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1.
Aim
The aim of the study was to investigate the effect of lower trapezius (LT), middle trapezius (MT) and serratus anterior (SA) strengthening on pain, pain free grip strength, functional outcome, scapular muscles strength, scapular position and electromyographic (EMG) activity of lower trapezius, serratus anterior, extensor carpi radialis brevis (ECRB) and extensor digitorum communis (EDC) in individuals with chronic lateral epicondylalgia (LE).Methods
Twenty six patients with chronic lateral epicondylalgia were recruited. Subjects were divided into two groups. Group 1 received scapular muscles strengthening along with conventional physiotherapy and Group 2 received only conventional physiotherapy for 6 weeks. Subjects were measured for pain (VAS), pain free grip strength, functional outcome (PRTEE), scapular muscle strength, scapular positioning (LSST) and EMG activity before and after the intervention.2 × 2 mixed ANOVA was used to investigate for main effect of time and group and interaction effect (time × group).Results
The results revealed that there was statistically significant difference for time effect for all the outcome measures. In time × group interaction there was significant difference for all the outcome measures except scapular position (LSST3). Significant difference for group effect was observed in EMG activity of LT and ECRB.Conclusion
The scapular muscle strengthening should be used along with the conventional physiotherapy in individuals with chronic LE to improve pain, pain free grip strength, functional outcome, muscle strength, scapular position and muscle activity. 相似文献2.
Kenichi Otoshi Shinichi Kikuchi Kinshi Kato Ryohei Sato Takahiro Igari Takahiro Kaga Shinichi Konno 《Journal of orthopaedic science》2018,23(6):942-947
Background
Various shoulder disorders have been reported to be associated with scapulothoracic joint dysfunction in adult overhead athletes. However, little is known about the prevalence of scapular malalignment and its relationship to shoulder injuries in skeletally immature baseball players.The purpose of the current study was to investigate the prevalence of scapular malalignment in elementary school-aged baseball players, as well as its association with shoulder disorder.Methods
One hundred sixty-nine baseball players in higher elementary school grades (aged 11–12 years) were enrolled in this study. Shoulder pain experience pain over the previous one year, as well as other individual and environmental factors were surveyed by a self-completed questionnaire. Scapula malalignment was assessed using still images of both arms both at the side and in an elevated position. The relative position of the dominant scapula to the non-dominant side was assessed by two independent examiners.Results
Scapular malalignment was observed in 126 subjects (74.6%), and the dominant scapula tended to deviate inferiorly and medially, as well as tilt anteriorly, compared with the non-dominant side. Forty-four of the 169 subjects (23.8%) experienced shoulder pain over the one year period. The prevalence of shoulder pain was significantly increased with the increasing scapular anterior tilt and the superior shift of the dominant scapula, whereas no significant correlation between shoulder pain and scapular horizontal shift or upward-downward rotation was observed.Conclusion
About three-quarters of the elementary school-aged baseball players in the current study presented with scapular malalignment, and those with anterior tilt and superior shift of the dominant scapula were at higher risk of shoulder pain. 相似文献3.
Hassan Shakeri Manijeh Soleimanifar A.M. Arab Shirin Hamneshin Behbahani 《Journal of hand therapy》2018,31(1):35-41
Study Design
Randomized clinical trial.Introduction
KinesioTape (KT) is a noninvasive method to treat pain and muscular dysfunction.Purpose
To investigate the effect of KT with and without tension on pain intensity, pain pressure threshold, grip strength and disability in individuals with lateral epicondylitis, and myofacial trigger points in forearm muscles.Methods
Thirty women with lateral epicondylitis and myofacial trigger point in forearm muscles were randomly assigned to KT with tension and placebo (KT without tension). The treatment was provided 3 times in one week, and outcome measures were assess pre-post treatment.Results
The mean score of visual analogue scale (VAS) during activity decreased significantly from 6.4 and 6 pretest to 2.53 and 4.66 posttest, respectively, for the KT with and without tension groups. The mean score of Disabilities of the Arm, Shoulder and Hand decreased significantly from 16.82 and 22.79 pretest to 8.65 and 8.29 posttest, respectively, for the KT with and without tension groups. A paired t-test revealed a significant reduction in VAS during activity and Disabilities of the Arm, Shoulder and Hand before and after treatment in both groups (P < .05). Pain pressure threshold, grip strength, and VAS using an algometer revealed no significant differences. The study showed no significant difference in variables immediately after intervention.Discussion
Improvements in functional disability were superior when KT was used with tension, than obtained with a placebo-no tension application.Conclusion
The application of KT produces an improvement in pain intensity and upper extremity disability in subjects with LE and MTP in forearm muscles, and KT with tension was more effective than placebo group.Level of Evidence
NA.Trial Registration Number
100-216. 相似文献4.
Morteza Nakhaei Amroodi Mostafa Salariyeh 《Acta orthopaedica et traumatologica turcica》2018,52(2):115-119
Objective
The aim of this study was to evaluate the outcome of single-incision Eden-Lange procedure in trapezius muscle paralysis.Methods
The medical records of 11 patients (3 females and 8 males); mean age: 41 (25–59) years with trapezius muscle paralysis who underwent Eden-Lange procedure in our Center, between February 2009 and April 2013, were retrospectively analyzed. The clinical outcomes were evaluated with the American Shoulder and Elbow Surgeons Shoulder (ASES) score and visual analogue scale (VAS).Results
The mean duration of symptoms before surgery was 10.18 months. The average duration of follow-up was 33.5 (24–48) months. The mean VAS score improved from 7.8 to 1.6 points (p < 0.05). The total ASES improved from 32.8 to 82.1 points (p < 0.05). The mean range of motion in forward elevation and abduction increased significantly from 121.80 to 154.40 (p < 0.05) and 80.00 to 148.18° (p < 0.05), respectively.Conclusion
Single incision Eden-Lange procedure appears to be a safe and effective treatment option for the patients with trapezius muscle paralysis.Level of evidence
Level IV, therapeutic study. 相似文献5.
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Mohammed T.A. Omar Ahmad H. Alghadir Hamayun Zafar Shaheerah Al Baker 《Journal of hand therapy》2018,31(1):93-101
Study Design
Cross-sectional and clinical measurement.Introduction
Assessment of hand function considers an essential part in clinical practice.Purpose of the Study
To develop normative values of hand grip strength and dexterity function for 6-12-year-old children in Saudi Arabia.Methods
Grip strength and dexterity function was measured in 525 children using Grip Track hand dynamometer (JTECH Medical, Midvale, UT, USA) and 9-hole pegboard test respectively.Results
The grip strength and dexterity function was improved as age progressed regardless of gender. Across all age groups, the hand grip strength of boys was significantly higher than girls for dominant hand (31.75 ± 10.33 vs 28.24 ± 9.35; P < .001) and nondominant hand (31.01 ± 10.27 vs 27.27 ± 9.30; P < .001). The girls performed slightly faster than boys for dominant hand (19.70 vs 20.68; P < .05) and nondominant hand (21.79 vs 23.46; P < .05). In general, girls completed a 9-HPT faster than boys in the 2 of 7 age groups: 11 years (9-HPT scores = 2.10 seconds; P < .01) and 12 years (9-HPT scores = 1.93 seconds; P < .01).Discussion
The overall patterns of hand grip strength and dexterity function observed in the present study are similar to the previous studies that established acceleration of grip strength with advanced age, and faster performance scores in older children than younger children in both genders.Conclusions
Norms of hand grip strength and dexterity enable therapists to identify some developmental characteristics of hand function among Saudi children, determine the presence of impairment, and compare scores from children in different clinical settings.Level of Evidence
Not applicable. 相似文献8.
Bianca Callegari Marília Maniglia de Resende Manoel da Silva Filho 《Journal of hand therapy》2018,31(1):42-51
Study Design
Case series (longitudinal).Introduction
Only few reports concerning the efficacy of commonly used strategies for preventing upper limb occupational disorders associated with prolonged typing exist.Purpose of the Study
We aimed to investigate whether the duration of typing and the use of 2 strategies (hand rest and wrist support) changes muscle physiological response and therefore the electromyography records.Methods
We enrolled 25 volunteers, who were unfamiliar with the task and did not have musculoskeletal disorders. The subjects underwent 3 prolonged typing protocols to investigate the efficacy of the 2 adopted strategies in reducing the trapezius, biceps brachii, and extensor digitorum communis fatigue.Results
Typing for 1 hour induced muscular fatigue (60%-67% of the subjects). The extensor digitorum communis muscle exhibited the highest percentage of fatigue (72%-84%) after 1 and 4 hours of typing (1 hour, P = .04; 4 hours, P = .02). Fatigue levels in this muscle were significantly reduced (24%) with the use of pause typing (4 hours, P = .045), whereas biceps brachii muscle fatigue was reduced (32%) only with the use of wrist supports (P = .02, after 4 hours). Trapezius muscle fatigue was unaffected by the tested occupational strategies (1 hour, P = .62; 4 hours, P = .85).Discussion
Despite presenting an overall tendency for fatigue detected during the application of the protocols, the assessed muscles exhibited different behavior patterns, depending on both the preventive strategy applied and the muscle mechanical role during the task.Conclusion
Hand rest and wrist support can successfully reduce muscle fatigue in specific upper limb muscles during prolonged typing, leading to a muscle-selective reduction in the occurrence of fatigue and thus provide direct evidence that they may prevent work-related musculoskeletal disorders.Level of Evidence
N/A 相似文献9.
Study Design
Case series.Introduction
Hand injuries are the most common injury observed in hurling although compliance in wearing protective gloves is reportedly low.Purpose of the Study
To devise a glove that offers comfort, protection and freedom of movement, using the bespoke capabilities of 3-dimensional (3D) printing.Methods
Each player's “catching” hand was imaged using a 3D scanner to produce a bespoke glove that they later trialed and provided feedback.Results
Nine players provided feedback. On average, the players favorably rated the glove for the protection offered. The average response on comfort was poor, and no players reported that glove aided performance during play.Discussion
This feasibility study explores the versatility of 3D printing as a potential avenue to improve player compliance in wearing protective sportswear. Feedback will help refine glove design for future prototypes.Conclusions
Hurling is the primary focus in this study, but knowledge gains should be transferable to other sports that have a high incidence of hand injury.Level of Evidence
4. 相似文献10.
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Harvey Mathews Addie Middleton Lindsey Boan Madison Jacks Lindsey Riddick Jessica Shepherd Jay Patel Antonia McNeal Stacy Fritz 《Journal of hand therapy》2018,31(4):554-561
Study Design
Clinical measurement.Introduction
Individuals with carpal tunnel syndrome (CTS) sometimes exhibit weakness of palmar abduction strength (TAS). Reliable assessment of this strength in both subjects with and without CTS with the commonly available Microfet 2 is not known.Purpose of the Study
The purpose of this study was to determine the intrarater and interrater reliabilities of a handheld dynamometric (HHD) method to assess TAS in individuals with and without CTS using the commercially available MicroFET2 and to examine the association between TAS in individuals with CTS and the Carpal Tunnel Symptom Questionnaire (CTSQ) scores.Methods
In 2 different study phases, individuals with and without CTS were assessed for TAS by 2 different examiners. The CTSQ was administered to the individuals with CTS.Results
Intrarater and interrater reliability coefficients (0.89-0.93 and 0.82-0.90, respectively) were excellent in individuals with and without CTS. Weak negative correlations were found between TAS and overall CTSQ and symptom severity subscale scores, and a moderate negative correlation was found between TAS and functional Status Subscale score.Discussion
This HHD method of reliably assessing TAS better quantifies deficits and progress than traditional manual muscle testing for muscle grades greater than 3/5.Conclusion
This method of HHD reliably quantifies TAS but is more reliable with the same than different raters. 相似文献14.
Jichao Yin Hongmou Zhao Guihua Zhuang Xiaojun Liang Xinglv Hu Yi Zhu Rongqiang Zhang Xiaochen Fan Yi Cao 《Journal of orthopaedic science》2018,23(3):552-556
Background
This cross-sectional study aims to investigate the flexible flatfoot (FFF) prevalence and related factors in school-aged children.Methods
A total of 1059 children aged 6–13 years were included. Dynamic footprints according to the FootScan system were collected from both feet. The relationship of FFF with age, gender, side, and body mass index (BMI) was investigated.Results
FFF percentage decreased from 39.5% at 6 years to 11.8% at 12 years and reached a plateau at 12–13 years. Overweight (OR 1.35, 95%CI 1.03–1.77, P = 0.03) and obese (OR 2.43, 95%CI 1.81–3.26, P＜0.01) showed a positive correlation with percentage of FFF children. No correlation was found between FFF prevalence and gender or side.Conclusions
FFF prevalence decreases with age and reaches a plateau at 12–13 years. Moreover, FFF prevalence is positively correlated with increased BMI and body height. 相似文献15.
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Fiona Cowell Sharon Gillespie Graham Cheung Daniel Brown 《Journal of hand therapy》2018,31(2):201-205
Study Design
Implementation paper.Introduction
Complex regional pain syndrome (CRPS) is relatively a common condition in the distal radius fracture (DRF) population with the effects resulting in many sufferers experiencing persistent pain and impairment 2 to 6 years after onset. Prevention is desirable as there is no known proven cure.Purpose of the Study
This study demonstrates how knowledge about CRPS and its prevention generated through iterative studies can be translated into practice in the workplace and how an interdisciplinary community of practice with therapists at the core can effect change.Methods
A series of practice changes were introduced including a patient information leaflet, a local gold standard for care of DRF, education for staff regarding risk factors and early warning signs of CRPS, and simple patient and staff visual aids.Results
The incidence of CRPS was reduced from 25% to 1% in the DRF population at the study site, and collaborative care pathways were ingrained onto the working culture.Discussion
The process of learning together fostered the development of an interdisciplinary team with therapists acting as CRPS champions. Interdisciplinary team reflective practice facilitated simple but effective interventions, which reduced the incidence of CRPS in DRF population locally. It is not yet known whether this is transferable.Conclusions
Simple interventions can have a significant impact on the incidence of CRPS in a community of practice where a culture of team reflection and shared learning occurs. 相似文献19.
Joachim Gülke Barbara Leopold Daniel Grözinger Björn Drews Stephan Paschke Nikolaus J. Wachter 《Journal of hand therapy》2018,31(1):20-28