The use of braces in the rehabilitation treatment of the post-traumatic elbow

Fusaro, Isabella; Orsini, Stefania; Sforza, T.; Rotini, Roberto; Benedetti, Maria Grazia

doi:10.11138/jts/2014.2.2.081

Cited by 11 publications

(4 citation statements)

References 10 publications

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“…38 To avoid long-term stiffness, acute pain management guidelines recommend starting mobilization early after trauma. 2,39 Our results indicate that most emergency nurses provided ice packs for patients' acute pain. Similar findings have been reported in intensive care units.…”

Section: Discussionmentioning

confidence: 77%

“…The results of this study showed that nearly all the emergency nurses helped patients with postural care, positioning, and mobilization to reduce their acute pain. Nonpharmacological methods reduced pain significantly 37 and were defined as “therapies that do not involve taking medicines or any other active substances.” 38 To avoid long-term stiffness, acute pain management guidelines recommend starting mobilization early after trauma 2,39 …”

Section: Discussionmentioning

confidence: 99%

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Nurses' Perceptions of the Management of Acute Pain in Emergency Departments

et al. 2022

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This study aimed to describe registered nurses' perceptions of acute pain management in emergency departments. Design:The study design was a cross-sectional survey carried out in accordance with Strengthening the Reporting of Observational Studies in Epidemiology guidelines. One hundred one nurses from 5 different emergency departments participated in the survey. Methods: Data were analyzed using descriptive methods, nonparametric tests, and principal component analysis. Results:Continuing education was significantly related to pain management. Nurses who had received continuing pain management education thought more often that challenges in pain management impact patients' acute pain management than those who had not received education. Nurses reported that patients received inadequate pain medication. The most used nonpharmacological methods were ice therapy and postural care. The nurses reported that music and conversation with the patient ameliorated the patients' acute pain. Nurses stated that their lack of knowledge concerning pain management and workload affected their acute pain management. Conclusion:Study results emphasize the need to develop ongoing pain management education for registered nurses and in addition to further research of nonpharmacological alleviation method in emergency departments.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Nurses' Perceptions of the Management of Acute Pain in Emergency Departments

et al. 2022

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“…Again, these splints are timely used for substantial hours in the day. Static progressive braces are preferred because they tolerate biological alteration of the tissue by employing stimulation interchanged with a break [ 11 ]. In the ultimate degrees of flexion, compression forces are employed on the humeroulnar joint, while distraction forces are employed in the ultimate degrees of extension.…”

Section: Introductionmentioning

confidence: 99%

Design of a Smart Elbow Brace as a Home-Based Rehabilitation Device

Said

Yong

Heyat

et al. 2022

Computational Intelligence and Neuroscience

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Poststroke and traumatic elbow injuries are the most common cause of elbow stiffness, which results in loss of functional range of motion (ROM). Various studies support early mobilization of the elbow joint after injury or after surgery to reduce risks of elbow stiffness development. After hospitalization, patients are required to follow a long-term rehabilitation program during home recovery. Still, most patients do not adhere to their clinical therapy schedule due to either rehabilitation cost, social obligations, negligence, or lack of inspiration. Moreover, the numbers of therapists and assessment equipment are insufficient. This study introduces a smart elbow brace (SEB) as a home-based rehabilitation device that reduces regular in-patient rehabilitation costs and therapist workload and motivates patients to comply with the rehabilitation program that enhances the achievement of rehabilitation goals. Our device has two active degrees of freedom (2-DoF) that allow extension, flexion, pronation, and supination elbow motions. An extra sliding joint between forearm and wrist is added, which helps dump forces concentration at the elbow joint during extension-flexion movement. Mechanical design requirements, motion-tracking systems, and serious game development are described. The feasibility of a proposed SEB device is tested with five healthy subjects playing developed serious games with the device. The results show that subjects can attain maximum and minimum angles of flexion-extension and pronation-supination motion designed for elbow stiffness rehabilitation. The SEB device will be beneficial and be used at home as a complementary tool to support elbow stiffness rehabilitation during long-term home recovery.

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“…In addition to its use in rehabilitation treatments, previous research has used a similar device to identify the necessary functional range of motion of the elbow for everyday activities (e.g., Vasen et al, 1995 ). Elbow mobility is essential for upper limb function; a 50% reduction of elbow motion represents ∼80% loss of upper limb function ( Fusaro et al, 2014 ). Stiffness of the elbow is a common occurrence after injury and can be defined as a loss of extension >30° and/or flexion of <120° ( Sojbjerg, 1996 ), and the loss of elbow extension is more frequently encountered than flexion loss ( Charalambous & Morrey, 2012 ).…”

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confidence: 99%

The Influence of Perceptual-Motor Variability on the Perception of Action Boundaries for Reaching in a Real-World Setting

2021

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The ability to accurately perceive the extent over which one can act is requisite for the successful execution of visually guided actions. Yet, like other outcomes of perceptual-motor experience, our perceived action boundaries are not stagnant, but in constant flux. Hence, the perceptual systems must account for variability in one’s action capabilities in order for the perceiver to determine when they are capable of successfully performing an action. Recent work has found that, after reaching with a virtual arm that varied between short and long each time they reach, individuals determined their perceived action boundaries using the most liberal reaching experience. However, these studies were conducted in virtual reality, and the perceptual systems may handle variability differently in a real-world setting. To test this hypothesis, we created a modified orthopedic elbow brace that mimics injury in the upper limb by restricting elbow extension via remote control. Participants were asked to make reachability judgments after training in which the maximum extent of their reaching ability was either unconstricted, constricted or variable over several calibration trials. Findings from the current study did not conform to those in virtual reality; participants were more conservative with their reachability estimates after experiencing variability in a real-world setting.

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The use of braces in the rehabilitation treatment of the post-traumatic elbow

Cited by 11 publications

References 10 publications

Nurses' Perceptions of the Management of Acute Pain in Emergency Departments

Nurses' Perceptions of the Management of Acute Pain in Emergency Departments

Design of a Smart Elbow Brace as a Home-Based Rehabilitation Device

The Influence of Perceptual-Motor Variability on the Perception of Action Boundaries for Reaching in a Real-World Setting

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