Hand Therapy最新文献

Translation and validation of the Malay version of the Duruöz hand index in individuals with diabetic peripheral neuropathy.

IF 0.9

Hand Therapy Pub Date : 2025-03-24 DOI: 10.1177/17589983251325267

Noor Aziella Mohd Nayan, Chi-Wein Chien, Najihah Lokman, Mohammed Alrashdi, Mohamad Qayum Mohamad Sabri, Ahmad Zamir Che Daud

{"title":"Translation and validation of the Malay version of the Duruöz hand index in individuals with diabetic peripheral neuropathy.","authors":"Noor Aziella Mohd Nayan, Chi-Wein Chien, Najihah Lokman, Mohammed Alrashdi, Mohamad Qayum Mohamad Sabri, Ahmad Zamir Che Daud","doi":"10.1177/17589983251325267","DOIUrl":"10.1177/17589983251325267","url":null,"abstract":"Background: Diabetic Peripheral Neuropathy (DPN) is a prevalent complication of Type 2 Diabetes Mellitus (T2DM), leading to hand function impairments that affect daily activities and quality of life. Despite its significance, no culturally adapted tool exists for assessing hand-related activity limitations in the Malay-speaking population. This study aimed to translate, culturally adapt and validate the Duruöz Hand Index (DHI) for Malaysians with DPN.Methods: A cross-sectional study was conducted in two phases: (1) translation and cultural adaptation of the DHI into Malay and (2) evaluation of its psychometric properties. Content validity was assessed by a panel of nine experts using the Content Validity Index (CVI). Face validity was evaluated through a pilot test with 10 individuals with DPN. Internal consistency (Cronbach's alpha) and test-retest reliability (Intraclass Correlation Coefficient, ICC) were measured in 30 participants with DPN. Known-group validity was examined by comparing DPN participants with healthy individuals.Results: The content validity of the Malay-DHI was excellent and face validity confirmed that the Malay-DHI was clear and comprehensible. Internal consistency was strong across all categories (α = 0.84-0.97). Test-retest reliability demonstrated excellent stability (ICC = 0.996-1.000). Known-group validity showed a significant difference between individuals with DPN and healthy individuals (Z = -6.93, p < .001).Conclusion: The Malay version of the DHI demonstrated strong validity and reliability, making it a culturally relevant and robust tool for assessing hand function in individuals with DPN. This tool may facilitate targeted rehabilitation interventions and improve clinical outcomes.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":" ","pages":"17589983251325267"},"PeriodicalIF":0.9,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Establishing the reliability and validity for GripAble: A handheld sensor-based dynamometry device.

IF 0.9

Hand Therapy Pub Date : 2025-03-13 DOI: 10.1177/17589983251322537

Elise Yee Yan Li, Luke Steven Robinson, Claire Stockdale

{"title":"Establishing the reliability and validity for GripAble: A handheld sensor-based dynamometry device.","authors":"Elise Yee Yan Li, Luke Steven Robinson, Claire Stockdale","doi":"10.1177/17589983251322537","DOIUrl":"https://doi.org/10.1177/17589983251322537","url":null,"abstract":"Introduction: Evaluation of maximum grip strength (MGS) is commonly conducted to guide intervention planning and evaluate treatment outcomes for individuals with hand or upper limb impairments. While the hydraulic Jamar dynamometer is recognised as the gold standard measurement instrument, it has several limitations and there has not been a consensus on whether alternative instruments can replace or complement it. This study aimed to determine whether a new electronic rehabilitation device, the GripAble, is a reliable and valid instrument for measuring the MGS of healthy adults when compared to the gold standard hydraulic Jamar dynamometer. It also sought to compare the user's experience when using the two instruments.Methods: Fifty-five healthy adults completed two MGS assessments ten minutes apart using a standardised protocol. Test-retest and inter-instrument reliability were evaluated using intraclass correlation coefficient. Concurrent validity was established using a Bland-Altman plot. Relationship and level of agreement between measurements on the two devices were evaluated. Participants' user experience was explored through a quantitative survey.Results: The GripAble was found to have excellent test-retest reliability (ICC = 0.971-0.975) and good-to-excellent inter-instrument reliability (ICC = 0.898-0.922) with the Jamar dynamometer. Its measurement output is equivalent to approximately 63.3% of that of the Jamar dynamometer. The mean difference value between the measurements on the two devices was 9.44 kg (SD = 4.47). Users preferred the GripAble.Discussion: While the GripAble is a reliable MGS assessment instrument, it should not be used interchangeably with the Jamar dynamometer for repeated measurements of the same individual owing to the differences in their readings.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":" ","pages":"17589983251322537"},"PeriodicalIF":0.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The role of early orthotic intervention in the management of post-traumatic elbow contractures: Study protocol for phase II double-blinded randomised controlled trial. 早期矫形干预在治疗创伤后肘关节挛缩中的作用：II期双盲随机对照试验研究方案。

IF 0.9

Hand Therapy Pub Date : 2025-03-01 Epub Date: 2024-10-29 DOI: 10.1177/17589983241292827

Germaine Sim, Jennifer Fleming, Celeste Glasgow

{"title":"The role of early orthotic intervention in the management of post-traumatic elbow contractures: Study protocol for phase II double-blinded randomised controlled trial.","authors":"Germaine Sim, Jennifer Fleming, Celeste Glasgow","doi":"10.1177/17589983241292827","DOIUrl":"10.1177/17589983241292827","url":null,"abstract":"Background: Restoration of full elbow extension following trauma is difficult and influenced by the injury profile, surgeon preference, patient and environmental factors. The literature suggests that orthotic interventions are effective in improving contractures when movement plateaus despite normal therapeutic interventions. It is not known if extension orthotic intervention is more superior to standard treatment regardless of when it is commenced. The literature lacks patient-reported considerations to contracture management using elbow orthoses.Methods and analysis: This protocol describes a Phase II double blinded randomised controlled feasibility trial (RCT) and mixed methods study, aimed to examine outcome with extension in an orthotic intervention group (OG) versus control (CG). All participants will undergo six weekly therapy sessions, which include a standardised therapeutic program. OG participants will be provided with an additional extension orthosis and the outcome is assessed according to the change in elbow extension motion after 6 weeks of intervention. Data will be collected via questionnaires, logbooks, feedback forms, and semi-structured interviews at baseline and final assessments for descriptive statistical analysis. Under the guidance of a statistician, all quantitative data will be evaluated using the appropriate parametric or non-parametric analyses to evaluate for systematic differences between groups. Preliminary extension gains are used to determine the final sample size required to achieve adequate power for a full-scaled RCT. Interview data on OG participants will be qualitatively analysed using the \"five-factorial dimensions of adherence\" framework to identify key differences in the influencers between adherent or non-adherent groups.Trial registration number: ANZCTR ACTRN12619001402134p.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":" ","pages":"46-57"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A scoping review to map public-facing websites for non-traumatic wrist disorders with quality evaluation. 对面向公众的非创伤性腕部疾病网站进行范围界定，并进行质量评估。

IF 0.9

Hand Therapy Pub Date : 2025-03-01 Epub Date: 2024-10-08 DOI: 10.1177/17589983241287082

Thomas Mitchell, Michael Bircumshaw, Clare Cryan, Dawid Kotwica, Nick Hamilton, Ben Dean, Sionnadh McLean

{"title":"A scoping review to map public-facing websites for non-traumatic wrist disorders with quality evaluation.","authors":"Thomas Mitchell, Michael Bircumshaw, Clare Cryan, Dawid Kotwica, Nick Hamilton, Ben Dean, Sionnadh McLean","doi":"10.1177/17589983241287082","DOIUrl":"10.1177/17589983241287082","url":null,"abstract":"Introduction: Public-facing resources for non-traumatic wrist disorders (NTWD) exist, but care recipients and healthcare professionals alike are uncertain where to access the most useful resources and have raised concerns over the quality of information provided. Previous studies involving stakeholders highlight a need for quality evaluation of these resources. The aim of this study was to identify website resources accessible to UK-based online health seekers and explore their content through quality assessment.Methods: A scoping review of public-facing websites was conducted in accordance with Joanna Briggs Institute guidelines and PRISMA-ScR checklist. An a-priori search strategy was performed of publicly accessible websites using lay terms were entered into a simple Google search. The DISCERN tool was used to appraise the quality of health information with additional data charted to pre-determined criteria.Results: The 82 websites meeting inclusion criteria scored an average of 2/5 DISCERN. Nine funding categories existed with private service websites were the most common. 18 different diagnoses were found with twenty different management interventions were recommended.Conclusion: Considerable variation was found in the quality of websites providing information which people with NTWD are likely to access. Quality and trustworthiness of website information on NTWD are not the preserve of any sector or organisation and we identified potential for improvements across the board.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":" ","pages":"3-18"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trapeziometacarpal total joint arthroplasty, with or without supervised hand rehabilitation: A quasi-experimental trial. 带或不带手部康复指导的梯形掌骨全关节置换术：准实验性试验。

IF 0.9

Hand Therapy Pub Date : 2025-03-01 Epub Date: 2024-10-20 DOI: 10.1177/17589983241287084

Elske Edj Bonhof-Jansen, Sander M Brink, Tjeerd R de Jong, Jeroen H van Uchelen, Eric Wp Bakker

{"title":"Trapeziometacarpal total joint arthroplasty, with or without supervised hand rehabilitation: A quasi-experimental trial.","authors":"Elske Edj Bonhof-Jansen, Sander M Brink, Tjeerd R de Jong, Jeroen H van Uchelen, Eric Wp Bakker","doi":"10.1177/17589983241287084","DOIUrl":"10.1177/17589983241287084","url":null,"abstract":"Introduction: Aim of this study was to determine whether postoperative supervised rehabilitation improves functional outcomes after trapeziometacarpal (TMC) total joint arthroplasty (TJA), compared to education alone.Method: A quasi-experimental before-after trial included 31 women (≥40 years) per group diagnosed with trapeziometacarpal osteoarthritis who underwent TJA. A cohort (n = 31) who was given education alone was compared to a cohort (n = 31) who were subjected to supervised rehabilitation. Primary outcome was the difference in hand function 3 months postoperatively, measured by the Michigan Hand Outcomes Questionnaire (MHOQ). Other outcomes were the MHOQ subscale scores, the active range of motion, strength, time to return to work, satisfaction and complications.Results: Patients in the education group had a significantly higher median delta MHOQ score when compared to the rehabilitation group at 3 months; 28.5 (20.5-31.3) versus 15.8 (1.9-21.1), (p = <0.01) and at 12 months 36.6 (26.8 - 47.2) versus 27.4 (14.5 - 33.0), (p = 0.01). Only the secondary outcomes the MHOQ subscales hand function, ADL and satisfaction revealed significant differences in favor of the education group. The education method reduced the median number of hand therapy sessions with eight visits.Conclusion: The present study does not show a significant or clinically relevant benefit from supervised rehabilitation in terms of functional outcomes following TJA compared to education alone. Based on this, it seems safe to leave patients unsupervised in their recovery following TJA and to suffice with just education, however further exploration of effectiveness and safety of this intervention is recommend in larger trials.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":" ","pages":"34-45"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effect of preoperative interventions on postoperative outcomes following elective hand surgery: A systematic review. 术前干预对手部择期手术后预后的影响：一项系统综述。

IF 0.9

Hand Therapy Pub Date : 2025-03-01 Epub Date: 2024-12-02 DOI: 10.1177/17589983241301449

Tahra Babiker-Moore, Carol J Clark, Emma Kavanagh, Timothy B Crook

{"title":"The effect of preoperative interventions on postoperative outcomes following elective hand surgery: A systematic review.","authors":"Tahra Babiker-Moore, Carol J Clark, Emma Kavanagh, Timothy B Crook","doi":"10.1177/17589983241301449","DOIUrl":"10.1177/17589983241301449","url":null,"abstract":"Background: Hand surgery is commonly required for conditions like Dupuytren's disease, carpal tunnel syndrome, and carpometacarpal osteoarthritis. Hand experts agree that patient education and managing expectations can optimise surgical outcomes. With an aging population, and rising rates of diabetes and obesity, a significant increase in elective hand surgeries is anticipated over the next decade.Objective: To assess the effectiveness of preoperative therapy interventions on improving postoperative outcomes following elective hand surgery.Method: A systematic search of six databases accessed journals from January 2011 to April 2024. Included studies assessed postoperative outcomes following preoperative therapy intervention.Results: Seven articles met the inclusion criteria: six randomised controlled trials (RCTs) and one retrospective cohort study. Five RCTs explored effects of opioid education on postoperative consumption, all reporting statistically significant differences in favour of the intervention, with one showing a decrease of 49.7 morphine equivalent units (95% CI: 11.9 to 87.5), representing a 34.7% decrease between intervention and control. All RCTs scored poorly for risk of bias with the exception of one which assessed the effects of a neuroscience pain education on postoperative pain, reporting a non-significant decrease of 7.7% favouring the control.Conclusion: There is a lack of quality research assessing preoperative interventions and outcomes for hand surgery. There was some indication of favourable outcomes following preoperative opioid education; however, number of studies were small, the evidence quality was poor, and data were limited. Further research is required to address these gaps and identify the most effective preoperative interventions.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":" ","pages":"19-33"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recovery in the symmetry of hand use after distal radius fracture.

IF 0.9

Hand Therapy Pub Date : 2025-02-12 DOI: 10.1177/17589983251319030

Terufumi Iitsuka, Hiroshi Kurumadani, Yoshiyuki Inagaki, Hideyuki Ota

{"title":"Recovery in the symmetry of hand use after distal radius fracture.","authors":"Terufumi Iitsuka, Hiroshi Kurumadani, Yoshiyuki Inagaki, Hideyuki Ota","doi":"10.1177/17589983251319030","DOIUrl":"10.1177/17589983251319030","url":null,"abstract":"Introduction: Hand use recovery after a distal radius fracture (DRF) depends on whether the injured hand is dominant or not, which can affect laterality and influence functional outcomes. This study aimed to investigate how the injured side impacts changes in laterality and its relationship to functional outcome, aiming to contribute to the development of future hand therapy strategies.Methods: Patients with DRF were prospectively recruited. Triaxial accelerometers were wrist-mounted to collect data at 1, 4, 8, and 12 weeks postoperatively and examine the laterality index (LI), total hand use time, and total vector magnitude. Correlations between LI and functional outcomes were assessed at each time point.Results: 42 patients participated in this study. Among them, 19 and 23 had injured dominant (DI) and injured non-dominant (non-DI) hands, respectively. The LI showed a faster restoration of symmetry in the DI group than in the non-DI group at 8 and 12 weeks postoperatively. Moderate correlations between LI and functional outcomes were observed in wrist joints and grip strength in the DI and non-DI groups, respectively, at all time points.Discussion: The change in LI in the DI group was considered recovery, as it was identical to the symmetry observed in healthy adults. Additionally, the non-DI group was considered to have adapted to a pattern of predominant use of the dominant hand. The correlation between LI and some functional outcomes appeared to depend on hand use patterns, specifically whether the injured hand was dominant or not. These findings underscore the importance of tailoring interventions.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":" ","pages":"17589983251319030"},"PeriodicalIF":0.9,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Therapists' perceptions of the Carroll Upper Extremity Function Test to measure functional outcomes post-hand allotransplantation: A phenomenological study.

IF 0.9

Hand Therapy Pub Date : 2025-02-11 DOI: 10.1177/17589983251318937

Jyoti Khiani Heiple, Megan Danzl, Barbara Jackson, Tara Ising

{"title":"Therapists' perceptions of the Carroll Upper Extremity Function Test to measure functional outcomes post-hand allotransplantation: A phenomenological study.","authors":"Jyoti Khiani Heiple, Megan Danzl, Barbara Jackson, Tara Ising","doi":"10.1177/17589983251318937","DOIUrl":"10.1177/17589983251318937","url":null,"abstract":"Introduction: Hand allotransplantation is a treatment option available for individuals who have suffered a traumatic upper extremity injury. To date, there is not an industry-standard recognized measurement tool to assess post-hand allotransplantation functional performance. A commonly used observational functional assessment tool is the Carroll Upper Extremity Function Test (UEFT). This study explored therapists' perceptions of the Carroll UEFT applicability to measure functional outcomes post-hand allotransplantation.Methods: The study employed a qualitative phenomenological approach with in-depth, semi-structured interviews with five occupational therapists and two physical therapists representing five hand transplant centers in the United States. Braun and Clarke's six-phase thematic analysis approach was utilized for data analysis.Results: The findings generated four themes: (1) scoring is too vague and subjectivity prevails, (2) questionable reliability of the scores, (3) translates to real-life functional tasks, and (4) outcomes affecting decisions.Conclusion: The study identified limitations of the Carroll UEFT as applied to a targeted population, hand transplant recipients. The scoring is too vague and subjectivity prevails theme was the most resonant theme generated from the participants, with a call for standardization of the assessment. This theme was followed by questionable reliability of the scores, which identifies concerns regarding the reliability of the Carroll UEFT. Rehabilitation services associated with hand allotransplantations can incorporate the findings of this study and collaborate to identify and navigate the transition to an evaluation tool with strong psychometrics for best practice in the assessment of functional outcomes for hand-transplant recipients.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":" ","pages":"17589983251318937"},"PeriodicalIF":0.9,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11815666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A survey of practice on the use of condition-specific patient reported outcome measures with patients who have distal radius fractures. 对桡骨远端骨折患者使用特定病情患者报告结果测量方法的实践调查。

IF 0.9

Hand Therapy Pub Date : 2024-12-02 DOI: 10.1177/17589983241301451

Jocelyn Nuttall, Catherine Rolls

{"title":"A survey of practice on the use of condition-specific patient reported outcome measures with patients who have distal radius fractures.","authors":"Jocelyn Nuttall, Catherine Rolls","doi":"10.1177/17589983241301451","DOIUrl":"10.1177/17589983241301451","url":null,"abstract":"Introduction: Distal radius fractures (DRF) are common injuries seen by therapists. Patient Reported Outcomes Measures (PROMs) are a way to measure recovery, yet previous research suggests PROM utilisation is low amongst therapists. This study looks at current use of condition specific PROMs amongst UK therapists treating patients with DRF and explores possible barriers and facilitators to their use.Methods: An online anonymised cross-sectional survey hosted on Qualtrics software was distributed to UK physiotherapists, occupational therapists, and therapy technicians via special interest groups and social media. Analysis was carried out on Excel and Qualtrics Software.Results: There were 60 responses to the survey. For therapists who use PROMs the Quick-Disabilities of the Arm, Shoulder and Hand questionnaire, and Patient Reported Wrist Evaluation were the most used, but many therapists reported never using a PROM. Barriers identified included not having enough time in a therapy session, already collecting generic PROMs, and current PROMs did not add to their clinical reasoning. Therapists reported current condition specific PROMs did not capture the psychosocial impact of a DRF or help to assess return to full function.Conclusion: NHS managers should explore opportunities to collect generic PROMs in a way that has the least impact on clinician time. The development of a Core Outcome Set for hand and wrist trauma may help therapists to identify a toolkit of PROMs to measure different aspects of recovery from this injury but further research is needed to understand the utility of PROMs over individualised therapist assessment.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":" ","pages":"17589983241301451"},"PeriodicalIF":0.9,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What are the barriers to upper limb splint adherence, and how is adherence measured? A systematic review. 坚持使用上肢夹板的障碍是什么？系统综述。

IF 0.9

Hand Therapy Pub Date : 2024-12-01 Epub Date: 2024-08-12 DOI: 10.1177/17589983241268069

Emma Bamford, Jamie A Mawhinney, Nick Johnson, Ian Shelton, Anna Selby, Avril Drummond

{"title":"What are the barriers to upper limb splint adherence, and how is adherence measured? A systematic review.","authors":"Emma Bamford, Jamie A Mawhinney, Nick Johnson, Ian Shelton, Anna Selby, Avril Drummond","doi":"10.1177/17589983241268069","DOIUrl":"10.1177/17589983241268069","url":null,"abstract":"Introduction: Non-adherence to splint wearing following an upper limb traumatic injury is a significant medical issue. Optimal outcome following such injuries relies on people adhering to the prescribed splint, and a failure to do so can negatively impact outcome and increase healthcare burden and costs. This systematic review aims to compare and synthesise the evidence related to measuring adherence to wear recommendations and the barriers to splint wearing following upper limb trauma in adults.Methods: Databases (EBSCO, PubMed, EMBASE and Science Direct) were systematically searched for articles that met the pre-agreed eligibility criteria between February and May 2023. Data on study characteristics and reported outcomes relating to measuring and quantifying splint adherence and barriers to adherence were extracted.Results: A total of 16 articles were included for final review. Several methods were used to measure adherence, with no single tool used predominantly. These included patient or therapist reported data, preexisting classification systems and an electronic device. Methods used to quantify adherence was also heterogenous in nature, and a range of investigator and patient reported barriers to splint wearing were reported.Conclusion: This review demonstrates heterogeneity in both classifying and measuring splint adherence, as well as in the barriers to splint wearing reported. Moving forward, using agreed measurement and reporting practices for splint adherence will enable researchers to complete high quality trials to determine splinting outcomes, and may ultimately enable health care professionals to improve adherence and, subsequently, outcomes in clinical practice.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"29 4","pages":"161-174"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11528615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0