Integration of occupation based intervention in hand injury rehabilitation: a randomized controlled trial

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.

Item ID: 40901
Item Type: Article (Refereed Research - C1)
Keywords: hand injuries; randomized controlled trial; occupations; exercise therapy
ISSN: 1545-004X
Funders: James Cook University Graduate Research Scheme (JCU GRS)
Date Deposited: 27 Jul 2016 03:55
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110321 Rehabilitation and Therapy (excl Physiotherapy) @ 100%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920201 Allied Health Therapies (excl. Mental Health Services) @ 100%
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