OBJECTIVE This article describes the effect of a robotic device combined with repetitive-task practice (RTP) on upper-extremity function in a patient with chronic stroke. METHOD The client was a 32-year-old woman, 11 months after stroke, with minimal wrist and finger movement. She received approximately 48 hr of intervention split evenly between a robotic device (Hand Mentor) and RTP during 3...

OBJECTIVE Closed reduction and internal fixation of the scapholunate dissociation are currently performed using K-wires or a headless bone screw. We present an alternative for this fixation by means of a cannulated screw with dynamic adjustable interfragmentary compression and discuss the advantages of using this type of technique. METHODS Closed reduction of the scapholunate interval was ach...

OBJECTIVE To present the diagnostic features of lateral epicondylosis and response to treatment by Active Release Technique (ART), a promising treatment for lateral epicondylosis. CLINICAL FEATURES The most important feature is pain at the lateral epicondyle of the humerus, most notably in actively extending or passively flexing the wrist. INTERVENTION AND OUTCOME Treatment involves elimina...

We evaluated the efficiency of botulinum toxin type A injection followed by a rehabilitation program including individual therapy, group therapy, and occupational therapy in cases of cerebral palsy with upper extremity involvement. A total of 29 injections were performed on 25 patients, and the patients were placed on rehabilitation program. At 3-month and 6-month assessments, there was a signi...

Traumatic brachial plexus root avulsions are devastating injuries, and are complex and challenging to reconstruct. Double free muscle transfer using the gracilis muscles is a potentially effective method of restoring upper extremity function. The authors report on the first two patients treated using this technique in Canada. Both sustained traumatic brachial plexus root avulsion injuries resul...