scholarly journals Effect of Bilateral Repetitive Protraction in Antispastic Position Of Suspended Upper Extremity on Motor Performance and Scapular Position in Stroke

2021 ◽  
Vol 4 (3) ◽  
Keyword(s):  
Range Of Motion ◽  
Upper Extremity ◽  
Motor Performance ◽  
Specific Activity ◽  
Weight Bearing ◽  
Treatment Protocol ◽  
Active Range Of Motion ◽  
Therapeutic Exercises ◽  
Group 2 ◽  
Experimental Group

Purpose: To find out the effect of bilateral repetitive protraction of suspended upper extremity in anti-spastic position with conventional therapy in patients with hemiplegia due to stroke. Methodology: A total of 36 subjects of hemiplegia due to stroke (post stroke duration more than 3 months) were recruited and distributed in two groups. Group 1 received bilateral repetitive scapular protraction in anti-spastic position of suspended upper extremity along with scapular mobilization in addition to conventional therapeutic exercises. Group 2 received Conventional therapeutic exercises consisted of task specific activity such as bilateral activity on pegboard, ball throwing activity and reaching activities, bilateral active range of motion exercises and weight bearing exercises for upper extremity. Outcome Measures: Universal Goniometer measurements and Fugl-Meyer upper extremity scale were taken prior to the beginning of treatment and after the completion of 4 weeks treatment protocol. Results: Overall results of the study showed significant improvement in active range of motion of the affected upper extremity for shoulder and elbow except wrist in experimental group only. Scapular spine distance improved in both the groups but more significantly in the experimental group. Fugl-Meyer assessment of upper extremity showed more significant improvement in experimental group post 4 week of intervention. Conclusion: Bilateral repetitive protraction in anti-spastic position of suspended upper extremity along with conventional therapeutic exercises for 4 weeks is more effective in improving scapular position and upper extremity motor performance as compared to conventional therapeutic exercise alone.

scholarly journals CASE STUDY: THERMOPLASTIC SCAPULOTHORACIC ORTHOSIS FOR TREATMENT OF WINGING SCAPULA

2018 ◽  
Author(s):  
Steven Brown ◽  
Gary Trexler
Keyword(s):  
Range Of Motion ◽  
Upper Extremity ◽  
Functional Ability ◽  
Daily Living ◽  
Rare Condition ◽  
National Assembly ◽  
Active Range Of Motion ◽  
Potential Applicability ◽  
Anterior Posterior

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/

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

2016 ◽  
Vol 29 (4) ◽  
pp. 489-495 ◽  
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

scholarly journals The Effect of Eight-Week Corrective Exercises Carried out in Water on Pain, Neck Flexors Endurance and Upper Extremity Range of Motion in Patient with Upper Crossed Syndrome

2019 ◽  
Author(s):  
Hossein Ahmadi ◽  
Ali Yalfani ◽  
Farzaneh Gandomi
Keyword(s):  
Neck Pain ◽  
Range Of Motion ◽  
Upper Extremity ◽  
Communication Technologies ◽  
T Test ◽  
Significance Level ◽  
Before And After ◽  
The Mean ◽  
And Control ◽  
Experimental Group

Introduction: Lifestyle and the constant use of communication technologies have led to the upper crossed syndrome. The purpose of this study was to investigate of the effect of comprehensive corrective exercises carried out in water on pain, neck flexors muscles endurance and neck and upper extremity Range of Motion (ROM) in the patients with upper crossed syndrome (UCS). Methods: In this semi-experimental study, after initial screening, 30 students with upper crossed syndrome were selected and assigned randomly into experimental (n=14) and control (n=16) groups. Before and after the intervention, measurements performed to measure the level of pain by VAS scale, neck and shoulder ROM by inclinometer and neck flexors endurance by deep neck flexors endurance test. To analyze the data, SPSS Inc., Chicago, IL; version 18 software was used. The significance level was 0.05. Paired sample t-test was used to compare the mean of the pretest to posttest and independent t-test was used to compare the differences between groups. Results: The experimental group had significant improvement for endurance of neck flexors (P< 0.0001), neck ROM (P< 0.0001), shoulder ROM (P< 0.0001) and neck pain (P< 0.0001). Moreover, the results showed that there were significant differences for endurance of neck flexors (P< 0.0001), neck ROM (P< 0.0001), shoulder ROM (P< 0.0001), and neck pain (P< 0.0001) between groups. Conclusion: According to the results, we can say using water-based corrective exercises could have additional effect on increasing muscles endurance, upper extremity ROM and pain reduction in the patients with upper crossed syndrome, and could be as an effective method for the specialist

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

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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