{"id":"https://openalex.org/W3211049629","doi":"https://doi.org/10.1016/j.jhsg.2021.09.001","title":"Evaluation of a Grip-Strengthening Algorithm for the Initial Treatment of Chronic, Nonspecific Wrist Pain in Adolescents","display_name":"Evaluation of a Grip-Strengthening Algorithm for the Initial Treatment of Chronic, Nonspecific Wrist Pain in Adolescents","publication_year":2021,"publication_date":"2021-10-22","ids":{"openalex":"https://openalex.org/W3211049629","doi":"https://doi.org/10.1016/j.jhsg.2021.09.001","mag":"3211049629","pmid":"https://pubmed.ncbi.nlm.nih.gov/35415596","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/8991628"},"language":"en","primary_location":{"id":"doi:10.1016/j.jhsg.2021.09.001","doi":"https://doi.org/10.1016/j.jhsg.2021.09.001","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jhsg.2021.09.001","pdf_url":null,"source":{"id":"https://openalex.org/S4210203138","display_name":"Journal of Hand Surgery Global Online","issn_l":"2589-5141","issn":["2589-5141"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Hand Surgery Global Online","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.jhsg.2021.09.001","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5042999611","display_name":"Jenny M. Dorich","orcid":"https://orcid.org/0000-0002-4522-9533","observed_orcids":["https://orcid.org/0000-0002-4522-9533"]},"institutions":[{"id":"https://openalex.org/I1285204247","display_name":"Cincinnati Children's Hospital Medical Center","ror":"https://ror.org/01hcyya48","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285204247"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jenny M. Dorich","raw_affiliation_strings":["Division of Occupational and Physical Therapy, Cincinnati Children's Hospital Medical Center, Cincinnati, OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Occupational and Physical Therapy, Cincinnati Children's Hospital Medical Center, Cincinnati, OH","institution_ids":["https://openalex.org/I1285204247"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5044825386","display_name":"Roger Cornwall","orcid":"https://orcid.org/0000-0003-2205-2883","observed_orcids":["https://orcid.org/0000-0003-2205-2883"]},"institutions":[{"id":"https://openalex.org/I1285204247","display_name":"Cincinnati Children's Hospital Medical Center","ror":"https://ror.org/01hcyya48","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285204247"]},{"id":"https://openalex.org/I63135867","display_name":"University of Cincinnati","ror":"https://ror.org/01e3m7079","country_code":"US","type":"education","lineage":["https://openalex.org/I63135867"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Roger Cornwall","raw_affiliation_strings":["Department of Orthopaedic Surgery, University of Cincinnati College of Medicine, Cincinnati, OH","Division of Pediatric Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, University of Cincinnati College of Medicine, Cincinnati, OH","institution_ids":["https://openalex.org/I63135867"]},{"raw_affiliation_string":"Division of Pediatric Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH","institution_ids":["https://openalex.org/I1285204247"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5044825386"],"corresponding_institution_ids":["https://openalex.org/I1285204247","https://openalex.org/I63135867"],"apc_list":{"value":2000,"currency":"USD","value_usd":2000},"apc_paid":{"value":2000,"currency":"USD","value_usd":2000},"fwci":0.7047,"has_fulltext":false,"cited_by_count":6,"citation_normalized_percentile":{"value":0.69770641,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"4","issue":"1","first_page":"8","last_page":"13"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10630","display_name":"Orthopedic Surgery and Rehabilitation","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10630","display_name":"Orthopedic Surgery and Rehabilitation","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.001500000013038516,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10455","display_name":"Foot and Ankle Surgery","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/adolescents","display_name":"adolescents","score":0.9399999976158142},{"id":"https://openalex.org/keywords/handgrip-strength","display_name":"grip strength","score":0.9070000052452087},{"id":"https://openalex.org/keywords/upper-limb-function","display_name":"upper limb function","score":0.7260000109672546},{"id":"https://openalex.org/keywords/treatment-algorithm","display_name":"treatment algorithm","score":0.6489999890327454},{"id":"https://openalex.org/keywords/ganglion-cyst","display_name":"ganglion cyst","score":0.5879999995231628},{"id":"https://openalex.org/keywords/triangular-fibrocartilage-complex","display_name":"triangular fibrocartilage complex","score":0.9380000233650208},{"id":"https://openalex.org/keywords/patient-reported-outcomes","display_name":"patient-reported outcomes","score":0.5619999766349792}],"concepts":[{"id":"https://openalex.org/C2777433710","wikidata":"https://www.wikidata.org/wiki/Q5609571","display_name":"Grip strength","level":2,"score":0.8281347751617432},{"id":"https://openalex.org/C2778216619","wikidata":"https://www.wikidata.org/wiki/Q185706","display_name":"Wrist","level":2,"score":0.7370966076850891},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7228502035140991},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.6329435706138611},{"id":"https://openalex.org/C2776255841","wikidata":"https://www.wikidata.org/wiki/Q5647202","display_name":"Hand strength","level":3,"score":0.5016460418701172},{"id":"https://openalex.org/C2781118164","wikidata":"https://www.wikidata.org/wiki/Q1088113","display_name":"Chronic pain","level":2,"score":0.46095091104507446},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.36504167318344116},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.28988733887672424}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1016/j.jhsg.2021.09.001","doi":"https://doi.org/10.1016/j.jhsg.2021.09.001","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jhsg.2021.09.001","pdf_url":null,"source":{"id":"https://openalex.org/S4210203138","display_name":"Journal of Hand Surgery Global Online","issn_l":"2589-5141","issn":["2589-5141"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Hand Surgery Global Online","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:8991628","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/8991628","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Hand Surg Glob Online","raw_type":"Text"},{"id":"pmid:35415596","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/35415596","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of hand surgery global online","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:8e41dc5baccf4252827e2384805f38c8","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/8e41dc5baccf4252827e2384805f38c8","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Hand Surgery Global Online, Vol 4, Iss 1, Pp 8-13 (2022)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.jhsg.2021.09.001","doi":"https://doi.org/10.1016/j.jhsg.2021.09.001","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jhsg.2021.09.001","pdf_url":null,"source":{"id":"https://openalex.org/S4210203138","display_name":"Journal of Hand Surgery Global Online","issn_l":"2589-5141","issn":["2589-5141"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Hand Surgery Global Online","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"score":0.75,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":40,"referenced_works":["https://openalex.org/W1827152740","https://openalex.org/W1913706392","https://openalex.org/W1965067155","https://openalex.org/W1966147175","https://openalex.org/W1975092183","https://openalex.org/W1975428016","https://openalex.org/W1975668528","https://openalex.org/W1982808362","https://openalex.org/W1995249145","https://openalex.org/W2024107051","https://openalex.org/W2034129723","https://openalex.org/W2037559753","https://openalex.org/W2049307917","https://openalex.org/W2063013011","https://openalex.org/W2065331850","https://openalex.org/W2077902688","https://openalex.org/W2082246853","https://openalex.org/W2091605116","https://openalex.org/W2109946346","https://openalex.org/W2119863030","https://openalex.org/W2120110824","https://openalex.org/W2142456684","https://openalex.org/W2143894480","https://openalex.org/W2149269615","https://openalex.org/W2151400343","https://openalex.org/W2156124340","https://openalex.org/W2156407903","https://openalex.org/W2158517832","https://openalex.org/W2160130155","https://openalex.org/W2169054098","https://openalex.org/W2297731761","https://openalex.org/W2323280555","https://openalex.org/W2331499805","https://openalex.org/W2342542474","https://openalex.org/W2524743160","https://openalex.org/W2624574107","https://openalex.org/W2924651563","https://openalex.org/W4231936206","https://openalex.org/W4239296995","https://openalex.org/W4285719527"],"related_works":["https://openalex.org/W2746667057","https://openalex.org/W2791638288","https://openalex.org/W1983138901","https://openalex.org/W3081387351","https://openalex.org/W2403886554","https://openalex.org/W2028170301","https://openalex.org/W2399638039","https://openalex.org/W2044948399","https://openalex.org/W3034713494","https://openalex.org/W2331499805"],"abstract_inverted_index":{"Purpose:":[0],"Chronic,":[1],"nonspecific":[2,51,279],"wrist":[3,52,280],"pain":[4,67,218,243,247,268],"in":[5,32,116,120,125,193,199,272],"adolescents":[6,48,276],"can":[7,24],"be":[8],"challenging":[9],"to":[10,132,253,288],"assess":[11],"and":[12,29,55,65,68,83,89,111,122,146,186,201,207,249,269],"treat.":[13],"We":[14,38],"hypothesized":[15],"that":[16,261],"an":[17],"algorithmic":[18],"approach":[19],"beginning":[20],"with":[21,49,101,162,173,197,277],"grip":[22,58,176,194],"strengthening":[23,266],"alleviate":[25],"pain,":[26],"improve":[27],"function,":[28],"identify":[30,289],"patients":[31,94,141,211,290],"need":[33],"of":[34,43,105,156,165,275,284,296,298],"further":[35,223,254,293],"intervention.":[36,294],"Methods:":[37],"retrospectively":[39],"reviewed":[40],"the":[41,73,112,273],"results":[42],"a":[44,102,154,163],"grip-strengthening":[45],"protocol":[46,286],"for":[47,245],"chronic,":[50,278],"pain.":[53,281],"Before":[54],"after":[56],"treatment,":[57,152],"strength":[59,177,195],"was":[60,134,171,251],"measured":[61,71],"using":[62,72],"handheld":[63],"dynamometry,":[64],"patient-reported":[66],"function":[69,271],"were":[70,99,259],"adolescent":[74],"self-reported":[75],"Pediatric":[76],"Outcomes":[77],"Data":[78],"Collection":[79],"Instrument's":[80],"(PODCI's)":[81],"Pain/Comfort":[82],"Upper":[84],"Extremity":[85],"Function":[86],"domains":[87],"(PODCI/pain":[88],"PODCI/UE,":[90],"respectively).":[91,209],"Results:":[92],"Thirty-two":[93],"(28":[95],"female,":[96],"4":[97,166],"male)":[98],"included,":[100],"mean":[103,128,155],"age":[104],"14":[106],"years":[107],"(range,":[108,137,159,169],"10-18":[109],"years)":[110],"dominant":[113],"hand":[114,119],"affected":[115],"19,":[117],"nondominant":[118],"9,":[121],"bilateral":[123],"impacts":[124],"4.":[126],"The":[127],"symptom":[129],"duration":[130],"prior":[131,144,148],"presentation":[133],"9":[135],"months":[136],"1-63":[138],"months);":[139],"17":[140],"had":[142,213],"undergone":[143],"immobilization":[145],"5":[147,220],"occupational/physical":[149],"therapy.":[150],"Grip-strengthening":[151],"lasting":[153],"40":[157],"days":[158],"21-82":[160],"days)":[161],"median":[164],"therapy":[167],"visits":[168],"2-6),":[170],"associated":[172],"significantly":[174],"improved":[175],"(mean,":[178,183,189],"32-48":[179],"lbs),":[180],"PODCI/pain":[181,200],"scores":[182,188,203],"49.0-78.2":[184],"points),":[185],"PODCI/UE":[187,202],"78.2-91.2":[190],"points).":[191],"Improvements":[192],"correlated":[196],"improvements":[198],"(r":[204],"=":[205],"0.64":[206],"0.70,":[208],"Eight":[210],"(25%)":[212],"either":[214],"no":[215],"or":[216],"incomplete":[217],"relief:":[219],"underwent":[221],"successful":[222],"intervention":[224],"(2":[225],"ganglion":[226],"cyst":[227],"excisions,":[228],"1":[229,234,237,250],"triangular":[230],"fibrocartilage":[231],"complex":[232],"repair,":[233],"arthroscopic":[235],"debridement,":[236],"steroid":[238],"injection),":[239],"2":[240],"received":[241],"ongoing":[242],"management":[244],"generalized":[246],"syndromes,":[248],"lost":[252],"follow-up.":[255],"No":[256],"pretreatment":[257],"variables":[258],"identified":[260],"predicted":[262],"failure.":[263],"Conclusions:":[264],"Grip":[265],"relieves":[267],"improves":[270],"majority":[274],"Systematic":[282],"use":[283],"this":[285],"helps":[287],"who":[291],"require":[292],"Type":[295],"study/level":[297],"evidence:":[299],"Therapeutic":[300],"IV.":[301]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":2},{"year":2022,"cited_by_count":1}],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2021-11-08T00:00:00"}