Hand Therapy for Dysfunction of the Intrinsic Muscles

Seu, Monica; Pasqualetto, Michele

doi:10.1016/j.hcl.2011.09.001

Cited by 11 publications

(4 citation statements)

References 19 publications

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“…Decreased hand intrinsic strength may be experienced in youth with Charcot-Marie-Tooth disease, brachioplexopathies, juvenile rheumatoid arthritis, and hand overuse 12–18 and may be associated with limitations in self-care skills (eg, opening a snack box) and academic performance (eg, handwriting). 4 Many with hand dysfunction require surgeries such as tendon transfers or lengthening and nerve repair, 19,20 hand therapy after acute injuries and operation, or developmental rehabilitation for hand use in those born with disabilities. The use of a responsive psychometrically sound tool with normative reference values can assist in evaluating the success of these therapy and surgical interventions.…”

Section: Introductionmentioning

confidence: 99%

Reference values of intrinsic muscle strength of the hand of adolescents and young adults

Chen

McGee

Rich

et al. 2018

Journal of Hand Therapy

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Study Design A cross-sectional clinical measurement study. Introduction Measuring intrinsic hand muscle strength helps evaluate hand function or therapeutic outcomes. However, there are no established normative values in adolescents and young adults between 13 and 20 years of age. Purpose of the Study To measure hand intrinsic muscle strength and identify associated factors that may influence such in adolescents and young adults through use of the Rotterdam intrinsic hand myometer. Methods A total of 131 participants (male: 63; female: 68) between 13 and 20 years of age completed the strength measurements of abductor pollicis brevis, first dorsal interosseus (FDI), deep head of FDI and lumbrical of second digit, flexor pollicis brevis (FPB), and abductor digiti minimi. Two trials of the measurements of each muscle were averaged for analyses. Self-reported demographic data were used to examine the influences of age, sex, and body mass index (BMI) on intrinsic hand muscle strength. Results Normative values of intrinsic hand muscle strength were presented by age groups (13, 14, 15–16, 17–18, 19–20 year olds) for each sex category (male, female). A main effect of sex, but not age, on all the muscles on both the dominant (FPB: P = .02, others: P < .001) and non-dominant (FDI: P = .005, FPB: P = .01, others: P < .001) sides was found. A significant effect of BMI was found on dominant (P = .009) and non-dominant abductor pollicis brevis (P = .002). In addition, FDI (P = .005) and FPB (P = .002) were stronger on the dominant side than the non-dominant side. Discussion Intrinsic hand muscle strength may be influenced by different factors including sex, BMI, and hand dominance. A larger sample is needed to rigorously investigate the influence of age on intrinsic strength in male and female adolescents and young adults. Conclusion The results provide reference values and suggest factors to be considered when evaluating hand function and therapeutic outcomes in both clinical and research settings. Further study is recommended. Level of Evidence VI.

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Section: Introductionmentioning

confidence: 99%

Reference values of intrinsic muscle strength of the hand of adolescents and young adults

Chen

McGee

Rich

et al. 2018

Journal of Hand Therapy

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“…Education is a vital component of rehabilitation (Seu & Pasqualetto, 2012); it serves to actively engage a client and allows the client to take more responsibility for his or her improvement through changes in habits of use and adherence to exercises. When using sonography in undergraduate education, anatomical learning benefits have been documented with as little as 10 min of basic instruction (Ivanusic, Cowie, & Barrington, 2010).…”

Section: Discussionmentioning

confidence: 99%

Exploring Occupational Therapists’ Perceptions of the Usefulness of Musculoskeletal Sonography in Upper-Extremity Rehabilitation

Roll

Gray

Frank

et al. 2015

The American Journal of Occupational Therapy

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MeSH TERMS hand occupational therapy patient care management qualitative research ultrasonography OBJECTIVE. To identify the potential utility of musculoskeletal sonographic imaging in upper-extremity rehabilitation.METHOD. Two occupational therapists in an outpatient hand rehabilitation clinic were recruited by convenience, were trained in the use of sonography, and implemented sonographic imaging in their clinical practice. Qualitative data were obtained during and after the implementation period by means of questionnaires and interviews. Data collection, analysis, and interpretation were completed in an iterative process that culminated in a thematic analysis of the therapists' perceptions. RESULTS.The data indicate four potential areas of utility for musculoskeletal sonography in upper-extremity rehabilitation: (1) mastering anatomy and pathology, (2) augmenting clinical reasoning, (3) supplementing intervention, and (4) building evidence.CONCLUSION. Numerous potential uses were identified that would benefit both therapist and client. Further exploration of complexities and efficacy for increasing patient outcomes is recommended to determine best practices for the use of musculoskeletal sonography in upper-extremity rehabilitation.Roll, S. C., Gray, J. M., Frank, G., & Wolkoff, M. (2015). Brief Report-Exploring occupational therapists' perceptions of the usefulness of musculoskeletal sonography in upper-extremity rehabilitation. American Journal of Occupational Therapy, 69, 6904350020. http://dx

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“…Melvin [17] indicated, in a study regarding the role of the occupational therapy in hand rehabilitation in the U.S., that occupational therapy makes a major contribution to the practice and continued development of hand rehabilitation. Seu and Pasqualetto [18] investigated the role of the occupational therapies in recovering the intrinsic muscle dysfunction to regain functional use of the hand for daily activities; they indicated that occupational therapists play an important role in the rehabilitation process to regain motion, strength, and dexterity for the workers. In order for the hand rehabilitation to get more effective results, understanding of the biomechanics of the therapies would be helpful.…”

Section: Introductionmentioning

confidence: 99%

An evaluation of the contact forces on the fingers when squeezing a spherical rehabilitation ball

Sinsel

Warren

et al. 2018

BME

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The rehabilitation squeeze ball is a popular device to help strengthen the hand, fingers and forearm muscles. The distributions of the contact pressure in the interface between the therapy ball and hand/fingers can affect the joint moment of each of the individual fingers, thereby affecting rehabilitation effects. In the current study, we evaluated the contact force distributions on the fingers when gripping a spherical object. Eight female adults [age 29 (9.1) years, mass 64.6 (7.1) kg, height 163.5 (1.9) cm, hand length 17.2 (0.7) cm] participated in the study. Contact force sensors were attached to the middle of the palmar surfaces of the distal, middle, and proximal phalanges of the four fingers in the longitudinal direction. In order to evaluate the effects of the ball stiffness on the contact force distributions on the fingers, subjects were requested to perform quasi-static gripping on a standard tennis ball and on a rehabilitation ball. The tennis ball is much stiffer and experiences smaller deformation under compression compared to the rehabilitation ball. We analyzed the force share among the distal, middle, and proximal finger segments, when subjects gripping balls of different stiffnesses (tennis ball vs. rehabilitation ball) and at three different grip efforts. Our results indicated that the grip force is contributed about 60% and 40% by the middle/ring fingers and by the index/little fingers, respectively. These characteristics are independent of the grip force levels and stiffness of the contact surface.

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Hand Therapy for Dysfunction of the Intrinsic Muscles

Cited by 11 publications

References 19 publications

Reference values of intrinsic muscle strength of the hand of adolescents and young adults

Reference values of intrinsic muscle strength of the hand of adolescents and young adults

Exploring Occupational Therapists’ Perceptions of the Usefulness of Musculoskeletal Sonography in Upper-Extremity Rehabilitation

An evaluation of the contact forces on the fingers when squeezing a spherical rehabilitation ball

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