923 results match your criteria Upper Limb Orthotics


Remote fitting procedures for upper limb 3d printed prostheses.

Expert Rev Med Devices 2019 Jan 21:1-10. Epub 2019 Jan 21.

e Department of Engineering Science , University of Oxford , UK.

Background: The objective of the current investigation was twofold: i) describe a remote fitting procedure for upper limb 3D printed prostheses and ii) assess patient satisfaction and comfort with 3D printed prostheses fitted remotely.

Methods: A qualitative study using content and score analysis to describe patient satisfaction after remote prosthetic fitting. Research participants reported QUEST and OPUS scores that allow for perceived rating of general aspects and functionality of upper limb prostheses. Read More

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http://dx.doi.org/10.1080/17434440.2019.1572506DOI Listing
January 2019
1 Read

Effect of a posture correction-based intervention on musculoskeletal symptoms and fatigue among control room operators.

Appl Ergon 2019 Apr 30;76:12-19. Epub 2018 Nov 30.

Centro de Estudio del Trabajo y Factores Humanos, Escuela de Kinesiología, Facultad de Medicina, Universidad de Valparaíso, Valparaíso, Chile. Electronic address:

This study was conducted to examine the effect of a posture correction-based intervention (with a biofeedback device) on the occurrence of musculoskeletal symptoms (MSS) and fatigue among control room operators in a petrochemical plant in Iran. A total of 188 office workers (91 in the case group and 97 in the control group) participated at baseline as well as at 6- and 12-month follow-up. A questionnaire survey (including the Nordic Musculoskeletal Questionnaire and Multidimensional Fatigue Inventory) and direct observations of working postures by using the Rapid Upper Limb Assessment (RULA) method were used. Read More

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http://dx.doi.org/10.1016/j.apergo.2018.11.008DOI Listing
April 2019
1 Read

Taping to Improve Scapular Dyskinesis, Scapular Upward Rotation, and Pectoralis Minor Length in Overhead Athletes.

J Athl Train 2018 Nov 7;53(11):1063-1070. Epub 2019 Jan 7.

School of Physical Therapy and Rehabilitation, Dokuz Eylül University, İzmir, Turkey.

Context: Deviations in scapular motions and subsequent alterations in associated soft tissues are thought to contribute to overuse shoulder injuries in overhead athletes. Whereas rigid and Kinesio taping are recommended for preventing these injuries, high-level evidence from clinical trials is still needed.

Objective: To determine and compare the short-term effects of rigid and Kinesio taping on scapular dyskinesis, scapular upward rotation, and pectoralis minor length in asymptomatic overhead athletes. Read More

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http://natajournals.org/doi/10.4085/1062-6050-342-17
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http://dx.doi.org/10.4085/1062-6050-342-17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333226PMC
November 2018
6 Reads

Walking with an induced unilateral knee extension restriction affects lower but not upper body biomechanics in healthy adults.

Gait Posture 2018 09 25;65:182-189. Epub 2018 Jul 25.

Bern University of Applied Sciences, Department of Health Professions, Bern, Switzerland. Electronic address:

Background: Unilateral knee flexion contractures (KFC) are frequently seen in orthopedic rehabilitation and often interfere with the normal gait pattern, resulting in passive and/or active secondary deviations. In order to prevent KFC-related complications such as patellofemoral pain or the knee spine syndrome, a comprehensive understanding of such deviations is necessary.

Research Question: How does an artificially induced unilateral KFC affect whole body biomechanics in young healthy adults during gait?

Methods: Twenty-four healthy young adults (females/males: 13/11; mean age: 27. Read More

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http://dx.doi.org/10.1016/j.gaitpost.2018.07.177DOI Listing
September 2018
2 Reads

The immediate sensorimotor effects of elbow orthoses in patients with lateral elbow tendinopathy: a prospective crossover study.

J Shoulder Elbow Surg 2019 Jan;28(1):e10-e17

Musculoskeletal Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. Electronic address:

Background: Counterforce orthoses are used to manage lateral elbow tendinopathy, and their effectiveness in improving motor function has been documented. Little is known about the impact of bracing on sensory function. The objective of this study was to investigate the immediate effectiveness of 2 counterforce orthoses in improving the sensorimotor abilities of the hand in patients with lateral elbow tendinopathy. Read More

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http://dx.doi.org/10.1016/j.jse.2018.08.042DOI Listing
January 2019
1 Read
2.289 Impact Factor

Why orthotic devices could be of help in the management of Movement Disorders in the young.

J Neuroeng Rehabil 2018 Dec 14;15(1):118. Epub 2018 Dec 14.

Institute of Condensed Matter Chemistry and Technologies for Energy, National Research Council of Italy (CNR-ICMATE), via Previati 1/E, 23900, Lecco, Italy.

Background: Movement Disorders (MD) are a class of disease that impair the daily activities of patients, conditioning their sensorimotor, cognitive and behavioural capabilities. Nowadays, the general management of patients with MD is based on rehabilitation, pharmacological treatments, surgery, and traditional splints. Although some attempts have been made to devise specific orthoses for the rehabilitation of patients affected by MD, especially the younger ones, those devices have received limited attention. Read More

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http://dx.doi.org/10.1186/s12984-018-0466-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295089PMC
December 2018

Evaluation of Moebius syndrome with hand manifestations.

Acta Orthop Belg 2018 Mar;84(1):94-98

Moebius Syndrome (MS) is characterized by congenital paralysis of the 6th and 7th cranial nerves, sometimes combined with deficits in cranial nerves and with limb anomalies. We reported that identifying common upper extremity orthopedic manifestations of this syndrome would asist physicians who care for affected patients to promtly establish a dignosis and treatment plan. Our internal medical record system was queried and a keyword search for "Möbius/Moebius Syndrome" was conducted. Read More

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March 2018
10 Reads

Coordinated activities of trunk and upper extremity muscles during walker-assisted paraplegic gait: A synergy study.

Hum Mov Sci 2018 Dec 30;62:184-193. Epub 2018 Oct 30.

Mechanical Engineering Department, Sharif University of Technology, Tehran, Iran. Electronic address:

Individuals with spinal cord injury (SCI) at lower thoracic levels might walk independently with the aid of mechanical orthoses and walker by using their unimpaired trunk and upper extremity muscles (TUEM). The required motor skills and the associated subtasks of the paraplegic locomotion, however, have not been well understood yet. The purpose of this study was to investigate the coordination of the TUEM activities throughout the paraplegic gait cycle using synergy analysis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01679457183036
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http://dx.doi.org/10.1016/j.humov.2018.10.002DOI Listing
December 2018
9 Reads

Ultrasonographic and clinical evaluation of additional contribution of kinesiotaping to tendon and nerve gliding exercises in the treatment of carpal tunnel syndrome

Turk J Med Sci 2018 Oct 31;48(5):925-932. Epub 2018 Oct 31.

Background and aim: This study aims to ultrasonographically and clinically evaluate the additive contribution of kinesiotaping to tendon and nerve gliding exercises in the treatment of mild or moderate carpal tunnel syndrome (CTS). Materials and methods: Thirty-eight wrists of patients (n = 21) with CTS were randomized into two groups as the intervention group (n = 19) and the control group (n = 19). Tendon and nerve gliding exercises were given to both groups. Read More

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http://dx.doi.org/10.3906/sag-1709-72DOI Listing
October 2018
13 Reads

Ergonomic interventions for preventing work-related musculoskeletal disorders of the upper limb and neck among office workers.

Cochrane Database Syst Rev 2018 10 23;10:CD008570. Epub 2018 Oct 23.

Centre for Occupational and Environmental Health, University of Malaya, Pantai Valley, Kuala Lumpur, Malaysia, 50603.

Background: Work-related upper limb and neck musculoskeletal disorders (MSDs) are one of the most common occupational disorders worldwide. Studies have shown that the percentage of office workers that suffer from MSDs ranges from 20 to 60 per cent. The direct and indirect costs of work-related upper limb MSDs have been reported to be high in Europe, Australia, and the United States. Read More

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http://dx.doi.org/10.1002/14651858.CD008570.pub3DOI Listing
October 2018

Rehabilitation Strategies Following Surgical Treatment of Upper Extremity Spasticity.

Hand Clin 2018 Nov 20;34(4):567-582. Epub 2018 Aug 20.

Occupational Therapy, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 East Chicago Avenue, Box 142, Chicago, IL 60611-2605, USA. Electronic address:

Upper motor neuron injuries that occur in cases such as cerebral palsy, cerebrovascular accidents, and traumatic brain injury often have resulting upper extremity deformity and dysfunction. Multiple surgical options are available to improve upper extremity positioning, and, in some cases, motor control. Postoperative therapeutic management is imperative to assist the patient/caregiver in maximizing potential functional gains. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07490712183006
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http://dx.doi.org/10.1016/j.hcl.2018.06.013DOI Listing
November 2018
3 Reads

Nonsurgical Treatment Options for Upper Limb Spasticity.

Hand Clin 2018 Nov 18;34(4):455-464. Epub 2018 Aug 18.

Shirley Ryan AbilityLab, Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, 355 East Erie Street, Chicago, IL 60601, USA.

There are many nonsurgical treatment options for patients with upper limb spasticity. This article presents an algorithmic approach to management, encompassing evidence-based rehabilitation therapies, medications, and promising new orthotic and robotic innovations. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07490712183005
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http://dx.doi.org/10.1016/j.hcl.2018.06.003DOI Listing
November 2018
2 Reads

Mobile Mechatronic/Robotic Orthotic Devices to Assist-Rehabilitate Neuromotor Impairments in the Upper Limb: A Systematic and Synthetic Review.

Front Neurosci 2018 5;12:577. Epub 2018 Sep 5.

Department of Physical and Rehabilitation Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.

This paper overviews the state-of-the-art in upper limb robot-supported approaches, focusing on advancements in the related mechatronic devices for the patients' rehabilitation and/or assistance. Dedicated to the technical, comprehensively methodological and global effectiveness and improvement in this inter-disciplinary field of research, it includes information beyond the therapy administrated in clinical settings-but with no diminished safety requirements. Our systematic review, based on PRISMA guidelines, searched articles published between January 2001 and November 2017 from the following databases: Cochrane, Medline/PubMed, PMC, Elsevier, PEDro, and ISI Web of Knowledge/Science. Read More

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https://www.frontiersin.org/article/10.3389/fnins.2018.00577
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http://dx.doi.org/10.3389/fnins.2018.00577DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134072PMC
September 2018
3 Reads

Prospective randomized controlled trial in the treatment of lateral epicondylitis with a new dynamic wrist orthosis.

Eur J Med Res 2018 Sep 15;23(1):43. Epub 2018 Sep 15.

Orthopaedic-Surgery Centre (OCC), Tübingen, Germany.

Background: In the treatment of lateral epicondylitis (LE), the role of a new dynamic wrist orthosis is unclear.

Patients And Methods: Patients suffering from a LE longer than 3 months were multicentrically and prospectively randomized into a physiotherapeutic group (PT group) and in a physiotherapy group plus wrist orthosis (PT + O group). Physiotherapy consisted of daily eccentric strengthening exercises under initial professional supervision. Read More

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http://dx.doi.org/10.1186/s40001-018-0342-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6138897PMC
September 2018
3 Reads

Insulated Offloading Provides Offloading Protection and Enhanced Skin Perfusion.

Wounds 2018 Oct 16;30(10):300-305. Epub 2018 Aug 16.

Scriptum Medica, University Place, WA.

Introduction: Locally and neurally mediated vasodilation of the cutaneous vasculature has been shown to occur in response to locally and systemically applied heat stresses. The resultant shunting of blood to the periphery can be upwards of 7 L/min to 8 L/min when profound heat stresses are applied. The increased cutaneous circulation from local heat stress may benefit extremities afflicted with a wound or area of compromised arterial supply. Read More

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October 2018
16 Reads

The Less You Are, the More You Are Helped: Effect of Kinesio Tape on Temporal Coordination.

Int J Sports Med 2018 Nov 11;39(12):944-953. Epub 2018 Sep 11.

Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.

We investigated whether a relationship exists between the inherent timing skill of subject and the magnitude of effect of KT on timing performance by expanding the examination of the dataset described in our previous work. Healthy subjects, tested with and without KT (NKT), performed sets of repetitive wrist's flexion-extensions (IWFEs) with the dominant limb (DL) and the non-dominant limb (NDL) in a synchronization-continuation task at two inter-onset intervals (IOIs): 550-ms and 800-ms. Standard deviation (SD) of IWFEs was used to measure the unevenness of performance. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0668-0041
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http://dx.doi.org/10.1055/a-0668-0041DOI Listing
November 2018
15 Reads

The Application of Three-Dimensional Printed Finger Splints for Post Hand Burn Patients: A Case Series Investigation.

Ann Rehabil Med 2018 Aug 31;42(4):634-638. Epub 2018 Aug 31.

Department of Rehabilitation Medicine, Kangdong Sacred Heart Hospital, Seoul, Korea.

The application of three-dimensional (3D) printing is growing explosively in the medical field, and is especially widespread in the clinical use of fabricating upper limb orthosis and prosthesis. Advantages of 3D-printed orthosis compared to conventional ones include its lower cost, easier modification, and faster fabrication. Hands are the most common body parts involved with burn victims and one of the main complications of hand burns are finger joint contractures. Read More

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http://dx.doi.org/10.5535/arm.2018.42.4.634DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129707PMC
August 2018
4 Reads

Measure of activity performance of the hand (MAP-Hand) questionnaire: linguistic validation, cultural adaptation and psychometric testing in people with rheumatoid arthritis in the UK.

BMC Musculoskelet Disord 2018 Jul 31;19(1):275. Epub 2018 Jul 31.

Centre for Health Sciences Research, University of Salford, Salford, UK.

Background: Developed in the Norway, the Measure of Activity Performance of the Hand (MAP-Hand) assesses 18 activities performed using the hands. It was developed for people with rheumatoid arthritis (RA) using patient generated items, which are scored on a 0-3 scale and summarised into a total score range (0 to 54). This study reports the development and psychometric testing of the British English MAP-Hand in a UK population of people with RA. Read More

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http://dx.doi.org/10.1186/s12891-018-2177-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6069818PMC
July 2018
7 Reads
1.900 Impact Factor

Phantom motor execution as a treatment for phantom limb pain: protocol of an international, double-blind, randomised controlled clinical trial.

BMJ Open 2018 Jul 16;8(7):e021039. Epub 2018 Jul 16.

Biomechatronics and Neurorehabilitation Laboratory, Department of Electrical Engineering, Chalmers University of Technology, Goteborg, Sweden.

Introduction: Phantom limb pain (PLP) is a chronic condition that can greatly diminish quality of life. Control over the phantom limb and exercise of such control have been hypothesised to reverse maladaptive brain changes correlated to PLP. Preliminary investigations have shown that decoding motor volition using myoelectric pattern recognition, while providing real-time feedback via virtual and augmented reality (VR-AR), facilitates phantom motor execution (PME) and reduces PLP. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-021039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6082487PMC
July 2018
6 Reads

Evolution of Neuroprosthetic Approaches to Restoration of Upper Extremity Function in Spinal Cord Injury.

Top Spinal Cord Inj Rehabil 2018 ;24(3):252-264

MetroHealth Medical Center, Cleveland, Ohio.

Spinal cord injury (SCI) occurring at the cervical levels can result in significantly impaired arm and hand function. People with cervical-level SCI desire improved use of their arms and hands, anticipating that regained function will result in improved independence and ultimately improved quality of life. Neuroprostheses provide the most promising method for significant gain in hand and arm function for persons with cervical-level SCI. Read More

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http://dx.doi.org/10.1310/sci2403-252DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6037324PMC
October 2018
18 Reads

Effect of ankle taping on postural control measures during grasp and release task in patients with chronic ankle instability.

J Back Musculoskelet Rehabil 2018 ;31(5):881-887

Physical Therapy Department, Rehabilitation Faculty, Tehran University of Medical Sciences, Tehran, Iran.

Objective: The aim of this study was to examine the effect of Mulligan ankle taping on center of pressure (COP) parameters during performance of a functional upper limb task in patients with chronic ankle instability (CAI).

Methods: A clinical controlled trial study designed between 4 ankle conditions: untaped and taped, CAI and healthy subjects. Fifteen subjects with CAI and 15 healthy controls were asked to grasp an object at their waist level and release it above shoulder level in an oblique pattern during performance of single-leg stance balance test. Read More

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http://dx.doi.org/10.3233/BMR-171067DOI Listing
January 2019
3 Reads

Coactivation index of children with congenital upper limb reduction deficiencies before and after using a wrist-driven 3D printed partial hand prosthesis.

J Neuroeng Rehabil 2018 Jun 8;15(1):48. Epub 2018 Jun 8.

Department of Biomechanics, Biomechanics Research Building, 3D Printed Prosthetic, Orthotic & Assistive Devices, University of Nebraska, 6001 Dodge St, Omaha, NE, 68182, USA.

Background: Co-contraction is the simultaneous activation of agonist and antagonist muscles that produces forces around a joint. It is unknown if the use of a wrist-driven 3D printed transitional prostheses has any influence on the neuromuscular motor control strategies of the affected hand of children with unilateral upper-limb reduction deficiencies. Thus, the purpose of the current investigation was to examine the coactivation index (CI) of children with congenital upper-limb reduction deficiencies before and after 6 months of using a wrist-driven 3D printed partial hand prosthesis. Read More

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http://dx.doi.org/10.1186/s12984-018-0392-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994003PMC
June 2018
14 Reads

Comparison of ankle-foot orthoses with plantar flexion stop and plantar flexion resistance in the gait of stroke patients: A randomized controlled trial.

Prosthet Orthot Int 2018 Oct 4;42(5):544-553. Epub 2018 Jun 4.

2 Nakaizu Rehabilitation Center, Izu, Japan.

Background: The effect of plantar flexion resistance of ankle-foot orthoses on the ankle and knee joints is well known, but its effect on the hip joint and upper body movement during the gait of stroke patients remains unclear.

Objectives: To compare the effect of an ankle-foot orthosis with plantar flexion stop and an ankle-foot orthosis with plantar flexion resistance on the gait of stroke patients in the subacute phase.

Study Design: Randomized controlled trial. Read More

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http://dx.doi.org/10.1177/0309364618774055DOI Listing
October 2018
25 Reads

Conformity of modified O-ring test and maximal pinch strength for cross tape application direction.

Medicine (Baltimore) 2018 Jun;97(22):e10879

Department of Biomedical Health Science, Graduate School, Dong-Eui University, Busan, Republic of Korea.

Background: Although cross tape has recently been used by clinicians for various musculoskeletal conditions, scientific studies on the direction of cross tape application are lacking.

Methods: The present study aimed to investigate whether the direction of cross tape application affected the outcomes of the modified O-ring test and maximal pinch strength using a pinch gauge and the conformity between these 2 tests when cross tape was applied to the forearm muscles of individuals with no upper extremity pain and no restriction of joint range of motion.This study used a single-blinding crossover design. Read More

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http://dx.doi.org/10.1097/MD.0000000000010879DOI Listing
June 2018
3 Reads

Short-term effects of customized arch support insoles on symptomatic flexible flatfoot in children: A randomized controlled trial.

Medicine (Baltimore) 2018 May;97(20):e10655

Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan.

Background: Limited evidence is available regarding the effects of insoles on pediatric flexible flatfoot because of the heterogeneity and low methodological quality of previous studies. The purpose of this prospective trial is to examine the short-term effects of customized arch support insoles on symptomatic flexible flatfoot in children by using the International Classification of Functioning, randomized controlled Disability, and Health (ICF) framework.

Methods: This study was conducted in a rehabilitation outpatient clinic of a teaching hospital. Read More

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http://Insights.ovid.com/crossref?an=00005792-201805180-0001
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http://dx.doi.org/10.1097/MD.0000000000010655DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5976302PMC
May 2018
11 Reads

Self-directed therapy programmes for arm rehabilitation after stroke: a systematic review.

Clin Rehabil 2018 Aug 13;32(8):1022-1036. Epub 2018 May 13.

Institute of Neuroscience and Stroke Research Group, Newcastle University, Newcastle upon Tyne, UK.

Aim: To investigate the effectiveness of self-directed arm interventions in adult stroke survivors.

Methods: A systematic review of Medline, EMBASE, CINAHL, SCOPUS and IEEE Xplore up to February 2018 was carried out. Studies of stroke arm interventions were included where more than 50% of the time spent in therapy was initiated and carried out by the participant. Read More

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http://dx.doi.org/10.1177/0269215518775170DOI Listing
August 2018
4 Reads

Assessment of orthotic needs in Iranian veterans with ankle and foot disorders.

Mil Med Res 2018 04 20;5(1):12. Epub 2018 Apr 20.

Janbazan Medical and Engineering Research Center (JMERC), Farrokh Ave, Velenjak, Tehran, Iran.

Background: War-related traumas can lead to orthopedic and neurological disorders in victims. However, the scope of such disorders may expand months or even years after the trauma. Orthotic treatment as a rehabilitation process aims to enable people with disabilities to reach and maintain their optimal physical, sensory, intellectual, psychological, and social functional levels. Read More

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https://mmrjournal.biomedcentral.com/articles/10.1186/s40779
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http://dx.doi.org/10.1186/s40779-018-0159-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5909243PMC
April 2018
6 Reads

An Alternative Myoelectric Pattern Recognition Approach for the Control of Hand Prostheses: A Case Study of Use in Daily Life by a Dysmelia Subject.

IEEE J Transl Eng Health Med 2018 12;6:2600112. Epub 2018 Mar 12.

Department of Electrical EngineeringChalmers University of Technology412 58GothenburgSweden.

The functionality of upper limb prostheses can be improved by intuitive control strategies that use bioelectric signals measured at the stump level. One such strategy is the decoding of motor volition via myoelectric pattern recognition (MPR), which has shown promising results in controlled environments and more recently in clinical practice. Moreover, not much has been reported about daily life implementation and real-time accuracy of these decoding algorithms. Read More

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http://dx.doi.org/10.1109/JTEHM.2018.2811458DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881457PMC
March 2018
5 Reads

Therapy Concepts for the Proximal Interphalangeal Joint.

Hand Clin 2018 05;34(2):289-299

Department of Orthopedic Surgery, Robert A. Chase Hand & Upper Limb Center, Stanford University, 450 Broadway Street, Pavilion C, Redwood City, CA 94063, USA. Electronic address:

The principles of hand therapy for proximal interphalangeal joint disorders include protecting injured structures, minimizing patient discomfort, and optimizing patient recovery. Comprehension of hand anatomy, the nature of the injury being treated, and the phases of healing are critical when designing a safe and effective hand therapy program. Hand therapists use a combination of orthoses, guided exercises, and modalities to improve edema, sensitivity, range of motion, and function. Read More

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http://dx.doi.org/10.1016/j.hcl.2018.01.001DOI Listing
May 2018
18 Reads

Management of Proximal Interphalangeal Joint Fracture Dislocations.

Hand Clin 2018 05;34(2):149-165

Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Avenue-Stoneman 10, Boston, MA 02215, USA. Electronic address:

Fracture dislocations of the proximal interphalangeal (PIP) joint of the finger are often caused by axial load applied to a flexed joint. The most common injury pattern is a dorsal fracture dislocation with a volar lip fracture of the middle phalanx. Damage to the soft-tissue stabilizers of the PIP joint contributes to the deformity seen with these fracture patterns. Read More

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http://dx.doi.org/10.1016/j.hcl.2017.12.005DOI Listing
May 2018
7 Reads

Targeted Muscle Reinnervation: Considerations for Future Implementation in Adolescents and Younger Children.

Plast Reconstr Surg 2018 06;141(6):1447-1458

Toronto, Ontario, Canada From the Division of Plastic and Reconstructive Surgery, Department of Surgery, and the Institute of Biomaterials and Biomedical Engineering, University of Toronto; the Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children; and Orthotics and Prosthetics, Holland Bloorview Kids Rehabilitation Hospital.

Prosthetic options for patients with proximal upper limb absence are limited. Current above-elbow prostheses may restore basic motor functions for crucial activities, but they are cumbersome to operate, lack sensory feedback, and are often abandoned. Targeted muscle reinnervation is a novel surgical procedure that enhances the ability of patients with above-elbow amputations to intuitively control a myoelectric prosthesis. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004370DOI Listing
June 2018
7 Reads

Design and analysis of an original powered foot clearance creator mechanism for walking in patients with spinal cord injury.

Disabil Rehabil Assist Technol 2018 Mar 12:1-5. Epub 2018 Mar 12.

b Orthotics and Prosthetics Department , University of Social Welfare and Rehabilitation Sciences , Tehran , Islamic Republic of Iran.

Background: The aim of this study was to assess the performance of an original powered foot clearance creator (PFCC) mechanism worn in conjunction with an isocentric reciprocal gait orthosis (IRGO) and evaluate its effect on trunk compensatory movements and spatiotemporal parameters in nine healthy subjects.

Method: A PFCC motorized mechanism was designed that incorporated twin sole plates, the movements of which enabled increased toe to floor clearance during swing phase. A prototype was constructed in combination with an IRGO, and hence was re-named as an IRGO-PFCC orthosis. Read More

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http://dx.doi.org/10.1080/17483107.2018.1447610DOI Listing
March 2018
5 Reads

One Brace: One Visit: Treatment of Pediatric Distal Radius Buckle Fractures With a Removable Wrist Brace and No Follow-up Visit.

J Pediatr Orthop 2018 Jul;38(6):e338-e342

Children's Orthopaedics of Hawaii, Mary Savio Medical Plaza, Aiea, HI.

Background: Previous studies have showed the efficacy of removable brace treatment for distal radius buckle fractures in children, whereas others have independently suggested that these injuries do not require additional radiographic imaging. However, no study has sought to collectively determine whether treating pediatric distal radius buckle fractures with a removable brace and no follow-up visit or imaging after the initial visit is a safe and satisfactory protocol.

Methods: In total, 42 consecutive patients with a distal forearm buckle fracture seen by a single fellowship trained pediatric orthopaedic surgeon were eligible to participate. Read More

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http://Insights.ovid.com/crossref?an=01241398-201807000-0001
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http://dx.doi.org/10.1097/BPO.0000000000001169DOI Listing
July 2018
6 Reads
1.430 Impact Factor

Rehabilitation of stroke patients with plegic hands: Randomized controlled trial of expanded Constraint-Induced Movement therapy.

Restor Neurol Neurosci 2018 ;36(2):225-244

Department of Psychology, University of Alabama at Birmingham (UAB), Birmingham, AL, USA.

Purpose: To evaluate the efficacy of an expanded form of Constraint-Induced Movement Therapy (eCIMT) that renders CIMT, originally designed for treating mild-to-moderate upper-extremity hemiparesis, suitable for treating severe hemiparesis.

Methods: Twenty-one adults ≥1 year after stroke with severe upper-extremity hemiparesis (with little or no capacity to make movements with the more-affected hand) were randomly assigned to eCIMT (n = 10), a placebo-control procedure (n = 4), or usual care (n = 7). The participants who received usual care were crossed over to eCIMT four months after enrollment. Read More

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http://dx.doi.org/10.3233/RNN-170792DOI Listing
October 2018
9 Reads

Design of a 3D-printed, open-source wrist-driven orthosis for individuals with spinal cord injury.

PLoS One 2018 22;13(2):e0193106. Epub 2018 Feb 22.

Department of Mechanical Engineering, University of Washington, Seattle, WA, United States of America.

Assistive technology, such as wrist-driven orthoses (WDOs), can be used by individuals with spinal cord injury to improve hand function. A lack of innovation and challenges in obtaining WDOs have limited their use. These orthoses can be heavy and uncomfortable for users and also time-consuming for orthotists to fabricate. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0193106PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5823450PMC
May 2018
9 Reads

Kinesio Taping Associated with Acupuncture in the Treatment of the Paretic Upper Limb After Stroke.

J Acupunct Meridian Stud 2018 Apr 4;11(2):67-73. Epub 2018 Jan 4.

Graduate Program in Rehabilitation Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil; Physical Therapy Department, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil. Electronic address:

The leading cause of disability in adults, leads to different consequences, such as hemiparesis and loss of function in the upper limb which can impair the performance of activities of daily living. Different techniques, such as like acupuncture and Kinesio Taping (KT), have been used to ameliorate this condition. However, there is no consensus on their concomitant effect on neurological patients. Read More

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http://dx.doi.org/10.1016/j.jams.2017.12.003DOI Listing
April 2018
6 Reads

Role and Significance of Trunk and Upper Extremity Muscles in Walker-Assisted Paraplegic Gait: A Case Study.

Top Spinal Cord Inj Rehabil 2018 12;24(1):18-27. Epub 2017 Jun 12.

Mechanical Engineering Department, Sharif University of Technology, Tehran, Iran.

Understanding the role and significance of trunk and upper extremity muscles in paraplegic gait can help in designing more effective assistive devices for these patients and also provides valuable information for improving muscle strengthening programs. In a patient with a spinal cord injury (SCI) who could walk independently (rating scale of ambulatory capacity, 9) with the aid of bilateral ankle-foot orthosis and a walker, the kinematics, kinetics and electromyographic (EMG) activities of 16 muscles from the trunk and upper and lower extremities were recorded during gait. The onset, cessation, and duration of the EMG signal were associated with the 4 phases of each step, distinguished based on the kinematics results. Read More

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http://dx.doi.org/10.1310/sci16-00061DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5791920PMC
August 2018
23 Reads

Design-validation of a hand exoskeleton using musculoskeletal modeling.

Appl Ergon 2018 Apr 19;68:283-288. Epub 2017 Dec 19.

Sorbonne Universités, Université de Technologie de Compiègne, UMR CNRS 7338, Biomécanique et Bioingénierie, Centre de Recherche Royallieu, F-60203, Compiègne, France. Electronic address:

Exoskeletons are progressively reaching homes and workplaces, allowing interaction with virtual environments, remote control of robots, or assisting human operators in carrying heavy loads. Their design is however still a challenge as these robots, being mechanically linked to the operators who wear them, have to meet ergonomic constraints besides usual robotic requirements in terms of workspace, speed, or efforts. They have in particular to fit the anthropometry and mobility of their users. Read More

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http://dx.doi.org/10.1016/j.apergo.2017.11.015DOI Listing
April 2018
13 Reads

Effects of Kinesiology Taping on Scapular Reposition Accuracy, Kinematics, and Muscle Activity in Athletes With Shoulder Impingement Syndrome: A Randomized Controlled Study.

J Sport Rehabil 2018 Nov 15;27(6):560-569. Epub 2018 Oct 15.

Context: Scapular proprioception is a key concern in managing shoulder impingement syndrome (SIS). However, no study has examined the effect of elastic taping on scapular proprioception performance.

Objective: To investigate the immediate effect of kinesiology taping (KT) on scapular reposition accuracy, kinematics, and muscle activation in individuals with SIS. Read More

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https://journals.humankinetics.com/doi/10.1123/jsr.2017-0043
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http://dx.doi.org/10.1123/jsr.2017-0043DOI Listing
November 2018
23 Reads

The impact of using an upper-limb prosthesis on the perception of real and illusory weight differences.

Psychon Bull Rev 2018 08;25(4):1507-1516

National Centre for Prosthetics and Orthotics, Department of Biomedical Engineering, University of Strathclyde, Glasgow, UK.

Little is known about how human perception is affected using an upper-limb prosthesis. To shed light on this topic, we investigated how using an upper-limb prosthesis affects individuals' experience of object weight. First, we examined how a group of upper-limb amputee prosthetic users experienced real mass differences and illusory weight differences in the context of the 'size-weight' illusion. Read More

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http://link.springer.com/10.3758/s13423-017-1425-2
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http://dx.doi.org/10.3758/s13423-017-1425-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6096644PMC
August 2018
10 Reads

Adjustment to finger amputation and silicone finger prosthesis use.

Disabil Rehabil 2018 Jan 11:1-6. Epub 2018 Jan 11.

a University rehabilitation Institute , Ljubljana , Slovenia.

Purpose: Finger amputations are the most common amputations of upper limbs. They influence hand function, general functioning and quality of life. One of the possibilities for rehabilitation after finger amputation is fitting a silicone finger prosthesis. Read More

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http://dx.doi.org/10.1080/09638288.2018.1424954DOI Listing
January 2018
7 Reads

Integrated wearable and self-carrying active upper limb orthosis.

Proc Inst Mech Eng H 2018 Feb 9;232(2):172-184. Epub 2018 Jan 9.

Instituto Politécnico Nacional-UPIBI, Ciudad de México, Mexico.

The aim of this study was to develop a prototype of an orthotic system that can be used as a support tool in the rehabilitation of the upper limb. The construction of this device was motivated by the increasing number of subjects suffering from full or partial loss of the upper limb function as a consequence of spinal cord injuries, strokes, occupational syndromes and sports injuries. The majority of procedures used in upper limb rehabilitation consist of repetitive movements enforced by physiotherapists; a robotic device executing the same tasks seems to be a plausible solution if the orthosis can be programmed and controlled automatically. Read More

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http://dx.doi.org/10.1177/0954411917751001DOI Listing
February 2018
4 Reads

Evaluation of a functional hand orthosis combined with electrical stimulation adjunct to arm-hand rehabilitation in subacute stroke patients with a severely to moderately affected hand function.

Disabil Rehabil 2018 Jan 9:1-9. Epub 2018 Jan 9.

b Adelante Centre of Expertise in Rehabilitation and Audiology , Hoensbroek , the Netherlands.

Purpose: To investigate the usability and effectiveness of a functional hand orthosis, combined with electrical stimulation adjunct to therapy-as-usual, on functional use of the moderately/severely impaired hand in sub-acute stroke patients.

Materials And Methods: Single case experiment (A-B-A'-design) involving eight sub-acute stroke patients. The functional hand orthosis and electrical stimulation were used for six weeks, four days/week, 45'/day. Read More

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http://dx.doi.org/10.1080/09638288.2017.1423400DOI Listing
January 2018
7 Reads

Is wrist splint more effective than forearm band for lateral epicondylitis?

Medwave 2017 Dec 28;17(9):e7124. Epub 2017 Dec 28.

Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; Proyecto Epistemonikos, Santiago, Chile.

Introduction: Lateral epicondylitis is a common cause of lateral elbow pain. There are many treatments able to improvement symptoms, including orthotic devices. The main available orthosis are wrist splint and forearm band. Read More

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http://dx.doi.org/10.5867/medwave.2017.09.7124DOI Listing
December 2017
18 Reads

Short- and medium-term effect of kinesio taping or electrical stimulation in hemiplegic shoulder pain prevention: A randomized controlled pilot trial.

NeuroRehabilitation 2017 ;41(4):801-810

Department of Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, University of Sevilla, Sevilla, Spain.

Objective: To compare the short and medium-term effectiveness of combining Kinesio Tape (KT) or neuromuscular electrical stimulation (NMES) with a conventional approach to prevent shoulder pain after stroke.

Methods: Thirty-one first-time stroke survivors (58.06% females) were recruited and randomly assigned to one group; Control (n = 10), KT (n = 11), or NMES (n = 10). Read More

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http://dx.doi.org/10.3233/NRE-172190DOI Listing
June 2018
21 Reads

Hand Functions of Myoelectric and 3D-Printed Pressure-Sensored Prosthetics: A Comparative Study.

Ann Rehabil Med 2017 Oct 31;41(5):875-880. Epub 2017 Oct 31.

Department of Rehabilitation Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea.

The loss of an upper limb significantly limits the functional activities of daily living. A huge emphasis is placed on the manipulation, shape, weight, and comfort of a prosthesis, to enable its use as an inherent body part. Even with technological advances, customized upper-extremity myoelectric prosthesis remain heavy and expensive. Read More

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http://dx.doi.org/10.5535/arm.2017.41.5.875DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5698676PMC
October 2017
4 Reads

Design and Development of a Novel Upper-Limb Cycling Prosthesis.

Bioengineering (Basel) 2017 Nov 16;4(4). Epub 2017 Nov 16.

Department of Occupational Therapy, Prosthetics and Orthotics, Oslo and Akershus University College of Applied Sciences, NO-0130 Oslo, Norway.

The rise in popularity of the Paralympics in recent years has created a need for effective, low-cost sports-prosthetic devices for upper-limb amputees. There are various opportunities for lower-limb amputees to participate in cycling; however, there are only few options for those with upper-limb amputations. If the individual previously participated in cycling, a cycling-specific prosthesis could allow these activities to be integrated into rehabilitation methods. Read More

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http://www.mdpi.com/2306-5354/4/4/89
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http://dx.doi.org/10.3390/bioengineering4040089DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5746756PMC
November 2017
11 Reads

In Vitro Kinematic Assessment of a Hinged Elbow Orthosis Following Lateral Collateral Ligament Injury.

J Hand Surg Am 2018 02 11;43(2):123-132. Epub 2017 Nov 11.

Roth-McFarlane Hand & Upper Limb Centre, St. Joseph's Health Care, London, Ontario, Canada; Department of Mechanical and Materials Engineering, Western University, London, Ontario, Canada.

Purpose: Elbow lateral collateral ligament injuries (LCLI) are often managed with protected mobilization using a hinged elbow orthosis (HEO). The objective of this investigation was to determine the effectiveness of an HEO in stabilizing the elbow following LCLI.

Methods: Seven fresh-frozen cadaveric upper extremity specimens were studied using a custom simulator that enabled elbow motion via computer-controlled actuators and servomotors attached to relevant tendons. Read More

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http://dx.doi.org/10.1016/j.jhsa.2017.09.021DOI Listing
February 2018
11 Reads

Functional changes through the usage of 3D-printed transitional prostheses in children.

Disabil Rehabil Assist Technol 2017 Nov 8:1-7. Epub 2017 Nov 8.

a Department of Biomechanics , University of Nebraska , Omaha , NE , USA.

Introduction: There is limited knowledge on the use of 3 D-printed transitional prostheses, as they relate to changes in function and strength. Therefore, the purpose of this study was to identify functional and strength changes after usage of 3 D-printed transitional prostheses for multiple weeks for children with upper-limb differences.

Materials And Methods: Gross manual dexterity was assessed using the Box and Block Test and wrist strength was measured using a dynamometer. Read More

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http://dx.doi.org/10.1080/17483107.2017.1398279DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5940585PMC
November 2017
12 Reads