You are here:
Home / Archives for Hand
Posted by Rachael Lowe on September 10, 2010 · Leave a Comment
The purpose of this narrative review is to provide a clinically reasonable guide to intervention choices, by combining a sound understanding of theory with available research evidence. The pathology of contracture formation is presented within the context of tissue repair. The soft tissue response to stress is explained and the optimal “dose” of treatment is discussed. The evidence behind the use of exercise, joint mobilization, continuous passive motion, casting motion…
Continue reading
Posted by Rachael Lowe on August 11, 2010 · Leave a Comment
The objective of this study was to present an evidence-based overview of the effectiveness of surgical and postsurgical interventions to treat carpal tunnel syndrome (CTS). A best-evidence synthesis was performed to summarize the results of the included studies. Two reviews and 25 RCTs were included. Moderate evidence was found in favor of surgical treatment compared with splinting or anti-inflammatory drugs plus hand therapy in the midterm and long term…
Continue reading
Posted by Rachael Lowe on August 11, 2010 · Leave a Comment
The objective of this study was to review literature systematically concerning effectiveness of nonsurgical interventions for treating carpal tunnel syndrome (CTS). A best-evidence synthesis was performed to summarize the results of the included studies. Two reviews and 20 RCTs were included. Strong and moderate evidence was found for the effectiveness of oral steroids, steroid injections, ultrasound, electromagnetic field therapy, nocturnal splinting, and the use of ergonomic keyboards compared with…
Continue reading
Posted by Rachael Lowe on May 24, 2010 · Leave a Comment
The NHS Clinical Knowledge Summaries has published a new topic which covers the management of Dupuytren's disease and contracture in primary care. This CKS topic does not cover, in any detail, the management of Dupuytren's contracture in secondary care. The target audience for this CKS topic is healthcare professionals working within the NHS in England, and providing first contact or primary health care but is…
Continue reading
Posted by Rachael Lowe on May 19, 2010 · Leave a Comment
Imaging protocols for suspected scaphoid fractures among investigators and hospitals are markedly inconsistent. We performed a systematic review and meta-analysis to assess and compare the diagnostic performance of bone scintigraphy, MRI, and CT for diagnosing suspected scaphoid fractures. Twenty-six studies were included. Sensitivity, specificity, and diagnostic odds ratio were pooled separately and summary receiver operating characteristic curves were fitted for each modality. Meta-regression analyses were performed to compare these modalities…
Continue reading
Posted by Rachael Lowe on May 19, 2010 · Leave a Comment
To evaluate the interrater reliability and the criterion validity of the grind test for thumb CMC osteoarthritis. Radiological evaluation was used as the gold standard. Seventy thumbs of 54 persons with various hand disorders were included in the study. The grind test was performed by two physical therapists, and radiographs were evaluated by a certified hand surgeon, all blinded to the participants' diagnosis and other test results. Interrater reliability…
Continue reading
Posted by Rachael Lowe on April 23, 2010 · Leave a Comment
This preliminary study explored change in patient-reported, health-related quality of life associated with robotic-assisted therapy combined with reduced therapist-supervised training. Seventeen individuals who were 3 to 9 months poststroke underwent sixty hours of therapist-supervised repetitive task practice (RTP) was compared with 30 hours of RTP combined with 30 hours of robotic-assisted therapy. The combined therapy group had a greater increase in rating of mood from preintervention to postintervention…
Continue reading
Posted by Rachael Lowe on March 8, 2010 · Leave a Comment
The objective of this study was to compare responsiveness of the Michigan Hand Outcomes Questionnaire (MHQ) with that of the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire in patients with hand injuries. Patients with hand injuries were consecutively recruited from 2 community hospitals. Each patient was asked to complete out the MHQ, the DASH questionnaire, the satisfaction with their health-related quality of life…
Continue reading
Posted by Rachael Lowe on March 8, 2010 · Leave a Comment
The purpose of this overview is to summarize the evidence from systematic reviews of the effectiveness of nonpharmacological and nonsurgical interventions for patients with hand osteoarthritis. Four systematic reviews were included. Based on single randomized controlled trials, there is some evidence of the effect of pain relief from topical capsaicin compared with placebo and for favorable functional outcomes for exercise and education compared with osteoarthritis information alone. In overviews, results…
Continue reading
Posted by Rachael Lowe on October 5, 2009 · Leave a Comment
The purpose of this study was to evaluate the accuracy and reliability (both inter- and intra-rater) in measuring wrist flexion and extension using 3 manual goniometric alignment techniques (ulnar, radial, and dorsal–volar) in cadaveric upper extremities, using fluoroscopic verification of posture as a gold standard. External fixators were applied to 10 cadaveric wrists with intramedullary cannulated rods in the radius and third metacarpal for gold-standard fluoroscopic verification of posture. Manual…
Continue reading
Next Page »
Return to top of page