PURPOSE: To quantify and compare the disabilities caused by reduced and absent wrist motion using objective measurements of task performance and perceived disability, and to assess the compensatory motions of the shoulder, elbow, forearm, and trunk caused by impaired wrist motion. METHODS: A clinical study of 21 normal subjects was done to measure physical performance and to assess wrist function under conditions of reduced (30 degrees flexion and 30 degrees extension) and nearly absent wrist motion using established physical tests and questionnaires (Disabilities of the Arm, Shoulder, and Hand [DASH], Patient Rated Wrist Evaluation [PRWE], and a study-specific survey). The clinical study also measured compensatory motions of the shoulder, elbow, forearm, and trunk. RESULTS: Average times to perform the Jebsen test and activities of daily living (ADLs) test increased for both motion-restricted conditions of the wrist but did not differ significantly between the conditions. Questionnaire scores regarding function were significantly worse for both motion-restricted conditions and poorest for nearly absent motion. Average compensatory motions in the extremity and trunk statistically increased for both motion-restricted conditions but were not marked and did not differ between the conditions. High variability among subjects occurred in all physical tests and questionnaires for both motion-restricted conditions. CONCLUSIONS: Perceived disability from reduced wrist motion appeared greater than measured functional loss using common physical tests and outcome surveys.
PURPOSE: To quantify and compare the disabilities caused by reduced and absent wrist motion using objective measurements of task performance and perceived disability, and to assess the compensatory motions of the shoulder, elbow, forearm, and trunk caused by impaired wrist motion. METHODS: A clinical study of 21 normal subjects was done to measure physical performance and to assess wrist function under conditions of reduced (30 degrees flexion and 30 degrees extension) and nearly absent wrist motion using established physical tests and questionnaires (Disabilities of the Arm, Shoulder, and Hand [DASH], Patient Rated Wrist Evaluation [PRWE], and a study-specific survey). The clinical study also measured compensatory motions of the shoulder, elbow, forearm, and trunk. RESULTS: Average times to perform the Jebsen test and activities of daily living (ADLs) test increased for both motion-restricted conditions of the wrist but did not differ significantly between the conditions. Questionnaire scores regarding function were significantly worse for both motion-restricted conditions and poorest for nearly absent motion. Average compensatory motions in the extremity and trunk statistically increased for both motion-restricted conditions but were not marked and did not differ between the conditions. High variability among subjects occurred in all physical tests and questionnaires for both motion-restricted conditions. CONCLUSIONS: Perceived disability from reduced wrist motion appeared greater than measured functional loss using common physical tests and outcome surveys.
Authors: Catherine F Sinclair; John P Gleysteen; Terence M Zimmermann; Mark K Wax; Babak Givi; Daniel Schneider; Eben L Rosenthal Journal: Microsurgery Date: 2012-03-31 Impact factor: 2.425
Authors: Michel E H Boeckstyns; Guillaume Herzberg; Allan Ibsen Sørensen; Peter Axelsson; Karsten Krøner; Philippe A Liverneaux; Laurent Obert; Søren Merser Journal: J Wrist Surg Date: 2013-11
Authors: Cristina Piazza; Matteo Rossi; Manuel G Catalano; Antonio Bicchi; Levi J Hargrove Journal: IEEE Trans Neural Syst Rehabil Eng Date: 2020-08-17 Impact factor: 4.528