PMID- 37904835
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231102
IS  - 1758-9991 (Electronic)
IS  - 1758-9983 (Print)
IS  - 1758-9991 (Linking)
VI  - 26
IP  - 4
DP  - 2021 Dec
TI  - Clinical evaluation of a wrist sensorimotor rehabilitation program for triangular 
      fibrocartilage complex injuries.
PG  - 123-133
LID - 10.1177/17589983211033313 [doi]
AB  - INTRODUCTION: Triangular fibrocartilage complex (TFCC) injuries are associated 
      with distal radioulnar joint (DRUJ) instability and impaired wrist 
      proprioception. Sensorimotor training of extensor carpi ulnaris (ECU) and 
      pronator quadratus (PQ) can enhance DRUJ stability. With limited evidence on 
      effectiveness of TFCC sensorimotor rehabilitation, this study aimed to evaluate 
      the effects and feasibility of a novel wrist sensorimotor rehabilitation program 
      (WSRP) for TFCC injuries. METHODS: Patients diagnosed with TFCC injuries were 
      recruited from May 2018 to January 2020 at an outpatient hand clinic in Singapore 
      General Hospital. There are four stages in WSRP: (1) pain control, (2) muscle 
      re-education and joint awareness, (3) neuromuscular rehabilitation, and (4) 
      movement normalization and function. WSRP also incorporated dart throwing motion 
      and proprioceptive neuromuscular facilitation. Outcome measures included grip 
      strength measured with grip dynamometer, numerical pain rating scale, joint 
      position sense (JPS) measurement, weight bearing measured with the 'push-off' 
      test, and wrist function reported on the Patient Rated Wrist Hand Evaluation. 
      RESULTS: Ten patients completed the WSRP. Mean changes were compared with minimal 
      clinically important differences (MCID) for outcomes. All patients achieved MCID 
      on pain, 70% of patients achieved MCID on grip strength, weight bearing and wrist 
      function. Paired t-tests and Cohen's D for outcome measures were calculated. 
      There were large effect sizes of 2.47, 1.35, and 2.81 for function, grip strength 
      and pain respectively, and moderate effect sizes of 0.72 and 0.39 for axial 
      loading and JPS respectively. DISCUSSION: WSRP presents a potential treatment 
      approach in TFCC rehabilitation. There is a need for future prospective clinical 
      trials with control groups.
CI  - (c) The Author(s) 2021.
FAU - Chen, Zhiqing
AU  - Chen Z
AUID- ORCID: 0000-0002-4681-2325
AD  - Occupational Therapy Department, Singapore General Hospital, Singapore, 
      Singapore.
LA  - eng
PT  - Journal Article
DEP - 20210727
PL  - England
TA  - Hand Ther
JT  - Hand therapy
JID - 101502039
PMC - PMC10584051
OTO - NOTNLM
OT  - Sensorimotor rehabilitation
OT  - proprioception
OT  - triangular fibrocartilage complex
OT  - wrist
COIS- The author(s) declared no potential conflicts of interest with respect to the 
      research, authorship, and/or publication of this article.
EDAT- 2021/12/01 00:00
MHDA- 2021/12/01 00:01
PMCR- 2021/12/01
CRDT- 2023/10/31 03:53
PHST- 2020/10/12 00:00 [received]
PHST- 2021/06/30 00:00 [accepted]
PHST- 2021/12/01 00:01 [medline]
PHST- 2021/12/01 00:00 [pubmed]
PHST- 2023/10/31 03:53 [entrez]
PHST- 2021/12/01 00:00 [pmc-release]
AID - 10.1177_17589983211033313 [pii]
AID - 10.1177/17589983211033313 [doi]
PST - ppublish
SO  - Hand Ther. 2021 Dec;26(4):123-133. doi: 10.1177/17589983211033313. Epub 2021 Jul 
      27.