Showing papers in "Journal of Hand Therapy in 1993"

TL;DR: How altered schedules of activity from the skin contribute to cortical representational remodeling is discussed; other factors that influence the representationally remodeling are discussed; and some implications of these findings for sensory rehabilitation are discussed.

TL;DR: In this paper, the author's long history with somatosensation is overviewed with special emphasis on the creation of objective tests of sensibility, including the Semmes-Weinstein monofilaments, two-point discrimination, and point localization.

TL;DR: Clinicians must insist on validity and reliability in their instruments before they have confidence in the data obtained, and makes an appeal for clinicians to review the instruments they use critically for sensibility measurement with regard to stimulus control.

TL;DR: The purpose of the study was to check the calibrations of six Jamar dynamometers, with the application of seven different external forces, and the normative values of hand grip related to different handle positions.

TL;DR: A study of internal forces applied to a repaired tendon with MAMTT, with specific guidelines for joint angle and external load application, that allows a repeatable and reliable technique for the application of active stress to a healing tendon repaired with some currently available popular suture techniques.

TL;DR: The treatment of patients with severe sensory deficits focuses on improving the perception of sensory information arising from receptors in the hand and on retraining motor function, and the procedures used for sensory re-education and retraining are described.

TL;DR: The fiber length/moment arm ratio of a muscle-joint combination must be considered when describing strength because strength is a manifestation of both muscle and joint properties and not either alone.

TL;DR: The need to control for water temperature when using a volumeter to measure hand edema is suggested, however, for general clinical practice, the use of "cool" or "tepid" water does not appear to alter hand volume readings significantly to be of concern.

TL;DR: The purpose of this article is to demonstrate the complexities of adapting technology and developing the sensory testing technique of the Semmes-Weinstein (S-W) monofilaments in Brazil to enable early detection and monitoring of peripheral nerve function in Hansen's disease (Hd).

TL;DR: The key to the success of early active mobilization is the simplicity of the regimen for both patient and staff, with only one plaster application requiring no alteration throughout the treatment, thus providing a safe environment for patients to undertake full passive and active movements from 48 hours post repair.

TL;DR: The results suggest that in clinical and research-oriented testing of maximal forearm rotation strength, further consideration must be given to the terminal grip device and positioning of the wrist.

TL;DR: It is concluded that a specific biomechanical condition in the hand can interfere with certain high-speed digital movements required in musical instrument performance and appears to represent an aberrant outcome of normal motor learning whose physiologic correlates mimic neuropathologically based dystonia.

TL;DR: A numerical grading scale for median and ulnar function is outlined, based upon the known pathophysiology of chronic nerve compression, that creates a hierarchical scale of mutually exclusive categories for motor and sensory function.

TL;DR: No difference according to gender, age, fracture type, hand affected (right/left), or mechanism of injury was observed between the patients who completed the treatment and those who were excluded, and no reduction of mobility was observed in either group.

TL;DR: These studies provide the strongest evidence for correlating mechanoreceptor function with specific tactile sensations and have implications for how one should administer tactile stimuli in order to selectively stimulate particular groups of mechanoreceptors.

TL;DR: Nerve regeneration research in the past half-century is reviewed to give the reader familiarity with the background of current research efforts and it is apparent that further improvements of nerve regeneration are on the horizon.

TL;DR: This preliminary review was performed to determine the intra- and interrater reliability of TROM and resulted in moderate consistency of measures of intrarater reliability between trials, and between instruments used (digital and manual).

TL;DR: It is concluded that directional strength of the thumb is maximized for functional grasping activities and reflects the anatomic distribution of muscles acting at the thumb.

TL;DR: Any attempt to restore muscle balance in the hand must take into account the way in which the body responds by itself to loss of balance after injury or paralysis.

TL;DR: The procedure outlined in this study offers a means both to document the degree of sensory impairment in a more consistent manner and to objectively measure results of early-phase sensory re-education.

TL;DR: The most sensitive indicators of sensory abnormality were the ATT low-frequency vibration and skin indentation tests, which showed continual improvement over the study period, returning to nearly normal values by six months.

TL;DR: The results indicate that power-grip force outputs are highly related across the two test devices, which validates their utility as part of a PCE for wrist-hand involvement.

TL;DR: The results of 100 postoperative cases indicate that endoscopic carpal tunnel release was superior to the open technique in regard to postoperative morbidity and patient satisfaction in 92% of this patient group.

TL;DR: The purposes of this paper are to address frustrations that may be encountered in the treatment of some elderly hand patients, and to present a well-accepted and effective assessment tool of memory, orientation, and ability to follow commands as these competencies pertain to hand therapy.

TL;DR: In this article, a comprehensive surgical and therapy program for the management of carpal tunnel neuropathy caused by injury has been proposed, which is based on the restoration of the gliding interface between the median nerve trunk, the flexor tendons of the fingers, and the inner gliding surface of the transverse carpal ligament.

TL;DR: The results of this study indicate greater interrater reliability using a device that can accurately measure torque and allow the therapist to control the amount of tension applied when obtaining circumferential measurements using a tape measure.