Joy C MacDermid

..This study evaluated the reliability and validity of physical therapists using the AGREE to assess quality of CPGs relevant to physical therapy practice...

..Validation of appropriate scales and inclusion of both impairment and disability measures in future clinical studies is required to fully understand health outcomes after tendon and nerve injury...

..abstract:..

..The objectives of this study were to characterize the reproducibility of this reaching task in people with and without SIS and to evaluate the impact of the number of trials on reproducibility...

..The estimates determined in this review should help therapists choose clinical tests with the appropriate balance of sensitivity and specificity required for diagnosing carpal tunnel syndrome in their specific clinical environments...

..The pathophysiologic changes occurring with different stages of nerve compression must be considered when interpreting diagnostic test results and predicting response to physical therapy management...

..While some validation has been conducted, broader analyses are indicated. This study determined aspects of cross-sectional and longitudinal validity of the SPADI...

..Only poor quality studies have compared mini-open to arthroscopic repair, leaving surgeons with inadequate evidence to support optimal, minimally-invasive repair...

..Level of evidence: Level 5...

..Prospective Cohort...

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..Findings suggest workers want and need to be involved in creating a healthy workplace. Opportunities to involve workers more in workplace health are discussed...

..In this way, the team can develop customized outcome assessment procedures that meet their needs for assessing individual patients and providing data for program evaluation...

..Audit and feedback, knowledge brokering, clinical practice guidelines, professional standards, and "active-learning" continuing education are examples of KT strategies...

..LEVEL OF EVIDENCE: Diagnosis, level 5...

..Hand therapists need to move away from opinion- or clinic-based protocols and toward more evidence-based treatment guidelines. However, the value of treatment guidelines must be tested, not assumed, regardless of the development process...

..Distal radius fractures are a common injury that cause pain and disability. The purpose of this study was to describe the pain and disabilities experienced by patients with a distal radius fracture in the first year following fracture...

..Clinicians' expertise and patient values are also valued components of decision making in an EBP approach. Hand therapists can adopt an EBP approach but must be prepared to deal with the challenge of uncertainty when evidence is lacking...

..On completion of the trial period, the therapists unanimously selected the PRWHE with a supplemental esthetics question to be routinely used in measurement of outcomes...

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..The ulnar side of the hand contributes to the smaller proportion of overall grip (approximately 60% radial, 40% ulnar). The clinical utility of finger strength measures should be explored...

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..Longitudinal cohort study...

..The purpose of this study was to conduct a systematic review of the psychometric evidence relating to Constant-Murley score...

..Cross-sectional convenience sample...

..The purpose of this study was to identify health impacts in body structure/function, activity, and participation at baseline and follow-up, to determine whether they support the ICF model of health...

..Prospective cohort study with repeated measures...

..Reliable and valid measurement of workplace organizational policies and practices (OPPs) is needed to evaluate their influences on the prevention and management of occupational injuries...

..5 mm reconstruction plate provides a construct with predictable healing and few complications. The overall results using this technique are comparable with other reported methods in the literature...

..The purpose of this study was to evaluate the functional outcomes of a metallic radial head arthroplasty in patients with chronic posttraumatic elbow disorders...

..Descriptive cross-sectional study...

..Lower rates of endoscopic release have occurred at our center once these results were available to surgeons and patients. CONCLUSIONS: No substantive difference in benefit was shown for these 2 methods of carpal tunnel release...

..50). Both impairment and disability measures are required to fully describe outcomes. Further work is required to delineate additional factors that contribute to outcome...

..Clinical measurement...

..56); and (4) the presence of rotator cuff pathology was highly predictive of impaired physical health quality of life (R(2) = 0.71, P < .001)...

..Results are comparable with those of other reports in the literature in which both arthroscopic and open methods were used. LEVEL OF EVIDENCE: Level IV...

..Further investigation of the psychometric properties of this scale and its predictive validity are required...

..The purpose of this study was to determine if malalignment after extra-articular distal radius fractures influenced patient-reported pain and disability at 1 year and to investigate how this relationship changes with age...

..Systematic review of clinical measurement...

..This study describes development of a new test for measuring functional performance of the upper extremity and neck and assesses reliability and concurrent validity in patients with shoulder pathology...

..Clinical Measurement-Validity...

..Concurrent validity study...

..In part II, the technique was validated in a cadaveric model with simulated radial head implant overlengthening...

..The purpose of this study was to identify the incidence of metallic suture anchor pullout after arthroscopic rotator cuff repair and determine the impact of tear size on the risk of pullout...

..Further evaluation is required to determine the role and optimal test protocols for provocative-sensory testing in diagnosis and outcome assessment of CTS. For CPT these should focus on using the 2,000 Hz frequency...

..The specificity of nerve bias elicited by specific ULTT needs further exploration...

..The purpose of this study was to evaluate the two-year outcomes and the rate of recovery of a closely followed cohort of patients in whom an unreconstructible radial head fracture had been treated with a modular metallic prosthesis...

..40-0.50). Mental health scores were lower at baseline and changed more negatively in patients who did not have a positive response to surgery. No best scale can be identified at this time...

..The purpose of this study was to describe the rate and distribution of treatment visits provided in an on-site, automotive plant, physiotherapy clinic over a 13-year period...

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..The purpose of this study was to determine the relationships between different outcome indicators in 44 patients followed for two years after a reverse shoulder arthroplasty...

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..Further research is required to delineate the optimal approach to rehabilitation and its role in secondary prevention...

..Systematic review and meta-analysis...

..The purpose of this systematic review was to determine which factors affect the postoperative outcome for patients who undertake anterior transposition of the ulnar nerve...

..This systematic review and meta-analysis was performed to identify the clinical trials relevant to the effects of low-intensity pulsed ultrasound (LIPUS) on bone regeneration...

..The purpose of this systematic review was to compare the efficacy of surgical treatment of carpal tunnel syndrome with conservative treatment...

..The impact of age, gender and dominance was determined...

..This paper is focused on theoretical considerations and evidence in terms of harm reporting within physical therapy using cervical manual therapy as an example...

..CONCLUSIONS: The differences between the 2 groups were relatively minor with the Morrey 2-incision technique showing a slightly more rapid recovery of flexion strength and fewer complications as compared with the 1-incision technique...

..The psychometrics properties of tests for the elbow, when available, are reviewed. A template for recording an elbow examination is provided...

..Recent reviews have identified inconsistencies in the criteria for identifying recovery in this literature that hamper attempts at knowledge translation...

..This systematic review provides a rigorous analysis of workplace interventions for WRUEDs and emphasizes the need for further research in this area...

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..This study tested our hypothesis that the metaphyseal version (metaversion) is a landmark that can assist with correct head version and used computed tomography (CT) to evaluate its reliability as a predictor of anatomic version...

..CONCLUSIONS: Outcomes of AO type C distal humeral fractures were good with dual orthogonal plating, ulnar nerve transposition, and early motion. Additional plating may be required with distal fracture patterns or osteopenic bone...

..Systematic Review...

..Explicit application of theory can advance this science; yet, how theory is applied and the degree to which it can guide research remain poorly defined...

..Current evidence demonstrates a significant benefit (grade B recommendations) from splinting, ultrasound, nerve gliding exercises, carpal bone mobilization, magnetic therapy, and yoga for people with CTS...

..726, 95% CI 0.08 - 1.37, p 0.028). While conclusions are limited by the low number of studies, there is concordance across limited evidence that laser improves the strength of bone tissue during the healing process in animal models...

..Barriers to research were reported by respondents, and ways in which professional organizations could meet clinicians' needs in conducting and utilizing research were highlighted...

..Impeding the use of workers' compensation databases for surveillance of cumulative trauma disorder of the upper extremity (CTDUE) is the lack of valid and reliable extraction strategies...

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..Capitellar and trochlear fractures are uncommon fractures of the distal aspect of the humerus. There is limited information about the functional outcome of patients managed with open reduction and internal fixation...

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..Single-group repeated-measures study...

..Consequently, the method of deriving population at risk estimates should be considered when comparing rates across sexes, ages, industries or occupations...

..It was at least as sensitive to change as the other outcome tools tested. The PRTEE may become the standard primary outcome measure in research of tennis elbow...

..55) when measured objectively by experienced observers. CONCLUSION: The LAA and the AHI are both reliable acromion assessment techniques on X-ray and MRI when measured objectively and by experienced observers...

..Using this reliable testing procedure will allow for additional investigations to determine its usefulness in the early detection and accurate quantification of CTS-related impairment...

..The purpose of this study was to show that widening of the lateral ulnohumeral joint is a normal anatomic variant and therefore cannot be used conclusively to diagnose joint overstuffing...