Preface

Skirven, Terri M.; Osterman, A. Lee; Fedorczyk, Jane M.; Amadio, Peter C.

doi:10.1016/b978-0-323-05602-1.00150-1

Cited by 31 publications

(62 citation statements)

References 0 publications

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“…On the contrary, when muscle tone is becoming more normal and pain is reduced, active motion will facilitate functional retraining [31, 38]. The alleviation of the aforementioned problems not only is therefore beneficial for the patient himself, but may bring benefits also for the therapist who, in turn, may be assisted in providing more effectively the recommended supervised exercises and manual therapy techniques.…”

Section: Discussionmentioning

confidence: 99%

Hand Passive Mobilization Performed with Robotic Assistance: Acute Effects on Upper Limb Perfusion and Spasticity in Stroke Survivors

Gobbo

Gaffurini²,

Vacchi

et al. 2017

BioMed Research International

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This single arm pre-post study aimed at evaluating the acute effects induced by a single session of robot-assisted passive hand mobilization on local perfusion and upper limb (UL) function in poststroke hemiparetic participants. Twenty-three patients with subacute or chronic stroke received 20 min passive mobilization of the paretic hand with robotic assistance. Near-infrared spectroscopy (NIRS) was used to detect changes in forearm tissue perfusion. Muscle tone of the paretic UL was assessed by the Modified Ashworth Scale (MAS). Symptoms concerning UL heaviness, joint stiffness, and pain were evaluated as secondary outcomes by self-reporting. Significant (p = 0.014) improvements were found in forearm perfusion when all fingers were mobilized simultaneously. After the intervention, MAS scores decreased globally, being the changes statistically significant for the wrist (from 1.6 ± 1.0 to 1.1 ± 1.0; p = 0.001) and fingers (from 1.2 ± 1.1 to 0.7 ± 0.9; p = 0.004). Subjects reported decreased UL heaviness and stiffness after treatment, especially for the hand, as well as diminished pain when present. This study supports novel evidence that hand robotic assistance promotes local UL circulation changes, may help in the management of spasticity, and acutely alleviates reported symptoms of heaviness, stiffness, and pain in subjects with poststroke hemiparesis. This opens new scenarios for the implications in everyday clinical practice. Clinical Trial Registration Number is NCT03243123.

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Section: Discussionmentioning

confidence: 99%

Hand Passive Mobilization Performed with Robotic Assistance: Acute Effects on Upper Limb Perfusion and Spasticity in Stroke Survivors

Gobbo

Gaffurini²,

Vacchi

et al. 2017

BioMed Research International

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“…Physical therapy, Splinting, Occupational therapy involvement from the early stage has been reported to be effective ( 4 , 8 ) in preventing complications which are common after hand burn injuries. Burns from hot liquid are quite frequent causes of burn injuries in children ( 5 ). In our study 75% of cases had suffered burn injuries from hot water, tea and milk.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Physical Therapy and Splinting in Hand Burns Injury. Our Last Four Years' Experience

et al. 2015

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Objective:Burn injuries in hands are much more complex and the appearance of contractures is a common complication. Hand burn injuries often result in limited functionality, flexion and extension of fingers and present a major hindrance in rehabilitation. The aim of physical therapy and splinting after hand burn injury is to maintain mobility, prevent the development of the contracture and to promote the functionality of hand and good cosmetic results. The purpose of this study is to presents our experience of 38 children with hand burn injuries, admitted and treated at the Department of Plastic Surgery, UCCK-Pristina, Kosovo, during the years 2012-2015.Methods:Physical therapy is focused on active/passive range of motion in affected joints, management of cicatrix, strengthening exercise, coordination and use of splints for correction contractures. Patients were evaluated in three, six months and the definitive evaluation is done after 9 months of physical therapy and splinting.Results:We have improvement in range of motion (ROM), functionality, coordination, muscle force, decrease of keloids scars.Conclusion:This study shows the importance of physical therapy and splinting, achieving good results in preventing contracture, improving range of motion, muscle force and good cosmetic results.

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“…The addition of a gadolinium arthrogram enhances the visualization of TFCC tears. 20 Arthroscopy is the gold standard to diagnose TFCC injuries. It is also used to treat various TFCC injuries.…”

Section: Discussionmentioning

confidence: 99%

“…The table top test though was described for DRUJ instability, was not easily reproducible in all patients. 20 The grind test was used to test for DRUJ arthrosis. Unusually in all our patients full supination was preserved before surgery, but variable pronation restriction was found (Fig-4).…”

Section: Discussionmentioning

confidence: 99%

Functional Outcome Following Reconstruction for Chronic Isolated Dorsal Distal Radioulnar Joint Instability by Fulkerson-Watson Method-a Prospective Study

Santhamoorthy¹,

Arun²

2014

jemds

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BACKGROUND: Chronic isolated distal radioulnar joint instability is a relatively rare entity. Several methods of reconstruction were available to stabilize the joint and each method has some advantage over others. We proposed to assess the functional outcome following reconstruction of chronic dorsal distal radio ulnar instability using extra articular reconstruction by FulkersonWatson method. AIM: To assess the functional outcome following reconstruction for chronic isolated dorsal distal radio ulnar instability using Fulkerson -Watson method. METHODS: We conducted a prospective study in five patients over three years from 2010 to 2013 with chronic isolated dorsal distal radio ulnar instability who were treated by Fulkerson-Watson method of reconstruction. All patients underwent MRI evaluation before surgery to assess ligament pathology and for adequacy of sigmoid notch. Arthroscopy performed in all patients. Functional outcomes were assessed using VAS score, quick-DASH score and Mayo wrist score at every 6 months follow-up. Radiological assessment done using plain x-rays at each follow up. RESULTS: Three patients required Arthroscopic debridement for TFCC. All five patients had achieved stability at distal radio ulnar joint after surgery and remained so till their last follow up. One patient had persistent pain near ulnar styloid. The average loss of motion for pronation was 10 degrees and supination was 3 degrees in reference to the normal side. All except one patient achieved ulnar grip strength of >90 % compared to normal side. The mean pre and postoperative VAS score, quick-DASH score, Mayo wrist score were 76.6 and 17.2, 37.3 and 11.3, 45 and 77 respectively. CONCLUSION: Though extra articular reconstruction for DRUJ by Fulkerson-Watson method is non-anatomical, the procedure is simple than intra articular reconstruction and gives similar functional outcome like intra articular reconstructions as shown by our results.

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Preface

Cited by 31 publications

References 0 publications

Hand Passive Mobilization Performed with Robotic Assistance: Acute Effects on Upper Limb Perfusion and Spasticity in Stroke Survivors

Hand Passive Mobilization Performed with Robotic Assistance: Acute Effects on Upper Limb Perfusion and Spasticity in Stroke Survivors

Outcome of Physical Therapy and Splinting in Hand Burns Injury. Our Last Four Years' Experience

Functional Outcome Following Reconstruction for Chronic Isolated Dorsal Distal Radioulnar Joint Instability by Fulkerson-Watson Method-a Prospective Study

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