Tag: hand grip strength

Effect of radiofrequency in de Quervain’s tenosynovitis: A randomized control trial

Yomna F. Ahmed, Sara S. Abdelaziz, Marian M.Fayez, Hebatallah M.Zaghloul, Marwa T. Mohamed


Yomna F. Ahmed, Sara S. Abdelaziz, Marian M.Fayez, Hebatallah M.Zaghloul, Marwa T. Mohamed – Effect of radiofrequency in de Quervain’s tenosynovitis: A randomized control trial. Fizjoterapia Polska 2023; 23(1); 126-132

DOI: https://doi.org/10.56984/8ZG07B3B2

Abstract
Background. De Quervain’s tenosynovitis is mucoid degeneration of the tendon sheaths of the two tendons that regulate the mobility of the thumb. As a result, the wrist’s thumb side is painful and uncomfortable.
Objectives. To assess radiofrequency’s effectiveness in patients with de Quervain’s tenosynovitis.
Design. A prospective randomized controlled trial. Setting. physical therapy department, Rail Way Hospital.
Methods. 40 participants with de Quervain’s tenosynovitis. Participants were divided into two groups at random: group A (control group), which received an ultrasound, transverse friction massage, and strengthening exercises; and group B (study group), which received radiofrequency plus ultrasound, transverse friction massage, and strengthening exercises. Pain intensity, hand grip strength, and pinch strength were all measured at the baseline and after 4 weeks of treatment by using the visual analog scale, Jamar dynamometer, and pinch gauge, respectively.
Results. All outcome indicators in both groups improved statistically significantly (P < 0.05), according to within-group comparisons. The between-group comparisons showed significant improvement in all outcome measures for both groups (P < 0.05), with the study group showing superior improvement to the control group; the study group’s VAS improvement percentage was 28.7%, its grip strength improvement percentage was 6.71%, and its pinch strength improvement percentage was 28.6%.
Conclusion. In comparison to ultrasound, transverse friction massage, and strengthen exercise, radiofrequency plus ultrasound, transverse friction massage, and strengthen exercise resulted in greater improvements in de Quervain’s tenosynovitis patients’ pain intensity, hand grip strength, and pinch strength.
Keywords
de Quervain’s tenosynovitis, radiofrequency, pain severity, hand grip strength, and pinch strength
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Effect of Concurrent Training on Hand Grip after Gunshot Wounds in Upper Extremity: A Randomized Controlled Trial

Zakaria Mowafy Emam Mowafy, Mohamed Ali Elsafory, Ashraf Ahmed Mohamed Enb

Zakaria Mowafy Emam Mowafy, Mohamed Ali Elsafory, Ashraf Ahmed Mohamed Enb – Effect of Concurrent Training on Hand Grip after Gunshot Wounds in Upper Extremity: A Randomized Controlled Trial – preliminary report. Fizjoterapia Polska 2020; 20(4); 184-188

Abstract

Purpose. to evaluate effect of concurrent training on hand grip after gunshot wounds in upper extremity. Design. single blind randomized controlled trial. Methods. Forty patients with Gunshot Wounds in Upper Extremity participated in the study, they were recruited from the police hospital, Egypt; their ages ranged from 20-50 years old. Confidentiality was assured. They were assigned randomly into two groups equally in number; 20 patients each: study Group (A) received concurrent training In addition to their traditional physical therapy program while control group (B) received traditional physical therapy program only. All treatments were administered on the affected upper limb, 3 times a week for 8 weeks. Measurement of disabilities of the arm, shoulder and hand questionnaire (DASH) scale was used to evaluate upper limb disability and Jamar hand dynamometer was used to assess hand grip strength (HGS). Descriptive statistics as mean, standard deviation, minimum and maximum were calculated for each group. Unpaired t test was conducted for comparison of (HGS) and (DASH) between both groups. Paired t test was conducted for comparison of (HGS) and (DASH) between pre and post treatment in each group. Alpha point of 0.05 was used as a level of significance. Results. When compared to the pre-treatment condition, HGS / DASH improved in the post test condition in group A and B. Between the groups, There was statistically significant difference was noted between the mean value of all dependent variables in group A and their corresponding value in group B. Conclusion: Concurrent training was effective and beneficial in improving hand grip strength after gunshot wounds in upper extremity as manifested by the highly increased (HGS) and the significant decrease in (DASH).

 

Key words:

Arm, Shoulder and Hand Questionnaire (DASH), concurrent training, hand grip strength, gunshot wounds in upper extremity, and Jamar held dynamometer

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Hand Grip Strength and Fine Motor Skills in Autism Spectrum Disorders

Rajeswari Muthusamy, Ramachandran Padmanabhan, Binu Ninan, Sailakshmi Ganesan

Rajeswari Muthusamy, Ramachandran Padmanabhan, Binu Ninan, Sailakshmi Ganesan – Hand Grip Strength and Fine Motor Skills in Autism Spectrum Disorders. Fizjoterapia Polska 2020; 20(4); 72-77

Abstract

Background. Autism spectrum disorder (ASD) is primarily considered as psychiatric disorder but physical features are associated with it. Motor impairments are manifested as both delays and deficits, with delays found in gross motor, fine motor and speech domains and deficits found in praxis, coordination and gait. Gross motor functions develop overtime but fine motor is still found to be delayed even at the age of three years. Hand Grip Strength (HGS) is reduced in ASD which might be one of the factors for dependent functional fine motor task. The extent of muscle weakness and its impact on fine motor skills (FMS) is not clear which would provide an insight into the child’s physical limitations and plan of care. Aim. The aim of the study was to find the extent of muscle weakness in hand and impact of hand grip strength on fine motor skills in ASD children. Materials and Methods. This cross sectional study was carried out in 65 ASD children who met the inclusion criteria. Subjects were recruited from Vidyasudha – Centre for children with special needs. Children diagnosed as ASD with Childhood Autism Rating Scale were included in the study. Level of the FMS was assessed by Peabody Developmental Motor Scale (PDMS-2) and grip strength was quantified with Martin Vigorimeter. Results. Unpaired t test analysis showed statistically significant change of HGS between normative values of Martin Vigorimeter in Indian population and ASD children with p < 0.05. Pearson’s correlation showed strong positive correlation between fine motor skills and hand grip strength with r value of > 0.7 and p ≤ 0.05. Conclusion. The result concludes that there is significant weakness in hand grip strength with positive correlation of fine motor skills in ASD children. The result insists routine assessment of muscle strength and use of Martin Vigorimeter for assessing hand grip strength in ASD children followed by strengthening exercises to improve activities of daily living and attain functional independency.

Key words:
Autism Spectrum Disorder, Fine motor skills, Hand grip strength, Peabody Developmental Motor Scales, Martin Vigorimeter
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