scholarly journals Joint-Specific Play Controller for Upper Extremity Therapy: Feasibility Study in Children With Wrist Impairment

2016 ◽  
Vol 96 (11) ◽  
pp. 1773-1781
Author(s):  
Bethany J. Wilcox ◽  
Megan M. Wilkins ◽  
Benjamin Basseches ◽  
Joel B. Schwartz ◽  
Karen Kerman ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Computer Games ◽  
Average Frequency ◽  
Cross Sectional Study ◽  
Wrist Flexion ◽  
Motor Impairments ◽  
Cross Sectional ◽  
Play Activity ◽  
Play Session ◽  
Flexion And Extension

Abstract Background Challenges with any therapeutic program for children include the level of the child's engagement or adherence. Capitalizing on one of the primary learning avenues of children, play, the approach described in this article is to develop therapeutic toy and game controllers that require specific and repetitive joint movements to trigger toy/game activation. Objective The goal of this study was to evaluate a specially designed wrist flexion and extension play controller in a cohort of children with upper extremity motor impairments (UEMIs). The aim was to understand the relationship among controller play activity, measures of wrist and forearm range of motion (ROM) and spasticity, and ratings of fun and difficulty. Design This was a cross-sectional study of 21 children (12 male, 9 female; 4–12 years of age) with UEMIs. Methods All children participated in a structured in-clinic play session during which measurements of spasticity and ROM were collected. The children were fitted with the controller and played with 2 toys and 2 computer games for 5 minutes each. Wrist flexion and extension motion during play was recorded and analyzed. In addition, children rated the fun and difficulty of play. Results Flexion and extension goal movements were repeatedly achieved by children during the play session at an average frequency of 0.27 Hz. At this frequency, 15 minutes of play per day would result in approximately 1,700 targeted joint motions per week. Play activity was associated with ROM measures, specifically supination, but toy perception ratings of enjoyment and difficulty were not correlated with clinical measures. Limitations The reported results may not be representative of children with more severe UEMIs. Conclusions These outcomes indicate that the therapeutic controllers elicited repetitive goal movements and were adaptable, enjoyable, and challenging for children of varying ages and UEMIs.

Frequency of Neck and Upper Extremity Musculoskeletal Disorders in Dentists

2020 ◽  
Vol 9 (3) ◽  
pp. 207-211
Author(s):  
Sidra Sarwar ◽  
Sara Khalid ◽  
Tahir Mahmood ◽  
Hadeeqa Jabeen ◽  
Shahid Imran
Keyword(s):  
Upper Extremity ◽  
Musculoskeletal Disorders ◽  
Health Care Professionals ◽  
Descriptive Analysis ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Dental Hospital ◽  
Upper Extremity Musculoskeletal Disorders ◽  
And Performance

Background: Musculoskeletal disorders are not only becoming prevalent among health care professionals in our country but are affecting their health and performance adversely. They are caused by poor ergonomics and awkward posture during work activities. The purpose of this study was to determine the frequency of neck and upper limb musculoskeletal disorders in dentists of Lahore, Pakistan. Material and Methods: This cross-sectional study was conducted during October 2017 to March 2018. The data was collected using convenient sampling technique from 162 Dentists including 52 males and 110 females of Children hospital Lahore, Punjab Dental hospital and Fatima Memorial Hospital, Lahore. Data was collected by using Mangalore Questionnaire for identification of musculoskeletal disorders. Descriptive analysis of the data was done using SPSS version 22.0. Results: Of 162 dentists, 115 (71%) suffered from musculoskeletal disorders. Shoulder was the most commonly affected region (30.9%) followed by neck (25.9%), arm (6.2%), wrist (4.3%), elbow (3.1%) and forearm (0.6%). Pain (45.7%) was found to be the most common complaint followed by muscle weakness (20.4%), paraesthesia (3.7%) and swelling (1.2%). Conclusions: It was concluded that majority of the dentists were suffering from musculoskeletal disorders with shoulder as the most affected region and pain as the most frequent complaint. Key words: Dentists, Musculoskeletal disorders, Neck pain, Upper extremity

scholarly journals Watching sports and depressive symptoms among older adults: a cross-sectional study from the JAGES 2019 survey

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Taishi Tsuji ◽  
Satoru Kanamori ◽  
Ryota Watanabe ◽  
Meiko Yokoyama ◽  
Yasuhiro Miyaguni ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Mail Survey ◽  
Prevalence Ratio ◽  
Average Frequency ◽  
Evaluation Study ◽  
Cross Sectional Study ◽  
Cross Sectional

AbstractThe current study investigated the relationship between the frequency of watching sports and depressive symptoms among older adults. This study used cross-sectional data from the Japan Gerontological Evaluation Study, a nationwide mail survey of 21,317 older adults. Depressive symptoms were defined as a Geriatric Depression Scale score of ≥ 5. Participants were queried regarding the average frequency at which they watched sports on-site and via TV/Internet over the past year. Among the 21,317 participants, 4559 (21.4%) had depressive symptoms, while 4808 (22.6%) and 16,576 (77.8%) watched sports on-site and via TV/Internet at least once a year, respectively. Older adults who watched sports on-site a few times/year (prevalence ratio, 0.70; 95% confidence interval, 0.65–0.74) or 1–3 times/month (0.66, 0.53–0.82) were less likely to have depressive symptoms compared to non-spectators after adjusting for frequency of playing sports, exercise activities, and other potential confounders. Meanwhile, a dose–response relationship was confirmed for watching via TV/Internet (prevalence ratio of 0.86, 0.79, and 0.71 for a few times/year, 1–3 times/month, and ≥ 1 time/week, respectively). This study suggested that watching sports on-site or via TV/Internet, regardless of whether they regularly engage in sports, may reduce the risk of depressive symptoms among older adults.

scholarly journals Parameters for gait rehabilitation in Tropical Spastic Paraparesis: cross sectional study

2019 ◽  
Vol 9 (1) ◽  
pp. 18-27 ◽  
Author(s):  
Sandra Corradini ◽  
Renata de Sousa Mota ◽  
Maíra Macêdo ◽  
Marina Brasil ◽  
Selena Márcia Dubois-Mendes ◽  
...  
Keyword(s):  
Plantar Flexion ◽  
Spastic Paraparesis ◽  
Cross Sectional Study ◽  
Tropical Spastic Paraparesis ◽  
Foot Drop ◽  
Sectional Study ◽  
Cross Sectional ◽  
Time Asymmetry ◽  
Swing Time ◽  
Flexion And Extension

INTRODUCTION: The gait in people with HTLV-1 associated myelopathy or tropical spastic paraparesis (HAM / TSP) is little known. OBJECTIVE: To evaluate the kinematic profile of gait in people with HAM/TSP. METHODS: A cross-sectional study with 25 people with HAM/TSP and 25 healthy participants. Spatiotemporal and angular data from filming of gait were submitted to kinematic analysis using CVMob software. The gait of partipants with HAM/TSP was analized quantitatively through t Student test (alpha 5% and Power of 80%). The project was approved by Ethical Committee of the Bahiana School of Medicine and Public Health with CAAE 13568213.8.0000.5544. RESULTS: The HAM/TSP group showed significant changes in two different domains of biomechanical gait analysis when compared to healthy controls. The angular variables showed increased trunk inclination, flexion and extension (p<0.05); increased hip flexion and decreased hip extension (p<0.05); decreased knee flexion and extension (p<0.05); decreased ankle dorsi and plantar flexion (p<0.05). Range of Motion was also reduced in all those joints. The spatiotemporal variables showed decreased stride length and increased stride time and speed gait cycle (p<0.001). Those changes point out to reduction in joint amplitudes of hip, knee and ankle, changes in support base and double support time asymmetry between right and left sides, reduction of pre-swing time, hip lift in the mid-swing, and foot drop throughout the swing. CONCLUSION: People with HAM/TSP have gait characterized by reduction in joint amplitudes of hip, knee and ankle, asymmetry between right and left sides and reduction of pre-swing time, hip lift in the mid-swing, and foot drop throughout the swing.

scholarly journals Health problems of orchestral musicians from a life-span perspective

2018 ◽  
Vol 1 ◽  
pp. 205920431773980 ◽  
Author(s):  
Heiner Gembris ◽  
Andreas Heye ◽  
Andreas Seifert
Keyword(s):  
Health Behaviors ◽  
Average Frequency ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Stage Fright ◽  
Cross Sectional ◽  
Physical Problems ◽  
Medical Issues ◽  
Orchestral Musicians ◽  
Sampling Procedures

The profession of orchestral musician is often linked to musculoskeletal problems, hearing disorders, and struggles with stage fright. However, data on the prevalence of physical problems are very divergent because of different research methods and sampling procedures. It is to be expected that physical problems generally increase with age, but the literature on medical issues that affect musicians contains very few studies on this aspect. In light of this, the data produced by a cross-sectional study of 2,536 musicians from 133 professional symphony orchestras in Germany were analyzed with regard to a number of health aspects. The data from 894 female (36%) and 1,607 male (64%) professional orchestral musicians aged between 20 and 69 ( M = 45.5, SD = 9.52) were used to study physical problems, their duration and intensity, and psychological difficulties (such as pressure to perform in the orchestra and stage fright) in conjunction with variables such as age, gender, instrument family, position in the orchestra, and category of orchestra. The various health problems were also examined in relation to health behaviors, including preventative actions taken (nutrition, sleep, etc.). The results showed that more than one in two (55%) of the orchestral musicians who took part in the survey were suffering at the time from physical problems that affected their playing. The prevalence increased significantly with advancing age, and string players and harpists had an above-average frequency of experiencing physical problems. Interestingly, there was no significant correlation between the severity of problems and different health behaviors (including preventative action). Around half (49%) of the orchestral musicians said they felt the pressure to perform was intensifying, something that they partly attributed to an increase in artistic demands. The findings are discussed with reference to existing empirical results, potential methods of prevention and treatment, social aspects, and health-care policies.

Musculoskeletal Disorders and Asymmetric Playing Postures of the Upper Extremity and Back in Music Teachers: A Pilot Study

2009 ◽  
Vol 24 (3) ◽  
pp. 113-118
Author(s):  
Cecilia Wahlström Edling ◽  
Anncristine Fjellman-Wiklund
Keyword(s):  
Upper Extremity ◽  
Musculoskeletal Disorders ◽  
Music Teachers ◽  
Musical Instrument ◽  
Cross Sectional Study ◽  
Physical Workload ◽  
Cross Sectional ◽  
Work Related ◽  
Increased Risk ◽  
Playing Time

To play a musical instrument, such as the violin or flute, requires controlled, adequate movements performed by the arm, hand, and fingers in an asymmetric playing posture. The movements are monotonous and often of long duration, involving static and repetitive muscle work of the upper extremity and neck-shoulder muscles. This situation may lead to an increased risk of contracting musculoskeletal problems. The aim of this cross-sectional study was to investigate the relationship between physical workload, defined as playing posture and playing time per week, and musculoskeletal disorders in music teachers. A questionnaire was distributed, with items based on work-related musculoskeletal disorders and physical working conditions. The study population consisted of music teachers employed at a Swedish municipal music school. Out of 61 music teachers, 47 (77%) agreed to participate, including 28 women and 19 men. The study group was divided into two groups depending on if they had an asymmetric or symmetric upper extremity/back playing position. Of the total participants, 77% reported musculoskeletal disorders during the preceding 12 months. Female teachers reported significantly more symptoms in the neck, shoulders, and upper back than male teachers. Music teachers with an asymmetric playing posture had significantly more musculoskeletal disorders than music teachers with a symmetric playing posture. This study demonstrates that an asymmetric playing position may affect the amount of musculoskeletal disorders in the upper extremity and back.

scholarly journals Upper Extremity Pain Is Associated with Lower Back Pain among Young Basketball Players: A Cross-Sectional Study

2020 ◽  
Vol 250 (2) ◽  
pp. 79-85 ◽  
Author(s):  
Yoshihiro Hagiwara ◽  
Yutaka Yabe ◽  
Takuya Sekiguchi ◽  
Haruki Momma ◽  
Masahiro Tsuchiya ◽  
...  
Keyword(s):  
Back Pain ◽  
Upper Extremity ◽  
Lower Back Pain ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Basketball Players ◽  
Cross Sectional ◽  
Lower Back

scholarly journals Associations of metabolic factors and adipokines with pain in incipient upper extremity soft tissue disorders: a cross-sectional study

BMJ Open ◽  
2013 ◽  
Vol 3 (8) ◽  
pp. e003036 ◽  
Author(s):  
Martti Rechardt ◽  
Rahman Shiri ◽  
Harri Lindholm ◽  
Jaro Karppinen ◽  
Eira Viikari-Juntura
Keyword(s):  
Soft Tissue ◽  
Upper Extremity ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Metabolic Factors ◽  
Cross Sectional

scholarly journals Utility of the iPhone 4 Gyroscope Application in the Measurement of Wrist Motion

Hand ◽  
2017 ◽  
Vol 14 (3) ◽  
pp. 352-356 ◽  
Author(s):  
Nuphar Lendner ◽  
Erik Wells ◽  
Idit Lavi ◽  
Yan Yan Kwok ◽  
Pak-Cheong Ho ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Mixed Models ◽  
Patient Adherence ◽  
Independent Predictor ◽  
Cross Sectional Study ◽  
Ease Of Use ◽  
Demographic Information ◽  
Cross Sectional ◽  
Wrist Motion ◽  
Background Measurement

Background: Measurement of wrist range of motion (ROM) is important to all aspects of treatment and rehabilitation of upper extremity conditions. Recently, gyroscopes have been used to measure ROM and may be more precise than manual evaluations. The purpose of this study was to evaluate the use of the iPhone gyroscope application and compare it with use of a goniometer, specifically evaluating its accuracy and ease of use. Methods: A cross-sectional study evaluated adult Caucasian participants, with no evidence of wrist pathology. Wrist ROM measurements in 306 wrists using the 2 methods were compared. Demographic information was collected including age, sex, and occupation. Analysis included mixed models and Bland-Altman plots. Results: Wrist motion was similar between the 2 methods. Technical difficulties were encountered with gyroscope use. Age was an independent predictor of ROM. Conclusions: Correct measurement of ROM is critical to guide, compare, and evaluate treatment and rehabilitation of the upper extremity. Inaccurate measurements could mislead the surgeon and harm patient adherence with therapy or surgeon instruction. An application used by the patient could improve adherence but needs to be reliable and easy to use. Evaluation is necessary before utilization of such an application. This study supports revision of the application on the iPhone to improve ease of use.

scholarly journals Differences in the Flexion and Extension Phases during Kneeling Investigated by Kinematic and Contact Point Analyses: A Cross-sectional Study

2021 ◽  
Author(s):  
Yusuke Nakazoe ◽  
Akihiko Yonekura ◽  
Hiroyuki Takita ◽  
Takeshi Miyaji ◽  
Narihiro Okazaki ◽  
...  
Keyword(s):  
Knee Flexion ◽  
Contact Point ◽  
Knee Extension ◽  
Cross Sectional Study ◽  
Extension Phase ◽  
3D Registration ◽  
Cross Sectional ◽  
Registration Method ◽  
Computed Tomography Images ◽  
Flexion And Extension

Abstract Background: Kneeling is necessary for certain religious and ceremonial occasions, crouching work, and gardening, which many people take part in worldwide. However, there have been few reports regarding kneeling activities. The purpose of this study was to clarify the kinematics of kneeling.Methods: The subjects were 15 healthy young males. Kneeling activity was analysed within a knee flexion angle from 100° to maximum flexion (maxflex, mean ± SD = 161.3 ± 3.2°). The kinematic and contact point (CP) analyses were performed using a 2D/3D registration method, in which a 3D bone model created from computed tomography images was matched to knee lateral fluoroscopic images and analysed on a personal computer.Results: In the kinematic analysis, the femur translated 37.5 mm posteriorly and rotated 19.8° externally relative to the tibia during the knee flexion phase. During the knee extension phase, the femur translated 36.4 mm anteriorly, which was almost the same amount as in the knee flexion phase. However, the femur rotated only 7.4° internally during the knee extension phase. In the CP analysis, the amount of anterior translation of the CP in the knee extension phase was greater in the medial CP and smaller in the lateral CP than that of posterior translation in the knee flexion phase.Conclusions: In kneeling, there was a difference in the rotational kinematics between the flexion phase and the extension phase. The kinematic difference between the flexion and extension phases may have some effect on the meniscus and articular cartilage.

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