137,181 research outputs found
The effectiveness of origami on overall hand function after injury: A pilot controlled trial
No full textThis pilot study measured the effectiveness of using origami to improve the overall hand function of outpatients attending an NHS hand injury unit. The initiative came from one of the authors who had used origami informally in the clinical setting and observed beneficial effects. These observed effects were tested experimentally. The design was a pilot non-randomised controlled trial with 13 participants. Allocation of the seven control group members was based on patient preference. The experimental group members attended a weekly hour of origami for six weeks, in addition to their conventional rehabilitation.
Hand function of all participants was measured using the Jebsen-Taylor Hand Function Test before and after the six-week period, and additional qualitative data were gathered in the form of written evaluations from patients. The quantitative data were analysed using the Mann Whitney U test or Fisher’s exact test. Themes were highlighted from the qualitative data.
The results show that there was a greater difference in the total score of the experimental group using the impaired hand between pre- and post-intervention of 11.8 seconds, compared with 4.3 seconds in the control group, but this was not statistically significant at the 5% level (p=0.06). Additionally, differences in the sub-test scores show a markedly larger improvement in the experimental group. Qualitative data indicate that the experimental group experienced the origami sessions as being enjoyable and beneficial. Further research with a larger sample and randomised group allocation is recommended to verify and expand these preliminary findings
Assessment of musculoskeletal stress marker development in the hand
No full textThe analysis of musculoskeletal stress marker (MSM) development is a commonly employed tool in osteological surveys and is used to infer patterns of occupational activity and societal organisation in archaeological populations. Although the majority of research into upper limb MSMs has focused on the bones of the arm, the bones of the hand have been conspicuous by their absence. This is likely to be due to methodological issues surrounding the study of hand bones and a presumed lack of variation in MSM development in this area. To date, there have been no systematic studies investigating the presence and variation in MSM morphology for the muscles of the human hand. To address this issue, a presence/absence scoring system was developed for twelve sites of muscle origin and insertion in the metacarpals and phalanges, which was used to determine bilateral asymmetry in the hands of 31 individuals from the Naval Hospital Cemetery site in Greenwich, London. Analysis found observable variation in MSM development between and within the hands, which could be used to determine patterns of asymmetry within the sample. Comparisons with MSM scores from the humeri of these individuals indicate a differentiation in MSM development and asymmetry between these anatomical regions. Levels of asymmetry in the hands and humeri were generally low, with only the dorsal interossei displaying statistically significant asymmetry. Subsequent upper limb MSM research will benefit from the inclusion of data from the hands. These results do not support the continued use of the humerus as a proxy for MSM expression across the upper limb as a whole and suggest that important information regarding behavioural asymmetry in the hands is being lost because of the continual exclusion of this anatomical unit from MSM research
Control strategies for a multiple degree of freedom prosthetic hand
No full textSome of the traditional methods used to control a conventional prosthetic device are described alongside the current state of new control techniques and how they may progress. The review includes implantable myoelectric sensors and describes the potential of connecting directly to the peripheral nervous system. Control methods are then deduced for each technique, where the application is a six degrees of freedom hand having integral slip, force and temperature sensors
Going Beyond Counting First Authors in Author Co-citation Analysis
No full textThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Inside the State Bank, Miller SD, Hand County
No full text3.5 x 4.5 photograph, two men behind teller cages in a room with high panel ceilings and large display windows, the teller box is made of wood glass and wrought iron, text on the window reads "Hand County State Bank", a large raptor stands with wings stretched on a wooden perch, a clock behind the tellers displays "2:38"Towns Miller - Mitchell P23 Poster board Miller P23 [stamp] Property of South Dakota State Historical Society Pierre, South Dakota. [stamp] Give photo credit to: South Dakota State Historical Society.Miller, S.D. Hand County Bank, 1907 (interior) John R. Williams - George Richard-son. Orig. photo at Hand Co. Bank, Miller, S.D
A 2.5-D representation of the human hand
No full textPrimary somatosensory maps in the brain represent the body as a discontinuous, fragmented set of 2-D skin regions. We nevertheless experience our body as a coherent 3-D volumetric object. The links between these different aspects of body representation, however, remain poorly understood. Perceiving the body’s location in external space requires that immediate afferent signals from the periphery be combined with stored representations of body size and shape. At least for the back of the hand, this body representation is massively distorted, in a highly stereotyped manner. Here we test whether a common pattern of distortions applies to the entire hand as a 3-D object, or whether each 2-D skin surface has its own characteristic pattern of distortion. Participants judged the location in external space of landmark points on the dorsal and palmar surfaces of the hand. By analyzing the internal configuration of judgments, we produced implicit maps of each skin surface. Qualitatively similar distortions were observed in both cases. The distortions were correlated across participants, suggesting that the two surfaces are bound into a common underlying representation. The magnitude of distortion, however, was substantially smaller on the palmar surface, suggesting that this binding is incomplete. The implicit representation of the human hand may be a hybrid, intermediate between a 2-D representation of individual skin surfaces and a 3-D representation of the hand as a volumetric object
A comparative study on unconstrained hand biometrics
No full textBiometrics applied to mobile devices are of great interest for security applications. Daily scenarios can benefit of a combination of both the most secure systems and most simple and extended devices. This document presents a hand biometric system oriented to mobile devices, proposing a non-intrusive, contact-less acquisition process where final users should take a picture of their hand in free-space with a mobile device without removals of rings, bracelets or watches. The main contribution of this paper is threefold: firstly, a feature extraction method is proposed, providing invariant hand measurements to previous changes; second contribution consists of providing a template creation based on hand geometric distances, requiring information from only one individual, without considering data from the rest of individuals within the database; finally, a proposal for template matching is proposed, minimizing the intra-class similarity and maximizing the inter-class likeliness. The proposed method is evaluated using three publicly available contact-less, platform-free databases. In addition, the results obtained with these databases will be compared to the results provided by two competitive pattern recognition techniques, namely Support Vector Machines (SVM) and k-Nearest Neighbour, often employed within the literature. Therefore, this approach provides an appropriate solution to adapt hand biometrics to mobile devices, with an accurate results and a non-intrusive acquisition procedure which increases the overall acceptance from the final user
Post-operative rehabilitation after PIP joint arthroplasty with early active motion: A retrospective review of outcomes
No full textWe present a retrospectively review of outcomes of the first fifteen patients who underwent proximal interphalangeal (PIP) joint arthroplasty and were treated using the same early active motion rehabilitation regime introduced by the therapy department at Mount Vernon Hospital. The regime utilises early motion of the PIP joint while protecting the arthroplasty with a small static splint and digit strapping to reduce lateral forces on the joint.
The notes of fifteen patients were reviewed and their outcomes presented. To evaluate the outcomes in more detail the patients were divided into three groups according to their diagnostic reason for the procedure (rheumatoid arthritis, osteoarthritis and trauma). The overall mean arc of motion at the PIP joint on discharge from therapy was 54 improved from 28 pre operatively.
The patients with the osteoarthritic PIP joints gained the largest improvement in the PIP joint arc of motion and required the least rehabilitation intervention. Patients with rheumatoid arthritis required intense rehabilitation to gain less overall PIP joint motion but still reported satisfaction with their outcome. All 15 patients experienced an improvement in their pain level and subjectively reported increased function in their affected hand.
Following this retrospective review of cases the team continue to use this regime for metal and silastic prosthesis but now routinely provide additional written information pre operatively to assist patients’ understanding of the procedure and the extent of the rehabilitation required
Functional results following surgical repair of post-traumatic hand tendon injuries
No full textIntroduction: The study aims to determine whether early physical therapy following hand tendon repair gives better results and to look at any possible limiting factors locally.
Methods: Twenty adults were selected from those admitted to Mater Dei Hospital, with traumatic tendon injuries to the wrist and hand during the year 2014. Their medical records were reviewed and details on surgical repair and postoperative rehabilitation noted. Participants completed QuickDASH outcome measure questionnaires assessing their situation both on initial presentation to hand therapy and six months later. The range of motion in all joints of the injured digits, six months after commencement of therapy, was measured by manual hand goniometry and the Total Active Motion (TAM) score calculated.
Results: A negative correlation was found between delay in starting hand therapy and both TAM score (r=-0.650, N=20, p<0.001) and QuickDASH score (r=-0.650, N=20, p<0.002). Comparison of the two outcome measures resulted in a strong negative correlation (r=-0.831, N=20, p<0.0005). Conclusion: These findings support current literature confirming that a shorter delay in starting hand therapy following tendon repair is associated with a better outcome for the patient. Better documentation and interdisciplinary handover is required, and a new operation report template is being put forward.peer-reviewe
Ulnar collateral ligament injuries of the thumb- An overview of the injury and treatment
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