Digital Range Of Motion Research Articles

Effects of Increased In Vivo Excursion on Digital Range of Motion and Tendon Strength following Flexor Tendon Repair

Effects of Increased In Vivo Excursion on Digital Range of Motion and Tendon Strength following Flexor Tendon Repair

Effects of Increased In Vivo Excursion on Digital Range of Motion and Tendon Strength following Flexor Tendon Repair

JBJS was founded by the American Orthopaedic Association in 1903 and is the Official Journal of the American Orthopaedic Association. EXCELLENCE THROUGH PEER REVIEW The Journal of Bone & Joint Surgery (JBJS) has been the most valued source of information for orthopaedic surgeons and researchers for over 125 years and is the gold standard in peer-reviewed scientific information in the field. A core journal and essential reading for general as well as specialist orthopaedic surgeons worldwide, JBJS publishes evidence-based research to enhance the quality of care for orthopaedic patients. Standards of excellence and high quality are maintained in everything we do, from the science of the content published to the customer service we provide. JBJS is an independent, non-profit journal. JBJS.org is the version of record of The Journal of Bone & Joint Surgery. JBJS is published twice a month on the first and third Wednesday of each month, each time adding to a comprehensive PDF archive dating back to 1889. Additional features online include: article commenting, social sharing links, instructional videos, podcasts, and continuing medical education activities. Contributions from anywhere in the world are welcome and considered on their merits. The manuscript must be written in English and should be submitted as outlined in the Instructions for Authors. Manuscripts are subject to blinded peer review by experts and a final decision by the editor. Papers are judged by the quality and relevance of the work. Our aim is to publish the best material available from anywhere in the world.

Eccrine carcinoma of the hand: A case report

A 62-year-old fight-handed woman presented with a 3-year history of a slowly enlarging fight palmar mass. She experienced no pain but found that it interfered with her activities of daily living. Her medical history included a right mastectomy 11 years earlier for breast cancer, but there was no recurrence. On physical examination, the patient had a 3 • 4 cm nontender, immobile mass in her right palm (Fig. 1). It was soft and nonpulsatile. She had full active digital range of motion and no neurologic deficits. Plain radiographs revealed diffuse osteopenia and an obvious soft tissue shadow over the third metacarpal. A magnetic resonance image revealed a 2.5 • 3 • 2 cm well-circumscribed lesion displacing but

Using the Exos Handmaster to measure digital range of motion: reliability and validity

Traditional assessment of digital range of motion via a standard goniometer is a weak correlate of hand function and task performance. Yet it remains one of the primary, quantitative methods of hand assessment used to determine an individual's ability to return to work or to assess his or her permanent functional impairment. Another technique more representative of functional performance would be immensely useful for clinicians, patients, employers and third-party payers. The objective of this research was to investigate the clinical feasibility of using the Exos Handmaster, a Hall-effect instrumented exoskeleton, to measure angular joint rotation of the metacarpophalangeal and interphalangeal joints. The work reported in this paper includes a description of modifications to the fixation technique and calibration procedures of the Handmaster and the results of an investigation of the unit's reliability and validity.

Cost-effectiveness of interventions to improve compliance with anti-hypertensive therapy: Donald S. Shepard, Kennedy School, Harvard University, Cambridge, MA 02138; Sue B. Foster, William B. Stason; Harold S. Solomon; Patricia J. McArdle; Susan S. Gallagher

Wayne PM, Krebs DE, Macklin EA, Schnyer R, Kaptchuk TJ, Parker SW, Scarborough DM, McGibbon CA, Schaechter JD, Stein J, Stason WB. Acupuncture for upper-extremity rehabilitation in chronic stroke: a randomized sham-controlled study.To compare the effects of traditional Chinese acupuncture with sham acupuncture on upper-extremity (UE) function and quality of life (QOL) in patients with chronic hemiparesis from stroke.A prospective, sham-controlled, randomized controlled trial (RCT).Patients recruited through a hospital stroke rehabilitation program.Thirty-three subjects who incurred a stroke 0.8 to 24 years previously and had moderate to severe UE functional impairment.Active acupuncture tailored to traditional Chinese medicine diagnoses, including electroacupuncture, or sham acupuncture. Up to 20 treatment sessions (mean, 16.9) over a mean of 10.5 weeks.UE motor function, spasticity, grip strength, range of motion (ROM), activities of daily living, QOL, and mood. All outcomes were measured at baseline and after treatment.Intention-to-treat (ITT) analyses found no statistically significant differences in outcomes between active and sham acupuncture groups. Analyses of protocol-compliant subjects revealed significant improvement in wrist spasticity (P<.01) and both wrist (P<.01) and shoulder (P<.01) ROM in the active acupuncture group, and improvement trends in UE motor function (P=.09) and digit ROM (P=.06).Based on ITT analyses, we conclude that acupuncture does not improve UE function or QOL in patients with chronic stroke symptoms. However, gains in UE function observed in protocol-compliant subjects suggest traditional Chinese acupuncture may help patients with chronic stroke symptoms. These results must be interpreted cautiously because of small sample sizes and multiple, unadjusted, post hoc comparisons. A larger, more definitive RCT using a similar design is feasible and warranted.

Effectiveness of a health aide in improving hypertension (HT) detection and referral in an ambulatory setting: Richard F. Gillum, University of Minnesota, School of Public Health, Minneapolis, Minnesota; Harold S. Solomon

Wayne PM, Krebs DE, Macklin EA, Schnyer R, Kaptchuk TJ, Parker SW, Scarborough DM, McGibbon CA, Schaechter JD, Stein J, Stason WB. Acupuncture for upper-extremity rehabilitation in chronic stroke: a randomized sham-controlled study.To compare the effects of traditional Chinese acupuncture with sham acupuncture on upper-extremity (UE) function and quality of life (QOL) in patients with chronic hemiparesis from stroke.A prospective, sham-controlled, randomized controlled trial (RCT).Patients recruited through a hospital stroke rehabilitation program.Thirty-three subjects who incurred a stroke 0.8 to 24 years previously and had moderate to severe UE functional impairment.Active acupuncture tailored to traditional Chinese medicine diagnoses, including electroacupuncture, or sham acupuncture. Up to 20 treatment sessions (mean, 16.9) over a mean of 10.5 weeks.UE motor function, spasticity, grip strength, range of motion (ROM), activities of daily living, QOL, and mood. All outcomes were measured at baseline and after treatment.Intention-to-treat (ITT) analyses found no statistically significant differences in outcomes between active and sham acupuncture groups. Analyses of protocol-compliant subjects revealed significant improvement in wrist spasticity (P<.01) and both wrist (P<.01) and shoulder (P<.01) ROM in the active acupuncture group, and improvement trends in UE motor function (P=.09) and digit ROM (P=.06).Based on ITT analyses, we conclude that acupuncture does not improve UE function or QOL in patients with chronic stroke symptoms. However, gains in UE function observed in protocol-compliant subjects suggest traditional Chinese acupuncture may help patients with chronic stroke symptoms. These results must be interpreted cautiously because of small sample sizes and multiple, unadjusted, post hoc comparisons. A larger, more definitive RCT using a similar design is feasible and warranted.