A descriptive study on wrist and hand sensori-motor impairment and function following distal radius fracture intervention
Abstract Study design Descriptive cross-sectional design. Introduction Wrist and hand sensori-motor impairment have been observed after distal radius fracture (DRF) treatment. This impairment and its relationship to function lack research. Purpose of the study The primary aim of this exploratory stu...
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| Veröffentlicht in: | Journal of hand therapy 2013-07, Vol.26 (3), p.204-215 |
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| creator | Karagiannopoulos, Christos, MPT, MEd, ATC, CHT Sitler, Michael, EdD, ATC, FNATA Michlovitz, Susan, PT, PhD, CHT Tierney, Ryan, PhD, ATC |
| description | Abstract Study design Descriptive cross-sectional design. Introduction Wrist and hand sensori-motor impairment have been observed after distal radius fracture (DRF) treatment. This impairment and its relationship to function lack research. Purpose of the study The primary aim of this exploratory study was to determine the magnitude of wrist and hand sensori-motor impairment following surgical and non-surgical treatment among older patients following DRF. Secondary aims were to determine the relationship between wrist and hand sensori-motor impairment with function and pain as well as the relationships among wrist and hand sensori-motor impairment and function and age following DRF. Methods Ten Test (TT), active joint position sense (JPS), electromyography (EMG), computerized hand-grip dynamometer (CHD), and the Patient-Rated Wrist Evaluation (PRWE) were used to assess twenty-four female participants 8 weeks following DRF treatment and their 24 matched-control healthy counterparts on wrist and hand sensibility, proprioception, muscle recruitment, grip force, muscle fatigue, and functional status. Results Participants following DRF demonstrated significantly ( p |
| doi_str_mv | 10.1016/j.jht.2013.03.004 |
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Introduction Wrist and hand sensori-motor impairment have been observed after distal radius fracture (DRF) treatment. This impairment and its relationship to function lack research. Purpose of the study The primary aim of this exploratory study was to determine the magnitude of wrist and hand sensori-motor impairment following surgical and non-surgical treatment among older patients following DRF. Secondary aims were to determine the relationship between wrist and hand sensori-motor impairment with function and pain as well as the relationships among wrist and hand sensori-motor impairment and function and age following DRF. Methods Ten Test (TT), active joint position sense (JPS), electromyography (EMG), computerized hand-grip dynamometer (CHD), and the Patient-Rated Wrist Evaluation (PRWE) were used to assess twenty-four female participants 8 weeks following DRF treatment and their 24 matched-control healthy counterparts on wrist and hand sensibility, proprioception, muscle recruitment, grip force, muscle fatigue, and functional status. Results Participants following DRF demonstrated significantly ( p < .05) greater sensory (i.e., JPS, TT), and motor (i.e., EMG, CHD) deficits than their control counterparts. A significantly higher functional deficit (i.e., PRWE) also existed among participants following DRF than the control group. Participants following surgical and non-surgical DRF treatment were found to be statistically different only on total grip force. Group differences on JPS and total grip force revealed the strongest effect size with the highest correlations to PRWE. EMG and muscle fatigue ratio group differences revealed a weaker effect size with a fair degree of correlation to PRWE. Pain significantly correlated with sensori-motor function. Age did not correlate with any measured variable. Conclusions Significant wrist and hand sensori-motor impairment and functional deficits among older females 8 weeks following DRF surgical and non-surgical interventions were revealed. JPS and total grip force were the most clinically meaningful tests for assessing the sensori-motor status as well as explaining functional disability and pain levels for these patients. Level of evidence 2c.</description><identifier>ISSN: 0894-1130</identifier><identifier>EISSN: 1545-004X</identifier><identifier>DOI: 10.1016/j.jht.2013.03.004</identifier><identifier>PMID: 23628557</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Age ; Aged ; Aged, 80 and over ; Analysis of Variance ; Arthralgia - physiopathology ; Bone density ; Case-Control Studies ; Cross-Sectional Studies ; Electromyography ; Fatigue ; Female ; Females ; Fracture ; Fractures ; Hand Strength - physiology ; Humans ; Impairment ; Middle Aged ; Muscle Fatigue - physiology ; Muscle Strength Dynamometer ; Neurologic Examination - methods ; Pain ; Patients ; Physical Medicine and Rehabilitation ; Proprioception - physiology ; Radius Fractures - physiopathology ; Radius Fractures - therapy ; Ratios ; Sensori-motor ; Sports injuries ; Touch - physiology ; Wrist ; Wrist Joint - physiopathology</subject><ispartof>Journal of hand therapy, 2013-07, Vol.26 (3), p.204-215</ispartof><rights>Hanley & Belfus</rights><rights>2013 Hanley & Belfus</rights><rights>Copyright © 2013 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Jul/Sep 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-1bef8f01e9600c36a2324beeefbe8ac6ee35a417ae7b187c6495117749c538963</citedby><cites>FETCH-LOGICAL-c436t-1bef8f01e9600c36a2324beeefbe8ac6ee35a417ae7b187c6495117749c538963</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0894113013000446$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23628557$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Karagiannopoulos, Christos, MPT, MEd, ATC, CHT</creatorcontrib><creatorcontrib>Sitler, Michael, EdD, ATC, FNATA</creatorcontrib><creatorcontrib>Michlovitz, Susan, PT, PhD, CHT</creatorcontrib><creatorcontrib>Tierney, Ryan, PhD, ATC</creatorcontrib><title>A descriptive study on wrist and hand sensori-motor impairment and function following distal radius fracture intervention</title><title>Journal of hand therapy</title><addtitle>J Hand Ther</addtitle><description>Abstract Study design Descriptive cross-sectional design. Introduction Wrist and hand sensori-motor impairment have been observed after distal radius fracture (DRF) treatment. This impairment and its relationship to function lack research. Purpose of the study The primary aim of this exploratory study was to determine the magnitude of wrist and hand sensori-motor impairment following surgical and non-surgical treatment among older patients following DRF. Secondary aims were to determine the relationship between wrist and hand sensori-motor impairment with function and pain as well as the relationships among wrist and hand sensori-motor impairment and function and age following DRF. Methods Ten Test (TT), active joint position sense (JPS), electromyography (EMG), computerized hand-grip dynamometer (CHD), and the Patient-Rated Wrist Evaluation (PRWE) were used to assess twenty-four female participants 8 weeks following DRF treatment and their 24 matched-control healthy counterparts on wrist and hand sensibility, proprioception, muscle recruitment, grip force, muscle fatigue, and functional status. Results Participants following DRF demonstrated significantly ( p < .05) greater sensory (i.e., JPS, TT), and motor (i.e., EMG, CHD) deficits than their control counterparts. A significantly higher functional deficit (i.e., PRWE) also existed among participants following DRF than the control group. Participants following surgical and non-surgical DRF treatment were found to be statistically different only on total grip force. Group differences on JPS and total grip force revealed the strongest effect size with the highest correlations to PRWE. EMG and muscle fatigue ratio group differences revealed a weaker effect size with a fair degree of correlation to PRWE. Pain significantly correlated with sensori-motor function. Age did not correlate with any measured variable. Conclusions Significant wrist and hand sensori-motor impairment and functional deficits among older females 8 weeks following DRF surgical and non-surgical interventions were revealed. JPS and total grip force were the most clinically meaningful tests for assessing the sensori-motor status as well as explaining functional disability and pain levels for these patients. Level of evidence 2c.</description><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis of Variance</subject><subject>Arthralgia - physiopathology</subject><subject>Bone density</subject><subject>Case-Control Studies</subject><subject>Cross-Sectional Studies</subject><subject>Electromyography</subject><subject>Fatigue</subject><subject>Female</subject><subject>Females</subject><subject>Fracture</subject><subject>Fractures</subject><subject>Hand Strength - physiology</subject><subject>Humans</subject><subject>Impairment</subject><subject>Middle Aged</subject><subject>Muscle Fatigue - physiology</subject><subject>Muscle Strength Dynamometer</subject><subject>Neurologic Examination - methods</subject><subject>Pain</subject><subject>Patients</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Proprioception - physiology</subject><subject>Radius Fractures - physiopathology</subject><subject>Radius Fractures - therapy</subject><subject>Ratios</subject><subject>Sensori-motor</subject><subject>Sports injuries</subject><subject>Touch - physiology</subject><subject>Wrist</subject><subject>Wrist Joint - physiopathology</subject><issn>0894-1130</issn><issn>1545-004X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kkGL1DAUx4Mo7uzqB_AiAS9eOuYladoiCMuiq7DgQQVvIU1f3YxtMibpLPPtTZlVYQ_CI8nh93sk7x9CXgDbAgP1Zrfd3eYtZyC2rBSTj8gGallX5fj9MdmwtpMVgGBn5DylHWNQc9Y8JWdcKN7WdbMhx0s6YLLR7bM7IE15GY40eHoXXcrU-IHerktCn0J01RxyiNTNe-PijP5EjIu32RVpDNMU7pz_QYdim4lGM7gl0TEam5eI1PmM8VC8Qj8jT0YzJXx-v1-Qbx_ef736WN18vv50dXlTWSlUrqDHsR0ZYKcYs0IZLrjsEXHssTVWIYraSGgMNj20jVWyqwGaRna2Fm2nxAV5feq7j-HXginr2SWL02Q8hiVpkACKd03DC_rqAboLS_TldoUqM625FG2h4ETZGFKKOOp9dLOJRw1Mr7nonS656DUXzUoxWZyX952Xfsbhr_EniAK8PQFYRnFwGHWyDr3FwUW0WQ_B_bf9uwe2nZx31kw_8Yjp3yt04prpL-vHWP9FqaJLJX4Dy-S0cA</recordid><startdate>20130701</startdate><enddate>20130701</enddate><creator>Karagiannopoulos, Christos, MPT, MEd, ATC, CHT</creator><creator>Sitler, Michael, EdD, ATC, FNATA</creator><creator>Michlovitz, Susan, PT, PhD, CHT</creator><creator>Tierney, Ryan, PhD, ATC</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20130701</creationdate><title>A descriptive study on wrist and hand sensori-motor impairment and function following distal radius fracture intervention</title><author>Karagiannopoulos, Christos, MPT, MEd, ATC, CHT ; Sitler, Michael, EdD, ATC, FNATA ; Michlovitz, Susan, PT, PhD, CHT ; Tierney, Ryan, PhD, ATC</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-1bef8f01e9600c36a2324beeefbe8ac6ee35a417ae7b187c6495117749c538963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis of Variance</topic><topic>Arthralgia - physiopathology</topic><topic>Bone density</topic><topic>Case-Control Studies</topic><topic>Cross-Sectional Studies</topic><topic>Electromyography</topic><topic>Fatigue</topic><topic>Female</topic><topic>Females</topic><topic>Fracture</topic><topic>Fractures</topic><topic>Hand Strength - physiology</topic><topic>Humans</topic><topic>Impairment</topic><topic>Middle Aged</topic><topic>Muscle Fatigue - physiology</topic><topic>Muscle Strength Dynamometer</topic><topic>Neurologic Examination - methods</topic><topic>Pain</topic><topic>Patients</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Proprioception - physiology</topic><topic>Radius Fractures - physiopathology</topic><topic>Radius Fractures - therapy</topic><topic>Ratios</topic><topic>Sensori-motor</topic><topic>Sports injuries</topic><topic>Touch - physiology</topic><topic>Wrist</topic><topic>Wrist Joint - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karagiannopoulos, Christos, MPT, MEd, ATC, CHT</creatorcontrib><creatorcontrib>Sitler, Michael, EdD, ATC, FNATA</creatorcontrib><creatorcontrib>Michlovitz, Susan, PT, PhD, CHT</creatorcontrib><creatorcontrib>Tierney, Ryan, PhD, ATC</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hand therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karagiannopoulos, Christos, MPT, MEd, ATC, CHT</au><au>Sitler, Michael, EdD, ATC, FNATA</au><au>Michlovitz, Susan, PT, PhD, CHT</au><au>Tierney, Ryan, PhD, ATC</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A descriptive study on wrist and hand sensori-motor impairment and function following distal radius fracture intervention</atitle><jtitle>Journal of hand therapy</jtitle><addtitle>J Hand Ther</addtitle><date>2013-07-01</date><risdate>2013</risdate><volume>26</volume><issue>3</issue><spage>204</spage><epage>215</epage><pages>204-215</pages><issn>0894-1130</issn><eissn>1545-004X</eissn><abstract>Abstract Study design Descriptive cross-sectional design. Introduction Wrist and hand sensori-motor impairment have been observed after distal radius fracture (DRF) treatment. This impairment and its relationship to function lack research. Purpose of the study The primary aim of this exploratory study was to determine the magnitude of wrist and hand sensori-motor impairment following surgical and non-surgical treatment among older patients following DRF. Secondary aims were to determine the relationship between wrist and hand sensori-motor impairment with function and pain as well as the relationships among wrist and hand sensori-motor impairment and function and age following DRF. Methods Ten Test (TT), active joint position sense (JPS), electromyography (EMG), computerized hand-grip dynamometer (CHD), and the Patient-Rated Wrist Evaluation (PRWE) were used to assess twenty-four female participants 8 weeks following DRF treatment and their 24 matched-control healthy counterparts on wrist and hand sensibility, proprioception, muscle recruitment, grip force, muscle fatigue, and functional status. Results Participants following DRF demonstrated significantly ( p < .05) greater sensory (i.e., JPS, TT), and motor (i.e., EMG, CHD) deficits than their control counterparts. A significantly higher functional deficit (i.e., PRWE) also existed among participants following DRF than the control group. Participants following surgical and non-surgical DRF treatment were found to be statistically different only on total grip force. Group differences on JPS and total grip force revealed the strongest effect size with the highest correlations to PRWE. EMG and muscle fatigue ratio group differences revealed a weaker effect size with a fair degree of correlation to PRWE. Pain significantly correlated with sensori-motor function. Age did not correlate with any measured variable. Conclusions Significant wrist and hand sensori-motor impairment and functional deficits among older females 8 weeks following DRF surgical and non-surgical interventions were revealed. JPS and total grip force were the most clinically meaningful tests for assessing the sensori-motor status as well as explaining functional disability and pain levels for these patients. Level of evidence 2c.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23628557</pmid><doi>10.1016/j.jht.2013.03.004</doi><tpages>12</tpages></addata></record> |
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| subjects | Age Aged Aged, 80 and over Analysis of Variance Arthralgia - physiopathology Bone density Case-Control Studies Cross-Sectional Studies Electromyography Fatigue Female Females Fracture Fractures Hand Strength - physiology Humans Impairment Middle Aged Muscle Fatigue - physiology Muscle Strength Dynamometer Neurologic Examination - methods Pain Patients Physical Medicine and Rehabilitation Proprioception - physiology Radius Fractures - physiopathology Radius Fractures - therapy Ratios Sensori-motor Sports injuries Touch - physiology Wrist Wrist Joint - physiopathology |
| title | A descriptive study on wrist and hand sensori-motor impairment and function following distal radius fracture intervention |
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