Guidelines for wrist posture based on carpal tunnel pressure thresholds.
作者： Peter J. Keir , Joel M. Bach , Mark Hudes , David M. Rempel
DOI: 10.1518/001872007779598127
关键词: Carpal tunnel 、 Confidence interval 、 Percentile 、 Carpal tunnel syndrome 、 Medicine 、 Range of motion 、 Wrist 、 Physical therapy
摘要: Objective: To develop work guidelines for wrist posture based on carpal tunnel pressure. Background: Wrist is considered a risk factor distal upper extremity musculoskeletal disorders, and sustained deviation from neutral at may be associated with syndrome. However, the physiologic basis limited. Methods: The relationship of to pressure was examined in 37 healthy participants. participants slowly moved their wrists extension-flexion radioulnar while were recorded. postures pressures 25 30 mmHg identified each motion used determine 25th percentile angles (the that protect 75% study population reaching or mmHg). Results: Using mmHg, 32.7° (95% confidence interval [CI] = 27.2°—38.1°) extension, 48.6° (37...
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sci-hub.se 参考文章(42)
H C Powell, R R Myers, Pathology of experimental nerve compression Laboratory Investigation. ,vol. 55, pp. 91- 100 ,(1986)
N D Weiss, L Gordon, T Bloom, Y So, D M Rempel, Position of the Wrist Associated with the Lowest Carpal-Tunnel Pressure: Implications for Splint Design* Journal of Bone and Joint Surgery, American Volume. ,vol. 77, pp. 1695- 1699 ,(1995) , 10.2106/00004623-199511000-00008
DAVID REMPEL, LARS DAHLIN, GÖRAN LUNDBORG, Pathophysiology of nerve compression syndromes: response of peripheral nerves to loading. Journal of Bone and Joint Surgery, American Volume. ,vol. 81, pp. 1600- 1610 ,(1999) , 10.2106/00004623-199911000-00013
Ikki Hamanaka, Ichiro Okutsu, Kieko Shimizu, Yoshio Takatori, Setsuo Ninomiya, Evaluation of carpal canal pressure in carpal tunnel syndrome Journal of Hand Surgery (European Volume). ,vol. 20, pp. 848- 854 ,(1995) , 10.1016/S0363-5023(05)80442-3
David Rempel, Peter J. Keir, W. Paul Smutz, Alan Hargens, Effects of static fingertip loading on carpal tunnel pressure Journal of Orthopaedic Research. ,vol. 15, pp. 422- 426 ,(1997) , 10.1002/JOR.1100150315
W. M. KEYSERLING, D. S. STETSON, B. A. SILVERSTEIN, M. L. BROUWER, A checklist for evaluating ergonomic risk factors associated with upper extremity cumulative trauma disorders. Ergonomics. ,vol. 36, pp. 807- 831 ,(1993) , 10.1080/00140139308967945
David Rempel, Radovan Manojlovic, David G. Levinsohn, Todd Bloom, Leonard Gordon, The effect of wearing a flexible wrist splint on carpal tunnel pressure during repetitive hand activity Journal of Hand Surgery (European Volume). ,vol. 19, pp. 106- 110 ,(1994) , 10.1016/0363-5023(94)90231-3
Tuulikki Luopajärvi, Ilkka Kuorinka, Markku Virolainen, Mia Holmberg, Prevalence of Tenosynovitis and Other Injuries of the Upper Extremities in Repetitive Work Scandinavian Journal of Work, Environment & Health. ,vol. 5, pp. 48- 55 ,(1979) , 10.5271/SJWEH.2675
Peter J. Keir, David M. Rempel, Pathomechanics of Peripheral Nerve Loading: Evidence in Carpal Tunnel Syndrome Journal of Hand Therapy. ,vol. 18, pp. 259- 269 ,(2005) , 10.1197/J.JHT.2005.02.001
Carl-Olof Werner, Dan Elmqvist, Per Ohlin, Pressure and nerve lesion in the carpal tunnel. Acta Orthopaedica Scandinavica. ,vol. 54, pp. 312- 316 ,(1983) , 10.3109/17453678308996576