Journal of Hand Therapy最新文献

{"title":"Comparative evaluation of user satisfaction in stroke rehabilitation: Wearable vs traditional electromyography biofeedback for wrist and hand dysfunction.","authors":"Nidhi Katharani, Ashish Kakkad, Yagnik Dave","doi":"10.1016/j.jht.2026.05.010","DOIUrl":"https://doi.org/10.1016/j.jht.2026.05.010","url":null,"abstract":"<p><strong>Background: </strong>After a stroke, wrist and hand dysfunction usually develops from extended non-use and lack of home-based repetitive training, greatly influencing affect daily living and general quality of life. Wearable mobile and traditional electromyography biofeedback devices as biofeedback-based rehabilitation tools offer an intriguing solution for task-specific training, thereby improving user involvement and functional recovery.</p><p><strong>Purpose: </strong>The main aim of this study was to find out how satisfied people with wrist and hand dysfunction who had recently had a stroke were with using a wearable mobile biofeedback device (Pheezee) compared to traditional electromyography biofeedback.</p><p><strong>Study design: </strong>Crossover trial.</p><p><strong>Methods: </strong>Thirty subacute stroke (male 16 and female 14) participants with wrist and hand dysfunction participated in the study. All participants received 1 week of training using the Pheezee, then 1 week using traditional electromyography biofeedback. The Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST 2.0) scale measured user satisfaction.</p><p><strong>Results: </strong>The Mann-Whitney U test applied for between-group comparisons. The wearable mobile biofeedback device demonstrated significantly higher user satisfaction in terms of weight, safety, durability, comfort, simplicity of use, and effectiveness (p < 0.05). However, no significant differences were observed between the two modalities concerning adjustment component (p > 0.05). QUEST 2.0 device subscale total eight items were higher in the Pheezee device group (3.69 ± 0.26) compared to the traditional electromyography biofeedback device group (3.18 ± 0.18) mean and SD respectively, demonstrating a mean difference of 0.52 points (16.3% higher user satisfaction).</p><p><strong>Conclusions: </strong>Wearable mobile biofeedback devices show promise as supportive tools in stroke rehabilitation and can be feasibly integrated into home-based task-specific training programs. Their ability to raise engagement and adherence to rehabilitation could help stroke survivors have better functional results and quality of life.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273821","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 Children's Hand Skills Ability Questionnaire was successfully translated to Malay.","authors":"Nurin Nabilla Mohamad Hasikin, Erna Faryza Mohd Poot, Noor Aziella Mohd Nayan, Saher Alsabbah, Mohammed Alrashdi, Ahmad Zamir Che Daud","doi":"10.1016/j.jht.2026.05.011","DOIUrl":"https://doi.org/10.1016/j.jht.2026.05.011","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273812","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":"Immediate effect of neural mobilization and carpal bones mobilization on median nerve conduction in patients with carpal tunnel syndrome: A randomized controlled clinical trial.","authors":"Lucía Burgos-Garlito, Leyre Epifano-Barral, Miguel Malo-Urriés, Inés Vicente-Garza, Marta Arias-Álvarez, Izarbe Ríos-Asín, Gianluca Ciuffreda, Elena Bueno-Gracia","doi":"10.1016/j.jht.2026.05.003","DOIUrl":"https://doi.org/10.1016/j.jht.2026.05.003","url":null,"abstract":"<p><strong>Background: </strong>Carpal bone mobilization and neural mobilization techniques have been proposed as effective interventions to improve median nerve physiology at the wrist in patients with carpal tunnel syndrome. However, the isolated and immediate effects of these techniques remain unclear.</p><p><strong>Purpose: </strong>To analyze the immediate effects of carpal bone mobilization and median nerve mobilization on electrophysiological parameters in patients with carpal tunnel syndrome.</p><p><strong>Study design: </strong>Three-arm, parallel-group randomized controlled trial with 1:1:1 allocation ratio.</p><p><strong>Methods: </strong>A total of 74 patients with carpal tunnel syndrome (57 women; mean [SD] age: 54.64 [11.80] years) were included. Participants were randomly assigned to three groups: neural-group (n = 25), which received three sets of 15 neural mobilization repetitions; joint-group (n = 24), which received five 30-second applications of carpal bone mobilization; and control-group (n = 25), which received no intervention. Electrophysiological variables were assessed before and immediately after the intervention in all groups.</p><p><strong>Results: </strong>A significant between-group increase in motor conduction velocity was observed in the joint mobilization group compared with the control group (mean difference: 2.23 m/s; 95% CI: 0.81-3.64; p < 0.001) and the neural mobilization group (mean difference: 2.22 m/s; 95% CI: 0.81-3.65; p < 0.001). Within-group analysis showed significant increases in motor conduction velocity (1.94 ± 2.30 m/s; p < 0.001) and sensory conduction velocity (0.96 ± 11.36 m/s; p = 0.01) in the joint mobilization group. Additionally, a significant increase in sensory amplitude (2.30 ± 5.11; p = 0.03) was observed in the neural mobilization group.</p><p><strong>Conclusions: </strong>Carpal bone mobilization produces immediate improvements in sensory and motor conduction velocities in patients with carpal tunnel syndrome. Neural mobilization may have a modest effect on sensory amplitude of the median nerve; however, these findings should be interpreted with caution.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266976","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":"A novel screening tool is effective in the early detection of peripheral nerve injury with elbow and forearm trauma subjects: A case series.","authors":"Laurie Rogers, Susan Smith, Sarah Doerrer, Margaret Finley","doi":"10.1016/j.jht.2026.05.006","DOIUrl":"https://doi.org/10.1016/j.jht.2026.05.006","url":null,"abstract":"<p><strong>Background: </strong>Traumatic elbow and forearm injuries involving a peripheral nerve injury are complex and costly due to combined nerve and soft tissue involvement, often resulting in sensory, motor, and pain impairments that limit daily activities, work, and social participation. Early, comprehensive assessment of peripheral nerve injury associated with elbow or forearm trauma is therefore essential to optimize patient outcomes.</p><p><strong>Purpose: </strong>This case series aims to describe the development and practicality of the Upper Extremity Peripheral Nerve Screen (UEPNS) for individuals post elbow/forearm trauma.</p><p><strong>Study design: </strong>Prospective Case series.</p><p><strong>Methods: </strong>Tool development was informed through recommendations, literature review and clinical experience. Face validity was examined through interviews and survey of hand therapists. A pilot study with clinicians and a case series involving three subjects with elbow trauma was used to examine practicality.</p><p><strong>Results: </strong>UEPNS items were judged to have good face validity, and administration was considered practical by pilot testing. Early identification of peripheral nerve injury occurred in three subjects with elbow/forearm trauma and guided subsequent intervention planning.</p><p><strong>Conclusions: </strong>The results suggest the UEPNS is a practical screening tool with positive outcomes in identifying a peripheral nerve injury in patients with elbow/forearm trauma and measuring symptoms over the duration of the subject's treatment.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260600","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":"Feasibility and effectiveness of virtual reality mediated exer-gaming program on upper extremity functions in hemiplegia: A randomized controlled pilot study.","authors":"Ceyhun Başoğlu, Ahmet Kıvanç Menekşeoğlu, Merve Damla Korkmaz","doi":"10.1016/j.jht.2026.05.002","DOIUrl":"https://doi.org/10.1016/j.jht.2026.05.002","url":null,"abstract":"<p><strong>Background: </strong>Functional impairments in the upper extremities of stroke patients lead to significant limitations in quality of life and independence. Technological developments can create effective treatment alternatives in neurological rehabilitation in upper extremity rehabilitation.</p><p><strong>Purpose: </strong>The aim of this study was to evaluate the feasibility and effectiveness of a virtual reality (VR)-mediated gamified upper extremity rehabilitation program added to traditional rehabilitation in patients with hemiplegia.</p><p><strong>Study design: </strong>Randomized-controlled-pilot trial METHODS: Twenty-nine participants with hemiplegia were enrolled in this study between May 2023 and January 2024. Participants were randomized into two groups: VR group (n=15) and control group (n=14). All participants received a conventional rehabilitation program. In addition, participants in the VR group received 20 sessions (45 min each session) of a gamified upper extremity exercise program with a non-immersive VR system, while participants in the control group received 20 sessions (45 min each session) of a home exercise program. The primary outcomes were recruitment rate, dropout rate, safety and adherence. Fugl-Meyer Assessment, Functional Independence Scale (motor subscale), hand grip strength (dynamometer) and Stroke Impact Scale were used as secondary outcome measures. Results are reported using descriptive statistics integrated with qualitative findings.</p><p><strong>Results: </strong>The study included 3.4 stroke patients per month, with a dropout rate of 7%. There were no serious adverse events associated with the VR-mediated upper limb rehabilitation program. The adherence rate of the participants in the VR group was 96%. Group median values in secondary outcome measures (FMA, FIM, handgrip strength, SIS) showed positive changes at 1 and 3 months after the intervention.</p><p><strong>Conclusion: </strong>The VR-mediated upper extremity rehabilitation program in stroke patients was safe and showed high adherence, adequate recruitment and dropout rates. Therefore, a definitive study with a higher number of participants can be conducted.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148229147","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":"Self-management in chronic hand pain: Clinician perspectives from members of the American Society of Hand Therapists.","authors":"Ricardo Altahif, Christine Davis","doi":"10.1016/j.jht.2026.05.007","DOIUrl":"https://doi.org/10.1016/j.jht.2026.05.007","url":null,"abstract":"<p><strong>Background: </strong>Chronic hand pain significantly impacts function and quality of life. While self-management strategies are critical for symptom management, there is limited research on clinicians' perspectives regarding patient adherence to these strategies before and after initiating therapy.</p><p><strong>Purpose: </strong>This study aimed to examine self-management strategies prescribed by hand therapists for chronic hand pain and to explore clinician perceptions of patient adherence and effectiveness across the continuum of care.</p><p><strong>Study design: </strong>Cross-sectional survey.</p><p><strong>Methods: </strong>A survey was distributed to members of the American Society of Hand Therapists (ASHT). Respondents (n = 120) reported their practice patterns, prescribed self-management strategies, perceived patient adherence, and factors influencing strategy use. Descriptive statistics were used to analyze quantitative data, and qualitative responses were thematically analyzed.</p><p><strong>Results: </strong>Most clinicians (92%) reported treating chronic hand pain. Prior to therapy, patients most used over-the-counter medications, prescribed medications, and heat modalities. Clinicians most frequently prescribed exercise/stretching (97%), joint protection strategies (96%), and ergonomic modifications (94%). Heat modalities and exercise/stretching were perceived as the most beneficial strategies, whereas cold modalities and TENS were rated least beneficial. Factors negatively influencing adherence included time constraints, cost, and lack of knowledge, while greater health literacy and access to healthcare providers improved self-management.</p><p><strong>Conclusions: </strong>Hand therapists actively prescribe self-management strategies for chronic hand pain, but adoption and adherence vary due to multiple factors. Enhancing patient education, addressing barriers, and promoting individualized self-management plans may improve long-term adherence and outcomes. Future research should explore patient perspectives on self-management and its impact on functional outcomes.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148207152","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 was successfully translated to Malay.","authors":"Mohd Azam Abdul Halim, Noor Aziella Mohd Nayan, Kounosuke Tomori, Mohammed Alrashdi, Ahmad Zamir Che Daud","doi":"10.1016/j.jht.2026.05.001","DOIUrl":"https://doi.org/10.1016/j.jht.2026.05.001","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148207155","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":"Artificial intelligence as a clinical tool builder: Development and early implementation of an artificial intelligence-assisted hand therapy exercise application.","authors":"Mike Szekeres","doi":"10.1016/j.jht.2026.05.004","DOIUrl":"https://doi.org/10.1016/j.jht.2026.05.004","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148207122","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":"Effectiveness of verbal, written, and video-based educational interventions in hand rehabilitation for occupational hand and forearm injuries: A randomized controlled, single-blinded trial.","authors":"Hande Usta Ozdemir, Umut Eraslan, Ali Kitis, Ahmet Fahir Demirkan","doi":"10.1016/j.jht.2026.05.008","DOIUrl":"https://doi.org/10.1016/j.jht.2026.05.008","url":null,"abstract":"<p><strong>Background: </strong>Patient education is fundamental in hand rehabilitation; however, evidence regarding the effectiveness of patient education strategies on trauma-related distress, functional outcomes and patient perceptions remains limited.</p><p><strong>Purpose: </strong>To compare the effects of verbal, written, and video-based education on trauma-related distress, functional outcomes, and patient perceptions in occupational hand and forearm injuries.</p><p><strong>Study design: </strong>Randomized, controlled, single-blinded, parallel-group clinical trial (NCT06229028).</p><p><strong>Methods: </strong>Patients aged 18-65 years with occupational hand and forearm injuries were randomly allocated to one of three groups: (1) Verbal(reference), (2) Leaflet, or (3) Video-based instruction. Primary outcomes were post-traumatic stress (Impact of Event Scale-Revised [IES-R]) and state anxiety (State-Trait Anxiety Inventory-State [STAI-S]). Secondary outcomes were hand strength (grip and pinch strength) and hand function (Michigan Hand Outcomes Questionnaire [MHQ]). Normality was assessed using the Shapiro-Wilk test. Between-group comparisons were performed using the Kruskal-Wallis test, and within-group changes were analyzed using the Wilcoxon signed-rank test, with Bonferroni-adjusted post hoc analyses. Effect sizes were calculated. Assessments were conducted at baseline and 3months.</p><p><strong>Results: </strong>Seventy-five patients (mean age: 39.45 ± 10.41 years; 86.7% male) completed the study. Significant within-group reductions in IES-R scores were observed in the leaflet and video-based groups. Mean changes were 5.84 (95% CI:-0.19 to 11.87), 12.84 (95% CI:5.79-19.89), and 13.08 (95% CI:8.31-17.85) points in the verbal, leaflet, and video-based groups, respectively. No significant between-group differences were found for IES-R and STAI-S scores (p > 0.05). A significant overall between-group difference was observed in tip pinch strength (p = 0.039; ε² = 0.06) and the MHQ work performance (p = 0.038; ε² = 0.06), with small effect sizes. Patient perception did not differ across groups (p > 0.05).</p><p><strong>Conclusions: </strong>Verbal, written, and video-based education were associated with improvements in psychological and functional outcomes following occupational hand and forearm injuries, with no consistent superiority of any single method. Educational delivery format may therefore be tailored according to patient preference and clinical context.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148207149","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":"Ten years on: An updated scoping review of relative motion orthoses for managing various hand conditions.","authors":"Marian Brosnan, Melissa J Hirth, Clíona O'Riordan, Ann-Marie Morrissey","doi":"10.1016/j.jht.2026.02.006","DOIUrl":"https://doi.org/10.1016/j.jht.2026.02.006","url":null,"abstract":"<p><strong>Background: </strong>In the decade since the landmark Relative Motion (RM) scoping review was published, literature volume has tripled, alongside expanded applications across three categories: protective, exercise and adaptive.</p><p><strong>Purpose: </strong>To provide an overview of published evidence since 2016 relating to RM orthoses and integrate these findings with the 2016 review.</p><p><strong>Study design: </strong>Scoping review.</p><p><strong>Methods: </strong>The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews guided this study. Four databases were searched: CINAHL, Embase, MEDLINE and PubMed. Studies investigating RM use in adults with hand conditions were included. Data extracted included demographic, intervention and outcome details. Quantitative and qualitative studies were appraised using the Structured Effectiveness Quality Evaluation Scale and Standards for Reporting Qualitative Research respectively. The Template for Intervention Description and Replication checklist evaluated intervention reporting, informing a narrative synthesis.</p><p><strong>Results: </strong>Twenty-two studies involving 386 participants met inclusion criteria. Quantitative studies were categorized as protective (n = 19 studies, 346 participants) and exercise-based (n = 1 study, 20 participants). Qualitative studies explored adaptive use (n = 1 study, four participants) or combined protective and exercise applications (n = 2 studies, 16 participants). Study designs included randomized control trials (n = 6), retrospective case series (n = 6), prospective case series (n = 1), clinical audit (n = 1), case reports (n = 4), qualitative studies (n = 2) and mixed-methods (n = 1). Three studies comparing RM extension with alternative approaches for zones V-VI extensor tendon repairs reported equivalent or superior outcomes. Randomized control trials found no significant difference between RM and metacarpophalangeal blocking orthoses for trigger finger management.</p><p><strong>Conclusions: </strong>Multiple randomized control trials support RM orthoses without a wrist component to adequately protect extensor tenorrhaphy in zones V-VI. Since 2016, RM literature has expanded to include a broader range of hand conditions. Further research is required to evaluate the orthosis' use in flexor tendon injuries, boutonniere deformity and sagittal band injuries.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823433","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}