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Editorial Board / Masthead / ASHT Officers 编辑委员会 / 刊头 / ASHT 官员
IF 2.1 4区 医学 Q2 ORTHOPEDICS Pub Date : 2024-07-01 DOI: 10.1016/S0894-1130(24)00079-6
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引用次数: 0
Correction to Read for Credit #955 question 4. 为学分而读 #955 问题 4 的更正。
IF 2.1 4区 医学 Q2 ORTHOPEDICS Pub Date : 2024-07-01 DOI: 10.1016/j.jht.2024.04.003
Gwendolyn van Strien, Koos Jaap van Zwieten, Julianne Wright Howell
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引用次数: 0
Effect of Kinesio taping on edema and wrist functions in patients with distal radius fracture followed conservatively with a cast: A randomized controlled single-blinded study Kinesio 胶带对桡骨远端骨折患者水肿和手腕功能的影响:随机对照单盲研究。
IF 2.1 4区 医学 Q2 ORTHOPEDICS Pub Date : 2024-07-01 DOI: 10.1016/j.jht.2024.05.003

Background

Data in the literature on the results of Kinesio taping (KT) application after cast removal in patients with distal radius fracture (DRF) are quite limited.

Purpose

It was aimed to evaluate the effectiveness of KT applied immediately after cast removal in addition to the exercise program on edema, functionality, range of motion, and muscle strength in patients with conservatively followed DRF.

Study Design

Randomized controlled single-blinded clinical study.

Methods

This study was conducted with 64 patients with a diagnosis of DRF. The patients were randomized as Kinesio taping group (KTG) and control group. Both groups received a conventional home exercise program. KT was applied to patients in KTG for 10 days. Circumference and volume measurements were taken at baseline and day 10. Arm, Shoulder, and Hand Questionnaire for Disability, Visual Analog Scale, grip strength, and wrist joint range of motion measurements were taken at baseline, day 5, and day 10.

Results

The circumference difference between the affected extremity and the healthy extremity was statistically greater in the control group on the fifth day at the wrist level (<0.001) and 6 cm proximal to the wrist (p = 0.001). The circumference difference between the affected extremity and the healthy extremity was statistically greater in the control group on the 10th day at the wrist level (p < 0.05) and 6 cm proximal to the wrist (p = 0.01). Wrist extension angle (<0.001), wrist flexion angle (p = 0.001), and supination angle (p = 0.001) were higher in KTG on the 10th day. On the 10th day, the grip strength (p < 0.05) was higher in the KTG, while the Visual Analog Scale value (p < 0.01), Arm, Shoulder, and Hand Questionnaire for Disability score (p < 0.01), and the percentage of strength loss in the healthy arm (p < 0.01) were lower in the KTG.

Conclusions

In patients with DRF who were treated conservatively with a cast, the inclusion of Kinesio taping (KT) in the rehabilitation program was found to be effective in reducing edema and pain, as well as improving functionality, strength, and range of motion.

背景:目的:本研究旨在评估桡骨远端骨折(DRF)保守治疗患者在拆除石膏后立即应用 Kinesio 胶带(KT)对水肿、功能、活动范围和肌肉力量的影响:研究设计:随机对照单盲临床研究:研究对象: 64 名确诊为 DRF 的患者。患者被随机分为肌力贴组(KTG)和对照组。两组患者均接受传统的家庭锻炼计划。KTG 组患者接受为期 10 天的 KT 治疗。在基线和第 10 天测量周长和体积。在基线、第 5 天和第 10 天测量手臂、肩部和手部残疾问卷、视觉模拟量表、握力和腕关节活动范围:结果:对照组患肢与健康肢体之间的周长差异在第五天的腕关节水平上有统计学意义上的增大:在使用石膏进行保守治疗的 DRF 患者中,将 Kinesio 胶带 (KT) 纳入康复计划可有效减轻水肿和疼痛,并改善功能、力量和活动范围。
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引用次数: 0
Improving how orthopedic journals report research outcomes based on sex and gender 改进矫形外科期刊根据性别报告研究成果的方式。
IF 2.1 4区 医学 Q2 ORTHOPEDICS Pub Date : 2024-07-01 DOI: 10.1016/j.jht.2024.05.005
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引用次数: 0
Observational assessment for determining shoulder fault movements before and after corrective education in participants with chronic shoulder pain: Concurrent validity study 确定慢性肩部疼痛参与者矫正教育前后肩部断层运动的观察性评估:并行有效性研究。
IF 2.1 4区 医学 Q2 ORTHOPEDICS Pub Date : 2024-07-01 DOI: 10.1016/j.jht.2023.09.008

Background

Movement faults (MF), described as the alteration of joint position and motion, are an important factor associated with developing shoulder pathologies. However, determining or predicting the exact MF in participants with shoulder pain is limited by the absence of clinical tools and poor validity.

Purpose

The aim of the study was to determine the validity of using observational assessment to MFs or controlling MFs in subjects with chronic shoulder pain during shoulder elevation and external rotation.

Study Design

Concurrent validity study

Methods

Twenty-seven people with chronic shoulder pain were examined. The index test represented three observational assessments of MF during shoulder external rotation, elevation in the frontal plane, and elevation in the sagittal plane. Three-dimensional motion analysis represented the reference test. The movements of both shoulder joints were evaluated simultaneously, and the index and reference tests were performed concurrently.

Results

The sensitivity and specificity of observational detection were good to excellent (Se: 77.5%, Sp: 81.5%) for MF and excellent (Se: 85.7%, Sp: 100%) for controlling MF. The positive and negative predictive value was (PPV: 93.9, NPV: 57.1) for MF and (PPV: 100%, NPV: 82.8%) for controlling MF. The result of the positive and negative likelihood ratio was (PLR: 5.4, NLR: 0.26) for MF and (PLR: 0, NLR: 0.18) for controlling MF.

Conclusions

The results revealed that the validity of the observational detection approach for identifying MFs was good to excellent. Moreover, the accuracy of this approach in detecting the control of MFs after patient education was excellent. There was good to excellent accuracy in most MFs once classified by their motion trajectories, except for scapula anterior tilt during glenohumeral joint external rotation or elevation.

背景:运动断层(MF)被描述为关节位置和运动的改变,是与发展肩部疾病相关的一个重要因素。然而,由于缺乏临床工具和有效性差,确定或预测肩部疼痛参与者的确切MF受到限制。目的:本研究的目的是确定在肩部抬高和外旋过程中对慢性肩部疼痛受试者的MFs进行观察性评估或控制MFs的有效性。研究设计:并行有效性研究方法:对27名慢性肩痛患者进行检查。该指数测试代表了对肩部外旋、额平面抬高和矢状面抬高过程中MF的三种观察评估。三维运动分析代表了参考试验。同时评估两个肩关节的运动,同时进行指标和参考测试。结果:观察检测对MF的敏感性和特异性分别为良-优(Se:77.5%,Sp:81.5%)和优(Se:85.7%,Sp:100%),阳性和阴性预测值分别为(PPV:93.9,NPV:57.1)和(PPV:100%,NPV:828%)。MF的阳性和阴性似然比结果为(PLR:5.4,NLR:0.26),控制MF的阴性和阳性似然比结果(PLR:0,NLR:0.18)。此外,这种方法在患者教育后检测MFs控制的准确性非常好。大多数MFs一旦根据其运动轨迹进行分类,其准确性都很好,但在肩关节外旋或抬高过程中肩胛骨前倾除外。
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引用次数: 0
Terminology and classification of orthoses for upper limbs 上肢矫形器的术语和分类。
IF 2.1 4区 医学 Q2 ORTHOPEDICS Pub Date : 2024-07-01 DOI: 10.1016/j.jht.2023.08.011
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引用次数: 0
Comparison of the physiotherapy with and without focus on the scapulothoracic joint on pain, range of motion, functional disability, quality of life, and treatment effectiveness of patients after arthroscopic shoulder rotator cuff tendon repair: A randomized controlled trial with short-term follow-up 关节镜下肩袖肌腱修复术后患者的疼痛、活动范围、功能残疾、生活质量和治疗效果比较:一项短期随访的随机对照试验。
IF 2.1 4区 医学 Q2 ORTHOPEDICS Pub Date : 2024-07-01 DOI: 10.1016/j.jht.2023.09.009
<div><h3>Background</h3><p><span>Rotator cuff tears are prevalent shoulder injuries, significantly affecting shoulder stabilization and patient </span>quality of life. Despite rehabilitation efforts post-arthroscopic surgery, the efficacy of scapular-focused exercises remains uncertain with limited supportive evidence.</p></div><div><h3>Purpose</h3><p>This study aimed to compare the immediate and short-term effects of emphasizing scapulothoracic joint rehabilitation in addition to conventional physiotherapy<span><span> on pain, range of motion (ROM), function, quality of life, and treatment effectiveness in patients after shoulder arthroscopic rotator cuff </span>tendon repair (ARCR).</span></p></div><div><h3>Study Design</h3><p>Two arms, parallel-group, randomized controlled trial, with concealed allocation</p></div><div><h3>Methods</h3><p><span>This parallel-group randomized controlled trial, with concealed allocation, was conducted in a clinic setting on 28 participants aged 30-75 years, exhibiting progressive degenerative full-thickness tears of rotator cuff muscles and undergoing ARCR, provided the tear size was small or medium. Participants were randomly allocated to receive 21 sessions of conventional rehabilitation (</span><em>n</em><span> = 14) or comprehensive rehabilitation (with a focus on scapula training; </span><em>n</em><span> = 14) in 12 weeks (reporting of intervention complied with Consensus on Exercise Reporting Template (CERT) and Template for Intervention Description and Replication (TIDieR) Guideline). Pain (as primary outcome), ROM, functional disability, quality of life, and treatment effectiveness were assessed both pre- and post-intervention, along with a 3-month follow-up. Participants, assessors, and statistician were blinded to group assignment. For the reporting of the RCT, the Consolidated Standards of Reporting Trials (CONSORT) has been used.</span></p></div><div><h3>Results</h3><p>Trial was completed with 28 participants and no dropouts. The analysis of variance revealed statistically significant group-by-time interaction (<em>p</em> < 0.05) for all outcome measures except for active ROMs (<em>p</em> > 0.05). Multiple comparison analysis showed statistically significant between-group differences (<em>p</em><span><span><span><span> < 0.05) at 3-month follow-up with large effect size (>0.8 Hedges’ g) for all outcomes (mean differences: </span>visual analog scale: 1.3, American Shoulder and Elbow Surgeons: −17.3, </span>Shoulder Pain and Disability Index: 17.6, </span>Western Ontario Rotator Cuff<span><span>: −19.5, QuickDASH: 17.8), except for extension ROM (passive ROM: confidence interval = −25.4 to 0.56; active ROM: confidence interval = −20.0 to 6.0). The differences in American Shoulder and Elbow Surgeons and Western Ontario Rotator Cuff were also clinically significant based on their </span>minimally clinical important difference<span> cutoff points. For the Global Rating of Change scale, more par
背景:肩袖撕裂是常见的肩部损伤,严重影响肩部稳定性和患者的生活质量。尽管关节镜手术后进行了康复工作,但以肩胛骨为中心的运动的疗效仍不确定,支持性证据有限。目的:本研究旨在比较肩关节镜下肩袖肌腱修复术(ARCR)后,除常规物理治疗外,强调肩胸关节康复对患者疼痛、活动范围(ROM)、功能、生活质量和治疗效果的即时和短期影响,隐蔽分配方法:这项平行组随机对照试验采用隐蔽分配,在临床环境中对28名年龄在30-75岁之间的参与者进行,这些参与者表现出进行性退行性肩袖肌全层撕裂,并接受ARCR,前提是撕裂大小为中小。参与者被随机分配在12周内接受21次常规康复(n=14)或综合康复(重点是肩胛骨训练;n=14)(干预报告符合运动报告模板共识(CERT)和干预描述和复制模板(TIDieR)指南)。在干预前后评估疼痛(作为主要结果)、ROM、功能残疾、生活质量和治疗效果,并进行3个月的随访。参与者、评估员和统计学家对小组分配视而不见。RCT的报告采用了综合报告试验标准(CONSORT)。结果:试验完成,有28名参与者,没有中途退出。方差分析显示,组与时间的交互作用具有统计学意义(p 0.05)。多重比较分析显示,所有结果的组间差异具有统计学意义(平均差异:视觉模拟量表:1.3,美国肩肘外科医生:-17.3,肩部疼痛和残疾指数:17.6,安大略省西部旋转器袖带:-19.5,QuickDASH:17.8),除了扩展ROM(被动ROM:置信区间=-25.4至0.56;主动ROM:可信区间=-20.0至6.0)。美国肩肘外科医生和西安大略旋转器袖带的差异也基于其最低临床重要差异临界点具有临床意义。对于全球变化评级量表,更多的参与者表示综合组比传统组“进步了很多”。无不良反应报告。结论:与传统物理疗法相比,综合康复在改善ARCR后患者的疼痛、ROM、功能残疾、生活质量和治疗效果方面具有统计学和临床显著差异。
{"title":"Comparison of the physiotherapy with and without focus on the scapulothoracic joint on pain, range of motion, functional disability, quality of life, and treatment effectiveness of patients after arthroscopic shoulder rotator cuff tendon repair: A randomized controlled trial with short-term follow-up","authors":"","doi":"10.1016/j.jht.2023.09.009","DOIUrl":"10.1016/j.jht.2023.09.009","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;&lt;span&gt;Rotator cuff tears are prevalent shoulder injuries, significantly affecting shoulder stabilization and patient &lt;/span&gt;quality of life. Despite rehabilitation efforts post-arthroscopic surgery, the efficacy of scapular-focused exercises remains uncertain with limited supportive evidence.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;p&gt;This study aimed to compare the immediate and short-term effects of emphasizing scapulothoracic joint rehabilitation in addition to conventional physiotherapy&lt;span&gt;&lt;span&gt; on pain, range of motion (ROM), function, quality of life, and treatment effectiveness in patients after shoulder arthroscopic rotator cuff &lt;/span&gt;tendon repair (ARCR).&lt;/span&gt;&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Study Design&lt;/h3&gt;&lt;p&gt;Two arms, parallel-group, randomized controlled trial, with concealed allocation&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;&lt;span&gt;This parallel-group randomized controlled trial, with concealed allocation, was conducted in a clinic setting on 28 participants aged 30-75 years, exhibiting progressive degenerative full-thickness tears of rotator cuff muscles and undergoing ARCR, provided the tear size was small or medium. Participants were randomly allocated to receive 21 sessions of conventional rehabilitation (&lt;/span&gt;&lt;em&gt;n&lt;/em&gt;&lt;span&gt; = 14) or comprehensive rehabilitation (with a focus on scapula training; &lt;/span&gt;&lt;em&gt;n&lt;/em&gt;&lt;span&gt; = 14) in 12 weeks (reporting of intervention complied with Consensus on Exercise Reporting Template (CERT) and Template for Intervention Description and Replication (TIDieR) Guideline). Pain (as primary outcome), ROM, functional disability, quality of life, and treatment effectiveness were assessed both pre- and post-intervention, along with a 3-month follow-up. Participants, assessors, and statistician were blinded to group assignment. For the reporting of the RCT, the Consolidated Standards of Reporting Trials (CONSORT) has been used.&lt;/span&gt;&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Trial was completed with 28 participants and no dropouts. The analysis of variance revealed statistically significant group-by-time interaction (&lt;em&gt;p&lt;/em&gt; &lt; 0.05) for all outcome measures except for active ROMs (&lt;em&gt;p&lt;/em&gt; &gt; 0.05). Multiple comparison analysis showed statistically significant between-group differences (&lt;em&gt;p&lt;/em&gt;&lt;span&gt;&lt;span&gt;&lt;span&gt;&lt;span&gt; &lt; 0.05) at 3-month follow-up with large effect size (&gt;0.8 Hedges’ g) for all outcomes (mean differences: &lt;/span&gt;visual analog scale: 1.3, American Shoulder and Elbow Surgeons: −17.3, &lt;/span&gt;Shoulder Pain and Disability Index: 17.6, &lt;/span&gt;Western Ontario Rotator Cuff&lt;span&gt;&lt;span&gt;: −19.5, QuickDASH: 17.8), except for extension ROM (passive ROM: confidence interval = −25.4 to 0.56; active ROM: confidence interval = −20.0 to 6.0). The differences in American Shoulder and Elbow Surgeons and Western Ontario Rotator Cuff were also clinically significant based on their &lt;/span&gt;minimally clinical important difference&lt;span&gt; cutoff points. For the Global Rating of Change scale, more par","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 319-330"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49694094","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
Practitioners in the hand therapy field report a need for increased structured education opportunities 手部治疗领域的从业者报告说,需要增加结构化的教育机会。
IF 2.1 4区 医学 Q2 ORTHOPEDICS Pub Date : 2024-07-01 DOI: 10.1016/j.jht.2023.09.004
{"title":"Practitioners in the hand therapy field report a need for increased structured education opportunities","authors":"","doi":"10.1016/j.jht.2023.09.004","DOIUrl":"10.1016/j.jht.2023.09.004","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 475-478"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49694095","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
Exercise-based intervention as a nonsurgical treatment for patients with carpal instability: A case series 基于锻炼的干预作为腕关节不稳定患者的非手术治疗:一个病例系列。
IF 2.1 4区 医学 Q2 ORTHOPEDICS Pub Date : 2024-07-01 DOI: 10.1016/j.jht.2023.08.010

Background

Although the important roles of proprioception and neuromuscular control in carpal instabilities under laboratory conditions have been recognized, only a few studies have translated this knowledge into a routine clinical practice.

Purpose

This study aimed to evaluate the results of a personalized rehabilitation in patients with carpal instability on functionality and pain intensity.

Study design

This was a case series study.

Methods

This case series included 39 adults (mean age: 38.2 ± 14.0 years; 16/23 females/males) diagnosed with carpal instability (radial or ulnar) with indication for orthopedic treatment. The disabilities of the arm, shoulder, and hand questionnaire was used to assess upper limb functionality. Pain perception was assessed using a visual analog scale. Exercise-based physiotherapy interventions were performed according to the clinical needs of the patients for at least 6 weeks (2-3 sessions per week). For the treatment of radial instability (n = 13), strengthening exercises of the abductor pollicis longus, extensor carpi radialis longus, flexor carpi radialis, and pronator quadratus muscles were prescribed. For the treatment of ulnar instability (n = 24), extensor carpi ulnaris and pronator quadratus were trained. All patients underwent proprioceptive training in open kinetic chain and closed kinetic chain, as well as strengthening of the unaffected hand. Changes before and after treatment were compared using the nonparametric Wilcoxon signed rank test.

Results

A significant improvement with a large effect size in disabilities of the arm, shoulder, and hand (P < .001; d = 2.9) and visual analog scale (P < .001; d = 3.2) scores were obtained after treatment. Moreover, the changes were greater than the minimal clinically important difference of 10.8 and 1.4, respectively. Similar results were found when patients with radial instability and ulnar instability were analyzed separately.

Conclusions

Personalized training with specific proprioception and strengthening exercises produces improvements in functionality and pain perception in our cohort of people with carpal instability. These results highlight the importance of multicomponent exercise in the treatment of wrist instability. Future randomized clinical trials should further investigate the effectiveness of this protocol.

背景:尽管本体感觉和神经肌肉控制在实验室条件下腕关节不稳定中的重要作用已经得到认可,但只有少数研究将这一知识转化为常规临床实践。目的:本研究旨在评估腕关节不稳定患者的个性化康复对功能和疼痛强度的影响。研究设计:这是一个案例系列研究。方法:该病例系列包括39名成年人(平均年龄:38.2±14.0岁;16/23名女性/男性),他们被诊断为腕关节不稳定(桡骨或尺骨),有骨科治疗的指征。手臂、肩膀和手的残疾问卷用于评估上肢功能。使用视觉模拟量表评估疼痛感知。根据患者的临床需要进行至少6周的基于运动的物理治疗干预(每周2-3次)。为了治疗桡骨不稳定(n=13),需要加强拇长展肌、桡侧腕长伸肌、桡腕屈肌和旋方肌的锻炼。为了治疗尺骨不稳定(n=24),训练了尺侧腕伸肌和方旋肌。所有患者均接受了开放运动链和闭合运动链的本体感觉训练,并对未受影响的手进行了强化。使用非参数Wilcoxon符号秩检验比较治疗前后的变化。结果:臂、肩、膝关节残疾有显著改善,和手(P结论:在我们的腕关节不稳定患者队列中,通过特定的本体感觉和强化运动进行个性化训练,可以改善功能和疼痛感知。这些结果突出了多成分运动在治疗腕关节不稳定性中的重要性。未来的随机临床试验应进一步研究这种方法的有效性生育酚。
{"title":"Exercise-based intervention as a nonsurgical treatment for patients with carpal instability: A case series","authors":"","doi":"10.1016/j.jht.2023.08.010","DOIUrl":"10.1016/j.jht.2023.08.010","url":null,"abstract":"<div><h3>Background</h3><p>Although the important roles of proprioception<span> and neuromuscular control in carpal instabilities under laboratory conditions have been recognized, only a few studies have translated this knowledge into a routine clinical practice.</span></p></div><div><h3>Purpose</h3><p>This study aimed to evaluate the results of a personalized rehabilitation in patients with carpal instability on functionality and pain intensity.</p></div><div><h3>Study design</h3><p>This was a case series study.</p></div><div><h3>Methods</h3><p><span>This case series included 39 adults (mean age: 38.2 ± 14.0 years; 16/23 females/males) diagnosed with carpal instability (radial or ulnar) with indication for orthopedic<span><span><span> treatment. The disabilities of the arm, shoulder, and hand questionnaire was used to assess upper limb functionality. Pain perception was assessed using a </span>visual analog scale. Exercise-based </span>physiotherapy interventions were performed according to the clinical needs of the patients for at least 6 weeks (2-3 sessions per week). For the treatment of radial instability (</span></span><em>n</em><span> = 13), strengthening exercises of the abductor pollicis longus, extensor carpi radialis longus, flexor carpi radialis, and pronator quadratus muscles were prescribed. For the treatment of ulnar instability (</span><em>n</em><span> = 24), extensor carpi ulnaris and pronator quadratus were trained. All patients underwent proprioceptive training in open kinetic chain and closed kinetic chain, as well as strengthening of the unaffected hand. Changes before and after treatment were compared using the nonparametric Wilcoxon signed rank test.</span></p></div><div><h3>Results</h3><p><span>A significant improvement with a large effect size in disabilities of the arm, shoulder, and hand (</span><em>P</em> &lt; .001; <em>d</em><span> = 2.9) and visual analog scale (</span><em>P</em> &lt; .001; <em>d</em><span> = 3.2) scores were obtained after treatment. Moreover, the changes were greater than the minimal clinically important difference of 10.8 and 1.4, respectively. Similar results were found when patients with radial instability and ulnar instability were analyzed separately.</span></p></div><div><h3>Conclusions</h3><p>Personalized training with specific proprioception and strengthening exercises produces improvements in functionality and pain perception in our cohort of people with carpal instability. These results highlight the importance of multicomponent exercise in the treatment of wrist instability. Future randomized clinical trials should further investigate the effectiveness of this protocol.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 397-404"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41141412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The hand diagram: A novel outcome measure following supercharged end-to-side anterior interosseous nerve to ulnar nerve transfer in severe compressive ulnar neuropathy 手绘图:在重度压迫性尺神经病变中,骨间前神经至尺神经的端侧加压转移后的一种新的结果测量方法。
IF 2.1 4区 医学 Q2 ORTHOPEDICS Pub Date : 2024-07-01 DOI: 10.1016/j.jht.2023.09.005

Background

With advances in the surgical management for severe ulnar neuropathy with the introduction of the super charged-end-to-side (SETS) anterior interosseous nerve (AIN) to ulnar nerve transfer, a simple and reliable outcome measure is required. There is currently not “one” standardized outcome measure used to represent and compare results.

Purpose

To present the abduction hand diagram as a “novel”, reproducible, and simple outcome measure for patients with severe ulnar neuropathy.

Study Design

Retrospective case series.

Methods

Nine patients with severe entrapment/compressive ulnar neuropathy at the elbow were reviewed. Clinical parameters included preoperative and postoperative abduction tracings, Medical Research Grade (MRC) muscle strength, key pinch strength, Disability of the Hand Arm and Shoulder (DASH) score, and crossed finger test. Electrodiagnostic data included change in compound muscle action potentials (CMAP) amplitude of the first dorsal interosseous (FDI), and abductor digiti minimi (ADM). Summary statistics were used for demographic and clinical data.

Results

Average follow-up was 22.8 ± 9.3 months. At 18-months of follow up, 44% had ADM MRC grade 3 strength or higher, mean key pinch strength improved to 72 ± 19.3%, and mean DASH was 33 ± 28.7. There was a mean increase of 16.7 ± 9.1 mm and 31.5 ± 12 mm in total and summed hand abduction tracing measurements respectively.

Conclusions

Hand abduction tracings are a quantitative outcome measure to follow recovery over time for intrinsic hand function and can be used in patients with severe ulnar neuropathy following surgical intervention.

背景:随着严重尺神经病变手术治疗的进展,引入了超带电端侧(SETS)骨间前神经(AIN)至尺神经的转移,需要一种简单可靠的结果测量方法。目前没有“一个”标准化的结果衡量标准来表示和比较结果。目的:将外展手图作为一种“新的”、可重复的、简单的结果测量方法,用于严重尺神经病变患者。研究设计:回顾性病例系列。方法:回顾性分析9例肘部重度尺骨压迫性神经病变患者的临床资料。临床参数包括术前和术后外展追踪、医学研究级(MRC)肌肉力量、关键握力、手臂和肩膀残疾(DASH)评分以及交叉手指测试。电诊断数据包括第一骨间背侧肌(FDI)和小指展肌(ADM)的复合肌肉动作电位(CMAP)振幅的变化。人口统计学和临床数据采用汇总统计。结果:平均随访22.8±9.3个月。在18个月的随访中,44%的患者具有ADM MRC 3级或更高强度,平均键夹强度提高到72±19.3%,平均DASH为33±28.7。手外展追踪总测量值和总测量值分别平均增加16.7±9.1 mm和31.5±12 mm。结论:手外展追踪是一种跟踪手部固有功能随时间恢复的定量结果指标,可用于手术干预后的严重尺神经病变患者。
{"title":"The hand diagram: A novel outcome measure following supercharged end-to-side anterior interosseous nerve to ulnar nerve transfer in severe compressive ulnar neuropathy","authors":"","doi":"10.1016/j.jht.2023.09.005","DOIUrl":"10.1016/j.jht.2023.09.005","url":null,"abstract":"<div><h3>Background</h3><p>With advances in the surgical management for severe ulnar neuropathy<span> with the introduction of the super charged-end-to-side (SETS) anterior interosseous nerve (AIN) to ulnar nerve transfer, a simple and reliable outcome measure is required. There is currently not “one” standardized outcome measure used to represent and compare results.</span></p></div><div><h3>Purpose</h3><p>To present the abduction hand diagram as a “novel”, reproducible, and simple outcome measure for patients with severe ulnar neuropathy.</p></div><div><h3>Study Design</h3><p>Retrospective case series.</p></div><div><h3>Methods</h3><p>Nine patients with severe entrapment/compressive ulnar neuropathy at the elbow were reviewed. Clinical parameters included preoperative and postoperative abduction tracings, Medical Research<span><span> Grade (MRC) muscle strength, key pinch strength, Disability of the Hand Arm and Shoulder (DASH) score, and crossed finger test. Electrodiagnostic data included change in </span>compound muscle action potentials (CMAP) amplitude of the first dorsal interosseous (FDI), and abductor digiti minimi (ADM). Summary statistics were used for demographic and clinical data.</span></p></div><div><h3>Results</h3><p>Average follow-up was 22.8 ± 9.3 months. At 18-months of follow up, 44% had ADM MRC grade 3 strength or higher, mean key pinch strength improved to 72 ± 19.3%, and mean DASH was 33 ± 28.7. There was a mean increase of 16.7 ± 9.1 mm and 31.5 ± 12 mm in total and summed hand abduction tracing measurements respectively.</p></div><div><h3>Conclusions</h3><p>Hand abduction tracings are a quantitative outcome measure to follow recovery over time for intrinsic hand function and can be used in patients with severe ulnar neuropathy following surgical intervention.</p></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"37 3","pages":"Pages 348-354"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of Hand Therapy
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