scholarly journals Effect of Rhythmic Stabilization Technique, before Proprioceptive Neuromuscular Facilitation Wrist Taping, on Grip Strength and Pain in Wrist Pain Patients

2016 ◽  
Vol 14 (2) ◽  
pp. 105-112
Author(s):  
Chang-Heon Kim ◽  
Beom-Ryong Kim ◽  
Mi-Gyeong Kang
Keyword(s):  
Grip Strength ◽  
Wrist Pain ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Stabilization Technique ◽  
Pain Patients

Immediate effects of static and proprioceptive neuromuscular facilitation stretching of hamstring muscles on straight leg raise, craniovertebral angle, and cervical spine range of motion in neck pain patients with hamstring tightness: A prospective randomized controlled trial

2021 ◽  
pp. 1-10
Author(s):  
Eun-Dong Jeong ◽  
Chang-Yong Kim ◽  
Nack-Hwan Kim ◽  
Hyeong-Dong Kim
Keyword(s):  
Cervical Spine ◽  
Neck Pain ◽  
Range Of Motion ◽  
T Test ◽  
Static Stretching ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Before And After ◽  
Straight Leg Raise ◽  
Pain Patients ◽  
Group Effects

BACKGROUND: The cranio-cervical flexion exercise and sub-occipital muscle inhibition technique have been used to improve a forward head posture among neck pain patients with straight leg raise (SLR) limitation. However, little is known about the cranio-vertebral angle (CVA) and cervical spine range of motion (CROM) after applying stretching methods to the hamstring muscle. OBJECTIVE: To compare the immediate effects of static stretching and proprioceptive neuromuscular facilitation stretching on SLR, CVA, and CROM in neck pain patients with hamstring tightness. METHODS: 64 subjects were randomly allocated to the static stretching (n1= 32) or proprioceptive neuromuscular facilitation (n2= 32) stretching group. The SLR test was performed to measure the hamstring muscle’s flexibility and tightness between the two groups, with CROM and CVA also being measured. The paired t-test was used to compare all the variables within each group before and after the intervention. The independent t-test was used to compare the two groups before and after the stretching exercise. RESULTS: There were no between-group effects for any outcome variables (P> 0.05). However, all SLR, CVA, and CROM outcome variables were significantly improved within-group (P< 0.05). CONCLUSIONS: There were no between-group effects for any outcome variable; however, SLR, CVA, and CROM significantly improved within-group after the one-session intervention in neck pain patients with hamstring tightness.

scholarly journals Posterior Interosseous Neurectomy Alternative for Treating Chronic Wrist Pain

2019 ◽  
Vol 08 (03) ◽  
pp. 198-201 ◽  
Author(s):  
Ashraf M. Abdelaziz ◽  
Wael Aldahshan ◽  
Faisal Ahmed Hashem El-Sherief ◽  
Yaser El Sayed Hassan Wahd ◽  
Hany Abdel Gawwad Soliman
Keyword(s):  
Pain Relief ◽  
Range Of Motion ◽  
Grip Strength ◽  
Wrist Joint ◽  
Wrist Pain ◽  
Joint Range Of Motion ◽  
The Difference ◽  
Joint Range ◽  
Wrist Denervation ◽  
Chronic Wrist Pain

Background Wrist denervation is one of the several available options for treating chronic wrist pain; partial wrist denervation performed through a single dorsal incision by resecting the distal posterior interosseous nerve provides good outcomes. Questions/Purposes This study evaluated the results of posterior interosseous neurectomy (PIN) in patients with chronic wrist pain secondary to scaphoid nonunion advanced collapse (SNAC) and scapholunate advanced collapse (SLAC). Methods In total, 30 wrists obtained from 28 patients (25 males, 3 females) were assessed. The dominant hands of 25 (right-handed) patients, nondominant hands of 5, and both hands of 2 were considered. The average age at the time of surgery was 35 (range: 19–50) years, and the average follow-up duration was 18 (range: 12–30) months. Fifteen and 13 patients had wrists with SNAC and SLAC, respectively, and all of those underwent PIN performed through the dorsal approach. The pre- and postoperative range of motion, grip strength, and pain relief percentage were recorded for all the 30 wrists. Results The average postoperative Disabilities of the Arm, Shoulder and Hand score was 30 (range: 20–80), and the difference between the pre- and postoperative scores was statistically significant. Ninety percent of the patients were satisfied with the results of PIN and reported improvement in grip strength and pain relief. Conclusions Thus, PIN may be an effective surgical technique for wrist reconstruction. Clinical Relevance To help patients challenge pain and maintain their wrist joint range of motion.

Effect of PNF technique for knee muscles on lower limb performance in subacute stroke – an experimental study

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Sanjiv Kumar ◽  
Shiva Prasad Tiwari
Keyword(s):  
Lower Limb ◽  
Lower Limbs ◽  
Motor Deficits ◽  
Sit To Stand ◽  
Subacute Stroke ◽  
Intervention Treatment ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Agonist And Antagonist ◽  
Stabilization Technique ◽  
Functional Ambulation Profile

AbstractApproximately two-thirds of stroke survivors have sequel of neurological impairments. Although all sequels have direct impact on the performance of activities of daily living, motor deficits of the lower limbs have the most important impact on an individual’s functioning. The objective was to study the effect of proprioceptive neuromuscular facilitation (PNF) technique on lower limb performance in subjects with subacute stroke.Thirteen participants with subacute strokes were recruited. Participants were treated with PNF rhythmic stabilization technique. All participants received 10 days of intervention. Treatment sessions consisted of PNF rhythmic stabilization exercises for knee that utilizes alternating isometric contractions of agonist and antagonist against resistance. Lower limb performances were measured with Modified Emory Functional Ambulation Profile, Five Time Sit To Stand Test and Postural Assessment Scale For Stroke.Lower limb performances were improved after 10 days of intervention as compared to baseline assessment in all the outcome measures.This study suggests that the rhythmic stabilization technique is an effective method to improve lower limb function that can be used as an adjunct with other therapies.

Positive Ulnar Fovea Sign – Audit of Patient Outcomes Following Nonsurgical and Surgical Management

2019 ◽  
Vol 24 (04) ◽  
pp. 421-427
Author(s):  
Min Kai Chang ◽  
Zeus Yiwei Lim ◽  
Shian Chao Tay
Keyword(s):  
Surgical Treatment ◽  
Range Of Motion ◽  
Grip Strength ◽  
Distal Radioulnar Joint ◽  
Wrist Pain ◽  
Radioulnar Joint ◽  
Nonsurgical Management ◽  
Experienced Pain ◽  
Patient Reported ◽  
Pain Improvement

Background: Patients with ulnar-sided wrist pain and positive ulnar fovea sign are usually treated nonsurgically before surgical options are considered. However, the outcomes of nonsurgical management are unknown. Many of these patients also have unstable distal radioulnar joint, but there has been no comparison between the outcomes of these patients with stable and unstable distal radioulnar joint. The objectives of this study are to (1) determine the outcomes of nonsurgical and surgical treatment of patients with positive ulnar fovea sign, and (2) compare the outcomes of patients with stable and unstable distal radioulnar joint. Methods: A retrospective analysis of the outcomes of patients with ulnar sided wrist pain and positive fovea sign was performed from March 2009 to December 2014. Outcomes were measured based on patient-reported pain improvement, grip strength and range of motion of the affected wrist before and after treatment. A total of 100 wrists in 98 patients were reviewed. Results: 54% of wrists managed nonsurgically experienced pain improvement. 83% of wrists managed surgically experienced pain improvement. The mean grip strength increased by 2.8 kg and 2.7 kg, while the range of motion decreased by 14° and 5° after nonsurgical and surgical treatment respectively. When comparing patients with stable and unstable distal radioulnar joint, there were statistically more wrists with unstable distal radioulnar joint that experienced pain improvement after treatment. Conclusions: The study showed that there is a role for nonsurgical treatment for wrists with positive ulnar fovea sign with more than half of the patients experiencing pain improvement. We also found that positive ulnar fovea sign patients with unstable distal radioulnar joint had better pain outcomes compared to those with stable distal radioulnar joint.

Excessive Radial Shortening in Kienböck’s Disease

1990 ◽  
Vol 15 (1) ◽  
pp. 46-48
Author(s):  
R. NAKAMURA ◽  
E. HORII ◽  
T. IMAEDA
Keyword(s):  
Range Of Motion ◽  
Grip Strength ◽  
Wrist Pain ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Ulnar Wrist Pain ◽  
And Function ◽  
Kienbock’S Disease

Two patients with Kienböck’s disease who had been treated by radial shortening developed ulnar wrist pain post-operatively due to excessive radial shortening. In both cases, ulnar shortening was required to improve symptoms and function. Excessive radial shortening can cause ulnar wrist pain and compromise the improvement of grip strength and range of motion of the wrist.

Proximal Row Carpectomy Versus Limited Wrist Arthrodesis for Advanced Kienböck’s Disease

1998 ◽  
Vol 23 (6) ◽  
pp. 741-745 ◽  
Author(s):  
R. NAKAMURA ◽  
E. HORII ◽  
K. WATANABE ◽  
E. NAKAO ◽  
H. KATO ◽  
...  
Keyword(s):  
Grip Strength ◽  
Wrist Pain ◽  
Wrist Flexion ◽  
Proximal Row Carpectomy ◽  
Wrist Arthrodesis ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Flexion Extension ◽  
Kienbock’S Disease

The outcomes in 20 patients with advanced Kienböck's disease treated by proximal row carpectomy (seven patients) or limited wrist arthrodesis (13 patients) were reviewed retrospectivey. Postoperatively, the results were more satisfactory in terms of wrist pain, the range of wrist flexion–extension, and grip strength following limited wrist arthrodesis than after proximal row carpectomy, although the differences were not statistically significant. We recommend scaphotrapeziotrapezoid arthrodesis in selected patients with advanced Kienböck's disease who have a fragmented lunate.

scholarly journals Distal Radial Fractures in the Superelderly: Does Malunion Affect Functional Outcome?

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
N. D. Clement ◽  
A. D. Duckworth ◽  
C. M. Court-Brown ◽  
M. M. McQueen
Keyword(s):  
Activities Of Daily Living ◽  
Functional Outcome ◽  
Grip Strength ◽  
Normal Level ◽  
Daily Living ◽  
Wrist Pain ◽  
Distal Radial Fracture ◽  
Distal Radial Fractures ◽  
Dorsal Angulation ◽  
Level Function

Purpose. The management of unstable distal radial fractures in the superelderly (≥80 years old) remains controversial. The aim of this study was to compare the functional outcome of super-elderly patients with and without malunion after a distal radial fracture. Methods. We identified 51 superelderly patients living independently with displaced fractures from a prospective database of 4024 patients with distal radial fractures. Activities of daily living, presence of wrist pain, whether the wrist had returned to its normal level function, grip strength and ROM were recorded. The dorsal angulation was measured radiographically. Results. There were 17 (33.3%) patients defined to have a malunion. The outcomes of the independent patients with and without malunion were compared at a mean follow-up of 15 months. No difference was observed in activities of daily living P=0.28, wrist pain P=0.14, whether the wrist had returned to its normal level function P=0.25, grip strength P=0.31, or ROM P=0.41. An increasing degree of dorsal angulation correlated with diminished ROM (P=0.038), but did not correlate with activities of daily living (P=0.10). Conclusions. Malunion of the distal radius does not influence the functional outcome of independent superelderly patients.

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