multiple regression analysis was used to identify factors that were independently associated with Hand10 scores. Results: Hand10 scores showed no statistical differences in terms of unilateral/bilateral CTS and sex differences. Single regression analysis showed that Hand10 scores correlated significantly with the pain VAS, SF-MPQ, PASS-20, SRS-18, s2PD at index and middle scores, and grip strength. Multiple regression analysis showed that grip strength (B = 1.47, β = 0.49, P = .00) and SRS-18 score (B = -0.91, β = -0.36, P = .02) were significant correlation factors for the Hand10 score (R 2 = 0.49). Conclusions: In patients with CTS, grip strength and psychological stress are significant correlating factors of disability according to a patient-administered upper extremity assessment. Objective: Describe functional status of people with total median nerve injuries at wrist level operated and rehabilitated in a public orthopedic hospital. Materials and Methods: Exploratory, retrospective case analysis. Population corresponds to participants with median nerve injury operated and rehabilitated through sensory reeducation protocol, in an orthopedic hospital in Santiago, Chile, between 18 and 60 years old between May 2013 and May 2014. Exclusion criteria include participants with an incomplete assessment recorded in hospital's clinical record. Data were obtained from clinical records, taking into consideration: mechanical detection threshold, static and dynamic 2-point discrimination, palmar abduction grip, and lateral and three-digit pinch strength. The outcomes are as follows: cause of injury, tendon injury associated, time between injury and surgery, time between surgery and assessment, age at surgery, quantity of therapy sessions, static and dynamic 2-point discrimination, mechanical detection threshold, palmar abduction manual muscle test, grip, and lateral and three-digit pinch strength. Data were tabulated and analyzed with SPSS v23.0 software, and distribution and descriptive analysis was conducted for parametric data. This study has approval of the ethics committee of the establishment. Results: Six patients had complete data for this study. All data distributed normally with Shapiro-Wilk test. Five were males and 1 female, average age of at the moment of injury was 35.1 (standard deviation [SD] = 9.19) years old, 5 out of 6 were right-handed, 4 were injured by glass, 1 by knife, and 1 by circular saw, and, in average, people had to wait 11.17 (SD = 7.05) days for repair surgery. All the cases had associated tendon injury that was also repaired in the surgery. The participants received between 10 and 54 sessions of physiotherapy that lasted 19 weeks on average. Only 3 of the 6 participants were given the medical clearance. The functional assessment took place 24 weeks after surgery on average; half the participants ended their rehabilitation period with at least 4.31 points when evaluated with Semmes-Weinstein Monofilaments. In static 2-point discrimination, 66.6% had less than 6 mm, and in dynamic 2-point d...

multiple regression analysis was used to identify factors that were independently associated with Hand10 scores. Results: Hand10 scores showed no statistical differences in terms of unilateral/bilateral CTS and sex differences. Single regression analysis showed that Hand10 scores correlated significantly with the pain VAS, SF-MPQ, PASS-20, SRS-18, s2PD at index and middle scores, and grip strength. Multiple regression analysis showed that grip strength (B = 1.47, β = 0.49, P = .00) and SRS-18 score (B = -0.91, β = -0.36, P = .02) were significant correlation factors for the Hand10 score (R 2 = 0.49). Conclusions: In patients with CTS, grip strength and psychological stress are significant correlating factors of disability according to a patient-administered upper extremity assessment. Objective: Describe functional status of people with total median nerve injuries at wrist level operated and rehabilitated in a public orthopedic hospital. Materials and Methods: Exploratory, retrospective case analysis. Population corresponds to participants with median nerve injury operated and rehabilitated through sensory reeducation protocol, in an orthopedic hospital in Santiago, Chile, between 18 and 60 years old between May 2013 and May 2014. Exclusion criteria include participants with an incomplete assessment recorded in hospital's clinical record. Data were obtained from clinical records, taking into consideration: mechanical detection threshold, static and dynamic 2-point discrimination, palmar abduction grip, and lateral and three-digit pinch strength. The outcomes are as follows: cause of injury, tendon injury associated, time between injury and surgery, time between surgery and assessment, age at surgery, quantity of therapy sessions, static and dynamic 2-point discrimination, mechanical detection threshold, palmar abduction manual muscle test, grip, and lateral and three-digit pinch strength. Data were tabulated and analyzed with SPSS v23.0 software, and distribution and descriptive analysis was conducted for parametric data. This study has approval of the ethics committee of the establishment. Results: Six patients had complete data for this study. All data distributed normally with Shapiro-Wilk test. Five were males and 1 female, average age of at the moment of injury was 35.1 (standard deviation [SD] = 9.19) years old, 5 out of 6 were right-handed, 4 were injured by glass, 1 by knife, and 1 by circular saw, and, in average, people had to wait 11.17 (SD = 7.05) days for repair surgery. All the cases had associated tendon injury that was also repaired in the surgery. The participants received between 10 and 54 sessions of physiotherapy that lasted 19 weeks on average. Only 3 of the 6 participants were given the medical clearance. The functional assessment took place 24 weeks after surgery on average; half the participants ended their rehabilitation period with at least 4.31 points when evaluated with Semmes-Weinstein Monofilaments. In static 2-point discrimination, 66.6% had less than 6 mm, and in dynamic 2-point d...

Background: Distal radius fracture (DRF) is an early and independent predictor of future osteoporotic (OP) fractures. Currently, there are no studies evaluating the role of modifiable risk factors on OP fracture risk in postmenopausal women (PMW) with DRF. Purpose/Objectives: To determine the extent to which modifiable risk factors such as balance, muscle strength, and physical activity can explain variability in bone mineral density (BMD) among women with DRF. Materials and Methods: The study was designed as a cross-sectional investigation of baseline data. Women aged 50 to 80 years with DRF were assessed for balance, muscle strength (grip strength, plantar flexion), and physical activity using reliable and validated measures. Dual-energy x-ray absorptiometry was used to assess areal BMD at the femoral neck (BMD-FN) and total hip (BMD-TH). Analysis: Stepwise multiple regression analysis was used to determine the extent to which modifiable risk factors (predictors) could explain variability in the BMD (outcome). Results: Women (n = 67; mean age: 62.12 ± 7.45 years) were analyzed. Hand grip strength as an independent predictor explained 15% (F = 11.26, P = .001) and 6% (F = 4.18, P = .04) of total variability in BMD-FN and BMD-TH, respectively. Balance (R 2 = .10, F = 4.35, P = .04) and hand grip strength (R 2 = .32, F = 10.78, P = .003) explained significant variability in BMD-FN among 50-to 64-year-old (n = 41) and among 65-to 80-year-old (n = 25) PMW with DRF, respectively. Conclusions: Hand grip strength is the independent predictor of femoral neck and total hip BMD in PMW with DRF. Because hand grip strength and balance are modifiable factors that are related to bone health, they may represent useful prevention targets for hand therapists. We recommend evaluation of hand grip strength and balance as a component of OP risk factor assessment among women with DRF.

Introducción: en los escenarios de reducción de la presencialidad como los provocados por la pandemia de COVID-19, la carrera de kinesiología incorporó la metodología de simulación remota con feedback asincrónico con una plataforma que considera la práctica remota de habilidades prácticas, y un proceso de retroalimentación con el propósito de mejorar el desempeño y aprendizaje de los estudiantes. El objetivo del estudio es describir la implementación y resultados de esta metodología. Métodos: se realizó un entrenamiento remoto piloto con estudiantes de kinesiología de la Pontificia Universidad Católica de Chile, el cuál consistió en 7 etapas de diferentes técnicas manuales musculoesqueléticas. Se aplicó una encuesta final para conocer la percepción de los estudiantes y se realizó un análisis descriptivo de los resultados. Resultados: se evaluaron 468 videos de 78 estudiantes a través de 4040 inputs de retroalimentación. La mayoría de los estudiantes reportó una percepción positiva respecto a la metodología (92,7%)  y feedback recibido (71,4%). Un 60% de los estudiantes reportó sentir seguridad al realizar las técnicas por última vez. Un porcentaje (%) bajo de estudiantes reportó haber tenido dificultades con el entrenamiento. Conclusión: la implementación de la metodología propuesta permitió que los estudiantes siguieran adquiriendo habilidades prácticas en técnicas manuales musculoesqueléticas en un contexto donde el aprendizaje presencial no era posible, con una alta valoración. Esta metodología, relevó la existencia de un entrenamiento oculto previo a la evaluación del instructor, lo que permitiría que los estudiantes transiten hacia una curva de aprendizaje autónoma para una posterior transferencia en contexto real.