Journal of Hand Therapy最新文献

{"title":"Development and preliminary validation of the Diabetes Hand Function Assessment.","authors":"Noor Aziella Mohd Nayan, Chi-Wein Chien, Najihah Lokman, Mohammed Alrashdi, Mohamad Qayum Mohamad Sabri, Ahmad Zamir Che Daud","doi":"10.1016/j.jht.2026.02.001","DOIUrl":"https://doi.org/10.1016/j.jht.2026.02.001","url":null,"abstract":"<p><strong>Background: </strong>Diabetic peripheral neuropathy is a common complication of type 2 diabetes mellitus that significantly impairs hand function. However, no patient-reported outcome measure currently exists to specifically assess hand function impairments in this population.</p><p><strong>Purpose: </strong>To develop and conduct preliminary validation of the Diabetes Hand Function Assessment (DHFA), a disease-specific patient-reported outcome measure designed to evaluate functional and symptom-related hand impairments in individuals with diabetic peripheral neuropathy.</p><p><strong>Study design: </strong>Cross-sectional clinical measurement.</p><p><strong>Methods: </strong>The DHFA was developed in three phases: item generation through literature review and expert focus group (phase 1); content and face validity assessment by 10 experts and 10 individuals with diabetic peripheral neuropathy (phase 2); and preliminary psychometric testing on 150 individuals with diabetic peripheral neuropathy (phase 3). Internal consistency was evaluated using Cronbach's alpha. Convergent validity was assessed by correlating DHFA scores with the Malay Duruöz Hand Index (DHI). Known-groups validity was tested by comparing DHFA scores based on diabetes duration (<5 years vs ≥5 years).</p><p><strong>Results: </strong>Content and face validity indices exceeded recommended thresholds (S-CVI/Ave = 0.90; S-FVI/Ave = 0.98). Internal consistency was excellent for the total DHFA (α = 0.972), section 1 (α = 0.967), and good for section 2 (α = 0.827). Convergent validity was supported by a strong negative correlation with the Malay-DHI (r = -0.940, p < 0.001). Known-groups validity showed significantly poorer hand function in participants with ≥5 years of diabetes (U = 676.5, Z = -7.977, p < 0.001), supporting the DHFA's ability to distinguish between severity groups.</p><p><strong>Conclusions: </strong>The DHFA is a promising patient-reported outcome measure, with future studies needed to establish test-retest reliability, responsiveness, and other psychometric properties. Its disease-specific focus and preliminary psychometric strength support its potential use in clinical assessment, rehabilitation planning, and research.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the hand-to-mouth task as a representative measure of functional feeding in typically developing children: A cross-sectional study.","authors":"Madison Lovette, Lauren N Lottier, R Tyler Richardson, Natalie Williams, Spencer Warshauer, Dan A Zlotolow, Stephanie A Russo","doi":"10.1016/j.jht.2026.06.001","DOIUrl":"https://doi.org/10.1016/j.jht.2026.06.001","url":null,"abstract":"<p><strong>Background: </strong>Assessment of upper extremity function in children often relies on observation of activities of daily living. The hand-to-mouth position is commonly used to represent feeding ability, however, it is unclear whether it captures the joint kinematics required during actual feeding tasks.</p><p><strong>Purpose: </strong>To determine joint angle differences in feeding tasks compared with bringing the hand to the mouth and to establish normative joint angle data during feeding tasks.</p><p><strong>Study design: </strong>Cross-sectional motion capture assessment of 25 typically developing children ages 6-18 years (average 11.8 ± 3.3 years).</p><p><strong>Methods: </strong>Each participant performed five feeding tasks: hand to mouth, eating a sandwich, eating a small food item, and use of a utensil (fork and spoon). One trial per task was collected for each arm. Joint angles were quantified with customized software. Two-way repeated-measures MANOVAs (α = 0.05) compared joint angles between hand-to-mouth position and each feeding task, with task and limb (dominant/nondominant) as within-subject factors. Wilks' lambda was used when multivariate normality assumptions were satisfied, Pillai's trace was used when assumptions were violated. Significant multivariate effects were followed by univariate analyses to identify specific joint angle differences.</p><p><strong>Results: </strong>For both dominant and nondominant limbs, significant differences were observed between the hand-to-mouth position and all feeding tasks (p < 0.05). The sandwich position showed the largest number of angles with significant differences compared with the hand-to-mouth position. The small food item task demonstrated the fewest differences across limbs, although it required greater forearm supination.</p><p><strong>Conclusions: </strong>The hand-to-mouth position does not universally represent the joint kinematics required across feeding tasks in children. Eating a small food item most closely approximated hand-to-mouth kinematics, while eating a sandwich was the most disparate. These findings support the need for task-specific assessment of upper extremity function related to feeding.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Buddy strapping is not inferior to a hand-based orthosis for boxer's fracture in the early weeks of hand therapy: A randomized controlled trial.","authors":"Tracey Clark, Gretel Evans, Kylie Flynn, Keerthana Sritharan, Sabrina Naz","doi":"10.1016/j.jht.2026.06.018","DOIUrl":"https://doi.org/10.1016/j.jht.2026.06.018","url":null,"abstract":"<p><strong>Background: </strong>Conservatively managed fifth metacarpal neck or \"boxer's\" fractures are referred to hand therapists for rehabilitation, managed with either buddy strapping or immobilization orthoses. These two interventions have similar long-term outcomes; however, we do not know if patients have reduced daily living function, more pain, or are less satisfied with buddy straps in the first 6 weeks of care.</p><p><strong>Purpose: </strong>To determine whether buddy strapping is noninferior to a hand-based orthosis for adults with fifth metacarpal neck fracture requiring nonsurgical management in the first 6 weeks following injury.</p><p><strong>Study design: </strong>Parallel group, randomized, controlled, noninferiority trial (Trial ID: ACTRN12618001324202).</p><p><strong>Methods: </strong>Participants were randomly allocated to two groups: (1) buddy strapping or (2) hand-based orthosis. Blinded assessors administered assessments of activities of daily living, hand function, pain, and patient satisfaction at enrollment, 1, 3 and 6 weeks. The Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) was the primary outcome. Data were analyzed using linear mixed‑effects models incorporating all time points, consistent with CONSORT non‑inferiority guidance. The non‑inferiority margin was based on the individual‑level minimal clinically important difference, and findings were interpreted in this context.</p><p><strong>Results: </strong>Sixty-two (n = 62) adults were randomized to orthosis (n = 32, mean age = 28.7 years, male = 29) or buddy strapping (n = 30, mean age = 29.0 years, male = 25). At 6 weeks, mean QuickDASH was not significantly different between groups (orthosis = 10.7, CI = 2.4-19, buddy strapping = 9.6, CI = 1.5-17.6). Linear mixed modeling showed a similar trajectory of improvement over time. No clinically meaningful between‑group differences were observed for secondary outcomes, and no device‑related adverse events were reported.</p><p><strong>Conclusions: </strong>Buddy strapping demonstrated comparable outcomes to a hand‑based orthosis over the first 6 weeks of rehabilitation. Within the limitations of sample size (underpowered), buddy strapping appears to be a safe and acceptable management option.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thumb Disability Examination (TDX-Br) demonstrates high construct validity and interrater reliability in individuals with general thumb conditions.","authors":"Alan Rodrigues Pereira, Gabriel Morais Xavier Dos Santos, Heloísa Corrêa Bueno Nardim, Gabriela Rezende, Raquel Metzker Mendes Sugano, Marisa de Cássia Registro Fonseca","doi":"10.1016/j.jht.2026.06.017","DOIUrl":"https://doi.org/10.1016/j.jht.2026.06.017","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating functional outcomes following hand therapy in cubital tunnel release.","authors":"Joshua K Kim, Crystal Jing, Suhail K Mithani, Warren C Hammert","doi":"10.1016/j.jht.2026.06.011","DOIUrl":"https://doi.org/10.1016/j.jht.2026.06.011","url":null,"abstract":"<p><strong>Background: </strong>Cubital tunnel syndrome is the second most common nerve compression of the upper extremity and requires procedural intervention in nearly half of cases. Postoperative hand therapy is inconsistently utilized, and functional benefits have not been well-characterized.</p><p><strong>Purpose: </strong>To investigate whether consistent therapy attendance improves postoperative functional outcomes and quantify the impact of socioeconomic factors on recovery.</p><p><strong>Study design: </strong>Retrospective chart review.</p><p><strong>Methods: </strong>Patients at a single academic institution from 2014 to 2024 with cubital tunnel syndrome treated with surgical release were reviewed. Patient demographics, postoperative clinic visits, hand therapy attendance, Patient-Reported Outcomes Measurement Information System, and Quick Disabilities of the Arm, Shoulder, and Hand scores were tallied. Bivariate analysis compared patients attending four or more hand therapy sessions to those who did not. The area of deprivation was used to divide patients into two halves for analysis.</p><p><strong>Results: </strong>A total of 1396 patients were eligible for inclusion, with 461 (33.0%) attending hand therapy for 1 [1, 4] session. Among patients attending hand therapy, patients with consistent attendance had better Pain Interference, Upper Extremity Function, and subjective pain at 3 months and latest visit. Socioeconomically deprived patients had lower therapy and clinic attendance, with worse Physical Function, Pain Interference, and Upper Extremity Function 3 months postoperatively.</p><p><strong>Conclusions: </strong>Socioeconomic characteristics and natural functional recovery drive hand therapy engagement. In patients who require therapy, consistent attendance provided functional and pain benefits, particularly after 3 months. Poor socioeconomic status was associated with lower hand therapy attendance and worse functional outcomes.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An exploratory study on the predictors of lifelong participation in adults with brachial plexus birth injury.","authors":"Lexi Davidson, Christine B Novak, Andrea H W Chan, Kristen M Davidge, Samantha J Anthony, Emily S Ho","doi":"10.1016/j.jht.2026.06.010","DOIUrl":"https://doi.org/10.1016/j.jht.2026.06.010","url":null,"abstract":"<p><strong>Background: </strong>During transitions to adulthood, participation after brachial plexus birth injury is contextualized by increasing independence and age-related milestones, illustrated by new social demands, education or career choices, and physical maturation. However, our understanding of the underlying mental or physical factors that influence participation into adulthood remains unrecognized.</p><p><strong>Purpose: </strong>The aim of this study was to identify how mental and physical factors relate to participation of adults with brachial plexus birth injury as measured by a battery of standardized patient-reported outcome measures.</p><p><strong>Study design: </strong>Prospective cross-sectional study with cases and controls.</p><p><strong>Methods: </strong>Participants aged 19-34 years with brachial plexus birth injury were age- and sex-matched with controls. Participation was measured using the Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-P). Covariates were measured using the QuickDASH, Short Form-12 Mental (SF-12 MCS) and Physical (SF-12 PCS) Component Scores, and Brief Pain Inventory measures.</p><p><strong>Results: </strong>Twenty-six young adults with brachial plexus birth injury (25.9 +/- 4.0 years) were sex (F:M, 21:5) and age-matched to 26 control (24.8 +/- 3.1 years) participants. The brachial plexus birth injury group reported significantly greater USER-P Restrictions and lower USER-P Satisfaction compared with the control group. Among the brachial plexus birth injury participants, multiple strong correlations were found to be significant between USER-P Restrictions and all covariates. Brachial plexus birth injury status and pain interacted as a significant predictor of participation restriction, while SF-12 MCS, SF-12 PCS, and Brief Pain Inventory pain interference were significant predictors of lower USER-P Satisfaction irrespective of diagnosis.</p><p><strong>Conclusions: </strong>Adults with brachial plexus birth injury reported greater participation restrictions than control-group peers. Severity of injury positively correlated with participation restrictions and was significantly associated with decreased upper limb function and physical health, and greater pain interference. This indicates the importance of holistic rehabilitation in adults with brachial plexus birth injury, including mental health and pain management.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of the Sup-ER orthosis on glenohumeral joint alignment in infants with brachial plexus birth injury under 3 months.","authors":"Sarah P Lewis, Emily S Ho, Kristie Bjornson, Jane K Sweeney","doi":"10.1016/j.jht.2026.06.005","DOIUrl":"https://doi.org/10.1016/j.jht.2026.06.005","url":null,"abstract":"<p><strong>Background: </strong>Infants with brachial plexus birth injury are at risk for posterior glenohumeral joint subluxation due to a complex interaction of impaired longitudinal muscle growth, contracture, and imbalanced forces at the shoulder. The Sup-ER orthosis was designed to position the infant's affected shoulder in external rotation and optimize joint congruency while nerve recovery occurs. Joint alignment in the orthosis has not been studied.</p><p><strong>Purpose: </strong>To examine the immediate effect of the Sup-ER orthosis on glenohumeral joint alignment in infants with brachial plexus birth injury at the time of initial orthosis fitting.</p><p><strong>Study design: </strong>Retrospective cross-sectional research study.</p><p><strong>Methods: </strong>Glenohumeral joint alignment in and out of the Sup-ER orthosis was compared using ultrasound imaging. Alpha angles were recorded from medical records of infants treated with the Sup-ER orthosis between 5 and 10 weeks of age in one hospital-based brachial plexus program over an 11-year period. A reduced glenohumeral joint was defined by alpha angle ≤30 degrees.</p><p><strong>Results: </strong>Twelve of 28 infants (43%) showed subluxation of the affected glenohumeral joint out of the Sup-ER orthosis, with alpha angles >30 degrees. No significant difference existed between the proportion of joints reduced in the Sup-ER orthosis compared to out of the orthosis (p = 0.56); OR = 1.16 (95%CI = 0.40-3.36). The median alpha angle in the Sup-ER orthosis was significantly lower than out of the orthosis (p = 0.004) with an effect size of 0.55.</p><p><strong>Conclusions: </strong>A high proportion of infants treated with the Sup-ER orthosis showed glenohumeral joint subluxation at the time of orthosis fitting, despite the young age. The Sup-ER orthosis was not effective in fully reducing the joints in these infants, despite measurable improvements in joint position. Future research is needed to determine which attributes of the Sup-ER orthosis or characteristics of the infant shoulder contribute to orthosis effectiveness.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Patient-Rated Wrist Evaluation questionnaire: Translation, validation, and cross-cultural adaptation in Serbian.","authors":"Aleksandar Matejić, Masa Petrovic, Bojana Salovic, Ana Tomic, Nebojsa Matejic, Nina Brkic, Tanja Jesic Petrovic, Ivana Radovic, Milan Stojicic, Ivan Soldatovic, Milos Vucetic","doi":"10.1016/j.jht.2026.06.006","DOIUrl":"https://doi.org/10.1016/j.jht.2026.06.006","url":null,"abstract":"<p><strong>Background: </strong>No validated Serbian-language patient-reported outcome measure exists for wrist and hand conditions. The Patient-Rated Wrist/Hand Evaluation (PRWHE) demonstrates superior responsiveness over broader instruments such as the Disabilities of the Arm, Shoulder, and Hand (DASH) for pathology confined to the wrist and hand.</p><p><strong>Purpose: </strong>To translate, culturally adapt, and validate the PRWHE for Serbian-speaking patients with hand and wrist disorders.</p><p><strong>Study design: </strong>Clinical measurement, cross-sectional validation study.</p><p><strong>Methods: </strong>One hundred sixty-three patients (52.1% male; mean age 52.4 ± 15.8 years) with hand and wrist conditions were enrolled. Translation adhered to internationally accepted cross-cultural adaptation guidelines. Participants completed the Serbian PRWHE, DASH, and SF-12. Internal consistency (Cronbach's α), test-retest reliability (ICC; n = 15, 2-week interval), confirmatory factor analysis, and convergent validity (Pearson/Spearman correlations) were assessed.</p><p><strong>Results: </strong>Internal consistency was excellent for the Pain (α = 0.90) and Function (α = 0.94) subscales. Test-retest reliability was excellent (ICC = 0.96; 95% CI: 0.92-0.98; p < 0.001), with no systematic bias on Bland-Altman analysis (p = 0.550). Confirmatory factor analysis confirmed the two-factor structure with satisfactory loadings (range: 0.73-0.93; RMSEA = 0.09; CFI = 0.95). Convergent validity was supported by significant correlations with the DASH (r = 0.23, p < 0.001) and moderate negative correlations with the SF-12 Physical Component Summary (r = -0.33 to -0.43, p < 0.001).</p><p><strong>Conclusions: </strong>The Serbian PRWHE demonstrates strong psychometric properties and is a valid, reliable instrument for assessing pain and functional disability in wrist and hand conditions. Its availability enables standardized, patient-centered assessment in Serbian-speaking populations and supports cross-cultural research in hand therapy.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Special issue on exercise editorial.","authors":"Joy C MacDermid","doi":"10.1016/j.jht.2026.06.020","DOIUrl":"https://doi.org/10.1016/j.jht.2026.06.020","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology and outcome of nerve injuries of the hand and distal forearm in Germany: An analysis based on the HandTraumaRegister Deutsche Gesellschaft für Handchirurgie.","authors":"Ira Ellsiepen, Lisa Oezel, Christian Hartmann, Windolf Joachim, Hannah Schmidt, Carina Jaekel","doi":"10.1016/j.jht.2026.06.026","DOIUrl":"https://doi.org/10.1016/j.jht.2026.06.026","url":null,"abstract":"<p><strong>Background: </strong>Nerve injuries of the hand and distal forearm are common and frequently lead to significant functional impairments for affected patients.</p><p><strong>Purpose: </strong>The purpose of this study is to evaluate the epidemiology of nerve injuries on the hand and distal forearm in Germany.</p><p><strong>Study design and methods: </strong>This study is a statistical analysis and presents data from the HandTraumaRegister DGH (Deutsche Gesellschaft für Handchirurgie), focusing on the epidemiology of nerve injuries of the hand and distal forearm in Germany between 2018 and 2023. A total of 5479 nerve injuries were documented in 3606 patients.</p><p><strong>Results: </strong>The metacarpals and phalanges are primarily affected. The left hand (58%; n = 2078) is injured more often than the right hand (40%; n = 1454). Cut, circular saw, and crush injuries make up most trauma mechanisms (77%; n = 4197). The index finger is most injured overall (35%; n = 1404), while the thumb is least affected (4.4%; n = 178). The median nerve is the most impacted, with an incidence of 86% (n = 4695). Men are approximately 3.5 times more frequently affected than women.</p><p><strong>Conclusions: </strong>Future efforts should focus on prevention, improved surgical techniques, and rehabilitation to reduce nerve injuries and enhance patient outcomes, with expanded registries supporting evidence-based care.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}