Targeted sensorimotor retraining in the clinical setting: Improving patient outcomes following distal upper extremity injury

Milner, Zoe; Klaic, Marlena; Withiel, Toni; O’Sullivan, Hayley

doi:10.1016/j.jht.2020.11.002

Cited by 5 publications

(2 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Clinical reviews by Valdes et al [ 52 ], Karagiannopoulos and Michlovitz’s [ 26 ], and Lotters et al [ 25 ] provided further support for including exercises of sensorimotor control in the rehabilitation of the wrist. In addition, there are a small number of single case reports [ 53 , 54 ] and cohort studies [ 22 , 55 , 56 ], indicating clinical benefits of an exercise therapy program with a neuromuscular approach following various wrist injuries. The exercise therapy in our RCT is based on theoretical assumptions and outcomes from the above-mentioned cohort and case studies.…”

Section: Discussionmentioning

confidence: 99%

A self-managed exercise therapy program for wrist osteoarthritis: study protocol for a randomized controlled trial

Larsson,

Ekstrand,

Dahlin

et al. 2023

Trials

View full text Add to dashboard Cite

Background Post-traumatic wrist osteoarthritis (OA) can eventually lead to pain, muscular weakness, and stiffness of the wrist, which can affect the function of the entire upper limb and reduce the quality of life. Although there is strong evidence that all patients with OA should be offered adequate education and exercises as a first-line treatment, an effective self-management program, including structured education and therapeutic exercises, has not yet been introduced for individuals with wrist OA. This trial aims to evaluate the effectiveness of an exercise therapy program with joint protective strategies to improve neuromuscular control (intervention group) compared to a training program with range of motion exercises (control group). Methods This is a single-blinded randomized controlled trial (RCT) with two treatment arms in patients with symptomatic and radiographically confirmed wrist OA. The trial will be conducted at a hand surgery department. The participants will be randomly assigned either to a neuromuscular exercise therapy program or to a training program with range of motion exercises only. Participants in both groups will receive a wrist orthosis and structured education on wrist anatomy, pathophysiology, and joint protective self-management strategies. The programs consist of home exercises that will be performed twice a day for 12 weeks. The Patient-Rated Wrist Evaluation (PRWE) is the primary outcome measure of pain and function. Wrist range of motion (ROM), grip strength, the Numeric Pain Rating scale (NPRS), Disabilities of the Arm, Shoulder, and Hand (DASH), the General Self-Efficacy Scale (GSES), Global Rating of Change (GROC), and conversion to surgery are the secondary measures of outcome. Assessments will be performed at baseline and at 3, 6, and 12 months after baseline by a blinded assessor. Discussion The upcoming results from this trial may add new knowledge about the effectiveness of a self-managed exercise therapy program on pain and function for individuals with wrist OA. If the present self-management program proves to be effective, it can redefine current treatment strategies and may be implemented in wrist OA treatment protocols. Trial registration ClinicalTrials.gov, NCT05367817. Retrospectively registered on 27 April 2022. https://clinicaltrials.gov.

show abstract

Section: Discussionmentioning

confidence: 99%

A self-managed exercise therapy program for wrist osteoarthritis: study protocol for a randomized controlled trial

Larsson,

Ekstrand,

Dahlin

et al. 2023

Trials

View full text Add to dashboard Cite

show abstract

“…Clinical reviews by Valdes et al(50), Karagiannopoulos and Michlovitz's(25), and Lotters et al(24) provided further support for including exercises of sensorimotor control in the rehabilitation of the wrist. In addition, there are a small number of single case reports(51,52), and cohort studies(21,53,54), indicating clinical bene ts of an exercise therapy program with a neuromuscular approach following various wrist injuries. The exercise therapy in our RCT is based on theoretical assumptions and outcomes from the above mentioned cohort and case studies.…”

mentioning

confidence: 99%

A self-managed exercise therapy program for wrist osteoarthritis: study protocol for a randomized controlled trial

Larsson¹,

Ekstrand²,

Dahlin³

et al. 2023

Preprint

View full text Add to dashboard Cite

Background Post-traumatic wrist osteoarthritis (OA) may eventually lead to pain, muscular weakness, and stiffness of the wrist, which can affect the function of the entire upper limb and cause reduced quality of life. Although there is strong evidence that all patients with OA should be offered adequate education and exercises as a first-line treatment, an effective self-management program, including structured education and therapeutic exercises, has not yet been introduced for individuals with wrist OA. The purpose of this study is to describe a self-managed exercise therapy program with joint protective strategies to improve neuromuscular control and to investigate if this exercise therapy program is more effective in reducing pain and improving function, compared to a training program with range of motion exercises, for individuals with wrist OA. Methods This is a study protocol that describes a single-blinded randomized controlled trial (RCT) in patients with symptomatic and radiographically confirmed wrist OA with two treatment arms. The participants will randomly be assigned either to a neuromuscular exercise therapy program or to a training program with range of motion exercises only. Participants in both groups will receive a wrist orthosis and structured education on wrist anatomy, pathophysiology, and joint protective self-management strategies. The programs consist of home exercises that will be performed twice a day for 12 weeks. The Patient-Rated Wrist Evaluation (PRWE) is the primary outcome measure of pain and function. Wrist Range of Motion (ROM), grip strength, the Numeric Pain Rating scale (NPRS), Disabilities of the Arm, Shoulder, and Hand (DASH), the General Self-Efficacy Scale (GSES), Global Rating of Change (GROC) and conversion to surgery are the secondary measures of outcome. Assessments will be performed at baseline and at 3, 6, and 12 months after baseline by a blinded assessor. Discussion The results from this study can add new knowledge about the effectiveness of a self-managed exercise therapy program on pain and function for individuals with wrist OA. If this self-management program proves to be efficient, it can redefine current treatment strategies and may be implemented in wrist OA treatment protocols. Trial registration: ClinicalTrials.gov, NCT05367817. Retrospectively registered on 27 April 2022. https://clinicaltrials.gov.

show abstract

Proprioception evaluation and treatment: Hand therapist practice patterns

Valdes,

Rider

2024

Journal of Hand Therapy

View full text Add to dashboard Cite

Targeted sensorimotor retraining in the clinical setting: Improving patient outcomes following distal upper extremity injury

Cited by 5 publications

References 23 publications

A self-managed exercise therapy program for wrist osteoarthritis: study protocol for a randomized controlled trial

A self-managed exercise therapy program for wrist osteoarthritis: study protocol for a randomized controlled trial

A self-managed exercise therapy program for wrist osteoarthritis: study protocol for a randomized controlled trial

Proprioception evaluation and treatment: Hand therapist practice patterns

Contact Info

Product

Resources

About