Joint Stiffness of the Upper Limb


Book Description

Published in association with the Federation of European Societies for Surgery of the Hand










The Relationship Between Functional Upper Limb Kinematics, Pain and Perceived Disability in Individuals with Rheumatoid Arthritis


Book Description

Shoulder motion is needed to perform essential independent living tasks such as feeding and bathing. Rheumatoid arthritis (RA) of the shoulder joint can result in pain and stiffness that may interfere with performance of such activities. This study compared the upper limb kinematics of a control group and a group of subjects with RA primarily affecting the glenohumeral joint, and examined the relationship between upper limb kinematics, pain and perceived disability in the RA group. Motion about four upper limb joints while performing various tasks (lifting two items to shoulder height, combing hair, touching back of opposite scapula and touching sacrum) was filmed using a three-dimensional motion analysis system. Data was collected from the RA subjects on their perception of the magnitude of upper limb pain (visual analog scale) and on their self stated ability to perform tasks of daily living (Health Assessment Questionnaire - HAQ and the Canadian Occupational Performance Measure - COPM). Results showed few differences in range of motion (ROM), maximum angular velocity and maximum angular acceleration between the groups during performance of the five functional tasks. The magnitude of upper limb pain was not associated with the functional ROM used by the RA group, however the magnitude of upper limb pain was positively correlated to the HAQ. Upper limb pain was negatively associated with maximum angular acceleration. Functional ROM used was not related to the HAQ. A comparison between the HAQ and the COPM revealed some conceptual differences. Although a direct relationship between functional upper limb kinematics, pain and perceived disability in individuals with rheumatoid arthritis was not found, various significant associations were discovered which warrant further study and definition of the factors which influence the study variables.




Orthotic Intervention for the Hand and Upper Extremity


Book Description

Companion to the Fabrication Process Manual for Orthotic Intervention for the Hand and Upper Extremity, now published as a separate text. This comprehensive text is the perfect resource for use in the classroom, during labs, and in clinical practice for both occupational and physical therapists. Additionally, it is a great reference for those studying to become a Certified Hand Therapist (CHT). Orthotic Intervention for the Hand and Upper Extremity: Splinting Principles and Process superbly highlights anatomical and mechanical principles; discusses associated indications and precautions; and promotes clinical reasoning skills by presenting various patient examples, therefore allowing you to confidently utilize techniques in clinical practice. This updated third edition is divided into the following sections: fundamentals necessary for successful orthotic fabrication, additional intervention methods, and orthoses for specific diagnoses and patient populations. Now with a larger format for more generous pattern appreciation, as well as incorporated and revised evidence-based content from an expanded list of contributing authors, it remains the go-to resource for every level of usage.




World Congress on Medical Physics and Biomedical Engineering September 7 - 12, 2009 Munich, Germany


Book Description

Present Your Research to the World! The World Congress 2009 on Medical Physics and Biomedical Engineering – the triennial scientific meeting of the IUPESM - is the world’s leading forum for presenting the results of current scientific work in health-related physics and technologies to an international audience. With more than 2,800 presentations it will be the biggest conference in the fields of Medical Physics and Biomedical Engineering in 2009! Medical physics, biomedical engineering and bioengineering have been driving forces of innovation and progress in medicine and healthcare over the past two decades. As new key technologies arise with significant potential to open new options in diagnostics and therapeutics, it is a multidisciplinary task to evaluate their benefit for medicine and healthcare with respect to the quality of performance and therapeutic output. Covering key aspects such as information and communication technologies, micro- and nanosystems, optics and biotechnology, the congress will serve as an inter- and multidisciplinary platform that brings together people from basic research, R&D, industry and medical application to discuss these issues. As a major event for science, medicine and technology the congress provides a comprehensive overview and in–depth, first-hand information on new developments, advanced technologies and current and future applications. With this Final Program we would like to give you an overview of the dimension of the congress and invite you to join us in Munich! Olaf Dössel Congress President Wolfgang C.




Selected Health Conditions and Likelihood of Improvement with Treatment


Book Description

The Social Security Administration (SSA) administers two programs that provide disability benefits: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. SSDI provides disability benefits to people (under the full retirement age) who are no longer able to work because of a disabling medical condition. SSI provides income assistance for disabled, blind, and aged people who have limited income and resources regardless of their prior participation in the labor force. Both programs share a common disability determination process administered by SSA and state agencies as well as a common definition of disability for adults: "the inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months." Disabled workers might receive either SSDI benefits or SSI payments, or both, depending on their recent work history and current income and assets. Disabled workers might also receive benefits from other public programs such as workers' compensation, which insures against work-related illness or injuries occurring on the job, but those other programs have their own definitions and eligibility criteria. Selected Health Conditions and Likelihood of Improvement with Treatment identifies and defines the professionally accepted, standard measurements of outcomes improvement for medical conditions. This report also identifies specific, long-lasting medical conditions for adults in the categories of mental health disorders, cancers, and musculoskeletal disorders. Specifically, these conditions are disabling for a length of time, but typically don't result in permanently disabling limitations; are responsive to treatment; and after a specific length of time of treatment, improve to the point at which the conditions are no longer disabling.




Surgery of the Skin and Skeleton of the Hand and of Disorders of the Upper Limb Affecting the Hand


Book Description

The Surgery of Disorders of the Hand and Upper Extremity Series provides a comprehensive and up-to-date resource for all hand surgeons. Eminent international authorities here review the latest developments as well as classic techniques in their fields of expertise. Bone and Skin Disorders, the first volume in this new series, discusses the most important issues in surgery of the bones and the skin covering of the hand, as well as those of upper extremity disorders affecting the hand. Topics include finger sprains, hand burns in children, traumatic amputations, arthritis, avulsion injuries, Kienböck's disease, dislocations of the carpus and many other issues of interest to hand surgeons, dermatologists and sports medicine specialists.




Atlas of Osteoarthritis


Book Description

This Atlas provides an up-to-date and comprehensive overview of the historical and current perspectives on osteoarthritis, including the pathophysiology and epidemiology of the disease. Written by leading authors in the field of osteoarthritis, the book discusses classification, etiology and risk factors for osteoarthritis, the disease course and determinants of osteoarthritis progression, clinical features and diagnosis as well as imaging methods to assess joint damage. The Atlas of Osteoarthritis concludes with the latest treatment updates including both nonpharmacological and pharmacological treatments, as well as surgical recommendations for patients with the disease. Osteoarthritis is the most common form of joint disease causing joint pain, stiffness, and physical disability among adults. It is an important issue for both the individual and society with its impact on public health continuing to grow as a result of the aging population, the rising prevalence of obesity, and the lack of definitive treatments to prevent or halt the progress of the disease.




Targeted Muscle Reinnervation


Book Description

Implement TMR with Your Patients and Improve Their Quality of LifeDeveloped by Dr. Todd A. Kuiken and Dr. Gregory A. Dumanian, targeted muscle reinnervation (TMR) is a new approach to accessing motor control signals from peripheral nerves after amputation and providing sensory feedback to prosthesis users. This practical approach has many advantage