Journal of Hand Therapy最新文献

{"title":"Hand therapy referral for hand fractures and dislocations: A multicenter snapshot study.","authors":"Louise de Haas, Veronique van de Lücht, Charlotte Lameijer, Marco Ritt, Niels Schep, Rolf Groenwold, Mark van Heijl","doi":"10.1016/j.jht.2024.12.014","DOIUrl":"https://doi.org/10.1016/j.jht.2024.12.014","url":null,"abstract":"<p><strong>Background: </strong>It is unclear which patients with fractures and dislocations of the hand necessitate hand therapy referral, which can lead to practice variation.</p><p><strong>Purpose: </strong>The study aimed to evaluate hand therapy referral patterns following non-operative and operative treatments of hand fractures and dislocations and to identify practice variations.</p><p><strong>Study design: </strong>This multicenter, observational snapshot study was conducted across 12 hospitals in the Netherlands over a 3-month period in 2020.</p><p><strong>Methods: </strong>Adult patients admitted to the emergency department with metacarpal and phalangeal fractures or dislocations were included. Analyses were stratified by hand therapy referral status for different injury categories following non-operative and operative treatment. Determinants for hand therapy referral, including patient and injury characteristics, hospital setting, and medical specialty, were assessed using multivariable logistic regression.</p><p><strong>Results: </strong>Of 1654 included patients, 22% (306/1405) were referred to hand therapy after non-operative treatment, and 72% (178/249) after operative treatment. Among the 10 most prevalent injuries treated non-operatively, referral rates were highest for dislocations of digits two to five (43% [48/112]), followed by middle phalanx shaft fractures (34% [11/32]), and mallet fractures (33% [23/70]). The referral rates across hospitals significantly differed for metacarpal shaft fractures, dislocations of digits two to five, and proximal interphalangeal joint palmar plate avulsion fractures. Among the five most prevalent injuries treated operatively, middle and proximal phalanx shaft fractures were most frequently referred (90% [9/10] and 87% [33/38]), and referral rates across hospitals varied between 28% (95% confidence interval: 13%-50%) and 89% (95% confidence interval: 51%-100%). In multivariable logistic regression, hospital setting and medical specialty were determinants of hand therapy referral (p < 0.001 and p < 0.001).</p><p><strong>Conclusions: </strong>There is considerable practice variation in hand therapy referral within injury categories, which seems to be largely attributed to hospital setting and medical specialty. This highlights the knowledge gap in this field.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371165","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":"Patient-centered care in the conservative management of an unstable proximal phalanx fracture: A case report.","authors":"Tanya Cole, Evania Lok, Kerryn Parfett, Sally Ng, Melissa Hirth","doi":"10.1016/j.jht.2024.12.008","DOIUrl":"https://doi.org/10.1016/j.jht.2024.12.008","url":null,"abstract":"<p><strong>Background: </strong>Proximal phalangeal fractures are common yet challenging due to their inherent instability.</p><p><strong>Purpose: </strong>This study presents a case for patient-centered care and a nonsurgical management pathway.</p><p><strong>Study design: </strong>Case report.</p><p><strong>Methods: </strong>M, a 56-year-old male, sustained a comminuted oblique proximal phalanx fracture to his left nondominant small finger while playing football. Five days post injury, the fracture was reduced with local anesthetic and manipulation (LAMP). The injury was managed conservatively with a full-time hand-based orthosis with metacarpophalangeal joint flexion, and buddy taping. One week later, the fracture had lost reduction and significantly displaced. Instead of converting to surgery, a further LAMP (LAMP2) was performed, and conservative management continued. Outcomes were collected at baseline, 6, 12, and 15 weeks, and 10 months following LAMP2.</p><p><strong>Results: </strong>By 12 weeks, M had a full range of motion, minimal pain, no difficulty with personal daily activities, and resumed full manual labor work duties and gym workouts. Quality of life was reported as high from 6 weeks. M was extremely satisfied.</p><p><strong>Conclusions: </strong>Conservative management of an initially unstable proximal phalanx reduced by LAMP, with a second LAMP one week later, demonstrated excellent outcomes and could be a possible management pathway for similar patients.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371172","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":"Patients' perspectives on Dupuytren's disease: A scoping review and categorization using the WHO International Classification of Functioning, Disability and Health Framework (ICF).","authors":"Sonja Elisabeth Pelzmann","doi":"10.1016/j.jht.2024.12.007","DOIUrl":"https://doi.org/10.1016/j.jht.2024.12.007","url":null,"abstract":"<p><strong>Background: </strong>Dupuytren's disease (DD) often has an underestimated impact on the lives of those effected.</p><p><strong>Purpose: </strong>This study aimed to provide a holistic overview of the available evidence regarding the patient perspectives (PP) on DD, which can help to better understand both the patients and the disease itself.</p><p><strong>Study design: </strong>Scoping Review.</p><p><strong>Methods: </strong>Based on the framework of Arksey and O'Malley and enhanced by the recommendations of Levac et al., a scoping review was used to locate the available material about PP on DD. Data collection was performed using the electronic databases PubMed, CINAHL and Embase, and additional sources. The included publications were classified using the Oxford Level of Evidence (LoE), and their findings were linked to the components, domains and corresponding codes of the International Classification of Functioning, Disability and Health (ICF).</p><p><strong>Results: </strong>Of the total 2.127 search results, eight publications published between 2009 and 2020 were included. They have a sample size of seven to 85 patients and a LoE of IV. Data, clustered into 61 topics could be linked to the components 'Activities and Participation', 'Body Function and Structures', 'Environmental Factors' and 13 domains of the ICF. The results show that DD primarily affects patients in 'global mental functions' (n = 21), the 'mobility' (n = 18), 'community, social and civic life' (n = 10) and, 'self-care' (n = 10). The individual topics could be linked to up to eight ICF codes (second to third level category). The impact is perceived in general situations and clearly defined activities.</p><p><strong>Conclusions: </strong>The results of this review illustrate the existence of the known functional impairments, limitations on self-care, and major impacts on psychosocial area. Due to the quality and lack of evidence, no generalized statement can be made about the value of PP on DD. Nevertheless, it has been shown that PP are essential for understanding both those affected and the disease itself thus be involved in diagnostic and treatment decisions in DD.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371176","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":"Squegg demonstrates good interdevice reliability in measuring grip strength in healthy volunteers.","authors":"Lidia Iannarelli, Tara Packham","doi":"10.1016/j.jht.2024.12.010","DOIUrl":"https://doi.org/10.1016/j.jht.2024.12.010","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371192","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 effect of wrist position sense and tactile recognition on manual skills in patients with upper extremity neuropathy.","authors":"Tuba Can Akman, Muge Icelli Gunes, Ali Kitis, Cagdas Erdogan","doi":"10.1016/j.jht.2024.12.005","DOIUrl":"https://doi.org/10.1016/j.jht.2024.12.005","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Peripheral neuropathy affects fine motor skills in daily life. However, reports on the effects of position sense and tactile recognition on manual dexterity are quite scarce in the literature. The increasing focus on hand rehabilitation has created a need to examine the effects of sensation on manual dexterity.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;The purpose of this study is to compare the effect of tactile recognition and wrist position sense on manual skills in healthy and neuropathy individuals and to investigate the relationship between them.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;Cross-sectional, non-randomized comparative clinical study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Thirty-seven (50 hands) with median and ulnar nerve neuropathy between the ages of 18 and 65 years and 32 (64 hands) healthy individuals of similar age and gender were included in the study. Wrist position sense was assessed using the K-FORCE Sens electrogoniometer as target angle, 30° wrist flexion and extension, and 10° radial and ulnar deviation. Shape-Texture Identification Test (STI), Purdue Pegboard test (PPT), and Michigan Hand Outcome Questionnaire were applied for tactile recognition, manual dexterity, and hand functions, respectively. The independent-sample t test and Mann-Whitney U test were used for K-FORCE Sens, STI, and PPT to compare groups. Correlation coefficient was used to determine the relationship between variables.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The mean age of individuals with neuropathy and healthy individuals was 45.7 ± 10.3 and 44.5 ± 9.2 years, respectively (p &gt; 0.05). Seventy-three percent of individuals had median neuropathy and 27% had ulnar neuropathy. Totally, 33 dominant and 17 non-dominant hands of patients with neuropathy were affected. When healthy and neuropathic hands were compared, the mean error values in the dominant hand, flexion (4.4 ± 1.4; 6.5 ± 2.9), and radial deviation (2.4 ± 1.0; 3.3 ± 1.7) degrees were higher in the neuropathic hands (p &lt; 0.05). Similar results were also found in the non-dominant hands. However, there was no difference between the mean error values in the extension and ulnar deviation degrees (p &gt; 0.05). STI and PPT subtest results were also lower in the neuropathic hands (p &lt; 0.05). There was a relationship between the mean error values of position sense in the flexion and radial deviation directions in the neuropathic dominant hands and all subtests of the PPT (p &lt; 0.05), while there was a relation in the flexion direction in the non-dominant hand (p &lt; 0.05). No relation was found in the Michigan Hand Outcome Questionnaire test (p &gt; 0.05).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This study has shown that in neuropathy rehabilitation, the assessment of position and tactile sensations should not be ignored in determining participation in manual skills. This article can be used as a starting point for further studies and can be considered as one of the sensory focal points in rehabilitatio","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371197","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":"Comparative electromyographic study of the stabilizing muscles of the trapeziometacarpal joint during different rehabilitation exercises.","authors":"Cristian Cheuquelaf, Oscar Valencia, Rodrigo Guzmán-Venegas, Alejandra Aguilera-Godoy, Enrique Nicolás Sepúlveda-López, Rodrigo Núñez-Cortés","doi":"10.1016/j.jht.2024.12.006","DOIUrl":"https://doi.org/10.1016/j.jht.2024.12.006","url":null,"abstract":"<p><strong>Background: </strong>The first dorsal interosseous (FDI) and opponens pollicis (OP) muscles are the main stabilizers of the trapeziometacarpal joint. Optimal exercise selection based on surface electromyography (sEMG) activity may help to optimize rehabilitation programs in hand therapy.</p><p><strong>Purpose: </strong>To compare the sEMG activity of FDI and OP during seven typical rehabilitation exercises.</p><p><strong>Study design: </strong>Cross-sectional.</p><p><strong>Methods: </strong>Twelve healthy participants (age: 25.92 ± 5.79, female/male: 6/6) were included. The sEMG activity of the FDI and OP was measured during seven therapeutic exercises; thumb-to-little fingertip pinch, tri-digit tip pinch, intrinsic plus fist with ball, key pinch, four- and five-finger separation with elastic resistance, and thumb-index tip pinch. Root mean square was used and adjusted to the maximum voluntary contraction (MVC) of each muscle. Friedman's test with Dunn's post-hoc was used to compare amplitude signals between exercises.</p><p><strong>Results: </strong>Intrinsic plus fist with ball showed the highest electromyographic amplitude for FDI and OP. Post-hoc analysis revealed a statistical difference between intrinsic plus fist with ball (45.67% of MVC) and four-finger separation (8.70% MVC, p < 0.0001) for the OP. While for FDI, post-hoc analysis showed statistical differences between intrinsic plus fist with ball (49.70% MVC) and four hand exercises (thumb-to-little fingertip pinch = 12.13% MVC, p < 0.0001; tri-digit tip pinch = 13.21% MVC, p < 0.0001; four-finger separation = 18.51% MVC, p = 0.004; thumb-index tip pinch = 17.66% MVC, p = 0.0028).</p><p><strong>Discussion/conclusion: </strong>Intrinsic plus fist with ball exercise showed the highest sEMG activation. These findings could guide hand therapists in the optimal selection of exercises, taking into account the level of muscle activity in routine rehabilitation exercises.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371442","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 efficacy of Mulligan mobilization and corticosteroid injection on pain, functionality, and proprioception in rotator cuff tears: A randomized controlled trial.","authors":"Burak Menek, Merve Yilmaz Menek","doi":"10.1016/j.jht.2024.12.016","DOIUrl":"https://doi.org/10.1016/j.jht.2024.12.016","url":null,"abstract":"<p><strong>Background: </strong>Treatment of rotator cuff (RTC) tears commonly involves manual therapy, exercise, and injection methods. These treatments are typically administered together as components of a physical therapy intervention. However, it is not known which intervention is more effective.</p><p><strong>Purpose: </strong>The objective of this study was to examine the impact of mobilization with movement (MWM) mobilization, a technique from Mulligan approaches, and corticosteroid (CS) injection on pain, functionality, and proprioception in cases of RTC tears.</p><p><strong>Study design: </strong>This was a single-blinded randomized clinical trial.</p><p><strong>Methods: </strong>Participants with RTC tears (n = 60) were divided into Mulligan mobilization (MM) and CS groups. The participants in the MM group performed mobilization with movement and a conventional exercise program; the CS group received a CS injection in addition to conventional exercises. The Visual Analog Scale, The Disabilities of the Arm, Shoulder, and Hand questionnaire, active range of motion (AROM), and joint position sense (JPS) were evaluated. The outcomes were analyzed using effect size, minimum clinically important difference, minimal detectable change, Wilcoxon test, and Mann-Whitney U test.</p><p><strong>Results: </strong>Both groups significantly improved in all measured outcomes at 3 weeks. The MM group showed significantly better (p < 0.05, Cohen d range 0.82-3.2) results in pain, AROM (Flexion, abduction, extension, external rotation, internal rotation), and proprioception (30° and 60° of flexion and abduction). Between-group differences in AROM were also clinically meaningful as they exceeded their MDC₉₀ and minimum clinically important difference values.</p><p><strong>Conclusions: </strong>Although both of these treatment methods may be successful in the short-term management of chronic RTC, the MM approach combined with conventional exercises seems to be a more effective approach for improving shoulder pain, function, and proprioception in this patient population.</p><p><strong>Clinical trial number: </strong>NCT05933382.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371198","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":"Can manual lymphatic drainage be a new treatment option in mild-moderate carpal tunnel syndrome? A randomized controlled study.","authors":"Merve Akdeniz Leblebicier, Emine Cihan, Fatima Yaman, Cansu Sahbaz Pirincci, Arzu Ture, Vural Kavuncu","doi":"10.1016/j.jht.2024.12.020","DOIUrl":"https://doi.org/10.1016/j.jht.2024.12.020","url":null,"abstract":"<p><strong>Background: </strong>Carpal tunnel syndrome is the most common entrapment neuropathy in the upper extremity, making it essential to assess the effectiveness of various physiotherapy treatments.</p><p><strong>Purpose: </strong>This study aimed to determine the clinical and electrodiagnostic improvement in mild-to-moderate carpal tunnel syndrome patients through manual lymphatic drainage (MLD) versus an orthosis alone.</p><p><strong>Study design: </strong>This is a prospective randomized controlled study.</p><p><strong>Methods: </strong>The sample consisted of a total of 36 patients who met the inclusion criteria. Experimental group received MLD and orthosis, and the control group received only orthosis. The patients were evaluated with electrodiagnostic tests, Visual Analog Scale, algometer measurements (pressure pain threshold), Boston Carpal Tunnel Syndrome Questionnaire before and after treatment. Evaluations were made before and after treatment (4 weeks later).</p><p><strong>Results: </strong>Boston Carpal Tunnel Syndrome Questionnaire scores improved significantly with both treatment methods in both the experimental (p < 0.001, d = 2.0) and control groups (p < 0.001, d = 1.5). The pressure pain threshold significantly increased in the experimental group at the level of the transverse carpal ligament (p = 0.02, d = 0.86, 95% Confidence Interval (CI) = -0.08 to 1.2). At the distal radioulnar joint and extensor digitorum communis muscle levels, the pressure pain threshold similarly increased for two groups after treatment (p = 0.65, d = 0.31, 95% CI = -0.44 to 1.2), but the post-treatment increase in the experimental group was significant (p = 0.007, d = 0.31). In the experimental group, motor velocity (p = 0.001, d = 0.98), amplitude (p = 0.002, d = 1.5), and latency (p = 0.002, d = 0.60) and sensory velocity (p = 0.03, d = 0.91) and latency (p = 0.001, d = 1.2) significantly improved, while in the control group, there was a significant change only in motor velocity and amplitude (p = 0.047, d = 0.59). The post-treatment sensory improvement was significantly higher in the experimental group (p = 0.01, d = 0.81, 95% CI = -0.78 to -0.49).</p><p><strong>Conclusions: </strong>MLD significantly improved sensory conduction velocity, amplitude, and latency of the median nerve. Additionally, MLD and orthosis increased the pain pressure threshold and led to functional improvement.</p><p><strong>Clinical trial registration: </strong>This is listed with study ID: NCT05394870.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371440","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 tennis elbow evaluation questionnaire was successfully translated to Brazilian Portuguese.","authors":"Rodrigo Ribeiro de Oliveira, Fernanda Bessa Cajazeiras, Marcela Nicácio Medeiros de Oliveira, Mariana Cavalcante, Márcio Almeida Bezerra","doi":"10.1016/j.jht.2024.12.009","DOIUrl":"https://doi.org/10.1016/j.jht.2024.12.009","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371200","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":"Therapists' and prosthesis users' assessments of a virtual reality environment designed for upper limb prosthesis control training.","authors":"Samantha G Rozevink, Bart Maas, Alessio Murgia, Raoul M Bongers, Corry K van der Sluis","doi":"10.1016/j.jht.2025.01.004","DOIUrl":"https://doi.org/10.1016/j.jht.2025.01.004","url":null,"abstract":"<p><strong>Background: </strong>Prosthesis users need extensive training before they can use a electromyography-controlled prosthesis. Virtual reality seems promising to improve training.</p><p><strong>Purpose: </strong>The aim was to investigate usability, motivation, workload, virtual reality properties and willingness for implementation of a newly developed virtual reality environment for upper limb prosthesis training, and to investigate if therapists and prosthesis users differed in their assessments.</p><p><strong>Study design: </strong>This study was a cross-sectional study with a mixed-methods design.</p><p><strong>Methods: </strong>The virtual task was to make cups of coffee to fulfill coffee orders using an virtual electromyography-controlled prosthesis hand. System Usability Scale, Intrinsic Motivation Inventory, Prosthesis-Task Load Index were used to assess the usability, motivation and workload, respectively. A custom-made questionnaire assessed design aspects of the virtual environment. Short interviews were conducted to investigate the feasibility of implementing virtual reality environment in rehabilitation.</p><p><strong>Results: </strong>Eleven therapists and 11 prosthesis users participated. System Usability Scale scores were above the minimal level of 70, indicating an acceptable system. Intrinsic Motivation Inventory scores were overall high, with perceived competence being significantly lower than importance, enjoyment and usefulness. Prosthesis-Task Load Index scores indicated very little time pressure and stress, little frustration, mental and physical demand and uncertainty, and some conscious processing and visual attention. Therapists scored significantly higher in the subscales conscious processing and visual attention. The current virtual reality environment incorporated most of the design aspects from the questionnaire. All therapists would consider using the virtual reality environment for rehabilitation practice, however further improvements are necessary to facilitate usage and assure robustness of the system.</p><p><strong>Conclusions: </strong>Therapists and prosthesis users expressed a high usability and motivation for virtual training and experienced an acceptable workload when using the system to train prosthesis control, with no notable differences between the groups. The current virtual environment included important design elements; both end-users would like to integrate virtual reality in rehabilitation practice.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371130","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}