h3>Results</h3><p>Before cycling workouts, the ulnar nerve stiffness in the cubital tunnel and Guyon’s canal remained below pathological estimates. Cycling workouts altered nerve stiffness in the cubital tunnel only. Notably, the stiffness of the ulnar terminal branches in cyclists was increased even before training. The mean deep branch stiffness was 50.85 ± 7.60 kPa versus 20.43 ± 5.95 kPa (<em>p</em> < 0.001) in the cyclist and healthy groups, respectively, and the mean superficial branch stiffness was 44 ± 12.45 kPa versus 24.55 ± 8.05 kPa (<em>p</em> < 0.001), respectively. Cycling contributed to a further shift in all observed values.</p></div><div><h3>Discussion</h3><p>These observations indicate the existence of persistent anatomical changes in the distal ulnar branches in resting cyclists that result in increased stiffness of these nerves. The severity of these changes remains, however, to be determined.</p></div><div><h3>Conclusions</h3><p>These data show elastography values of the ulnar terminal branches in healthy individuals and cyclists where despite lack of clinical symptoms that they seem to be elevated twice above the healthy range.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S089411302300073X/pdfft?md5=59f6bd61c1f68624eccfc9d58cdb73d8&pid=1-s2.0-S089411302300073X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10077531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.1016/j.jht.2023.05.010
Tone Vaksvik OT, PhD , Linn Nathalie Støme PhD , Jorunn Føllesdal PT , Kjersti Aabel Tvedte OT , Linn Melum OT , Christian Ringnes Wilhelmsen MSc , Kari J. Kværner PhD, MD
Background
Video consultation was implemented as a new service in a hospital hand therapy setting.
Purpose
To describe the first year’s practice of video consultations in the rehabilitation of upper extremity injuries, evaluate the acceptability, and investigate economic effects.
Study Design
Iterative design including economic evaluation.
Methods
Using the framework early health technology assessment, 13 hand therapists described characteristics of 99 video consultations, under predefined headlines: the patients’ municipally, adult vs child, time use, technical, content, and usefulness compared to physical consultations. The text was coded and categorized according to 22 techniques or tools used by hand therapists, and challenges were identified. Acceptability was assessed on a three-graded adjectival scale. To illustrate the costs associated with video vs physical consultations, we drafted different scenarios based on the data and stakeholder insights.
Results
Of 99 planned video consultations (16 with children), 88 were completed. Techniques or tools most frequently used were the performance of exercises (n = 55), orthoses (n = 26), and daily activities (n = 23). Technical challenges were common, and observation of children could be difficult. Eleven of the completed consultations were rated as not acceptable and 77 as acceptable and as either useful (n = 28) or very useful (n = 49). Four drafted scenarios showed cost savings of video consultations for the health institution and society, highest at longer travel distances and in other cases where the patient could claim refunds related to travel and time away from work and home.
Conclusions
The results show therapeutic possibilities and points to areas for improvements and illustrate settings where the use of video may save costs for the health institution and society.
{"title":"Early practice of use of video consultations in rehabilitation of hand injuries in children and adults: Content, acceptability, and cost-effectiveness","authors":"Tone Vaksvik OT, PhD , Linn Nathalie Støme PhD , Jorunn Føllesdal PT , Kjersti Aabel Tvedte OT , Linn Melum OT , Christian Ringnes Wilhelmsen MSc , Kari J. Kværner PhD, MD","doi":"10.1016/j.jht.2023.05.010","DOIUrl":"10.1016/j.jht.2023.05.010","url":null,"abstract":"<div><h3>Background</h3><p>Video consultation was implemented as a new service in a hospital hand therapy setting.</p></div><div><h3>Purpose</h3><p>To describe the first year’s practice of video consultations in the rehabilitation of upper extremity injuries, evaluate the acceptability, and investigate economic effects.</p></div><div><h3>Study Design</h3><p>Iterative design including economic evaluation.</p></div><div><h3>Methods</h3><p>Using the framework early health technology assessment, 13 hand therapists described characteristics of 99 video consultations, under predefined headlines: the patients’ municipally, adult vs child, time use, technical, content, and usefulness compared to physical consultations. The text was coded and categorized according to 22 techniques or tools used by hand therapists, and challenges were identified. Acceptability was assessed on a three-graded adjectival scale. To illustrate the costs associated with video vs physical consultations, we drafted different scenarios based on the data and stakeholder insights.</p></div><div><h3>Results</h3><p>Of 99 planned video consultations (16 with children), 88 were completed. Techniques or tools most frequently used were the performance of exercises (<em>n</em> = 55), orthoses (<em>n</em> = 26), and daily activities (<em>n</em> = 23). Technical challenges were common, and observation of children could be difficult. Eleven of the completed consultations were rated as not acceptable and 77 as acceptable and as either useful (<em>n</em> = 28) or very useful (<em>n</em> = 49). Four drafted scenarios showed cost savings of video consultations for the health institution and society, highest at longer travel distances and in other cases where the patient could claim refunds related to travel and time away from work and home.</p></div><div><h3>Conclusions</h3><p>The results show therapeutic possibilities and points to areas for improvements and illustrate settings where the use of video may save costs for the health institution and society.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0894113023000728/pdfft?md5=3ea8cf21aa8a90ec136c06fe1943d611&pid=1-s2.0-S0894113023000728-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41167114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.1016/j.jht.2023.03.003
Brocha Z. Stern PhD, OTR, CHT
{"title":"Letter to the editor regarding “The biomechanics of osteoarthritis in the hand: Implications and prospects for hand therapy”","authors":"Brocha Z. Stern PhD, OTR, CHT","doi":"10.1016/j.jht.2023.03.003","DOIUrl":"10.1016/j.jht.2023.03.003","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9997329","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 : 2024-01-01DOI: 10.1016/j.jht.2023.07.001
Kazuteru Doi MD, PhD, Satish A. Mane MBBS, Yasunori Hattori MD, PhD, Sotetsu Sakamoto MD, Shichoh Sonezaki MD, Yuji Saeki MD
Background
The carpal tunnel syndrome instrument (CTSI) is the most widely used patient-reported outcome measure (PROM) in carpal tunnel syndrome (CTS). However, CTSI is an ordinal-type questionnaire and might have caused misinterpretations of the PROM between surgical outcomes of CTS (Camitz and extra/open carpal tunnel release).
Purpose
This study aims to convert the CTSI to an interval scale using Rasch analysis (RA) and evaluate the outcome differences between the original and transformed scales.
Study Design
Prospective control study.
Methods
Four hundred twenty-four patients with 567 CTSs had been interviewed for CTSI perioperatively and treated with either endoscopic/open carpal tunnel release or Camitz tendon transfer. Each CTSI was analyzed for dimensionality, fit statistics, and a transformation of the ordinal-to-interval scale by RA. We compared the two groups perioperative scores of three CTSI versions (original 11-item, modified 8-item, and transformed 8-item).
Results
Based on the RA, the original CTSI was not unidimensional. We identified two dimensions. After removing misfit items, the perioperative course of each score by three versions of each dimension was compared (Repeated 2-factor analysis of variance). The transformed interval scales of CTSI provided different assessments of score changes from the ordinal scale of CTSI analyses.
Conclusions
Original CTSI consisted of ordinal scale items that yielded different conclusions than scores converted to interval scale by Rasch analysis. CTSI should convert into an interval scale after reclassifying dimensionality by Latent Factor Analysis and removing misfit items
{"title":"Rasch analysis of the carpal tunnel syndrome instrument","authors":"Kazuteru Doi MD, PhD, Satish A. Mane MBBS, Yasunori Hattori MD, PhD, Sotetsu Sakamoto MD, Shichoh Sonezaki MD, Yuji Saeki MD","doi":"10.1016/j.jht.2023.07.001","DOIUrl":"10.1016/j.jht.2023.07.001","url":null,"abstract":"<div><h3>Background</h3><p>The carpal tunnel syndrome<span> instrument (CTSI) is the most widely used patient-reported outcome measure (PROM) in carpal tunnel syndrome (CTS). However, CTSI is an ordinal-type questionnaire and might have caused misinterpretations of the PROM between surgical outcomes of CTS (Camitz and extra/open carpal tunnel release).</span></p></div><div><h3>Purpose</h3><p>This study aims to convert the CTSI to an interval scale using Rasch analysis (RA) and evaluate the outcome differences between the original and transformed scales.</p></div><div><h3>Study Design</h3><p>Prospective control study.</p></div><div><h3>Methods</h3><p>Four hundred twenty-four patients with 567 CTSs had been interviewed for CTSI perioperatively and treated with either endoscopic/open carpal tunnel release or Camitz tendon transfer. Each CTSI was analyzed for dimensionality, fit statistics, and a transformation of the ordinal-to-interval scale by RA. We compared the two groups perioperative scores of three CTSI versions (original 11-item, modified 8-item, and transformed 8-item).</p></div><div><h3>Results</h3><p>Based on the RA, the original CTSI was not unidimensional. We identified two dimensions. After removing misfit items, the perioperative course of each score by three versions of each dimension was compared (Repeated 2-factor analysis of variance). The transformed interval scales of CTSI provided different assessments of score changes from the ordinal scale of CTSI analyses.</p></div><div><h3>Conclusions</h3><p>Original CTSI consisted of ordinal scale items that yielded different conclusions than scores converted to interval scale by Rasch analysis. CTSI should convert into an interval scale after reclassifying dimensionality by Latent Factor Analysis and removing misfit items</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10004989","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}
Measurement of treatment outcomes and change in health status over time is a critical component of clinical practice and research for people with osteoarthritis. Numerous clinical tools are used to assess the structures and function of the thumb in persons with thumb carpometacarpal osteoarthritis however their psychometrics have not yet been systematically explored.
Purpose
The purpose of this study was to explore the psychometric properties of clinical tools used in persons with non-surgical thumb carpometacarpal osteoarthritis to objectively measure thumb structures and function, evaluate the quality of such studies, and subsequently make clinical and future research recommendations.
Study Design
Systematic review.
Methods
A systematic search and screening was conducted across nine databases. Original research published between 2002 and 2022 that involved the assessment of psychometric properties (validity, reliability, precision, responsiveness, sensitivity, specificity, and minimal clinically important difference) of clinical tools were included. Sample characteristics, methods, and psychometric findings from each study were compiled. The methodological quality of included studies was evaluated using the COnsensus‐based Standards for the selection of health Measurement Instruments' checklist. Two independent researchers screened articles and assessed methodological quality and when not in agreement, a third party was consulted.
Results
Eleven studies were included in the review. The mean age of all participants in the studies was 69 years of age. The study designs included prospective case–control, prospective cohort, and cross-sectional to determine the psychometric properties of the measurements and tools. The included studies examined techniques to assess range of motion, strength, and pain-pressure thresholds, and screen for arthritis (ie, provocative tests). The intermetacarpal distance method, Kapandji index, pain-pressure threshold test, and pain-free grip and pinch dynamometry demonstrate excellent reliability and acceptable precision. Metacarpal extension, adduction, and pressure-shear provocative tests have superior sensitivity and specificity and the extension and adduction tests have excellent reliability. Other assessments included in the review yielded less robust psychometric properties. Studies were of variable methodological quality spanning from inadequate to very good.
Conclusions
Based on the available literature on the psychometric properties of assessments of body structures and functions in persons with non-operative thumb carpometacarpal osteoarthritis, we offer a limited set of recommendations for use when screening for arthritis symptomology and measuring hand strength, thumb mobility, and
{"title":"Psychometric properties of body structures and functions measures in non-surgical thumb carpometacarpal osteoarthritis: A systematic review","authors":"Corey McGee PhD, OTR/L, CHT , Kristin Valdes , Caitlin Bakker , Cindy Ivy","doi":"10.1016/j.jht.2023.07.002","DOIUrl":"10.1016/j.jht.2023.07.002","url":null,"abstract":"<div><h3>Background</h3><p><span><span>Measurement of treatment outcomes and change in </span>health status<span> over time is a critical component of clinical practice and research for people with osteoarthritis<span>. Numerous clinical tools are used to assess the structures and function of the thumb in persons with thumb carpometacarpal osteoarthritis however their </span></span></span>psychometrics have not yet been systematically explored.</p></div><div><h3>Purpose</h3><p>The purpose of this study was to explore the psychometric properties of clinical tools used in persons with non-surgical thumb carpometacarpal osteoarthritis to objectively measure thumb structures and function, evaluate the quality of such studies, and subsequently make clinical and future research recommendations.</p></div><div><h3>Study Design</h3><p>Systematic review.</p></div><div><h3>Methods</h3><p>A systematic search and screening was conducted across nine databases. Original research published between 2002 and 2022 that involved the assessment of psychometric properties (validity, reliability, precision, responsiveness, sensitivity, specificity, and minimal clinically important difference) of clinical tools were included. Sample characteristics, methods, and psychometric findings from each study were compiled. The methodological quality of included studies was evaluated using the COnsensus‐based Standards for the selection of health Measurement Instruments' checklist. Two independent researchers screened articles and assessed methodological quality and when not in agreement, a third party was consulted.</p></div><div><h3>Results</h3><p><span>Eleven studies were included in the review. The mean age of all participants in the studies was 69 years of age. The study designs included prospective case–control, prospective cohort, and cross-sectional to determine the psychometric properties of the measurements and tools. The included studies examined techniques to assess range of motion, strength, and pain-pressure thresholds, and screen for arthritis (ie, provocative tests). The intermetacarpal distance method, Kapandji index, pain-pressure threshold test, and pain-free grip and pinch </span>dynamometry<span> demonstrate excellent reliability and acceptable precision. Metacarpal extension, adduction, and pressure-shear provocative tests have superior sensitivity and specificity and the extension and adduction tests have excellent reliability. Other assessments included in the review yielded less robust psychometric properties. Studies were of variable methodological quality spanning from inadequate to very good.</span></p></div><div><h3>Conclusions</h3><p>Based on the available literature on the psychometric properties of assessments of body structures and functions in persons with non-operative thumb carpometacarpal osteoarthritis, we offer a limited set of recommendations for use when screening for arthritis symptomology and measuring hand strength, thumb mobility, and ","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10374677","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 : 2024-01-01DOI: 10.1016/j.jht.2023.03.002
Virginia H. O’Brien OTD, OTR/L, CHT (Certified Hand Therapist), Julie Adams MD (Professor)
{"title":"Letter to editor: The biomechanics of osteoarthritis in the hand: Implications and prospects for hand therapy","authors":"Virginia H. O’Brien OTD, OTR/L, CHT (Certified Hand Therapist), Julie Adams MD (Professor)","doi":"10.1016/j.jht.2023.03.002","DOIUrl":"10.1016/j.jht.2023.03.002","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9997327","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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