1/6. Does continuous passive motion during keyboarding affect hand blood flow and wrist function? A prospective case report.The purpose of this prospective case report was to evaluate the use of a keyboard platform device that uses continuous passive motion (CPM) on vascular flow to the hand for clerical employees who perform daily keyboarding tasks. Subjects were two female volunteers, one symptomatic of carpal tunnel syndrome (CTS), who were employed in clerical positions and perform daily keyboarding tasks for most of their workday. data collection consisted of baseline and follow-up measurements at 6 weeks, including: 1) screening for symptoms based on the Carpal Tunnel Function Disability Form, 2) evaluation using standard physical therapy examination and assessment techniques, including modified Semmes- Weinstein monofilament testing, 3) a typing productivity test, and 4) Doppler ultrasound examination to quantify vascular flow at the wrist. Results revealed that both subjects demonstrated an overall increase in both radial and ulnar blood flow velocity with no decrement in typing productivity. The symptomatic subject also demonstrated an overall improvement of 10 wpm in the typing tests, a decrease in her disability score and symptom severity, and improvement in function. Results suggest that use of CPM as a non-intrusive ergonomic intervention may be used to treat, as well as prevent, carpal tunnel-like symptoms in those who keyboard.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
2/6. Gouty tenosynovitis in the hand.Gouty tenosynovitis can present as an infection, tendon rupture, nerve compression, or digital stiffness. In ten patients, extensive urate deposition was encountered in the extensor tendons at both the wrist and digital levels in addition to involvement of the flexor tendons in the carpal canal and digital theca. Direct nerve or muscle involvement was not observed in the hand. Medical therapy, which is now the cornerstone of treatment for most aspects of gout, may not be the best treatment for tophaceous deposits in the hand. Operative treatment may be required to debulk tophaceous deposits, improve tendon gliding, decompress nerves, allow increased range of motion of joints, and ameliorate pain.- - - - - - - - - - ranking = 0.2keywords = motion (Clic here for more details about this article) |
3/6. median nerve compression and trigger finger in the mucopolysaccharidoses and related diseases.patients with Hurler's syndrome (MPS-1H), I-cell disease (ML-II) and pseudo-Hurler's syndrome (ML-III) had median nerve compression and triggering of the fingers which limited finger extension. To our knowledge, this combination has not been reported previously in patients with mucopolysaccharidoses and related disorders. In all of our 3 cases the median nerve was compressed by thickened flexor tenosynovium. Synovectomy and resection of the volar carpal ligament improved the hand function in all, including the mentally retarded patient with Hurler's syndrome. Release of the fibroosseous tunnel in two patients was followed by an increased range of motion (but not full extension). A fourth patient, without a mucopolysaccharide storage disorder, also had the combination of trigger finger and carpal tunnel syndrome.- - - - - - - - - - ranking = 0.2keywords = motion (Clic here for more details about this article) |
4/6. Personal observations on the role of the lumbrical muscles in carpal tunnel syndrome.A case of carpal tunnel syndrome is presented in which an abnormally high origin of a lumbrical muscle seemed to be the cause. Since the patient and author are the same, the symptoms of compression and during the postoperative period are well documented. Evoking the symptoms by exercise or active motion is suggested for future diagnostic tests. A surgical incision more ulnarward is recommended.- - - - - - - - - - ranking = 0.2keywords = motion (Clic here for more details about this article) |
5/6. Long-cane modification for carpal tunnel syndrome: a case report.BACKGROUND: Low vision rehabilitation services should be multidisciplinary and should provide patients with as many options as are necessary to help partially sighted individuals maintain independence and quality of life. methods: A case report is presented of a 30-year-old insulin-dependent diabetic patient with carpal tunnel syndrome. Team management resulted in referral for occupational therapy evaluation and resulted in long cane modification. RESULTS: Modification of a long cane was accomplished using a piece of PVC plastic glued at a right angle to the long cane, thus acting as a handle. Fabric straps with Velcro fasteners made the cane movable with forearm rather than wrist motion and allowed the patient to maintain independent travel. CONCLUSIONS: This case presents an example of appropriate referral for an occupational therapy evaluation. Low vision rehabilitation demands an interdisciplinary approach.- - - - - - - - - - ranking = 0.2keywords = motion (Clic here for more details about this article) |
6/6. occupational health hazard: carpal tunnel syndrome.A significant portion of the American population today is exposed to computer-related illnesses. One of the most common injuries is carpal tunnel syndrome (CTS). Perioperative nurses will become increasingly exposed to computer-related illnesses with the advent of computerized patient record systems. Economic loss, physical disability, and emotional distress are frequent outcomes of computer-related illnesses. Federal legislation addressing preventive measures is currently nonexistent. Clinicians, as both employers and consumers of computer technology, must address computer-related illnesses, such as CTS, through identification of related risk factors, early symptoms, implementation of ergonomic measures, and support of federal and industrial safety standards.- - - - - - - - - - ranking = 0.2keywords = motion (Clic here for more details about this article) |