Comparison of Therapeutic Activities With Therapeutic Exercises in the Rehabilitation of Young Adult Patients With Hand Injuries

Güzelküçük, Ümüt; Duman, İltekin; Taşkaynatan, Mehmet Ali; Dinçer, Kemal

doi:10.1016/j.jhsa.2007.08.008

Cited by 50 publications

(42 citation statements)

References 27 publications

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“…ball and computer tasks), as well as a culminating bilateral activity. It has been shown that the provision of real-world tasks in addition to exercise was more benefi cial than exercise alone in young adults with hand injuries (Guzelkucuk et al, 2007). The authors speculated that improvement was caused by the three-dimensional nature of these activities compared to traditional unidirectional exercises.…”

Section: Discussion and Clinical Implicationsmentioning

confidence: 99%

Changes in hemiplegic grasp following distributed repetitive intervention: a case series

Conti¹,

Schepens²

2009

Occupation Therapy Intl

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The purpose of this pilot study was to investigate the efficacy of a distributed model of repetitive and focused intervention on grasp force, and clinical and functional hand measures in persons with chronic hemiplegia and limited hand recovery from self-reported stroke. A case series design was used. Focused repetitive unilateral and bilateral interventions were provided in a distributed manner (three times a week for 6 weeks) to three persons with upper limb hemiplegia of more than 1 year. Data from instrumented grasp force, and clinical and functional measures were obtained at weeks 0, 3, 6 and 9. Each participant improved in at least one measure of grasp force, as well as in clinical skill and function. All participants improved in the quality of handwriting. Improved outcomes remained above baseline levels following 3 weeks of non-intervention. The findings are compatible with current evidence of adaptive cortical plasticity following increased repetition. The findings show that, for these three persons, distributed repetitive practice was sufficient to effect change. Localization by cerebral area affected is not possible, nor is it possible to parse the effectiveness of any component of the intervention. A larger group study is warranted to determine whether similar results may be found for other persons with chronic hemiplegia. Future studies should incorporate kinematic handwriting analysis and a greater range of functional tasks.

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Section: Discussion and Clinical Implicationsmentioning

confidence: 99%

Changes in hemiplegic grasp following distributed repetitive intervention: a case series

Conti¹,

Schepens²

2009

Occupation Therapy Intl

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“…A Level I study supported a more functional approach to treatment through the use of simulated ADL activities after acute injuries; these activities were found to be more effective in leading to desired outcomes than traditional exercise alone (Guzelkucuk et al, 2007).…”

Section: Implications For Practicementioning

confidence: 93%

“…The efficacy of therapeutic activities that simulate ADL function versus traditional therapeutic exercises in the management of injured hands was explored in one RCT. Findings indicated that individuals with acute and chronic hand injuries who were given ADL simulations had statistically significant higher levels of improvement in areas assessed than did those who underwent traditional exercise-based treatment (Guzelkucuk, Duman, Taskaynatan, & Dincer, 2007).…”

Section: Miscellaneousmentioning

confidence: 95%

Occupational Therapy Interventions for Work-Related Injuries and Conditions of the Forearm, Wrist, and Hand: A Systematic Review

Amini

2011

The American Journal of Occupational Therapy

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A systematic review of the literature related to effective occupational therapy interventions in rehabilitation of individuals with work-related forearm, wrist, and hand injuries and illnesses was conducted as part of the Evidence-Based Literature Review Project of the American Occupational Therapy Association. This review provides a comprehensive overview and analysis of 36 studies that addressed many of the interventions commonly used in hand rehabilitation. Findings reveal that the use of occupation-based activities has reasonable yet limited evidence to support its effectiveness. This review supports the premise that many client factors can be positively affected through the use of several commonly used occupational therapy-related modalities and methods. The implications for occupational therapy practice, research, and education and limitations of reviewed studies are also discussed. Focused Clinical QuestionWhat occupational therapy interventions are effective in the rehabilitation of individuals with work-related injuries or conditions of the forearm, wrist, and hand? Objectives of the Evidence-Based Literature ReviewOccupational therapy practitioners are interested in the ability of individuals to engage in meaningful and relevant occupations and therefore must address many factors of human structure and function that enable performance and allow for occupational engagement. Workers are a population susceptible to injuries to the arm and hand resulting from accidents and cumulative trauma occurring at the work site. Occupational therapy practitioners treat many of these injuries and conditions and the ensuing occupational dysfunction. This article highlights the evidence related to treatment of the hand, wrist, and forearm that can be used by clinicians to support interventions commonly provided to injured workers with the objective of returning them to full occupational engagement.

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“…However, other components of hand function such as dexterity are often not considered in hand rehabilitation programs [18]. In contrast, task-specific training with manipulation of common objects could also be incorporated for effective transfer into activities of daily living [18-20]. Low compliance and treatment adherence are the significant hurdles to be overcome in long-term exercise programs, especially in chronic illnesses such as arthritis.…”

Section: Introductionmentioning

confidence: 99%

“…These activities require manipulation of objects with a wide range of physical properties (size, shape, weight, inertia) and often require a high degree of precision, where small deviations in timing or endpoint accuracy and positioning/orientation of the object leads to complete disruption of performance. In a study by Guzelkucuk and colleagues on 36 young adults with hand injuries, a hand exercise program that included passive, active range of motion and strengthening exercises was compared with training of targeted functional activities such as using a spoon, rolling a cylinder, and locking and unlocking a door key [18]. Improved hand function was reported in the group that received these task-specific functional activities.…”

Section: Introductionmentioning

confidence: 99%

Task-oriented training with computer gaming in people with rheumatoid arthritis or osteoarthritis of the hand: study protocol of a randomized controlled pilot trial

Srikesavan

Shay

Robinson

et al. 2013

Trials

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BackgroundSignificant restriction in the ability to participate in home, work and community life results from pain, fatigue, joint damage, stiffness and reduced joint range of motion and muscle strength in people with rheumatoid arthritis or osteoarthritis of the hand. With modest evidence on the therapeutic effectiveness of conventional hand exercises, a task-oriented training program via real life object manipulations has been developed for people with arthritis. An innovative, computer-based gaming platform that allows a broad range of common objects to be seamlessly transformed into therapeutic input devices through instrumentation with a motion-sense mouse has also been designed. Personalized objects are selected to target specific training goals such as graded finger mobility, strength, endurance or fine/gross dexterous functions. The movements and object manipulation tasks that replicate common situations in everyday living will then be used to control and play any computer game, making practice challenging and engaging.Methods/DesignThe ongoing study is a 6-week, single-center, parallel-group, equally allocated and assessor-blinded pilot randomized controlled trial. Thirty people with rheumatoid arthritis or osteoarthritis affecting the hand will be randomized to receive either conventional hand exercises or the task-oriented training. The purpose is to determine a preliminary estimation of therapeutic effectiveness and feasibility of the task-oriented training program. Performance based and self-reported hand function, and exercise compliance are the study outcomes. Changes in outcomes (pre to post intervention) within each group will be assessed by paired Student t test or Wilcoxon signed-rank test and between groups (control versus experimental) post intervention using unpaired Student t test or Mann–Whitney U test.DiscussionThe study findings will inform decisions on the feasibility, safety and completion rate and will also provide preliminary data on the treatment effects of the task-oriented training compared with conventional hand exercises in people with rheumatoid arthritis or osteoarthritis of the hand.Trial registrationClinicalTrials.gov: NCT01635582

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Comparison of Therapeutic Activities With Therapeutic Exercises in the Rehabilitation of Young Adult Patients With Hand Injuries

Cited by 50 publications

References 27 publications

Changes in hemiplegic grasp following distributed repetitive intervention: a case series

Changes in hemiplegic grasp following distributed repetitive intervention: a case series

Occupational Therapy Interventions for Work-Related Injuries and Conditions of the Forearm, Wrist, and Hand: A Systematic Review

Task-oriented training with computer gaming in people with rheumatoid arthritis or osteoarthritis of the hand: study protocol of a randomized controlled pilot trial

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