Value of musculoskeletal ultrasound in assessment of rheumatoid hand function

Abstract Background Musculoskeletal ultrasound can be now considered a complement to physical examination in rheumatoid arthritis. This study evaluates the role of musculoskeletal ultrasound in assessment of rheumatoid hand function and underlying functional defects and disabilities in order to find out a possibly better tool for assessment. Results Hand grip weakness was significantly associated with metacarpophalangeal joints synovitis of ulnar 4 fingers (p = 0.045), wrist joint synovitis (p = 0.009), flexor tendons tenosynovitis of the ulnar 4 fingers (p = 0.001), flexor pollicis longus tendon tenosynovitis (p = 0.013). Hand function impairment by grip ability test was significantly associated with metacarpophalangeal joints synovitis of ulnar 4 fingers (p = 0.009), wrist joint synovitis (p = 0.004), and flexor tendons tenosynovitis of the ulnar 4 fingers (p = 0.042). Multiple linear regression analysis showed that the most influencing factor affecting grip ability test and hand grip strength was ulnar 4 Flexor tendons tenosynovitis (P = 0.023, P = 0.037) respectively. Conclusions Joint synovitis and tenosynovitis that are detected by musculoskeletal ultrasound can be used as an assessment tool for hand function in rheumatoid arthritis, since they are associated with reduced hand grip strength and impaired hand ability.

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Changes in hand grip strength and body weight after a dynamic exercise program and Mediterranean diet in women with rheumatoid arthritis: a randomized clinical trial

Physiotherapy Theory and Practice ◽

10.1080/09593985.2020.1777605 ◽

2020 ◽

pp. 1-9

Author(s):

Juan A. Pineda-Juárez ◽

Mariel Lozada-Mellado ◽

Andrea Hinojosa-Azaola ◽

José M. García-Morales ◽

Midori Ogata-Medel ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Clinical Trial ◽

Body Weight ◽

Grip Strength ◽

Randomized Clinical Trial ◽

Mediterranean Diet ◽

Exercise Program ◽

Hand Grip Strength ◽

Dynamic Exercise ◽

Hand Grip

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Hand Grip Strength in Elderly Rheumatoid Arthritis Patients

Düzce Tıp Fakültesi Dergisi ◽

10.18678/dtfd.630806 ◽

2019 ◽

Author(s):

Aslı Çalışkan Uçkun ◽

Ayşegül ALTUN GÜVENİR ◽

Fatma Gül YURDAKUL ◽

Tuba GÜLER ◽

Filiz SİVAS ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Grip Strength ◽

Hand Grip Strength ◽

Hand Grip

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Evaluation protocols of hand grip strength in individuals with rheumatoid arthritis: a systematic review

Revista Brasileira de Reumatologia (English Edition) ◽

10.1016/j.rbre.2014.03.009 ◽

2014 ◽

Vol 54 (2) ◽

pp. 140-147 ◽

Cited By ~ 2

Author(s):

Ana Paula Shiratori ◽

Rodrigo da Rosa Iop ◽

Noé Gomes Borges Júnior ◽

Susana Cristina Domenech ◽

Monique da Silva Gevaerd

Keyword(s):

Rheumatoid Arthritis ◽

Systematic Review ◽

Grip Strength ◽

Hand Grip Strength ◽

Hand Grip

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EFFECT OF THE APPLICATION OF CONSTRAINT- INDUCED MOVEMENT THERAPY ON THE RECOVERY OF AFFECTED HAND FUNCTION AFTER STROKE

Baltic Journal of Sport and Health Sciences ◽

10.33607/bjshs.v2i97.83 ◽

2015 ◽

Vol 2 (97) ◽

pp. 15-22 ◽

Cited By ~ 1

Author(s):

Dalia Mickevičienė ◽

Justina Butkutė ◽

Albertas Skurvydas ◽

Diana Karanauskienė ◽

Mantas Mickevičius

Keyword(s):

Grip Strength ◽

Task Performance ◽

Hand Function ◽

Movement Therapy ◽

Hand Grip Strength ◽

Hand Movements ◽

Constraint Induced Movement Therapy ◽

Hand Grip ◽

Conventional Physiotherapy ◽

Functional Task

Background. Research aim was to evaluate the effect of the application of constraint-induced movement therapy on the recovery of affected hand function after stroke. Research hypothesis: The application of constraint-induced movement therapy on the recovery of affected hand function after stroke would be more effective than the application of conventional physiotherapy. Methods. The study employed the Mini Mental State Examination (MMSE), Lovett’s test, Modified Movement Assessment Scale (MMAS) hydraulic dynamometer, and Wolf Motor Function Test. Results. Results showed that constraint – induced movement therapy for patients after stroke helps to recover injured hand movement more effectively (p < .05), enhances performance of functional tasks (p < .05) and also increases muscle strength (p < .05) compared to conventional physiotherapy. Conclusions. After the application of the conventional physiotherapy for patients after stroke affected hand movements and functional task performance improved and the hand grip strength increased statistically significantly. Applying the constraint-induced movement therapy for patients after stroke affected hand movements and functional task performance improved and the hand grip strength increased statistically significantly. The application of constraint-induced movement therapy for patients after stroke statistically significantly more improved the affected hand function than the application of conventional physiotherapy.

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The Effect of Kinesiotaping on Hand Function in Patients with Rheumatoid Arthritis

Reabilitacijos mokslai slauga kineziterapija ergoterapija ◽

10.33607/rmske.v1i14.702 ◽

2019 ◽

Vol 1 (14) ◽

Author(s):

Vilija Žebrauskaitė ◽

Inesa Rimdeikienė ◽

Gintarė Ušeckienė

Keyword(s):

Rheumatoid Arthritis ◽

Physical Therapy ◽

Range Of Motion ◽

Functional Status ◽

Grip Strength ◽

Research Group ◽

Hand Function ◽

Control Group ◽

Left Wrist ◽

Hand Grip

Research background. Physical therapy is one of the main methods of rehabilitation in order to maintain and improve hand function for patients with rheumatoid arthritis. It is supposed that kinesiotaping method can be successfully used in patients with RA during the physical therapy to improve hand function. The aim of the research was to evaluate the effect of kinesiotaping on hand function in patients with Rheumatoid Arthritis. Methods. The study involved 22 subjects (100% women) who had Rheumatoid Arthritis. Subjects were randomly divided into two groups: the research group consisted of 10 individuals, they received kinesiotaping and exercise program, and the control group consisted of 12 individuals, only exercise was applied to them. The study lasted for 2 months, the procedures were performed three times a week. Range of motion of the wrist was measured using the goniometry method, the handgrip strength was assessed using a dynamometer. Modifed Keitel Function test and Modifed Arthritis Impact Measurement Scale (AIMS II) were used to evaluate hand function. Results. Range of motion of the wrist after physical therapy increased in both groups, but in the research group the right and the left wrist ﬂexion and the left wrist extension were signifcantly higher than in the control group (p < 0.05). The hand grip strength after physical therapy signifcantly increased in the control and in the research groups (p < 0.05), but in the research group, it was significantly higher than in the control group (p < 0.05 ). Hand functional status assessed by using a modifed Keitel index improved in both groups (p < 0.05) was significantly better in the research group (p < 0.05). The hand function assessed by the Arthritis Impact Measure Scale signifcantly improved in both groups (p < 0.05), but no signifcant difference between the groups was observed (p > 0.05). Conclusion. Kinesiotaping in conjunction with physical therapy is more effective method than just physical therapy in order to increase the range of motion of the wrist, the hand grip strength and hand functional status of patients with RA.Keywords: rheumatoid arthritis, physical therapy, kinesiotaping.

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Assessment of hand function in women with lymphadenopathy after radical mastectomy

PeerJ ◽

10.7717/peerj.11252 ◽

2021 ◽

Vol 9 ◽

pp. e11252

Author(s):

Subham Mistry ◽

Taimul Ali ◽

Mohammed Qasheesh ◽

Rashid Ali Beg ◽

Mohammad Abu Shaphe ◽

...

Keyword(s):

Grip Strength ◽

Upper Limb ◽

Healthy Adult ◽

Handgrip Strength ◽

Hand Function ◽

Hand Grip Strength ◽

Adult Women ◽

Hand Functions ◽

Hand Grip ◽

And Function

Background Breast cancer related upper limb lymphedema (BCRL) is a common complication in post-mastectomy patients. It is known to cause upper limb disability, which subsequently may affect the grip strength and hand function. There is little evidence on the objective assessment of functional activities particularly hand function in women with BCRL. Therefore, this study objectively assesses the handgrip strength and hand functions in women with BCRL. Method A cross-sectional study design was conducted on a sample of women with (n = 31) and without (n = 31) BCRL. The Handgrip strength and hand functions were measured using a dynamometer and Jebsen-Taylor hand function test, respectively. Results The results showed a significantly reduced handgrip strength in women with BCRL as compared to age-matched healthy adult women for both right and left hands (p < 0.05). Similarly, hand functions were significantly impaired in women with BCRL as compared to healthy adult women (p < 0.05). Reduction in handgrip strength and hand function in women with BCRL were clinically meaningful as indicated by moderate to large effect sizes (Cohen’s d = 0.61 to 0.99 and 0.54 to 3.02, respectively) in all outcomes except power handgrip strength in left hand (Cohen’s d = 0.38). Conclusion The results of this study indicate a significant reduction of hand grip strength and hand function in women with BCRL. Our findings suggest that objective measures of grip strength and function be included in the assessment of women with BCRL to better guide clinical decision making and patient care, which may include management of impairment associated with hand strength and function. Future studies that evaluate hand grip strength and function in a larger sample which includes a more diverse age group of women with BCRL are warranted to confirm the current findings.

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