Journal of Hand Therapy最新文献_第4页

We can do better: Considering sex and gender with an intersectional lens in health research 我们可以做得更好：在健康研究中以交叉视角考虑性和性别问题

IF 2.1 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy

Pub Date : 2024-07-01 DOI: 10.1016/j.jht.2024.07.003

引用次数: 0

Assessment of finger dexterity through the DIGITS joint tracking web application—An evaluation study with comparison to the nine-hole pegboard test 通过DIGITS关节跟踪网络应用程序评估手指灵活性与九孔钉板测试的比较评估研究。

IF 2.1 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy

Pub Date : 2024-07-01 DOI: 10.1016/j.jht.2023.08.013

Background

Hand dexterity is an important clinical marker after hand surgery as it can greatly impact one’s ability to perform their day-to-day activities. With the increased focus on remote patient monitoring after hand surgery, new technologies are required to remotely monitor hand dexterity.

Purpose

The purpose of this study is to identify dexterity outcomes using the web application “DIGITS” and compare these outcomes to the nine-hole-pegboard test (NHPT).

Study Design

Cross-sectional observational study.

Methods

This was a two-part study with a pilot of our remote dexterity design using DIGITS followed by a validation study comparing DIGITS to a gold-standard metric of dexterity, NHPT. The pilot study recruited 42 healthy subjects between the ages of 18–65 to perform a remote finger tapping exercise using DIGITS. The second part of the study included 50 subjects between the ages of 18–65. Participants completed a demographic questionnaire and then completed three finger tapping sequences for 20 seconds using DIGITS and three trials of the NHPT with each hand. Correlational analyses were done to compare the DIGITS dexterity test with the NHPT.

Results

Four outcome measures to assess dexterity were identified, which included (1) total sequences completed in 20 seconds, (2) time to complete 10 sequences, (3) average frequency per sequence, and (3) sequence accuracy. Significant negative correlations were found with the NHPT and total sequences completed in 20 seconds in both dominant and non-dominant hand trials. Additionally, significant negative correlations were found between the NHPT and the time to complete 10 sequences and average frequency in the non-dominant hand trials.

Conclusions

This study shows promising results for the use of DIGITS as a remote measure of hand dexterity. The total number of sequences completed significantly correlates with the NHPT and should be further explored in representative patient populations.

背景：手的灵活性是手部手术后的一个重要临床标志，因为它会极大地影响一个人的日常活动能力。随着人们越来越关注手部手术后的远程患者监测，需要新技术来远程监测手的灵活性。目的：本研究的目的是使用网络应用程序“DIGITS”确定灵活性结果，并将这些结果与九孔钉板测试（NHPT）进行比较。研究设计：横断面观察性研究。方法：这是一项由两部分组成的研究，由一名飞行员使用DIGITS进行远程灵活性设计，然后进行验证研究，将DIGITS与灵活性的金标准指标NHPT进行比较。该试点研究招募了42名年龄在18-65岁之间的健康受试者，使用DIGITS进行远程手指敲击运动。研究的第二部分包括50名年龄在18-65岁之间的受试者。参与者完成了一份人口统计问卷，然后使用DIGITS完成了三次20秒的手指敲击序列，并用每只手进行了三次NHPT试验。进行相关分析，将DIGITS灵活性测试与NHPT进行比较。结果：确定了四种评估灵活性的结果指标，包括（1）在20秒内完成的总序列，（2）完成10个序列的时间，（3）每个序列的平均频率，以及（3）序列准确性。在显性和非显性手试验中，NHPT和20秒内完成的总序列均呈显著负相关。此外，在非优势手试验中，NHPT与完成10个序列的时间和平均频率之间存在显著的负相关。结论：本研究显示了使用DIGITS作为手灵活性的远程测量的有希望的结果。完成的序列总数与NHPT显著相关，应在具有代表性的患者群体中进一步探索。

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引用次数: 0

Prevalence and predictors of elbow flexion contractures during early childhood following brachial plexus birth injury 臂丛神经产伤后幼儿期肘关节屈曲挛缩的发生率和预测因素。

IF 2.1 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy

Pub Date : 2024-07-01 DOI: 10.1016/j.jht.2023.09.003

Background

Elbow flexion contracture development in school-age children with a brachial plexus birth injury (BPBI) is common. Reports indicate onset between 2 and 4 years; however, little is known about early childhood prevalence, development, and trajectory of these contractures.

Purpose

To determine the prevalence and predictors of BPBI elbow flexion contractures during early childhood.

Study Design

A retrospective cross-sectional study.

Methods

Demographic, diagnostic, treatment, and elbow contracture data were collected for children with a BPBI <4 years between 2015 and 2019 from a prospectively collected database. Spinal root motor contributions and injury were determined using Active Movement Scale (AMS) scores at 6 weeks of age and used to predict contracture development.

Results

Of the 171 children that met inclusion criteria, 87% (n = 149) had upper plexus injuries. The mean age at the time of evaluation for an elbow contracture was 21.4 ± 12.7 months. The prevalence of elbow flexion contractures was 22% (n = 38), with mean onset at 13.4 ± 11.0 months. Mean contracture degree was −10.8 ± −6.9 degrees with 76% (n = 29) <−10 degrees. AMS shoulder abduction, flexion, and external rotation; elbow flexion; forearm supination; and wrist extension scores at a mean 2.3 ± 1.4 months were significantly lower in children who developed elbow flexion contractures (p < 0.001). Logistic regression found that low AMS elbow flexion with high elbow extension scores were a significant (p < 0.003) predictor of elbow contracture development.

Conclusions

The prevalence of elbow flexion contractures in early childhood is greater than previously understood. These findings indicate that C5-C6 injury affecting elbow flexion with relative preservation of elbow extension is a predictor of contracture development. Further research is needed to investigate the nature and sequelae of C5-C6 injury and its effects on elbow flexion contracture development.

背景：患有臂丛神经出生损伤（BPBI）的学龄儿童出现肘关节屈曲挛缩很常见。研究目的：确定BPBI肘关节屈曲挛缩在幼儿期的发生率和预测因素：研究设计：回顾性横断面研究：方法：收集患有 BPBI 的儿童的人口统计学、诊断、治疗和肘关节挛缩数据：在符合纳入标准的 171 名儿童中，87%（n = 149）的儿童有上神经丛损伤。评估肘部挛缩时的平均年龄为 21.4 ± 12.7 个月。肘关节屈曲挛缩的发病率为 22%（n = 38），平均发病时间为 13.4 ± 11.0 个月。平均挛缩度为-10.8 ± -6.9度，76%（n = 29）得出结论：幼儿期肘关节屈曲挛缩的发病率高于以往的认识。这些研究结果表明，C5-C6损伤影响肘关节屈曲，而肘关节伸展功能相对保留，是挛缩发生的一个预测因素。需要进一步研究 C5-C6 损伤的性质和后遗症及其对肘关节屈曲挛缩发展的影响。

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引用次数: 0

Stress fracture of capitate bone—A case report of an unusual fracture 头状骨应力性骨折--一例不寻常骨折的病例报告。

IF 2.1 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy

Pub Date : 2024-07-01 DOI: 10.1016/j.jht.2023.09.006

Introduction

The capitate is the largest, most central bone and the first to ossify in the wrist. It has a well-protected anatomic location, making traumatic or stress fractures extremely rare in clinical practice. Isolated fractures of the capitate bone are very uncommon and often without displacement due to the great stability provided by the intracarpal ligaments.

Purpose of the study

This study aimed to report a case of isolated stress fracture of the capitate related to the work activity of a mechanic.

Case report

We report the case of a 23-year-old patient complaining of pain and swelling in the left wrist for 2 months without improvement after using analgesics. On physical examination, he presented pain on palpation in the central region of the wrist, pain when performing flexion and extension movements of the wrist, and frustrated edema. Magnetic resonance imaging diagnosed a stress fracture of the capitate bone. Conservative treatment with forearm-palmar immobilization for 2 months, analgesic medication, and physical therapy rehabilitation after immobilization were performed. After the complete resolution of the symptoms, the patient started to work in a new role.

Discussion

There are five case reports of stress fractures in the capitate—two in teenagers and three in adults, but none of them was a mechanic. Clinical suspicion can be formulated when repetitive activity is associated with the wrist in extension and specific location of pain and swelling. Individuals with an immature skeleton are more susceptible. The development of occupational disease should be considered in similar cases of insidious and persistent pain in the palm of people with high work demands.

Conclusion

Stress fractures of the capitate bone are a disease that must be suspected in insidious and persistent pain in the palm of the hand. Magnetic resonance imaging is the best image test to diagnose this disorder, and conservative treatment is indicated.

简介头骨是腕部最大、最中心的骨骼，也是最先骨化的骨骼。它的解剖位置受到很好的保护，因此创伤性或应力性骨折在临床上极为罕见。由于腕内韧带提供了很好的稳定性，头状骨的孤立骨折非常罕见，而且通常没有移位：本研究旨在报告一例与机械师的工作活动有关的头骨孤立性应力性骨折：我们报告了一例 23 岁患者的病例，该患者主诉左手腕疼痛和肿胀 2 个月，使用止痛药后症状未见好转。体格检查时，他的腕部中央区域触痛，做腕部屈伸动作时疼痛，并伴有挫伤性水肿。磁共振成像诊断为帽状骨应力性骨折。患者接受了为期两个月的前掌固定、镇痛药物和固定后的物理康复治疗。症状完全缓解后，患者开始从事新的工作：讨论：有五例髋臼应力性骨折的病例报告，其中两例为青少年，三例为成年人，但他们都不是技工。如果重复性活动与腕关节伸展以及疼痛和肿胀的特定位置有关，临床上就会产生怀疑。骨骼尚未发育成熟的人更容易患病。对于工作要求高的人，如果手掌出现隐匿性和持续性疼痛的类似病例，应考虑职业病的发生：结论：帽状骨应力性骨折是手掌隐匿性持续疼痛时必须怀疑的一种疾病。磁共振成像是诊断这种疾病的最佳影像检查，保守治疗是指征。

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引用次数: 0

Pre- and post-treatment in flexor tendon tenolysis: An observational study 屈肌腱腱鞘溶解的治疗前和治疗后：观察研究

IF 2.1 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy

Pub Date : 2024-07-01 DOI: 10.1016/j.jht.2023.10.004

Background

Glide deficit of the distal flexors’ tendons following primary repair in zone 1–3 are very common. Adhesions of tendons have multi factorial origins and are closely related to the healing of the affected tissues. The surgical practice used to resolve these complications is tenolysis.

Purpose

The purpose of this study was to identify and compare the Visual Analog Scale (VAS) relate to pain and Total Active Motion (TAM) of adult patients of both sexes undergoing tenolysis surgery. The results will then be compared to existing research to confirm their significance.

Study Design

Case-series.

Methods

Retrospective data for TAM and pain VAS were extracted from the medical records for 63 patients (73 fingers) who underwent flexor tenolysis between 2017 and 2019. Data were compared pre-operatively and 3 months after surgery. All patients underwent pre- and post-surgery therapy by hand therapists.

Results

The sample presented very encouraging improvements, except in the VAS and active range of motion (AROM) of thumb where some patients maintained the same assessment. The fingers reported statistically significant results, whereas the thumb group did not meet significant criteria. Overall, TAM improved from 134.6° to 196.7 and VAS decreased from 2.7 to 1.2.

Discussion

According to the results and the data change between pre- and post-treatment, the sample demonstrated improvements in all areas examined, reporting statistically significant results for the fingers with an improvement of TAM of 62.1° with a percentage value (%TAM) of 75.6%.

Conclusions

A specific treatment for this type of surgery is required for the patients so they can return to their daily and working activities. This article can be used as a starting point for further studies.

背景在 1-3 区进行初级修复后，屈肌腱远端出现滑动障碍的情况非常常见。肌腱粘连有多种原因，与受影响组织的愈合密切相关。本研究旨在确定和比较接受腱鞘溶解手术的成年男女患者的疼痛和总活动度（TAM）视觉模拟量表（VAS）。方法从 2017 年至 2019 年期间接受屈肌腱鞘溶解术的 63 名患者（73 根手指）的病历中提取 TAM 和疼痛 VAS 的回顾性数据。对术前和术后 3 个月的数据进行比较。所有患者都接受了手部治疗师的术前和术后治疗。结果样本显示了非常令人鼓舞的改善，除了拇指的 VAS 和主动活动范围（AROM），一些患者的评估结果保持不变。手指组的结果具有统计学意义，而拇指组则未达到显著标准。讨论根据治疗前后的结果和数据变化，样本在所有检查领域都有所改善，其中手指的改善具有统计学意义，TAM 改善了 62.1°，百分比值（%TAM）为 75.6%。本文可作为进一步研究的起点。

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引用次数: 0

The effect of muscle-biased manual therapy on shoulder kinematics, muscle performance, functional impairment, and pain in patients with frozen shoulder. 偏重肌肉的手动疗法对肩周炎患者的肩关节运动学、肌肉表现、功能障碍和疼痛的影响。

IF 2.1 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy

Pub Date : 2024-06-28 DOI: 10.1016/j.jht.2024.02.010

Chun-Kai Tang, Yi-Fen Shih, Chun-Shou Lee

Background: Frozen shoulder (FS) is characterized by restricted active and passive shoulder mobility and pain.

Purpose: Compare the effect of muscle-biased manual therapy (MM) and regular physical therapy (RPT) in patients with FS.

Study design: Pretest-post-test control group study design.

Methods: We recruited 34 patients with FS and compared the effect of 12-session MM and RPT. The outcome measures were scapular kinematics and muscle activation, scapular alignment, shoulder range of motion, and pain intensity. Two-way analysis of variance was used to examine the intervention effect with α = 0.05.

Results: Both programs resulted in similar improvements in pain and shoulder function. Compared to the RPT, MM resulted in increased posterior tilt (MM: 7.04°-16.09°, RPT: -2.50° to -4.37°; p = 0.002; ES = 0.261) and lower trapezius activation (MM: 260.61%-470.90%, RPT: 322.64%-313.33%; p = 0.033; ES = 0.134) during scaption, and increased posterior tilt (MM: 0.70°-15.16°, RPT: -9.66° to -6.44°; p = 0.007; ES = 0.205) during the hand-to-neck task. The MM group also showed increased GH backward elevation (MM: 37.18°-42.79°, RPT: 43.64°-40.83°; p = 0.004, ES = 0.237) and scapular downward rotation (MM: -2.48° to 6.80°, RPT: 1.93°-1.44°; p < 0.001; ES = 0.404) during the thumb-to-waist task, enhanced shoulder abduction (MM: 84.6°-102.3°, RPT: 85.1°-92.9°; p = 0.02; ES = 0.153), and improved scapular alignment (MM: 10.4-9.65 cm, RPT: 9.41-9.56 cm; p = 0.02; ES = 0.114).

Conclusions: MM was superior to the RPT regarding scapular neuromuscular performance. Clinicians should consider adding muscle-biased treatment when treating FS.

背景：肩周炎（FS）以肩部主动和被动活动受限及疼痛为特征：肩周炎（FS）以肩部主动和被动活动受限及疼痛为特征。目的：比较肌肉偏倚手法治疗（MM）和常规物理治疗（RPT）对肩周炎患者的效果：研究设计：前测-后测对照组研究设计：我们招募了34名FS患者，并比较了为期12个疗程的MM和RPT的效果。结果测量指标包括肩胛骨运动学和肌肉激活、肩胛骨排列、肩关节活动范围和疼痛强度。采用双向方差分析来检验干预效果，α = 0.05：结果：两种方案对疼痛和肩部功能的改善效果相似。与 RPT 相比，MM 增加了后倾（MM：7.04°-16.09°，RPT：-2.50°至-4.37°；p = 0.002；ES = 0.261），降低了斜方肌激活（MM：260.61%-470.90%，RPT：322.64%-313.33%；p = 0.033；ES = 0.134），并且在手到颈任务中后倾增加（MM：0.70°-15.16°，RPT：-9.66°至-6.44°；p = 0.007；ES = 0.205）。MM 组的 GH 后仰（MM：37.18°-42.79°，RPT：43.64°-40.83°；p = 0.004，ES = 0.237）和肩胛骨下旋（MM：-2.48°至 6.80°，RPT：-1.93°-1.44°）也有所增加：MM：-2.48°至 6.80°，RPT：1.93°至 1.44°；P在肩胛骨神经肌肉表现方面，MM优于RPT。临床医生在治疗 FS 时应考虑增加以肌肉为基础的治疗。

{"title":"The effect of muscle-biased manual therapy on shoulder kinematics, muscle performance, functional impairment, and pain in patients with frozen shoulder.","authors":"Chun-Kai Tang, Yi-Fen Shih, Chun-Shou Lee","doi":"10.1016/j.jht.2024.02.010","DOIUrl":"https://doi.org/10.1016/j.jht.2024.02.010","url":null,"abstract":"<p><strong>Background: </strong>Frozen shoulder (FS) is characterized by restricted active and passive shoulder mobility and pain.</p><p><strong>Purpose: </strong>Compare the effect of muscle-biased manual therapy (MM) and regular physical therapy (RPT) in patients with FS.</p><p><strong>Study design: </strong>Pretest-post-test control group study design.</p><p><strong>Methods: </strong>We recruited 34 patients with FS and compared the effect of 12-session MM and RPT. The outcome measures were scapular kinematics and muscle activation, scapular alignment, shoulder range of motion, and pain intensity. Two-way analysis of variance was used to examine the intervention effect with α = 0.05.</p><p><strong>Results: </strong>Both programs resulted in similar improvements in pain and shoulder function. Compared to the RPT, MM resulted in increased posterior tilt (MM: 7.04°-16.09°, RPT: -2.50° to -4.37°; p = 0.002; ES = 0.261) and lower trapezius activation (MM: 260.61%-470.90%, RPT: 322.64%-313.33%; p = 0.033; ES = 0.134) during scaption, and increased posterior tilt (MM: 0.70°-15.16°, RPT: -9.66° to -6.44°; p = 0.007; ES = 0.205) during the hand-to-neck task. The MM group also showed increased GH backward elevation (MM: 37.18°-42.79°, RPT: 43.64°-40.83°; p = 0.004, ES = 0.237) and scapular downward rotation (MM: -2.48° to 6.80°, RPT: 1.93°-1.44°; p < 0.001; ES = 0.404) during the thumb-to-waist task, enhanced shoulder abduction (MM: 84.6°-102.3°, RPT: 85.1°-92.9°; p = 0.02; ES = 0.153), and improved scapular alignment (MM: 10.4-9.65 cm, RPT: 9.41-9.56 cm; p = 0.02; ES = 0.114).</p><p><strong>Conclusions: </strong>MM was superior to the RPT regarding scapular neuromuscular performance. Clinicians should consider adding muscle-biased treatment when treating FS.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472740","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}

引用次数: 0

Effectiveness of a home training program on improving pinch force perception in older adults. 家庭训练计划对改善老年人夹力感知的效果。

IF 2.1 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy

Pub Date : 2024-06-27 DOI: 10.1016/j.jht.2024.02.002

Rachel N Logue Cook, Kathy L Kern, Susan H Brown

Background: Hand function is reduced with aging which can lead to impairments in the performance of daily activities and eventually loss of independence. The ability to perceive the forces being applied to an object is an important component of hand control that also declines with age. However, the extent to which force perception can be improved through training remains largely unknown.

Purpose: This study evaluated the effectiveness of a home-training program focused on improving force perception in older adults.

Study design: Quasi-experimental - Uncontrolled trial.

Methods: Eleven independent, healthy adults (mean age: 77.2 ± 6.8 years) participated in a home-based sensorimotor hand training program 6 days/week for 6 weeks. Force perception, the primary outcome variable, was measured as the ability to reproduce a pinch force equal to 25% maximum voluntary contraction in the absence of visual feedback using either the ipsilateral remembered or contralateral concurrent (CC) hand. We also measured hand strength, dexterity, tactile acuity, and cognition before and after training.

Results: After the program was completed, participants showed a 35% reduction in absolute (p < 0.01, confidence interval (CI): [7.3, 33.2], effect sizes (ES): 0.87) and constant (p = 0.05, CI: [0.0, 34.9], ES: 0.79) force matching errors in the CC condition. Improvements in dominant hand dexterity (Purdue pegboard test) (p < 0.05, CI: [0.2, 2.4], ES: 0.60) and tactile sensitivity (JVP thresholds) (p < 0.05, CI: [-1.7, -0.1], ES: 0.94), as well as cognition (Trail Making Test B) (p < 0.05, CI: [-24,1. -1.6], ES: 0.30) were also observed post-training.

Conclusions: The results suggest that home-hand training can be an effective way to improve force perception among older adults.

背景：手部功能会随着年龄的增长而减弱，从而导致日常活动能力受损，最终丧失独立性。感知物体受力的能力是手部控制的重要组成部分，这种能力也会随着年龄的增长而下降。目的：本研究评估了一项以提高老年人力觉为重点的家庭训练计划的有效性：研究设计：准实验-非对照试验：11名独立、健康的成年人（平均年龄：77.2 ± 6.8岁）参加了为期6周、每周6天的家庭感知运动手部训练计划。作为主要结果变量的力觉是指在没有视觉反馈的情况下，使用同侧记忆手或对侧同期（CC）手再现相当于最大自主收缩25%的捏力的能力。我们还测量了训练前后的手部力量、灵活性、触觉敏锐度和认知能力：结果：训练结束后，参与者的手部肌肉力量绝对值降低了 35%（p 结论：训练可以改善手部肌肉力量：结果表明，家庭徒手训练可以有效改善老年人对力的感知。

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引用次数: 0

Utilization of the external rotation abduction thermoplastic shoulder orthosis for adolescents with birth-related brachial plexus injuries following shoulder reanimation surgery. 为肩关节复位手术后患有先天性臂丛神经损伤的青少年使用外旋外展热塑肩部矫形器。

IF 2.1 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy

Pub Date : 2024-06-27 DOI: 10.1016/j.jht.2024.04.001

Ann M Feretti, Nathan Khabyeh-Hasbani, Manisha Joshi, Victoria Ferrante, Steven M Koehler

引用次数: 0

Focal dystonia in musicians, a literature review. 音乐家的局灶性肌张力障碍，文献综述。

IF 2.1 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy

Pub Date : 2024-06-27 DOI: 10.1016/j.jht.2024.02.011

Silvia Comoletti, Chiara Mercogliano

Background: Musician's focal dystonia (mFD) is a rare, neurological, task-specific disorder that mainly affects the upper extremity (especially the hands) and generally appears as a painless muscular incoordination that can mark the end of a musician's professional career. The present literature review intends to highlight the current understanding of musician's focal dystonia, its underlying neural mechanisms and the role of prevention and treatment in physiotherapy, psychotherapy and other fields as occupational therapy.

Purpose: The aim of the present literature review was to gain an overview of mFD in the medical, psychological and physical therapy literature and investigate what strategies for diagnosis and rehabilitation are available today.

Study design: The present article is a literature review, based on the search for full-text publications with the goal of comparing the main strategies for mFD rehabilitation and prevention presented in the literature.

Methods: This literature review compared many relevant papers and studies available in literature today for mFD epidemiology, neural mechanisms, treatment and prevention, to discuss what we know today and highlight the aspects that can still be enhanced in the future.

Results: According to our results, current literature gives a good understanding of mFD epidemiology, but further studies are needed to fully comprehend the neurological aspects and develop more rehabilitation strategies, especially in the psychological field. Our research also highlighted the need for a multidisciplinary approach that considers both physical and psychological aspects.

Conclusions: Physical rehabilitation strategies are helpful but, considering the amount of psychological aspects involved in mFD, a holistic approach should be considered and developed in the future. Finally, prevention must have a primary role in mFD treatment, raising awareness around it and, possibly, avoiding its development.

背景：音乐家局灶性肌张力障碍（mFD）是一种罕见的神经性任务特异性疾病，主要影响上肢（尤其是双手），通常表现为无痛性肌肉不协调，可能标志着音乐家职业生涯的终结。本文献综述旨在强调目前对音乐家局灶性肌张力障碍的认识、其潜在的神经机制以及在物理治疗、心理治疗和职业治疗等其他领域的预防和治疗作用。目的：本文献综述旨在了解医学、心理学和物理治疗文献中对音乐家局灶性肌张力障碍的概述，并调查目前有哪些诊断和康复策略：本文是一篇文献综述，基于对全文出版物的搜索，目的是比较文献中介绍的间食性腹泻康复和预防的主要策略：方法：这篇文献综述比较了目前文献中关于 mFD 流行病学、神经机制、治疗和预防的许多相关论文和研究，讨论了我们目前所了解的情况，并强调了未来仍可改进的方面：结果：根据我们的研究结果，目前的文献对 mFD 的流行病学有了很好的了解，但还需要进一步的研究来全面了解神经学方面的知识，并制定更多的康复策略，尤其是在心理领域。我们的研究还强调了采用多学科方法的必要性，这种方法既要考虑身体方面，也要考虑心理方面：身体康复策略是有帮助的，但考虑到 mFD 涉及大量心理方面的问题，未来应考虑并开发一种综合方法。最后，预防必须在间歇性脑缺氧治疗中发挥主要作用，提高人们对间歇性脑缺氧的认识，并在可能的情况下避免其发展。

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引用次数: 0

Effects of dual-task interference on dexterity performance in people with mild to moderately severe Parkinson's disease: An observational analysis. 双任务干扰对轻度至中度帕金森病患者灵活性表现的影响：观察分析

IF 2.1 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy

Pub Date : 2024-06-27 DOI: 10.1016/j.jht.2024.04.002

Elizabeth Proud, Meg E Morris, Belinda Bilney, Kimberly J Miller, Maarten J Nijkrake, Marten M Munneke, Jennifer L McGinley

Background: Debilitating problems with hand function experienced by people with Parkinson's disease (PD) can worsen during multitasking.

Purpose: To investigate the effects of dual-task interference on a pegboard task in people with mild to moderately severe PD.

Study design: Descriptive analysis.

Methods: A secondary analysis of baseline data from the ParkinsonNet physiotherapy study conducted in 2006 in the Netherlands. The 9-hole peg test was performed with the more affected hand under single- and dual-task conditions. In dual-task trials, a cognitive task was added. The patient specific index-Parkinson's disease identified two functional priority groups-those reporting arm and hand problems as a priority for allied health management ("upper extremity priority") and those prioritizing other issues ("other priority"). We investigated differences in single- and dual-task performance at different levels of disease severity (Hoehn and Yahr stage) and for the two priority groups, and calculated the dual-task effect.

Results: Participants were 566 people with PD (Hoehn and Yahr stages I-IV). Dual-task interference occurred at each disease stage. Significant interactions existed between the task condition and disease severity (F (3, 559) = 4.28, p = 0.005) and task condition and priority group (F (1, 561) = 4.44, p = 0.036). Dual-task interference was greater in participants with more advanced disease or those prioritizing upper extremity problems.

Conclusion: We described the effects of dual-task interference on more affected hand performance of a standardized dexterity test in a broad sample of people with PD. Dual-task interference may impact the daily lives of people with PD, especially those with more severe disease or who report arm and hand problems. It is important for clinicians to consider dual-task interference during upper extremity assessment and treatment.

背景：目的：研究双任务干扰对轻度至中度严重帕金森病患者钉板任务的影响：研究设计：描述性分析：对2006年在荷兰进行的ParkinsonNet物理治疗研究的基线数据进行二次分析。在单任务和双任务条件下，用受影响较大的手进行9孔钉测试。在双任务试验中，还增加了一项认知任务。帕金森病患者特定指数确定了两个功能优先组--将手臂和手部问题列为联合健康管理优先事项的组（"上肢优先"）和将其他问题列为优先事项的组（"其他优先"）。我们调查了不同疾病严重程度（Hoehn 和 Yahr 分期）和两个优先组的单任务和双任务表现差异，并计算了双任务效应：研究对象为566名帕金森病患者（Hoehn和Yahr分期I-IV期）。每个疾病阶段都存在双任务干扰。任务条件与疾病严重程度（F (3, 559) = 4.28, p = 0.005）、任务条件与优先组别（F (1, 561) = 4.44, p = 0.036）之间存在显著的交互作用。疾病晚期或优先考虑上肢问题的参与者受到的双重任务干扰更大：我们在一个广泛的帕金森病患者样本中描述了双重任务干扰对标准化灵巧性测试中受影响较多的手部表现的影响。双重任务干扰可能会影响帕金森病患者的日常生活，尤其是那些病情较重或报告有手臂和手部问题的患者。临床医生在进行上肢评估和治疗时必须考虑到双重任务干扰。

{"title":"Effects of dual-task interference on dexterity performance in people with mild to moderately severe Parkinson's disease: An observational analysis.","authors":"Elizabeth Proud, Meg E Morris, Belinda Bilney, Kimberly J Miller, Maarten J Nijkrake, Marten M Munneke, Jennifer L McGinley","doi":"10.1016/j.jht.2024.04.002","DOIUrl":"https://doi.org/10.1016/j.jht.2024.04.002","url":null,"abstract":"<p><strong>Background: </strong>Debilitating problems with hand function experienced by people with Parkinson's disease (PD) can worsen during multitasking.</p><p><strong>Purpose: </strong>To investigate the effects of dual-task interference on a pegboard task in people with mild to moderately severe PD.</p><p><strong>Study design: </strong>Descriptive analysis.</p><p><strong>Methods: </strong>A secondary analysis of baseline data from the ParkinsonNet physiotherapy study conducted in 2006 in the Netherlands. The 9-hole peg test was performed with the more affected hand under single- and dual-task conditions. In dual-task trials, a cognitive task was added. The patient specific index-Parkinson's disease identified two functional priority groups-those reporting arm and hand problems as a priority for allied health management (\"upper extremity priority\") and those prioritizing other issues (\"other priority\"). We investigated differences in single- and dual-task performance at different levels of disease severity (Hoehn and Yahr stage) and for the two priority groups, and calculated the dual-task effect.</p><p><strong>Results: </strong>Participants were 566 people with PD (Hoehn and Yahr stages I-IV). Dual-task interference occurred at each disease stage. Significant interactions existed between the task condition and disease severity (F (3, 559) = 4.28, p = 0.005) and task condition and priority group (F (1, 561) = 4.44, p = 0.036). Dual-task interference was greater in participants with more advanced disease or those prioritizing upper extremity problems.</p><p><strong>Conclusion: </strong>We described the effects of dual-task interference on more affected hand performance of a standardized dexterity test in a broad sample of people with PD. Dual-task interference may impact the daily lives of people with PD, especially those with more severe disease or who report arm and hand problems. It is important for clinicians to consider dual-task interference during upper extremity assessment and treatment.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472790","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}

引用次数: 0