Academic literature on the topic 'Hand Wounds and injuries Patients Rehabilitation'
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Journal articles on the topic "Hand Wounds and injuries Patients Rehabilitation"
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Aristov, A. M., S. B. Bogdanov, S. N. Kurinniy, A. V. Karakulev, and V. A. Aladina. "Surgical reconstruction for high-pressure injection injuries to the hand." Genij Ortopedii 28, no. 1 (February 25, 2022): 97–103. http://dx.doi.org/10.18019/1028-4427-2022-28-1-97-103.
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Introduction High-pressure injection injuries to the hand result from injection of substances by high-pressure industrial devices. These are rare lesions with high risk of substantial long-term morbidity. Tissue defects resulting from staged debridement require skin grafting or vascularized island flap coverage. Hand therapy is an important part of the complex rehabilitation of such patients. The objective is to present complex surgical reconstruction of severe high-pressure injection injury of the hand aimed at preserving limb function. Material and methods Methods and results of surgical reconstruction of a patient with severe high-pressure injection injury of the hand treated at the Research Institute – S.V. Ochapovsky Regional Clinic Hospital No.1 in 2018–2019. Results Short-term result of surgical treatment demonstrated complete skin restoration and maximum possible preservation of underlying deep anatomical structures of the hand. Subsequent surgical interventions were aimed at restoring the hand function. Conclusion The restorative treatment of a high-pressure injection injury of the hand includes the earliest possible primary surgical treatment of the wound with wide revision, maximum removal of the injected substance and non-viable tissues and prevention of secondary injuries and infection in the wound. Nonfree vascularized flaps, full-thickness free grafts or split-skin autografts are used for skin reconstruction. Restoration of other functionally significant structures can be considered at a long term with wounds healed and autografts completely implanted. Hand therapy is integral to the comprehensive functional rehabilitation of the high-pressure injection injuries to the hand.
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G'sell, David, Jeffrey E. Carter, Nicole M. Kopari, and William L. Hickerson. "725 Case Series: New Porcine Placental ECM for Burn Injuries." Journal of Burn Care & Research 43, Supplement_1 (March 23, 2022): S168—S169. http://dx.doi.org/10.1093/jbcr/irac012.279.
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Abstract Introduction Human amniotic membrane (HAM) has been used as a biologic dressing for burn wounds since 1955 but limited due to availability, size, and processing costs. In 2021 a new porcine placental product was FDA-approved overcoming challenges with human-sourced products. Our study is the first case series to report outcomes using porcine placental extracellular matrix (PPECM) in the use of adult burn patients. Methods Adults with thermal burns resulting in partial-thickness burn wounds (PTBW) were consented and included in the study from 03/2021 to 09/2021. Patients with full-thickness injures, concomitant trauma, or adverse beliefs to porcine products were not included in the study. Serial still images and initial wound measurements were obtained intraoperatively and post-operatively. PPECM trial product processed with a proprietary decellularization method to produce single sheets up to 15x20cm was approved by the facility value assessment committee. Adverse events were defined a priori as infection, increased pain or itching relative to adjacent autografts, or failure to heal. Infection was defined as a PPECM treatment site requiring any change from standard of care or initiation of local or systemic antibiotics. Pain was assessed using a visual analogue scale. Itching was assessed at discharge and follow-up. Healing was assessed using the FDA guidance for wound closure with 2 consecutive visits 2 weeks apart demonstrating 100% epithelialization without drainage or dressing requirements. Results Four patients were treated during the study period with wounds involving the torso and major joints such as the hands/wrists and knees. None of the PPECM wounds demonstrated failure to heal or required revision excision, or autograft. None of the PPECM wounds had evidence of infection. PPECM wounds had decreased pain/itching relative to adjacent burn wounds which were treated with split-thickness autograft, autologous skin cell suspension, or allogeneic cultured skin substitute (VAS mean 1 vs 3.1). Healing was noted in all wounds at 1-week primary dressing removal with confirmation at 2-week interval follow-up. Conclusions PPECM treatment of PTBW was not associated with adverse events and resulted in favorable outcomes clinically. The large size, ease of use, and lower costs relative to HAM is an intriguing alternative for PTBW. Comparative studies are needed in the field to determine best practices and overall value.
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Taylor, George M., Jeffrey E. Carter, Charles T. Tuggle, Scott Barnett, and Herb A. Phelan. "35 Outcomes for Hand Burns Treated with Autologous Skin Cell Suspension in 20% TBSA and Smaller Injuries." Journal of Burn Care & Research 42, Supplement_1 (April 1, 2021): S27—S28. http://dx.doi.org/10.1093/jbcr/irab032.039.
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Abstract Introduction Our group has previously reported our experience with autologous skin cell suspension (ASCS) in the treatment of all subjects with hand burns regardless of the total body surface area (TBSA) involved. In order to better address the confounder of TBSA on burn outcomes, we sought to analyze our experience in a cohort of subjects whose TBSA totaled 20% or less. We hypothesized that the use of ASCS in conjunction with a 2:1 meshed autograft would provide comparable outcomes to hand burns treated with smaller meshed autograft alone. Methods A retrospective review was conducted for deep 2nd and 3rd degree hand burns treated with split thickness autograft (STAG) at our urban verified burn center between April 2018 to September 2020. Exclusion criterion was a TBSA greater than 20%. The cohorts were those subjects treated with ASCS in combination with STAG (ASCS(+)) versus those treated with STAG alone (ASCS(-)). All ASCS(+) subjects were treated with 2:1 meshed STAG and ASCS overspray while all ASCS(-) subjects had 1:1 or piecrust mesh only. Outcomes included demographics, proportion returning to work (RTW), length of time for RTW, and time to wound closure. Mann-Whitney U test was used for comparisons of continuous variables, and Fishers Exact test for categorical variables. Values are reported as median and interquartile range. Results Fifty-one subjects fit the study criteria (ASCS(+) n=31, ASCS(-) n=20). The ASCS(+) group was significantly older than the ASCS(-) cohort (44 yrs. [32, 54] vs 32 [27.5, 37], p=0.009) with larger %TBSA burns (15% [9.5, 17] vs 2% [1, 4], p < 0.0001), and larger size hand burns (190 cm2 [120, 349.5] vs 126 cm2 [73.5, 182], p=0.015). Comparable results were seen between ASCS(+) and ASCS(-), respectively, for time to wound closure (9 days [7, 13] vs 11.5 [6.75, 14], p=0.63), proportion RTW (61% vs 70%, p=0.56), and days for RTW among those returning (35 [28.5, 57] vs 33 [20.25, 59], p=0.52). The ASCS(+) group had two graft infections with no reoperations, while ASCS(-) had one infection with one reoperation. No subjects in either group had a dermal substitute placed. Conclusions Despite being significantly older, having larger hand wounds, and larger overall wounds within the parameters of the study criteria, patients with 20% TBSA burns or smaller whose hand burns were treated with 2:1 mesh and ASCS overspray had comparable time to wound closure and return to work as subjects treated with 1:1 or pie-crust meshed STAG. Our group plans to follow this work with scar assessments for a more granular picture of pliability and reconstructive needs.
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Shim, Hyung Sup, Ji Seon Choi, and Sang Wha Kim. "A Role for Postoperative Negative Pressure Wound Therapy in Multitissue Hand Injuries." BioMed Research International 2018 (2018): 1–7. http://dx.doi.org/10.1155/2018/3629643.
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In this study, we compared outcomes in patients with acute hand injury, who were managed with or without negative pressure wound therapy (NPWT) after reconstructive surgery. All of the patients who sustained acute and multitissue injuries of the hand were identified. After reconstructive surgery, a conventional dressing was applied in Group 1 and NPWT was applied in Group 2. The dressing and NPWT were changed every 3 days. The mean age and Hand Injury Severity Scoring System score of both groups were not significantly different. Disabilities of the Arm, Shoulder, and Hand (DASH) scores were evaluated 1 month after all the sutures were removed and 1 year postoperatively, which were both significantly lower in Group 2. Applying NPWT to the hand promoted wound healing by reducing edema, stabilizing the wound, and providing immobilization in a functional position. Early wound healing and decreased complications enabled early rehabilitation, which led to successful functional recovery, both objectively and subjectively.
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Özgen, Merih, Ayşe Merve Aydoğan, Ali Uygur, Onur Armağan, Funda Berkan, and Fezan Mutlu. "Rehabilitation cost share and cost analysis of traumatic hand injuries: Our single-center results." Turkish Journal of Physical Medicine and Rehabilitation 67, no. 3 (September 1, 2021): 308–14. http://dx.doi.org/10.5606/tftrd.2021.5457.
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Objectives: This study aims to evaluate the cost expenses and rehabilitation share of hand and/or wrist injuries and to contribute to the development of health and economic policies. Patients and methods: A total of 59 patients (55 males, 4 females; mean age: 39.1±11.3 years; range, 20 to 64 years) who presented with hand and/or wrist injuries between January 2015 and December 2017 were retrospectively reviewed. Demographic data, hand injury information, and the Modified Hand Injury Severity Scores (MHISS) were retrieved from the patient file system. The cost analysis with direct and indirect costs was performed. Results: According to the MHISS, 27.1% of patients had a minor injury, 23.7% had a moderate injury, 18.6% had a severe injury, and 30.5% had a major injury. The mean direct cost of the patients was $726.00±641.87 and the total cost of the indirect cost was $2,776.93±1,619.00. The mean day-off time was 125±68.62 days. Indirect costs accounted for 79% of the total cost. The mean cost of rehabilitation was $150.18±86.88. Rehabilitation costs accounted for 4% of the total cost. There was a positive correlation between the MHISS and direct, indirect and total cost, but not between the MHISS and rehabilitation cost. Conclusion: The proportion of the share allocated to rehabilitation expenditures, which is the subunit of direct cost, is low and not related to the injury severity. The data obtained from the study contributed to the creation of evidence-based health and economic policies. We believe that these data also contribute to the planning of rehabilitation services according to the severity of injury which would improve the quality of life and return to work.
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Maldonado Carrasco, Claudia Lucía, Manuel Edmundo Espinoza Espinoza, Rómulo Augusto Idrovo Carrasco, and Luis Alberto Tinoco Cazorla. "Reporte de un caso clínico: Reimplante de mano." Revista Médica del Hospital José Carrasco Arteaga 13, no. 1 (July 31, 2021): 125–30. http://dx.doi.org/10.14410/2021.13.2.cc.20.
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BACKGROUND: The upper limb plays a vital role in our daily function; injuries to this vital structure can result in devastating consequences to functional, psychological and social well-being; especially traumatic amputations of the upper limb are challenging to manage and deciding which patients would benefit from limb salvage versus amputation is critical. CASE REPORTS: A 52-year-old male patient, who suffered a traumatic partial amputation in the distal third of his right forearm with an industrial machine, presenting an ulnar and radius fracture, with severe soft tissue injuries, who underwent a replantation surgery after 12 hours of ischemia. EVOLUTION: Patient presented good postsurgical outcome. 24 hours after surgery he presented normal Allen’s test results, adequate temperature, pink coloration, hypoesthesia and 2/5 muscle strength in the injured limb. He was discharged 7 days after surgery with follow-up and rehabilitation prescription. The percutaneous needles were removed 13 weeks after, with proper bone healing of the fracture. 5 months after surgery, he presented a DASH Score of 60.83. CONCLUSION: The replantation field has become very sophisticated in recent years; the decision to perform replantation of the amputated limb must be individualized to each patient, based on several established factors such as the characteristics of the injury, patient related factors, and the functional recovery capacity.
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Jeong, Seong-Ho, Ja Hea Gu, and Woo-Kyung Kim. "Analysis of Self-Inflicted Lacerations to the Wrist: A Multi-Disciplinary Approach to Treating." Journal of Hand Surgery (Asian-Pacific Volume) 25, no. 01 (January 31, 2020): 47–53. http://dx.doi.org/10.1142/s242483552050006x.
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Background: Self-inflicted wrist lacerations have the potential to lead to crippling sequelae and repeated suicidal attempt. To obtain good results, we have treated self-inflicted wrist lacerations using a multidisciplinary team - emergency, hand surgery, psychiatry, and rehabilitation. This study aims to review features of this type of injuries and suggest multidisciplinary team approach as an optimal treatment. Methods: Our multidisciplinary approach can be summarized as follows: initial evaluation, psychological interview, surgery, and rehabilitation. The medical records including wound features, injured structures and psychological data were reviewed retrospectively. Assessment of functional outcomes, and comparative analysis of various psychological parameters were conducted. Results: Most patients resulted in excellent or good functional outcomes. Five patients reattempted wrist cutting with suicidal intent during follow-up. Only 21.3% patients had a suicidal intent and it was not associated with injury severity and functional recovery. Alcohol ingestion and presence of associated injuries was significant different between severity groups. Presence of suicidal intent was irrelevant to injury severity and functional recovery, but relevant to alcohol ingestion, presence of associated injuries and presence of psychiatric diagnosis. Conclusions: In order to minimize catastrophic disability and repeated suicide attempts, a balanced multidisciplinary approach is one of the best methods to obtain excellent functional outcomes and prevent repeated injuries in patients with self-inflicted wrist lacerations.
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Thurston, A. J., and A. McChesney. "THE BACTERIAL COLONISATION OF SILICONE OIL USED IN THE MANAGEMENT OF WOUNDS OF THE HANDS — A SOURCE OF NOSOCOMIAL INFECTION?" Hand Surgery 07, no. 01 (July 2002): 21–26. http://dx.doi.org/10.1142/s0218810402000844.
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For 30 years, silicone oil has been used for the management and rehabilitation of the injured hand. Its benefits accrue from its providing a non-irritant, bland, air-free medium in which the hand can undergo early movement, which prevents drying out of the tissues and helps in the separation of necrotic and infected tissue. It has been reported, however, that the silicone oil might act as a reservoir for nosocomial infection after two patients developed epidemic methicillin-resistant Staphylococcus aureus (EMRSA) infections. Since no firm guidelines exist with regard to open and/or infected wounds and the continued use of the same oil, a prospective study was set up to study the bacterial colonisation of the silicone oil. Thirty-five consecutive patients were entered into the study. The oil for each patient was changed each week but if any wound became clinically infected the oil was changed earlier. Treatment was continued until the wound was healed or until the treatment was stopped by the referring doctor. Bacteriology swabs taken from the wound and the oil before each treatment and from the oil after each treatment were analysed for bacterial colonisation. The results indicated that while bacteria were transferred into the oil from the wound, the inoculum was small and had no effect on wound healing. There was no evidence that wounds were being re-infected from the oil. The conclusion was that silicone oil remains a safe medium in which to exercise injured hands.
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Skibba, Kathryn, Chelsea Cleveland, and Derek Bell. "823 Airbag Burns: An Unnecessary Consequence of Motor Vehicle Safety." Journal of Burn Care & Research 41, Supplement_1 (March 2020): S250—S251. http://dx.doi.org/10.1093/jbcr/iraa024.399.
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Abstract Introduction Over 7,500 Americans are injured by motor vehicle crashes every day and air bags save an estimated 2,790 lives per year.6,7 All vehicles are mandated to have airbags installed. The ubiquity of airbags has shown a surge in airbag related injuries including abrasions, contusions, lacerations, burns, fractures, and retinal detachment.1,3 Methods A retrospective review of all patients evaluated by the burn service was performed from 5/1/2015-4/30/2019. Inclusion criteria was patients of all ages with burn injuries resulting from airbag deployment. Demographic data and burn characteristics were reviewed. Results A total of seventeen patients met inclusion criteria: 82.4% female, 17.6% male. The average age was 40.4 years. No patients required hospitalization for their burn care. Etiology of the burn was often not clinically distinguishable; six patients were categorized as chemical burns and three from thermal injury. The remaining eight patients had unspecified etiology. Fifteen patients had second degree and two had third degree burns. The average TBSA for all patients was 0.45%. Burn location: ten hand or wrist; six arm, two chest, one neck, and anterior thigh burn. Eight patients suffered burns to more than one site. All patients were able to heal from their burns with wound care; no patients required surgical intervention. The average time to re-epithelialization was 11 days. Conclusions There is no question about the efficacy of airbags in preventing death and serious injury. However, the current mechanism of airbag deployment is intrinsically hazardous to passengers as it releases hot gases and alkaline substance into the cabin. The clinical manifestation of the burn may not distinguish whether it was a chemical or thermal etiology, as seen in 47% of our patients. If there is a suspicion for burn resulting from an airbag, the wound should be copiously irrigated and treated as though there is alkali chemical contamination. The average wound size was small at 0.45% TBSA. Most wounds were determined to be second degree and all were able to heal without surgical intervention. The most common area burned was the hands or upper extremity (88%). Airbag related burns should not be minimized as they cause pain, scarring, and a financial and time burden to the patient. Applicability of Research to Practice It is important to recognize and properly treat burns related to airbag deployment. If etiology of the burn is in question, the wound should be irrigated copiously as it may be caused by chemical contamination.
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Dawson, William J. "Trauma to the High-level Instrumentalist's Hand and Upper Extremity: An Epidemiologic and Outcome Study." Medical Problems of Performing Artists 22, no. 3 (September 1, 2007): 105–9. http://dx.doi.org/10.21091/mppa.2007.3023.
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Expanding on a pilot study of musician trauma presented several years ago, this paper reports on 276 professional or serious amateur instrumentalists, with 178 followed to a final outcome. The group represents 39.4% of all 701 musicians with trauma and 20.4% of all musicians seen by the author from 1981 to 1996 for hand and upper extremity problems. More than 60% were male, and 75% played strings and keyboards. Performing professionals constituted 38.8% of the total, while dedicated amateurs added 44.9%. Sports (30.1%) and a fall or blow (32.6%) were the most common causes of injury, with sports the most common among musicians aged 10 to 40 yrs. Nearly two-thirds of the sports trauma was due to ball sports, followed by household injuries and motor vehicle accidents. Diagnoses included fractures (32.7%), sprains/strains (24.4%), and open wounds (10.8%). More than one third of the group with open wounds also suffered nerve and/or tendon lacerations. The outcome in 178 patients included complete relief of symptoms in 122 (68.6%) and improvement in 53 (29.8%). Full return to performance occurred in 149 (83.7%) and in modified fashion in 25 (14.1%). Four patients stopped playing because of the injury or its sequelae. Forty-three patients presented with late sequelae from a prior injury, which resulted from sports or a fall/direct blow in 25. Of 27 with a known outcome, 11 returned fully to music, while 14 modified their performance. Division of nerves or tendons were more likely to result in very long-term disability or incomplete recovery, regardless of the accuracy of repair or extent of rehabilitation.
Dissertations / Theses on the topic "Hand Wounds and injuries Patients Rehabilitation"
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Wong, Yuk-ping Joyce, and 黃玉萍. "Outcome measures of traumatic hand injury patients in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31972299.
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Ebert, Jay Robert. "Post-operative load bearing rehabilitation following autologous chondrocyte implantation." University of Western Australia. School of Sport Science, Exercise and Health, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0196.
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[Truncated abstract] Autologous Chondrocyte Implantation (ACI) has shown early clinical success as a repair procedure to address focal articular cartilage defects in the knee, and involves isolating and culturing a patient's own chondrocytes in vitro and re-implantation of those cells into the cartilage defect. Over time, repair tissue can develop and remodel into hyaline-like cartilage. A progressive partial weight bearing (PWB) program becomes the critical factor in applying protection and progressive stimulation of the implanted cells, to promote best chondrocyte differentiation and development, without overloading the graft. The aim of this thesis was to investigate whether patients could replicate this theoretical load bearing model to possibly render the best quality tissue development. In addition, this proposed external load progression is only a means to loading the articular surface. Several factors, including those that may result from pathology, have the potential to influence gait patterns, and therefore, articular loading. The association between increasing external loads (ground reaction forces - GRF) and knee joint kinetics during partial and full weight bearing gait was, therefore, investigated in the ACI patient group, as was the contribution of other gait variables to these knee joint kinetics which may be modified by the clinician. Finally, current weight bearing (WB) protocols have been based on early ACI surgical techniques. With advancement in the surgical procedure and ongoing clinical experience, we employed a randomised controlled clinical trial to assess the effectiveness of an 'accelerated' load bearing program, compared with the traditionally 'conservative' post-operative protocol. ... Although similar spatio-temporal, knee kinematic and external loading parameters were observed between the traditional and accelerated rehabilitation groups, the accelerated group was 'more comparable' to the controls in their external knee adduction and flexion moments, where the traditional group had lower knee moments. Knee moments greatly affect knee articular loading, and large adduction moments have been related to poor clinical outcomes after surgery. Therefore, the return of normal levels may be ideal for graft stimulation, however, may overload the immature chondrocytes. Acceleration of the intensive rehabilitation program will enable the patient to return to normal activities earlier, whilst reducing time and expenses associated with the rehabilitative process, and may enhance long-term tissue development. However, continued follow-up is required to determine if there are any detrimental effects that may emerge as a result of the accelerated load bearing program, and assess the recovery of normal gait patterns and whether longer term graft outcomes are affected by the recovery time course of normal gait function, and/or abnormal loading mechanics in gait. Furthermore, analysis at all levels of PWB is needed to identify a more complete set of variables attributing to the magnitude of external knee joint kinetics and, therefore, knee articular loading, while the influence muscle activation patterns may have on articular loading needs to be investigated. This becomes critical when you consider loads experienced by the articular surface throughout the early post-operative period following ACI may be important to short- and long-term graft development.
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Ackermann, Tessa Ruth. "Minor "dings" - major effects? a study into the cognitive effects of mild head injuries in high school rugby." Thesis, Rhodes University, 2000. http://hdl.handle.net/10962/d1002429.
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The present study is part of a larger and ongoing research initiative investigating the cumulative cognitive effects of mild head injury in rugby union and focused specifically on high school rugby players. A comprehensive battery of neuropsychological tests was administered to top team high school rugby players (n = 47), and a non-contact sport control group of top team high school hockey players (n = 34). Direct comparisons of group mean scores and standard deviations across each neuropsychological test were carried out for the Total Rugby group versus the Total Hockey group as well as for the subgroups Rugby Forwards versus Rugby Backs. A correlational analysis was conducted to ascertain whether a relationship exists between the number of mild head injuries reported by the players and their cognitive test performance. Results of the group comparisons of means and variability on WMS Paired Associate Learning Hard Pairs - Delayed Recall provides tentative indications of the initial stages of diffuse damage associated with mild head injury in the rugby group and provides some evidence for impairment of verbal learning and memory in the Rugby Forwards group. The correlational analysis revealed no significant relationship between number of reported mild head injuries and cognitive performance. The findings and possible latent effects of the multiple mild head injuries reported by the rugby players are discussed in terms of brain reserve capacity theory and suggestions for future research are provided.
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Gaitelband, Philip Joseph. "An analysis of the experience of the acute phase of traumatic spinal cord injury in a South African spinal unit." Thesis, Rhodes University, 1996. http://hdl.handle.net/10962/d1002487.
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This study aims to explore, and to a certain extent to clarify, what it means psychologically to experience Traumatic spinal cord injury (TSCI) in a South African spinal unit. The target time chosen for analysis is the acute medical period. The study presents a review of the literature on psychological adjustment to TSCI and then proceeds to introduce and extensively articulate the hermeneutic approach and methodology. Subsequently, an interpretive research strategy is presented for the purpose of studying the acute phase of TSCI. The data for the study was obtained by means of three dialogical interviews which were tape recorded, transcribed and analyzed with~n a cyclical framework consisting of three interdependent levels. The interpretive procedure is modeled upon the 'reading guide' developed by Brown, Tappan, Gilligan, Miller and Argyris (1989). The analysis follows a course from the individual psychological descriptions of the experience to the generation of a general, nomothetic narrative account of the acute phase. The findings are then discussed in relation to the existing literature and evaluated on the basis of the goals of the study. The study highlights the value of some of the 'stage' ways of thinking about SCI adjustment, while simultaneously stressing the need for placing adjustment within a more personalized, and individually meaningful context. Significant differences between the psycho-physical experiences of patients in the categories of complete and -incomplete SCI were found, which suggests that a sharper distinction be made in the literature between these two groups, in order to account for the marked variations in their experiences.-- The study also contains a number of shortcomings, such as a lack of understanding about certain historical and contextual factors which may have mediated the experiences of the trauma for the individuals concerned. These shortcomings and some suggestions fro their resolution are then discussed. The study concludes with an evaluation of the research strategy and methodology and also offers some suggestions for future research.
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Maynard, Hugo. "Memory Deficit Compensation Among Survivors of Traumatic Brain Injury." PDXScholar, 1995. https://pdxscholar.library.pdx.edu/open_access_etds/4871.
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Memory impairment is an outcome of Traumatic Brain Injury (TBI), and associated with lower levels of post-morbid adjustment. This research isolated the memory impairment of retrieval deficit, and examined the efficacy of cues and mnemonics in remediating the impairment. Thirty-three male and female TBI survivors, 18 to 71 years old, were pre-tested for attention (COPY), short-term memory (SD), long-term memory (LD) and recognition memory (RS) employing the Rey Osterrieth Complex Figure Test (CFT), and Subtest. Sixteen subjects demonstrating a retrieval deficit were administered the post-test, with even random assignment into four treatment conditions: a control group (CONTROL), a group administered cues (CUES), a group administered mnemonics {MNEM), and a group administered mnemonics and cues (BOTH) (n = 4). A MANOVA revealed a significant effect of TRIAL (p5.05), no significant effect of TREATMENT, and no interaction. A power analysis indicated the lack of TREATMENT effect could be the result of sample size. Post-hoc t tests revealed a difference across TRIAL for SD and LO in the two experimental conditions which utilized mnemonics. The sample was divided into two groups according to subjects' level of functioning (HIGH and LOW). A MANOVA showed main effects for LEVEL for SD and RS, for TRIAL for SD, LO, and RS, and a LEVEL by TRIAL interaction for COPY (R
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Palmer, Elizabeth Seccombe. "Psychosocial impact of head injury on the family." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/2022.
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White, Brian Dale. "Identifying Changes in Resilience during Rehabilitation from a Spinal Cord Injury." Thesis, University of North Texas, 2008. https://digital.library.unt.edu/ark:/67531/metadc6039/.
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The study purposes were to identify changes in resilience, satisfaction with life (SWL), depression, spirituality, and functional independence (FI) and to examine the relationship between these variables, during the inpatient rehabilitation for a spinal cord injury (SCI). The sample included 42 individuals with a SCI, 33 males and 9 females, who were inpatients with a mean stay of 52 days (SD = 15.78). A repeated measures design was employed with questionnaires completed at three times during rehabilitation. Results indicated that there were significant changes in depression, satisfaction with life, spirituality, and FI during inpatient rehabilitation. Findings also indicated significant correlations between resilience, SWL, spirituality, and depression. Future studies developing interventions, and examining factors that predict resilience could help build resilience and may improve rehabilitation outcomes.
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Krefting, Laura Margaret. "Community re-integration after head injury: A disability ethnography." Diss., The University of Arizona, 1987. http://hdl.handle.net/10150/184268.
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As a result of medical advancement and cultural patterns of Western society, traumatic head injury is increasingly a problem for the injured, their families, medical and social services professionals, and the community at large. Head trauma is remarkable because of the complex nature of the residual disabilities which include long lasting cognitive and emotional problems, social isolation, and family disruption. The purpose of this study was to re-examine the phenomenon of recovery after mild to moderate head injury using an ethnographic research approach. The data were based on the experiences of 21 disabled and their families in the community setting. The disabled represented a range of stages of recovery and severity of disability. The data was collected using three field work strategies: extensive semi-structured interviews, participant observation, and non-academic document review. After collection the data was subjected to thematic and content analysis, that resulted in the selection of themes that characterized the experiences for the head injured and their families. The themes for the head injured informants were: dead days, loneliness, and forgetting. The family members' experiences were represented in the themes: responsibility, vulnerability, tough love, gender differences, and reactions to the experience. Next the data were interpreted using five theoretical concepts from cultural anthropology: liminality, personhood, social labelling, sick role and double bind. In addition, the reflexive influence of the investigator on the research process was addressed. The trustworthiness of the ethnography was assessed in terms of credibility, transferability, dependability and confirmability. Several variables were found to be important to the long term outcome of head injury. These variables were: family directed therapy, double bind communication patterns, and lifelong recovery. Two other factors were found to be critical for the recovery of the head injured. These were economic disincentives to the return to employment and the importance of the social and family environment. In the final section the research and policy implications of the study were discussed in relation to management and service provisions.
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Dutton, Marie Helen 1951. "SPINAL CORD INJURY - THE PATIENT'S VIEW (ETHNOGRAPHY, CHRONIC ILLNESS, IMMOBILITY)." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/291546.
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Wallace, Linda S. "Self-efficacy expectations and functional ability in everyday activities in clients undergoing total knee arthroplasty." Virtual Press, 2000. http://liblink.bsu.edu/uhtbin/catkey/1180777.
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This longitudinal, descriptive study based on Bandura's self-efficacy theory (1977), examined the effects of educational activities on self-efficacy and of self-efficacy on functional ability in everyday activities in clients undergoing elective, primary, unilateral, total knee arthroplasty (TKA). Educational activities included: attending a joint replacement class and a physical therapy session, performing exercises, and reading educational materials. Other sources of client information were also discussed. Self efficacy was assessed regarding confidence in ability to perform activities required for discharge home. Cronbach's alpha for the self-efficacy scale was .94 (pre-education) and .81 (post-education). Functional ability in everyday activities was operationalized as length of hospital stay, discharge placement, and perceived health status. Perceived health status was assessed using the three-scale Western Ontario McMasters University Osteoarthritis Index (WOMAC). Cronbach's alpha was: pain .85, joint stiffness .76, and physical function .94 (preoperatively); and pain .86, joint stiffness .80, and physical function .94 (postoperatively).Evidence was collected from a convenience sample of 31 participants: (a) when the process of scheduling surgery began; (b) before surgery, after the client had opportunities to participate in educational activities, and (c) approximately six weeks after surgery. The orthopedic surgeon and professional staff reviewed instruments for validity. Five clients reviewed the questionnaires for understandability and readability. Data were analyzed using Pearson r correlation coefficients, independent samples t-tests, analyses of variance and chi-square tests. An alpha level of .05 was designated as significant.Higher self-efficacy scores were associated with more expected benefits, previous TKA, and greater pain relief. Lower self-efficacy scores correlated with greater improvement in self-efficacy. Shorter lengths of hospital stay were associated with greater joint stiffness reduction, younger age and previous TKA. Discharge home was associated with younger age and living with someone else. Participants that were "very sure" of the need for TKA exhibited higher self-efficacy scores than participants that were "unsure". Improved outcomes were not associated with any one type of educational activity.This study highlighted the need for further refinement of context sensitive self-efficacy instruments, more sophisticated means of assessing the impact of an increasing array of information sources and more longitudinal studies with larger sample sizes.Department of Educational Leadership
Books on the topic "Hand Wounds and injuries Patients Rehabilitation"
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A, Moran Christine, ed. Hand rehabilitation. New York: Churchill Livingstone, 1986.
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Nancy, Falkenstein, and Falkenstein Nancy, eds. Hand rehabilitation: A quick reference guide and review. 2nd ed. St. Louis, Mo: Mosby, 2004.
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1958-, Stanley Barbara G., and Tribuzi Susan M. 1957-, eds. Concepts in hand rehabilitation. Philadelphia: F.A. Davis, 1992.
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M, Skirven Terri, ed. Rehabilitation of the hand and upper extremity. 6th ed. Philadelphia, PA: Mosby / Elsevier, 2010.
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Falkenstein, Nancy. Hand & upper extremity rehabilitation: A quick reference guide & review. 3rd ed. St. Petersburg, Florida: Exploring Hand Therapy Company, Inc., 2013.
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Falkenstein, Nancy. Hand rehabilitation: A quick reference guide and review. St. Louis: Mosby, 1999.
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Freeland, Alan E. Hand fractures: Repair, reconstruction and rehabilitation. New York: Churchill Livingstone, 2000.
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Boscheinen-Morrin, Judith. The hand: Fundamentals of therapy. London: Butterworths, 1985.
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Victoria, Davey, and Conolly W. Bruce, eds. The hand: Fundamentals of therapy. London: Butterworths, 1985.
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Victoria, Davey, and Conolly W. Bruce, eds. The hand: Fundamentals of therapy. 2nd ed. Oxford: Butterworth-Heinemann, 1992.
Find full textBook chapters on the topic "Hand Wounds and injuries Patients Rehabilitation"
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Mottura, Stefano, Luca Fontana, Sara Arlati, Claudia Redaelli, Andrea Zangiacomi, and Marco Sacco. "Focus on Patient in Virtual Reality-Assisted Rehabilitation." In Advances in Medical Technologies and Clinical Practice, 85–113. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-9740-9.ch006.
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Since several years scientists are carrying on research about innovative systems, based on robotics, mechatronics devices and IT tools – especially the graphical ones – to support patients in rehabilitation programs for rescuing from various brain damages due to adverse events as stroke. Training sessions with a combination of robot and virtual reality (VR) lead to better rehabilitation outcomes than using only a robot and evidence from the field proved the importance of the use of VR interfaces in rehabilitation. The main aim of such a kind of environments is to monitor, motivate and drive the patient during the rehabilitation sessions. These systems mainly provide motor guidance and multimedia communication channels also measuring patients' performance and other observable variables. The approach implemented is usually based on gaming, where the patient has the key role to perform certain tasks or movements for controlling the game in the correct way and exercise the injured part. According to daily experience from physiotherapists, different aspects related to the physical and self-perceived patients' state revealed to have a fundamental role in influencing the rehabilitation session. Indeed, the treatment result depends not only on motor skills but also on patient's personal behavior and feelings that are not directly investigable, observable and measurable from outside. In other words this kind of elements can only be assessed by subjective measurements (as questions, interviews, narratives) revealing the point of view of the patient. Moreover, the emotional state has implications at different levels: on one hand, it is important to evaluate if the single rehabilitation session affects the emotional state of the patient, on the other, if the performance was influenced by this state. Some answers of a questionnaire administrated to post-stroke patients in a previous study underlined also the need for the patient to focus his/her attention on the trained body portion and the relevance of a visual feedback on movements to increase self-awareness on the action performed, avoiding any possible distraction derived from other kind of tasks and related visual/auditory stimuli. Patient-centered models of care are actually becoming increasingly common among rehabilitation clinical settings. They help to focus the therapy on improving the treatment of those deficiencies that most influence the quality of life of the patient. Another important aspect is represented by the relationship with the caregiver that in virtually assisted rehabilitation would not be direct anymore and will need to be mediated without completely loosing natural interaction. According to this patient centered vision, and in order to reduce possible side effects related to semi-automatic rehabilitation systems, it has been studied and developed a system which has not the aim of merely entertain the patient but to focalize the rehabilitation on him/her as a proactive character aware of what is happening and of the quality of the work performed.
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Taylor, Jamie, and Kevin Curran. "Glove-Based Technology in Hand Rehabilitation." In Gamification, 983–1002. IGI Global, 2015. http://dx.doi.org/10.4018/978-1-4666-8200-9.ch049.
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Injuries to the hand are more common than those of any other body region and can have considerable financial, time-measured and psychological impact on not only the victim but the community as a whole. Hand rehabilitation aims to return people to their pre-injury roles and occupations and has proved largely successful in doing so with the potential for technology to improve these results further. However, most technology used in hand rehabilitation is based on expensive and non-durable glove-based systems and issues with accuracy are common among those which are not glove-based. The authors outline an accurate, affordable and portable solution wherein the authors use the Leap Motion as a tool for hand rehabilitation. User feedback will be given primarily through an animated 3d hand model as the user performs rehabilitative exercises. Exercise results will be recorded for later viewing by patients and clinicians. The system will also include Gamification aspects, techniques which (while proven to increase participation) have seen little to no use in hand-rehabilitation systems.
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"Rehabilitation After Severe Open Tibial Fractures." In Standards for the Management of Open Fractures, edited by Simon Eccles, Bob Handley, Umraz Khan, Iain McFadyen, Jagdeep Nanchahal, and Selvadurai Nayagam, 169–78. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198849360.003.0018.
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Sustaining a severe open tibial fracture is a life-changing injury regardless of whether the eventual clinical outcome is amputation or limb reconstruction. Surgical treatment is only the first stage of the patient’s recovery. For the patient to achieve their maximum potential for physical, social, and psychological function, greatest participation in society, and quality of living, they require a combination of training and therapy collectively referred to as rehabilitation. After initial surgical treatment there are a finite number of possible clinical outcomes ranging from the surgical objective of infection-free bony union and healed wounds and a useful limb, to primary amputation in an unreconstructable limb. Between these two outcomes is a spectrum of limbs requiring ongoing treatment for infection and/or problems with healing of bones and soft tissues. Those that suffer with persistent complications/consequences of injury may end up with a delayed amputation. The goals for rehabilitation, however, must remain the same, namely to maximise the return of limb functionality and to help integrate the patient back into society by facilitating optimal quality of life. Aside from the limb injury, patients may well have other injuries, e.g. traumatic brain injuries or pre-existing medical co-morbidities, and therefore each patient’s rehabilitation needs will vary considerably.
Conference papers on the topic "Hand Wounds and injuries Patients Rehabilitation"
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Omejec, Gregor, and Friderika Kresal. "New Insights into Treatment of Patients with Carpal Tunnel Syndrome." In Socratic Lectures 7. University of Lubljana Press, 2022. http://dx.doi.org/10.55295/psl.2022.d2.
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Abstract: Carpal tunnel syndrome (CTS) is caused by median neuropathy at wrist. Clinically is present with paraesthesia in the first three or four fingers which are more pronounced during the night and at the morning and are improved by shaking or changing the position of the hand. Diagnosis is made by clinical examination and confirmed with nerve conduction studies (NCS). Conservative treatment with wrist splints, physiotherapy and corticosteroid injections are often ineffective or have only short-term effect. Furthermore, corticosteroids injections known to have potential side effects. Surgical treatment with open surgery or endoscopic release are only known to have long-term effect. However, iatrogenic injuries, scar formation, immobilisation and long rehabilitation is frequently present. Perineural injection therapy with 5% dextrose is highly effective for treatment of patients with CTS. Nevertheless, studies showed only short-term effect. For long-term effect, surgical treat-ment is advised. US guided minimally invasive carpal tunnel release is promising approach into treatment of patients with CTS with many advantages. It is true US guided procedure, it offers iden-tification of key anatomical structures, only local anaesthesia is required, no tourniquet, immobilisa-tion, wound or sutures or scar formation is present. Therefore, perineural injection therapy with 5% dextrose for short-term effect and US guided minimally invasive carpal tunnel release for long-term effect is recommended. Keywords: Carpal tunnel syndrome; Treatment; Perineural injection; 5% dextrose; US guided mini-mally invasive carpal tunnel release
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Fairhurst, Stuart R., Logan C. McCool, Kristin M. Scheel, Crystal L. Stien, Charlotte M. Brenteson, Andrew H. Hansen, Gary D. Goldish, Gregory O. Voss, and John E. Ferguson. "Development of a Rehabilitation Game for Individuals With Spinal Cord Injury Using a User-Centered Design Process." In 2018 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/dmd2018-6932.
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The use of video games during exercise, exergaming, has been shown to increase energy expenditure without increasing perceived exertion [1]. This suggests that exergaming may be an effective way to engage a patient during rehabilitation and increase adherence to a rehabilitation regime. Existing exergame systems are designed with able bodied users in mind and often combine hand controlled game play while using lower limbs for aerobic exertion, making current systems inaccessible to individuals with spinal cord injuries and others without lower limb function. Our earlier work on increasing exercise accessibility includes developing an ergometer for supine use for patients who have recently had a flap procedure [2]. The goal of the present project was to create an engaging, interactive video game designed for use during arm ergometry by individuals with spinal cord injury (SCI) in either the supine or seated position.