Integration of occupation based intervention in hand injury rehabilitation: A Randomized Controlled Trial

Abstract Study design Randomized Controlled Trial (RCT). Introduction Engagement in daily occupations and day to day activities helps to restore function in individuals with injured hands and provides a platform to practise selected occupations. Purpose The purpose of this study was to investigate t...

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Bibliographic Details
Published in:Journal of hand therapy 2016, Vol.29 (1), p.30-40
Main Authors: Che Daud, Ahmad Zamir, BSc (Hons) AppRehabOT, DipOT, Yau, Matthew K., PhD, MCom, MSc (Hons), BAppSc, Barnett, Fiona, PhD, MAppSc, BAppSc (Hons), AssocDip, Judd, Jenni, DHSc, MPH, Med, DipHPE, Jones, Rhondda E., PhD, BSc (Hons), BInfTech, Muhammad Nawawi, Rashdeen Fazwi, MSOrtho, MBBS
Format: Article
Language:English
Subjects:
Activities of daily living
Adult
Clinical trials
Disability Evaluation
Employment
Exercise Therapy
Female
Hand injuries
Hand Injuries - rehabilitation
Hand Strength
Hands
Humans
Injuries
Male
Neuralgia - therapy
Occupational Therapy
Occupations
Pain
Patient Satisfaction
Physical Medicine and Rehabilitation
Randomized Controlled Trial
Range of Motion, Articular
Rehabilitation
Studies
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Summary:Abstract Study design Randomized Controlled Trial (RCT). Introduction Engagement in daily occupations and day to day activities helps to restore function in individuals with injured hands and provides a platform to practise selected occupations. Purpose The purpose of this study was to investigate the effectiveness of a combination of Occupation Based Intervention (OBI) and Therapeutic Exercise (TE) compared to TE alone for the rehabilitation of hand injuries. Method A single center RCT, parallel group was conducted at the Kuala Lumpur General Hospital (KLGH), Malaysia. Forty-six adult clients with hand injuries who consented to participate were randomly allocated to either the OBI + TE group or to the TE group. Results Following a ten week intervention program, statistical significance differences were found in DASH score (TE = 18.64 ± 14.84 vs OBI + TE = 9.50 ± 9.14, p  = 0.02); total active motion (TE = 1035.85 ± 179.84 vs OBI + TE = 1203.65 ± 133.60, p  = 0.01); neuropathic pain (TE = 2.90 ± 2.79 vs OBI + TE = 1.05 ± 2.01, p  = 0.02); COPM performance (TE = 7.62 ± 2.03 vs OBI + TE = 9.53 ± 0.64, p  
ISSN:0894-1130
1545-004X
DOI:10.1016/j.jht.2015.09.004