Journal of Hand Therapy最新文献

{"title":"The Corbett Targeted Coin Test: Reliability, criterion related validity, and normative data","authors":"","doi":"10.1016/j.jht.2023.10.005","DOIUrl":"10.1016/j.jht.2023.10.005","url":null,"abstract":"<div><h3>Study Design</h3><p>Clinical measurement.</p></div><div><h3>Background</h3><p>Many daily living tasks require in-hand manipulation (IHM). There is a gap in standardized assessment tools for measuring IHM. The Corbett Targeted Coin Test (CTCT) was designed to allow measurement of that fine motor skill.</p></div><div><h3>Purpose</h3><p>1) To evaluate the interrater, test-retest reliability, and validity of the CTCT, and 2) to establish adult norms for the CTCT.</p></div><div><h3>Methods</h3><p>Reliability and Validity – 30 participants (25 females, age range 21–45) were assessed with the Nine-Hole Peg test and CTCT consecutively by three researchers, then re-evaluated one week later on the CTCT; Reliability was determined using intraclass correlation (ICC_2,k) between tests and across testers; Criterion-related validity was determined by comparing scores from nine-hole test and CTCT across testers using ICC_2,k. Normative – 190 participants (147 females, age range 20–80) were assessed with the CTCT; mean and standard deviation for participants’ scores were calculated by age groups and gender.</p></div><div><h3>Results</h3><p>Test-retest reliability: poor for the right hand (ICCs = −0.29 to 0.45), and poor-moderate for the left hand (ICCs = 0.17–0.56). Inter-rater reliability ranged from moderate to excellent (ICCs = 0.60–0.80). The agreement between CTCT scores and Nine-Hole Peg test was poor for the right (ICC = 0.02; 95% CI: [−0.06, 0.14]) and left hands (ICC = 0.06; 95% CI: [−0.08, 0.28]). CTCT normative data: 41–50 age group demonstrated the highest performance while the 71–80 age group demonstrated the lowest performance. Scores between genders were similar.</p></div><div><h3>Discussion</h3><p>The poor test-retest reliability of CTCT was probably due to practice effect, while interrater reliability indicated that the test can be administered by different testers without compromising the results. The poor validity between tools proves their different constructs.</p></div><div><h3>Conclusions</h3><p>Use of the CTCT may add another dimension to assessment of dexterity and fine motor skills, specifically, in-hand manipulation, but needs further research on test-retest reliability.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 371-377"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742749","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}

{"title":"Editorial Board / Masthead / ASHT Officers","authors":"","doi":"10.1016/S0894-1130(24)00079-6","DOIUrl":"10.1016/S0894-1130(24)00079-6","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages A3-A4"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0894113024000796/pdfft?md5=c7116cc8eda85dd2c7ee73d3e0995ef2&pid=1-s2.0-S0894113024000796-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142229009","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}

{"title":"Correction to Read for Credit #955 question 4.","authors":"Gwendolyn van Strien, Koos Jaap van Zwieten, Julianne Wright Howell","doi":"10.1016/j.jht.2024.04.003","DOIUrl":"https://doi.org/10.1016/j.jht.2024.04.003","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494328","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}

{"title":"Effect of Kinesio taping on edema and wrist functions in patients with distal radius fracture followed conservatively with a cast: A randomized controlled single-blinded study","authors":"","doi":"10.1016/j.jht.2024.05.003","DOIUrl":"10.1016/j.jht.2024.05.003","url":null,"abstract":"<div><h3>Background</h3><p><span>Data in the literature on the results of Kinesio taping (KT) application after cast removal in patients with </span>distal radius fracture (DRF) are quite limited.</p></div><div><h3>Purpose</h3><p>It was aimed to evaluate the effectiveness of KT applied immediately after cast removal in addition to the exercise program on edema, functionality, range of motion, and muscle strength in patients with conservatively followed DRF.</p></div><div><h3>Study Design</h3><p>Randomized controlled single-blinded clinical study.</p></div><div><h3>Methods</h3><p>This study was conducted with 64 patients with a diagnosis of DRF. The patients were randomized as Kinesio taping group (KTG) and control group. Both groups received a conventional home exercise program. KT was applied to patients in KTG for 10 days. Circumference and volume measurements were taken at baseline and day 10. Arm, Shoulder, and Hand Questionnaire for Disability, Visual Analog Scale, grip strength, and wrist joint range of motion measurements were taken at baseline, day 5, and day 10.</p></div><div><h3>Results</h3><p>The circumference difference between the affected extremity and the healthy extremity was statistically greater in the control group on the fifth day at the wrist level (&lt;0.001) and 6 cm proximal to the wrist (<em>p</em> = 0.001). The circumference difference between the affected extremity and the healthy extremity was statistically greater in the control group on the 10th day at the wrist level (<em>p</em> &lt; 0.05) and 6 cm proximal to the wrist (<em>p</em> = 0.01). Wrist extension angle (&lt;0.001), wrist flexion angle (<em>p</em><span> = 0.001), and supination angle (</span><em>p</em> = 0.001) were higher in KTG on the 10th day. On the 10th day, the grip strength (<em>p</em><span> &lt; 0.05) was higher in the KTG, while the Visual Analog Scale value (</span><em>p</em> &lt; 0.01), Arm, Shoulder, and Hand Questionnaire for Disability score (<em>p</em> &lt; 0.01), and the percentage of strength loss in the healthy arm (<em>p</em> &lt; 0.01) were lower in the KTG.</p></div><div><h3>Conclusions</h3><p>In patients with DRF who were treated conservatively with a cast, the inclusion of Kinesio taping (KT) in the rehabilitation program was found to be effective in reducing edema and pain, as well as improving functionality, strength, and range of motion.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 479-488"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538948","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}

{"title":"Improving how orthopedic journals report research outcomes based on sex and gender","authors":"","doi":"10.1016/j.jht.2024.05.005","DOIUrl":"10.1016/j.jht.2024.05.005","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 301-303"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581547","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}

{"title":"Exercise-based intervention as a nonsurgical treatment for patients with carpal instability: A case series","authors":"","doi":"10.1016/j.jht.2023.08.010","DOIUrl":"10.1016/j.jht.2023.08.010","url":null,"abstract":"<div><h3>Background</h3><p>Although the important roles of proprioception<span> and neuromuscular control in carpal instabilities under laboratory conditions have been recognized, only a few studies have translated this knowledge into a routine clinical practice.</span></p></div><div><h3>Purpose</h3><p>This study aimed to evaluate the results of a personalized rehabilitation in patients with carpal instability on functionality and pain intensity.</p></div><div><h3>Study design</h3><p>This was a case series study.</p></div><div><h3>Methods</h3><p><span>This case series included 39 adults (mean age: 38.2 ± 14.0 years; 16/23 females/males) diagnosed with carpal instability (radial or ulnar) with indication for orthopedic<span><span><span> treatment. The disabilities of the arm, shoulder, and hand questionnaire was used to assess upper limb functionality. Pain perception was assessed using a </span>visual analog scale. Exercise-based </span>physiotherapy interventions were performed according to the clinical needs of the patients for at least 6 weeks (2-3 sessions per week). For the treatment of radial instability (</span></span><em>n</em><span> = 13), strengthening exercises of the abductor pollicis longus, extensor carpi radialis longus, flexor carpi radialis, and pronator quadratus muscles were prescribed. For the treatment of ulnar instability (</span><em>n</em><span> = 24), extensor carpi ulnaris and pronator quadratus were trained. All patients underwent proprioceptive training in open kinetic chain and closed kinetic chain, as well as strengthening of the unaffected hand. Changes before and after treatment were compared using the nonparametric Wilcoxon signed rank test.</span></p></div><div><h3>Results</h3><p><span>A significant improvement with a large effect size in disabilities of the arm, shoulder, and hand (</span><em>P</em> &lt; .001; <em>d</em><span> = 2.9) and visual analog scale (</span><em>P</em> &lt; .001; <em>d</em><span> = 3.2) scores were obtained after treatment. Moreover, the changes were greater than the minimal clinically important difference of 10.8 and 1.4, respectively. Similar results were found when patients with radial instability and ulnar instability were analyzed separately.</span></p></div><div><h3>Conclusions</h3><p>Personalized training with specific proprioception and strengthening exercises produces improvements in functionality and pain perception in our cohort of people with carpal instability. These results highlight the importance of multicomponent exercise in the treatment of wrist instability. Future randomized clinical trials should further investigate the effectiveness of this protocol.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 397-404"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41141412","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}

{"title":"The hand diagram: A novel outcome measure following supercharged end-to-side anterior interosseous nerve to ulnar nerve transfer in severe compressive ulnar neuropathy","authors":"","doi":"10.1016/j.jht.2023.09.005","DOIUrl":"10.1016/j.jht.2023.09.005","url":null,"abstract":"<div><h3>Background</h3><p>With advances in the surgical management for severe ulnar neuropathy<span> with the introduction of the super charged-end-to-side (SETS) anterior interosseous nerve (AIN) to ulnar nerve transfer, a simple and reliable outcome measure is required. There is currently not “one” standardized outcome measure used to represent and compare results.</span></p></div><div><h3>Purpose</h3><p>To present the abduction hand diagram as a “novel”, reproducible, and simple outcome measure for patients with severe ulnar neuropathy.</p></div><div><h3>Study Design</h3><p>Retrospective case series.</p></div><div><h3>Methods</h3><p>Nine patients with severe entrapment/compressive ulnar neuropathy at the elbow were reviewed. Clinical parameters included preoperative and postoperative abduction tracings, Medical Research<span><span> Grade (MRC) muscle strength, key pinch strength, Disability of the Hand Arm and Shoulder (DASH) score, and crossed finger test. Electrodiagnostic data included change in </span>compound muscle action potentials (CMAP) amplitude of the first dorsal interosseous (FDI), and abductor digiti minimi (ADM). Summary statistics were used for demographic and clinical data.</span></p></div><div><h3>Results</h3><p>Average follow-up was 22.8 ± 9.3 months. At 18-months of follow up, 44% had ADM MRC grade 3 strength or higher, mean key pinch strength improved to 72 ± 19.3%, and mean DASH was 33 ± 28.7. There was a mean increase of 16.7 ± 9.1 mm and 31.5 ± 12 mm in total and summed hand abduction tracing measurements respectively.</p></div><div><h3>Conclusions</h3><p>Hand abduction tracings are a quantitative outcome measure to follow recovery over time for intrinsic hand function and can be used in patients with severe ulnar neuropathy following surgical intervention.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 348-354"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685208","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}

{"title":"Who crashes their car following wrist fracture?","authors":"","doi":"10.1016/j.jht.2023.09.002","DOIUrl":"10.1016/j.jht.2023.09.002","url":null,"abstract":"<div><h3>Background</h3><p>Wrist fractures are common injuries associated with high disability in the early recovery period. The impact of wrist fractures on safe return to drive is not understood.</p></div><div><h3>Purpose</h3><p>(1) To compare the proportion of adults who were drivers in car crashes before and after wrist fracture; (2) To examine potential factors (demographic and/or clinical) associated with increased odds of being a driver in a car crash following wrist fracture.</p></div><div><h3>Study Design</h3><p>Retrospective cohort study.</p></div><div><h3>Methods</h3><p>Three state-wide government datasets (MainRoads Western Australia [WA], Hospital Morbidity Data Collection and the Emergency Department Data Collection) were used to obtain and link demographic, clinical and car crash information relating to adults with a wrist fracture sustained between 2008 and 2017. McNemar’s tests were used to compare the proportion of drivers in a car crash within the 2 years prior to and following the fracture date. Multivariable logistic regressions were used to identify if any variables were associated with increased odds of crashing in the post-fracture period.</p></div><div><h3>Results</h3><p>Data relating to 37,107 adults revealed a 3.3% (95% CI 3.0%–3.6%, <em>p</em> &lt; 0.05) decrease in the proportion of drivers in a car crash following wrist fracture, persisting for the entire 2 years post-fracture, when compared to the proportion who crashed before their fracture. Those with more severe wrist fracture injury patterns had 79%(95% CI 1.07–3.0, <em>p</em> = 0.03) higher odds of having a crash in the first 3 months following their injury, compared to those with isolated wrist fracture injuries.</p></div><div><h3>Conclusions</h3><p>These results inform and update return to drive recommendations. The reduced proportion of drivers involved in crashes following wrist fracture persisted for 2 years; longer than the expected physical recovery timeframe. It is important that hand therapists actively educate the sub-group of adults with more severe wrist fracture injury patterns of the increased likelihood of car crash for the 3 months following their fracture.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 304-310"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0894113023001291/pdfft?md5=b5bd7de4fc2d1c4f1cc85d648bd95b55&pid=1-s2.0-S0894113023001291-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685209","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}

{"title":"Management of stable proximal interphalangeal joint volar plate injuries with figure-of-8 orthoses: A parallel-group randomized controlled trial","authors":"","doi":"10.1016/j.jht.2023.11.001","DOIUrl":"10.1016/j.jht.2023.11.001","url":null,"abstract":"<div><h3>Background</h3><p><span>Volar plate </span>injuries<span><span> of the proximal interphalangeal (PIP) finger joint are common. Conservative treatment involves orthoses to limit hyperextension at the </span>PIP joint<span> yet allow movement of the joints to prevent joint stiffness and deformity. Custom-made dorsal blocking orthoses are recommended treatments. Previous research also supports the use of a figure-of-8 orthosis, although the comparative effectiveness of these orthoses is not currently known.</span></span></p></div><div><h3>Purpose</h3><p>This study aimed to compare the figure-of-8 orthosis and dorsal blocking orthosis for changes in the range of movement, pain, and function following stable volar plate PIP joint injuries and to compare the number of hand therapy appointments required.</p></div><div><h3>Study Design</h3><p>A parallel-group pilot randomized controlled trial<span>. This trial was registered with the Australian and New Zealand Clinical Trials Registry (Trial ID: CTRN12619000449134).</span></p></div><div><h3>Methods</h3><p>Participants aged 13-65 years were recruited from an outpatient hand therapy service and randomly assigned to experimental or control groups. The experimental group of 20 participants received a custom-made thermoplastic figure-of-8 orthosis limiting the extension to 15-20 degrees. The control group of 22 participants had a dorsal blocking orthosis, which was serially extended by 10 degrees weekly starting at 30 degrees flexion. Participants were blinded to their group allocation. Outcome measures included range of movement, edema, pain, function, and number of hand therapy appointments. Data collection was completed by the treating therapist who was not blinded to group assignment. Data analysis included a series of mixed-model analyses of variance to examine changes over time.</p></div><div><h3>Results</h3><p>Forty-two participants were recruited and had their data analyzed. No significant between-group differences were observed for DIP flexion, PIP flexion, pain, and function from baseline to follow-up. Both groups exhibited significant improvements in these outcomes over time (<em>p</em><span> &lt; 0.001); effect sizes ranged from small to large (0.28-0.79). On average, the intervention group required 4 (±1.5) appointments compared to 6 (±1.5) in the control group over the same period representing a significant difference (</span><em>p</em> &lt; 0.001).</p></div><div><h3>Conclusions</h3><p>Both dorsal blocking and figure-of-8 orthoses provide similar outcomes. The use of a figure-of-8 orthosis, or a dorsal block orthosis fabricated in maximal comfortable extension depending on severity, could reduce the number of appointments and increase convenience for patients.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 363-370"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742748","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}

{"title":"Asymmetric involvement of hands: Psychometric properties of the Turkish version of the Bimanual Fine Motor Function 2.0 classification in children with cerebral palsy","authors":"","doi":"10.1016/j.jht.2023.08.006","DOIUrl":"10.1016/j.jht.2023.08.006","url":null,"abstract":"<div><h3>Background</h3><p>Manual functions affect more than a half of children with Cerebral palsy (CP). Asymmetric involvement of hands may also affect unilateral and bilateral activities of daily life. The Bimanual Fine Motor Function version 2.0 (BFMF-2.0) is a unique functional classification that categorizes the capacity of each hand (what the child can do) during bimanual functions.</p></div><div><h3>Purpose</h3><p>The aim of this study was to investigate the validity and reliability of the Turkish version of the BFMF-2.0 in children with CP.</p></div><div><h3>Study Design</h3><p>Clinical measurement and cross-sectional study.</p></div><div><h3>Methods</h3><p>The study included 91 children with CP (56 girls, mean age; 7.41 ± 4.23 years [4–18 years]) and their parents. The Manual Ability Classification System (MACS), the Quality of Upper Extremity Skills Test (QUEST), and the Box and Block Test (BBT) were used for construct and concurrent validity. Experienced/inexperienced therapists and parents classified fine motor capacities of the children via live or video-based observation to assess inter-rater reliability. Three weeks later, the children were reclassified for intra-rater reliability.</p></div><div><h3>Results</h3><p>The Turkish version of the BFMF-2.0 classification was strongly correlated with the MACS (rho = −0.88, <em>p</em> &lt; 0.001), the QUEST (rho = 0.80, <em>p</em> &lt; 0.001), and the BBT (rho = −0.77, <em>p</em> &lt; 0.001). The inter-rater reliability scores were weak to excellent between the parents and the therapists (via live observation, κ_w = 0.57) and also between experienced/inexperienced therapists (via live or video-based observation, κ_w = 0.66–0.79). Intra-rater reliability scores were good to excellent (Intraclass Correlation Coefficient [ICC] = 0.87–0.95).</p></div><div><h3>Conclusions</h3><p>The Turkish version of the BFMF-2.0 classification is valid and reliable and could be applied by experienced and inexperienced therapists via live or video-based observation and by parents via live observation.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 429-437"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41151879","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}