Influence of wrist position on maximum grip force in a post-operative orthosis
| Autor: | Jeroen Vanhaecke, Marleen Dezillie, Arne Burssens, Nathalie Schelpe, Filip Stockmans |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
musculoskeletal diseases
Adult Male Wrist Joint medicine.medical_specialty Orthotic Devices Flexor tendon repair Adhesion (medicine) 030230 surgery Wrist Health Professions (miscellaneous) 03 medical and health sciences Young Adult 0302 clinical medicine Physical medicine and rehabilitation Medicine Humans Range of Motion Articular Postoperative Care Hand Strength business.industry Rehabilitation Biomechanics Equipment Design Middle Aged musculoskeletal system medicine.disease Orthotic device Surgery Position (obstetrics) medicine.anatomical_structure Orthopedic surgery Grip force business 030217 neurology & neurosurgery |
| Zdroj: | Prosthetics and orthotics international. 41(1) |
| ISSN: | 1746-1553 |
| Popis: | Flexor tendon repair in the hand remains challenging in avoiding tendon rupture and adhesion formation. Post-operative mobilization has been shown to be critical in regaining functional range of motion.The objective of this study is 2-fold: to assess the influence of wrist position on maximum grip force generated in a post-operative orthosis and to determine the correlation between this maximum grip force and an individual's grip strength.Clinical measurement Methods: A total of 30 uninjured wrists of right-handed men were given a post-operative orthosis with an incorporated Caroli-hinge. The maximum grip force was measured according to a different wrist position ranging from -30° extension until 80° of flexion using a 10° interval. These measurements were plotted out on a graph for regression analysis. A correlation was determined between measurements in a neutral wrist position and maximum grip strength generated without an orthosis. To assess the coherence of the measurements, a mean intraclass correlation coefficient was used.The maximum grip force values were statistically significantly different in every wrist position and decreased progressively with an increasing flexion angle ( p 0.05). This relationship is expressed in a logistic regression curve f( x) = -4.98 + 16.92/(1 + (x/8.59))The obtained logistic function allowed to derive the wrist position needed in a post-operative orthosis to obtain a desired amount of maximum grip force reduction. Clinical relevance Measuring a high grip force in a clinical setting of flexor tendon repair on the contralateral non-affected hand could indicate the use of an increased flexion angle in a post-operative orthosis. This reduces the load transferred on the tendon repair when involuntary contractions take place, for example, during sleeping when positioned in a post-operative orthosis. |
| Databáze: | OpenAIRE |
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