Integration of occupation based intervention in hand injury rehabilitation: A Randomized Controlled Trial
Open accessAbstract
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.
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Most studies in hand therapy have focused on maximizing physical recovery and medical or occupational therapy procedures.
“Most studies conducted in hand therapy have focused on maximizing physical recovery and adjustments with regard to medical or occupational therapy procedures [12-15].”
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References 45 · Cited by 69
- Authors
- Che Daud, A. Z., Yau, M. K., Barnett, F., Judd, J., Jones, R. E., & Muhammad Nawawi, R. F.
- Affiliations
- James Cook University (AU)
- ORCID
- Venue
- Journal of Hand Therapy
- Publisher
- Elsevier BV
- Published
- 2016-01
- Volume
- 29
- Issue
- 1
- Pages
- 30-40
- ISSN
- 0894-1130 (ISSN-L)
- OpenAlex
- W2124895012
- Cited by
- 69
- References
- 45
- Citations by year
- 2026: 9 · 2025: 3 · 2024: 7 · 2023: 6 · 2022: 7 · 2021: 10 · 2020: 9 · 2019: 7 · 2018: 6 · 2017: 4 · 2016: 1
- FWCI
- 3.69
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- Locations
- Journal of Hand Therapy (publishedVersion)
- PubMed (publishedVersion)
- ResearchOnline - JCU (James Cook University) (submittedVersion)
- Acquire (CQUniversity) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- James Cook University
- Topics
- Health Sciences › Medicine › Surgery › Orthopedic Surgery and Rehabilitation
- Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- occupation-based intervention, exercise therapy, DASH score, neuropathic pain, functional performance, patient satisfaction, hand function recovery
- MeSH terms
- Adult, Disability Evaluation, Exercise Therapy, Female, Hand Injuries, Humans, Male, Neuralgia, Occupational Therapy, Range of Motion, Articular, Patient Satisfaction, Hand Strength
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