scholarly journals Prescribed exercise programs may not be effective in reducing impairments and improving activity during upper limb fracture rehabilitation: a systematic review

2017 ◽  
Vol 63 (4) ◽  
pp. 205-220 ◽  
Author(s):  
Andrea M Bruder ◽  
Nora Shields ◽  
Karen J Dodd ◽  
Nicholas F Taylor
Keyword(s):  
Systematic Review ◽  
Upper Limb ◽  
Exercise Programs ◽  
Limb Fracture ◽  
Upper Limb Fracture

Effects of upper limb exercise programs on the arteriovenous fistula in patients on hemodialysis: A systematic review and meta-analysis

2021 ◽  
pp. 112972982110011
Author(s):  
Francini Porcher Andrade ◽  
Heloíse Benvenutti ◽  
Kacylen Costa da Silva ◽  
Paula Maria Eidt Rovedder
Keyword(s):  
Systematic Review ◽  
Arteriovenous Fistula ◽  
Flow Rate ◽  
Upper Limb ◽  
Handgrip Strength ◽  
Meta Analysis ◽  
Blood Flow Rate ◽  
Exercise Programs ◽  
Exercise Interventions ◽  
Limb Exercise

Background: The arteriovenous fistula (AVF) is a commonly used vascular access for chronic kidney disease (CKD) patients; exercise interventions may boost its maturation and help in its maintenance. A systematic review and meta-analysis of clinical trials on the effects of upper limb exercise programs on the AVF was conducted. Methods: The primary outcomes were draining vein diameter (DVD) and draining vein blood flow rate (DVBFR), and secondary outcomes were handgrip strength (HGS) and brachial artery flow rate (BAFR). Quality of evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Results: Four studies met the inclusion criteria. When compared to usual care groups, the experimental groups did not improve DVD (mean difference [MD] 0.23, confidence interval [CI] −0.20–0.65). There were significant differences in DVBFR (mL/min) according to the fixed-effect model (MD 141.13, CI 36.84–245.42). HGS (kg) was significantly different between groups (MD 2.95, CI 0.55–5.35), but BAFR (mL/min) was not (MD 91.65, CI −94.72–278.01). Conclusions: Although exercise programs did not improve DVD and BAFR, they increased muscle strength and DVBFR. Therefore, experimental exercise programs should be emphasized for AVF maturation and maintenance. Research Registry number: reviewregistry924.

Therapeutic Functional Bracing in Upper Limb Fracture-Dislocations

1988 ◽  
Vol 2 (4) ◽  
pp. 308-313 ◽  
Author(s):  
K. S. Leung ◽  
M. Kwan ◽  
J. Wong ◽  
W. Y. Shen ◽  
A. Tsang
Keyword(s):  
Upper Limb ◽  
Limb Fracture ◽  
Fracture Dislocations ◽  
Upper Limb Fracture

scholarly journals Neurological status documentation in upper limb fracture patients

Injury Extra ◽  
2011 ◽  
Vol 42 (9) ◽  
pp. 122
Author(s):  
E.S. Uppin ◽  
A. Khurana ◽  
U.K. Choudhuri ◽  
R. Trickett
Keyword(s):  
Upper Limb ◽  
Neurological Status ◽  
Limb Fracture ◽  
Upper Limb Fracture

Coping with an upper limb fracture? A study of the elderly

Public Health ◽  
1992 ◽  
Vol 106 (1) ◽  
pp. 19-28 ◽  
Author(s):  
R. Madhok ◽  
R.S. Bhopal
Keyword(s):  
Upper Limb ◽  
The Elderly ◽  
Limb Fracture ◽  
Upper Limb Fracture

Low volumetric BMD is linked to upper-limb fracture in pubertal girls and persists into adulthood: A seven-year cohort study

Bone ◽  
2009 ◽  
Vol 45 (3) ◽  
pp. 480-486 ◽  
Author(s):  
Sulin Cheng ◽  
Leiting Xu ◽  
Patrick H.F. Nicholson ◽  
Frances Tylavsky ◽  
Arja Lyytikäinen ◽  
...  
Keyword(s):  
Cohort Study ◽  
Upper Limb ◽  
Limb Fracture ◽  
Volumetric Bmd ◽  
Upper Limb Fracture

scholarly journals Management of post-traumatic stiffness of the shoulder following upper limb trauma with manipulation under anaesthetic

2017 ◽  
Vol 9 (4) ◽  
pp. 258-265 ◽  
Author(s):  
Sarah T. Lancaster ◽  
Thomas N. Grove ◽  
David A. Woods
Keyword(s):  
Upper Limb ◽  
Frozen Shoulder ◽  
Standard Technique ◽  
Humeral Fracture ◽  
Limb Fracture ◽  
Significant Difference ◽  
Shoulder Scores ◽  
Post Traumatic ◽  
Upper Limb Fracture ◽  
Limb Fractures

Background A proportion of patients who sustain upper limb fractures develop post-traumatic stiffness (PTS), which may progress in a similar way to primary frozen shoulder (PFS). We have had success in treating PFS with manipulation under anaesthetic (MUA) and therefore treated PTS using MUA. Oxford Shoulder Scores (OSS), range of motion (ROM) data pre- and post-MUA, and the need for repeat procedure were compared. Methods Sixty-four patients with PTS following an upper limb fracture, unresponsive to conservative measures, were seen between 1 January 1999 and 1 November 2015. Thirty-two patients had sustained a proximal humeral fracture, six of whom had a concurrent shoulder dislocation. MUA was performed using a standard technique. The results were compared with 487 PFS patients undergoing the same procedure. Results There was no significant difference in ROM change between the groups. Improvement in OSS was slightly greater in the PFS group (17 versus 14, p = 0.005) but, upon subgroup analysis of the PTS group, no significant difference was found for patients presenting with humeral fractures alone. Conclusions MUA results for PTS following upper limb fracture are comparable to MUA for PFS. We therefore recommend MUA in PTS cases where conservative methods have failed.

Incidence rate of mild traumatic brain injury among patients who have suffered from an isolated limb fracture: Upper limb fracture patients are more at risk

Injury ◽  
2016 ◽  
Vol 47 (8) ◽  
pp. 1835-1840 ◽  
Author(s):  
Marianne Jodoin ◽  
Dominique M. Rouleau ◽  
Camille Charlebois-Plante ◽  
Benoit Benoit ◽  
Stéphane Leduc ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
At Risk ◽  
Brain Injury ◽  
Incidence Rate ◽  
Mild Traumatic Brain Injury ◽  
Upper Limb ◽  
Limb Fracture ◽  
Upper Limb Fracture

scholarly journals Southampton Arm Fracture Frailty and Sarcopenia Study (SAFFSS): a study protocol for the feasibility of assessing frailty and sarcopenia among older patients with an upper limb fracture

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e031275
Author(s):  
Kinda Ibrahim ◽  
Mark Mullee ◽  
Guiqing Lily Yao ◽  
Shihua Zhu ◽  
Mark Baxter ◽  
...  
Keyword(s):  
Upper Limb ◽  
Ethics Committee ◽  
University Hospital ◽  
Major Health Problem ◽  
Limb Fracture ◽  
Increased Risk ◽  
Registration Number ◽  
Upper Limb Fracture ◽  
Limb Fractures ◽  
The University

IntroductionFalls are a major health problem for older people; 35% of people aged 65+ years fall every year, leading to fractures in 10%–15%. Upper limb fractures are often the first sign of osteoporosis and routine screening for osteoporosis is recommended by the National Institute for Health and Care Excellence to prevent subsequent hip fractures. However, both frailty and sarcopenia (muscle weakness) are associated with increased risk of falling and fracture but are not routinely identified in this group. The aim of this study is to evaluate the feasibility of assessing and managing frailty and sarcopenia among people aged 65+ years with an upper limb fracture.Methods and analysisThis study will be conducted in three fracture clinics in one acute trust in England. 100 people aged 65+ years with an upper arm fracture will be recruited and assessed using six validated frailty measures and two sarcopenia tools. The prevalence of the two conditions and the best tools to use will be determined. Those with either condition will be referred to geriatric clinical teams for comprehensive geriatric assessment (CGA). We will document the proportion who are referred for CGA and those who receive CGA. Other outcome measures including falls, fractures and healthcare resource use over 6 months will be collected. In-depth interviews with a purposive sample of patients who undergo the frailty and sarcopenia assessments and healthcare professionals in fracture clinics and geriatric services will be carried out to their acceptability of assessing frailty and sarcopenia in a busy environment.Ethics and disseminationThe study was given the relevant ethical approvals from NHS Research Ethics Committee (REC No: 18/NE/0377), the University Hospital Southampton NHS Foundation Trust, and the University of Southampton, Faculty of Medicine Ethics Committee and Research Governance Office. Findings will be published in scientific journals and presented to local, national and international conferences.Trial registration numberISRCTN13848445

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