Remote after-effects of resistive static contractions of lower trunk depressors and upper extremity on maximal active range of motion of ankle extension in ankle fractures

INTRODUCTION Winging scapula is a rare condition that can be painful and debilitating to the upper extremity involved1. This condition can affect the functional ability of the upper extremity, resulting in loss of range of motion, decreased power, and pain.1 The purpose of this study was to introduce and determine the clinical applicability of a custom thermoplastic scapulothoracic orthosis to aid in management of winging scapula. The thermoplastic scapulothoracic orthosis offers total contact and provides anterior-posterior compressive forces to stabilize the winging scapula. This design provides a semi-rigid structure that is lightweight and allows user adjustability. The study highlights the potential applicability of the custom thermoplastic scapulothoracic orthosis in the categories of pain, active range of motion at the shoulder, and overall self-reported activities of daily living. Abstract PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/32043/24457 How to cite: Brown S, Trexler G. CASE STUDY: THERMOPLASTIC SCAPULOTHORACIC ORTHOSIS FOR TREATMENT OF WINGING SCAPULA. CANADIAN PROSTHETICS & ORTHOTICS JOURNAL, VOLUME 1, ISSUE 2, 2018; ABSTRACT, ORAL PRESENTATION AT THE AOPA’S 101ST NATIONAL ASSEMBLY, SEPT. 26-29, VANCOUVER, CANADA, 2018. DOI: https://doi.org/10.33137/cpoj.v1i2.32043 Abstracts were Peer-reviewed by the American Orthotic Prosthetic Association (AOPA) 101st National Assembly Scientific Committee. http://www.aopanet.org/

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Differences in active range of motion measurements in the upper extremity of patients with writer's cramp compared with healthy controls

Journal of Hand Therapy ◽

10.1016/j.jht.2016.02.001 ◽

2016 ◽

Vol 29 (4) ◽

pp. 489-495 ◽

Cited By ~ 2

Author(s):

Prachaya Srivanitchapoom ◽

Ejaz A. Shamim ◽

Pierre Diomi ◽

Takaaki Hattori ◽

Sanjay Pandey ◽

...

Keyword(s):

Range Of Motion ◽

Upper Extremity ◽

Healthy Controls ◽

Writer’S Cramp ◽

Active Range Of Motion ◽

Writer's Cramp ◽

Motion Measurements

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The effects of electronic music-making as a therapeutic activity for improving upper extremity active range of motion

Occupational Therapy International ◽

10.1002/oti.77 ◽

1998 ◽

Vol 5 (3) ◽

pp. 223-237 ◽

Cited By ~ 15

Author(s):

Stanley Paul ◽

David Ramsey

Keyword(s):

Range Of Motion ◽

Upper Extremity ◽

Electronic Music ◽

Therapeutic Activity ◽

Music Making ◽

Active Range Of Motion

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Feasibility and effectiveness of a novel dynamic arm support in persons with spinal muscular atrophy and duchenne muscular dystrophy

Journal of NeuroEngineering and Rehabilitation ◽

10.1186/s12984-021-00868-6 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Mariska M. H. P. Janssen ◽

Jolinda Horstik ◽

Paulien Klap ◽

Imelda J. M. de Groot

Keyword(s):

Duchenne Muscular Dystrophy ◽

Muscular Dystrophy ◽

Spinal Muscular Atrophy ◽

Range Of Motion ◽

Upper Extremity ◽

Muscular Atrophy ◽

Neuromuscular Disorders ◽

Median Increase ◽

Active Range Of Motion ◽

Arm Support

Abstract Background Neuromuscular disorders (NMD) commonly affect the upper extremity. Due to muscle weakness, performance of daily activities becomes increasingly difficult, which leads to reduced independence and quality of life. In order to support the performance of upper extremity tasks, dynamic arm supports may be used. The Yumen Arm is a novel dynamic arm support specially developed for people with NMD. The aim of this study is to evaluate the feasibility and effectiveness of the Yumen Arm in persons with Duchenne Muscular Dystrophy (DMD) and persons with Spinal Muscular Atrophy (SMA). Methods Three persons with DMD and three persons with SMA participated in this study. All participants conducted a set of measures with and without the Yumen Arm. Outcome measures were: active range of motion of the arm and trunk (i.e. Reachable Workspace, Functional Workspace, and trunk movement), fatigue (OMNI-RPE), Performance of Upper Limb (PUL) scale and some additional activities of daily living. User experiences were collected using a questionnaire. Results The Yumen Arm could be used by all participants. Results showed a median increase in active range of motion (4% relative surface area), and a median increase of function ability (> 11% PUL score) when using the Yumen Arm. In addition, three out of four (data from 2 participants was missing) participants indicated that activity performance was less fatiguing when using the Yumen Arm. Four out of five (data from 1 participant was missing) participants indicated that they would like to use the Yumen Arm in their daily lives. Conclusion This study is one of the first studies describing a range of objective measures to examine the effectiveness of a dynamic arm support. Based on these measurements we can conclude that the Yumen Arm effectively improves arm function in NMD patients, however the effectiveness varies a lot between individual subjects. We provided detailed recommendations for the improvement of the Yumen Arm, and possible also for the development of other dynamic arm supports. This study showed a lot of variability between individual subjects, which emphasizes the importance of tuning dynamic arm supports based on individual user characteristics, such as scoliosis, functional capacity and muscle strength.

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