{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T16:56:41Z","timestamp":1792515401571,"version":"4.5.0"},"reference-count":0,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2003,9,1]],"date-time":"2003-09-01T00:00:00Z","timestamp":1062374400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2003,9]]},"abstract":"<jats:p>\n                    <jats:bold>OBJECTIVE.<\/jats:bold>\n                    The purpose of this study was to investigate upper-extremity kinematics and range of shoulder motion while wearing a wrist extension orthosis compared to the free hand at initial testing and after a week\u2019s wear.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>METHOD.<\/jats:bold>\n                    A convenience sample of healthy women, ages 20\u201350 years, performed a stacking task and a pouring task, freehanded and splinted, at two times, 1 week apart in this counterbalanced, repeated measures design. A Motion Analysis 3-D system measured quality of movement and range of motion variables. A 2 by 2 analysis of variance (splinted vs. freehanded by time of testing) was used to analyze each variable.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>RESULTS.<\/jats:bold>\n                    In both tasks, participants tended to move more slowly (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.005) with less direct movements (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .001) when wearing the orthosis. In stacking, splinted movements were also less smooth than when freehanded (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .0001). When splinted both tasks required more shoulder abduction (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .0001) and pouring required more shoulder flexion (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .0001). Participants demonstrated several improvements in quality of movement and amount of shoulder motion used after a weeks\u2019 orthotic wear, indicating some adaptation to the orthosis with use.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>CONCLUSION.<\/jats:bold>\n                    In this study, a wrist extension orthosis interfered with the quality of upper-extremity movement and required more range of shoulder movement compared to the free hand. Future research is needed to determine whether persons with upper-extremity conditions (i.e., arthritis, carpal tunnel syndrome) respond similarly to wrist orthoses. Therapists should consider discussing with patients how their wrist splint could affect their hand performance and help patients learn techniques to reduce stress on their proximal joints.\n                  <\/jats:p>","DOI":"10.5014\/ajot.57.5.517","type":"journal-article","created":{"date-parts":[[2010,9,30]],"date-time":"2010-09-30T14:25:14Z","timestamp":1285856714000},"page":"517-524","source":"Crossref","is-referenced-by-count":27,"title":["The Immediate and Short-Term Effects of a Wrist Extension Orthosis on Upper-Extremity Kinematics and Range of Shoulder Motion"],"prefix":"10.1177","volume":"57","author":[{"given":"Stephanie","family":"King","sequence":"first","affiliation":[{"name":"Stephanie King, MOT, OTR\/L, is Staff Therapist, Midwest Rehab, Inc., Findlay, Ohio 45840"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie Jepsen","family":"Thomas","sequence":"additional","affiliation":[{"name":"Julie Jepsen Thomas, PhD, OTR\/L, FAOTA, is Professor and Chair, Department of Occupational Therapy, Medical College of Ohio, 3015 Arlington Avenue, Toledo, Ohio 43614-5803;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin S.","family":"Rice","sequence":"additional","affiliation":[{"name":"Martin S. Rice, PhD, OTR\/L, is Associate Professor, Department of Occupational Therapy, Medical College of Ohio, Toledo, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2003,9,1]]},"container-title":["American Journal of Occupational Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5014\/ajot.57.5.517","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/research.aota.org\/ajot\/article-pdf\/57\/5\/517\/66124\/517.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5014\/ajot.57.5.517","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T12:36:58Z","timestamp":1785155818000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5014\/ajot.57.5.517"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,9]]},"references-count":0,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2003,9]]}},"alternative-id":["10.5014\/ajot.57.5.517"],"URL":"https:\/\/doi.org\/10.5014\/ajot.57.5.517","relation":{},"ISSN":["1943-7676","1943-7676"],"issn-type":[{"value":"1943-7676","type":"print"},{"value":"1943-7676","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,9]]}}}