BACKGROUND AND PURPOSE Thermal stimulation (TS) is commonly used in orthopedic rehabilitation, but the role of TS in the facilitation of sensorimotor recovery in hemiplegic patients remains unknown. This study addressed the issue of TS intervention in the facilitation of functional outcomes. METHODS Forty-six stroke survivors were randomly assigned to standard rehabilitation treatment and sta...

The wrist-driven flexor hinge orthosis (WDFHO) is a device used to restore hand function in persons with tetraplegic spinal cord injury by furnishing three-point prehension. We assessed the effectiveness and biomechanical properties of the WDFHO in 24 persons with cervical 6 or 7 tetraplegia who have severely impaired hand function. This study introduces a mechanical operating model to assess t...

The capitate is often considered the "keystone" of the carpus, not simply because of its central and prominent position in the wrist, but also because of its mechanical interactions with neighboring bones. The purpose of this study was to determine in vivo three-dimensional capitate kinematics. Twenty uninjured wrists were investigated using a recently developed, non-invasive markerless bone re...

A user’s posture at a computer workstation, especially wrist posture, is determined by the keyboard angle. Most commercially available keyboards have built-in positive slope that requires user to extend their approximately 20° when typing. The purpose of this study find negative angles minimize extension for both sitting and standing workstations. In study, we compared upper limb working postur...

While deviated wrist postures have been linked to the development of carpal tunnel syndrome, the relative contributions of posture-related changes in size, shape and volume of the carpal tunnel contribute to median nerve compression are unclear. The purpose of this study was two-fold: (1) to reconstruct the carpal tunnel from MRI data in neutral and non-neutral (30 degrees extension, 30 degrees...

BACKGROUND Trans-scaphoid perilunate fracture-dislocation and perilunate dislocations are among uncommon injuries, most commonly seen in young patients due to high energy trauma. The treatment can be achieved either surgically by open reduction and internal fixation or closed reduction and casting. METHODS To compare surgical versus non-operative results of treatment after trans-scaphoid peri...

Objective Kinesio taping is a relatively new technique, which uses in rehabilitation of neurologic diseases. The aim of this study was to investigate the effects of Kinesio taping on hand grip and active range of motion of hand in children with cerebral palsy (CP). Materials and Methods In this experimental study with pre-test and three post-tests, 32 children with CP randomly were placed in ...

Split, gabled keyboard designs can prevent or improve upper extremity pain among computer users; the mechanism appears to involve the reduction of awkward wrist and forearm postures. This study evaluated the effects of changes in opening angle, slope and height (independent variables) of a gabled (14 degrees) keyboard on typing performance and upper extremity postures. Twenty-four experienced t...

To cite: Davidson DJ, Anakwe RE. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014205189 DESCRIPTION Kienböck’s disease (KD) is characterised by avascular necrosis of the lunate bone and is of unknown aetiology. KD is thought to result from a combination of vascular, anatomic and traumatic insults resulting in interruption of the blood supply to the lunate and ...