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83 résultat(s) recherche sur le mot-clé 'Upper extremity' 



Upper Extremity Assessment in Tetraplegia: The Importance of Differentiating Between Upper and Lower Motor Neuron Paralysis / Anne M. Bryden in Archives of Physical Medicine and Rehabilitation, 2016/6 supp. (2016)
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Titre : Upper Extremity Assessment in Tetraplegia: The Importance of Differentiating Between Upper and Lower Motor Neuron Paralysis Type de document : Article Auteurs : Anne M. Bryden ; Harry A. Hoyen ; Michael W. Keith Article en page(s) : pp. S97S104 Langues : Anglais (eng) Descripteurs : HE Vinci
Membre supérieur ; Procédures de chirurgie reconstructive ; Rééducation et réadaptation ; Traumatismes de la moelle épinièreMots-clés : Reconstructive surgical procedures Spinal cord injuries Upper extremity Résumé : Scientific advances are increasing the options for improved upper limb function in people with cervical level spinal cord injury (SCI). Some of these interventions rely on identifying an aspect of paralysis that is not uniformly assessed in SCI: the integrity of the lower motor neuron (LMN). SCI can damage both the upper motor neuron and LMN causing muscle paralysis. Differentiation between these causes of paralysis is not typically believed to be important during SCI rehabilitation because, regardless of the cause, the muscles are no longer under voluntary control by the patient. Emerging treatments designed to restore upper extremity function (eg, rescue microsurgical nerve transfers, motor learning-based interventions, functional electrical stimulation) all require knowledge of LMN status. The LMN is easily evaluated using surface electrical stimulation and does not add significant time to the standard clinical assessment of SCI. This noninvasive evaluation yields information that contributes to the development of a lifetime upper extremity care plan for maximizing function and quality of life. Given the relative simplicity of this assessment and the far-reaching implications for treatment and function, we propose that this assessment should be adopted as standard practice for acute cervical SCI. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118051
in Archives of Physical Medicine and Rehabilitation > 2016/6 supp. (2016) . - pp. S97S104[article]Upper extremity impairments, pain and disability in patients with diabetes mellitus / K.M. Shah in Physiotherapy, 2015/2 (2015)
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Titre : Upper extremity impairments, pain and disability in patients with diabetes mellitus Type de document : Article Auteurs : K.M. Shah ; B.R. Clark ; J.B. McGill Année de publication : 2015 Article en page(s) : pp. 147-154 Langues : Anglais (eng) Descripteurs : HE Vinci
Diabète ; Epaule ; Main ; Membre supérieurMots-clés : Upper extremity Diabetes mellitus Shoulder Hand Résumé : Objectives
To determine the severity of, and relationships between, upper extremity impairments, pain and disability in patients with diabetes mellitus, and to compare upper extremity impairments in patients with diabetes with non-diabetic controls.
Design
Casecontrol, cross-sectional design.
Setting
University-based, outpatient diabetes centre and physical therapy research clinic.
Participants
Two hundred and thirty-six patients with diabetes attending an outpatient diabetes clinic completed the Shoulder Pain and Disability Index (SPADI) questionnaire. A detailed shoulder and hand examination was conducted on a subgroup of 29 volunteers with type 2 diabetes, and 27 controls matched for age, sex and body mass index.
Interventions
None.
Main outcome measures
SPADI score, passive shoulder range of motion (ROM) and strength, grip strength, hand sensation, dexterity and limited joint mobility of the hand.
Results
Sixty-three percent (149/236) of patients with diabetes reported shoulder pain and/or disability [median SPADI score 10.0 (interquartile range 0.0 to 39.6)]. Compared with the control group, the subgroup of patients with diabetes had substantial reductions in shoulder ROM, shoulder muscle strength, grip and key pinch strength (P Conclusions
Upper extremity impairments in this sample of patients with diabetes were common, severe and related to complaints of pain and disability. Additional research is needed to understand the unique reasons for upper extremity problems in patients with diabetes, and to identify preventative treatments.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134220
in Physiotherapy > 2015/2 (2015) . - pp. 147-154[article]Upper Extremity Kinematics and Muscle Activation Patterns in Subjects With Facioscapulohumeral Dystrophy / Arjen Bergsma in Archives of Physical Medicine and Rehabilitation, 2014/9 (2014)
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Titre : Upper Extremity Kinematics and Muscle Activation Patterns in Subjects With Facioscapulohumeral Dystrophy Type de document : Article Auteurs : Arjen Bergsma ; Alessio Murgia ; Edith H. Cup Article en page(s) : p. 1731-1741 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Electromyographie ; Membre supérieur ; Rééducation et réadaptationMots-clés : Activities of daily living Biomechanical Phenomena Phénomènes biomécaniques Electromyography Muscular Dystrophy Facioscapulohumeral Dystrophie musculaire facio-scapulo-humérale Muscular Dystrophies Dystrophies musculaires Upper extremity Résumé : Objective
To compare the kinematics and muscle activity of subjects with facioscapulohumeral dystrophy (FSHD) and healthy control subjects during the performance of standardized upper extremity tasks.
Design
Exploratory case-control study.
Setting
A movement laboratory.
Participants
Subjects (N=19) with FSHD (n=11) and healthy control subjects (n=8) were measured.
Interventions
Not applicable.
Main Outcome Measures
Kinematic data were recorded using a 3-dimensional motion capturing system. Muscle activities, recorded using electromyography, were obtained from 6 superficial muscles around the glenohumeral joint. Shoulder elevation and elbow flexion angles, and maximum electromyographic activity during the movements as a percentage of maximum voluntary contraction (MVC) were calculated.
Results
Kinematic differences between the FSHD group and the healthy control group were found in the shoulder elevation angle during single shoulder movements and both reaching tasks. In general, subjects with FSHD had higher percentages of muscle activation. The median activity of the trapezius was close to the MVC activity during the single shoulder movements. Moreover, deltoid and pectoralis muscles were also highly active.
Conclusions
Higher activation of the trapezius in subjects with FSHD indicates a mechanism that could help relieve impaired shoulder muscles during arm elevation around shoulder height. Compared with healthy subjects, persons with FSHD activated their shoulder muscles to a greater extent during movements that required arm elevation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118925
in Archives of Physical Medicine and Rehabilitation > 2014/9 (2014) . - p. 1731-1741[article]Adherence of Individuals in Upper Extremity Rehabilitation: A Qualitative Study / Enrique V. Smith-Forbes in Archives of Physical Medicine and Rehabilitation, 2016/8 (2016)
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Titre : Adherence of Individuals in Upper Extremity Rehabilitation: A Qualitative Study Type de document : Article Auteurs : Enrique V. Smith-Forbes ; Dana M. Howell ; Jason Willoughby Article en page(s) : pp. 12621268 Langues : Anglais (eng) Descripteurs : HE Vinci
Membre supérieur ; Observance par le patient ; Recherche qualitative ; Rééducation et réadaptationMots-clés : Patient satisfaction Satisfaction du patient Qualitative research Upper extremity Résumé : Objective
To describe the rehabilitation experiences, expectations, and treatment adherence of patients receiving upper extremity (UE) rehabilitation who demonstrated discrepancy between functional gains and overall improvement.
Design
Qualitative (phenomenologic) interviews and analysis.
Setting
Outpatient UE rehabilitation.
Participants
Patients with acute UE injuries (N=10).
Interventions
Not applicable.
Main Outcome Measure
Concerns related to UE rehabilitation patients demonstrating discrepancy between outcome measures.
Results
Five key themes emerged from the interviews of patients demonstrating discrepancy in their self-reported patient outcomes: (1) desire to return to normal, (2) initial anticipation of brief recovery, (3) trust of therapist, (4) cannot stop living, and (5) feelings of ambivalence. Challenges included living with the desire to move back into life. Multiple factors affected patient adherence: cost of treatment, patient-provider relation (difference between therapist and patient understanding on what is important for treatment), and patients expecting the treating therapists to be an expert and fix their problem.
Conclusions
Patient adherence to UE rehabilitation presents many challenges. Patients view themselves as laypersons and seek the knowledge of a dedicated therapist who they trust to spend time with them to understand what they value as important and clarify their injury, collaboratively make goals, and explain the intervention to get them in essence, back into life, in the minimal required time. When categorized according to the World Health Organization's multidimensional adherence model, domains identified in this model include social and economic, health care team and system, condition-related, therapy-related, and patient-related dimensions. Assessing factors identified to improve efficiency and effectiveness of clinical management can enhance patient adherence.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117986
in Archives of Physical Medicine and Rehabilitation > 2016/8 (2016) . - pp. 12621268[article]Biomechanics of core musculature on upper extremity performance in basketball players / Chandrakala Arora ; Piyush Singh ; Vicky Varghese in Journal of Bodywork and Movement Therapies, Vol. 27 (July 2021)
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Titre : Biomechanics of core musculature on upper extremity performance in basketball players Type de document : Article Auteurs : Chandrakala Arora ; Piyush Singh ; Vicky Varghese Année de publication : 2021 Article en page(s) : p. 127-133 Note générale : https://doi.org/10.1016/j.jbmt.2021.02.023 Langues : Anglais (eng) Descripteurs : HE Vinci
Basketball ; Hommes ; Humains ; Membre supérieur ; Mouvement ; Performance sportive ; Phénomènes biomécaniquesMots-clés : Functional performance test Upper extremity Core stability Résumé : Introduction Basketball is a dynamic team sport which involves skilled movement and activities. Shooting is considered to be an essential part of the game for scoring points. The core strength is an important preconditioning for the sport, and it influences the performance of the player. Method In this study the subjects included thirty-six male basketball players divided into two groups of high and low core groups. The subjects performed one arm hop test and modified upper quarter y balance test (mUQYBT) under with and without core activation condition. The performance of the subjects was evaluated using one way analysis of variance (ANOVA) with Tukeys HSD. Statistical significance was set at p ? 0.05 as significant. Value of confidence interval was set at 95%. Results Based on the study, significant difference (p 0.05) in performance for mUQYBT was observed among all four groups. Discussion Core training is the basis for many functional movements and has become the norm in athletic training programs. Broad benefits of core stabilization have been overlooked, from improving athletic performance to preventing injuries in the sports medicine world. Conclusion In the present study, core activation was associated with improved stability and mobility of basketball players during the upper extremity performance test, and the greatest influence of core activation was seen in individuals with lower core scores. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=286730
in Journal of Bodywork and Movement Therapies > Vol. 27 (July 2021) . - p. 127-133[article]Changes in Health Status Among Aging Survivors of Pediatric Upper and Lower Extremity Sarcoma: A Report From the Childhood Cancer Survivor Study / Neyssa Marina in Archives of Physical Medicine and Rehabilitation, 2013/6 (2013)
PermalinkComparison of Robotics, Functional Electrical Stimulation, and Motor Learning Methods for Treatment of Persistent Upper Extremity Dysfunction After Stroke: A Randomized Controlled Trial / Jessica McCabe in Archives of Physical Medicine and Rehabilitation, 2015/6 (2015)
PermalinkDetermining Levels of Upper Extremity Movement Impairment by Applying a Cluster Analysis to the Fugl-Meyer Assessment of the Upper Extremity in Chronic Stroke / Elizabeth J. Woytowicz in Archives of Physical Medicine and Rehabilitation, 2017/3 (2017)
PermalinkFunctional Test of the Hemiparetic Upper Extremity: A Rasch Analysis With Theoretical Implications / Veronica T. Rowe in Archives of Physical Medicine and Rehabilitation, 2017/10 (2017)
PermalinkInvited Commentary on Comparison of Robotics, Functional Electrical Stimulation, and Motor Learning Methods for Treatment of Persistent Upper Extremity Dysfunction After Stroke: A Randomized Controlled Trial / Gert Kwakkel in Archives of Physical Medicine and Rehabilitation, 2015/6 (2015)
PermalinkPatient-Reported Upper Extremity Outcome Measures Used in Breast Cancer Survivors: A Systematic Review / Shana Harrington in Archives of Physical Medicine and Rehabilitation, 2014/1 (2014)
PermalinkRandomized Trial on the Effects of Attentional Focus on Motor Training of the Upper Extremity Using Robotics With Individuals After Chronic Stroke / Grace J. Kim in Archives of Physical Medicine and Rehabilitation, 2017/10 (2017)
PermalinkRasch Analysis Staging Methodology to Classify Upper Extremity Movement Impairment After Stroke / Michelle Woodbury in Archives of Physical Medicine and Rehabilitation, 2013/8 (2013)
PermalinkRobot-Assisted Reach Training With an Active Assistant Protocol for Long-Term Upper Extremity Impairment Poststroke: A Randomized Controlled Trial / Ki Hun Cho in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 2 (2019)
PermalinkSensibility of the Stump in Adults With an Acquired Major Upper Extremity Amputation / Willemijn Van gils in Archives of Physical Medicine and Rehabilitation, 2013/11 (2013)
PermalinkUpper-Extremity and Mobility Subdomains From the Patient-Reported Outcomes Measurement Information System (PROMIS) Adult Physical Functioning Item Bank / Ron Hays in Archives of Physical Medicine and Rehabilitation, 2013/11 (2013)
PermalinkUsing Wearable Sensors and Machine Learning Models to Separate Functional Upper Extremity Use From Walking-Associated Arm Movements / Adam McLeod in Archives of Physical Medicine and Rehabilitation, 2016/2 (2016)
PermalinkValidation of QuickDASH Outcome Measure in Breast Cancer Survivors for Upper Extremity Disability / Mously LeBlanc in Archives of Physical Medicine and Rehabilitation, 2014/3 (2014)
PermalinkVirtual Reality Rehabilitation With Functional Electrical Stimulation Improves Upper Extremity Function in Patients With Chronic Stroke: A Pilot Randomized Controlled Study / Stephanie Hyeyoung Lee in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 8 (2018)
PermalinkWOrk-Related Questionnaire for UPper extremity disorders (WORQ-UP): Factor Analysis and Internal Consistency / Bas R. Aerts in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 9 (2018)
PermalinkMusculoskeletal Complaints in Transverse Upper Limb Reduction Deficiency and Amputation in The Netherlands: Prevalence, Predictors, and Effect on Health / Sietke G. Postema in Archives of Physical Medicine and Rehabilitation, 2016/7 (2016)
PermalinkUpper Limb Absence: Predictors of Work Participation and Work Productivity / Sietke G. Postema in Archives of Physical Medicine and Rehabilitation, 2016/6 (2016)
PermalinkMeasurement Characteristics and Clinical Utility of the Capabilities of Upper Extremities Among Individuals With Spinal Cord Injury / Cara L. Weisbach in Archives of Physical Medicine and Rehabilitation, 2015/1 (2015)
PermalinkProximal Fugl-Meyer Assessment Scores Predict Clinically Important Upper Limb Improvement After 3 Stroke Rehabilitative Interventions / Ya-yun Lee in Archives of Physical Medicine and Rehabilitation, 2015/12 (2015)
PermalinkRehabilitation After Surgical Reconstruction to Restore Function to the Upper Limb in Tetraplegia: A Changing Landscape / Elise M. Johanson in Archives of Physical Medicine and Rehabilitation, 2016/6 supp. (2016)
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