Abstract
Study Design
Cross-sectional research design.
Introduction
Active range of motion (AROM) is used as indicator of hand function. However, functional
range of motion (FROM) data are limited, and fail to represent activities of daily
living (ADL).
Purpose of the Study
To estimate dominant hand FROM in flexion, abduction and palmar arching in people
under 50 years of age performing ADL.
Methods
AROMs and hand postures in 24 representative ADL of the International Classification
of Functioning, Disability and Health (ICF) were recorded in 12 men and 12 women.
FROM data were reported by activity and ICF area, and compared with AROMs. The relationship
between ROM measures to gender and hand size was analyzed by correlation.
Results
FROM was 5° to 28° less than available AROM depending on the joint and movement performed.
Discussion
Joints do not necessarily move through full AROM while performing ADL which has benefits
in retaining function despite loss of motion. This may also suggest that ADL alone
are insufficient to retain or restore full AROM.
Conclusions
Therapists should consider FROM requirements and normal AROM when defining hand therapy
goals, interventions and evaluating the success of treatment.
Level of Evidence
N/A.
Keywords
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JHT Read for Credit
Quiz: #495
Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
- #1.The study data are
- a.qualitative
- b.quantitative
- c.not supported by statistical analysis
- d.clinically insignificant
- a.
- #2.The investigators looked at patients during the performance of _______ specific ADL
- a.5
- b.10
- c.45
- d.24
- a.
- #3.In general the
- a.s_AROM are positively affected by gender
- b.s_AROM are negatively affected by hand size
- c.s_AROM are not affected by gender or hand size
- d.s_AROM were not looked at in terms of gender or hand size
- a.
- #4.The great majority of
- a.G_AROM were equal to the G_FROM
- b.G_AROM were higher than the G_FROM
- c.G_AROM were lower than the G_FROM
- d.G_AROM bore no relationship to the G_FROM
- a.
- #5.The authors postulate that knowing average ROM and hand posture requirements for specific ADL will help guide clinical decision making
- a.true
- b.false
- a.
When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.
Article Info
Publication History
Published online: February 19, 2017
Accepted:
August 4,
2016
Received in revised form:
July 9,
2016
Received:
February 26,
2016
Identification
Copyright
© 2016 Hanley & Belfus, an imprint of Elsevier Inc. All rights reserved.
