Effects of a dynamic orthosis in an individual with claw deformity

Sousa, Gudson Gleyton Queirós de; Macêdo, Marilu Pereira de

doi:10.1016/j.jht.2014.12.008

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…Literature concerning orthotic intervention in peripheral nerve injuries is sparse. Most recent studies published about claw-hand correction presented an array of options to the finger MCP joint extension-blocking orthosis, one with dynamic components 22 and another one using a rigid strapping tape. 23 Chan 24 published a paper where there are described indications, fabrication process, wearing regime, and precautions for several nerve injury conditions.…”

Section: Discussionmentioning

confidence: 99%

Exploration of outcome measures for assessing orthotic intervention in upper extremity peripheral nerve injuries: 2 case reports

Macedo,

McKee,

Semedo

et al. 2023

Prosthetics &Amp; Orthotics International

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In upper extremity peripheral nerve injuries, orthotic intervention has been used as a valuable device to restore function. However, there is lacking evidence to support it. The purpose of this study was to explore the application of body function’s outcome measures for orthotic intervention evaluation in patients with peripheral nerve injury. Two participants sustaining a peripheral nerve injury who underwent orthotic intervention were assessed: subject 1 was a 25-year-old man with ulnar and median nerve injury presenting with a composite claw; subject 2, a 28-year-old man with radial nerve injury presenting with a dropped wrist. Strength, range of motion, and electromyography were measured in 2 conditions: wearing the orthosis and without it. The Jamar, Pinch Gauge, a 3D motion capture system (Optitrack-NaturalPoint), and surface electromyography (Trigno Wireless System, Delsys) were the chosen instruments. Both subjects presented differences in grip and pinch strength. In both tasks, subject 1 reached higher wrist extension while wearing the orthosis. Subject 2 reached higher wrist extension and radial deviation while wearing the orthosis. There were marked differences in both tasks for subject 2, especially the maintenance of wrist extension when wearing the orthosis. Electromyographic assessment showed higher root-mean-square values for all muscles, in both tasks for subject 1. For subject 2, a higher root-mean-square value was found for flexor carpi ulnaris during the execution of task 1 wearing the orthosis. Outcome measures of body function can quantify the impact of orthotic intervention in patients sustaining peripheral nerve injury, and therefore, they are feasible for evaluating it.

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Section: Discussionmentioning

confidence: 99%

Exploration of outcome measures for assessing orthotic intervention in upper extremity peripheral nerve injuries: 2 case reports

Macedo,

McKee,

Semedo

et al. 2023

Prosthetics &Amp; Orthotics International

View full text Add to dashboard Cite

show abstract

“…Em termos de reabilitação do membro superior, as órteses têm sido uma importante modalidade terapêutica complementar, que podem ter como objetivo estabilizar ou imobilizar, prevenir ou corrigir deformidade, proteger e auxiliar o processo cicatricial e facilitar a função, podendo ter mais de um objetivo (MCKEE, MORGAN, 1998;KING et al, 2018). As órteses denominadas funcionais têm como objetivo propiciar uma vantagem mecânica para a relação comprimento-tensão muscular, favorecendo a ação do membro superior (MARCOLINO et al, 2015;SOUSA et al, 2015;BURSSENS et al, 2017;ARNOLD;JANSON, 2017).…”

Section: Introductionunclassified

Análise dos efeitos biomecânicos das órteses de membro superior nas articulações do ombro e do cotovelo durante a execução de tarefas funcionais

Semedo¹

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The Biomechanical Basis of the Claw Finger Deformity: A Computational Simulation Study

Binder-Markey

Dewald

Murray

2019

The Journal of Hand Surgery

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Effects of a dynamic orthosis in an individual with claw deformity

Cited by 4 publications

References 5 publications

Exploration of outcome measures for assessing orthotic intervention in upper extremity peripheral nerve injuries: 2 case reports

Exploration of outcome measures for assessing orthotic intervention in upper extremity peripheral nerve injuries: 2 case reports

Análise dos efeitos biomecânicos das órteses de membro superior nas articulações do ombro e do cotovelo durante a execução de tarefas funcionais

The Biomechanical Basis of the Claw Finger Deformity: A Computational Simulation Study

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