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At least 127 records · Page 7Linked to original sources
PubMed2000

Systematic review of aetiology and treatment of post-stroke hand oedema and shoulder-hand syndrome.

Studies on the aetiology and treatment of post-stroke hand oedema and shoulder-hand syndrome (SHS) published from January 1973 until August 1998 were identified. Eleven studies were included with at least some control for confounding. These were evaluated on 11 methodological criteria and by standardized effect sizes. There were five aetiological studies: four cohort studies and one study consisting of two case series using a within-subjects design. The matters investigated included lymph scintigraphy in hand oedema, bone scintigraphy, putative risk factors and the existence of autonomic dysregulation and peripheral nerve lesions in SHS. There were six therapeutic studies: one randomized controlled trial, one non-randomized controlled trial, one cohort study and three case series, of which two studies used a within-subjects design. These studies investigated continuous passive motion and neuromuscular stimulation in hand oedema as well as oral corticosteroids, intramuscular calcitonin and trauma prevention in SHS. A great diversity of pathophysiological and therapeutic insight was found. Based on systematic analysis of the literature, the following conclusions seem justified: (i) the shoulder is involved in only half of the cases with painful swelling of wrist and hand, suggesting a "wrist-hand syndrome" between simple hand oedema and SHS; (ii) hand oedema is not lymphoedema; (iii) SHS usually coincides with increased arterial blood flow; (iv) trauma causes aseptic joint inflammations in SHS; (v) no specific treatment has yet proven its advantage over other physical methods for reducing hand oedema; and (vi) oral corticosteroids are the most effective treatment for SHS.

Edema↗
PubMed1988

Myelopathy hand characterized by muscle wasting. A different type of myelopathy hand in patients with cervical spondylosis.

While the authors have often observed the hand presenting spastic dysfunction and deficient pain sensation in patients with cervical compression myelopathy, which has been termed "Myelopathy hand," they have occasionally seen a different type of myelopathy hand characterized by muscle wasting and motor dysfunction in patients with cervical spondylosis. This type of myelopathy hand they have termed "amyotrophic type of myelopathy hand." Because it is similar to the hand of a patient suffering from motor neuron disease, and yet is treatable, the authors thought it worthwhile to report this type of hand in detail. The main clinical features are localized wasting and weakness of the extrinsic and intrinsic hand muscles, but not accompanied by either sensory loss or spastic quadriparesis. For an accurate diagnosis, attention should be paid to the narrow anteroposterior (AP) canal diameter of the cervical spine (less than 13mm), multisegmental spondylosis in C5-6 and C6-7 disc levels and a reduced transectional area of the spinal cord at the C7, C8, or T1 spinal cord segments. To date the authors have seen 15 patients with this hand; seven underwent either spondylectomy or laminoplasty. In six patients who were satisfied with surgical results, recovery from muscle wasting and weakness was seen.

Electromyography↗
PubMed2003

Hand preference, extent of laterality, and functional hand use in Rett syndrome.

Residual hand use in functional tasks, extent of laterality, and right or left preference were studied in 145 2- to 24-year-old, postregression Australian subjects with Rett syndrome via parent questionnaire. Hand use was markedly restricted, more for complex than simple and for external (touching food and objects) than internal tasks (scratching, rubbing eyes), suggesting a deficit in cerebral control of external, goal-oriented hand use, which is perhaps genetically determined because there is significantly greater restriction of external tasks in subjects with demonstrated MECP2 mutations. Overall, 33.6% of patients were reported with a left-hand preference, 40.7% with a right-hand preference, and 25.7% with an equal hand preference. Extent of laterality was greater for external than internal and for complex than simple external tasks. Older subjects showed less functional hand use and possibly more overall laterality. However, their hand preference was similar to younger subjects. The anomalous pattern of hand preference in Rett syndrome may be linked to the primary apraxic deficit in this disorder rather than to late manifestation of laterality.

Adolescent↗
PubMed1999

Evaluation of hand and finger heat loss with a heated hand model.

A heated full-scale hand model has been used to determine indirectly hand and finger heat losses of human subjects exposed to four ambient cold conditions (0, 4, 10 and 16 degrees C, air velocity approximately 0.3 m/s). Heat transfer coefficients determined with the hand model, were used to calculate heat flux based on measured skin to ambient temperature gradients. The responses of eight subjects from a previous study were used for the analysis. The measurements were carried out in a small climate chamber which was cooled by evaporating liquid carbon dioxide. The thermal hand was put into the chamber in a vertical position with the thumb up. The surface temperature of the thermal hand was controlled at 21, 25, 28, 31 and 34 degrees C under each of the four ambient cold conditions, in order to investigate possible temperature dependence of the calculated combined convective and radiate heat transfer coefficient (hCR). The value of hCR varied between approximately 9-13 W/m2 degree C for fingers and palm and back of hand, respectively. Calculated heat losses showed significant individual variation, corresponding to the maintained skin to ambient temperature gradient. Individual values from about 50 to more than 300 W/m2 were calculated. Several subjects showed CIVD and heat fluxes associated with this phenomenon were sometimes doubled. The measurement results showed realistic and comparable with literature date. The advantages of the thermal hand model can be counted as easy to use; directly measures the heat loss; highly reproducible and no interruption. It appears that a heated hand model provides a useful methods for analysis and quantification of hand heat loss.

Body Temperature Regulation↗
PubMed1978

Hand-to-hand transmission of rhinovirus colds.

Rhinovirus was transmitted from experimentally infected volunteers (donors) to susceptible recipients and the efficiencies of spread by hand-to-hand contact and large- and small-particle aerosols compared. Transmission of infection was very efficient by the hand route: 11 of 15 hand-contact exposures initiated infection, compared with one of 12 large-particle (P less than 0.005) and none of 10 small-particle (P less than 0.005) exposures. Rhinovirus was present in nine of 18 (50%) nasal swab specimens, 28 of 43 (65%) hand rinses, and seven of 18 (39%) saliva specimens of donors; geometric mean titers of positive specimens were 10(1.5), 10(1.4), and 10(1.2) tissue culture infectious dose 50/ml (TCID 50/ml), respectively. Rhinovirus was present in 20 of 43 (46%) recipient hand rinses, with a geometric mean titer of 10(1.4)TCID50/ml. Virus on donors' hands was transferred to recipients' fingers during 20 of 28 (71%) 10-second hand-contact exposures. These findings support the concept that hand contact/self-inoculation may be an important natural route of rhinovirus transmission.

Adolescent↗
PubMed1986

The importance of anamnestic information of atopy, metal dermatitis and earlier hand eczema for the development of hand dermatitis in women in wet hospital work.

By means of a prospective study design and multivariate regression analyses we have studied the relative importance of atopy, metal dermatitis and earlier hand eczema as risk factors for the development of hand eczema in women during 20 months of "wet" hospital work. The population consisted of 1857 women. The prevalence of hand eczema during the observation period was 41%. The risk of developing hand eczema was calculated as predicted relative odds ratios. The interrelationship of the risk factors was analysed. A summarized description of this analysis shows that a history of earlier hand eczema increased the odds by 12.9 times, a history of metal dermatitis by 1.8 times and atopic dermatitis and atopic mucosal symptoms by 1.3 times. Thus a history of earlier hand eczema seems of crucial importance for the occurrence of hand eczema in women in 'wet' hospital work. Our hypothesis is that a history of earlier hand eczema may be considered a major indicator of a skin vulnerability factor predisposing the individual to hand eczema. If the hypothesis is true, this factor may be present approximately in one half of the subjects with atopic dermatitis, in one fourth of the subjects with atopic mucosal symptoms and in one fifth of the non-atopics.

Asthma↗
PubMed2006

Developmental differences in drawing performance of the dominant and non-dominant hand in right-handed boys and girls.

This paper addresses the development of fine motor skills in the dominant and non-dominant hand. A total of 60 right-handed children, aged 4-12 years old, were divided in five groups of 12 children, with six girls and six boys in each group. The children were presented with drawing tasks that had to be performed with the dominant and non-dominant hand. Small or large targets had to be connected by lines making either a zigzag (discrete) or slalom (continuous) movement. For each task, effects of age group, gender, hand, and target size were examined for drawing time, percentage of stop time, drawing distance, velocity, and errors. Comparison of stop times in both tasks showed that the zigzag task was performed in a discrete way while the slalom task was performed more continuously, except in the youngest children, who performed both tasks in a discrete manner. With increasing age the children performed the tasks faster, more accurate and with shorter stops. No significant differences were found between boys and girls. While a shorter drawing distance and less errors were observed for the dominant hand in both tasks, drawing time and velocity were not significantly different between both hands. However, the percentage of stop time was higher for the dominant hand. Moving to smaller targets resulted in slower and less accurate performance. A significant interaction of age group and hand was found for errors in both tasks, and for stop time and velocity in the slalom task, suggesting differential maturational changes for both hands in discrete and continuous drawing tasks.

Age Factors↗
PubMedDate not supplied

Differences in somatosensory hand organization in a healthy flutist and a flutist with focal hand dystonia: a case report.

Focal hand dystonia is a disabling, involuntary disorder of movement that can disrupt a successful musician's career. This problem is difficult to treat, to some extent because we do not fully understand its origin. Somatosensory degradation has been proposed as one etiology. The purpose of this case study was to compare the differences in the somatosensory hand representation of two female flutists, one with focal dystonia of the left hand (digits 4 and 5) and one a healthy subject (the control). Noninvasive magnetic source imaging was performed on both subjects. The somatosensory evoked potentials of controlled taps to the fingers were measured with a 37-channel biomagnetometer and reported in terms of the neuronal organization, latency, amplitude, density, location, and spread of the digits on each axis (x, y, and z). The somatosensory representation of the involved hand of the flutist with dystonia differed from that of the healthy flutist. The magnetic fields evoked from the primary somatosensory cortex had a disorganized pattern of firing, with a short latency and excessive amplitude in the involved digits of the affected hand, as well as inconsistency (decreased density). In addition, the patterns of firing were different in terms of the location of the digits on the x, y, and z axes and sequential organization of the digits. This study confirms that somatosensory evoked magnetic fields can be used to describe the representation of the hand on the somatosensory cortex in area 3b. Degradation in the hand representation of the flutist with focal hand dystonia was evident, compared with the hand representation of the healthy flutist. It is not clear whether the sensory degradation was the cause or the consequence of the dystonia. The questions are whether re-differentiation of the representation could be achieved with aggressive sensory retraining and whether improvement in structure would be correlated with improvement in function.

Adult↗
PubMed2006

Hands up: attentional prioritization of space near the hand.

This study explored whether hand location affected spatial attention. The authors used a visual covert-orienting paradigm to examine whether spatial attention mechanisms--location prioritization and shifting attention--were supported by bimodal, hand-centered representations of space. Placing 1 hand next to a target location, participants detected visual targets following highly predictive visual cues. There was no a priori reason for the hand to influence task performance unless hand presence influenced attention. Results showed that target detection near the hand was facilitated relative to detection away from the hand, regardless of cue validity. Similar facilitation was found with only proprioceptive or visual hand location information but not with arbitrary visual anchors or distant targets. Hand presence affected attentional prioritization of space, not the shifting of attention.

Attention↗
PubMed2006

Hand skill and hand-eye preference in relation to verbal ability in healthy adult male and female right-handers.

Verbal as well as non-verbal performances were investigated in relation to both hand skill assessed by finger-tapping performances and hand-eye preference in 83 healthy adult right-handers, most of them students. The primary objective of this study was to show better finger-tapping performances in right-handed participants with best verbal IQ values. We found that it was not the non-verbal but the verbal abilities that were related to finger-tapping performances. This was proven, especially as to the left-hand taps. Faster left-hand taps in participants with higher verbal IQ values may be due to a closer cooperation of right-hemispheric regions in information processing and an intimate relationship between language and finger-motor functions. Secondary objectives assessed by explorative data analyses included gender differences and hand-eye preference. While in the females left-hand taps correlated somewhat more with verbal IQ values, in the males this effect was seen in selected variables of the right-hand taps. Moreover, laterality assessed in finger-tapping performances may not be in accordance with laterality found in the handedness questionnaire. In addition to this, congruent hand-eye dominance was found to be slightly more prevalent in participants with best verbal IQ values. However, these findings will have to be confirmed in further experiments.

Adult↗
PubMed1999

Eye-dominance, writing hand, and throwing hand.

Handedness and eye-dominance are undoubtedly associated statistically, although a previous meta-analysis has found that the precise relationship is difficult to explain, with about 35% of right-handers and 57% of left-handers being left eye dominant. Of particular difficulty to genetic or other models is that the proportions are distributed asymmetrically around 50%. The present study asked whether this complicated pattern of association occurred because, following Peters, it is necessary to divide right-and left-handers into consistent handers (who write and throw with the same hand) and inconsistent handers (who write and throw with opposite hands). In an analysis of 10,635 subjects from questionnaire studies, 28.8% of left-handers and 1.6% of right-handers by writing were inconsistent for throwing. Our results also showed that writing hand and throwing hand both relate independently to eyedness, that throwing hand is somewhat more strongly associated with eyedness, and that the awkward asymmetry around 50% is now removed, 24.2% of consistent right-handers being left eye dominant compared with 72.3% of consistent left-handers, and 55.4% of inconsistent right-handers compared with 47.0% of inconsistent left-handers. We conclude that eyedness is phenotypically secondary to writing and throwing handedness. In our discussion we note that eyedness runs in families, we present new data suggesting that writing hand and throwing hand are co-inherited, and we argue that further data are now required to model properly the associations of writing hand, throwing hand, and eyedness, as well as probably also footedness and language dominance.

Journal Article↗
PubMed2004

Immediate toe-to-hand transfer in acute hand injuries: overall results, compared with results for elective cases.

In the past 5 years, 25 mutilated digits were reconstructed with immediate toe-to-hand transfers after acute hand injuries, for 21 patients. The overall results of the immediate toe-to-hand transfers were evaluated and compared with the results of 65 elective procedures performed during the same period by the same surgeon. There were 15 cases of great toe-to-hand transfer for thumb reconstruction, two cases of second toe transfer for index finger reconstruction, and four cases of simultaneous two-toe transfer for reconstruction of multiple-digit amputations. Two cases (two of 25 cases, 8 percent) were successfully salvaged with emergency reexploration. The incidences of emergency reexploration and postoperative infection were not significantly different from those for elective toe-to-hand transfer cases. The duration of industrial insurance coverage was much shorter than for elective cases, averaging 225 days (p < 0.001). Approximately 44 percent of the patients maintained their original jobs after immediate toe-to-hand transfer. The subjective satisfaction self-assessment scores of aesthetic appearance and function for the newly reconstructed thumb averaged 80 and 88 (of a total score of 100), respectively. Although satisfaction was lower than for elective reconstruction (p < 0.001), it was higher than for reconstruction of other digits. The donor-site appearance after great toe harvesting was mostly unsatisfactory. Immediate toe-to-hand transfer provides many advantages over the elective procedure in acute hand injuries, including single-stage reconstruction, shortened convalescence, early return to work, and socioeconomic efficiency. Because there were no significant differences in the success rates, frequencies of complications, or ultimate functional results, immediate toe-to-hand transfer is a safe and reliable procedure that is indicated for specific cases of acute digital amputation.

Acute Disease↗
PubMed1983

Right- and left-hand skill I: Effects of age, sex and hand preference showing superior skill in left-handers.

Hand preference and hand skill were examined in relation to sex and age from 3 1/2 to 50+ years. The data were drawn from several samples which avoided volunteer bias, either by selecting children according to birth-date or by taking complete class groups. The distribution of hand preference and of asymmetry of skill gave no evidence of systematic changes with age. Younger children were more variable and showed larger absolute differences in favour of the right hand than older children but L-R times were similar over most of the age range. Time for peg moving decreased with increasing age to a minimum in the late teens, remained stable for the next three decades and increased slightly in the 50+ age group. Males were faster than females with the left hand in almost all age groups. Females tended to be faster than males with the right hand up to 10 years of age but males then equalled and surpassed females, to be faster in most older groups. Correlations between hands did not vary systematically with age or sex. Left-handers were faster than right-handers and right mixed-handers were intermediate for peg-moving time by the non-preferred hand, in both sexes and both sets of samples. Differences for the preferred hand were less clear but still favoured left-handers in several comparisons. The findings raise the possibility that left hemisphere specialization for language is achieved through a right hemisphere handicap and that left-handers escape this risk to cerebral efficiency.

Adolescent↗
PubMed2004

Influence of waterproof covering on finger skin temperature and hand pain during immersion test for diagnosing hand-arm vibration syndrome.

The purpose of this study was to examine the influence of waterproof covering on finger skin temperature (FST) and hand pain during immersion test for diagnosing hand-arm vibration syndrome complying with the proposal of the International Organization for Standardization (ISO/ CD14835-1, 2001) for measurement procedure. Six healthy male subjects took part in the immersion tests and immersed their both hands into water at 12 degrees C for 5 min, repeatedly with two types of waterproof covering (polyethylene and natural rubber gloves) or without hand covering (bare hands) during immersion. The FST data from middle fingers and subjective pain scores for hand pain were analyzed. Statistically significant differences in FST among three conditions were observed showing the highest FST with natural rubber gloves, followed by the FST with polyethylene gloves and the lowest with bare hands. Significant differences in pain score among three conditions were observed during immersion showing the lowest pain score with natural rubber gloves, followed by the pain score with polyethylene gloves and the highest with bare hands. Immersion test with polyethylene gloves instead of bare hands during immersion seems to be suitable for reducing subject suffering.

Analysis of Variance↗
PubMed1993

Association of serum-free-testosterone level with hand preference in right-handed young females.

The relationship between the degree of right-hand preference and serum free-testosterone level was studied in right-handed female subjects, who were 17-19 years old. It was assumed that free testosterone levels in serum of young female subjects would reflect the perinatal testosterone levels. Hand preference was assessed by the Edinburgh Handedness Inventory (Geschwind score, GS) and Waterloo Handedness Questionnaire (Waterloo score, WS). The degree of the right-hand preference linearly and significantly increased as the serum free-testosterone level increased in the moderately right-handed (GS = < 70) subjects. There was only a marginally significant negative linear correlation between these parameters in the strongly right-handed subjects (GS > 70). These results only partly supported the testosterone hypothesis of cerebral lateralization that testosterone would slow the growth of the left cerebral hemisphere, reducing the degree of right hand preference. The results also suggested a trophic effect of testosterone especially on the left cerebral cortex in females. Activational effects of testosterone may also contribute to an increase in the degree of right-hand preference in right-handed young females.

Adolescent↗
PubMedDate not supplied

A developmental analysis of the relationship between hand preference and performance: II. A performance-based method of measuring hand preference in children.

The present study describes a performance-based method of measuring hand preference in children. Three aspects of handedness were considered to be important in developing the paradigm (a) overall hand preference across a number of tasks, (b) consistency of hand use and, (c) the use of the preferred hand in a bimanual task. The new paradigm, termed the WatHand Box Test (WBT), requires participants to perform a variety of unimanual tasks such as, using a hammer, tossing a ball, and opening a lock with a key. To determine the validity of the WBT and examine the developmental trends in hand preference, eighty right-handed children and adults (ages 3-4, 6-7, 9-10, and 18-24 years) performed the WBT. First, the WBT was found to correlate significantly with scores on a standard hand preference questionnaire for the adults. As well, significant developmental trends were noted in hand preference as measured by the WBT. Most specifically, three- and four-year-olds had significantly lower scores on the WBT indicating a less stable pattern of hand preference than in the other three age groups.

Adolescent↗