1,036 results match your criteria Upper Limb Orthotics


Use of a myoelectric upper limb orthosis for rehabilitation of the upper limb in traumatic brain injury: A case report.

J Rehabil Assist Technol Eng 2020 Jan-Dec;7:2055668320921067. Epub 2020 Jun 18.

Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Background: Upper limb motor deficits following traumatic brain injury are prevalent and effective therapies are needed. The purpose of this case report was to illustrate response to a novel therapy using a myoelectric orthosis in a person with TBI. A 42-year-old female, 29. Read More

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http://dx.doi.org/10.1177/2055668320921067DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7307403PMC

[Physiotherapy applied to the upper extremity in 0 to 10-year-old children with obstetric brachial palsy: a systematic review].

Authors:
R Palomo R Sánchez

Rev Neurol 2020 Jul;71(1):1-10

Fisioterapia pediátrica, Murcia, España.

Introduction: Obstetric brachial palsy is involved with affected upper limb, resulting in permanent structural and function sequelae that limit the motion articular range and reduce independence in daily activities, as well as the children participation in their natural environment.

Aim: To describe the physiotherapy treatments currently used to increase the affected upper limb functionality in children from 0 to 10 years diagnosed with obstetric brachial palsy.

Patients And Methods: A bibliographic search of published studies between 2009 and 2018 was carried out in the PubMed, PEDro, ScienceDirect and The Cochrane Library databases. Read More

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http://dx.doi.org/10.33588/rn.7101.2020029DOI Listing

Facilitators and Barriers to Wearing Hand Orthoses by Adults with Duchenne Muscular Dystrophy: A Mixed Methods Study Design.

J Neuromuscul Dis 2020 Jun 18. Epub 2020 Jun 18.

Department of Rehabilitation, Radboud University Medical Center, Nijmegen, The Netherlands.

Background: To retard shortening of finger flexors in patients with Duchenne muscular dystrophy (DMD), hand orthoses are prescribed. However, many patients do not wear the orthoses regularly. To optimize orthotic interventions, we need insight into the factors influencing compliance. Read More

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http://dx.doi.org/10.3233/JND-200506DOI Listing

Targeted Muscle Reinnervation Improves Residual Limb Pain, Phantom Limb Pain, and Limb Function: A Prospective Study of 33 Major Limb Amputees.

Clin Orthop Relat Res 2020 May 20. Epub 2020 May 20.

L. M. Mioton, G. A. Dumanian, N. Shah, C. S. Qiu, J. H. Ko, S. W. Jordan, Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA W. J. Ertl, The Department of Orthopedic Surgery, The University of Oklahoma, Oklahoma City, OK, USA B. K. Potter, J. M. Souza, Department of Surgery, Walter Reed National Military Medical Center, Uniformed Services University of Health Sciences, Bethesda, MD, USA I. L. Valerio, The Department of Plastic Surgery, The Ohio State University, Columbus, OH, USA.

Background: Targeted muscle reinnervation is an emerging surgical technique to treat neuroma pain whereby sensory and mixed motor nerves are transferred to nearby redundant motor nerve branches. In a recent randomized controlled trial, targeted muscle reinnervation was recently shown to reduce postamputation pain relative to conventional neuroma excision and muscle burying.

Questions/purposes: (1) Does targeted muscle reinnervation improve residual limb pain and phantom limb pain in the period before surgery to 1 year after surgery? (2) Does targeted muscle reinnervation improve Patient-reported Outcome Measurement System (PROMIS) pain intensity and pain interference scores at 1 year after surgery? (3) After 1 year, does targeted muscle reinnervation improve functional outcome scores (Orthotics Prosthetics User Survey [OPUS] with Rasch conversion and Neuro-Quality of Life [Neuro-QOL])?

Methods: Data on patients who were ineligible for randomization or declined to be randomized and underwent targeted muscle reinnervation for pain were gathered for the present analysis. Read More

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http://dx.doi.org/10.1097/CORR.0000000000001323DOI Listing

A practical 3D-printed soft robotic prosthetic hand with multi-articulating capabilities.

PLoS One 2020 14;15(5):e0232766. Epub 2020 May 14.

Department of Mechanical Engineering, The University of Melbourne, Parkville, VIC, Australia.

Soft robotic hands with monolithic structure have shown great potential to be used as prostheses due to their advantages to yield light weight and compact designs as well as its ease of manufacture. However, existing soft prosthetic hands design were often not geared towards addressing some of the practical requirements highlighted in prosthetics research. The gap between the existing designs and the practical requirements significantly hampers the potential to transfer these designs to real-world applications. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0232766PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224508PMC
May 2020
3.234 Impact Factor

Asymmetry of mass and motion affects the regulation of whole-body angular momentum in individuals with upper limb absence.

Clin Biomech (Bristol, Avon) 2020 Jun 23;76:105015. Epub 2020 Apr 23.

Northwestern University Prosthetics-Orthotics Center, Dept. of Physical Medicine & Rehabilitation, Feinberg School of Medicine, 680 North Lake Shore Drive, Suite 1100, Chicago, IL 60611, USA; Jesse Brown VA Medical Center, 820 S Damen Ave, Chicago, IL 60612, USA. Electronic address:

Background: There is a high fall prevalence in individuals with upper limb absence, which may be related to a momentum imbalance resulting from the loss of all or part of one arm. The purpose of this study was to characterise whole-body angular momentum in individuals with upper limb absence during walking, and determine the effect of restoring the mass and inertial properties of the impaired side with a mock prosthesis.

Methods: Ten individuals with unilateral upper limb absence walked at self-selected speeds, with and without a mock prosthesis. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2020.105015DOI Listing

The functional effect of 3D-printing individualized orthosis for patients with peripheral nerve injuries: Three case reports.

Medicine (Baltimore) 2020 Apr;99(16):e19791

Department of Physical Medicine and Rehabilitation, Catholic Kwandong University International St Mary's Hospital, Incheon.

Rationale: In the medical field, the use of 3-dimensional (3D) printing is increasing explosively and it is especially widespread in the clinical application of fabricating orthosis. Advantages of 3D-printed orthosis compared to conventional ones include its lower cost, easier modification, and faster fabrication. The 3D-printing technique makes it possible for physicians to easily create individual-tailored products. Read More

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http://dx.doi.org/10.1097/MD.0000000000019791DOI Listing

A custom, functional and lifelike passive prosthetic hand for infants and small toddlers: Clinical note.

Prosthet Orthot Int 2020 Jun 17;44(3):180-184. Epub 2020 Apr 17.

Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.

Background And Aim: For infants and small toddlers with congenital upper limb deficiencies, terminal devices mainly provide either cosmesis or functionality. We report a clinical note about fitting a child with a low-cost passive hand targeting both functionality and cosmesis.

Technique: An elastomeric, alloy-wire-reinforced hand was fabricated using additive manufacturing to allow independent positioning of the digits. Read More

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http://dx.doi.org/10.1177/0309364620909276DOI Listing
June 2020
1.073 Impact Factor

A review of methods for achieving upper limb movement following spinal cord injury through hybrid muscle stimulation and robotic assistance.

Exp Neurol 2020 Jun 5;328:113274. Epub 2020 Mar 5.

Rice University, Deptartment of Mechanical Engineering, Houston, TX 77005, USA. Electronic address:

Individuals with tetraplegia, typically attributed to spinal cord injuries (SCI) at the cervical level, experience significant health care costs and loss of independence due to their limited reaching and grasping capabilities. Neuromuscular electrical stimulation (NMES) is a promising intervention to restore arm and hand function because it activates a person's own paralyzed muscles; however, NMES sometimes lacks the accuracy and repeatability necessary to position the limb for functional tasks, and repeated muscle stimulation can lead to fatigue. Robotic devices have the potential to restore function when used as assistive devices to supplement or replace limited or lost function of the upper limb following SCI. Read More

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http://dx.doi.org/10.1016/j.expneurol.2020.113274DOI Listing

A regenerative peripheral nerve interface allows real-time control of an artificial hand in upper limb amputees.

Sci Transl Med 2020 Mar;12(533)

Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI 48109, USA.

Peripheral nerves provide a promising source of motor control signals for neuroprosthetic devices. Unfortunately, the clinical utility of current peripheral nerve interfaces is limited by signal amplitude and stability. Here, we showed that the regenerative peripheral nerve interface (RPNI) serves as a biologically stable bioamplifier of efferent motor action potentials with long-term stability in upper limb amputees. Read More

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http://dx.doi.org/10.1126/scitranslmed.aay2857DOI Listing

A National Survey of Prosthesis Use in Veterans with Major Upper Limb Amputation: Comparisons by Gender.

PM R 2020 Feb 27. Epub 2020 Feb 27.

Health Services, Policy and Practice, Brown University, Providence, RI, USA.

Background: A better understanding of women veterans with upper limb amputation is needed.

Objective: To compare prosthetic use and outcomes of female and male veterans with upper limb amputation.

Design: Cross-sectional survey: Amputation characteristics, prosthesis use, and quality of life outcomes were compared by gender. Read More

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http://dx.doi.org/10.1002/pmrj.12351DOI Listing
February 2020

Blast injury of the hand related to warfare explosive devices: experience from the French Military Health Service.

BMJ Mil Health 2020 Feb 20. Epub 2020 Feb 20.

Department of Orthopaedic, Trauma and Reconstructive Surgery, Percy Military Hospital, Clamart, France.

Introduction: The objective was to report on the experience of the French Army Health Service in the management of blast injury of the hands related to warfare explosive devices.

Methods: A retrospective study was conducted in the Percy Military Hospital (role 4 medical treatment facility) among French soldiers who presented with a combat-related blast injury of the hand between 2002 and 2018. The functional result was assessed by the disabilities of the arm, shoulder and hand (DASH) and the Orthotics and Prosthetics User Survey (OPUS, upper extremity functional status) scores. Read More

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http://dx.doi.org/10.1136/jramc-2019-001326DOI Listing
February 2020

The immediate effects of kinesiology taping on cutaneous blood flow in healthy humans under resting conditions: A randomised controlled repeated-measures laboratory study.

PLoS One 2020 21;15(2):e0229386. Epub 2020 Feb 21.

Centre for Pain Research, School of Clinical and Applied Sciences, Leeds Beckett University, Leeds, England, United Kingdom.

Background: Kinesiology taping (KT) is used in musculoskeletal practice for preventive and rehabilitative purposes. It is claimed that KT improves blood flow in the microcirculation by creating skin convolutions and that this reduces swelling and facilitates healing of musculoskeletal injuries. There is a paucity of physiological studies evaluating the effect of KT on cutaneous blood microcirculation. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0229386PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7034885PMC

Supine flexibility predicts curve progression for patients with adolescent idiopathic scoliosis undergoing underarm bracing.

Bone Joint J 2020 Feb;102-B(2):254-260

Department of Orthopaedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.

Aims: The aim of this study was to assess whether supine flexibility predicts the likelihood of curve progression in patients with adolescent idiopathic scoliosis (AIS) undergoing brace treatment.

Methods: This was a retrospective analysis of patients with AIS prescribed with an underarm brace between September 2008 to April 2013 and followed up until 18 years of age or required surgery. Patients with structural proximal curves that preclude underarm bracing, those who were lost to follow-up, and those who had poor compliance to bracing (<16 hours a day) were excluded. Read More

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http://dx.doi.org/10.1302/0301-620X.102B2.BJJ-2019-0916.R1DOI Listing
February 2020

Effect of Mechanically Passive, Wearable Shoulder Exoskeletons on Muscle Output During Dynamic Upper Extremity Movements: A Computational Simulation Study.

J Appl Biomech 2020 Jan 22:1-9. Epub 2020 Jan 22.

University of Tennessee.

Wearable passive (ie, spring powered) shoulder exoskeletons could reduce muscle output during motor tasks to help prevent or treat shoulder musculoskeletal disorders. However, most wearable passive shoulder exoskeletons have been designed and evaluated for static tasks, so it is unclear how they affect muscle output during dynamic tasks. The authors used a musculoskeletal model and Computed Muscle Control optimization to estimate muscle output with and without a wearable passive shoulder exoskeleton during 2 simulated dynamic tasks: abduction and upward reach. Read More

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http://dx.doi.org/10.1123/jab.2018-0369DOI Listing
January 2020

Prosthesis satisfaction in a national sample of Veterans with upper limb amputation.

Prosthet Orthot Int 2020 Apr 21;44(2):81-91. Epub 2020 Jan 21.

Brown University, Providence, RI, USA.

Background: Many persons with upper limb amputation reject prostheses, and many are not satisfied with their devices. Research is needed to understand modifiable factors related to device satisfaction. Myoelectric devices with multiple degrees of freedom are now available; however, no studies have examined whether they lead to greater device satisfaction. Read More

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http://dx.doi.org/10.1177/0309364619895201DOI Listing
April 2020
1.073 Impact Factor

Development and Evaluation of a Customized Wrist-Hand Orthosis using 3D Technology for a Child with Cerebral Palsy - A Case Study.

Conf Proc IEEE Eng Med Biol Soc 2019 07;2019:1476-1479

Cerebral Palsy (CP) is a disability that affects more than 100 million children. More than 60% of these children have significant difficulties within their hand abilities, affected by involuntary movements and spasticity. So, to overcome this issue, orthoses are being employed as therapeutic intervention and can allow children with CP to have an opportunity to better use their hands. Read More

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http://dx.doi.org/10.1109/EMBC.2019.8857327DOI Listing

Development of 3D-printed myoelectric hand orthosis for patients with spinal cord injury.

J Neuroeng Rehabil 2019 12 30;16(1):162. Epub 2019 Dec 30.

Department of Biomedical Science and Engineering (BMSE), Institute Integrated Technology (IIT), Gwangju Institute of Science and Technology (GIST), 123 Cheomdan-gwagiro, Buk-gu, Gwangju, 61005, South Korea.

Background: Spinal cord injury (SCI) is a severe medical condition affecting the hand and locomotor function. New medical technologies, including various wearable devices, as well as rehabilitation treatments are being developed to enhance hand function in patients with SCI. As three-dimensional (3D) printing has the advantage of being able to produce low-cost personalized devices, there is a growing appeal to apply this technology to rehabilitation equipment in conjunction with scientific advances. Read More

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http://dx.doi.org/10.1186/s12984-019-0633-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937865PMC
December 2019

Does occupational therapy delay or reduce the proportion of patients that receives thumb carpometacarpal joint surgery? A multicentre randomised controlled trial.

RMD Open 2019 6;5(2):e001046. Epub 2019 Nov 6.

National Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway.

Objectives: To evaluate whether occupational therapy, provided in the period between referral and surgical consultation, might delay or reduce the need of surgery in thumb carpometacarpal joint (CMCJ) osteoarthritis and to explore predictors for CMCJ surgery.

Methods: This multicentre randomised controlled trial included patients referred for surgical consultation due to CMCJ osteoarthritis. An occupational therapy group received hand osteoarthritis education, assistive devices, CMCJ orthoses and exercises. Read More

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http://dx.doi.org/10.1136/rmdopen-2019-001046DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861078PMC

CORR Insights®: Does Curve Regression Occur During Underarm Bracing in Patients with Adolescent Idiopathic Scoliosis?

Clin Orthop Relat Res 2020 02;478(2):346-347

D. G. Armstrong, Hershey Medical Center, Department of Orthopaedics, Hershey, PA, USA.

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http://dx.doi.org/10.1097/CORR.0000000000001048DOI Listing
February 2020

[Self-made finger flexion band and its application in patients with burn scar contracture on the back of hand].

Zhonghua Shao Shang Za Zhi 2019 Nov;35(11):821-823

Institute of Burns, Tongren Hospital of Wuhan University & Wuhan Third Hospital, Wuhan 430060, China.

Scar contracture after burn on the back of hand can easily lead to the limitation of flexion function of fingers, which seriously affects daily life activities. Generally, comprehensive rehabilitation treatment is adopted for scar contracture on the back of hand, among which wearing braces is an effective treatment method. However, some braces will limit the normal finger joints or must wait until all the affected fingers heal before they can be worn, and the wearing operation is quite complicated. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2019.11.011DOI Listing
November 2019

Thumb carpometacarpal osteoarthritis: A musculoskeletal physiotherapy perspective.

J Bodyw Mov Ther 2019 Oct 23;23(4):908-912. Epub 2019 Feb 23.

IRCCS Istituto Ortopedico Galeazzi, Milan, Italy. Electronic address:

Proposal: To perform a literature review to provide the practitioner with a description of the information and techniques to enhance the provision of conservative interventions in clinical practice.

Methods: Studies were obtained from MEDLINE, CINAHL, Embase, PEDro and CENTRAL databases from their inception to December 2017. Authors independently selected studies, conducted quality assessment, and extracted results. Read More

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http://dx.doi.org/10.1016/j.jbmt.2019.02.018DOI Listing
October 2019

Does Curve Regression Occur During Underarm Bracing in Patients with Adolescent Idiopathic Scoliosis?

Clin Orthop Relat Res 2020 02;478(2):334-345

J. P. Y. Cheung, P. W. H. Cheung, Department of Orthopaedics and Traumatology, the University of Hong Kong, Pokfulam, Hong Kong SAR, China W. C. Yeng, L. C. K. Chan, Prosthetic and Orthotic Department, the Duchess of Kent Children's Hospital, Hong Kong SAR, China.

Background: Successful brace treatment entails good control of scoliosis with avoidance of surgery. However, achieving curve regression may be an even better radiological result than prevention of curve progression for patients with adolescent idiopathic scoliosis. Vertebral remodeling may occur with well-fitted braces. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000989DOI Listing
February 2020
2.765 Impact Factor

Effects of Upper Limb Loss or Absence and Prosthesis Use on Postural Control of Standing Balance.

Am J Phys Med Rehabil 2020 05;99(5):366-371

From the Jesse Brown VA Medical Center, Chicago, Illinois (MJM, RS, SAG); and Northwestern University Prosthetics-Orthotics Center, Department of Physical Medicine & Rehabilitation, Feinberg School of Medicine, Chicago, Illinois (MJM, TS, SAG).

Objective: Persons with upper limb loss or absence experience a high prevalence of falls. Although upper limb prostheses help perform upper limb tasks, fall likelihood increases by six times with prosthesis use. The effects of upper limb loss or absence and prosthesis use on postural control are poorly documented. Read More

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http://dx.doi.org/10.1097/PHM.0000000000001339DOI Listing

Does stable sitting influence upper limb function in children with cerebral palsy?

Turk J Pediatr 2019;61(1):79-84

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences,Hacettepe University, Ankara, Turkey.

Seyhan K, Kerem-Günel M. Does stable sitting influence upper limb function in children with cerebral palsy? Turk J Pediatr 2019; 61: 79-84. Bilateral spastic cerebral palsy (BSCP) patients frequently need to use various sitting devices for body control and function. Read More

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http://dx.doi.org/10.24953/turkjped.2019.01.012DOI Listing
January 2020
1 Read

Kinesiology taping with exercise does not provide additional improvement in round shoulder subjects with impingement syndrome: A single-blinded randomized controlled trial.

Phys Ther Sport 2019 Nov 3;40:99-106. Epub 2019 Sep 3.

School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taiwan; Division of Physical Therapy, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taiwan. Electronic address:

Objective: Round shoulder posture (RSP) may exaggerate symptoms of subacromial impingement. The effects of kinesiology taping with exercise on posture, pain, and functional performance were investigated in subjects with impingement and RSP.

Design: This study was a single-blinded randomized controlled trial. Read More

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http://dx.doi.org/10.1016/j.ptsp.2019.09.001DOI Listing
November 2019
1 Read

A randomized control trial comparing the effects of motor relearning programme and mirror therapy for improving upper limb motor functions in stroke patients.

J Pak Med Assoc 2019 Sep;69(9):1242-1245

Department of Health Sciences NCS University System, Swabi.

Objective: To compare the effectiveness of motor relearning programme with mirror therapy in upper limb motor functions of stroke patients.

Methods: The randomised control trial was conducted in Rafsan Neuro Rehabilitation Centre, Peshawar, Pakistan, from June to December 2017, and comprised stroke patients who had Mini Mental State Examination score over 24. Participants were randomly allocated into treatment and control groups. Read More

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September 2019
2 Reads

Kinesio taping versus compression garments for treating breast cancer-related lymphedema: a randomized, cross-over, controlled trial.

Clin Rehabil 2019 Dec 9;33(12):1887-1897. Epub 2019 Sep 9.

Faculty of Physiotherapy and Nursing, Castilla-La Mancha University, Toledo, Spain.

Objective: To determine the effectiveness of Kinesio taping compared to compression garments during maintenance phase of complex decongestive therapy for breast cancer-related lymphedema.

Design: Randomized, cross-over, controlled trial.

Setting: Outpatient tertiary-level hospital rehabilitation setting. Read More

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http://dx.doi.org/10.1177/0269215519874107DOI Listing
December 2019
3 Reads

The Effectiveness of a Hinged Elbow Orthosis in Medial Collateral Ligament Injuries: An In Vitro Biomechanical Study.

Am J Sports Med 2019 10 28;47(12):2827-2835. Epub 2019 Aug 28.

Roth-McFarlane Hand and Upper Limb Centre, St Joseph's Health Care, London, Ontario, Canada.

Background: Medial collateral ligament (MCL) injuries are common after elbow trauma and in overhead throwing athletes. A hinged elbow orthosis (HEO) is often used to protect the elbow from valgus stress early after injury and during early return to play. However, there is minimal evidence regarding the efficacy of these orthoses in controlling instability and their influence on long-term clinical outcomes. Read More

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http://journals.sagepub.com/doi/10.1177/0363546519870517
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http://dx.doi.org/10.1177/0363546519870517DOI Listing
October 2019
4 Reads

Effectiveness of stretching exercise versus kinesiotaping in improving length of the pectoralis minor: A systematic review and network meta-analysis.

Phys Ther Sport 2019 Nov 9;40:19-26. Epub 2019 Aug 9.

Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan; School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan. Electronic address:

Objective: Shortness of the pectoralis minor (PM) is a potential mechanism underlying shoulder impingement syndrome. Few studies have examined the effects of kinesiotaping and stretching exercise on PM length or index. This systematic review and network meta-analysis investigated the effects of stretching exercise and kinesiotaping on PM length and index in adults. Read More

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http://dx.doi.org/10.1016/j.ptsp.2019.08.003DOI Listing
November 2019
4 Reads

Elbow Flexion Assist Orthosis for Arthrogryposis.

IEEE Int Conf Rehabil Robot 2019 06;2019:494-498

Introduction: People with arthrogryposis multiplex congenita (AMC) often have muscle weakness in the biceps that makes elbow flexion difficult. An elbow-flexion assist orthosis was designed using the force of springs, combined with a sliding joint, to apply appropriate elbow torque to aid a user in lifting her hand to her mouth. The sliding joint allows an increasing elbow torque despite a decreasing spring force. Read More

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http://dx.doi.org/10.1109/ICORR.2019.8779399DOI Listing

Gravity Compensation of an Exoskeleton Joint Using Constant-Force Springs.

IEEE Int Conf Rehabil Robot 2019 06;2019:311-316

Stroke is one of the leading causes of impairment in the world. Many of those who have suffered a stroke experience long-term loss of upper-limb function as a result. BLUE SABINO is an exoskeleton device being developed at the University of Idaho to help assess these patients and aid in their rehabilitation. Read More

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http://dx.doi.org/10.1109/ICORR.2019.8779422DOI Listing
June 2019
3 Reads

Application of upper-limb dynamic pseudoelastic splinting in the treatment of stroke chronic patient: a pilot assessment.

Disabil Rehabil Assist Technol 2019 Aug 1:1-7. Epub 2019 Aug 1.

a Institute of Condensed Matter Chemistry and Technologies for Energy, National Research Council of Italy , Lecco , Italy.

The chronic sequelae of stroke are often a strong limitation to patient's quality of life. New non-invasive elective treatments are required to support postural and functional improvements long after the primary insult. This study is an uncontrolled pilot evaluation of pseudoelastic orthotics for post-stroke upper-limb rehabilitation. Read More

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http://dx.doi.org/10.1080/17483107.2019.1646824DOI Listing
August 2019
2 Reads

Conception, design, and fabrication of novel cost-effective partial-hand prosthetic devices for a quadrilateral individual with limb loss.

Prosthet Orthot Int 2019 Aug;43(4):459-463

Foot Care & Limb Design Centre, Tan Tock Seng Hospital, Singapore.

Background And Aim: The author designed customized upper-limb prosthetic devices for a 22-year-old man with quadrilateral limb loss. The devices were created to meet his functional requirements, while remaining cost-effective. What made this solution unique was that it utilized low-cost items that were easily sourced and maintained. Read More

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http://dx.doi.org/10.1177/0309364619843433DOI Listing
August 2019
3 Reads

Effects of upper limb loss and prosthesis use on proactive mechanisms of locomotor stability.

J Electromyogr Kinesiol 2019 Oct 23;48:145-151. Epub 2019 Jul 23.

Jesse Brown VA Medical Center, Chicago, IL, USA; Northwestern University Prosthetics-Orthotics Center, Dept. of Physical Medicine & Rehabilitation, Feinberg School of Medicine, Chicago, IL, USA.

Persons with upper limb loss (ULL) experience a high prevalence of falls, with the majority of falls occurring when walking. This issue may be related to altered arm dynamics, which play an important role in proactive mechanisms of locomotor stability. This study investigated effects of ULL and prosthesis use on proactive stability mechanisms, particularly if matching the mass and inertia of the impaired limb to the sound limb would enhance locomotor stability. Read More

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http://dx.doi.org/10.1016/j.jelekin.2019.07.012DOI Listing
October 2019
5 Reads

Simplifying models and estimating grasp performance for comparing dynamic hand orthosis concepts.

PLoS One 2019 25;14(7):e0220147. Epub 2019 Jul 25.

Department of Precision and Microsystems Engineering, Delft University of Technology, Delft, The Netherlands.

While designing a dynamic hand orthosis to assist during activities of daily living, the designer has to know whether a concept will have sufficient grasp performance to support these activities. This is often estimated by measuring the interaction force at the contact interface. However, this requires a prototyping step and limits the practicality of comparing several concepts in an early design stage. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0220147PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6657863PMC

Clinical outcomes of a low-cost single-channel myoelectric-interface three-dimensional hand prosthesis.

Arch Plast Surg 2019 Jul 15;46(4):303-310. Epub 2019 Jul 15.

Department of Plastic Surgery, SMG-SNU Boramae Medical Center, Seoul, Korea.

Background: Prosthetic hands with a myoelectric interface have recently received interest within the broader category of hand prostheses, but their high cost is a major barrier to use. Modern three-dimensional (3D) printing technology has enabled more widespread development and cost-effectiveness in the field of prostheses. The objective of the present study was to evaluate the clinical impact of a low-cost 3D-printed myoelectric-interface prosthetic hand on patients' daily life. Read More

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http://dx.doi.org/10.5999/aps.2018.01375DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6657188PMC
July 2019
4 Reads

Need for mechanically and ergonomically enhanced tremor-suppression orthoses for the upper limb: a systematic review.

J Neuroeng Rehabil 2019 07 18;16(1):93. Epub 2019 Jul 18.

Empa, Swiss Federal Laboratories for Materials Science and Technology, Laboratory for Biomimetic Membranes and Textiles, Lerchenfeldstrasse 5, 9014, St. Gallen, Switzerland.

Introduction: Tremor is the most common movement disorder, affecting 5.6% of the population with Parkinson's disease or essential tremor over the age of 65. Conventionally, tremor diseases like Parkinson's are treated with medication. Read More

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http://dx.doi.org/10.1186/s12984-019-0543-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6639950PMC

Systematic review of the effectiveness of Kinesio taping for children with brachial plexus injury.

Physiother Res Int 2020 Jan 23;25(1):e1794. Epub 2019 Jun 23.

Faculty of Physical Therapy, Cairo University, Giza, Egypt.

Objective: The purpose of this systematic review was to investigate the effectiveness of Kinesio taping on upper limb motor function in children with brachial plexus injury.

Data Sources: Articles were identified through searches of the following databases: OVID, Web of Science, Science Direct, PubMed, Google Scholar, and the Cochrane library.

Methods: Studies were excluded if they were nonpeer-reviewed publications, opinion articles, or not reported in English. Read More

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http://dx.doi.org/10.1002/pri.1794DOI Listing
January 2020
5 Reads

Effect of Kinesiology Taping on Upper Torso Mobility and Shoulder Pain and Disability in US Masters National Championship Swimmers: An Exploratory Study.

J Manipulative Physiol Ther 2019 05 17;42(4):247-253. Epub 2019 Jun 17.

Kinesiology and Health Sciences, Concordia University-St. Paul, St. Paul, Minnesota.

Objective: The purpose of this study was to observe changes in shoulder pain and upper-extremity functional movement after kinesiology taping (KT) in competitive swimmers.

Methods: Seventy-six healthy participants competing in the US Masters Swimming 2017 National Championship participated in the study. Participants performed functional movement of shoulder flexion along with Disabilities of the Arm, Shoulder, and Hand index assessments for the shoulder before and 30 minutes after application of KT. Read More

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http://dx.doi.org/10.1016/j.jmpt.2018.11.009DOI Listing
May 2019
6 Reads

Effects of kinesio taping on hemiplegic hand in patients with upper limb post-stroke spasticity: a randomized controlled pilot study.

Eur J Phys Rehabil Med 2019 Oct 13;55(5):551-557. Epub 2019 Jun 13.

Department of Physical Medicine and Rehabilitation, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan -

Background: Post-stroke spasticity is a common complication in patients with stroke and a key contributor to impaired hand function after stroke.

Aim: The purpose of this study was to investigate the effects of kinesio taping on managing spasticity of upper extremity and motor performance in patients with subacute stroke.

Design: A randomized controlled pilot study. Read More

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http://dx.doi.org/10.23736/S1973-9087.19.05684-3DOI Listing
October 2019
5 Reads

Upper- and lower-limb amputees show reduced levels of eeriness for images of prosthetic hands.

Psychon Bull Rev 2019 Aug;26(4):1295-1302

Division of Neuroscience and Experimental Psychology, University of Manchester, Manchester, UK.

The "uncanny phenomenon" describes the feeling of unease associated with seeing an image that is close to appearing human. Prosthetic hands in particular are well known to induce this effect. Little is known, however, about this phenomenon from the viewpoint of prosthesis users. Read More

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http://link.springer.com/10.3758/s13423-019-01612-x
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http://dx.doi.org/10.3758/s13423-019-01612-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6710333PMC
August 2019
12 Reads

A randomised controlled trial of multimodal physiotherapy versus advice for recent onset, painful cervical radiculopathy - the PACeR trial protocol.

BMC Musculoskelet Disord 2019 Jun 1;20(1):265. Epub 2019 Jun 1.

School of Public Health, Physiotherapy & Population Science, University College, Dublin, Ireland.

Background: A research gap exists for optimal management of cervical radiculopathy in the first 12 weeks and short term natural history of the condition is somewhat unclear, although thought to be favourable. The primary aim of this assessor blinded, superiority, 2 parallel group randomised controlled trial is to investigate the effects of a 4 week physiotherapy programme (6-8 sessions) of manual therapy, exercise and upper limb neural unloading tape, compared to a control of weekly phone advice; on disability, pain and selected biopsychosocial measures, in acute and sub-acute cervical radiculopathy patients. A secondary aim is to identify whether any baseline variables, symptom duration or group allocation can predict outcome. Read More

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http://dx.doi.org/10.1186/s12891-019-2639-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6545204PMC
June 2019
8 Reads

Comparative Study Between the Effects of Kinesio Taping and Pressure Garment on Secondary Upper Extremity Lymphedema and Quality of Life Following Mastectomy: A Randomized Controlled Trial.

Integr Cancer Ther 2019 Jan-Dec;18:1534735419847276

1 Department of Physiotherapy, College of Medical and Health Sciences, Ahlia University, Manama, Kingdom of Bahrain.

Background: Breast cancer stands out among the most widely recognized forms of cancer among women. It has been observed that upper extremity lymphedema is one of the most risky and prevalent complication following breast cancer surgery that prompts functional impairment, psychological, and social problems.

Purpose: To compare the effects of Kinesio taping and the application of the pressure garment on secondary lymphedema of the upper extremity. Read More

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http://dx.doi.org/10.1177/1534735419847276DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6509974PMC
December 2019
25 Reads
2.014 Impact Factor

Non-pharmacological treatment gap preceding surgical consultation in thumb carpometacarpal osteoarthritis - a cross-sectional study.

BMC Musculoskelet Disord 2019 Apr 30;20(1):180. Epub 2019 Apr 30.

Department of Rheumatology, National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet Hospital, PO Box 23, Vinderen, N-0319, Oslo, Norway.

Background: Osteoarthritis (OA) in the thumb carpometacarpal joint (CMCJ) is a prevalent disease which may lead to structural damage, severe pain and functional limitations. Evidence-based treatment recommendations state that all patients with hand OA should be offered non-pharmacological treatment. Surgery should be considered only when other treatment has proven insufficient in relieving pain. Read More

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http://dx.doi.org/10.1186/s12891-019-2567-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6492412PMC
April 2019
3 Reads

Shorter vs Longer Immobilization After Surgery for Thumb Carpometacarpal Osteoarthritis: A Propensity Score-Matched Study.

Arch Phys Med Rehabil 2019 11 23;100(11):2022-2031.e1. Epub 2019 Apr 23.

Department of Plastic, Reconstructive and Hand Surgery, Erasmus Medical Center, Rotterdam, the Netherlands; Department of Rehabilitation Medicine, Erasmus Medical Center, Rotterdam, the Netherlands.

Objective: To investigate if shorter immobilization is noninferior to longer immobilization after Weilby procedure for thumb carpometacarpal osteoarthritis DESIGN: Prospective cohort study with propensity score matching.

Setting: Data collection took place in 16 outpatient clinics for hand surgery and hand therapy.

Participants: A total of 131 participants with shorter immobilization and 131 participants with longer immobilization (N=262). Read More

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http://dx.doi.org/10.1016/j.apmr.2019.02.016DOI Listing
November 2019
1 Read

Feasibility and clinical experience of implementing a myoelectric upper limb orthosis in the rehabilitation of chronic stroke patients: A clinical case series report.

PLoS One 2019 12;14(4):e0215311. Epub 2019 Apr 12.

Brain Plasticity and NeuroRecovery Laboratory, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, United States of America.

Individuals with stroke are often left with persistent upper limb dysfunction, even after treatment with traditional rehabilitation methods. The purpose of this retrospective study is to demonstrate feasibility of the implementation of an upper limb myoelectric orthosis for the treatment of persistent moderate upper limb impairment following stroke (>6 months).

Methods: Nine patients (>6 months post stroke) participated in treatment at an outpatient Occupational Therapy department utilizing the MyoPro myoelectric orthotic device. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0215311PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6461279PMC
February 2020
4 Reads

Dynamic Lycra® orthoses as an adjunct to arm rehabilitation after stroke: a single-blind, two-arm parallel group, randomized controlled feasibility trial.

Clin Rehabil 2019 Aug 12;33(8):1331-1343. Epub 2019 Apr 12.

4 Dundee Epidemiology and Biostatistics Unit (DEBU), Population Health Sciences (PHS), School of Medicine, University of Dundee, Dundee, UK.

Objective: The aim of this study was to explore the feasibility of conducting a randomized controlled trial of dynamic Lycra orthoses as an adjunct to arm rehabilitation after stroke and to explore the magnitude and direction of change on arm outcomes.

Design: This is a single-blind, two-arm parallel group, feasibility randomized controlled trial.

Setting: In-patient rehabilitation. Read More

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http://dx.doi.org/10.1177/0269215519840403DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6613174PMC
August 2019
1 Read

Effect of taping on scapular kinematics of patients with facioscapulohumeral muscular dystrophy.

Neurol Sci 2019 Aug 9;40(8):1583-1588. Epub 2019 Apr 9.

Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.

The aim of this study is to investigate the effects of scapular taping on scapular kinematics by three-dimensional electromagnetic system during shoulder elevation in facioscapulohumeral muscular dystrophy patients. A total of 11 patients with facioscapulohumeral muscular dystrophy were included in the study. Scapular anterior-posterior tilt, upward-downward rotation, and internal-external rotations were evaluated using the three-dimensional electromagnetic system during the elevation of the upper limbs in the scapular plane before and after kinesio taping. Read More

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http://dx.doi.org/10.1007/s10072-019-03846-yDOI Listing
August 2019
5 Reads

Cross-cultural adaptation and Rasch validation of the Slovene version of the Orthotics and Prosthetics Users' Survey (OPUS) Client Satisfaction with Device (CSD) in upper-limb prosthesis users.

Ann Phys Rehabil Med 2019 May 6;62(3):168-173. Epub 2019 Apr 6.

Istituti Clinici Scientifici Maugeri IRCCS, PMR Unit of Lissone Institute, Lissone, Italy.

Objective: To validate the Slovene version of the Orthotics and Prosthetics Users' Survey (OPUS) 8-item Client Satisfaction with Device (CSD) questionnaire in upper-limb prosthesis users and to further verify measurement properties of this tool with Rasch analysis.

Design: Participants consisted of a convenience sample of 76 adults (54 men) using a prosthesis after unilateral upper-limb amputation who consecutively attended a follow-up visit at our centre.

Methods: After translation and cross-cultural adaptation of the CSD into the Slovene language, we evaluated functioning of the rating scale categories, item fit (internal construct validity), reliability indices and dimensionality, as well as convergent and discriminant construct validity of the questionnaire. Read More

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http://dx.doi.org/10.1016/j.rehab.2019.03.003DOI Listing
May 2019
21 Reads