Journal of Hand Therapy最新文献

{"title":"Does acute edema after open reduction and internal fixation of distal radius fractures correlate with 3- and 12-month patient-reported outcomes? A retrospective series","authors":"Huijeong Kim BS,&nbsp;Jae Kwang Kim MD, PhD,&nbsp;Young Ho Shin MD, PhD","doi":"10.1016/j.jht.2025.05.012","DOIUrl":"10.1016/j.jht.2025.05.012","url":null,"abstract":"<div><h3>Background</h3><div>Edema following a distal radius fracture may affect clinical outcomes.</div></div><div><h3>Purpose</h3><div><span>This study aimed to determine if there is a relationship between edema before open reduction<span> and internal fixation (ORIF) for </span></span>distal radius fracture<span> (DRF) and pain visual analog scale (VAS), Disabilities of the Arm, Shoulder and Hand (DASH), and Patient-Rated Wrist and Hand Evaluation (PRWHE) scores obtained at 3- and 12-month after ORIF.</span></div></div><div><h3>Study Design</h3><div>Retrospective cross-sectional series.</div></div><div><h3>Methods</h3><div>Record review included adult patients who underwent ORIF within 2<!--> <span>weeks of DRF and who had linear wrist and hand edema measurements taken before ORIF, 2</span> <!-->days and 2<!--> <span>weeks after ORIF, and instruction in elevation and finger exercises. Measurement of edema involved two methods---wrist circumference and figure-of-eight. Pain VAS, DASH, and PRWHE scores were obtained 3- and 12-month after ORIF. Reliability of edema measurements was done for 20 patients and analyzed using intraclass correlation coefficients. Time-dependent changes in edema were evaluated using paired </span><em>t</em><span> tests. The relationship between edema before ORIF and 3- and 12-month patient-reported outcomes (PROs) was analyzed using multivariable linear regression<span>. Bivariate linear regression<span> analysis was performed to evaluate the relationship between wrist circumference of before and after ORIF and 12-month PROs in quartiles of patients with the least and most wrist circumference before open reduction and internal fixation.</span></span></span></div></div><div><h3>Results</h3><div>A total of 121 patient records were reviewed, with the patient mean age being 63.7<!--> <!-->±<!--> <!-->14.6<!--> <!-->years. Reliability of edema measures was excellent, with intraclass correlation coefficient for wrist circumference (0.892) and figure-of-eight (0.900). Both methods for measuring edema significantly increased between before ORIF and 2<!--> <!-->days after ORIF and significantly decreased 2<!--> <span>weeks after ORIF. Multivariate analysis showed no statistically significant association between edema measured before ORIF and 3- and 12-month PROs. Bivariate regression in patients with the least and most wrist circumference before ORIF showed that regression coefficients for wrist circumference and 12-month PROs were decreased from before ORIF to 2-weeks after ORIF: pain VAS- 0.016 to -0.035, DASH- 0.480 to 0.374, and PRWHE 0.382 to 0.044.</span></div></div><div><h3>Conclusions</h3><div>Edema measured before ORIF in patients with DRF decreased within 2<!--> <!-->weeks to near-preoperative values. It is unknown whether this was due to elevation and movement instruction or natural recovery. Edema measurements before ORIF were not related to at 3- and 12-month pain VAS, DASH, and PRWHE scores.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 1","pages":"Pages 258-265"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499392","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 effect of education, diacutaneous fibrolysis, and self-mobilization on sleep quality in patients with carpal tunnel syndrome waiting for surgery: A randomized controlled trial","authors":"Mar Hernández-Secorún ,&nbsp;Hugo Abenia-Benedí ,&nbsp;María Orosia Lucha-López ,&nbsp;María Durán-Serrano ,&nbsp;Javier Sami Hamam-Alcober ,&nbsp;John Krauss ,&nbsp;César Hidalgo-García","doi":"10.1016/j.jht.2025.04.022","DOIUrl":"10.1016/j.jht.2025.04.022","url":null,"abstract":"<div><h3>Background</h3><div>Carpal tunnel syndrome (CTS) patients experience a wide range of sleep complaints. However, little evidence exists on how conservative treatment can improve sleep quality in these patients.</div></div><div><h3>Purpose</h3><div>To determine the effectiveness of a multimodal physiotherapy approach based on sleep symptoms and quality in patients suffering from CTS included in a surgery waiting list.</div></div><div><h3>Study Design</h3><div>A randomized controlled trial.</div></div><div><h3>Methods</h3><div>CTS patients included in surgical waiting list of Spanish Public Health System were recruited. Patients were randomized into an education, diacutaneous fibrolysis, and self-mobilization treatment over 3 weeks (<em>n</em> = 20) or a control group (<em>n</em> = 22). Nocturnal symptoms, Medical Outcome Study Sleep Scale, Boston Carpal Tunnel Questionnaire, and sensitivity of the hand were assessed after treatment, at 3- and 6-months follow-up. A general linear model of repeated measures was performed.</div></div><div><h3>Results</h3><div>Nocturnal symptoms (<em>p</em> &lt; 0.1; d = 1.0-1.5) and Boston Carpal Tunnel Questionnaire (<em>p</em> = 0.01; d = 1.0-1.1) were improved in favor of intervention group at each follow-up. Also, sensitivity of the first three fingers showed better results for intervention group at 3- (<em>p</em> = 0.021; d = 0.5) and 6-months (<em>p</em> = 0.036; d = 0.8) follow-up. Five of the eight items in the Medical Outcome Study Sleep Scale reported significant differences at 6-month against the control group (<em>p</em> &lt; 0.1). There was a significant increase in the amount of sleep in the intervention group (<em>p</em> = 0.006; d = 0.7). Finally, physical activity and splint influenced the results of nocturnal symptoms and awaken short of breath and headache.</div></div><div><h3>Conclusions</h3><div>Education, diacutaneous fibrolysis, and self-mobilization may improve night-time symptoms and sleep quality in CTS patients awaiting surgery. Patients included were mainly severe, had associated comorbidities, and under-represented patients in conservative treatment studies.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 1","pages":"Pages 214-223"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512829","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":"Noninvasive management of carpal tunnel syndrome and changing treatment patterns over a 15-year time span. A practice survey among Australian hand therapists","authors":"Andrea C. Benson BSc(Hons) ,&nbsp;Stacey M. Cross BSc ,&nbsp;Benjamin Soon PhD ,&nbsp;Lee A. Barber PhD ,&nbsp;Mathias Guérin MSc ,&nbsp;Michel W. Coppieters PhD","doi":"10.1016/j.jht.2025.07.001","DOIUrl":"10.1016/j.jht.2025.07.001","url":null,"abstract":"<div><h3>Background</h3><div>Numerous conservative treatment options are available to manage carpal tunnel syndrome (CTS). It is unclear how hand therapists currently manage CTS and whether practice patterns have changed over time.</div></div><div><h3>Purpose</h3><div>This study aimed to (1) document how hand therapists manage CTS and (2) identify possible changes in treatment patterns over a 15-year window.</div></div><div><h3>Study Design</h3><div>Cross-sectional.</div></div><div><h3>Methods</h3><div>An online survey was distributed among all members of the Australian Hand Therapy Association. Findings were compared with a nearly identical survey conducted 15 years earlier, and with clinical guidelines, and recent clinical trials and reviews.</div></div><div><h3>Results</h3><div>The 10 most commonly used noninvasive management options were explanation and advice, splinting, home exercise prescription, nerve gliding exercises involving proximal joints (ie, elbow, shoulder, or neck) and distal joints (ie, hand and wrist), ergonomic advice, advice regarding sitting and standing posture, tendon gliding exercises, and active wrist and finger exercises. Although these interventions also constituted the 10 most common interventions in the previous survey, meaningful differences were observed. Compared to 15 years ago, the main changes included an increase in the use of neurodynamic exercises involving proximal joints (+19.9 %pt) and distal joints (+10.7 %pt), and heat (+10.7 %pt), whereas tendon gliding exercises (−8.5 %pt) and therapeutic ultrasound (−6.2 %pt) were the main modalities that were performed less frequently. Apart from ergonomic and postural advice, commonly performed interventions (eg, explanation and advice, splinting, and neurodynamic exercises) were in line with the literature. Overall, Australian hand therapists often used a more active (exercise-based) approach compared with the guidelines and an approach that typically involved the arm rather than only the hand and wrist.</div></div><div><h3>Conclusions</h3><div>Australian hand therapists use a wide range of interventions to manage CTS, with some noteworthy changes in treatment patterns over the preceding 15 years. Their approach is mostly supported by the literature.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 1","pages":"Pages 266-274"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145152114","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":"Investigation of factors affecting shoulder pain in stroke survivors","authors":"Arslan Cemil PT, MSc ,&nbsp;Baskan Emre PT ,&nbsp;Dengiz Aziz PT","doi":"10.1016/j.jht.2025.02.019","DOIUrl":"10.1016/j.jht.2025.02.019","url":null,"abstract":"<div><h3>Background</h3><div>Shoulder pain is influenced by multiple factors in stroke survivors.</div></div><div><h3>Purpose</h3><div>This study investigated factors contributing to shoulder pain in stroke survivors and quantified their impact.</div></div><div><h3>Study Design</h3><div>Sixty-two stroke patients (21 females, 41 males; mean age: 63.97 ± 10.02 years) at Brunnstrom stage 3 or higher were included.</div></div><div><h3>Methods</h3><div>Shoulder pain was assessed using the Visual Analog Scale<span>, muscle tone with the Modified Ashworth Scale, and myofascial trigger points through palpation. A universal goniometer measured the range of motion, and the Fugl-Meyer Upper Extremity Assessment evaluated upper limb function. Soft tissue conditions were assessed using the Neer Impingement, Apprehension, Acromioclavicular Shear, and Speed tests.</span></div></div><div><h3>Results</h3><div><span>Hemiplegic shoulder pain (HSP) was present in 50% of patients, primarily in the anterior (35.5%) and lateral (32.3%) shoulder. Burning and stinging sensations were common. No significant associations were found with age, gender, or time since stroke. However, HSP correlated with rehabilitation initiation time (</span><em>p</em> = 0.007, <em>r</em> = −0.34), Brunnstrom stage (<em>p</em> = 0.015, <em>r</em> = 0.31), and Fugl-Meyer score (<em>p</em> = 0.015, <em>r</em> = 0.31). Increased muscle tone in the subscapularis (<em>p</em> = 0.046, <em>r</em> = 0.26) and pectoralis major (<em>p</em> = 0.002, <em>r</em><span><span> = 0.38) was linked to HSP. Myofascial trigger points in the levator scapulae, supraspinatus, upper trapezius, teres major, teres minor, and </span>infraspinatus muscles<span> showed significant correlations Soft tissue pathology, indicated by the Neer Impingement (</span></span><em>p</em> = 0.000, <em>r</em> = 0.46), speed (<em>p</em> = 0.007, <em>r</em> = 0.34), and apprehension (<em>p</em> = 0.000, <em>r</em> = 0.52) tests, was also associated with HSP.</div></div><div><h3>Conclusions</h3><div>HSP in stroke survivors is influenced by myofascial trigger points, soft tissue injuries<span>, delayed rehabilitation, increased muscle tone, and lower motor function. Early intervention focusing on shoulder mobility is crucial for prevention and management, promoting functional recovery.</span></div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 1","pages":"Pages 140-146"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046420","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 effect of rotator cuff trigger points dry needling on the stability and function of the upper limb in people with shoulder pain: Randomized clinical trial study","authors":"Samira Ghasemi MSc ,&nbsp;Leila Abbasi PhD ,&nbsp;Narges Meftahi PhD ,&nbsp;Mohammad Amiri MSc","doi":"10.1016/j.jht.2025.04.005","DOIUrl":"10.1016/j.jht.2025.04.005","url":null,"abstract":"<div><h3>Background</h3><div>Shoulder pain, a prevalent musculoskeletal disorder<span> (lifetime prevalence: 6.7%-66.7%), is closely linked to rotator cuff dysfunction. While trigger points in these muscles are common in symptomatic individuals, their impact on shoulder stability and function remains poorly understood.</span></div></div><div><h3>Purpose</h3><div>This randomized controlled trial<span> examined whether dry needling of rotator cuff trigger points, compared with sham needling, improves pain, disability, shoulder stability, and functional outcomes in patients with chronic rotator cuff--related shoulder pain.</span></div></div><div><h3>Study Design</h3><div>Randomized controlled trial.</div></div><div><h3>Methods</h3><div>In total, 44 patients aged 18-45<!--> <!-->years with shoulder pain randomly assigned to two groups. The first group received deep dry needling on trigger points, while the second group received sham dry needling. The treatment was performed over three sessions. Shoulder stability (Closed Kinetic Chain Upper Extremity Stability Test), pain (Visual Analog Scale), disability (Quick version of the Disabilities of the Arm, Shoulder, and Hand Questionnaire), grip strength, and strength of internal and external shoulder rotators were measured at the baseline, at the end of the last session, and 1<!--> <!-->week after the intervention.</div></div><div><h3>Results</h3><div>Dry needling significantly improved shoulder stability (MD<!--> <!-->=<!--> <!-->0.11, 95% CI<!--> <!-->=<!--> <!-->0.06-0.16), grip strength (MD<!--> <!-->=<!--> <!-->12.4 kg), and pain (MD<!--> <!-->=<!--> <!-->−35.6, 95% CI<!--> <!-->=<!--> <!-->−41.2 to −30.0) compared with sham needling (<em>p</em> <!-->&lt;<!--> <span>0.05). All improvements exceeded minimal clinically important differences<span>. At 1-week follow-up, all outcomes favored dry needling with large effect sizes (</span></span><em>d</em> <!-->=<!--> <!-->1.09-2.16), exceeding Minimal Clinically Important Differences for Quick version of the Disabilities of the Arm, Shoulder, and Hand Questionnaire (Δ<!--> <!-->=<!--> <span>15.9) and Visual Analog Scale (Δ</span> <!-->=<!--> <!-->9.9). Time-group interactions confirmed sustained improvements in the treatment group (<em>p</em> <!-->&lt;<!--> <!-->0.001). Post-treatment improvements in shoulder stability (Closed Kinetic Chain Upper Extremity Stability Test) were consistent across sexes, with no significant sex-by-group interactions (<em>p</em> <!-->&gt;<!--> <!-->0.05).</div></div><div><h3>Conclusions</h3><div>Deep dry needling of rotator cuff trigger points significantly improves shoulder function, stability, pain, and disability in patients with chronic shoulder pain. Clinicians should consider integrating this intervention into rehabilitation protocols for rotator cuff--related disorders, as it demonstrates clinically meaningful outcomes surpassing minimal important differences.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 1","pages":"Pages 1-9"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334496","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":"Increased electromyographic activity of the abductor pollicis brevis and hand strength deficits in women with carpal tunnel syndrome: A cross-sectional study","authors":"Amanda Santos Simão MS, PT ,&nbsp;Darlisson Bueno Paranhos MS, PT ,&nbsp;Andréa Licre Pessina Gasparini PhD, PT ,&nbsp;Luciane Aparecida Pascucci Sande de Sousa PhD, PT ,&nbsp;Luciane Fernanda Rodrigues Martinho Fernandes PhD, PT","doi":"10.1016/j.jht.2025.05.005","DOIUrl":"10.1016/j.jht.2025.05.005","url":null,"abstract":"<div><h3>Background</h3><div>Carpal tunnel syndrome (CTS) can impact hand function, potentially altering muscle activity and strength during common manual tasks. Understanding these changes is essential for developing effective interventions.</div></div><div><h3>Purpose</h3><div>To verify if there are differences in electromyographic activity of wrist and hand muscles and in hand strength between women with and without CTS during sustained isometric grip and pinch strength tasks.</div></div><div><h3>Study Design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div><span>The study included 26 women diagnosed with CTS by a hand surgeon and a control group of 22 women without CTS. Electromyographic activities of the extensor carpi ulnaris (ECU), extensor carpi radialis longus and brevis, flexor carpi ulnaris, flexor </span>digitorum<span> superficialis, and abductor pollicis brevis (APB) were recorded during sustained grip and pulp-to-pulp pinch tasks. Muscle activity was quantified using the root mean square, and hand strength was measured with a Hand Grip Electronic Dynamometer, focusing on peak strength and the average over the last 60% of each task.</span></div></div><div><h3>Results</h3><div>Women with CTS showed a significant increase in root mean square of the APB during both grip and pinch tasks, and an increase in ECU activity during the pinch task. Additionally, the CTS group exhibited decreased peak strength and lower average strength over the last 60% of both tasks compared to controls.</div></div><div><h3>Conclusions</h3><div>Women with CTS demonstrate increased muscle activity in the APB during both grip and pinch tasks and in the ECU during pinch, along with significant deficits in hand strength. These findings suggest that CTS is associated with impaired muscle function and strength, underscoring the importance of targeted interventions to improve hand function in this population.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 1","pages":"Pages 283-292"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327695","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":"Psychometric properties of pectoralis minor muscle length tests in individuals with and without rotator cuff-related shoulder pain: A COSMIN-based systematic review","authors":"Dayana Patricia Rosa PT, PhD ,&nbsp;Maria Alejandra Camacho Villa PT, Ms ,&nbsp;Fernanda Assis Paes Habechian PT, PhD ,&nbsp;Paula Camila Ramirez PT, PhD","doi":"10.1016/j.jht.2025.05.011","DOIUrl":"10.1016/j.jht.2025.05.011","url":null,"abstract":"<div><h3>Background</h3><div>Pectoralis minor length was associated with shoulder pain and functional limitations. Although various clinical tests assess pectoralis minor length in individuals with and without shoulder pain, their psychometrics properties have not been systematically explored.</div></div><div><h3>Purpose</h3><div>To provide a comprehensive overview of the measurement properties of tests used to assess pectoralis minor length in individuals with and without rotator cuff-related shoulder pain.</div></div><div><h3>Study Design</h3><div>Systematic review with meta-analysis.</div></div><div><h3>Methods</h3><div>Four electronic databases were searched until February 2025. Studies assessing any pectoralis minor length tests measurement property in adults with and without rotator cuff-related shoulder pain were included. Two reviewers independently screened all studies and assessed the risk of bias using the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) checklist. Subsequently, each measurement property of each pectoralis minor length test was classified as sufficient, insufficient, or inconsistent based on the COSMIN criteria for good measurement properties. A random-effects model was used in the meta-analysis.</div></div><div><h3>Results</h3><div>Three tests evaluating pectoralis minor length were identified from the 10 included studies. Although no test showed sufficient evidence for all measurement properties, the pectoralis minor length (origin-insertion distance) assessed in standing had the most properties evaluated. The test demonstrated the best measurement properties in individuals with and without shoulder pain, although measurement error and responsiveness still need to be determined. The pooled results indicated very good intra- (156 individuals without pain; ICC = 0.93, 95% CI: 0.89-0.95) and inter-rater (260 individuals without pain; ICC = 0.87, 95% CI: 0.66-0.95; 338 individuals with and without shoulder pain; ICC = 0.88, 95% CI: 0.75-0.95) reliability.</div></div><div><h3>Conclusions</h3><div>There is currently insufficient evidence to recommend any test for estimating pectoralis minor length. Thus, more research is needed, particularly regarding measurement error and responsiveness. Available tests should be used with caution in research and clinical practice.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 1","pages":"Pages 96-108"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565518","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 three traditional conservative treatment techniques on patients with mild-to-moderate carpal tunnel syndrome: A systematic review and meta-analysis","authors":"Jiatao Zhang BD ,&nbsp;Jiahuan Chen MD ,&nbsp;Xiang Li BD ,&nbsp;Ziyang Yan BD ,&nbsp;Qiaoxia Zhang BD ,&nbsp;Pincao Gao PhD, PT ,&nbsp;Fang Tang MD","doi":"10.1016/j.jht.2025.01.001","DOIUrl":"10.1016/j.jht.2025.01.001","url":null,"abstract":"<div><h3>Background</h3><div><span>Carpal tunnel syndrome (CTS) is a common peripheral </span>nerve entrapment<span> syndrome that can be treated in a variety of ways, including manual therapy, massage, and acupuncture.</span></div></div><div><h3>Purpose</h3><div>Traditional conservative treatment techniques have been widespread used for treatment of patients with mild-to-moderate carpal tunnel syndrome (CTS), such as manual therapy, massage, and acupuncture. However, there appears to be no consensus about the benefits of traditional conservative treatment techniques for patients with CTS. This systematic review and meta-analysis were aimed to analyze the effectiveness of three traditional conservative treatment techniques (manual therapy, massage, and acupuncture) on the patients with mild-to-moderate CTS.</div></div><div><h3>Study Design</h3><div>Intervention systematic review with meta-analysis.</div></div><div><h3>Methods</h3><div><span>Randomized controlled clinical trails were searched from the inception of PubMed, Web of Science and CNKI up to May 22, 2024. Mean differences (MD) or standardized mean differences (SMD) were used as effect sizes by us and 95% confidence intervals (CI) were used to analyze these studies. Analyses were performed using RevMan 5.3 software. </span>Funnel plots and Egger's test were used to assess publication bias.</div></div><div><h3>Results</h3><div><span>A total of 14 articles with 1110 patients with mild-to-moderate CTS satisfied the inclusion criteria in this systematic review and meta-analysis. The meta-analysis found that the three traditional conservative treatment techniques can significantly reduce the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) [MD = -1.55, 95% CI (-2.15, -0.95), </span><em>p</em> &lt; 0.00001], Symptom Severity Scale (SSS) [MD = -0.90, 95% CI (-1.28, -0.51), <em>p</em><span> &lt; 0.00001], Functional Status Scale (FSS) [MD = -0.85, 95% CI (-1.17, -0.54), </span><em>p</em> &lt; 0.00001] and pain [SMD = -2.03, 95% CI (-2.75, -1.30), <em>p</em><span> &lt; 0.00001] scores, and improve sensory nerve conduction velocity (SNCV) [MD = 5.37, 95% CI (2.43, 8.32), </span><em>P</em> = 0.0004] compared with the control group.</div></div><div><h3>Conclusions</h3><div>This study demonstrated that three traditional conservative treatment techniques can effectively improve the severity of symptoms, functional status, pain levels, and sensory nerve conduction velocity on patients with mild-to-moderate CTS.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 1","pages":"Pages 10-21"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630984","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":"Fugl-Meyer Assessment for upper extremity in stroke: A pyschometric systematic review","authors":"Pablo de Blas-Zamorano PhD Candidate ,&nbsp;Pedro Montagut-Martínez PhD ,&nbsp;David Pérez-Cruzado PhD ,&nbsp;Jose-Antonio Merchan-Baeza PhD","doi":"10.1016/j.jht.2025.04.004","DOIUrl":"10.1016/j.jht.2025.04.004","url":null,"abstract":"<div><h3>Background</h3><div>Stroke is a very common pathology, with a high prevalence of impairment of the sensorimotor function of the upper limb. There are many scales that assess this variable. Fugl-Meyer Assessment is one of the most widely used, but there are many versions of this scale to assess this construct.</div></div><div><h3>Purpose</h3><div>To identify, critically appraise, and summarize the different Fugl-Meyer Assessment (FMA) versions to recognize which is better to measure upper-extremity sensorimotor function in stroke patients.</div></div><div><h3>Study Design</h3><div>A psychometric systematic review was carried out in this research.</div></div><div><h3>Methods</h3><div>An exhaustive search was conducted during June and July 2023 in the following databases: Pubmed, Web of Science (WoS), Open Grey, Scielo, Cochrane, Dialnet, and LILACS. By the most updated consensus-based standards fot the selection of health status Measurement INstruments methodology (COSMIN) and preferred reporting items for systematic reviews and meta-analyses (PRISMA) statements for a systematic review of the measurement properties of existing patient-reported outcome measures to select the most appropriate outcome measurement instrument. The protocol of this systematic review was registered in Open Science Framework (<span><span>https://osf.io/dy54p/</span><svg><path></path></svg></span>).</div></div><div><h3>Results</h3><div>About 22 versions of the FMA were identified in 36 studies. The Upper Extremity subscale of the Fugl-Meyer Assessment (FMA-UE) was the version most frequently analyzed (<em>n</em> = 13) among the included articles.</div></div><div><h3>Conclusions</h3><div>Fugl-Meyer Assessment (Full version, 50 items, FMA) was the questionnaire version with the most evaluated psychometric characteristics and most translations, with the better score regarding the quality of evidence, which indicates that is the recommended FMA version to assess upper-extremity sensorimotor function in stroke patients.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 1","pages":"Pages 22-51"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327693","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":"Reliability and validity of using smartphone sensor and photography to measure hand and upper extremity joint range of motion: A systematic review","authors":"Erfan Shafiee PT, PhD ,&nbsp;Sohrob Milani Zadeh PhD ,&nbsp;Joy C. MacDermid PhD ,&nbsp;G. Daniel Langohr PhD ,&nbsp;James Johnson PhD ,&nbsp;Steve Lu PT, PhD","doi":"10.1016/j.jht.2025.04.018","DOIUrl":"10.1016/j.jht.2025.04.018","url":null,"abstract":"<div><h3>Background</h3><div>Accurate Range of Motion measurement is vital for clinical decision-making. Traditional goniometers are reliable and valid tools but face challenges. Smartphones, with advanced technologies, are emerging as promising tools, necessitating validation for clinical integration.</div></div><div><h3>Purpose</h3><div>The study aim is to appraise and synthesize the available evidence on the reliability and validity of smartphone sensors and photography in assessing the ROM of hand and upper extremity joints.</div></div><div><h3>Study Design</h3><div>Systematic review.</div></div><div><h3>Methods</h3><div>We searched the studies in which \"smartphone sensor” or “smartphone photography\" was employed as the method of upper limb ROM measurement from January 2001 to January 2023 to find relevant studies. We compared the studied methods to conventional goniometer as the gold standard and validated ROM measurement techniques. Two independent reviewers (SM and ES) assessed the methodological quality of reliability and validity of both category of studies using the Quality Appraisal Tool for studies of diagnostic Reliability (QAREL) and the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tools, respectively. Qualitative synthesis was the preferred method of summarizing and presenting the results.</div></div><div><h3>Results</h3><div>A total of 31 studies were included in this study. The sample size across studies ranged from 10 to 171, and the mean age was 41 years old. Eleven out of 12 studies included in the photography category stated the good to excellent reliability or validity with respect to the goniometric measurements. Eight studies in the smartphone sensor category reported excellent reliability or validity (47%), seven studies stated good level of reliability or validity (41%), and two studies reported average or moderate level of reliability (12%). The quality assessment using the QAREL assessment tool was high in 11 studies (35%), moderate in 8 studies (26%) or low in 12 studies (39%).</div></div><div><h3>Conclusions</h3><div>This review provides clinicians and researchers with evidence to support using smartphone photography and sensor applications as valid and reliable methods for ROM measurements.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 1","pages":"Pages 52-71"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531181","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}