Che Daud, Ahmad Zamir, Yau, Matthew K., Barnett, Fiona, Judd, Jenni, Jones, Rhondda E., and Nawawi, Rashdeen Fazwi Muhammad (2016) Integration of occupation based intervention in hand injury rehabilitation: a randomized controlled trial. Journal of Hand Therapy, 29 (1). pp. 30-40.

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Abstract

Study design: Randomized Controlled Trial (RCT).

Introduction: Engagement in daily occupations and day to day activities helps to restore function in individuals with injured hands and provides a platform to practise selected occupations.

Purpose: The purpose of this study was to investigate the effectiveness of a combination of Occupation Based Intervention (OBI) and Therapeutic Exercise (TE) compared to TE alone for the rehabilitation of hand injuries.

Method: A single center RCT, parallel group was conducted at the Kuala Lumpur General Hospital (KLGH), Malaysia. Forty-six adult clients with hand injuries who consented to participate were randomly allocated to either the OBI + TE group or to the TE group.

Results: Following a ten week intervention program, statistical significance differences were found in DASH score (TE = 18.64 ± 14.84 vs OBI + TE = 9.50 ± 9.14, p = 0.02); total active motion (TE = 1035.85 ± 179.84 vs OBI + TE = 1203.65 ± 133.60, p = 0.01); neuropathic pain (TE = 2.90 ± 2.79 vs OBI + TE = 1.05 ± 2.01, p = 0.02); COPM performance (TE = 7.62 ± 2.03 vs OBI + TE = 9.53 ± 0.64, p < 0.001); and COPM satisfaction (TE = 7.60 ± 2.11 vs OBI + TE = 9.49 ± 0.76, p < 0.001) in favor of OBI + TE group.

Conclusion: This study highlighted the integration of OBI into hand injury rehabilitation improved outcomes for clients.

Level of evidence: 1b.

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