Effect of strengthening exercises in Hirayama disease: a case study

2020 ◽  
Vol 27 (11) ◽  
pp. 1-7
Author(s):  
Tinu Sethi ◽  
Sushma Rawat ◽  
SL Munde
Keyword(s):  
Hand Function ◽  
Manual Dexterity ◽  
Manual Muscle Testing ◽  
Hirayama Disease ◽  
Hand Functions ◽  
Muscle Testing ◽  
Hand Grip ◽  
Strengthening Exercises ◽  
The Right

Background/Aims The effects of strengthening exercises in patients with Hirayama disease are not well documented. This case study examined the effect of strengthening exercises on hand functions in a patient with Hirayama disease. Methods An 18-year-old man with weakness in the right hand was given a hand-function strengthening programme consisting of 40 minutes of exercises, which were performed 5 days a week over an 8-week period. The patient used theraputty, a gel ball, finger dexterity board, gym kit and hand grip exerciser. The effects of the programme were evaluated using manual muscle testing, a hand-held dynamometer, pinchometer and the Minnesota Manual Dexterity Test. Results The patient's manual muscle testing grades improved following the strengthening programme. Results from the Dynamometer, pinchometer and Minnesota Manual Dexterity Test objectively exhibited increased muscle strength and improved hand functions. Conclusions Strengthening exercises are effective in alleviating muscle weakness and improving hand functions associated with Hirayama disease.

scholarly journals FPL tendon thickness, tremor and hand functions in Parkinson’s disease

Open Medicine ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Hasan Toktas ◽  
Umit Dundar ◽  
Özge Yilmaz Kusbeci ◽  
Alper Murat Ulasli ◽  
Ozgur Toy ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Functional Performance ◽  
Hand Function ◽  
Hand Functions ◽  
Hand Grip ◽  
Function Test ◽  
Tendon Thickness ◽  
The Relationship ◽  
Nine Hole Peg Test

AbstractIntroductionIn Parkinson’s disease (PD), a resting tremor of the thumb may affect the flexor pollicis longus (FPL) and influence hand functions. We investigated the relationship between FPL tendon thickness and hand function in PD patients and compared these characteristics with those in healthy controls.MethodsThe hand grip and pinch strengths were measured. The participants completed the Duruöz hand index, the Sollerman’s hand function test, and the Nine Hole Peg Test. The thickness of the FPL tendon was measured using ultrasonographyResultsThe FPL tendon was thicker in PD patients but was not associated with tremor severity. In PD patients, despite functional performance of the hands are impaired and grip strength is decreased, pinch strengths are preserved. FPL thickness was not correlated with grip and pinch strengths.ConclusionThe thicker FPL tendon may be associated with greater pinch and grip strengths and manual dexterity in healthy individuals. The presence of tremor is associated with a thicker FPL tendon.

scholarly journals Impact of Movement with Mobilization and Triceps Eccentric Strengthening in Tennis Elbow: Case Report

2021 ◽  
pp. 10-14
Author(s):  
Nabeela Fatema ◽  
Bodhisattva Dass ◽  
Rinkle Hotwani
Keyword(s):  
Elbow Joint ◽  
Tennis Elbow ◽  
Limited Range ◽  
Treatment Session ◽  
Manual Muscle Testing ◽  
Outer Side ◽  
Lateral Epicondyle ◽  
Muscle Testing ◽  
Limited Range Of Motion ◽  
The Right

Background: Tennis elbow can be caused by repetitive wrist and arm motions. Pain is the primary symptom. It usually occurs on the outside of the elbow and sometimes in the forearm and wrist. Treatment includes rest, pain relievers and physiotherapy. Case Presentation: A 28years old male patient presented with a complaint of pain in outer side of the right side elbow. In subjective examination, He gave history of pain while playing tennis mainly in smashing the ball or passing shot, riding bike for more than 2kilometers, difficulty in holding objects sometimes as well. When this pain was unbearable to him he came to Physiotherapy department. Treatment: A Treatment session initially started with Cryotherapy (Ice Pack) application for 5min. On lateral epicondyle of right elbow. Then Ultrasound 0.8 watt/Cm² for 7minutes given, these helped in pain reduction. After 2days patient is asked to follow the commands to perform Triceps strengthening along with wrist strengthening with the help of Half Kg Dumb bell.  There was an effect on the reduction of the symptoms of the patient which were pain, reduce strength and limited range of motion of wrist in right hand. After 1week of treatment, we added Mobilization with movement (Mulligan) technique at elbow joint. The same procedure was continued for 2weeks after which patient's symptoms were minimized as to the day of assessment. Outcome measures used for the evaluation of the symptoms were NPRS Scale for Pain, Manual Muscle Testing (MMT) for Strength. Conclusion: Triceps strengthening along with Mulligan technique for elbow joint was found to be effective in patients with severe pain and reduced strength.

scholarly journals Hand strength and dexterity in patients with Prader–Willi syndrome: a pilot intervention study

2018 ◽  
Vol 46 (11) ◽  
pp. 4669-4677 ◽  
Author(s):  
Wan-Ling Hsu ◽  
Valeria Jia-Yi Chiu ◽  
Wei-Hsiu Chang ◽  
Mei-Chun Lin ◽  
Jang-Ting Wei ◽  
...  
Keyword(s):  
Hand Function ◽  
Healthy Adults ◽  
Hand Strength ◽  
Pinch Strength ◽  
Prader Willi Syndrome ◽  
Post Intervention ◽  
Left Hand ◽  
Finger Dexterity ◽  
Hand Grip ◽  
The Right

Objective The study aim was to examine the hand function (hand strength and dexterity) and intervention effects of training in adults with Prader–Willi syndrome (PWS). Methods Six adults with PWS (two females; mean age 26.14 years) underwent hand muscle strength and dexterity training for 3 months (2 hours per week). The following hand function tests were performed pre- and post-intervention: (1) hand grip, lateral pinch, and tip pinch hand strength tests, (2) the Box and Block test (BBT) for gross manual dexterity and (3) the Purdue Pegboard test for finger dexterity. Results Before treatment, all subjects showed lower hand grip, lateral pinch, tip pinch strength, and poorer manual/finger dexterity relative to healthy adults. After training, hand function scores improved on many test items, but only the left hand tip pinch and the right hand BBT performance showed significant improvements. Conclusions All subjects showed lower hand strength and poorer manual/finger dexterity compared with healthy adults; this should be considered during physical training programs. Owing to limitations in the intervention intensity and possible subject behavioral deficits, further research is needed to clarify the effects of this intervention on hand function in PWS patients.

scholarly journals Uncertainty in aiming movements and its association to hand function

2015 ◽  
Vol 21 (3) ◽  
pp. 222-229 ◽  
Author(s):  
Flávia Priscila de Paiva Silva ◽  
Sandra Maria Sbeghen Ferreira de Freitas ◽  
Emelli da Silva Comenalle ◽  
Sandra Regina Alouche
Keyword(s):  
Reaction Time ◽  
Target Location ◽  
Hand Function ◽  
Reaction Times ◽  
Manual Dexterity ◽  
Movement Direction ◽  
Pinch Strength ◽  
Aiming Movements ◽  
Manual Tasks ◽  
The Right

AbstractThe purpose of this study was to analyze the influence of the uncertainty of target location on the planning and execution of aiming movements performed towards the ipsilateral and contralateral directions by the right and left upper limbs. In addition, the association between the performance of aiming movements and the performance of functional manual tasks was investigated. Two tasks were proposed: with prior knowledge of the movement direction (simple reaction time) or not (choice reaction time). The grip strength and manual dexterity were measured. The choice option in response (i.e. uncertainty) influenced planning of the aiming movements, but not its execution, while movements performed towards the contralateral direction were worse in execution as compared to the ipsilateral direction. Manual dexterity was significantly correlated with reaction times, while the performance during movement execution was significantly correlated with handgrip/pinch strength.

scholarly journals Patellofemoral Pain and Asymmetrical Hip Rotation

2005 ◽  
Vol 85 (11) ◽  
pp. 1201-1207 ◽  
Author(s):  
Michael T Cibulka ◽  
Julie Threlkeld-Watkins
Keyword(s):  
Knee Pain ◽  
Patellofemoral Joint ◽  
External Rotation ◽  
Womac Score ◽  
Patellofemoral Pain ◽  
Manual Muscle Testing ◽  
Muscle Testing ◽  
Medial Rotation ◽  
The Right ◽  
Hip Rotation

Abstract Background and Purpose. Patellofemoral joint problems are the most common overuse injury of the lower extremity, and altered femoral or hip rotation may play a role in patellofemoral pain. The purpose of this case report is to describe the evaluation of and intervention for a patient with asymmetrical hip rotation and patellofemoral pain. Case Description. The patient was a 15-year-old girl with an 8-month history of anterior right knee pain, without known trauma or injury. Prior to intervention, her score on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was 24%. Right hip medial (internal) rotation was less than left hip medial rotation, and manual muscle testing showed weakness of the right hip internal rotator and abductor muscles. The intervention was aimed at increasing right hip medial rotation, improving right hip muscle strength (eg, the muscle force exerted by a muscle or a group of muscles to overcome a resistance), and eliminating anterior right knee pain. Outcomes. After 6 visits (14 days), passive left and right hip medial rotations were symmetrical, and her right hip internal rotator and abductor muscle grades were Good plus. Her WOMAC score was 0%. Discussion. The patient had right patellofemoral pain and an uncommon pattern of asymmetrical hip rotation, with diminished hip medial rotation and excessive hip lateral (external) rotation on the right side. The patient's outcomes suggest that femoral or hip joint asymmetry may be related to patellofemoral joint pain.

An Investigation of Finger and Manual Dexterity

2000 ◽  
Vol 90 (2) ◽  
pp. 537-542 ◽  
Author(s):  
Tam Chan
Keyword(s):  
College Students ◽  
Manual Dexterity ◽  
Female College Students ◽  
Male And Female ◽  
Female College ◽  
Finger Dexterity ◽  
Hand Functions ◽  
The Right ◽  
Right And Left Hands

In ergonomics, handgrip has been perceived as one of the most important hand functions; however, other types of functions of the hand are also important to the ergonomist, such as finger and manual dexterity, on which few ergonomic studies have been done. This experiment involved 60 male and female college students whose performance (number of pegs placed into a board in 30 sec.) of finger dexterity were statistically significantly different between the right and left hands and between women and men. The interaction of hand and sex was significant.

scholarly journals A Rare Case of Acute-Onset Spastic Quadriparesis Caused by a Chondroma of the Cervical Spine

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Kaori Momota ◽  
Toshihiko Nishisho ◽  
Ryo Miyagi ◽  
Shunichi Toki ◽  
Kazuta Yamashita ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Rare Case ◽  
Ligamentum Flavum ◽  
Acute Onset ◽  
Manual Muscle Testing ◽  
Benign Tumors ◽  
Decompression Surgery ◽  
Muscle Testing ◽  
The Right ◽  
Spastic Quadriparesis

Chondromas are benign cartilaginous tumors that occur very rarely in the spine. Moreover, chondromas of the extraskeletal origin are also very rare. In this case report, we describe an extremely rare case of chondroma arising from the ligamentum flavum in the cervical spine. A 67-year-old man presented to our clinic with acute-onset spastic quadriparesis. We performed emergent magnetic resonance imaging and found an epidural mass in the right ligamentum flavum at C4-C5. The acute-onset presentation was suspicious for intraligamentous hematoma in the ligamentum flavum at this level. We performed emergency decompression surgery and en bloc removal of the epidural mass with the right C4 and C5 lamina. The lesion had the appearance of cartilaginous tissue rather than hematoma. Based on the histological investigation, the final diagnosis was intraligamentous chondroma of the cervical spine. The quadriparesis improved postoperatively, as did the results of manual muscle testing in the affected area, and he was able to resume walking independently with a cane. At the one-year follow-up, the manual muscle testing results were almost normal. Surgeons should keep in mind the possibility of benign tumors including chondroma of the cervical spine when a patient presents with acute-onset quadriparesis.

scholarly journals Efficacy of Agility Training in a Police Cadet: A Case Study

2021 ◽  
pp. 281-287
Author(s):  
Dushyant Bawiskar ◽  
Pratik Phansopkar
Keyword(s):  
Lower Limb ◽  
Sudden Change ◽  
The Body ◽  
Step Test ◽  
Manual Muscle Testing ◽  
Plyometric Training ◽  
Muscle Testing ◽  
Time Period ◽  
Short Time

Background: Plyometric training is a blend of training for strength and stamina. This enables muscles to exert full strength in short time intervals, with the intention of increasing power (speed-strength) in order to ensure stronger police cadet agility. Preparation for physical health, Preparation for Technical Event, Tactics Preparation and psychological preparation these are four important components for the Sports which makes athletes more-strong and achieve high success.  Agility is characterized by sudden change in the direction by maintaining the ability in which quickly changing the direction of the body. Objective: Analyse the result of the 12-week Plyometric Agility Program in Police Cadets. Diagnosis, Therapeutic Intervention and Outcomes: The cadet was examined for any deformity and any problems regarding the lower limb soft tissue and Range of motion, Manual muscle testing and agility test were carried out. 40 Cadets aged above 18 years were grouped into two. Analysis was then carried out with assessment of T-test Agility test, Illinois Agility Test, Edgren Side Step Test. Intervention duration is 12-weeks, completed successfully. Assessment was done on 1st day of visit then at the end of 6th week and again at the end of 12th week. Cadet would have to perform 4 session of Plyometric Training per week. Plyometric Training is best to increase the agility which was evident in this case. Conclusion: Plyometric training is very beneficial to increase the Agility of the lower limb as the time period required to complete the Agility test were more and now the time period is less. It comes under the “Good” Grades. Hence, it is proved that Plyometric Training is more helpful to increase the agility.

scholarly journals Assessment of hand function in women with lymphadenopathy after radical mastectomy

PeerJ ◽  
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.

scholarly journals Effect of mirror therapy on hand functions in Egyptian chronic stroke patients

2020 ◽  
Vol 56 (1) ◽  
Author(s):  
Hussein Shaker ◽  
Ebtesam Mohammed Fahmy ◽  
Ayman Anwar Nassif Honin ◽  
Shaimaa Shaheen Mohamed
Keyword(s):  
Hand Function ◽  
Chronic Stroke ◽  
Control Group ◽  
Mirror Therapy ◽  
Stroke Patients ◽  
Hand Functions ◽  
Therapy Program ◽  
Hand Grip ◽  
Function Test ◽  
Physical Therapy Program

Abstract Background Most stroke survivors (more than 60%) suffer from persistent neurological impairments that significantly affect activities of daily living. Hand functions are essential for doing daily living and working activities. Mirror therapy is shown to be effective in improving hand functional recovery in stroke patients. Objective This study aimed to determine the effect of mirror therapy on improving hand functions in Egyptian chronic stroke patients. Subjects and methods Thirty chronic ischemic stroke patients from both sexes participated in the study. Their ages ranged from 45 to 65 years. They were randomly assigned into two equal groups: the study group that received a selected physical therapy program in addition to the mirror therapy and the control group that received the same selected physical therapy program but without a mirror therapy. Treatment sessions were conducted three times per week for 8 weeks. Range of motion (ROM) of the wrist extension and forearm supination, hand grip strength, and the time of Jebson Hand Function Test (JHFT) were measured before and after the treatment program. Results There were statistically significant increases in the range of motion of the wrist extension and forearm supination and hand grip strength with a decrease in the time of Jebson Hand Function Test in both groups post-treatment. Post-treatment improvement was more significant in the study group compared to the control group. Conclusion Mirror therapy had a positive effect on improving hand motor functional skills in a sample of Egyptian chronic stroke patients.

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