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To wear wrist orthosis can cause compensation on shoulder movement

Influence of wrist constraint on shoulder muscle coordination and upper extremity kinematic during reaching-to-grasp tasks

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
REBEC
Registry ID
RBR-99kc3d
Enrollment
Unknown
Registered
2020-06-03
Start date
2019-02-19
Completion date
Unknown
Last updated
2025-10-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Musculoskeletal diseases

Interventions

To wear wrist orthosis during a period of seven days uninterrupted, just removing for shower and toilete. The study has one group of participants. Number of participants: 12
Device

Sponsors

Sao Paulo Research Foundation
Lead Sponsor
Universidade Federal de São Paulo
Collaborator

Eligibility

Age
18 Years to 85 Years

Inclusion criteria

Inclusion criteria: Individuals 18-85 years old; pain-free full range of motion of shoulder, elbow and wrist

Exclusion criteria

Exclusion criteria: Women who are pregnant; Systemic neurological disease or injury (Parkinson’s disease, Multiple sclerosis, Stroke, etc.); Systemic inflammatory disease or arthropathy (i.e. Rheumatoid arthritis); Hemophilia or other forms of bleeding disorders, or use of anti-coagulation medications (if fine-wire EMG will be used); Consistent use of narcotic pain medication or anti-inflammatory medication; Upper extremity weight-bearing used for mobility; Previous fracture to the upper extremity being tested; Previous surgery to the upper extremity being tested; Seeking care from a healthcare provider for the upper extremity to be tested (i.e. pain, arthritis, etc.) either currently or within the last 6 months; Previous or current imaging showing a full thickness rotator cuff tear in the arm to be tested; Shoulder pain with cervical spine motion; Previous or current substantial pain in the upper extremity to be tested

Design outcomes

Primary

MeasureTime frame
To evaluate, through surface electromyography, the immediate effects of using wrist orthosis on muscle coordination and magnitude, as well as on the variability of these values, of the myoelectric activity of biceps brachii, triceps brachii, anterior deltoid, middle deltoid, posterior deltoid, upper trapezius, middle trapezius, lower trapezius, latissimus dorsi, pectoralis major, serratus anterior and infraspinatus muscles when a person holds or not holds an object in his hand, during the acceleration and the deceleration phases of the reach-to-grasp tasks described in the project, performed wearing and without wearing the wrist orthosis.;To evaluate the immediate effects of using the wrist orthosis on the three-dimensional kinematics of the upper extremity (angles and angular variability - scapulo-thoracic, glenohumeral, elbow and wrist joints) when a person holds or not holds an object in the hand, during the acceleration and the deceleration phases of the reach-to-grasp tasks described in the project, performed wearing and without wearing the wrist orthosis. ;To evaluate, through end-point kinematics, the immediate effects of using the wrist orthosis on the spatio-temporal parameters of the hand's trajectory in the space with and without holding an object in the hand (displacement, velocity and acceleration), during the acceleration and the deceleration phases of the reach-to-grasp tasks described in the project, performed wearing and without wearing the wrist orthosis.;To evaluate if changes in the end-point kinematics, three-dimensional kinematics, muscle coordination and myoelectrical activity caused by the immediate use of the wrist orthosis are related to the phases of acceleration and deceleration of the movement when the person is holding and when the person is not holding an object in the hand, performed wearing and not wearing the wrist orthosis. ;To evaluate the immediate effects of using the writ orthosis on inter-articular coordination in the phases o

Secondary

MeasureTime frame
To evaluate, through the DASH questionnaire, the effect of wearing the wrist orthosis for 7 days on the functionality of the upper extremity during the performance of the tasks described in the experimental procedure. It is expected to find a greater score after 4 and 7 days of wearing the orthosis compared to the score obtained after 7 days of washout. The baseline DASH score is also expected to be equal the score after 7 days of washout.;To evaluate, through the DASH questionnaire, the immediate effect of using the wrist orthosis on the functionality of the upper extremity during the performance of the tasks described in the experimental procedure. It is expected to have a greater score when the person wear the orthosis to perform the tasks compared to when the person is performing the tasks without wearing the wrist orthosis.

Countries

United States

Contacts

Public ContactHelga Tucci

Universidade Federal de São Paulo

helga.tucci@unifesp.br+55-1332290130

Outcome results

None listed

Source: REBEC (via WHO ICTRP)