TL;DR: The preliminary results of this study support the value of the ARAT for measuring recovery of arm-hand function in stroke patients.
Abstract: Background and purpose: the Action Research arm test (ARAT) was constructed for assessing recovery of upper extremity function after cortical injury. The objective of the study was to verify the inter-rater reliability and validity of the ARAT in stroke patients. Methods: 50 stroke patients participated in the study. For the purpose of inter-rater study, the ARAT was administered by three experienced raters on each patient within a 3-day period. Validity was assessed by comparing the patients' scores on the ARAT with those obtained for the other well-validated measurements evaluating upper extremity motor impairment and disability. Results: intra-class correlation coefficient (ICQ for the total score was 0.98 indicating very high inter-rater reliability. ICCs were also very high in each of the subscales. The score of the ARAT was closely correlated with that of the upper extremity part of the motor assessment scale, the arm sub-score of the motricity index and the upper extremity movements of the modified motor assessment chart (Pearson r = 0.96, 0.87 and 0.94, respectively). Conclusion: the preliminary results of this study support the value of the ARAT for measuring recovery of arm - hand function in stroke patients.
TL;DR: Foreword Enhanced Preface Part I: Fundamentals of Structure and Motion of the Human Body found that posture and the Gait Cycle, as well as types of Joint Motion and Musculoskeletal Assessment, arefundamental to understanding the human body.
Abstract: Foreword Enhanced Preface Part I: Fundamentals of Structure and Motion of the Human Body 1. Parts of the Human Body 2. Mapping the Human Body Part II: Skeletal Osteology: Study of the Bones 3. Skeletal Tissues 4. Bones of the Skeleton Part III: Skeletal Arthrology: Study of the Joints 5. Joint Action Terminology 6. Classification of Joints 7. Joints of the Axial Body 8. Joints of the Lower Extremity 9. Joints of the Upper Extremity Part IV: Myology: Study of the Muscular System 10. Attachments and Actions of Muscles 11. Anatomy and Physiology of Muscle Tissue 12. How Muscles Function D The Big Picture 13. Types of Muscle Contractions 14. Roles of Muscles 15. Types of Joint Motion and Musculoskeletal Assessment 16. Determining the Force of a Muscle Contraction 17. Neuromuscular System 18. Posture and the Gait Cycle 19. Stretching 20. Strengthening Exercises Bibliography
TL;DR: This paper presents a meta-anatomy of the human hand injury crisis from a perspective of management, physiology, and psychology.
Abstract: PART I - ANATOMY OF THE UPPER EXTREMITY PART II - EVALUATION PART III - WOUND MANAGEMENT PART IV - INFECTIONS PART V - FRACTURES AND JOINT INJURIES TO THE HAND PART VI - TENDON INJURIES PART VII - ACUTE NERVE INJURIES PART VIII - COMPRESSION NEUROPATHIES PART IX - BRACHIAL PLEXOPATHIES PART X - SURGICAL RECONSTRUCTION FOR NERVE INJURIES PART XI - VASCULAR AND LYMPHATIC DISORDERS PART XII - SOFT TISSUE CONDITIONS PART XIII - CUMULTIVE TRAUMA DISORDERS PART XIV - STIFFNESS OF THE HAND PART XV - THE MIND-HAND CONNECTION: PSYCHOLOGIC ASPECTS OF HAND INJURIES PART XVI - COMMON WRIST INJURIES PART XVII - COMMON ELBOW INJURIES PART XVIII- COMMON SHOULDER INJURIES PART XIX - MAJOR TRAUMATIC CONDITIONS PART XX - THERMAL AND ELECTRICAL INJURIES PART XXI - RHEUMATOID ARTHRITIS PART XXII - OSTEOARTHRITIS PART XXIII - THE OTHER ARTHRIDITIES PART XXIV - PAIN PART XXV- SPECIAL TECHNIQUES OF THERAPISTS' INTERVENTION PART XXVI - SPLINTING: PRINCIPLES AND TECHNIQUES PART XXVII - PEDIATRIC CONDITIONS PART XXVIII - GERIATRIC CONDITIONS PART XXIX - THE WORKER, MUSICIAN, AND ATHLETE IN A HAND REHABILITATION SETTING
TL;DR: The Z795-96 Coding of Work Injury or Disease Information standard can be used to estimate the number of CTDUE and extract homogeneous groups of definite and non-CTDUE claims and certain upper extremity part of body codes can been used to target anatomically defined claims.
TL;DR: The proposed outcome measures seem to be suitable measures to objectively quantify the occurrence of synergistic movement patterns of the upper extremity following stroke, and strong correlations between the proximalupper extremity part of the Fugl-Meyer (FM) scale and the use of synergism movement patterns were found.
Abstract: The majority of stroke survivors have to cope with deficits in arm function, which is often monitored with subjective clinical scales during stroke rehabilitation. The aim of this study is to examine whether robotic outcome measures obtained during circle drawing are suitable to objectively measure upper extremity function of stroke survivors, especially regarding synergistic movement patterns. Stroke survivors (n = 16) and healthy subjects (n = 20) drew circles, as big and as round as possible, above a table top. Joint angles and positions of the shoulder and elbow were measured. Synergistic movement patterns were identified based on simultaneous changes of the shoulder elevation angle and elbow angle. Stroke survivors moved significantly more within synergistic movement patterns, compared to healthy subjects. Strong correlations between the proximal upper extremity part of the Fugl-Meyer (FM) scale and the use of synergistic movement patterns were found. The proposed outcome measures seem to be suitable measures to objectively quantify the occurrence of synergistic movement patterns of the upper extremity following stroke.