Journal of Hand Therapy最新文献_第6页

Are pectoralis minor length and posterior shoulder tightness associated with patient-reported shoulder pain and disability? 胸小肌长度和后肩紧绷是否与患者报告的肩部疼痛和残疾有关？

IF 2.1 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy

Pub Date : 2025-01-01 DOI: 10.1016/j.jht.2024.10.003

Dayana Patricia Rosa PT, PhD , John David Borstad PT, PhD , Paula Camila Ramirez PT, PhD , Paula Rezende Camargo PT, PhD

Background

Pectoralis minor (PM) shortening and posterior shoulder tightness (PST) are considered potential soft tissue alterations associated with rotator cuff related shoulder pain (RCRSP). Yet, their precise contribution to pain and disability remains unclear.

Purpose

To explore the association between both PM length and PST and self-reported shoulder pain and disability in individuals with and without RCRSP. Demographic characteristics and shoulder active range of motion (AROM) were also considered for their potential contributions to RCRSP.

Study Design

This was a cross-sectional study.

Methods

Using Shoulder Pain and Disability Index (SPADI), 144 individuals were grouped by pain and disability severity: SPADI total score ≤20 and SPADI total score >20. PM length was measured using a tape measure. PST, glenohumeral joint flexion, internal (IR) and external (ER) rotation AROM were quantified using an inclinometer. Demographic and AROM measurements were compared between groups and regression analyses identified SPADI predictors.

Results

Age, PST, glenohumeral flexion, and ER AROM were associated with SPADI total score (p < 0.05). Higher age (odds ratio (OR [95%CI]): 1.07 [1.02–1.12]) and increased PST (OR: 1.16 [1.04–1.29]) were associated with higher self-reported shoulder pain and disability scores (SPADI score >20). In contrast, increased flexion (OR: 0.93 [0.88–0.97]) and ER AROM (OR: 0.96 [0.93–0.99]) served as protective factors against increased levels of self-reported shoulder pain and disability. No other variables were associated with SPADI (p > 0.05).

Conclusions

PST is associated with increased levels of self-reported shoulder pain and disability, as are age, while PM length and IR AROM were not significantly associated variables. Glenohumeral flexion and ER AROM prevented increased levels of self-reported shoulder pain and disability.

背景：胸小肌（PM）缩短和后肩紧绷（PST）被认为是与肩袖相关性肩痛（RCRSP）相关的潜在软组织改变。然而，它们对疼痛和残疾的确切影响尚不清楚。目的：探讨有或无RCRSP个体的PM长度和PST与自我报告的肩部疼痛和残疾之间的关系。人口统计学特征和肩部活动范围（AROM）也被认为是对RCRSP的潜在贡献。研究设计：这是一项横断面研究。方法：采用肩痛与失能指数（SPADI）对144例患者按疼痛与失能严重程度分组：SPADI总分≤20分，SPADI总分bb0 20分。用卷尺测量PM长度。PST，盂肱关节屈曲，内（IR）和外（ER）旋转AROM用倾角仪量化。组间比较人口学和AROM测量值，并通过回归分析确定SPADI预测因子。结果：年龄、PST、盂肱屈曲和ER - AROM与SPADI总分相关（p 20）。相反，增加的屈曲（OR: 0.93[0.88-0.97]）和ER - AROM （OR: 0.96[0.93-0.99]）是防止自述肩部疼痛和残疾水平增加的保护因素。无其他变量与SPADI相关（p < 0.05）。结论：PST与自我报告的肩部疼痛和残疾水平增加有关，年龄也是如此，而PM长度和IR AROM并不是显著相关的变量。肩关节屈曲和ER - AROM预防了自我报告的肩部疼痛和残疾水平的增加。

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引用次数: 0

Prevalence of Hand Arm Vibration Syndrome in mine workers of Khewra salt mines 库拉盐矿工人手臂振动综合征的患病率。

IF 2.1 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy

Pub Date : 2025-01-01 DOI: 10.1016/j.jht.2024.11.002

Hafiz Muhammad Tanveer , Ghulam Murtaza Ali , Mubin Mustafa Kiyani , Maisra Azhar Butt , Hamid Khan , Shahid Bashir

Background

Hand-arm Vibration Syndrome (HAVS) is a disorder caused by prolonged exposure to hand-held vibrating instruments, commonly observed in industrial contexts such as mining, construction, and manufacturing. It involves symptoms affecting the musculoskeletal, neurological, and vascular systems of the arm and hand.

Purpose

The main aim of this study is to determine the prevalence of HAVS among laborers working in the Khewra salt mines.

Study Design

This study utilized a cross-sectional observational design.

Methods

A total of 140 drill machine operators from the Khewra salts mines were selected through purposive sampling. Handgrip strength was assessed using the Camry-EH101 hand dynamometer and the data was collected through structured questionnaire focusing on neurological, vascular and musculoskeletal symptoms. The prevalence of HAVS was determined from the collected data and the severity of symptoms was as analyzed across different age groups and working conditions.

Results

Out of the participants, n = 121 (86.4%) were found to be right-hand dominant, with average grip strength of 40.9 ± 3.1 kg, while n = 19 (13.6%) were left hand dominant, with average grip strength of 45.9 ± 2.6 kg. Compared to normative data, right-hand dominant workers showed a 15% reduction in grip strength, while left-hand dominant workers showed a 5% decreased. The most common reported neurological symptoms included prolonged hand vibration (52.9%), tingling sensation (60%) and numbness (46.4%). Vascular symptoms included discoloration of fingers (50%), felling cold (48.6%) and needle like sensations (45.7%). Musculoskeletal symptoms included reduced grip strength (51.4%), hand discomfort (46.4%) and hand cramping, tiredness or itching (46.4%).

Conclusion

The high prevalence of HAVS among miners emphasizes the importance of targeted clinical interventions and workplace policies modifications to reduce vibration exposure and improve occupational health.

背景：手臂振动综合症（HAVS）是一种由长时间接触手持振动仪器引起的疾病，常见于采矿、建筑和制造业等工业环境。它包括影响手臂和手的肌肉骨骼、神经系统和血管系统的症状。目的：本研究的主要目的是了解库拉盐矿工人HAVS的患病率。研究设计：本研究采用横断面观察设计。方法：采用目的抽样的方法，选取喜拉盐矿钻机操作人员140人。使用凯美瑞eh101手测力仪评估握力，并通过关注神经、血管和肌肉骨骼症状的结构化问卷收集数据。根据收集的数据确定HAVS的患病率，并分析不同年龄组和工作条件下症状的严重程度。结果：121人（86.4%）以右手为主，平均握力为40.9±3.1 kg； 19人（13.6%）以左手为主，平均握力为45.9±2.6 kg。与常规数据相比，惯用右手的工人握力下降了15%，惯用左手的工人握力下降了5%。最常见的神经系统症状包括手部振动时间延长（52.9%）、刺痛感（60%）和麻木（46.4%）。血管症状包括手指变色（50%）、感觉寒冷（48.6%）和针状感觉（45.7%）。肌肉骨骼症状包括握力下降（51.4%）、手部不适（46.4%）和手部痉挛、疲劳或瘙痒（46.4%）。结论：矿工HAVS的高发强调了有针对性的临床干预和工作场所政策的修改对于减少振动暴露和改善职业健康的重要性。

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引用次数: 0

The online version of an evidence-based hand exercise programme for people with rheumatoid arthritis: An effectiveness-implementation study 类风湿性关节炎患者循证手部锻炼计划的在线版本：一项有效性实施研究。

IF 2.1 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy

Pub Date : 2025-01-01 DOI: 10.1016/j.jht.2024.11.001

Cynthia Srikesavan , Esther Williamson , Sarah E Lamb

Background

The Strengthening and Stretching for Rheumatoid Arthritis of the Hand (SARAH) program is an evidence-based exercise program for adults with hand function difficulties due to rheumatoid arthritis. A self-guided online version of the program has been developed for direct access by patients.

Purpose

To evaluate the delivery of the online program in routine therapy care and its impact on clinical outcomes, before making it widely available.

Study Design

An effectiveness-implementation study.

Methods

Volunteer patients were identified from National Health Service (NHS) hand therapy departments in the United Kingdom. Patients were given access to the 4-week program, delivered via text, videos, polls, and social discussion forums. Self-reported pain and hand function were collected at baseline, discharge, and telephone follow-up at 4 months. Delivery of baseline and discharge sessions, acceptability, and patient engagement and experience were also explored.

Results

A total of 78 patients were enrolled from 18 therapy departments in 15 NHS trusts in England, Scotland, and Wales. Sixty-five patients took part, of whom 46 (71%) registered with the online SARAH program. The majority of baseline and discharge sessions were delivered face-to-face. Pain improved at discharge and was stable at follow-up. Hand function significantly improved with medium effect sizes of Cohen’s d of 0.6 and 0.52 respectively. The majority of patients rated themselves as improved and were continuing the SARAH exercises at discharge and 4 months. No related adverse effects were reported. Patient engagement was high during the first week of the program but gradually declined. Most patients were satisfied and found the program useful.

Conclusions

The online SARAH program delivered in routine therapy care was acceptable and beneficial to patients. Improvements in clinical outcomes were similar to the SARAH clinical trial and our previous implementation work.

背景：手部类风湿关节炎的强化和伸展（SARAH）项目是针对因类风湿关节炎导致手功能困难的成年人的循证锻炼项目。该程序的自我指导在线版本已经开发出来，供患者直接访问。目的：评估在线程序在常规治疗护理中的交付及其对临床结果的影响，然后将其广泛使用。研究设计：有效性-实施研究。方法：从英国国家卫生服务（NHS）手部治疗部门确定志愿者患者。患者可以通过文本、视频、民意调查和社会论坛参与为期四周的项目。在基线、出院和4个月电话随访时收集自我报告的疼痛和手功能。基线和出院期的交付、可接受性、患者参与和经验也进行了探讨。结果：共有78名患者从英格兰、苏格兰和威尔士的15个NHS信托机构的18个治疗部门入组。65名患者参与，其中46名（71%）注册了在线SARAH项目。大多数基线和出院会议都是面对面进行的。出院时疼痛改善，随访时疼痛稳定。手功能显著改善，Cohen's d的中等效应量分别为0.6和0.52。大多数患者认为自己有所改善，并在出院和4个月时继续进行SARAH练习。没有相关的不良反应报告。在项目的第一周，患者的参与度很高，但逐渐下降。大多数病人都很满意，并且觉得这个项目很有用。结论：在常规治疗护理中提供的在线SARAH方案是可接受的，并且对患者有益。临床结果的改善与SARAH临床试验和我们之前的实施工作相似。

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引用次数: 0

Editorial Board / Masthead / ASHT Officers

IF 2.1 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy

Pub Date : 2025-01-01 DOI: 10.1016/S0894-1130(25)00013-4

引用次数: 0

Movement analysis of the distal transverse arch of the dominant hand while grasping and pinching objects: A descriptive, correlational research study 在抓握和捏住物体时对惯用手远端横弓的运动分析：一项描述性相关研究。

IF 2.1 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy

Pub Date : 2024-10-01 DOI: 10.1016/j.jht.2023.12.011

Hideki Shiraishi OT, PhD , Hiroshi Yuine OT, PhD

Background

The distal transverse arches obtained from active and passive motions of the hand and the used range of motion (u-ROM) of the hand arch in activities of daily living have rarely been reported.

Purpose

This study aimed to investigate the distal transverse arch angle of the dominant hand, the influence of age, and the u-ROM of the arch when grasping and pinching objects.

Study Design

Descriptive and correlational research design.

Methods

The active and passive distal transverse arches of the dominant hand of 104 healthy subjects were measured using a goniometer. Additionally, the hand arch was measured when the subjects grasped and pinched objects. These data were used to analyze the correlation with age and to calculate the u-ROM (u-ROM %) rate of the distal transversal arch. Furthermore, the u-ROM% between the ring and fifth finger components of the hand arch was compared.

Results

The active and passive dorsal arch angles were 135.8 (10.0°) and 169.9 (11.5°), respectively. The distal transverse arch angle tended to decline with age (active: r = −0.18, p = 0.07, 95% confidence interval = −0.36 to 0.02; passive: r = −0.40, p ≤ 0.001, 95% confidence interval = −0.55 to −0.23). The u-ROM% of the hand arch in grasping and pinching ranged from 65.5 (9.8)% to 84.6 (11.6)% and from 52.1 (7.9)% to 67.4 (9.1)%, respectively, against active and passive motions. The ring finger component was significantly higher than the fifth finger component (active: p = 0.08 to <0.001, effect size = −0.17 to −0.69; passive: p ≤ 0.001, effect size= −0.71 to −0.86). A similar trend was observed in both men and women.

Conclusions

Therapists should evaluate the movement of the distal transverse arch of the injured hand in detail and consider the age, sex, and component of the hand arch when intervening.

背景：目的：本研究旨在调查主导手的远端横弓角度、年龄的影响以及抓捏物体时手弓的u-ROM：研究设计：描述性和相关性研究设计：研究设计：采用描述性和相关性研究设计。方法：使用测角器测量 104 名健康受试者主导手的主动和被动远端横弓。此外，还测量了受试者抓捏物体时的手弓。这些数据被用来分析与年龄的相关性，并计算远端横弓的u-ROM（u-ROM%）率。此外，还比较了手弓无名指和五指部分的u-ROM%：结果：主动和被动背弓角分别为 135.8（10.0°）和 169.9（11.5°）。随着年龄的增长，远端横弓角呈下降趋势（主动：r=-0.18，p=0.07，95%置信区间=-0.36至0.02；被动：r=-0.40，p≤0.001，95%置信区间=-0.55至-0.23）。针对主动和被动运动，抓握和捏的手弓u-ROM%分别为65.5 (9.8)%至84.6 (11.6)%和52.1 (7.9)%至67.4 (9.1)%。无名指分量明显高于五指分量（主动：P = 0.08至结论：治疗师应详细评估受伤手掌远端横弓的运动情况，并在干预时考虑年龄、性别和手掌横弓的组成部分。

{"title":"Movement analysis of the distal transverse arch of the dominant hand while grasping and pinching objects: A descriptive, correlational research study","authors":"Hideki Shiraishi OT, PhD , Hiroshi Yuine OT, PhD","doi":"10.1016/j.jht.2023.12.011","DOIUrl":"10.1016/j.jht.2023.12.011","url":null,"abstract":"<div><h3>Background</h3><div>The distal transverse arches obtained from active and passive motions<span> of the hand and the used range of motion (u-ROM) of the hand arch in activities of daily living have rarely been reported.</span></div></div><div><h3>Purpose</h3><div>This study aimed to investigate the distal transverse arch angle of the dominant hand, the influence of age, and the u-ROM of the arch when grasping and pinching objects.</div></div><div><h3>Study Design</h3><div>Descriptive and correlational research design.</div></div><div><h3>Methods</h3><div><span>The active and passive distal transverse arches of the dominant hand of 104 healthy subjects were measured using a </span>goniometer. Additionally, the hand arch was measured when the subjects grasped and pinched objects. These data were used to analyze the correlation with age and to calculate the u-ROM (u-ROM %) rate of the distal transversal arch. Furthermore, the u-ROM% between the ring and fifth finger components of the hand arch was compared.</div></div><div><h3>Results</h3><div>The active and passive dorsal arch angles were 135.8 (10.0°) and 169.9 (11.5°), respectively. The distal transverse arch angle tended to decline with age (active: <em>r</em> = −0.18, <em>p</em> = 0.07, 95% confidence interval = −0.36 to 0.02; passive: <em>r</em> = −0.40, <em>p</em> ≤ 0.001, 95% confidence interval = −0.55 to −0.23). The u-ROM% of the hand arch in grasping and pinching ranged from 65.5 (9.8)% to 84.6 (11.6)% and from 52.1 (7.9)% to 67.4 (9.1)%, respectively, against active and passive motions. The ring finger component was significantly higher than the fifth finger component (active: <em>p</em> = 0.08 to <0.001, effect size = −0.17 to −0.69; passive: <em>p</em> ≤ 0.001, effect size= −0.71 to −0.86). A similar trend was observed in both men and women.</div></div><div><h3>Conclusions</h3><div>Therapists should evaluate the movement of the distal transverse arch of the injured hand in detail and consider the age, sex, and component of the hand arch when intervening.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 4","pages":"Pages 563-571"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736784","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

Extensor tendon transfer for fracture-related extensor pollicis longus rupture: Long-term outcome case series 伸肌腱转移治疗骨折相关的伸肌腱断裂：长期疗效病例系列。

IF 2.1 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy

Pub Date : 2024-10-01 DOI: 10.1016/j.jht.2024.02.004

Alexander J. Adams MD , Saral J. Patel MS , Sebastian D. Arango BS , Kaleb Smithson MD , Rick J. Tosti MD , Andrew J. Miller MD

Background

Spontaneous rupture of the extensor pollicis longus (EPL) tendon following both nonoperative and operative treatment of distal radius fractures has been well described.

Purpose

The purpose of this study was to assess long-term outcomes of extensor indicis proprius to EPL tendon transfers for patients following distal radius fracture and EPL tendon repair.

Study Design

Retrospective case series focusing on long-term clinical outcomes.

Methods

A retrospective review was conducted for patients who sustained a distal radius fracture and subsequently underwent extensor tendon transfer from 2005-2015 at a private practice center. Outcome measures including index finger (IF) metacarpophalangeal (MCP) and thumb interphalangeal (IP) active range of motion (ROM), digital extension against resistance, subjective complaints, and QuickDASH scores were recorded at final follow-up.

Results

Seven patients were included in the study. There were six females and one male subject, mean age of 54 ± 13 years at injury of EPL, and 5/7 involved the left upper extremity. For isolated function, 7/7 (100%) patients had isolated, active IF MCP extension, 6/7 (86%) could extend IF MCP and thumb IP against resistance. Mean IF MCP extension was 1° ± 2°, mean IF MCP flexion was 89° ± 2°, mean thumb IP extension was −5° ± 4°, and mean thumb IP flexion was 67° ± 15°. Mean QuickDASH score was 16 ± 14.

Conclusions

This series shows good long-term functional and patient reported outcomes in patients following extensor indicis proprius to EPL tendon transfers at a single center.

背景：目的：本研究旨在评估桡骨远端骨折和桡骨远端肌腱修复术后患者伸肌本体与桡骨远端肌腱转移的长期疗效：研究设计：回顾性病例系列，重点关注长期临床疗效：方法：对2005-2015年期间在一家私人医疗中心接受桡骨远端骨折并随后接受伸肌腱转移的患者进行回顾性研究。最终随访时记录的结果指标包括食指（IF）掌指关节（MCP）和拇指指间关节（IP）的主动活动范围（ROM）、数字伸展对抗阻力、主观主诉和 QuickDASH 评分：研究共纳入七名患者。其中六名女性，一名男性，EPL受伤时的平均年龄为（54±13）岁，5/7涉及左上肢。就孤立功能而言，7/7（100%）例患者具有孤立、主动的中指MCP伸展功能，6/7（86%）例患者可在阻力作用下伸展中指MCP和拇指IP。IF MCP平均伸展角度为1° ± 2°，IF MCP平均屈曲角度为89° ± 2°，拇指IP平均伸展角度为-5° ± 4°，拇指IP平均屈曲角度为67° ± 15°。QuickDASH 评分的平均值为 16 ± 14.结论：该系列研究显示，在一个中心进行本体伸肌与EPL肌腱转移后，患者的长期功能和患者报告结果均良好。

{"title":"Extensor tendon transfer for fracture-related extensor pollicis longus rupture: Long-term outcome case series","authors":"Alexander J. Adams MD , Saral J. Patel MS , Sebastian D. Arango BS , Kaleb Smithson MD , Rick J. Tosti MD , Andrew J. Miller MD","doi":"10.1016/j.jht.2024.02.004","DOIUrl":"10.1016/j.jht.2024.02.004","url":null,"abstract":"<div><h3>Background</h3><div>Spontaneous rupture of the extensor pollicis longus (EPL) tendon following both nonoperative and operative treatment of distal radius fractures has been well described.</div></div><div><h3>Purpose</h3><div><span>The purpose of this study was to assess long-term outcomes of extensor indicis proprius to EPL tendon transfers for patients following distal radius fracture and EPL </span>tendon repair.</div></div><div><h3>Study Design</h3><div>Retrospective case series focusing on long-term clinical outcomes.</div></div><div><h3>Methods</h3><div>A retrospective review was conducted for patients who sustained a distal radius fracture and subsequently underwent extensor tendon transfer from 2005-2015 at a private practice center. Outcome measures including index finger (IF) metacarpophalangeal (MCP) and thumb interphalangeal (IP) active range of motion (ROM), digital extension against resistance, subjective complaints, and QuickDASH scores were recorded at final follow-up.</div></div><div><h3>Results</h3><div>Seven patients were included in the study. There were six females and one male subject, mean age of 54 ± 13 years at injury of EPL, and 5/7 involved the left upper extremity. For isolated function, 7/7 (100%) patients had isolated, active IF MCP extension, 6/7 (86%) could extend IF MCP and thumb IP against resistance. Mean IF MCP extension was 1° ± 2°, mean IF MCP flexion was 89° ± 2°, mean thumb IP extension was −5° ± 4°, and mean thumb IP flexion was 67° ± 15°. Mean QuickDASH score was 16 ± 14.</div></div><div><h3>Conclusions</h3><div>This series shows good long-term functional and patient reported outcomes in patients following extensor indicis proprius to EPL tendon transfers at a single center.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 4","pages":"Pages 529-533"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140137435","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

A randomized controlled trial on the effectiveness of mirror therapy in improving strength, range of movement and muscle activity, in people with carpal tunnel syndrome 一项随机对照试验，研究镜像疗法在改善腕管综合征患者的力量、活动范围和肌肉活动方面的效果。

IF 2.1 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy

Pub Date : 2024-10-01 DOI: 10.1016/j.jht.2024.02.007

Elena Muñoz-Gómez PT, PhD, Marta Aguilar-Rodríguez PT, PhD, Sara Mollà-Casanova PT, PhD, Nuria Sempere-Rubio PT, PhD, Marta Inglés PT, PhD, Pilar Serra-Añó PT, PhD

Background

There is little information on the potential effects of mirror therapy (MT) on motor recovery in individuals with Carpal Tunnel Syndrome (CTS).

Purpose

To compare the effectiveness of a MT protocol versus a therapeutic exercise (TE) protocol, in improving strength, range of motion (ROM), muscle activity, pain, and functionality in patients with CTS.

Study design

Randomized clinical trial.

Methods

Thirty-nine participants with unilateral CTS were divided into two groups: (i) MT group (n = 20) that followed an exercise protocol applied to the unaffected hand reflected in a mirror, and (ii) TE group (n = 19) that followed the same exercise protocol using the unaffected hand but without a mirror. Strength, wrist ROM, muscle activity, pain and functionality, were assessed at baseline (T0), after treatment (T1) and one month after treatment (T2).

Results

At T1, the MT group showed significantly higher wrist flexion-extension ROM compared to TE (p = 0.04, d = 0.8), maintained at T2 (p = 0.02, d = 0.8). No significant changes were observed in ulnar-radius deviation, pronosupination, or fatigue following either MT or TE (p > 0.05). MT exhibited enhanced handgrip strength at T1 (p = 0.001, d = 0.7), as well as an increase in the extensor carpi radialis (ECR) and flexor carpi radialis (FCR) maximum muscle activity (p = 0.04, d = 1.0; p = 0.03, d = 0.4). At T1, both groups decreased pain (p = 0.002, d = 1.1; p = 0.02, d = 0.7), and improved functionality (p < 0.001, d = 0.8; p = 0.01, d = 0.5) (MT and TE respectively).

Discussion

MT led to enhancements in wrist flexion-extension movement, handgrip strength and functionality unlike TE. MT notably increased muscle activity, particularly in the ECR and FCR muscles.

Conclusions

MT is a favorable strategy to improve wrist flexion-extension ROM, handgrip strength, ECR and FCR muscle activity, and functionality in people with unilateral CTS.

背景：有关镜像疗法（MT）对腕管综合征（CTS）患者运动恢复的潜在影响的信息很少：目的：比较镜像疗法（MT）方案与治疗性运动（TE）方案在改善腕管综合征（CTS）患者的力量、运动范围（ROM）、肌肉活动、疼痛和功能方面的效果：研究设计：随机临床试验：39 名单侧 CTS 患者被分为两组：(i) MT 组（n = 20），使用镜子反射的未受影响的手进行锻炼；(ii) TE 组（n = 19），使用未受影响的手进行相同的锻炼，但不使用镜子。分别在基线（T0）、治疗后（T1）和治疗后一个月（T2）对力量、腕关节活动度、肌肉活动、疼痛和功能进行评估：在 T1 阶段，MT 组的腕关节屈伸 ROM 明显高于 TE 组（p = 0.04，d = 0.8），并在 T2 阶段保持不变（p = 0.02，d = 0.8）。无论是 MT 还是 TE，在尺桡偏离、前屈或疲劳方面均未观察到明显变化（p > 0.05）。MT 组在 T1 期的手握力增强（p = 0.001，d = 0.7），桡侧伸（ECR）和桡侧屈（FCR）最大肌肉活动增加（p = 0.04，d = 1.0；p = 0.03，d = 0.4）。在 T1 期，两组患者的疼痛均有所减轻（p = 0.002，d = 1.1；p = 0.02，d = 0.7），功能也有所改善（p 讨论）：与 TE 不同，MT 增强了腕关节屈伸运动、握力和功能。MT明显增加了肌肉活动，尤其是ECR和FCR肌肉：MT是改善单侧CTS患者腕关节屈伸活动度、手握力、ECR和FCR肌肉活性和功能的有利策略。

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引用次数: 0

Pulsed negative pressure myofascial vacuum therapy and percutaneous electrolysis in the treatment of lateral epicondylalgia: A single-blind randomized controlled trial 脉冲负压肌筋膜真空疗法和经皮电解法治疗外侧上髁痛：单盲随机对照试验。

IF 2.1 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy

Pub Date : 2024-10-01 DOI: 10.1016/j.jht.2024.02.003

Manuel Rodríguez-Huguet , Daniel Rodríguez-Almagro , Miguel Angel Rosety-Rodríguez , Maria Jesus Vinolo-Gil , Javier Molina-Jiménez , Jorge Góngora-Rodríguez

Background

Lateral Epicondylalgia (LE) represents one of the most common injuries of the upper limb. It is necessary to find effective treatments that reduce pain and increase functionality.

Purpose

To determine the effects of an integrated intervention of Pulsed Negative Pressure Myofascial Vacuum Therapy (VT), Percutaneous Electrolysis (PE) and eccentric exercise (EE) in the treatment of LE compared versus Manual Therapy soft tissue mobilization (MT) and Ultrasound therapy (US) and EE.

Study design

Single-blind randomized controlled trial.

Methods

Forty participants, with unilateral LE, were randomly divided into two groups: VT + PE + EE group (n = 20) and MT + US + EE group (n = 20). The VT + PE + EE group received one weekly session for four weeks and a regimen of EE daily at-home, and the MT + US + EE group received 10 sessions over a period of two weeks and a regimen of EE daily at-home. Numerical pain rating scale (NPRS), range of motion (ROM) pressure pain threshold (PPT) and function (PRTEE questionnaire) were measured before treatment, at the end of treatment, and at one- and three-month follow-ups.

Results

The statistically significant improvements were found post-treatment, favoring the VT + PE group in pain intensity (p < 0.001; ES = 0.408), PRTEE-S Pain (p = 0.001; ES = 0.377), PRTEE-S Specific function (p = 0.004; ES = 0.306) and PRTEE-S Total (p = 0.001; ES = 0.355). The VT + PE + EE treatment showed greater effectiveness than the MT + US + EE treatment at immediate post-treatment, as well as at the one-month and three-months follow-up.

Conclusions

VT and PE added to an EE program could be an effective treatment for pain, ROM, PPT, and function in patients with LE.

背景：外侧上髁痛（LE）是上肢最常见的损伤之一。目的：确定脉冲负压肌筋膜真空疗法（VT）、经皮电解法（PE）和偏心运动（EE）综合干预与手法治疗软组织动员（MT）、超声波疗法（US）和偏心运动（EE）治疗外侧髁痛的效果：研究设计：单盲随机对照试验：研究设计：单盲随机对照试验：VT + PE + EE组（n = 20）和MT + US + EE组（n = 20）。VT+PE+EE组每周接受一次治疗，为期四周，每天在家进行EE治疗；MT+US+EE组每周接受10次治疗，为期两周，每天在家进行EE治疗。分别在治疗前、治疗结束时、治疗后一个月和三个月的随访中测量了数字疼痛评分量表（NPRS）、活动范围（ROM）、压力痛阈值（PPT）和功能（PRTEE问卷）：结果：治疗后，VT + PE 组的疼痛强度有明显改善（P＜0.05）：在 EE 计划中加入 VT 和 PE 可有效治疗 LE 患者的疼痛、活动度、PPT 和功能。

{"title":"Pulsed negative pressure myofascial vacuum therapy and percutaneous electrolysis in the treatment of lateral epicondylalgia: A single-blind randomized controlled trial","authors":"Manuel Rodríguez-Huguet , Daniel Rodríguez-Almagro , Miguel Angel Rosety-Rodríguez , Maria Jesus Vinolo-Gil , Javier Molina-Jiménez , Jorge Góngora-Rodríguez","doi":"10.1016/j.jht.2024.02.003","DOIUrl":"10.1016/j.jht.2024.02.003","url":null,"abstract":"<div><h3>Background</h3><div><span>Lateral Epicondylalgia (LE) represents one of the most common </span>injuries of the upper limb. It is necessary to find effective treatments that reduce pain and increase functionality.</div></div><div><h3>Purpose</h3><div><span>To determine the effects of an integrated intervention of Pulsed Negative Pressure Myofascial Vacuum Therapy (VT), Percutaneous Electrolysis (PE) and </span>eccentric exercise<span> (EE) in the treatment of LE compared versus Manual Therapy soft tissue mobilization (MT) and Ultrasound therapy (US) and EE.</span></div></div><div><h3>Study design</h3><div>Single-blind randomized controlled trial.</div></div><div><h3>Methods</h3><div>Forty participants, with unilateral LE, were randomly divided into two groups: VT + PE + EE group (<em>n</em> = 20) and MT + US + EE group (<em>n</em><span><span> = 20). The VT + PE + EE group received one weekly session for four weeks and a regimen of EE daily at-home, and the MT + US + EE group received 10 sessions over a period of two weeks and a regimen of EE daily at-home. Numerical pain rating scale (NPRS), range of motion (ROM) </span>pressure pain threshold (PPT) and function (PRTEE questionnaire) were measured before treatment, at the end of treatment, and at one- and three-month follow-ups.</span></div></div><div><h3>Results</h3><div>The statistically significant improvements were found post-treatment, favoring the VT + PE group in pain intensity (<em>p</em> < 0.001; ES = 0.408), PRTEE-S Pain (<em>p</em> = 0.001; ES = 0.377), PRTEE-S Specific function (<em>p</em> = 0.004; ES = 0.306) and PRTEE-S Total (<em>p</em><span> = 0.001; ES = 0.355). The VT + PE + EE treatment<span> showed greater effectiveness than the MT + US + EE treatment at immediate post-treatment, as well as at the one-month and three-months follow-up.</span></span></div></div><div><h3>Conclusions</h3><div>VT and PE added to an EE program could be an effective treatment for pain, ROM, PPT, and function in patients with LE.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 4","pages":"Pages 644-652"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140061344","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 : 2024-10-01 DOI: 10.1016/j.jht.2024.02.002

Rachel N. Logue Cook MS , Kathy L. Kern MS, Susan H. Brown PhD

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

Patients living with upper extremity arthritis may experience limitations in physical, mental, and social health: A technical report 上肢关节炎患者可能会在身体、精神和社交健康方面受到限制：技术报告。

IF 2.1 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy

Pub Date : 2024-10-01 DOI: 10.1016/j.jht.2023.12.006

Nancy Naughton OTD, OTR/L, CHT , Brocha Z. Stern PhD, OTR, CHT , Priya Bakshi OTD, OTR, CHT , Sophie E. Goloff MS, OTR/L, CHT , Sarah B. Doerrer PhD, OTR/L, CHT

引用次数: 0