Journal of hand therapy : official journal of the American Society of Hand Therapists
-
New information regarding cortical changes in patients with chronic pain has prompted a reevaluation of the typical "bottom up" treatment for pain, which focuses on peripheral nociceptive stimuli. More recently, increasing considerations for chronic pain are focused from the "top down" cortical central processing perspective. ⋯ This article briefly summarizes the basic components of GMI, targeting complex regional pain in the upper limb, and describes a case where this method was successfully integrated. The initial research and clinical experience is promising and indicates that patients with chronic pain may benefit from using GMI to "retrain the brain."
-
This article reviews literature on Narrative Medicine and applies this knowledge to hand therapy using brief case examples in which the narrative message of each example is illustrated. The value of narratives in hand therapy is thereby described. ⋯ 5.
-
A limited amount of research has investigated the potential relationship between carpal tunnel syndrome (CTS) and thoracic outlet dysfunction. ⋯ Level III-b.
-
No questionnaire is available to evaluate disability levels in French-speaking patients suffering from tennis elbow. ⋯ N/A.
-
Clinical Measurement. ⋯ n/a.