This study aimed to investigate the effect of smartphone size and use on fatigue of the extensor pollicis longus and abductor digiti minimi, and digiti minimi deformity. The 40 people assigned to the experimental group spent at least 6 hours using the smartphone and used the digiti minimi for support. The control group spent at least 3 hours using the smartphone, however did not use digiti mini for support. Questionnaires were used to measure smartphone usage, daily use duration, and method of holding the smartphone device. X-rays of distal interphalangeal joint angle deformity of the digiti minimi were assessed. Surface electromyography was used to analyze muscle fatigue. The angle deformity was significantly different between the experimental group and the control group, and fatigue of the extensor pollicis longus and abductor digiti minimi of the large smartphone users were high. The muscle fatigue was reduced when the smartphone size fit well with the user's hand. This study suggests that the size of the smartphone influence the fatigue of the hand muscles.

The present case study highlights the effects of a novel Comprehensive Hand Repetitive Intensive Strengthening Training (CHRIST) on morphological changes and associated upper extremity (UE) muscle strength and motor performance in a child with spastic quadriplegic cerebral palsy (CP). The Child, a 10-year-old girl with spastic quadriplegic CP, was treated with CHRIST for 60 minutes a day, five times a week, for 5 weeks. The CHRIST was designed to improve motor function and strength. Clinical tests including the modified Wolf Test, Jebsen-Taylor Hand Function Test, and Pediatric Motor Activity Log questionnaire were used to determine motor function. Ultrasound imaging was performed to determine the changes in the cross-section area (CSA) of the extensor carpi radialis (ECR) and triceps brachii (TRI). Muscle strength was measured with a dynamometer at pretest, and post-test, and 3-month follow-up. Ultrasound imaging data showed that the CSAs of both ECR and TRI muscles were enhanced as a function of the intervention. These changes were associated with muscle strength and motor performance and their effects remained even at a 3-month follow-up test. Our results suggest that the CHRIST was effective at treating muscle atrophy, weakness and motor dysfunction in a child with spastic quadriplegic CP.