Functional disability of the wrist: direct correlation with decreased wrist motion

The Journal of Hand Surgery
Orrin I FrankoCharles S Day

Abstract

Motion-limiting wrist procedures have demonstrated both efficacy and reproducibility as a treatment for alleviating painful wrist conditions, but the reduction of pain achieved is necessarily accompanied by a marked loss of wrist motion. However, no study demonstrates a functional difference between variable degrees of wrist motion. The hypothesis of this study is that wrist motion is directly correlated with functional ability. Using a prospective, randomized, crossover design, we randomized 42 men and women above 45 years of age with normal wrists to wear both a partially restricted and a highly restricted splint for 24 hours each. Serving as their own controls, objective and subjective outcome measurements were taken at baseline and after each of the 2 splinting periods. The specific measurements included range of motion parameters (flexion/extension, radioulnar deviation, supination/pronation, circumduction), subjective surveys (Disabilities of the Arm, Shoulder, and Hand; Patient Rated Wrist Evaluation; and Modern Activity Subjective Survey), and an objective timed test (Modern Activity Timed Test; MATT). The simulated flexion/extension arc of motion for baseline, partially restricted, and highly restricted conditions were...Continue Reading

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References

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Citations

Mar 4, 2014·The Journal of Hand Surgery·Rohit GargScott W Wolfe
May 5, 2012·Hand Clinics·Andrew W Ritting, Jennifer M Wolf
May 6, 2015·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Andrew P KraszewskiScott W Wolfe
Mar 22, 2014·Acta Orthopaedica. Supplementum·Ole Reigstad
Aug 10, 2010·Journal of Orthopaedic Surgery and Research·Stacey H Berner, F Buck Willis
Jun 7, 2016·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Aviva L Wolff, Scott W Wolfe
Nov 16, 2018·The Journal of Hand Surgery Asian-Pacific Volume·Ameer M ElbulukChristopher S Klifto
Dec 2, 2009·The Journal of Bone and Joint Surgery. British Volume·B C KwonG H Baek
Oct 5, 2018·The Journal of Hand Surgery Asian-Pacific Volume·L GiwaG Packer
Apr 23, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Henriëtte A W MeijerJ Carel Goslings
Aug 23, 2020·Journal of Biomechanics·Verónica Gracia-IbáñezVicente Bayarri-Porcar

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