Review of Articulated Elbow Orthotics for Joint Stiffness Rehabilitation

Cavalcanti, Alisson Martins Granja; Filho, Renato Santos de Oliveira; Gomes, Heitor Carvalho; Martins, Amanda Bezerra DE Souza; Garcia, Élvio Bueno; Ferreira, Lydia Masako

doi:10.1590/1413-785220223005e254358

Cited by 4 publications

(1 citation statement)

References 14 publications

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“…Ergonomic devices and workplace modifications reduce the risk of exacerbating symptoms during desk work, enhancing overall comfort and function. Additionally, cushioned padding on frequently used tools or equipment protects against direct pressure on the ulnar nerve, improving daily quality of life for individuals with CuTS [ 21 ]. These non-surgical interventions offer a multi-faceted approach to CuTS management, aiming to improve symptoms, preserve nerve function, and enhance the patient's overall well-being.…”

Section: Reviewmentioning

confidence: 99%

From Conservative Measures to Surgical Interventions, Treatment Approaches for Cubital Tunnel Syndrome: A Comprehensive Review

Shelke,

Ambade,

Shelke

2023

Cureus

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Cubital tunnel syndrome (CuTS) is a neuropathic condition characterized by the compression or irritation of the ulnar nerve at the elbow, resulting in a wide spectrum of symptoms ranging from pain and numbness to muscle weakness and impaired hand function. This comprehensive review delves into the diverse landscape of CuTS treatment approaches, emphasizing the importance of early intervention. The review explores how these strategies aim to alleviate symptoms and enhance patient well-being by beginning with conservative measures encompassing rest, splinting, medications, physical therapy, and lifestyle adjustments. Non-surgical medical interventions, including nerve gliding exercises, ultrasound-guided nerve injections, and orthotic devices, are considered alternative therapies for symptom relief. Surgical interventions, such as decompression procedures and emerging techniques, are discussed in detail, highlighting their indications and expected outcomes. Throughout this review, the critical role of patient-centered care is underscored, emphasizing the need for tailored treatment plans that respect individual preferences and goals. Recognizing the unique nature of each CuTS case, shared decision-making between patients and healthcare providers is advocated, ensuring that interventions align with specific patient needs. As research advances, promising developments in diagnosis, surgical techniques, and drug therapies offer hope for more effective management of CuTS, paving the way for improved symptom relief and enhanced nerve function.

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Section: Reviewmentioning

confidence: 99%

From Conservative Measures to Surgical Interventions, Treatment Approaches for Cubital Tunnel Syndrome: A Comprehensive Review

Shelke,

Ambade,

Shelke

2023

Cureus

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Conservative therapy of the shoulder and elbow

Henze,

Ambacher,

Leschinger

et al. 2024

Obere Extremität

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Biomechanical study of the effect of traction on elbow joint capsule contracture

Wang,

et al. 2023

MBE

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<abstract> <p>Dynamic orthoses have a significant effect on the treatment of elbow capsular contracture. Because of the lack of quantitative research on traction forces, determining the appropriate traction force to help stretch soft tissues and maintain the joint's range of motion is a challenge in the rehabilitation process. We developed a human elbow finite element (FE) model incorporating the activity behavior of the muscles and considering different capsular contracture locations, including total, anterior and posterior capsular contractures, to analyze the internal biomechanical responses of different capsular contracture models during flexion (30 to 80 degrees). Traction loads of 10, 20, 30 and 40 N were applied to the ulna and radius at the maximum flexion angle (80 degrees) to explore the appropriate traction loads at week 4 after a joint capsule injury. We observed a significant increase in posterior capsule stress with anterior capsular contracture (ACC), and the maximum peak stress was 1.3 times higher than that in the healthy model. During the fourth week after elbow capsule injury, the appropriate traction forces for total capsule contracture (TCC), ACC and posterior capsule contracture (PCC) were 20, 10 and 20 N, respectively; these forces maintained a stable biomechanical environment for the elbow joint and achieved a soft tissue pulling effect, thus increasing elbow mobility. The results can be used as a quantitative guide for the rehabilitation physicians to determine the traction load for a specific patient.</p> </abstract>

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Review of Articulated Elbow Orthotics for Joint Stiffness Rehabilitation

Cited by 4 publications

References 14 publications

From Conservative Measures to Surgical Interventions, Treatment Approaches for Cubital Tunnel Syndrome: A Comprehensive Review

From Conservative Measures to Surgical Interventions, Treatment Approaches for Cubital Tunnel Syndrome: A Comprehensive Review

Conservative therapy of the shoulder and elbow

Biomechanical study of the effect of traction on elbow joint capsule contracture

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