Hand Therapy最新文献

{"title":"Construct validity of the Brazilian QuickDASH for assessing work-related upper-limb musculoskeletal disorders.","authors":"Raquel Metzker Mendes Sugano, Vinícius Restani de Castro, Flávia Pessoni Faleiros Macêdo, Natália Claro da Silva, Leonardo Dutra de Salvo Mauad, Ester Rodrigues do Carmo Lopes, Karen Ayumi Kawano Suzuki, Isabela Sales Bignotto, Pedro Campos Ribeiro de Lima, Maria Eloísa de Oliveira Medeiros, Gabriel Morais Xavier Dos Santos, Marisa de Cássia Registro Fonseca","doi":"10.1177/17589983251345380","DOIUrl":"10.1177/17589983251345380","url":null,"abstract":"<p><strong>Background: </strong>Work-related musculoskeletal disorders (WRMD) may be associated with various individual, physical, biomechanical, or psychosocial/organisational risk factors. Self-report questionnaires have increasingly been used to assess patients' perceptions of injury impact. QuickDASH is a widely used outcome measurement questionnaire but is seldom applied to WRMD.</p><p><strong>Objective: </strong>To evaluate the construct validity of the Brazilian version of the QuickDASH (QD-Br) in patients with WRMD affecting the upper limbs, hypothesising a moderate correlation with fatigue, ergonomic, and functional questionnaires.</p><p><strong>Methods: </strong>Workers of a tertiary hospital, such as healthcare professionals and support staff employees with WRMD in the upper limbs and neck were included. The outcome measures were QD-Br, the Numerical Pain Scale (NPS), Isometric Handgrip Strength (GS), Isokinetic Force of Bilateral Shoulder Elevation in the Scapular Plane (ISOAbd), Functional Impairment Test - Hand and Neck/Shoulder/Arm (FIT-HaNSA), and: Patient-Specific Functional Scale (PSFS-Br), Neck Disability Index (NDI-Br), Work Ability Index (WAI-Br), Need for Recovery Scale (NFR-Br), and Quick Exposure Checklist (QEC-Br). Spearman's Correlation Coefficient (ρ) was calculated to determine the direction and strength of associations.</p><p><strong>Results: </strong>The sample was 70% female, 63% reporting chronic symptoms. The shoulder was the joint most frequently reported. QD-Br showed moderate positive correlations with NDI-Br and NPS and moderate but negative correlations with WAI-Br and PSFS-Br. It presented weak and positive correlations with NFR-Br, weak and negative correlations with GS, ISOAbd, and FIT-HaNSA, and no correlation with QEC-Br.</p><p><strong>Conclusion: </strong>QD-Br demonstrated evidence of construct validity for assessing workers with upper limb complaints, effectively reflecting their dysfunctions and symptoms.</p>","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":" ","pages":"135-142"},"PeriodicalIF":0.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142550","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}

{"title":"Effectiveness of night splints for cubital tunnel syndrome - A systematic review.","authors":"Marcus Bateman, Heather Swaile, Amol Tambe","doi":"10.1177/17589983251336157","DOIUrl":"10.1177/17589983251336157","url":null,"abstract":"<p><strong>Introduction: </strong>Cubital Tunnel Syndrome (CuTS) is a common condition of the elbow that is often treated with surgical decompression of the ulnar nerve but evidence for optimal management is unclear. A previous Cochrane review from 2016 identified very limited evidence to guide conservative management, in particular, night splints. The aim of this systematic review was to update the evidence related to the effectiveness of night splints in the treatment of CuTS.</p><p><strong>Methods: </strong>We conducted an electronic search on January 15th 2025 of the MEDLINE, Embase, Emcare and CINAHL databases from the last 30 years, using a pre-defined protocol. Risk of bias was assessed using the RoB2 and ROBINS-I tools, with certainty assessed using GRADE.</p><p><strong>Results: </strong>We identified only one randomised controlled trial (RCT), with high overall risk of bias, that compared night splints to a control arm of advice only. This under-powered trial with high loss to follow-up found no difference between groups. One additional RCT and three single-arm studies, all at high/serious/critical risk of bias, suggested the majority of patients with mild/moderate CuTS improve with night splinting but it is unclear whether the effect was due to treatment or time. Evidence certainty was very low.</p><p><strong>Discussion: </strong>We identified a paucity of evidence, of low quality, regarding night splinting. The evidence identified by this review is currently insufficient to determine whether night splints should be recommended for the treatment of CuTS and there is a need for a high-quality research trial comparing night splints to a control intervention.</p>","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":" ","pages":"105-112"},"PeriodicalIF":0.6,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095268","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}

{"title":"Hand therapy experience after major earthquakes in 2023 in Türkiye: A single-site evaluation.","authors":"Zeynep Emir, Öznur Güney, Kadir Çevik","doi":"10.1177/17589983251338744","DOIUrl":"10.1177/17589983251338744","url":null,"abstract":"<p><strong>Introduction: </strong>Although post-disaster rehabilitation is increasingly recognized as essential, the role of hand therapy remains underexplored. Following the two devastating earthquakes in Türkiye in 2023, which resulted in over 50,000 deaths and 120,000 injuries, this study presents experiences and practices in post-disaster hand therapy to address the existing knowledge gap.</p><p><strong>Objective: </strong>This study aims to share post-earthquake hand therapy experiences, highlight patient care challenges, and provide recommendations for future disaster management.</p><p><strong>Methods: </strong>This retrospective study involves patients who were transported from the disaster area to a tertiary hospital by ambulance. Each patient referred to hand therapy by the hand surgeon was treated and followed up by two hand therapists. The patients had various injuries, including compartment syndrome, fasciotomy, amputations, and fractures. All patients were seen at least once for therapy.</p><p><strong>Results: </strong>This retrospective study evaluated 24 patients aged 5-63 who were referred to a tertiary centre for hand therapy following the earthquake. All patients were trapped under rubble, with compartment syndrome, amputations, and fractures being the most common injuries. Therapy began on average 3-4 weeks post-disaster. Twelve patients completed treatment, while 10 were lost to follow-up. All patients developed joint limitations and deformities.</p><p><strong>Discussion: </strong>Our post-disaster hand therapy experiences have shown the necessity of educating the hand therapists and the other healthcare professionals before the disaster, approaching patients within a multidisciplinary framework and planning treatment, and placing emphasis on increasing functional recovery in the long term.</p>","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":" ","pages":"124-134"},"PeriodicalIF":0.6,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052787","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}

{"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":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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, <i>p</i> < .001).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":" ","pages":"113-123"},"PeriodicalIF":0.6,"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}

{"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":"<p><strong>Background: </strong>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.</p><p><strong>Methods and analysis: </strong>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.</p><p><strong>Trial registration number: </strong>ANZCTR ACTRN12619001402134p.</p>","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}

{"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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>A scoping review of public-facing websites was conducted in accordance with Joanna Briggs Institute guidelines and PRISMA-ScR checklist. An <i>a-priori</i> 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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><strong>Introduction: </strong>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.</p><p><strong>Method: </strong>A quasi-experimental before-after trial included 31 women (≥40 years) per group diagnosed with trapeziometacarpal osteoarthritis who underwent TJA. A cohort (<i>n</i> = 31) who was given education alone was compared to a cohort (<i>n</i> = 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.</p><p><strong>Results: </strong>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), (<i>p</i> = <0.01) and at 12 months 36.6 (26.8 - 47.2) versus 27.4 (14.5 - 33.0), (<i>p</i> = 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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><strong>Background: </strong>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.</p><p><strong>Objective: </strong>To assess the effectiveness of preoperative therapy interventions on improving postoperative outcomes following elective hand surgery.</p><p><strong>Method: </strong>A systematic search of six databases accessed journals from January 2011 to April 2024. Included studies assessed postoperative outcomes following preoperative therapy intervention.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"title":"Exploring patient perception of decision-making in carpal tunnel release surgery: A systematic review and thematic synthesis of qualitative studies.","authors":"Bing Chun Lui, Christina Jerosch-Herold","doi":"10.1177/17589983241278746","DOIUrl":"10.1177/17589983241278746","url":null,"abstract":"<p><strong>Background: </strong>Carpal tunnel syndrome is a common condition, but some controversies remain regarding diagnostics and the most effective treatments. As a result, patients often experience decisional conflicts, especially when considering carpal tunnel release surgery. Understanding factors that influence decision-making in surgery can help clinicians better grasp patient treatment preferences and priorities, reducing decisional conflicts, and enabling patients to make informed, value-aligned choices through shared decision-making. This qualitative evidence synthesis aims to explore patient perceptions of carpal tunnel release, examine the decision-making factors, and critically appraise and synthesise the existing evidence.</p><p><strong>Methods: </strong>A systematic search was conducted across four electronic databases (MEDLINE, EMBASE, CINAHL Ultimate, PsycINFO) from inception to August 2023, supplemented by referencing and citation searching to identify eligible qualitative studies. Thematic synthesis was adopted as synthesis methodology, involving a line-by-line coding of the primary study findings, and the development of descriptive and analytical themes. Quality appraisal was conducted using the modified Critical Appraisal Skills Programme checklist, supplemented with the COnsolidated criteria for REporting Qualitative research checklist.</p><p><strong>Results: </strong>Synthesis of six qualitative studies encompassing 66 participants generated five analytical themes: (1) Journey to normalcy, (2) Patient-centred care, (3) Work and life considerations, (4) Weighing up alternatives, and (5) Shaping the expectations, highlighting the complexity of patient decision-making in carpal tunnel release.</p><p><strong>Discussion: </strong>In the management of carpal tunnel syndrome, therapists should consider various decision-making factors, prioritising communication and shared decision-making. This, along with personalised interactions, achieves patient-centred care and enhances patient care quality and therapeutic alliance.</p>","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"29 4","pages":"145-160"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11503846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510015","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}