Soft-tissue Mobilization Techniques for the Hand Therapist

Sutton, Gary; Bartel, Mary R.

doi:10.1016/s0894-1130(12)80060-3

Cited by 11 publications

(4 citation statements)

References 12 publications

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“…Reactive strategies are those developed by a therapist in response to an injury (or a perceived risk of injury). These strategies include movements that aid in avoiding aggravating factors, such as using a different part of the body to administer a manual technique, which can protect the upper limb from overuse [33], in addition to substituting electrotherapy for certain manual techniques.…”

Section: Impacts Responses and Prevention Strategiesmentioning

confidence: 99%

Work-related musculoskeletal disorders among physical therapists: A comprehensive narrative review

Milhem

Kalichman

Ezra

et al. 2016

Int J Occup Med Environ Health

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Healthcare workers, especially those with direct patient contact are amongst professions with the highest rate of workrelated musculoskeletal disorders (WMSDs), physical therapists (PTs) being one of them. Our objective was to review current knowledge relating to the prevalence, risk factors and prevention of WMSDs among PTs. Pubmed, Google Scholar and PEDro databases were searched for terms relating to WMSDs in PTs from inception to 2015. The prevalence of WMSDs among PTs was high, with lifetime prevalence reported as 55-91%, and 12-month prevalence ranges 40-91.3%, and the lower back as the most frequently affected, with estimates of a lifetime prevalence ranging 26-79.6%, and a 12-month prevalence ranging 22-73.1%, followed most often by the neck, upper back and shoulders. The major risk factors for workrelated low back pain (LBP) were: lifting, transferring, repetitive movements, awkward and static postures, physical load, treating a large number of patients in a single day and working while injured. Low back pain seems to be age-and genderrelated with a higher prevalence in females, younger PTs and PTs working in rehabilitation settings. Physical therapists, as a consequence of work-related LBP, may seek treatment, modify their daily living and leisure (lifestyle) activities, use aids and equipment or change their specialty area either within the profession or by leaving it. Skills and knowledge as to correct body mechanics do not prevent work-related injuries. Mechanical aids used for a patient transfer should be adopted by PTs and new strategies should be developed to reduce their WMSDs without compromising the quality of treatment. Int J Occup Med Environ Health 2016;29(5):735-747

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Section: Impacts Responses and Prevention Strategiesmentioning

confidence: 99%

Work-related musculoskeletal disorders among physical therapists: A comprehensive narrative review

Milhem

Kalichman

Ezra

et al. 2016

Int J Occup Med Environ Health

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“…These strategies include actions that help avoid aggravating factors. For example, using a different part of the body to administer a manual technique can be a way of protecting the upper limb from overuse, 21,22 as is substituting electrotherapy for some manual techniques.…”

Section: Strategies Used By Physical Therapists To Minimize Effects and Risks Of Developing Wmsdsmentioning

confidence: 99%

Work-Related Musculoskeletal Disorders in Physical Therapists: Prevalence, Severity, Risks, and Responses

Cromie

Robertson

Best³

2000

Physical Therapy

333

433

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Background and Purpose. Physical therapists are at risk for work-related musculoskeletal disorders (WMSDs). Little is known of how therapists respond to injury or of what actions they take to prevent injury. The purpose of this study was to investigate the prevalence and severity of WMSDs in physical therapists, contributing risk factors, and their responses to injury. Subjects. As part of a larger study, a systematic sample of 1 in 4 therapists on a state register (n=824) was surveyed. Methods. An 8-page questionnaire was mailed to each subject. Questions investigated musculoskeletal symptoms, specialty areas, tasks and job-related risk factors, injury prevention strategies, and responses to injury. Results. Lifetime prevalence of WMSDs was 91%, and 1 in 6 physical therapists moved within or left the profession as a result of WMSDs. Younger therapists reported a higher prevalence of WMSDs in most body areas. Use of mobilization and manipulation techniques was related to increased prevalence of thumb symptoms. Risk factors pertaining to workload were related to a higher prevalence of neck and upper-limb symptoms, and postural risk factors were related to a higher prevalence of spinal symptoms. Conclusion and Discussion. Strategies used to reduce work-related injury in industry may also apply to physical therapists. Increased risk of thumb symptoms associated with mobilization techniques suggests that further research is needed to establish recommendations for practice. The issues for therapists who move within or leave the profession are unknown, and further research is needed to better understand their needs and experiences.

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“…In addition to massage therapy, physical therapists may offer the Graston technique, soft tissue mobilization and “nerve gliding” manual techniques are also described and used clinically. 46 These treatment approaches are not studied in a rigorous manner and there is concern raised that excessive traction and pressure applied in various scenarios, particularly to sensitive regions can aggravate pain and even disrupt the healing process. There are conflicting results in the literature regarding the use of manual therapy and personalized clinical judgment should be used.…”

Section: Conservative Treatment Approachesmentioning

confidence: 99%

Diagnosis, Treatment, and Management of Painful Scar: A Narrative Review

Abd‐Elsayed¹,

Pope²,

Mundey³

et al. 2022

JPR

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Painful scars can develop after surgery or trauma, with symptoms ranging from a minor itch to intractable allodynia. The problem of the painful scar may involve both intraneural and extraneural structures, requiring a systematic approach to diagnosis and treatment of this neuropathic pain condition that can impact quality of life and function profoundly. In this review, we outline the algorithm for the diagnosis, management, medical and surgical treatment of painful scars.

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Soft-tissue Mobilization Techniques for the Hand Therapist

Cited by 11 publications

References 12 publications

Work-related musculoskeletal disorders among physical therapists: A comprehensive narrative review

Work-related musculoskeletal disorders among physical therapists: A comprehensive narrative review

Work-Related Musculoskeletal Disorders in Physical Therapists: Prevalence, Severity, Risks, and Responses

Diagnosis, Treatment, and Management of Painful Scar: A Narrative Review

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